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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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Enter question for you or someone else. For e.g. I am 25 year old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days but haven’t got any relief. What should I do now?
The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.
Importance of ACL-
The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.
What leads to an injury to the ACL?
Here are a few actions that may result in a ligament tear.
Sudden stopping while running or slowing down from a fast speed
Sudden change in direction
Uncontrolled jumping from a height
Direct hitting with an object or person
What happens when the ACL is torn?
If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.
Treatment of ACL Injury-
Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.
Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.
- Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Hello, I am anurag singh tomar and I an 28 years old. I have a small ganth in bach side. And I have also in my left arm wrist and some times it shows on left arm wrist and sime times it does not show and its paining when we move wrist up and down. So please tell me what should we do for this.
Hi I am 28 year old and I have some issues in my back I take some medicine from my doctor but still is not comfort to me.
Are you suffering from body pains? It could be Fibromyalgia!!
Symptoms may be triggered after a surgery, physical trauma, infection, or stress. Women are much more vulnerable to this disease than men. Many people affected with fibromyalgia may have suffered from headaches, backaches, depression, anxiety, tension, temporomandibular joint disorders and irritable bowel syndrome.
Most of these patients have undergone multiple consultation with various doctors and undergone many tests but no diagnosis could be made. These patients are often ignored by doctors and family members as always 'complaining of pain'
Symptoms of Fibromyalgia:
- Extensive Pain- Pain related to fibromyalgia is often depicted as a dull pain that lasts for at least three months. Pain can involve any body part like back, neck, chest, arms, legs. Patients have pain in multiple areas of body and painful areas change over time.
- Fatigue- Patients afflicted with this disorder feel tired even after sleep. Such people are reported to sleep for longer hours than normal people but their sleep often gets disrupted due to sleep apnoea and restless leg syndrome.
- Cognitive Difficulties- These patients find it difficult to concentrate at work and also suffer from memory deficits in daily activities.
- Other Symptoms: These patients may also have symptoms like burning urination, urgency of urination, numbness,loss of appetite, tingling sensation,diarrhea, constipation, tinnitus, depression etc.
Diagnosis of Fibromyalgia:
There are no specific test to diagnose fibromyalgia. Diagnosis is made by a doctor specialized in Pain Medicine using clinical methods based on symptoms and examination. Blood tests like Haemogram, Thyroid function test, RA Factor, ESR are done to rule out other diseases which can cause similar symptoms.
Treatment of Fibromyalgia:
- First step in treating these patients is to accept their problem and discuss with patient and family members regarding the presence of such disease entity.
- Lifestyle changes like active involvement in cardiovascular exercises,swimming, yoga, meditation are important to control symptoms.
- Conventional painkillers do not work in these patients. They requires special medications prescribed by a Pain Specialist for control of symptoms.
- Counselling of patient is beneficial for associated depression.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Meri kamar me dard hai 8 months se bahut pareshan hu kya karu gas bhi bahut banti hai x ray, ultrasound sab normal hai kidney ke side dard hota dono side kabhi kabhi saas lene me bhi taklif hoti hai.
I have joint pain from last 2 year. I consult doctors but no one give me proper treatment for cure. I have arthritis problem and have pain on my all joints. Also my weight had lost from 65 kg to 50 kg. In cold climate my pain grows and give me double pain. I am feeling pain in every moment. Some times fever comes to me. Kindly suggest me. I checked my all internal organs but report comes that all are working fine. Every doctor has given me a lot of tablet and medicine. But when I eat deflazacort tablet it gives me slightly relief from pain. May be for 1 to 2 days. Than again pain starts. Kindly suggest me doctor.
Im having terrible lower back muscle spasm or stiffness due to which I'm unable to do bending or picking up I tried needling therapy through physiotherapist but didn't help I also took few sessions of ultrasound n tens. But on slightest movement of picking up 3 kgs or so it gets jammed and painful. What should I do to eliminate or treat this problem permanently.
I am 23 years female. I have the problem of headache along with shoulders n back neck pain. What should I do?
I am 65 year male is unfit 100%. Suffering from last 25 years back pain, knee pain, fractured right tibia was operate in 2010. Also suffering sourices and phrostate pain. Cramps also.
Hello, I am 59 years old M, I am having low back pain in the coccyx region and severe pain when I sit for a longer time at one place since 2 months so then I did MRI and the reports say that I am having slight anterior angulation of coccyx and posterior disc protrusions at L4-L5 and L5-S1. Please suggest me medications over this at your earliest I have not yet taken any medicines for this. Please suggest me medicines so that my pain stops completely.
He is suffering from back bones pain after inbacj side he was not ble to sit or running if he was running he get pain in back bones.
I am 24 year old and working 10 hours sitting job I am suffering from back pain from last 2 months. Please suggest what should I do?
My sister is suffering from vascular arthritis TAS (takayus arthritis disease) so after diagnosis we are following steroids and ATT drugs for initial treatment, please someone suggest us any other treatment available, seeking for suggestions thank you.
I am 22 years old am suffering from backache for last two months, I am using to pain killer ointment.
My foot always pain because daily when i run normally there will be no pain but when i do fast run pain starts. Please advise
Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis).
Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role.
Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side).
Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation.
RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong).
COMPLICATIONS BEYOND JOINTS:
RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease).
These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections.
NEED OF THE HOUR:
All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.