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Cervical Traction Procedure
Hip Replacement Surgery
Treatment of Lumbar Radiculopathy
Spinal Fusion Surgery
Treatment of Knee replacement
Arthritis And Pain Management Treatment
Hip Resurfacing Surgery
Hip Injury Treatment
Ankle Injury Treatment
Knee Injury Treatment
Hip Pain Treatment
Ankle Pain Treatment
Knee Pain Treatment
Treatment of Joint Dislocation
Joint Mobilization Procedure
Joint Replacement Surgery
Limping Child Treatment
Meniscus Injury Treatment
Pelvic Rehabilitation Techniques
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I am 23 yrs old girl, in my xray reports scoliosis has been found in spine. Please suggest what precautions/medications to be taken to cure scoliosis
. I am 25 year old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days but haven?t got any relief. What should I do now?
I am 55 years and suffering back pain for the last three months please advice me. I am taking concord 1. 25 mg at morning, and cardaze 1. 25 and atorfit cv 10 in night and sompras d 40 for my ulcer problem. Please advice me
Am 21 years old, am an athlete and I have this impulsive pain in my right shoulder when I try to spike the volleyball or throw shot put since 2years can you please help with this.
Hi I met accident. My x ray is clear. But my body have neel at the end of back bone and I have little pain there please advise
Due to radial fracture in elbow doctors advised to implant stainless steel or titanium. Which one should I go for and why.
I have a nerve pain in left back solder which cause left hand pain with just like paralyse.Please tell.
I am 32 year old unmarred male. I have problem in balancing my body, my left leg pain after a walk of 100 m. I felt tired, I sweats too much. Kindly help.
Dear all I feel very stiffness in morning and all the day I feel lazy. And in eveningtill late nigh feel very tired. I can not wake up in early morning. please suggest what to do Thanks and regards Fareed.
I am a 31 years old male and suffering from left shoulder-neck region pain since last 3 months. I went for physiotherapy and took 5 sittings of the treatment and started doing exercises as recommended, but although the pain reduced for few days, it has started again. I am now being told to meet an orthopaedic. Please suggest.
I have very much of back pain, I had stones in my kidneys, how can I get relief from this back pain?
I have a very severe problem of pain in joints of hand and legs. I have consulted many doctors one said lack of vitamin d another said increase in uric acid I took medication but there is not any relief in the problem even specialists cant find the problem. My nerves in the joints keep aching specially in the morning.
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.