What is manipulation?
Mobilisation and manipulation is same meaning. This is passive, skilled manual therapy techniques applied to joint.
Type of mobilization
Thrust - this is high velocity, short amplitude motion such as pt can't prevent it
Manipulation under anesthesia- this is medical procedures
Benifit of mobilization - improve range of motion, reduce pain, improve the mechanics of joint to help with things such as lifting your arm, bending your spine and walk
Note- mobilization can't change a disease process/ inflammation process but it can minimise pain, maintained joint play and reduce mechanical limitations
Indications of mobilization: pain muscles guarding and spasms
AVN is the acronym for avascular necrosis, which mostly affects the hip bone. This complication develops when there is a loss of blood flow to the bones. Being a living tissue, bones require a continuous supply of blood, and if there is an interruption to this supply for a long time, bones suffer from avascular necrosis. The longer duration of this condition may cause bone death. Apart from the hips, AVN may also affect other sites like knees, shoulder, ankles, etc.
Usually, there are no symptoms in the early stages. However, as the disease progresses, it begins to hurt as you sit down or put pressure on the hip bones. As the disease progresses unabated, the pain may refuse to go away. Progressively, the hip bone collapses along with its surrounding joint tissue. Pain becomes severe and begins to interfere with your daily activities. However, it may take several months and even a year for the bone and the surrounding tissue to collapse.
Causes of avascular necrosis may include:
Dislocation of thigh bone affecting the blood supply to the bone. About 20% of people suffering from hip dislocation or fracture may suffer from AVN Hip.
Chronic use of corticosteroids. About 35% of patients undergoing chronic corticosteroid use may develop AVN Hip. It is considered that these drugs may interfere with the ability of the body to break down fat.
Alcohol abuse too may lead to avascular necrosis much in the same way as corticosteroids.
Blood clots, arterial damage, and inflammation may also contribute to blocking the flow of blood to bones and precipitate AVN Hip.
The objective of treating avascular necrosis is to improve the functioning of joints, reducing pain, and stopping bone damage. In the case of early diagnosis, treatment can be done by taking pain-relieving medicines and by limiting regular use of your hips. Taking crutches to limit weight bearing by the hips may help to relieve pain and limiting damage to the bone. You may also need to perform various range-of-motion exercises in order to ensure continued mobility of the joints.
Treatment Outcome -
Needless to say, that the damage already done cannot be reversed. This is why the earlier the problem is diagnosed, the better it is for the patients. The best outcome of treatment depends on:
Age of the patient
Stage of progression of the disease
Location of bone damage and its spread
Removing the cause of avascular necrosis, if possible, which means stopping alcohol and drug abuse, taking precautionary steps after femoral dislocations and fractures, stopping the use of corticosteroids, etc.
Take Away -
The symptoms are not visible in the early stage of the condition. This is why a consultation is advisable if a person experiences any of the above symptoms.
Bankart's lesion is condition of the shoulder joint, which is characterized by the tearing of the labrum (cartilage) from the shoulder socket called the glenoid fossa. In order to understand this, you need to understand the anatomy of the shoulder joint.
The glenohumeral joint is the portion of the shoulder where the tip of the upper arm (humerus) attaches itself to the scapula. The specific area of the scapula where the humerus is attached is known as the glenoid cavity. The labrum is a soft tissue that runs along the glenoid, its function being to stabilize the ball of the joint in the shoulder socket. It facilitates movement of the arm by ensuring congruence between the glenoid and the humerus bone.
The symptoms of Bankart's lesion are:
The causes which may lead to a Bankart's lesion:
Treatment for Bankart's lesion:
The condition is treated after the doctor performs a thorough diagnosis of the symptoms. Once the symptoms are diagnosed, anti-inflammatory medications are prescribed for pain relief. Hot or cold compresses may also be applied on the affected area to ease the pain. In severe cases, arthroscopic surgery is done to treat the condition.
Rehabilitation involves performing various external rotation exercises to strengthen the rotator cuff joint. Various stretches may be prescribed as well to improve the mobility and flexibility of the shoulder joint. In case you have a concern or query you can always consult an expert & get answers to your questions!
By the time you turn 30, your bone density starts to decline irrespective of your gender. However, in women specially, the loss of bone density accelerates after menopause. As a result, your bones become brittle and fragile. As you age, your bones tend to break easily when you face a traumatic injury.30608
What effects does ageing have on your joints and the spine?
In old age, most of the people experience aching or mild soreness when they climb stairs or stand for a long time. Any changes in the connective tissues or the cartilage affect your joints. The cartilage becomes thinner and the proteoglycans become altered. Consequently, the joints lose their flexibility and become more susceptible to damage. This condition leads to osteoarthritis in many people.
Osteoarthritis- It is a degenerative disorder and the second most common type of arthritis. Osteoarthritis is more common in women than in men. The Center for Disease Control and Prevention states that nearly 45% of women are affected by osteoarthritis by the age of 55-60.
Normally, the cartilage acts as a cushion to the joints while the synovial fluid lubricates your synovial joints and helps them move more smoothly. Wear and tear of the cartilage lead to inflammation and swelling of the synovium. Moreover, your body reacts to the inflammation by discharging enzymes. These errantly destroy the bone and cartilage, leading to severe joint pain. The most commonly affected areas are the joints of your knees, shoulders, elbows and ankles.
