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Joint Pain Tips

Mobilisation and Manipulation Use And Contraindications In Physiotherapy!

Dr. Swarup Sen (Pt) 88% (86 ratings)
BPTh/BPT
Physiotherapist, Howrah
Mobilisation and Manipulation Use And Contraindications In Physiotherapy!

What is manipulation?
Mobilisation and manipulation is same meaning. This is passive, skilled manual therapy techniques applied to joint.

Type of mobilization

  • Self mobilization or (auto mobilization)
  • Mobilisation with movement
  • Physiological movement
  • Accessories movement


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

  • Reversible jt hypomobility
  • Positional fault and sublaxtion
  • Progressive limitations
  • Functional immobility
  • Contraindications for mobilization: inflammatory arthritic
  • Malignancy
  • Tuberculosis
  • Osteoporosis
  • Ligamentum rupture
  • Herniated disk with nerve compression 
  • Bone disease
  • Neurological involvement 
  • Bone fracture
  • Congenital bone deformity
  • Vascular disorders 
  • Joint effusion.
2 people found this helpful

Pain & Tenderness In The Hand Bones - Know The Possible Reasons!

Dr. Rajeev Siwach 90% (19 ratings)
MBBS, MS - Orthopaedics
Orthopedic Doctor, Jodhpur
Pain & Tenderness In The Hand Bones - Know The Possible Reasons!

Are you experiencing pain and tenderness in your hand bones? Hand pain can occur due to several causes that may include diseases and injuries. Most of the causes of pain in the hand bones are treatable, and the symptoms can be eased. The most common conditions that cause pain and tenderness in your hand bones include the following:

De Quervain’s tendinitis

  1. This condition causes pain on your wrist on the side of your thumb. The pain develops gradually or suddenly and may travel the length of your thumb and forearm.
  2. Movements such as making a fist, turning the wrist, and holding objects may be painful.
  3. The pain occurs because of swelling of your wrist tendons that are present at the base of your thumb. This happens on the account of inflammation and irritation.
  4. Overuse and repetitive activities lead to this condition.
  5. New mothers are at a higher risk of getting this condition because of the position in which they have to hold their babies, and due to fluctuating hormone levels.
  6. Wrist fracture increases the chances of De Quervain’s tendinitis.

Arthritis

  1. Arthritis is a very common condition that is associated with hand pain or pain in the hand bones.
  2. It causes your joints to lose the cartilage, slowing them to move against each other slowly.
  3. The deterioration of the cartilage causes pain and swellings.
  4. The areas in your hand that get affected by this condition include the base of your thumb, end joint located near your fingertip, and the middle joint of your fingers.
  5. The most common form of arthritis is known as osteoarthritis, which leads to the progressive degeneration of the cartilage. It occurs because of ageing, and because of injuries such as dislocation and fractures. It causes swelling, stiffness, and swelling in your hands.
  6. Another form of arthritis that affects your hand bones is called rheumatoid arthritis. This is an autoimmune disease in which the cells lining your joints get attacked by mistake by your own immune system. It leads to stiff, swollen, and painful joints. Hand pain associated with this condition is aching and throbbing in nature. The pain worsens in the morning and after a period of being immobile.

A Ganglion

  1. This is a fluid-filled swelling which develops around a tendon or joint. A ganglion resembles a soft and smooth lump.
  2. It is made of synovial fluid which surrounds your tendons and joints for lubrication during movement.
  3. These are most likely to occur in your wrists, fingers, and hands.
  4. It is recommended for you to consult a doctor on experiencing hand pain of any form, and at any location on the hands. This will allow proper diagnosis so that you can follow specific treatment measures.
1492 people found this helpful

Shoulder Problem - How To Get Rid Of It?

Dr. Sunil Kumar Dash 88% (70 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedic Doctor, Bhubaneswar
Shoulder Problem - How To Get Rid Of It?

