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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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Sir /madam, I get joint pains sometimes. The pain will be in one or two minor joints. Rarely I had pain in Major Joint like Knee. Very rarely I had pain in the big toe. My observation is I get pain whenever I eat High Purine foods. If I do not take High Purine foods, I will be almost alright. My uric acid level has never exceeded 5.0. One magic thing that occurs to me is, if I take 80 mg of Febuxostat immediately (that is within 30 mins) after eating High Purine foods, I will not get the joint pain next day. If I take Febuxostat after 30 mins of consuming High Purine Foods I am sure to get joint pain next day. My feet swelling occurs if I eat potatoes and sweet potatoes. Is it gout without hyperuricemia. What is the remedy for this. Ghee is suppose to be good for joint pain in general. But in my case, even two drops of Ghee causes, joint pain next day. Ghee almost acts like a high purine food for me. Is my condition gout without hyperuricemia. What is the remedy? How do you explain my sensitivity to ghee and potatoes.
I am 75 years old, am having shoulder pain, it like frozen shoulder. I can move my right hand freely but there is pain, am also doing excercise- but the pain is still there. Now it is running for 5 months. Please advise.
Sir, I am 23 years old. I am getting knee pain to right knee. I went to hospital today and I took my x ray. By seeing the x ray the the doctor told me the cartilage is reducing and it is starting stage. Is reducing in cartilage will come at this early age. And it is recovered by taking mecidiencs .I am also confused can you please suggest me sir. As it occurring due to the climatic conditions.
What is Spinal Stenosis: The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.
Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine
Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.
Treatment of spinal stenosis:
- A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
- Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
- Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
- Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain.
Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.
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