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Dr. San Diago

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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.

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    What are muscle knots?
    Muscle knots are points within a muscle where contracted fibers are unable to release, or, as the dictionary puts it: highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.

    A common problem for active people, muscle knots technically called myofascial trigger points, or mtps feel like a small knot to your fingertips. These knots can range from the size of a pinhead in smaller muscles to the size of your thumb in larger muscles. 2

    Muscle knots can cause pain in two ways: (1) latent trigger points, which are knots that only hurt when you put pressure on them, and (2) active trigger points, which are knots that actively refer pain along your neural pathways, causing it in non-localized areas.

    Trigger points in a constant state of contraction have excess metabolic waste and oxygen use because blood flow to this area stops this sends pain signals to the brain. Because your brain wants to stop the pain, it commands the muscle to rest, which leads to under-usage of the muscle. This is what makes the muscle shorten and tighten up.

    What causes muscle knots?
    The most common causes of muscle knots are:

    1) accidents acute trauma, such as bad falls sports injuries that strain you joints and muscles

    2) postural stress sitting too long with poor posture, sitting with no support, lifting improperly

    3) overstimulation

  • Canadian Academy Of Homeopathy, VLIR Belgium, BHMS

    Pain in back, joints or in muscle can be very troublesome. And, if it continues, then it can cause a lot of discomfort as you then find it difficult to perform even day-to-day activities. Homeopathy can very effectively deals with any pain. Let us check the remedies:

    Homeopathic remedies for back pain:

    1. Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
    2. Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you are tired of applying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the concerned medicine.

    Ways in which homeopathy can cure Joint and muscle pain:

    1. Moving and shifting joint or muscle pains: Many patients have this problem where they face joint or muscle pain, but instead of it being constant in one area, it moves around the body. Pulsatilla is known to effectively reduce the symptoms in these cases.
    2. Arthritis: One of the most common problems that many people report is that of arthritis and rheumatoid arthritis, which causes a lot of pain in many people. In many cases, the use of Natrum Muriaticum and Bryonia has been known to allay the pain.
    3. Tennis elbow or tendon related problems: This is a common ailment, which in many cases is caused by strenuous activities, such as sports. Rhus tox has been known to be effective in such cases.
    2088 Thanks
  • Fellow In Arthroscopy, Fellow In Joint Replacement , MS - Orthopaedics, MBBS

    The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.

    What can cause knee pain:

    Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.

    ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.

    Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

    Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

    • Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
    • Rheumatoid Arthritis, an inflammatory chronic disorder
    • Septic Arthritis, causing pain, swelling and redness.
    • Gout caused due to the development of uric acid crystals in the joints

    How to deal with it:

    • Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
    • Dealing with Load: Losing weight is an important factor as carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
    • Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to consult a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.

    Ligament Injuries

    The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

    ACL injury and other ligament injuries can be caused by:

    • Twisting your knee with the foot planted
    • Getting hit on the knee
    • Extending the knee too far
    • Jumping and landing on a flexed knee
    • Stopping suddenly when running
    • Suddenly shifting weight from one leg to the other

    These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.


    1. Rest the knee
    2. Ice your knee to reduce pain and swelling
    3. Compress your knee
    4. Elevate your knee on a pillow when you're sitting or lying down
    5. Wear a knee brace to stabilise the knee
    6. Practise stretching and strengthening exercises if they are recommended

    For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.

    Meniscus Tear
    A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.

    A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.

    Treatment may include:

    1. Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows
    2. Physical therapy
    3. Surgery to repair the meniscus
    4. Surgery to remove part of the meniscus
    3176 Thanks
  • M. Ch. (Ortho), DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS

    Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

    Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

    Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

    Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

    Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

    Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

    2502 Thanks
  • MCh - Neurosurgery, MBBS

    Pain causes a lot of discomfort in the body no matter whether the pain is in the back, legs or in the head. Almost all people experience lower-back pain at some point in their lives, which can be extremely painful and can cause considerable annoyance. The first medical specialty that comes to mind for relief of lower-back pain is Orthopedics. The other two specialists that play a vital role in treating lower-back pain are the neurosurgeons and the physiatrists.

    Pain in the Back
    It is very difficult for the body to source the pain when it is deep and this pain could be due to infection, disease or injuries in the back, stomach and heart. It is even possible that the pain radiates to different places in the body. Often back pain is accompanied by body changes like redness, fever, neurological problems, heat, and changes in body functions and for that diagnosis of the back pain may be very severe. Patients suffering from lower-back pain and with symptoms that comprise of weakness in the foot or other symptoms of a neurologic insufficiency must definitely see a neurosurgeon.

    Back pain that occurs due to reversible problems is known to vanish in a few hours or in a day. However, if it continues longer and is accompanied by body changes, then there are chances that the condition can become worse. You must consult your doctor for back pain, if any of such characteristics are witnessed. It is always better to get evaluated by a physician.

    When to Consult a Doctor Immediately

    1. Back pain that is followed by a shock like a car accident.
    2. The pain in the back worsens and is constant
    3. Back pain continues for more than 4-6 weeks
    4. The pain does not improve even after taking typical remedies such as taking pain relievers or after resting.
    5. Severe pain in the back in the night and that is alleviated by rest
    6. The back pain is accompanied by abdominal pain
    7. Numbness in the upper thighs, buttocks, groin or in the genital area
    8. Weakness or tingling sensation in the arm or legs

    Role of a Neurosurgeon
    The neurosurgeon provides non-surgical as well surgical care depending upon the nature of the illness or the injury, and he does not just operate. The neurosurgeons are experts and offer treatment to patients suffering from any spine injury or disease, brain or peripheral nerves that deal with arms, hands, feet and legs. But there are many other neurosurgeons that confine their practice to treating back pain.

    2135 Thanks
  • Diploma in Gastroenterology, Diploma In Pulmonary Medicine , MSCP, BHMS, SVD( skin and veneral diseases)

    Back pain is one the most common problems that you are most likely to experience, given the rigors of the modern day lifestyle. Back pain is usually characterized by a mild to severe pain in your lower back area. Some of the causes of back pain can be:

    1. An accident or an injury
    2. Heavy lifting
    3. Obesity
    4. Stress and Depression
    5. Pregnancy
    6. Bad posture

    Homeopathy, with its plethora of medicines, serves as a better alternative as compared to its allopathic counterpart in curing back pain permanently, both acute as well as chronic. Homeopathic remedies are completely natural remedies without any side effect whatsoever.

    Here are some basic homeopathic remedies for back pain:

    1. Arnica: If the cause of your back pain is an injury, Arnica can be one of the best homeopathic medicines. In this sort of a pain, you experience stiffness and soreness at the back of your muscles.
    2. Bryonia: If your backache worsens with movement, Bryonia can help to cure this problem. You experience a stiff and tearing pain which worsens in humid and hot conditions. Try not to lie on a soft surface if you experience this sort of a pain. Proper rest with this medicine is suggested.
    3. Kali Carb: Kali carb is best in treating low back pain, especially in females after a delivery. This medicine caters to the sort of a pain which renders a great amount of weakness to your back muscles.
    4. Mag Phos: It is one of the best homeopathic remedies if you experience a sort of a pain, which is relieved by external application of heat. Pain, both of acute and chronic stages, can be cured by this medicine.
    5. Rhus tox: If your pain gets worse with movement, Rhus-tox is one of the most potent homeopathic remedies which can treat the issue. This sort of a pain causes stiffness in the back and at times, gets aggravated when you are resting.
    6. Bellis Per: This homeopathic wonder takes care of pain which is chronic, or which has been left untreated since a long time. Any surgical related back pain problem can also be remedied by this medicine.

    Even though some of the medications are mentioned here, it is better to take proper advice from your homeopathic practitioner, as the dosage and frequency must be decided by your doctor only based on the symptoms and your medical history.

    5097 Thanks
  • BPTh/BPT

    Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

    Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:

    • Osteoarthritis: The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:

      • severe pain in the knee joints

      • pain after walking up the stairs and it subsiding once you are on rest

      • severe pain after the movement of joints for a long time

      • pain that becomes worse in rainy days

      • joints becoming stiff after waking up in the morning but they improve in the latter part of the day

      • pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.

    • Rheumatoid Arthritis: Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:

      • severe pain in the morning

      • mild fever accompanying the pain

      • joints suddenly becoming swollen, red and warm causing, immense pain

      • sudden stiffness of the joints

      • pain that increases in cold weather

      • mild fever, extreme tiredness and weakening of the muscles

    Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.

    When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:

    1. If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.

    2. Muscle-stretching exercises are effective in keeping the knee joints flexible.

    3. Acupuncture and devices such as knee braces and knee caps can relieve the pain.

    4. Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.

    5. If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.

    Physiotherapy For Knee Arthritis

    Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.

    The main goals of physiotherapy for your knee arthritis are:

    1. Reduce your knee pain and inflammation.
    2. Normalise your knee joint range of motion.
    3. Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
    4. Strengthen your lower limb: calves, hip and pelvis muscles.
    5. Improve your patellofemoral (knee cap) alignment and function.
    6. Normalise your muscle lengths.
    7. Improve your proprioception, agility and balance.
    8. Improve your technique and function eg walking, squatting.
    3177 Thanks
  • Fellowship Joint Replacement, DNB (Ortho), D.ORTHO, MBBS, PGCRAM

    Shoulder impingement is a serious condition leading to severe pain in the shoulder blades of a person. Such kind of shoulder pain may affect anybody anytime. It basically affects the area of your shoulder facing stress due to any sort of overhead action. An impactful pressure on the tendons of bones constituting your shoulder gives rise to this disorder. This syndrome can affect a person who paints, swims, lifts or plays tennis on a regular basis. Once caused, persistent rendering of similar activities can worsen the case. If you are suffering from shoulder impingement syndrome, treatment under an experienced medical practitioner is indeed necessary as otherwise, you may have to suffer from tendinitis or bursitis.

    Take a keen look at the symptoms of shoulder impingement
    1. Disabling pain in and around the shoulders
    2. Under the effect of such excruciating pain, a person has restricted use of his or her arms and neck. He or she will face difficulties in reaching to a higher position above his or head. Aiming up behind your back will also be a challenge with the existence of this syndrome.
    3. There is considerable weakness in the muscles of your shoulders, preventing you from working with full vigor
    4. If left unattended, shoulder impingement can worsen to cause Rotator Cuff Tear where the tendons tear into two distinctive parts.

    Available modes of treatment
    1. A doctor might prescribe you anti- inflammatory drugs to relieve you from excess pain. These drugs should only be taken under the close monitoring of a specialist as they might have acute side effects. You might feel nauseous or might have an upset stomach after consuming these medications.
    2. Stretching your arms above your head while holding your body in an erect posture can be of great help. This stretching exercise should be tried out in a warm shower for better results.
    3. Other exercises under the supervision of a physiotherapist can come to your rescue as well. You should try to move your thumb up your back to recuperate from shoulder impingement.

    2436 Thanks
  • DNB Anaesthesiology, PDCC - Pain Management , MD - Anaesthesiology, MBBS
    Pain Management Specialist

    Back pain is one of the most common debilitating disorder in the world today. The pain affects 90% of people at some point of their lives. Human back comprises of various structures (see figure) which are nerves, bones, muscles, ligaments, and tendons, any or all of which can be a source of pain. Once back pain occurs, it may become chronic (more than 4 weeks) and you shall need to consult a pain physician for relief and accurate diagnosis.

    Since prevention is always better than cure,  you can save yourself from having back pain if you follow these basic tips:

    1. Regular Exercise in Correct Form: Regular exercise is important to maintain proper muscular strength of the back. Human back is supported by several big muscle groups (see figure). They serve two functions - one is to facilitate the posture and movements of the back itself and the other is to help movements of the rest of the body appendages (arms, head, pelvis and legs).The health of these muscle group is important to take stress off the spinal bones and maintain proper function. Most of these muscles are red muscle fibers as they need to maintain their activity for prolonged periods of time. Just to give you an idea - your biceps (arm muscles) have to work only when you bend your arm. But your back muscles have to function all the time - whether you sit, walk, stand or even sleep. But the point is what kind of exercises are good for your back? The best exercises for back include body weight low impact aerobics like brisk walking, swimming, stationary bicycling, extension exercises and yoga. What is important to remember while doing these exercises if that you need to be gentle in your movements and achieve correct "form" - this is possible if you can ask someone (preferably a trainer) to observe and point out whether the back stays straight during the exercise. It has been seen that arching and excessive bending is associated with injury to the back while exercising.

