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Dr. Sudhir

Physiotherapist, Hyderabad

Dr. Sudhir Physiotherapist, Hyderabad
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Sudhir
Dr. Sudhir is a popular Physiotherapist in Ameerpet, Hyderabad. You can meet Dr. Sudhir personally at Medha Physiotherapy Clinic in Ameerpet, Hyderabad. You can book an instant appointment online with Dr. Sudhir on has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 26 years of experience on You can find Physiotherapists online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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8-3-845/8/12,Shop No 12, Pancom Business Centre,"x" Roads, Ameerpet, HyderabadHyderabad Get Directions
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Ankylosing Spondylitis - How To Know You Are Suffering?

MBBS, MD - Internal Medicine, Fellowship in Rheumatology
Rheumatologist, Khammam
Ankylosing Spondylitis - How To Know You Are Suffering?

Ankylosing spondylitis refers to a form of arthritis that affects the spinal column. This condition causes the bone vertebrae to fuse together leading to a rigid spine. Depending on the extent of the damage, this could result in mild changes or in a stooped posture. Although the cause of this disease is not known, it is said to be passed down from one generation to another through a gene called the HLA-B27. This gene is also linked to spondylitis.

Ankylosing spondylitis cannot be cured, but with treatment, the pain and stiffness associated with it can be managed. Along with medication, physical and occupational therapy is a must when treating this disease. In some cases where the disease has caused severe deformities, surgery may also be recommended. However, an early diagnosis can also help prevent significant deformity.

A physical exam and an X-ray are the key factors used to confirm a diagnosis of Ankylosing spondylitis. Some of the symptoms associated with this disorder are:

  1. Pain and stiffness: Everyone complains of a backache at some point or the other but a persistent lower back ache could be a sign of something serious. Spondylitis often starts in the sacroiliac joints and hence the lower back, buttocks and hips are the first to be affected. Pain that lasts for more than three months should not be ignored as it could be a sign of Ankylosing spondylitis.
  2. Bony fusion: This condition causes an abnormal growth of bones in the spinal column. This can lead to the fusing of bones in the spine. The bones of the neck, back and hips are most affected by this bone fusion. While this can affect a person’s mobility it can also cause complications. For example, the fusing of the ribs to the spinal column or the breastbone can restrict the expansion of the chest while breathing.
  3. Pain in ligaments and tendons: Apart from the bones, this condition also affects a person’s tendons and ligaments attached to the bones. For example, pain in and around the heel may be caused by tendonitis.
  4. Other symptoms: The symptoms of ankylosing spondylitis are not restricted only to the joints. Hence, it is also known as a systemic disease. Some of the other symptoms exhibited by people suffering from this condition are fever, fatigue, inflammation of the eyes and a loss of appetite. Some people may also complain of lung and heart problems.
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I'm 29 years old. Suffering from backache from past one year. Can you suggest best doctors in hyderabad. Or give me the tips.

Physiotherapist, Hyderabad
I'm 29 years old. Suffering from backache from past one year. Can you suggest best doctors in hyderabad. Or give me t...
Hi Do the back exercise and back strengthening exercise for 5 to 10 min. Daily and apply heat pad for 5 min daily. If you have any doubts inform.
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I am 25 years old person and I am suffering from shoulder cervical. What should I do.

Homeopath, Patna
I am 25 years old person and I am suffering from shoulder cervical. What should I do.
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I am 22 male. Having knee pain after small accident. Have treatment before two months also. Till its continuous. What to do?

Physiotherapist, Pune
I am 22 male. Having knee pain after small accident. Have treatment before two months also. Till its continuous. What...
A detailed history of the site of pain and history of pain can help me come to a perfect diagnosis and treatment. Still if you feel swelling is present on knee, do ice massage 3-5 times a day for 5-7mineach. If you don't feel any relief in 2-3 days. Consult me privately for a better diagnosis and treatment. Regards Dr. Manali shah-pangaonkar.
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Sir my name is rakesh and I am 30 years old and before some time I joined zyme and doing exercise but when I leave the zyme sir my calf is pain everyday so I want some give me advise so that my calf do not pain.

