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Patients experiencing low back pain are regularly recommended to a physiotherapist for exercise based recovery. This is done before a patient considers other aggressive options like back surgery. The objectives of exercise based recovery are to eliminate back pain, increase functioning and educate the patient about a regular pain prevention program for back pain in the future.
Low back stiffness is to a great extent dependent on the abdomen and lower back muscles. The abdominal muscles give support by putting pressure on the abdomen, which is then exerted, on the spine. This provides an external support column from the front of the spine. The low back muscles balance out the spine. Simply put, the hard spine and circles are surrounded by muscles, and the stronger these particular muscles are, the less strain is put on the plates and joints of the spine. The patient needs to develop a belt of muscles around the spine.
Most physiotherapy methods that are intended to treat low back pain and some radicular pain (pain extending down the leg), include a number of the following kinds of activities:
- Stretching: Appropriate stretching of the muscles alongside dynamic activity will keep up the usual scope of movement and give alleviation to muscles. These are the muscles that are gradually shrinking or are an ill fit from wrong stance or nerve aggravation. For some patients it is best to follow a stretching schedule that has been exclusively made for them by their physiotherapist.
- Dynamic exercises: These activities include the use of a number of activities that might include exercising balls, adjusting machines or particular balancing out activities. The purpose of stabilization activity is to strengthen the muscles of the spine and backing the spine through different scopes of movement.
- Core strengthening exercises: These are particular activities to strengthen the abs and low back muscles (erector spinae) to give the previously mentioned 'belt of muscle' around the spine.
- Abdominal strengthening: These kinds of exercises include sit-ups, crunches, stomach machines, and leg raises.
- Hyperextensions: These can be performed on machines or by lying on the stomach and gradually raising the stomach off the ground. This activity uses the lower back muscles to "hyperextend" the spine. Make sure not to do it with sudden jerks. The stretch should be slow and gradual to prevent ligament tear from happening.
- Lumbar traction: With lumbar traction, the patient lies on his back and is secured on a special table with a link or cable coming from the foot-end of the table that joins to a strap that has been set around the patient's hips. The link or cable is connected to weights at the foot-end of the table that gives a consistent and soft pulling power on the hips toward the foot-end of the table.
Pain in two or more joints in the body is known as multiple joint pain. Pain may occur either when a joint moves or when it is at rest. Sometimes, the pain might stem from the muscles, ligaments, or tendons. Examples of such conditions include tendinitis and bursitis.
Arthritis may be associated with the pelvis or spine joints. Different disorders affect different joints and the causes and treatment options vary accordingly. There are some disorders which affect the same joint on both the sides of the body, such as both hands and the knees. In certain disorders, the pain resulting from arthritis keeps on moving from one joint to another (migratory arthritis).
Most of the time, the root cause is arthritis. However, the reasons which cause arthritis are different from each other, in the way:
The types of joints involved.
The number of joints involved.
Whether the central area of the skeleton is involved or not.
Whether it is chronic arthritis (longstanding) or acute arthritis (sudden).
Acute arthritis which affects multiple joints can be due to:
Chronic arthritis causing pain in multiple joints is most commonly due to:
The most common joint disorders are:
Fibromyalgia (widespread tenderness and pain in the muscles)
Bursitis (inflammation of the joint cushions) or tendinitis (inflammation of the tissues which connect the bone to the muscle)
Polymyalgia rheumatica (stiffness and muscle pain, primarily in the shoulders)
Warning Signs Include:
Swelling and redness of the joints.
Fever, chills or sweat.
Drugs and medications are needed to treat autoimmune disorders. The autoimmune response of the immune system is suppressed with the help of these drugs. These medications include immunosuppressive medications, pain relievers and anti-inflammatory medicines.
Non-steroidal anti-inflammatory drugs (NSAIDs) help in reducing inflammation.
A sling or splint bag immobilizes the joint, which relieves the pain.
The application of heat with a heating pad will lessen the pain to a great extent.
Cold application with ice cubes wrapped in a cloth will provide relief.
Consult an orthopaedic doctor to know you type of multiple joint pain and an accurate treatment for it.
I have a pain in lower end of my back. It comes & goes. When I sit for longer while then start to pain. I don't know what to do. I had applied some oils to get some relief but its not working. It comes discontinuously.
I am felling pain and inflammatory condition in my sole approximately since 7 years.In my sole having Scirrhosity. I am consult with various doctors but they don't give me relief in pain. This pain was start whenever I am running in a playground when I am running there is a very heavy pain start in sole and today I am also suffering from pain whenever I move only 1 kilometre there is a huge pain start an inflammatory condition I am hopeless what I will do in a future I am just 21 years old what I can do please give me the suggestion what I can do? Thank you.
