Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
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
Knee Injury Treatment
Treatment of Spine Injuries
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Patient Review Highlights
My Uric acid level Is 6.9 what should I do to Lower it. Am facing pain in my ankle. Suggest me ways.
My mother (Age 51, weight 69 kg) has osteoarthritis and the synovial fluid of the right knee (Arthritis grade 4) is nearly gone but the bones of the left leg started to bend and paining more severe from 2 month on wards. And BMD results shows osteoporosis (T-Score = -4.06) (Z Score = -2.63) but uric acid and serum calcium is normal. She also has mild diabetes and High BP (140/80). Should we go for the knee replacement surgery or is there any alternative of this surgery? And Can knee replacement surgery successful in osteoporosis bones?
Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:
Help the hip joint work better
Improve walking and other movements.
Who Should Have Hip Replacement Surgery?
The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:
Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)
Osteonecrosis (a disease that causes the bone in joints to die)
Injury of the hip joint
Bone tumors that break down the hip joint.
Your doctor will likely suggest other treatments first, including:
Walking aids, such as a cane
An exercise program
These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x-ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.
Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.
An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.
An equipment is then used to remove the ball socket of the joint by cutting the thighbone.
The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.
Once the joint is fixed, the ball of the thighbone is then put in the hip socket.
The fluids from the incision area are then allowed to drain.
The hip muscles are then put in place and the incision is closed.
After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.
It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support. If you wish to discuss about any specific problem, you can consult a orthopedist.
Do you know you can suffer from a torn bicep accidentally? A bicep is a muscle which begins from your upper arm and is attached to the shoulder via bones and to the elbows by tendons. If you do heavy lifting in the gym or somehow put excessive pressure on that area, chances are you may suffer from torn biceps.
There are two kinds of bicep tears you may encounter:
a. Complete Tears where the tendons are split into two parts resulting in tremendous pain.
b. Partial Tears result when the biceps are hurt but the tendon is not completely severed.
Among the various types of torn biceps, the muscle that is attached to the shoulder experiences the maximum number of bicep ruptures. Suddenly, the bicep tendons get detached from the bone resulting in pain and numbness. You will find a number of sportspersons suffering from this kind of torn biceps.
But why do your biceps get torn?
1. One of the reasons why you suffer torn biceps is a prolonged period of ignorance. If you have been putting continuous pressure on your shoulder, the biceps muscle can weaken over time. Overuse of the muscles can give rise to conditions of tendinitis (inflammation of the bone to muscle connecting tissue) and injuries in rotator cuff which, in future, might result in torn biceps.
2. A sudden injury like falling over your arms or hurting your shoulder can result in torn biceps.
3. Aging is another reason why you can have this complication. Added to this are unusually heavy tasks and overuse of shoulder which can result in this problem.
4. Some steroids such as Corticosteroids are directly related to the weakening of muscles and tendons.
When you suffer from torn biceps, you encounter symptoms such as:
a. Weakening of the elbow and the shoulder. You will find it troublesome to move your hand.
b. Swelling of the elbow with bruises visible on the elbow and the forearm.
c. You find trouble in twisting your forearm
d. You will experience spasms in the muscles.
e. You can also hear a snapping sound of the muscles.
What should you do if you face this problem?
a. Continuous applications of ice packs are a must. Repeat the activity 4 times a day with a duration of 20 minutes. You may need to do it for 2 or 3 days.
b. Avoid activities which put pressure on your hands and shoulders.
c. Consult a doctor immediately and get some painkillers as recommended.
d. If you have complete tears, you may need to undergo surgery. Talk to your doctor regarding that.
Lumbago or Lower back pain is a condition that is characterized by mild to serious pain or uneasiness in the lower back region. Lower back pain is more prevalent among the youth whose work includes physical exertion or sitting for long hours and is also common in individuals belonging to the 'retirement age' because of their sedentary lifestyles. The pain might be acute (sudden and extreme) or chronic if it has been endured over a span of three months.
The most common causes of lower back pain are:
- Overuse of the muscles and includes strains or sprains of soft tissues such as muscles, ligaments and vertebral compression fractures.
- Pressure on the roots of nerves due to conditions such as spinal canal stenosis (narrowing down of the spaces within the spine) or herniated disc (a condition of the rubbery disc present between the spine bones (vertebrae)).
- Osteoarthritis is a condition wherein the shock absorbers, found in the joints, progressively break down.
When it affects the spine, the condition causes back pain by stiffening the spinal joints. Symptoms of Lumbago (Low back pain) include:
- Stiff back
- Numbness in the legs
- Loss of weight
- Difficulty in urinating
- Sciatica, which is the pain running down the lower back to hips, legs and thighs. This occurs due to a compression by an intervertebral disc in the back, which leads to a pinched nerve.
How to diagnose lower back pain or a slip disc?
Some methods that can be utilized for diagnosing back include Xray, CT Scans, Myelogram and MRI scans.
Treatment options available -
Exercises along with correction of bad posture for relieving back pain are a common component of any treatment plan. Factors such as type and severity of the pain as well as the patient's history can help in determining the type of treatment that can be administered. In most cases, the recovery time is usually six weeks without surgery. Typical treatment of back pain includes use of muscle relaxants, painkillers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below:
- Rest: A period of rest and inactivity would help the injured tissues to recuperate and relieve back pain. However, extended periods of rest lead to weakening of muscles and hence might prolong the existing back pain.