    2. Stay Hydrated and Eat Natural Nutritious diet:The inter vertebral discs contain 70 - 80% water. The muscles and tissues have 60% water content. Therefore, it is important to stay hydrated. In addition, you must eat a nutritious diet consisting of green leafy vegetables, good protein source and just enough carbohydrates. Deficiencies of essential nutrients like Vitamin D can result in diseases like osteoporosis. Another important aspect is to maintain body weight within healthy limits. This is very important as increased belly fat is linked to increased back pain due to mechanical factors.

    3. Lift objects correctly and maintain proper posture: While lifting objects, keep them as close to body as possible. Do not slouch or bend excessively while lifting. Just keep your back straight at all times. You may bend your knees a little if required (see figure). Think before you lift and get help if needed.

    While working, you must not sit for more than 45 minutes at a stretch. Walk for two minutes, go to a colleague's desk and say hi or even just drink some water or visit the washroom. Humans evolved as hunter - gatherers and our bodies are more adapted to walking / standing than to sitting for prolonged periods. Those of you who travel more and have to sit for long periods of time also need to follow above tips - avoid prolonged sitting in same posture.While exercising, improper position can do more harm than good. Therefore, proper form and posture is a must.

    Bonus tip: Avoid cigarette smoking and those who smoke cigarettes to decrease your chances of having degenerative disc diseases leading to chronic back pain early in life.

    Word of caution to prevent permanent damage: In case of back pain, which is not responding to home remedies or over the counter painkillers, please contact a Pain Physician to pinpoint the diagnosis and appropriate management.


    4239 Thanks
  • Bachelor of Ayurveda, Medicine and Surgery (BAMS)

    Gone are the days when mostly septuagenarians complained of joint and knee pain. The problem today has become common among all age groups. Knee or joint pain at any stage of life is painful, however, the health problem striking early on is scary as one just dreads of living with it in the so many years to come.

    Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain and joint pain can also be permanently cured with this method indigenous to India. Arthritis and Joint pain are among the most prevalent problems faced by adults, mostly old people. As per Ayurveda, 'vata dosha' Is responsible for joint and knee pain.

    Here are some common Ayurvedic remedies, which help reduce knee pain:

    1. Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains.
    2. Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications.
    3. Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
    4. Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.

    The following are some Ayurvedic home remedies that can be utilized to treat joint pain:

    1. Hot & Cold Compress: Cold and hot compresses can be utilized to ease your joint pain effectively. Heat compression decreases the pain, increases the blood circulation and relaxes the swollen joints and muscles. On the other hand, cold therapy lessens the inflammation of the affected joint. Place hot and cold towel alternatively on the affected area to achieve immediate relief from persistent pain.
    2. Turmeric: Add a pinch of turmeric and a teaspoon of honey in a glass of lukewarm water and drink this solution on a regular basis for a week. Turmeric contains anti inflammatory and antioxidant properties, which makes it an excellent remedy for treating joint pains.
    3. Healthy diet: A balanced diet that comprises a lot of green leafy vegetables and fresh seasonal fruits is good for your joints. The uncontrolled intake of fatty food, dairy products, and high sodium diet must be avoided in order to avoid arthritis and joint pain. Prevention is better than cure and in order to follow that it is always beneficial to get your complete body check up done from time to time.
    11 Thanks
  • MCh, DNB (Orthopedics), MS - Orthopaedics, MBBS

    Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
    These surfaces closely replicate the original anatomy.

    When do you need a knee replacement?
    When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

    Aim of the surgery

    1. Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
    2. Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
    3. Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
    4. Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
    5. Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.
    2457 Thanks

    Sleep on your back

    Sleeping on your back is the best position to let your entire spine rest comfortably. If you prefer to sleep on your side or on your stomach, make sure your pillow is not too high around 4 to 6 inches thick. This will prevent your head and neck from turning unnaturally to either side.

    Position your computer screen at eye level

    Sit comfortably in your office chair in front of your computer and close your eyes. When you open them, your gaze should be directly in the middle of your computer screen. If it is not, use books or other items to adjust the screen height.

    Do not allow your head to drift forward over your shoulders. And don't forget to take frequent breaks get up and move around at least every 30 minutes.

    4 Thanks
  • Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
    Pain Management Specialist

    A fracture is a complete or incomplete crack, which appears on a bone due to application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while sub acute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.

    Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them:

    1. Development of fracture pain: When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.
    2. Treatment of fracture pain: Modern medications can be utilized to treat a fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating a fracture pain. However, these remedies cause side effects, which are harmful for the body. Cortisone shots are utilized for the same purpose as well.
    3. Prolotherapy: Prolotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain. Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.

    Other measures:

    • Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.
    • Fracture pain occurs not only because of the broken bone, but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied.
    3728 Thanks
  • Commonwealth Fellow Joint Replacement, DNB - Orthopedics, MS - Orthopaedics, MBBS

    Get a diagnosis before anything else. It is really important to know what is causing your pain. See a doctor before you start doing any exercises or taking any medication. There are many reasons your hip could be in pain, including arthritis, bursitis, or an injury you've got while playing a sport. Always ask your doctor what you should and should not be doing, given the cause of your hip pain.

    1. Ice your joints: Holding ice to your hips will reduce inflammation of your joints. You should hold an ice pack to the affected area for 15 minutes several times a day. If you find that the ice pack is uncomfortably cold, wrap it in a towel and then place it on the pained area.
    2. Heat your joints if you have arthritis in your hips: Heating your joints can soothe the pain you feel. Consider taking a hot bath or shower, or soak in a hot tub if there is one available to you. You could also consider purchasing a hot pad that you can place directly on your hip. Do not use heat to soothe your joints if you have bursitis. Heat can cause hips affected by bursitis to actually become more inflamed.
    3. Get some rest: If you have injured your hip, the best thing you can do is to simply give your hip time to heal. Avoid anything that causes you to feel pain in your hip. Instead, grab an ice pack, a bowl of popcorn and watch some movies. You should give your hip a rest for at least 24 to 48 hours.
    4. Avoid high-impact activities: If you are in severe pain, chances are you won't feel like running or jumping anyway, but it is good to keep in mind that these activities should be avoided. High-impact activities will cause your joints to become more inflamed, thus causing your more pain. Instead of running, try taking a brisk walk, as walking has much less of an impact on your joints.
    5. Consider losing weight: The more your body weighs, the more weight your painful hip is burdened with supporting. Losing weight can help ease hip pain simply by removing some of that weight that stresses the cartilage and joints.
    6. Choose the right shoes: You should buy shoes that give you as much support as possible. Look for shoes that have great cushions, or have removable insoles so that you can add orthopaedics. The sole should have good shock absorption, should limit pronation (turning or rotating the foot) and will evenly distribute pressure along the length of your foot.
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  • Fellow In Arthroscopy, Fellow In Joint Replacement , MS - Orthopaedics, MBBS

    Rheumatoid arthritis is an auto-immune chronic disorder that might cause abnormal swelling in the joints when the joint tissues are attacked by the human immune system. The more frequently used body joints, such as the knees, fingers, shoulders, wrists, elbows and hips commonly get affected by the disease. Rheumatoid arthritis can also occur in the ligaments or tendons and might affect areas such as the kidney, bone marrow, eyes, lungs, and heart.

    If rheumatoid arthritis is not diagnosed on time, it might lead to future complications, such as blood cancer in the lymph regions, osteoporosis (a medical condition resulting in the weakness of the bones), infections, stiffening of the arteries and dry mouth.

    What exactly causes the disease is not known, but a significant damage to the immune system might cause the inflammation of the joints, resulting in this condition. Obesity, a family history of this condition and other lifestyle habits such as smoking tobacco put one at higher risks of this disorder.

    The symptoms of rheumatoid arthritis might vary among people. The most common symptoms of rheumatoid arthritis are;
    1. Severe pain in the morning
    2. Episodes of mild fever with severe pain
    3. Redness and inflammation of the joints which might cause intense pain
    4. Stiffness in the joints
    5. The pain might increase in low-temperature conditions
    6. Acute lethargy and weight loss

    The treatment of rheumatoid arthritis includes a prescribed dosage (depending on the intensity of the condition) of non-steroidal anti-inflammatory drugs such as ibuprofen, anti-rheumatoid drugs such as methotrexate and steroid drugs such as prednisone to reduce the swelling and the subsequent pain. Performing regular exercises in order to retain the flexibility of the joints with appropriate consultation from the physiotherapist might cure rheumatoid arthritis.

