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Spinal Surgery Disorders
Treatment of Neurological Problems
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 am suffering from mild back pain in the back bone and at the neck region an head ache what I want do.
Sir, Recently I was suffering from left leg vein problem. Swelling occurred in a spot below knee. I treated by a doctor for 20 days. Swelling comes down. But I went Kasturaba Hospital at Manipal, Udupi. There they suspected left vein Thrombosis. What is this thrombosis? What is the effect to my health? What is the remedy to nullify this thrombosis? Is it affects in future days because, I am 52 years old. Please reply Sir.
Restless leg syndrome is a condition where the nervous supply to the lower legs (and sometimes hands) is affected. The person has a constant urge to move the legs due to the tingly sensation or the pins and needles sensation and so this condition is called as restless legs syndrome (RLS). It is almost never a standalone condition and is often associated with other nervous system conditions.
It is a progressive condition and aggravates with time. The patient may experience episodes of this disease. Most people might experience this problem at night due to which a lot of patients complain of disturbed sleep and restlessness while sleeping.
While there is no permanent solution to this condition, there are various home remedies and techniques which can help control the condition. Read on to know more.
- Trigger agents: Some people are able to identify triggers like caffeine or chocolate which induce the condition. The first step would then be to avoid using these, especially before sleeping.
- Exercise: Any form of exercise, which gives a good workout for the leg muscles is recommended. This could range from a 30-minute brisk walk to stretches depending on the person’s overall health status. This is known to induce a good sleep, reduce muscle tension and relax the mood. Choose yoga, gym, cycling, or any form which suits your overall health and schedule.
- Massages:Hot or cold massages, often used alternately, can help in relaxing the muscles. This also helps in reducing tension and improving overall sleep. The ideal time for the massage is the evening so that RLS does not affect during nighttime.
- Diet: A diet rich in vitamins and minerals can prove to be helpful. This is because proper muscle and nerve function requires various minerals like zinc, potassium, calcium, sodium, etc. Diet rich in these helps in improving muscle and nerve function and thereby control RLS.
- Sleep pattern: Sound sleep practices like having an early dinner, a quiet room free of digital media, optimal temperature, and relaxing ambience helps in a better sleep. This has shown to reduce the incidence of RLS and evidence of sound sleep.
- Medications: RLS can also cause mild to moderate pain in the affected legs, and so pain killers can be used once in a while if the pain is not bearable. These should be used only rarely and continued use can lead to stomach ulcers and bleeding. The above mentioned nonmedical methods should be tried before trying medications. Anticonvulsants have been used to control RLS if pain killers alone are not adequate. In more severe cases, antiparkinson drugs are used with great success. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
I had my meniscus repaired on 28th of july. It was a bucket handle tear. My doctor asked me to take rest for 5-6 months. So now I started mild jogging, but for the past 9 days I feel a little pain in the knee. Is it normal or should I stop jogging?
I am Vamsi, and I am 19 years old. I was fallen from the first floor and got fractured my BACK BONE in L1 REGION of lower back on" 6TH FEBRUARY 2016. I consulted the doctor that day and the doctor named it as "back bone L1 widge compression fracture" He told me to take rest for 2 months and he told me that, no need to do surgery, it will be healed if you take bed rest for 2 months and he also advised me to do physiotherapy. Now I am doing physiotherapy every day. Today is NOVEMBER 22 ,2016. Its been 9 months and 15 days from the date of my fracture. Now finally the question I want to ask you is" CAN I GO TO GYM FROM NOW? As I am just 19 I want to become a fitness model. So I want to go to gym from now itself" CAN I GO To Gym From Now? I want to lift weights also. Are there any objections in lifting weights?
What is a slipped disc?
Injury or weakness can cause the inner jelly like portion of the disc to protrude through the outer ring. This is known as a slipped or herniated disc. This causes pain and discomfort. If the slipped disc compresses one of your spinal nerves, you may also experience tingling, numbness and pain along the affected nerve. As the lumbar spine (lower back) carries most of the body weight, it tends to âslipâ more than higher levels.
What is the anatomy of disc herniation / herniated disc/ slip disc /sciatica?
Human spine is made of up 33 bones (vertebrae) that are cushioned by discs. These vertebrae are divided by region: neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end of your spine, you also have the sacrum and the coccyx, which is commonly called your tailbone. Discs are present between these bones. The disks protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting. Each disc has two partsâa soft, gelatinous inner portion (nucleus pulpous) and a tough outer ring (annulus fibrosus). Together, the vertebrae and discs form a tunnel through which the spinal cords and nerve pass.
What are the causes of slip disc?
