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Treatment of Shin Splints
Spinal Fusion Surgery
Treatment of Splinting
Treatment of Knee replacement
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Interferential Therapy Procedure
Neuro Physiotherapy Treatment
Post Pregnancy Classes
Postural Training Techniques
Pregnancy Exercise Therapy
Sports And Musculoskeletal Physiotherapy
Sports Fracture Rehabilitation
Treatment of Sports Injuries
Sports Physical Therapy Treatment
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Hello doctor my name is akash modi and I am a basketball player my knee is pain bad when I move my legs.
Hello sir I have problem relating joints pain and swelling I have joints pain in my fingers and toes and knees and shoulders in morning the pain excess and swelling every morning I had consulted dermatologist and my RA Test and other reports all get negative get nothing into it. Only high esoiniphllia count more than 18 what should I do and whom o consult.
Sir in last 3 month banka I met with an accident at tke knee its was just switches has weired but till now it has a pain when I had doing joggingPleas make a cure of it sir.
Having pain in my joints mainly lower extremity while walking and when sleep back ache every day whether not using pillow as well as soft bed Uric acid sugar and all investigations are Normal but Uric acid is on border line Not having any pain killers only antioxidant one tab a day using one glass of milk and Fruits properly since 5 Feb please advice what to do? Non veg off and on.
My eyes is reddish on every time and I have calcium problem my knee problem in winter so what should I do?
Sciatica refers to back pain caused by a problem with the sciatic nerve. This is a large nerve that runs from the lower back down the back of each leg. When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg. Up to 90% of people recover from sciatica without surgery.
Sciatica is not a medical diagnosis in and of itself—it is a symptom of an underlying medical condition, such as a lumbar herniated disc, degenerative disc disease, or spinal stenosis.
Lumbar herniated disc
A herniated disc occurs when the soft inner core of the disc (nucleus pulposus) leaks out, or herniates, through the fibrous outer core (annulus) and irritates the contiguous nerve root.
A herniated disc is sometimes referred to as a slipped disc, ruptured disc, bulging disc, protruding disc, or a pinched nerve. Sciatica is the most common symptom of a lumbar herniated disc.
Degenerative disc disease
While disc degeneration is a natural process that occurs with aging, for some people one or more degenerated discs in the lower back can also irritate a nerve root and cause sciatica.
Degenerative disc disease is diagnosed when a weakened disc results in excessive micro-motion at that spinal level, and inflammatory proteins from inside the disc become exposed & irritate the nerve root(s) in the area.
Lumbar spinal stenosis
This condition commonly causes sciatica due to a narrowing of the spinal canal. Lumbar spinal stenosis is related to natural aging in the spine and is relatively common in adults over age 60.
The condition typically results from a combination of one or more of the following: enlarged facet joints, overgrowth of soft tissue, and a bulging disc placing pressure on the nerve roots, causing sciatica pain.
What are the symptoms of Sciatica?
Usually, sciatica only affects one side of the lower body and the pain often radiates from the lower back all the way through the back of the thigh & down through the leg.
Some combinations of the following symptoms are most common:
Lower back pain, if experienced at all, is not as severe as leg pain
Constant pain in only one side of the buttock or leg, but rarely both the right and left sides
Pain that originates in the low back or buttock and continues along the path of the sciatic nerve - down the back of the thigh and into the lower leg & foot
Pain that feels better when patients lie down or are walking, but worsens when standing or sitting
Pain that is typically described as sharp or searing, rather than dull
Some experience a "pins-and-needles" sensation, numbness or weakness, or a prickling sensation down the leg
Weakness or numbness when moving the leg or foot
Severe or shooting pain in one leg that may make it difficult to stand up or walk
Depending on where the sciatic nerve is affected, the pain and other symptoms may also include foot pain or pain in the toes.
What is the treatment for Sciatica Pain?
The goals of non-surgical sciatica treatments are to relieve pain and any neurological symptoms caused by a compressed nerve root. There is a broad range of options available for sciatica treatment. One or some combination of the treatments below are usually recommended in conjunction with specific exercises.
