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Knee Pain Treatment
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Treatment of Nerve And Muscle Disorders
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A human body has a total of 206 bones, and yet it makes life a living hell, if even one of them is harmed. A person living with Osteoporosis feels the same way, except that they are a lot more prone to having their bones broken than a person who doesn’t. There are a variety of ways to go about treating the issue and one of them involves making use of parathyroid hormones. This is a pathbreaking cure for Osteoporosis and is being adopted by many patients worldwide.
If a person takes a look at the drugs which are made use of in the treatment of osteoporosis, he or she will release that their main function is not to repair what is damaged, but rather to slow the rate of further damage like Bisphosphonate.
However, if parathyroid hormones are looked at, it will be seen that they are usually recommended for those people who may even already had had fractures on account of osteoporosis. These people are generally said to have low bone density, which can be quite dangerous. The reason for this being the case is the fact that when parathyroid hormones are used, they have the potential and the ability to increase the rate of growth of the bones; in terms of the mineral density of the bones as well as the strength of the same.
Teriparatide comes in a pen-like device so that it can be introduced into the body by the way of an injection to either the thigh or the wall of the abdomen. It is important to keep in mind that the medicine should be handled with care which goes to mean that it is to be refrigerated at all times.
It is also to be kept in mind that the medicine can have certain side effects. In most cases in which side effects occur, the medicine leads to some dizziness or some leg cramps.
Taking into due account the fact that the drug is a new one, many doctors would not recommend it to people who have problems with their bones other than those which are caused by osteoporosis. Examples of such conditions would be hypercalcemia, which is a condition in which there is too much calcium in the blood or bone cancer. In addition to this, the medicine is not to be used by a person for a duration which is longer than two years.
All in all, it can be said that if a person makes use of parathyroid hormones to treat a problem that can be as bad as osteoporosis, the effects can be quite startling, and that too, in a positive way!
Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.
Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.
- Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
- Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.
Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.
There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.
In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed.
Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.
What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running.
What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks. In case you have a concern or query you can always consult an expert & get answers to your questions!
Hii doctor .I had a problem of spondylitis since 2 years. My age is 21 years .and now my spine chord has been pained and there is a pain on the back of my neck from upper to lower side on the back .so kindly suggest me the solution and treatment of this problem.
What are they?
Intra-articular injections or intra-articular corticosteroid injections are steroid medicines that are injected into the joint space directly, for curing and treating painful and inflammatory arthritic joint syndromes. In general, this procedure of treatment is adopted by orthopedic practitioners since steroidal drugs, when administered orally, are hardly of any use for osteoarthritis patients.
Steroids are natural substances which are akin to the hormones in your body. Steroids are mostly taken for reducing inflammation.
Apart from inflammation in the bones, intra-articular corticosteroid injections are also administered for alleviating inflammation in the ligaments and tendons in patients suffering from osteoarthritis.
Note that intra-articular corticosteroid injections are prescribed to osteoarthritic patients only if the pain and inflammation do not subside with the use of NSAIDs and analgesics.
Corticosteroid injection often provides temporary relief, when other oral medicines have failed to provide comfort to the patient.
Hyaluronic Acid Injections
Another form of intra-articular injection is the one containing intra-articular hyaluronic acid.
Hyaluronic acid is a natural fluid that aids in lubricating the joints and allows them to function smoothly. It acts as a shock absorber in your body. However, with osteoarthritis, the hyaluronic acid in the affected joints wears out.
Depending on the type of injection, you may get one shot of hyaluronic acid intra-articular injection, or three to five injections spaced a week apart.
The process of administering such injections needs the doctor to first clean the area. In case of swelling, local painkillers can be injected. Next, the doctor inserts a needle to withdraw the excess fluid that’s within the knee joint and then with the same needle in place, the doctor finally injects the medication into the knee joint.
The basic side-effects of intra-articular injections include mild pain at the site of the injection along with a small buildup of joint fluid. However, these side-effects are usually never a matter of concern and they get resolved on their own within a span of a few days. In case you have a concern or query you can always consult an expert & get answers to your questions!