Treatment of Neurological Problems
Treatment of Hip Disorders
Back Pain Treatment
Neck Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment Of Disk Slip
Chronic Pain Management
Treatment Of Herniated Disc
Treatment of Spine Injuries
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Treatment of Muscle Pain Skeleton System
Treatment Of Foot Infection
Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Treatment of Spinal Diseases
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Metabolic Bone Disease is a term used for various conditions of the bones that can be caused by a number of different disorders. Most of these disorders are developed due to nutritional deficiencies, defects in the bone metabolism procedure or due to hereditary defects in the skeletal structure. Conditions that fall under the category are osteoporosis, osteomalacia, rickets, Paget's disease, parathyroid conditions, chemotherapy induced bone loss and menopause induced bone loss.
Causes of Metabolic Bone Diseases
- Imbalance in the level of calcium: Too much calcium or too little calcium can cause bone diseases. While the overabundance of calcium (hypercalcemia) in the body will lead to calculi formation, which can be harmul for the body, the lack of calcium (hypocalcemia) causes weakness, bone pain and restricted growth.
- Deficiency of phosphorus: Low phosphorus in blood (hypophosphatemia) leads to softening of the bone tissue and bone loss. Osteomalacia is commonly caused by phosphorus deficiencies.
- Deficiency of Vitamin D: Vitamin D is essential for the body to absorb calcium. Cells called osteoblasts need vitamin D in order to absorb calcium and secrete the bone tissue proteins. A deficiency of vitamin D can lead to a number of metabolic bone diseases like rickets and osteoporosis.
- Over or under secretion of the parathyroid hormone: The parathyroid hormone (PTH) stimulates the secretion of an enzyme which converts the inactive circulatory form of vitamin D into its active usable form. The hormone can also increase the circulation of free or ionized calcium (Ca2+) which is not attached to proteins. Both underproduction and overproduction of the hormone causes skeletal problems.
Symptoms of Metabolic Bone Diseases
The symptoms of most of the Metabolic Bone Diseases are similar. They are:
- A dull, throbbing pain in the bones is the most common symptom. The pain is frequent and lasts for a long amount of time but, unlike muscular pain, the exact region of bone pain cannot be specified.
- Severe joint pains accompanied by stiffness and swelling of the joints. The patient experience pain during regular physical activities, especially during cold weather conditions.
- Frequent fractures are caused by most bone diseases because the bone mineral density decreases drastically. Severe bone injury may be caused by mild trauma.
- Defects in the bones can cause bowed out legs and a bent backbone.
- A general feeling of exhaustion is often caused by bone diseases.
- Kidney stones are an associated complication of metabolic bone diseases.
Yesterday while bathing I got a scratch on the back, by iron handle or wooden door may be, the scratch doesn't seems to be that deep, so should I go for a tetanus injection or not, I am confused.
Doctor I am suffering left side solder pain past 1 month, I feel it's muscle pain when do Anything with left hand its pain very badly. Please suggest.
After 30 min of my meal I suffer form stomach pain. After every meal. This is happening from 3-4 days.
My age is 22 can I stay without surgery for ACL complete tear for life time because my knee slips not so much and the pain is little bit and while folding my leg I feel pain that's all.
Sir mai chalte-chalte gir gyi thi ek mahina ho gya but thik nhi hua hai. Ankle me bahut pain hai, chal nhi pati hu, bahut dard hota hai. X-ray me koi fracture nhi hua hai. Please advise
I have been having lower back spasm for more than 3 months. I am taking myoril and fomentations 2 times a day. How long should I be following this to get rid of muscle spasm completely?
I have severe Shoulder pain since many years. I have taken lot of physiotherapy session but no help. Please advise.
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
I have head pain I don't understand what happened I do gym but body is not progress. Please advise me
Osteoporosis is a condition which usually results due to a decrease in bone density. In this condition, the bones become weak and brittle. Fractures are a common result of osteoporosis. Usually, symptoms or signs do not show up until the condition progresses to its advanced stages.
Since osteoporosis is usually irreversible and incurable, preventing the fractures is considered to be extremely important.
Who is at risk of osteoporosis?
All men and women have some risk of developing 'thinning' of the bones (osteoporosis) as they become older, particularly over the age of 60. As mentioned above, women are more at risk than men. The following situations may also lead to excessive bone loss and so increase your risk of developing osteoporosis. If you:
- Are a woman who had the menopause before 45 years of age
- Have already had a bone fracture after a minor fall or bump
- Have a strong family history of osteoporosis.
