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Sir, I am 58 years old and having backache for last 2 years. It pains a lot if bend forward but no pain while bending backwards. No pain while walking. But really hearts if seat on hard surface and while getting up from seating position. Please advice.
Hello doctor please suggest me any topical muscle relaxant gel or cream for stiff and tightness of neck.
Sudden knee pain is usually due to an injury, the common ones being:
Tendon injuries: tendons attach muscle to bone, and are prone to injury, especially in athletes. Sudden rupture partial or complete will cause pain, and prevent normal movement of the joint. More commonly, inflammation sets in, especially in the quadriceps and patellar tendons (tendonitis)
Ligament injuries: the knee has two ligaments inside the joint and two outside, connecting the femur and tibia, and stabilising the joint. Tearing any of the these ligaments often results from contact sports, or a heavy fall, and causes immediate pain, which is worse on walking or bending the knee. Damage to the internal ligaments may cause the knee to give way when weight is put on the leg.
Meniscus injuries: the meniscus is a cartilage cushion inside the joint. A tear of the meniscus can cause pain, worsening over 24 to 48 hours. The tear may lift a piece of the cartilage off which then flaps between the knee bones (like a bucket-handle) this can cause locking of the joint, preventing full straightening of the leg. Alternatively, a piece of the meniscus can break off, and move around in the joint space, interfering with normal movement. Old or repeated injuries can lead to degeneration of the meniscus.
Dislocation: this commonly affects the kneecap, and is easily seen. Dislocation may become a recurrent problem.
Gout: although this is a chronic underlying disorder, an attack of gout occurs suddenly, causing intense pain and swelling which can last up to two weeks, then clear, leaving normal joint movement.
Bursitis: this is inflammation of the fluid-filled sacs outside the joint, over which the tendons slide. Commonly the bursa at the front of the knee (pre-patellar bursa) is affected, causing pain when kneeling.
Ilio-tibial band: athletes, especially runners, are prone to this disorder, in which the ligament from the hip bone to the tibia is tight, and chafes against the outer femur
Osgood-schlatter disease is an overuse problem found mainly in athletic teenagers, and can affect one or both knees.
Septic arthritis can follow an injury. In addition to pain, the patient will be ill and feverish.
2. Chronic knee pain
This is often due to a previous injury, but is associated with several underlying medical conditions.
Osteoarthritis is the commonest type. It is an age-related condition, sometimes called wear and tear arthritis, and is caused by gradual degeneration of the joint cartilage. The pain varies from day to day, is often worse in the mornings, and eventually leads to a stiff joint.
Rheumatoid arthritis is a destructive auto-immune disease, often involving both knee joints. Acute flare-ups alternate with quiescent periods. Pain, stiffness & swelling eventually lead to loss of mobility and a destroyed, deformed joint.
Chondromalacia patellae describes a condition of pain under the kneecap, due to mild arthritis of the patella. It is common in young women. Pain is worse after sitting, or with rising from the chair or going up stairs, and patients report a sensation of grating under the kneecap.
Tumours: malignant tumours of bone (like osteogenic sarcoma) can cause pain and swelling near the knee. This must be excluded in a young patient who has no history of sport injury or any underlying medical condition.
My son got a ligament bucket handle tear on his right knee. Can exercise help him to come out of this? can he play cricket after that!
I am having backbone pain from past one year, how to get rid of the pain, please suggest me a right option?
Ankylosing spondylitis (AS) is a type of arthritis that affects the spine. This chronic disease is caused due to inflammation of the joints in the spine and usually affects young men. It causes the vertebrae to grow or fuse together, causing a rigid spine. Actually, it affects the discs in between the vertebral column. These discs get swollen, causing a limitation of spine motility. It is an autoimmune disorder and its symptoms are lower back pain and stiffness, which usually moves to the legs.
- The deformity due to AS can be mild or severe. In extreme cases, the patient gets a stooped spine.
- Early diagnosis can prevent significant deformity as well as help in controlling the pain and stiffness.
- Allopathy doesn’t really know the real reasons for this disease and here is where Ayurveda scores.
- According to Ayurveda, AS is caused due to aggravated vata or wind, which causes an imbalance in vata dosha.
Ayurvedic treatment starts with detoxification and elimination of toxins. It relies heavily on the right diet and lifestyle as well as Ayurvedic herbal preparations. The panchakarma techniques called kati vasti, sarvangadhara and patrapinda svedana are very beneficial too. The basic explanation for the disorder is that AS occurs due to an accumulation of ama or toxins in the body. Where ever ama deposits in the body, pain is caused. Ayurvedic treatments aim at digesting the ama by using herbs as medicine and balancing the aggravated vata.
- Herbs used in the treatment of AS are dry ginger (saunth), guggul, turmeric, fenugreek, ashwagandha and giloy. Gugul, curcumin, amlaki, haritaki, and ashwagandha are all very effective in treating AS.
- Avoid getting constipated and ensure proper evacuation of bowels.
- Include ghee in your diet for lubrication and for lowering the vata dosha.
- Apply heat on the affected areas to control the pain and stiffness.
- Eat light foods and strictly avoid oily foods and curd which increase ama.
- Avoid sleeping during the daytime.
- Yoga asanas like pawana muktasana, bhujangasana, dhanurasana, paschimottanasana and vakrasana should be practised regularly.
- The practice of pranayamas such as and shodhana, chandrabhedi sheethali and bhramari also helps.
- Chewing 2–3 raw garlic buds on an empty stomach in the morning with water helps in alleviating lumbar pain in AS.
- Use a powdered preparation of dried ginger root, celery seeds and cumin seeds in equal quantities with rock salt for taste, and have one teaspoon of this mixture with warm water at bedtime to reduce flatulence as well as lumbar stiffness. In case you have a concern or query you can always consult an expert & get answers to your questions!