Sciatica is a neurological condition that mainly arises due to problems in the sciatic nerve. The sciatic nerve is believed to be the largest nerve originating from the spinal nerves L4 to S3. It extends downward from the lower spine into the back of each leg (thighs) right down to the foot. The sciatic nerve acts as a connecting link between the spinal cord and the foot and the leg muscles. People with sciatica often experience a tingling sensation along with a shooting pain radiates downwards from the lower back (mostly the lumbar region) to the back of one of the legs. Some may also experience the sciatic pain down both the legs (rare).

Types of Sciatic Pain:

Sciatica that affects a person can be of two types depending on the severity of the associated symptoms

Acute sciatic pain: In this case, a person experiences a sudden radiating pain which often heals by itself within a week or two. More than often, the pain is triggered by an injury to the spinal joints, nerves, or the disc.
Chronic sciatic pain: This is a more serious condition where the pain may linger for long, often more than three months. The chronic sciatic pain may affect a person with severe Arthritis and nerve injury and damage.
Symptoms associated with Sciatica:

One of the characteristic symptoms of Sciatica is a shooting pain that radiates from the lower back (often the lumbar) to the back of one (or both) of the legs.
In some, the sciatic pain may result in weakness and a tingling sensation down the affected leg.
A person with sciatica may find it difficult to move his/her foot and legs (restricts their movement).
Some people may experience a shooting pain even while they are in a sitting position. In some others, the pain may be at its worst when a person is in a standing position.
Sciatica can also trigger a hip pain.
What triggers sciatica and the associated symptoms?

The disc is a protective shield that prevents any damage or injury to the vertebrae. A degenerative disc problem can interfere with the normal functioning of the disc triggering sciatica.
Spondylolisthesis: In Spondylolisthesis, also known as a Slip Disc, a bone (mostly in the lumbar region) slips over the bone which is located just below it. People with prolonged and untreated spondylolisthesis are often known to suffer from sciatica.
The sciatic pain can also affect a woman during her pregnancy.
Lumbar spinal stenosis: This condition is is characterized by the spinal canal narrowing down in the lumbar region. Lumbar spinal stenosis exerts pressure on the sciatic nerve, giving rise to sciatica.
A muscular strain or spasm in the buttocks can also be a contributing factor.
Proper management and prevention for sciatica are possible. One should be alert and consult a doctor in case they experience the associated symptoms or any discomfort.

Sciatica Pain - What Can Trigger It?

Spinal fusion is a surgery in which two or more vertebrae in the vertebral column or back are fused or joined to treat a slew of spinal problems and diseases, which cause debilitating back pain. This surgery helps to remove bone and tissue that are narrowing the spinal canal, squeezing the spinal cord and nerves, reducing pain and improving function.

There are many different causes of back pain like injury, poor posture, age, osteoarthritis, herniation of disc between two vertebrae, degenerative disc disease, narrowing of spine called stenosis, and spondylosis or lessening of space between the vertebrae- most of these can be treated using spinal fusion.

All of these causes put tremendous pressure on the vertebrae and pinch spinal nerves that pass through the back and radiate out into the arms, legs and torso. Apart from the pain, patients experience nerve and muscle weakness and irreversible damage affecting normal life.

Spinal fusion started off as just a treatment for fractures but now it has become the surgery of choice for a number of spine problems. Though it can be done anywhere in the spine, it is very effective when done in the lower part of the spine called lumbar spinal fusion or arthrodesis.

Spinal fusion is done by forming a direct bony connection between the vertebrae surrounding the painful discs, the cushioning between the vertebrae. Pain is stopped by stopping the motion of the painful discs.

There are different methods of spinal fusion each with its own advantages and limitations.

Techniques include fusion approached from the front, the back, or both of the vertebral column. Sometimes surgeons decide to use intervertebral cages or metal screws to provide internal structural support while the bone fuses. These cages may be placed between the vertebrae and packed with bone graft material taken from the patient or constructed out of synthetic materials.

What to expect?
Spinal fusion is not a risk-free procedure. It is a major surgery lasting several hours and carrying a number of risks like-

Failure of the vertebral fusion and breaking of metal implants
The vertebrae above and below the fusion can wear away aggravating problems
Blood clots may be formed that can travel to lungs causing embolism
Injury to spinal nerves causing permanent weakness in legs and problem with bladder and bowel function
Infections and blood loss
Heart attack or stroke during surgery
The patient has to be kept in hospital for a couple of days for post-operative care after which he will have to undergo rehabilitation for months. Hence, one should really think before going for spinal fusion. And when it is recommended, seek a second opinion before making a decision. 

