The bones and joints orchestrate very well with each other for smooth movements of various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby, limiting movement. Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
Exercise plays a very vital role in controlling the issue and improving range of motion.

What You Should Know About Spondyloarthritis?

Cervical spondylosis is fast becoming the bane of modern life. An age-related wear and tear problem affecting the spinal discs in your neck, cervical spondylosis is increasingly affecting the young because of the use of cell phones, laptops and the like.

Cervical spondylosis is a general term used to define shrinkage of discs in between vertebrae in the neck region. Along with disc degeneration, bony projections also form in the area and are called bone spurs.
Other causes of cervical spondylosis are dehydrated discs. Discs are thick, pad-like cushions in between vertebrae that act as shock absorbers. They are made of a gel- like material that can dry over time. This causes the spinal vertebrae to rub together causing pain. The discs also crack which allows the internal gel-like material to spill out and impinge on spinal nerves causing symptoms.

There is a narrowing of the space required by the spinal cord and nerves that emanate in the upper spine to go to various parts of the body. Pinching of these nerves can cause alarming symptoms like

Numbness and weakness in your arms, hands, legs and feet
Lack of coordination and difficulty in walking
Loss of bladder or bowel movement
Stiffness and pain in neck
Treatment and management
Usually, cervical spondylosis doesn t cause any symptoms. But when you start experiencing pain, stiffness and weakness of muscles, it s best to go to a doctor who will diagnose the problem and then treat it.
Treatment for cervical spondylosis depends on the severity of your symptoms. Its goal is to get rid of pain, allow you to carry on your daily activities and prevent any permanent damage to your spinal cord and nerves.

Medicines

Anti-inflammatory drugs are prescribed to reduce pain and inflammation. Example Ibuprofen.
Corticosteroids are oral medications to get rid of the severe pain. If these don t work, your doctor can suggest steroid injections.
Muscle relaxants medicines relax the muscles in the upper part of the spine and help in curing neck pain and stiffness
Anti-seizure medications are also prescribed to dull the pain of damaged nerves in the spine. These include epilepsy medications, such as gabapentin and pregabalin.
Physiotherapy

Non surgical treatments are usually very effective in treating cervical spondylosis and surgery is usually not required. Physiotherapy is a bulwark for patients as it helps manage the condition very well.
Neck exercises that help stretch and strengthen muscles in your neck and shoulders can help manage debilitating symptoms of cervical spondylosis.
Few patients also benefit from traction, which can help provide more space for nerve roots within the spine.
Surgery

Surgery is the last resort for treating cervical spondylosis.
It is suggested when non-surgical treatments fail and the pain and neurological signs such as weakness in your arms or legs get worse.
It is done to create more room for your spinal cord and nerve roots.
Cervical spondylosis surgery typically involves removing:

Herniated disk
Bone spurs
Part of a vertebra

Cervical Spondylosis - How to Treat It?

Pain is unpleasant suffering caused by injury or illness. Back pain may be sudden/constant, dull, severe or not responding to short rest and medication. Constant pain in back in any region of spine for more than few days to weeks needs intervention.

Pain which is intense especially at night requires urgent visit to a specialist.

Sudden onset of pain in back with or without injury needs urgent attention.

Back pain with difficulty in walking, pain while getting up from position of comfort, pain during change of posture or pain after prolonged sitting (for work) can lead to serious permanent damage, if left untreated.

Pain which travels to one or both legs may be due to pressure on the nerve/s and if left untreated for long can lead to permanent weakness or damage.

Pain associated with numbness, tingling or weakness in legs, especially below the knees, commonly called Sciatica, needs to be investigated. Various spinal ailments can lead to weakness in one or two limbs or all four limbs. There may be associated or isolated numbness (loss of sensation to touch, pain or temperature) without back pain.

Numbness, tingling or weakness may be the only symptoms without any complaint or without history of back pain.

Problems related to bladder control which may be difficulty to control, hesitancy in passing or dribbling of urine. There may be associated constipation. Loss of bowel/bladder control is caused by pressure on spinal cord &/or nerves which may be due to injury, infection, disc prolapse or tumor.

Sudden swelling and redness in back usually happens after an injury or accident but sometimes are signs of underlying severe illness.

Loss of normal shape/curvatures of spine can present with or without pain. It can lead to forward, sideways or rarely backward bending.

Unintentional weight loss, loss of appetite, evening rise of fever or disturbed sleep with associated back pain/weakness/numbness needs visit to a specialist.

When Should You See Your Doctor in Back Pain?

Tennis elbow is a condition which is characterized by a sharp pain on the outer portion of the elbow. This condition is also called  lateral epicondylitis  and it occurs when the muscles of the elbow are overused. The symptoms of pain tend to occur near the forearm when you bend your elbow or try to grip an object.

