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:
The primary problems with severe cases of diabetic foot include:
How does surgery help?
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!
Most people these days spend hours working on computers, owing to the sedentary nature of their jobs. Desk-bound office jobs require you to sit in one place for long hours. This often leads to nerve and muscle tension related to posture. A good posture refers to how you carry your body- keeping your back straight in an erect position, placing your arms and legs in the correct position so that the joints are not bent or twisted.
Unfortunately, most people do not pay attention to correct posture and end up complaining about backaches and joint pain. If you don’t keep your spine aligned, or if your feet do not touch the ground while sitting on a chair, then you may experience pain and discomfort afterwards. The pain is severe in people who work for about 8-10 hours daily while sitting in the same posture throughout.
Signs to watch out for-
Poor posture can result in mild to severe pain. The usual symptoms are-
How does office ergonomics help manage your posture?
Most people don’t even realize the importance of maintaining a good posture. A healthy posture not only makes you feel comfortable at work but also prevents muscle-related problems. Here are a few tips to improve your posture at your workplace-
How does physiotherapy improve your posture?
Physiotherapy plays a great role in improving poor posture. Physiotherapy evaluates your body mechanism, mobility and strength to determine what exactly needs to be done. The commonly used techniques are-
Other than these, frequent walking (at an interval of every 1-2 hours) can help reduce pain and help flex your muscles. Physiotherapy is a safe mode of treatment with much lesser side effects than other conventional methods. A proper diagnosis, treatment and frequent follow ups can improve poor posture and keep you active. In case you have a concern or query you can always consult an expert & get answers to your questions!
According to the reports published by Centers for Disease Control and Prevention, over 73% of older people belonging to the age group 60-69 years are affected by a number of health disorders. As you age, your body and immune system undergoes several changes due to various reasons - hormonal imbalance, change in eating habits, lifestyle changes, and underlying medical conditions. Among several old-age health conditions, the commonly observed ones are -
Role of homeopathy in treating old-age problems-
Homeopathy is considered the most frequently used alternative form of medicine for treating old-age problems/disorders, and rightly so. This branch of medicine uses natural substances to stimulate palliative reactions in individuals suffering from orthopedic or nephrology disorders. Homeopathic treatment depends on the symptoms and severity of the condition. Owing to its safety and efficacy, homeopathic drugs like Arnica, Nux vomica etc are a preferred choice of treatment.
Homeopathy drugs are non-addictive and gentle without any adverse effects. They not only help reduce symptoms of old-age problems, but also help you regain overall health. Once you recover from the disease, you will continue to experience long-lasting positive effect on your health.
These natural remedies rejuvenate your body naturally. Self-medication can be harmful. Take homeopathic medication under guidance of good qualified homeopathic physician only as they are aware of pathological and physiological changes of your body and adjust doses and treatment accordingly.
Cortisone shots are injections that help relieve pain and inflammation. They are injected directly into the joints such as the ankle, wrist, knee, hip, shoulder, elbow . These injections are a combination of corticosteroids and local anaesthetics. These corticosteroids are similar to the hormones produced by the adrenal gland. Cortisone injections are also used to treat the carpal tunnel syndrome, trigger finger, shoulder bursitis and plantar fasciitis. Though they do not cure the disease but they provide temporary relief.
These injections may be slightly painful but provide relief in a day or two that lasts for a few weeks or months at a stretch. Hence, cortisone shots provide relief faster and have longer lasting results than other forms of anti-inflammatory medication. Another benefit of cortisone injections as compared to other drugs that need to be taken in through the mouth is that it avoids side effects of anti-inflammatory medication such as an upset stomach and systemic side effect of steroid etc. Cortisone injections can also be used to treat backaches and pain that radiates from the spine to an arm or leg.
However, cortisone injections are associated with a number of risks. These include:
In most cases, these side effects are short-lived. Cortisone may also be held responsible for the deterioration of cartilage inside a joint. For this reason, doctors do not advise cortisone injections to be had more than 3-4 times in a joint. The minimum interval between two cortisone injections must be 6 weeks. When used judiciously, cortisone injections can greatly improve the quality of a patient’s life. Hence it is very important to get treated only by a qualified doctor and to completely understand the pros and cons of using this form of treatment.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.
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.
If we look at the human backbone or spine , we can see that the vertebrae rest upon one another similarly to a stack of cotton spools .
The spine is divided into regions. There are seven vertebrae in the cervical region (neck), twelve vertebrae in the thoracic region (upper back), and five vertebrae in the lumbar region (lower back) ..
Beneath the lumbar vertebrae are found the sacrum and the coccyx. It is the lower back or lumbar and sacral regions that concern us most.
Each vertebra has a solid part in front, the vertebral body, and a hole in the back .When lined up as in the spinal column, these holes form the spinal canal. This canal serves as a protected passageway for the bundle of nerves which extends from head to pelvis-the spinal .Special cartilages, called the discs, separate the vertebrae. The discs are located between the vertebral bodies just in front of the spinal cord . Each disc consists of a soft semi-fluid centre part, the nucleus, which is surrounded and held together by a cartilage ring, the annulus or annular ligament. The discs are similar to rubber washers and act as shock absorbers.
The are able to alter their shape, thus allowing movement of one vertebra on another and of the back as a whole.The vertebrae and discs are linked by a series of joints to form the lumbar spine or low back. Each joint is held together by its surrounding soft tissues-that is, a capsule reinforced by ligaments. Ligaments can be likened to the stays that hold a mast in place on a sailing ship. If a stay were to give way, the mast will likely fall when subjected to extra strains.
Muscles lie over one or more joints of the low back and may extend upward to the trunk and downward to the pelvis. At both ends each muscle changes into a tendon by which it attaches itself to different bones.
When a muscle contracts, it causes movement in one or more joints.Between each two vertebrae there is a small opening on either side through which a nerve leaves the spinal canal, the right and left spinal nerve . Amongst other tasks, the spinal nerves supply our muscles with power and our skin with sensation. In other words, it is through the nerves that we can move ourselves and feel temperature, pressure and pain. The nerves are really part of our alarm system: pain is the warning that some structure is about to be damaged or has already sustained some damage.In the lower part of the spine some of these nerves combine on each side to form the right and left sciatic nerves. The sciatic nerves service our legs, and when compressed or irritated, they may cause pain in the leg which often extends below the knee. This is then called sciatica.
Functions of the lumbar spine:
In animals that walk on all fours, the weight of their body is distributed evenly by DISC their four legs. Most of the time the spine is held in aIl more or less horizontal position and the compressive forces that exist in upright man do not occur.
In human beings, the spine is held in a more or vertical position, at least during waking and working hours. When we are upright, , lumbar spine bears the compressive weight of the body above it transmits this weight to the pelvis when sitting and to the feet when standing, walking and running. Thus the lumbar spine, providing flexible connection between the upper and lower half of the body protects the spinal cord and also has a greater function in weight bearing. In the evolution of the horizontal-spine posture of animals to the vertical-spine posture of man, the discs between the vertebrae have adapted to support heavier weights. In addition, the spinal column has developed a series of curves that ingeniously allow for better shock absorption and flexibility.
However, piriformis syndrome does not involve a radiculopathy - a disc extending beyond its usual location in the vertebral column that impinges or irritates the nerve root - so it is technically not sciatica.Instead, with piriformis syndrome, it is the piriformis muscle itself that irritates the sciatic nerve and causes sciatic pain.See What is Piriformis Syndrome?
The piriformis is a muscle located deep in the hip that runs in close proximity to the sciatic nerve. When the piriformis muscle becomes tight and/or inflamed, it can cause irritation of the sciatic nerve. This irritation leads to sciatica-like pain, tingling and numbness that run from the lower back, to the rear and sometimes down the leg and into the foot.
Supine piriformis stretches
Lie on the back with the legs flat. Pull the affected leg up toward the chest, holding the knee with the hand on the same side of the body and grasping the ankle with the other hand. Trying to lead with the ankle, pull the knee towards the opposite ankle until stretch is felt.
Do not force ankle or knee beyond stretch. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.Lie on the floor with the legs flat. Raise the affected leg and place that foot on the floor outside the opposite knee. Pull the knee of the bent leg directly across the midline of the body using the opposite hand or a towel, if needed , until stretch is felt. Do not force knee beyond stretch or to the floor. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.Lie on the floor with the affected leg crossed over the other leg at the knees and both legs bent. Gently pull the lower knee up towards the shoulder on the same side of the body until stretch is felt. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.
Typical features of any sciatica exercise program include:Core muscle strength. Many sciatica exercises serve to strengthen the abdominal and back muscles in order to provide more support for the back. Stretching exercises for sciatica target muscles that cause pain when they are tight and inflexible. When patients engage in a regular program of gentle strengthening and stretching exercises, they can recover more quickly from a flare up of sciatica and are less likely to experience future episodes of pain.Specific diagnosis. Most exercise programs will be tailored to address the underlying cause of the patient's sciatic pain, such as a lumbar herniated disc or spinal stenosis. Doing the wrong type of exercise can worsen the sciatic pain, so it is important to get an accurate diagnosis prior to starting a program of sciatica exercises.
1. Piriformis Stretch: Laying on your back, place both feet flat on the floor with knees bent. Rest your right ankle over the left knee and pull the left thigh toward your chest.Hold stretch for 30 seconds. Repeat on the other side.Remember to keep the top foot flexed to protect your knee.
2. Seated Hip Stretch: While in a seated position, cross your right leg over your straightened left leg.Hug your right knee with your left arm, making sure to keep your back straight.Hold this stretch for 30-60 seconds, and then repeat on the opposite side.
3. Pigeon Pose Start in Downward-Facing Dog pose with your feet together: Draw your right knee forward and turn it out to the right so your right leg is bent and your left leg is extended straight behind you. Slowly lower both legs.Hold the position for five to ten breaths, then switch to the other side.
