Doctor in London Bone & Joint Clinic
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
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There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.
Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:
- Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
- Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
- Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
- Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
- Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.
There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:
- Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
- Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
- Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.
Frozen shoulder (also known as adhesive capsulitis) is a condition in which the shoulder is stiff, painful, and has limited motion in all directions. A person suffering from a frozen shoulder can be pretty uncomfortable.
Frozen shoulder treatment should be done immediately once it has been detected. Stretching exercises are considered as the best-frozen shoulder treatment exercises. A proper warm up becomes very necessary before any exercise. Making the area warm by using a heating pad is one of the warm-up methods. However, a warm shower covers it all. Physiotherapy for frozen shoulder includes various exercises that should be first confirmed by a doctor. There are a number of exercises for frozen shoulder.
Some very important frozen shoulder exercises are listed below:
- Pendulum Stretch: To start with, you can do the pendulum stretch. This dictates that the shoulders should be in a state of relaxation, initially, following which the arm which is affected should be allowed to hang down slightly. Once this is done, the arm is to be swung in a small circle i.e. about a foot in diameter. This is to be done consistently so that there can be a gradual improvement in the condition. As there is an improvement, the size of the circle can be increased and once the shoulder can take sufficient weight again, minor weights (up to five pounds) can be used.
- Finger Walk: A simple exercise which can be done almost anywhere is the finger walk. What this exercise entails is that the person stands about three-fourths of an arm’s length away from a wall and then places his or her fingers on the wall itself, at around the level of the waist. The fingers are to crawl or walk up the wall till the point that it becomes a little uncomfortable. While this is just one repetition, after the fingers have been lowered, it is to be done again. In order to have the best results in combating frozen shoulder, the finger walk exercise is to be repeated about twenty times in a day.
- Towel Stretches: Towels do not serve a greater role apart from drying up post a bath or over the course of a visit to the spa, right? Well, this is not really true due to the fact that they can be used to even help with frozen shoulder! Indeed, towel stretches done by holding the towel with each hand across one’s back. The arm which is normal should then pull the affected arm so it is stretched. As is the case with the finger walk, about 20 repetitions a day is ideal for good results.
If one goes a step forward and follows a regime of with all these exercises, the person suffering due to frozen shoulder will be back to normal in almost no time at all!
The human hand has multiple bones, tendons, ligaments and muscles which in unison help us to grip things and manipulate other objects to do our work. Within the wrist lies a narrow passageway on the palm side which houses the main nerve for movement of the nine tendons. These tendons help us to move our fingers individually and grip things or accomplish any task we want with our hands.
What is carpal tunnel syndrome?
Carpal tunnel syndrome is a condition where this nerve gets pinched due to a variety of factors and may have adverse effects. Some of the symptoms include tingling, numbness and pain with movements of the arm.
Causes of Carpal Tunnel Syndrome:
The nerve within the wrist which is known as the median nerve can be pinched due to a variety of factors:
- Movements where the wrists are always higher and in an angle: Repetitive movements of the wrists where the hands are always at a lower angle, can increase the chances of carpal tunnel syndrome. This is usually a workplace related problem and thus be caused by bad hand posture.
- Medical Conditions: There are certain medical conditions that may also trigger the onset of carpal tunnel syndrome such as diabetes, thyroid, menopause and other problems.
- Pregnancy: Pregnancy has also known to cause carpal tunnel disorder as it can alter the balance of fluids within your body. However, other factors could also put your fluids in imbalance and cause problems with the median nerve.
- Conditions that may cause inflammation: Certain conditions such as rheumatoid arthritis can cause the inflammation within the joints which might lead to the median nerve being pinched which in turn might lead to carpal tunnel syndrome.
Some Preventive Measures from Carpal Tunnel Syndrome:
- Breaks from repetitive work: It is important for your wrists to have a break when you are doing repetitive tasks that might cause carpal tunnel syndrome. Relax and stretch your muscles within the break time
- Wear wrist splints: These are support devices which can help correct problems for repetitive actions throughout the day while you are sleeping.
- Take pain reliever if you start having chronic pains: If your wrist pain is not letting you functions normally, take a pain reliever such as ibuprofen or aspirin and go to a doctor as soon as possible for a more thorough treatment.
