Minor Ot Service Procedures
Control Program Occupational Health - Pcmso
Sensory Integration Therapy
Occupational Therapy Treatment
Speech Therapy Treatment
Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.
Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.
The carpal tunnel pressure increase occurs when either of two things happens:
- The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
- When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
- Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:
- hand pain or aching
- pins and needles
- numbness esp at night of with wrist flexing
- weakness or cramping
- perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.
Physical Therapy Treatment
- Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
- Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
- Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
- Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
- Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms.
In the technologically advanced era one lives in, it is pretty much easy to use up one’s entire day glued to the digital screens; right from checking the social media updates while commuting to sitting before the computer for everyday work. Yet nobody is aware of the fact that apart from creating a social gap, these electronic gadgets can take a toll on their postures too.
- You lean against your desks with your neck leaned forward in an attempt to grasp what is on the computer screen and your hand on your mouse scrunched up on one side. Sadly, human body was never designed to pose in such a consorted way resulting in adverse side effects.
- The head usually weighs 10 to 12 pounds on an average when it is balanced evenly over the shoulders. However, with each extra tilt forward, the weight on your spine might escalate up to 60 pounds and even beyond that. Excessive weight on the spine can lead to its subsequent collapse.
- Too much use of tablets and smart phones for swiping or texting can cause inflamed index fingers, thumb joints and tendons. You tend to suffer from wrist pain, enfeebled grip or popping sound while moving the fingers. Typing with one thumb without giving considerable breaks in between can also exert stress on the fingers.
- Hunched over, shoulders slumped and necks bent down are the ways majority of the people use their electronic gadgets. This can trigger misalignment of the spine aggravating your health. Spine protects the nervous system, coordinating and controlling various functions of the body. Any sort of disruption might render a drastic consequence.
- Poor posture impacts the ligaments and muscles in a negative way giving way to a series of complications such as gastrointestinal problems, back or neck pain or severe curvature of the spine, heightening the risk of arterial or pulmonary problems.
Weakness of the muscles due to a genetically inherited condition is known as muscular dystrophy. This condition prevents the body from producing the required protein that can help in building muscles. This protein is also responsible for making the muscles strong and stable. This is most commonly seen in children who may seem clumsy as they begin to grow up and indulge in varied kinds of movements. Let us learn more about this condition and the ways in which it may be treated.
- Symptoms: In order to better understand the ways of treating this condition, it is important to take stock of the varied signs and symptoms that are associated with the same. The main symptom of this condition includes difficulty in walking as well as constant slips and falls that may be endured by the child. Also, the children suffering from this condition will have trouble in lifting the leg and foot in a normal way.
- Other Complications: This condition can also affect the heart and lungs by making the muscles in these regions weak. Also, this condition can lead to a number of serious breathing problems that will need immediate medical intervention so that it does not become fatal. It may also lead to accelerated heart beats and affect the hands and feet of the patient in an adverse manner. This condition can be found in different types, each of which will affect the patient in a different manner.
- Physical and Occupational Therapy: One of the most effective ways of dealing with condition in the long run is to indulge in physical and occupational therapy. With the help of a physiotherapist and other specialists, the patient will be taught to move in a more deliberate and normal manner without falling too often. Also, the patient will be eventually trained to go about life and various functions with certain kinds of movements that will be limited to the issues that the patient may be facing. Bracing will also be required so as to help the child cope better in the physical sense.
- Prednisone: This medicine may be prescribed by the Pediatrician to ensure that the progression of the heart issues may be slowed down. This will ensure that the heart may function in a more normal manner despite the muscle issues that it may be facing. The doctor will usually recommend that the medicine should be started when the child is around five or six years old.
- Spinal Fusion: This surgery can lessen the pain and reduce the severity of the symptoms, which can lead to better chances of moving in a normal manner. This will also give the child better posture so that the child may breathe normally.
Hi sir I was suffering last one week in neck pain and shoulder pain wen I take pain killer tablet then ok and next started pain again so pls tell me what I do now.
Hello Doctor, I have a pain in my feet for 3 days after running with wrong shoes. Please help cure this issue.
Since past one month or so I'm having an on and off pain in my right bicep. Sometimes it gets difficult to bend my arm backwards and sometimes it's normal. Please advise.
You may find out that your child is suffering from hearing loss when he is born or he may be diagnosed with the condition later in life. Hearing loss in children is commonly caused by otitis media, birth problems and on the account of certain injuries or illnesses.
