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
Submit a review for World Brain Center HospitalYour feedback matters!
Rheumatoid arthritis is an autoimmune disease, which is characterized by the inflammation of the joint lining and gives rise to pain, stiffness, warmth and redness in the joints. The inflammation occurs in the tissue that normally produces lubricating fluids for the joint. This condition is progressive in nature, and can cause the destruction of joints, leading to functional and locomotive disability.
Though rheumatoid arthritis is a disease that can last for years, patients may not experience any symptoms for a long time. In some cases, the disease may affect other parts of the body like the eyes, lungs, and the heart.
The severity and duration of the symptoms are unpredictable, and the symptoms experienced are:
- At times, people experience increased disease conditions called flare-ups.
- They may also experience alternating periods when the symptoms fade or diminish, which is referred to as remission.
- Some of the common symptoms of the disease include lasting pain and stiffness for more than an hour in the morning, inflammation, fatigue, fever, and a general sense of discomfort.
- Inflammation in the joints close to the hands like wrists and fingers and other parts like neck, shoulders, elbows, knees and hips can also be affected.
- In some cases, both sides of the body are affected at the same time, which is known as inflammation in a symmetric pattern.
Rheumatoid arthritis is usually caused by the body's weakened immune system, which produces antigens to attack itself. The trigger to this reaction is not yet clearly deciphered.
It is diagnosed by clinical examination (American association of Rheumatology criterion) supported by relevant Investigations.
Management for Arthritis includes the following aspects:
1) To control disease activity and control of symptoms of pain, stiffness.
2) Medical treatment to prevent system effects of the disease.
3) Nonmedical treatments comprise of dietary therapy, physiotherapy, immunomodulation therapy.
4) Minimal surgical therapy like arthroscopic synovectomy to confirm the diagnosis as well as reduce disease activity. At times, with the advanced decline of joints, a major surgery like replacement therapy may be required for specific cases.
What's more important is to know that at any stage of the disease patient can adopt and live an active life with appropriate treatment.
The lower back or the lumbar area is the region that lies right below the rib cage. Pain in the lower back is usually a result of persistent muscle spasms that make it a chronic pain. While many people suffer from this kind of pain at some point at the other, there are few who actually take up exercise as a long-term solution to deal with the pain. A proper exercise schedule and regular yoga can actually strengthen your lower back and help it support the spinal cord in a better manner. Also, most orthopedic specialists recommend constant movement to alleviate the painful symptoms of lower back pain. Do go through this list of exercises to find one that suits you.
- Partial Crunches: This one requires you to lie down, prop your knees up with your feet firmly on the ground and your hands behind your head. Now bring your body partially up and stop shy of doing a full on sit up. This will help in relaxing the muscles in the lower back, to a great extent.
- Hamstring Stretches: Get on your back and prop up one knee. Take a towel and loop it under the ball of your other foot. Now lift and hold as you press your foot into the towel, to gradually relieve some of that stress as it plays on your lower back.
- Ankle and heels: The classic ankle pump involves lying flat on your back and stretching your feet before you begin to move your ankles in an up and down motion. Repeat it ten times for each set. You can combine this exercise with the heel slide where you have bend and straighten your knee ten times each, in the same position as you lie flat on your back.
- Wall Squats: While actual squats can be painful if you are suffering from lower back pain, you can take the support of a nearby wall for squats that will work the muscles in a more soothing manner and give you a good workout at the same time.
Touching your toes, running on the treadmill, sit-ups and other forms of intense exercise that make the back work too hard should be avoided if you are suffering from lower back pain.
Joint pains or muscles cramps are the usual suspects when it comes to leg pain. Joint pains are usually a symptom of arthritis, a common occurrence during old age. Leg muscles are mostly affected by muscle cramps. From an Ayurvedic point of view, all pains are caused by the vata dosha.
What are doshas?
The doshas define the natural inclination of the body and they comprise the three main energies that affect your health and well-being. The three doshas are Pitta, Vata and Kapha. Thus in Ayurveda, pain is caused when the doshas are vitiated. In Ayurveda, ama is the name given to the toxic materials in the body that are caused by improper indigestion. Therefore, pain occurs when there is too much ama build-up in your body.
Useful herbs for treating leg pain:
- Clove: It provides instant relief from pain, especially if they are due to muscle cramps. Apply clove oil in a poultice over the affected area.
- Ginger: Since ginger has great painkiller properties, it can be added to a regular diet to deal with chronic leg pain.
- Liquorice: Muscle aches can be treated with liquorice roots infused in water overnight.
- Madhuca: Applying madhuca oil over leg pains, especially if they are due to rheumatism, then it can give great results.
- Pepper: Pepper aids in proper blood circulation by helping dilating the superficial blood vessels.
