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Hip Osteoarthritis - Physiotherapy For It!

BPTh/MPT
Physiotherapist, Jaipur
Hip Osteoarthritis - Physiotherapy For It!
With age, most bones of the body undergo degenerative changes leading to reduced movement. The cartilage that is present in the joints allowing free movement is gradually lost due to wear and tear. This loss of cartilage makes the movement painful. This can also be caused by obesity and trauma, but age is the most common cause. The reduced movement leads to weight gain, which further aggravates the osteoarthritis.

Hips are one of the most commonly affected areas of osteoarthritis. Especially with overweight people, hips are quite often affected. In most people, early diagnosis can help in arresting progress and even reverse changes. This will help avoid chronic use of pain medications and major surgical treatments for managing the osteoarthritis.

Some of the most effective ways of managing osteoarthritis include the following:

Weight loss: Reducing weight is one the most important cornerstones of managing osteoarthritis. People who reduce weight will see a drastic improvement in their symptoms.
Pain medications: Pain is one of the main reasons that people seek medical help and that is when the diagnosis is made. Therefore, for immediate relief, pain control is essential. Nonsteroidal anti-inflammatory drugs are often used to control pain. In parallel, other measures for long-term control of osteoarthritis should be undertaken.
Cold therapy: Using cold packs in the area of pain can provide great relief from pain attacks.
Electrotherapy: Use of mild amounts of electricity can stimulate the nerve endings, reduce pain, and help in pain control.
Acupuncture: Relieving pressure points which can increase inflammation is also widely used to control pain.
Soft tissue massage: The soft tissues around the affected hip joint are regularly massaged, augmented by the use of a topical agent, which can help relieve the pain. The circulation is also improved, which can help in long-term symptom management including improved immune functions.
Regular exercise: A well-planned routine exercise regimen will help control pain, improve movement, reduce fatigue, improve endurance, and improve the overall quality of life. All affected tissues should be covered in the exercise bones, muscles and cartilage.
Using a combination of these techniques, the physiotherapy will aim to achieve the following.

Pain relief and protection: The first thing to manage is the pain, which brings the patient to the doctor. Once that is controlled, then long-term management needs to be planned.
Restoring hip movement and strength: Once the pain settles down, then the muscle strength, tension, endurance, and range of motion need to be worked upon. This restoration will be done in phases, and with each phase, greater range of motion will be achieved with lesser discomfort to the patient.
Physiotherapy uses various techniques to minimise symptoms and in some people, even complete reversal of changes is possible.

Physiotherapy Treatment For Cervical Osteoarthritis!

BPTh/BPT, Bachelor In TCM, DTCM
Physiotherapist, Mumbai
Physiotherapy Treatment For Cervical Osteoarthritis!
Cervical osteoarthritis is also known as cervical spondylosis. It is a medical condition which involves changes in the joints of neck, bones and discs. This is generally caused due to the deterioration of the muscles owing to old age. With age, the cervical spine breaks down and loses all its fluids. This leads to stiffness in the spine. It occurs usually in middle aged and old aged people. This causes stiffness and severe neck pain. Corrective surgery is helpful to cure Cervical Osteoarthritis.

Symptoms of Cervical Osteoarthritis:

Pain and stiffness in the neck.
Headache which usually emerges from the neck.
Severe pain in the arms and shoulder.
Not being able to turn the head or neck fully while driving.
Muscle spasm and abnormal reflexes.
Grinding sensation or noise caused while bending the neck.
Cervical Osteoarthritis can be cured by physiotherapy in the following ways:

Heat modalities- In this method the pain and stiffness is reduced by putting heat on the affected area. This type of therapy is called heat therapy.
Neck exercise- Regular stretching and bending exercises for the neck can reduce pain and stiffness
Manipulating therapy- This form of therapy is used by massage therapists. They massage and manipulate the joints so that the muscles can function smoothly.
Hydrotherapy- This therapy involves exercising in a pool. Hydrotherapy is extremely beneficial for people having severe joint pain and stiffness.
Cervical traction- This is a common non-surgical treatment which cures pain in the neck by opening the cervical foramen (hole or passage).
Physiotherapy is the most natural and safe way of curing cervical osteoarthritis. If you are diagnosed with cervical spondylosis, you should start physiotherapy as soon as possible.

Ayurvedic Treatment For Rheumatoid Arthritis And Osteoarthritis!

