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Overview

Leg Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The pain a person experiences in the event that he has a broken bone, or has gone through a burn or a cut is the exemplary case of leg pain. A person generally encounters leg pain after giving birth, surgery or after any sport occasion and this sensation is typically sudden and sharp. Leg pain may likewise be mild and keep going for a couple of minutes. Then again, it can likewise be extreme and keep going for a considerable length of time. The pain is identified with injury of soft tissues, for example, a paper cut or a sprained ankle. By and large, leg pain does not keep going long and diminishes slowly as and when the injured tissue gets healed.

A viable pain administration plan is important to manage leg pain. It is exceptionally hard to comprehend the pain that is disturbing someone else. A self-evaluation of pain incorporates the sensory, mental, cultural and emotional segments of pain involvement of the patient. A few variables like area and nature of pain, disturbing and easing conditions, length and timing and other factors need to be considered while making a plan to counter leg pain. The different means which can be utilized to decrease/treat leg pain are: body management, physical and occupational treatment, massage therapy, counseling, relaxation and in addition complimentary medicines like needle therapy (acupuncture), spinal control and biofeedback. Different medications like TENS and spinal cord stimulation are likewise useful.

How is the treatment done?

In spite of prevalent thinking, a man experiencing leg pain should proceed with his physical exercises rather than simply hiding out and taking rest. This will make him more grounded and furthermore will diminish pain. Exercise based therapy includes following up on those muscles from where the pain is exuding. A person will understand which muscles need to be strengthened or stretched to recuperate from the injury. A specialist may provide guidance related to occupational treatment which implies that a person is able to do particular tasks without enduring too much pain. Connecting with a counselor for support and advice can be useful if the pain is too much to deal with.

Massage therapy provides pressure on the muscles and thereby eases the pain. It is to be remembered, nonetheless, that this technique isn't a genuine cure for leg pain. Meditation and deep breathing are two strategies that can give alleviation from leg pain. Moreover, leg pain can be managed by the assistance of pharmacologic and non-pharmacologic measures. The most ideal approach to treat leg pain is with a multimodal approach by a combination of medications with non-pharmacologic steps. In the multimodal analgesia of pain or 'balanced analgesia' technique for treatment, a man is given at least 2 pain relieving medications. Each operator has an alternate capacity and acts at an alternate site in the sensory system. This technique is the best in treating pain.

Who is eligible for the treatment? (When is the treatment done?)

Pain is itself a symptom that occurs mainly due to injury of bodily tissues. However, some of the symptoms that are associated with pain and might help someone to understand whether or not he/she is eligible for treatment are: depression, flu-like symptoms, loss of appetite, numbness, muscle spasms, inability to concentrate, sleep disturbances and unexpected weight loss. When a person experiences leg pain together with some other symptoms, it may be indicative of a life-threatening ailment. A person should consult a doctor before undergoing any treatment. A doctor will take the final call on whether a person is eligible for treatment or not.

Who is not eligible for the treatment?

Pain can be experienced due to a variety of causes. A person can wrongly diagnose any pain arising out of any serious complication to be leg pain. Some serious diseases which are commonly undiagnosed can be nerve diseases like diabetic neuropathy, peripheral neuropathy and chronic disorders like fibromyalgia, arthritis, migraine and chronic pain syndromes. Thus it is of paramount importance to visit a doctor and get the proper diagnosis. People suffering from serious diseases and experiencing pain due to that are not eligible for the treatment.

Are there any side effects?

Some of the side-effects of acupuncture for leg pain relief are: fatigue, soreness, muscle twitching, lightheadedness, emotional release and bruising. Non-steroidal anti-inflammatory drugs help to reduce pain. But some of the side-effects of using these drugs are indigestion and other gut problems, headches, dizziness and drowsiness. Use of NSAIDs can affect kidneys, liver, heart and blood circulation and can also cause fluid retention. Furthermore, some of the side-effects of analgesics are constipation, drowsiness, skin rashes, dry mouth, upset stomach and ringing in the ears.

