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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Lifestyle Diseases have been on the rise and to manage these conditions, a combination of medications and therapies become essential.
Occupational Therapy focuses on the way of living rather on medicines to enable the people to lead a life they want to. It is more of a rehabilitation program or therapy to make the patients of rheumatoid arthritis more adaptable to the life changes and to perform their activities on their own.
What is included in occupational therapy?
Occupational therapy involves self-care procedures in which the patient is treated and trained to learn to do things by themselves like using the washroom, eating, and dressing up, etc. People with rheumatoid arthritis tend to lose balance and have less control over their movements and OT helps in rebuilding that strength required for performing the daily activities.
It also involves leisure time for the patients, and it allows them to choose how they want to spend their free time. An occupational therapist helps them understand their interests and to grow that interest as well.
In rheumatoid arthritis, doing some work is necessary to keep your bones and the joints active so that they don’t swell up or get inflamed which is common with this disease. Moreover, OT involves both physical and mental work to keep you active throughout the day.
Besides helping the patient to achieve physical stability, OT helps them to gain mental strength as well. There are sessions which assist them to determine their life goals and things they want to do in their life. Life's hard with rheumatoid arthritis, but with proper occupational therapy and Physical therapy combined, it can become much easier.
OT also involves different changes or interventions to perform and achieve the life goals of the person.
The Essential Role of an Occupational Therapist
The role of an occupational therapist is vital for the patient who has rheumatoid arthritis. As mentioned above that OT involves nothing but doing all the daily life activities which a person is afraid to do because of the joint and bone disorder in rheumatoid arthritis, the occupational therapist help them perform this action more scientifically. They can examine the household of the patient and make necessary changes like replacing small door knobs/handles/levers with the larger ones, small switches with the bigger ones. They can also rearrange the kitchen items to make it easier for the patients to use them and also suggesting the patients to use comfortable chairs or bedding to reduce pain and other symptoms.
The therapist keeps an eye on every change or improvement of the patient and makes necessary adjustments and intervention in the activities to achieve the life goal as soon as possible.
Occupational therapy is highly based on evidence from the past, and it is deeply rooted to the basics of scientific management of rheumatoid arthritis. A time-tested and approved therapy, Occupational therapy makes the life of an RA patient less-painful. If you wish to discuss about any specific problem, you can ask a free question.
I am having anterior tilt issue. In my lower back. Having difficulty in standing after sitting and difficulty while walking.
Sir namaste, sir I have back pain last 4 years my duty nature was sitting 12 hrs some time good seat will come some times uncomfort seat will come that is why I suffered back pain give me suggestions my age is 33 and my weight 105.
Hello Good morning Doctor. My father is 60 years old he has pain in his shoulder blade since 1 year. His right hand third finger was injured in machine and little cut from finger end part he did not care but now finger is recovered and he says he feels pain in right shoulder after the injury of his finger while cutting grass in machine and his finger injured under the belly of machine .when he takes tablet pain killer he feels better when he stop tablet and do work he feels shoulder blade pain, he is a farmer since last 1 year he feels pain internal side of he shoulder what should he do?
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.
- Dry Needling: Dry needling is an effective and efficient technique for the treatment of arthritis pain. Dry needling or intramuscular stimulation (IMS) is extremely effective for relaxing overactive muscles, which contain trigger points. In simple terms, the treatment involves needling of a muscle's trigger points without injecting any substance.
- 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.
I've been having carpel tunnel syndrome since last three years. It got better on its own a year back but now there is pain in the right phalangeal region which sometimes radiates to arms too. No tingling, numbness or swelling present. The pain is such that I can not do anything with my right hand even if its just picking up a filled bottle. Please suggest me a treatment for it except surgery. Thank you.
I am 37 year old male suffering from chronic back pain since 10 months. It first started with dinginess in shoulders followed by a severe pain in Cervical Spine area. Post failure of exercise and physiotherapy I began to lose strength in my left limbs. MRI and xray were normal. NCS showed mildly prolonged F Waves. I was hospitalized and treated with Pregabalin and Prednisolone. Currently on Amitriptyline and Duloxetine. I still face back pain in Thoracic area and dinginess in shoulders. Sometimes I get an electric shock like pain. occasionally feel numbness in left leg. What could be the problem?
I am having joint pains and unable to walk freely My age is 54 years. Doctors advised to get the et knee replacement. How many days it will take for me to walk without operation.
Osteoporosis is a commonly experienced condition where the bones tend to get thin and become hollow over time. This is a condition that is experienced mostly by people who are over the age of 50 years, and even more commonly by women who have been through menopause. Other risk factors include smoking as well as medication which can lead to such degenerative diseases as a side effect. Let us find out about living with osteoporosis and the many myths and facts surrounding the same:
- A Natural Part of Aging: This is a fact. While not everyone who ages will wind up with this condition, it is commonly experienced by patients who are growing old. One can resort to taking calcium supplements as well as plenty of Vitamin D in order to prevent the risk of fractures that are a common occurrence in such a condition where the bones become too hollow. Also, mild and moderate exercise will help the condition.