MD - Ayurveda
Ayurveda, Thane
Ayurvedic Treatment For Rheumatoid Arthritis And Osteoarthritis!
With age we often experience gradual wear and tear of our body parts, which leads to slow down of body functions. Wear and tear of bones and joints often make movement difficult in various parts, such as hands, hips, legs, knees, ankles, etc. Rheumatoid and osteoarthritis are a two serious and common conditions where wear and tear of the bone is significant. The pain and stiffness in the affected joints vary, but for most people, restricted movement is the main issue. The relieving news is that there are effective, natural methods in Ayurveda which are tested over centuries and used even to date.

These methods aim at improving stiffness, pain control, controlling progression of inflammation, reversal of damage (if not severe), improving range of motion, improving strength and improving overall energy levels.
Ayurveda believes that body s health is managed with the balance between three vital elements that is vata, pitta, and kapha. Arthritis (both osteo and rheumatoid variety) is believed to be related to vata and arthritis is also known as sandhivata (sandhi meaning joint).

Treatment includes overall body treatment and focused treatment of the affected joint. Oral medicines, oils and external applicants, detoxification and rejuvenation through panchakarma, diet changes, healthy lifestyle are all part of the treatment regimen. Oil and external application on the overall body and affected joints will help lubricate the joints and will allow easy movement. This will help reduce stiffness and improve range of motion.

Dietary changes: Reduce fats, sugar, salt and alcohol. Include a lot more of fish, soy, olive oil, low-fat dairy products, broccoli, green tea, citrus fruits, whole grains, beans, garlic and nuts and seeds. In addition to protein, these have various ingredients, which are useful for bone health and act as anti-inflammatory agents.

Some common panchakarma treatments include:

Choorna Kizhi, where the person is made to assume different positions and mixtures of various herbs are applied to make the person sweat profusely.
Abhyangam is a special oil massage lasting 45 minutes that the patient undergoes for 14 days. In addition to arthritis, it also helps control body ache, fight obesity, revitalises the whole system, induces sleep, and helps fight stress.
Njavarakizhi is similar to the earlier Choorna Kizhi, various oils are used to massage the whole body while the patient is made to sit in different positions. There is also a Njavara rice that is cooked in milk to make a porridge and fed to the patient. This again is continued for 14 days.
The key to managing this condition is to seek help in as early stages of the disease as possible. When there are risk factors that put you at risk, reach out to seek medical help as soon as you realise onset of symptoms.
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Residing at durgapur of West Bengal ,Osteoarthritis at knee, is any doctors available Bengal region, if any possibility like this, after can start treatment?

MPT, BPT
Physiotherapist, Noida
Residing at durgapur of West Bengal ,Osteoarthritis at knee, is any doctors available Bengal region, if any possibili...
Chiropractic adjustment will help. Contrast Fomentation (Hot and Cold). Avoid Squatting- Avoid sitting Cross legged
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Osteoarthritis - How It Affects Different Parts Of The Body?

MBBS, MS - Orthopaedics, TORT Centre, Ninewells Hospital, University of Dundee
Orthopedist, Jaipur
Osteoarthritis - How It Affects Different Parts Of The Body?
What are the symptoms of osteoarthritis in relation to the different affected areas?

An osteoarthritis is a form of arthritis which means unexpected inflammation of the joints/muscles, which is usually very painful. This form of arthritis is not curable, and the only thing that you can do is to take measures to reduce the painful effects of the condition. The symptoms of the medical condition often occur gradually and are chronic and long lasting in nature. Some of the body parts that get affected easily are:

1. Hips- pain is felt in the groin area or buttocks at the hip joint.
2. Fingers- bony growths at the edge of joints can cause fingers to become swollen, tender and red. There may be a pain at the base of the thumb.
3. Knees- a 'grating' or 'scraping' sensation occurs when moving the knee.
4. Feet- pain and tenderness are felt in the large joint at the base of the big toe. There may be swelling in ankles or toes.

Some of the most common symptoms which are more common to all body parts are as follows:

1. Chronic pain

The arthritis related pain is very intense and chronic in nature, and it has an ever increasing trend if proper care is not taken. This pain can appear in any body joint of a person and it can cause visible inflammation or swelling in and around the muscles of that particular joint.

