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I have a 10 years old lab. Due to his old age and arthritic pain in leg, he couldn't able to stand up most of the times. We are giving him pain killers, multi vitamins etc but these are not affecting anymore on him. So what can I do next to reduce his pain and screams?
Left foot heel pain about 5 months Vitamin d 51.5,b12-301.7,calcium 1.17,uric acid 5.18,hba1c 5.6 latest reports Also Slow walking & standing.
I have constant pain in my heel. It increases after I have been sitting for some time. Please suggest.
Concentrated pain in the neck can be especially tormenting. Before you look for a cure for this pain and start treating it, it is important that you try and find out the underlying cause behind it as well. Contacting a physiotherapist in time will allow you not only to avoid any and every side effect posed by neck pain, but also assist you to get good riddance from it.
Causes of Neck Pain:
There can be multiple causes of neck pain. The treatment of the same depends wholly on the factor that is causing the pain. Some of these causes of neck pain include
- Misaligned hips,
- Misaligned Spine,
- Misaligned shoulders,
- A constantly forward-tilted head,
- Lack of movement of the head from one specific position,
- Tensing up of the muscles in the upper back,
- Tensing up of the muscles in the neck region, etc.
- It is all these factors and a few more that end up resulting in stiffening of muscles in and around the neck and causing you intermediate to unbearable pain.
Exercises for neck pain:
Neck exercises are a predominant part of the treatment extended by every physiotherapist, to cure neck pain. Some of the most vital and effective exercises for neck pain are listed below.
- Frog: Funny as it way sounds, the frog is one of the best exercises when it comes to treating neck pain. All you have to do is lie down on the floor with your knees apart, your feet joined, your hands laid upward on the floor at a 45-degree angle to your body and just stay there in that position for two minutes. This will force your back to arch naturally, slowly giving some relief to your neck.
- Sitting floor: Try sitting floor for neck pain. All you have to do is sit straight with your back rested on a wall, with your legs laid straight forward. Bring together your shoulder blades and bend to help them meet your knees while curling the toes outward to optimal. Stay in this position for a good 3 minutes, without bending the legs.
- Static wall: Lie down on the floor with your bottom against a wall and your legs up it. You can always scoot back a bit if there is the slightest of discomfort. The aim here is to help the tail bone lie comfortably on the floor. Tighten your thigh muscles but curling your toes outward and pointing your feet straight out from its previous position. Maintain this position for 3 minutes for maximum effect.
- Static back: The static back is the most common and most helpful exercise for neck pain. All you got to do is lie down on the floor, while placing your legs on an elevated surface, such as an ottoman or a chair at a 45-degree angle to your body. Now put your arms at an angle of 45 degrees to your body as well, only sideways on your shoulder. Follow this position by lifting your palms and staying in that position for five to ten minutes.
All these exercises are aimed to positively influence one muscle or the other in and around the neck region and to help you get rid of that pain.
In case you have a concern or query you can always consult an expert & get answers to your questions!
What is a slipped disc?
Injury or weakness can cause the inner jelly like portion of the disc to protrude through the outer ring. This is known as a slipped or herniated disc. This causes pain and discomfort. If the slipped disc compresses one of your spinal nerves, you may also experience tingling, numbness and pain along the affected nerve. As the lumbar spine (lower back) carries most of the body weight, it tends to âslipâ more than higher levels.
What is the anatomy of disc herniation / herniated disc/ slip disc /sciatica?
Human spine is made of up 33 bones (vertebrae) that are cushioned by discs. These vertebrae are divided by region: neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end of your spine, you also have the sacrum and the coccyx, which is commonly called your tailbone. Discs are present between these bones. The disks protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting. Each disc has two partsâa soft, gelatinous inner portion (nucleus pulpous) and a tough outer ring (annulus fibrosus). Together, the vertebrae and discs form a tunnel through which the spinal cords and nerve pass.
What are the causes of slip disc?
The etiology/cause of slip disc is multifactorial; there is no evidence to prove/disprove the quantitative effect of one or other. The risk factors for slip disc can be:â¨â¨â¢ life style: stress and emotional tension, poor posture -standing for long periods of time or sitting incorrectlyâcan cause slip disc, heavy physical work, lifting or forceful movement, bending, or awkward positions can really hurt your back.â¨â¢ obesity: being overweight puts pressure and stress on the back, especially the low back. Carrying excess weight aggravates other health conditions such as osteoporosis (weak bones), osteoarthritis (joint pain), rheumatoid arthritis (an autoimmune disease), degenerative disc disease (described above in the aging section), spinal stenosis, and spondylolisthesis.