    4598 Thanks
  • Certificate in Diabetes update, Post Graduate Diploma In Hospital Administration (PGDHA), PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , PG Dip Panchakarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)

    Joints are intersections between bones; they provide support to your body during movement. There are a host of conditions which might lead to joint pain; they are bursitis, osteoarthritis, rheumatoid arthritis and gout. The most common joint pain disorders are knee pain, hip pain and shoulder pain. 

    Ayurveda associates joint pain with loss of bone density in the joints. This problem is characterized by a feeling of discomfort and cracking sounds. If the condition is not treated, it might lead to immobilization of the joint. The condition of the bones tends to deteriorate as they do not receive enough nutrition. 

    The other cause that leads to joint pain is toxin accumulation in the joints. As the toxin accumulates, it leads to heavy and stiff joints. If preventive measures are not taken on time, continuous accumulation of toxins may lead to swollen joints. 

    The various Ayurvedic remedies for joint pain are:

    1. Diet: Focus on eating foods especially that are salty, sour and sweet in taste. Add healthy foods such as rye and quinoa along with ghee as they pacify the "vata" in your body. Focus on natural foods such as vegetables and fruits to your diet.
    2. Herbs: Certain herbs such as turmeric help to treat joint pain. It contains curcumin that has anti-inflammatory properties which help in reducing the pain. You may also consume fenugreek seeds for its antioxidant content and anti-inflammatory properties. 
    3. Lifestyle Changes: Make sure you exercise on a daily basis, do basic bodyweight exercises such as push-ups and squats to improve your strength. You may also start with yoga workouts to build flexibility and mobility in your body.
    4. Smoking and Alcohol: Limit smoking and alcohol consumption to keep your body healthy, and free from free radical damage. Alcohol may also cause you to put on weight, thus leading to obesity. Smoking may cause various problems in the lungs that may lead to breathing disorders.
    3195 Thanks
    Pain Management Specialist

    Lower back pain can be one of the most physically debilitating things that can affect you and limit your mobility. Even if the pain isn’t that acute, it could still signal something deteriorating in your lower back. While oral medications, topical creams or sprays can help in reducing pain, there are other effective remedies you can try on your own. These will be handy when you have no medications at hand. One of these is the hot and cold therapy.

    Heat therapy for lower back pain

    Heat works well with lower back pain as it can dilate blood vessels and improve circulation within the tissue. This will help in circulation and also result in lowering the pain. Heat therapy will also loosen up other muscles in the area and help soothe sore areas which have been taking the burden along with the lower back muscles. Some of the techniques that can be applied are:

    1. All day heat wraps: These are specially manufactured belts or wraps which wrap around your abdomen and keep tightness and pressure on your lower back as well as supplying heat.

    2. Electric heating pads: These are mechanized heating pads which generate heat with electricity. You can place them under you back and then either sit or sleep with it positioned behind you. However, ensure that you don’t keep these for too long as they could burn your skin.

    3. Hot Compress with towels or hot water bags: Use a clean towel and heat it over a conductive surface and apply it on your lower back. You can also use hot water bags for the same purpose.

    Cold therapy for lower back pain

    Cold therapy uses the principle of constriction of blood vessels as well as slowing circulation. This will help numb the area and thus help relieve the pain. Some of the ways these can be administered are mentioned below.

    1. Ice towel: In this method, soak a towel in ice cold water, wring it to dry it and then apply on your lower back. This will numb the pain without transferring the sting of the cold or damaging your skin.

    2. Ice packs: Put about half a kg of ice in a plastic Ziploc bag and pour water over the ice to just about cover it. Push out the air out of the bag and then lock it. Use this ice pack with a towel to ensure that you back doesn't get wet.

    3. Ice gel packs: These are ready made packs, which can be bought from medical stores and kept frozen to be used whenever you need it in order to relieve lower back pain.

    4290 Thanks
  • MS - Orthopaedics, MBBS, fellowship in sports injury and arthroscopy surgery and hip and knee replacement

    A pain in the neck, both in the metaphorical and the literal sense of the term can be quite discomforting. If we look at it from a medical point of view, the pain in the neck could be a serious sign of something being amiss and so, keeping in mind the causes of such a pain is just so important!

