My mom who lives in darbhanga is suffering from severe arthritis and she is always in extreme pain. Most of the time, she is not able to get up from the bed and her hemoglobin also drops to a 4-5 sometimes. Is this something you can help her with? If yes, let me know so that I can set up an appointment with you. Currently, she takes a pain medication given by our family physicians as needed. Her uric acid is also high.

Dr. Julie Mercy J DavidPhysiotherapist26yrs exp

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Treatment goals ?to protect the joint from further damages. ?provide pin relief. ?prevent deformity and disabilities. ?increase functional capacity. ?improve flexibility and strength. ?encourage regular exercise. ?improve general fitness. Physiotherapy modalities - hot/cold applications- electrical stimulation- hydrotherapy and spa therapy this should be due to the sciatic nerve compression in the right side probably close to your l5 vertebrae. It can also be due to the strain on the left leg, try wearing mcr chappals which would help you to get relieved from pain. To protect the joint from further damages. ?provide pin relief. ?prevent deformity and disabilities. ?increase functional capacity. ?improve flexibility and strength. ?encourage regular exercise. ?improve general fitness. Physiotherapy modalities - hot/cold applications- electrical stimulation- hydrotherapy and spa therapy rehabilitation treatment technique - rest and splinting - compression gloves - assistive devices and adaptive equipment - massage therapy - therapeutic exercise - patient education exercise for acute phase: ?preformed exercise at least once a day. ?general assisted movement through normal range (joint mobilisation). ?isometric-?static movements? helps to maintain muscle tone without increasing inflammation. Exercise for the chronic phase: ?can progress the above exercise to include use of light resistance. ?postural/core stability exercises. ?swimming/walking/cycling to maintain cardiovascular fitness. ?gentle stretch for areas that become tight, such as knees &calves. Regular exercises: ?maintaing muscle strength is important for joint stability & preventing injury. ?muscles can become weak following reduced activity. ?pain signals from yours nerves and swelling can both inhibits muscles. ?muscle length can be affected by prolonged positions immobilization and tightness can limit daily activities. Alternative therapies: ?thi chi. ?musical therapy. ?yoga therapy. ?relaxation techniques.  

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