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My Father is 82 years old. Suffering from knee pain for 6 month, unable to Walk freely, he has to depend upon Walker as local orthopaedic suggested. The doctor told that it's all about osteoarthritis. In this atmosphere I am feeling helpless, please advise what to do.
I am 32 years. I have knee pain and joints pain. My vit D level is fine. What should I take to get rid of pains?
Hi Doctors, my mother is 59 years old she is having knee pain in both legs from past 8 years her weight is 104 kg, as per the recent digital knee scan in both legs their are gaps in knee joints .she hardly walk due to pain. She get a little relief from daily tablets .orthopedician have suggested to go for knee transplantation we have got information from many friends and relative as well as some doc about the knee surgery materials. Knee implants made of a metallic alloy, cobalt chrome, or of stainless steel wear out in about 15 years, while the new oxinium implants last twice as long is that .a well know orthopediciansuggested johnson.
Sleep is the most essential part of our lives because it is the time when our body gets rejuvenated and recharged. However, due to numerous reasons, quite a few individuals fail to achieve proper sleep or any sleep at all. This condition in which a person is unable to sleep at night can be termed as insomnia.
Causes of insomnia
There can be varied reasons for different people that can cause insomnia.
- Unhealthy lifestyle i.e. improper sleep cycle, improper food habits, untimely naps, substance abuse etc.
- Medical conditions like sinus allergies, gastrointestinal problems, endocrine problems, arthritis, asthma, neurological condition like Parkinson’s disease, chronic back pain etc.
- Psychological conditions like depression and anxiety
- Certain medications aimed to cure other health problems
In case of the treatable medical reasons, insomnia is gone once the problem is treated. However, for people who have no idea as to why they suffer from insomnia, here are certain tips that can help in fighting it.
Lifestyle changes to cure insomnia
Starting with a significant lifestyle change can be a great way to change one’s sleep cycles and get a good night’s sleep.
- Maintain a proper and healthy diet, with more fruits and vegetables and less carbs and fat.
- Try to sleep and wake up at the same time everyday (despite the fact that you may not feel sleepy). This will train the body and regulate the body clock.
- Avoid afternoon naps or any short naps during the day.
- Exercise daily for at least 30 minutes.
- Avoid caffeine as it has contains properties that keeps a person up for long hours.
- Avoid intake of alcohol and nicotine. Although alcohol is associated with fun and partying, it is actually a depressant and causes improper sleep.
- Avoid any meal right before bed time.
Tips that can help
- Take a good, warm shower right before sleep.
- Ask your partner to give you a nice massage before bedtime.
- Restrict bed activities to sleep and sex only, nothing more.
- Make a really comfortable and inviting sleep environment.
- Try and get rid of all your worries before going to bed.
- Reduce stress using a number of stress reduction therapies like meditation, deep breathing, progressive muscle relaxation techniques, etc.
Apart from the lifestyle changes and the tips that will help you gain a better sleep, there is another therapy, which may be useful. It is called the cognitive behavioural therapy. This therapy can give essential knowledge about sleep and help achieve normal sleep routines. If you wish to discuss about any specific problem, you can consult a psychiatrist.
Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis).
Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role.
Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side).
Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation.
RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong).
COMPLICATIONS BEYOND JOINTS:
RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease).
These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections.
NEED OF THE HOUR:
All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.
When I walk some distance .my knees are paining and also my foot .why and what should I do to reduce this pain.
I'm 40 years age male. I suffering knee pain for two months. I show to doctor. They say that you have starting of knee depreciation seeing my x-ray. So what I have do to get relief from this?
My mother has knee pain because of that she e is not walk well please suggest me treatment for that.
I have been facing knee joint problem but unable to take calcium tablet due to gas and other stomach problems. Request you to advise me how this problem could be solved. Regards
I am 23rd old male from Mombasa kenya. I have a knee injury with acl tear and have done a mri scan. What should I do now?
I am a 52 years old I had knee pain and I get laziness through the day I had low vitamin D my orthopedic doctor told me that I had just started arthritis I just want to know how I can improve my vitamin D in body.
Agr 50 years my nom have pain in right legs lower back to knee in side .doctor said its a seitica and yesterday give a treatment of these medicine. CYNOCAL 16 PEE 40 MG ACEWILL SP EVION 400 MG But there is no relif till now Pls suggest me wt I do. Thanks.
Meri mom ke ek ghutne me (right) bahot pain horaha hai. Jis wajah se vo pair Karib nahi kar pati hai, doctor ko ikhya par fark nahi hua. Koun si medicine Leni cahiye unhe? Please tell us.
My mom has a gap in one of her knee she walks little twisted whenever she takes a stair case & has pain in both of her knees its been more thn 2 years now.
Fibromyalgia (FM) is a medical condition characterised by chronic widespread pain and a heightened pain response to pressure. Other symptoms include feeling tired to a degree that normal activities are affected, sleep problems, and troubles with memory. Some people also report restless legs syndrome, bowel or bladder problems, numbness and tingling, and sensitivity to noise, lights or temperature. Fibromyalgia is frequently associated with depression, anxiety, and posttraumatic stress disorder. Other types of chronic pain are also frequently present.
The cause of fibromyalgia is unknown; however, it is believed to involve a combination of genetic and environmental factors with half the risk attributed to each. The condition runs in families and many genes are believed to be involved. Environmental factors may include psychological stress, trauma, and certain infections. The pain appears to result from processes in the central nervous system and the condition is referred to as a "central sensitization syndrome". Fibromyalgia is recognized as a disorder by the US National Institutes of Health and the American College of Rheumatology. There is no specific diagnostic test. Diagnosis involves first ruling out other potential causes and verifying that a set number of symptoms are present.
The treatment of fibromyalgia can be difficult. Recommendations often include getting enough sleep, exercising regularly, and eating a healthy diet.
The defining symptoms of fibromyalgia are chronic widespread pain, fatigue, sleep disturbance, and heightened pain in response to tactile pressure (allodynia). Other symptoms may include tingling of the skin (paresthesias), prolonged muscle spasms, weakness in the limbs, nerve pain, muscle twitching, palpitations, and functional bowel disturbances.
Many people experience cognitive dysfunction (known as "fibrofog"), which may be characterized by impaired concentration, problems with short and long-term memory, short-term memory consolidation, impaired speed of performance, inability to multi-task, cognitive overload, and diminished attention span. Fibromyalgia is often associated with anxiety and depressive symptoms.
Other symptoms often attributed to fibromyalgia that may be due to a comorbid disorder include myofascial pain syndrome, also referred to as chronic myofascial pain, diffuse non-dermatomal paresthesias, functional bowel disturbances and irritable bowel syndrome, genitourinary symptoms and interstitial cystitis, dermatological disorders, headaches, myoclonic twitches, and symptomatic hypoglycemia. Although fibromyalgia is classified based on the presence of chronic widespread pain, pain may also be localized in areas such as the shoulders, neck, low back, hips, or other areas. Many sufferers also experience varying degrees of myofascial pain and have high rates of comorbid temporomandibular joint dysfunction. 20–30% of people with rheumatoid arthritis and systemic lupus erythematosus may also have fibromyalgia.