Minimally Invasive Hip Correction Procedure
Minimally Invasive Knee Correction Procedure
Rotator Cuff Injury Treatment
Scoliosis Correction Surgery
Treatment Of Meniscus Injury
Acl Reconstruction Procedure
Column Traumatology Procedure
Treatment of Mckinzie Treatment For Spine
Pelvic Rehabilitation Techniques
Rf Neurotomy Procedure
Treatment of Rheumatic Complaints
Treatment Of Lumbago
Custom Splinting Bracing Procedure
Treatment of Joint Dislocation
Joint Mobilization Procedure
Treatment of Disc Prolapse
Joint Replacement Surgery
Treatment of Limping Child
Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.
If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.
In case of middle to old age, injuries that can cause shoulder pain are:
- Biceps Tendonitis
- Acromio-clavicular Joint arthritis
- Scapular Dyskinesia
- Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
- Superior labral anterior/posterior (SLAP tear)lesion
Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:
- Bankart lesion
Diagnose Shoulder Pain
Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:
- X-rays: Through an x-ray one can view the shoulder in many different views.
- Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
- MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
- Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.
Treatment for various types of Shoulder pain
- For Shoulder impingement or Rotator cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery) Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
- Labral lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.
- Pain relief and physiotherapy as first step If this fails then following surgical options are available
- Arthroscopic debridement or repair of labrum
- Biceps tenotomy or tenodesis
In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.
It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.
Always remember 'a stitch in time saves nine'. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Bursitis is a disorder that is characterized by inflammation of a fluid filled sac called the bursa. Bursa is present in between various tissues such as muscles, tendons and bones where friction may occur. This sac cushions the tissues and prevents friction. The usual areas that are affected by this condition are hip, shoulder and the elbows.
The symptoms of bursitis are:
1. You will experience pain in the affected area
2. Tightness and stiffness in the area
3. Local swelling of the muscle
4. Redness of the area
5. Any physical contact with the area causes pain
Bursitis may also occur due to the following reasons:
1. Ageing results in loss of elasticity of the tendons, thus impairing their ability to tolerate any stressful activity
2. Sports such as baseball where you are required to throw the ball with force may lead to bursitis
3. If you do tasks that require kneeling down on a regular basis
4. Sitting on hard surfaces for extended periods of time
5. Abnormalities such as improperly placed joints
6. Inflammation from other conditions such as gout, thyroid disorders and rheumatoid arthritis may lead to bursitis
The condition is treated by using a variety of methods such as exercise and medication. Antibiotics are used to treat any underlying infection causing bursitis. Injections may be administered to reduce inflammation in the affected area along with exercises to strengthen the affected muscle. In severe cases, the doctor may resort to surgery to treat this condition.
You may use certain preventive measures to stay clear of bursitis. Some of them are
1. Lift with proper form: If you are lifting something heavy, then make sure you keep the spine straight and bend your knees slightly.
2. Take breaks: Don’t remain in the same position for long durations, take small breaks and walk around to release the stress from your legs.
3. Exercise: Do strength building workouts to build strength in the joints. Include mobility and flexibility stretches in your routine to keep your joints healthy, thus increasing the range of motion.
4. Maintain optimal weight levels: If you are obese, then take steps to reduce your weight. Maintain a proper diet to check your waistline. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Adhesive capsulitis: an overview
If you are taken aback by the very mention of this condition, you must know this is something you face every now and then. The problem is not too serious until it persists and hence people do not bother to look up terrifying medical terms for the case. Adhesive capsulitis or frozen shoulder is a condition that could arise from a host of reasons. It is usually characterized by a marked stiffness in and around the shoulder blade felt either in the middle of the night, early in the morning or while trying to move a hand close to the end of its reach. Frozen shoulder might become a chronic problem in which case remedying it takes a minimum of one or two years.
Factors leading to Adhesive capsulitis
- This condition is prevalent amongst patients of diabetes.
- Lack of movement of a limb, either of the two hands, due to a fracture or a surgery can result in the same.
- Adhesive capsulitis occurs when the capsule of connective tissues ensconcing the ligaments and bones of your shoulder joint tightens around them hindering free and easy movement.