What are the post-treatment guidelines?

Using analgesics to relieve pain for a long period of time can cause you to get addicted to the drug. When a person is on analgesics, he/she should avoid performing tasks that require a lot of awareness like driving a car. When a person is on analgesics, he/she should not consume alcohol. An acupuncture session makes you feel relaxed and so a person should not go for any intense workout session afterards. There are some changes in body energy and a doctor normally advises people to bring some changes in their diet and also to exercise.

How long does it take to recover?

Leg pain is generally sharp and sudden pain that generally occurs due to injury to some body tissues. Leg pain may disappear within a few moments or it can last for a few weeks as well. Leg pain due to muscle spasms generally takes a longer period to get resolved. Pain in the lower back caused due to strain or soft-tissue injury takes about 3-6 weeks to get resolved. Pain in other areas may also last longer.

What is the price of the treatment in India?

The cost of an acupuncture session normally varies between Rs 800 and Rs 1000 in India. Some government hospitals, however, provide acupuncture therapy for as low as Rs 20 per session to the poor. NSAIDs generally cost between Rs 600 –RSs 700. Analgesic medications are available for as low as Rs 75 per 10 tablets to as high as more than Rs 1000 for 10 tablets.

Are the results of the treatment permanent?

Analgesics, acupuncture and massage therapy helps to deal with leg pain. But leg pain is a sharp and sudden sensation that may occur due to a number of various reasons. A person undergoing a surgery will experience leg pain even if he had had medication and had undergone treatment for it before. An accidental cut on your body or a broken bone can also herald the onset of leg pain. Thus this sensation is never permanently cured.

What are the alternatives to the treatment?

There are some herbal remedies that can help a person to deal with leg pain. Capsaicin, which is derived from chilli peppers, can be topically applied to get relief from pain. Ginger extracts help to deal with joint and muscle pain due to the presence of phytochemicals. Turmeric is useful for reducing inflammation and thus helps to deal with leg pain.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

Rs. 600 - Rs. 1,000

Popular Health Tips

Surgical Treatment For The Infected Diabetic Foot!

MBBS, MS - General Surgery, MCh - Vascular Surgery
Vascular Surgeon, Bangalore
Surgical Treatment For The Infected Diabetic Foot!

Diabetes is a lifestyle disease which is increasing in incidence. A number of people are being affected, and the age of onset is decreasing. The issue with managing diabetes is that it is a multi-system disease, and affects almost the entire body system. The circulatory, nervous, and musculoskeletal systems and overall metabolism are all severely affected as the disease progresses. Therefore, early detection is highly helpful as it aids in controlling the progression of the disease as well as in arresting its symptoms.

Infections, especially in the leg, which lead an individual to suffer from a diabetic foot are due to two reasons:

  • Nervous system: Diabetes results in a reduced sensation of the nervous system, especially in the distant organs like the toes and legs. As the sensory perception is reduced, small hurts and wounds in the legs go unnoticed and the person does not feel any pain.
  • Skin: Once diabetes sets in, the collagen formation and wound-healing capability is reduced. The rate of regeneration of tissues is reduced. So in addition to the reduced sensation, the rate of healing is also reduced.
  • These wound infections could be limb threatening or non-limb-threatening. As the infection progresses from mild to moderate to severe, the wound progresses from a small ulcer to cellulitis involving the infection of the subcutaneous layer. This then progresses to gangrene, which refers to the death of the underlying tissue due to chronic infection. This infection gradually reaches the bone to cause osteomyelitis.

The primary problems with severe cases of diabetic foot include:

  • Hypoxia it reduces the oxygen supply
  • Debris due to infection and death of subcutaneous tissue
  • Nutritional deficiencies is a common side effect of diabetes
  • Lack of vascularity due to atherosclerosis and arteriosclerosis

How does surgery help?

