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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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From past two months I am suffering from lower back pain what would be the problem sir/madam? Kindly help me.
I have tell the about my arm and legs very pain .But not relief this problem and many treatments day by day .please tell the solution and relief this pain.
I am suffering from shoulder pain at joints from last 1 month. I tried hot water massage but no relief.
Sir I have a pain in my spinal chord exactly in middle of the backbone. This injury caused due to lifting a weight I have consult one of the Ortho in my local area he prescribed a medicines but not clearly hill the pain. I used work whole day before this but now I can't do work for 2 hours also. So kindly suggest what should I do?
My age is 41 . I am facing lots of difficulties in walking because of severe pain in the bottom of my feet in right leg. My height is 5.8 and weight is 105 so please help me by giving proper guidance and medicine to control my feet pain and lessen my weight.
My wife is suffering from neck and shoulder pain from last 2 years she taken tablets for long time but no use her age is 33.
Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.
If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.
In case of middle to old age, injuries that can cause shoulder pain are:
- Biceps Tendonitis
- Acromio-clavicular Joint arthritis
- Scapular Dyskinesia
- Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
- Superior labral anterior/posterior (SLAP tear)lesion
Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:
- Bankart lesion
Diagnose Shoulder Pain
Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:
- X-rays: Through an x-ray one can view the shoulder in many different views.
- Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
- MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
- Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.
Treatment for Various Types of Shoulder Pain
- For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
- Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.
- Pain relief and physiotherapy as first step If this fails then following surgical options are available
- Arthroscopic debridement or repair of labrum
- Biceps tenotomy or tenodesis
In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.
It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 43, overweight. I am having a peculiar problem that after waking up from sleep my feet (bottom, near ankle on foot) aches if I walk. This reduces as the day progresses. If I sit on a chair with legs hanging for some time the same thing happens. However nothing happens if my legs rest on the ground while sitting. Feel confused, please help.
She has back pain while standing long hours in kitchen from last 1 week. We want some calcium dose consultation for her. She was thyroid (TSH) diagnosed 3 years back and since then she is taking 1 tab of thyrofit 25 mg empty stomach daily. With this dose her thyroid level is normal. We get her thyroid checked every 6 month. Previously she was also taking Calci-G 100 mg for calcium intake. Can we go with this medicine further.
I am 26 years old female. I have headache and backache for almost 4 5 years. I do not feel like doing anything. I have lost interest in doing anything.
Hi Sir. My mother suffering paralysis (blood clot in brain) she didn't able to talk and right leg, right hand not working from 15 October 2015 still condition are same. Treatment is going on daily medicine.
My father is having pain in left knee.Tests have shown that the liquid present between bones is not there due to which knee is paining he is finding difficulty in daily works tell me is there any medicine or tonic that can make that liquid in the bones again or any method or surgery to reduce this pain.
Spine surgery is conventionally performed as ‘open surgery’, which means the region being worked on is opened with a long entry point to permit the surgeon to view and access the area. Technical and scientific advances have permitted more back and neck conditions to be treated with a less obtrusive surgical technique. The minimal invasive spine surgery (MISS) does not include a long cut, and it prevents causing damage to the muscles around the spine. As a rule, this causes less pain after the surgery and a speedier and healthy recovery.
Spine surgery is normally suggested when non-surgical treatments like medicinal or exercise based methods have not helped in lessening the excruciating symptoms of your back problem. Moreover, surgery is just considered if your doctor can pinpoint the correct reason of your pain, for example, a herniated circle or spinal stenosis.
MISS is also called less obtrusive spine surgery. In these procedures, surgeons utilise particular instruments to get to the spine through little cuts. The surgery process is as follows:
- During the surgery, a little entry point is made and the tubular retractor is embedded through the skin.
- It is also inserted into the delicate tissues down to the spinal cord.
- This makes a passage to the little range where the problem exists in the spine.
- The tubular retractor holds the muscles open and is set up all through the surgery.
- The surgeon gets to the spine utilising the little instruments that fit through the focal point of the tubular retractor.
- Any bone or disk material that is expelled goes out from the retractor.
- Any gadgets needed for the fusion process, for example, screws or rods, are embedded through the retractor.
- A few surgeries require more than one retractor.
- Keeping in mind the end goal to see where to put the entry point and embed the retractor, the surgeon is guided by fluoroscopy.
- This strategy shows ongoing X-ray pictures of the patient's spine on a screen throughout the surgery.
- The surgeon additionally utilises a microscope to enlarge the view through the retractor.
- Towards the end of the procedure, the tubular retractor is expelled and the muscles come back to their original position.
- This restrains the muscle damage that is more ordinarily found in open surgeries.
It is very important to talk about these risks with your doctor before your surgery or procedure.
- Infection: Antibiotics are consistently given to the patient some time before, during, and regularly after the surgery to reduce the danger of infections.
- Bleeding: A specific measure of bleeding is normal; however, this is not commonly dangerous.
- Pain in the grafted area: Some patients will encounter surgical pain at the bone joint site.
- Recurring symptoms: A few patients may encounter a repeat of their side effects.
- Pseudarthrosis: Patients who tend to smoke are more prone to pseudarthrosis. This is a condition wherein there is insufficient bone formation. In case that this happens, a minor surgery may be required.
- Nerve damage: It is possible that the nerves or veins might be harmed during these operations. These complications are extremely uncommon.
- Blood clots: Another complication is blood clots in the legs. This poses a threat because these clots can break off and settle in the lungs. If you wish to discuss about any specific problem, you can consult an Orthopedist.