Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
Submit a review for Medanta-The MedicityYour feedback matters!
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
- 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.
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.
A nagging achy pain in the shoulder is something that all must have experienced, especially aged people. Some choose to ignore it while for others, the pain may be so debilitating that it interferes with daily routine considerably. Making an appointment with an expert orthopedic doctor should be your priority. Meanwhile, here are some easy to follow tips to manage shoulder pain:
- Applying ice- Shoulder pain is normally caused due to inflammation of the tendons, and since ice is the natural reliever of inflammation, you can get some relief with the application of ice. It can slow down blood flow to the affected region and thereby reduces the pain. You should apply ice for about 20 minutes and try to keep your shoulders at an elevated position.
- Paying attention to the neck- It is no surprise that the shoulders and neck are closely positioned, and they always have an impact on each other. Sometimes, shoulder pain is caused by neck pain, and both of them can be relieved by practicing gentle neck stretches at home. You should also replace old mattress and pillows and opt for thicker pillows for the desired level of support.
- Keeping the elbow by your side- This could aid to your aching shoulders. You may use an armrest or arm sling in case of extreme pain in the shoulders. But it is worthy of mention here that using this equipment for long hours is not at all recommended.
- Relieving stress- The most effective means of treating shoulder pain is to get to the root of the problem. Stress may be the cause of your shoulder pain, and therefore, you should allow some rest to the shoulder by refraining from exercise and physically strenuous activities. You should also try to review your daily activities such as sleeping positions, motions, and habits that may have an adverse impact on the shoulders.
- Warming up- You may use a heating pad to keep the shoulders warm and do some gentle exercise if it doesn’t cause any discomfort. This will warm up the muscles for a wide range of activities and improve circulation.
- Strengthening the rhomboids- The muscle located in between the shoulders is termed as rhomboids. These muscles are essential for normal shoulder movements, and it is important to keep them stronger to hold the shoulders in the right position and support the weight of the arms and perform pushing and pulling effectively.
Experiencing shoulder pain is an issue, but with these effective measures targeted at relief, you may manage it easily and take part in all the activities that you love to. In case the ache persists, it is imperative that you visit an ortho specialist to avail proper treatment.
The ankle, despite being one of the smaller joints, plays a crucial role as it bears the brunt of a person’s weight. Due to improper gait or injuries, the ankle often gets sprained. This can be a recurring problem in older people. Therefore, over a period of time, the ankle gets unstable and can cause chronic symptoms including pain, imbalance resulting in recurrent falls. Read on to know more about some causes, symptoms, and management techniques for ankle instability.
Causes: The ankle has ligaments which stretch to allow for ankle movement. When this ligament stretches beyond the limit, then it can tear or stretch. Therefore, sportspersons like basketball and football players, gymnasts who tend to use their ankle a lot are at a much higher risk of developing ankle instability over a period of time.
Symptoms: The most common symptom of ankle instability is when a person is unable to stand firm. This pain is worse in people wearing heels or walking on uneven ground. Patients may experience swelling, stiffness, and excruciating pain.
Management: Ankle instability is an acute problem but the recovery time is limited too, so the symptoms disappear over a period of time. However, in some people, especially sportspersons, it may lead to a chronic condition which needs immediate attention. Few remedies for getting relief from ankle pain are mentioned below:
- Ice: For pain relief, icing the ankle is an excellent option. Applying a cold pack for about 10 to 15 minutes about 2 to 4 times per day is an effective way to relieve the pain, stiffness, and swelling.
- Rest: Ligament injuries often heal on their own, and sportspersons may be advised to stay off of the game for about a week or two, to give it time for self-repair.
- Compresses: Using an elastic wrap or compression ice wrap for a few hours can help in relieving ankle instability.
- Pain killers: Non-steroidal anti-inflammatory drugs like ibuprofen can help in reducing both the inflammation and pain from the ankle injury.
- Exercise: Increasing the strength and flexibility of the ankle via exercise is a great way to reduce chances of further sprain. Rotating the ankles, standing on one leg, etc., are some effective ways to do this.
