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St marthas hospital

Physiotherapist Clinic

nrupathunga road opposite to RBI bangalore
1 Doctor
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St marthas hospital Physiotherapist Clinic nrupathunga road opposite to RBI bangalore
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about St marthas hospital
St marthas hospital is known for housing experienced Physiotherapists. Dr. Arjun Dutt, a well-reputed Physiotherapist, practices in bangalore. Visit this medical health centre for Physiotherapists recommended by 109 patients.

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nrupathunga road opposite to RBI
bangalore, Karnataka - 560001
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Back Care At Office Hours

B.P.Th
Physiotherapist, Mumbai
Back Care At Office Hours

With the monotonous workimg shifts of 9-5pm, we often forget to take care of our back which is an integral part of our body. As per the statistics, nearly 65% of the working individuals or it professionals suffer from tremendous back pain (low back pain) being the commonest. It is seen in young as well as middle aged population who sit on a chair without a good low back support and work on their desktops and laptops which are not even at a good level of their eyes thus causing repetitive stress and strain in their eyes leading to low back pain and neck pain. The main reasons are unsupported sitting on the office chair, improper position of the laptop, not taking enough breaks in between work schedule, not drinking enough water to stay hydrated which provides good nutrition to the discs of our spine!

Follow this simple step to relieve the constant stress and strain on the back

1. Mandatory to take short breaks in between work to ease out the stress on the spine 
2. Stand near the table/desk to perform back bending with hands behind the hips and gently bend your back behind without any jerks or discomfort. Move till the point of pain or discomfort and come back to your starting position. By doing so, you are reducing the pressure on your disc which is a red flag sign for spondylosis, disc herniation or other low back pain problems.
3. Hydrate yourself properly with at least 10-12 glasses of water daily in order to maintain the nutrition of the discs between the bones of the spine called vertebrae.
(this maintains the height of the vertebrae and does not produce friction between the two causing symptoms)
4. Always identify your symptoms like pain, discomfort, stress, tightness around the back, inability to do complete movements, stiffness, difficulty in walking or working on a laptop for long hours. Consult a physiotherapist for the same as exercises are the best way to heal any problem of the spine

1 person found this helpful

Non-surgical Treatment for Cervical Spondylosis - Tips!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Non-surgical Treatment for Cervical Spondylosis - Tips!

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

  1. Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
  2. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
    1. Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
    2. Opiates, for example, hydrocodone, for pain relief
    3. Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
    4. Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  3. Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
    1. Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
    2. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
    3. Exercise routinely to help you recover quickly.
    4. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  4. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  5. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
  6. Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  7. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

ONCE THE CONSERVATIVE TREATMENT FAILS:

Early aggressive treatment plan of back & leg pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total LBP patients would need surgery & approx 20% of discal rupture or herniation with Neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology & response to treatment. Using precision diagnostic & therapeutic blocks in chronic LBP , isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5-S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed. 

NEED FOR NON-SURGICAL OPTIONS: Outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “In case of surgery, the chance of recurrence of pain is nearly 15%. In FBSS or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  1. Dural fibrosis
  2. Arachnoidal adhesions
  3. Muscles and fascial fibrosis
  4. Mechanical instability resulting from the partial removal of bony & ligamentous structures required for surgical exposure & decompression
  5. Presence of Neuropathy.
  6. Multifactorial aetiologies of back & leg pain, some left unaddressed surgically. 

EPIDURAL ADENOLYSIS OR PERCUTANEOUS DECOMPRESSIVE NEUROPLASTY is done for epidural fibrosis or adhesions in failed back surgery syndromes (FBSS). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with EPIDUROSCOPE Sciatica gets complicated by PIVD with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe & effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location & type of PIVD causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or LA was injected. A flexible guide wire is passed at selected location & direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time & location. We inflated the balloon with contrast agent to have visualization of adhesiolysis & opening up of adhesions or root route. Here the balloon pressure & time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure & patient`s response. Once dilatation is done the drug mixture of steroid with LA & or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our Balloon Neuroplasty & foraminoplasty as it is safe & targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via S1 foramen. Now we are employing this technique for fresh cases coupling with Intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The IDD is done by Coblation/ Laser/ DeKompressor or RF Biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “Balloon Neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited & relieved of previously interventionally unmanageable disco-radicular pain including FBSS sufferers. 

INTRADISCAL PROCEDURES:

PROVOCATIVE DISCOGRAPHY: coupled with CT A diagnostic procedure & prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines. 

PERCUTANEOUS DISC DECOMPRESSION (PDD): After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

OZONE-CHEMONEUCLEOPLASTY: Ozone Discectomy a least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, Percutaneous intradiscal decompression can be done via Transforaminal route with Drill Discectomy/ Laser or Coblation Nucleoplasty/ Biacuplasty/ Disc-FX / Endoscopic Discectomy are good alternatives before opting for open surgerical Discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In Biacuplasty radiofrequency energy is used in bipolar manner heating & shrinking the disc & making it harder as well for weight bearing. It also seals the annular defect & ablates annular nerves relieving back pain. In Laser or Coblation Nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

DEKOMPRESSOR: A mechanical percutaneous nucleotome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts & drills out the disc material debulking the disc reducing nerve compression curing Sciatica & Brachialgia. It comes in needle size of 17G for lumbar discs & 19 G for cervical discs. In lumbar region postero-lateral approach is used & in cervical discs anterolateral approach is used. 

DISC-FX & ENDOSCOPIC DISCECTOMY: In this novel technique A wide bore needle is inserted & placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful & sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent & decrease recurrences. Next Higher procedure, Endoscopic Discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion & extrusions causing spinal canal stenosis with root or cord compression with leg pain.

LASER DISCECTOMY done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

SELD: Epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This Procedure is done under vision via an epiduroscope inserted via Caudal canal or Transforaminally employing front or side firing Laser fibers &/or fine instruments.

Functional & Stable Joint Replacement!

MS - Orthopaedics
Orthopedist, Bathinda
Functional & Stable Joint Replacement!

Joint pains can be a cluttered affair and believe it or not 9 out of the 10 cases have to live with the pain despite all the treatment options aiming to reduce the agony. There may be several instances where you might be coming across the term “joint replacement surgery”. No, no need to panic! We are not living in the 1960’s anymore. We are living in the age of cut throat medical innovations that is actually hard to keep up. To sum up in a layman’s turn joint replacements have become as easy as dressing a wound. 90% of the cases are carried out within few hours and the patient is required to stay not more than a day or two at the hospital. the patients no longer have to dedicate a part of our lives for the recovery. Let us have an in-depth look at it.

One shouldn't wait for the condition of knee joints to get worse and visit a well-known orthopaedic and go ahead for the procedure. Since, it involves the portion of your knee cartilage or a portion of the joint being scrapped/cut to pave way for the artificial joint parts to be attached getting the best treatment is a must. So, make no mistakes!

Knee replacement has always been a complex procedure but with the advancements in the field, the process has become much more simple and easy. Discuss the procedure in detail with your doctor and also ensure that you choose a clinic with a good reputation for such a course of action. Joint replacements in today's time last much longer and with proper maintenance and care, they can in some cases, last for a life time.

Once you have decided to go for the treatment get a detailed list of activities that can be carried out for a speedy recovery. Usually, these would involve medications and physiotherapy exercises. Also, the recovery period is minimal and once completely cured, you can get back to normal day to day activities. Do note that you go in for an authentic and established replacement center and avoid falling prey to the fly by wire clinics that have mushroomed in every street corner. Also, ensure that you choose the procedure that fits your budget and insurance plan.

Joint replacement procedures usually do not require any maintenance and if needed you might have to go for regular checkups to make sure that the joints carry on well. Choose the best clinic for the replacements and live a healthy and fruitful life.

I am having legs and back pain only at night please let me know what's the cause I have alcohol daily at night.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
I am having legs and back pain only at night please let me know what's the cause I have alcohol daily at night.
Hello, well intake of alcohol might be a reason for causing such symptoms of restless leg syndrome. Stop taking alcohol. And start doing exercises for back pain.
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I am 63 year old my upper arm muscles have started sagging. also pain sometime Please help.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
I am 63 year old my upper arm muscles have started sagging. also pain sometime Please help.
Hello lybrate-user, diabetic people often develop such weakness in peripheral muscles due to low distribution of sugar to muscles. So start doing strengthening exercises for upper limb with weights initially low and later putting on.
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Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to shoulder. Taking Ultracet SOS and tryptomer 20 mg at night. Pls advice duration of this pain and advice other effective medicine to recover from pain and herpes Zoster.

BHMS
Homeopath, Pune
Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to ...
Hello herpes zoster is one type of viral infection duration is maximum 30 days one homoeopathic medicine I suggest you it can really help you rananculus bulbous 200.
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Knee Pain - How to Stop It With Strengthening Exercises?

Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Knee Pain - How to Stop It With Strengthening Exercises?

The knee is one of the largest and most important joints of our body. It is also susceptible to wear and tear as well as injuries. Knee pain can occur due to a variety of reasons starting from conditions like arthritis and osteoporosis as well as injuries that can affect the ligaments, the joint, the menisci and femur. These are the various parts of the knees, which can suffer from degeneration or even injuries. The best way to combat chronic knee pain is through rest, ice compress and with the help of pain relieving and anti-inflammatory medication. 

While rest and ice compress for chronic knee pain and pain relieving and anti-inflammatory medication are the best ways to combat knee pain, orthopaedics also recommend the use of various strengthening exercises which can alleviate knee pain. Here are a few of the best ones!

  1. The Towel Hook: Lie down flat on your back and raise one leg, Hook a towel under the foot and press it against the towel as you pull both ends downwards, creating slight pressure. This can be done for a few seconds at a time. Remember to do this at least ten times for each foot and increase gradually. This exercise helps in strengthening your entire leg from the calf to the knee and even the thighs so that the pain subsides.
  2. Towel Roll: In towel roll exercise, after pushing knee, should do dorsiflexion and hold for 20 seconds.. Hamstring exercises are also given by placing roll towel under your feet, push down, dorsiflexion and hold for 20 seconds Adductor exercises are also given by placing small ball between your legs just above the knee joint, press and hold for 20seconds.
  3. Swing: For this exercise, you will need to sit down on a chair. Now take one leg and swing it up until it is in line with your hip. Hold it out like this before you slowly bring it down again. Do this at least twenty to thirty times for each leg and gradually increase the frequency and the number of seconds for which you hold the knee. This will also help in pain management.
  4. Knee Marches: You can also do knee marches by sitting down on a chair. You will need to march each knee up and down at least twenty to thirty times. You will need to do this for a few minutes every day and you can easily do it twice a day even when you are at work, sitting in front of a desk. You must ensure that your posture is straight and upright for this exercise. If you wish to discuss about any specific problem, you can consult a Physiotherapist.
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Im 40 year old, facing back problems, will thermal therapy like crocin bed massager help me?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Im 40 year old, facing back problems, will thermal therapy like crocin bed massager help me?
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. Back pain / Sciatica: If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back.
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Hand Pain - 5 Reasons Behind It!

MBBS, DNB - Orthopedics, Fellowship in Upperlimb and Limb Reconstruction (Australia)
Orthopedist, Bangalore
Hand Pain - 5 Reasons Behind It!

There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.

Some of the most common conditions that cause hand pain are:

  1. De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.

  2. Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.

  3. Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.

  4. Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.

  5. Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition. If you wish to discuss about any specific problem, you can consult an orthopedist.
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Maine MRI krwai thi kuch saal pahle. Usme mere bone marrow me problem thi. Ab tk bhut medicine le chuki hun bhut Dr. se dikha chuki hun. Koi khas frk nhi pda. Dr. kahte h mere manke damage ho chuke h uski vjah se mere dono legs kam chlte h unme jaise blood circulation hi ruk gya h. But ruka b nhi kuj chl RHA h.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Chennai
Better get daily sunlight exposure in early morning from 7 to 7.30 or till 8 am. Take maximum amount of calcium content fresh items.
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Hi my back and front neck is paining what are symptoms is there is thyroid please tell me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi my back and front neck is paining what are symptoms is there is thyroid please tell me.
This is cervical pain (neck pain) If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression.
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Im 40 year old, facing back problems, will thermal therapy like crocin massager help me?

MPTh/MPT
Physiotherapist, Lucknow
Im 40 year old, facing back problems, will thermal therapy like crocin massager help me?
Immediately avoid massager. Do some hot water formantation at back. Spinal extension exercises. Ultrasonic therapy. Take some medicine and apply Rhumasyl oil for gental massage on pain areas for now. Msg me for further information and treatment. Thank you.
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I am having low back pain - nerve stimulation pain (not able to sleep or sit) if I stand some relaxation. This is happening on and off multiple times a day Please advise me on the treatment.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am having low back pain - nerve stimulation pain (not able to sleep or sit) if I stand some relaxation. This is hap...
If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back.
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How Long Do You Need Physiotherapy Post-Fractures?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
How Long Do You Need Physiotherapy Post-Fractures?

