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Carpal Tunnel Syndrome - How To Handle It?

MBBS, MS - Orthopaedics
Orthopedist, Gurgaon
Carpal Tunnel Syndrome - How To Handle It?
Carpal Tunnel Syndrome is a painful one that is born from a strain on the median nerve, which loops through the wrist bone to connect it with the rest of the hand and fingers so as to promote motion. This condition can be a painful and debilitating one that usually starts at night, and affects the various fingers, especially the thumb and index finger. The symptoms include numbness, a tingling sensation, a weak grip, and the inability to do many tasks that involve the thumb and index finger. There are many ways of treating this condition with the help of physiotherapy, steroids and corticosteroids. There are easier ways of dealing with this issue on an everyday basis, as follows.

* Wrist Splint: It is a good idea to wear a wrist splint at night which will keep the bones and muscles stationery as the pain in this condition usually starts at night. This will also prevent further damage to the median nerve.

* Activity: Keep your activity to a minimum to give your hand and rest, in particular, some much needed rest from the pain, numbness and tingling. Further, you need to avoid activities that cause too much pain and numbness. Also, take care to keep your thumb and wrist straight during other activities so that there is less strain on the median nerve.

* Strength and Flexibility: Many times, the pain from the wrist and fingers can spread towards the arm as well. In order to prevent this and to treat the pain on a more long term basis, it is important to turn to some mild exercise which can make the area more flexible and strong. This can include wrist twists which can be done ten times for each hand. One can also try Yoga to strengthen the joints in the upper body.

* Ice Pack: Use an ice pack or ice compress on your wrist for ten to fifteen minutes each every few hours to help in reliving unbearable pain.

* Anti Inflammation Medication: Patients suffering from this condition can also turn to non steroid medication that will help in bringing down the inflammation. This inflammation is usually responsible to a great extent for symptoms like numbness and pain which can halt various activities. These drugs may include aspirin, ibuprofen, and even naproxen sodium.

* Taking Breaks: One must take regular breaks at work and flex the fingers and the wrist so that the painful bending posture does not make matters worse.

Ensuring that you manage your everyday functioning despite Carpal Tunnel Syndrome is a matter of balancing your activities with rest.

Spinal Tumours - Types, Symptoms & Treatment!

MS - Orthopaedics, MBBS
Orthopedist, Nashik
Spinal Tumours - Types, Symptoms & Treatment!
The spinal cord houses the most important nerves in the body. Therefore, any disease or disorder affecting the area can be difficult to manage and live with. A spinal cord tumour is a common occurrence and makes life difficult for patients. However, the treatment for tumours on the spinal cord differs based on the region that it affects and other factors.

Types of spinal cord tumours:

Tumours near the spine region can be classified into three types, based on the area that it grows.

Inside the spinal cord - When a tumour grows inside the spinal cord, it is known as intramedullary. These types of tumours are the rarest. If a tumour affects your cervical spinal cord, it is likely to be intramedullary.

Outside the spinal cord - A tumour may also grow outside the spinal cord, but still be inside the sac protecting the cord. This kind of spinal tumours is known as intradural/extramedullary.

Outside the protective sac of the spinal cord - Lastly, the tumour may grow just outside the protective sac of the spinal cord. This is the most common type of a spinal tumour and is known as extradural. A tumour in this region can be malignant or benign.

Symptoms of spinal tumours:

Spine tumours may be difficult to diagnose because the associated symptoms are easily mistaken as other minor disorders or conditions. Here are some common symptoms of a spinal tumour-

Extreme back pain is common for spinal tumours. This pain grows worse at night. Patients are unable to find relief from the pain even after rest.
Numbness in the legs and arms
Inability to walk or severe difficulty in certain movements
Reduced sensitivity to stimuli, such as pain, heat and cold
Loss of bowel and bladder control

Treatment for spinal tumours:

Treatment for a tumour depends on the kind of a tumour that affects the patient along with the region of growth. Some tumours may not cause any major difficulty in your quality of life. Doctors will recommend monitoring the growth in such a case. Treatment may not be needed.

In the case of benign tumours, surgery is recommended.

Surgery - This is the most common form of treatment for benign tumours. If the doctor feels that a tumour is at a location where he/she can perform a safe surgical procedure to remove it, surgery is the best treatment option. However, such surgery can lead to minimal nerve damage.

In the case of cancerous tumours, the treatment is different.

Radiation therapy - Radiation therapy is necessary to destroy the cancer cells in a tumour. Generally, radiation therapy is useful in cases, where surgery is impossible, due to the location of a tumour.

Chemotherapy - Doctors may use medications to limit the growth of cancer. In such a case, the drugs help put your cancer in remission. However, the side effects of chemotherapy are severe.

If you experience back pain, visit your doctor. It may be spinal cord cancer. Early detection greatly helps in the treatment of the disease.

Say No To Spine Fusion!