- Surgery: If none of the above-mentioned remedies work, a surgery may be required which is only in severe and/or chronic cases.
Ankle instability is quite common but is equally easy to manage.
Is there any permanent treatment for slip disc problem or surgery is the ultimate treatment? Please advise me
Lumbago or Lower back pain is a condition that is characterized by mild to serious pain or uneasiness in the lower back region. Lower back pain is more prevalent among the youth whose work includes physical exertion or sitting for long hours and is also common in individuals belonging to the 'retirement age' because of their sedentary lifestyles. The pain might be acute (sudden and extreme) or chronic if it has been endured over a span of three months.
The most common causes of lower back pain are:
- Overuse of the muscles and includes strains or sprains of soft tissues such as muscles, ligaments and vertebral compression fractures.
- Pressure on the roots of nerves due to conditions such as spinal canal stenosis (narrowing down of the spaces within the spine) or herniated disc (a condition of the rubbery disc present between the spine bones (vertebrae)).
- Osteoarthritis is a condition wherein the shock absorbers, found in the joints, progressively break down.
When it affects the spine, the condition causes back pain by stiffening the spinal joints. Symptoms of Lumbago (Low back pain) include:
- Stiff back
- Numbness in the legs
- Loss of weight
- Difficulty in urinating
- Sciatica, which is the pain running down the lower back to hips, legs and thighs. This occurs due to a compression by an intervertebral disc in the back, which leads to a pinched nerve.
How to diagnose lower back pain or a slip disc?
Some methods that can be utilized for diagnosing back include Xray, CT Scans, Myelogram and MRI scans.
Treatment options available -
Exercises along with correction of bad posture for relieving back pain are a common component of any treatment plan. Factors such as type and severity of the pain as well as the patient?s history can help in determining the type of treatment that can be administered. In most cases, the recovery time is usually six weeks without surgery. Typical treatment of back pain includes use of muscle relaxants, painkillers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below:
- Rest: A period of rest and inactivity would help the injured tissues to recuperate and relieve back pain. However, extended periods of rest lead to weakening of muscles and hence might prolong the existing back pain.
- Heat and ice packs: Both heat and ice therapies are used according to the patient's preference to reduce inflammation.
- Medications: A large variety of prescription and over-the-counter medicines are available. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. Examples would include acetaminophen, celecoxib and diclofenac.
A lot of people nowadays report to their ENT specialists about swollen neck problems are seen to be professionals who are confined to a chair or a workstation. A repetitive and monotonous posture results in back as well as neck related problems. A lot of people are unable to identify the root cause of the issue and fail to take corrective measures. However, irrespective of whether your problem is a short-term or a long-term one, the ENT specialist will be able to diagnose it.
Correcting your posture will be one of the first things that you will have to do.
- Taking the appropriate medication will be the preliminary step in order to alleviate the pain.
- Diagnosis is likely to be important only after medical tests have been confirmed.
- Analysis of whether the swelling of the neck is just a small outcome or a symptom of something greater that is underneath, is important.
- In order to ensure that the problem does not aggravate, you will have to fix your sitting posture. Also, any other piece of clothing that cause irritation should be removed at once. For example, wearing helmets for long period on a regular basis may be harmful.
Additionally, the use of ointments and other pain removal medicines will have to be incorporated into the treatment procedure. Among the most recent trends that are being observed these days, yoga being as a successful method of treating such ailments. There may be a number of poses and work out methods, which may actually end up handy for you as far as eliminating the problem is concerned.
Do not delay!
A lot of people actually tend to downplay the seriousness of such developments and delay a visit to the doctor. It would be strictly advisable to pay a visit to your ENT specialist as soon as you feel that there may be a complication. It is all hunky dory, if nothing comes out from the investigations, but keeping it on hold, even though you know that there is something wrong, may lead to serious complications in the future. As a matter of precaution, it is best to visit the ENT specialist and have it verified for what the causes and symptoms may be. Following that, a simple procedure of diagnosis and treatment will be able to take care of the neck swelling problem for you. Swiftness however, is of the highest essence, in this situation.