A broken bone or a fracture can be painful and it requires medical attention for the fracture to heal properly. Proper healing is necessary for the right alignment of the bone. A doctor chooses to either reduce or set the bone in terms of new alignment. The bone reduction can happen manually or surgically depending on the severity of the injury. A Surgical procedure known as the open reduction internal fixation is performed for serious fractures. It ensures that the all the broken pieces are fixed together and the injury can heal properly.

Post the fracture, the bone need to be immobilised for proper healing. This is generally achieved by imposing a cast. For fractures that are not severe in nature, a doctor might choose to impose a temporary cast so that simple motion can happen around the site of the injury. For serious fractures, a permanent cast is placed around the injury site. In the case of a shoulder injury, a patient is required to wear a sling so that the bones are immobilised.

Time Duration of a Therapy Session:

While the exact duration of physiotherapy can vary from individual to individual, it takes a minimum of 2-8 weeks for the fracture to completely heal. Certain fractures take more time to heal. The rate of healing also depends on the severity of the injury, pain threshold level of the patient, extent of work with the physiotherapist, the robustness of the physiotherapy program, extent of the injury of the soft tissue and certain other factors. Typically shoulder and neck injuries heal quicker than a fracture of the legs. The time duration of fracture healing also depends on the type of bone that has been affected.

Physiotherapy in a Hospital:

If the fracture happens in the ankle or leg, a physiotherapist might have to intervene in the hospital in order to teach patient about using assistive devices such as crutches and cane. Things that are taught during this time include using the device in order to climb stairs, right walking posture, getting into a car, taking the device off while sitting and such other techniques.

Physiotherapy at Home:

Physiotherapy can also happen from home if the doctor specifically instructs to do the same. This is typically done for people where the condition is too serious to go outside and get the physiotherapy done. Certain weight bearing restrictions are imposed around this time. The training remains the same as in the case with a hospital.

In the Clinic:

Once the patient becomes mobile enough, a doctor might suggest a patient go to a clinic to get the physiotherapy done. A physiotherapist evaluates certain things such as pain, range of motion, gait, flexibility etc. of the patient before suggesting a certain exercise plan.

 

What's The Treatment For Rotator Cuff Tear?

Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), Diploma SICOT, Fellowship in Spine Surgery, Fellowship in Endoscopic Spine Surgery
Orthopedist, Vadodara
What's The Treatment For Rotator Cuff Tear?

Adhesive capsulitis: an overview
If you are taken aback by the very mention of this condition, you must know this is something you face every now and then. The problem is not too serious until it persists and hence people do not bother to look up terrifying medical terms for the case. Adhesive capsulitis or frozen shoulder is a condition that could arise from a host of reasons. It is usually characterized by a marked stiffness in and around the shoulder blade felt either in the middle of the night, early in the morning or while trying to move a hand close to the end of its reach. Frozen shoulder might become a chronic problem in which case remedying it takes a minimum of one or two years.

Factors leading to Adhesive capsulitis

  1. This condition is prevalent amongst patients of diabetes.
  2. Lack of movement of a limb, either of the two hands, due to a fracture or a surgery can result in the same.
  3. Adhesive capsulitis occurs when the capsule of connective tissues ensconcing the ligaments and bones of your shoulder joint tightens around them hindering free and easy movement.

How is Adhesive Capsulitis Treated?
There are various treatments for adhesive capsulitis. Even though the condition usually gets better on its own, improvement can take two to three years. Over 90% of patients improve with non-surgical treatments, including the following:

  1. Physical therapy
  2. Heat
  3. Corticosteroid injections
  4. Anti-inflammatory medications

Surgery can be performed for patients who see no improvement after non-surgical measures are taken.

How is subacromial bursitis different from Adhesive capsulitis?

While a frozen shoulder affects your entire shoulder area, subacromial bursitis affects a single point in the shoulder blade. The topmost boney part of the shoulder blade is referred to as the acromion. The acromion is placed above the ball- and- socket joint without touching the bones directly. The subacromial bursa is a soft cushion like thing that prohibits friction between the muscles or tendons of the shoulder joint and the acromion. An irritable subacromial bursa is referred to as subacromial bursitis.

How is Subacromial Bursitis Treated?

Subacromial Bursitis can be treated in a number of ways, including:

  1. Avoiding activities that aggravate the problem
  2. Resting the injured area
  3. Icing the area the day of the injury
  4. Taking over-the-counter anti-inflammatory medicines
  5. What do you mean by rotator cuff tear?

