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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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Shooting or stabbing pain
Pain that radiates down your leg
Contact a doctor if your back pain:
Is constant or intense, especially at night or when you lie down
Spreads down one or both legs, especially if the pain extends below the knee
Causes weakness, numbness or tingling in one or both leg
Lower Back Pain Treatment:
Ceasing activity for a few days allows injured tissue and even nerve roots to begin to heal, which in turn will help relieve lower back pain
Heat and Ice Packs help relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately
Your family Physician will be able to give you advice about the most appropriate type of medication for you.
Doctor, I'm 17 years old now. When I was 16 years I got mild pain in right testes. So, I under went ultra scan. Doctor found, tat I am having varicose veins in left testes (with grade 1) I took homoeo medicines initially. I am free from the pain but I can feel mild twisted veins. Is it serious? Recently we didn't take any scan. Is it possible to cure by doing yoga asanas. please tel me about do's and do not's. What is the treatment. Also, in scan report everything is normal.
I have long lasting shoulder pain since 16 years. I can't throw balls by using right hand shoulder. Sometimes it is slipping accidental shake. Please advice.
I am having backpain from yesterday. At lower position above hip. I took a painkiller tablet yesterday but it persists. Please. Prescribe me medicine which gives me relief.
Hi I am a b. Tech student I am having problem with my handwriting. I tried lot it gets little better for some time & again gets back to previous. What to do to improve it. Sometimes I feel little strain in wrist & thumb while writing.
Dear friends, I am Dr Shekhar Shrivastav. I am senior consultant orthopaedic at Sant Parmanand Hospital, Delhi. Today, we'll be discussing Arthritis and specifically arthritis of the knee joint.
Now people usually come and ask me what do you mean by arthritis. So arthritis is the inflammation of the joint. Joint is made up of two ends of the bone which are lined by an articular cartilage which helps in a smooth motion of the joint. So when that cartilage gets destroyed you get arthritis. Now it can get destroyed due to various reasons but the most common reasons are due to ageing process which we call osteoarthritis. So there is degenerative wear and tear of the joint which leads to osteoarthritis or there can be an inflammatory cause such as rheumatoid arthritis which involves the lining of the joint and damages the cartilage. Now then people ask or most of the people who come to us with arthritis involve arthritis of the knee joint. So knee joint is the joint which is common in which is most commonly involved in osteoarthritis of the knee joint. The patient usually comes with pain, swelling and stiffness. They have difficulty in walking, climbing stairs and sometimes in severe cases, they have pain even at rest.
How do we manage that?
Now in order to manage that first, we should know what is the cause of arthritis? So we do some x-rays. X-rays give us an idea about the cause of arthritis as well as the extent of the damage. Now we also go for some blood tests which will give us an information if it's because of an inflammation or any infection. So these are the various causes of arthritis.
Now how do you manage our practice?
Patient has a company with pain, swelling and such disability so initially, we start with conservative management which is nonoperative management. So in that we ask the patient to do some lifestyle modification like we asked them to avoid using stairs or if they are using stairs then they have to use a railing so that there is not much stress on the joints. If they are into sports then we ask them to shift from contact sports like jogging or Aerobic to low impact exercises like swimming or cycling. We send them for physiotherapy. Physiotherapy helps a lot in arthritis. It helps in gaining strength in the muscles which protects the joint and it also gives increased flexibility and moment of the joint. We can give some medications and form of painkillers and thin perimeter because they reduce the inflammation, reduces the pain and in acute cases we can also inject the region.
Now, in severe arthritis when all this treatment has failed in that case it requires surgery. Surgery can be in different form. If the patient is having any loose fragment which is causing locking, then, in that case, we can go for arthroscope which is a keyhole surgery, where we make just small incisions like the tip of this pen, we put our instruments inside and we take out that piece which is a simple thing. In severe cases, we go for replacements. So it can be either partial replacement or total knee replacement. Now in severe cases with patients of great disability who have difficulty in walking who have pain on each step, who have pain even at rest, knee replacement surgery is a boon for these patients. It increases their activity, it increases their social life and it also makes them more mobile.
So if you want to know more about arthritis, if you are suffering from this problem and you want treatment you can contact me through lybrate or you can contact me at Sant Parmanand Hospital, Delhi.
Physical activity and sports related muscle injuries wear out our parts, and more aggressive activity wears our parts out more quickly. There are lots of examples in those who were professional athletes in their younger years. Despite this, exercise is one of the best therapies for almost everything. Even people with terminal cancer live longer and better if they exercise.
Fortunately, our body has tremendous ability to regenerate our parts. We can repair skinned knees, knit broken bones back together, and even regrow joint cartilage.
What causes the pain of chronic injury?
Most of the pain of sports related muscle injuries from repetitive strain and micro trauma is caused by muscle and fascia (myofascial pain) and not inflammation or scar tissue. Muscles develop pain generating myofascial develop trigger points, and tendons that attach the muscles develop small tears. Then when the muscle contracts against the injured tendon, the trigger points fire and pain prevents further injury.
How do we best treat sports related muscle injuries?
Dry needling, trigger point injections, and myofascial release are usually the most rapidly effective therapies for problems like tennis elbow, golfers? elbow, plantar fasciitis, and what is often called ?bursitis? in various locations. If trigger point injections are not enough, then the tendons and associated ligaments may also have to be treated.
How do we heal?
Our body uses the same mechanisms to heal many different parts. When we sprain an ankle, some of the ligaments that hold the joint together get torn or over-stretched. This injury sets off a reaction that takes weeks to complete.
Right after the injury inflammatory chemicals get released that make the nearby blood vessels leak fluid and white blood cells into the area of injury. This makes the ankle swell, and the white blood cells release enzymes that clean up the inured tissue. As a result of this ?soup,? about 3 days after injury fibroblast cells find their way to the injury. These cells rebuild and regrow the injured ligaments.
What stops healing?
The healing process is greatly slowed or stopped by anti-inflammatory medications like ibuprofen, and also nicotine in the blood. Ice slows metabolism and healing also.
How long does the healing process take?
The process of healing continues for several weeks, and even months. Broken bones and injured ligaments reach approximately 90% of strength in 6 weeks.
What can be done to accelerate healing?
Most important is to get out of the way of our body, stopping smoking and not taking anti-inflammatory medications. Next is to take extra vitamin C and zinc. Studies on wounded soldiers showed the importance of vitamin C and zinc in healing. Lastly, consider applying moist heat to increase blood and nutrient supply and speed up metabolism in the area of injury.
What if I do not heal enough, how can I get more?
Examples of not healing enough include loose joints after sprains, and partially torn tendons. For both of these examples, we can get our body to ?rerun? the same healing program if we simply re-injure the body part. A controlled and tiny injury can be made with an acupuncture needle, an injection of dextrose and novocaine (prolotherapy), and most effectively with an injection of your own platelet rich plasma. Once the body?s healing program is restarted, fibroblast cells will come in 3 days to start rebuilding the injured part. Acupuncture provides for the weakest body reaction and slowest healing, compared to the use of platelet rich plasma.