Causes
The elbow joint comprises of muscles which facilitate movement of the wrist, elbows and the fingers. There are tendons present in the elbow which join the muscles and bones, thus regulating the forearm muscles. When the muscles of the elbow are overused, then it can lead to inflammation and tears in the muscles.

This condition is so called as it is usually caused by playing certain sports, primarily tennis. It may also be caused by activities that put repetitive stress on the elbow. If the same pain occurs around the inner portion of the elbow, it is called a  golfer s elbow .

Prevention
The best treatment method to prevent tennis elbow is to strengthen your elbow muscles. You need to follow a regulated strength and stretching program directed at strengthening the muscles of the body, including the elbows.

Here are some tips to prevent tennis elbow:

Try to stay in good shape physically.
Use proper technique when you are carrying out any activity that involves the elbow.
Avoid overstressing the elbow joint with repetitive movements as it can cause injury to the tendon.
The muscles of the shoulder, arm and the upper back should be strengthened to prevent tennis elbow.
For movements that require you to twist your arm or grasp things, you can use a counter force brace to protect your elbow. This brace is worn on the forearm which redistributes pressure on the muscle. A counter force brace is recommended for people who are at an increased risk of tennis elbow.

Tennis Elbow - Tips To Help You Prevent It!

When other treatments fail to provide relief, the last resort to treat spine problems is the spine surgery. Spine surgery is conventionally referred to as open surgery which indicates that the area that needs to be operated is opened with a long incision so that the surgeon is able to view and have access to the anatomy.

In the recent times, advances in the field of medical science have made it possible to treat back and neck conditions through minimally invasive surgical techniques that don t involve an elaborate incision. Let us understand more about it.

How is minimally invasive spine surgery carried out?
Minimally invasive spine surgery fusions and decompression processes are performed by exploiting different approaches. The most commonly utilized technique involves the use of the tubular retractor. In this process, the surgeon makes a small incision and then inserts the retractor through the skin right into the spinal column. It leads to a tunnel to the accurate area where the problem persists in the spine. The functionality of tubular retractor lies in the fact that it helps in holding the muscle open throughout the procedure.

A number of particular processes have been designated for the minimally invasive spine surgery. Some of the most common options include spinal decompression, discectomy, and transforaminal lumbar interbody fusion. Each of these processes is different and only an expert in this arena can determine what s suitable for you.

Minimally invasive spine surgery is also called less invasive spine surgery where surgeons make use of special instruments. One of the most compelling drawbacks of open surgery is that the pulling of the muscle can lead to damage to both the muscle and the tissues in close vicinity. On the other hand, minimally invasive spine surgery allows the surgeon to see the precise location of the affected area. Besides, it also leads to smaller incisions, reduced bleeding and short stay in the healthcare facility.

Consulting an expert about the surgery:
It is very important on part of the patients to discuss the suitability of minimally invasive spine surgery with their doctors since it is not a good option for all patients. It is generally suggested for patients having spinal tumours, spinal instability, spinal infections, vertebral compression fractures, lumbar spinal stenosis and spinal deformities like scoliosis.

When you know that you will have to undergo the surgery, it pays to gather information about the surgery and what you may expect from the recovery process. The most commendable benefits of minimally invasive spine surgery include better cosmetic results owing to lesser skin incisions and reduced dependence on the medications. Moreover, it is performed as an outpatient procedure and it makes use of local anaesthesia only. Thus, there is also a reduced chance of suffering from an adverse reaction to general anaesthesia.

So, depending on the pros and cons and depending on the individual condition, your doctor will decide on the course of action.

Everything You Need To Know About Minimally Invasive Spine Surgery!

How Homeopathy Can Cure Muscle and Joint Pain?

Joint and muscle pain arises when excess pressure is exerted on a particular joint or due to the wear and tear of a particular muscle. This is one area where many people face chronic pain, with symptoms such as deformity of the joints, swelling, immobility of the joints and severe joint pain. There are a lot of topical as well as oral medicines for chronic pain within conventional medicine, but it may not always be effective for all types of patients.

Homeopathy has been known to provide effective cures for many types of muscle and joint related ailments.

Let's first look at the common causes for muscle and joint pain related problems:
- Sports related injuries
- Vehicular accidents such as a car or bike accidents
- Bad postures or habits
- Other underlying physical or medical conditions

So what are the ways in which homeopathy can cure certain conditions and alleviate pain in patients?

- 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.
- 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.
- 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.
- Muscular conditions: There are many muscle-related conditions such as fibromyalgia and fibrositis among others have also been reduced after the usage of Rhus tox.

Homeopathic medicines like Medorrhinum, Ruta, Formica Rufa, Arnica, Symphytum and a few others are useful for treating such conditions, depending upon the exact symptoms and causes.

If you would like to consult with me privately, please click on 'Consult'.

How Homeopathy Can Cure Muscle and Joint Pain?

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