Signs and symptoms
The early stage symptoms of hearing loss in children are as follows:
No reaction to extremely loud noises
No response or reaction to your voice
The child makes some sounds, which taper off
The other symptoms which follow include:
He may pull and rub his ears.
He may act cranky constantly without any proper reason.
He might stop paying attention.
Low energy levels are indicated.
He may find it hard to follow directions.
He may ask you to increase the volume of the radio or TV.
Fever and ear pain are also likely symptoms.
Early hearing loss can affect your child’s language learning skills. If the problem is diagnosed and treated soon, the problem with language can be avoided. The method of treatment depends on the cause of hearing loss in your child and the severity of hearing loss.
There are certain medicines for hearing---prescribed by your ENT Surgeon. Pleas take the point watchful waiting. Even if you have slightest doubt of hearing loss contact ENT immediately.
The primary treatment methods of hearing loss in children include the following:
Watchful waiting: Sometimes, the condition may resolve on its own and the treatment involves simple monitoring of your child for positive changes.
Medicines: There are certain medicines for hearing loss in children, which may be prescribed by your pediatrician.
Ear tubes: Ear tubes may be recommended if medicines and monitoring do not work. The tubes allow fluid to drain and help in preventing infections. A minor surgery has to be undertaken on your child for getting the ear tubes placed. This will solve the hearing loss and other related issues.
Hearing aids: Hearing aids may be used to allow your child hear better. It is safe for children to use ear tubes after the age of one month. For the right hearing aid for your child, you need to consult a hearing specialist.
Implants: Cochlear implants are used to treat hearing loss in many children. These are electronic devices which are put in the inner ear to benefit hearing. These should be used only if hearing aids did not succeed and these are meant to be used only in case of children with serious hearing problems.
There are several other devices, which can help your child with hearing loss. For suggestions and recommendations, you must take your child to a hearing specialist.
When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged.
If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts.
What can lead to a dislocated shoulder injury?
- Sharp or a very fast twist of your arm.
- Falling down on a hard surface.
- A sudden hurt or hit.
- It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place.
In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation.
What is the treatment or therapy of a dislocated shoulder?
The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury.
After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan.
The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.
Every day we use our hands the most to get everything done. From drinking water to typing on the keyboard (and today on mobile phones); from holding the newspaper still when reading it to taking down academic notes- we use our hands for everything. But our hands like all other parts of the body have the capacity to carry out their functions. At times, we unknowingly put a lot of strain on our hands and they start to pain. Hand pains are quite common in everyone and it is equally common to practice certain exercises to control them quickly.
If you experience frequent pains in the hands, these are some of the exercises you can resort to.
Fist: You do not always make a fist while punching people. Sometimes you make a fist to tighten your hand muscles and nerves and smoothen the blood flow in your hands. This helps in reducing the pain in your hands to a great extent. In fact, folding your hand to a fist can also help in preventing hand pain.
Finger Bends: Bend each finger tightly towards your palm for at least a minute and then release it. Do it separately for each of the five fingers on your hand. This would ease out the tension in each of the fingers and normalize blood flow. This helps in curing any finger pain that you might be experiencing. It is especially a great exercise to prevent pain from developing in your thumb and index finger.
Thumbs Up: Usually, we show the thumbs up sign to signal all is well and best wishes to people. But it is also an exercise if continued for some time. All you have to do is place your palm on a table and curl all your fingers except the thumb inwards. Stretch the thumb outwards and hold it in this position counting up to ten. Then curl your thumb towards the palm. This exercise too helps in stretching the muscles.
Wrist: An important part of the hand is the wrist. The wrist joints are a very crucial set of bones and they tend to get injured very fast. They are also delicate enough to be sprained if the hand is turned abruptly. To avoid such injuries, strengthen the wrist and reduce wrist pain, a lot of wrist exercises are also prescribed. The simplest one is to extend your hand and move the wrist in anti-clockwise and clockwise directions.
Thus, these are some of the ways in which you can ease the pain in your hand in no time and go about normally with your daily chores.
Hi Doctors, I (28y) had L5-S1 fusion on sep 2 2016, till now I have not recovered (the big mistake I did in my life is gone for fusion surgery). I'm able to walk on flat surface and do small stretches on bed, if I walk on bumpy road I'm getting sharp pains in lower back and right leg pain. Even if I cough or sneeze not able to bear sharp pains in lower back, for small jerks also becoming big concerns to me. I was having only back pain before surgery, after surgery my back is too worst and additionally leg pain's :(. I met my surgeon last week and undergone CT scan, my surgeon told everything is in good recovery. But my pains are still there. Still I'm not bending forward as per my surgeon. I haven't informed my relatives and friends about my surgery as I might get recovered soon, now it's almost 5 months, still not able to walk in a way before surgery, people are identifying easily my problem, these are highly frustrating me. Any suggestions over here from when I can start bending forward and how to get rid off sciatica pains, I have attached latest CT scan report. Thanks!
