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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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Mere Ghutne main 2 saal se Dard ho Raha hai 4 din 5 din Dard rahta h phir Dard nahi hota hai Wahi Dard 3-4 din Baad phir se hone lagta hai baithne aur Khade hone main paresani Hoti hai please advise.
Dear Dr. My Right hand shoulder aches at times.Hand movements are restricted.Cannot move my right hand freely.
I have a 4 years old broken patella scar on my knee. Which is the best method to remove it? Will it be removed completely?
Hello doctor my name is shailendra raikwar I am 27 year old man I have back pain problem last one week what should I do please tell me.
I am 67 years old staying at Chennai Annanagar. I have sugar level 144 fasting and 180Post fasting. BP normal. I have back pain as well as pain like pinching needle, burning of palm after a few length walk. Have under gone physiotherapy for back pain, not improved much. Leg pain severe. Should I consult some urologist? Do help.
Sometime my legs are not feel comfort because my legs are go to sleep and make many pain why doctor.
Zeba gets pain in her waist all the time. If she takes pain killer she gets relief for sometime but again the pain comes back. Why it is happening to her?
Achilles Tendon pain is an orthopedic condition that can originate from tears and ruptures to the AchillesTendon, which is known as one of the strongest and also the longest tendon in the human body. It is a band of tissues that decides the quality of your movements and motions to a great extent, as it connects the heel with the calf. Therefore, any injury to this tendon can decrease the strength and support to the muscles and create a painful situation. So how can you deal with this pain? Read on to know more.
- Rice Therapy: Rice is a commonly used term by orthopedic specialist. It refers to Rest, Ice, Compression with a bandage, and finally Elevation. The patient must take lots of rest as well as use ice packs to deal with the injury and acute pain. Finally, the area must be compressed with a bandage and kept elevated on cushions.
- Surgery: For very severe cases, the orthopedic specialist can recommend surgery as well. This kind of surgery aims at reattaching the displaced or ruptured tendon which may have reached such a fate through a sports or any other kind of injury. The doctor may also place your leg in a cast for a few weeks to keep it at complete rest.
- Pain Medication: The doctor can also prescribe pain relievers that contain Ibuprofen as well as acetaminophen or even naproxen. These medicines should be taken in moderation as per the doctor's prescription. Usually, this kind of medication is taken only when unbearable pain is experienced by the patient.
- Thermotherapy or Heat Treatment: The use of heat for chronic pain or even pain that has been ailing for over 48 hours is known as thermotherapy. This therapy uses heating pads and hot water bottles to help relieve the pain. One must be careful while applying anything hot to the site of the injury. Use a towel to wrap the hot water bottle or heating pad so that there is no scalding or leaking on to the skin.
- Footwear: It is important to prevent continuous injury and pain to the already injured Achilles tendon. To do this, you must wear supportive and comfortable footwear that has heel lifts and other customized orthotics built into the shoes.
Taking care of Achilles Tendon pain is a matter of taking various precautions and supportive actions that lead to better healing.
My mother is 49 years old, she is having back pain from last one months. Sometimes she feel alright and suddenly she feel the severe pain. Mainly she feels pain when she stands up or sits down.
Hi I am 53 years old having neck, skull and shoulder bone pain. I have taken 12 session electro-magnetic therapy from a physiotherapist and doing regular exercise as advised by him. It has already been passed 3 months. I was not moving my head front to side. After this, I was feeling a little better but not completely wiped out. Now, my bone in left side shoulder to neck is paining. 2 knots in back side skull immediately above neck is paining. Sometimes the roof of skull is mild paining. I don't know to whom I will take advise - orthopedics - nuero medicines, or ent. Sometimes, I feel the vein in all side of neck is affected. Please advise me. Thanks & regards,
Spinal stenosis is a narrowing of the spinal canal and foramen, which results in increase pressure on spinal cord and nerves which emerge out from spinal cord.
Causes of stenosis
degenerative ageing process of your spine.
the ligaments of your spine may hardened and calcify, and start to compromise the adjacent structures .
Increased bone stress causes bone spurs, which encroach in the spine?s space.
spinal discs, become dehydrated with age and lose their height. This disc narrowing can deteriorate quicker with injury eg disc bulges or degenerative disc disease.
Osteoarthritis of your spine is the most common form of arthritis and is more likely to occur in middle-aged and older people. It is a chronic, degenerative process. It is the result of everyday wear and tear of the spine joints, and is often accompanied by overgrowth of bone, formation of bone spurs, which can cause spinal stenosis.
