Doctor in Medi+Clinic
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Pain in Ribs
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
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Patient Review Highlights
Introduction Scoliosis is the abnormal twisting and curvature of the spine. It is usually first noticed by a change in the appearance of the back. There are several types of scoliosis based on the cause and age when the curve develops; the majority of patients have no known cause.
Typical signs include:
1. Visibly curved spine
2. One shoulder is higher than the other
3. One shoulder or hip being more prominent than the other
4. Clothes not hanging properly
5. A prominent ribcage
6. A difference in leg lengths
Back pain is common in adults with scoliosis. Young people with scoliosis may also experience some discomfort, but it's less likely to be severe. Seeking medical advice If you or your child has signs of scoliosis, make an appointment to see your spine specialist. They can examine your back and can refer you for an X-ray for confirmation. If you or your child are diagnosed with scoliosis, it is important to see a scoliosis specialist to talk about treatment options.
What causes scoliosis?
In around eight out of every 10 cases, a cause for scoliosis is not found. This is known as idiopathic scoliosis. A small number of cases are caused by other medical conditions, including:
1. Congenital scoliosis: Caused by birth defects.
2. Neuromuscular scoliosis: Common conditions are
- cerebral palsy
- a condition associated with brain damage
- muscular dystrophy
- a genetic condition that causes muscle weakness
- Marfan syndromeIdiopathic Scoliosis
- a disorder of the connective tissues
3. Idiopathic Scoliosis: Reason not known.
4. Adult scoliosis: In adults, age-related changes in the discs and joints of the spine and a reduction in bone density may cause scoliosis. Adults can also experience worsening over time of previously undiagnosed or untreated scoliosis.
Scoliosis can usually be diagnosed after a physical examination of the spine, ribs, hips and shoulders. You may be asked to bend forward to see if any areas are particularly prominent. For example, one of your shoulders may be higher than the other or there may be a bulge in your back. Scans The specialist will take an X-ray to confirm the diagnosis of scoliosis. The X-ray images will also help determine the shape, direction, location and angle of the curve. The medical name for the angle the spine curves is known as the Cobb angle. In some cases, scans such as magnetic resonance imaging (MRI) scan or computerised tomography (CT) scan may also be recommended. Treating scoliosis in children If your child has scoliosis, their treatment will depend on their age and how severe it is. The main treatment options are:
Observation treatment is not always necessary for very young children because their condition often corrects itself as they grow. However, if the curve does not correct itself, it can reduce the space for the internal organs to develop in, so careful monitoring by a specialist is important. Casting in some cases affecting young children, the spine may need to be guided during growth in an attempt to correct the curve.
In a child aged under two years of age, this can sometimes be achieved by using a cast. A cast is an external brace to the trunk made out of a lightweight combination of plaster and modern casting materials. The cast is worn constantly and cannot be removed, but is changed regularly to allow for growth and remodelling. Bracing If the curve of your child's spine is getting worse, your specialist may recommend they wear a back brace while they are growing.
A brace cannot cure scoliosis or correct the curve, but it may stop the curve from getting worse. If a brace is used, it will need to be carefully fitted to your child's spine. Braces are often made of rigid plastic, although flexible braces are sometimes available. In general, modern back braces are designed so they are difficult to see under loose fitting clothing. It's usually recommended that the brace is worn for 23 hours a day, and is only removed for baths and showers.
However, it should be removed during contact sports and swimming. Regular exercise is important for children wearing a brace. The brace will usually have to be worn for as long as your child's body is still growing. For most children, this will mean they can stop wearing it when they are around 16 or 17 years old. Surgery is recommended, if your child scoliosis is severe and in case, other treatments have been unsuccessful, corrective surgery may be recommended. They type of surgery will depend on your child's age.
Surgery in children for younger children, generally those under the age of 8 to 9, an operation may be carried out to insert growing rods. These rods aim to allow for continued controlled growth of the spine while partially correcting scoliosis. After surgery to insert the rods, your child will need to return to their specialist every 4 to 6 months to have the rods lengthened to keep up with the child's growth. In some cases, rods that can be lengthened using external magnets during an outpatient appointment may be used.
