Musculoskeletal Injury Physiotherapy
Range Of Motion Exercise Treatment
Post Surgery Rehabilitation
Sensory Integration Therapy
Treatment Of Meniscus Injury
Neuro Physiotherapy Treatment
Computerised Traction Procedure
Column Traumatology Procedure
Treatment of Mckinzie Treatment For Spine
Rf Neurotomy Procedure
Manual Therapy Treatment
Treatment Of Lumbago
Custom Splinting Bracing Procedure
Achilles Tendon Rupture Treatment
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I have low back pain from last 1 year MRI report L4-L5, L5-S1 bulg disc I hv sitting job in computer, othe D3=OK, VITAMIN B12 =OK, URIC ACID=OK, SUGAR=OK, HLA B12 =OK, BP = OK but low back pain always never in sitting never in walking, morning time goods no pain evening time goods, not taken any medicine last 3 month doing acupressure.
Sir/Ma'am I am suffering from sciatic pain for more then a year now, tried many medications but no action.
What is osteoarthritis of knee?
Osteoarthritis of the knee (knee oa) is a progressive disease causing inflammation and degeneration of the knee joint that worsens over time. It affects the entire joint, including bone, cartilage, ligament, and muscle. Its progression is influenced by age, body mass index (bmi), bone structure, genetics, strength, and activity level. Knee oa also may develop as a secondary condition following a traumatic knee injury. Depending on the stage of the disease and whether there are associated injuries or conditions, knee oa can be managed with physical therapy. More severe or advanced cases may require surgery.
Symptoms of knee oa may include:
- Worsening pain during or following activity, particularly with walking, climbing, or descending stairs, or moving from a sitting to standing position
- Pain or stiffness after sitting with the knee bent or straight for a prolonged period of time
- A feeling of popping, cracking, or grinding when moving the knee
- Swelling following activity
- Tenderness to touch along the knee joint
Physiotherapy for oa knee:
Here are 5 exercises to help you take control of your knee oa. These exercises are recommendations. Before doing them, get your physio's approval. Never push through pain with these exercises you may be doing your joints more harm than good. Soreness is normal when starting an exercise program, but if it doesn't go away, call your doctor.
1. Knee oa exercise #1: standing quadriceps stretch
- Stretching your quadriceps can ease tension in the knee joints.
- Stand with feet hip-distance apart.
- Bend your right knee and hold the top of your right foot with your right hand.
- Bring your right heel as close as possible to your glutes. You can use a wall for balance.
- Hold for 30 seconds, and repeat on the left leg.
- Do 3 times once a day.
Knee oa exercise #2: standing calf stretch
- This gentle calf stretch increases flexibility in your leg muscles and knee joints.
- Bring your right foot a few feet in front of your left foot. Bend your right leg, making sure your knee doesn't go past your toes.
- Keeping your left leg straight, press your left heel toward the ground to stretch the calf of your back leg.
- Hold for 30 seconds. Repeat on opposite leg.
- Do 3 times daily.
Knee oa exercise #3:
- Seated leg raise
- The seated leg raise exercise helps strengthen muscles around your knees.
- Sit on a chair with both legs bent at 90.
- Slowly raise your right leg so that it's parallel to the floor, keeping your left foot on the ground.
- Hold for 30 seconds, then slowly bring the right foot back to the floor, and repeat on left leg.
- Do 10 times twice a day.
Knee oa exercise #4:
- Step-ups strengthen your legs, making it easier for you to do everyday things like climb stairs. You'll need an exercise step, or use a bottom stair in your house.
- Stand in front of the stair with feet hip-width apart.
- Step onto the stair with your right foot, then with your left foot.
- Step down in reverse: your left foot reaches the ground first, then the right foot.
- Go at your own pace for about 30 seconds at a time. For balance, use a railing.
- Do 10 times twice a day.
Knee oa exercise #5:
- Static quadriceps contraction
- With your knee relatively straight, slowly tighten the muscle at the front of your thigh (quadriceps) by pushing your knee down into a small rolled up towel.
- Put your fingers on your quadriceps to feel the muscle tighten during the contraction.
- Hold for 5 seconds and repeat 10 times as firmly as possible without increasing your symptoms.
What if I need surgery?
In some cases of knee oa, the meniscus (shock absorber of the knee) may be involved. In the past, surgery to repair or remove parts or all of this cartilage was common. Current research, however, has shown in a group of patients who were deemed surgical candidates, 60-70% of those who participated in a physical therapy program, instead of surgery, did not go on to have surgery. Further, after 1 year those outcomes were unchanged. This study suggests that physical therapy may be an effective alternative for those patients who would like to avoid surgery.
Coccydynia - Tailbone Pain:
The back bone or spine is made of a series of bones extending all the way from the neck (cervical) to the tail (coccyx). These joints, like others, are prone to inflammation, sprain and strain, some more than the others. The coccyx in particular is highly prone to inflammation and can lead to localized pain, which is very typical, with the pain in the tailbone. This is known as coccydynia.