Our knee is supported by several ligaments which help in movement. But what happens if you tear a crucial knee ligament? Tears or 'ruptures' in ligaments of the knee are common in sportsmen and/or accident victims, especially of the anterior cruciate ligament (ACL).
Though the ACL is not the only ligament of the knee, it is one of the most crucial to maintain stability of the knee joint. Any tear of this ligament frequently leads to chronic knee instability. When a tear in this ligament happens, patients know it immediately as they report feeling or hearing a “pop” along with pain and a feeling of an unstable knee.
Types of ACL injuries
ACL injuries can be classified by the amount of damage to the ligament. They can be partial or complete tears.
- Grade I Sprain: In this there is some stretching and micro-tearing of the ACL, but it is otherwise intact. This does not require surgery.
- Grade II Sprain or partial disruption: In this there is some tearing and separation of the ligament fibres and the ligament is partially disrupted. Usually, the knee joint is also moderately unstable. Arthroscopy surgery may be required.
- Grade III Sprain or complete disruption: In this, there is total rupture of the ligament and the ligament is completely disrupted and the joint is unstable. Surgery is usually recommended for the young and active.
There are many different ways that this ligament can be reconstructed depending on the age, activity level, and gender of the patient. ACL tears can be treated using arthroscopy and minimally invasive surgical techniques.
Though non-surgical methods are available, like rehabilitation and physical therapy, they don’t help much with complete ACL tears.
1. Exercises- this helps to increase the range of motion of the injured knee, decrease the amount of swelling, and maintain muscle control.
2. Arthroscopic surgery for reconstruction of the ACL
It can be of 2 types- Repair and reconstruction of the ACL.
- A repair means that the injured ligament is left in place and the doctor tries to fix it back to the tibia or femur bones of the leg from which it has torn. This is a half-baked option as it does not restore full knee function.
- A reconstruction, on the other hand, means that the ACL is substituted by a new ligament. The surgeon creates a soft tissue “graft” and uses it to reestablish knee stability. The body populates the graft with living cells and permanently attaches it in place. And, it usually takes about 4 to 6 months for the graft to start functional like the real ACL. Reconstruction surgeries help patients to get back to the same or higher degree of activity without pain or instability. The ‘graft’ usually comes from 2 sources
- Taken from elsewhere in the patient’s body, called an autograft
- Donated by donors, called an allograft
Knee arthroscopic surgery is a minimally invasive surgery which is done using pin hole cameras and under general or local anesthesia. The torn ligament is removed and the graft is introduced in its place and secured.
Post surgery outlook
- Immediately after the surgery, the patient is placed in a brace. He or she can leave the hospital the same day if he/she wants.
- The patient has to use crutches for preventing putting weight on the operated leg.
- After-care is crucial for full functioning of the operated knee. The early postoperative period is devoted to restoring motion and decreasing swelling. After this the focus shifts to strengthening the knee joint.
- The recovery of function following an arthroscopic ACL reconstruction continues over a few months and it usually takes 2-3 months for the patient to feel normal.
As long as the operated knee is cared for properly and other injuries are avoided, the benefits of the surgery are usually permanent.
My sister aged 20 years has been molested and groped by house owner 18 days back. Since then she is having nightmare every night with some horrific scene which depicts that something more dangerous going to happen with her. She is frightened and not able to concentrate on her studies and personal life. She is completely shattered and lost her control. This moment she becomes normal and the next moment she starts crying or becomes angry. She also feel some kind of pain in the head and the body temperature gets increase suddenly. We are completely confused about her recent behavior. Can you please suggest some ways to overcome this nightmare situation?
I am 61 years old. Suffering with knee pain since 2 yrs. Using "ayurved medcin. Nucart-oa 2 tabs 3 times daily since 10 days. Is this useful? As I tried many allopathy medicines and failed.
