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Knee Pain Treatment
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A soft tissue injury occurs due to overuse of ligaments, muscles or tendons. Most cases of soft tissue injuries occur due to uncontrolled or unexpected movement. A Certain example of the same includes awkward stepping of foot and getting the ankles rolled. Soft tissue injury can also happen from overuse of muscles, tendons, and ligaments. The example of the same includes using the same hand for heavy lifting day after day. Certain soft structures of the body that are prone to injuries are Achilles tendons and calf muscle.
Difference Between a Sprain and a Strain:
A strain is defined as a trauma that occurs to the tendons or muscles because of overstretching. Tendons are soft in nature and are responsible tying the muscle and the bone together. Sprain, on the other hand, are trauma caused due to overstretching of the ligaments. There exist 3 severity levels: grade 1 is mild tenderness and minimal stretching of the soft tissue, grade 2 is a tear of fiber resulting in swelling and moderate pain, grade 3 is a rupture of the soft tissue resulting in sharp pain, deep swelling and immobility of the affected area.
Immediately after the injury, certain things such as total rest and immobility should be ensured, an ice pack should be applied to the structure, compression, and elevation should be ensured in order to avoid any major damage to the soft tissue. Certain things that hamper the healing process immediately after the injury include applying heat to the injured area, consumption of liquor, exercising or running with an injured condition and massaging the injured area.
Physiotherapy For Soft Tissue Injury:
Pain Relief: The first task for a physician is to ensure that the level of pain comes down. Although this is the primary task of a medical practitioner, physiotherapists ensure that the pain does not aggravate to an unbearable level. They recommend certain movements and advice against some movements which could do harm to the injured structure.
Full Structure Movement: The immediate goal of a physiotherapist is to ensure that the full movement of the injured structure is regained at the earliest. This includes identifying abnormalities, verifying the range of motion and suggests corrective exercises ensure that the full movement of the soft tissue can be regained without having to go through the hassle of a surgery.
Muscle Strengthening: While the injured structure is in the process of healing, physiotherapists ensure that the surrounding muscles support the tendon and the ligament by binding well. This is done by suggesting very individualistic exercise for the muscle to hold up. It also negates the possibility of a recurring injury at the same place.
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Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.
What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running.
What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks. If you wish to discuss about any specific problem, you can consult an orthopedist.