Musculoskeletal Injury Physiotherapy
Range Of Motion Exercise Treatment
Post Surgery Rehabilitation
Sensory Integration Therapy
Treatment Of Meniscus Injury
Neuro Physiotherapy Treatment
Computerised Traction Procedure
Column Traumatology Procedure
Treatment of Mckinzie Treatment For Spine
Rf Neurotomy Procedure
Manual Therapy Treatment
Treatment Of Lumbago
Custom Splinting Bracing Procedure
Achilles Tendon Rupture Treatment
Treatment of Disc Prolapse
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Tendinitis is a discomfort of the tendon. It results in pain outside the joint. There are many tendons in the body, but this condition is mainly witnessed in wrists, heels, shoulders and elbows. Some frequently used names for different kinds of tendinitis includes pitcher’s shoulder, tennis elbow, jumper’s knee, golfer’s elbow and swimmer’s shoulder.
Symptoms of tendinitis:
Symptoms of tendinitis are witnessed at the point of contact between bone and the muscle. Some of the visible signs of tendinitis are tenderness, swelling and a dull ache while moving the affected joint. Even constant pain can be felt in some cases.
What are the causes of tendinitis?
Tendinitis is frequently observed among sportsmen and athletes. If a job involves repetitive motion of a particular joint, the stress on the tendons can result in tendinitis. It is therefore very important for sportsmen to use the right technique in order to refrain from tendon related problems. Sudden accidents can also result in an injury to the tendon.
Risk factor of tendinitis:
Risk factors for this condition include job, occupation, and sports. As a person gets older, tendons tend to lose their flexibility which can lead to an injury of the tendon. If the job of a person involves frequent reaching of the overhead, vibration, repetitive motion and forceful exertion, he might face an injury to the tendon resulting in tendinitis. Last but not the least, tendinitis is very common among players who are involved in sports such as basketball, tennis, golf, baseball, running , cricket and bowling.
What are the complications involved?
Tendinitis can aggravate to tendon rupture of proper treatment is not done on time. Tendon rupture needs a surgical procedure to fix. If tendon pain lasts for few weeks at stretch, there is a good chance that the condition has turned into tendinitis.
Diagnosis of tendinitis can be done with the physical exam itself. A doctor might want to look at an X-ray scan to negate other condition that might be causing the pain.
Treatment includes the prescription of pain relievers, such as ibuprofen and aspirin. Tropical creams can also be prescribed to relieve the pain. Doctors often suggest corticosteroids be injected along the tendon in order to relieve tendinitis. If the condition is not very serious, a doctor might suggest specific exercise such as eccentric strengthening to fix the condition.
If the condition is severe, the doctor might want to go for a surgical procedure to fix tendinitis. Especially in conditions where there is a tear in the tendon and the bone. Another invasive technique to treat tendinitis is the focused aspiration of scar tissue. This procedure is performed under anesthesia thereby causing less pain to the patient.
Pain in two or more joints in the body is known as multiple joint pain. Pain may occur either when a joint moves or when it is at rest. Sometimes, the pain might stem from the muscles, ligaments, or tendons. Examples of such conditions include tendinitis and bursitis.
Arthritis may be associated with the pelvis or spine joints. Different disorders affect different joints and the causes and treatment options vary accordingly. There are some disorders which affect the same joint on both the sides of the body, such as both hands and the knees. In certain disorders, the pain resulting from arthritis keeps on moving from one joint to another (migratory arthritis).
Most of the time, the root cause is arthritis. However, the reasons which cause arthritis are different from each other, in the way:
The types of joints involved.
The number of joints involved.
Whether the central area of the skeleton is involved or not.
Whether it is chronic arthritis (longstanding) or acute arthritis (sudden).
Acute arthritis which affects multiple joints can be due to:
Chronic arthritis causing pain in multiple joints is most commonly due to:
The most common joint disorders are:
Fibromyalgia (widespread tenderness and pain in the muscles)
Bursitis (inflammation of the joint cushions) or tendinitis (inflammation of the tissues which connect the bone to the muscle)
Polymyalgia rheumatica (stiffness and muscle pain, primarily in the shoulders)
Warning Signs Include:
Swelling and redness of the joints.
Fever, chills or sweat.
