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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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Hi. This is renu I am a 31 yes female. I have a back pain from last 2 years. I have taken so many treatment but I didn't get any response. Can you please help me out reg. This.
I visited homeopathic doctor and told him dat m suffering from vertigo and dat I feel slow continuous dizziness and nausea every time. He gave me medicine for spondylitis I told him I have vertigo nt spondylitis the causes for both are same you will be benefited so I took d medicine. Bt after taking 3 days m feeling more dizzy. I read vertigo is caused by ear problem. please suggest me is dat doctor is giving me right medicine or should I stop taking them.
Hi I am sathish of 17 years old, I have severe legs paining problem from nearly 2 years back and also some backbone pains. So tell some suggestions.
I am having back pain can you suggest any solutions for it as when it pains my leg starts paining kindly help for the same.
I am 21 years old girl. And I always face leg pain problems. And I am too weak I want to gain weight. What should I do?
I have to ride my bike daily for average 3 hours daily. I am having back pain severely. Please give me some suggestions.
Hello all, I am 21 years old (male) and from last 4-5 days I am feeling pain in my lower back when I sit or bend. Is there anything to get rid of it? Thanks in Advance!
I am having pimples on my face and colour is becoming darker. My face sometimes becomes red. Sometimes it become rough and it irritates. I always have pain in my foot on lower side amd my legs always paining.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.