The etiology/cause of slip disc is multifactorial; there is no evidence to prove/disprove the quantitative effect of one or other. The risk factors for slip disc can be:â¨â¨â¢ life style: stress and emotional tension, poor posture -standing for long periods of time or sitting incorrectlyâcan cause slip disc, heavy physical work, lifting or forceful movement, bending, or awkward positions can really hurt your back.â¨â¢ obesity: being overweight puts pressure and stress on the back, especially the low back. Carrying excess weight aggravates other health conditions such as osteoporosis (weak bones), osteoarthritis (joint pain), rheumatoid arthritis (an autoimmune disease), degenerative disc disease (described above in the aging section), spinal stenosis, and spondylolisthesis.
What are the symptoms of herniated disc or slip disc?
Symptoms of a slipped disc include: sciatica â pain in buttock radiating to legâ¨â¢ pain and numbness, most commonly on one side of the bodyâ¨â¢ pain that extends to your arms and/or legsâ¨â¢ pain that worsens at nightâ¨â¢ pain that worsens after standing or sittingâ¨â¢ pain when walking short distancesâ¨â¢ unexplained muscle weaknessâ¨â¢ tingling, aching, or burning sensations in the affected areaâ¨â¢ sciaticaâ a sharp shooting pain that can extend from the buttock into the leg and sometimes into the foot.â¨â¢ muscle spasm, locked back, stiffness in back, morning stiffness.â¨â¢ although rare, herniated discs can cause you to lose bowel or bladder control known as cauda equine syndrome and one should seek medical advice as prognosis deteriorates with time. One can know whether this is happening to him or not if he has urgency /frequency of urination or loss of control of urination or sudden peri anal anesthesia.
When do I need to have a spine doctor opinion?
Patients with progressive symptoms in leg / back need a specialist opinion to diagnose and treat the problem.â¨â¨symptoms which need specialist attention (red flags) are:â¨â¨1. Persistent leg painâ¨2. Numbness in legâ¨3. Weakness in legâ¨4. Difficulty in walkingâ¨5. Unable to control urine / motionâ¨â¨symptoms like bowel and bladder urinary incontinence shall seek urgent / emergency opinion /management by the spine specialist.
Which tests will be needed to confirm the diagnosis?
Imaging studies / investigations help to arrive a diagnosis of slip disc / herniated disc and include:â¨â¢ x-raysâ¨â¢ mri scansâ¨â¢ disco grams, which are rarely utilized.
What are the treatment options for slip disc?
There are different options to treat slip disc depending on the severity and duration of symptoms. They may comprise of one or many:â¨â¨1. Drugs & medicationsâ¨2. Spinal injectionsâ¨3. Spine surgeryâ¨â¨drugs, medications, to relieve slip disc: medication alone is not the ultimate solution to your back pain, however during emergency or during severe pain these medicines may help you curb the suffering. paracetamol:â¨your doctor may call this an analgesic, they donât help reduce inflammation, though. nsaids (non-steroidal anti-inflammatory drugs):â¨these will help reduce swelling (or inflammation) while relieving your pain; thatâs how nsaids differ from paracetamol.â¨â¨muscle relaxants: which will help stop the muscular spasms.â¨â¨anti-depressants:â¨as surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your bodyâs production of endorphins, a natural pain killer.â¨â¨opioids:â¨in the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid.â¨â¨medication warning:â¨as with all medications, you must follow your doctorâs advice precisely.
(a) injection techniquesâ¨â¢ root block injectionâ¨â¢ epidural injectionâ¨â¢ caudal block injectionâ¨â¢ facet block injection
The options of surgery are
â¢ decompressionâ¨â¢ spinal fusionâ¨â¨the spine surgery advised for slip disc can be performed in many different ways. The success rates of surgery in slip disc/ herniated disc / sciatica is 98 % and with invention of modern technology and minimal invasive surgery techniques it nears 100 %. Spine surgery can be performed in different manners:-â¨â¨â¢ conventional open surgeryâ¨â¢ minimal invasive spine surgery â key hole spine surgeryâ¨â¢ endoscopic spine surgeryâ¨â¢ microscopic spine surgeryâ¨â¢ micro endoscopic spine surgery
â¢ facetectomy: a procedure that removes a part of the facet (a bony structure in the spinal canal) to increase the space.â¨â¨â¢ foraminotomy: a procedure that removes the bony compression over foramina (the area where the nerve roots exit the spine) to increase the size of the nerve pathway.â¨â¨â¢ laminoplasty: a procedure makes more room for the spinal canal.â¨â¨â¢ laminotomy: a procedure that removes only a small portion of the lamina (a part of the vertebra) to relieve pressure on the nerve roots.â¨â¨â¢ micro-discectomy: a procedure that removes a disc through a very small incision using a microscope.â¨â¨â¢ laminectomy: a procedure for treating spinal stenosis by relieving pressure on the spinal cord.â¨â¨spinal fusion: surgery intends to stabilize an unstable segment responsible for pain, this may involve putting some screws in your spine to increase stability.â¨â¨various options of doing spinal fusion are plf /plif/tlif/ alif/xlif.