Dietary regulations for leg pain: To help with chronic leg pain, leafy vegetables, green vegetables, Vitamin C-rich foods, plantains that are rich in potassium, magnesium and calcium must be consumed. Coffee and chocolate must be avoided at all costs. The consumption of water cannot be stressed enough as one of the leading causes of leg pain is dehydration of insufficient fluids in the body. Water helps flush out the toxins in the body, thus getting rid of the vitiated doshas.
Ayurvedic treatment for leg pain: For external use, Mahanarayana Tailam is extremely effective. Warming the oil before application will give best results. For internal use, Simhanada Guggulu, a mild laxative, Laxmi Vilas rasa and Pratapa Lankeshwara Rasa are prescribed.
I have back pain. Mri reports shows gade1 anterior lysthesis of l4 over l5 with probable spondylolysis interarticularis of l4 vertebra.
My mom is 61 years old. She is not able to sit on floor cross leg. Again she has pain in hand and leg. If some one touch her leg for massage she said it will broke if we touch. What it is?
Walking is a simple activity and it should remain simple. We have forgotten to walk properly since many of us have a desk job. Many of us just shuttle between the bed, car and the desk only. For us walking a mile or so requires too much effort and time. However, it is important that we include walking in our everyday life.
But as we start adding the simplest way of exercise in our daily lives, it is important that we do the same correctly. The proper posture - the proper time and the right attitude is essential.
Head: Walk tall, do not lean forward/backward and stand straight.
You don't have to look down. Always look forward, at least 20 feet ahead. The chin should be parallel to the ground and the ears should be directly on your shoulders. Your back should be straight and should not be slouching and walking. Focus on head and whole body will fall in line.
Shoulders: 'Relax ', shrug once and let the shoulders fall back and lift your chest.
If you are stressed, then you might have tight and raised shoulders. It is best to let go of oneself and relax. Let your shoulders fall back and lift your chest. Walk proud and confident.
Arms: 'Swing', it generates extra momentum and increases calorie burning.
Hands should be relaxed. The opposite arm and leg coordination should be there and your arms should be swinging together. Your leg and arm movement ensures that your body is in close coordination with walking. This also helps in building a momentum and opting for an option called power walking - an exceptional way to lose weight.
Core: 'Brace your core'
Core is the muscle group that surrounds the torso or the mid skeleton. It provides stability and should be activated while walking by tightening your abdominal muscles.
Legs: 'Align and level'
Hips should be fairly level, legs should comfortably swing on you stride. Keep your knees tightly bent and do not roll in or out while walking. Your knees must remain properly aligned with the hips and feet.
The heels should strike first with the toes pulled up at 45 degrees. Then roll through the step from head to toe and finally push off with your big toe to move into the next step. Wear flexible shoes as stiff shoes will slap down rather than roll through. Finally, make your walk comfortable and enjoyable.
Focus on one or two points per walk and gradually in few weeks you can master all of the points without having to think about it.
I am an intermediate runner and will run an average of 15-20 Km a week. From past one month I am experiencing a slight pain in the lower part of right knee. I changed my running shoes the pain and now I am not experiencing any pain during running but have slight sensation of pain after the run. Please advice me.
Many people all over the world often suffer from chronic back pain due to various reasons. Persisting for weeks together, this type of acute pain in the back can even cause severe damage to one's daily work schedule. It is often the neck or the lower back or upper or middle back that cause such pain and forces one to look for medical assistance. And it is this necessity for obtaining a cure or treatment solution that radiology becomes extremely helpful in dealing with chronic back pain. Read further to have a better idea of how radiology can be of great help in getting relief from the annoying and distressing chronic back pain.
What is radiology?
Radiology refers to a branch of medicines which dealing with radiant energy, helps in the proper diagnosis as well as treatment of a disease. This specialty specifically uses medical imaging for diagnosing a disease or the root of illness and treating it. This field is divided into two major areas, one is interventional radiology, and the other is diagnostic radiology.
Radiology and chronic back pain
Radiology is known to be an ideal solution for getting relief from the constant suffering of chronic back pain. Whether it's a pain in the spine or the hip, radiology helps in ensuring accurate treatment while reducing the chances of inappropriate treatments which often is performed due to the lack of knowledge about the root problem. With the image-guided injections and the accurate diagnosis, radiology reaches to the root of the back pain and helps the medical professionals have a better understanding about what's ailing the patient.
How is radiology effective in treating back pain?
While the majority of the back pain can be dealt with proper rest, anti-inflammatory medications and physiotherapy sessions, when it turns out to be a chronic pain, proper diagnosis is the best option for dealing with the pain. Using different radiological imaging services such as CT or computerized tomography, MRI or magnetic resonance imaging and X-ray, the location of the pain can be easily identified and then is treated properly. And treating the back area with different therapeutic injections becomes necessary, such as nerve root injections or facet joints injections or epidural injections, for dealing with the chronic back pain, again it’s radiology that turns out to be an irreplaceable part of successful treatment.
