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Cervical Traction Procedure
Hip Replacement Surgery
Treatment of Lumbar Radiculopathy
Spinal Fusion Surgery
Treatment of Knee replacement
Arthritis And Pain Management Treatment
Hip Resurfacing Surgery
Hip Injury Treatment
Ankle Injury Treatment
Knee Injury Treatment
Hip Pain Treatment
Ankle Pain Treatment
Knee Pain Treatment
Treatment of Joint Dislocation
Joint Mobilization Procedure
Joint Replacement Surgery
Limping Child Treatment
Meniscus Injury Treatment
Pelvic Rehabilitation Techniques
AM suffering from Uric Acid and Back pain. Digital x-ray report was normal. Please suggest what to do.
Hello doctor, I am 30 years old. I am suffering form 12 monts back pains and mri report l4 l5 disk problem.
This is sailaja age 25, I have vitamin d deficiency later I was diagnosed with pcos and I am suffering from lower back pain can you please suggest me what should I do to overcome all these problems as I need to get married soon. I already took vitamin d supplements and taking homeopathic medication for pcos but no use since 8 months. Thank you.
Arthritis is very common but is not well understood. Actually, 'arthritis' is not a single disease; it is an informal way of referring to joint pain or joint disease. There are more than 100 different types of arthritis and related conditions. People of all ages, sexes and races can and do have arthritis, and it is the leading cause of disability. More than 50 million adults and 300, 000 children have some type of arthritis. It is most common among women and occurs more frequently as people get older.
Common arthritis joint symptoms include swelling, pain, stiffness and decreased the range of motion. Symptoms may come and go. They can be mild, moderate or severe. They may stay about the same for years, but may progress or get worse over time. Severe arthritis can result in chronic pain, inability to do daily activities and make it difficult to walk or climb stairs. Arthritis can cause permanent joint changes. These changes may be visible, such as knobby finger joints, but often the damage can only be seen on x-ray. Some types of arthritis also affect the heart, eyes, lungs, kidneys and skin as well as the joints.
There are different types of arthritis:
Osteoarthritis is the most common type of arthritis. When the cartilage - the slick, cushioning surface on the ends of bones - wears away, bone rubs against bone, causing pain, swelling and stiffness. Over time, joints can lose strength and pain may become chronic. Risk factors include excess weight, family history, age and previous injury (an anterior cruciate ligament, or acl, tear, for example).
When the joint symptoms of osteoarthritis are mild or moderate, they can be managed by:
Balancing activity with rest
Using hot and cold therapies
Regular physical activity
Maintaining a healthy weight
Strengthening the muscles around the joint for added support
Using assistive devices
Taking over-the-counter (otc) pain relievers or anti-inflammatory medicines
Avoiding excessive repetitive movements
If joint symptoms are severe, causing limited mobility and affecting the quality of life, some of the above management strategies may be helpful, but joint replacement may be necessary.
Osteoarthritis can prevent by staying active, maintaining a healthy weight, and avoiding injury and repetitive movements.
A healthy immune system is protective. It generates internal inflammation to get rid of the infection and prevent disease. But the immune system can go awry, mistakenly attacking the joints with uncontrolled inflammation, potentially causing joint erosion and may damage internal organs, eyes and other parts of the body. Rheumatoid arthritis and psoriatic arthritis are examples of inflammatory arthritis. Researchers believe that a combination of genetics and environmental factors can trigger autoimmunity. Smoking is an example of an environmental risk factor that can trigger rheumatoid arthritis in people with certain genes.
With autoimmune and inflammatory types of arthritis, early diagnosis and aggressive treatment are critical. Slowing disease activity can help minimize or even prevent permanent joint damage. Remission is the goal and may be achieved through the use of one or more medications known as disease-modifying antirheumatic drugs (DMARDs). The goal of treatment is to reduce pain, improve function, and prevent further joint damage.
