Doctor in Mobility Clinic
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Patient Review Highlights
Plantar fasciitis or foot arch pain is the most widely recognised form of foot ache. The plantar fascia is a belt of the tissue (tendon) that connects your heel to your toes. It supports your foot arch. If you strain your plantar belt, it gets weak, swollen, and inflamed. At that point, your heel or the base of your foot hurts when you stand or walk.
Plantar fasciitis is very common in moderately aged individuals. It also affects young individuals who are on their feet a great deal, like athletes or sportspersons. It can happen in one foot or both feet. Straining the tendon or ligament that supports your arch causes plantar fasciitis. Repeated strain can bring about small tears in the tendon. These can lead to pain and swelling.
- No single treatment works best for those suffering from plantar fasciitis. However, there are numerous things you can do to help your foot to improve from this condition. These are as follows:
- Try to give your feet a lot of rest. Decrease the type of exercises that can make your foot hurt. Do whatever it takes not to walk or keep running on hard surfaces.
- Avoid wearing heels if that is what might be causing the pain. Try to wear shoes with soft soles.
- To diminish the pain and swelling, try applying ice on your arch or even heels, in case the pain is caused because of the arch. On the other hand, take an over-the-counter (OTC) pain reliever like ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
- Do toe stretches, calf stretches and towel extends a few times a day, particularly when you first get up in the morning. (For towel stretches, you pull on both the ends of a towel that you put under the bundle of your foot.) Before doing so, roll the towel into the shape of a band.
- Get another pair of shoes. Pick shoes with great curve bolster and a padded sole. On the other hand you can also use heel mugs or shoe inserts (orthotics). Utilize them in both shoes, regardless of the possibility that only one foot hurts.
In case that these medications do not help, your doctor may suggest splints or supports that you can wear during the evening. He or she may also suggest certain shots of medicine, (for example, a steroid) in your heel, or different medicines. Most people will not require surgery. Specialists just propose it for individuals who still have pain even after taking different medicines for six to twelve months.
Plantar fasciitis frequently happens as a result of injuries that have happened after some time. With treatment, you will face less pain within a couple of weeks. However, it may take time for the pain to leave totally. It might take a couple of months to a year. Continue with your treatment. In case that you do not, you may have chronic pain when you stand or walk. The sooner you begin treatment, the sooner your feet feel relief. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Spine surgery is conventionally performed as ‘open surgery’, which means the region being worked on is opened with a long entry point to permit the surgeon to view and access the area. Technical and scientific advances have permitted more back and neck conditions to be treated with a less obtrusive surgical technique. The minimal invasive spine surgery (MISS) does not include a long cut, and it prevents causing damage to the muscles around the spine. As a rule, this causes less pain after the surgery and a speedier and healthy recovery.
Spine surgery is normally suggested when non-surgical treatments like medicinal or exercise based methods have not helped in lessening the excruciating symptoms of your back problem. Moreover, surgery is just considered if your doctor can pinpoint the correct reason of your pain, for example, a herniated circle or spinal stenosis.
MISS is also called less obtrusive spine surgery. In these procedures, surgeons utilise particular instruments to get to the spine through little cuts. The surgery process is as follows:
- During the surgery, a little entry point is made and the tubular retractor is embedded through the skin.
- It is also inserted into the delicate tissues down to the spinal cord.
- This makes a passage to the little range where the problem exists in the spine.
- The tubular retractor holds the muscles open and is set up all through the surgery.
- The surgeon gets to the spine utilising the little instruments that fit through the focal point of the tubular retractor.
- Any bone or disk material that is expelled goes out from the retractor.
- Any gadgets needed for the fusion process, for example, screws or rods, are embedded through the retractor.
- A few surgeries require more than one retractor.
- Keeping in mind the end goal to see where to put the entry point and embed the retractor, the surgeon is guided by fluoroscopy.
- This strategy shows ongoing X-ray pictures of the patient's spine on a screen throughout the surgery.
- The surgeon additionally utilises a microscope to enlarge the view through the retractor.
- Towards the end of the procedure, the tubular retractor is expelled and the muscles come back to their original position.
- This restrains the muscle damage that is more ordinarily found in open surgeries.
