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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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Hello doctor, when I used to sit on tour sit. A bitter sound comes from my knees. What should I do. Is it symptom of any big disease. I am not having any other problem in my daily life. Thanks.
I play Cricket and when I am on field when I throw the Cricket ball a pain is create in my soldier but when I ball no pain in my soldier.
# I want frank answer respected doctors I have degenerative ACL of left knee for last 3 months .by the time passed gradually I can walk slow with out any trouble with proper gait. If I walk fast feeling my knee giving up crack sounds .Right knee is straining. Does DEGENERATIVE ACL CURES NATURALLY TO ITS FULL STRENGTH OR DFENATILY SURGERY IS THE BEST OPTION?
My heals are paining when I get up in the morning. I just can't stand on for half an hour what is this?
Correct posture is a simple but very important way to keep the many intricate structures in the back and spine healthy. It is much more than cosmetic - good posture and back support are critical to reducing the incidence and levels of back pain and neck pain. Back support is especially important for patients who spend many hours sitting in an office chair or standing throughout the day.
Not maintaining good posture and adequate back support can add strain to muscles and put stress on the spine. Over time, the stress of poor posture can change the anatomical characteristics of the spine, leading to the possibility of constricted blood vessels and nerves, as well as problems with muscles, discs, and joints. All of these can be major contributors to back and neck pain, as well as headaches, fatigue, and possibly even concerns with major organs and breathing.
Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material.
Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.
Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.
In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision
- Local anesthesia is given in the area that needs to be operated
- A biopsy needle is inserted into the fractured space with the help of an X-ray
- The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
- The needle is removed and the incision is covered with a bandage
- Usually the patient is sent home in an hour’s time unless the overall condition is really bad
- There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
- There is also improvement in mobility while doing daily chores
- The pain relief can last up to 3 years after the procedure
- Returning back to normal activities takes about 3 to 4 days after the procedure
When to use this procedure?
Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:
- Cancer metastasis
- Spinal hemangiomas
- Traumatic fractures
Benefits of using vertebroplasty for managing pain
- Minimally invasive
- Effective way to get relief
- Improves mobility
- Reduces need for long-term use of painkillers
- Stabilizes the spine and prevents further collapse
In case you have a concern or query you can always consult an expert & get answers to your questions!
HI I have got a back pain which last only for 1hr after a night sleep in the morning. Once I have consult a doctor he says do not take pillow while sleeping. I have done that. I continuously sleep on my stomach and I have got a bit stomach too After 1 or 2 hrs it relaxes but pains a bit please give a suggestion.
A fracture separates a single solid object into two or more pieces due to pressure. In medical terms, a fracture refers to a broken bone due to some kind of external trauma. A crack in the bone, on the other hand, it does not cause a clean break in the bone, there is only a separation or discontinuity in the bone material.
A crack in the bone caused due to repeated stress is often called as 'hairline fracture'. Here are the basic differences between a crack and a fracture in the bone and how to treat them:
- A crack or hairline fracture is rarely caused by a single injury. It is usually the result of bone fatigue, which may be caused due to repeated, concentrated stress over a long period of time and thus, it is also called as 'stress fracture'. Other bone fractures are almost always the result of sudden and severe force on the bones.
- The skeletal system constantly remodels itself. The cells, known as 'osteoblasts' absorb calcium and secrete bone connective tissue. If a particular site is exposed to recurrent bouts of force (which are individually not impactful enough to cause a crack), over time the osteoblasts in that region malfunction and the crack appears. Muscular exhaustion can also cause cracks in the bone. Fractures are caused due to sudden external single force trauma to the bone. Nutritional problems like deficiencies of Calcium, Phosphorus, vitamin D and excessive smoking decrease the bone mineral density and increase the chance of both cracks and fractures.
- Symptoms of a crack are swelling, tenderness and sharp pain in the injured region and the symptoms worsen over time. A fracture has similar symptoms and might also exhibit an external physical distortion and makes it impossible to move that part of the body that where the bone is broken.
- An MRI is often suggested for detecting the crack or crack-prone areas because an X-ray can only detect the crack after it widens somewhat or the bone starts paining because the rays cannot pass through the tiny gap in bone material. A fracture is easily detectable by an X-ray because the rays pass right through the break.
- Complete rest for six to eight weeks is the most effective way of healing a crack. Using a walking boot in case of cracks in the leg bones in also helpful. Healing fractures require extensive medical intervention. Surgical techniques like bone grafting and the insertion of metal plates are used to reposition the broken bone.