Hip Replacement Surgery
Minimally Invasive Hip Correction Procedure
Treatment of Lumbar Radiculopathy
Minimally Invasive Knee Correction Procedure
Rotator Cuff Injury Treatment
Scoliosis Correction Surgery
Treatment Of Meniscus Injury
Acl Reconstruction Procedure
Column Traumatology Procedure
Treatment of Mckinzie Treatment For Spine
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Rf Neurotomy Procedure
Treatment of Rheumatic Complaints
Treatment Of Lumbago
Custom Splinting Bracing Procedure
Treatment of Joint Dislocation
Joint Mobilization Procedure
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Sciatica is probably one of those things which is vaguely familiar but a person is not fully aware of it. The sciatic nerve is one which is part of the spine and then spreads out over the legs. When this nerve gets pinched, it leads to sciatica, or pain of the sciatic nerve, which is tremendous! But, then, what exactly is a person to do in order to reduce the pain caused on account of sciatica?
The best answer for this is not medication, though it does have its uses, but rather, exercises which help the situation improve and reduce the risk of the person going mad due to the pain! One of the simplest exercises that a person can start with is known quite commonly as the knee to shoulder exercise. All that one needs to do is to lie down on the back and then, raise one knee and pull it across the body, with hands wrapped around it, so that it touches the opposite shoulder. This position of the knee touching the shoulder is to be held for about half a minute. About 3 repetitions need to be done and the same with the other side.
While it is important in the effort to relieve pain due to sciatica, it is equally important not to push oneself beyond natural limits, especially initially as this can cause injury. After all, more pain is the last thing which a person with sciatica is likely to want!
Since it is important to keep in mind the fact that consistency is one of the key secrets to reducing the sciatic pain, it is worth keeping in mind the standing hamstring stretch. What this exercise can boast of is the fact that it is one which can be done nearly anywhere. Also, it is pretty simple, too!
To do the standing hamstring stretch, one leg needs to be kept on an elevated surface which is not as high as the level of the hip. It is important to keep in mind that the leg is to be kept straight. The torso needs to then be bent towards the elevated leg. This process should be done slowly and again, maintained for about half a minute.
The sitting pose is useful to remember, as well. Sitting on the floor, one leg’s ankle should rest on the other’s knee. Like the standing hamstring stretch, the upper torso is to be bent towards the extended leg. With all these exercises, relief is not far away!
There are over 200 types of arthritis that are known to medical science. While some are easy to manage, some can be deadly if proper care is not taken on time. The common factor of any arthritis, however, is the physical pain in the joints and muscles.
How Does Physiotherapy Help?
It is known that some forms of exercise go a long way in managing the symptoms of arthritis. Physiotherapy focuses on the right form of exercise that helps in relieving pain. Furthermore, they help to improve the movement of the joint, the walking posture and muscle strengthening. Based on the condition and severity of the pain, a physiotherapist might recommend free hand exercise or workout sessions in a swimming pool.
What is the Role of a Physiotherapist?
Apart from helping in managing pain, a physiotherapist’s job includes the following:
To improve the flexibility, balance and coordination of the body in order to achieve the maximum physical function.
Recommend appropriate exercise to fix improper posture that may be causing the pain.
Assist in using devices such as canes and walkers.
Recommend various other treatment options such as thermal therapy, shoe inserts, braces and splints in order to relieve the pain.
Recommend changes in the environment such as using of cushion, ergonomic chairs etc.
A physiotherapist recommends various exercises in order to relieve the pain. They start with graded exercises. These start slowly and quantify in an incremental manner. Graded exercises help to strengthen the bone and increase the fitness of an arthritis patient. It also helps the body secrete a hormone known as endorphins which help to manage the pain.
Strengthening and Stretching:
Stretching and strengthening are basic starters that a physiotherapist recommends. After assessing the strength of the muscle, a physiotherapist advises on the techniques and of various stretching and strengthening exercises. Stretching helps to relax the muscle and free up any cramps in the body. Strengthening, on the other hand, helps the bone to become more flexible and reduces the pain.