Spinal Fusion Surgery - What To Expect?

Fibromyalgia is a condition that causes chronic pain in muscles, soft tissues, tendons, and joints. For some, it can also cause memory problems, fatigue, mood swings and lethargy. Fibromyalgia is not a disease but a syndrome. The same can be effectively managed through wellness, medicine, massage and alternative medicine. This condition is more observed in women than man. Luckily through, this condition is not life threatening and does not damage muscle and joints.

What are the symptoms?
The most common symptom of Fibromyalgia is the pain. The experience of pain can be burning, deep, shooting or ache at regular intervals. Tender points around the soft tissue can be visible. This worsens at night. Some common indications of this condition include less sleep, headaches, depression, fatigue and other cognitive issues. With proper care the symptoms do improve, it, however, is a long-term condition and chances are that the pain might return in the long run.

How does massage help?

Massage can prove to be extremely beneficial for this lot. Research indicates that massages such as Shiatsu, myofascial release and Swedish improve the condition for better. Mentioned below are few benefits that have been observed in patients of different age group:
An evening session with a massage therapist will help a patient to get sound sleep at night. This ensures that the body rejuvenates and repairs during the sleep. The patient feels more energetic than ever before.
Massage improved muscle tonicity: Massage helps to improve the lethargic muscle aid strength and vitality to the body. It is essential to include more petrissage strokes during the massage session to accomplish the goal.
Massage helps a great deal to improve mental clarity. A healthy, relaxing massage session can relieve mental stress, gives clarity to thinking and resolves the cognitive issues that a person is facing.
A person suffering from Fibromyalgia can get relief from headache with proper massaging. Massage greatly improves the flow of blood to the brain and the spinal cord region thereby, ensuring that headache is greatly reduced. Relief from headache can improve the overall health of a patient.
Massage can reduce the level of depression and anxiety faced by a person suffering from fibromyalgia. Depression and anxiety leads to hormonal fluctuations leading to appetite, mood swings, constant irritation etc. A regular massage session can restore the body homeostasis thereby keeping the body condition normal.
Regular massage session will improve the overall pain level of the patient and give a chance to the muscle to gain extra strength. With proper care and therapy, it is entirely possible to cure the condition for good. 
However, it is also necessary to continue with the session. Giving up massage therapy after temporary relief won t serve the purpose for long-term pain relief.


Fibromyalgia Pain - Can Massage Help Reduce It?

Are you experiencing a swollen and painful joint and are looking for an effective way to treat it? You can choose homeopathic treatment, which is considered to be ideal for joint pain and inflammation, as it does not have any side effects. When a joint swells up, gets inflamed, or damaged due to an injury, joint pain is experienced. Aging and several medical conditions such as gout, osteoarthritis, rheumatoid arthritis, general injuries, and sprains are common causes of joint inflammation and pain. A wide range of homeopathic medicines is used for the management of joint pain and inflammation.

Here is a list of the top homeopathic medicines used for this condition along with the symptoms when they are prescribed for use:

Rhus Tox- This homeopathic medicine is very effective in treating joint pain. Both acute and chronic joint pains are cured by this medicine. It is used when a patient experiences marked stiffness in the joints along with intense pain. The medicine treats all kinds of joint pains, starting from rheumatic reasons to injuries caused due to overexertion. Usually, the joint pain gets better with movement and worsens if you are immobile.

Sanguinaria Can and Ferrum Met- Sanguinaria Can is used for treating joint pains which occur in the shoulder. It is most effective in the case of right-sided shoulder joint pains. The right-sided shoulder of the patient may feel stiff and the pain worsens with any kind of motion. The right shoulder joint pain increases during the night. On the other hand, Ferrum Met is used in the case of left-sided shoulder pain. The patient experiences stiffness and cracking in the left shoulder joint along with great pain. The pain increases if you raise your arm and with any kind of movement.