  • Sharp surgical debridement: This is done in cases that only have a deep cellulitis or gangrene. The infected tissue is marked out along with a good margin of normal tissue, completely debrided leaving normal margins. This allows diagnosing the extent of the infection, clear debridement, and also promotes wound healing. The skin closure is done with skin grafts from another portion, usually the thigh or torso. Postop care is essential for success.
  • Amputation: In people where the infection is quite deep, with or without osteomyelitis (bone involvement), amputation may be required. This amputation may be only of the toes, the foot, or below or above the knee depending on the stage of identification and extent of infection. This helps in improved diabetic foot control as well as re-ulceration, which can be quite complicated.

While surgery comes with its own set of complications, it sometimes helps in treating severe diabetic foot infections. In case you have a concern or query you can always consult an expert & get answers to your questions!

2045 people found this helpful

In Your Third Trimester? How Should You Take Care of Your Baby?

MBBS, MD - Obstetrics & Gynaecology
IVF Specialist, Delhi
In Your Third Trimester? How Should You Take Care of Your Baby?

Pregnancy is one of the most important period in a woman’s life. This is a time when she should indulge in the best of everything when it comes to diet, rest and exercise, depending on the recommendations of the doctor. As the pregnancy progresses, there are many myths and facts that take over. These usually reach a crescendo by the time the pregnancy reaches the third trimester. Let us find out ways and tips, which you can use to care for your baby and yourself during the third trimester of your pregnancy.

  1. Travel: This an often debated aspect that one has to consider, especially during the third trimester of one’s pregnancy. While many people say that it is not appropriate to travel during the third trimester, this really depends on the state of your health during this time. If you are suffering from problems like blood clot formation, then you may want to avoid travel as this can lead to blood clots due to long hours spent sitting in a flight or a train. Travel during the third trimester must also be avoided so as to avoid undue exposure to infections when you use public restrooms. This should be avoided, especially if you have fallen prey to infections in the beginning of the pregnancy. Also, long travel by cars should be avoided. If you have to travel, then you must stop often to stretch your legs on a regular basis.
  2. Movement of the Baby: One of the most important signs that shows you that your baby is thriving and is doing well is the movement of the fetus. This must be monitored and not ignored at all. It is important to keep in touch with your doctor regarding the number of movements that you should ideally feel during 24 hours. If you are not feeling anything close to that number, then you must have the same checked up by the doctor so that any complications may be unraveled on a timely basis.
  3. Sleeping: How you sleep also affects the health of the baby. You need to avoid sleeping on your back during the third trimester, as this can lead to oxygen supply problems. The uterus tends to become heavy during this part of the pregnancy and it can come to rest on the feotus in case you sleep on your back. This lead to a reduction or lack of the blood and oxygen supply to the baby. You should ideally sleep on your side, with a pillow to keep your legs at a proper level and support your aching back as well. You should also try and sleep on your left side as this promotes better blood flow to the baby inside.
1 person found this helpful

Restless Leg Syndrome - How It Can Be Controlled?

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Restless Leg Syndrome - How It Can Be Controlled?

Restless leg syndrome is a condition where the nervous supply to the lower legs (and sometimes hands) is affected. The person has a constant urge to move the legs due to the tingly sensation or the pins and needles sensation and so this condition is called as restless legs syndrome (RLS). It is almost never a standalone condition and is often associated with other nervous system conditions.
It is a progressive condition and aggravates with time. The patient may experience episodes of this disease. Most people might experience this problem at night due to which a lot of patients complain of disturbed sleep and restlessness while sleeping.

While there is no permanent solution to this condition, there are various home remedies and techniques which can help control the condition. Read on to know more.

