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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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AS is a type of arthritis of the spine. It causes swelling between vertebrae, which are the disks that make up your spine, and in the joints between spine and pelvis. Ankylosing spondylitis is an autoimmune disease. This means immune system, which normally protects body from infection, attacks body's own tissues. The disease is more common and more severe in men. It often runs in families.
Early symptoms include back pain and stiffness. These problems often start in late adolescence or early adulthood. Over time, ankylosing spondylitis can fuse vertebrae together, limiting movement.
ETIOLOGY of Ankylosing Spondylitis
Evidence points to autoimmune etiology.
Positive family history.
CLINICAL FEATURES of Ankylosing Spondylitis
Pain in back, buttocks.
Morning stiffness, better with activity.
No movement possible.
Gradual involvement of:
A) Whole vertebral column. B) Hips.
Tenderness at sacro-iliac joint.
Cervical, thoracic spines become tender.
Patient cannot erect spine.
Sits, walks with flexed spine.
Chest expansion diminished.
Complete rigidity of spine & involved joints.
Kyphosis (curve in spine).
COMPLICATIONS of Ankylosing Spondylitis
Aortic incompetence (calcification of valve).
Recurrent chest infection.
INVESTIGATIONS for Ankylosing Spondylitis
Hb% : low.
Rheumatoid factor: negative.
X-Ray findings of sacro-iliac joints
Narrowing of joint space.
Haziness of joint margins.
New bone formation.
Bridging of joint cavity.
X-Ray vertebral column
Ossification of spinal, para-spinal ligaments.
Squaring of vertebrae.
Ossification of intervertebral discs.
Bamboo spine (fusion of entire vertebral column).
GENERAL MANAGEMENT for Ankylosing Spondylitis
Before ankylosis takes place:
Provide straight back chair for sitting.
Firm bed with one pillow at night.
Encourage lying in prone position.
Homeopathic Remedies for Ankylosing Spondylitis
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition. The symptoms listed against each medicine may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. None of these medicines should be taken without professional advice.
I am 64 years old. Quite fit. Am 6' tall and my weight is 84-85 kgs. I play golf, occasionally, and also gym-workout. I have developed pain on the under feet, mostly the heel area, since last 4-6 months. Pls advise . Tks.
I have to much pain in my left shoulder & l am also taking medicines from the best doctor of my city but there is no any result of improvement, what should I do.
Hand is Not Working Properly After Radial Head Removal Surgery Even After One & Half Year Dear Sir, My(Age 25). On 3rd January 2015, I faced a accident in which my left hand's radial head got damaged. A piece of head cracked inside. I went to the doctor and he said that it needs surgery once the swelling goes down. After waiting more than 10 days doctor decided for operation in which he told me that "it's just gonna so simple and I will just take out the piece of broken radial after which you just have to face the pain of just 2-3 stitches" But when doctor checked all conditions of my left hand he decided to break and remove the head. The operation went successfully in which I got 10 stitches. Now after more than one & half year my hand is still not working properly. I am not able to use straight hand in 180 degree and it is now on 135 degree.� Doctor consulted to take the physiotherapy after which I went approx one month but still I am not able to make my hand straight. I went again to my doctor and he told me for stop therapy and for exercise at home. I am doing exercise daily but not feeling any improvement. However after the therapy my hand started movement as up-down, wrist movement of 360 degree and can use flat hand. Please suggest me what I can do more to make my hand 180 degree. I am not happy and it is becoming reason of depression for me day-by-day. Please guide me or I am thinking to go for another surgery for it. Regard's
Hi I am 68 years old and lost my 34 years old son in a accident on 2 sep, 2013. Due to this loss I could not go well as I was before that. Now from the last one month I am feeling pain in my knees. Kindly advise some suitable and affordable medicine/suggestion.
My problem is heavy back pain and my job is system operating i'm sitting in chair for almost 7 to 8 hours I think that's the reason to my back pain I am using some pain killer tablets please suggest me.
I am 53 years old I am diabetic since last 18 years. Since last 6 month in my both shoulders there is fluctuating pain. Some one told me that is it due to frozen shoulder. Please advice.
I am suffering continue pain on the lower portion of left leg though I am a uric acid patient. What should I do?
Please help me sir how can I get pain free form my lag joint? I am suffering from 5 days. So now how can I pain free relief? Help me sir. Thanking you sir.
Staying healthy involves a wholesome state of being where the mind and body are in perfect sync. A less than properly functioning body can leave you in a state of potential depression after a certain point of time, while a depressive mind can leave you feeling less than stellar where you end up imagining and experiencing pain. The health of your bones and joints is one such area that requires even more care as you start growing older. Wear and tear is just one of the reasons for degeneration while fractures and injuries can lead to a sudden halt of normal functioning of the bones and joints too.
So how can you ensure bone and joint health in the long run? Follow our tips!
- Eating Right: Pick calcium rich food like dairy products that have a low fat content, including milk and yogurt. Also, have a daily dose of green, leafy vegetables and plenty of citrus fruit and juices for your fill of calcium. Further, food like eggs and soybeans which have lots of vitamin D can also help in retaining good bone and joint health. Vitamin C rich fruit like watermelon, oranges, squash and tomatoes also help in natural tissue and cartilage repair. And finally, get plenty of vitamin K to retain good bone density for a prolonged period with ingredients like leafy green vegetables, eggs and cheese.
- Exercise: This is the key to good bone and joint health. Much like machinery and tools, the bones and joints of your body can also wither with disuse and prolonged inactivity. Make sure that you indulge in exercises like long walks and muscle strengthening exercises which will give your joints and bones good amount of strength as well. Remember to speak with your doctor before you start a new exercise regime so that you avoid anything that may be harmful in case you have any other ailment. Low impact exercises will strengthen the spine, while fat burning and weight loss exercises will ensure that there is less pressure on the knees and lumbar area. Swimming and resistance building exercises can also be practised for these purposes.
- Abstinence: A major factor in promoting better bone and joint health is abstinence from all those things that can create problems in the long run, like smoking, drinking excessively and even too much consumption of caffeine and fatty food. All these things can create depletion of the natural bone mass. Also, switching to a lower heel for everyday wear footwear and changing your position during your time at your workstation are a few things that will go a long way.
Take care of your bones and joints the right way today, for a healthier tomorrow. If you wish to discuss about any specific problem, you can consult an Orthopedist.
I am 30 years weight 60kg height 5 foot 6 inch I suffer from muscles stiffness muscles cramp tingling and feel weakness in leg and facing problem in up and down movement and also have emotional imbalance problems memory weakness and difficult in learning and nervous system weak specially in mind I want to do some test as calcium level, serotonin level, vitamin d level. Is this right test if not, please suggest right test to reach to confirm disease and also have problem in concentration.
Respect sir mere ghutne me dard hota rhta hai Usme chot lg gyi thi 2 month phle. Uska ilaz bhi huya to docter ne btaya ki shi ho gya h ab.
By playing football I got partial damage on my knee ligament and I am not able to play now. How much rest I should take? So please suggest me how to recover this injury fast.
I am unmarried lady of 39 years old suffering from ankylosing spondylitis since 2013. Doctor has told me to take" infliximab" injection coz that is the only option left for me but I want to go to south and consult with doctors out there. So, please suggest me what shall I do.
Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.
A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.
Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:
- To reduce pain in the shoulder
- To increase the flexibility and strength of the shoulder
- To enhance movement of the shoulder.
- To increase endurance of the muscles
Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:
- Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
- Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
- Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual. If you wish to discuss about any specific problem, you can consult a physiotherapist.