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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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Enter question for you or someone else. For e.g. I am 25 year old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days but haven’t got any relief. What should I do now?
Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.
There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.
Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)
Read on to know some of the most common causes for cartilage damage and ways to manage it.
Age and trauma are the main reasons for cartilage damage.
- Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).
- Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.
- Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.
- Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.
The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.
Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:
- Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.
- Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.
- Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.
- Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth.
In case you have a concern or query you can always consult an expert & get answers to your questions!
1. Tie a cup of uncooked rice inside a cloth and heat it for 30 to 60 seconds on the microwave in low setting. Then keep this on the back for relief.
2. Take fresh ginger into pieces, place in the cup of water and boil it for 30 minutes in low flame. Cool for 30 minutes after boiling. Consume this solution with honey.
Consult for Ayurveda tips and treatment.
1. Take a plastic bag with few crushed ice cubes and place it on the painful area.
2. Massage the painful back with castor oil.
3. Consume warm water mixed with 1 tablespoon of honey.
4. Mix equal quantities of cuscus grass and sugar then consume 5 grams of it twice a day with warm milk.
5. Soak wheat along with 1/2 quantity of cuscus grass is mixed with 1/2 quantity of coriander. Mix it with boiled milk 4 times of that wheat. When the milk is left 2/3 of the original quantity then consume it.
6. Take warm water in bath tub and soak in it for some time.
7. Massage with garlic and eucalyptus oil on the painful area.
8. Take 8 to 10 glasses of water daily.
9. Increase the consumption of Vitamin C in diet.
I am suffering from sciatica. Please suggest some remedies cure it. Its been 2 months I am suffering from the pain.
Foot arch pain is used in broader context for describing pain in bones, ligaments, muscles and nerve on the foot bottom. Slight damage to any of the components in the foot bottom can cause great pain. For starters, the pain lasts for a brief period, but increases over time if the condition is left untreated. Foot arch pain is more commonly witnessed in people over the age of 60 and among athletes engaged in sports of high impact.
The treatment plan of the pain totally depends on the cause. An early and right diagnosis goes a long way in treating the condition faster. For occasional mild to moderate pain, simple solutions such as footwear change can do the trick. Doctors often suggest four simple methods. This starts with rest followed by applying ice and then trying compression and elevation.
Anti-inflammatory medications are used to treat foot arch pain. Cases that are severe in nature can be treated with steroid and anti-inflammatory injections. For extreme cases, cortisol injections are prescribed too. This is done to relieve pain and release plantar fascia. Even stretching exercises are known to give relief from the pain. Some of the recommended exercises during this period are:
- Stretch-related to plantar fascia: This exercise should be performed by crossing the legs at the junction of the knee. The body weight should be rested on the unaffected leg and it should gradually come down to touch the toe. The idea is to stretch the plantar fascia. A set of 20 such movements should be practised on a daily basis. Each movement should last for about 10 seconds.
- Foot flexing: This exercise can be practised before getting out of bed. This is the tie when the pain from the plantar fascia is felt the most. This exercise should be repeated 20 times each lasting for about 10 seconds.
- Rolling stretch: This exercise should be started by sitting in a chair. A tennis ball should be placed under the foot arch and the same should be rolled back and forth for ten times at a time. The same should be repeated with the second foot. Once this posture gets comfortable, the same should be practised by standing on the ball. It is known to be extremely useful for people suffering from foot arch pain.
How to prevent foot arch pain?
1. Wear shoes that are half an inch lose as they will make feel comfortable while walking
2. Losing weight; obese tends to cause pain in the foot arch
3. Performing free hand exercise and simple stretching on a daily basis
4. Not to overuse the foot. People who stand for more than 5-6 hours at stretch on a daily basis are observed to have foot arch pain.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 27 year male. While I was playing cricket I fell and now I have longitudinal meniscus tear. MRI report wordings: Flipped lateral meniscus tear as described below. Complete peripheral vertical longitudinal tear of the posterior horn and the body of the lateral meniscus has allowed the vast majority of the posterior horn to flip into the intercondylar notch and the body to flip directly posterior to a truncated anterior horn. There is a resultant ghost meniscus sign posteriorly with only a tiny remnant of peripheral meniscus and the meniscopopliteal fascicles evident. So here should I go for surgery? Is there any natural method of healing? I heard about PRP injections, will this heal Meniscus tear?
I had a operation of snapping peroneal tendon on 21 June. It's been two months. Still I'm not able to move my ankle upward or I say I am not able to do complete movement of ankle. I told doctor about that they said do exercise of ankle it will automatically move fully. So my question is how long it will take to move my ankle 360'
The term Sciatica is used to describe leg pain along sciatic nerve, with or without tingling, numbness or weakness that travels down from the low back. Sciatic nerve arises from each side of lower spine and passes deep in the buttock along the back of thigh and legs. The pain of Sciatica may be irregular/ infrequent or persistent causing severe agony to the patients. The pain of Sciatica may be confined to back of thigh & leg or may extend up to toes. The pain of Sciatica can be excruciating and "not relieved by painkillers".
What causes Sciatica?
Pain in Sciatica is due to irritation or pinching of nerve roots that form the sciatic nerve or pinching of Sciatic nerve after it is formed. This occurs most commonly due to prolapsed intervertebral disc (slip disc) causing nerve compression resulting in pain or it can be because of some similar conditions like Piriformis syndrome.
Is surgery the only treatment for Sciatica?
Most patients can be managed with medication, exercises or interventional procedures. So surgery is not the only way out. Patients who have severe pain can also benefit from "Epidural Steroid Injection" or " Ozone Nucleolysis". This treatment has proven to be effective in avoiding spine surgery in such patients.
What is Epidural Steroid Injection?
Epidural Steroid Injection is a procedure done by a Specialist (Interventional Pain) in an Operation Theatre using X-Ray (Image Intensifier) to locate at an exact level of injection. A drug mixture consisting of Steroid with Local Anaesthetic is injected at the epidural space of affected nerve root. The steroid washes away inflammatory mediators from the epidural space which decreases the pain. Steroid also decreases the inflammatory response of the body to the prolapsed disc. As a result, the pain arising from nerve inflammation is decreased. This is a day care procedure i.e. the patients are discharged the same day.
What is Ozone Nucleolysis?
This is a procedure similar to Epidural injection. Here Ozone-oxygen gas mixture is injected at prolapsed disc. Ozone shrinks the disc size and reduces inflammation of nerve.
How is the possibility of surgery ruled out?
Epidural Steroid Injection/Ozone Nucleolysis are proven, safe and an effective treatment that work on the concept of Interventional pain management - to provide relief from persistent and chronic pain of Sciatica. Generally, a single injection is sufficient to relieve patients of the pain. The procedure can be repeated for a maximum 3 times in a year, depending on the patient's response. With effective pain relief, surgery is negated.