Submit a review for Medanta-The MedicityYour feedback matters!
There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.
Some of the most common conditions that cause hand pain are:
De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.
Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.
Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.
Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.
- Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition.
My wife age 29, since 10-15 days complains that she can not sleep a sound sleep, also feels injury like pain in the middle of her head skull (when touched there) Also feels she is lacking in sex desire and feel no excitement now days, we are married since 33 months and have no kids, Tests are normal for both of us, yes her blood test suggest deficiency in hemoglobin (9.5)Kindly suggest what specialist shall we consult?
The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain.
Let us get to know the six most common ones.
- Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects.
- Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work.
- Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain.
- Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
- Bursitis: This condition is known to affect the fluid-filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints.
- Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention. If you wish to discuss about any specific problem, you can consult an orthopedist.
ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.
Read on to know what you can expect in the recovery phase following an ACL surgery.
- Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
- Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
- Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
- Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
- Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.
Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
Are you suffering from stress and sleep disorders (Insomnia)? Are you looking for Ayurvedic remedies for improving your sleep? The principles of Ayurveda state that sufficient sleep along with a proper diet, and wise utilization of energy are important for maintaining good health.
According to ayurveda, the vitiation of the three doshas either taken all together or individually may result in to insomnia. All factors, that are responsible for aggravation of vata and pitta ,along with environmental and dietary factors play an important role in sleep disturbances. High vata type of insomnia is caused by Vaata imbalance or mental stress. People, who toss and turn, unable to fall asleep because their mind is spinning, have this disorder. It results with anxiety, worry, and rushed activity during the day. Where as in pitta imbalance there is intermittent awakening. You may fall asleep quickly but wake up frequently with palpitation, body pains, and emotional disturbances such as fear, anger, and sadness. Another pattern is that you wake up before dawn and find it difficult to go back to sleep.
There are certain health principles and ways that you should follow for improving quality of sleep, getting rid of stress and boosting your body’s immune system. They are as follows:
- Maintain a disciplined sleep schedule- You should be very disciplined regarding your sleep. Try to sleep early which gives you the time to sleep throughout the night. Wake up early the next morning. Your mind is stable, slow and dull from 6pm to 10pm. This is a perfect time for getting good sleep.
- Mindful eating- It is recommended for you to have your dinner early between 6.30 to 7 pm. The digestive fire starts cooling down after the sun sets. You can improve your digestion by eating light, early meals. This is beneficial for your sleep quality. While eating, you should avoid doing other activities such as reading books, watching television, or involving yourself in conversations.
- Oil massage- Oil massage therapy is a primary part of Ayurvedic treatment for stress and sleep disorder. Oil massages on your feet are important for improved sleep. There are nerve endings in your feet, which are nourished because of oil massage. Massaging helps in stress relief, makes you feel relaxed, and improves your blood circulation. As a result of all these, your sleep gets drastically improved. You can choose from several herbal oils for massage.
- Pranayama- Pranayama is considered to be very important for improving sleep disorders and stress. Several rounds of alternate nostril breathing or “naadi shodhana pranayama” should be undertaken on a regular basis. This is effective for the mind, and calms down your nervous system. You are bound to get deeper, and longer sleep of high quality.
- Practice self-compassion- You wellness and health depend considerably on a balance among your mind, body and soul. It is important for you to keep away from negative vibes and always try to be present in a positive environment. You should be mindful over who you talk to right before going to sleep. Ideally, you should switch off your mobile, computer, television, and social media activities, two hours before going to sleep.
- Regular exercise- Regular exercise is very important for you to stay healthy and fit physically, which in turn helps you to maintain a healthy state of mind. This is vital for improving sleep disorder and eliminating stress. Keep away from all types of stimulants during the evening so that your sleep is not affected.
Ayurvedic Herbs for Insomnia
The useful herbs for the treatment of insomnia are:-
- Brahmi: It is a powerful brain tonic, which supports and improves all aspects of mental functioning. It is a calming and tranquillising herb. A cup of brahmi tea or powder or any other preparation with brahmi, taken at bedtime, will induce a peaceful sleep and its regular use will help to cure insomnia.
- Vacha: (Acorus calamus) has been used in Ayurvedic medicine for the treatment of various ailments, such as epilepsy, headache,insomnia etc. it can be taken along with Amla, Brahmi powder at bed time.
- Aswagandha: This is an overall tonic for greater vitality and longevity. It enhances coordination between the mind and senses which, according to Ayurveda, is essential for good sleep. The recommended dose is half teaspoonful of powder taken at night along with sugar+ ghee or warm milk.
- Jatamansi: It has been found to increase levels of neurotransmitters like serotonin. It is a sedative, anti-depressant, and anti-epileptic cardio-tonic and is regarded as one of the most effective remedies for neurosis.
- Valerian: Indian valerian, also known as tagar in Hindi, works on the nerve channels by clearing out toxins from the blood, joints, tissues, colon and nerves. Its basic role is to rejuvenate. However, valerian should not be taken on its own. For, it can have a somewhat dulling effect. It is best used as part of some herbal preparation.
Hi. From last 3 or 4 months I feel my legs and feet are heated, there is pain in left hip. Due to which after seating for long I cannot walk freely some steps once I get up, in last six months I have gained 3 kg. My height is 5'1 n weight is 65 kg.