I am having knee pain from last 3 months. It started out in the left knee only. Now the left knee is okay and my right knee is having the pain. Have done the x-ray and blood test. No major problem seen in them. My doctor said that it might be the onset of arthritis. But I am only 24 years old and arthritis seems hard to believe. I am an active guy and play sports. I do work in corporate office so most of my time is sound in sitting. Does anyone have any opinion about why the pain is there. The pain started 3 months back after playing football. nothing showed up in x-ray mri or blood test. Have problem while sitting cross legged and pain while walking. Also I would like to ask, whether I can continue my gymming or gymming would severe the pain. Thanks in advance.
Few days back I hav back pain so I decided to checkup and after my blood test and urine test I found out that there is a something wrong in my urine. I, e calcium oxalate crystals so to know more about disorder I went for sonography but it was normal according to the report. And doctor advice me to only drink more water. So my question: Ll it be ok if I only drink water What causes dis disorder Does it increase in future.
I am 83 male have left knee arthritis, the cartilage totally gone. I couldn't be operated for knee replacement, as I have left aortic aneurysm. I use jiva oil in the morning for a light massage take osteobioflex tablet green lipped mollusca extract and alternate days brufen 400 mg wear knee braces and complete all walking within the house. Carrying on like that. Don't go out much, except for walks inside the complex corridor. Any advice?
I have problem that my left hand palm near thumb is paining and blink internally what I can do and I have constipation problem.
I am suffering from back pain last more than 2 months, now a days also felling knee veins are tight at morning time taking treatment from homeopath medicine ,last month kindly suggest me what are the suggestion from your side.
4 days back I had severe pain on my inner part of my thighs. It was the nerve which was paining. Even touching or rubbing the nerve did hurt. I didn't take any scanning or X rays. Now it is all right. What would be the cause. Is there any chances it would happen again.
Hi, doctors, greetings. My age 32. I am facing a knee pain since 15 days. I experiences when I sit it's jamming. When I am standing there is no pain. Actually I was jumped from 1 meter height. Last 20 days back. I usually stands 6-9 hours per day on my job. Please help me what to do. There is no swelling only jam. Pls suggest.
Lateral epicondylitis, which is the medical name for tennis elbow, is a condition wherein the tendon in the upper arm develops a tear due to repeated motions. This is a very painful condition and can make your daily life difficult. It usually tends to affect your dominant arm i.e. the arm that you use the most.
Who does it affect and why does it happen?
As mentioned earlier, tennis elbow occurs due to repetitive similar movements of the elbows, forearms and wrists over a prolonged period. The common name for this condition came due to repeated occurrences with tennis players although it can happen to players of other sports as well as people in other profession too. Some of the people who are most susceptible to this could be from the following fields:
- Sporting activities such as squash, tennis, fencing, cricket and many other sports where repeated arms movements are required.
- Musicians playing certain instruments
- Knitting work
- Chefs and waiters
- Road and construction workers
- A slow exacerbation of pain over a period and gradual worsening can be a major symptom.
- In certain cases, the pain may manifest suddenly which will make any movement very difficult.
- Moving your arm may become very difficult, especially during any up or down movement of the arm.
- In some cases, the pain may be experienced only when shaking objects or actions wherein squeezing or hard gripping is required.
- Performing daily activities such as a tooth brush, trying to open jars or even trying to use a knife or fork can get extremely difficult.
How it can be treated?
Most treatment methods include keeping the elbow in a resting position and giving it time to heal automatically. However, some medication may also be given to relieve pain and quicken healing. Some of these are mentioned below.
- Elbow straps: These fix the elbow in a comfortable position and don’t allow it to move helping it heal on its own.
- Ice treatment : This is the most common home treatment prescribed to relieve pain. You can use homemade icepacks or even buy gel pack, which can then be held against the area to relieve pain.
- Painkillers: Ibuprofen and aspirin can be used to lessen the pain, although it is advisable to consult your doctors first.
- Various physical therapies: Physiotherapy, acupuncture or specific doctor recommended exercises could be done to not only relieve pain but also quicken healing and to strengthen the tendons and the muscles of that area.