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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
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Orthopedic Physical Therapy
Treatment of Shin Splints
Submit a review for Dr. Ms. Pranali PatilYour feedback matters!
My both legs (between knee and ankle) pains when I put strain on it like running/climbing stairs. Its happening from the past 45 days.
I am 27 year old male and have backache For last 8 months I have used pain ointment cream for couple of days but I have no relief I make my back x ray x ra y is also normal please help me an d I have gastric problem.
Correct posture is a simple but very important way to keep the many intricate structures in the back and spine healthy. It is much more than cosmetic - good posture and back support are critical to reducing the incidence and levels of back pain and neck pain. Back support is especially important for patients who spend many hours sitting in an office chair or standing throughout the day.
Not maintaining good posture and adequate back support can add strain to muscles and put stress on the spine. Over time, the stress of poor posture can change the anatomical characteristics of the spine, leading to the possibility of constricted blood vessels and nerves, as well as problems with muscles, discs, and joints. All of these can be major contributors to back and neck pain, as well as headaches, fatigue, and possibly even concerns with major organs and breathing.
The various movements of the body are enabled by the way the bones work with each other and allow for various movements. You cannot perform a single movement without the coordination of the various joints and bones. It is also for the same reason that joint pains are so common. Accidents, sports injuries, play area injuries, and general ageing are some of the causes that can result in joint pain. There are definitely ways to treat them, but at the same time, preventing them also can be helpful. Read on to know some of the ways to prevent and manage joint pains.
Precautionary measure: For children, ensure they are playing under the supervision of an adult and are wearing sufficient protective gear in the form of helmets, wrist/elbow guards, etc. The same goes for athletes who are prone to injuries. It is always prudent to know your physical limits and not stretch your body constantly. This will go a long way in reducing injuries. Always keep a first-aid kit in your sports bag so that you can manage the pain at the earliest.
If prevention does not work, and injuries do happen, some of the ways to manage them are outlined below.
- Cryotherapy/ice therapy: By reducing the blood flow to the affected joint, ice helps in reducing the pain and swelling, which are usually the prominent symptoms of any joint injury. Using an ice pack for 15 to 20 minutes every hour is greatly useful in reducing the pain. This can be continued for the next few days until the pain stops. Avoid ice burns by not applying ice directly on the skin; instead, wrap it in a towel or a soft cotton cloth.
- Oil massages: Natural oils can be used to massage the affected joints which also greatly reduce pain. Oils which contain menthol or give a topical soothing effect are highly recommended. If you are unable to do it at home, seek professional help for the same.
- Hydrotherapy: Warm baths with salts added for extra benefit can provide soothing relief from joint pains. Try these before going to bed to also get good sleep.
- Herbal mixes: Tea bags and other herbal mixes can also be used to relieve joint pains. These may work for some and may not work for others. As these are external applications, you can give it a try.
- Immobilise the area: The affected joint should be immobilised completely or partially, depending on the extent of damage.
- Physiotherapy: While initially the joint needs to be rested, getting into a physical exercise routine with inputs from a physiotherapist is very essential to avoid long-term immobility.
- Medications: Non-steroidal pain killers are another proven method to manage joint pains. If you wish to discuss about any specific problem, you can consult a General Physician.
I am suffering from lower back pain lumbar spondylitis mnr report annular tear with posterior central and bilateralparaccentral dic protrusion at L5-s1 level causing thecal sac compression and bilateral neural foramina narrowing. Is it require any surgery by requiring screw at l5.
Hello sir, I had an accident in one year back. My right leg and right hand are broken so still now I have two blades (rods) in leg and hand. Now I am working In underground coal mines. As compared to my left leg and hand, my right leg and hand are so thin then what should I do. Pls help me. Thank You.
My name is Akib. I am from Kashmir . I am 18 years old . From some months I have lot of pain in my bones lot of back portion. Please give me a good solution.
Hi, I am Dr Siddharth Sharma. I am an interventional pain specialist and I treat patients who are suffering from chronic pain.
Chronic pain as you know is any kind of pain which is more than 3 months of duration or 12 weeks of duration. I am often asked about back pain and its surgical treatment. Patients come to me who has been advised open surgery and they want to avoid it and they ask me whether we can avoid it or not. So yes we can avoid the surgery almost in 90% of cases but there are certain conditions where surgery must be done and these are medical emergencies. However, in the majority of cases, we are able to prevent the surgery from happening that is patient is relieved without surgery so if you have been advised any surgery from your back pain which is you are very concerned and you don't want to get operated so please seek an opinion from pain management specialist.
So what the pain management consultant will do he will just try to find it where the pain is coming from and treat you accordingly. So our back is the structure which is made up of bones known as vertebrates and muscles and there a small nerves which are coming out of the spinal cord. Now I will show you a model so this is how the lower back looks like you can see the Bone part. So this model shows the Bony part of the human lower back. So if you see these are small bones which are forming this back and you can very well see her probably that this yellow portion is nerves which are coming out of the spinal canal and these nerves if they are compressed, leads to pain and this pain may go to distribution area of nerves which may be back, lower back, hips, leg, calves or even toes and this may also lead to symptoms like tingling numbness and likewise. So the back pain has always been a puzzle for doctors and to relieve the patient from the symptoms doctor they started dissecting and seeing why this pain is actually happening and since the possible causes are compression of these nerves it was thought that if we somehow release that pressure then probably the pain will be relieved. So the surgery started happening and the purpose of surgery is to decompress nerves to take the pressure of these nerves and relieve the patient possibly from his or her pain. However, this surgery necessitated cutting and going through the back muscles and then readjusting the bones and then retracting and itself cause so much of trauma that post surgery patient started having other symptoms as well. So probably that level may be a little better but maybe on other side or maybe on one level up one Level down problem started happening. Similar thing started happening with screws fixation and so.
Therefore the results if you see the data the results are not very encouraging that's why probably there is fear of surgery in the patient because they have seen their relatives or maybe there known people that are suffering from back pain undergoing some surgery and they recovered somewhat but probably there just started with some other problem or maybe the same number of problem started with and number of days whatever. For non-surgical treatment there are variety of treatments available nowadays there are interventional pain physician or pain specialist that can provide you with advanced option which are Minimal invasive which cause minimum damage to your body to the back to muscles because they are not involved when you're cutting or any suturing or anaesthesia so it is very advanced procedure and give very good pain relief in majority of patients. However, the indications are very clear cut and we cannot do these procedures in each and every patient so it's better if you consult an interventional pain physician and he will see evaluate and tell you that whether you are suited for the procedure or not. To name this procedure there can be as simple as simple epidural injections in which we inject a steroid. At once I tell the name steroid people start thinking that it will be harmful to the body but it will not be the case because this is a very small dose of steroid which is directly directed near the route so that the inflammation subsides and there is relief from the pain.
Also the another method is to decompress the nerve with the help of percutaneous procedures. Percutaneous means the patient is awake under the local anaesthesia while these procedures are done we reach this panel at the intervertebral disc base with the help of the needle then we can take it out take the disc out and we can with the help of radio frequency current we can seal the region actually. And this will result in decompression of the nerve and relief from the symptom. However, the indications are very clear cut and you need to go to your interventional pain consultant. He will see if you are fit for those procedures and guide you for these procedures. Another important thing that is common is to post surgery pain. So if you have gone any back surgery and you still having pain then you must visit your interventional pain physician you must go to him and he will check and try and find out the possible cause for pain. It is also possible that before surgery you have a different kind of pain, after surgery you have a different kind of pain then your physician will often be able to diagnose and give a diagnostic procedure if required or maybe give you a curative procedure as required. So this was about the back pain.
For more information, you can visit my life rate website on www.lybrate.com/doctorsiddharthsharma.