MS - Orthopaedics, AO Fellowship in Trauma, Fellow Spine Surgeon, fellow in Endoscopic Spine Surgery
Orthopedist, Gurgaon
Refuse to fuse: advancements in spinal surgery

Spinal column is the best example of a structure which is strong enough to support hundreds of pounds of weight, yet flexible enough to allow nearly 180 degrees of bending, that too in all the planes. Spinal disorder limits either its supporting ability or flexibility.

Out of the two, loss of spinal stability is least tolerable as it directly affects the neural structures. The same dictum is also followed in management of spinal disorders, as surgeons compromise the flexibility of the spine to provide more stability. Although, it is good for relief of primary symptoms, it results in collateral damage to adjacent regions of spine. This is medically known as "adjacent segment disease".

The recent surgical advances like dynamic interspinous stabilizers, disc replacement prosthesis and dynamic pedicle screws have opened new avenues for stabilization of diseased spine without compromising its flexibility. These surgical techniques in addition to preserving motion of diseased segment, also minimize stress on adjacent regions which significantly decreases chances of adjacent segment disease.

Any choice of words is insufficient to elaborate the importance of a stable and flexible spine. At narayana hospital, orthopedic doctors specializing in spinal disorders perform all kinds of dynamic spine stabilizations and provide our patients the benefit of "fusion-less spine surgeries".

I am Diagnosed with l5s1 disc bulge in mri. Don't want to undergo operation. Is there any other means to cure this. What all precautions a patient suffering from this should follow?

General Physician, Jaipur
Yes with this new allopathic medication disc herniation can be resolved. Please consult with me on my private chat window for full treatment details and prescription.
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My spine got more curve and I can see that my standing position is more like c curve I have huge pain and stress on body because of that is that any way to correct that and straighten the spine faster.

Homeopath, Noida
First, you need to do an x-ray to find out whatever your suspecting is correct. Then only can advise line of treatment. Do thoracic n lumbar spine x-ray done from some lab.
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Carpal Tunnel Syndrome - Know Causes And Treatment!

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Carpal Tunnel Syndrome  - Know Causes And Treatment!
Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.

Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.

The carpal tunnel pressure increase occurs when either of two things happens:

The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:

hand pain or aching
pins and needles
numbness esp at night of with wrist flexing
weakness or cramping
perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.

Physical Therapy Treatment

Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn t help.
Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms.
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Pins & Needles In Hand - Carpal Tunnel Syndrome!

MBBS, Membership of The Royal College of Surgeons (MRCS), FRCS (Orth.) - UK, Edgehill University, UK, Edgehill University UK
Orthopedist, Bhopal
Pins & Needles In Hand - Carpal Tunnel Syndrome!
Are you suffering with pins and needles in your hand? You may be suffering with carpal tunnel syndrome. Carpal tunnel is a tunnel made of bones in the wrist. Roof of the the tunnel is made of a ligament. This tunnel contains a nerve and some tendons which help in bending of fingers.

This nerve is called median nerve and it acts as a electrical wire carrying sensation from certain parts of hand. It also functions as a wire carrying power signals from brain to hand. Increased pressure of the tunnel causes compression of the nerve and this condition is called as carpal tunnel syndrome. This syndrome gives symptoms of pins and needles in part of hand and weakness in grip. (Pins and needles in Hindi is commonly known as झुनझुनाहट or झुनझुनी or सुन्न पन). Often patient will wake up in night because of pins and needles and shake their hand to relieve the symptoms. It can also manifest as burning sensation or pain in hand.

Carpal tunnel can be caused due to multiple factors. It is commonly seen in pregnant females. Repeated use of hand in certain postures can also lead to carpal tunnel syndrome. Other causes are thyroid problems, diabetes, rheumatoid arthritis and injury to wrist.

Diagnosis of carpal tunnel is mainly clinical and nerve conduction study is a useful tool in confirming the diagnosis. Special (Neuropathic ) pain killers can help with the symptoms. Physiotherapy and posture training can also reduce pins and needles. Night splints are often helpful. If symptoms fail to improve with non operating measures, surgical decompression of carpal tunnel is indicated. Carpal tunnel surgery is performed as a day case procedure under local anaesthetic. It has very satisfying results and a quick recovery.

This article is for information purpose only and not a substitute for proper medical advise.
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Myelopathy - Knowing The Types, Causes & Symptoms Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedist, Bhubaneswar
Myelopathy - Knowing The Types, Causes & Symptoms Of It!
Myelopathy refers to any neurological deficit pertaining to the spinal cord. The three most common types of myelopathy are Cervical myelopathy, Lumbar myelopathy and Thoracic myelopathy. Here are the causes and symptoms of myelopathy.


Injury: This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.
Spinal stenosis: This is a condition in which the spinal cord narrows and is one of the leading causes of myelopathy.
Degenerative disc disorders: As you get older, disc disorders are more likely to occur, as well as other conditions which affect the spinal column, such as osteoporosis, etc.
Tumor: It is a little known fact that tumors very often do cause myelopathy.
Multiple sclerosis: There are many other diseases, which may cause myelopathy and multiple sclerosis is one of them.