The human body is a great marvel. You can’t imagine how each part works and the shoulder is one of the most vital parts of the body. You need your shoulders to move your arms, to write, raise hands, pick things up, do workouts, eat, wash, play golf and cricket, and what not, the list is exhausting. Such a joint overworks tirelessly and is prone to injuries and pain. Just move it consciously in different directions to check its range of motion. If it pains or the movement is restricted, you should get it checked by an experienced orthopedic.

What does your shoulder comprise of?

The shoulder is made up of a group of three bones, the clavicle, scapula, and humerus. These components are popularly known as the collarbone, shoulder blade, and upper arm bone, respectively. Four different muscles form a group and various tendons and ligaments in conjunction with the rotator cuff make room for a ball in the socket. The free movement of the ball is necessary to move the shoulder without any pain or discomfort.

When does shoulder pain appear?

When the muscles around the rotator cuff are weak, shoulder pain may occur. This is, in fact, one of the most common causes of shoulder pain and discomfort. You will feel pain or pinching sensation whenever you move your shoulders. It can be heightened at night and when you are sleeping on the affected shoulder, the pain can be even worse. This weakening of the muscles is called impingement. Over a period of time, this restricts the movement of the shoulder muscles and the shoulder ball. This is not a condition that develops overnight. It is because that you are overworking your shoulder. Aging is another factor that causes this condition. It can also result because of specific occupations, especially the ones that demand to lift heavy weights often.

How to relieve shoulder pain?

Treating shoulder pain at home is possible. But the pain that arises from playing certain sports such as tennis and specific activities such as cleaning the entire house in a day. When you know that you have stressed your shoulder, using ice and heat packs alternatively is a time-tested remedy to alleviate pain. Even rest can ease this sort of pain. You should also never raise the arm over the head when the shoulder is in pain. Bring down inflammation with ice. Never immobilize the arm with a sling. However, if the shoulder pain because of a suspected injury or unknown reasons, it is better to visit a doctor.

Is the medication required?

You should rush to the doctor if you feel that the shoulder pain is slowly increasing and is persistent. Whenever you feel pain when raising your hand over the head, you need to be aware that this condition is called a frozen shoulder and needs the intervention of a doctor. You cannot find solace with ice in this case.

  1. Preventive techniques: To prevent shoulder pain, you need to be a bit careful. When you are introduced to a new activity or exercise, do not overdo it. Begin slowly and increase its frequency gradually. For instance, do not play hours of tennis at the novice level. Your coach recommends warm up for the very reason, especially that every muscle of the joint should be prepared.
  2. Neck and shoulder pain: Shoulder pain does not only result because your shoulder is overworked. It can also result because of your neck. Sleep on a comfortable mattress and use pillows that are not too hard or too soft. Thin pillows are the right choice. Practice neck stretches too. Stress can also be the reason behind pain in different parts of the body and therefore, you should stay relaxed and calm in life whatever the situation may be.

To find out whether your posture is the cause of pain, analyze your habits at work and at home. Do not jump to get things from a height. Specific actions such as carrying heavy weights and bowling can also cause pain and discomfort in the shoulder. Review all such activities and find the right way to tackle this.

5352 people found this helpful

Joint Pain - How Homeopathy Can Subdue It?

Dr. Dattatray Chopade Patil 88% (23 ratings)
BHMS, MD - Homeopathy
Homeopathy Doctor, Kolhapur
Joint Pain - How Homeopathy Can Subdue It?

Are you suffering from joint pain which is causing a lot of distress in undertaking your daily activities? Homeopathy is an effective treatment measure for joint paints which is completely natural and does not involve side effects of any kind. Joint pain is experienced after one of your joints get damaged, and may also result in joint inflammation. The most common causes of joint pain include medical conditions like osteoarthritis, gout, general injuries, sprains, and rheumatoid arthritis. There are several types of homoeopathic medicines that are used for treating joint pains. Here is a list of the best homoeopathic medicines used, along with the symptoms experienced based on which they are prescribed:

Sanguinaria Can and Ferrum Met

  1. Sanguinaria Can is used for treating joint pains which occur in the shoulder. This medicine is usually used for treating joint pains on the right-hand side of your shoulder. The right shoulder is likely to feel stiff with pain that worsens with movement. The pain is indicated to worsen during night time.
  2. Ferrum Met, on the other hand, is used for curing left sided shoulder pain. Stiffness and cracking are experienced by a patient in his left shoulder, along with intense pain. The pain is subjected to increase, in raising your arms.