Rotator cuff constitutes the muscles and tendons that hold the shoulder in position. It is a crucial component of the shoulder as it helps in lifting the arm to complete any task. Repetitive actions, deterioration with age or an outstretched hand can lead to a sudden tear.
4 Important Things To Know About Rotator Cuff Repair
An injured rotator cuff can be repaired surgically. Arthroscopy and open surgery are among the techniques used to fix a tear of the rotator cuff surgically. An arthroscope is a tube-shaped apparatus made of a system of lenses, a light and a small video camera. The camera is linked with a monitoring system to view a joint via a tiny incision.
1. Before the surgery:
Blood tests and other diagnostic tests might be carried out by a healthcare provider to ensure that the patient is in good health prior to the procedure.
2. Things to inform the healthcare provider before the surgery-
The healthcare provider must be informed of a few things prior to the surgery:
- Details of allergy or reaction to latex, any medicines, tape or anaesthetic agents
- Information related to bleeding disorders or the intake of anticoagulant or blood-thinning medicines
3. Details of the procedure:
During the rotator cuff repair procedure, anaesthesia is administered as per the patient`s requirement. The details of the procedure are mentioned below:
- The patient is made to wear a gown.
- An intravenous (IV) line is started on the arm of one of the hands.
- The anaesthesiologist monitors various aspects such as the blood pressure, heart rate and blood oxygen level of the patient throughout the procedure.
- The skin above the surgical site is then cleansed, using an antiseptic solution.
- An incision is made in the shoulder area as per the kind of surgical procedure required such as open surgery or an arthroscopy.
- The arthroscope is then inserted via the incision.
- A graft tendon will be taken from another part of the patient’s body to repair the wounded tendons and muscles.
- Stitches or surgical staples are used to close the incisions after which a sterile bandage or dressing is applied.
4. After the procedure:
- The sensation on the arm is monitored after the procedure. The patient can go home once his/her pulse, blood pressure and breathing are stable.
- The surgical area must be kept dirt-free and dry after the procedure. A pain reliever is usually prescribed for soreness.
- Arthroscopic rotator cuff repair is an effective treatment if a patient is not satisfied with alternative medical treatments, such as anti-inflammatory medicines and steroid injections. The procedure is usually done as part of the patient’s stay in a hospital or on an outpatient basis.
If you are about to undergo a knee replacement surgery, it is important to know the extent of pain that it involves, and the recovery period that follows. A knee replacement surgery is a major surgery, and a patient needs a lot of time to adjust to the replacement of his knee. The time of recovery depends on the patient and form of surgery that has been undertaken. The steps of recovery after a knee replacement surgery are as follows:
- After the surgery, you will be given painkillers which you can self-administer using a switch. You may also require an oxygen mask or blood transfusion.
- You may require crutches and should walk within a frame. The ability to get back to walking without any help depends on the patient.
- You will be taught exercises for strengthening your knees in the hospital by a physiotherapist.
- It is likely for you to experience some initial discomfort during exercising and walking, as your legs may become swollen.
- Putting on a passive motion machine may be beneficial in restoring movement in your knees when you are lying in bed.
- It is likely for you to spend a period of three to five days in the hospital, based on your condition and its progress.
- An enhanced recovery program may be suggested by your surgeon in which you may start walking from the surgery day itself.
Recovery at home
- It is normal for you to feel tired and fatigued at home in the beginning. A knee replacement surgery is a major surgery, and the tissues and muscles around your knees require time to heal properly.
- You should arrange for a person who would help you while you go out for a few weeks after the surgery.
- It is very important for you to practice the exercises prescribed by your physiotherapist. This is a vital part of speedy recovery and you should not avoid them.
- You will be able to stop depending on crutches or walking frames and go back to your regular activities and schedule, six weeks after the surgery.
- The swelling and pain associated with the surgery may take around three months to depart.
The recovery process usually continues for two years after undergoing the surgery. During this period, scar tissue heals and your muscles get restored through exercises. It is recommended for you to avoid any kind of extreme sports or movements in which there is a risk of falling, such as mountain biking, or skiing.