Spinal stenosis is most common in men and women over 50 years of age and is related to degenerative changes in the spine. However, it may occur in younger people who are born with a narrowing of the spinal canal or who suffer an injury to the spine.
Symptoms of Spinal Stenosis?
numbness, muscle weakness, diminished reflexes , cramping or general pain in the arms or legs.
The most common stenosis regions of your spine are your lumbar spine (low back) and your cervical spine (neck), but any spinal region can suffer stenosis.
In lumbar spinal stenosis, the spinal nerve roots in the lower back are compressed and this can produce symptoms of pain, tingling, weakness or numbness that radiates from the low back and into the buttocks and legs, especially with activity.
Cervical stenosis may cause similar symptoms affecting your arms and potentially your legs too!
If the narrowed space within the spine is pushing on a nerve root, you may feel pain radiating down the nerve eg sciatica. However, unlike patients who have sciatica due to slipped disc, this sciatica is relieved by sitting down in stenotic patients.
Classically, in stenosis patients, sitting or bending forward to flex the spine should relieve your symptoms. The flexed position ?opens up? the spinal column and therefore enlarges the spaces between the vertebrae. Because keeping the lower back ?flexed' (bent forward) relieves their symptoms, patients will often walk with a slight stoop forward or look downwards.
With this adaptive posture, the lower back is often stiff and tightness develops in the hip flexor muscles at the front of the hips.Standing, walking or bending backwards often makes stenosis-related symptoms worse because this position causes narrowing of the space surrounding the nerves.
Walking up a hill may be fine because leaning forwards opens up the space around the nerves.
The space in the spine may narrow without actually producing any symptoms of stenosis. It is only when the narrowing causes the compression of the spinal cord, nerves and nerve roots, that there may be an onset of stenosis symptoms.
Your neck or back may not even be painful. In severe spinal stenosis, you may experience with constant or worsening back pain; numbness or pins and needles in the genital region; weakness in both legs; and or disturbances in bladder or bowel function. If this is the case, you require urgent medical attention!
How is Spinal Stenosis Diagnosed?
Your physiotherapist or doctor may diagnose you with spinal stenosis based on your symptom behaviour alone. However, the extent of your stenosis is best determined via a CT-scan, MRI or myelography.
lower back pain
MRI Spinal Stenosis
Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection
Managing your pain is usually the main reason that you seek treatment for stenosis. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.
Managing your inflammation. Inflammation is the main short-term reason for why you have suddenly developed stenosis symptoms. It best reduced via ice therapy and techniques or exercises that de-load the inflammed structures.
Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include: ice, electrotherapy, acupuncture, deloading taping techniques, soft tissue massage and temporary use of a back brace.
Your doctor may recommend a course of non-steroidal anti-inflammatory drugs such as ibuprofen.
PHASE II - Restoring Normal ROM, Strength
As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal joint alignment and range of motion, muscle length and resting tension, muscle strength and endurance.
Your physiotherapist will commence you on a lower abdominal and core stability program to facilitate your important muscles that dynamically control and stabilise your spine.
Researchers have discovered the importance of your back and abdominal core muscle recruitment patterns. A normal order of: deep, then intermediate and finally superficial muscle firing patterns is normally required for pain-free backs. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.
Your physiotherapist may recommend a stretching program or a remedial massage to address your tight or shortened muscles.
Please ask your physio for their advice.
PHASE III - Restoring Full Function
As your back?s dynamic control improves, your physiotherapist will turn their attention to restoring your normal pelvic and spine alignment and its range of motion during more stressful body positions and postures. They?ll also work on your outer core and leg muscle power.
Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your function to safely allow you to return to your desired activities.
Everyone has different demands for their body that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon.
Your physiotherapist will make your back rehabilitation to help you achieve your own functional goals.
PHASE IV - Preventing a Recurrence
Back pain does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation. In particular, poor compliance with deep abdominal and core muscle exercises. You should continue a version of these exercises routinely a few times
In addition to your muscle control, your physiotherapist will assess your spine and pelvis biomechanics and correct any defects. It may be as simple as providing you with adjacent muscle exercises or some foot orthotics to address any biomechanical faults in the legs or feet.
General exercise is an important component to successfully preventing a recurrence. Your physiotherapist may recommend pilates, yoga, swimming, walking, hydrotherapy or a gym program to assist you in the long-term.
Fine tuning and maintenance of your back stability and function is best achieved by addressing any deficits and learning self-management techniques. Your physiotherapist will guide you.
What is Your Prognosis for Spinal Stenosis?
The success of treatment for stenosis is reasonably good in the short-term due to the symptom onset mainly being related to recent inflammation.
With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated