Doctor in Xenia Physio Care
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.
There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.
Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)
Age and trauma are the main reasons for cartilage damage.
Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).
Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.
Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.
Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.
The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.
Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:
Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.
Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.
Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.
Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth.
Back pain is a very common and largely uncomfortable symptom of daily life. It affects a lot of people, and the cause can vary from neurological to orthopaedic. The related problems that back pain can cause include pain along your spine extending to your other muscles, impairment of movement, or difficulty carrying about daily tasks like walking or lifting objects.
• If you have pain that seems to travel outward from your back to your legs and maybe even your arms, you may have a slipped disc. This disease is not too infrequent, especially among older people. It is caused when a vertebra leaves its rightful anatomical place and settles somewhere else impairing normal bodily functions. Since this is a disorder of both the spine and the skeletal system, you can see either a spine specialist or an orthopaedic for a remedy.
• If you have a persistent pain in your buttocks or your legs that do not go away even after persistent effort, and if you get slight relief every time you lean your whole body forward, you may have spinal stenosis. It is the constricting of the spinal canal at the base, which causes severe pain and discomfort. This condition may be caused by either age or genetic factors and is an ailment of the spine. Therefore, you should visit a spine surgeon for a cure.
• If you have pain that originates in the buttocks but has spread to the whole leg in such proportions that normal walking and standing have become difficult, you may have sciatica. This is a nerve disorder wherein a herniated disc puts pressure on a nerve until there is persistent pain surrounding the nerve. This condition is a nerve problem, and hence visiting a neurologist will offer the perfect solution.
Leg pain has become an indispensable part of the daily millennial's life, thanks to sedentary lifestyles and poor ergonomics. If left untreated, it can give rise to such chronic pain that you may become permanently unable to stand up. Therefore, you need to visit a doctor as soon as symptoms show. Watch out for the symptoms above and visit a specialist accordingly.
The anterior cruciate ligament is one of the most delicate yet vital ligaments that holds the knee bones in place and stabilizes the movement. Injury to the ligament, on account of a sprain, can prove to be a cause of severe distress. This may lead to a partial or a complete destabilization of the knee joints and impair the normal movements to a great extent.
Some of the most common causes of this sort of a ligament tear are accidental injuries during a sporting activity, unexpected collision or incorrect body postures. This is a fairly common occurrence among the athletes. However, the physiological and neuromuscular controls make women more susceptible to damage to the Anterior Cruciate Ligament than men.
There are two cruciate ligaments in our body, i.e. the anterior and the posterior cruciate ligaments. They run in crosses to connect the insides of the knee joints. They regulate the back and forth movement of your knees. They therefore, may incur substantial damage through sudden movements like jerks or an abrupt change of direction; the degree of tear may vary from minor strains to complete detachment. Accordingly, treatments are available to cure the distress. The treatments may either be surgical or nonsurgical, depending about the extent of the injury as well as the age of the patient. A complete tear in the ligament necessitates surgery for recovery. However, one may choose to opt for other non - surgical methods to minimize the damage.
Some of the most effective treatments for a tear in the anterior cruciate ligament have been enlisted below:
1. Bracing: Wearing a brace or using a crutch for the purpose of movement can accord the knees with some stability. It also keeps the joints intact and alleviates pain.
2. Physiotherapy: Once the inflammation reduces, you may opt for physiotherapy to restore movement and reduce the pain. Heat and Ice therapies work as ideal adjuvants to physiotherapy in such cases.
3. Surgery: Regrowth of the anterior cruciate ligament may be possible through a surgical process of grafting. This enables the tissues to repair themselves. Knee caps and adequate rest accord better rehabilitation. The recovery is faster and steadier in this process.
Thousands of people are affected with a painful knee which troubles their lives directly. Due to a weak or inflated knee, they cannot continue to carry on with their activities which they do have been doing regularly. A total knee replacement is required in many such cases, which is one of the most popular and successful ways to provide relief from chronic knee pain.
But in many cases, a successful total knee replacement is not possible due to various reasons and in that case, the people need to undergo another replacement, called Revision Joint Replacement.
What is Revision Joint Replacement?
As we mentioned in the above section that total knee replacement is successfully carried out in most cases but there are also many in which it is not possible. Other than that, even if a successful total replacement is made, overtime different problems related to it may arise like wearing of thr implant or adjustment of the original parts as well. So, another replacement is recommended to fix these problems and this is popularly known as Revision Joint Replacement.
Revision joint replacement is often much more complicated than total knee replacement. This is because the process deals with bringing changes to the already replaced knee and therefore, any kind of mishandling can lead to serious knee problems. Let us have a look at the different reasons because of which revision knee replacement is carried out.
Why Revision Knee Replacement Done?
