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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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There is a soft swelling on my knee after a fall since last one month . There is little pain since last two days . What can take care of my this problem.
My knee has undergone surgery on 16 june 16 following which Physiotherapy exercise is been followed. There is stiffness Continuously exercising leg is been bent upto 90 degrees flexion and there is problem of 10-15 degree extension. Is it that my knee is locked up or it will go by exercising?
Lower back pain is a very common issue and can take place due to numerous reasons. However, one of its main causes is a ligament strain or back muscle strain. Microscopic tear or excessive stretching of ligaments can take place due to lifting very heavy objects, doing enormously strenuous task or due to a sudden twisted movement. These conditions are most likely to be experienced by individuals ranging between the ages of 30 and 60. Other causes of lower back pain include back injury, arthritis of back bone joints, infections in the lower back area, and in very rare cases, tumours.
In case of acute back pain, these are a few important things that should be definitely kept in mind.
- It is absolutely essential to take rest for a couple of days and avoid any sort of stressful activity. Although back pain is self-limiting, if you take proper care, it can be cured in a few days. However, if proper rest is not taken, the situation may become worse.
- Using the black belt, also known as lumbo sacral corset, is a good idea. This can actually be of enormous help to individuals who have been suffering from lower back pain for a long period of time.
- As already mentioned, one of the main causes of these kinds of mishaps are sudden jerky movements, twisted movements, heavy weight lifting etc. So, it is necessary to avoid such circumstances, or else, a more acute back pain situation may arise due to slipping of one of the discs from the spinal cord.
- As much as you like long drives and bike rides, these are a strict no. Any prolonged sitting or standing activity needs to be avoided. It is important that the tear caused in the muscles due to what-so-ever reason heals properly and prolonged stay in a tensed muscle position would definitely not help the cause.
- Although these back pains can be handled at home by following the discussed steps, using simple analgesics or muscle relaxants prescribed by the doctor can be a way to speed up the process of recovering the strained ligament.
Apart from these important steps, regular exercise to strengthen the core body muscles is a great way to avoid such ligament strains in the future. However, if you feel that even after following the precautionary measures, you problem doesn’t subside, consult an experienced doctor for his advice.
I got a sprain in my right ankle and was having severe pain so I consulted a doctor where I got xray done of my foot. (X-ray foot AP & oblique and x-ray foot AP & lateral. All the finding were normal) the doctor tied a crepe bandage and prescribed medicines. After all of this my leg is fine I can walk normally but while I bend my ankle towards right it still pains. Kindly help me with this as its been 4 days and there is no complete relief.
Hiiii sir I am 45 year old male I have some problem in back. Sometimes it pain heavier please tell me solution of it.
I am 29 years old and I have a problem of back pain when I get up in the morning but after I take bath with hot water pain vanishes or sometime there is very little pain but wanna get rid of this daily pain.
I am 30 years old. And im suffering from severe knee pain, I consulted mny doctors but im not free from the pain. So which medicine do I take so that the pain stops.
I am 26 year old and I am facing knee pain for several days, I am taking pain killers but it's not helping, what should I do?
Few daily habits to get rid of Back Pain
Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.
So how can you prevent that?
You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.
First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.
Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.
Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.
Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.
Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.
Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.
Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.
Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.
Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.
Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.
Another common cause of back pain is the lack of exercise. For exercise, I don’t mean well I don’t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.
Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.
In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don’t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.
To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.
We had sex on 21st of November and my wife's last periods started on 9th November. Now she got some bleeding on 7th December and it stopped on 8th. She is having backache and frequent urination. Is she pregnant?
Mild to serious pain or uneasiness in the lower back region is known as lumbago or back pain. The pain might be acute (sudden and extreme) or chronic, if it has lasted over three months. People who do a lot of physical exertion are often affected by it. Also back pain occurs as you age
There are a variety of reasons for back pain. Some of them are listed below
- Strain: Majority of the cases related to back pain occur due to strain in many parts of the body. These include:
- Strained ligaments
- Strained muscles
- Improper lifting
- Lifting something too heavy in an incorrect posture
- A muscle spasm
- Abrupt or awkward movement
- Structural problems: Problems such as bulging discs (a disorder of the rubbery disk within the bones of the spine), arthritis, abnormal curvature of spine (a condition in which the spine curves downward), osteoporosis (bones becoming brittle and weak) and ruptured discs (almost similar to bulging discs).
- Cauda equina syndrome (a condition in which the spine nerve roots get compressed)
- Infection in spine
- Cancer in spine
- Sleep disorders
- Awkward postures
Symptoms of back pain include:
- Stiff back
- Loss of weight
- Difficulty in urinating
- Sciatica, characterized by pain in the hips, legs and thighs. This occurs due to a compression in a slip or intervertebral disc in the back, which leads to a pinched nerve.
- Numbness in legs
How to treat it
Treatment for back pain is dependent on the type and severity of pain as well as the patient’s medical history. A large majority of cases of back pain take a recovery time of around six weeks without surgery. Exercises for relieving back pain are common elements of a treatment plan. Typical treatment of back pain involves use of muscle relaxants, pain killers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below:
- Rest: A period of rest and cease of activity would cause the injured tissues to recuperate and relieve back pain. However, extended periods of rest might lead to weakening of muscles and hence, prolong the back pain.
- Heat and ice packs: Both heat and ice therapy is used to reduce inflammation and it is utilized according to the patient’s preference.
- Medications: A large variety of prescription and over-the-counter medicines are available, such as Acetaminophen and Diclofenac. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. It is to be noted that every medication has its own risks and side effects.
Role of Physiotherapy in Treating Back Pain:
In physiotherapy, the general goal of this treatment is to reduce pain in parts of the body; be it in the arms, legs or back. In the age we live in, where most of us are sitting in one place, hunched on our laptops, we are bound to get a back pain. Some pains are temporary and can go away with some sound sleep. The more severe back pains are usually chronic and can hamper your productivity.
The various approaches that are used to cure back pains with physiotherapy are:
- Ice/heat packs
- Ultrasound therapies
- TENS units
These are called passive approaches as these are being done to the patients.
The other approaches that are mostly exercise based are mostly done to rehabilitate the spinal cord. This approach is usually a cocktail of the following:
- Strengthening Exercises For Back Pain: Certain prescribed exercises such as lumbar stabilization or other exercises should be done for about fifteen to twenty minutes on a regular basis to strengthen your back muscles. These strengthen your core muscles and help in lower back pain as well. These can help in relieving pain if done right. This is why you should get directions from professionals or qualified physical therapists.
- Stretching Exercises For Back Pain: It is advised to stretch your hamstring muscles every now and then if you suffer from back pain. It is a very simple form of stretching but you may forget to do it every day. This is why you should schedule your exercises and adhere to the schedule. Incorporate it into your daily routine. There may be other stretches that you can look into or consult your physical therapist to advice you on.
- Heat and Cold Therapies: It is one of the most common types of therapy that is used and is mostly used towards the initial period of pain. While some may find heat therapy more useful, others may resort to cold therapies. Sometimes, people use alternate therapy. This therapy is recommended to be performed once in every two hours. If you wish to discuss any specific problem, you can consult a physiotherapist.