A bacterium, virus or fungus can enter the joint and trigger inflammation. Examples of organisms that can infect joints are salmonella and shigella (food poisoning or contamination), chlamydia and gonorrhea (sexually transmitted diseases) and hepatitis c (a blood-to-blood infection, often through shared needles or transfusions). In many cases, timely treatment with antibiotics may clear the joint infection, but sometimes arthritis becomes chronic.
Uric acid is formed as the body breaks down purines, a substance found in human cells and in many foods. Some people have high levels of uric acid because they naturally produce more than is needed or the body can't get rid of the uric acid quickly enough. In some people the uric acid builds up and forms needle-like crystals in the joint, resulting in sudden spikes of extreme joint pain, or a gout attack. Gout can come and go in episodes or, if uric acid levels aren't reduced, it can become chronic, causing ongoing pain and disability.
Arthritis diagnosis often begins with a primary care physician, who performs a physical exam and may do blood tests and imaging scans to help determine the type of arthritis. An arthritis specialist, or rheumatologist, should be involved if the diagnosis is uncertain or if arthritis may be inflammatory. Rheumatologists typically manage ongoing treatment for inflammatory arthritis, gout, and other complicated cases. Orthopedic surgeons do joint surgery, including joint replacements. When arthritis affects other body systems or parts, other specialists, such as ophthalmologists, dermatologists or dentists, may also be included in the health care team.
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using a holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat arthritis but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for homeopathic treatment of arthritis that can be selected on the basis of cause, location, sensation, modalities and extension of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some important remedies are given below for the homeopathic treatment of arthritis:
Bryonia alba. - pain with inflammation which, is aggravated by movement and relieved by moderate pressure and rest.
Ledum pal. - excellent remedy for gout and rheumatism which is of ascending nature, better by cold application.
Rhus tox. - pain aggravated by first movement, damp weather and better by continuous motion.
Colchicum - pain worse by motion touch or mental effort, better by warmth and rest.
Kalmia lot. - descending type of pain, pain with palpitation of heart and slow pulse
Guaiacum. - gouty abscesses of joints, pain relieved by cold bath and cold application.
Calcaria carb. - arthritic swelling, knee pain especially in fleshy people which is worse by the cold.
Benzoic acid - gouty concretions of joints, knee pain due to abnormal deposition of uric acid
Hypericum. - the remarkable remedy for rheumatoid arthritis has outstanding action over nerve pain.
Hello Doctor , I am 28 year old married . Since 4 year I was suffering in knees. Ankle and waist pain and finally I get to knew that I had'D' deficiency and it was 9 but now it is 45 after taking injection and medicine but still getting pain and unable to climb big steps and buses also and losing balance some time so can you tell me what is the problem and how can I get rid from this please help me.
M married. Age 25 . After whole day work my leg pains a lott. What to do. N get tired fast. Can you suggest .what to do.
I'm having burning hot hands and soles but it's not painful and I'm feeling uncomfortable coz of this. Is there anything I can do to stop this? Please help. Thanks.
Sciatica refers to back pain caused by a problem with the sciatic nerve. This is a large nerve that runs from the lower back down the back of each leg. When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg. Up to 90% of people recover from sciatica without surgery.
Sciatica is not a medical diagnosis in and of itself—it is a symptom of an underlying medical condition, such as a lumbar herniated disc, degenerative disc disease, or spinal stenosis.
Lumbar herniated disc
A herniated disc occurs when the soft inner core of the disc (nucleus pulposus) leaks out, or herniates, through the fibrous outer core (annulus) and irritates the contiguous nerve root.
A herniated disc is sometimes referred to as a slipped disc, ruptured disc, bulging disc, protruding disc, or a pinched nerve. Sciatica is the most common symptom of a lumbar herniated disc.
Degenerative disc disease
While disc degeneration is a natural process that occurs with aging, for some people one or more degenerated discs in the lower back can also irritate a nerve root and cause sciatica.