  1. Trigger agents: Some people are able to identify triggers like caffeine or chocolate which induce the condition. The first step would then be to avoid using these, especially before sleeping.
  2. Exercise: Any form of exercise, which gives a good workout for the leg muscles is recommended. This could range from a 30-minute brisk walk to stretches depending on the person’s overall health status. This is known to induce a good sleep, reduce muscle tension and relax the mood. Choose yoga, gym, cycling, or any form which suits your overall health and schedule.
  3. Massages:Hot or cold massages, often used alternately, can help in relaxing the muscles. This also helps in reducing tension and improving overall sleep. The ideal time for the massage is the evening so that RLS does not affect during nighttime.
  4. Diet: A diet rich in vitamins and minerals can prove to be helpful. This is because proper muscle and nerve function requires various minerals like zinc, potassium, calcium, sodium, etc. Diet rich in these helps in improving muscle and nerve function and thereby control RLS.
  5. Sleep pattern: Sound sleep practices like having an early dinner, a quiet room free of digital media, optimal temperature, and relaxing ambience helps in a better sleep. This has shown to reduce the incidence of RLS and evidence of sound sleep.
  6. Medications: RLS can also cause mild to moderate pain in the affected legs, and so pain killers can be used once in a while if the pain is not bearable. These should be used only rarely and continued use can lead to stomach ulcers and bleeding. The above mentioned nonmedical methods should be tried before trying medications. Anticonvulsants have been used to control RLS if pain killers alone are not adequate. In more severe cases, antiparkinson drugs are used with great success. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
3771 people found this helpful

Blood Clotting During & Post Pregnancy - How It Can Be Prevented?

DGO , MBBS
Gynaecologist, Pune
Blood Clotting During & Post Pregnancy - How It Can Be Prevented?

Clotting of blood during or after a pregnancy is fairly common these days. While the reasons for these are numerous, the driving reason behind this being that the mother is weak after such an ordeal and it is, therefore, likely to affect her health. In pregnant women, blood clots tend to form in the deep veins present in the legs or near the pelvic area. The condition is known as Deep Vein Thrombosis (DVT). One of the main concerns for people suffering from Deep Vein Thrombosis (DVT) is the occurrence of Pulmonary Embolis (PE), which is a life threating diseases and is caused when a DVT breaks and travels to the blood vessels connected to the lungs.

The symptoms of Deep Vein Thrombosis (DVT)
According to the data published on “Centre for Disease Control and Prevention” website, from a recent survey conducted it has been estimated that almost 900,000 people suffer from Deep Vein Thrombosis (DVT) every year in the United States i.e. 2 in every 1000 people suffer from this life-threatening disease.

This disease although life threatening can be taken into account by proper medical care at the early stages and therefore patients are advised to look out for any or all of the following symptoms-

  • The patient is experiencing pain, swelling or tenderness in one of their legs, although both might have been affected.
  • You have noticed a change in skin colour, and it has taken a reddish shade.
  • There is a warm sensation in and around the area of the clot.
  • The veins on your legs are appearing larger than they should.

Although all of these are proven symptoms for Deep Vein Thrombosis (DVT), it is common to have discomfort from swelling legs during pregnancy and does not always mean that the patient has symptoms of Deep Vein Thrombosis (DVT). If you are having the slightest thought that it may be a case of Deep Vein Thrombosis (DVT), you should immediately contact your GP, midwife, or call your maternity unit.

Treatment for Deep Vein Thrombosis (DVT)
When a patient is suffering from Deep Vein Thrombosis (DVT) and she is pregnant, anticoagulants, which is a medicine that prevents clotting of blood, is administered to them. While not all anticoagulants are safe to use during pregnancy, quite a few are. It is highly advisable that a doctor or medical practitioner is consulted before taking any further step.

How to prevent Deep Vein Thrombosis (DVT)
Like all diseases around the world, Deep Vein Thrombosis (DVT) is too a preventable one if the certain Do’s and Don’ts are kept in mind. Below is a list of certain things to keep in mind, in order to prevent Deep Vein Thrombosis (DVT)-

  • Being active and moving around regularly, will keep the blood circulation normal.
  • Beware of your family history and consult your doctor with the same.
  • Look out for symptoms and contact your doctor at once if you see one.

Every disease is preventable and curable. It is on us, what we choose to do with it, succumb to it, or stand up and fight it. Look out for the above-mentioned points and you will be at a safe distance from the clutches of Deep Vein Thrombosis (DVT). In case you have a concern or query you can always consult an expert & get answers to your questions!

4536 people found this helpful

Radiating Pain In One Leg - What Can Be The Reason Behind It?

MD - Anaesthesiology, DNB, MBBS, Diploma In Aesthetic Medicine
Pain Management Specialist, Amritsar
Radiating Pain In One Leg - What Can Be The Reason Behind It?

In recent times, there has been an upsurge in the instances of leg pain. People from all age groups, irrespective of their gender, are being affected. Needless to say, this painful and uncomfortable condition throws life in jeopardy and adversely affects and interfers with a person's daily activities. While the pain can be in both the legs, many people also suffer from severe radiating pain in one leg.

What causes radiating pain in one leg?
More than often, this kind of pain is triggered by nerve problem or disorder. If you experience a shooting pain that originates in the lower back and gradually radiates down to one of the legs (from the buttocks to the back of the leg), chances are you are experiencing sciatica.

In sciatica, the nerve affected is the sciatic nerve. The sciatic nerves originate from the spinal nerves L4 to S3. From the lower back, the nerves (two sciatic nerves) extend downwards to the back of each leg. The sciatic nerves further divide into a tibial and peroneal nerve. These nerves are mostly responsible for the sensation and motor functions of the legs and the feet.

Sciatica can be an outcome of
The discs present between the vertebrae provides them with a much-needed cushion, preventing injury or damage. In case, of a degenerative disorder of the disc, the protective cushion gets affected resulting in the pain and associated symptoms.

  • Lumbar spinal stenosis: A medical condition where the spinal canal in the lumbar area narrows down, exerting pressure on the sciatic nerve.
  • Spondylolisthesis or a slip disc: The condition mostly affects the lumbar area (base of the spine) whereby there is slippage of one of the bones over the adjacent bone (the bone located just below it).

A muscle pull in the buttocks can also trigger sciatica and many times, a pregnant woman may also experience sciatica. The sciatic pain can be:

  1. Chronic sciatic pain: As the name suggests, chronic sciatic pain is intense and more severe, with the symptoms persisting for a longer time (more than three months). Arthritis, severe nerve damage or scarring (tissues) are often responsible for chronic sciatic pain.
  2. Acute sciatic pain: An injury to the nerves, muscles, spinal joints or discs can cause the pain. However, as instantly as the pain starts, the condition improves within days (at times weeks).

In addition to the radiating pain, there may be other symptoms associated with sciatica such as

  1. Difficulting in leg or foot movement.
  2. Weakness
  3. Sciatica can also trigger a pain in the back of the leg which aggravates when a person is in a sitting position
  4. Hip pain
  5. Numbness, and often a tingling or burning sensation radiating down the leg
  6. In some people, sciatica can cause a shooting pain (which worsens when a person tries to stand up)
  7. The pain (in some cases) can extend to the foot and toes

There can be many underlying factors responsible for the pain radiating to one leg. Neglecting the condition will only worsen the situation further. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

3900 people found this helpful

Popular Questions & Answers

HI, My husband 73 year old having diabetic, neuropathy suffering from severe back pain from last 20 days, x-ray shows degenerative changes in spine. Also pain start from hip to leg. Doctor says pressure on the nerve/nerve compression .is it sciatica? Please suggest heat therapy or cold. Nucoxia Mr. is good or bad how long it will take.

DM - Neurology
Neurologist, Warangal
Hi lybrate-user, Yes, history wise it appears to be sciatica. Nucoxia Mr. should bring some improvement. Antineuralgic drugs like pregabalin or duloxetine may also be required.
1 person found this helpful

I have diabetics last 15 year I take insulin and medicine for that now I have tingling in my right foot and too pain in back of leg both.

