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Spinal Surgery Disorders
Treatment of Neurological Problems
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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I am a deep vein thrombosis patient to both my legs with varicose non healing ulcers suffering from the year 1988, pigmentation around both legs below knee, just surviving with daily dressings, unable to walk. My age 54 years, male, from Hyderabad. Regards.
From few days my urine is stinking. And moreover the colour of my urine is reddish. I also feel lazy and can't concentrate on any thing. Moreover my mussels pains and the lower back. Is this the sign of kidney problem. Please help me. What should I do.
I have more muscular pain in my body, when I wake up in morning especially in my shoulder and sternum. This is happening since am suffering from fever about 15 days .please suggest me reading and solution for the same.
Hi, I attached here 2 MRI, X Ray reports. Please advise how could I come out from back pain without surgery. MRI - LUMBAR spine 19,10.2016: Findings: loss of normal lumbar lordosis seen? Due to muscle spasm. Lumbar vertebrae appears normal in alignment .No listhesis. Small Schmorl's nodes noted involving the endplates of multiple lumbar vertebra. Degeneration ofL1-L2, L2-L3 and L4-L5 lumbar intervertebral disc Posterior annular tear noted at L1-L2, L2-L3 and L4-LSlevels. At Ll-L2 level there is right paramidline protrusion, No foramina narrowing. At L2-L3, L3-L4 diffuse posterior disc bulge noted ,causing effacement of ventral thecal sac and inferior recess of bilateral neural foramina narrowing at L3-L4 level. At L4-L5 level, posterocentral and left forminal protrusion causing, significant canal stenosis and left neural foramina narrowing ,resulting in compression of exiting L4 and traversing LS nerve roots at this level. At LS-Sllevel, no disc bulge or herniation. Conus medullaris appear unremarkable. Impression: - Lumbar spondylosis degenerative changes as mentioned ,predominant at L4-L5 level. - At L4-LSlevel, posterocentral and left forminal protrusion causing, significant canal stenosis and left neural foramina narrowing ,resulting in compression of exiting left L4 and traversing Left LSnerve roots at this level. Approving Doctor: Somasundaram Sivaraman. MD.DNB. FRCR (UK) Patient Name: Shaheed Choudhury Referring Physician: Gender: M Age: 02.08.70 Patient 10: 1401083 Admission Type: OutPatient LUMBO SACRALAPLVIEWSof 17.10.2016: NATIONAL HOSPITAL Loss of lumbar lordosis denoting muscle spasm Mild spondylitis changes seen more at L 3 and 4, with narrowed L4-5 disc spaces Approving Doctor: Dr. Lamia Shehata Date October 09, 20'07 Patient Name S Choudhury Age 38 Yrs Sex Male File Number: 21064 Ref. Clinic: Al Hammadi Hospital/Cumberland Ref. Physician: Dr. Khalid abdomen NON ENHANCED L-SPINE MRI: CLINICAL: Low back pain and left sciatica. TECHNIQUE: The :rv1RsItudy of the lumbosacral spine was obtained by sagittal Tl and T2 weighted images and axial Tl and T2 weighted images through T121L1 to LS/S1 disc spaces. FINDINGS: The MRI study of the lumbosacral spine disclosed evidence of degeneration of lumbar intervertebral disc spaces depicted by low signal intensity on T2 and reduced height at T121L1, Ll/2, L2/3 and L4/S disc spaces. There is mild dorsolumbar kyphosis at L1I2. The spinal canal is of normal satisfactory caliber. The conus is of normal shape and normal signal. The L 112disclosed posterior right paracentral broad based disc protrusion. The L2/3 disclosed posterior left paracentral broad based disc protrusion with focal high signal intensity consistent with focal tear in the annulus fibrosus at posterior left paracentral region. The L4/5 disc space disclosed posterior central broad based disc protrusion with left predominance causing significant compression on the anterior surface of the thecal sac at this level and associated with narrowing of lateral recesses bilaterally more pronounced on the left side with compromising of the exiting left L5 nerve root. CONCLUSION: The MRl examination of the lumbosacral spine disclosed degenerative changes of lumbar intervertebral disc spaces more pronounced on T 121L1, L 112 and L4/5 with mild dorsolumbar kyphosis at L 112 and posterior right paracentral broad based disc protrusion at L 112, posterior left paracentral broad based disc protrusion at L2/3 and posterior central broad based disc protrusion at L4/5. Dictated by: Dr. Omima AI badly Reviewed by: Gulf Radiology Staff (AZ)
While having sex for the first time, the condom broke in the beginning. He didn't even insert half into me when he exploded. Now I took ipill within 9 hrs of us having sex. My periods come on 1st of every month generally but last month's periods (before sex) came little early on 26thAug. Then we had sex on 4th Sept. Anything to worry about? Do I need to take any further precautions? When can my next periods come?
I have pain in left heel nerve (tendon) when I walk. When I sit then no feel any pain. I took Medicine (paracetamol+diclofenac+chlorzoxazone) & reaction-100+vit. B complex But no benefits. Tell me any medicine.
She has a severe back pain? Sometime it starts paining when she sit for a longer duration of time? Is there any solution on this that can reveal back pain of her?
Help doctor past 2 days onwards my left hip low back things and full leg is paining and buttocks too why is it due masturbation because of paining I am feeling feverish doctor or will cure know.
I have a temporal knee pain in the muscles beneath knee when I bent my knee. Actually I jumped from a wall 20 days ago and that pain still remains. It happens only when I bent my knee around 3-4 minutes. I apply volini as well as knee bandage over it.
