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Middle Finger Tips

What Causes Trigger Finger And How Can Physiotherapy Help?

Dr. Vishwas Virmani 91% (22895 ratings)
MPT, BPT
Physiotherapist, Noida
What Causes Trigger Finger And How Can Physiotherapy Help?

Trigger finger is a common injury that occurs to people. To understand this condition, you need to have a little background about the way the finger muscles work. The finger muscles are protected by a layer of bones, which are called pulleys. These pulleys form a hollow tube like structure so that the ligaments can pass through it.

These ligaments function smoothly due to a coating of tenosynovium. This tenosynovium is slippery in nature and causes frictional movements, which is why we are able to move our fingers and grasp objects.

Causes of Trigger Finger:

Trigger finger is a condition, which develops when the ligaments develop a sort of nodule. This nodule also causes inflammation in the pulleys. This inflammation would cause constant irritation and pain to the person who has developed a trigger finger or a trigger thumb. There are several reasons as to why such a nodule develops. Some of them are as follows:

  1. Grasping a steering wheel for a long time. That is the reason this condition develops a lot in drivers.

  2. Rheumatoid arthritis, although this is mostly restricted to people who are middle aged.

  3. Gripping pistols and guns repeatedly.

  4. Infections or swelling in the tenosynovium.

How To Treat Trigger Finger?

Trigger Finger can be treated with the help of physiotherapy. When you visit a physiotherapist, the first thing the therapist would do is note down your medical history and symptoms for your current trigger finger. The physical examination is conducted, which often reveals and confirms that the condition is nothing but trigger finger. Therapists usually make sure of this condition by hearing a clicking noise when the nodule snaps under the tendons.

There are two probable ways to treat this condition:

  1. Non-Surgical- These methods involve various exercises to ease out the tension in the pulleys. It might also involve showing you different ways of grasping objects without disturbing the inflammation so that it causes less pain. At times, mild electric current is pushed through the tendons to ease out the inflammation. If these methods fail to rectify your trigger finger, then surgical method is prescribed.

  2. Surgical- This involves a small incision in your hands to remove the tendon pulley, which is obstructing the smooth functioning of your fingers. The surgery is performed in a day and the patient is discharged the same day. However, proper rest should be taken till the wound heals and the stitches dry completely.

These are some of the ways in which trigger finger is treated. It is quite common and thus can be treated effectively as well. If you wish to discuss any specific problem, you can consult a physiotherapist.

6090 people found this helpful

All About Middle Ear Infections

MBBS, MS - ENT
ENT Specialist, Delhi
All About Middle Ear Infections

The human ear is divided into three parts, namely the outer, middle and inner ear. All these parts function in coherence with each other and help us in converting vibrations into sound and information. The middle ear consists of the air space between the inner ear and the outer ear and contains the bones that transmit the vibrations of the outer ear and translate them into information. This area is prone to infections, especially among children and thus may cause discomfort or pain

Symptoms of middle ear infections: Middle ear infections primarily tend to manifest themselves as inflammation of the tissues and buildup of fluids. Some of the symptoms are mentioned below.

Infections in children: Middle ear infections primarily occur in children although it can occur in adults as well. Some of the common symptoms could be:

  • Ear pain either sitting or standing up and especially while lying down
  • Irritability and crying, which in infants could translate to more than usual crying 
  • Problems with sound and difficulties in hearing
  • Fluid buildup causing balance related problems
  • Discharge of fluid in certain cases
  • Unable to sleep and also loss of appetite
  • In some cases children may have high fever

Causes of middle ear infections: The primary cause of middle ear infection is due to the presence of bacteria or virus in the area. The Eustachian tube, which runs from the middle ear to the back of the throat, is connected to nasal passages as well. Any infection that affects the throat or the nose may also affect the middle ear through this tube. Primary causes for the infections could be

  • Cold or flu like symptoms, which then infect the middle ear as well
  • Otitis media, which is the buildup of fluid and inflammation either due to the presence of bacteria and viruses or even without it
  • Seasonal infections, which are common during late autumn or winters
  • Air pollution is also known to be a factor
  • Infection from others, especially in the case of children when they are part of a group care
  • Children from 6 months to 2 years are also susceptible to middle ear infections as their immune systems are much less developed.