4. Self-Trigger Point Therapy: Performing self trigger-point therapy using a lacrosse or tennis ball can be very effective at delivering sciatica pain relief.All you have to do is find a painful spot in the glutes, place the ball at that location and then relax your body into the ball.Hold this position for 30-60 seconds or until you notice a significant reduction in pain. Move to the next painful spot. The total time spent on this exercise should be between 5-10 minutes.
Practicing these four exercises once or twice a day can definitely bring you much needed sciatica pain relief.
Stand with your feet shoulder width apart and maintain good posture throughout the movement.
Movement: Raise your left arm, bend your elbow, and reach down across your back as fa ras possible. At the same time, extend your right down and behind your back, trying to bring your elbow across your back. Try to cross your fingers, upper hand over lower hand. Repeat with your arms in the opposite position.
Stretches: Behind Back Shoulder Reach; Overhead Triceps Rope Stretch; Arm Circles;Kneeling Reach, Roll, and Lift.
Simple Test to Check the Mobility of Your Waist and Knees.Try It Today !
Stand with feet shoulder width apart and weight evenly distributed through the entire foot.Movement: Slowly squat as low as possible, but not below parallel. Lower your hips as if you’re sitting in a chair. Keep your head neutral and eyes focused forward.
Stop if your shoulders go beyond your knees, your knees travel beyond your toes, or your thighs reach parallel.
Note: This is one of the more difficult movements, as it involves multiple joints.Make a note on your scorecard if you needed to make a modification in order to execute the movement properly.
Stretches: Forward Lunge; Over and Under Medicine Ball Squat; Standing Calf Stretch
MODIFICATION: If you can’t complete this test without bending at the waist, modify by lifting your heels 1⁄2 inch to 1 inch by standing on aboard, widening your stance, or extending your arms horizontally in front.
Simple Test to Check the Mobility of Your hips.
Hip Rotation Starting Position:
Lie on your back with your hips and knees bent at 90 degrees.
Arms are fully extended with palms up.Movement: With your legs together, lower your legs to the floor to the left. Return to center and repeat to the right. Stop the rotation if either shoulder lifts or loses contact with the floor.
Stretches: Standing One Leg Rotation; Iron Cross; Lying Single Leg Cross over
I Forward Lunge with Open Torso
Oblique flexibility is important for good posture and back function. When your obliques aren’t active, more stress is placed on the lower back. This stretch lengthens the oblique muscle and improves flexibility.
1.Engage your core to stabilize the spine and pull your shoulder blades together.Step forward with your left leg and keep a slight bend in the right knee behind you. Slowly shift your body weight onto the front foot and find your balance without wobbling.
2.Raise your right arm high overhead. Avoid driving your hips forward Lower your hips toward the floor. Continue lowering your body to a comfortable position,or until your thigh becomes parallel to the floor. Return to the start position by firmly pressing off with the front leg.Repeat on the opposite side.
II Triangle Pose
This basic yoga pose builds strength, stability, and balance. Don’t be intimidated by the degree of movement—it’s best approached as an ongoing experiment.Focus your mind on the steadiness of the feet and legs, the expansion of the torso, and the evenness of the arms and legs.
1.Begin with your feet about 3 feet apart.Turn your left foot in slightly to the right and your right foot out 90 degrees. Keep the center of the right kneecap in line with the right ankle. Raise your arms parallel to the floor,shoulder wide, palms down.
2.Exhale and extend your torso to the right directly over the leg, bending from the hip joint, not the waist. Rest your right hand on your shin or ankle. Stretch your left arm toward the ceiling and let your eyes follow the left hand. Stay in this pose for 30 to 60 seconds and repeat on the opposite side.1 2
EASIER: Use a block or stack of blocks along the outside of your foot for a more comfortable bend at the waist.
III Side Overhead Reach on Stability Ball
The stability ball not only adds a balance component to this stretch, it allows you to create a greater angle along the entire side of the body you’re stretching.Use the stretch to add a bit of a challenge to your flexibility routine.
1.Lying on your right side on a stability ball, place your right hand on the floor beside the ball. Reach your right leg behind your torso with the outside of the foot on the ground. Cross your left leg over your right,and with a bent knee, place your left foot flat on the floor.
2.To move into the full position, reach your left arm up over your head.Straighten your left leg out and reach upward to feel the stretch along the left side of your torso. Hold for 20 to 30 seconds and repeat 3 times before switching sides.
IV Dynamic Chest Movement
Dynamic movements prepare your joints for activity. The repeated muscle stretch and contraction provides a thorough warm-up through a wide range of motion.
Golfers and racket sport players will appreciate the feel of this stretch.
1.Start with your feet shoulder width apart and your arms extended in front and parallel to the floor.
2.Keep your arms extended and pull them back as far as possible. Return to the starting position to complete the movement. Repeat 8 to 10 times with a minimal pause between each change of direction.
It’s important to maintain good posture through out this exercise.Keep your eyes forward and your ears over your shoulders to avoid a forward head thrust.Perform before other chest stretches or in sequence with other dynamic movements