The reasons because of which a revision joint replacement may need to be performed include:
● One of the very important reasons is worn out implants. Even though implants are designed to support the knees for a long time, due to various reasons and activities of the individual, these implants gets worn out and needs to be replaced.
● Infection is one of the biggest risks in joint replacement surgery which will seriously affect the whole health of the person. If over time any kind of infection is likely to develop due to improper care or negligence of any initial infection symptoms around the postoperative area, revision replacement is done to help the individual.
● If it is found out that the implants are becoming unstable with time, you must understand that you will need a revision joint replacement. When the implants are not occupying a proper position or have been dislocated due to some reason, the implants will need to be placed in the right area once again.
So, these are the various reasons because of which revision knee replacement is important. If you read the article carefully you will understand that even though revision replacement has its risks, it is quite beneficial and convenient for the people too carry on with their activities.
Your shoulder is one of the most overused joints in the body and thus is at a higher risk of contracting an injury. Shoulder pain may lead to mobility issues where moving your arms may become extremely difficult. The shoulder consists of three parts, viz. the shoulder blade, collarbone and the upper arm bone. Shoulder pain may result from an injury to any of these areas.
The various causes of shoulder pain are:
- Impingement: Impingement of the shoulder muscle occurs when the top of the shoulder impinges on the rotator cuff muscles. This condition can lead to severe pain in the shoulder.
- Bursitis: Bursa is a fluid filled sac that cushions the bones and help in preventing friction. Bursitis is a disorder that results in inflammation of the bursa, thus resulting in shoulder pain.
- Tendinitis: Tendinitis is a condition that is characterized by gradual wear and tear of the tendon. Usually the rotator cuff tendons in the shoulder are affected by this condition.
- Instability of the shoulder: Shoulder instability is a disorder of the shoulder wherein the upper arm bone dislocates from its socket. This can cause excessive pain in the shoulder.
- Fractures: A fracture in the bones of the shoulder results in excruciating shoulder pain.
- Arthritis: Arthritis is a disorder that leads to inflammation in the joints, thus resulting in pain and impaired movement of the joint.
Treatment: The treatment for shoulder pain consists of medications and physiotherapy. You may also be asked to discontinue any strenuous activity that requires shoulder movement. Medications such as NSAIDs are prescribed to help in controlling the pain. Various stretches of the shoulder are also recommended to improve shoulder flexibility and mobility.
Tips: Do exercises such as the overhead press with light weights to improve your shoulder strength. Also make sure to include certain external rotation exercises to strengthen the rotator cuff muscles.
The longest nerve in the body is the sciatic nerve. The sciatic nerve starts from the lower part of the spine, through your hip to the back of the leg. So when it is said sciatica, we refer to pain in this nerve. Since the nerve covers the spine, hip and leg, sciatic pain is felt in the areas through which it passes. The lower leg muscles and sensation in the legs, thighs and feet are controlled by this nerve.
Symptoms usually include:
- Pain that radiates from the lower back to the hip and to the leg
- Sharp, tingling, dull, constant or burning pain
- Loss of bladder or bowel control
- Sneezing or coughing increases pain
- Moving the leg gets difficult so usual activities like walking, sitting and standing become painful
- Ammonium Muriaticum: It is taken for chronic pain in the heel or for chronic backache or when straightening the knee gets difficult as hamstrings contract. It is also taken for limping.
- Bellis Perennis: In periosteum injuries, stiffness and deep aches in the spine Bellis Perennis is used. It is also used for tailbone injuries. It is also helpful for nerve pains during pregnancy.
- Calcarea Fluorica: If the vertebra degenerates after trauma to the spine, then Calcarea Fluorica can be useful.
- Cicuta: The worst back injuries with serious trauma and muscles spasms are treated with Cicuta.
- Hypericum: Hypericum is suggested for tailbone injuries, temporary paralysis, spinal concussions and for sharp pain that tingles and moves upwards.
- Rhus tox: If after lifting weights, overexerting muscles and exposure to anything wet, you feel tearing and burning pain, then Rhus tox is beneficial. Cramps that get better after heat application, but get worse after exposed to the cold are also treated with Rhus tox.
- Ruta: Stiffness and pain from back injuries, twisting the wrong way and bruises are prescribed with Ruta.
Plantars Fasciitis is an orthopaedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.
-Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
-Supportive Footwear: Using pads within your shoes with gel built into them, or using specific foot wear that help in walking without feeling too much of pain is a good way of dealing with Plantars Fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for the feet. These also give your heel and its arch good support, while Orthotics pull at the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and this ligament stretched while you enjoy a good night of sleep.
-Exercise: Indulging in mild muscle strengthening exercise that also involves stretches and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
-Pain Killers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
-Anti Inflammatory Drugs: Your doctor may prescribe anti inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
-Surgery: Heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.
Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.