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Treatment of Shin Splints
Treatment of Splinting
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Interferential Therapy Procedure
Neuro Physiotherapy Treatment
Post Pregnancy Classes
Postural Training Techniques
Pregnancy Exercise Therapy
Sports And Musculoskeletal Physiotherapy
Sports Fracture Rehabilitation
Treatment of Sports Injuries
Sports Physical Therapy Treatment
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I have severe head aches and back pain at night. What should I do to over come these issue? Why is this happening?
I am suffering with body pain or muscular pain when I do some very hard job in my field. All parts of my body has started to pain and the pain will continue for four five days. Then after that it become normal. I want to know that why it happened and what is the treatment for it. Kindly help me with the treatment.
I am having a lower back problem due to which I have a serious pain in my back and also on the left hip and leg. What medicine I should take and the pain is so severe that I can't even walk or sit. Kindly help me.
I have d3 deficiency problem and back, legs pain also and feel weakness sometime. Please tell me what should I do?
I am 20 years old. I met with an accident before one year. Now am facing a severe back pain and neck pain. So what I will do to remove my pain.
I have pain in right middle finger since 2 years. But it comes once in a week for fifteen minits. Now I am facing overall body (bone) pain since 8months. I am 47years female.
Hai. I am having pain over my elbow of my left hand. Recently developed the pain after using w wheeler. What should I do.
Sir. I am 23 year old male. From last 2 days there is lot of gas formed in my body. I used eno 2-3 times but no relief also visited a doctor he gave medications but no improvement. This gas has induced a lot of high intensity pain in my legs specially in left leg. This pain is not constant it moves from thigh to feet. Sometimes I feel like screaming due to this. I have been suffering this from last 2-3 years. It occur only when I feel constipated. I don't know whom to consult or which specialist I should visit .I haven't slept properly from 2-3 days. This pain some times feel in waist and back side and sometime in arms. What type of pain is this.
Recently I am having backache after lifting and carrying around my twin grandsons at home for a while. I thought that once I carry them about regularly my back muscles will get used to the weight and backache will fade away. But the pain in the back is persisting. Do I stop carrying them or take some pill to cure completely?
I am 23 years female. I have continues back pain from 6 years. I cant tolerate my back pain. What should I do?
Hlo sir I am a sports person with thin body I have problem while bending my knees as a popping sound coming out of it each and every time I bend my knees.
I am suffering from back pain, daily I use to travel 70 km from home to office, will you give suggestion to remove back pain.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.