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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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I have got Achilles Tendonitis (severe pain in my Achilles tendon at the back of left foot) due to car driving and using the clutch excessively, I have not had any injury. Could it be due to uric acid and a gout attack? I have had past history of uric acid? should I take Feburic along with Combiflam. I am 48 years old, weight is higher than normal Uric acid is on higher side -7.9 - 8.1 always. Used to take Feburic.
My shoulders pain alot even my right arm also. When there is pain in shoulder I feel pain in backside of the head. Should I change pillow what should I do to get it right.
Hi I am having GErD from past 4 years and cervical spondylosis. Before 5 years when I had fallen from bike I had got fainted just for few seconds and now I have severe neck pain too. Now from yesterday and some days it comes and goes like no fever but body heat with burning eyes with fatigue.
My back hurts very bad whenever I lie down I've have this pain right from the day I started going to gym why is it happening any problem with me.
I have a pain in my right leg when it is twisted. But there is no problem while walking. Why is it so? Whether it is a minor problem?
Hey guys! I'm a 16 years old male! So here's the story, looking to keep it as short as possible! I'verecently had this hamstring, glutes injuries around 3-4 months ago. It all started by me doing squats with the squatting machine in the gym. It was my first time doing it and with my stubborn head I've put as much weight on the machine as I could possibly lift. I didn't feel it then but the next day I could barely walk. Which was understandable but, in the following week it didn't get much better. And when I actually thought it was going to get better, it gradually got worse over time. Maybe because I started doing bodyweight exercises such as normal squats then few weeks later tuck jumps. I also recently started doing stretches for my legs. Butit doesn't seem to help. I used to put oil on my leg (Oil that muay thai fighter use) and it didn't seem to help either. Then of course I stopped doing the squats and any sort of exercises for my legs. It's only my right hamstring that is affected and the right side of my glutes which ispretty weird. I really don't know what to do. Also, my leg isn't swollen or you couldn't really tell if you'd look at my leg that it's messed up. It's particularly sore when I do sit ups, for example, when I lock my feet under a bed and then try to do a sit up. It's also really sore when I try to touch my toes with straight legs and when I sit down, straighten my legs and try to touch my toes then. It's a little sore when I just walk too.
I'm having severe backache. Please help. Mr. jha also has the same problem and he is doing physiotherapy for the same. Should I also do the same.
Hi. This is the case of my cousin brother. His age is 30. He fell in love with a girl, one year elder than him approx. 3 years back, who was already in a relationship with another boy since past 6-7 years. She and her parents asked the boy to marry her several times. But the boy did not marry her giving some or other excuse. He kept taking advantage of the girl physically for his own needs, played with her innocence and feelings. At times when the girl opposed he used to show that he is very upset and hurt coz of her denial. This girl could not sent and used to allow him for sex even without her consent. This obviously was hurting her self respect. But after meeting my brother, they both found each other very compatible and started understanding each other well. Within some time, this girl became everything to my brother. She had almost same feelings for him. After meeting him, she realized her mistakes done in past and started focusing on her own self respect and her own aims in life. But after almost an year when my brother approached his parents for marrying this girl, they refused due to the background of the boy with whom the girl was in a serious relationship before. My brother had to get married to a girl of his parent's choice. But cd not forget the love for this girl. Unfortunately his wife ditched him within almost a month of his marriage and filed false cases against him of dowry harassment etc. My bro took a tough stand and started fighting against the false allegations against him. Since last two years he is fighting various litigations and preparing for any future false litigations. But during these two years, he is in regular touch with the girl with whom he was in love since almost three years. He used to share each and everything of his life with this girl. But cd not express his true feelings in that old way, coz somewhere or other in his heart he kept feeling guilty of not marrying her. 2ndly he is caught into various law suites. During this period this girl once again relied upon the guy with whom she was in the relation before. She made her mind to marry with that guy and now has married to him. My brother and the girl are in regular touch but as friends now. My brother still loves her, but not for any physical satisfaction. Lust was never a part of his feelings for her. He does have pure feelings for her and respect her as a woman. He cares for her. The girl also knows this and has respect for his feelings. Now when my brother has fought the legal cases strongly and is relaxed somewhat, he has started paying full attention to this girl like before. But she at various occasions have started ignoring and neglecting him. However, she keeps sharing almost every up and downs of her life with him. My brother does not have any intentions to break the girl's marriage nor he is expecting any physical favour. He just wants her presence and her time. Coz even today both understand each other well. My brother still can't remain without sharing things with her and almost the same is the case with her. please suggest whether to keep true feelings for her is wrong? What is the suggestion for the girl who still trust him like before but her behaviour somewhere is hurting my brother continuously? Is there any problem in sharing things with each other by these two coz of the trust and faith that they have on each other?
Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.
Reversal of cervical lordosis explained
The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.
When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.
Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.
In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.
Reversal of cervical lordosis causes
The spinal curvature in the neck is constantly in flux to some degree.
Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:
Scoliosis can affect the normal lordotic curvature in the neck.
Cervical spondylolisthesis is a major source of reversed lordotic curvature.
Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.
Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.
Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.
Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.
Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.
Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.
In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.
Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.
While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.
The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post head injury
Poor sitting/working postures
Congenital spinal curvatures
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine
Anatomy: straight vs. Curved
I've always heard that it was good to stand up straight.
stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.
Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.
When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.
Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.
In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.
Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:
Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.