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Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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Hi doc this is aman gupta aged 20 I have a pain in my legs and it pains alot to me please help me out of this pain please doctor.
Sir, my wife age 50 having Blood ESR level 92 after 1 hour and having knee pain on both legs, please advice me on reducing painThanks.
Sir mere father ki age 65 years hai. Presently, me unka liver cirrosiss ka elaj chal raha hai. Pichle 6-7 mahino se dono shoulder me pain jyada ho raha hai shoulder ooper bhi nahi uth rahe hai elaj karwaya lekin kuch fark nahi padaa. Please advise me.
Hello There, This issues is with my mother, she had one ear operation 23 year back by Dr. Raghav Saran due to water coming out and pain in Ear. All went well but after 10 years she start getting water and smells again, sometime its neck pain. We consulted 3-4 doctors and then went to Christian Medical College & Hospital Vellore and after test doctor said that she need to go for surgery once again because previous surgery got some issue thats why she is getting pain and water. We met on good doctor in Ranchi ENT specialist and he prescribed lot of antibiotic and tablet to make the wet ear dry for 3 months, it happens and then start again. We got appointment in AIIMS and they said no need for surgery go home, then to reconfirm we went to Dr. also said the same that no need for surgery go home. If want then do on your own choice. (May be they saw dry Ear that time due to Antibiotic tablet dosage) Now she is getting same situation that water comes out with smell and ear get wet, sometime its neck pain and sometime Ear pain. Can anyone please suggest from Doctors/ENT community, what could be possibility and what steps I should take. Also In delhi/NCR where I should Visit and if have to go for surgery then please suggest the best option with budget expected and complication possibility? Looking forward for your suggestion. It will be much appreciated. Thanks Again.
My name is budhsen I have knee pain problem I tried some medicine please suggest me some effective medicines.
Hammer toe is a condition where the toe of the patient becomes deformed. The appearance of the toe will bear a downward curl that will make it look abnormal. This condition can mostly be seen during the childhood itself and it usually is known to affect the second or third toe on the foot. Let us find out more about the symptoms, risk factors and treatment for this condition.
- Symptoms: The sheer discomfort of walking around with a hammer toe is one of the first symptoms of the condition. The permanent damage will be visible in the way the toe curls and becomes deformed. The formation of corn or calluses is also a common symptom of this condition, while some patients may also experience the growth of claw like toes. Most patients feel pain when they are walking or running even as inflexibility sets in, which makes it difficult to flex the foot or stretch and wiggle the toes properly.
- Risk Factors: While the most common causes of the hammer toe remain an injury or even arthritis, it may be seen that those with a family history and prolonged use of high and pointed heels may be at risk more than others. This deformity can happen at birth or may progress as age catches on, depending on the risk factors at play. Also, when the patient suffers from the growth of calluses, corns and bunions that go untreated for a long time, it may manifest into a hammer toe eventually. This happens because these growths can make the layer of the skin thick and lead to a perpetual formation in the area due to the constant friction that also causes pain and discomfort. People with a high foot arch are also at risk of developing a hammer toe.
- Treatment: The orthopaedic specialist is the best person who can help with the diagnosis and treatment of this condition. While the diagnosis consists of the conduct of an X-ray to find the cause and extent of the damage, the doctor may also conduct nerve function tests to find out if any nerves have been damaged for the condition to have taken place. Also, the specialist will try to find causes like ligament injuries and other such things that could have led to the condition. Accordingly, the treatment method will be put forth. A mild hammer toe can be treated by wearing more comfortable footwear with pads to treat corns and other growths. For a severe condition, surgery is the only way out. If you wish to discuss about any specific problem, you can consult a podiatrist.
I can feel cracking sound from my knees once I bend my knees between 135- 90 degrees The doctor has diagnosed osteoarthritis and advised not to climb stairs. I do not have constant pain, but If I walk 2-3 km, I feel pain on my back/pelvis. My mother has acute OA and she find it difficult to move and cannot travel more than 5-10 meters that to with support. What exercise do you suggest to delay any surgery or knee transplant op in future ?
RANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS)
TENS is a type of pain relief that is centered around using small electrical currents to ‘ block out’ the nerves that are transmitting the feelings of pain you are experiencing. Instead of pain, you will feel more tolerable tingling sensations. Small pads are placed above or to either side of the area that is giving pain, and the results are felt straight away. TENS can be used to manage both acute and chronic pain but may not work for everyone.
For people with pacemakers, women in the first 3 months of pregnancy and people who operate heavy machinery, TENS is not an appropriate form of pain relief.If it is appropriate for you, your PHYSIOTHERAPISTcan refer you to a hospital physiotherapy department or a community physiotherapist who will be able to loan you a TENS machine for several weeks. If TENS is effective in reducing your pain, you may wish to buy your own machine
Pain transmission (or nociception) is the series of events that takes place in our bodies which allow us to feet and react to pain. It is very complex process.
WHEN PAIN HELPS US OUT
1. We are exposed to something that is painful (a painful stimulus). Forexample, we walk barefoot onto a hot sandy beach.
2. Specialized structures on the soles of our feet called pain receptorsdetect the painful stimulus.
3. The pain receptors send messages to the brain via the spinal cord (timeframe-fraction of a second).
4. The brain receives the pain message and interprets it ( time frame-fraction of a second).
5. The brain co-ordinates a response to the pain (e.g. get off the beach , run into the sea, put shoes on). Pain receptors are located throughout our bodies. Different types of pain receptor detect different types of stimuli (like temperature, pressure and chemicals).
Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.
Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.
The carpal tunnel pressure increase occurs when either of two things happens:
- The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
- When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
- Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:
- hand pain or aching
- pins and needles
- numbness esp at night of with wrist flexing
- weakness or cramping
- perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.
Physical Therapy Treatment
- Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
- Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
- Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
- Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
- Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms.
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