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Spinal Surgery Disorders
Treatment of Neurological Problems
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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Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.
Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.
The carpal tunnel pressure increase occurs when either of two things happens:
- The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
- When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
- Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:
- hand pain or aching
- pins and needles
- numbness esp at night of with wrist flexing
- weakness or cramping
- perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.
Physical Therapy Treatment
- Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
- Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
- Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
- Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
- Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms. If you wish to discuss about any specific problem, you can consult a physiotherapist.
I had a spine surgery as I had a tumour there. Now I am unable to land my foot properly. Surgery was successful .I don't feel any pain. I went for therapies too. But no improvement. I only can walk on my toes.Please suggest.
Muscle sprains and ligament tears are one of the most common injuries that medical practitioners encounter on a regular basis. These injuries are painful and can also limit one’s movement, needless to say. However, there are simple things that can be done as soon as the injury happens so that the impact of the injury can be reduced, the symptoms minimised, and recovery improved.
A sprain is a tear of the ligament. The ligament is responsible for connecting the tissue strands that connect the bone to the muscle. When this sprain affects the muscle or even the tendon, it is known as a strain.
Sprains are very common and can occur due to a fall, twist, or impact. Most commonly affected areas are the ankles and wrists. Sprains happen when there is a pull or a twist of the ankle or the joint. This is very common in athletes and can be caused by repetitive motions in the knees, wrists, elbows, etc.
- RICE therapy: RICE is an acronym for rest, ice, compress, and elevate. Rest the affected area immediately by stopping any further activity. Ice the area using an ice wrap, with the ice cubes wrapped in a towel or a cotton cloth. Repeat this exercise if possible for every 20 minutes. This will reduce the swelling and pain. Compress the area using a sling or a wrap. This will help in reducing the swelling. Elevate the affected area if possible above the heart. This will help control the blood flow and thereby reduce the swelling and pain.
- Pain control: If there is pain that needs medication, go for the non-steroidal drugs like ibuprofen or acetaminophen. If it is a child that is injured, it is advisable to give non-aspirin ones.
- Seek professional help: Most sprains can be self-limiting over a couple of days. However, it is advisable to seek medical help if there is significant pain, swelling, or numbness, open wounds or bruises, or inability to move the joint.
The doctor may decide to do the following.
- Scanning or imaging to rule out any internal hard/soft tissue injury like fracture or tear
- Immobilise the joint with a splint or a cast
- Start physical therapy if there is severe pain and immobility
- Surgical repair if there is a ligament injury
A word of caution to athletes or people who are very active physically is to go easy on the joint. In an eagerness to quickly get back to their routine, more and severe damage may be caused. This can be avoided by allowing time for complete healing. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Hello Doctor Good morning. I'm 23 year men suffering from severe back pain. It's all about due to some bad habit. So what can I do for this problem. May I face any problem in future? Please give me some solution. Thank you.
I have been operated for disc prolapse 8 years back, recently I have been experiencing pain in low back again what precautions I should be taking and what treatment required to live pain free life.
Dear Doctor Lower skin layer of both toe ( foot ) is coming out and then some bleeding and paining . This is happening since from 3/4 years . Please give a permanent solution .
I am suffering from shoulder pain since 5 years back. I consult with orthopaedic. They advice me to do exercise & take calcium tablets. For last six months I follow their advice but yet not get relieved. Please advise.
Joint pains or muscles cramps are the usual suspects when it comes to leg pain. Joint pains are usually a symptom of arthritis, a common occurrence during old age. Leg muscles are mostly affected by muscle cramps. From an Ayurvedic point of view, all pains are caused by the vata dosha.
What are doshas?
The doshas define the natural inclination of the body and they comprise the three main energies that affect your health and well-being. The three doshas are Pitta, Vata and Kapha. Thus in Ayurveda, pain is caused when the doshas are vitiated. In Ayurveda, ama is the name given to the toxic materials in the body that are caused by improper indigestion. Therefore, pain occurs when there is too much ama build-up in your body.
Useful herbs for treating leg pain:
- Clove: It provides instant relief from pain, especially if they are due to muscle cramps. Apply clove oil in a poultice over the affected area.
- Ginger: Since ginger has great painkiller properties, it can be added to a regular diet to deal with chronic leg pain.
- Liquorice: Muscle aches can be treated with liquorice roots infused in water overnight.
- Madhuca: Applying madhuca oil over leg pains, especially if they are due to rheumatism, then it can give great results.
- Pepper: Pepper aids in proper blood circulation by helping dilating the superficial blood vessels.
Dietary regulations for leg pain: To help with chronic leg pain, leafy vegetables, green vegetables, Vitamin C-rich foods, plantains that are rich in potassium, magnesium and calcium must be consumed. Coffee and chocolate must be avoided at all costs. The consumption of water cannot be stressed enough as one of the leading causes of leg pain is dehydration of insufficient fluids in the body. Water helps flush out the toxins in the body, thus getting rid of the vitiated doshas.
Ayurvedic treatment for leg pain: For external use, Mahanarayana Tailam is extremely effective. Warming the oil before application will give best results. For internal use, Simhanada Guggulu, a mild laxative, Laxmi Vilas rasa and Pratapa Lankeshwara Rasa are prescribed.