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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
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
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I am 24yr old male and have backache for 10 month. My mri report is mild annular disc bulge is seen at l4-5 level with subtle anterior thecal sac impression. What should I do?
In the technologically advanced era one lives in, it is pretty much easy to use up one’s entire day glued to the digital screens; right from checking the social media updates while commuting to sitting before the computer for everyday work. Yet nobody is aware of the fact that apart from creating a social gap, these electronic gadgets can take a toll on their postures too.
- You lean against your desks with your neck leaned forward in an attempt to grasp what is on the computer screen and your hand on your mouse scrunched up on one side. Sadly, human body was never designed to pose in such a consorted way resulting in adverse side effects.
- The head usually weighs 10 to 12 pounds on an average when it is balanced evenly over the shoulders. However, with each extra tilt forward, the weight on your spine might escalate up to 60 pounds and even beyond that. Excessive weight on the spine can lead to its subsequent collapse.
- Too much use of tablets and smart phones for swiping or texting can cause inflamed index fingers, thumb joints and tendons. You tend to suffer from wrist pain, enfeebled grip or popping sound while moving the fingers. Typing with one thumb without giving considerable breaks in between can also exert stress on the fingers.
- Hunched over, shoulders slumped and necks bent down are the ways majority of the people use their electronic gadgets. This can trigger misalignment of the spine aggravating your health. Spine protects the nervous system, coordinating and controlling various functions of the body. Any sort of disruption might render a drastic consequence.
- Poor posture impacts the ligaments and muscles in a negative way giving way to a series of complications such as gastrointestinal problems, back or neck pain or severe curvature of the spine, heightening the risk of arterial or pulmonary problems.
Spinal stenosis is a narrowing of the spinal canal and foramen, which results in increase pressure on spinal cord and nerves which emerge out from spinal cord.
Causes of stenosis
degenerative ageing process of your spine.
the ligaments of your spine may hardened and calcify, and start to compromise the adjacent structures .
Increased bone stress causes bone spurs, which encroach in the spine?s space.
spinal discs, become dehydrated with age and lose their height. This disc narrowing can deteriorate quicker with injury eg disc bulges or degenerative disc disease.
Osteoarthritis of your spine is the most common form of arthritis and is more likely to occur in middle-aged and older people. It is a chronic, degenerative process. It is the result of everyday wear and tear of the spine joints, and is often accompanied by overgrowth of bone, formation of bone spurs, which can cause spinal stenosis.
Spinal stenosis is most common in men and women over 50 years of age and is related to degenerative changes in the spine. However, it may occur in younger people who are born with a narrowing of the spinal canal or who suffer an injury to the spine.
Symptoms of Spinal Stenosis?
numbness, muscle weakness, diminished reflexes , cramping or general pain in the arms or legs.
The most common stenosis regions of your spine are your lumbar spine (low back) and your cervical spine (neck), but any spinal region can suffer stenosis.
In lumbar spinal stenosis, the spinal nerve roots in the lower back are compressed and this can produce symptoms of pain, tingling, weakness or numbness that radiates from the low back and into the buttocks and legs, especially with activity.
Cervical stenosis may cause similar symptoms affecting your arms and potentially your legs too!
If the narrowed space within the spine is pushing on a nerve root, you may feel pain radiating down the nerve eg sciatica. However, unlike patients who have sciatica due to slipped disc, this sciatica is relieved by sitting down in stenotic patients.
Classically, in stenosis patients, sitting or bending forward to flex the spine should relieve your symptoms. The flexed position ?opens up? the spinal column and therefore enlarges the spaces between the vertebrae. Because keeping the lower back ?flexed' (bent forward) relieves their symptoms, patients will often walk with a slight stoop forward or look downwards.
With this adaptive posture, the lower back is often stiff and tightness develops in the hip flexor muscles at the front of the hips.Standing, walking or bending backwards often makes stenosis-related symptoms worse because this position causes narrowing of the space surrounding the nerves.
Walking up a hill may be fine because leaning forwards opens up the space around the nerves.
The space in the spine may narrow without actually producing any symptoms of stenosis. It is only when the narrowing causes the compression of the spinal cord, nerves and nerve roots, that there may be an onset of stenosis symptoms.
Your neck or back may not even be painful. In severe spinal stenosis, you may experience with constant or worsening back pain; numbness or pins and needles in the genital region; weakness in both legs; and or disturbances in bladder or bowel function. If this is the case, you require urgent medical attention!
How is Spinal Stenosis Diagnosed?
Your physiotherapist or doctor may diagnose you with spinal stenosis based on your symptom behaviour alone. However, the extent of your stenosis is best determined via a CT-scan, MRI or myelography.
lower back pain
MRI Spinal Stenosis
Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection
Managing your pain is usually the main reason that you seek treatment for stenosis. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.
Managing your inflammation. Inflammation is the main short-term reason for why you have suddenly developed stenosis symptoms. It best reduced via ice therapy and techniques or exercises that de-load the inflammed structures.
Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include: ice, electrotherapy, acupuncture, deloading taping techniques, soft tissue massage and temporary use of a back brace.
Your doctor may recommend a course of non-steroidal anti-inflammatory drugs such as ibuprofen.
PHASE II - Restoring Normal ROM, Strength
As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal joint alignment and range of motion, muscle length and resting tension, muscle strength and endurance.
Your physiotherapist will commence you on a lower abdominal and core stability program to facilitate your important muscles that dynamically control and stabilise your spine.
Researchers have discovered the importance of your back and abdominal core muscle recruitment patterns. A normal order of: deep, then intermediate and finally superficial muscle firing patterns is normally required for pain-free backs. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.
Your physiotherapist may recommend a stretching program or a remedial massage to address your tight or shortened muscles.
Please ask your physio for their advice.
PHASE III - Restoring Full Function
As your back?s dynamic control improves, your physiotherapist will turn their attention to restoring your normal pelvic and spine alignment and its range of motion during more stressful body positions and postures. They?ll also work on your outer core and leg muscle power.
Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your function to safely allow you to return to your desired activities.
Everyone has different demands for their body that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon.
Your physiotherapist will make your back rehabilitation to help you achieve your own functional goals.
PHASE IV - Preventing a Recurrence
Back pain does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation. In particular, poor compliance with deep abdominal and core muscle exercises. You should continue a version of these exercises routinely a few times
In addition to your muscle control, your physiotherapist will assess your spine and pelvis biomechanics and correct any defects. It may be as simple as providing you with adjacent muscle exercises or some foot orthotics to address any biomechanical faults in the legs or feet.
General exercise is an important component to successfully preventing a recurrence. Your physiotherapist may recommend pilates, yoga, swimming, walking, hydrotherapy or a gym program to assist you in the long-term.
Fine tuning and maintenance of your back stability and function is best achieved by addressing any deficits and learning self-management techniques. Your physiotherapist will guide you.
What is Your Prognosis for Spinal Stenosis?
The success of treatment for stenosis is reasonably good in the short-term due to the symptom onset mainly being related to recent inflammation.
With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated
I am suffering from back pain from last 3 month, I took all the medicines l, physiotherapy but nothing happen. There is some severe problem occurs in my back. please help me.
I am 31 years. Suffering from weakness and pain in the back side of both knees for the past 1 week. There is no problem in the walking but when I stand for the long time I am getting pains in the joints. Could please suggest me the solution.
Hello doctor, My dad aged 59 is suffering from severe pain in the knee joints and low back for the past 10 years. It's an occupational hazard but even after retiring from his job, he still gets the pain while walking or lifting things. It's so severe that it disturbs sleep and he moans all night. Can you please suggest a good remedy for this.
Our bones are composed of calcium deposits, and with age, the amount of deposits gradually reduce, leading to porous bones called in medical terms as osteoporosis - osteo for bone and porosis for porous. As the bones grow porous, they are more brittle and prone for fracture. In severe conditions, a person's limb length can also be altered, leading to stooped and shortened stature.
Osteoporosis is more common in females, especially after menopause, as there is a strong hormonal connection to osteoporosis. An advice for females post 40 is to include calcium and vitamin d supplements, thereby delaying the onset and reducing the severity of this condition.
Once it does set in, there are various medications available; however, as with most allopathic medications, there are side-effects. Well-known as it is, homeopathy treats the individual and not just the disease. Listed below are some common treatments, which improve calcium and phosphorus metabolism, reduce bone loss, and improve bone mass.
- Calcarea carbonica - This works well in patients who have issues with calcium absorption, get tired easily, are anxious and stressed out easily. Cold often worsens the pain and there could be swelling of joints and neck and back pain. There is also a strong craving for sweets in these people.
- Calcarea phosphorica - This works very well in cases where the spine has been affected. Patients with softened spine and curved body benefit very well from this. This also can be used where there is associated anemia and increased bone pain due to cold weather. At an emotional level, people with general dissatisfaction and a strong desire to travel and wanting a change of situations can also benefit from this.
- Calcaria iod - In addition to bone loss, where there is muscular and fat deficiency, this supplement has been proven to work well.
- Silicea (silica) - Delicate people who are often very nervous and get tired easily and have a low resistance to infection get benefited from this medication. The spine is the most affected, and there might even be fractures and pus or fistula formation. It helps in healing broken bones and removing bone splinters. This works well in cases where calcium assimilation is affected by improving calcium assimilation.
- Symphytum - Popularly known as 'knit bone,' this medicine is believed to help unite fractured bones very effectively by promoting strong callous formation. Not just new fractures, this also helps in patients who have pain in old healed or partially healed fractures.
To conclude, there are many remedies that can help treat osteoporosis and its consequences, the above being the few popular ones. If you wish to discuss about any specific problem, you can consult a Homeopath.