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Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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I am 22 year old, My doctor told me its a muscular pain but it is not going from 4-5 months. Afterwards I visited pain management center they told me its a myofascial pain in chest. Does myofascial pain totally goes away?
I am having Pain in my Right Knee for about 3 weeks, I have taken pain killers but the pain is continuing. I wake up with a stiff knee and it becomes better after walking for some time. Again at office when I have to work for 3-4 hours at my System and get up It is very difficult to walk. Kindly help.
Hi, I have lot of lower back pain. And leg pain on my left leg. Can not sit for long. tiredness all day. Headache. Bum pain. Lot of pain. Please advise.
I am 19years old from last 2 week I am having calf pain I have tried several lotion for my pain but still its pain a lot what should I do?
I have pain on my back and little swelling too then what is this disease please tell me I am worried about that.
By mistake my boyfriend semen discharged on my lagging on thigh. And it was next day after finishing my period on 18 August. After that now am feeling bloating and stomachs backache from that day. And I am doing my morning exercise daily and 2 September and 3 September I saw bleeding spot on my panty. Please tell me what is the reason for all this. I'm really worried. Please help me. But I am sure he had not ejaculated his semen into my vagina.
Sir my right knee (ACL) ligament was tore while playing. So I took treatment and get it reconstruct through a doctor. He inserted screw in knee. Now 10th month is going on after operations. But still I am having pain in my knee when I sit in latrine. Specially after running or if I stand for more than an hour. I did many exercises also for this. I am in army so I have to do hard work. Please advise me some medicine or exercise s to overcome this stiffness of knee. In running I have no problem but I have problem in fully bend of leg.
Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:
- Numbness in little and ring finger as the fingers fall asleep
- A tingling sensation, usually like the pinch of pins and needles in ring and little finger
- Pain in forearm
- Weakness in the hand
- Some of the severe symptoms include:
- Reduction in overall hand grip
- A claw like deformity in hand
- Wasting of muscles of the hand
Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve.People People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.
Generally, doctors diagnose this condition through the symptoms. However, nerve tests are also conducted to check the level of nerve compression. Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment.Generally, Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time
How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.If If you wish to discuss about any specific problem, you canconsult a physiotherapist.
THE INTERVERTEBRAL DISC
At its simplest, the spine gets most of its movement from each cotton reel sitting on its discal pillow and careening about in all directions.The back compartment has to control the movement.The intervertebral discs are the pillows and they are vital to the spine. Their high bursting pressure thrusts the vertebrae apart while at the same time gluing them together. Each has a vigorous incompressibility, like standing on a breadboard balanced on a beach ball. They give the spine aquivering up-thrusting romp which makes it whippy a light so it can tip around freely in the air without flopping over like a broken reed.Each disc consists of a squirting liquid centre called the nucleus and a tough meshed outer wall called the annulus fibrosis. The annulus in turn is made up of approximately twelve thin fibrous layers (called lamellae) which make up the wall.
For maximum strength in bending, each successive lamella is made of fibers running in diagonally opposing directions,like the walls of a radial car tyre. This creates a tenacious multi-layered tubular lattice running around the rim of the disc which is bonded strongly to the vertebrae above and below.
Thus the disc wall not only holds the vertebrae firmly together; it also keeps the nucleus under pressure.The lamellae at the back of the disc are even thinner and bunched closely together.
This gives the inter space more freedom to pull apart so the spine can bend forward-its most frequent act-but it also means it is weaker, introducing a precarious trade-off between freedom to bend and the possibility that over-bending could break down the wall.Often the L5 discs are kidney-shaped, which exposes a longer flank and increases the holding power of the back wall.
However , kidney-shaped discs have the disadvantage of rankling more inthe acute back corners when torsion strains are applied to the disc. You will see later how heavy duty lifting and twisting actions can make the wall perish at these points.
The nucleus of the disc has a unique molecular make-up which allows it to attract fluid to keep itself hydrated under pressure. (when healthy nuclear material is taken from a disc and set in a saucer of fluid it swells by 300 percent). This powerful attractive force from the nucleus maintains the high pressures within the disc so it is not squashed dry, as a normal sponge would be, by the powerful and ever-present forces bearing down upon it.When a disc is young,the nucleus is nearly 90 percent water but as it gets older it is less able to hold it. Even so, the strong suction on water creates very high intradiscal pressures.
Apart from making the disc unsquashable, it forces the disc walls outwards, which has ingenious benefits for the spine. The strength of the walls fighting back against the outward force stiffens them and gives each link between the vertebrae invaluable tensile strength.
This dynamically braces each link and keeps the spine taut all the way down its length.In the world of physics, a disc operating like this is called an ‘hydraulic sack’. Compression of a contained fluid results in forces being distributed outwards and evenly in all directions through that fluid. In the realm of backs, this is very important and the fluid content of any disc is very critical to its high performance.
Our vertical posture enhances the tensile strength of the spine. It adds to the pressurizing of the fluid sucks and converts the spine into a spring –loaded rod which can flip up straight again after bending.
Without these tensile properties, the human back would not be the long slender thing it is. We would need a hugely bulky muscular apparatus to haul us up straight again once we had doubled over.But vertical posture does have its down side. It means the segments at the bottom of the stack get squashed by carrying so much weight. Compression down through the spine is the single most important cause of low back pain.