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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
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
Submit a review for Dr. ParekhaYour feedback matters!
I was a patient of bone tb. I had it on my left knee. It's been 3 years but still I have ache sometimes specially in the days of period.
I am 50 yr male. My elbow is fractured. Doc put a plaster which I got removed before one week but still stiffness is present in hand and iam not able to move my hand properly.
I have pain in my left knee when give it some load such as at the time of driving scooter. Please let me know the remady for this. Thanks in advance.
My aunt is a housewife whenever she walks like for a distance of around 100 metres or so she reports of heavy knee pain she tried many pain reliefs, ointment but they dint fetch any good results. So can you suggest any good pain relief for her. Her age is around 35 & she is a mother of 2 children.
I am a boy 18 years old at every morning at the time of wakeup My leg was very painful and it is very sad to me.
I am 20 years old female. I have pain in my shoulders and neck due to use of laptop. I used ointment, but I stil have pain. What should I do?
I suddenly have backache from last 2 weeks continually. I am overweight with 98 kg and my age is 34 years. Pls help me what should I do?
Sir I have been suffering from hand pain. One month back cervical fusion operation done me. Why comes pain return pls tell me sir.
In having back pain please suggest me good medicine so that I can recover very fast and I have headache tooo I fell very sleepy.
I am 44, male, weigh 105 kgs and suffer from spondylitis of the lumbar region. I met with a spine injury due to falling in the bathroom some 20 days back. Initially the pain was excruciating and debilitating and I was bed ridden for almost 5-6 days. Now though I can move around a little bit, yet the pain remains. But what is worrying is when I get up from bed, or turn to my right while lying on bed, pull my head back while looking up or while lying down, my head starts spinning like hell. It subsides after a few seconds. There were occasions when I was almost falling down but somehow balanced myself. What should I do?
Hello Dr. I am suffering from back pain and I got MRI of lumber spine with hip joint screening done for it. The result says that" Spondylolysis noted at L5 level with minimal anterolisthesis of L5 over S1 vertebra. Vertebrae otherwise appear normal in size and shape and show normal marrow signal intensity. No evidence of discovertebral osteomyelitis or abnormal para- spinal collection. Dessicative changes seen involving L4-L5 intervertebral disc in form of reduced signal intensity on T2W images. Posterior bulging of L4-L5 disc is seen with annular tear indenting thecal sac. epiphyseal joints and para-spinal muscles are unremarkable. Lower dorsal cord and conus appear normal. No evidence of intraspinal mass. AP DIAMETERS: D12-L1 - 17 MM. L1-L2 - 17MM. L2-L3 - 16MM. L3-L4 - 15MM. L4-L5 - 12MM. L5-S1 - 13MM Coronal fat suppressed images through both S. I. & hip joints appear unremarkable except subtle focal hyperintense marrow signals involving sacrum on right side. Opinion: The Mr. findings show spondylolysis at L5 level with minimal anterolisthesis of L5 over S1 vertebra. Posterior bulging of L4-L5 disc with annular tear indenting thecal sac. The Dr. I've consulted suggest me the pain management treatment. In which medicine is injected at the part of pain. N the injection costs around RS 18000. But it's not the permanent solution he said. Now what should I do next. Please advise me the suitable treatment for my problem that solve my issue permanently. Thank you. Regards,
I am a 35 years old female, and I have backache, tiredness, leg pain continuously for last 2 months. What should I do?
Hello Sir/Madam, I am 50 years male. I am suffering from fingers, elbow, knee pain from last 3 months. I was in high fever before 3 months but now only pain .Doctor said it will remain till 3 to 6 months but it is unbearable. What should I do? Please suggest me.
Hello Doctor, I am Krishna Age: 33 and working as a software professional. Due to ideal gesture sitting I am experiencing a pain in right Hip and Right Back ache. I always use an instant sprays but its just a instance relief. I would like to know how to get rid of this back ache.
I have psoriasis from last two years please help me to get rid of them all from body. And I have leg pain frm two months and there is fat all over body please help me to get rid all of them.
Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.
If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.
In case of middle to old age, injuries that can cause shoulder pain are:
- Biceps Tendonitis
- Acromio-clavicular Joint arthritis
- Scapular Dyskinesia
- Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
- Superior labral anterior/posterior (SLAP tear)lesion
Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:
- Bankart lesion
Diagnose Shoulder Pain
Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:
- X-rays: Through an x-ray one can view the shoulder in many different views.
- Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
- MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
- Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.
Treatment for Various Types of Shoulder Pain
- For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
- Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.
- Pain relief and physiotherapy as first step If this fails then following surgical options are available
- Arthroscopic debridement or repair of labrum
- Biceps tenotomy or tenodesis
In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.
It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.
Always remember 'a stitch in time saves nine'