It is very important to talk about these risks with your doctor before your surgery or procedure.
- Infection: Antibiotics are consistently given to the patient some time before, during, and regularly after the surgery to reduce the danger of infections.
- Bleeding: A specific measure of bleeding is normal; however, this is not commonly dangerous.
- Pain in the grafted area: Some patients will encounter surgical pain at the bone joint site.
- Recurring symptoms: A few patients may encounter a repeat of their side effects.
- Pseudarthrosis: Patients who tend to smoke are more prone to pseudarthrosis. This is a condition wherein there is insufficient bone formation. In case that this happens, a minor surgery may be required.
- Nerve damage: It is possible that the nerves or veins might be harmed during these operations. These complications are extremely uncommon.
- Blood clots: Another complication is blood clots in the legs. This poses a threat because these clots can break off and settle in the lungs. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Spinal fusion is a surgery in which two or more vertebrae in the vertebral column or back are fused or joined to treat a slew of spinal problems and diseases, which cause debilitating back pain. This surgery helps to remove bone and tissue that are narrowing the spinal canal, squeezing the spinal cord and nerves, reducing pain and improving function.
There are many different causes of back pain like injury, poor posture, age, osteoarthritis, herniation of disc between two vertebrae, degenerative disc disease, narrowing of spine called stenosis, and spondylosis or lessening of space between the vertebrae- most of these can be treated using spinal fusion.
All of these causes put tremendous pressure on the vertebrae and pinch spinal nerves that pass through the back and radiate out into the arms, legs and torso. Apart from the pain, patients experience nerve and muscle weakness and irreversible damage affecting normal life.
Spinal fusion started off as just a treatment for fractures but now it has become the surgery of choice for a number of spine problems. Though it can be done anywhere in the spine, it is very effective when done in the lower part of the spine called lumbar spinal fusion or arthrodesis.
Spinal fusion is done by forming a direct bony connection between the vertebrae surrounding the painful discs, the cushioning between the vertebrae. Pain is stopped by stopping the motion of the painful discs.
There are different methods of spinal fusion each with its own advantages and limitations.
Techniques include fusion approached from the front, the back, or both of the vertebral column. Sometimes surgeons decide to use intervertebral cages or metal screws to provide internal structural support while the bone fuses. These cages may be placed between the vertebrae and packed with bone graft material taken from the patient or constructed out of synthetic materials.
What to expect?
Spinal fusion is not a risk-free procedure. It is a major surgery lasting several hours and carrying a number of risks like-
- Failure of the vertebral fusion and breaking of metal implants
- The vertebrae above and below the fusion can wear away aggravating problems
- Blood clots may be formed that can travel to lungs causing embolism
- Injury to spinal nerves causing permanent weakness in legs and problem with bladder and bowel function
- Infections and blood loss
- Heart attack or stroke during surgery
The patient has to be kept in hospital for a couple of days for post-operative care after which he will have to undergo rehabilitation for months. Hence, one should really think before going for spinal fusion. And when it is recommended, seek a second opinion before making a decision. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Tennis elbow is a type of tendinitis. It is usually the swelling of certain ligaments. It causes pain in the elbow as well as the arm. These ligaments are bands of strong and stretchable tissues that connect the muscles of your lower arm to your elbow. In spite of its name, you can in any case get tennis elbow regardless of the possibility that you have never been close to a tennis court. This is merely a name for the condition and has little to do with the sport. It can affect anyone who indulges in a swinging motion.
Any repetitive exercises that require a tight grip, particularly in cases where the thumb and the initial two fingers are used frequently, may cause tennis elbow. Tennis elbow is the most common reason for patients to see their doctors for elbow torment. It can occur in individuals of all ages; however, it is most common and normal at about the age of forty.
This condition is usually caused when there are repeated contractions of the lower arm muscles that you use to raise your hand and wrist as well as to straighten it. The repetitive movements and pressure to the tissue may bring about a series of little tears in the ligaments that connect the lower arm muscles to the hard surface on the outside of the elbow.