How is Adhesive Capsulitis Treated?
There are various treatments for adhesive capsulitis. Even though the condition usually gets better on its own, improvement can take two to three years. Over 90% of patients improve with non-surgical treatments, including the following:
- Physical therapy
- Corticosteroid injections
- Anti-inflammatory medications
Surgery can be performed for patients who see no improvement after non-surgical measures are taken.
How is subacromial bursitis different from Adhesive capsulitis?
While a frozen shoulder affects your entire shoulder area, subacromial bursitis affects a single point in the shoulder blade. The topmost boney part of the shoulder blade is referred to as the acromion. The acromion is placed above the ball- and- socket joint without touching the bones directly. The subacromial bursa is a soft cushion like thing that prohibits friction between the muscles or tendons of the shoulder joint and the acromion. An irritable subacromial bursa is referred to as subacromial bursitis.
How is Subacromial Bursitis Treated?
Subacromial Bursitis can be treated in a number of ways, including:
- Avoiding activities that aggravate the problem
- Resting the injured area
- Icing the area the day of the injury
- Taking over-the-counter anti-inflammatory medicines
- What do you mean by rotator cuff tear?
Rotator cuff is a group of tendons and muscles located on top of the upper arm bone or humerus. The cuff helps to hold your arm in place allowing easy movement. Acute stress or physical exertion can lead to muscle cramps or might even make the tendons tear apart. Tennis players, swimmers, or people lifting heavy weights are prone to Rotator Cuff Tear. This condition leads to excruciating pain and tenderness in your shoulder blade.
What's the Treatment for a Rotator Cuff Tear?
As bad as these injuries can be, the good news is that many rotator cuff tears heal on their own. You just need to give them a little time. You also should:
- Rest the joint as much as possible. Avoid any movement or activity that hurts. You may need a sling.
- Ice your shoulder two to three times a day to reduce pain and swelling.
- Perform range-of-motion exercises, if your doctor recommends them.
- Consider physical therapy to strengthen the joint.
- Use anti-inflammatory painkillers, or NSAIDS, like Advil, Aleve, or Motrin.
More serious rotator cuff tears require surgery. One procedure is shoulder arthroscopy, usually an outpatient procedure.
Your knee is guarded and cushioned by a cartilage known as meniscus. A meniscus tear, therefore, is an extremely painful and discomforting situation. It occurs very frequently and has emerged as one of the most commonly occurring cartilage injuries. What makes a meniscus tear an extremely common phenomenon is the way it can tear that is all it takes is a twist of the knee for it to happen.
People involved in sports mostly face the brunt of this form of injury. The risk of getting meniscus torn increases with age and tends to occur at the slightest change of direction of movement.
Some of the symptoms of a torn meniscus are:
- Pain and inflammation: It goes without saying that an internal injury of the cartilage or tearing away of it would inevitably result in extreme pain and inflammation near the knee.
- Immobility: The extreme pain and inflammation, which follows will inevitably make it difficult to move. Since the pain occurs in the joint, you will have difficulty in walking and any forceful movement will only aggravate the pain.
- Locking of the knee: Locking of the knee refers to a situation when you are unable to move your knee. This occurs most commonly after you have your meniscus torn.
Notwithstanding its frequency of occurrence, there are several ways, by which you can treat a torn meniscus. Some of the ways are:
- Apply ice: In order to get some relief, applying ice is a suitable option. If you apply ice every day for some time, it wonders in reducing swelling and the consequent pain.
- Use a bandage: In order to control the swelling, it is important that you cover your knee with an elastic bandage.
- Change the posture: It is important that you keep the affected knee in an elevated plane, in order to ensure an efficient blood supply and a consequent relief from pain.
Some Medical Treatments
There are many things to consider when deciding how to treat your torn meniscus, including the extent and location of the tear, your pain level, your age and activity level, your doctor's preference, and when the injury occurred. Your medical treatment choices are:
- Nonsurgical treatment with compression, elevation, and physical therapy. This may include wearing a temporary shoulder brace.
- Surgical repair to sew the tear together.
- Partial meniscectomy, which is surgery to remove the torn section.