Chronic back pain being one of the most common reasons for visiting a doctor, opting for the right diagnosis procedure becomes crucial for identifying the main underlying reason which is causing the pain. And there's no doubt that it is with the help of the latest imaging facilities of radiology that accurate diagnosis as well as managing the pain can be possible. If you wish to discuss about any specific problem, you can consult a Radiologist.
Your hip plays a very crucial role in the proper functioning of your body. It bears the weight of the entire upper body and also supports your back to maintain balance. The hip joint is a ball and socket joint that connects the pelvic region to the thighs. Some sort of injury on the hip joint/bones or a disease can cause pain in the hips. Also, women are more likely to suffer pain in the hips than men.
Here are some common causative factors of hip pain in women:
1. Arthritis - One of the most common causes of hip pain in women is Arthritis. As women grow older, the risk of suffering from arthritis increases. The ball and socket joint of the hip gradually degenerates with age. This wear and tear of the joint causes swelling and stiffness which results in pain.
2. Obesity - Excessive body weight results in excessive pressure on the hip joint. Due to the development of excessive pressure on the joint, an obese/overweight woman may experience pain on the hip joint.
3. Osteoporosis - Mostly found in older women, osteoporosis is a condition in which the density of the bones reduces. As a result of which, the hip joint becomes weak and is unable to withstand the weight of the entire upper body and gives rise to extreme pain.
4. Bursitis - A sac-like structure cushioning the muscles and bones around the hip joints, filled with some sort of fluid is known as bursae. The inflammation of bursae is a condition called bursitis, which results in extreme pain in the hip joint.
5. Gynecological issues - Pregnancy leads to excessive pressure on the hip joint due to weight gain and growth of the lining of the uterus, resulting in pelvic tenderness. Both of these factors induce a feeling of pain in the hip joint in a pregnant woman.
Fibromyalgia causes pain in the muscles of the body and weakens them gradually. Patients with fibromyalgia have a number of "delicate points" on the body and are very sensitive to different things that are not typically painful or unpleasant. They can encounter increased the tenderness and weakness which may lead to problems in movement and even proper sleep.
Physiotherapy concentrates on the treatment, and healing of injuries. Standard exercise based physiotherapy methods may help you gain control of your fibromyalgia as you concentrate on lifestyle changes instead of persistent pain, stiffness and fatigue. Physiotherapists can demonstrate generally accepted methods to get rid of the side effects of pain and solidness in everyday life. They show patients how to build strength and enhance their scope of movement. They show them ways to get rid of the everyday pain.
In case you have fibromyalgia, your physiotherapist creates particular extending and stretching programs to meet your individual needs. While there is no known cure for fibromyalgia, physiotherapy might help you get rid of the pain. It can reduce the stiffness.
Strengthening muscles and increasing flexibility through a number of exercises are two vital ways physical therapists decrease fibromyalgia pain and make life more manageable. These include:
- Stretching: By increasing your flexibility through stretching, the hardened muscles loosen up giving fibromyalgia help. Your physiotherapist can teach you the correct approach to stretch your muscles, ligaments, and tendons. Various stretching exercises will also be suggested depending upon the condition or type of pain you have in what part of your body. The combination of these stretching exercises might need a stretching band or other accessories like a compression ball or a rubber band.
- Aerobic exercises: Low speed and low affect exercises are ideal. Stationary cycles and circular machines are typically less pressurizing on the joints. Aerobic exercises are also a great option for fast recovery, but the intensity depends on your condition.
- Aqua treatment: Swimming and other water activities are very good for fibromyalgia patients. The lightness of the water can decrease weight on muscles and joints and enhance adaptability. A warmed pool might be particularly useful because of the warmth that can calm sore muscles.
- Massage: Massage can help pain alleviation and joint stiffness.
- Joint movement: It can improve movement in the tightened muscles, delicate spots and joint stiffness.
- Dry Needling: This treatment for fibromyalgia known as dry needling reduces pain stemming from trigger points and increases spinal mobility, according to a clinical study. The technique uses needles to affect sensitive points in the muscle, which cause pain in seemingly unrelated body parts.
Physiotherapy is a lifestyle remedy for such conditions but must have to be patient as the results will be gradual.