Avoiding Arthritis Pain:
It is important to be active. Keeping the muscles strong and moving the muscles is a key to get relief from the pain.
Maintain a healthy diet in order to ensure the right BMI for your body. Being overweight or obese can exert added pressure on the bone resulting in arthritis pain.
Maintain good body posture, especially walking and sitting posture. Good posture helps in ensuring normal breathing and proper digestion.
Regularly practice the exercises recommended by the physiotherapist.
- Using of cooling packs and thermal treatment on the joints often helps to relieve the pain.
Over weight is one of the largest risk factors for knee pain. The knee supports much of the body’s weight, and too much weight taxes the joint and increases the likelihood of pain. Anterior knee pain, which develops at the front and center, is one of the more common types of knee pain associated with carrying extra weight. Inactivity or muscle weakness, both associated with being overweight, can exacerbate the condition.Obesity stresses the structure of the knee, including the patella—the medical term for the kneecap.
2. Muscle weakness
The knee connects the thighbone—also known as the femur—to the shinbone—also known as the tibia. Having strong quadriceps muscles helps to stabilize the knee joint and keep it healthy.And improving muscular fitness can be one of the best ways how to prevent knee pain, even if you’re older. However, strong quadriceps and hamstring muscles can help insulate the knee from stress.
3. Inactivity/lack of mobility
A cause of muscle weakness and obesity—inactivity—is also another factor for knee pain. People who are inactive are less strong, less flexible, and more sedentary. When the time comes to move and exercise, there is a greater risk of injury. Inactivity has also been found to make knee pain from arthritis worse. Being sedentary results in muscle deterioration that weakens the knee and increases pain
4. Not resting after injury
Injured people who don’t rest their knees for a long enough period of time increase their risk of re-injury. Although recovery periods can last anywhere from several weeks to several months, taking the time to allow the body to adequately repair and heal is critical for allowing the knee to regain its strength.Resting is particularly difficult for athletes and other active people, but spending some quality time on the couch will go a long way to keeping the knees healthy and protecting against future injury.
Smoking increases the risk of a host of health problems, and knee pain can be added to the list. Quitting smoking is one of the best ways how to prevent knee pain when you get older. smoking increased the risk for both cartilage loss and knee pain in men who had developed osteoarthritis in the knee. Because smoking affected the amount of cartilage the men had in their knees, it increased the amount of pain they experienced.
चलने का नाम ही जीवन है, परंतु कुछ रोग ऐसे हैं, जिसमें रोगी का चलना फिरना दुर्लभ हो जाता है और वह दूसरों की तरफ सहायता के लिए दयनीय भाव से देखता रहता है। ऐसा ही एक रोग है ''सायटिका”, जिसमें जब मनुष्य को असहनीय दर्द होता है तो वह ईश्वर से मृत्यु तक की प्रार्थना करता है।