What is coccydynia?
- Literally, coccydynia translates to tailbone pain.
- It is characterized by a sharp, localized pain between the buttocks in the tail bone.
- It is often caused by injury to the pelvic area or the tail bone.
- Sitting and/or leaning against the buttocks make it worse.
- Pregnancy, when the additional hormones relax on the pelvic floor, also leads to increased pain of the tailbone.
The pain can be easily confused with other conditions like sciatica, fractured tailbone, tailbone infections like shingles, etc. However, for a trained medical person, the symptoms of tenderness and pain are quite diagnostic. Pilonidal sinus, fistula, pudendal neuralgia is also same as coccydynia and show same symptoms.
- If there is a rash or inflammation, it needs to be evaluated further for additional problems.
- Where possible, rest completely for a short period of time till the acute phase of pain subsides.
- In case of injury, ensure there is no repeat injury to the same area.
- Pain medications are used to relieve pain, where it is severe and intolerable.
- In severe cases, cortisone injection may be given in the doctor s office. In addition to pain relief, it may even take care of the underlying problem per se.
- Avoid sitting for prolonged periods where possible.
- After the acute phase is over, when sitting for prolonged periods, sufficient padding is advised. This could be in the form of pillows or padded seats.
- Sleeping on the sides is difficult, so sleep straight. If required, take a pillow in the middle.
- Physiotherapy is also helpful in some people who have repeat attacks. This helps in pain management and controlling acute phases. There are specific tailbone stretches, which should be done under supervision.
- Walking is one of the many effective ways to keep the tailbone unlocked, which helps in getting rid of the pain and avoiding spasms of the muscles around the tailbone.
- Best internal manipulation and pain management can be done with coccyx exercise.
- The time taken for healing of the tailbone depends on whether it is a simple bruise or a severe one. The former would heal completely in about four weeks, while the latter will take about 12 weeks.
How stretching routines will help boost your flexibility?
Stretching is very important for your well-being. Not only does it help you become more agile and flexible, it helps you become better at sports and also makes sure that you have fewer injuries when you are playing sports. Here are some exercises, which are guaranteed to make sure that your flexibility will improve:
1. The runner's stretch:
In this stretch, put your right foot forward and then try to touch the floor with your fingertips. If your fingers do not reach the floor, place them as far down as possible. You have to then inhale, and go back to your starting position.
2. The standing side stretch:
This stretch starts when you are standing straight upwards with your arms raised above your head and your fingers interlocked. When you breathe out you have to slowly bend your upper body to the right then return to the starting position. After you have reached the starting position, you inhale again and after you have inhaled, you have to stretch your upper body to the left.
3. The forward hang:
In this stretch, your starting position is when you stand with your legs apart and then you lock your fingers together and place them behind your back. Once this is done, you breathe in. After breathing in, you have to exhale by bending forward and keeping your hands interlocked above your head. You have to hold this position for 5 seconds.
4. The low lunge arch:
This stretch involves bringing your right leg as forward as possible and then lowering your left knee onto the floor. You then have to lock your hands together with your palms facing the floor and your hands in front of your body. You then have to inhale for the stretch. The stretch involves lifting your arms as far up as possible and then stretching as far back as possible keeping your legs in the position they were already in. Once you have finished this exercise, you have to do the exact same thing with the left leg in front.
The sciatic nerve is one of the largest nerves in the body. It goes from the lower back all the way down to the base of the leg. When there is a disorder associated with the sciatic nerve, it is known as Sciatica.
Sciatica, however, does not necessarily need a surgery or a very elaborate procedure to fix the problem. Most commonly, it is treated simply by practicing a number of simple exercises. Here are some of the most common exercises prescribed to treat Sciatica:
- Reclining pigeon pose: There are three main forms of the pigeon pose. These are sitting, reclining and then forwarding. It is recommended that if you have very recently started your treatment for Sciatica, then certainly you should go for the reclining pose. In this pose, you are supposed to hold your left leg in the air at a right angle to your back. Then, hold your ankle against the knee. Finally, repeat this stretch with the right leg as well.
- Knee to opposite shoulder: In this stretch, the starting position is on your back side. You have to have your legs out and feet upwards. From this position, try to bring your right leg towards your left shoulder. Hold this for 30 seconds and then release and relax. Repeat this activity three times and repeat the whole procedure with your other leg. Only take your leg as far as it goes.
- Sitting spinal stretch: At the start of this exercise, sit on the ground with your legs going straight outwards and your feet flexed in the upward direction. Pull your left knee and put it on the outside of your right knee. Finally, place your right elbow on the left knee, so that your body turns to the left. Hold for 30 seconds and then relax. Repeat the procedure with the other knee.
- Standing hamstring stretch: Put your foot on an elevated surface such that it is above the floor, but not above hip level. Flex your toes forward such that your feet and legs are nearly in a straight line. Bend as far towards the foot as possible. However, do not stretch so far that you feel pain. Finally, repeat this procedure on the other side after release.