Most of us suffer from lower back pain at some point in our lives; be it from a sedentary lifestyle, spending hours at the office desk or from strenuous physical exercises. In most cases, a little bit of rest does the trick. However, if the lower back pain persists for 3-6 weeks, physiotherapy is recommended.
How does physiotherapy help?
The main purpose behind physiotherapy is reducing lower back pain and increasing muscle and bone function, so that such instances are avoided in the future. Physiotherapy is the first line of defence against lower back pain. More drastic measures such as surgery are undertaken once physiotherapy fails to do is job.
Physiotherapy is often recommended when the back pain is caused due to lifestyle factors, a minor injury like a fall or other moderate factors. For more severe back injuries, doctors recommend surgery straight away when there is no scope of performing physiotherapy.
A physical therapy program for back pain usually has two components:
Passive physical therapy to help reduce the patient's pain to a more manageable level
Passive Physical Therapy - Modalities
The physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples include:
Active Physical Therapy - Back Pain Exercises
In addition to passive therapies, active physical therapy (exercise) is also necessary to rehabilitate the spine. Here are some of the common exercises for back pain:
Back Stretch: Put your hands underneath your head while lying back. Bend your knees but put your feet on the ground. Roll your legs to one side and hold them there for 10 seconds. Repeat three times for each side.
Deep Lunge: For this, you need to kneel on one knee with the other foot pointed towards the front. Lift the back knee up and hold it there for five seconds and then bring it down. Repeat this exercise three times for each side.
One Leg Stand: This is the simplest of exercises. Hold on to a wall for support while standing and face towards it. Then slowly hold one leg and bend it behind you. Hold in the same position for five seconds before bringing it down. Repeat the process three times for each leg in five second gaps.
Arthritis is an inflammatory joint disorder of autoimmune starting point. In arthritis, the joints get to be painful, inflamed, swollen and warm with checked stiffness. Chiefly the little joints of wrist, fingers, ankles and toes are included. Over the long haul, other huge joints may likewise get influenced.
Homeopathy is a standout amongst the most prevalent all encompassing system of medicine. The determination of remedy is based upon the theory of individualization and symptoms comparability by utilizing comprehensive approach. To the extent therapeutic medication is concerned, a few very much demonstrated medicines are accessible for homeopathic treatment of arthritis that can be chosen on the premise of cause, sensation, location, modalities and augmentation of the protests. For individualized remedy determination and treatment, the patient ought to counsel a qualified homeopathic doctor face to face.
- Injury: It can harm to ligament, bone, and cartilage that eventually prompts to extreme pain.
- Obesity and propelled age: Both are extremely regular cause of arthritis.
- Infection: Any sort of infection to the joint may come about arthritis.
- Sprain: Due to sudden unnatural developments causes pain and additionally limitation of development of the joint.
- Overuse: Overuse of knee joint can cause bursitis which eventually prompts to extraordinary pain.
- Dislocation: Also causes serious arthritis.
- Different causes: Include Sickle cell disease, Sarcoidosis, Kawasaki disease, Lupus, bone tumors, Crohn's disease, bleeding disorders and so forth.
Will Homeopathy treat joint inflammation?
Homeopathic method of treatment is extremely powerful in treating rheumatoid arthritis. Homeopathic medicines treat rheumatoid arthritis by directing the overactive immune system. They decrease joint inflammation and symptoms including swelling, pain and stiffness of joints. Homeopathy offers an extensive variety of medicines for rheumatoid arthritis. However, there is nobody cure for all ills connected with this condition. The most fitting Homeopathic medicine for rheumatoid arthritis is chosen in light of an inside and out analysis of individual symptoms. Exceedingly successful Homeopathic medicines for rheumatoid arthritis are ActaeaSpicata, RhusTox, Causticum, Bryonia, Kalmia, Caulophyllum, Ledum pal, Guaiacum, Benzoic acid, Calcaria Carb.
The homeopathic treatment for arthritis has the capability of forever reestablishing the health of your joints. It merits finding a decent homeopath that will regard you as the individual you seem to be, instead of essentially "obtaining" a remedy from another person's experience.