MBBS, MD
Endocrinologist, Delhi
Your symptoms are most probably due to peripheral neuropathy which is a known complication of long standing diabetes. To know exactly you have to go through Nerve conduction studies.
3 people found this helpful

Hi, I am feeling in neck. dizziness and unstable. Sometime vibrate feeling in body. burning pain hand fingers and leg feet. Is it work related as working for desk job for 12 years. Please advice.

DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
Your symptoms appear to be due to be cervical disc prolapse. Get MRI Cervical spine done and show to an Orthopaedic surgeon.

Hi. I want to ask that my uric acid level is 6.7. Is there any problem. As I v pain in my ankle only left leg. Pls tell me.

MPT - Orthopedic Physiotherapy, Fellowship In Orthopaedic Rehabilitation (FOR) Advanced Diploma in Nutrition & Diet
Physiotherapist, Kolkata
That's not much of Uric acid. You can control this and and your Symptoms excellently by Medical Nutrition Therapy. Consult with me for further details and help. Good luck !

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Leg Swelling
Pero me soojan ek aam samasya hai. Hindustan me mahilaayo me, saree pehenne ki wajah se to adhiktam soojan hoti hai, or kisi samsyaaein hai jo ya to shuruaat me ignore ki jaati hai or dheere dheere problem tab he present hoti hai jab unki condition kharab ho jaati hai. _______ vascular me humara ek initiative hai, "hiding underneath the saree", jisme hum patients ko, specially un mahilaao ko jinko pero me soojan rehti hai. Unko hum regular consultations provide karte hai patients ko, aur free health tips dete hai ki kese pero ki soojan ko sahi samay se pehchana ja sakta hai.

Varicose vein pero ki soojan ka ek aam kaaram hai. pero me 2 prakar ki khoon ki nass hoti hai, jisme ek hoti h artery aur vein. Artery heart se khoon ko pero me lekar aata hai or vein se khoon wapas pero se heart tak jata hai.Varicose vein, veins ki problem hai. Isme khoon pero se wapas heart ki taraf nahi ja pata hai, or isme kuch leakage points develop hojate hai, jisse ki khoon pero me he leak kar jata hai or ek closed loop form hojata hai.

Agar kisko is prakar ki problem hai, jese pero me dikhti hui veins hai, ya fir koi ghaav jo bohot dino se nahi bhar raha hai. Me un patients ko pero k ultrasound ki salah dunga jisko hum duplex ultrasound kehte hai. Isme jisko pero me leakage aata hai use Great saphenous Veins, GSV kehte h.

Great Saphenous Veins mein agar koi leakage aata hai to use bina kisi surgery ke, injection dwara treat kiya jata hai. Is method ko hum Radio ablation ya Radio frequency ablation bhi kehte hai. Is process me hum khoon ki nass ko hum injection dwara garam kardete hai or band kar dete hai. Iska koi side effect nahi hota hai. Khoon ki nass band karne se koi problem bhi nahi hoti hai. Is surgery k lie patients same day surgery ke bad he discharge hojate hai. But patients ko 6 weeks tak stokines pehenni zaruri hoti hai. 6 hafte k bad hum fir se ek ultrasound karte hai leakag check karne k lie. Aur leakage band hote he aap ek normal life jee sakte hai.

Har varicose vein ko laser ya radiofrequency surgery ki zarurat nahi hoti hai. pero me agar swelling hai, specially agr dono pero me swelling hai to varicose diagnose ki jagah liver, heart ya kidney ka cheup hone zaruri hota hai. Kyuki agar koi bhi major organ me problem aati hai to starting condition me pero me soojan kar sakta hai.

Agar apke ghar parivar me kisiko is prakaar ki samasya hai. Ya pero me hari ya neeli veins dikhti hai to uske lie aap varicose vein ka check up karwa sakte hai.

