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Spinal Surgery Disorders
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Treatment of Splinting
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Treatment of Shin Splints
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Dear sir/ Madam This query is regarding my grandmother and she's now 64 and she used to have knee pains joint pains and common problems that comes with age but from past week she's experiencing new issue that if she stands or walks her right leg starts tingling from hip to toe if she sat or sleep it goes is it we consulted physician M he said nerve weakness but that medication doesn't gave any relief to whom we have to consult and what is the problems please help me out.
Hey :) I had same disease couple o years back and I had pain in legs, feet,throat kaput. M gonna take medrol, azee, ebast, ok! :D cheers! it was prescribed by a doc.
I have thighs pain in back of my thighs both Leg I did stretching applied ointment everything but nothing happened still paining so what to do is there any pain killers or something that really helps in getting rid of this pain.
My wife is 65 years old from past 5 /6 months had pain in her both knees ,doctors has suggested total knee replacement, doctors has told that she varicose vein disease also. She is not interested in her knee surgery. I, therefore, request you to kindly suggest some treatment for her knee problem and also for varicose vein problem.
Sciatica refers to the pain one experiences due to the irritation or compression of nerve roots contributing to formation of Sciatic nerve. The sciatic nerve is the longest and widest nerve in the body, running from the lower back, down to the back of each leg. The pain can occur in the lower back and spread to the hips, buttocks and leg. Sciatica generally affects one side of the body. There are numerous causes of irritation of the sciatic nerve and sciatica.
Some of them are:
- Spinal Stenosis: The narrowing of the spinal canal caused by natural wear and tear of the vertebrae (individual bones in the spine protecting underlying nerves) of the spine is known as spinal stenosis. The narrowing may put pressure on the roots of the sciatic nerve, causing pain.
- Herniated Disc: A disc is made up of cartilage and acts as a cushion between vertebrae, allowing flexibility of the spine. A herniated or slipped disc occurs when a disc is temporarily pushed out of place, putting pressure on the sciatic nerve.
- Spondylolisthesis: It is a condition where one of the lower vertebrae slips forward over another. This also causes a collapse of the disc space between both, causing the nerve to get pinched. This may cause sciatica.
- Piriformis Syndrome: Piriformis is a muscle found deep inside the buttocks, which connects the lower spine to the upper thighbone, running directly over the sciatic nerve. Spasming of this muscle can pressurize the sciatic nerve, triggering symptoms of sciatica.
- Sacroilitis: Sacroillac joints are the place where the lower spine meets the pelvis and inflammation of one or both of these joints causes sacroilitis. This can give rise to symptoms of sciatica as it causes pain in the lower back, buttocks and legs.
- Spinal tumors: Very rarely, tumors growing inside or along the spine may put pressure on the sciatic nerve.
- Infection or injury: Muscle inflammation, infections, fractures or any other spinal injury may lead to irritation or compression of the sciatic nerve.
- Pregnancy: Pregnant women may suffer from sciatica due to weight gain, expansion of the uterus or increased fluid retention or other changes occurring in the body, which put pressure on the sciatic nerve.
- Other causes: Osteoarthritis and fractures caused by osteoporosis may also affect the sciatic nerve, producing symptoms of sciatica.
The common term ‘shinbone’ suggests there is only one bone in the lower leg. Actually, there are two: the fibula and the tibia. The muscles of the fibula attach to the ankle and help to move the foot. The muscles on the outer side of the tibia extend over the top of the foot and help to lift the foot & uncurl the toes.
Causes of Shin Splints
Shin splits commonly occur due to overuse or over-activity. It usually occurs when a person has started running after a long period. Running on hard surfaces or wearing of inadequate and poorly shoes is also one of the major causes of shin splints. Other then this being overweight, lack of calcium or any previous injury can also be reasons of pain in lower leg.
Signs & Symptoms of Shin Splints
The patient has a dull, aching pain in the front part of the lower leg. For some, the pain and discomfort emerge only during exercise, while for others it comes after the physical activity is over. Pain can also be there all the time. The pain can be on either side of the shinbone, or in the muscle itself - this depends on the cause. Signs and symptoms related to shin splints may include:
Moderate swelling in lower leg
Tenderness or soreness along the inner part of the lower leg
Feet may feel numb and weak, because swollen muscles irritate the nerves
Pain triggers when the toes and foot are bent downwards
In severe cases,pain can also be felt while climbing stairs
Stress fractures of one of the two bones in the leg below the knee can also cause shin splint-type pain. A stress fracture is a type of incomplete fracture in a bone. Stress fractures tend to occur as a result of overuse and are known as overuse injuries.
Diagnosis of Shin Splits
Shin splints are usually fairly easy to diagnose. The doctor carries out a physical exam, checks the patient's medical history, and may ask relevant questions regarding lifestyle and physical activities.Sometimes, the doctor may order some diagnostic tests in order to rule out other possible causes, such as a stress fracture. The tests you may have are listed below
MRI scan- This uses magnets and radiowaves to produce images of your shin bone and surrounding soft tissues. Because MRI scans are the most accurate and don’t expose you to radiation, this is usually the test of choice.
X-ray- This is a test that uses radiation to produce an image of the inside of your body.
CT scan - This uses X-rays to make a three-dimensional image of your shin bone. You’re exposed to more radiation than a simple X-ray when you have this test.
Bone scan - This looks for abnormalities or changes in your bones.
Treatment of Shin Splints
Following are things you can do yourself to treat shin splints
Avoid doing activities that causes pain,swelling or discomfort. It is better to do low-impact exercises like bicycling, swimming instead of completely avoiding it. But if you have stress fracture it is recommended to take rest for few weeks and heal properly.
Try cold ice packs to help relieve any pain. Wrap your ice pack in a towel – don’t apply it directly onto your skin. Hold it in place for 10 to 20 minutes at a time. You can repeat this several times a day if you need to.
You can take over-the-counter painkillers like paracetamol or ibuprofen to reduce pain.
Check your sport shoes to make sure they are giving your feet enough support and cushioning. Orthotic insoles for your shoes may also help to improve the way you run.
When you start exercising again, start slowly. If you get shin splints again, stop the activity and rest for a few days before starting the exercise at a lower level of intensity.
Run on soft surfaces like grass
Your physiotherapist can develop a training programme for you to gradually increase your level of activity and help you return to your usual sports. They may use a range of different treatments to help your recovery, including massage and stretching exercises.
Most of the time, surgery isn’t required for shin splints. However, if your shin splints are caused by compartment syndrome and your pain is severe, your doctor may suggest an operation called a fasciotomy. This releases the pressure on the muscles in your lower leg.
Prevention of Shin Splints
Risk of developing shin splints can be reduce by doing the following
Wear shoes with good support and padding
Wear cushioned insoles to absorb some of the impact while doing any sport activity
Warm up before working out
Stretch the muscles in your legs after workouts
Work to maintain and improve strength in muscles