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U Delhi Pain Clinic

Spinal Pain Management
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  • Fellowship in spinal tumor surgery, Fellowship in Cervical spine surgery, FNB Spine Surgery, Fellowship in spinal deformity, fellowship in MInimalli invasive(Keyhole) surgery, CPC paliative care, MS-Orthopaedics, MBBS
    What is osteoporosis?

    Osteoporosis is a disease concerning the bones. Decreased strength of the bones poses a risk for them to break. Osteoporosis is very common among older people, whose bones become brittle with age. The most common bones affected by this disease include the backbone, forearm bones and the hip bone. There are no such symptoms until a broken bone occurs. The bones weaken to such an extent that a break may happen in case of very minor stress. Usually, a broken bone is followed by chronic pain and the disability to perform daily activities. Surveys show that 15% of white people in their 50s and 70% of white people in their 80s are affected by osteoporosis.

    What are the common causes and symptoms of osteoporosis?

    May occur due to the lowering of the 'peak bone mass index'.
    In women, bone loss increases after menopause stage due to lowering down of estrogen level.
    Also occurs because of another disease or previous treatments. This includes alcoholism, surgical ovary removal, hyperthyroidism, anorexia or any form of kidney disorder.
    Anti-seizure medicines, chemotherapy, selective serotonin reuptake inhibitors and taking of performance-enhancing drugs like steroid increase the bone loss rate.
    Lack of regular exercise may lead to osteoporosis.
    Osteoporosis is defined as a 'bone density of 2.5 standard deviations below than that of a young adult'.
    Osteoporosis is hereditary in nature. People having a family history of osteoporosis are at a high risk of getting the disease.
    More than thirty genes are linked with osteoporosis development.
    If you have had a fracture before, you are at a risk of a repeat.
    Early menopause in women is also responsible for osteoporosis.
    People with a small structure and body build are at a risk of getting osteoporosis.
    Protein and vitamin deficiency makes your bones weak and makes you vulnerable to osteoporosis.
    Phosphoric acid present in soft drinks is another threat, which may cause the disease.
    People suffering from malnutrition are likely to get osteoporosis.
    Over replacement of L-Thyroxine may lead to osteoporosis.
    Use of heparin and warfarin for a long time decreases the bone density.

    How can Osteoporosis be prevented?
    The best way to avoid getting osteoporosis in the future is to maintain a preventive lifestyle.

    Exercise regularly
    Indulge in natural calcium sources
    Maintain intake of vitamin D and K
    Do not smoke and consume alcohol
    Don't undertake stressful physical activities
    Go for regular health checkups
    Stay fit and stay away from obesity

    Osteoporosis is a disease you must stay away from. It leaves you physically incapable and unfit.
  • Canadian Academy Of Homeopathy, VLIR Belgium, BHMS
    Pain in back, joints or in muscle can be very troublesome. And, if it continues, then it can cause a lot of discomfort as you then find it difficult to perform even day-to-day activities. Homeopathy can very effectively deals with any pain. Let us check the remedies:

    Homeopathic remedies for back pain:

    Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
    Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you are tired of applying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the concerned medicine.

    Ways in which homeopathy can cure Joint and muscle pain:

    Moving and shifting joint or muscle pains: Many patients have this problem where they face joint or muscle pain, but instead of it being constant in one area, it moves around the body. Pulsatilla is known to effectively reduce the symptoms in these cases.
    Arthritis: One of the most common problems that many people report is that of arthritis and rheumatoid arthritis, which causes a lot of pain in many people. In many cases, the use of Natrum Muriaticum and Bryonia has been known to allay the pain.
    Tennis elbow or tendon related problems: This is a common ailment, which in many cases is caused by strenuous activities, such as sports. Rhus tox has been known to be effective in such cases.
       771 Thanks
  • DNB (Psychiatry), DPM, MBBS
    Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourse. This pain occurs on penetration due to the contraction of the vaginal muscles.


    The exact cause of Vaginismus is not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.

    Vaginismus can be primary or secondary depending on the concerned woman s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause. The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.

    Sometimes the pain might stem from underlying infections or any other underlying complications.

    The symptoms of Vaginismus are as follows:

    Severe pain during intercourse.

    Severe pain during insertion of tampons or during any medical check-ups.

    The following treatments can be useful to treat Vaginismus:

    If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.

    If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don t experience any pain during sexual intercourse.

    Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax.
       1053 Thanks
  • spine surgery fellowship of association of spine surgeons of india (ASSI), DNB (Orthopedics), MBBS
    Osteoporosis wreaks havoc in many senior citizens, especially women. This is a disorder that systematically weakens the bone and can fracture the spine and the hip. If not treated early, it poses a serious threat to mobility. While medicine is a prerequisite to treating this condition, exercise goes a long way in helping patients of osteoporosis. Regular exercise can improve balance and strengthen the muscle. This being said a doctor should be consulted for a fitness assessment and bone density test before going ahead with any exercise routine.

    What is the right exercise for you?
    Exercises are recommended depending on the degree of osteoporosis a person is suffering from. Some exercises may not be suitable for a person while some can greatly help. It is therefore suggested that a doctor or physiotherapist is consulted before starting any exercise. Here is a list of exercise that doctors often suggest:

    Strength training: Strength training aims at strengthening the spine and other muscles. It includes the usage of free weights and lifting own body weight. In case the exercise involves the usage of weight machines, utmost care should be taken to ensure that the spine does not get twisted. Resistance training, on the other hand, should be designed in such a way that it fits the tolerance and ability to cope up.
    Flexibility exercises: When the joints are allowed to go through the range of motion, it helps in muscle function. Stretching, for instance, should only be done when the muscle is warmed up. Care should be taken that stretching is done gently which is devoid of any bouncing. The spine should not be flexed. Any exercise that demands to bend towards the waist should also be avoided. An experienced physiotherapist should be able to suggest which stretching exercise is suitable for patients with osteoporosis.
    Aerobic training: Aerobic training necessarily means that the bone supports the body weight. This exercise helps the bone from mineral loss and is good for body balance strength and flexibility. Some aerobics that can be easily performed by patients with osteoporosis include dancing, stair climbing, cycling and walking. These exercises also help in blood circulation and cardiovascular diseases.
    Exercises you must avoid: High-impact body activity exercises such as jogging, jumping and running should be strictly avoided in order to avoid bone fracture and weaken muscle. Unlike exercises with controlled movements, these exercises can twist the spine and cause severe immobility in movement.
    Twisting: For patients with osteoporosis, an exercise that involves forward bending resulting the waist to come down should be avoided. Exercise such as this can cause compression fractures leading to restriction in physical movement for a temporary to longer duration. Any sort of bending and twisting, therefore, should be avoided.
       1710 Thanks
  • Fellow In Arthroscopy, Fellow In Joint Replacement , MS - Orthopaedics, MBBS
    The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.

    What can cause knee pain:

    Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

    Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

    Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
    Rheumatoid Arthritis, an inflammatory chronic disorder
    Septic Arthritis, causing pain, swelling and redness.
    Gout caused due to the development of uric acid crystals in the joints
    How to deal with it:

    Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
    Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
    Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.
    Ligament Injuries-

    The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

    ACL injury and other ligament injuries can be caused by:

    Twisting your knee with the foot planted
    Getting hit on the knee
    Extending the knee too far
    Jumping and landing on a flexed knee
    Stopping suddenly when running
    Suddenly shifting weight from one leg to the other
    These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.


    Rest the knee.
    Ice your knee to reduce pain and swelling.
    Compress your knee.
    Elevate your knee on a pillow when you're sitting or lying down.
    Wear a knee brace to stabilise the knee
    Practise stretching and strengthening exercises if they are recommended.
    For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.

    Meniscus Tear-
    A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.

    A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.

    Treatment may include:

    Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows.
    Physical therapy.
    Surgery to repair the meniscus.
    Surgery to remove part of the meniscus.
       1835 Thanks
  • M. Ch. (Ortho), DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
    Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.
    Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.
    Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.
    Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.
    Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.
    Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.
       1818 Thanks
  • MCh - Neurosurgery, MBBS
    Pain causes a lot of discomfort in the body no matter whether the pain is in the back, legs or in the head. Almost all people experience lower-back pain at some point in their lives, which can be extremely painful and can cause considerable annoyance. The first medical specialty that comes to mind for relief of lower-back pain is Orthopedics. The other two specialists that play a vital role in treating lower-back pain are the neurosurgeons and the physiatrists.

