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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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I am having pain in my lower back. Sometimes it is unbearable. I do have fever and frequent headaches with it. I happens for few days (2-4) but after taking painkillers it vanishes. Pls help.
I want to join defence But when I stand straight with joining my legs both knee touches ewch other a bit. Can I correct it? If yes how?
This Medication used for a mild disc bulge at c4 -c5 due to pain in neck Low diaphragm movement after medication stopped.
I am 35 years old and I am suffering from thyroid. Because of which I have gained extra weight and and spondilytis since few months because of which I cannot sit in a constant position for a long time. Doctors have adviced that both the diseases are not curable completely. Kindly suggest me what to do?
How can I help myself to relief from sciatica pain severe at night, sometimes hamper my night sleep, I am 45 years old and having all joint pains as well morning stiffness. Please suggest.
How to get rid of back pain? I have pain in my shoulder for a long time and how to get relieved from that? thank you.
I am 23 years old, I always feel pain in my souls of heals and back of heals when I walk more, play, and stand for long time, this problem is occurring from last 3 months, my weight is 72 and height is 5 ft 6 inch.
Hello Doctor, I have a pain in my feet for 3 days after running with wrong shoes. Please help to cure this issue.
My friend has pain on her legs, she is telling me that when she was running, pain started from knee to toe & this pain is not mussels pain it is from beside the leg bone & its so painfully. She aslo informed that when she stop running pain become more but if she take rest for few days this pain become vanished. She went to doctors but result become zero. She is around 20th. Place give me some suggestions for her. Thanking you in advanced.
I am 35 years old. I have a knee problem since 4 years. So please give me solution so that I can walk easily.
Hi, My would be husband has a problem of ankylosing spondylitis. He has this from 2010 and the only worry which my parents have is it is safe to get married to a person having this problem. I would like to have your opinion on what are impacts of this and will it really impact my married life after marriage as he is taking treatment of a daily medicine which doctor has recommended him and he has do daily physical exercise and he is regular in that but is there still any other thing that we have to take care of. I need a consultation as I do have his reports which he has shared with me, so that I make myself sure before marrying him. Its really a thing of concern for me as well as my parents. Let me know its affects asap.
How to get rid of pain of right leg groin part. Right leg groin muscle is getting painful. please give me some directions to get rid of this pain.
I am a 30 years old and I have foot (Heel) pain its curable or not sir. If I walk it will get pain and I have back pain and gastric problem. Please suggest anything.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.