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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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I am 24 years old. I have back pain in my hip. From past 4 days. I had pain killer (combiflam) but after few hours it comes back. Please help me.
I am a 23 year old male. I have backache from 2 months. I have used pain relief ointment for the couple of days but haven't got any relief. What should I do now.
I am 30 yrs old female suffering with neck pain for the last 3 years. And there is swelling also. Kindly suggest.
Heya. I want to know the best possible diet for a pure vegetarian looking to lose weight. I weigh over a 100 kgs. I have a lower back problem and acute deficiency of vitamin D.
Spinal fusion is a surgery in which two or more vertebrae in the vertebral column or back are fused or joined to treat a slew of spinal problems and diseases, which cause debilitating back pain. This surgery helps to remove bone and tissue that are narrowing the spinal canal, squeezing the spinal cord and nerves, reducing pain and improving function.
There are many different causes of back pain like injury, poor posture, age, osteoarthritis, herniation of disc between two vertebrae, degenerative disc disease, narrowing of spine called stenosis, and spondylosis or lessening of space between the vertebrae- most of these can be treated using spinal fusion.
All of these causes put tremendous pressure on the vertebrae and pinch spinal nerves that pass through the back and radiate out into the arms, legs and torso. Apart from the pain, patients experience nerve and muscle weakness and irreversible damage affecting normal life.
Spinal fusion started off as just a treatment for fractures but now it has become the surgery of choice for a number of spine problems. Though it can be done anywhere in the spine, it is very effective when done in the lower part of the spine called lumbar spinal fusion or arthrodesis.
Spinal fusion is done by forming a direct bony connection between the vertebrae surrounding the painful discs, the cushioning between the vertebrae. Pain is stopped by stopping the motion of the painful discs.
There are different methods of spinal fusion each with its own advantages and limitations.
Techniques include fusion approached from the front, the back, or both of the vertebral column. Sometimes surgeons decide to use intervertebral cages or metal screws to provide internal structural support while the bone fuses. These cages may be placed between the vertebrae and packed with bone graft material taken from the patient or constructed out of synthetic materials.
What to expect?
Spinal fusion is not a risk-free procedure. It is a major surgery lasting several hours and carrying a number of risks like-
- Failure of the vertebral fusion and breaking of metal implants
- The vertebrae above and below the fusion can wear away aggravating problems
- Blood clots may be formed that can travel to lungs causing embolism
- Injury to spinal nerves causing permanent weakness in legs and problem with bladder and bowel function
- Infections and blood loss
- Heart attack or stroke during surgery
The patient has to be kept in hospital for a couple of days for post-operative care after which he will have to undergo rehabilitation for months. Hence, one should really think before going for spinal fusion. And when it is recommended, seek a second opinion before making a decision. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Heel spur occurs when there is a growth or a hook formation under the heel. This is formed by calcium deposits. This process is a long drawn process and it takes time for calcium deposits to cause a heel spur in a person. In fact, such a condition can also be triggered by a sprain or a tear in the ligament. Heel spurs are very common in athletes who regularly run, jog or kick using their heel strength a lot. Heel spurs can be treated with the help of physiotherapy. With sports injuries, the first form of treatment which is tried out is physiotherapy. Though it heals and is very much treatable, the healing period might be a long one and the process might be painful for some.
Symptoms of a Heel Spur:
Interestingly, the excessive calcium growth itself does not cause any pain in the individual suffering from this disease. It is in fact, the inflammation caused in the muscle due to the heel spur, which makes a person experience tremendous pain during this period. One also feels constant irritation along with pain. It has been noticed that the pain is not constant, but rather irregular. It might pain in the morning and subside throughout the day, if less stress is put on the heel. Then again, it might increase when you walk, run or jog for a long time.
Treatments For Heel Spur:
To treat a heel spur, the specific cause and origins need to be known to the medical practitioners of the physiotherapists. Also, if medicines need to be prescribed, then a medical history of the patient including any specific long-term medications or allergies are taken special note of. Most importantly, an X-Ray is taken to rule out all other forms of diseases and to confirm that it is indeed a heel spur.
After properly confirming the cause and the disease, specific treatment is started on the individual. Treatments would include reducing the inflammation to reduce pain, strapping of the heel to reduce movement and pressure, thereby giving time to heal and even prolonged periods of rest with exercises. Insoles are also tried out to provide relief to the heels and make the extra growth diminish its presence. Slow mobilisation of the patient is an absolute must, but care is taken that it does not cause too much stress on the feet.
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I am 19 year men. I am having back paining since few weeks. Every morning I wake up and pain is started. I tried mamy pills but didn't work. What should I do?
I had surgery in spin l5 and s1 dis compressed. After that surgery I am in normal just for 6 month now again I am in pain. How I came out from that?
My knees pain if I spent too much time standing or have to walk long distances. I'm healthy and overall fit. Not over weight. Taking rest relieves the pain.
I am a 37 year old female, I have started having pain in back of my rib cage towards the right hand side. I feels as if a weight has been put there, I have trouble in swallowing due to this and feel nauseated most of the time.
I suffered from L2 L3 PIVD (slip disc) since last month. I took medical treatment in KEM Hospital for 15 days. I complete there Medicine Course but still I have a pain in my hips. When I try to wake up from bed or try to seat I feel pain in my hips and legs. From current medical treatment I feel only 70% recovery still I have a problem for walking I feel weakness in my both leg muscles. KEM Hospital Doctor suggested me Complete Bed Rest and I take also. But still I don't feel progress more than 70%. What should I do?
Yesterday in the evening was sitting in the office and all of a sudden I started having anxious thoughts and fear. I was shaking and got panicked. Since today morning o am having pain on my right side arms and right chest near armpit. I am feeling nausea too. I did ecg and echo test last month and consulted cardiologist and he said it is normal. Why do I get this symptoms and start getting anxious.
Hamartoma, site not mention found in my report after my surgery of infected cyst removal and its on my knee. What I have to do now?
Sir, I am a 18 year old boy . I feel very severe headache and back pain. cannot sleep at night due to this. Pls give me a good remedy pls help me.
Sir my brother suffering wrist and ankle pain last one month doctor given treatment of chickengunia. But problem remains same condition. Then doctor lastly checked blood sample test in that all test are negative. I not understand what can I do? Please doctor give me some way from that problems.
I am 26 year old, male, my leg & hip joint sounds, when I stretch, but there is no pain, what would be the solution,
PHYSIOTHERAPY TREATMENT OF HEAD INJURY
The treatment may comprise of the following measures:
IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:
The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.
The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient.
Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.
PREVENTION OF SPASTICITY:
As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.
MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:
The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.
The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.
NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.
The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.
PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.
USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.
Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.
REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.
FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.
REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.