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Treatment of Shin Splints
Treatment of Splinting
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Interferential Therapy Procedure
Neuro Physiotherapy Treatment
Post Pregnancy Classes
Postural Training Techniques
Pregnancy Exercise Therapy
Sports And Musculoskeletal Physiotherapy
Sports Fracture Rehabilitation
Treatment of Sports Injuries
Sports Physical Therapy Treatment
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Hello, I've been experiencing a really hard pain in the area under my left clavicle bone for six months. It's happening every morning after I wake up and then gradually disappears throughout the day but its still present if I do hard movements with my left hand. I really need your advice. Thank you in advance.
I have paining my back. When I sleep that time I cant turn any where. When I turning morning time my back is paining very pain, please give me suggestion.?
I m 15 year old boy. My uric acid has rise to 5.5. Because of this I'm having acute pain in my right foot and left knee. So tell some ways from which I can down my uric acid. Fast. Within a week. Or maybe less.
Sir when I sit then there is burning sensation in my left thigh and left testicles. After burning for sometime it getting started pain. Testicles are normal. Please guide.
I am 54 year old and I have 3 years for back pain problem i. E l5-s1 level causing indentation and pressure over anterior surface of thaecal sac exiting never root at these level on right side.
I am 26 years I have back pain problem and numbness in spine, swelling and pain in cervical, arms and legs. What should i do?
Hi I have been having severe problems with sleep. I cannot sleep at all. I hardly sleep foe 2 hours properly. I have been taking Lonazep and Mirtaz for many years. I have the problem since last 6 years. I had consulted a psychiatrist initially for the first year and later, I did not. I do not get proper sleep even after taking those pills. I have somehow managed to taper down the dose. Currently, I have stopped Lonazep completely and Mirtaz, I ma taking only 7.5 Mg. But My sleep is worse, and everymorning I get up with body pain, too much tiredness and burning eyes and nauseating feeling. Serious problems, like burning sensation in hips and thighs during the day. And weakness in legs and also severe Pain in Feet have already started. I have restless and painful legs during sleep and feet stiffness and pain is throughout the day. I ma not sure whether this is nerve or ortho related but definitely sure that this is because of my sleep problems. I am really frustrated with the other mentioned problems as well. I am 36, in a good job with no stress at work and my personal family stress is also minimal. I am single as well Please help!
I have pain in lower portion of my both legs below knees. In night it is felt more. What may be the reason?
My left knee was paining, while iam sitting and getup some sound is coming at knee socket place, could you advice me what happen to my knee.
Sir, I have backbone problem. I am working more with seat due which my back pain increases day to day. Please sir give me argent advised. Thank u.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?
I have back pain on my spinal cord. This has been started from 3 years back. But still no change. So please help me. Hope you will help me.
My aunty having pain in abdomen area. N she is having hip bone ache problem also when she sits for a while n wake up then the pain become worse and back pain also please tell me what problem she is facing and please help for cure it thanx. Do reply.
I got two top front teeth removed one and a half months back. I am having pain in my mouth all day. General physician gave metrogyl gel and betadine gargle. One dentist gave flozen plus another dentist gave mobizox morning and evening but it is not helping. My dentist asked me to consult a neurologist and said it might be a sinus problem. But it does not seem to be a sinus problem. A colleague has suggested a doctor called manish bhargava in munirka. Neurologists are available near my office at nims hospital at lajpat nage. What should I do?
I m 26 yrs. I got a minor crack in my rt. Hand little figure 5 months ago due to an accident. I got it plastered but now I have problem in bending my figure. I have done a lot of exercise as per doctor's advice since last 2 months but of vain. What should I do now?
I am having a back ache problem when I stand for 1 hour or more. What should I do to get rid of this pain?
Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.
If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.
In case of middle to old age, injuries that can cause shoulder pain are:
- Biceps Tendonitis
- Acromio-clavicular Joint arthritis
- Scapular Dyskinesia
- Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
- Superior labral anterior/posterior (SLAP tear)lesion
Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:
- Bankart lesion
Diagnose Shoulder Pain
Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:
- X-rays: Through an x-ray one can view the shoulder in many different views.
- Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
- MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
- Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.
Treatment for Various Types of Shoulder Pain
- For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
- Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.
- Pain relief and physiotherapy as first step If this fails then following surgical options are available
- Arthroscopic debridement or repair of labrum
- Biceps tenotomy or tenodesis
In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.
It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.
Always remember 'a stitch in time saves nine'