Degenerative disc disease is diagnosed when a weakened disc results in excessive micro-motion at that spinal level, and inflammatory proteins from inside the disc become exposed & irritate the nerve root(s) in the area.
Lumbar spinal stenosis
This condition commonly causes sciatica due to a narrowing of the spinal canal. Lumbar spinal stenosis is related to natural aging in the spine and is relatively common in adults over age 60.
The condition typically results from a combination of one or more of the following: enlarged facet joints, overgrowth of soft tissue, and a bulging disc placing pressure on the nerve roots, causing sciatica pain.
What are the symptoms of Sciatica?
Usually, sciatica only affects one side of the lower body and the pain often radiates from the lower back all the way through the back of the thigh & down through the leg.
Some combinations of the following symptoms are most common:
Lower back pain, if experienced at all, is not as severe as leg pain
Constant pain in only one side of the buttock or leg, but rarely both the right and left sides
Pain that originates in the low back or buttock and continues along the path of the sciatic nerve - down the back of the thigh and into the lower leg & foot
Pain that feels better when patients lie down or are walking, but worsens when standing or sitting
Pain that is typically described as sharp or searing, rather than dull
Some experience a "pins-and-needles" sensation, numbness or weakness, or a prickling sensation down the leg
Weakness or numbness when moving the leg or foot
Severe or shooting pain in one leg that may make it difficult to stand up or walk
Depending on where the sciatic nerve is affected, the pain and other symptoms may also include foot pain or pain in the toes.
What is the treatment for Sciatica Pain?
The goals of non-surgical sciatica treatments are to relieve pain and any neurological symptoms caused by a compressed nerve root. There is a broad range of options available for sciatica treatment. One or some combination of the treatments below are usually recommended in conjunction with specific exercises.
For acute sciatic pain, heat and/or ice packs are readily available and can help alleviate the leg pain, especially in the initial phase. Usually ice or heat is applied for approximately 20 minutes, and repeated every two hours. Most people use ice first, but some people find more relief with heat. The two may be alternated. It is best to apply ice with a cloth or towel placed between the ice and skin to avoid an ice burn.
Over-the-counter or prescription medications are often effective in reducing or relieving sciatica pain. Non-steroidal anti-inflammatory drugs or oral steroids can reduce the inflammation that is usually part of the cause of the pain.
Alternative sciatica treatment
In addition to standard medical treatments, several alternative treatments have also been shown to provide effective sciatica pain relief for many patients. Three of the more common forms of alternative care for sciatica include chiropractic manipulation, acupuncture, and massage therapy.
Spinal adjustments and manual manipulation performed by appropriately trained health professionals, such as chiropractors and osteopathic physicians, are focused on providing better spinal column alignment, which in turn should help to address a number of underlying conditions that can cause sciatic nerve pain.
The practice is centered on the philosophy of achieving or maintaining well being through the open flow of energy via specific pathways in the body. Hair-thin needles (that are usually not felt) are inserted into the skin near the area of pain.
Certain forms of massage therapy have been shown to have a number of benefits for back pain, including increased blood circulation, muscle relaxation, and release of endorphins (the body’s natural pain relievers).
Typically, it is reasonable to consider surgery for sciatica in the following situations:
Severe leg pain that has persisted for 4 to 6 weeks or more
Pain relief that is not achieved after a concerted effort at non-surgical sciatica treatments, such as one or a combination of oral steroids, non-steroidal anti-inflammatory medication, manual manipulation, injections, and/or physical therapy
The condition is limiting the patient’s ability to participate in everyday activities
Urgent surgery is typically only necessary if the patient experiences progressive weakness in the legs, or sudden loss of bowel or bladder control, which may be caused by cauda equina syndrome.
Depending on the cause and the duration of the sciatica pain, one of two surgical procedures will typically be considered:
A microdiscectomy (or small open surgery)
A lumbar laminectomy (an open decompression)