Musculoskeletal Injury Physiotherapy
Range Of Motion Exercise Treatment
Post Surgery Rehabilitation
Sensory Integration Therapy
Treatment Of Meniscus Injury
Neuro Physiotherapy Treatment
Computerised Traction Procedure
Column Traumatology Procedure
Treatment of Mckinzie Treatment For Spine
Rf Neurotomy Procedure
Manual Therapy Treatment
Treatment Of Lumbago
Custom Splinting Bracing Procedure
Achilles Tendon Rupture Treatment
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Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression.
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:
- Numbness in little and ring finger as the fingers fall asleep
- A tingling sensation, usually like the pinch of pins and needles in ring and little finger
- Pain in forearm
- Weakness in the hand
- Some of the severe symptoms include:
- Reduction in overall hand grip
- A claw like deformity in hand
- Wasting of muscles of the hand
Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve. People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.
Generally, doctors diagnose this condition through the symptoms. However, nerve tests are also conducted to check the level of nerve compression. Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment. Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone.
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time.
How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.
I have shin splint, can you please share the name of the exercise of physio therapy? Will do at home only.
My Father is 82 years old. Suffering from knee pain for 6 month, unable to Walk freely, he has to depend upon Walker as local orthopaedic suggested. The doctor told that it's all about osteoarthritis. In this atmosphere I am feeling helpless, please advise what to do.
A fracture is a complete or incomplete crack, which appears on a bone due to application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while sub acute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.
Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them:
- Development of fracture pain: When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.
- Treatment of fracture pain: Modern medications can be utilized to treat a fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating a fracture pain. However, these remedies cause side effects, which are harmful for the body. Cortisone shots are utilized for the same purpose as well.
- Prolotherapy: Prolotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain. Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.
- Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.
- Fracture pain occurs not only because of the broken bone, but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied.
I am 32 years. I have knee pain and joints pain. My vit D level is fine. What should I take to get rid of pains?
Hello doc. When I wake up from bed at morning, my foot get pain much, and when I start walking for a few minutes, the pain flew off. And when I sit on chair for few minutes and wake up again foot get pain.
There is a regular pain in the left hand and is not getting cured by different creams such as volini iodex. I'm a sugar patient and have thyroid also.
Hi Doctors, my mother is 59 years old she is having knee pain in both legs from past 8 years her weight is 104 kg, as per the recent digital knee scan in both legs their are gaps in knee joints .she hardly walk due to pain. She get a little relief from daily tablets .orthopedician have suggested to go for knee transplantation we have got information from many friends and relative as well as some doc about the knee surgery materials. Knee implants made of a metallic alloy, cobalt chrome, or of stainless steel wear out in about 15 years, while the new oxinium implants last twice as long is that .a well know orthopediciansuggested johnson.
Decline in muscle strength and flexibility, slower balance reflexes and some vision problems are some of the prevalent causes of falling down amongst elders.
Due to hip pain approached Ms. Ortho then he preferred MRI for Lumbar Spine IMPRESSION: Bulging L5-S1 disc with Central protrusion, osteophytes causing impingement On the a and encroachment ofneural foramina.
When I walk some distance .my knees are paining and also my foot .why and what should I do to reduce this pain.
Because of desk job m suffering from initial stage of spondylitis and m having severe pain in shoulder and neck and there are lot noise are coming from my bones.
Mere left leg me chot lgne se wahan ki haddi par nila aur lal rand ho gya hai par dard zyada nhi hai lekin leg ke thora upar ander se sujan jaise lagta hai. Iska ko medicine hai jo ye sujan aur chot ko zyada badhne na de aur koi bimari hone se rok de. Chot leg ke upar haddi me lga hai wo bhi 10 din pahle.
I'm 40 years age male. I suffering knee pain for two months. I show to doctor. They say that you have starting of knee depreciation seeing my x-ray. So what I have do to get relief from this?
Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.
Why do you need knee replacement?
Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.
If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.
Some of the common reasons why you may opt for this particular surgery are:
- Gout, where, small crystals are formed inside the joint.
- Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
- Hemophilia, wherein, the blood ceases to clot normally.
- Injuries to the knee.
- Disorders that cause unusual bone growth (bone dysplasias).
- Death of bone in the knee joint following blood supply problems (avascular necrosis).
- Knee deformity with pain and loss of cartilage.
- Unusual growth of bones in the knee joint.
Knee replacement surgery is classified into:
- Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
- Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.
The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.