Treatment of middle ear infections: Usually, middle ear infections resolve on their own within a day or so. You can try warm compress with a soft piece of cloth to ease the pain. However, if pain persists for too long then antibiotic medications may be required to fight the infection with pain relief medications to lessen the pain and discomfort.

3177 people found this helpful

Mallet Finger

Dr. N C Gupta 92% (16192 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Delhi
Mallet Finger

This is a flexion deformity affecting the distal interphalangeal joint of the finger and is due to either distal extensor tendon rupture or avulsion with a bony fragment after traumatic forced flexion of the extended finger tip. The resultant weakness is often painless and presents with an inability to actively extend the fingertip. Non traumatic mallet finger occurs more often in diabetics. Treatment is usually by splinting the distal interphalangeal joint in extension. Surgery is rarely required.

3 people found this helpful

Middle Ear Infection: Causes, Symptoms and Treatment

Dr. Vivek Kumar Pathak 94% (237 ratings)
MS-ENT, MBBS
ENT Specialist, Noida
Middle Ear Infection: Causes, Symptoms and Treatment

The human ear is divided into three parts, namely the outer, middle and inner ear. All these parts function in coherence with each other and help us in converting vibrations into sound and information. The middle ear consists of the air space between the inner ear and the outer ear and contains the bones that transmit the vibrations of the outer ear and translate them into information. This area is prone to infections, especially among children and thus may cause discomfort or pain

Symptoms of middle ear infections: Middle ear infections primarily tend to manifest themselves as inflammation of the tissues and buildup of fluids. Some of the symptoms are mentioned below.

Infections in children: Middle ear infections primarily occur in children although it can occur in adults as well. Some of the common symptoms could be:

  • Ear pain either sitting or standing up and especially while lying down
  • Irritability and crying, which in infants could translate to more than usual crying 
  • Problems with sound and difficulties in hearing
  • Fluid buildup causing balance related problems
  • Discharge of fluid in certain cases
  • Unable to sleep and also loss of appetite
  • In some cases children may have high fever

Causes of middle ear infections: The primary cause of middle ear infection is due to the presence of bacteria or virus in the area. The Eustachian tube, which runs from the middle ear to the back of the throat, is connected to nasal passages as well. Any infection that affects the throat or the nose may also affect the middle ear through this tube.

Primary causes for the infections could be

  • Cold or flu like symptoms, which then infect the middle ear as well
  • Otitis media, which is the buildup of fluid and inflammation either due to the presence of bacteria and viruses or even without it
  • Seasonal infections, which are common during late autumn or winters
  • Air pollution is also known to be a factor
  • Infection from others, especially in the case of children when they are part of a group care
  • Children from 6 months to 2 years are also susceptible to middle ear infections as their immune systems are much less developed.

Treatment of middle ear infections: Usually, middle ear infections resolve on their own within a day or so. You can try warm compress with a soft piece of cloth to ease the pain. However, if pain persists for too long then antibiotic medications may be required to fight the infection with pain relief medications to lessen the pain and discomfort. In case you have a concern or query you can always consult an expert & get answers to your questions!

3324 people found this helpful

Entering To Later Middle Age?

Dt. Vaishnavi Satheesh 91% (639 ratings)
Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
Entering To Later Middle Age?

The old age is best defined as the age of retirement that is 60 years and above. Improvements in the health care technology has increased the life expectany. The process of ageing brings about physiological, psychological and immunological changes which influences the nutritional status. The changes associated with ageing are partly influenced by genetics, race and gender. 

All the functions of the body start to decline in its work. The reserved nutrients are used up especially the minerals. Calcium is the main mineral that starts depleting as early as the people enters into the age of 40+. This is why the people of old age faces lot of bone related disorders and tooth problems. As a result, arthritis becomes one of the major health issue faced by the geriatrics. This discourages the activeness of people.