For acute sciatic pain, heat and/or ice packs are readily available and can help alleviate the leg pain, especially in the initial phase. Usually ice or heat is applied for approximately 20 minutes, and repeated every two hours. Most people use ice first, but some people find more relief with heat. The two may be alternated. It is best to apply ice with a cloth or towel placed between the ice and skin to avoid an ice burn.
Over-the-counter or prescription medications are often effective in reducing or relieving sciatica pain. Non-steroidal anti-inflammatory drugs or oral steroids can reduce the inflammation that is usually part of the cause of the pain.
Alternative sciatica treatment
In addition to standard medical treatments, several alternative treatments have also been shown to provide effective sciatica pain relief for many patients. Three of the more common forms of alternative care for sciatica include chiropractic manipulation, acupuncture, and massage therapy.
Spinal adjustments and manual manipulation performed by appropriately trained health professionals, such as chiropractors and osteopathic physicians, are focused on providing better spinal column alignment, which in turn should help to address a number of underlying conditions that can cause sciatic nerve pain.
The practice is centered on the philosophy of achieving or maintaining well being through the open flow of energy via specific pathways in the body. Hair-thin needles (that are usually not felt) are inserted into the skin near the area of pain.
Certain forms of massage therapy have been shown to have a number of benefits for back pain, including increased blood circulation, muscle relaxation, and release of endorphins (the body’s natural pain relievers).
Typically, it is reasonable to consider surgery for sciatica in the following situations:
Severe leg pain that has persisted for 4 to 6 weeks or more
Pain relief that is not achieved after a concerted effort at non-surgical sciatica treatments, such as one or a combination of oral steroids, non-steroidal anti-inflammatory medication, manual manipulation, injections, and/or physical therapy
The condition is limiting the patient’s ability to participate in everyday activities
Urgent surgery is typically only necessary if the patient experiences progressive weakness in the legs, or sudden loss of bowel or bladder control, which may be caused by cauda equina syndrome.
Depending on the cause and the duration of the sciatica pain, one of two surgical procedures will typically be considered:
A microdiscectomy (or small open surgery)
A lumbar laminectomy (an open decompression)
Low back pain is one of the most common medical problems and it occurs due to injury associated with the nerves, bones, and muscles of the back. The pain can vary from a sharp shooting pain that happens at various intervals to a gnawing pain that can last for weeks on end. While the former can go away with some muscle relaxant, the latter may need a combination of medications and exercise.
- Common reasons include improper sleeping posture, lifting, fracture, lack of exercise, disk injuries, arthritis, and many more. Most of these instances would lead to medium to long term pain that will not subside on its own and for long Physiotherapy has proven to provide good relief.
- The aim of physiotherapy is to reduce pain, improve movement, and maintain the spinal function in the long run. Most often, the therapy sessions would last for about 4 weeks when the regular course of medications have not helped much.
- Nerves, muscles, bones, and disks of the lower back are supported by the abdominal and back muscles. The intent of the exercise is to strengthen these two sets of muscles so that the spine/lower back per se is not very susceptible to injury. The exercises would be a combination of stretching followed by strengthening and conditioning, all aimed at these two sets of muscles.
- Some common exercises include bottom to heels stretch, knee rolls, back extensions, deep abdominal strengthening, and pelvic tilts.
- In addition to being used as a sole mean of treatment, physiotherapy is also used in back pain to treat severe cases both pre and post surgically. What is corrected by surgery needs to be enhanced by the regular exercises as prescribed by the doctor.
- One disclaimer that a doctor might want to give is that physiotherapy may not be beneficial if exercises are not done properly or if the patients do not adhere to the scheduled prescription. The long term success depends not just on getting the relief, but on following the maintenance exercises as prescribed. This is more important and helps avoid relapse of the back pain. A good posture and improved core stability with ongoing exercises is the key to success of physiotherapy in low back pain.
- While most people consider low back pain as a chronic condition, it can be managed effectively. It is important to realize that there is no overnight cure and that it may not get better on its own. Physiotherapy is a very good intervention; however, it will depend on the severity of pain and how it affects the patient's lifestyle. If you wish to discuss about any specific problem, you can consult a physiotherapist.