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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
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Treatment of Nerve And Muscle Disorders
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My mother's left hand is paining since morning it seems! When she fell tension about something it pains it seems! What should she do?
My friend is 27 year old female who has had 2 brain surgeries namely decompressive craniotomy for hematoma in 2015. She is fine now and was asked to take levipil. Doctor had told her not to consume alcohol for a year. Can she consume marijuana now? Also can she go on a microlight aircraft which is pretty much like flying in a flight however it is open and goes as high as 1500 feet for 10 mins.
Dear Doctor, My wife is suffering from acute pain in the neck since last 3 days. It started from a pain in nerve at the back of the neck, then has spread to both sides of neck and stiffness and headache. Pls provide medical guidance to relieve her from acute pain.
Carpal Tunnel Syndrome is a painful one that is born from a strain on the median nerve, which loops through the wrist bone to connect it with the rest of the hand and fingers so as to promote motion. This condition can be a painful and debilitating one that usually starts at night, and affects the various fingers, especially the thumb and index finger. The symptoms include numbness, a tingling sensation, a weak grip, and the inability to do many tasks that involve the thumb and index finger. There are many ways of treating this condition with the help of physiotherapy, steroids and corticosteroids. There are easier ways of dealing with this issue on an everyday basis, as follows.
- Wrist Splint: It is a good idea to wear a wrist splint at night which will keep the bones and muscles stationary as the pain in this condition usually starts at night. This will also prevent further damage to the median nerve.
- Activity: Keep your activity to a minimum to give your hand and rest, in particular, some much needed rest from the pain, numbness and tingling. Further, you need to avoid activities that cause too much pain and numbness. Also, take care to keep your thumb and wrist straight during other activities so that there is less strain on the median nerve.
- Strength and Flexibility: Many times, the pain from the wrist and fingers can spread towards the arm as well. In order to prevent this and to treat the pain on a more long term basis, it is important to turn to some mild exercise which can make the area more flexible and strong. This can include wrist twists which can be done ten times for each hand. One can also try Yoga to strengthen the joints in the upper body.
- Ice Pack: Use an ice pack or ice compress on your wrist for ten to fifteen minutes each every few hours to help in relieving unbearable pain.
- Anti-Inflammatory Medication: Patients suffering from this condition can also turn to non steroid medication that will help in bringing down the inflammation. This inflammation is usually responsible to a great extent for symptoms like numbness and pain which can halt various activities. These drugs may include aspirin, ibuprofen, and even naproxen sodium.
- Taking Breaks: One must take regular breaks at work and flex the fingers and the wrist so that the painful bending posture does not make matters worse.
Ensuring that you manage your everyday functioning despite Carpal Tunnel Syndrome is a matter of balancing your activities with rest.
The concern of the patient is more related to the fear of something wrong, rather than the pain itself, which may be quite bearable. Before you go to consult to your doctor for your back problem, go though the checklist mentioned here, and you will be easily able to make out if your problem needs treatment or a good physiotherapy and life style modification.
Lets start with the statics.
1) back pain the most common reason for people to consult physician.
2) majority of them (and believe me about 80 to 85%) are functional which means they are not a disease but are due to improper lifestyle.
3) 10 to 15% of them are related to some pathology, and only these patients need medical help.
I know the next question in your mind, how do I know if my back pain need further consultation from a doctor, or I just want to need a physio and life style modification.
If you have any of these signs then you need consultation with a doctor.
1) duration of back pain more than 2 months.
2) localized back pain with stiffness in the morning,
3) pain not getting resolved despite good physio efforts and life style modifications
4) pain in the back with radiation to one of the legs, ie leg pain with back pain.
5) back pain associated with fever, appetite loss, or weight loss.
6) back pain with pain mainly in the night, and it arises you from sleep.
7) any association of weakness in the legs or numbness on walking.
Posture correction while work is the major remedy for postural back pain and this group is quite large.
1) use firm mattress for rest. Not a very soft one.
2) adequate support to the back while sitting on the chair, back should be kept straight but not strained.
3) regular back muscle strengthening exercises is must with this group.
When your back pain is not functional, then a consultation with your doctor is a must, most of the time the first doctor we consult is a physician, these days people are getting aware and consult an orthopaedic or a neuro surgeon. My advise is to consult a spine surgeon who are trained specially to deal with such problems. The usual examination is followed by certain blood tests and radiological investigations, like x rays and mri scanning. Out of these pathological type majority will not need surgery.
Keep strengthening your back, and prevent back pain. Remember physiotherapy (exercises) are to be done to prevent back pain and not to cure it.