There are many indications that you are suffering from myelopathy and should consult a medical expert. Here are some of them:

Change in coordination: It refers to the state, wherein, all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, it may affect your whole body as well.
Sudden muscle weakness: It is highly likely, that if you have myelopathy then you will experience sudden weakness in your muscles.
Decreased hand-eye coordination: This is perhaps the biggest indicator of myelopathy since hand-eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be affected.
These are just some of the symptoms of myelopathy, however, the doctor cannot diagnose myelopathy until he conduct certain tests. These tests include MRI scans and other tests as well as a regular physical check-up along with a check of your medical history.
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I'm having Carpal tunnel syndrome stage 5 in both hands. And disc c5c6 early dessication. Aur mujhe shoulder and back and biceps and elbow me but dard rehta h kya kare please help me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I'm having Carpal tunnel syndrome
 stage 5 in both hands.
And disc c5c6 early dessication.
Aur mujhe shoulder and bac...
Right hand pain it might be due to carpal tunnel syndrome, where the pain will be felt in the wrist. You can do hot water fermentation/ wax therapy for shoulder and for the wrist pain (hand pain) you can do ice therapy which will reduce the pain. Treat carpal tunnel syndrome as early as possible after symptoms start. Take more frequent breaks to rest your hands. Avoiding activities that worsen symptoms and applying cold packs to reduce swelling also may help. Other treatment options include wrist splinting, medications and surgery. Splinting and other conservative treatments are more likely to help if you've had only mild to moderate symptoms for less than 10 months. Lifestyle and home remedies these steps may provide temporary symptom relief: •take short breaks from repetitive activities involving the use of your hands. •lose weight if you are overweight or obese. •rotate your wrists and stretch your palms and fingers. •take a pain reliever, such as aspirin, ibuprofen (advil, motrin ib, others) or naproxen sodium (aleve). •wear a snug, not tight, wrist splint at night. You can find these over-the-counter at most drugstores or pharmacies. •avoid sleeping on your hands. If pain, numbness or weakness recurs and persists, see your doctor. Alternative medicine integrate alternative therapies into your treatment plan to help you cope with carpal tunnel syndrome. You may have to experiment to find a treatment that works for you. Always check with your doctor before trying any complementary or alternative treatment. •yoga. Yoga postures designed for strengthening, stretching and balancing the upper body and joints may help reduce pain and improve grip strength. •hand therapy. Early research suggests that certain physical and occupational hand therapy techniques may reduce symptoms of carpal tunnel syndrome. •ultrasound therapy. High-intensity ultrasound can be used to raise the temperature of a targeted area of body tissue to reduce pain and promote healing. Research shows inconsistent results with this therapy, but a course of ultrasound therapy over several weeks may help reduce symptoms.
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Arthroscopic Surgeries For Sports Injury - All You Should Know!

MS - Orthopaedics, DipSICOT, Fellowship in Arthroscopy,Liverpool,UK, Fellowship Hip Arthroplasty,Argentina, Fellowship Knee Arthroscopy,Argentina, MBBS
Orthopedist, Delhi
Arthroscopic Surgeries For Sports Injury - All You Should Know!
When it comes to contact sports like football or basketball, orthopaedic injuries are unavoidable. Given the high risk of falling and accidents and wear and tear of muscles, injuries like stress fractures, torn ligaments, ACL tears and chronic painare common complaints a sports doctor comes across.

Not all orthopaedic doctors can deal with sports injuries. Sports medicine is a specialisation of this field that deals exclusively with the prevention, diagnosis and treatment of injuries sustained while playing sports. A sports doctor must not only treat an injury but must also speed up the healing process so as to allow their patients to return to the field as quickly as possible.
When it comes to surgeries for sports injuries, the smaller the incision made, the faster an injury will heal. This has led to the popularisation of minimally invasive surgeries. Arthroscopy is one such type of minimally invasive surgery that is used by doctors to diagnose and treat joint injuries and musculoskeletal conditions.

This procedure is typically performed on a patient under general or spinal anaesthesia. When being used to diagnose a condition, it involves the insertion of a thin fibre optic tube with a light, magnifying lens and camera into the body through a small incision no bigger than a button hole. This allows the doctors to examine the bone and joint in detail. In cases where this type of surgery is being used to treat a patient, specially designed instruments may also be inserted through an additional small incision to repair the injury.

Arthroscopic surgeries for sports injuries are often used in combination with other approaches or open surgery. One of the most common conditions, this type of surgery is used to treat are tendon tears in the knee. Other conditions that can also be treated with arthroscopic surgeries are torn ligaments and cartilage, inflammation of the joint lining, carpal tunnel syndrome, tears in the rotator cuffs and loosening of bones and cartilage.
After the surgery, the incision will be stitched shut and a dressing will be placed over it. In most cases, patients require almost no pain medication as compared to the medication needed to recover from open surgery.

However, it can take several days for the joint to recover and for the incision to heal. Some of the benefits of this kind of surgery are:

Faster healing
Minimal scarring
Lesser blood loss
No danger of cutting muscles or tendons
More comfortable rehabilitation
Faster return to the sports field
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