- Have a body mass index (BMI) of 19 or less (that is, you are very underweight)
- Have irregular periods
- Have taken, or are taking, a steroid medicine (such as prednisolone) for three months or more
- Are a smoker
- Have an alcohol intake of more than four units per day
- Lack calcium and/or vitamin D (due to a poor diet and/or little exposure to sunlight).
- Are mostly inactive
Ways To Treat Osteporosis
Osteoporosis in women can be treated using Hormone Replacement Therapy (HRT). The therapy makes use of either a combination of progestin and oestrogen or simply, oestrogen. However, it is possible that certain combinations have side-effects that might give rise to other medical conditions. Therefore, proper consultation with an orthopedist is an essential pre-requisite so that the condition of osteoporosis as well the side effects may be addressed before proceeding with Hormone Replacement Therapy.
There are a number of medications that can be used which have long-term effects on osteoporosis. However, the schedule for intake of these medicines should be followed diligently. Failing to adhere to the schedule could lead to serious complications. For example, the intake of Risedronate medications (prevent bone loss) should be scheduled once every month, failing which can cause ulcers in the food pipe. Raloxifene has effects which are similar to oestrogen but does not exhibit any serious side effects. Teriparatide can be used to treat osteoporosis in people who have a high risk of suffering from bone fractures.
Don't rely entirely on medication as the only treatment for your osteoporosis. These practices also are important:
- Exercise. Weight-bearing physical activity and exercises that improve balance and posture can strengthen bones and reduce the chance of a fracture. The more active and fit you are as you age, the less likely you are to fall and break a bone.
- Good nutrition. Eat a healthy diet and make certain that you're getting enough calcium and vitamin D. Being underweight or losing a lot of weight unintentionally is associated with poorer bone health and a higher risk of fracture — even if you're taking a bisphosphonate.
- Quit smoking. Smoking cigarettes speed up bone loss.
- Limit alcohol. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger.
Right leg do not get full strength n right hand finger vibrate and thigh back pain. Kindly do needful.
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.
The bone is one of the hardest substances in the body. It is equal to a matrix which is filled with various minerals like calcium and phosphorus. With age, people lose on the minerals and what remains is the porous matrix. This is a very common condition in elderly people and is known as osteoporosis - osteo for bone, and porosis for the porous condition.
The good news is that this condition can be managed and the onset can also be prevented.
Management: This involves a multi-pronged approach, covering lifestyle changes, diet, exercise, and medications.
- Lifestyle changes: Quitting smoking and reducing alcohol help in improving osteoporosis.
- Diet: Improving vitamin D, calcium intake, and protein supplements help in preventing the onset of osteoporosis. If you do not get the required amounts of vitamins and calcium from the diet, you may be advised to take supplements.
- Exercise: The main issue that people face due to osteoporosis is that the bones get brittle and can fracture and lead to frequent falls. Exercising regularly by including some weight-bearing workouts can a help in strengthening the bones, thus preventing fracture.
- Reduce the incidences of falls: It is very essential to alter the living spaces to reduce incidence of falls. This could include improved lighting, using anti-fall rugs, regular eye checks, etc.
- Medications: Bisphosphonates is the most commonly used drugs for osteoporosis. In addition, hormonal supplements are also used in women who are post-menopausal.
Prevention would include understanding risk factors and working on reducing the impact of these, as below.
- Calcium supplements are suggested for people with a family history. This helps in strengthening the bone matrix and thereby prolongs porous bone formation.
- Women over the age of 40 should take calcium supplements. Menopause is a major risk factor, and this is particularly due to the hormonal changes (lowered levels of estrogen).
- Reducing cigarette smoking helps prolong osteoporosis, as smoking is a major risk factor. The risk is increased in women smokers.
- Sedentary lifestyle is another risk factor, and therefore those who are at risk should engage in an active lifestyle. A regular exercise regime is very essential to keeping the bones agile and strong.
Dietary changes to prevent osteoporosis include:
- Diet rich in dairy products, as it helps by providing adequate calcium. Yoghurt consumption also helps in improving estrogen levels, and prevents osteoporosis.
- Eggs also help in improving calcium and estrogen levels in the body.
- Fish and meat are rich in calcium and protein, so help in preventing osteoporosis.
- Bananas improves calcium absorption, provides essential oils required for bone health.
- Cabbage helps in improving bone metabolism and improving calcium uptake by the bones.
- Reduce alcohol and caffeine intake.
So, while osteoporosis is inevitable given the natural bone structure, it can definitely be prevented and managed.
In case you have a concern or query you can always consult an expert & get answers to your questions!