Doctor in Vardaan Hospital
Cancer Pain Management
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Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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I hit my toes today and now two of my toes are both red and painful. I can keep them straight but when I curl them its very painful. Im not sure if its a hairline fracture or just a sprain. Im not sure whether to get an X-ray or not as I can just about walk on it and when I sit down its a tender dull ache.
I feel intense back pain while seating from lying position. It did not happen when I do it little oblique toward Rt or left. What can be possible reason. Kindly explain treatment modality. Can it be PIVD?
Knee pain or injuries are very common and have numerous causes. Knee pain can emerge from delicate tissue wounds like ligament sprains and muscle strains. Bone conditions like knee joint pain, Osgood Schlatters, and biomechanical dysfunction can also cause knee pain. Treatment can include basic knee mobilization techniques, taping, massages or knee strengthening exercises completely through a careful recovery method after knee replacement or reconstruction.
Physiotherapy can help you overcome the pain and increase your strength and flexibility. A physiotherapist can suggest you a number of treatments and also help you understand your issue and get you back to your everyday routine. Physiotherapists are said to be successful in getting rid of the source of the knee pain by diagnosing a cause. This includes tightness around the knee and treating it with stretching and exercises.
Following are some of the exercises a physiotherapist might generally recommend for knee pain:
- Hamstring stretch: Stretching keeps you flexible and increases your scope of movement, or how far you can move your joints in different directions. It additionally helps you reduce your chances of injuries and pain. Continuously warm up with a five minute walk first. Lie down when you are prepared to stretch your hamstring. Circle a bed sheet around your right foot, use the sheet to pull the leg up and hold for twenty seconds and then lower the leg. Repeat twice and switch legs.
- Calf stretch: Use a chair for balance. Bend your left leg. Step back with your right leg and gradually straighten it behind you. Press your left heel toward the floor. You should feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice and then switch legs.
- Straight leg raise: It helps build muscle strength to give support to the weak joints. Lie on the floor. Twist your left knee, foot on the floor. Keep the right leg straight, toes pointed up. Tighten your thigh muscles and raise your right leg.
- Quad set: With these, you don't raise your leg. Just tighten the thigh muscles, also called the quadriceps, of one leg at once. Begin by lying on the floor. Keep both legs on the ground, loose. Flex and hold the left leg tense for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Cushion squeeze: This move strengthens your legs from the inside so that they can support the knees. Lie on your back, both knees facing inwards. Place a cushion or a pillow between the knees. Press your knees together, squishing the cushion between them. Hold for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Heel raise: Stand tall and hold the back of a seat for support. Lift your heels off the ground and rise on the toes of both feet. Hold for three seconds. Gradually lower both heels to the ground. Do three sets of ten repetitions.
Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.
Why do you need knee replacement?
Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.
If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.
- Gout, where, small crystals are formed inside the joint.
- Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
- Hemophilia, wherein, the blood ceases to clot normally.
- Injuries to the knee.
- Disorders that cause unusual bone growth (bone dysplasias).
- Death of bone in the knee joint following blood supply problems (avascular necrosis).
- Knee deformity with pain and loss of cartilage.
- Unusual growth of bones in the knee joint.
Knee replacement surgery is classified into:
- Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
- Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.
The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.
I have problems in my left wrist, it gets swallowed and pains a lot. It remains same even after treatment. So what to do now.
Pain in the back can be due to a number of reasons. It may be habitual, occupational, sports-related, or idiopathic.
- Habitual pain is usually due to patients being habituated to a faulty posture.
- Occupational pain is related to professions, which require standing or driving for long hours or professions like dentists who need to have a bent posture for extended periods of time.
- Sports-related pain usually affects athletes or children who bend their back inadvertently during taking part in sports.
Apart from these, back pain may also occur due to unknown or unrelated reasons. Homeopathic is a great alternative compared to allopathic medicines because it has no side effects and the cure is long term. The several homeopathic medications that may be used for back pain are as follows:
- Sulphur: It is a great remedy for patients who have back pain due to a slouching posture and whose pain worsens when they stand up.
- Ruta Graveolens: It is the remedy of choice in cases the patient experiences stiffness in joint or muscles, accompanied with feeling of soreness and lameness all over the back.
- Aesculus: It is a good homeopathic remedy in cases of very low back pain, which gets worse when the patient tried to stand upright from a previously sitting position.
- Rhus Toxicodendron: It is a recommended medicine in cases of pain of the lower back, shoulders and neck. Pain is worsened by damp and cold weather and by movement. Relief to such pain is provided by massage, hot baths, and warm applications.
- Arnica: This homeopathic gel is popular for its good effect on soft tissues and muscular pain.
- Nux Vomica: It is a great remedy for cases where pain gets worse by damp and cold weather, especially at night and painful muscle cramps are experienced in the lower back.
- Ignatia: It is a good remedy for emotional distress and for pain in the muscles of the lower back.
- Natrum Muriaticum: It is indicated for use in the pain of the lower back, which gets better from lying down on a hard surface.
- Bryonia: It is recommended in cases of strong pain in the lower back that prevents the patient from even moving, turning from side to side in the bed, coughing, or making any kind of sudden movement.
- Kali Carbonicium: It is a good remedy for patients who have frequent and strong night pains, accompanied with increased back pain during menses.
In addition to these, there are other homeopathic remedies that are recommended in cases of back pain such as Cimifuga, Calcarea Carbonica, Calcarea Phosphorica, Dulcamara, etc. To accurately understand which medication needs to be taken under which condition, it’s always wise to consult a homeopathic doctor before popping in any globules.
The musculoskeletal structure of your body is what enables you do any physical movement. The bones provide the solid structure while the muscles provide the strength and agility for all the necessary movements. However, muscles can be affected either due to internal problems within the body or due to wear and tear. Pain in the muscles can be quite debilitating and problematic.
Some of the more common methods to treat and deal with muscle pain are mentioned below.
- Correct electrolyte imbalances in your daily food intake: Electrolytes are important minerals required in your body such as potassium or magnesium. A lack of these minerals within the body will cause muscle pain including cramps and spasms. These could be caused due to:
- Proper stretching and massaging your muscles: You should get into a habit of properly warming up and cooling down before and after exercising as this will allow the muscles to get into optimal physical condition. If you suddenly start exercising, it may damage them and cause immediate pain or may develop into chronic pain over time. The best way to correct this imbalance is to include foods in your diet which contain these minerals, such as bananas for potassium, organic meat for potassium and magnesium, organic eggs, and legumes.
- Start exercising if you aren’t doing it regularly: Muscle pain may occur due to atrophy or weakening of the muscles. Bad habits and posture overtime will also result in muscle pain and the best way to strengthen them is to start exercising and stretching them slowly. Once they are strong enough, some of the muscle pain issues will go away on their own.
- Correcting bad posture: Bad posture is another culprit for muscle pain. Especially common with sedentary jobs behind a desk postures tend to deteriorate overtime and cause, muscle pain. Thus along with exercising, try to change your posture and correct any bad habit that may have crept in.
- Stay hydrated: Dehydration is another common cause for muscle pain especially from muscle spasms or cramps. Ensure that you are properly hydrated throughout the day to avoid pain from spasms.
- Use either hot or cold therapy: You can use ice packs or hot water packs to soothe muscle pain depending on the type of causes. For example, throbbing muscle pain and spasms can be relaxed through warm compress while inflammations can be soothed by icepacks.
- Medications: In certain disorders of the body such as fibromyalgia, you will need to take specialized medications in order to correct the problem. For excessive and chronic pain, you should visit your doctor as it may require more extensive treatment.