The knee is the largest joint of the body and is made up of upper and lower bones that are separated by two discs known as menisci. While minor knee pain may be experienced by many people, it should be handled with medical intervention when it becomes a serious and debilitating problem. Sudden injury or injury due to overuse as well as myriad conditions that affect the joints and muscles can bring about knee pain. Underlying conditions like osteoporosis or arthritis, which affect the bones and joints, can also cause knee pain. The symptoms include painful swelling and stiffness as well as severe discomfort. Let us learn more about the causes of knee pain and the ways in which it can be managed-
Injury: Exercise and sports injuries are one of the most common causes that can be the start of acute knee pain, as well as chronic condition. These kinds of injuries can affect the ligaments and cartilage which leads to severe pain. The pain can even affect the way one functions in one's daily life. Knee ligament injuries can also cause this kind of pain. These ligaments are bands of tissues that connect the thigh bone with the lower leg bones. Sprains and tears in the ACL or PCL are common in sports injuries, and may even require surgery in many cases. Knee Cartilage Tears can also take place in the hard yet flexible cartilage of the knee which can affect the meniscus around the knee. This condition may also require surgery.
Arthritis: This condition can affect the knees specifically and is one of the most common types of arthritis. This is a chronic condition which gets progressively worse over time and may even require surgery. Stiffness and inflammation are common symptoms. Rheumatoid arthritis is also a degenerative auto-immune disease that can affect the knees and cause knee pain. Furthermore, post traumatic arthritis can also be experienced after an injury. Osteoarthritis is another common condition that leads to knee pain. It basically occurs due to wear and tear of the knees over a prolonged period and is usually experienced by patients over the age of 50.
Managing Knee Pain: While pain medication and anti-inflammatory drugs may be prescribed for most cases, along with the surgery in long run, it is also possible to manage knee pain with the help of better lifestyle choices like regular knee and muscle strengthening exercises as well as REST - rest, ice, compression and elevation. These methods can help in relieving inflammation and pain. But very severe cases will require medical intervention, so it is imperative to get in touch with your doctor if the condition does not improve.
In my foot I am having inner growth of bone in the part of heel please suggest me what I have to do can not stand for long hours and having pain in my foot I do not want to take injection as I am very much scared of injection please suggest what another option I have to do.
Have initial bone spur seen in the report in C3 and C5. So to which doctor we have to consult to overcome this problem.
Rheumatoid arthritis is an autoimmune disorder in which the body recognizes the body's own system as foreign and produces an inflammatory reaction. The synovium which is the space between the bones and the joints and contains a lubricating fluid which allows easy movement of the joints.
Inflammation of this space leads to painful, swollen joints that can also turn red and become stiff over a period of time. The joint surfaces can gradually progress to produce deformities (the swan-neck deformity of the hand for instance) and disability.
Because it is an autoimmune disorder, the exact etiology is not known but a lifestyle, stress, cold weather are supposedly predisposing factors. That being the case, it is not surprising that Ayurveda has a variety of options, both in terms of do's and don't be to manage rheumatoid arthritis - both the severity of symptoms and further progression of the disease.
Do's: A well-planned diet will help by supporting optimal functioning of the immune system and nourish the affected joints.
- People diagnosed with RA should follow a diet that is rich in fruits and vegetables. Drumsticks, bitter gourd, carrot, papaya, green leafy vegetables, etc., reduce inflammation and hyperactivity of the immune system. The antioxidant properties in these neutralize the free radicals circulating in the body (responsible for increasing inflammation). This helps control the longstanding inflammation of the joints.
- It is also advisable to eat them as whole fruits and not as juices. The fiber in the whole fruits helps digestion.
- Sprinkle pepper powder over cooling food items like cucumber and radish (or completely avoid eating such food).
- Include garlic which is an excellent remedy for RA, can be mixed with buttermilk.
- Whole grains such as wheat, brown rice, millet, barley are beneficial for RA, their high fiber content helps in proper digestion and promotes regular bowel movements.
- Aged honey mixed with plain water.
- Drink boiled milk to which dry ginger powder is added; this can replace tea and coffee.
- Milk mixed with turmeric powder is also helpful in controlling inflammation.
- Work at reducing weight.
Don'ts: In addition to adding the above to your diet, there are some things to avoid, which can worsen symptoms of inflammation.
- Avoid overall unhealthy and irregular diet habits which affects the immune system and aggravates symptoms.
- Avoid sleeping during daytime and staying awake at nights.
- Avoid deep fried foods and fermented food items.
- Given its autoimmune nature, it is better to avoid regular allergy-inducing foods like dairy products, soy, peanuts, processed foods, artificial additives, etc. These could trigger an enhanced allergic reaction.
- Avoid alcohol, tobacco.
- Avoid tea and coffee and other caffeinated drinks.
With simple daily food habit and lifestyle changes, the severity of RA can be managed effectively.
Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.
Let us look at ways that can help you deal with this pain:
- Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
- Supportive footwear: Using pads within your shoes with gel built into them, or using specific footwear that helps in walking without feeling too much of pain is a good way of dealing with Plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while Orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.
- Exercise: Indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
- Painkillers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
- Anti-inflammatory drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
- Surgery: Heel spur removal or Plantar fascia release are some of the surgical options for chronic and severe cases.
Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.