    Recognizing the Type of Neck Pain

    A pain in the neck can manifest itself in a variety of ways. Also, it need not also follow the textbook definition of the term. As a matter of fact, tingling, tenderness or numbness can also be significant symptoms of neck pain. Another major symptom can be having difficulty while swallowing. This could be much more crucial than just a problem with the digestive system.

    Many cases that doctors come across when a patient comes to consult about a pain in the neck are regarding an issue with the spinal cord. At in certain cases, it could be related to an issue with the muscles which are located in the area.

    When a person has neck pain, he or she should think back and try to remember if he or she was in an incident where the neck could have possibly been the recipient of some sort of impact. This could be a possible explanation of the pain. Also, if there is a pain in the neck after an incident, it is better not to delay a visit to the doctor as the person is likely to be uncomfortable. The neglect is this condition can also lead to the problem getting progressively worse.

    In some cases, a pain in the neck can even be congenital. A very good example of this is wry neck, or torticollis. When a pain in the neck is diagnosed by the doctor, figuring out what the likely cause is quite an important thing to do and should be the first thing which is done by him or her as the various ways to treat a pain in the neck vary according to the cause of it.

    The problem of neck pain is very common as two third of the population suffers from it at some point in their lives. This does not mean that it needs to affect a person's quality of life. The right precautions and proper medication can make sure that his or her neck is not on the line!

    4294 Thanks
  • Ph.D Advance Course in Acupunctre, MD - Acupuncture

    Almost 8 out of 10 individuals have low back pain eventually in life. It is one of the top reasons people look for medical treatment. It is likewise the number one reported reason for acupuncture therapy.

    Acupuncture started in China over 2,500 years back. It includes inserting slim needles at specific points on the body. As per traditional Chinese practices, the body has more than 2,000 of these points. They are associated by pathways or meridians, which make a stream of energy called Qi (pronounced "chee").

    The impacts originate from the centre of our nervous system. Release of chemicals into the muscles, spinal rope, and cerebrum is then triggered.

    The process:

    1. To begin with, your acupuncturist will get some information about your medical history. This will help him in exploring the various trouble giving points as avoiding those that may lead to an aggravation of the problem. Also, with this information, the acupuncturist will also be able to arrive at the exact treatment that will suit your body and system, as well as the symptoms that you may be experiencing.
    2. He or she will then examine your tongue's shape, shading, and covering, feel your heartbeat, and perhaps play out some extra physical examinations depending upon your health. This helps in understanding the various patterns related to sleep, exercise, diet and digestion. In keeping with these findings, the acupuncturist will then home in on the exact points that require treatment.
    3. Keeping the aforementioned in mind, he/she will then appoint the appropriate treatment plan to address your specific condition.
    4. To start the needle therapy treatment, you lay easily on a treatment table while exact acupoints are determined on different points of your back.
    5. Lastly, the fine needles are then tenderly set. The needles are usually sterilised and new before they are inserted.

    Benefits for back pain:

    1. It enhances the body's self-healing process by stimulating the acupuncture points.
    2. Releases your body from chronic pain and specifically helps the lumbar region in better balance so that back pain is avoided.
    3. This method warms the body and creates a more congenial environment for pain free good health.
    4. Protects it against pathogens.
    5. Contains natural liquids. Changes those liquids into other usable types of energy for the body.
    6. Strengthens the immune system.
    7. Improves sleep.
    8. Improves the digestive framework.
    9. Gives you a sense of well-being

    Apart from infrequent throbbing and soreness at the acupoints, there are no such side effects if you visit an established acupuncturist. If practiced by an experienced acupuncturist, the technique is highly effective and beneficial. Additionally, acupuncture is the safest therapy for back pain.

    Individuals suffering from continuous back pain have observed needle therapy to be useful. Numerous Pain Clinics now utilize needle therapy as a standard treatment.

    3227 Thanks
  • MS - Orthopaedics, MBBS

    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.


    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
    • Wrist
    • Lower arm

    The treatment methods includes the following:

    • Resting the hand and wrist
    • Painkillers
    • Wrist support
    • Steroid infusions
    • Active recuperation
    • Breaks

    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:

    • Stiffness
    • Swelling
    • 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:

    • Painkillers
    • Props for the fingers or wrist
    • Heat
    • 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.

    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.

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