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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
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Hi i am Hearing some sounds from knees while bending. Like a bold cracking sound. He is skinny. No pain. Is that a problem.
My daughter is 22 years old, if she stands for more than an hour, she suffers from heel ache, what should be done?
Hello docs can you please suggest me best orthopaedic doc in Indore. As my father is suffering from worst knee pain.
Hi i am SUFFERING FROM CONTINUOUS BACK PAIN ADJACENT TO SPINAL CORD 5 INCHES BELOW OF LEFT SHOULDER FOR PAST 3-4 YEARS. SOMETIMES PAIN IS UNBEARABLE, PAIN EXISTS ALL OVER THE DAY. INITIALLY PAIN WAS DURING WINTER SEASON ONLY. NO IMPROVEMENT TILL NOW INSPITE OF CONTINUOUS TREATMENT FROM ONE DEPARTMENT TO ANOTHER ie PHYSIOTHERAPY, ORTHO, NERVE.
I am losing my weight feel crazy angry my full body paining continually I hevn't have any stamina to do work.
I am suffering from severe back pain for the past one year. X-ray and MRI scan taken for the swelling reveal that the spinal cord T4 and 5 is affected. What is the remedy.
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)
I have been facing the back problem since last 2-3 months. The pain is bad that I can not even bend down to pick anything. I have been getting the regular massage and doing therapy but it is not working at all. I have stopped riding bike hoping this would reduce the pajn but it not working as well. Hope you could give me the best solution.
This actually reduce the load exerted on your knees and will give some rest from impact which occur due to jogging or brisk walking. Regular icing after such strenuous activities will also the minimize the risk of injuries to the knee joint.
I am 17 years old male and a sports player everyone is telling that I am having a small bend to forward and this cause a very bad posture for me Which in turn affect my sports is there any solution for getting the good posture back.
Hi, I am suffering from neck pain from 4 days now it reduced but one side of seck is paining its on right hand side. Can anyone suggest some. Medicine for it. Am a s/w employee I am using computer past 6 years but nothing happened like this to me. please help.
Hi I am 47 years female. I suffered from chikungunya in month of October. But still I am suffering severe pains especially knees. I am unable to get up when in sitting posture. After some minutes I feel normal.
He is suffering from pain in the full leg from last 2 months. His legs are physically weak. So can you suggest any solution for it?
I am suffering from Uric Acid & Physical Stamina, Pain in Joints, I am 35 years old person, want resolution in Ayurveda.
I have a problem of flat feet. Though not completely but it may not let me get through the medical checkup for Indian Army. How to cure?
Hello doctor my sister is suffering from arthritis on her right knee, from past few years she cant walk properly. Is there any remedy for this problem, after getting operated will she walk normally. Please suggest me in a right direction so that this problem get it solved. Thank you.
Spinal fusion is a surgery in which two or more vertebrae in the vertebral column or back are fused or joined to treat a slew of spinal problems and diseases, which cause debilitating back pain. This surgery helps to remove bone and tissue that are narrowing the spinal canal, squeezing the spinal cord and nerves, reducing pain and improving function.
There are many different causes of back pain like injury, poor posture, age, osteoarthritis, herniation of disc between two vertebrae, degenerative disc disease, narrowing of spine called stenosis, and spondylosis or lessening of space between the vertebrae- most of these can be treated using spinal fusion.
All of these causes put tremendous pressure on the vertebrae and pinch spinal nerves that pass through the back and radiate out into the arms, legs and torso. Apart from the pain, patients experience nerve and muscle weakness and irreversible damage affecting normal life.
Spinal fusion started off as just a treatment for fractures but now it has become the surgery of choice for a number of spine problems. Though it can be done anywhere in the spine, it is very effective when done in the lower part of the spine called lumbar spinal fusion or arthrodesis.
Spinal fusion is done by forming a direct bony connection between the vertebrae surrounding the painful discs, the cushioning between the vertebrae. Pain is stopped by stopping the motion of the painful discs.
There are different methods of spinal fusion each with its own advantages and limitations.
Techniques include fusion approached from the front, the back, or both of the vertebral column. Sometimes surgeons decide to use intervertebral cages or metal screws to provide internal structural support while the bone fuses. These cages may be placed between the vertebrae and packed with bone graft material taken from the patient or constructed out of synthetic materials.
What to expect?
Spinal fusion is not a risk-free procedure. It is a major surgery lasting several hours and carrying a number of risks like-
- Failure of the vertebral fusion and breaking of metal implants
- The vertebrae above and below the fusion can wear away aggravating problems
- Blood clots may be formed that can travel to lungs causing embolism
- Injury to spinal nerves causing permanent weakness in legs and problem with bladder and bowel function
- Infections and blood loss
- Heart attack or stroke during surgery
The patient has to be kept in hospital for a couple of days for post-operative care after which he will have to undergo rehabilitation for months. Hence, one should really think before going for spinal fusion. And when it is recommended, seek a second opinion before making a decision. If you wish to discuss about any specific problem, you can consult an Orthopedist.