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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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Hi doc Since last one month I am having pain in both of shoulders and waist. At present I am taking two pills one for blood pressure Tab. Tazloc beta 25 in morning and Tab Atchol F 10 mg at night. Please advise me what should I take for pain relief.
I'm 46 years old and under depression for the last 10 years and taking melzap 2 mg in the morning and Esteem-HD (Alprazolam. 25 with propranolol Hydrochloride I.P.) daily. Now I have waist stiffness and left leg side fingers feel like ants are running over on.
I am getting pin needle sensation in my hand arms palm legs n toes. I do have chest pain as well but cardiologists did all tests and said you are absolutely fine nothing to worry about your heart. Apart from pin n needle sensation I do get dizziness and it makes me to feel that I will fall down. Even I did complete body checkup with many blood test everything is normal apart from vitamin D3 deficiency. I sometimes feel tired as well. Not sure whether it is due to pinched nerve or some kind of vitamin deficiency but it’s stealing my peace day by bay. Need your expert advise.
I am 23 years old and I have bones, cartilages problems like that. Because of comparison to other youngsters I have not lifted heavy weighed item for eg. 20 kgs of weight I havn't lift to 5 min at all & in some case pain should be there.
I am 21 years old male and I usually have a backache along with headaches and stomach pain. What should I do. Please give me some advice.
I have lower back pain, it is lumbar disc bulge my body is getting tilted! after doing physiotherapy it is ok but its paining
These consist of exercises to strengthen the lower limb muscles in case of lower motor neuron type of palsy. Strengthening of the upper limb is essential as this will help the patient to enable efficiency in activities like transferring,use of walking aids like crutch, and also helps in over all functional rehabilitation. Strengthening of trunk muscles is essential for better trunk control and stability which will help in better balancing in sitting or standing.
Quadratus lumborum is the most important trunk muscle in case of spinal cord injury that has got no hip flexors because it enables the patient to hike the pelvis.
Use of tilt table: In the initial stages when there is no trunk stability patient can be trained for weight bearing on lower limbs by using tilt table.In this the patient’s trunk and the lower limbs are strapped to the tilt table and then the table is tilted such that the patient is in erect position.Moreover tilt table can also be used in the initial stage to prevent the chances of orthostatic hypotension.
For preventing hypotension in the initial stages the patient is made to lie on the tilt table and the table is gradually tilted everyday at increasing range so that the autonomous nervous system is made to get conditioned as a result the reflex vasoconstriction can bestimulate d in erect position. This will help in preventing or treating orthostatic hypotension.
Transfer activities: To make the patient independent in ADL, it is necessary to train him to use the wheelchair. Easy ways of transfer from bed to wheelchair from wheelchair to low stool and from low stool to floor and back to wheel chair should be taught to patient. The patient also should be trained for balance in sitting position if his trunk muscles are also affected. Patient should also be taught various ways of locomotion in emergency situation like shuffling in sitting position, semi crawling in prone position with the help of weight bearing on the forearm.
Spinal cord injury can be made to ambulate with the help of crutches and calipers. There are various types of gait that can be taught with the assistance of axillary crutches like shuffling gait, dragging gait and swing gait. However walking should be trained in a gradual manner. The lower limbs are supported with appropriate orthosis and the patient is made to sand in the parallel bar. The patient is advised to do hyperextension at the hips and trunk to maintain erect posture and balance.
Hyperextension of the hip locks the hip with the help of ischio-femoral ligament and thus provides stability. Once the patient is confident in standing gait training is started by instructing the patient to lift one leg and take weight on other extremity. Stepping forward is taught next and the physiotherapist progresses to walking in parallel bars.After this patient is made to walkout of the parallel bar with the help of walker.Depending on the trunk stability and confidence of the patient progression can be made to axillary crutches. Elbow crutches or canes can be given only if the upper limb musculature becomes quite strong to weight bear efficiently and within the safely limit of the patient.
Even if the patient is not going to be a community walker, it is important to give him gait training so that can achieve some independency in activities of daily living and to maintain his self-esteem. Weight bearing on the lower limbs in erect posture also acts to slowdown the process of osteoporosis and prevent tightness.
Use of orthosis or appliances: lower limb orthosis or gaiter may be used depending on the muscular status in the lower limbs.