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Cervical Traction Procedure
Hip Replacement Surgery
Treatment of Lumbar Radiculopathy
Spinal Fusion Surgery
Treatment of Knee replacement
Arthritis And Pain Management Treatment
Hip Resurfacing Surgery
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Ankle Injury Treatment
Knee Injury Treatment
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Ankle Pain Treatment
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Treatment of Joint Dislocation
Joint Mobilization Procedure
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Hello sir or madam I m volleyball player after playing the volleyball match everyday. My hand is paining.
We all have lost our tail with evolution…but did you ever think that the vestigial (redundant) part of that tail which has been left over in us in the form of tailbone can mess up with our daily activities and torture us to the level of not allowing us to sit!
If you are not able to sit or if you are experiencing pain when sitting right at the tail bone region, you may be having ‘Tailbone Pain or Coccydynia’.
What is Coccydynia?
The coccyx, also referred to as the ‘tailbone’ is the last segment of one’s vertebral column. Coccydynia is referred to a disabling pain that occurs in/around the coccyx. This type of pain usually starts when one sits all of a sudden or rises up from the seat after having been seated over a long period of time. Also known as coccygodynia, this condition can mar one’s quality of life. The pain, often described as ‘stabbing’ or ‘piercing’, can radiate to the buttocks, the lumbar spine, and rarely, to one’s thighs.
The coccyx is the final part of one’s vertebral column. The vertebral units are fused together. The frontal portion of the coccyx is the fusion site of the muscles and ligaments which control the functions of the pelvic floor. The coccyx also supports the anus’s position. The gluteus maximus is attached to the posterior part of the coccyx. Ligament or muscle damage, or muscle weakness can cause the coccyx to assume an abnormal position, thus causing pain.
Sitting for extended periods of time, especially on hard surfaces
Effect of a direct trauma, such as a fall
Bone fracture, tumors or an infection can also cause this condition
How do you know whether it’s Coccydynia?
You will experience pain while sitting, especially on hard surfaces
Localized pain in or around the tailbone that worsens with touch or any pressure applied on it
The pain will become severe when you stand from a seating position after considerable amount of time
The pain might also start during sexual intercourse
The pain increases in women during their menstrual cycles
- Radiated or referred Coccydynia
Physiotherapy Approach For Treating Coccydynia
Patients diagnosed with Coccydynia are advised to avoid factors which might provoke the pain. The initial line of treatment will include making certain adjustments such as applying gel cushion when one is sitting for extended periods of time. This helps reduce localized pressure and improve his posture. Other modes include:
Mobilizations: This can help realign the posture of the coccyx. Initially, there might be tenderness; hence, it is advised to start with rotational mobilization. To start with, either side should be mobilized first.
Manipulation: This can be done intra-rectal and when the patient is lying in a lateral position. The coccyx is repeatedly extended and flexed with the help of the index finger. However, care must be taken so as to not hurt the rectal mucosa.
Massage: Massaging the coccygeus muscles has also been proven to relieve pain. Biofeedback can also be integrated with it in order to avoid incidences of muscle pull on the coccyx. If you wish to discuss about any specific problem, you can consult a physiotherapist.
I am 17 years old and I am having joint pain in jaw for 3 days while moving it on one side. What should I do?
Is there any permanent solution for cervical spondylitis I'm having lot of pain in my neck it burns actually X ray shows gap between bones doctors suggested to go for MRI cervical spine but I dint do please suggest.
I am 42 year male suffering from diabetes I feel pain in my toe when I keep my foot on surface kindly advise.
Hello doctor l have pain in stomach of right side. What are the reason? I have also back pain and vaginal pain.
There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.
Some of the most common conditions that cause hand pain are:
De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.
Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.
Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.
Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.
- Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition. If you wish to discuss about any specific problem, you can consult an orthopedist.