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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Patient Review Highlights
What are they?
Intra-articular injections or intra-articular corticosteroid injections are steroid medicines that are injected into the joint space directly, for curing and treating painful and inflammatory arthritic joint syndromes. In general, this procedure of treatment is adopted by orthopedic practitioners since steroidal drugs, when administered orally, are hardly of any use for osteoarthritis patients.
Steroids are natural substances which are akin to the hormones in your body. Steroids are mostly taken for reducing inflammation. Apart from inflammation in the bones, intra-articular corticosteroid injections are also administered for alleviating inflammation in the ligaments and tendons in patients suffering from osteoarthritis.
Note that intra-articular corticosteroid injections are prescribed to osteoarthritic patients only if the pain and inflammation do not subside with the use of NSAIDs and analgesics. Corticosteroid injection often provides temporary relief, when other oral medicines have failed to provide comfort to the patient.
Hyaluronic Acid Injections
Another form of intra-articular injection is the one containing intra-articular hyaluronic acid. Hyaluronic acid is a natural fluid that aids in lubricating the joints and allows them to function smoothly. It acts as a shock absorber in your body. However, with osteoarthritis, the hyaluronic acid in the affected joints wears out. Depending on the type of injection, you may get one shot of hyaluronic acid intra-articular injection, or three to five injections spaced a week apart.
The process of administering such injections needs the doctor to first clean the area. In case of swelling, local painkillers can be injected. Next, the doctor inserts a needle to withdraw the excess fluid that’s within the knee joint and then with the same needle in place, the doctor finally injects the medication into the knee joint.
The basic side-effects of intra-articular injections include mild pain at the site of the injection along with a small buildup of joint fluid. However, these side-effects are usually never a matter of concern and they get resolved on their own within a span of a few days. If you wish to discuss about any specific problem, you can consult an orthopedist.
Do you remember the last time you had a searing knee pain in the middle of your morning run? It was probably because you did not warm up properly. The incidence of injuries in various sports has gone up in the recent times, and it is mostly due to the lack of proper warm up exercises. However, other factors come into play as well, such as the pressure of increased workload on the current batch of athletes, missing a trick or two with the proper technique to be followed, etc.
In order to reduce the risk of an injury, it is advised to follow these simple tips:
Set realistic goals for yourself: Don’t go overboard with anything that includes repetitively stressing and straining your body over a certain degree. If you are planning to go for a run or hit to the gym, make sure you set goals that you can sustain and find feasible. One example of this would be to not increase the amount of weight drastically while lifting weights as it can lead to serious injuries.
Follow the right technique: Proper technique is very important in sports, a lack of which can lead to injuries. Ask your trainer to observe your form when you perform any activity. Focus on your breathing and posture when you are exercising.
Warm up before you begin exercising: Warming up before you exercise or play a sport is important as it helps loosen your muscles and boost blood circulation. It drastically reduces the risks of sustaining injuries, and also prepares your body for the subsequent exercise.
Cool down: Similar to an essential warm up is the need to cool down; it is another aspect that should not be ignored. Cooling down usually consists of stretches and postures that promote flexibility. The muscles become sore after working out. Stretching can help reduce post workout pain and make the joints flexible. Cooling down also helps in eliminating lactic acid from the muscles, which means less pain after exercise.
Listen to your body: During an activity, if you feel that you can no longer carry on, terminate the activity. The chances of injury rise if you continue to push your body over your threshold limit. If you think that you can no longer carry on doing something without risking an injury, avoid doing it altogether. Listen to your body, and it shall never fail you.
If you wish to discuss about any specific problem, you can consult an orthopedist.
My mother is aged 90 years ,her left clavicle broken on 23rd March, taken to an orthopedic she was given brace to wear 21 days and vitamin D and calcium syrup other than paracetamol tab (for use in the event of pain). Now I am not satisfied with outcome of the treatment regime as there appears some lacking in alignment to me. Is there any way to ascertain the state or progress of healing and for corrective further treatment? And how to go about it?
I am 72 years old suffering from arthritis of knees for last 10 yrs. X-ray report says cartilages have disappeared. I feel pain while walking and don't take any pain killer. I am hypertensive, diabetic and little obese. How can I overcome the pain during movement?
ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.
Read on to know what you can expect in the recovery phase following an ACL surgery.
- Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
- Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
- Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
- Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
- Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.
Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury.
What can cause a dislocation?
The causes of dislocation are as follows:
- A body joint can get dislocated if you have suffered a fall.
- If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.
- Automobile accidents can also cause dislocation of joints.
- Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.
Understanding the signs and symptoms
In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be:
- You might experience severe pain while moving the dislocated joint.
- There will be a lack of sensation near the dislocated portion.
- There might be a stinging sensation in the dislocated area.
- In certain areas you may not be able to move the joint at all
If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints. If you wish to discuss about any specific problem, you can consult an orthopedist.
I do running daily, but now I stopped running because I am felling pain in my knee of right leg for last 1 month . There is no pain in knee of left leg. I don't feel any pain while walking and bending my right leg. I feel pain when I do running ,stretching and making pressure on it. I have to go for my sports after 1 month where I have to do running also. Sir or mam please help me how can I cure it within 1 month. I just have 1 month to cure it ! What should I do ? What diet should I take? I am worrying about it ! Is it permanent? Or can be cure ?
Why 'Giving Way' Can Be Harmful to Your Knee!
The knee joint is a complex joint formed between three bone - the thigh bone, the leg bone and the knee cap.
The knee joint is held in position by four main pillars - the two cruciate ligaments and the two collateral ligaments.
When one or more of the pillars gets torn, the knee starts 'giving way' or is unstable.
These are 4 reasons why 'giving way' of the knee can be harmful:
Abnormal movements cause damage to the cartilage. Cartilage damages are permanent and don't heal.
Excessive movements can strain the remaining normal ligaments and damage them.
The meniscus or the shock-absorber of the knee gets crushed between the thigh and leg bones when the knee is unstable.
The risk of re injury is high when you play with a torn ligament, because the knee is no more completely stable to support you.
Know when you should consult your doctor! Avoid further damage to your knees!!!
I am 38 yrs, two times met with an accident four years ago due to which there were two fractures one in arm and other in foot, my knees got deeply hurt. Due to avoidable circumstances proper care could not be done. Now I feel pain in knees. There is voice heard while bending knees. Xray done report is normal. doctor advised for exercise and vitamin d3 tablets for few days. Still I did not get any relief. M worried it may cause problem in my future life. Kindly help.
Right elbow fractured. Screw implemented 3 screw. One taken out. Two are still in. Extension and flexion not 100%. Its approx 20% less. Done 4 month regular physiotherapy and proposed exercise. Need solution. Want 100% movement. please suggest)
I am 23 years old male. I have knee pain since 2 yrs. I go to gym regularly. I have visited some doctors. One said there is swelling in the cartilage and don't do squats in gym. I don't do that but there is no relief in pain. I feel this pain only during running and using stairs. Rest of the time I don't feel pain in normal movement of the joint. But that motion of the joint is not smooth. I feel some crackling sound in my knees. I do exercises to strengthen the quadriceps but nothing happened. Is there any damaged in the cartilage due my high and frequent sports activities. I feel pain in both knees.
This is the question most elderly patients from all walks of life ask me, be it a learned advocate or the local farmer.
Guess the answer? it is a big yes!
Knee osteoarthritis is the wear and tear that happens in the knee joint. At times we fail to understand that our knees also age along with us! so they may not be in a situation to behave the save way they behaved 20 years back, when you used cycle or trot a few miles to your school or college or the way you were comfortable squatting or kneeling whether it is fit sanitary purposes or religious causes
The fact is the knees have to be tamed well and should not be battered the same way as it was a few decades back!
Now coming to our original discussion, yes, you are allowed to walk!
But how do you do it when you are already suffering from pain?
You could rest your knees for a few days - usually a week, if you have severe pain. Your doctor could help you with some low dose pain killer tablets and ointments. On top of it all, the single best way to reduce your knee pain is lifestyle modifications!
What's the lifestyle modification we are talking about?
1) no climbing up or down stairs!
2) no sitting on and getting up from the floor!
3) no kneeling! and
4) a big no to squatting in the toilet!
Doctor, you must be kidding! how am I supposed to live without these?
Restrict the number of times you climb stairs.
Use a chair/sofa to sit! at unavoidable situations, use a stable support to sit on the floor and then to get up! do not place too much stress on your knees when you get up from the floor!
Absolutely no kneeling! for religious prayers, use a shall flat stool to sit and offer your prayers, but do not kneel!
Use a western (raised) toilet commode for sanitation! if you can't afford to change your present indian ones, use a wooden/plastic raised seat with a central opening temporarily until you can arrange a permanent raised one!
Should I spend time walking or not?
Yes you should!
Walking helps to rebuild the joint!
Walking strengthens the thigh and leg muscles!
Walking helps you lose weight!
Walking keeps your body active and prevents lethargy!
Last but not the least!
Walking pacifies the mind and prevents psychological problems!
So what are you waiting for?
Get out your shoes and burn your calories!