To compensate the bone loss and the demoralisation, one should include a high amount of calcium rich diet. The calcium rich foods include milk, millets, yogurt, broccoli, egg, peanut etc. Avoid tea or coffee and so the absorption of calcium is encouraged. Sugars n junk foods should be avoided. 

When you enter the later middle age, certain clinical tests should be done to ensure good health. As a dietitian, I personally feel to take up a master health check up atleast once in a year. But if you are highly concerned about your health, its essential to take up certain basic tests which include 

Blood sugar both fasting and postprandial
Hba1c
Blood lipid profile
Blood urea
Blood creatinine
Abdominal scan
Eeg & ecg

A simple lifestyle modification that includes diet, exercise, habits etc, one can lead a healthier and happier life.

6 people found this helpful

Common Causes of Middle Back Pain

Dr. Sidharth Verma 88% (36 ratings)
MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Common Causes of Middle Back Pain

Back pain is something that affects many people all over the world. Persistent and chronic pain seems to be one of the most common complaints. Middle back pain is back pain that is felt in the thoracic vertebrae region, which is located between the base of the neck and top of the lumbar spine. The ribs attach to a long, flat bone in the middle of the chest called the sternum and wrap around the back. In case, there is a nerve around there is squeezed, disturbed, or injured, you are likely to feel pain in different spots where the nerve goes through, for example, your arms, legs, chest and the stomach.

Some of the most common causes of middle back pain are as follows:

  1. Middle back pain can happen as a consequence of injury or sudden damage or it can happen through strain or poor stance after some time.
  2. The most widely recognized reason for middle back pain seems to begin from soft tissue problems or muscular irritation. These can emerge from poor stance, lack of strength, prolonged sitting in front of a computer, utilizing a heavy backpack, overuse injuries, (for example, repetitive movement), or injury, (like a whiplash damage brought about by an auto crash or as a consequence of a sports injuries).
  3. The middle back is a moderately normal site for inflammatory, degenerative, metabolic, infective and neoplastic conditions.
  4. Middle back pain and its dysfunctions are connected with various conditions, for example, essential and optional osteoporosis (particularly vertebral cracks and hyperkyphosis emerging from vertebral bone loss), ankylosing spondylitis, osteoarthritis and Scheuermann's infection.
  5. Muscle strain, overuse or damage to the muscles, tendons, and discs that are backing your spine can also cause middle back pain.
  6. Weight on the spinal nerves from specific issues, for example, a herniated disc.
  7. A fracture in one of the vertebrae can also cause pain in this region.
  8. Osteoarthritis created by the breakdown of ligament or cartilage that cushions the little joints in the spine.
  9. Myofascial pain that influences the connective tissue of a muscle or gathering of muscles.
  10. In uncommon cases, pain might be brought about by different issues, for example, gall bladder disease, cancer or an infection.
  11. Getting hit hard in the back can also cause chronic pain.
  12. Lift something too heavy may cause pain and a sudden pressure in this area.
  13. A compression fracture of the vertebra can also bring about intense or chronic pain in the middle back. The injury may bring about a fracture, however in ladies over age 50 without critical injury or somebody known to have osteoporosis, an unconstrained vertebral fracture is possible.

Other contributing factors to injury include lack of strength which can be treated by a Pain Management Specialist using non-surgical methods.

6117 people found this helpful

Middle Ear Infections - Causes And Symptoms

Dr. Dhirendra Singh Kushwah 92% (74 ratings)
MBBS, MS - ENT
ENT Specialist, Delhi
Middle Ear Infections - Causes And Symptoms

The human ear is divided into three parts, namely the outer, middle and inner ear. All these parts function in coherence with each other and help us in converting vibrations into sound and information. The middle ear consists of the air space between the inner ear and the outer ear and contains the bones that transmit the vibrations of the outer ear and translate them into information. This area is prone to infections, especially among children and thus may cause discomfort or pain

Symptoms of middle ear infections: Middle ear infections primarily tend to manifest themselves as inflammation of the tissues and buildup of fluids. Some of the symptoms are mentioned below.