    Pain in the Back
    It is very difficult for the body to source the pain when it is deep and this pain could be due to infection, disease or injuries in the back, stomach and heart. It is even possible that the pain radiates to different places in the body. Often back pain is accompanied by body changes like redness, fever, neurological problems, heat, and changes in body functions and for that diagnosis of the back pain may be very severe. Patients suffering from lower-back pain and with symptoms that comprise of weakness in the foot or other symptoms of a neurologic insufficiency must definitely see a neurosurgeon.

    Back pain that occurs due to reversible problems is known to vanish in a few hours or in a day. However, if it continues longer and is accompanied by body changes, then there are chances that the condition can become worse. Visiting a doctor becomes a must for back pain if any of such characteristics are witnessed. It is always better to get evaluated by a physician.

    When to Consult a Doctor Immediately

    Back pain that is followed by a shock like a car accident.
    The pain in the back worsens and is constant
    Back pain continues for more than 4-6 weeks
    The pain does not improve even after taking typical remedies such as taking pain relievers or after resting.
    Severe pain in the back in the night and that is alleviated by rest
    The back pain is accompanied by abdominal pain
    Numbness in the upper thighs, buttocks, groin or in the genital area
    Weakness or tingling sensation in the arm or legs

    Role of a Neurosurgeon
    The neurosurgeon provides non-surgical as well surgical care depending upon the nature of the illness or the injury, and he does not just operate. The neurosurgeons are experts and offer treatment to patients suffering from any injury or disease in the spine, brain or peripheral nerves that deal with arms, hands, feet and legs. But there are many other neurosurgeons that confine their practice to treating back pain.
       1288 Thanks
  • Diploma in Gastroenterology, Diploma In Pulmonary Medicine , MSCP, BHMS, SVD( skin and veneral diseases)
    Back pain is one the most common problems that you are most likely to experience, given the rigors of the modern day lifestyle. Back pain is usually characterized by a mild to severe pain in your lower back area. Some of the causes of back pain can be:

    An accident or an injury
    Heavy lifting
    Stress and Depression
    Bad posture

    Homeopathy, with its plethora of medicines, serves as a better alternative as compared to its allopathic counterpart in curing back pain permanently, both acute as well as chronic. Homeopathic remedies are completely natural remedies without any side effect whatsoever.

    Here are some basic homeopathic remedies for back pain:

    Arnica: If the cause of your back pain is an injury, Arnica can be one of the best homeopathic medicines. In this sort of a pain, you experience stiffness and soreness at the back of your muscles.
    Bryonia: If your backache worsens with movement, Bryonia can help to cure this problem. You experience a stiff and tearing pain which worsens in humid and hot conditions. Try not to lie on a soft surface if you experience this sort of a pain. Proper rest with this medicine is suggested.
    Kali Carb: Kali carb is best in treating low back pain, especially in females after a delivery. This medicine caters to the sort of a pain which renders a great amount of weakness to your back muscles.
    Mag Phos: It is one of the best homeopathic remedies if you experience a sort of a pain, which is relieved by external application of heat. Pain, both of acute and chronic stages, can be cured by this medicine.
    Rhus tox: If your pain gets worse with movement, Rhus-tox is one of the most potent homeopathic remedies which can treat the issue. This sort of a pain causes stiffness in the back and at times, gets aggravated when you are resting.
    Bellis Per: This homeopathic wonder takes care of pain which is chronic, or which has been left untreated since a long time. Any surgical related back pain problem can also be remedied by this medicine.

    Even though some of the medications are mentioned here, it is better to take proper advice from your homeopathic practitioner, as the dosage and frequency must be decided by your doctor only based on the symptoms and your medical history.
       4810 Thanks
  • MNAMS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MBBS
    Internal Medicine Specialist
    The human body is able to move fluidly because there are various joints, muscles, tendons and cartilages that work together to make this happen. Movements of the hands, legs, back, hips, knees and wrists are controlled this way. For various reasons, however, these tissues grow stiff, thereby, reducing free movement. Any movement causes pain and stiffness and swelling of the joints, which forces the patient to reduce physical activity. This reduced activity further leads to the joints becoming stiff, thus putting the patient in a difficult position.

    What causes it?

    The ends of the bone are covered by softer tissue called cartilage, which is responsible for allowing the free movement. In patients with osteoarthritis, this cartilage is lost and the bones rub against each other, producing pain and a crackling sound with the movement. Some of the most common causes include the following:

    Age is the most common cause for osteoarthritis, with lifestyle habits playing a major role in this condition. Most joints would be affected here.
    Obesity is another major cause for osteoarthritis, as the additional weight of the person puts extra pressure on the knees and the legs, leading to the wearing of the joints. The back and lower extremities are more affected than the hands in this case.
    Joint injuries are another common cause for osteoarthritis, which is more localised to the area of injury.
    What are the signs and symptoms?

