Doctor in Joint Care
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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I found the answers provided by the Dr. S.S.Soni to be very helpful. Thank you sir
The deltoid muscle is situated around the shoulder joint that makes up the shoulder. It is classified into three parts - front, side and rear deltoids. It is one of the most frequently used muscles in the body, its major functions are abduction and forward elevation of the arm.
A deltoid strain is a condition where you experience pain and tenderness in the shoulder area due to various causes like overuse of the deltoid muscle. It is very common in weightlifting and various sports such as cricket. It may even lead to partial loss of function in the deltoid muscle. Deltoid strain may be caused due to overworking of the muscle without adequate rest. It may also be caused due to lengthening of the deltoid muscle under stress or direct trauma to the muscle.
There are three types of deltoid strains
- Grade 1 deltoid strain: It is characterized by tight muscles with some possible swelling. There may be mild pain when you use your shoulders for any activity.
- Grade 2 deltoid strain: This strain is a result of a major injury to the deltoid muscle; there may be visible swelling and pain while carrying out activities that require movement of the shoulder. Lifting your arm to the front or the sides becomes difficult and painful.
- Grade 3 deltoid strain: This form of deltoid strain is the most severe of the three; it may cause the shoulders to become immobile. You usually will experience excessive pain and severe swelling. You might not be able to move your arm and carry out any activity that requires the shoulders.
The diagnosis of a deltoid strain starts with a physical exam where the doctor will understand the symptoms of the deltoid strain. Various imaging tests such as x-rays may be required for the diagnosis. The basic treatment for shoulder strain comprises of the RICE protocol (rest, ice, compression and elevation) which is used to treat grade 1 and grade 2 strains. Grade 3 strains may require surgery in addition to the above treatment methods. In case of excess pain, the doctor may prescribe non-steroidal anti-inflammatory drugs to ease the pain.
Complaint of pain in the knee joints is a fairly common occurrence among the people of advanced ages. Arthritis and other bone related diseases are common causes of knee pain. The onset of such troubles might set in as early as the late thirties and permeate well into one's nineties. In fact a substantial number of people face issues pertaining to osteoporosis right after fifty. This impedes the ability to perform essential tasks including walking, sitting cross-legged and other rigorous activities. Non-surgical treatments like medication and physical exercises are often the first option that most physicians avail of. However, for a more effective and lasting solution, knee replacement surgeries are gaining steam all across the globe. Joint replacement surgeries have largely been successful at soothing knee pain, curing leg injuries and restoring the potential to fulfill normal activities.
The benefits of knee replacement surgery are multiple. More number of people can reap the advantages of it.
- Moreover, the endurance of the surgical joints is fairly long. A large number of people accredit a new leash of life to these replacement surgeries.
- Not only these contribute to lessening the joint pains extensively but also enable one to resume all the normal activities without the slightest glitch. All such factors have contributed to the phenomenal success rate of the knee replacement surgeries.
However, there are certain precautions that one needs to be mindful of when volunteering for a knee replacement surgery. Although a rarity, certain complications might arise in the course of the implant. Blood clots and infections might occur as well as cardiovascular injuries. In such cases, the potential of recovering gets limited. But overall, it a very safe process with testified success rates. Another precaution one must necessarily observe is that of moderating the activities. Excess of strenuous activities or a prolonged period following the implantation results in the wearing of plastic patella. As a consequence of which, there could be a possible resurgence of pain. In case you have a concern or query you can always consult an expert & get answers to your questions!
Paget's Disease is a terrible affliction that affects millions of people around the world. It is basically a malformation of bone growth, leading to weakness, easily fractured bones, deformations, and lack of function in joints and bones. This can be caused by two things, either genetics or a slow-developing virus that may be present in the body for many years before actually demonstrating any symptoms.
Paget's disease of bone most commonly occurs in the pelvis, skull, spine and legs. The risk of Paget's disease increases with age. Your risk also increases if any family members have the disorder. Complications of Paget's disease can include broken bones, hearing loss and pinched nerves in your spine.
The following factors may play a part in causing Paget's disease:
- Genetic factors: About 10-15 in every 100 people with Paget's disease have relatives who also have the condition. In these cases the condition can be passed on from one generation to the next. But often there's no family history of the condition.
- Lifestyle factors: There's some evidence that poor diet or a bone injury early in life may act as triggers for the later development of Paget's in people who also have genetic risk factors.
Another theory is that Paget's disease may be linked to a viral infection early in life, but some experts dispute this.
Not all people with Paget's disease need to be treated. People who may not need treatment include those who:
- Only have mildly abnormal blood tests
- Have no symptoms and no evidence of active disease
- Paget's disease is commonly treated when:
- Certain bones, such as weight-bearing bones, are involved.
- Bony changes are getting worse quickly (treatment can reduce the risk of fractures).
- Bony deformities are present.
- A person has pain or other symptoms.
- The skull is affected.
- The calcium levels are elevated and causing symptoms.
Drug therapy helps prevent further bone breakdown and formation. Currently, there are several classes of drugs used to treat Paget's disease. These include:
- Bisphosphonates: These drugs are the first treatment, and they help decrease bone remodeling.
- Calcitonin: This hormone is involved in bone metabolism. It may be given as a nasal spray (Miacalcin), or as an injection under the skin (Calcimar or Mithracin).
- Acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) may also be given for pain. In severe cases, orthopedic surgery may be needed to correct a deformity.
If you have Paget's disease, your GP may recommend taking regular calcium supplements. Both of these help strengthen your bones.
- Physical Therapy: Some people with Paget's disease find they benefit from physiotherapy or occupational therapy, particularly people with fractures or other types of damage in the bones of their legs or spine.
- Surgery: Surgery is usually only used if Paget's disease causes further problems, such as bone fractures. Surgical options for osteoarthritis include:
- Arthroplasty-where the damaged joint is removed and replaced with an artificial joint; the most commonly performed arthroplasties are hip replacements and knee replacements
- Arthrodesis-where the joint is fused into a permanent position
Some quick tips to prevent the onset of Paget's Disease
- Calcium Intake: Increasing the amount of calcium that you are consuming can be a major preventative measure for Paget's disease, or at least a way to minimize the impact of the disease on your body.
- Vitamin D: Vitamin D is the second essential nutrient associated with Paget's disease.
- Sunlight: The second and easier way for humans to increase their Vitamin D levels is through being exposed to sunlight. So, catch some rays to treat Paget's disease.
- Exercise: Light exercise and flexibility practice is very important when it comes to avoiding Paget's disease. Exercise can keep your muscles and joints in shape, which makes it more difficult for Paget's disease to set in.
- Weight Loss: Going on a diet, or making a concerted effort to shed a few extra pounds is a good home remedy for Paget's.
My mother is suffering rheumatoid arthritis. He has tried the triple combination of methotrexate + sulfasalazine+ hydrochloroquinine. But there is no relief from pain unless she takes tje ibrophine and corticosteroid which do not have good side effects. Our doctors here in afghanistan has suggested to visit your country. What do you suggest?
I am a 66 years male and suffer from knee problem. To shorten my question I may write that I was given PRP injections (three each knee) in Feb 17 and Doctor advised to wait for three months then extended to six months but no relief rather it further deteriorated as depicted in X-ray taken in Oct. 17.The doc had assured rather lured me of the benefits and I have read a lot of relief PRP causes but in my case it proved to be a hollow claim. I have read that before administering the injections following protocol is observed---- To take fresh image of knee--My doctor did not To stop taking anti-inflammatory drugs before injections -- no advice To see the image at the time of injection so as to ensure that mixture is discharged at proper location in knee---The doc. Had no such arrangement. No post injections advice was given like cold compress or avoiding stairs etc. I want to avoid knee surgery and presently I feel walking pain/trouble only but otherwise no pain. So pl. Advise of good ortho. In Chandigarh or around and also clarify had the doctor followed prescribed procedure then I would have got relief and this protocol is mandatory. I am healthy person 174 cms. And 73 kgs. REGARDS.