Muscle vicnece I cont able to standing at list 1 hr I showing orthopedic, and Neuro, doctors, but no response, same time low back pain, what can I do pls give me suggestion.
I am 20 year old and my left hand fracture when I was 12 year old. I started gym last 3 days and I feel little bit pain in joint part of elbow than the other hand. So I should take calcium tablet or any other medicines please suggest me.
There is a problem in my shoulder. Problem is that when I throw ball or anything it give me a lot of pain for 2 minute. It is right shoulder. Please tell me what is problem and how can I get relief.
Hi, myself Aditya. I wanted to ask about my fathers foot pain in his left leg. He his actually suffering from severe foot pain from last 2 weeks and his legs are swollen up leaving behind a severe pain. So can you please guide me why is this happening to him and what steps should I take so that he gets relief.
Suffering from lower feet and ankle pain. Dnt have any orthopaedic issues, x ray says nothing. What might be the reasons? Pain is high after sitting for a longer time with folded legs. Facing difficulties in walking. Regards.
I am 25 years old male and have shoulder pain last 4 years. Basically I am a sports man (fast bowler -cricketer) when I am in bowling shoulder does not pain but when I throw the ball that time I will feel pain. I consult ortho doctor that doctor carried all test (including MRI scan also) but there is no tear off in shoulder muscles. That doctor gives prescription of 6 months tendocare tablets. I used but no improvement still I have pain what can I do? Please consult me.
I feel pain in my right hand from previous 1 year. It is aching alot in the vein connecting from my neck, shoulder or sometime in arm. I have done x-ray of my hand. But nothing was found in the diagnosis. I consult one orthopedic doctor & he said there is some problem in my vein. He told me to take 5 injections for vein, & medicines. But all in-vain. There is no problem while doing work. But when I sleep at night by right side down, I can't raise my hand in the morning without support. There is also problem in raising my right hand to back. I do some exercise for my hand. But still I couldn't help me be cured. Please, help me to be cured.
Joint pain is considered to be one of the first few signs of aging. According to the science of Ayurveda, joint pain is triggered mainly by an accumulation of toxins in the body. These toxins can create an imbalance in the doshas which in turn can cause pain and inflammation on the joints. Along with joint pain, a person is likely to experience a loss of flexibility, weakness, tenderness and enlargement of the joints.
Unlike some popular forms of medication that focus on relieving the pain, Ayurveda addresses the root cause of the issue. Panchkarma aims at cleansing the body of toxins and clearing blockages in the body’s digestive and circulatory system. This helps the vatta dosha flow easily through the body and reduces pain associated with arthritis etc. Panchkarma can be defined as a collection of five ayurvedic techniques. These are:
- Vasti or Medicated Enema: Vasti aims at removing toxins and waste products from the body through the colon. In doing this, it cleanses the digestive channels and improves circulation of air or the vatta dosha in the body. With better circulation, joint pain is effectively reduced. An enema also nourishes the body and gives it the strength to rebuild tissues while boosting the immune system.
- Abhyanga or Full Body Massage: This technique helps I the removal of toxins from deep tissues within the body. It pacifies the vatta and nourishes the body while simultaneously reducing stress and enabling better quality sleep. A full body massage also helps calm the body both physically and mentally.
- Potli or Poultice Massage: As the name suggests, a potli involves massaging the body with medicated herbs tied together in a tiny bundle that has been warmed with medicated oils. This potli is then used to massage the entire body. This technique helps relax the muscles of the body and soothes the aggravated vatta dosha. It is very effective when it comes to providing relief from joint pains caused by arthritis, spondylitis, muscle cramps etc.
- Pizhichil or Rich Oil Massage: A rich oil massage involves subjecting the body to streams of lukewarm oil that has medicinal properties while simultaneously softly massaging the body. This type of massage helps relieve tension and stress and is a very effective remedy against joint pains. It is highly recommended in the case of rheumatic diseases.
- Svedana or Steam Bath: A steam bath helps cleanse the body both physically and mentally by aiding in the removal of toxins through sweat and calming the mind. It also helps soften the muscles and tissues and dilates the channels in the body.