Your spine also gets affected due to a number of factors- everyday stress, constant wear and tear of its structure. As you age, the discs acting as cushions between the vertebrae start to shrink and the moisture content gradually erodes away. As a result of this, the vertebral bones rub against each other, potentially causing stiffness and back pain. The most common form of spinal injury in the elderly is spondylolisthesis.
Spondylolisthesis- This refers to the condition which affects your spinal bones and lower vertebrae. Due to this condition, one of the lower vertebrae slips forward onto the bone directly beneath it. Older people with spondylolisthesis find it difficult to perform routine activities and often encounter symptoms like persistent pain in the lower back and pelvic region, muscle stiffness, etc.
What effects does poor lifestyle have on your spine and joints?
Musculoskeletal disorders in elderly also result from various lifestyle issues. Some of them being-
Role of Ayurveda in treating musculoskeletal disorders-
Ayurveda plays a significant role in treating musculoskeletal pain in old age. Ayurvedic Panchakarma is an Ayurvedic treatment program that is used to boost your immune system, detoxify your body and restore balance. Panchakarma uses particular techniques to heal spinal and joint pain effectively in older people- Abhyanga, Upanaha, Kati Vasti, Pindasweda etc.
Ayurveda uses natural herbs and spices to prepare medicinal oil for therapy. Ayurvedic therapies are safe and a preferred choice of treatment, especially for older people. In case you have a concern or query you can always consult an expert & get answers to your questions!
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!
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.
Arthritis is a painful joint condition that leads to pain and stiffness as well as lack of proper mobility due to inflammation and swelling. Usually, an orthopaedic specialist will prescribe anti-inflammatory and pain relieving medication for this condition, but there are various things that you can do to ensure that this condition does not become a debilitating one in the long run. One of the best ways of doing this is by limiting your diet in certain ways when it comes to inflammation producing food.
Here are a few types of food to avoid if you are suffering from arthritis.
Taking care of your body is a matter of maintaining a good diet with lots of activity that will be congenial for your condition. This will also help in keeping the painful symptoms of arthritis away. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.
Why do you need Knee Replacement?
Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.
If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.
Some of the common reasons why you may opt for this particular surgery are:
Knee replacement surgery is classified into:
1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.
The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to two years to recover completely from a knee replacement surgery. If you wish to discuss about any specific problem, you can consult a orthopedist.
Lower back pain is fast becoming an epidemic not just among elderly, but across all age groups. Primary causes of back pain are quite a few including lumbar hernia, disc degenerative disease (DDD), spondylosis etc., but the symptoms are usually the same excruciating pain in the lower region of the spine, followed by stiffness. Since back pain is caused due to a number of spinal problems, it manifests differently in different patients. The pain may be dull, burning or sharp. It could also be felt at a single point or over a broad area and could be accompanied by muscle spasms or stiffness or even shooting pain in one or both legs.
Back pain can also be differentiated according to time period:
Sometimes symptoms resolve on their own, but in many cases conservative treatment, such as physiotherapy, which often work better than surgery, becomes essential. Alternate therapies like surgery, acupressure, acupuncture as well as yoga and Ayurveda also help.
Physiotherapy - Exercises that work
Since the reason for low back pain is not always same, a patient’s treatment too should be tailored for his specific symptoms and condition. This is what the physiotherapist will do design an exercise plan based on the patient’s specific problem and its cause.
Physiotherapy exercises help support the back and strengthen muscles so that the spine is cushioned properly. This is why physiotherapy is relevant as a treatment for backache. Treatments like traction help in lengthening the spine and relieving compression of nerves that cause sciatica, radiating pain into legs largely due to lumbar herniation. If back pain is extreme, a patient will require physical therapy along with medication, which will help in managing pain and bringing inflammation down. But in the long term, being physically active, going for walks, sitting properly and maintaining a good posture will help the most. If you wish to discuss about any specific problem, you can consult a physiotherapist.
The shoulders are the most mobile joints in your body. Shoulder joints undergo wear and a tear over time and hence become unstable. Shoulder arthritis is one of the painful conditions affecting the shoulder joints. Arthritis not only takes a toll on the tendons and muscles, but also affects the ligaments and joints too. They usually cause symptoms such as joint pain, resulting in limited mobility.
Nonsurgical or Lifestyle treatments:
Surgical treatments (if your pain results in disability and does not lessen with nonsurgical options)
What are the Different Kinds of Arthritis and How to Treat Them?
Arthritis is a very common medical condition that affects a lot of adults as they age. It occurs due to inflammation of the joints, which can be caused by a number of factors such as aging, injury or infection. There are over a hundred different kinds of arthritis that cause various sorts of problems to those affected. However, this condition can be broadly classified into two major types, which include the following:
Depending on the nature of the condition and the age and medical history of the patient, diagnosis and treatment of arthritis varies. Although there is no permanent cure for arthritis, especially the type caused by aging, a number of remedies exist that provide relief from pain.
Some of the common methods of treatment for arthritis are: