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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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I have sometimes severe pain in my back .When I ask someone to stand at back in order to relax then my many bones where crack with sound At least 10-15 crack sound is observable. So is it normal?
Dear Sirs, When I sleep in the night I get normal sleep. But last in the night I get numbness both in the right leg .
Once the patient has a good head and trunk control one needs to work on thecontrol of the lower limb in order to make the patient stand successfully.Activities like unilateral bridging, crawling, kneeling and half kneeling helps in developing good pelvic and leg control.
These exercises are progressed from supported position to unsupported position.Sitting to standing can be practiced by making the patient sit on a chair or cot such that the feet are in proper contact with the ground. The patient is advised to lean slightly such that the centre of gravity is brought between the feet, the therapist should stabilize the knee and support the pelvis there after the patient is encouraged to assume standing posture.
Repetition of this task is essential till the patient masters the activity. The patient may be also taught standing by pulling on to the wall bar or parallel bar but for this the upper limb should be strong, nevertheless in the initial stages the support and assurance by the therapist is very important. Once the patient learns to stand,balance and weight transfer is taught.
Posturography machine provides the important feedback to the patient which helps in improving the standing balance and control. Approximation given to the pelvis or to the shoulder also helps infacilitating stability in standing. In case the patient has tremor then ankle weights, a weighted belt or theraband can help in reducing them.
Once the patient is stable in double support phase, weight transfer is practiced. Lastly in standing the patient is made to make a step with either limb in forward,backward and outward direction as a prerequisite to ambulation.
Gait training may be initially given in a parallel bar with foot marks. Footmarks are essential to reduce the tendency of the patient to walk with wide base of support. He needs constant verbal feedback regarding the step length,body rotation, accessory movements and trunk positions if the functional activity does not present itself as a whole procedural program.
When the patient has to be progressed to walk outside a parallel bar, the therapist decides whether thepatient needs to be given an assistive device, which is based upon the balance of the patient. Although walking aids do provide support to the patient, they also possess a problem because the patient will now need to control the position and movement of the device as well as themselves.Walker or cane may be used depending upon the patient’s comfort.
Various coordination tests were used as assessment tools for incoordination are also used as exercises to improve incoordination. The patient is asked to repeat each activity about 10 to 12 times during each session.
The patient maybe given these exercises as even home exercise program. At home patient can have multiple sessions with good rest in between them to avoid fatigue.Proximal fixation can be improved by using PNF techniques like rhythmic stabilization and approximation.
Pain in knee, heart patient, MI PTCA done before 3 years. Osteo arthritis or any deformities was not shown in xray. Now treated with BENFOMET PLUS, CARTIZEN DUO, but still now pain is there.
I am 59 years old suffering with right knee pain problem for the last six- seven days and I am not in a position to fold my right leg. paracetamol- 650 is not giving much relief. Please advice me what should I do?
Knee injury can occur from the direct blow as well as through stretching and twisting injuries. At times the ligament that holds the knee in place gets stressed and results in sprains. Depending on the extent of the ligament and fibre damage, the sprains are graded. Then there are knee injuries that are caused by overuse of it. These injuries cause harm to the tendons and the muscles. Since the knee is interconnected to a lot of other structures, any damage to the knee can have serious repercussion to other connected bones and ligaments.
What are the Risk Factors?
1. Muscle imbalance leading to hamstring spasm.
2. Imbalance of the thigh muscle leading to injury of the knee.
3. Pregnant women and people who are overweight are at increased risk of knee injury
Signs and Symptoms of a Knee Injury:
Knee injuries that are serious in nature can result in instant swelling along with difficulty in bending it. People may find it difficult to bear any sort of weight whatsoever. Joint pain, swelling, inflammation of the muscles are some of the other symptoms of injury to the knee. Pain, instability, locking of the knee can be felt while walking fast or climbing stairs.
When to Contact a Doctor?
Any knee injury should be instantly reported to a doctor. Signs such as deformity, loss of sensation, cold ankle, swelling of knee etc. are signs of a knee injury. A doctor should be consulted, if home remedies such as rest, elevation, compression and ice treatment fail to fetch any fruitful results. If the swollen area has become warm and red and accompanies fever, it is a sign to visit the doctor.
How is a Knee Injury Diagnosed by a Doctor?
A doctor starts the diagnosis with medical history along with physical exam of the patient. Doctor first does a thorough inspection of the nerve and blood supply of the area.The next step of the diagnosis includes palpation. This is a step where the doctor tries to find out the exact location of the pain and tries to correlate the same with the injury location. The doctor might also stress the ligament in order to find out if they are fine. Other imagery tests such as X-ray and MRI are performed to find out the exact location of the injury.
The nature of the injury decides the treatment plan. In many cases, the injured area is suggested to be kept at rest or moved in the specific direction as per the direction of a physiotherapist. For serious injuries with a tendon or ligament injury, a reconstructive surgery is necessary to get the knee to the original condition. The type of surgical procedure depends on the kind of Injury one have faced.