Tennis elbow ordinarily occurs after some time. Dull movements such as holding a racket during a swing can strain the muscles and put a lot of weight on the ligaments. That consistent pulling can cause a small amount of tears in the tissue. Tennis elbow may be caused because of the following reasons:
- Playing tennis
- Playing racquetball
- Playing squash
- Weight lifting or any other stressful exercises involving the muscles
In tennis, the following moves can lead to tennis elbow:
- One-handed back stroke with a poor stance or lose hand
- A late forehand swing bringing a bend in the wrist altogether
- Snapping and turning the wrist while hitting with full power
- As the name suggests, playing tennis, particularly repeated use of the backhand stroke with poor strategy, is a conceivable reason for tennis elbow.
However, a number of other basic arm movements can also cause tennis elbow. It can also affect individuals with particular occupations or while performing leisure activities that require heavy arm movements or gripping, for example, the following:
- Excessive writing
- Weaving or knitting
- Utilising plumbing devices
- Driving screws
- Chopping cooking ingredients or vegetables, especially meat
- Repetitive computer mouse utilisation
- Lifting heavy materials or even grocery bags
There are a number of ways to treat a tennis elbow. These include certain over-the-counter (OTC) medicines. If those do not work, seek the help of a specialist or Orthopaedist. He or she can recommend you the right kind of medicines as well as exercises needed for the recovery.
Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.
Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.
- Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
- Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.
Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.
There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.
In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed. If you wish to discuss about any specific problem, you can consult an orthopedist.
Our bones and joints make us functional on a day to day basis. It is, therefore, imperative that we should take good care of them at all times. There are many conditions that can affect our skeletal system and one of them is, Gout. While the link between the two may not be that obvious, gout happens to be a condition, which is sometimes related to arthritis. Therefore, it is sometimes known by the name 'gouty arthritis'.
While the issue may be severely painful, it does not mean that it cannot be reduced. And of course, when a person has the option and cutting the pain caused by gout drastically, his or her natural response is likely to be 'why not?'
Why Does It Happen?
The main reason for the occurrence of gout is too much uric acid being present in the body. The limbs of the body swell up, especially the extremities and this is known to be very painful. In many cases of gout, the swelling is especially evident in the big toe. Flare ups can last hours on end and may even get longer.
The people who wish to get the gout that is putting him or her through so much pain treated, there are quite a few options at their disposal. There are pain relievers that can be consumed under the advice of a medically qualified professional. While these pain relievers do not treat gout, but can reduces the intensity of the symptoms. Daily doses can be recommended as per the requirement and severity of the situation.
How to Get Rid of Gout?
While some anti-inflammatory drugs may have their effect, but no matter how bad the pain, aspirin is a drug that needs to be avoided. Intake of aspirin can make the problem even worse, which is the last thing a person would want!
The severe problems of gout can be dealt with the chemicals known as corticosteroids. Now, while these can provide some very effective pain relief, using them can be tricky due to certain side effects. One of these side effects is that since these chemicals are injected into the joints, they can significantly weaken them. The other side effect is that they slow the healing process of the wound. Both of these side effects are highly undesirable for any patients. These chemicals are usually prescribed by the doctors after a thorough analysis of patient's condition and history.
A person who drinks alcohol and suffers from severe condition of gout should look to scale back the amount which is consumed by him or her. This is because alcohol increases the amount of uric acid which is present in the blood.
What are the symptoms of osteoarthritis in relation to the different affected areas?
An osteoarthritis is a form of arthritis which means unexpected inflammation of the joints/muscles, which is usually very painful. This form of arthritis is not curable, and the only thing that you can do is to take measures to reduce the painful effects of the condition. The symptoms of the medical condition often occur gradually and are chronic and long lasting in nature. Some of the body parts that get affected easily are:
- Hips - Pain is felt in the groin area or buttocks at the hip joint.
- Fingers - Bony growths at the edge of joints can cause fingers to become swollen, tender and red. There may be a pain at the base of the thumb.
- Knees - A 'grating' or 'scraping' sensation occurs when moving the knee.
- Feet - Pain and tenderness are felt in the large joint at the base of the big toe. There may be swelling in ankles or toes.
Some of the most common symptoms which are more common to all body parts are as follows:
- Chronic pain - The arthritis related pain is very intense and chronic in nature, and it has an ever increasing trend if proper care is not taken. This pain can appear in any body joint of a person and it can cause visible inflammation or swelling in and around the muscles of that particular joint.
