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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
Hip Injury Treatment
Ankle Injury Treatment
Knee Injury Treatment
Hip Pain Treatment
Ankle Pain Treatment
Knee Pain Treatment
Treatment of Joint Dislocation
Joint Mobilization Procedure
Joint Replacement Surgery
Limping Child Treatment
Meniscus Injury Treatment
Pelvic Rehabilitation Techniques
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I am 50 years old. I have severe upper back pain since one month. What can I do? I have no sugar, bp or cholesterol. But I am a hypothyroid patient taking 25 mg thyronorm only.
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.
When I run I use to have pain in my legs at a particular point in between knees and ankles. What to do for curing it?
I had back pain since last two years. I used medicines but of no use .It is severe when I lift any weights. Suggest me some measures to control it.
Yesterday I jumped over 5 ft I injured I did MRI and the report is as below (1) complete anterior cruciate ligament tear at its femoral attachment with loss of normal alignment (2) medial meniscus tear with mild extrusion Spain of medial collateral ligament and moderate joint effusion (3) marrow contusion in posterior aspect of lateral plateau I am very worried what is the solution please tell me if the operation is needed or not.
What should I do for my neck pain, eye and noise muscle pain. I think I have problem of cervical pain from 5-6 years. I am always disturbed from it and feel bad in the friends group. Please tell me what medicines should I have to take and others solution for it.
Hi doctor. Actually 1 month ago I fell down in the bathroom and my elbow hurt and swell. Then I went to the doctor he took my xray and there was no fracture so he said it is a ligament injury in your elbow. But now also my elbow hurts alot and pain is gradual sometimes decrease and sometimes increases. It feels like when I use my hand that something is stretching in it and it really hurts and that area become warm. Please tell me what has happened in my elbow. and please suggest some treatment. My injury may be getting worse. My whole hand pain every time.
I had done my executive health checkup on 30 may and was normal but recently before 4 days back I got fever and lower back pain in which it was ruled out of a kidney stone and it came out in a day after drinking plenty water, in between I had gone twice to body massage, now I feel very fatigue and full of flum in cold. Should I go for jaundice test, dengue or any other test as feeling very lazy all the time with shortness of breath. CBC was normal a month back too.
I haven't been able to sleep 2 days due to the severe back pain, tried lots of exercises and medicines, but didn't work. What should I do now? Please help me.
I am 18 years old I have a problem that in night sevivor back pain and I can't able to sleep in night this action is happening since 7 days please give me a suggestion sir.
The human body, a product of millions of years of evolution was built for movement, for activity, speed and precision. However, over the last few centuries, civilization has made our requirements to move much less than it was necessary for our ancestors. Our body is the same as it was millions of years ago, but the modifications in our lifestyle devoid of any physical activity has taken their toll. This is leading to increased incidents of back pain because of abnormal stresses on our spine. Back pain is an affliction which affects about 80% of population at one point or another in their lifetime and sadly the indications are that the incidents keep rising.With advanced technology, fewer physical complaints were to be expected, but this is not so. In fact, even today primitive races like aborigines in Australia suffer far less from back pain then, the so - called civilized races. Therefore, greater mobility and physical fitness is the hall mark in preventing back problems. There are over 100 expected causes of low back pain and many more incidents where the cause cannot be found out. But the most common cause of back pain is the wear and tear of the structures constituting the spine and this is mostly due to abnormal use of back and poor posture.The information given below helps to prevent and reduce the incidents of back pain.
Good posture - The most important way to prevent back aches, good posture, can be defined as any position which allows good use of the body for a specific task and is comfortable for as long as the position is held. Even though bad posture may not cause any discomfort, continuous poor posture will result in long term cause .
Back Posture in standing - Stay slim so that abnormal forces are not put on the spine. If you stand or walk a lot, low heeled shoes are necessary to maintain the proper curve at the small of your back.
Sitting - Choose a chair of the correct height. Feet should be supported on the floor comfortably and should not be dangling. Sit in a chair with proper support for the normal curves of your back. Choose a chair with arm rests. The arm rests should not be too high or low. Reading stance or computer monitor should be at such a height that you do not have to bend to the front or sidevise to do your work.
Lying - The bed should be firm with good mattress and not swinging or slouching because that will spoil the normal curve of the back. Use a single good pillow. It does not matter whether you lie on your back while sleeping or on your side. Sometimes it is comfortable for the back to put a pillow below the knees while lying down.
Driving - Driving seat should support the back properly. If there is a gap in between two back and the seat, it should be filled with small cushion or one can use a back rest. Seated properly, your knee should be higher than your hips. If your job demands long hours of driving on a regular basis, then it is a good idea to break the journey after half an hour to one hour drive, take a little exercise to relieve the stress and restart driving. When getting out of the car, swivel your whole body towards the door rather than suddenly jerking it. Slide your feet on to the ground and then get out.
Lifting - One should follow the principles underlined below: As you approach, relax your knees. Lowering movement should start at the knees and not at the head. After bending your knee get close to the object to be lifted ; almost sit down on the floor keeping the feet apart. One foot should be a little ahead of the other .Lift the object gradually, smoothly and without jerking, keeping the object close to the body and keeping the back straight although not necessarily vertical. Gradually get up without twisting the back, if the load is too heavy get help Pulling or pushing -When pulling or pushing any object - keep the back straight, bend at the hips and knees using your legs rather than your arms or back. Pushing is easier on your back than pulling, so push it if you have a choice.
Fitness -If you are not fit then you are much more likely to damage your back as it will not be as flexible as it should be.
Mobility - Good posture is not possible without a mobile spine and muscle tone. Joints must be moved to keep them. Mobile and the muscles, both the abdominal and back must be used to keep them strong. Back exercises if done once a day, will maintain essential flexibility of the spine and the necessary muscle strength to help to prevent injury.