Surgery in teenagers and young adults operation where the spine is straightened using metal rods attached with screws, hooks, and/or wires, and bone grafts are used to fuse the spine in place. This metalwork will usually be left in place permanently, unless they cause any problems. After the operation, most children can return to school after a few weeks and can play sports after a few months. Possible complications of scoliosis Physical complications of scoliosis are rare, although serious problems can develop if it's left untreated.
Emotional issues having a visibly curved spine or wearing a back brace may cause problems related to body image Lung and heart problems In particularly severe cases of scoliosis the rib cage can be pushed against the heart and lungs, causing breathing problems and making it difficult for the heart to pump blood around the body. Nerve compression In some cases of scoliosis, particularly those affecting adults, the bones in the spine compress nearby.
Back pain is a common source of pain, which can be acute, subacute or chronic in nature. Back pain is classified along with the segments of the spine and can be divided into neck pain, middle back pain, lower back pain or tailbone pain.
Lower back pain is a type of back pain, which affects the lower back portion of the body. It may occur from arthritis or due to sudden jerking during movement. Lower-back pain may cause serious discomfort and aching and may disable a person from moving about. It should be treated and cared for properly.
Here are several treatments and care procedures for lower-back pain.
- Take some rest: Most people who get lower-back pain get obsessed with it and end up getting MRI scans, x-rays done and take injections without recognizing the intensity of the pain. It is advised not to rush into the matter. A simple way to cure the pain is by resting. 90% of lower back pains resolve by themselves in 6 weeks and so you must give your back a break instead of taking medical action and give your back some to heal.
- Pills: Sometimes, lower back pain can suddenly become severe. In this case, you should intake anti-inflammatory pills such as ibuprofen or naproxen. These pills will help you ease the pain. However, you should not take them for more than ten days at a stretch as continuous pill consumption can cause side effects.
- Hot & cold compress: Apply a bag of frozen peas or an ice pack to the affected area in your lower back for 48 hours after the pain appears. Every session should be about 20 minutes and you should take several sessions each day. After two days, repeat the same procedure using a heating pad. The cooling procedure shuts down your blood capillaries, reducing the flow of blood to the affected area. The swelling is then eased. The heating, on the other hand, loosens tight muscles and helps to increase blood circulation.
- Replace your mattress: People who sleep on firm mattresses and cushions on their beds are at a higher risk of experiencing lower-back pain. If you sleep on a medium-firm mattress, your chances of getting lower-back pain are less. In case your mattress is sagging or is very old, you should replace it.
- Acupuncture: When your lower-back pain is very severe, you can take acupuncture injections, which provide efficient pain relief. The injections change the way your nerves react and inflammation gets reduced.
Lower-back pain is likely to cause great discomfort and trouble. You will be unable to carry out your daily chores because of the pain. Therefore, proper treatment and care are required for lower-back pain.
The movement between bones and muscles is possible due to the fluid-filled sacs that enable smooth gliding of the bones. When there is an inflammation of these sacs, condition known as bursitis results, leading to friction, reduced movement, painful movement, discomfort, and irritation.
Some of the common causes of bursitis include age, which brings along reduced elasticity of the tendons and ligaments. Additionally, sudden injury to the bursa area, repetitive stress, overuse of the ligaments or tendons, incorrect posture, and improper exercise can all lead to bursitis.
The most commonly affected parts are the elbows, shoulders, hips, knees, and ankles. The dull, aching pain that ensues is accompanied by stiffness. Movement can worsen this pain. The area can be red, hot, and swollen indicating infection. Whatever the area affected, some of the common ways to manage bursitis pain are listed below.
- Rest - As soon as bursitis is identified, the area must be rested. As noted, in most cases, repetitive stress and injury is the most common cause, and resting the area really helps.
- Ice only - If bursitis is happening for the first time, then an ice pack alone should help reduce the pain in 1 to 2 days.
- Ice and moist heat - If it is happening repeatedly, then alternating moist heat and ice for 15 minutes each will help. This can be done two to three times a day.
- Anti-inflammatories: In most cases, if rest and topical therapy are not working, then the regular anti-inflammatory agents may be given.
- Physical Therapy - In some cases, mild exercises can help reduce inflammation and pain.