    As noted already, painful movement is the most common symptom of osteoarthritis. There could also be swelling and redness around the affected joint(s).
    Diagnosis: The doctor will usually be able to identify osteoarthritis after an examination, but in some cases, an X-ray or MRI may be required to confirm the diagnosis.

    Treatments available

    The treatment for osteoarthritis is multipronged.

    For immediate relief of the pain, non-steroidal and anti-inflammatory drugs are used. In cases of localised symptoms, even topical creams or gels may be used.
    Weight loss is extremely essential, if there is obesity that is causing the osteoarthritis.
    Vitamins and supplements in good amounts can improve bone health and help in preventing and reversing the damage in some patients.
    Heat therapy has proven to be quite useful in many cases to provide temporary relief
    As much as the movement of the joints is painful for the patient, it is only with regular exercise that the joints can be made more flexible and mobile.
    The affected joints need to be specially cared for by avoiding injury and reducing unnecessary movements.
    Role of physiotherapy in the management of OA - Strengthening exercises, Taping, Manual therapy, Education/lifestyle changes, Modalities, Agility and perturbation training.
    The definitive therapy of OA is joint replacement (total/partial knee/hip joint replacement).
    In addition, support groups and counselling may also help significantly in patients who find their quality of life being reduced due to this condition. Remember, not all is lost with osteoarthritis. It is definitely possible to get your life back to its earlier days when you were able to move about freely.
       3178 Thanks
  • BPTh/BPT
    Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

    Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:

    Osteoarthritis: The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:

    severe pain in the knee joints

    pain after walking up the stairs and it subsiding once you are on rest

    severe pain after the movement of joints for a long time

    pain that becomes worse in rainy days

    joints becoming stiff after waking up in the morning but they improve in the latter part of the day

    pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.

    Rheumatoid Arthritis: Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:

    severe pain in the morning

    mild fever accompanying the pain

    joints suddenly becoming swollen, red and warm causing, immense pain

    sudden stiffness of the joints

    pain that increases in cold weather

    mild fever, extreme tiredness and weakening of the muscles

    Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.

    When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:

    If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.

    Muscle-stretching exercises are effective in keeping the knee joints flexible.

    Acupuncture and devices such as knee braces and knee caps can relieve the pain.

    Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.

    If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.
    Physiotherapy For Knee Arthritis-

    Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.

    The main goals of physiotherapy for your knee arthritis are:

    Reduce your knee pain and inflammation.
    Normalise your knee joint range of motion.
    Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
    Strengthen your lower limb: calves, hip and pelvis muscles.
    Improve your patellofemoral (knee cap) alignment and function.
    Normalise your muscle lengths.
    Improve your proprioception, agility and balance.
    Improve your technique and function eg walking, squatting.
       3177 Thanks
  • Fellowship Joint Replacement, DNB (Ortho), D.ORTHO, MBBS, PGCRAM
    Shoulder impingement is a serious condition leading to severe pain in the shoulder blades of a person. Such kind of shoulder pain may affect anybody anytime. It basically affects the area of your shoulder facing stress due to any sort of overhead action. An impactful pressure on the tendons of bones constituting your shoulder gives rise to this disorder. This syndrome can affect a person who paints, swims, lifts or plays tennis on a regular basis. Once caused, persistent rendering of similar activities can worsen the case. If you are suffering from shoulder impingement syndrome, treatment under an experienced medical practitioner is indeed necessary as otherwise, you may have to suffer from tendinitis or bursitis.

    Take a keen look at the symptoms of shoulder impingement
    1. Disabling pain in and around the shoulders
    2. Under the effect of such excruciating pain, a person has restricted use of his or her arms and neck. He or she will face difficulties in reaching to a higher position above his or head. Aiming up behind your back will also be a challenge with the existence of this syndrome.
    3. There is considerable weakness in the muscles of your shoulders, preventing you from working with full vigor
    4. If left unattended, shoulder impingement can worsen to cause Rotator Cuff Tear where the tendons tear into two distinctive parts.

