Hi I am 29 years old 5 years back I met with a bike accident, recently I am getting lower back pain. I have undergone mri spine I have diagnosed with disc desiccation, schmorl's node, posterocentral protrusion at l4-l5 level causing thecal sac indentation, narrowing bilateral foramina abutting the external roots. A mild posterior bulge at l3-l4 level causing thecal sac indentation. The doctor suggested that daily exercise is needed I have a doubt can I regain my original spine in future, and how many days I need to continue with these exercise and could you please explain the severity of my condition.

Dr. Julie Mercy J DavidPhysiotherapist22yrs exp

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A thorough physical examination reveals much about the patient's health and general fitness. The physical part of the exam includes a review of the patient's medical and family history. Often laboratory tests such as complete blood count and urinalysis are ordered. The physical exam may include: ?palpation (exam by touch) determines spinal abnormalities, areas of tenderness, and muscle spasm. ?range of motion measures the degree to which a patient can perform movement of flexion, extension, lateral bending, and spinal rotation. ?a neurologic evaluation assesses the patient's symptoms including pain, numbness, paresthesias (e.g. Tingling), extremity sensation and motor function, muscle spasm, weakness, and bowel/bladder changes. Particular attention may be given to the extremities. Either a ct scan or mri study may be required if there is evidence of neurologic dysfunction. Physical therapy which teaches the patient to strengthen the paravertebral and abdominal muscles which lend support to the spine. General exercises which help build flexibility, increase range of motion and strength. A corset or a brace could be used to provide support; cervical collars may be used to alleviate pain by restricting movement. Hot or cold packs on the affected area, ultrasound and electric stimulation are some of the other treatments which are used. Management of acute symptoms rest and support- with acute joint symptoms, a lumbar corset may be helpful to provide rest to inflamed facet joints. When acute symptoms decrease, discontinue corset by gradually increasing the time without the corset. Often the most comfortable position is flexion, esp. If there are neurologic signs due to decrease in the foraminal space from joint swelling or osteophytes. Education of posture- head, neck and shoulders should be supported by the back rest of chair with a small pillow in the lumbar spine, the feet supported and the arm resting on arm rests or on a pillow in the lap. Modalities- hot or cold packs on the affected area, ultrasound and electric stimulation are some of the other treatments which are used to decrease pain and reduce muscle spasm. Relaxation- by soft tissue techniques. Teach self relaxation techniques, e.g like deep breathing exercises and physiological relaxation (laura mitchell method) and hydrotherapy. Traction- gentle intermittent joint distraction and gliding techniques may inhibit painful muscle responses and provide synovial fluid movement within the joint for healing. Gentle rom within the limits of pain. Management of subacute and chronic phase increase rom- free active exercises of lumbar spine. Pelvic tilting forward, backward in crook lying, quadriped, sitting and standing. Mobilization- restoration of intersegmental mobility by accessory pressure enables the patient to regain full functional painfree movement. Stretching exercises. Strengthening exercises. Posture correction. I am having a different body shape. My hips are wider than normal male structure which makes my body resemble with a woman's body structure. I want to decrease my hip width. Suggest me ways to deal with this problem. You can go for walking until 5-6 kms which will help you to get reduced with the hip width. It will remove the adipose tissues in the body. There is a bulged out skin from the hole of my hip which is very painful. Can you please help me? Are there any chance to fix facet joint pain from ayurveda. My right hand thumb bone has been dislocated. What should be done? You have to keep ice immediately to reduce the inflammation and you have to immobilize the joint by keeping a plaster. Consult near by orthopaedician to correct the dislocated bone. I have pain in back side of stomach. I have done ultrasound. It was diagnosed stone in gall bladder. What are treatments for removing stone from gall bladder. You can drink hot water and also general lukewarm water to flush out the stone. Apart from that you can take good fibre foods which will definitely help you to get removed from the current symptoms.  

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