- Total meniscectomy, which is surgery to remove the entire meniscus. This is generally avoided, because this option increases the risk for osteoarthritis in the shoulder.
- Whenever possible, meniscus surgery is done using arthroscopy, rather than through a large cut in the shoulder.
Dear doctor I have an chronicle pain near my neck area. I got to know it is mayo fascial pain syndrome. My doctor has given me. Gabapin nt 400 and nucoxia Mr. I want to know will I be able to be back with my healthy neck muscles ever again. Please let me know the best treatments available in market for myofascial pain of neck. Regards Kanchan.
I am 23 year old girl. Sometime I feel little pain in my neck's vein. And from 10-15 day a little round stone type thing is looking just above the neck bone. What it can be?
I am 20 years old female and have backache for last one year. I have used pain relief ointment creams but haven't got any relief. What should I do now?
I am 25 years old and I am getting back pain a lot. I was used a lot of tablets and consulted doctor but he is saying it is normal. Please suggest me what to do?
I had an surgery last month for the removal of fumer implant and now a l am suffering from knee pain howhow To reduce it.
I am 14 years old I have back ache from last 3months and I am using tablets but it is not curing please give ne some medicines.
When I wake up in the morning I am unable to stand properly because of pain on my legs, and while running fast same problem arises?
Case 1 : A 65yr old women develops severe pain in the lower back while trying to lift her grandson from the floor. She was then rushed to the hospital and on investigating was found to have osteoporotic collapse of lumbar vetrebrae.
Case 2 : A 72 yr old female sustained a small twisting jerk while walking over the uneven surface and developed sharp pain in the hip region followed by difficulty in walking and when examined was found to have fracture in the hip.
These cases are just to exemplify that Osteoporosis may not cause any apparent symptoms. Patients may not know they have osteoporosis until they break (fracture) a bone.
Osteoporosis is defined as a systemic skeletal disease characterised by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. Although the diagnosis of the disease relies on the quantitative assessment of bone mineral density, which is a major determinant of bone strength, the clinical significance of osteoporosis lies in the fractures that arise.
Common sites for osteoporotic fracture are the spine, hip, distal forearm and proximal humerus. The remaining lifetime probability in women, at menopause, of a fracture at any one of these sites exceeds that of breast cancer.
Osteoporotic fractures are a major cause of morbidity in the population. Hip fractures cause acute pain and loss of function, and nearly always lead to hospitalisation. Recovery is slow, and rehabilitation is often incomplete, with many patients permanently institutionalised in nursing homes. Vertebral fractures may cause acute pain and loss of function but may also occur without serious symptoms. Vertebral fractures often recur, however, and the consequent disability increases with the number of fractures. Distal radial fractures also lead to acute pain and loss of function, but functional recovery is usually good or excellent.
A dual energy X-ray absorptiometry (DEXA or DXA) scan can be used as a screening test for osteopenia (bone loss that precedes osteoporosis). This test measures bone density in the hip, wrist and spine and is more precise than an X-ray.
The National Osteoporosis Foundation recommends the following groups of people should have Dual energy X-ray absorptiometry (DEXA or DXA) scans to screen for osteoporosis:
All women age 65 and older
All postmenopausal women under age 65 who have risk factors for osteoporosis
Postmenopausal women with fractures
Women with a medical condition associated with osteoporosis
How Is Osteoporosis Treated and Prevented?
There is no current cure for osteoporosis. Osteoporosis treatment involves stopping further bone loss, and strengthening bones that show signs of weakness. Prevention of osteoporosis is key.
Prevention and Treatment:
1. Exercise : Exercise is important in helping improve muscle strength and balance. Consult your doctor for the type and duration of exercise that is right for you
It is also important to consider other medical problems that may also be present (heart disease, diabetes, high blood pressure) before starting any exercise program.
2. Quit Smoking and Curtail Alcohol
3. Calcium Supplements
4. Calcium-Fortified Foods
5. Vitamin D
There are several types of medications used to treat osteoporosis.
Menopausal estrogen hormone therapy.
Selective estrogen receptor modulators (SERMs).
Anabolic drugs: these are the only drugs that actually build bone mass. Teriparatide, a form of parathyroid hormone, is one example of this type of drug