2. Body stiffness

Another characteristic feature of this medical disorder is that there is stiffness in the normal movement of the joints and muscles. This symptom also results in a lack of flexibility of the concerned person.

3. Inflammation and tenderness

Osteoarthritis is such a condition which is observable by the naked eye, as it shows signs like inflammation and tenderness. Inflammation can be noticed if a joint has a considerable amount of swelling.


Arthritis - Role Of Unani Medicines In Treating It!

Bachelor of Unani Medicine & Surgery (B.U.M.S), D.A.F.E
Unani Specialist, Allahabad
Arthritis - Role Of Unani Medicines In Treating It!
Arthritis refers to the condition where your joints become inflamed. It can affect a particular joint in your body like that in the knee or the hip or can occur in multiple joints simultaneously. Arthritis comes in several forms.

The most common two types of arthritis are-

Rheumatoid arthritis- This is an autoimmune disease causing pain in the joints. This condition affects both sides of the body. This means, if the joint of any of your legs or arms is affected, the same joint on the other side of your body will also be affected.
Osteoarthritis- This type of joint inflammation is caused due to cartilage degeneration. Arthritis is usually observed in people over 65 years of age. But in rare cases, the condition can also occur in teens and young adults. Women and people who are overweight are prone to this condition.
Early signs of arthritis-
Arthritis symptoms develop gradually over time. Nevertheless, you must watch out for the early signs such as-

Joint pain and tenderness
Fatigue
Joint stiffness
Limitation of motion
Swelling and redness in the joints
If you encounter these symptoms, consult a doctor right away.

Role of Unani in managing arthritis pain-

Unani medicines are natural herbal drugs used for treating joint inflammation. This treatment method has been in use from the ancient times. Here are a few herbs used in the procedure-

Suranjan sheirein (Colchicum autumnale)- This is one of the most commonly used Unani medicines. Packed with analgesics and anti-inflammatory properties, this herb alleviates inflammation and pain associated with arthritis.
Kulanjan (Alpinia galanga)- Kulanjan consists of anti-inflammatory properties. This helps treat symptoms of rheumatoid arthritis and relieves you from severe joint pain.
Nar kachur (Zingiber zerumbet)- Nar kachur oil extracted from rhizomes of the plant Zedoary, is an effectual anti-inflammatory agent. It helps cure inflammation, swelling and severe joint pain in case of arthritic problems.
Cannabidiol oil- This essential oil (also known as hemp oil) is extracted from the cannabis plant. Cannabidiol oil helps reduce chronic inflammatory pain and joint stiffness. Thus, it effectively reduces severity of rheumatoid arthritis. These essential oils can also be used in the form of powder or gel.
There are very few side effects of Unani medications. So if you re reluctant to go for orthopedic treatment, try these herbal drugs and medicines to treat arthritis.
4708 people found this helpful

My mom 52 years old, having acute onset pain in right medial side of knee since 3 months. Doctors diagnosed him negative for osteoarthritis, no clue we are getting for pes anserinus bursitis. Pain is sharp, pointing, relieved by medication, sometimes she has to stop during movement because of pain. No h/o trauma.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My mom 52 years old, having acute onset pain in right medial side of knee since 3 months. Doctors diagnosed him negat...
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold air flowing from air conditioner. --. Sleep on a hard bed with soft bedding.  --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for knees and ankles.  --.(Take help of a physiotherapist). --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment Contact your family doctor or visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.  
1 person found this helpful
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Osteoarthritis - 4 Symptoms You Must Not Ignore!

MBBS, Ph. D - Orthopaedics
Orthopedist, Bangalore
Osteoarthritis - 4 Symptoms You Must Not Ignore!
As you age, the cartilage cushioning your joints starts wearing down, causing the bones to rub against each other. This causes osteoarthritis, which is a type of degenerative disease caused. The rubbing of the bones causes inflammation of the joints. The joints of the arms and legs along with the lower back are most commonly affected by this condition.

