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There are over 200 types of arthritis that are known to medical science. While some are easy to manage, some can be deadly if proper care is not taken on time. The common factor of any arthritis, however, is the physical pain in the joints and muscles.
How Does Physiotherapy Help?
It is known that some forms of exercise go a long way in managing the symptoms of arthritis. Physiotherapy focuses on the right form of exercise that helps in relieving pain. Furthermore, they help to improve the movement of the joint, the walking posture and muscle strengthening. Based on the condition and severity of the pain, a physiotherapist might recommend free hand exercise or workout sessions in a swimming pool.
What is the Role of a Physiotherapist?
Apart from helping in managing pain, a physiotherapist’s job includes the following:
To improve the flexibility, balance and coordination of the body in order to achieve the maximum physical function.
Recommend appropriate exercise to fix improper posture that may be causing the pain.
Assist in using devices such as canes and walkers.
Recommend various other treatment options such as thermal therapy, shoe inserts, braces and splints in order to relieve the pain.
Recommend changes in the environment such as using of cushion, ergonomic chairs etc.
A physiotherapist recommends various exercises in order to relieve the pain. They start with graded exercises. These start slowly and quantify in an incremental manner. Graded exercises help to strengthen the bone and increase the fitness of an arthritis patient. It also helps the body secrete a hormone known as endorphins which help to manage the pain.
Strengthening and Stretching:
Stretching and strengthening are basic starters that a physiotherapist recommends. After assessing the strength of the muscle, a physiotherapist advises on the techniques and of various stretching and strengthening exercises. Stretching helps to relax the muscle and free up any cramps in the body. Strengthening, on the other hand, helps the bone to become more flexible and reduces the pain.
Avoiding Arthritis Pain:
It is important to be active. Keeping the muscles strong and moving the muscles is a key to get relief from the pain.
Maintain a healthy diet in order to ensure the right BMI for your body. Being overweight or obese can exert added pressure on the bone resulting in arthritis pain.
Maintain good body posture, especially walking and sitting posture. Good posture helps in ensuring normal breathing and proper digestion.
Regularly practice the exercises recommended by the physiotherapist.
- Using of cooling packs and thermal treatment on the joints often helps to relieve the pain.
Over weight is one of the largest risk factors for knee pain. The knee supports much of the body’s weight, and too much weight taxes the joint and increases the likelihood of pain. Anterior knee pain, which develops at the front and center, is one of the more common types of knee pain associated with carrying extra weight. Inactivity or muscle weakness, both associated with being overweight, can exacerbate the condition.Obesity stresses the structure of the knee, including the patella—the medical term for the kneecap.
2. Muscle weakness
The knee connects the thighbone—also known as the femur—to the shinbone—also known as the tibia. Having strong quadriceps muscles helps to stabilize the knee joint and keep it healthy.And improving muscular fitness can be one of the best ways how to prevent knee pain, even if you’re older. However, strong quadriceps and hamstring muscles can help insulate the knee from stress.
3. Inactivity/lack of mobility
A cause of muscle weakness and obesity—inactivity—is also another factor for knee pain. People who are inactive are less strong, less flexible, and more sedentary. When the time comes to move and exercise, there is a greater risk of injury. Inactivity has also been found to make knee pain from arthritis worse. Being sedentary results in muscle deterioration that weakens the knee and increases pain
4. Not resting after injury
Injured people who don’t rest their knees for a long enough period of time increase their risk of re-injury. Although recovery periods can last anywhere from several weeks to several months, taking the time to allow the body to adequately repair and heal is critical for allowing the knee to regain its strength.Resting is particularly difficult for athletes and other active people, but spending some quality time on the couch will go a long way to keeping the knees healthy and protecting against future injury.
Smoking increases the risk of a host of health problems, and knee pain can be added to the list. Quitting smoking is one of the best ways how to prevent knee pain when you get older. smoking increased the risk for both cartilage loss and knee pain in men who had developed osteoarthritis in the knee. Because smoking affected the amount of cartilage the men had in their knees, it increased the amount of pain they experienced.
Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.
Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.
It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.
- Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
- Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
- Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
- Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
- Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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.
Im Suffering from rheumatoid arthritis left Wrist it is Very painful i'm getting treatment infusion remicade n Tab methotrexate 15 mg Every week since 2 months but Swelling n pain Is still persist Is there complète cure in ayurveda.
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complete ACL Tear, Grade 3 Tear f posterior Horn of Meniscus and Knee Joint Effusion. What is the treatment for this? Surgery is necessary?
I have knee pain from 2-3 month when I get any painkiller or use move then I give relief only for 1-2 days and after that pain again continuously.
I have knee pain from 2 month, I have used to massage with move, or painkiller but after 1-2 day refile, pain come back. Can you suggest best medicine for it.
I have made road accident before 2 months but but at the time of walking I am feeling pain in left leg knee. So give me the suggestions about ligament injury. And treatment.
Dr. I am a solder in army and My knee is paining very sever I can not say to my unit Dr. Becoz my training will bi delayed so pls recommend me some precautions.
Bone issues are very common. From infection to inflammation to injuries to mere old age, bone issues are very common. Arthritis can happen with any of these conditions. The healing of this has two aspects one is to heal and reduce the pain and the second is to address the underlying condition. The range of motion needs to be improved, and further damage to the bones should be arrested.
Ayurveda identifies two types of joint problems, one is due to poorly nourished bones, which are prone to damage and the second is the over accumulation of toxins, leading to joint pain and stiffness. This joint pain would be further aggravated by damp weather.
Ayurveda also believes that the overdose of vaata leads to bone issues. So food items aimed at reducing vaata should be included so that balance is restored. There is more than one component to this healing. Food, lifestyle changes, herbs, and exercise manage bone issues, arthritis and the pain. Let’s see how.
- Food: Eating whole grains, fresh fruits and vegetables, as well as a calcium rich diet is very essential for healing bones. Eat freshly cooked food items and include a lot of dairy products.
- Lifestyle: A regular sleep schedule, which is in sync with the biological clock, is very essential. Also eat at regular intervals with the meals getting lighter as the day goes by. Exercise, even in the form of brisk walk, helps soothe joints and keeps them agile.
- Massages: Oil massages like Abhyanga are very essential to prevent joint problems. They also help in reducing toxins, which are quite high in chronic conditions like arthritis. These oils can be applied directly on the joints too to improve lubrication, movement and reduce pain.
- Go anti ama: There is another component known as ama, which is an equivalent of toxins. The diet and lifestyle should be aimed at reducing ama, which gets accumulated with age in the form of digestive toxins. Eat food products that are easy to digest, consume ama reducing spices like turmeric and pepper, avoid daytime napping and exercise regularly.
In addition, the following herbs are known to be beneficial for bone health.
- Ashwagandha: It has rich anti-inflammatory properties, produces effects equivalent to steroids and helps in controlling joint pain and inflammation. Swelling and movement are also improved with its regular use.
- Boswellia: Combined with Ashwagandha, this is another wonder drug that helps reduce bone inflammation. It suppresses release of chemicals responsible for inflammation and helps control pain and swelling.
- Turmeric: One of the most acclaimed anti-inflammatory agents, it releases multiple enzymes and thereby controls inflammation.
So, for bone pain and arthritis, an NSAID is not the only remedy.