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Knee Pain Treatment
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Mere hand or leg fingers me bhut jada pain hai or swelling hai itna ki spoon bhi nahi uthai jati chala bhi nhi jata. Kuch kaam bhi nhi ho rha hai bhut pain hai. Stomach me bhi pain rehta hai aaj kal. What a do doctor pls advice to me.
Hi I am female, 56, I feel pain in my shoulders, I have spondylitis. Last year I feel pain in my shoulder. doctor detected as frozen shoulder, I underwent exercises and yoga for that. But again I feel pain in my arms, shoulder. I am diabetic. And also have problem of hypertension. Kindly guide me.
Sir, first we appreciate that this type of activity My brother age 45. He suffered gout problem. Regularly he checked uric acid levels. Just it up and down. We showing doctors but no body giving correct information of this disease. Just Prescribed only painkillers and regular of febuget tab. I expect to get the right suggestions from you r side. please give the diet information and right suggestions.
I am a 31 year old male and I am suffering from bach ache. I am employed in a textile showroom and I have to stand for 12 hours continuously. Will it increase chance of backache.
I have been suffering pain in my left knee last 2 weeks. I applied two three gel but not yet relief. Plse suggest me or its a uric acid problem.
I have pain in my hand & foot fingers when I fold to them and also pain in my head veins from last 1.5 month. Can you suggest me medical for this. Regards
Frozen shoulder is painful inflammatory condition associated with stiffness and loss of motion in shoulder. The pain gradually grows and becomes chronic leading to restricted movement. Due to inflammatory conditions the muscles surrounding the shoulder becomes stiff. Frozen shoulder has vague triggers, which usually surfaces as a complication commonly in people with diabetes, thyroid disorders, heart disease, and Parkinson's disease and people with chronic rheumatism or arthritis. The general approach towards frozen shoulder is prescription of painkillers, anti-inflammatory and physical therapy to restore the ROM.
What is the suffering
As the chronicity advances the movement of the shoulder is severely restricted, with progressive loss of both active and passive range of motion. The condition is sometimes caused by injury, leading to lack of use due to pain, but can also arise spontaneously with no obvious trigger (idiopathic frozen shoulder). Rheumatic disease progression and recent shoulder surgery can also cause a pattern of pain and limitation similar to frozen shoulder. Intermittent periods of use may cause inflammation.
In frozen shoulder, the synovial fluid becomes scarce resulting in diminished joint lubrication between the head of humerus (Upper arm bone) and the socket of the scapula. Due to friction as precipitating factor, the shoulder capsule swells, thickens and tightens due to stiffness of ligamentous bands of scar tissue. As a result, the joint movement becomes stiff.
How to know
First sign of a frozen shoulder is that the joint becomes so tight and stiff that it is nearly impossible to carry out simple movements, such as raising the arm. The movement that is most severely inhibited is abduction and external rotation of the shoulder. Lots of tests are done clinically to assess the frozen shoulder. One of the best test is “Scratch Test” and 2nd is the Lateral external rotation.
People complain that the stiffness and pain worsen at night or the pain is worse during morning. Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. A therapist or practitioner may suspect the patient has a frozen shoulder if a physical examination reveals limited shoulder movement. XRay of rhe shoulder or an MRI scan may confirm the diagnosis, though its mostly diagnosed clinically.
The frozen shoulder, according to the chronicity is categorised into stages.
Stage one: "freezing" or painful stage, which may last from six weeks to nine months, and in which the patient has a slow onset of pain. As the pain worsens, the shoulder loses range of motion.
Stage two: "frozen" or adhesive stage is marked by a slow improvement in pain but the stiffness increases. This stage generally lasts from four to nine months.
Stage three: "thawing" or recovery, when shoulder motion slowly returns toward normal. This generally lasts from 5 to 26 months.
What to Do
Frozen shoulder makes the person so disable that he cannot work without pain. Management of the frozen shoulder is focused on restoring joint movement and reducing shoulder pain, involving medications, physical therapy and /or surgical intervention. Treatment may continue for months, there is no strong evidence to favour any particular approach. Medications frequently used include NSAIDs and corticosteroids. Alternative medicines like homeopathy, ayurveda also gives great results. Alternative measures like physical therapy, exercise therapy, yoga have good impact in increasing the range of motion.