Rhus Tox

  1. This is a very effective medicine that is used for treating joint pain.
  2. It helps in the management of both acute and chronic joint pains.
  3. It is prescribed when marked stiffness and extreme pain are experienced in the joints.
  4. It is effective in treating joint pains of all forms such as rheumatoid reasons, and joint pain from overexertion. It is common for the pain to worsen when you are immobile and it improves with mobility.

Bryonia and Ruta

  1. These homoeopathic medicines are used in case of joint pain which occur on the elbows.
  2. Bryonia is prescribed when the joint pain worsens even when there is no movement. It helps in providing ideal relief. Stiffness and swelling of the elbow joint are also indicated.
  3. On the other hand, Ruta is used for treating joint pains in the elbow when the pain is situated near your condyles. In such cases, raising and stretching of arms cause the pain to worsen. This medicine is also effective in the case of sore and inflamed tendons near your elbow joint that result in pain.

It is important for you to consult an experienced homoeopathic practitioner before starting homoeopathic treatment for joint pains on your own. A doctor will be able to diagnose your condition the best and provide you with the most effective homoeopathic remedies.

3655 people found this helpful

Joints Problem - Have Homeopathy For It!

Dr. Subhendu Chakraborty 89% (153 ratings)
BHMS
Homeopathy Doctor, Kolkata
Joints Problem - Have Homeopathy For It!

Are you experiencing a swollen and painful joint and are looking for an effective way to treat it? You can choose homeopathic treatment, which is considered to be ideal for joint pain and inflammation, as it does not have any side effects. When a joint swells up, gets inflamed, or damaged due to an injury, joint pain is experienced. Aging and several medical conditions such as gout, osteoarthritis, rheumatoid arthritis, general injuries, and sprains are common causes of joint inflammation and pain. A wide range of homeopathic medicines is used for the management of joint pain and inflammation.

Here is a list of the top homeopathic medicines used for this condition along with the symptoms when they are prescribed for use:

  1. Rhus Tox- This homeopathic medicine is very effective in treating joint pain. Both acute and chronic joint pains are cured by this medicine. It is used when a patient experiences marked stiffness in the joints along with intense pain. The medicine treats all kinds of joint pains, starting from rheumatic reasons to injuries caused due to overexertion. Usually, the joint pain gets better with movement and worsens if you are immobile.

  2. Sanguinaria Can and Ferrum Met- Sanguinaria Can is used for treating joint pains which occur in the shoulder. It is most effective in the case of right-sided shoulder joint pains. The right-sided shoulder of the patient may feel stiff and the pain worsens with any kind of motion. The right shoulder joint pain increases during the night. On the other hand, Ferrum Met is used in the case of left-sided shoulder pain. The patient experiences stiffness and cracking in the left shoulder joint along with great pain. The pain increases if you raise your arm and with any kind of movement.

  3. Bryonia and Ruta- These homeopathic medicines are used for the management of joint pain in the elbows. Bryonia is used when the elbow joint pain increases even without movement. It provides sustained relief. The pain is also accompanied by stiffness and swelling in the elbow joint. Ruta, is an effective homeopathic medicine which is used for elbow joint pain treatment, especially when the pain is located near the condyles. Stretching and raising your arms trigger the pain. This medicine is also used in case of inflamed and sore tendons near the elbow joint, which cause pain.

Other homeopathic medicines such as Actaea Spicata and Rhododendron are used in the case of treating joint pains in the wrist. You should consult a qualified homeopathic practitioner before taking medicines for joint pain.