Drugs and medications are needed to treat autoimmune disorders. The autoimmune response of the immune system is suppressed with the help of these drugs. These medications include immunosuppressive medications, pain relievers and anti-inflammatory medicines.
Non-steroidal anti-inflammatory drugs (NSAIDs) help in reducing inflammation.
A sling or splint bag immobilizes the joint, which relieves the pain.
The application of heat with a heating pad will lessen the pain to a great extent.
Cold application with ice cubes wrapped in a cloth will provide relief.
Consult an orthopaedic doctor to know you type of multiple joint pain and an accurate treatment for it.
Patients experiencing low back pain are regularly recommended to a physiotherapist for exercise based recovery. This is done before a patient considers other aggressive options like back surgery. The objectives of exercise based recovery are to eliminate back pain, increase functioning and educate the patient about a regular pain prevention program for back pain in the future.
Low back stiffness is to a great extent dependent on the abdomen and lower back muscles. The abdominal muscles give support by putting pressure on the abdomen, which is then exerted, on the spine. This provides an external support column from the front of the spine. The low back muscles balance out the spine. Simply put, the hard spine and circles are surrounded by muscles, and the stronger these particular muscles are, the less strain is put on the plates and joints of the spine. The patient needs to develop a belt of muscles around the spine.
Most physiotherapy methods that are intended to treat low back pain and some radicular pain (pain extending down the leg), include a number of the following kinds of activities:
- Stretching: Appropriate stretching of the muscles alongside dynamic activity will keep up the usual scope of movement and give alleviation to muscles. These are the muscles that are gradually shrinking or are an ill fit from wrong stance or nerve aggravation. For some patients it is best to follow a stretching schedule that has been exclusively made for them by their physiotherapist.
- Dynamic exercises: These activities include the use of a number of activities that might include exercising balls, adjusting machines or particular balancing out activities. The purpose of stabilization activity is to strengthen the muscles of the spine and backing the spine through different scopes of movement.
- Core strengthening exercises: These are particular activities to strengthen the abs and low back muscles (erector spinae) to give the previously mentioned 'belt of muscle' around the spine.
- Abdominal strengthening: These kinds of exercises include sit-ups, crunches, stomach machines, and leg raises.
- Hyperextensions: These can be performed on machines or by lying on the stomach and gradually raising the stomach off the ground. This activity uses the lower back muscles to "hyperextend" the spine. Make sure not to do it with sudden jerks. The stretch should be slow and gradual to prevent ligament tear from happening.
- Lumbar traction: With lumbar traction, the patient lies on his back and is secured on a special table with a link or cable coming from the foot-end of the table that joins to a strap that has been set around the patient's hips. The link or cable is connected to weights at the foot-end of the table that gives a consistent and soft pulling power on the hips toward the foot-end of the table.
I have a pain in lower end of my back. It comes & goes. When I sit for longer while then start to pain. I don't know what to do. I had applied some oils to get some relief but its not working. It comes discontinuously.
I am felling pain and inflammatory condition in my sole approximately since 7 years.In my sole having Scirrhosity. I am consult with various doctors but they don't give me relief in pain. This pain was start whenever I am running in a playground when I am running there is a very heavy pain start in sole and today I am also suffering from pain whenever I move only 1 kilometre there is a huge pain start an inflammatory condition I am hopeless what I will do in a future I am just 21 years old what I can do please give me the suggestion what I can do? Thank you.
Why I am getting back pain sharply. If I can do two or three times hand job multiple times in a day.
HI Dr. I am Saranjit Singh Sehgal age 62 years senior Citizen. I have pain in the back since from two year as I had a standing job for long hours as Manager in some reputed Sweets shop. I have got MRI done and other check up done. Report says compressive collapse fracture involving superior end plate of D12 vertebra likely osteoporosis. LS Spine, straightening Muscle Spasm. I have taken lot of medicines, physiotherapy plus exercises but still find it difficult to sit or sleep in one place for long time. Have acute pain doctors advice to walk or sit in right position. Bone test: First Metatarsal Head Right Foot 16 Heel 20. Medicines taken: Inj Voveran, Tab Mobizox. Tab Pan, Tab rantac, tramadol, Tab Gabapin, Tab Synaptolol, Tab Espran plus, Tab Calpep gold, Duke 60 K, Tab cal k2, Katadol 100, Canace, Es03 etc but still no relief. Kindly suggest the problem, treatment and best medicines so that I get relief. Dr. I am poor person not having any employment due to this problem and is not possible for me to go for vertebroplasty as this costs Rupees Four Lacs. Regards Saranjit Singh, New Delhi. Whatsapp 9717846535.