    Available modes of treatment
    1. A doctor might prescribe you anti- inflammatory drugs to relieve you from excess pain. These drugs should only be taken under the close monitoring of a specialist as they might have acute side effects. You might feel nauseous or might have an upset stomach after consuming these medications.
    2. Stretching your arms above your head while holding your body in an erect posture can be of great help. This stretching exercise should be tried out in a warm shower for better results.
    3. Other exercises under the supervision of a physiotherapist can come to your rescue as well. You should try to move your thumb up your back to recuperate from shoulder impingement.
       2436 Thanks
  • DNB Anaesthesiology, PDCC - Pain Management , MD - Anaesthesiology, MBBS
    Pain Management Specialist
    Back pain is one of the most common debilitating disorder in the world today. The pain affects 90% of people at some point of their lives. Human back comprises of various structures (see figure) which are nerves, bones, muscles, ligaments, and tendons, any or all of which can be a source of pain. Once back pain occurs, it may become chronic (more than 4 weeks) and you shall need to consult a pain physician for relief and accurate diagnosis.
    Since prevention is always better than cure, you can save yourself from having back pain if you follow these basic tips.
    Regular Exercise in Correct Form: Regular exercise is important to maintain proper muscular strength of the back. Human back is supported by several big muscle groups (see figure). They serve two functions - one is to facilitate the posture and movements of the back itself and the other is to help movements of the rest of the body appendages (arms, head, pelvis and legs).The health of these muscle group is important to take stress off the spinal bones and maintain proper function. Most of these muscles are red muscle fibers as they need to maintain their activity for prolonged periods of time. Just to give you an idea - your biceps (arm muscles) have to work only when you bend your arm. But your back muscles have to function all the time - whether you sit, walk, stand or even sleep. But the point is what kind of exercises are good for your back? The best exercises for back include body weight low impact aerobics like brisk walking, swimming, stationary bicycling, extension exercises and yoga. What is important to remember while doing these exercises if that you need to be gentle in your movements and achieve correct "form" - this is possible if you can ask someone (preferably a trainer) to observe and point out whether the back stays straight during the exercise. It has been seen that arching and excessive bending is associated with injury to the back while exercising.
    Stay Hydrated and Eat Natural Nutritious diet:The inter vertebral discs contain 70 - 80% water. The muscles and tissues have 60% water content. Therefore, it is important to stay hydrated. In addition, you must eat a nutritious diet consisting of green leafy vegetables, good protein source and just enough carbohydrates. Deficiencies of essential nutrients like Vitamin D can result in diseases like osteoporosis. Another important aspect is to maintain body weight within healthy limits. This is very important as increased belly fat is linked to increased back pain due to mechanical factors.
    Lift objects correctly and maintain proper posture:While lifting objects, keep them as close to body as possible. Do not slouch or bend excessively while lifting. Just keep your back straight at all times. You may bend your knees a little if required (see figure). Think before you lift and get help if needed.
    While working, you must not sit for more than 45 minutes at a stretch. Walk for two minutes, go to a colleague's desk and say hi or even just drink some water or visit the washroom. Humans evolved as hunter - gatherers and our bodies are more adapted to walking / standing than to sitting for prolonged periods. Those of you who travel more and have to sit for long periods of time also need to follow above tips - avoid prolonged sitting in same posture.While exercising, improper position can do more harm than good. Therefore, proper form and posture is a must.
    Bonus tip: Avoid cigarette smoking and those who smoke cigarettes to decrease your chances of having degenerative disc diseases leading to chronic back pain early in life.
    Word of caution to prevent permanent damage: In case of back pain, which is not responding to home remedies or over the counter painkillers, please contact a Pain Physician to pinpoint the diagnosis and appropriate management.
       4238 Thanks
  • Masters Degree of Homoeopathy, MD - Homeopathy
    Osteoarthritis (oa) is a degenerative disease that affects the various bone joints, leading to painful movement and thereby limiting the patient's mobility. Knees, hips, joints of hands and legs are affected.

    Symptoms of oa

    The symptoms revolve around the bones and joints including:

    Pain and stiffness of the joints
    Swelling of the joints
    Inability to form a clench
    Difficulty holding things
    Stooped posture
    Weakness of legs and hands
    Reduced height over time

    Treatment options in allopathy are limited to nonsteroidal analgesics to control pain and in severe cases, surgical correction, in case of oa. However, homeopathy takes into account the triggering symptoms, the associated symptoms, and the status of the immune system before deciding on a treatment regimen.