Here are some common symptoms, which indicate that you are suffering from osteoarthritis:

Pain and tenderness: An aching back, knees, neck and hip with severe pain are some of the most common symptoms of osteoarthritis. The pain caused during the early stage of arthritis is classified into tenderness and pain. A sharper pain may be felt while moving the affected joint in a certain way. Tenderness is the discomfort experienced when the joint is pressed along with visible swelling in the affected area.
Joint stiffness: Joint stiffness is another early symptom of osteoarthritis. It refers to the wooden feeling, which makes a person feel slow and sluggish. The urge to rest or go to bed should be resisted. Warming up the joints with gentle exercise or moving around cause relief. It also helps in reducing the stiffness and you can continue your regular activities with more ease.
Abnormal sensations: When the cartilage wears down, the rubbing of the bones against each other may lead to some abnormal sensations. Grating of the joints is common in people with osteoarthritis. One may feel that their joints are cracking or clicking while moving.
Loss of flexibility: People who are in their early stages of osteoarthritis may face difficulty with moving the areas which are affected. This joint stiffness and pain may lead to a loss of flexibility or loss of range of motion. Range of motion refers to the extent up to which one can move his joints normally. In case you are not being able to bend your knee fully or as far as you would have done it normally, you might be experiencing osteoarthritis.
Loss of flexibility occurs slowly and gradually. A person may hurt his back unusually during a football game or may experience a stiff back in the morning after waking up. This gets more intense with time. In the later stages, you may experience joint pain even while resting.

In case you experience any symptoms of osteoarthritis, you must consult a doctor immediately. The doctor will provide you with a plan aimed at managing and getting a quicker relief from the pain caused due to osteoarthritis. Several over-the-counter medicines, braces for supporting affected joints and range of motion exercises are also effective ways of managing osteoarthritis.

Old Age - How It Impacts Your Muscles & Bones?

MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Old Age - How It Impacts Your Muscles & Bones?
If you are the on the wrong side of your fifties, then you will know the importance of regular checkups to the orthopedist. Aging related physical changes such as greying hair and wrinkles are a few things that you can cope with easily, however, when it comes to the health of your bones and muscles, you need to be very careful. You need to be particular about being active, as it can help reverse or reduce the risks of most of the bone disorders that you may suffer from. Ageing affects both the muscles and bones, but not always in the same manner. So, it is important that you understand how each is affected by ageing.

Changes in your muscles due to aging
As you age, your muscles tend to lose strength and size. This can make you prone to fatigue, weakness and a decrease in your tolerance levels to exercise. The various factors that play a role in this are:

Modifications in your nervous system can impair the ability of the muscle to contract.
The muscle fibers in the body reduce both in size and number.
The replacement rate of the muscle tissue in the body falls.
Changes in your bones due to aging
Ageing impacts the structure of the bone and leads to a loss of the bone tissue. Aging causes low bone mass, thus rendering them weak. This means a simple fall can have a serious effect on your bones.
The various causes that can bring about these changes are:

Loss of vital minerals such as calcium
Being physically inactive
Undergoing hormonal changes in the body such as menopause, wherein the body loses minerals from the bone tissues. In case of men, progressive decline of sex hormones can lead to changes in the bone structure.
Common conditions that affect your musculoskeletal system in your old age:

Osteoporosis: This disorder results from a loss of bone density resulting in fragile bones. This makes the bones highly susceptible to fractures and breakage.
Rheumatoid arthritis: An autoimmune disorder that usually develops after the age of 40; here, the immune system of the body attacks the body tissues, thus leading to inflammation in your joints.
Osteoarthritis: It is a disorder of the joints which is caused by deterioration of the cartilage that cushions the joints.
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5 Symptoms Of Osteoarthritis And Its Treatment!

DNB Orthopaedics
Orthopedist, Kolhapur
5 Symptoms Of Osteoarthritis And Its Treatment!
Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.

Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:

Sore or stiff joints after inactivity or overuse
Limited range of motion or stiffness that goes away after movement
Clicking or cracking sound when joint bends
Mild swelling around a joint
Pain that is worse after activity or toward the end of the day
Treatment Options For Osteoarthritis

Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:

Managing symptoms, such as pain, stiffness and swelling
Improving joint mobility and flexibility
Maintaining a healthy weight
Getting enough of exercise
Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.

Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.

Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.

Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.

Management: Medical:
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.

For Pain Management
NSAIDs
Cox-2 inhibitors
Opioids

Intraarticular Injections

Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year
Surgical Management

Knee pain or functional status has failed to improve with non-operative management

Types of Surgery

Arthroscopic Irrigation
Arthroscopic Debridement
High Tibial Osteotomy
Partial Knee Arthroplasty
Total Knee Arthroplasty
Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.

Joint Replacement Surgery: Joint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.

Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.

Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.

Preventive Measures

People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.
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