Aap mujhe lybrate k through contact kar sakte hai. Nahi to aap humare clinic pe appointment book kar sakte h

Thank you.
Play video
Back Pain
Few daily habits to get rid of Back Pain
Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.
So how can you prevent that?
You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.
First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.
Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.
Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.
Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.
Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.
Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.
Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.
Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.
Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.
Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.
Another common cause of back pain is the lack of exercise. For exercise, I don t mean well I don t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.
Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.
In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.
To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.

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Tips on Lower Back Pain
Tips on Lower Back Pain
Hello, I am Dr G.P. Dureja, senior consultant and director at the Delhi pain management centre, in New Delhi.

Today, I am going to discuss a very important topic, Back pain. As we all know, the prevalence of back pain in India is rising tremendously. Not only in younger people, but middle-aged and older people are also suffering from persistent back pain may it be lower back pain or upper back pain.

The causes of back pain are tremendous and numerous. But the most important cause is absolutely you have a back posture and because of our back posture which results in disk collapse which causes pressure on the nerves and results in excruciating lower back pain which radiate to the leg. This is very commonly seen nowadays in younger people who are always having bad postures and are always working beyond their scheduled time, working very hard with no emphasis on their back care.
When we talk about emphasis, I mean that they do not do any exercises, they do not walk, their muscles are all weak and when they sit for a long time in front of their computers, it results in severe back pain. In older people, of course, the common causes are lumber canal stenosis where because of the degenerative changes happening in the spine because of osteoporosis it results in pressing of the nerves or impingement of the nerves and that results in very severe back pain which is relating to the leg and the old people are generally not able to walk because of this.
So as I said, prevention is very important. Once you have been able to find out the cause of the pain which is causing the excruciating pain in the back, we should always look towards treating this and preventing this.
Preventing, we always emphasise on good posture. We always tell the patients how to sit properly, not to bend forward, not to lift weight and please take care of your both upper back and lower back. That means the cervical spine and the lumbar spine. That is why we tell the patients to continuously exercise. There is a set of exercises which you have to do it for 5 minutes a day and that is sufficient for strengthening your back muscles and preventing this severe pain to occur in you and your friends if you can guide them to.
There are various types of treatment available. We call it as a conservative management when a patient can take medicines or just be on rest. And after adequate rest and medicine, when the pain is relieved, he does continuously exercises takes care of his posture, sits properly at his job place and does not do any forward bending or weight-lifting activities. Most of the patients will get relief at this manoeuvre or this conservative treatment and get relief in pain. Of course, there are people who do not get relief in pain because they have a bulging disc which is irritating the nerve and therein the role of a pain physician comes in. A pain physician can help a patient by injecting into the spinal column or in the spinal cord, giving drugs or even doing discectomy by needles and getting rid of the pain, avoiding a certain surgery.
In younger people, we generally tend to avoid surgery and that is the reason interventions in the spine done by pain clinicians are becoming very popular and can help a large number of patients.
After the pain has gone down, we rehabilitate the patient, give them the advice as in how to sit/ how to stand and how to exercise and takes care of the pain completely and patient just has to follow the simple instruction throughout the life.
If you want to consult us at Delhi pain management centre you can contact us through Lybrate and also we can give you an appointment if you want to show any of our consultants here and they will tell you all about how to look after your spine and how to do the exercises.

Thank You.
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Knee Pain In Elderly
Hello friends,

I am Dr Akhilesh Rathi I am a joint replacement, orthoscopic and orthopedic surgeon practicing in Dwarka.

