Doctor in Vasavi Hospital, General & Orthopaedic Hospital
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
Treatment of Ankle Sprain
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Hi, I have complete acl tear in my left knee. I have time till my surgery till then I want to lose some weight and strengthen my leg muscles. Please suggest.
I am 24 years old in my stomach. Correctly at the end of my left rib. I found a light swelling. But it is not found in my right side. I am doing exercise daily. So will it be the reason for swelling? Give me a advice.
What are the benefits of physiotherapy in joint complaints?
- It reduces pain which in turn helps you reduce your intake of painkillers.
- In some cases, it prevents chances of surgery, and also increases the capacity of the joint to function for the longer period of time.
- It improves mobility, and movement of the joints.
- It avoids fall which is usually common in the joint complaint and improves the balance of the patients.
How physiotherapy help in the joint complaint?
Physiotherapy includes following methods to improve the joint complaints:
1. Local applications
Application of ice packs to soothe hot, swollen joints and application of heat packs to relax tense, tired muscles is usually done.
2. Splinting of joints
In cases of rheumatoid arthritis where joint complaints flare ups at that time splinting of the joints helps to the greater extent. Immobilization of the joint with splint helps to avoid further damage of soft tissues, and nerves.
3. Trans-cutaneous electrical nerve stimulation (TENS) therapy
It helps by blocking pain messages from affected joint to the brain, and it alters the perception of pain. It is done by using a small machine with an electronic device which sends impulses to the nerve endings, and this is attached with the pads which are placed on the skin. This device causes a tingling sensation that gives soothing effects to the joint.
4. Gradual increasing daily exercises
Exercise should be started slowly, and it should increase slowly. This helps to strengthen the muscles and joints and increases fitness. Regular exercise also stimulates the production of endorphin which is one of the best pain-relieving hormones.
5. Massage therapy
Physiotherapy also includes massage therapy which helps to relax the muscles, helps to improve joint movement, and makes more comfortable movements.
Sometimes, acupuncture is also used to stimulate the brain to produce endorphins.
Hydrotherapy includes exercise in the warm water pool. It is mostly used in osteoarthritis and rheumatoid arthritis. The warm water in the pool increases circulation during exercise, and due to the buoyancy of water, the joint, and muscles can be exercised without any unnecessary pressure on it.
In which ultrasound is used to deliver certain medications such as topical steroids, painkillers to decrease the inflammation of joints.
9. Use of light therapy
In light therapy, infrared waves are used to raise body temperature which ultimately increases blood circulation. It gives fast pain relief and reduces inflammation.
I am having pain in my shoulders while walking and sometimes this pain reoccur again and again in the evening also. Can it be a symptom of heart attack? Sometimes I am having pain in my fingers and back also. When I am very stressed or shout my jaw bones get freeze. Kindly suggest what medical tests are required to be done.
Dear Doctor, I have tingling in my palms and feet since April. Besides I also started having neck pain, followed by back and now knee pain. I was asked to undergo blood tests but everything was normal. I had vitamin deficiency in November and had same symptoms but this time it was not deficiency thing. MRI of the neck region was taken but even that did not help the doctors much as it showed a little findings which the doctor said is common with people who sit for long hours on computer. Also the physiotherapy here did not help. The process here is very slow. So I would like to travel to India and proceed with diagnosis. Who would be the most appropriate doctor (specialist) to address this issue and how should I approach the same?
I have a shoulder pain often and I have use the two wheeler. It is because of the use of vehicle or other reason.
Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.
Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.
Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.
Prepare for blood loss: Most people experience some blood loss, but not excessive.
Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.
Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).
Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.
Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.
Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.
Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.
After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.
Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail
Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.
Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.
Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.
Smoking and alcohol should be completely stopped, as healing can be hampered.
With some preparation, spinal surgery can be sailed through smoothly. In case you have a concern or query you can always consult an expert & get answers to your questions!