1921 people found this helpful

Shoulder Pain - Know Ways Of Relief From It!

Dr. Sanjay Sharma 91% (304 ratings)
Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
Shoulder Pain - Know Ways Of Relief From It!

The shoulders are the strongest and the most often used areas of the body as they are connected to the neck, chest, hands and elbows. Therefore, it should not come as a surprise that shoulder pain and wear and tear of this area, including the rotor cuff and bursa, is also quite common. The shoulders may face plenty of wear and tear when it comes to the ligaments, tissue and other such elements. The shoulder joint may also get injured with repetitive actions that are involved in the life of a sportsperson, a carpenter, a painter and other such professionals.

There are a number of ways in which one can deal with shoulder pain. Here are the best measures that you can take in order to deal with the same.

  1. Increase the range of motion: One should increase the range and variety of motions so that the stiffness and soreness that primarily comes from repetitive actions, may be avoided. If you are only lifting materials, then you may also want to swing the arm at regular intervals to increase the blood flow and exercise the various nerves. Also, this will help in giving rest to the affected region of the shoulder. Rehabilitation therapy can help in introducing one to a range of motions that will give rest to the affected area and bring in new positions.
  2. Perform strengthening exercises: One of the best ways to keep pain and stiffness at bay is to create plenty of core strength in the muscles and joints of the area. You can try out various exercises as per the physiotherapist and the physical therapy exercises so that you can build strength. This will also help in keeping the pressure off of the affected area. You can add some weights to the exercise routine so that there is extra strength built up in the process.
  3. Do aerobic exercises: Aerobic exercises are known to increase the blood circulation to the area. The tendon and the bursa in particular benefit substantially from this kind of exercise. This will also bring the soreness down so that the pain and stiffness do not affect you.
  4. Try heat and ice therapy: You can use ice packs to soothe the inflammation in the affected area. This is usually recommended for acute pain and new injuries. Similarly, you can use heat packs and hot showers to soothe chronic pain as and when the same returns. However, you should be careful so that the scalding temperature does not leave burns and marks.
  5. Medication: You can also have painkillers as well as gels and ointments that can be used for topical relief. These must be taken with a doctor’s prescription.
     
1941 people found this helpful

Joint Pain & Inflammation - Have Homeopathy For Them!

Dr. Mangesh J. Jadhav 87% (22 ratings)
DHMS, MD - Homeopathy
Homeopathy Doctor, Mumbai
Joint Pain & Inflammation - Have Homeopathy For Them!

Are you experiencing a swollen and painful joint and are looking for an effective way to treat it? You can choose homeopathic treatment, which is considered to be ideal for joint pain and inflammation, as it does not have any side effects. When a joint swells up, gets inflamed, or damaged due to an injury, joint pain is experienced. Aging and several medical conditions such as gout, osteoarthritis, rheumatoid arthritis, general injuries, and sprains are common causes of joint inflammation and pain. A wide range of homeopathic medicines is used for the management of joint pain and inflammation.

Here is a list of the top homeopathic medicines used for this condition along with the symptoms when they are prescribed for use:

  1. Rhus Tox- This homeopathic medicine is very effective in treating joint pain. Both acute and chronic joint pains are cured by this medicine. It is used when a patient experiences marked stiffness in the joints along with intense pain. The medicine treats all kinds of joint pains, starting from rheumatic reasons to injuries caused due to overexertion. Usually, the joint pain gets better with movement and worsens if you are immobile.

  2. Sanguinaria Can and Ferrum Met- Sanguinaria Can is used for treating joint pains which occur in the shoulder. It is most effective in the case of right-sided shoulder joint pains. The right-sided shoulder of the patient may feel stiff and the pain worsens with any kind of motion. The right shoulder joint pain increases during the night. On the other hand, Ferrum Met is used in the case of left-sided shoulder pain. The patient experiences stiffness and cracking in the left shoulder joint along with great pain. The pain increases if you raise your arm and with any kind of movement.