My mother is suffering from osteoporosis for last 16 years and under medication from then. Now she is suffering from kidney problems detected by Dr. She hardly goes to urinate once through out the day. Her legs are swelled. She has high Bp. please give some suggestions.
Dear sir I am 42 year male suffering from lower back pain from 3 days? any suggestion from your side and how to relief it thanks
The hand is one of the most commonly used parts of our body and is susceptible to damage, wear and tear as well as injury. Pain in the hand can be attributed to numerous causes, including damage and other conditions that can affect the joints, cartilage, nerves and other parts of the hand. Know more about controlling Joints Pain
De Quervain's tendinitis: This is also known as de Quervain's tendinosis. It causes pain on the thumb side of the wrist. The pain may grow slowly or suddenly. It can also spread to every part of the thumb and up the lower arm. On the off chance that you have de Quervain's tendinitis, you may experience pain while performing the following actions:
- Clenching The fist
- Handling on or holding objects
- Turning the wrist
Treatment for this includes the following:
- Wearing a prop to rest the thumb and wrist
- Calming drugs
- Cortisone infusions
Carpal tunnel disorder: This is common amongst the well-known nerve issues. It can cause pain in the following parts of the hand:
- Palm and a few fingers
- Lower arm
The treatment methods includes the following:
- Resting the hand and wrist
- Wrist support
- Steroid infusions
- Active recuperation
Fracture: It's a crack or break in a bone that can cause immense pain in the hand. Other than this, the hand may also experience the following:
- Loss of proper motion and movement
The kind of treatment depends on the kind of fracture. Braces are usually used for small fractures. Sticks, wires, or plates might be used to treat severe fractures. Likewise, surgery may also be recommended to set the broken bone properly.
Arthritis: This is a disease causing joint inflammation and stiffness of the joints. It causes the joints to lose the ligament that permits them to move easily against each other. This tears the ligament, giving rise to crippling pain and swelling.
In the hand, the regions where this regularly happens are as follows:
- Base of the thumb
- Center joint of one or more fingers
- End joint, which is nearest to the fingertip
The treatment depends on the seriousness of the injury and the following may be used:
- Props for the fingers or wrist
- Non-intrusive treatment
Trigger finger: Also known as stenosing tenosynovitis, this defect causes the fingers or the thumb to bend. It can be difficult, particularly when bowing or fixing the influenced finger or thumb.
Knobs may form on the influenced ligaments. Also, the sheath itself may thicken. In the long run, the ligament may get to be adhered when you attempt to fix a twisted finger or thumb. Learn more about Ligament Injury.
Resting now and again while wearing a support may help resolve the issue. Over-the-counter torment pharmaceuticals can facilitate the agony. Corticosteroid infusions can mitigate side effects. Surgery might be recommended for extreme cases.
Hi doctors, im having severe pain in both my knees and sometimes its on the right, left and both and ive been to the doctor but they just prescribed pain killers and it doesn't really help, how can I help to ease the pain and any idea if it could be arthritis? Because its genetic and im 20. Also, what should I eat/drink and avoid, thank you.
My age was 16 but in my back I have pain all day about 3 month I have thar pain but there was no relief.
My mother is 55 and had knee pain from past few years. It has become quite worse now and she is in intense pain in one knee regularly and feels uneasy walking. She has some breathing trouble to accompany while walking and feels like her legs are weak or feels numbness sometimes. What could be the problem here? What can be done?
About 80 percent of people all across the globe experience lower back pain at some stage in their lives. It is one of the most common reasons why people miss their work and appoint a physiotherapist. But lower back pain is an ailment that can be avoided with proper knowledge and some back exercises. In case your lower back pain is not under control and you have been neglecting it, you are susceptible to acute pain, sciatica, nerve pain and pain in other regions caused from a pinched nerve. Long-term pain in the back portion can lead to permanent ailments like degenerative disc disease or spinal stenosis.
Probable causes of lower back pain: Severe pain in the lower back region can be caused due to a herniated disc, back muscle pain, ligament strain or any other non-specific pain. An individual may also suffer from lower back pain due to systemic conditions like rheumatoid arthritis, fibromyalgia or ankylosing spondylitis. Though these causes are very common in most people suffering from lower-back pain, the diagnosis varies from person to person and to ensure the best care to alleviate the pain, you must consult a responsive musculoskeletal physiotherapist.
Stages for assessing and treating lower back pain: Managing the back pain is the primary objective of physiotherapy. In reality, back pain is the final symptom that is developed and the first thing that must be addressed.
- Stage I: Back pain relief: The physiotherapist is going to use different types of tools and items to help the pain subside along with the inflammation. These include electrotherapy, acupuncture, ice application, soft-tissue massage and deloading taping techniques. Sometimes the physiotherapist may also recommend an anti-inflammatory drug if the pain is intolerable.
- Stage II: Restoring normal strength: With the settling of pain and inflammation, you are more susceptible to injury because though your pain has subsided, your ligaments and muscles are weak. Your doctor will aim at restoring normal motion of lumbar spine, muscle endurance and strength, proprioception, balance and walking abilities.
- Stage III: Restoring full body function: Depending on your daily chores and activity, your physiotherapist will aim at restoring the function of your back portion to keep you safe while performing the chosen activities. For some, it may be taking a slow walk around the park while for others it may mean taking part in some sports activity.
- Stage IV: Preventing recurrence: Your physiotherapist will rehabilitate you to prevent further occurrence of this excruciating pain by suggesting proper postures, exercise and core muscle workout.
Each of these stages are important to help you get rid of severe back pain and with daily exercise, you can regulate your body and spare yourself from recurrence of this lower back pain.