Bryonia and Ruta- These homeopathic medicines are used for the management of joint pain in the elbows. Bryonia is used when the elbow joint pain increases even without movement. It provides sustained relief. The pain is also accompanied by stiffness and swelling in the elbow joint. Ruta, is an effective homeopathic medicine which is used for elbow joint pain treatment, especially when the pain is located near the condyles. Stretching and raising your arms trigger the pain. This medicine is also used in case of inflamed and sore tendons near the elbow joint, which cause pain.

Other homeopathic medicines such as Actaea Spicata and Rhododendron are used in the case of treating joint pains in the wrist. You should consult a qualified homeopathic practitioner before taking medicines for joint pain.

Homeopathic Medicines for Joint Pain & Inflammation 

A broken bone is medically termed as a fracture.Fractures are linked with age as bones tend to become weak as one ages, so, the chances of a fracture occurring also increases. Fractures are usually classified into four types-
1. Closed fracture - In this type of fracture, the breaking of the bone does not result in an open wound
2. Open fracture- The opposite of closed fracture, the bone breaks through the skin. This may result in infections
3. Non-displaced fracture - in this type of fracture, the bone cracks but is not shifted out of its regular position.
4. Displaced fracture - A displaced fracture occurs when the affected bone is shifted out of its natural position.

Causes
Fractures can be caused by a number of factors, they are
1. Road accidents
2. When someone falls from a height
3. When the bone is directly exposed to a strong blow
4. When the bone is exposed to a repetitive force from activities such as sprinting
5. Osteoporosis, which is a condition where the bones become weak
6. The bones in the body tends to weaken with age, so at this time they become highly susceptible to fractures

Symptoms
1. Swelling in the area accompanied by pain
2. Limited movement of the affected joint
3. Muscle spasms
4. The affected area may also become numb

Diagnosis
The first step to diagnose a fracture is the knowing about the medical history of the patient and conducting a physical exam. The diagnosis is further confirmed by using imaging tests such as -
1. Magnetic resonance imaging (MRI) - In this procedure, images of internal body parts are taken with the help of a magnetic field and pulses of radio energy. MRIs can pick up signs of fractures very quickly, that is within the first week of injury. It is also easier to distinguish fractures from other related injuries in case of MRI.
2. X-rays -X-rays are a procedure that involves sending x-ray particles through an area to detect a fracture. Signs of a fracture may take several weeks to show up in x-rays.
3. Bone scan - In bone scans, some radioactive material is put inside the body through intravenous methods. These material tend to accumulate in the fractured area which then shows up in the images as a bright spot. If you wish to discuss about any specific problem, you can consult an Orthopedist.

How Is A Fracture Diagnosed?

Knee pain is one of the most common and painful ailments that can limit mobility. Injuries can result in cartilage or meniscal tears or sprains too. Obesity is another reason because of which knee pain is on the rise. Also, regular wear and tear of ligaments and tendons around the knees due to old age is another cause. These days, with reduced physical activities and sedentary lifestyles, the rate at which knees are wearing out has also become accelerated. Whatever the reason, a correct diagnosis followed by prompt treatment can help. Over the years, physiotherapy has been playing an important role in treating knee injuries. Whether to supplement the various drugs to reduce pain and inflammation or to avoid surgery, physiotherapy has helped many and its popularity is growing every day. Here are some ways that physiotherapy can help reduce pain.

Improve flexibility of tendons: The knee cap is an area where there are lot of tendons and ligaments, coordinating to enable movement. Careful exercising can ensure that the flexibility of tendons and ligaments is improved, thereby making your knee movement easier and less painful.
Improves blood supply: As we all know, proper movement requires good blood supply. Exercising with special focus on the knee ensures that blood supply is improved, and thereby the supporting ligaments and tendons function optimally.
Enhances the knee cap function: The knee cap is that portion which joins your thigh bone to your calf bones. This is prone to slip out of place, especially with arthritis and injuries. This can be painful and limit movement to a great degree. Focused exercises aimed at improving knee cap function will ensure that the knee cap has a wider range of function, and does not slip out of its socket easily.
Reduce rigidity: Once you start physiotherapy, you will feel your knees getting more flexible. The rigidity that had set in as a result of injuries and/or old age will also reduce over a period of time.
Slow down the wear and tear: When you start physiotherapy after knee damage, continuing the exercise routine, of course with expert guidance, can reduce the pace at which further damage might happen. A word of caution though. Be sure to consult an experienced physiotherapist before you begin. Exercising in a bad manner can do equal or more harm than the original injury or old age itself.

Knee Pain and Physiotherapy

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