I am Dr Rakesh Nair. I am an exclusive knee replacement surgeon. Today I am basically going to talk about how to prevent damage to the knees by doing the right type of exercises. So, the topic today is going to be Osteoarthritis and Osteoporosis. How are they interconnected? How are both important in terms of treatment?
Let us start initially with Osteoarthritis. What do I mean by Osteoarthritis?
Osteoarthritis means a worn out joint. The same knee which has souls start wearing out as you get older. Therefore, it is called a Primary. So, whether you have a problem at some age or not, this pain is going to happen to you, whether it happens at 25, 35, 40, 45 years. It might also happen at the age of 75 years. Most of my patients are going for surgery between the age group of 75-85 years. So here I am going to show you the right forms of exercises where your knee can last for the lifetime. So, we are looking at an average of 8 spans of 80-85.
So, will your knee last long?
The chances are very less because the present data says that the 80% of the general population has artificial knees because we are out living our knees. We are living much more than our knees can last.
What is Osteoarthritis? means what exactly happens to the joint?
The knees are made up of bones which are a thigh bone which is on the upper side and it is covered with the fine layer of the cartilage which is hardly 1 cm. The same thing is with the bone which is the Shin bone which is the lower part, again which is covered with the cartilage. Between these layers, we have a lubricant fluid connecting both the legs on the side we have strong ligaments which hold the joint together.
What exactly happen in Osteoarthritis?
In Osteoarthritis, the same cartilage which you see starts wearing out. There are small pieces which start wearing out. The joint which straight started getting bent which either like a bow like a deformity or a knock knee deformity depending on how strong or how weak your muscles are. When a straight knee finally become bent then we have to look for some surgical options.
What are the symptoms of pain in the knee?
The first and the foremost symptoms are when a patient feels pain while climbing and getting down from stairs. So this is the first sign of Arthritis when you get to know that your knee is wearing out. Then they complain of pain, swelling. In the advanced stages, we will see the patients with bent knees, either bent inwards or outwards.
Today, I am going to tell you that can we prevent this damage?
For this, I am going to stress on exercise protocols for strengthening. Now, you need to understand that there is a difference between cardiac training and muscle strengthening. Most patients believe in walking as an exercise. But I would say that walking is the main form of exercise if not balanced properly with strengthening is going to cause wear and tear on the knees.
First, you need to strengthen the muscles which are there in the front and the back of the knees. So we are talking about strengthening the cardio steps and about strengthening the hamstrings. I would be giving you the practical demonstration of how we can do the same.
These are the normal exercises which I ask 70 years old individuals to do.
- Initially, the patient is lying down and push the knees downwards. Neeche dabaav daalo or thoda dheela karo. Push down and relax and do it till the count of 50. So, this is the basic first exercise you should do when you start any other exercise.
- The second exercise is leg race. This should also be from 5-50 counts. When you can comfortably do 50 counts at a time then we start the same in sitting posture.
- Lie down with the face down and start bending the alternate knees upwards and then release. This is what you would do for a hamstring strength
So these are the exercises which you can do from the age of 20 years to 80 years. Depending on the muscle strength, you can gradually increase the intensity of an exercise and take it to the next level.
If you are able to strengthen your knees simultaneously as you increase your cardio activity, that would be the best form without any damage to your knees. Another thing is that if you can balance your cardio in terms of saying that if you could do cycling, swimming, walking or running and balance all 25% of your work out when you are working out in the gym. So when you are going to the gym, the first thing should be doing is not going to the tread mill, you should start with the cycling as it is non-weight bearing exercise. Do it for 10 minutes, gradually as you warmed up you can do cross stepper and lastly, you can go to the tread mill. That is the commonest mistake when we talk about cardio. Tread mill should not be the primary exercise when you go to the gym.
Maximum work can get by the trainers in the gym because most of the times you end up doing squats and crunches. Basically, your lower body is not that strong to take the whole grant of the weight. So, I would suggest that if you are 35, 40, 45 years and if you are little heavy in the upper body then please do not start with free hand squats.
First, do the machines. On machines, you can do leg extensions, hamstrings and press rings. And when you start feeling that your lower body is capable of taking weight then start doing squats and lunges. And if you are going to avoid it, it will not make much difference, you can increase your muscle strength in terms of your leg extension and hamstrings.
Running can cause irreversible damage to the knees after the age of 40-45. The 25-year-old individual can run because at the young age, the cartilage has the tendency for the recovery. But after the age of 35 years, there is degeneration. If you want your knees to stay healthy between the age of 35-80, then you need to take care good care of it.
Let me give you some tips on running.
It is important that you wear good running shoes while running and walk on a good walking track. Avoid walking on the roads. Please try to walk on the grass or a mud track. Because walking on the road may cause nerve stress.
Before you start indulging into exercise, I would suggest you to have blood tests of Calcium, Vit- D3 and Vit- B12. You will be surprised, when you are deficient in either of these and you are going to take the exercise to the next level, then you will face some damage. Only if the reports of these blood tests are normal then only take your exercise to the next level. Otherwise, there will always the chance of injury.
I always ask females to do basic bone density along with the blood tests which I told you previously. Maximum damage to the female body is done during menopause. But if your basic density of Vit- D3, Vit- B12 and calcium is normal then you will suffer from least damage even after the menopause.
All the above mention tips will definitely help you.
For further information, you can contact me through Lybrate.