Few days ago my sister felt pain in lower part of her stomach and felt like urinating. She found some blood in her urine. She immediately approached doctor who gave her antibiotic injection. After that she was ok. But today she again observed some blood in her urine but no pain. Kindly suggest what could be her problem? Is it Kidney infection or something else. There is a stone of 12 MM has been detected in her gal bladder.
I was suffering from slip disc from 10 days. Now I am feeling better after take rest but now when I turn down in front I feel pain in my right hips mussels. What should I do.
I am suffering from ankle pain from past 3 days. From today morning the pain is increasing that I can not even work properly. I am suspecting that it is uric acid pain and I have taken combiflam but its not working. I need some good suggestions for this problem and a proper medication. (Uric acid- 12.2)
Cricket is the most famous and close to the heart game for most of the people in India. Any injury to any player is a big hit to the entire team's performance. While cricket is a major sport in the country, sportspersons from other games too have begun to make a mark in the international arena. It is because of this, we have come to hear about sports injuries much more than ever before, with injuries to cricketers still heard most often.
What are the types of injuries?
The most common injuries related to the gentleman's game are:
- Hamstring strain
- Low back pain
- Side strain
- Shoulder pain
- Sprained ankle
How does Physiotherapy help an individual?
A physiotherapist assesses your muscle strength and the range of movement in your joints and advises on techniques and exercises to bring back the mobility of your injured muscles or inflamed joints.
Physiotherapy is a physical therapy that takes care of the overall well-being of the body. The muscular part is most affected when you play or exercise. Three of the main approaches a physiotherapist may use are:
- Education and advice - Tips and hacks for ensuring physical well-being of a person
- Movement and exercise - Aids and exercises to ensure good physical health
- Manual therapy - A therapy of manual massage and body movements to relieve pain
- Other techniques - These include acupuncture, transcutaneous electrical nerve stimulation (TENS) and ultrasounds.
There are numerous sports-related injuries that can be effectively treated with physiotherapy. The therapy followed is entirely dependent on the kind of injury caused due to the sport.
The physiotherapist initially asks you some questions to know about your injury, medical history, family health records, prevalent allergies, and other such related information. Based on this initial examination, your physiotherapist will design a therapy plan for a test period to see if it is working or not.
Herniated disc, bulged disc, protruded intervertebral disc (PIVD) are the different names of one condition. This is a condition where- disc in between the two vertebral bodies starts peeping out on one side- anterior or posterior. These discs are just like the bags filled with liquid material, which work like shock-absorbent. There are several hard bony vertebrae in the vertebral column and there is plenty of movements with these vertebrae. When we look on one side to other side, we look upwards, downwards or we twist and even we bend forward or backward in each and every condition, there will be a movement in these bones, these discs decide the free movements of the spine. Along with this- when we walk or run there will be shocks and jerks to all these bones and these bags decide that there wont be any kind of jerks in between the bones. So, these discs are of multiple uses.
Our spine is inverted “S” shaped. There are two main curvatures in the spine which are free to move- Cervical and Lumbar curvatures. These curvatures of the spine are maintained due to the spaces in between the two vertebrae. Whenever there is a loss or change (specially reduction) of this space between two vertebrae- pressure will be exerted on the intervertebral discs. This uneven pressure on the disc causes- protrusion/bulge/herniation of the disc- this is the condition known as SLIPPED DISC, in layman language. Why does disc slip
Generally, slipped disc condition is diagnosed by its signs and symptoms. When slipped disc starts exerting pressure on the nerves surround the disc- the nerve will be excited which gives sensation of- Pain, Burning or Numbness in the related area of the nerve. This sensation can travel long far away to the areas, which are being supplied by the nerve and can be limited to a particular location in neck or back even. Sign & Symptoms of Slipped Disc.
Ayurveda about Slipped Disc
Where modern medical (Surgical) sciences believes that this is a problem of just bones and joints of the vertebral disc besides this Ayurveda takes a “Wholistic” (Complete and wholesome) approach towards this and tells that this is a problem at three levels-
- Mamsa Dhatu, Asthi Dhatu, Majja Dhatu!!
- These are different tissue levels according to Ayurveda- Mamsa is muscles, Asthi represents bones and the Majja denotes everything which is in between and in the bones.
- Mamsa (the muscles) starts stiffening due to the dryness – improper diet and imbalanced lifestyle and deteriorate the curvature of the spine- which leads to the deterioration of the intervertebral discs.
- Asthi (the bony tissue) is affected due to the muscles.
- Majja (the disc and the neural tissue- spine) is compressed due to the pressure and all effects.
So, we need to treat the condition, wisely and in a wholesome manner, rather just to removal of the protruded tissues (Laminotomy) and this is the basic reason- there are risks associated to the surgery of the spine and in almost more than 45% cases patients had to go for a second surgery to stay pain free. Why Surgery for spine doesn’t succeed. Secondly, this is a mechanical problem so medicines alone can give you temporary relief rather than the cure- So better you save your money and invest it on complete cure for the problem, rather than just taking the pain killers and medicines which were indicated in epilepsy to just reduce the signs and symptoms.