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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 siva, 35 years old, 6. 3 height, I have knee pains started, what should I do, which treatment is better, my weight is 95 kgs. Suggest me.
I am 30 years old and I am having pain on my right hand shoulder to arm from last 1 and half month. Even I can not lift my shoulder properly so I took pain killer but it gives me relief for while so please suggest me how to treat to relief from this pain.
Got radial fracture in the head of the elbow 5 yrs ago doctor said its osteochondritis dissecans and gave me a splint to wear but now the condition is worst i am not able to straight up my palm and having pain in the elbow.
Dear Dr. please let me know how many times I should do these aasan regularly. My back pain has started radiating towards my right leg. Is there any immediate remedy at least till I get adjusted to these aasan . Thanks in advance.
I am a student of Martial art. I don't know what happen but while fighting my leg started paining mere leg ki chote finger ke niche pain ho RHA hai mujhe khonsi cream se relief mil sakta hai 3 din ho gaye volini jaisa cream bhi try kali haddi nhi tute but pain hai.
I am 26 years old male. 2 months before I had an accident. Because of that I had Lateral malleolus fracture undisplaced. I had plaster on my left foot for 6 weeks. After removal of plaster It was not fully recovered. I am working as a sales personal my Job involve travel from one place to other. I want to know can I apply garam patti to fully recover of my ankle.
Dear sir/mam my mom have been suffering from knee pain since last 2 years. We consulted many doctors like orthopedics, nerve specialist, general physician. We also used homeopath, ayurvedic,and doctor ortho oil also but nothing is improve sir/mamplse suggest us what should we do we think that we are helpless now.
I am 59 years old and have back pain for the last few months what could be the reason and how can I get rid of it.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.