- Heat and ice packs: Both heat and ice therapies are used according to the patient's preference to reduce inflammation.
- Medications: A large variety of prescription and over-the-counter medicines are available. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. Examples would include acetaminophen, celecoxib and diclofenac. If you wish to discuss about any specific problem, you can consult an orthopedist.
Shoulder impingement occurs when there is impingement or change in the position of the tendons or a bursa (fluid filled sac or cavity, which causes friction in the joints) in your shoulder. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours.
How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.
Symptoms of shoulder impingement:
1. You will have difficulty in completing tasks which involve your back.
2. There may be a weakness in your shoulder muscles.
3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.
Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.
Treatment of shoulder impingement:
NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.
Physiotherapy for Impingement:
Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:
- Pain Management
- Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
- You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
- Strengthening Exercises
- The therapist will teach you the proper posture which is an important part of rehabilitation
Wrist fracture is a medical term used to describe a broken wrist bone. Wrist is composed of 8 small carpal bones and lower ends of the two forearm bones, such as Radius & Ulna. The fracture may occur in any of the 10 bones that make up the wrist. While some fractures can be severe, most fractures are tiny in nature. The fractures, which are severe, tend to render the bone unstable and a cure for this condition might require a surgery. Open fractures occur when the broken bone spike juts out through the skin. This might lead to an infection in the wounded region.
Causes of Wrist Fracture
- The most basic cause of a wrist fracture is injury. Any fall on your outstretched hand (FOOSH) and you might have to nurse a fractured wrist. This type of fracture is common among sportsmen.
- People suffering from osteoporosis have a high risk of getting a wrist fracture.
- Traumatic accidents might also cause severe wrist fractures.
- Repetitive use of wrists leads to inflammation of the tendons present in the wrists (tendonitis).
Symptoms of Wrist Fracture
A wrist fracture has symptoms that can be extremely painful. The pain escalates whenever you try to move your wrist or flex it, even if you are just flexing your fingers. Sometimes your hand or arm may even become extremely numb when you fracture the wrist. The muscles in the area become tender and swell up. It is almost impossible to move the wrist after it gets fractured. The fracture causes the wrist or rather the hand to appear deformed. The most common deformity being a Dinner fork deformity (Colles' Fracture). The area around the fracture may experience bruising and a fractured wrist also affects the blood flow in the area. You might even injure your ligaments, tendons, muscles or nerves.
To confirm and check the level of severity, you are generally asked to get an X-Ray done. In order to get a more detailed look at the fracture, you might have to undergo CT or MRI scans as well. Usually, in order to treat a fracture, you will have to wear a splint or a cast and move your hand as least as possible. But keep moving your fingers otherwise they might get stiff.
Most cases of wrist fractures recover well with a very good return to function.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Oh my aching Heel!! The combination of foot and ankle consists of 26 bones, 33 joints and an excess of 100 tendons. The longest bone present in the foot is the heel. Over usage or injury to the heel would lead you to experience pain in the heels. The severity of the heal pain can range from mild to excruciating.
The cause behind heel pain is typically associated with excess usage of the heel bone (learn more about to maintain bone and joint health). Straining of your heel occurs if you excessively pound your feet on surfaces that are hard, or you are overweight or even if you wear shoes that do not fit your feet properly. These strains cause irritation in the muscles, bones or tendons that are present in the heels. Some of the other common causes include:
- Heel Spurs: Development of heel spurs occurs due to the continuous stretching of the lining, which covers the heel. Upon continuous stretching, pieces of the lining tend to break off. Development of heel spurs is common in athletes who frequently jog or run. People who are obese also tend to experience pain due to heel spurs.
- Plantar Fasciitis: Development of Plantar Fasciitis occurs due to the inflammation of the tendinous tissue that connects the heel to the ball of the foot. Development of Plantar Fasciitis is common in athletes who frequently jog or run as well as people who wear shoes that don't fit the feet properly. It may occasionally be associated with Vitamin B12 deficiency and raised uric acid in blood
- Achilles Tendinitis: This is the inflammation of the Achilles tendon. Achilles Tendinitis occurs commonly in people who have active lifestyles, such as people who are joggers, runners or even dancers.
Physical therapy, medication or alternative treatments can be used to treat this form of pain. Medications for heel pain can only be in the form of anti-inflammatory drugs. Although these oral medications cannot significantly relieve heel pain, some injections containing substances such as corticosteroids, as well as Arthrocentesis (removal of fluid present in joints using hollow needles) might be able to provide relief. Recently PRP (Platelet Rich Plasma) injection have been found very useful in treating recalcitrant Plantar fasciitis and heel pains.
Common practices that can be used to relieve discomfort include:
- Application of ice to the heel for a duration of 15 minutes daily.
- Utilize over-the-counter pain medications .
- Have adequate amounts of rest .
- Wear shoes that fit properly .
- Walking on tip toes to stretch the plantar fascia helps to relieve heel pain.
If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.