Rotator cuff is a group of tendons and muscles located on top of the upper arm bone or humerus. The cuff helps to hold your arm in place allowing easy movement. Acute stress or physical exertion can lead to muscle cramps or might even make the tendons tear apart. Tennis players, swimmers, or people lifting heavy weights are prone to Rotator Cuff Tear. This condition leads to excruciating pain and tenderness in your shoulder blade.

What's the Treatment for a Rotator Cuff Tear?

As bad as these injuries can be, the good news is that many rotator cuff tears heal on their own. You just need to give them a little time. You also should:

  1. Rest the joint as much as possible. Avoid any movement or activity that hurts. You may need a sling.
  2. Ice your shoulder two to three times a day to reduce pain and swelling.
  3. Perform range-of-motion exercises, if your doctor recommends them.
  4. Consider physical therapy to strengthen the joint.
  5. Use anti-inflammatory painkillers, or NSAIDS, like Advil, Aleve, or Motrin.

More serious rotator cuff tears require surgery. One procedure is shoulder arthroscopy, usually an outpatient procedure.

How Ayurveda Helps Reduce Knee Pain?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Raipur
How Ayurveda Helps Reduce Knee Pain?

Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain can also be permanently cured with this method indigenous to India. It reduces knee pain caused by various illnesses including arthritis, inflammation of the cartilage and wearing of the patella among others.

Here are some common Ayurvedic remedies, which help reduce knee pain:

  1. Alfalfa: Alfalfa is medically known as Medicago Sativa. Alfalfa is excellent for making sure that your joint pain reduces, when taken in liquid form four times a day.
  2. Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains. 
  3. Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications. 
  4. Bishop's weed: The medical name for Bishop's weed is Trachyspermum Ammi. The oil extracted from this herb is usually applied to the knees to reduce the intensity of such knee pains.
  5. Celery: The medical name for celery is Apium Graveolens. Celery is not only an effective treatment for rheumatoid arthritis and associated pains in the knees, but it is also helpful in treating gout. It is usually agreed upon that this particular treatment is usually long lasting because of its alkaline nature.
  6. Dandelion: Dandelion's biological name is Taraxacum Officinale. It is rich in magnesium and is crucial for the correct mineralization of the bones. This mineralization allows the bones to become stronger and also prevents knee pain.
  7. Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
  8. Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.
1 person found this helpful

I am suffering from knee sounds crazy chruk and pain is there when I sit and up please tell me how to prevent and let me know what's the reason to that.

BHMS
Homeopath, Sindhudurg
I am suffering from knee sounds crazy chruk and pain is there when I sit and up please tell me how to prevent and let...
calsivita syrup 1spoonful 3times daily .. kali mur 30x 4pills 3times calc fluor 30x 4pills 3times for 15days and revert back for further treatment
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I am 17 year old and I have hip pain it is because I overstretched my hip and jumping workouts and pain increases when I seat for long time and walking for long time I met the doctor he told that it is inflammation of hip and gave me medicine it didn't cure me hips are still paining please tell me how to recover from it completely as my football matches are there in next month.

BAMS, MD, Panchakrma
Ayurveda, Nashik
I am 17 year old and I have hip pain it is because I overstretched my hip and jumping workouts and pain increases whe...
hi ,1) Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. 2) Start natural calcium supplement. 3) Do regular stretching exercise 4) In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR.
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Hi doctor I'm 25 years old and now suffering with ankylospondylo arthritis which is ankylosing spondylitis I'm facing allot of pain in my knee and leg joints and stiffness is too much due to it I am unable to perform my daily task and some time its too much paining is their any home remedies or something which controls this as this is non curable.

BHMS
Homeopath, Chennai
Hi doctor I'm 25 years old and now suffering with ankylospondylo arthritis which is ankylosing spondylitis I'm facing...
Ankylosing spondylitis affects males 2-3 times more commonly than females. Researches suggest that there is a strong link of AS being genetically inherited. The HLA-B27 gene can be detected in most patients with ankylosing spondylitis. This disease is thought to be an auto immune disorder, which means that body’s own defense cells damage the joints of the spine Homoeopathic treatment can be a great boon to the patients if the intervention is started well in time. In this disorder too, the homoeopathic medicines work by optimising the body’s overactive immune (defense) system. The stage of the disease at which the homeopathic treatment is started, is a major factor in determining the outcome of the treatment. For example if the treatment is started in the initial stages when not too much of the elastic tissue is lost, the prognosis are very good and the condition can be reversed in most of the cases .In stages where extensive bone formation has replaced elastic tissue, homeopathic medicines may not be able to reverse the situation but can still help in easing many symptoms. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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