- Only Female Patients: This is a myth. While it is true that women form a major risk group when it comes to this condition, there are many men who also suffer from it. It has been demonstrated by various medical studies that one in every five men in the USA alone are prone to this condition. Furthermore, due to exercise, sports and other heavy manual work, young men are more likely to end up with a fractured bone than an aging woman.
- Worry only when you are Old: This is also a myth. One must remember that the major bone mass forms by the time a person hits the age of 18 to 20 years. This is the time when nutrition, exercise and lifestyles must be structured in a way that such troubles like osteoporosis will not follow you into the later years when your bones begin to age. Ample and strong bone mass nourished by proper habits, will help in preventing such conditions to a large extent.
- Fractures only happen if you Fall: This is another myth. It is important to keep in mind that living with a condition like osteoporosis means that you have to be vigilant at all times in your daily routine and other activities. Strain on the bones can also lead to fractures, and one does not necessarily have to fall down to get one. Leaning over too much can also lead to a fracture!
- You can feel the Degeneration: It is another myth that you can actually feel your bones getting weaker. Usually, there are no symptoms of this condition until it has progressed to a particularly painful stage in your life. The best way to find out if you are suffering from osteoporosis is by taking a bone density test.
Back pain is generally associated with problems related to bones at the back. The bones forming the back is known as vertebrae that form the human spine. The disc between the vertebrae absorbs shocks and allow spine flexibility. With advanced age and increasing wear and tear, the discs tend to become dry and break. The degeneration of the discs can lead to compressing of the nerve originating from the spinal cord. While disc prolapse can affect any part of the spine, the ones that are most vulnerable include lumbar disc and the cervical disc.
Common symptoms of this condition include lower back ache, sciatica etc. The pain from the back can get transported to arms, neck, leg etc. The homeopathic mode of treatment can be extremely beneficial for fixing disc prolapse. Since there are no side effects of homeopathy, this is the perfect choice for many patients.
Some typical symptoms that homeopathy can address:
Some of the typical symptoms that homeopathy can address include the following:
- A person suffering from lower back pain that increases while sitting but normalizes while in motion.
- The back pain increases while lifting weight.
- Stiffness is experienced around the lower back area.
- A person finding difficulty in bending the body.
- Increased thrust for water resulting in a more than required consumption of water.
- Dull pain in the lower back area leading to numbness.
- Sharp pain while getting up from a sitting position.
What are the possible causes of this condition?
There is no single reason for disc prolapse. It can occur due to wear and tear of the vertebrae, a nasty accident, aging, water limitation in the disc, weight lifting, prolonged wear and tear of the disc etc. The lumbar is the most vulnerable area that gets affected because of disc prolapse.
Advantages of homeopathic treatment
- The biggest advantage is the fact that there are no side effects of this mode of treatment.
- Homeopathy can repair the lumbar area from advanced level degradation.
- Homeopathy can treat the most stubborn disc prolapse irrespective of the condition.
- Chronic back pain can be treated with homeopathy better than any form of medicines.
What are the few important medicines of homeopathy to treat this condition?
- Rhus tox is prescribed to those patients who suffer from back ache or disc prolapse but get relief while in motion.
- Bryonia is referred to those patients whose pain gets normalized after sitting.
- Colocynth and Magnesium Phos are given to those who suffer from bulging of the disc leading to sciatica.
- Gnaphalium is referred to those patients who suffer from sciatica along with numbness.
Namaskar Mere body Mai jointpain bahut hota h subah Ko bahut pain hota h uric acid 6.6 h Davayen bhi kya Raha hu.
I am 60+ years old & suffering from arthritis for the past 10 years. Both knees are affected. I consulted a doctor and he has suggested knee replacement in both knee. Is knee replacement necessary? What are the advantages of knee replacement? Will I be able to walk properly after the operation?
I find problem in deep breathing since yesterday noon. And pain is occurring while sleeping and moVing during sleeping at left shoulder and back from there to behind stomach or kidney or lung.
I have a teaching job and I have to stand up almost 9 hours a day My B12 is 116 and vitamin D is 8. I have lower back pain since 1 month Please advice.
Hi doctor my sister have a hard piece (gilti) in her breast and she have a lots pain in her breast or arm also. She have take pain killer but have no relaxation. Can it be a serious problem?
You know it’s time for a knee replacement surgery when you can’t walk, move or get up from a chair without pain in spite of taking medications, physiotherapy and following a pain management therapy for a long time. Knee replacement surgery is also known as arthroplasty, and it’s one of the most common bone surgeries around.
Causes of Knee Pain
Most people suffering from arthritis of any kind- osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis are the ones who may require a knee replacement surgery when their condiition becomes severe.
It helps ease pain and helps one move freely.