    With this holistic approach, homeopathy achieve the following:

    Reduce the pain, swelling and stiffness
    Slows the pace of further degeneration
    Improves mobility of the affected joint (s)
    Improves the body's overall immune system, thereby allow the body to promote healing on its own
    Homeopathic intervention in the early phases is particularly helpful, as it will arrest disease progression
    It also enable better absorption of minerals and nutrients essential for bone health. This allows healing of existing bone fractures and avoids further bone damage by strengthening the bones
    Homeopathic treatment also enables the body's chemical state to withstand stress and illnesses better
    It vitalizes the body's natural healing and ability to repair itself, to create a better state of health and well-being

    Some of the popular homeopathic medications based on areas and associated symptoms are listed below:

    Knee joints:

    Bryonia alba: pain worsened with movement, relieved with rest; associated with swelling and stiffness of the joints; difficulty in climbing stairs.
    Calcarea carbonica: swelling and pain that is worsened when getting up from a seated position. The joints feel cold and painful.
    Sulphur: worse with climbing stairs, prolonged standing, feeling of warmth in the knees.

    Hip joints:

    Colcynthis: cramping pain improved by pressure.
    Rhus toxicodendron: pain when getting up from a seated position.
    Pulsatilla nigricans: associated with muscle stiffness and cramping.

    Finger joints:

    Antimonium crudum: the pain pain gets worse in cold weather, improved by applying something warm)
    Benzoic acid: there is an associated crackling sound when the fingers are moved or if there are nodes in the area of joints. The urine is highly offensive in these people.
    Calcara fluorica: there are stony hard nodes formed in the joint area, greatly reducing the mobility.

    These medications are safe, completely natural, do not induce habit formation, and are approved by fda. They don't just treat the symptoms but help manage the patient as a whole. This justifies why homeopathy is definitely a good option in treating osteoarthritis.
       2 Thanks
  • Bachelor in TCM, Diploma in Acupuncture, Diploma in Naturopathy & Yogic Science (DNYS)
    Arthritis is among the most common ailments that afflict a large section of the population, especially comprising the age groups of beyond 40 years. Acute joint pains, difficulties in movement and weakened bones are among the most common symptoms of arthritis. Given that it is a condition that has permeated modern life so deeply and that it has also caused a lot of unwanted hindrance to your normal activities, arthritis is one of the feared illnesses of our times. It is true that a fair amount of research has been dedicated towards finding a viable cure for arthritis and many have in fact proven to be effective, but most of these drugs come with their own baggage of side effects. Thus, many of us seek a more natural and lasting healing option that not only soothes the pain but restores our health from within.

    Over the recent years, acupuncture has gained a lot of steam as an effective and comprehensive therapy for a wide range of diseases. Among the others, joint ailments and arthritis are prominent diseases that have been comprehensively minimized by benefits reaped out of acupuncture.

    Acupuncture believes that the health boosting energy flows through your body through strategic pressure points and by stimulating spasms and afflicted muscles through insertion of tiny needles into the skin, pain can be adequately diminished. Acupuncture also ebbs the harmful side effects that anti-inflammatory drugs and painkillers cause.

    Some of the obvious benefits of acupuncture could be enlisted as follows

    Alternative to Surgeries: On several occasions, on account of the failure of the usual drug therapy, you may opt for joint replacement surgeries which again usher in its own set of distresses. Acupuncture on the contrary, cures the pain by relying on your innate defense mechanisms and facilitates a natural remedy to arthritis.
    Enhances the effectiveness of the usual drugs: For those enduring chronic arthritis pains, acupuncture brings substantial relief, but the treatment is long drawn. In such cases, one may choose to not discontinue the drugs and use acupuncture as a complementary therapy. Even in such cases, acupuncture is extremely helpful. It offsets the harmful effects that the drugs have on your body and boosts their impacts on the diseased parts of your body. This method has proven to be a reliable recipe for complete recovery.
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  • Fellowship in Knee Replacement, D.N.B. (Orthopaedics) , MBBS
    Arthritis is an agonising and degenerative condition caused by swelling and inflammation of the joints that causes pain and stiffness. Whether it is dull, sharp, smouldering or a pressure that must be described as having a hammer crushing one of your joints, chronic arthritis pain and joint inflammation is a very common disease among many adults.