Physiotherapist, Noida
Sir my name is rakesh and I am 30 years old and before some time I joined zyme and doing exercise but when I leave th...
Calf stretches standing calf stretch stand away from a wall and. Put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day.
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Ways to Treat Dysmenorrhea Effectively

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Ways to Treat Dysmenorrhea Effectively

Dysmenorrhea is a condition marked by severe menstrual cramps. This is caused due to contractions in the pelvic area during the menstrual cycle. While most women go through some degree of cramping, when the cramps become too serious and severe, it should be reported to a doctor to find out if there are any other related problems like Endometriosis, Fibroids, Adenomyosis or some infections.

Here are the ways in which this condition may be treated effectively:

  1. Medication: One of the main ways of dealing with this condition includes taking pain relievers that must be prescribed by your doctor. Also, one can take over the counter drugs to relieve the pain. These include ibuprofen as well as aspirin and non-steroidal anti-inflammatory drugs. Acetaminophen can also help in most cases. Some women may need antibiotics to take care of pelvic infections that cause pain in the pelvic region.

  2. Hormonal Birth Control: if your symptoms are too severe and debilitating, then the doctor can also put you on hormonal birth control treatment to bring down the pain and severity of the cramps. These are usually prescribed in the form of oral tablets which need to be consumed daily as advised by the Gynaecologist . Sometimes, some women may be unsuitable / unwilling for oral medications and in such cases, other routes for hormonal administration may be followed. This can be administered in the form of an injection. Also, you may wear the dose as a patch on the skin. A surgical procedure can also implant the same under your skin. This also comes as a flexible ring that the doctor can insert into your vagina with the help of an intrauterine device (IUD).

  3. Surgery: In very extreme cases, the doctor may recommend surgery. This is usually conducted in case there is an underlying condition like endometriosis or fibroids, which can create severe complications for the patient as well. The doctor may also carry out surgical removal of the patient's uterus in case there are many complications.

  4. Home remedies: One can exercise on a regular basis in a moderate manner so as to ensure that the cramps are not too severe. Also, you can use heat therapy in order to bring down the pain. This can be done by taking a hot bath and soaking in a tub of hot water. Also, you can use a heat compress so as to relieve the pain. Other dietary supplements can also be taken in order to reduce the cramps. For this purpose, one should regularly indulge in fish and flax seeds as well as other ingredients that are rich in omega three fatty acids. Also, vitamin B1 is an important ingredient that can be found in leafy green vegetables. Magnesium supplements can also be taken by the patient for such cramps.

  5. Stress: one will need to take care of the stress levels by staying away from stressful situations and also cutting back on the consumption of alcohol. One should also avoid smoking completely. Meditation & Yoga have been known to help in relieving stress and you can practise a little bit of these on a daily basis. Also, devoting time to your hobbies and listening to good music can be a stress-buster when incorporated in your daily routine.

So eat right, exercise right, think right and have a positive attitude- That helps take care of most non-pathological cases of dysmenorrhoea.

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I am suffering with heavy shoulder. Pain from past two days I have used different pain reliefs but no use what are. Remedy.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am suffering with heavy shoulder. Pain from past two days I have used different pain reliefs but no use what are. R...
Heat fermentation twice a day and take muscle relaxant medicine and give rest your shoulder means avoid activity if it work then ok other wise take physiotherapy treatment for 7 days.
1 person found this helpful
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I have intermittent pain in my right elbow. I usually experience pain after a jerking motion of hands like throwing a ball or stress in my elbows like hand wrestling or normally when I fold my elbows for too long while sleeping or something. Normal gels like omnigel or volini don't seem to be very effective. I didn't take any painkillers. Please advise.

B.P.T, M.P.T(ORTHO), Certification in Gym Instructor & Prenatal and Post natal
Physiotherapist, Gurgaon
I have intermittent pain in my right elbow. I usually experience pain after a jerking motion of hands like throwing a...
Dear sir I think you hv got tennis elbow .so plzz get it checked by physiotherapist or orthopaedic who is available. N get d right treatment guidance. For time being you cn put strap 4 fingers below elbow tennis elbow band of tynor company U cn further contact us fr same
2 people found this helpful
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Hi, I am 55 years old suffering from prolong ankle pain and swelling no accident no twists on the joins area reason unknown please provide me your valuable suggestions so I can take prior treatment with out distracting.