What are the symptoms of herniated disc or slip disc?
Symptoms of a slipped disc include: sciatica â pain in buttock radiating to legâ¨â¢ pain and numbness, most commonly on one side of the bodyâ¨â¢ pain that extends to your arms and/or legsâ¨â¢ pain that worsens at nightâ¨â¢ pain that worsens after standing or sittingâ¨â¢ pain when walking short distancesâ¨â¢ unexplained muscle weaknessâ¨â¢ tingling, aching, or burning sensations in the affected areaâ¨â¢ sciaticaâ a sharp shooting pain that can extend from the buttock into the leg and sometimes into the foot.â¨â¢ muscle spasm, locked back, stiffness in back, morning stiffness.â¨â¢ although rare, herniated discs can cause you to lose bowel or bladder control known as cauda equine syndrome and one should seek medical advice as prognosis deteriorates with time. One can know whether this is happening to him or not if he has urgency /frequency of urination or loss of control of urination or sudden peri anal anesthesia.
When do I need to have a spine doctor opinion?
Patients with progressive symptoms in leg / back need a specialist opinion to diagnose and treat the problem.â¨â¨symptoms which need specialist attention (red flags) are:â¨â¨1. Persistent leg painâ¨2. Numbness in legâ¨3. Weakness in legâ¨4. Difficulty in walkingâ¨5. Unable to control urine / motionâ¨â¨symptoms like bowel and bladder urinary incontinence shall seek urgent / emergency opinion /management by the spine specialist.
Which tests will be needed to confirm the diagnosis?
Imaging studies / investigations help to arrive a diagnosis of slip disc / herniated disc and include:â¨â¢ x-raysâ¨â¢ mri scansâ¨â¢ disco grams, which are rarely utilized.
What are the treatment options for slip disc?
There are different options to treat slip disc depending on the severity and duration of symptoms. They may comprise of one or many:â¨â¨1. Drugs & medicationsâ¨2. Spinal injectionsâ¨3. Spine surgeryâ¨â¨drugs, medications, to relieve slip disc: medication alone is not the ultimate solution to your back pain, however during emergency or during severe pain these medicines may help you curb the suffering. paracetamol:â¨your doctor may call this an analgesic, they donât help reduce inflammation, though. nsaids (non-steroidal anti-inflammatory drugs):â¨these will help reduce swelling (or inflammation) while relieving your pain; thatâs how nsaids differ from paracetamol.â¨â¨muscle relaxants: which will help stop the muscular spasms.â¨â¨anti-depressants:â¨as surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your bodyâs production of endorphins, a natural pain killer.â¨â¨opioids:â¨in the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid.â¨â¨medication warning:â¨as with all medications, you must follow your doctorâs advice precisely.
(a) injection techniquesâ¨â¢ root block injectionâ¨â¢ epidural injectionâ¨â¢ caudal block injectionâ¨â¢ facet block injection
The options of surgery are
â¢ decompressionâ¨â¢ spinal fusionâ¨â¨the spine surgery advised for slip disc can be performed in many different ways. The success rates of surgery in slip disc/ herniated disc / sciatica is 98 % and with invention of modern technology and minimal invasive surgery techniques it nears 100 %. Spine surgery can be performed in different manners:-â¨â¨â¢ conventional open surgeryâ¨â¢ minimal invasive spine surgery â key hole spine surgeryâ¨â¢ endoscopic spine surgeryâ¨â¢ microscopic spine surgeryâ¨â¢ micro endoscopic spine surgery
â¢ facetectomy: a procedure that removes a part of the facet (a bony structure in the spinal canal) to increase the space.â¨â¨â¢ foraminotomy: a procedure that removes the bony compression over foramina (the area where the nerve roots exit the spine) to increase the size of the nerve pathway.â¨â¨â¢ laminoplasty: a procedure makes more room for the spinal canal.â¨â¨â¢ laminotomy: a procedure that removes only a small portion of the lamina (a part of the vertebra) to relieve pressure on the nerve roots.â¨â¨â¢ micro-discectomy: a procedure that removes a disc through a very small incision using a microscope.â¨â¨â¢ laminectomy: a procedure for treating spinal stenosis by relieving pressure on the spinal cord.â¨â¨spinal fusion: surgery intends to stabilize an unstable segment responsible for pain, this may involve putting some screws in your spine to increase stability.â¨â¨various options of doing spinal fusion are plf /plif/tlif/ alif/xlif.