- Body stiffness - Another characteristic feature of this medical disorder is that there is stiffness in the normal movement of the joints and muscles. This symptom also results in a lack of flexibility of the concerned person.
- Inflammation and tenderness - Osteoarthritis is such a condition which is observable by the naked eye, as it shows signs like inflammation and tenderness. Inflammation can be noticed if a joint has a considerable amount of swelling. If you wish to discuss about any specific problem, you can consult an orthopedist.
Every day we use our hands the most to get everything done. From drinking water to typing on the keyboard (and today on mobile phones); from holding the newspaper still when reading it to taking down academic notes- we use our hands for everything. But our hands like all other parts of the body have the capacity to carry out their functions. At times, we unknowingly put a lot of strain on our hands and they start to pain. Hand pains are quite common in everyone and it is equally common to practice certain exercises to control them quickly.
If you experience frequent pains in the hands, these are some of the exercises you can resort to.
Fist: You do not always make a fist while punching people. Sometimes you make a fist to tighten your hand muscles and nerves and smoothen the blood flow in your hands. This helps in reducing the pain in your hands to a great extent. In fact, folding your hand to a fist can also help in preventing hand pain.
Finger Bends: Bend each finger tightly towards your palm for at least a minute and then release it. Do it separately for each of the five fingers on your hand. This would ease out the tension in each of the fingers and normalize blood flow. This helps in curing any finger pain that you might be experiencing. It is especially a great exercise to prevent pain from developing in your thumb and index finger.
Thumbs Up: Usually, we show the thumbs up sign to signal all is well and best wishes to people. But it is also an exercise if continued for some time. All you have to do is place your palm on a table and curl all your fingers except the thumb inwards. Stretch the thumb outwards and hold it in this position counting up to ten. Then curl your thumb towards the palm. This exercise too helps in stretching the muscles.
Wrist: An important part of the hand is the wrist. The wrist joints are a very crucial set of bones and they tend to get injured very fast. They are also delicate enough to be sprained if the hand is turned abruptly. To avoid such injuries, strengthen the wrist and reduce wrist pain, a lot of wrist exercises are also prescribed. The simplest one is to extend your hand and move the wrist in anti-clockwise and clockwise directions.
Thus, these are some of the ways in which you can ease the pain in your hand in no time and go about normally with your daily chores. If you wish to discuss about any specific problem, you can consult a doctor.
Torn cartilages are quite a common form of injury occurring in the human body. While one can’t always be too cautious of injuries, one can still try to be conscious of their muscles and do not move about in an abrupt manner to cause injury to themselves. Further, even though torn cartilages are very common, they are quite painful and most often they occur in the knee. Here are some tips to ensure that your torn cartilage heals well and you are exposed to less pain during the healing period:
Rest: You must take rest. While it is advised to take bed rest, humanly it is impossible to spend all day in bed. Thus one can move about a little but avoid walking and straining their legs and knee too much. At times crutches can be taken while taking a few steps in the room.
Ice Therapy: Putting ice bags in the affected area helps in relaxing the muscles and reducing the pain quite a lot. Though previously people adhered to putting hot water bags, the scenario is slowly changing to ice therapy.
Compress: When you are suffering from a torn cartilage, the doctor often puts a bandage on the knee to compress the area. This is done so that the muscles are brought together and they can heal on their own with time and rest.
Elevate the Knee: Often it is seen that during such cases, the knee or the hands are rested in an elevated platform. This platform is created with the help of a pillow mostly. This lets the cartilage get time to rest and heal on its own.
Avoid Strenuous Activities: This includes jumping, running, jogging, kicking etc, when it comes to the legs and writing, lifting weight etc. when it comes to the hands. These activities require a lot of strength and power and most of all the use of the cartilages. Since the cartilages are torn and in their healing mode, it is best to avoid such activities for a certain amount of time to not put pressure on the cartilages and damage them further.
Painkillers: It has been already mentioned that the healing period can be painful. Thus, the doctor may prescribe some painkillers to ease the pain during this time.
Thus, these are some of the easiest ways to deal with a torn cartilage. The recovery period may be painful, but it happens to many people and is completely healable in nature. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.