Physiotherapist, Noida
Advice. Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Stretch calves get a custom made insole. Hams stretching. Sports taping. Hot fomentation.
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His backbone vertebrae no. 3 and 4 twist at right side. So any one nerves that connect with right leg. At last right leg is not working properly and they can't stand alone. So please help me. What can I do.

Physiotherapist, Delhi
His backbone vertebrae no. 3 and 4 twist at right side. So any one nerves that connect with right leg. At last right ...
1. Send MRI REPORT 2. Don't sit on floor 3. Don't lift heavy things 4. Start with the Physiotherapy treatment 5. Learn spinal exercises 6. Wear lumber spine belt 7. Do hot fermentation twice a day 8. Apply volini cream before sleeping 9. Take calcium vitamin D 3 and Methylcobalmine supplement for one month minimum.
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My husband complains of heel pain after resting for a long period of time but don't have any pain after walking for an hour.

Master in Physiotherapy
Physiotherapist, Hubli-Dharwad
Dear advice your husband to dip his foot in salted hot water daily morning for 20 min. Let him do ankle and foot movements before walking after long rest. Ask him to use mcr foot wears take care.
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I am suffering from 2-3 back pain and instant leg pain too. I don't know why but when this happens I Even can not sleep well or sit well.

Ayurveda, Nashik
I am suffering from 2-3 back pain and instant leg pain too. I don't know why but when this happens I Even can not sle...
Musclar spasm & nerve compression might be the reason. X ray is mandatory. 1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar.
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Hello sir, I suffering from pull of back muscle during workout since 3 days. Even I can not move properly on bed. Please suggest me some medicine.

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
Hello sir, I suffering from pull of back muscle during workout since 3 days. Even I can not move properly on bed. Ple...
Hello there are many reasons of pain you should go through proper investigation. Physiotherapy is the best treatment for this condition. There are many reasons for this type of pain- 1. Overuse of muscles, 2. Deficiency of vitamin d3 or calcium, or lack of water in the body, 3. Postural stress, 4. Muscle strain, etc. Please send me all investigation reports if available. I can help you by providing correct ergonomic and physio-therapeutic tips. Till then you can follow these advises:- 1. Take calcium supplements and sun bath daily to prevent further damage to your joints. 2. Avoid heavy lifting. 3. Perform some gentle exercises and stretching of your all joints. 4. Walk straight with shoulder protracted. 5. Perform deep breathing exercises or yoga for proper functioning of lungs. Thanks. Wish you happy and pain free life.
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My age is 50 years. I am suffering from neck, shoulder pain which spreads to upper arms sometime. I also have lower back pain. Please provide some homeopathic medicine.

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Pain is a symptom of some defect in the body. To numb the pain one can take painkillers, but that does not address the underlying cause. To remove pain from the roots one needs to know the cause. And for that you have to describe it better.
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I am 25 years old male and have backache for last 2 month. I have used pain relief ointment cream for couple of days. But this cream is not work for me. What can I do?