    Here are a few generic tips to help the condition of arthritis:

    General and regular exercising: Specialists prescribe the use of a workout plan that guarantees certain activities and exercise routine. The point of the regular exercising routine is to guarantee mobility and flexibility of the joints and enhance the scope of movement for patients. In the meantime, working out helps in enhancing the quality of the joints and allows better strength and support for the body. Along these lines, they help in diminishing both weight and strain on the joints.
    Weight control and healthy diet: Patients with arthritis will suffer more on account of weight gain. To keep away from an excess of weight and pressure on the joints as an after effects of weight gain, stay away from putting on weight. Eat healthier foods that comprise of more minerals and vitamins while giving less fat and calories to the body. Increasing vegetables and organic products in the eating regimen is great for arthritis pain. The leafy vegetables contain anti-oxidants. They also have anti-inflammatory effects on the joints and bones.
    Hot and cool treatment: Simple and basic hot and cold treatments can improve things greatly with regards to arthritis pain. Long, warm baths or showers particularly in the morning ease solidness and stiffness in your joints. Use an electric cover or warming cushion around evening time to keep your joints free and use moist warming cushions. Cool treatments are best to relieve arthritis pain. Wrap a gel ice pack or a sack of frozen vegetables in a towel and apply it to the painful joints for fast alleviation and relief from the pain and swelling.
    Inflammatory and anti-inflammatory foods: Arthritis and joint pain can increase if patients continue using nourishments that have high inflammatory impacts. However, some might not have a thought of what the foods are or what they give to the body. One needs to abstain from eating fast and junk food and processed food products. Turmeric, the most basic Indian spice, has a chemical in it called curcumin that might have the capacity to diminish arthritis pain.
    Plan carefully: It is hard to tell when a flare-up may happen, making your joints turn out to be hard and swollen, or when you will try too hard while working out. Since you cannot anticipate these occasions, it is a smart thought to be prepared beforehand and get ready for issues before they emerge with medication and your emergency numbers in place.
       2713 Thanks
  • M.Ch - Orthopaedics - , MS - Orthopaedics, MBBS
    Inflammation or swelling can be caused due to body's natural response to injury or disease. And arthritis is a disease in which the joints in your body swell. The inflammation or swelling can cause discomfort in the form of pain, stiffness as well as difficulty in movement.

    Some of the common causes of arthritis are:

    1. Infections in the joint.
    2. Genetic makeup in which arthritis can be a hereditary trait
    3. Imbalance in the immunity system
    4. Physically taxing work life or injuries caused in an accident

    Risk factors associated with arthritis:

    1. Obesity - Excess weight can put a lot of pressure on the joints, on the knees and hips in particular. Hence, obese people have more chances of developing arthritis than fitter people.
    2. Age - The risk of arthritis can increase with age. Types like osteoarthritis, rheumatoid arthritis and gout are more common in the old age.
    3. Joint injury - Joint injury caused due to accidents or due to sports activities can trigger arthritis. People with previous joint injuries can develop arthritis in that joint.
    4. Family history - You can be prone to develop arthritis if it runs in the family. It can occur due to its hereditary trait hence making you more vulnerable to the environmental factors which contribute to developing arthritis.
    5. Gender - Your sex is an important factor as women are more likely to develop rheumatoid arthritis while men are prone to suffer from gout.

    Tips to deal with arthritis:

    1. Take Vitamins and olive oil: Vitamins are crucial, especially A, C and D. Vitamin A can be found in carrots. vitamin D can yet again be found in fish while vitamin C can be found in strawberries, mangoes, pineapples and oranges. Olive oil is also useful because it contains polyphenols which reduce the chances of developing arthritis.

    2. Control your weight: This is very important, especially for your knees. It has been proven by researchers at John Hopkins University that if you are 10 kg overweight, then 30 to 60 extra kilograms of weight fall on your knees.

    3. Take Omega-3 fatty acids: Research proves that the regular consumption of Omega-3 fatty acids, present in fish, result in decreased risks of rheumatoid arthritis. Omega-3 fatty acids are also found in foods such as olive oil and walnuts.
       4019 Thanks
  • Bachelor of Ayurveda, Medicine and Surgery (BAMS)
    Gone are the days when mostly septuagenarians complained of joint and knee pain. The problem today has become common among all age groups. Knee or joint pain at any stage of life is painful, however, the health problem striking early on is scary as one just dreads of living with it in the so many years to come.

    Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain and joint pain can also be permanently cured with this method indigenous to India. Arthritis and Joint pain are among the most prevalent problems faced by adults, mostly old people. As per Ayurveda, 'vata dosha' Is responsible for joint and knee pain.

    Here are some common Ayurvedic remedies, which help reduce knee pain:

    Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains.
    Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications.
    Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
    Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.

    The following are some Ayurvedic home remedies that can be utilized to treat joint pain:

    Hot & Cold Compress: Cold and hot compresses can be utilized to ease your joint pain effectively. Heat compression decreases the pain, increases the blood circulation and relaxes the swollen joints and muscles. On the other hand, cold therapy lessens the inflammation of the affected joint. Place hot and cold towel alternatively on the affected area to achieve immediate relief from persistent pain.
    Turmeric: Add a pinch of turmeric and a teaspoon of honey in a glass of lukewarm water and drink this solution on a regular basis for a week. Turmeric contains anti inflammatory and antioxidant properties, which makes it an excellent remedy for treating joint pains.
    Healthy diet: A balanced diet that comprises a lot of green leafy vegetables and fresh seasonal fruits is good for your joints. The uncontrolled intake of fatty food, dairy products, and high sodium diet must be avoided in order to avoid arthritis and joint pain. Prevention is better than cure and in order to follow that it is always beneficial to get your complete body check up done from time to time.
       11 Thanks
  • FELLOWSHIP- American Academy of Orthopaedic Surgeons, Super Specialisation - Mch Orthopedics, Gold Medalist - MS Orthopedics, Post Graduate Diploma In Orthopedics , MBBS
    Life with osteoporosis: myths and facts
    Osteoporosis is a commonly experienced condition where the bones tend to get thin and become hollow over time. This is a condition that is experienced mostly by people who are over the age of 50 years, and even more commonly by women who have been through menopause. Other risk factors include smoking as well as medication which can lead to such degenerative diseases as a side effect. Let us find out about living with osteoporosis and the many myths and facts surrounding the same-
    A natural part of aging: this is a fact. While not everyone who ages will wind up with this condition, it is commonly experienced by patients who are growing old. One can resort to taking calcium supplements as well as plenty of vitamin d in order to prevent the risk of fractures that are a common occurrence in such a condition where the bones become too hollow. Also, mild and moderate exercise will help the condition.
    Only female patients: this is a myth. While it is true that women form a major risk group when it comes to this condition, there are many men who also suffer from it. It has been demonstrated by various medical studies that one in every five men in the usa alone are prone to this condition. Furthermore, due to exercise, sports and other heavy manual work, young men are more likely to end up with a fractured bone than an aging woman.
    Worry only when you are old: this is also a myth. One must remember that the major bone mass forms by the time a person hits the age of 18 to 20 years. This is the time when nutrition, exercise and lifestyles must be structured in a way that such troubles like osteoporosis will not follow you into the later years when your bones begin to age. Ample and strong bone mass nourished by proper habits, will help in preventing such conditions to a large extent.
    Fractures only happen if you fall: this is another myth. It is important to keep in mind that living with a condition like osteoporosis means that you have to be vigilant at all times in your daily routine and other activities. Strain on the bones can also lead to fractures, and one does not necessarily have to fall down to get one. Leaning over too much can also lead to a fracture!
    You can feel the degeneration: it is another myth that you can actually feel your bones getting weaker. Usually, there are no symptoms of this condition until it has progressed to a particularly painful stage in your life. The best way to find out if you are suffering from osteoporosis is by taking a bone density test.

       2526 Thanks
  • MCh, DNB (Orthopedics), MS - Orthopaedics, MBBS
    Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
    These surfaces closely replicate the original anatomy.

    When do you need a knee replacement?
    When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

    Aim of the surgery

    Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
    Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
    Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
    Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
    Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.
       2457 Thanks
    Sleep on your back

    Sleeping on your back is the best position to let your entire spine rest comfortably. If you prefer to sleep on your side or on your stomach, make sure your pillow is not too high around 4 to 6 inches thick. This will prevent your head and neck from turning unnaturally to either side.

    Position your computer screen at eye level

    Sit comfortably in your office chair in front of your computer and close your eyes. When you open them, your gaze should be directly in the middle of your computer screen. If it is not, use books or other items to adjust the screen height.

    Do not allow your head to drift forward over your shoulders. And don't forget to take frequent breaks get up and move around at least every 30 minutes.
       4 Thanks
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