- Osteoarthritis- This is mostly caused due to age-related ‘wear and tear’ of the knee joint and usually occurs in people who are older than 50 years. In this condition, the cartilage that cushions the three main bones of the knee wears away. This makes the bones rub against one another, causing stiffness and knee pain. Osteoarthritis is the main reason why people go for knee replacement surgery.
- Rheumatoid arthritis- In this type of arthritis, the synovial membrane that surrounds the knee joint becomes inflamed. This chronic inflammation then damages the knee cartilage and leads its loss and attendant pain, and stiffness.
- Post-traumatic arthritis- This happens after a serious knee injury. It can lead to tears of the knee ligaments and bones which leads to damage to the knee cartilage.
- Loss of blood flow to the bones – osteonecrosis – also may require knee replacement surgery.
- Those with deformities like knock knees and bowed legs also may require knee replacement.
Knee Replacement Surgery
During this surgery, an orthopedic surgeon removes the damaged part of the knee and replaces it with an artificial metal or plastic joint. This artificial joint is then attached to the thigh bone, the shin, and the kneecap with a special cement-like material.
Different Types of Knee Replacement Surgery
There are four main types of knee replacement surgery-
- Total knee replacement- This is the most common type of surgery. In this, your surgeon replaces the entire knee including the thigh bone and shin bone that connect to the knee.
- Partial knee replacement- This type of surgery is performed if arthritis affects only one side of your knee. However, this type of surgery is done only if you have strong knee ligaments. This is performed through a smaller cut than is needed for total knee replacement.
- Kneecap replacement- This type of surgery replaces only the under-surface of your kneecap.
- Revision knee replacement- This is a complex surgery which is performed in case you have very severe arthritis.
A knee replacement is actually a knee "resurfacing" because only the surface of the knee bones is actually replaced during the procedure. It is a relatively safe procedure and the patient does not have any side effects. All a patient is required to do is take proper rest and follow the instructions of your doctor.
Arthritis is an autoimmune disorder wherein, the immune system of the body attacks healthy tissues within the various joints of the body. This causes inflammation of the joints, leading to multiple problems in them. One common issue with all the problems is pain. Thus, managing pain with rheumatoid arthritis is one of the most important facets of the treatment. More than the deformities or other problems, it is the pain that limits your capabilities. Some techniques for the management of pain are mentioned below.
- Pain medication: This is the obvious and first choice to avail if you need to reduce pain. There are many types and levels of pain medications which can range anywhere from being mild to very strong. However, this isn’t an option that should be considered lightly as you may have a tendency to develop a dependency which can border on addiction. Also, many of them harm the hepatic and renal system of the body if used beyond a certain period. Thus it is advisable to use this prudently.
- Weight management: In many cases, the pain is exacerbated by obesity. It has been noticed that obese or overweight people tend to suffer more from arthritis pain as the added weight tends to add pressure on the joints. Thus, one of the best ways to reduce a significant amount of pain would be to reduce weight through dieting and limited exercises that don’t strain the joints. However, it is easier said than done as a person in pain cannot usually exercise! So, the best strategy is to visit a pain specialist / interventional pain physician and get your pain controlled. Thereafter, start the exercises and reduce the weight effectively.
- Medication for inflammation: Inflammation of the joints is the primary symptom of this disorder. Inflammation is also what causes the pain within the joints. Thus, treating the inflammation with relevant medication has also been known to reduce pain. This is usually the first option to go to for relieving arthritis pain. The catch point here is also the side effect profile of these drugs.
- Changes in Diet: A few type of foods, especially certain fish found in colder waters are a rich source of Omega-3 fatty acids, which are very good at reducing inflammation within the joints. There are also certain food items which may be bad for your arthritis pain as they may aggravate inflammation and it is better to avoid such items altogether. Some examples of such items would be sugar, alcohol, white flour, processed meats, gluten rich foods among others.
- Massages: Whether it is a self-massage or from a therapist, it is a great way to encourage circulation which can help reduce inflammation and work as a pain reliever. A therapist would also know certain specific techniques to relieve arthritis pain. However, most of the times, improper massage shall do more harm than good.
- Interventional Pain Procedures: These may often be the most cost effective and usually the only option to reduce pain. These include joint injections, neurotomies, radio frequency therapy, laser therapy, ozone therapy, platelet rich plasma or anti-inflammatory injections.
- Other therapies: Some other therapies include heat and cold compress, acupuncture, wearing supportive wears and braces among others to encourage circulation and reduce pain. Transcutaneous electrical nerve stimulation also helps to relieve pain by stimulating the affected nerves in the joints with the help of a low voltage electric current. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
Human bones are continuously being removed and formed which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips which may become worn due to age or other problems within the body.
Hip replacement surgery
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.
Benefits of hip replacement surgery:
- Lessening hip pain - This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.
- Correction of bone deformity - When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.
- Return to normal activities and resumption of normal activities - This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain free life.
- Ability to have painless sleep - Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.
- Leg strength increase - Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.
- In most cases a lifelong solution to hip problems - As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again. If you wish to discuss about any specific problem, you can consult an Orthopedist.