Why I am getting back pain sharply. If I can do two or three times hand job multiple times in a day.
HI Dr. I am Saranjit Singh Sehgal age 62 years senior Citizen. I have pain in the back since from two year as I had a standing job for long hours as Manager in some reputed Sweets shop. I have got MRI done and other check up done. Report says compressive collapse fracture involving superior end plate of D12 vertebra likely osteoporosis. LS Spine, straightening Muscle Spasm. I have taken lot of medicines, physiotherapy plus exercises but still find it difficult to sit or sleep in one place for long time. Have acute pain doctors advice to walk or sit in right position. Bone test: First Metatarsal Head Right Foot 16 Heel 20. Medicines taken: Inj Voveran, Tab Mobizox. Tab Pan, Tab rantac, tramadol, Tab Gabapin, Tab Synaptolol, Tab Espran plus, Tab Calpep gold, Duke 60 K, Tab cal k2, Katadol 100, Canace, Es03 etc but still no relief. Kindly suggest the problem, treatment and best medicines so that I get relief. Dr. I am poor person not having any employment due to this problem and is not possible for me to go for vertebroplasty as this costs Rupees Four Lacs. Regards Saranjit Singh, New Delhi. Whatsapp 9717846535.
I have nerve pain in my shoulder and most time it extended to brain .I am having physiotherapy form 2 months.
I am getting mild pain in neck and near back side right hand should joints. Pain started early morning when I woke up from bed 2 weeks back. Whenever I ride my bike, I am getting pain in neck. Not able to sleep properly at nights, getting pain in neck and shoulder. I consulted local doctors and took prescription nerve, acetaminophen tablets. Pain is still there. Even took gastric tablet as per doctor suggestion. Still no solution.
Dr. While Playing Cricket I Have Injured My Heel .When I Am Put My Hell On The Ground .I Feel Pain Or When I Pressure It It Also Fell Pain. please Suggest What To Do Now To Remove Pain From My Heel. While Running I started This Pain.
My mother suffering from knee problem. She has lot of knee pain so not able to walk properly. In X-ray the space b/w two bones are very less as per doctor. ayurvedic doctor are saying about pulling legs so space b/w bones could increase. allopathic doctors are suggesting lot of medicines which is not affecting and pain starts again as she stop to take it. Please suggest me best so she could feel relax and get rid of pain. Thanks in advance.
Hii, I'm getting a click sound whenever I fold my left knee. I don't have any pain as of now. I'm a regular cyclist and I do run and swim too.
I feel continuous pain in calf muscles since last few days. Specially when I go to bed. What may be reason for that and what test may be done? I got checked HB which is 15-16.
Heat and cold are some of the most common types of non-addictive pain relief therapies for treating muscle and joint pain. Depending on whether the pain is a new one or a recurring one, a medical practitioner will prescribe either heat therapy or cold therapy. A new injury causes inflammation and swelling. Here cold therapy is used as the ice will lower the amount of blood flow to the injured area, thus reducing the inflammation and swelling. Recurring pain can be treated with heat. This is because heat will cause blood to flow towards the injured area and thus promote healing.
Heat Therapy: Heat is used to open up blood vessels, thus increasing blood flow and supplying oxygen and nutrients so as to reduce pain in joints and help relax sore muscles, tendons and ligaments. The warmth of the heat also helps to decrease muscle spasms and can increase the range of motion. By applying superficial heat to your body, you can also improve the flexibility of tendons, reduce muscle spasms and reduce pain.
Most sources of heat either supply dry or moist warmth. Dry heat sources will dry the skin. Moist heat helps to penetrate even better. Heat can be applied by using an electric or microwave heating pad, gel packs or hot water baths. The heat supplied should be warm, not be too hot and should be kept at a consistent temperature. Consult your doctor or physical therapist about the heat source, which would be best for you.
Heat should be applied if one has stiff joints or joint pain. Never apply heat directly to the skin, instead always trap the hot device in a thin towel.
Cold Therapy: Cold slows down or reduces the blood flow to an injured area, thus reducing pain and swelling of the area. Cold therapy slows blood circulation, reducing inflammation. It should be used when the area is swollen or bruised. Cold is generally applied by an ice or gel pack.
Any cold treatment should always be used 24 to 48 hours after an injury. Cold therapy is useful for sprains, bumps and bruises that may occur during sports or lifting. You can apply the cold packs or ice bags to the injured areas for 20 minutes. It is advisable to remove the cold pack for a ten minute interval and then apply it again to the injured area.