  3. Bryonia and Ruta- These homeopathic medicines are used for the management of joint pain in the elbows. Bryonia is used when the elbow joint pain increases even without movement. It provides sustained relief. The pain is also accompanied by stiffness and swelling in the elbow joint. Ruta, is an effective homeopathic medicine which is used for elbow joint pain treatment, especially when the pain is located near the condyles. Stretching and raising your arms trigger the pain. This medicine is also used in case of inflamed and sore tendons near the elbow joint, which cause pain.

Other homeopathic medicines such as Actaea Spicata and Rhododendron are used in the case of treating joint pains in the wrist. You should consult a qualified homeopathic practitioner before taking medicines for joint pain.

5492 people found this helpful

Arthritis - Daily Hand Exercises That Can Vanish Your Pain!

MBBS, MS - Orthopaedics, Fellowship in Hand Micro Surgery
Orthopedic Doctor, Ahmedabad
Arthritis - Daily Hand Exercises That Can Vanish Your Pain!

Arthritis is a type of pain in your bones and joints. It is mostly caused over the age when your joints and bones start to grow weaker. In some cases, it is likely to happen earlier as well. However, there are certain ways with which you can cure arthritis pain.

There are some exercises that can help you reduce the pain and improve your range of motion. Before you start up with your exercise, soak your hands in a warm bowl of water as it reduces the amount of stress in the joints. Here are a few exercises:

  1. Make a fist: Making a fist with your fingers can help you improve the stretching capacity and flexibility of your bones. Try to stretch till the point where you start to feel the tightness. You will not feel any kind of pain. However, your goal is to get rid of the tightness step-by-step. Remember to wrap your thumb around the fingers as you do so.
  2. Stretch your fingers: You need to try this stretch in order to improve the movement and the range in which your fingers move. Place your hand on a flat surface with your palm down. Now straighten your fingers as far and as flat as you can without putting any force on your joints to do so. Repeat this procedure 10 to 15 times in two sets.
  3. Claw stretch: Hold out your hand in front of yourself with the palm facing you and bend the tips of your fingers down so that they touch the base of each finger joint. Your hand should be looking like a claw while you do this exercise.
  4. Strengthen the grip: This exercise makes it easier for you to open bottles, doorknobs and hold things properly without being afraid of dropping them. Take your palm and make a soft fist then squeeze it as hard as possible. Now hold it for a few seconds and release.
  5. Strengthen the pinch: This exercise makes your finger muscles stronger. It can help you in your daily chores like opening food packets and turning the keys. All you need to do is try and pinch a softball made of foam with the tip of your fingers. Now hold this position for about 30 to 60 seconds and then let go. Repeat this five to six times.
  6. Finger lift: This helps to increase the flexibility in your fingers. Place your hand flat on a table and then lift one finger at a time. Repeat this 10 times.
  7. Thumb extension: Strengthening thumb muscles helps you lift heavy things. Wrap a rubber band around at the base of your finger joints and place it flat on a table. Now gently try to pull your thumb away from the rest of the fingers.
  8. Flex your thumb: Place your palm up with the hand in front of you. Stretch the thumb away from the rest of the hand. Then bend it across the palm so that it touches the base of your little finger.
1311 people found this helpful

Shoulder -Bankarat Surgery - Know All About It!

Dr. Sunil Kumar Dash 88% (70 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedic Doctor, Bhubaneswar
Shoulder -Bankarat Surgery - Know All About It!

The shoulder joint is capable of extreme range of motions compared to other joints. It has complex anatomy that includes a number of bones, the head of the upper arm bone, and a socket in which the upper arm head moves. This socket is known as glenoid and it is lined by articular cartilage, a slippery tissue which also covers the head of the upper arm bone. Moreover, the head of the upper arm is attached to thick cartilage known as labrum which holds the ball in place within the socket. The combination renders a smooth surface where the bones can easily glide and perform a varied range of motions.