I have nerve pain in my shoulder and most time it extended to brain .I am having physiotherapy form 2 months.
I am getting mild pain in neck and near back side right hand should joints. Pain started early morning when I woke up from bed 2 weeks back. Whenever I ride my bike, I am getting pain in neck. Not able to sleep properly at nights, getting pain in neck and shoulder. I consulted local doctors and took prescription nerve, acetaminophen tablets. Pain is still there. Even took gastric tablet as per doctor suggestion. Still no solution.
A sprained thumb is a painful condition caused due to an injury on the ligament of a thumb. A ligament is a soft tissue, which connects bones to each other at a joint. The ligament might get partially or fully torn due to extreme backward bending of thumb causing the ligament connecting the thumb and index finger to suffer injury.
The problem is quite common among basketball, rugby and football players. For this reason, it is known as a sports injury. Skiing may also cause extreme pressure to the thumb, causing a ligament tear. Injury due to skiing is called skier’s thumb.
The injury causes pain, bruising and tenderness. It can cause swelling on just the thumb or sometimes on the entire hand. In severe cases, weakness and instability in the region can be seen. A sprained thumb weakens the ability to pinch and grasp things. The patient will have trouble holding a glass, turning a knob or writing. An untreated injury may lead to joint stiffness, muscle weakness, scar tissue formation, instability of the thumb or even arthritis. It is strongly advised to visit a professional therapist for an early diagnosis and treatment.
Usually, an X-ray leads to an apt diagnosis of the injury. The doctor also ascertains damage to the bone and ligament and develops a treatment plan. Some ligament tears can be treated using a splint or cast. A chronic ligament tear might not heal and would require surgical intervention.
A partial or mild ligament tear can be managed through useful home remedies like putting an ice pack, bandage or splint. It is also advised to keep the thumb elevated and restrict its movement. A heat pack is beneficial as it can ease pain and relax the muscles. However, heat pack must be avoided during the first 48 hours of injury as it can lead to bleeding.
If there is a chronic injury and the ligament is completely torn, a surgery is needed. A surgery helps join a new ligament to the bone in case the torn ligament fails to heal. It also helps reconnect the injured ligament to the bone. Sometimes, there might be bone damage as bone fragments might get pulled away with the ligament. In such cases, bone fragments need to be put back in their position through surgery. After the surgery, a cast or splint is put till it heals completely.
An early visit to a physiotherapist has potential advantages. A therapist can fasten the healing process, help relieve pain and improve a person’s ability to resume daily tasks. Massages and strengthening exercises are initiated to avoid re-injury and instill strength in the injured region. Physiotherapy also helps immensely after surgery through planned mobility exercises that regain movement and strength.
Dr. While Playing Cricket I Have Injured My Heel .When I Am Put My Hell On The Ground .I Feel Pain Or When I Pressure It It Also Fell Pain. please Suggest What To Do Now To Remove Pain From My Heel. While Running I started This Pain.
My mother suffering from knee problem. She has lot of knee pain so not able to walk properly. In X-ray the space b/w two bones are very less as per doctor. ayurvedic doctor are saying about pulling legs so space b/w bones could increase. allopathic doctors are suggesting lot of medicines which is not affecting and pain starts again as she stop to take it. Please suggest me best so she could feel relax and get rid of pain. Thanks in advance.
Hii, I'm getting a click sound whenever I fold my left knee. I don't have any pain as of now. I'm a regular cyclist and I do run and swim too.
I feel continuous pain in calf muscles since last few days. Specially when I go to bed. What may be reason for that and what test may be done? I got checked HB which is 15-16.
I have shoulder and upper back pain. Doctor has recommended me 1.) Pantoprazole Tablet 2.) Myospaz Forte 3.) Systaflam Gel.
The human hand has multiple bones, tendons, ligaments and muscles which in unison help us to grip things and manipulate other objects to do our work. Within the wrist lies a narrow passageway on the palm side which houses the main nerve for movement of the nine tendons. These tendons help us to move our fingers individually and grip things or accomplish any task we want with our hands.
What is carpal tunnel syndrome??
