Doctor in Mediline Physiotheraphy Clinic
Back Pain Treatment
Treatment of Neck Pain
Spinal Surgery Disorders
Treatment of Pain in Ribs
Treatment of Slip Disc
Treatment of Neurological Problems
Treatment of Frozen Shoulder
Treatment of Knee replacement
Treatment of Buttock Pain
Treatment of Nerve And Muscle Disorders
Treatment of Charcot-Marie-Tooth Disease
Treatment of Shoulder Injuries
Treatment of Hip Disorders
Treatment of Osteomalacia
Neuro Physiotherapy Treatment
Treatment of Knee Injury
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Back pain may occur due to various reasons. Chronic back pain is the one that remains for 12 weeks or more than that even after the cause of the pain has been treated. There are several ways of treating chronic back pain. Its treatment depends upon the nature of injury or the actual underlying cause of the pain.
The treatment for back pain has been listed below:
- Short-term methods: Initially, people use short-term remedies for tackling back pain. Over-the-counter painkillers and home remedies are used to cure the patient. This might show useful results within six weeks.
- Continue movement: Although traditionally, patients with back pain were advised to take complete bed rest. However, doctors today are of the opinion that patients should not take complete bed rest. The patient should try to move around a bit. It may be hurting first, but slowly it will heal the pain. One can take up brisk walking for best results.
- Painkillers: Patients are first prescribed to take paracetamol. However, some people take non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for faster relief. There are stronger painkillers like codeine. But one must keep in mind that painkillers are not good for health. They have side effects. Long-term use of painkillers can cause damage to the kidneys. If these are not effective, the doctor might switch to muscle relaxant like diazepam.
- Hot and cold compress: Patients are advised to take hot or cold compress to get relief. A hot bath or compress with hot water can be useful. Otherwise, using ice pack can also produce effective results. Often, alternate hot and cold compress are advised to get rid of the pain.
- Change your sleeping style: The pain can be reduced to a great extent by changing one's sleeping pattern. Use pillows to change the sleep pattern.
- Exercise: The patient might have developed back pain due to faulty posture or obesity. In order to get rid of the pain, one must address these issues first. Shred the extra pounds b exercising the correct way to get cured of the pain.
- Acupuncture: It is a kind of treatment in which fine needles are put at different points of the body. This helps in reducing the pain.
- Oil massage: There are various kinds of massage techniques available. These improve the circulation of blood. This in turn, rejuvenates the muscles and bones by providing sufficient oxygen supply.
- Antidepressants: These are prescribed when painkillers don't show effective results. Tricyclic antidepressants (TCAs), such as amitriptyline are given to the patient. However, these are given in small doses.
- Stay calm and positive: It is important to have a positive frame of mind to get rid of the pain. One has to be patient and not lose hope while the treatment is on.
Fibromyalgia is a medical condition that is known to affect the soft tissues and muscles of the body. As a result, there is a muscular pain and fatigue experienced throughout the body, often interfering with daily activities of the affected individual. Though the condition can affect both men and women, females are more prone to Fibromyalgia than their male counterparts.
The pain (can be acute or chronic) associated with fibromyalgia is often an outcome of a condition whereby the receptors in the brain that perceive the pain signal undergoes modification, becoming oversensitive to the pain stimuli.
The body has 18 tender points spread throughout the body. These tender points are highly sensitive and can be quite painful when pressed. Research suggests that individuals with fibromyalgia experience pain in at least 11 of these pressure points when pressed (often used in the diagnosis of fibromyalgia).
Causes of Fibromyalgia
While it may be difficult to decipher the exact trigger that results in Fibromyalgia, the condition may be an outcome of
- Physical or emotional trauma, stress, anxiety, and depression
- Genetic predisposition. The incidence of fibromyalgia is higher in individuals with a family history of the condition
- Indulging in too much of a sedentary lifestyle (lack of physical activities and exercise) can play a pivotal role in triggering fibromyalgia
- Certain health conditions and infections such as Arthritis can also give to fibromyalgia
While muscular and joint weakness and pain are synonymous to fibromyalgia, a person may also complain of
- Sleeping disorders
- There is a weakness, headache (often associated with a migraine), and fatigue (in spite of having a sound sleep and proper rest)
- A person may experience Fibro Fog (a condition resulting from fibromyalgia whereby a person finds it difficult to memorize or concentrate on anything)
- There may be morning stiffness along with numbness or a tingling sensation in the legs, hands, feet
- Some women with fibromyalgia may experience menstrual cramps which are often painful
- One may also suffer from IBS (Irritable Bowel Syndrome), Temporomandibular joint disorders
Treating Fibromyalgia with Ayurveda
According to Ayurveda, Fibromyalgia is an outcome of the vitiation of all the three doshas - Vata, Kapha, Pitta. This affects the digestion process (it weakens or slows down) with the buildup of toxins or Ama in the body. Thus, for an effective treatment, the balance between the three doshas should be restored along with the elimination of the toxins out of the body (detoxification).
