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Hey doctor this one I just want to know about my mom She is 42 years weight 90+ She is suffering from severe pain which is staring from back side under the neck to the left hand shoulder Her left land is having swelling too Serious pain on shoulder's side Please let me what kind of problem is this?
Hi, my daughter aged 6.5 years is suffering from muscle spasm in her neck. She is not able to move her neck right. What medicine should I administer her.
Diagnosis of a scaphoid fracture can sometimes be difficult, as not all show up on x-rays. For a period of one to two weeks, and an mri/ct scan may be needed to ascertain the treatment.
Treatment is usually with a cast worn on your arm up to your elbow for 8 to 12 weeks. Sometimes surgery is advised. Correct diagnosis and prompt treatment of a scaphoid fracture can help to reduce complications.
Treatment options depend upon the severity and stage of the disease. In very early stages, the treatment can be as simple as observation or immobilization. For more advanced stages, surgery is usually considered to try to reduce the forces on the lunate bone by lengthening, shortening, or fusing various bones in the forearm or wrist. Surgery can also be aimed at trying to restore blood supply to the lunate (revascularization), using a bone graft with a blood vessel attached to it. This is not an option in more advanced stages if the relationship of the bones has markedly deteriorated; complete wrist fusion may then be the preferred treatment. Hand therapy does not change the course of the disease; however, hand therapy can help to minimize the disability from the problem. Treatment is designed to relieve pain and restore function. Your hand surgeon will advise you of the best treatment options and explain the risks, benefits, and side-effects of various treatments for Kienbock’s disease
The concern of the patient is more related to the fear of something wrong, rather than the pain itself, which may be quite bearable. Before you go to consult to your doctor for your back problem, go though the checklist mentioned here, and you will be easily able to make out if your problem needs treatment or a good physiotherapy and life style modification.
Lets start with the statics.
1) back pain the most common reason for people to consult physician.
2) majority of them (and believe me about 80 to 85%) are functional which means they are not a disease but are due to improper lifestyle.
3) 10 to 15% of them are related to some pathology, and only these patients need medical help.
I know the next question in your mind, how do I know if my back pain need further consultation from a doctor, or I just want to need a physio and life style modification.
If you have any of these signs then you need consultation with a doctor.
1) duration of back pain more than 2 months.
2) localized back pain with stiffness in the morning,
3) pain not getting resolved despite good physio efforts and life style modifications
4) pain in the back with radiation to one of the legs, ie leg pain with back pain.
5) back pain associated with fever, appetite loss, or weight loss.
6) back pain with pain mainly in the night, and it arises you from sleep.
7) any association of weakness in the legs or numbness on walking.
Posture correction while work is the major remedy for postural back pain and this group is quite large.
1) use firm mattress for rest. Not a very soft one.
2) adequate support to the back while sitting on the chair, back should be kept straight but not strained.
3) regular back muscle strengthening exercises is must with this group.
When your back pain is not functional, then a consultation with your doctor is a must, most of the time the first doctor we consult is a physician, these days people are getting aware and consult an orthopaedic or a neuro surgeon. My advise is to consult a spine surgeon who are trained specially to deal with such problems. The usual examination is followed by certain blood tests and radiological investigations, like x rays and mri scanning. Out of these pathological type majority will not need surgery.
Keep strengthening your back, and prevent back pain. Remember physiotherapy (exercises) are to be done to prevent back pain and not to cure it.
1 months back, I have fallen while walking through the steps, since then I am facing a mere problem with my knee. I have also consulted a regional doc but nothing happened.
I usually have pain in legs when I walk for longer period or when I stand for long. Recently I can also feel pain base of my foot (usually when I get up from bed. Can you please advice some calcium medicine which can be taken for lifelong. Also, can you please advise me treatment for this leg pain. Is it due to lack of calcium?
I have pain in my knee joints. Doctors have suggested for knee replacement. I don't want to go for surgery. Please suggest alternative medicines.
The usual period before which surgery should be undertaken so that good final outcome can be expected is around 3 months.
so in such cases do not wait too much.