इस रोग का अधिक परिचय देने की आवश्यकता नहीं सामान्यत: सभी इस नाम से परिचित रहते हैं। यह कमर से निकलने वाली सायटिका नाड़ी (नर्व) की सूजन अथवा इस पर किसी प्रकार का दबाव पडऩे से यह दर्द उत्पन्न होता है, जो कि कमर से लेकर पुट्ठे (Buttock) से होता हुआ टांग के पिछले हिस्से से पैर के अंगूठे तक जाता है तथा इस दर्द के साथ ही प्राय: रोगी को सुन्नता अथवा सुई चुभने जैसी पीड़ा होती है। यह दोनों टांगों में हो सकती है, परंतु प्राय: एक ही तरफ के रोगी अधिक मिलते हैं। इस विशेष प्रकार के दर्द के कारण सामान्य व्यक्ति भी कह देता है कि यह सायटिका का दर्द है। इस दर्द से रोगी को न बैठने से राहत मिलती है, न चलने से और न ही लेटने से आराम मिलता है। इसलिए रोगी बैचेन होकर कभी लेटता है, कभी उठता है, कभी चलता है तो कभी बैठता है, परंतु उसे दर्द से राहत नहीं मिलती तथा फिर इस दर्द के डर से रोगी मानसिक तनाव में आने लगता है, जिससे इस तनाव से दर्द और बढ़ जाता है। इस प्रकार रोगी को दर्द के डर से तनाव और तनाव से फिर दर्द, इस प्रकार दोनों ही बढ़ते चले जाते हैं।
दर्द के इसी डर से रोगी चलते समय एक विशेष प्रकार की चाल से चलने लगता है, जो गिद्ध (गृघ्र - Vulture) की चाल जैसी होती है, इसलिए आयुर्वेद में इस रोग को “गृघ्रसी” कहा जाता है। आयुर्वेद के अनुसार वात दोष के प्रकोपक विभिन्न प्रकार के आहार-विहार के कारण यह रोग होता है। आयुर्वेद के प्राय: सभी ग्रंथों में इसकी विभिन्न प्रकार की चिकित्सा का वर्णन है, जिसमें विभिन्न प्रकार की औषधियों के साथ ही रक्त मोक्षण का भी उल्लेख मिलता है।
चक्र दत्त के ग्रंथ में पारिजात (हारसिंगार) पत्र के क्वाथ का वर्णन किया गया है। इसी उल्लेख के आधार पर हमने पारिजात, जिसे शेफालिका या हारसिंगार भी कहते हैं तथा जिसका वैज्ञानिक नाम Nyctanthes arbortristin है, के पत्रों का क्वाथ बना कर १८ रोगियों को एक माह तक प्रयोग करवाया, जिसके परिणाम निम्र रहे-
१. १८ रोगियों में से अधिकांश की आयु ४० वर्ष से कम थी।
२. महिला तथा पुरुषों में यह सामान्य रूप से पाया गया।
३. गरीब वर्ग के व्यक्तियों में यह रोग कुछ अधिक पाया गया।
४. शहर की तुलना में ग्रामीण क्षेत्र के रोगी कुछ अधिक पाये गये।
५. नौ महिला रोगियों में से सात गृहणियाँ थीं।
६. लगभग ९० (नब्बे) प्रतिशत रोगी हिन्दू पाये गये।
७. रोग के कारण को देखा जाय तो १८ में से ३ रोगियों के गिरने से चोट लगने के बाद, दो रोगियों को भारी वजन उठाने के कारण तथा नौ महिलाओं में से तीन को सामान्य प्रसव के पश्चात भी यह रोग हो गया।
८. एक माह तक पत्तों का क्वाथ पिलाने पर लगभग ८० प्रतिशत रोगियों को विभिन्न लक्षणों में लाभ देखा गया।
इसी प्रकार हमने कई अन्य रोगियों में विभिन्न वात शामक आयुर्वेदिक औषधियों के साथ ही रक्त मोक्षण की क्रिया की जो कि शीघ्र प्रभावकारी प्रमाणित हुई। हमने औषधियों के साथ ही कटि वास्ति, नाड़ी,स्वेदन, अलावू तथा रक्त मोक्षण आदि प्रक्रियाओं को किया, जिसमें से रक्त मोक्षण की प्रक्रिया से रोगी को शीघ्र परिणाम मिले।
रक्त मोक्षण आयुर्वेद की पंचकर्म चिकित्सा के अंतर्गत होने वाली एक प्रक्रिया है, जो कि जलौंका (लीच), शृंगी, अलावू, घटी यंत्र आदि के द्वारा प्रच्छान्न करके की जाती है। हमने इनका अत्यंत प्रभावकारी रूप में प्रच्छान कर एक कांच के ग्लास में नकारात्मक दबाव उत्पन्न कर रक्त मोक्षण (खून निकालना) की प्रक्रिया की।
चिकित्सक साथियों से निवेदन है कि यदि उपरोक्त प्रक्रिया बारे में कुछ और जानना चाहे तो Lybrate के माध्यम से सम्पर्क कर सकते हैं। रोगियो से निवेदन है कि किसी अनुभवी आयुर्वेद विशेषज्ञ से संपर्क कर इस शीघ्र परिणामदायी चिकित्सा का लाभ लें !
डॉ. राम अरोरा, एम.डी. (आयुर्वेद),
Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.
Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.
It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.
- Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
- Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
- Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
- Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
- Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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.