While using cold therapy, use the ice pack for not longer than 20 minutes at a stretch. Wrap the ice or ice pack in a thin towel before applying it on the injured area. Do not use ice pack on the left shoulder in case you have a heart condition. Never use ice packs around the front or side of the neck region. Both cold and heat therapy are important and their usage depends on the type of injury and pain.
I have shoulder and upper back pain. Doctor has recommended me 1.) Pantoprazole Tablet 2.) Myospaz Forte 3.) Systaflam Gel.
Hi I am suffering from body pain from 4-5 months. Having leg pain and pain in leg fingers sometime back side of thighs and some time around shoulder elbow. Having mild itching in whole body. Pain in sole of legs. Taking cardace 5 mg for bp. Pls suggest.
I am feeling excruciating pain in my right shoulder for the last few days. I also consulted with the local orthopaedic surgeon and he diagnosed me with fibromyalgia. Currently I am taking two medicines rolosol and neugaba. However both the drugs failed to reduce my pain, it is gradually increasing. As tomorrow is saturday no doctor will be available in our locality can you suggest me some medicine which will reduce the pain.
Hi, I am a 61 year old woman. However my heel has been paining for last several months when I walk. I am used to walking 5 kms per day but the heel pain has intensified. Could you suggest what I should do and if any tests are required.
If you are suffering from back pain, you should know that the tiniest of movements can trigger the same. Back pain may occur due to several factors or reasons and it hampers your daily activities and standards of life to a great extent. However, you need to become active instead of being immobile for relieving back pain. There are several exercises which help in strengthening your back muscles and performing these on a regular basis will provide you relief from back pain drastically. Here are 7 common exercises which you should carry out:
1. Pelvic tilt: You have to lie on your back and keep your knees bend, but touching. Your feet should stay flat on the floor. By flattening your lower back against the wall and tilting your pelvis downwards, you must maintain the position for 20 to 40 seconds. Meanwhile, you must breathe slowly and deeply and then release. This stretch requires small movements for reducing tension, thereby easing your back pain.
2. Lumbar stretch: You need to sit on a chair, roll your head, chest, neck and lower back forward till your head gets between the knees. Hold the position and take deep breaths. Slowly, get back to the sitting position. Repeat this twice.
3. Cat position: You have to kneel on your fours and keep the knees and hip width separate. Keep the stomach muscles tense, arch your back like a cat does and maintain the position for five seconds. Repeat this and then allow your stomach to drop towards the floor direction and hold it for five seconds again.
4. Curl ups: For this exercise, you should lie on your back with the knees bent and your feet kept flat on the floor. Placing your hands behind the head will make the stomach muscles tense. Then, lift your shoulders, head and upper back from the floor. Do this around 10 times. This is ideal for strengthening your back.
5. Dry swimming: Begin by lying on your stomach, keeping a rolled-up towel under your belly for support. By tightening your buttocks, raise one arm and the opposite leg simultaneously. Switch your arms and legs and perform this for about two minutes.
6. Leg lift: For leg lifts, you should lie on your back with the knees kept bend and the feet kept flat on the floor. You have to press your lower back to the floor and straighten a leg with the knees aligned. After bending your leg, return to the starting position and repeat the exercise on the other side.
7. Cobra stretch: The cobra stretch is another ideal movement for stretching your tight abdominal muscles and lower back. You need to lie on your stomach with your legs extended and your palms planted on the sides of your head. If you wish to discuss about any specific problem, you can consult a pain management specialist.
In Ayurveda, joint pain is known as 'Sandhigata Vata'. 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 pains and other discomforts associated with it. Natural remedies and proper lifestyle techniques can be utilized to balance the 'vata' to lessen the occurrence and severity of joint pain. Factors including,old age, obesity, injury and strenuous physical activities (that require a lot of joint movements) are responsible for disturbing the balance of your 'vata'.
The following are some ayurvedic home remedies that can be utilized to treat joint pain:
- Massage therapy: Warm coconut, castor, mustard, olive or garlic oil can be utilized to massage the affected areas to lessen the intensity of pain. If you massage the affected joints with natural oils, it improves blood circulation and relaxes the swelling and stiffness in the region.
- 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.
- Fenugreek: Ingest a teaspoon of ground fenugreek seeds and drink a glass of lukewarm water. Fenugreek has anti inflammatory and antioxidant properties that make it effective for joint pains.Follow this remedy every morning on a regular basis to achieve optimal results.
- 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.
- Apple cider vinegar: Add 2 teaspoons of apple cider vinegar and a little honey to a cup of lukewarm water. Drink this solution twice daily, before your meals. Apple cider vinegar has alkalizing effect, which makes it an effective remedy to remove the toxins that are responsible for causing joint pain.
- 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. If you wish to discuss about any specific problem, you can consult an ayurveda.