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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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Bisphosphonates are the most commonly prescribed medicine for osteoporosis patients. This medicine is taken for no more than three to five years in a stretch. A doctor typically takes a call after this time period to find out whether it is suitable for the patient to continue the medicine for a longer time based on the individual risk factors.
Bisphosphonates contain four main ingredients namely Relcast, Fosamax, Boniva and Atelvia. This medicine slows the rate of bone loss and reduces the risk of fracture. This being said, there are some potential side effects of Bisphosphonates as well:
- Problems in the jawbone: Consumption of Bisphosphonates can lead to a condition known as the osteonecrosis. This is a disease of the jawbone swelling, pain, and infection of the jawbone. The risk increases if a patient goes through an invasive surgery such as tooth extraction.
- Thigh bone fracture: Prolonged intake of Bisphosphonates is believed to be a rare kind of thigh fracture known as the atypical femoral fracture. This is very similar to a stress fracture that causes subtle pain and worsens with time.
- Stomach upset: Bisphosphonates intake can lead to oesophageal ulcers and sharp pain in the abdomen. It can also lead to mild fever lasting for a time period of 2-3 days along with upset stomach and body ache. This symptom mostly occurs when there is an irregularity in taking the medicine.
Choosing the right Bisphosphonates:
Drugs of the Bisphosphonates class are similar in nature. While some vary in terms of maintaining potency and bone density, the overall effectiveness of this drug is on the higher side. The common aim of this drug is to reduce the rate of fracture. The decision of choosing a drug over another depends on factors such as cost, preference, convenience and tenacity to stick to the exact dosage. Doctors often prescribe the monthly dosage at one go. The dosage can also be prescribed on a weekly basis depending on the patient’s convenience.
The effect of Bisphosphonates:
Consumption of intravenous Bisphosphonates is considered to be the best medicine for fracture prevention. It is, therefore, very unlikely that a patient with osteoporosis will see additional improvement once he has taken Bisphosphonates for more than three years. This is perhaps the reason why most doctors suggest stopping this medicine after a patient consumes this for more than 3 years. Some other factors that a doctor considers while making this decision include past history of fractures, the age of the patient and the present bone density. If however, the bone density gets worse, a doctor can always restart Bisphosphonates until further improvement is witnessed. This again depends on the patient’s medical condition at the time of check-up. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I am a 23 years old man and I have a problem in my both wrists, my elbow and biceps are very good in size but my both wrists are very small in size like a 7, 8 year old boy. What should I have to do?
I am 50 years male. For the last 5 - 6 months I have a pain in the ankle of my left leg on the upper side. It does not pain throughout but at times it pains. Sometimes it pains when I stand up from a sitting position and I feel disbalanced. The pain also occurs during walking and even when I lie down. The pain automatically subsides after some time. I do not have blood sugar or blood pressure. Apart from the above I am physically fit and have no difficulties even if I run. I do not take any other medicine. What is the cause of this pain? What medicine should I take or what exercise should I do?
My father is suffering from pain in his legs and neck. His bones size is increasing, he use to eat tobacco. Please suggest some exercise to stop the increase in size of the bones.
The human spine has 33 vertebrae. However, some conditions can fuse these vertebrae. Ankylosing Spondylitis is one such condition. This disease may also be known as AS or Bechterew's disease. It is an inflammatory disease that can make the spine less flexible by fusing the vertebrae of the lower back together. In some cases, it can also affect the rib cage and make it difficult to breathe. This disease typically affects more men as compared to women. Most patients begin showing symptoms in early adulthood.
Ankylosing Spondylitis affects the sacroiliac joints. These joints are located just above the tailbone. It causes inflammation of the spinal bones that in turn cause pain and stiffness. With time, this inflammation spreads to the entire spine and the vertebrae begin fusing together. This can make movement difficult and painful. In severe cases, it can also lead to the development of a hunchback. This disease also affects the other tissues of the body. For example, it can affect other joints and aggravate arthritis or affect organs such as the kidney, heart, lungs, and eyes.
A specific cause has not yet been identified for Ankylosing Spondylitis. However, studies show that genetic factors can be a trigger. In particular, the presence of the HLA-B27 gene increases a person’s risk of developing symptoms pertaining to this condition. However, it is important to note that merely the presence of this gene does not make Ankylosing Spondylitis inevitable. Other genes that are associated with this disease are ARTS1 and IL23R. These genes influence the functioning of the immune system. While it can affect people of all ages, adults are at a higher risk of suffering from this condition.
In many cases, the initial inflammation of the spine is due to a bacterial infection of microbial infection. Though the infection itself may be treated and cured, it may cause the immune system to react and trigger inflammation. Once activated, if the immune system cannot be turned off, this inflammation will continue and can trigger Ankylosing Spondylitis. In each case, the disease presents a unique pattern of progression.
There is presently no cure for this condition, but with an early diagnosis and treatment, the symptoms can be managed and progression can be slowed. This treatment usually takes the form of medication to relieve pain, inflammation and discomfort and physical therapy. Surgery cannot be used to treat Ankylosing Spondylitis but in cases where it has caused severe joint damage, surgery may be advised to replace the damaged joint. If you wish to discuss about any specific problem, you can consult a Rheumatologist.