- DMSO (dimethyl sulfoxide) - This clear, colorless, oily liquid is made from wood pulp and helps in reducing the inflammation caused by bursitis. A 70% DSMO mixture can be applied with cotton on the affected area 3 times a day for 3 days, then 2 times a day for the next 3 days, and then 1 time a day for the next 3 days. If there is no improvement in the first 3 days, it needs to be discontinued.
- Foods to remove calcium deposits - In a number of cases, bursitis that is present for months or years is worsened due to the calcium deposits. Foods like apple cider vinegar can help dissolve the calcium deposits that could have formed in the bursa.
- Surgical drainage - In very rare cases, the bursa may need to be surgically drained.
Bursitis is a very common issue and can be managed easily as well. Consult your doctor and avoid medicating on your own.
A bone fracture occurs when a strong external force is applied to the bones causing it to break. It is an extremely painful condition that results in days of immobility and rest. There are several reasons which can result in bone fracture, some of them being:
1. Injuries caused in sports
Any sport requires and demands extreme physical exertion and participation. Being involved in any sport therefore automatically increases your risk of incurring injuries. Bone fractures therefore are mostly reported during sports.
Due to the deficiency of calcium, the bones of both men and women tend to get weak and more susceptible to fracture and breakage. It is one of the primary causes that lead to bone fracture.
This also refers to a condition wherein the bones become weak and brittle. Much like osteoporosis, osteomalacia too significantly contributes to instances of bone fractures.
This is a rare form of bone cancer that most often develops either near the femur or near the shinbone. An instance of this form of bone cancer is most often found in children and weakens the bone, consequently leading to fractures.
Though there may be different causes of broken fractures, its symptoms remain similar. Some of them are-
One of the most common symptoms of bone fracture is perceptible swelling. If any of your bone is fractured, that particular part will be visibly swollen.
Bones give your body the shape it has, thereby, any fracture anywhere would inevitably manifest itself as a clear deformity of that particular part.
3. Extreme pain
It goes without saying that a bone fracture would entail excruciating and extreme pain. This pain sharply increases with mobility thereby necessitating complete rest.
4. Temporary loss of function
The part of the body where the bone is broken temporarily becomes dysfunctional. For instance, if the bone in your hand is broken, you will find it extremely difficult to move and do any work with it.
A herniated disc also known as a slip disc or prolapsed disc refers to the problem where one of the discs located in between the bones of the vertebrae(backbone) gets damaged and stacks itself upon the nerves. The tender inner portion of the disc gets protruded over the outer ring. Herniated disc causes severe neck pain and back pain. It occurs when the outer ring gets weak and tears down. The most common symptoms include pain and numbness, especially on one side of the body. The pain extends down to the arms and legs. It worsens during nighttime. The muscles become weak. Overweight people are likely to have this disease, as the discs carry extra weight. Old people are vulnerable to a slip disc.
Effects of Herniated Disc:
- An untreated case of a herniated disc may cause permanent damage to the nerves.
- In certain cases, a herniated disc is capable of cutting off nerve impulses to the "caudal equine"nerves, present in the lower back and legs. This leads to loss of bladder control or bowel control.
- Saddle anaesthesia is another long-term effect. Nerves are compressed by the slip disc, causing loss of sensation in the inner portions of your thighs, the back of your legs and surrounding the rectum region.
- Symptoms may improve or worsen.
Diagnosis of Herniated Disc:
Treatment or diagnosis of a herniated disc or slip disc can be either conservative or surgical in nature. The nature of the treatment is determined according to your discomfort level and the kind of pain you are experiencing, or how much the disc has slipped out.
- The pain caused by herniated disc can be relieved by undertaking an exercise schedule which includes stretching and strengthening the spine and its surrounding muscles.
- A physiotherapist should be appointed for recommending the types of exercises.
- Taking pain relievers also soothes the pain.
- Stronger medicines prescribed by doctors include muscle relaxers, narcotics to deal with the pain, medicines for nerve pain such as "gabapentin" or "duloxetine".
- In the case of the symptoms not subsiding within a span of six weeks, surgery may be recommended by your doctor. The surgeon may have to remove the damaged part of the disc. This surgery is called a microdiscectomy.