Carpal tunnel syndrome is a condition where this nerve gets pinched due to a variety of factors and may have adverse effects. Some of the symptoms include tingling, numbness and pain with movements of the arm.
Causes of Carpal Tunnel Syndrome:
The nerve within the wrist which is known as the median nerve can be pinched due to a variety of factors:
- Movements where the wrists are always higher and in an angle: Repetitive movements of the wrists where the hands are always at a lower angle, can increase the chances of carpal tunnel syndrome. This is usually a workplace related problem and thus be caused by bad hand posture.
- Medical Conditions: There are certain medical conditions that may also trigger the onset of carpal tunnel syndrome such as diabetes, thyroid, menopause and other problems.
- Pregnancy: Pregnancy has also known to cause carpal tunnel disorder as it can alter the balance of fluids within your body. However, other factors could also put your fluids in imbalance and cause problems with the median nerve.
- Conditions that may cause inflammation: Certain conditions such as rheumatoid arthritis can cause the inflammation within the joints which might lead to the median nerve being pinched which in turn might lead to carpal tunnel syndrome.
Some Preventive Measures from Carpal Tunnel Syndrome:
- Breaks from repetitive work: It is important for your wrists to have a break when you are doing repetitive tasks that might cause carpal tunnel syndrome. Relax and stretch your muscles within the break time
- Wear wrist splints: These are support devices which can help correct problems for repetitive actions throughout the day while you are sleeping.
- Take pain reliever if you start having chronic pains: If your wrist pain is not letting you functions normally, take a pain reliever such as ibuprofen or aspirin and go to a doctor as soon as possible for a more thorough treatment.
I am feeling excruciating pain in my right shoulder for the last few days. I also consulted with the local orthopaedic surgeon and he diagnosed me with fibromyalgia. Currently I am taking two medicines rolosol and neugaba. However both the drugs failed to reduce my pain, it is gradually increasing. As tomorrow is saturday no doctor will be available in our locality can you suggest me some medicine which will reduce the pain.
Hi, I am a 61 year old woman. However my heel has been paining for last several months when I walk. I am used to walking 5 kms per day but the heel pain has intensified. Could you suggest what I should do and if any tests are required.
If you are suffering from back pain, you should know that the tiniest of movements can trigger the same. Back pain may occur due to several factors or reasons and it hampers your daily activities and standards of life to a great extent. However, you need to become active instead of being immobile for relieving back pain. There are several exercises which help in strengthening your back muscles and performing these on a regular basis will provide you relief from back pain drastically. Here are 7 common exercises which you should carry out:
1. Pelvic tilt: You have to lie on your back and keep your knees bend, but touching. Your feet should stay flat on the floor. By flattening your lower back against the wall and tilting your pelvis downwards, you must maintain the position for 20 to 40 seconds. Meanwhile, you must breathe slowly and deeply and then release. This stretch requires small movements for reducing tension, thereby easing your back pain.
2. Lumbar stretch: You need to sit on a chair, roll your head, chest, neck and lower back forward till your head gets between the knees. Hold the position and take deep breaths. Slowly, get back to the sitting position. Repeat this twice.
3. Cat position: You have to kneel on your fours and keep the knees and hip width separate. Keep the stomach muscles tense, arch your back like a cat does and maintain the position for five seconds. Repeat this and then allow your stomach to drop towards the floor direction and hold it for five seconds again.
4. Curl ups: For this exercise, you should lie on your back with the knees bent and your feet kept flat on the floor. Placing your hands behind the head will make the stomach muscles tense. Then, lift your shoulders, head and upper back from the floor. Do this around 10 times. This is ideal for strengthening your back.
5. Dry swimming: Begin by lying on your stomach, keeping a rolled-up towel under your belly for support. By tightening your buttocks, raise one arm and the opposite leg simultaneously. Switch your arms and legs and perform this for about two minutes.
6. Leg lift: For leg lifts, you should lie on your back with the knees kept bend and the feet kept flat on the floor. You have to press your lower back to the floor and straighten a leg with the knees aligned. After bending your leg, return to the starting position and repeat the exercise on the other side.
7. Cobra stretch: The cobra stretch is another ideal movement for stretching your tight abdominal muscles and lower back. You need to lie on your stomach with your legs extended and your palms planted on the sides of your head. If you wish to discuss about any specific problem, you can consult a pain management specialist.