Doctor in Bethany hospital
Submit a review for Bethany hospitalYour feedback matters!
Whether you are an athlete or a ballet dancer, you will appreciate the importance of having a stable kneecap. Medically known as the patella, the kneecap is a triangular bone that connects the upper thigh to the lower half of the leg. It sits in a groove in the bottom of the femur (thigh bone). When the leg is bent, it stays within the groove. When the leg is extended, it provides support to the quadriceps muscles.
That being the case, a dislocation of the kneecap is a very common injury. Subluxation is a state where there is partial movement of the kneecap out of its position, thereby making the patient’s kneecap unstable. When it completely moves out of its place, it is known as dislocation. Whether you fall on your knees during a sport or have a fall from a bike or get injured during dance or aerobics, it is common to have a dislocated kneecap. Some people are prone to repeated dislocations.
The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:
Buckling of the knee, where your legs cannot support your body weight
Sliding of the kneecap to a side
Catching of the knee in the groove when trying to move it
Pain in the front of the kneecap with any activity
Painful while sitting
Swelling and/or stiffness of the knee joint
Crackling/creaking sound when trying to move the knee joint
Inability to straighten the leg
Though these sound scary, the good news is that in 90% of the cases, the knee returns to its position spontaneously. However, putting it back into its place is a simple and safe procedure and can be done by almost any seasoned medical practitioner. The first step is to confirm that the kneecap is indeed dislocated. This can be done by a combination of physical exercise and x-ray. If required, MRI can be used, but it is not required in most cases. Initial treatment would include the following steps in sequence:
Immobilizing the knee with splint by keeping the leg in a straightened position.
Calling for medical assistance immediately. They can replace the knee back in its position carefully (reduction). An injured kneecap can cause what is known as foot drop by putting pressure on the peroneal nerve. The toes drag on the ground, making it difficult for you to walk.
Use ice in the affected area for 15 to 20 minutes, and repeat after three to four hours throughout the day to reduce pain and swelling.
Surgical correction may not be required, if there is a damage to the ligament.
- Flat femur and/or tissue laxity can cause repeated dislocations, where physiotherapy and strengthening exercises are useful.
Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.
Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:
Osteoarthritis: The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:
severe pain in the knee joints
pain after walking up the stairs and it subsiding once you are on rest
severe pain after the movement of joints for a long time
pain that becomes worse in rainy days
joints becoming stiff after waking up in the morning but they improve in the latter part of the day
pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.
Rheumatoid Arthritis: Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:
severe pain in the morning
mild fever accompanying the pain
joints suddenly becoming swollen, red and warm causing, immense pain
sudden stiffness of the joints
pain that increases in cold weather
mild fever, extreme tiredness and weakening of the muscles
Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.
When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:
If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.
Muscle-stretching exercises are effective in keeping the knee joints flexible.
Acupuncture and devices such as knee braces and knee caps can relieve the pain.
Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.
- If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.
Physiotherapy For Knee Arthritis
Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.
The main goals of physiotherapy for your knee arthritis are:
- Reduce your knee pain and inflammation.
- Normalise your knee joint range of motion.
- Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
- Strengthen your lower limb: calves, hip and pelvis muscles.
- Improve your patellofemoral (knee cap) alignment and function.
- Normalise your muscle lengths.
- Improve your proprioception, agility and balance.
- Improve your technique and function eg walking, squatting.
I have problem with my legs by birth. My both legs are not straight. But right legs is more bend toward right. I had a surgery in 1996 in latur. But in vein. I am 37 years old now. And from last year I'm suffering from osteoarthritis. My doctor told me to lessen down my stress. But my pains is increasing. Can you please told me the exercise and some treatment to cure it.
I have knee pain in my left leg due to running from last 10_15 days after taking sumo flam 10 tablets it has not gone what should I do.
My husband, has very severe knee pain - he not able to walk with ease. Being a player in the past he had a torn ligament which was operated. Now he is suffering from unbearable pain, any advise for further treatment?
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.