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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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Hi i am having Buttock pain through thigh upto foot on the right side, worse after sitting for long time, x ray did not reveal anything significant.
I am suffering pain in lower portion of legs and foots since last 6 months. I am taking tyronorm 50 mg empty stomach and calcium tablets 1000 mg daily. Vitamin d3 and vitamin b12 test have normal. Now please suggest what can I do?
Im suffering from sexual problem and digestive problem feeling end of days. Need my life back. Please provide me proper direction to consult doctor.
I am 27 year old and I have Lowe back pain for the past one month. Currently, I am meeting a physiotherapist for last two days. But pain is not subsiding. Is there a complete cure of it? If yes, what I need to do.
Dear Sir, A little brief about my father. My father is 49 years old. Since 2000 my father started experiencing strength loss in his legs and hands. His age at that time was 31 years. As time passed, his conditions progressed steadily. We went to every best hospitals in India. Every doctor Gave up on him. Now the condition is that he cannot walk 10 steps even on his own. He needs to have support of someone's shoulder to walk and go to the toilet. That's maximum work he does. He cannot sit on floor. His bed is even at certain height which is more than usual beds that we have. If he has to sit, someone has to hold his hand and support his back and make him sit. That to he can only sit for max 1 hr. After that his bank gets stiff and he needs to lie down to straighten it. He cannot comb his hair as he cannot raise his hand that high. There is no pain in any part of his body. Now we are not able to take him to any doctor or hospital as he cannot travel and we not have enough money for the special treatment that he need while travelling. Even doctors have given up on him. I recently posted on a medical site about my father's situation and A Doctor suggested that he might be having SMA. I would be really grateful if there is anything that we have missed or anything that we could do to help him. We would do anything. PLEASE HELP.
My uncle is 50 years old. He is suffering from knee pain often. And he is having diabetes I think so. What to do?
I am 28 an from last 1 week there is a pain in my tailbone and also knee pain is there due heavy scout workout from last 1 montth please help.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.