A Detached Labrum

If the labrum or the thick cartilage that holds the humeral bone in place in the socket gets detached due to some reason, the head of the upper arm loses stability. It can cause extreme pain and loss of range of motion. To repair this, an arthroscopic bankart repair is often suggested.

Arthroscopic Bankart Repair

In arthroscopic repair, a small camera known as an arthroscope is inserted into the shoulder joint. The surgeon can view the condition of the socket, the ball, and their surrounding tissues on a television screen where the image from the arthroscope is displayed in magnified version. The surgeon guides his instruments with the help of this display and performs surgery. The arthroscope is used to view the socket and repair the detached labrum.

The procedure begins by making small incisions in the front and back sides of the shoulder. The surgeon then inserts the arthroscope inside the joint to view the condition.

In the next stage, he inserts small surgical instruments into the joint to perform the surgery.

Before starting the surgery, he cleans the socket, especially the areas around the detached labrum to remove any rough edges or loose particles. Next, the surgeon makes some more small holes in the bone near the labrum, and places anchors in those holes. These anchors help to hold the sutures that the surgeon needs to make around the glenoid bone. The glenoid bone attaches the other part of the labrum.

Further in the process, the surgeon attaches the sutures to the detached labrum and pull them against the anchors. This automatically attaches the torn labrum to the glenoid bone.

The procedure ends by closing the incision with small bandages. After the surgery, the arm has to be placed in a sling so that the range of motion is restricted and the wound is allowed to heal. The patient needs to undergo several rounds of physical therapy for strengthening the shoulder and regain complete range of motion. Over this period of time, the detached labrum gets naturally reattached to the glenoid bone and socket.

Conclusion

Because of the use of an arthroscope, the procedure involves less blood loss and quick healing.

5021 people found this helpful

Top Signs You Are Suffering from Osteoarthritis!

Dr. Girjesh Rustagi 85% (15 ratings)
MBBS, MD - Medicine
General Physician, Ghaziabad
Top Signs You Are Suffering from Osteoarthritis!

Osteoarthritis is the most common form of arthritis and can affect any joint of the body. Typically, the joints of the hands, knees, hips and spine are worst affected. This degenerative condition occurs when the cartilage cushioning the bones of a joint wear out. This causes the bones to grind against each other when moving the joint. The effects of Osteoarthritis cannot be reversed, but with medication and lifestyle changes, it can be managed and the progression of the disease can be slowed down. In cases where the joint pain causes immobility, joint replacement surgery may also be considered. One of the key factors that affects how well this pain is managed is the early diagnosis of the disorder. Here are a few symptoms that you should look out for.

  1. Pain: Unexplained pain that is not triggered by any kind of injury can be a sign of osteoarthritis. This pain usually worsens with movement. You may also feel a grating sensation when an affected joint is moved.
  2. Joint stiffness: Movement after a long period of inactivity or on waking up in the morning can be stiff and you may not be able to move a joint through the full range of possible motions. The joints may also feel tender when pressure is applied on them.
  3. Bone spurs: Bone spurs are extra bone growths which feel like hard lumps. This is generally formed around the affected joints.

Some people are at a higher risk of suffering from this disorder than others. The risk factors that determine this include:

  1. Age: This disease usually affects elderly people and hence advancement in age increases the risk of this disease.
  2. Sex: Women are at a higher risk of suffering from osteoarthritis than men.
  3. Obesity: Weight gain not only affects the way you look but also puts extra pressure on your joints, especially the hips and knees. In addition, proteins produced by fatty tissues can also cause inflammation around the joint.
  4. Joint injuries and bone deformities: Though an injury may have occurred and healed many years ago, it can increase a person’s risk of osteoarthritis in their later years. People born with defective cartilage or malformed bones are also at a higher risk of suffering from this condition.
  5. Occupation: Jobs or tasks that put stress on a particular joint can increase the risk of damage to the cartilage in that joint. Performing these tasks repeatedly can eventually lead to osteoarthritis.
1723 people found this helpful
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