- The treatment often involves a concoction of herbal and Ayurvedic oil massages and oil baths, lifestyle changes, dietary modifications, meditation and yogas or pranayamas
- Avoid non-vegetarian (can have lean meat though), spicy and greasy foods. Instead, supplement the diet with fresh fruits, vegetables, healthy or good fats (poly or monounsaturated fats), whole grains
- Drink at least 6-8 glasses of water daily
- Follow a healthy sleep routine. Mediation and Yoga will act as a catalyst, enhancing the overall treatment
- Drinking alcohol or smoking tobacco or drug abuse should be avoided
- A Warm Ayurvedic oil application with gentle pressure is very effective in this if done on regular basis
- Stay happy and stress-free
- Daily feet massage helps in good sleep.
- Panchkarma treatment is highly effective in this disease.
- If stress is highly involved its better to take proper counselling from psychiatrist .
- Healthy bowl is always recommended.
- Good appetite and bowl clearance are utmost important in this disease.
Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.
- Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
- Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
- Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
- Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
- Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation.
Frozen shoulder is characterized by progressive pain and stiffness of the shoulder which usually resolves spontaneously after about 18 months.
There are three phases that the condition will pass through;
A freezing phase where the joint tightens up, a stiff phase where the movement in the shoulder is significantly reduced and a thawing phase where the pain gradually reduces and mobility increases.
- Age - 40 - 60 yrs
- History of trauma, often trivial followed by aching in the arm and shoulder.
Cardinal features: stubborn lack of active and passive movements of shoulder in all directions.
- One should seek proffessional advise before attempting any frozen shoulder rehab.
- Treatment is divided into two modes: conservative. And surgical.
- Conservative treatment: physiotherapy plays an important role in the prevention as well as resolution of this condition. It aims to releive pain and prevent further stiffening with:
- Non steroidal anti inflammatory drugs
- Electrotherapy - ultrasound, tens & laser treatment may also help reduce pain and inflammation.
1 Pendulum exercise
2 Wand exercises
3 Therapist assisted mobilizations
4 Stretches -
- Shoulder flexion stretch
- External rotation stretch
- Chest stretch
- Posterior shoulder stretch
5 Strengthening exercises
- Isometrics shoulder exercises
- Postural exercises - scapular squeezes
- Surgery is the last resort if normal treatment has failed.
The core muscles, mainly concentrated around the abdomen, hips, lower back, trunk, and glutes, are indeed a powerhouse that gets you going. The stronger the core muscles, the fitter you stay. Without a proper core strength, a lot of the day to day activities including lifting or bending gets affected. Certain health conditions can weaken the core muscles. But how to know if the core muscles are weak? There are many signs and symptoms associated with weak core muscles.
Mentioned below are some important signs that may be an indication of weak core muscles.
- For your posture to be correct, the spine and pelvis need to be stable: The muscles of the lower back and the abdomen does exactly that, ensuring a steady and correct posture. However, when the core muscles weaken, they are unable to provide stability to the spine and the pelvis resulting in a poor posture. Left unattended, poor posture, in turn, can trigger a myriad of complications and discomfort.
- The body loses its balance: As already mentioned, the core muscles go a long way in stabilizing the body and helping you to maintain the body balance. You can perform a small test to know if your balance is affected. Close your eyes and stand on one foot. Repeat the procedure with the other foot as well. If you have a developed core, you will be able to hold the position for at least 10 seconds, if not more (both the legs).
- A pain concentrated to the lower back: Do not ignore a lower back pain. It could be an indication of your core muscles not being strong enough, especially the ones adjacent to the spine. The weak muscles fail to provide the necessary support to the discs and the vertebrae resulting in pain (mild to severe depending on the severity of the condition) and discomfort. Timely medical intervention may help improve the condition.
- Weakness throughout the body: The strong core muscles are an indication of a healthy and fit body. When the muscles start to lose its strength, the entire body gets affected. A person finds it difficult to even lift things. Doing even a small and regular work leaves a person weak and tired.
- You can also perform the Hollowing Test to check your core strength: Sit in a comfortable position. Starting breathing in and out. As you breathe out or exhale, try to pull your stomach inwards towards the spine for at least 10 seconds. Unable to pass this test (can't hold the position for 10 seconds) indicates weak core muscles.
- You can also try the plank test: Get yourself in a push-up position with the entire body resting on your elbows, arms, and toes. The hip should be level and steady. Failing to stay in this position for 50 seconds is indicative of weak core muscles
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.
- 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.
Hello Doctor, prescribed me gabantip for muscle pain. I took 3 doses and have developed side effects like muscle twitching and jerking. It has been over 1 week since I stopped that medicine but side effects have not gone away. Please help.
I am 31 years old male having a lot of sphere pain at the hip joint. MRI results shown a subchondral cyst at the hip joint. What is the treatment that I can take? And can it be treated?
Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints. These surfaces closely replicate the original anatomy.
When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when have pain, swellingand deformity fail to respond to medicines, physiotherapy, injections and rest.
Aim of the surgery
- Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
- Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
Aftercare tips for joint replacement patients:
- Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks after the surgery.
- Activities: Normal walks of 3 to 5 km per day, climbing stairs, cycling, swimming and driving can be performed with the new implant(s) now.
- Avoid: Squatting/kneeling, playing sports like football, cricket, tennis, jumping, adventure sports,
The longevity of joints will vary between 15-35 years depending on the material used by the doctor.