Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
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
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- Tarsal Tunnel Syndrom is a painful condition of the foot caused by pressure on the posterior tibial nerve. This nerve passes along a passage called the tarsal tunnel just below the bony bit on the foot.
- Symptoms include pain which is often described as a burning pain radiating into the arch of the foot, heel and the toes. Pins and needles or numbness may be felt in the sole of the foot. Pain may be worse when running or standing for long periods of time and often worse at night. Sometimes it is initially mistaken for plantar fascitis which also causes pain from the inside heel and throughout the arch of the foot.
Frozen shoulder is painful inflammatory condition associated with stiffness and loss of motion in shoulder. The pain gradually grows and becomes chronic leading to restricted movement. Due to inflammatory conditions the muscles surrounding the shoulder becomes stiff. Frozen shoulder has vague triggers, which usually surfaces as a complication commonly in people with diabetes, thyroid disorders, heart disease, and Parkinson's disease and people with chronic rheumatism or arthritis. The general approach towards frozen shoulder is prescription of painkillers, anti-inflammatory and physical therapy to restore the ROM.
What is the suffering
As the chronicity advances the movement of the shoulder is severely restricted, with progressive loss of both active and passive range of motion. The condition is sometimes caused by injury, leading to lack of use due to pain, but can also arise spontaneously with no obvious trigger (idiopathic frozen shoulder). Rheumatic disease progression and recent shoulder surgery can also cause a pattern of pain and limitation similar to frozen shoulder. Intermittent periods of use may cause inflammation.
In frozen shoulder, the synovial fluid becomes scarce resulting in diminished joint lubrication between the head of humerus (Upper arm bone) and the socket of the scapula. Due to friction as precipitating factor, the shoulder capsule swells, thickens and tightens due to stiffness of ligamentous bands of scar tissue. As a result, the joint movement becomes stiff.
How to know
First sign of a frozen shoulder is that the joint becomes so tight and stiff that it is nearly impossible to carry out simple movements, such as raising the arm. The movement that is most severely inhibited is abduction and external rotation of the shoulder. Lots of tests are done clinically to assess the frozen shoulder. One of the best test is “Scratch Test” and 2nd is the Lateral external rotation.
People complain that the stiffness and pain worsen at night or the pain is worse during morning. Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. A therapist or practitioner may suspect the patient has a frozen shoulder if a physical examination reveals limited shoulder movement. XRay of rhe shoulder or an MRI scan may confirm the diagnosis, though its mostly diagnosed clinically.
The frozen shoulder, according to the chronicity is categorised into stages.
Stage one: "freezing" or painful stage, which may last from six weeks to nine months, and in which the patient has a slow onset of pain. As the pain worsens, the shoulder loses range of motion.
Stage two: "frozen" or adhesive stage is marked by a slow improvement in pain but the stiffness increases. This stage generally lasts from four to nine months.
Stage three: "thawing" or recovery, when shoulder motion slowly returns toward normal. This generally lasts from 5 to 26 months.
What to Do
Frozen shoulder makes the person so disable that he cannot work without pain. Management of the frozen shoulder is focused on restoring joint movement and reducing shoulder pain, involving medications, physical therapy and /or surgical intervention. Treatment may continue for months, there is no strong evidence to favour any particular approach. Medications frequently used include NSAIDs and corticosteroids. Alternative medicines like homeopathy, ayurveda also gives great results. Alternative measures like physical therapy, exercise therapy, yoga have good impact in increasing the range of motion.
Hello Dr. I am asking a query about my mother's health. She is 50 years old and not having any bp or diabetes till now. She is quite well in health. But now from last 1 years shes having arthritis in her both knees. She takes pain killer and follow her daily activities. She is very active but this pain ruining her health. Please suggest what kind of nutrition she can take to overcome this and what are the prognosis of this decides. Tha s and regards.
Myself 27 year old female, having pain in lower back (right side) and it become tilt after sitting continuously. Kindly suggest me for betterment.
Hi sir, I am 24 years old and height 6.2 and I have severe back pain (L4-S1) for last 3 years due to nerve pressed pain from hip and right leg and severe pain in knee, ankle and in feet .i have done physiotherapy what should I do, in 2014 I got surgery and there is no improvement after surgery. And is there any problems after marriage. Please help me.
Hello sir, I am getting pain at the left upper back. Sometimes getting severe then I am unable to do my work with comfort. I think I must prefer yoga for solving any health relief. Please suggest me sir.
Knots of right hand fingers sometimes get jam and stuck. Mostly little finger bend inside and stuck with mild pain. To get finger straight again, help have to take of other hand. Age 64.
Now i am getting so much of back pain before it was less n need it's increased .I have disc pain problem i'm not able walk for longer time and i'm not able carry much weight. N I got bubbles inside my body what is solution for this?
Whenever I go for running, there is an acute pain in my knees. Is it normal? Or amounts to some kind of deficiency?
After my back surgery in 2005 I was fine till 2013. Then it all started aggravating and now I have mild foot drop left foot and instability walking. What will help me?
I was in my volleyball training 2 days ago when suddenly after exercising for a bit long I felt numbness in my left arm then felt light headed so I sat down and then my vision became blurry with green spots, I wasn't able to speak clearly, there was ringing in my ears, my body was weak and I felt fatigued, somebody told me that my lips looked pale but I don't know what happened. It's the second time in two years and I'm 14 years old, the first time it happened I was 12 and all the times it happened during an exercise, I feel like it is dehydration because it was during an excessive training with no water but when I checked on the internet and on medical sites I found allot of symptoms missing in dehydration like loss of vision, the ability to speak, numbness and ringing in the ears. I have a strong feeling that it is TIA or mini-stroke but I want medical advice, I'm going to do a blood test soon.
I am suffering from slip disc problem since 15 years, now pain is unbearable and there is very much stiffness in my left leg unless to walk since last week, what is the cure please help me out, is there any treatment without surgery or I have to go through surgery process, is surgery is only solution and hie much it is successful. I am 38 years old and my weight is 120 kg.
Hi, I am a 24 year old gym going guy Is there any medical treatment other than body massage that I can use to keep away stiffness, and increase the blood flow if any please suggest.
Hello, I met an accident 1 week ago. As I was wearing riding jacket which meant for safety I managed to survive any brutal injury, only my right shoulder has faced injury i.e. Dislocation of acromioclavicular joint. Now, the doctor advised me to use hand bag for 3 week. The problem is that I don't want to show it in my home. I hope you understand my query. Is there any other way other than using hand bag. Please please reply. Thank you.
Hi I am 29 year old woman. Working as asst. Professor. My legs are swelling slightly. Last month I have done with all cardio check ups. No problem with that. Why my legs are swelling?
I have Just gone through MRI for knee & resulted as possibility of missed or myxoid degeneration of ACL with celery stalk appearance with possible ACL Ganglion so what is the possible treatment for this apart from any surgical measure coz she is a middle aged lady with lots of responsibilities & works so if there is any possible suggested remedies please help me I would be thankful.
The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain. Let us get to know the six most common ones.
- Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects.
- Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work.
- Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain.
- Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
- Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints.
- Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
In case when a patient suffering from shoulder pain doesn't respond to routine conservative care, then it can be treated with ESWT (Extracorporeal Shock Wave Therapy). This is a non-invasive and non-operative form of treatment and has no side effects with excellent outcome. Proper rehabilitation before and after any procedure is the key to success.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.