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Book Clinic Appointment with Dr. Rashmi Giriraj Chavan
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
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I have a pain in my left foot while walking but after 5 minutes of walking it has gone. Please suggest what can I do.
I am suffering from back pain and shoulder pain since past 3 days. It is intolerable. What should I do?
I m suffering by back pain from last 2 months. I fall when I was play football. Pain is at left side of my back and when I walk for a long distance pain increase. What is solution for that type of pain?
I am a woman of about 51 years, having diabetes treatment regularly. Once a year, when the season changes from winter to summer in the months of March-April, I get pain in the back followed by acute pain in the lower back side, abdomen, corner of thighs and neck. With time, the pain increases and becomes so acute that I couldn't even move out of my bed without any help. For relief, I take painkillers and hot fomentation regularly but the pain eases a little bit and then again increases. I also get constipation with backache, say I go to pass stools after two days often. It usually happened to me during my young age also but that time, pain remains for two- three days only and after taking lot of bed rest and fomentation, I am relieved. But now the condition is becoming worse day by day. After my periods are stopped in the beginning of 2014, the pain is critical. I regularly take shelcal and calcijoint (once a week) along with diabetes tablet. Kindly guide me what precautions to take and which tablets to continue so that the worse situation doesn't come in the next changing season. Thanks in advance!
I have problem of back pain over many yers. These problem totally destroyed my life, how can I solve it. Please help me!
In the early stages of the disease a flattening of the lumbar curve may occur. Then, with increasing pain and a flexed posture, the thoracic curve can become more accentuated. If unchecked, this can be followed by a loss of cervical curve and a protracted cervical spine develops as an attempt to compensate for the forward flexion. As the hips become more flexed, hip flexion contractures can occur and the knees flex to improve balance and vision. Poor posture results in muscle fatigue, weakness, disability and a poor body image.Good management of the disease should prevent poor posture from occurring,although any fusion may be delayed and not halted. Note especially the knee flexion and hip flexion deformities. The reason for these deformities is that,if the spine is constantly flexed, the patient would fall over forwards. By flexing the knees and hips, the person shifts the line of gravity back within the base to become more stable.
AIMS OF PHYSIOTHERAPY MANAGEMENT:
The overall aims are to minimize deformity and disability and to improve well being, thereby maintaining normal function and improving the person’s quality of life.
Specifically these aims can be achieved by:
- Advising on postural awareness and ergonomics
- Reducing pain
- Maintaining and improving posture and function by a) increasing mobility of spinal, costo vertebral and peripheral joints, b) strengthening the antigravity muscles, and c) stretching specific muscle groups
- Improving and maintaining cardiovascular fitness
- Monitoring posture, mobility and function through regular assessment
- Devising and monitoring a home program of specific exercises that are suitable and consistent with long-term compliance
- Imparting knowledge about the disease and its management Improving the person’s psychological state, coping strategies and exercise compliance.
PAIN IN ANKYLOSING SPONDYLITIS
Pain may vary from low grade discomfort to intense pain.
Typically, pain is aggravated and is often reduced by exercise. The perception of pain can be influenced by several factors, including fatigue.
Physiotherapy modalities such as ultrasound, dry needling, and transcutanous nerve stimulation, mega pulse and gentle spinal mobilization can be effective, especially for localized pain.
If the person has not exercised recently, exercises will need to be commenced gradually and the person warned that initially they may provoke pain.
Wearing supportive shock-absorbing shoes can decrease the jarring effect of walking on hard surfaces and reduce the likelihood of aggravating the pain. Hot packs can reduce pain.
Knee pain is second most pain next to back pain in middle age. It could be due to physical injury or by pathological reasons. And correct alignment should be maintained in sitting walking or standing involving body pressure to the limbs expecially to knees. In case of pathological causes should be watched and followed to control infections or to improve immunological components in the body to support the efficiency in managing the resistance against all agents
Exercise science or therapy plays a very vital role in controlling the pain and to reduce symptoms. The foremost exercises are to strengthen the quadriceps and hamstring muscles, which could be done by keeping a pillow or small bedsheets preferably cotton beneath knee and pressing hard for 5 to 7 seconds and repeating the same for 15 times resting for 3 second in every repitations (see the pic attached). And hamstring muscle strengthening by lifting straight into 90% without bending the knees and holding the same for 3 to 5 seconds as possible and repeating it for 10 to 15 times for one duration, better to do for twice daily in stipulated time regularly, along with calcium rich and vitamin d3 in sufficlient level.
For pain even hot and cold water fomentation for thrice a day for 5 days regularly can be given to receive locally, for worst pain management physiotherapy interferential therapy (ift) and vacuumtherapy can be given for 7 to 10 days followed by strengthening exercise under guidance from physiotherapist