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Spinal Surgery Disorders
Treatment of Neurological Problems
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 had suffered spine fracture in 2014 and planted instrument in my spine now my weight is gaining is this harmful for spine.
I have many pimples on my face and also on my back since 6-7 year and also have some hair problem in which my hair start smelling in 2 days if I'm not shampoo in 2 days, is it an issue!
When I go down stairs my knee pains. But when I go up no. I am involved I alot o physical activities at work and so I need my legs strong what should I do?
Recently I asked regarding I am getting pain in the calf& foot heel. One of the doctors had replied promptly. Asked me get Vit D3 test done. I am 55 years old I don't have sugar or BP as per recent test done. I don't smoke & drink. My Vit D3 report of today shows VITAMIN-D Total 21.56ng/ml PL suggest remedy.
I am 28 years old, I have back pain since 5 years. I m consulting orthopaedic, they give me painkiller and calcium tablets, that doesnot workout, then l consulting a medicine specialist. My esr level is 80. What I do ?
Halo sir I have a back pain since 5 months. Mri report shown l5-s1 disc extrusion problem. I am 21 years old. Please only tel homeo medicine. Please only tel homeo medicine. How to cure my problem?
Please tell me why my back pain happens. It's like the pain happens in my bone. Can you please tell me the reason. Does it happens for iron deficiency?
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.