Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
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I'm a nurse, I have swelling on both my feet near the ankle bone. I have tried hot mustard oil massage and coconut oil massage, but still the swelling is not reducing. I start having severe pain with the sensation of something crawling inside during the evening. I feel no pain during my work or morning time. The swelling has started to come up near my calf muscles, my knees and even my toes. Is there any solution for this. Pls help.
Our bones and joints are what make us function on a day to day basis. It is, therefore, imperative that we take good care of them at all times. There are many conditions that can affect our skeletal system, and one of them is - Gout. While the link between the two may not be that obvious, gout happens to be a condition which is sometimes related to arthritis. Therefore, it is sometimes known by the name 'gouty arthritis'.
While the issue may be severely painful, it does not mean that it cannot be reduced. And of course, when a person has the option and cutting the pain caused by gout drastically, his or her natural response is likely to be 'why not?'
Why Does It Happen?
The main reason for the occurrence of gout is too much uric acid being present in the body. The limbs of the body swell up, especially the extremities and this is known to be very painful. In many cases of gout, the swelling is especially evident in the big toe. Flare ups can last hours on end and may even get longer.
The people who wish to get the gout that is putting him or her through so much pain treated, there are quite a few options at their disposal. There are pain relievers that can be consumed under the advice of a medically qualified professional. While these pain relievers do not treat gout, but can reduces the intensity of the symptoms. Daily doses can be recommended as per the requirement and severity of the situation.
How to Get Rid of Gout?
While some anti-inflammatory drugs may have their effect but no matter how bad the pain, aspirin is a drug that needs to be avoided. Intake of aspirin can make the problem even worse, which is the last thing a person would want!
The severe problems of gout can be dealt with the chemicals known as corticosteroids. Now, while these can provide some very effective pain relief, using them can be tricky due to certain side effects. One of these side effects is that since these chemicals are injected into the joints, they can significantly weaken them. The other side effect is that they slow the healing process of the wound. Both of these side effects are highly undesirable for any patients. These chemicals are usually prescribed by the doctors after a thorough analysis of patient's condition and history.
A person who drinks alcohol and suffers from severe condition of gout should look to scale back the amount which is consumed by him or her. This is because alcohol increases the amount of uric acid which is present in the blood. If you wish to discuss about any specific problem, you can consult an Orthopedist.
I have started jogging/brisk walking 11 months ago. After 8 months I have started experiencing pain near knee. Consulted a doctor, he told its wear and tear of muscles. He advised me to take Rejoint tablet and calcigard Forte for 1 month. After 1 month I got relief and no pain was there. Again I started jogging/brisk walking, but pain started again after 4-5 days. Please advise what to do.
With the monotonous workimg shifts of 9-5pm, we often forget to take care of our back which is an integral part of our body. As per the statistics, nearly 65% of the working individuals or it professionals suffer from tremendous back pain (low back pain) being the commonest. It is seen in young as well as middle aged population who sit on a chair without a good low back support and work on their desktops and laptops which are not even at a good level of their eyes thus causing repetitive stress and strain in their eyes leading to low back pain and neck pain. The main reasons are unsupported sitting on the office chair, improper position of the laptop, not taking enough breaks in between work schedule, not drinking enough water to stay hydrated which provides good nutrition to the discs of our spine!
Follow this simple step to relieve the constant stress and strain on the back
1. Mandatory to take short breaks in between work to ease out the stress on the spine
2. Stand near the table/desk to perform back bending with hands behind the hips and gently bend your back behind without any jerks or discomfort. Move till the point of pain or discomfort and come back to your starting position. By doing so, you are reducing the pressure on your disc which is a red flag sign for spondylosis, disc herniation or other low back pain problems.
3. Hydrate yourself properly with at least 10-12 glasses of water daily in order to maintain the nutrition of the discs between the bones of the spine called vertebrae.
(this maintains the height of the vertebrae and does not produce friction between the two causing symptoms)
4. Always identify your symptoms like pain, discomfort, stress, tightness around the back, inability to do complete movements, stiffness, difficulty in walking or working on a laptop for long hours. Consult a physiotherapist for the same as exercises are the best way to heal any problem of the spine
I am suffering from wrist twist after xray doctor says it's not fracture and gave me crepe bandage and volini gel but still not getting relief from pain what treatment I should start pls help.
Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-
- Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
- Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
- Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
- Opiates, for example, hydrocodone, for pain relief
- Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
- Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
- Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
- Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
- Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
- Exercise routinely to help you recover quickly.
- Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
- Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
- Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
- Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
- Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.
ONCE THE CONSERVATIVE TREATMENT FAILS:
Early aggressive treatment plan of back & leg pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total LBP patients would need surgery & approx 20% of discal rupture or herniation with Neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology & response to treatment. Using precision diagnostic & therapeutic blocks in chronic LBP , isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5-S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.
NEED FOR NON-SURGICAL OPTIONS: Outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “In case of surgery, the chance of recurrence of pain is nearly 15%. In FBSS or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:
- Dural fibrosis
- Arachnoidal adhesions
- Muscles and fascial fibrosis
- Mechanical instability resulting from the partial removal of bony & ligamentous structures required for surgical exposure & decompression
- Presence of Neuropathy.
- Multifactorial aetiologies of back & leg pain, some left unaddressed surgically.
EPIDURAL ADENOLYSIS OR PERCUTANEOUS DECOMPRESSIVE NEUROPLASTY is done for epidural fibrosis or adhesions in failed back surgery syndromes (FBSS). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with EPIDUROSCOPE Sciatica gets complicated by PIVD with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe & effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location & type of PIVD causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or LA was injected. A flexible guide wire is passed at selected location & direction on which the inflatable balloon is threaded to the area of interest.
Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time & location. We inflated the balloon with contrast agent to have visualization of adhesiolysis & opening up of adhesions or root route. Here the balloon pressure & time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure & patient`s response. Once dilatation is done the drug mixture of steroid with LA & or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our Balloon Neuroplasty & foraminoplasty as it is safe & targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via S1 foramen. Now we are employing this technique for fresh cases coupling with Intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The IDD is done by Coblation/ Laser/ DeKompressor or RF Biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “Balloon Neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited & relieved of previously interventionally unmanageable disco-radicular pain including FBSS sufferers.
PROVOCATIVE DISCOGRAPHY: coupled with CT A diagnostic procedure & prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.
PERCUTANEOUS DISC DECOMPRESSION (PDD): After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.
OZONE-CHEMONEUCLEOPLASTY: Ozone Discectomy a least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, Percutaneous intradiscal decompression can be done via Transforaminal route with Drill Discectomy/ Laser or Coblation Nucleoplasty/ Biacuplasty/ Disc-FX / Endoscopic Discectomy are good alternatives before opting for open surgerical Discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In Biacuplasty radiofrequency energy is used in bipolar manner heating & shrinking the disc & making it harder as well for weight bearing. It also seals the annular defect & ablates annular nerves relieving back pain. In Laser or Coblation Nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises.
DEKOMPRESSOR: A mechanical percutaneous nucleotome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts & drills out the disc material debulking the disc reducing nerve compression curing Sciatica & Brachialgia. It comes in needle size of 17G for lumbar discs & 19 G for cervical discs. In lumbar region postero-lateral approach is used & in cervical discs anterolateral approach is used.
DISC-FX & ENDOSCOPIC DISCECTOMY: In this novel technique A wide bore needle is inserted & placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful & sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent & decrease recurrences. Next Higher procedure, Endoscopic Discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion & extrusions causing spinal canal stenosis with root or cord compression with leg pain.
LASER DISCECTOMY done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers.
SELD: Epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This Procedure is done under vision via an epiduroscope inserted via Caudal canal or Transforaminally employing front or side firing Laser fibers &/or fine instruments. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
Joint pains can be a cluttered affair and believe it or not 9 out of the 10 cases have to live with the pain despite all the treatment options aiming to reduce the agony. There may be several instances where you might be coming across the term “joint replacement surgery”. No, no need to panic! We are not living in the 1960’s anymore. We are living in the age of cut throat medical innovations that is actually hard to keep up. To sum up in a layman’s turn joint replacements have become as easy as dressing a wound. 90% of the cases are carried out within few hours and the patient is required to stay not more than a day or two at the hospital. the patients no longer have to dedicate a part of our lives for the recovery. Let us have an in-depth look at it.
One shouldn't wait for the condition of knee joints to get worse and visit a well-known orthopaedic and go ahead for the procedure. Since, it involves the portion of your knee cartilage or a portion of the joint being scrapped/cut to pave way for the artificial joint parts to be attached getting the best treatment is a must. So, make no mistakes!
Knee replacement has always been a complex procedure but with the advancements in the field, the process has become much more simple and easy. Discuss the procedure in detail with your doctor and also ensure that you choose a clinic with a good reputation for such a course of action. Joint replacements in today's time last much longer and with proper maintenance and care, they can in some cases, last for a life time.
Once you have decided to go for the treatment get a detailed list of activities that can be carried out for a speedy recovery. Usually, these would involve medications and physiotherapy exercises. Also, the recovery period is minimal and once completely cured, you can get back to normal day to day activities. Do note that you go in for an authentic and established replacement center and avoid falling prey to the fly by wire clinics that have mushroomed in every street corner. Also, ensure that you choose the procedure that fits your budget and insurance plan.
Joint replacement procedures usually do not require any maintenance and if needed you might have to go for regular checkups to make sure that the joints carry on well. Choose the best clinic for the replacements and live a healthy and fruitful life. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Sir I am 56 year old and having pain in left legs knee. To day I have LAN test report of RA Factor which is 45. Please advise medication for treatment.
Hi doctor, 22 years male, My problem is When doing exercise or any work, sound is coming from my hand joints, leg joints. Pain is also there in joint place nerves. Its a 24/7 pain from last 2-3 years. Please tell me which test is there to find out the reason?
I am having legs and back pain only at night please let me know what's the cause I have alcohol daily at night.
After going through all types of treatment for Spur in the heel, I had to take 3 steroid injections in a span of 27 months. Still I have not been cured. Long distance walking is my hobby but I have stopped walking for long distances for the last 8 months. It has become depressing for me. Good shoes, avoiding meat, reduced Uric acid (5.3),all these not working. I have no Diabetes. I take Tetan Beta 50 daily I tab for BP. Now tell me how these steroid injection had negative effects on me? How can reduce it? Is these any solution to this problem of pain in the heel?
My mother's age is 48. Nowadays she feels pain in her leg. We did an MRI scan. It showed that the L4, L5 nerve is pressed from the bottom of leg to her waist. The doctor has suggested to admit her for 7 days on medication through injections and there isn't any need fir any operation. I request the learned people on this platform to suggest which treatment should we go with further for complete end to this pain? And if we should also consult an orthopedic doctor for this? Thanks in advance for the help.
Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to shoulder. Taking Ultracet SOS and tryptomer 20 mg at night. Pls advice duration of this pain and advice other effective medicine to recover from pain and herpes Zoster.
The knee is one of the largest and most important joints of our body. It is also susceptible to wear and tear as well as injuries. Knee pain can occur due to a variety of reasons starting from conditions like arthritis and osteoporosis as well as injuries that can affect the ligaments, the joint, the menisci and femur. These are the various parts of the knees, which can suffer from degeneration or even injuries. The best way to combat chronic knee pain is through rest, ice compress and with the help of pain relieving and anti-inflammatory medication.
While rest and ice compress for chronic knee pain and pain relieving and anti-inflammatory medication are the best ways to combat knee pain, orthopaedics also recommend the use of various strengthening exercises which can alleviate knee pain. Here are a few of the best ones!
- The Towel Hook: Lie down flat on your back and raise one leg, Hook a towel under the foot and press it against the towel as you pull both ends downwards, creating slight pressure. This can be done for a few seconds at a time. Remember to do this at least ten times for each foot and increase gradually. This exercise helps in strengthening your entire leg from the calf to the knee and even the thighs so that the pain subsides.
- Towel Roll: In towel roll exercise, after pushing knee, should do dorsiflexion and hold for 20 seconds.. Hamstring exercises are also given by placing roll towel under your feet, push down, dorsiflexion and hold for 20 seconds Adductor exercises are also given by placing small ball between your legs just above the knee joint, press and hold for 20seconds.
- Swing: For this exercise, you will need to sit down on a chair. Now take one leg and swing it up until it is in line with your hip. Hold it out like this before you slowly bring it down again. Do this at least twenty to thirty times for each leg and gradually increase the frequency and the number of seconds for which you hold the knee. This will also help in pain management.
- Knee Marches: You can also do knee marches by sitting down on a chair. You will need to march each knee up and down at least twenty to thirty times. You will need to do this for a few minutes every day and you can easily do it twice a day even when you are at work, sitting in front of a desk. You must ensure that your posture is straight and upright for this exercise. If you wish to discuss about any specific problem, you can consult a Physiotherapist.