Physiotherapist, Delhi
I am 25 years old male and have backache for last 2 month. I have used pain relief ointment cream for couple of days....
Dear lybrate user with ointment take hot water bag 15 minutes twice a day and some back stretching exercise, rest avoid forward bending heavy weight lifting, jerk, use hard flat bed and go to bed and getup always in side lying position, sitting and standing continuoue maximum 45 minutes to 1 hr all the best.
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Suffering from acute knee pain and pain in waist, painkiller will temporarily sooth, can you suggest permanent cure?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Suffering from acute knee pain and pain in waist, painkiller will temporarily sooth, can you suggest permanent cure?
Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, acl injury, knee bursitis, torn meniscus, gout and infections. Try some home remedies for your pain- - ice is useful for the control of pain and swelling. It can be applied to the knee for 15 to 20 minutes as often as every two to four hours. The swollen knee should be elevated above the level of the heart while icing. -activities that cause pain should be avoided temporarily. -if the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: squatting kneeling twisting and pivoting jogging aerobics, dancing playing sport here are some tips for how to handle your back /waist pain: -stop normal physical activity for the first few days. This will help relieve your symptoms and reduce any swelling in the area of the pain. -apply heat or ice to the painful area. One good method is to use ice for the first 48 to 72 hours, and then use heat. Take pain relievers medicine. --while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -do not perform activities that involve heavy lifting or twisting of your back for the first 6 weeks after the pain begins. -avoid bending forward and sitting in a place for long time -stretching and strengthening exercises are important. But, starting these exercises too soon after an injury can make your pain worse. -some physiotherapy treatment like ift current can give you some relief. -a physical therapist can tell you when to begin stretching and strengthening exercises and how to do them. You need detail assessment with a physiotherapist to find out what causing you these pain and pain management. Best wishes.
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.


The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.


The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.


The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).


Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.


The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

I have broken my arm and it is stitching in my plaster it is very annoying. What should I do about it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine---------------------- arnica montana 30 (sbl) drink 2 drops direct on tongue twice daily---------------- symphytum q (sbl) drink 15 drops in 20 ml fresh water 3 times daily--------------------------------
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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?

M.S. -ORTHO, Fellowship In hip and Knee Replacement Surgery
Orthopedist, Surat
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 mont...
Not stop jogging .. please do cycle with jogging .. Ur pain not due to.mebuscus its myscular pain and it will gobe sure. Keep it...
1 person found this helpful
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Knee Pain

Physiotherapist, Gurgaon
Knee Pain

Chondromalacia patella (patellofemoral syndrome)

Chondromalacia patella facts
 chondromalacia patella is the most common cause of chronic knee pain.
 chondromalacia patella has also been called patellofemoral syndrome.
 the pain of chondromalacia patella is aggravated by activity or prolonged sitting with bent knees.
 abnormal 'tracking' allows the kneecap (patella) to grate over the lower end of the thighbone (femur), causing chronic inflammation and pain.
 treatment involves improving the alignment of the patella during contraction of the thigh muscle.

What is the chondromalacia patella?

Chondromalacia patella is abnormal softening of the cartilage of the underside the kneecap (patella). It is a cause of pain in the front of the knee (anterior knee pain). Chondromalacia patella is one of the most common causes of chronic knee pain. Chondromalacia patella results from degeneration of cartilage due to poor alignment of the kneecap (patella) as it slides over the lower end of the thighbone (femur). This process is sometimes referred to as a patellofemoral syndrome.

What causes chondromalacia patella?
The patella (kneecap) is normally pulled over the end of the femur in a straight line by the quadriceps (thigh) muscle. Patients with chondromalacia patella frequently have abnormal patellar' tracking' toward the lateral (outer) side of the femur. This slightly off-kilter pathway allows the undersurface of the patella to grate along the femur, causing chronic inflammation and pain. Certain individuals are predisposed to develop chondromalacia patella: females, knock-kneed or flat-footed runners, or those with an unusually shaped patella undersurface.

What are the symptoms and signs of chondromalacia patella?
The symptoms of chondromalacia patella are generally a vague discomfort of the inner front of the knee, aggravated by activity (running, jumping, climbing or descending stairs) or by prolonged sitting with knees in a moderately bent position (the so-called' theater sign' of pain upon arising from a desk or theater seat). Some patients may also have a vague sense of 'tightness' or 'fullness' in the knee area. Occasionally, if chronic symptoms are ignored, the associated loss of quadriceps (thigh) muscle strength may cause the leg to 'give out' besides an obvious reduction in quadriceps muscle mass, mild swelling of the knee area may occur.

How is chondromalacia patella diagnosed?
Chondromalacia patella is suspected in a person with anterior knee pain, especially in teenage females or young adults. With manual compression of the kneecap, while the quadriceps muscle is tightened, there can be pain. This is referred to as the positive 'shrug' sign. Generally, there is no associated swelling (knee joint effusion).

X-rays or MRIs may be done to confirm the inflammation on the posterior part of the patella.

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