I had PCL avulsion of grade II 8 weeks back. I had brace for the first three weeks. I started doing physiotherapy exercises from the fourth. I am doing static quadriceps exercises and Range of motion with weights. But still I can't bend my knee fully and only upto 135 something. 1) Should I force it while doing range of motion exercises to bend it more or it would cure itself slowly. 2) when would I be able climb steps, run etc?
Rheumatoid arthritis affects the lining of the joints and causes pain and swelling that may lead to joint deformity and erosion if left untreated. This disorder of the auto-immunological system occurs when the body's immune system attacks the body's own tissues.
This condition is progressive in nature, and can cause the destruction of joints, leading to functional and locomotive disability.Though rheumatoid arthritis is a disease that can last for years, patients may not experience any symptoms for a long time. In some cases, the disease may affect other parts of the body like the eyes, lungs, and the heart.
Symptoms of the disease:
- Fever, fatigue and loss of weight: Fatigue is a common symptom of rheumatoid arthritis. It may be a result of the body's reaction to insomnia, anemia, and inflammation. It may also be caused due to loss of appetite and the consequent and unintended weight loss. Sometimes rheumatoid arthritis is also accompanied by fever.
- Problems in the joints: One of the most common symptoms of rheumatoid arthritis is swelling of the joints that become tender and painful. During the early days, only the smaller joints are affected, especially the finger and toe joints. However as the disease worsens, the symptoms spread to other body parts like knees, wrists, elbows, ankles etc. Joint redness and warmth are also characteristic features of rheumatoid arthritis. It is also recognized by joint deformity and stiff joints.
- Rheumatoid nodules: Another symptom of rheumatoid arthritis is the presence of firm bumps of tissues under the skin on the arms. These bumps are known as rheumatoid nodules and may be painful. The nodules may come and go depending on the severity of the disease at a particular time. During flares, they may appear, and they may subside during the periods of remission just as all the other symptoms of rheumatoid arthritis.
The trapezius muscle is a triangular muscle which extends from the neck, down to the middle of the upper back and across the shoulder. It is one of the largest muscles in the body. It helps in stabilizing and moving the scapula. When you rotate your neck, move your arms, or even shrug your shoulders, you are able to do it because of the trapezius muscle. Over use of the muscle can cause it to strain.
Trapezius strain can be quite annoying and uncomfortable as you will have difficulty in moving your shoulders. It also causes any upper shoulder movement very difficult as it gives out an excruciating pain whenever you try to move your head or rotate your neck. It generally happens when you repetitively put stress on the muscle.
1. Poor posture while sitting, standing or lying down
2. If you sleep in a wrong or uncomfortable position
3. If you bend over a desk for hours(This is more relevant to office workers)
4. If you have to carry heavy weights on your shoulders(This is relevant to school and college students who have to carry heavy bags every day)
5. If you over work your trapezius during work outs
6. If you suddenly twist your neck
7. If you met with a fall or accident which injured your back.
The symptom that characterizes a trapezius strain is the searing pain in the muscles which is scattered around from the shoulders to the neck. The pain might interfere in your daily activities such as moving your arms when you push or pull. It might also cause discomfort while trying to sleep. A trapezious strain might even cause a bit of swelling in the muscle. Sometimes, due to the neck pain, you might even get headaches.
1. Resting: Rest as much as possible. Any strain or swelling can be easily cured with proper rest.
2. Ice packs: Ice packs help to reduce the swelling and get some relief from the pain.
3. Exercise: Stretchingthe muscle will help loosen it.
4. Blood flow stimulation therapy: After the inflammation is reduced, you should take up this therapy as an increase in the blood flow in the affected area will help cure the strain.
5. Care for the scar tissue: The scar tissue will take longer to heal than the muscle. Hence you have to follow your doctor's instruction very carefully to get a speedy recovery.
In case you have a concern or query you can always consult an expert & get answers to your questions!