Today I will be talking about the knee pain in elderly, knee pain in elderly is very common issue and you must have seen people around you elderly people having a lot of knee issues. So the first and foremost issue, we get manage is simply by some lifestyle modification, exercises, some weight control all these things help a lot in making knee pain better. So quadriceps exercise are the key to any kind of knee pain, plus there are some sessions which we can take at with the physiotherapist which help in making the knee pain better, also a lot of supplements are available like glucosamine and many other are available which your doctor can prescribe you so that it can improve the cartilage damage and also prevent further damage. Apart from that you can also take about some injections which are available which are the hydraulic acid and other viscosupplements which are available for improving the knee pain and the cartilage quality. So most of the patients almost believe me 90 to 95% of the pateints can be managed with this simple measures. In those patient in home despite all the measures have mentioned patient is still having pain, he is still having difficulty walking, he is still having difficulty in doing his routine course we should think about other options. Usually if the age is around 66, 55, 60 we can think about knee replacement surgery and if the patient is of younger age we can think about other osteotomy surgeries like the white osteotomy. So knee replacement is a good option in these patients in home other measures like the conservative measures I have already discussed are not working. So the timing of knee replacement is very important considering the fact that we only change the joint and not the muscle. So if you are not walking for a significant period of time maybe a year or two because of the knee pain your muscles will go down and despite the knee replacement your surgery may not be a successful. So usually my indications for knee replacement, includes if you are walking distance going down you are not able to walk for 20 to 30 minutes and the stretch, your knees are bending and your xray is showing significant osteoarthritis grade 3 or grade 4 osteoarthritis, you should think about knee replacement. So to conclude I will like to say that knee problem have solution and most of the time you can manage it with simple measures like your weight control, exercises and lifestyle modification like avoiding squatting, sitting cross legs, avoiding for long standing and avoiding stairs. Also kindly note and never said not to walk, so even in severe pain maybe a day or two you can avoid walking but otherwise walking is good for your knees so don't cut it out and a timely done knee replacement can save you from lot of medical issues apart from saving your new problems.

Thank you so much.
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Back Pain and Its Management
Hello, I am Dr Sajna. I am an Ayurveda physician and specialized in Panchakarma therapy. We are doing authentic ayurvedic treatment and special Kerala Panchakarma treatment. Here I want to talk about the Back pain management through Ayurveda. Nowadays back pain has become very common and people are not aware of its cause and the correct treatment. There are many reasons for back pain such as;

IVDP
Obesity
Smoking
Alcohol
Deficiency of Calcium and Vit-D
After delivery
During menses
After menopause and much more...
For treating this problem, seek for a good doctor, know the main cause and start the treatment.

How can we manage back pain with the help of Ayurveda?

Here in the Ayurveda, we are treating back pain into two different ways;

Shamana Therapy
Shodhana Therapy
Shamana therapy is basically a meditation which helps in strengthening muscles, veins, nerves and helps in reducing swelling and pain. It is a drug treatment which includes massage. The medicine is poured on the swelled part of the body, in order to get relief from pain and swelling

The other one is Sneha Swed Therapy. It includes oil massage, medicated leaves. The massage with this mixture is extremely helpful in pain relief and selling treatment. It helps in strengthening muscles and give relief to nervous, also it reduces compression.

The second part of the treatment is to reduce the reoccurrence and the compression. That is the Shodhana Therapy which is also called Detoxification process. Here in back pain, we do three types of detoxification process;

First is the Nasal cleaning. This is basically a cervical problem. In this, we pour some medicated oil or the decoction in the nasal for its cleaning.
Second is for the lower back, that is, Basti and the Virechana.
Virechana is a loose motion process. This helps in cleaning the bawal and helps in reducing the pain.

The other one is Basti. This is one of the main treatment in Ayurveda. It is a Panchkarma treatment, which is called Enema. There are two types of Enema- Oil Enema and Khada enema (decoction of medication). This Basti is helpful in reducing the vada which is accumulated in the lower back, causing the back pain. it also helps in reducing the compression.
Sometimes the pain radiates to the legs, which is called Sciatica or Gridhrasi.

So the main treatment is Panchkarma treatment which helps in reducing nervous compression, muscle relaxation and helps in reducing reoccurrence pain.

So this is a small description of Ayurvedic treatment for back pain. Yogasana is also one of the successful treatment for reducing back pain. Here we provide ayurvedic treatment in the best possible way.

You can contact me through Lybrate or visit my clinic which is located in sec 42, 43, near Rapid metro station and another centre is in sec 48, Sohna road.

Thank you.
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