Infections in children: Middle ear infections primarily occur in children although it can occur in adults as well. Some of the common symptoms could be:

  • Ear pain either sitting or standing up and especially while lying down
  • Irritability and crying, which in infants could translate to more than usual crying 
  • Problems with sound and difficulties in hearing
  • Fluid buildup causing balance related problems
  • Discharge of fluid in certain cases
  • Unable to sleep and also loss of appetite
  • In some cases children may have high fever

Causes of middle ear infections: The primary cause of middle ear infection is due to the presence of bacteria or virus in the area. The Eustachian tube, which runs from the middle ear to the back of the throat, is connected to nasal passages as well. Any infection that affects the throat or the nose may also affect the middle ear through this tube. Primary causes for the infections could be

  • Cold or flu like symptoms, which then infect the middle ear as well
  • Otitis media, which is the buildup of fluid and inflammation either due to the presence of bacteria and viruses or even without it
  • Seasonal infections, which are common during late autumn or winters
  • Air pollution is also known to be a factor
  • Infection from others, especially in the case of children when they are part of a group care
  • Children from 6 months to 2 years are also susceptible to middle ear infections as their immune systems are much less developed.

Treatment of middle ear infections: Usually, middle ear infections resolve on their own within a day or so. You can try warm compress with a soft piece of cloth to ease the pain. However, if pain persists for too long then antibiotic medications may be required to fight the infection with pain relief medications to lessen the pain and discomfort. In case you have a concern or query you can always consult an expert & get answers to your questions!

2712 people found this helpful

Middle Back Pain - Common Causes Of It!

Dr. Ruchi Gupta 90% (79 ratings)
MD - Anaesthesiology, DNB, MBBS, Diploma In Aesthetic Medicine
Pain Management Specialist, Amritsar
Middle Back Pain - Common Causes Of It!

Back pain is something that affects many people all over the world. Persistent and chronic pain seems to be one of the most common complaints. Middle back pain is back pain that is felt in the thoracic vertebrae region, which is located between the base of the neck and top of the lumbar spine. The ribs attach to a long, flat bone in the middle of the chest called the sternum and wrap around the back. In case, there is a nerve around there is squeezed, disturbed, or injured, you are likely to feel pain in different spots where the nerve goes through, for example, your arms, legs, chest and the stomach.

Some of the most common causes of middle back pain are as follows:

  1. Middle back pain can happen as a consequence of injury or sudden damage or it can happen through strain or poor stance after some time.
  2. The most widely recognized reason for middle back pain seems to begin from soft tissue problems or muscular irritation. These can emerge from poor stance, lack of strength, prolonged sitting in front of a computer, utilizing a heavy backpack, overuse injuries, (for example, repetitive movement), or injury, (like a whiplash damage brought about by an auto crash or as a consequence of a sports injuries).
  3. The middle back is a moderately normal site for inflammatory, degenerative, metabolic, infective and neoplastic conditions.
  4. Middle back pain and its dysfunctions are connected with various conditions, for example, essential and optional osteoporosis (particularly vertebral cracks and hyperkyphosis emerging from vertebral bone loss), ankylosing spondylitis, osteoarthritis and Scheuermann's infection.
  5. Muscle strain, overuse or damage to the muscles, tendons, and discs that are backing your spine can also cause middle back pain.
  6. Weight on the spinal nerves from specific issues, for example, a herniated disc.
  7. A fracture in one of the vertebrae can also cause pain in this region.
  8. Osteoarthritis created by the breakdown of ligament or cartilage that cushions the little joints in the spine.
  9. Myofascial pain that influences the connective tissue of a muscle or gathering of muscles.
  10. In uncommon cases, pain might be brought about by different issues, for example, gall bladder disease, cancer or an infection.
  11. Getting hit hard in the back can also cause chronic pain.
  12. Lift something too heavy may cause pain and a sudden pressure in this area.
  13. A compression fracture of the vertebra can also bring about intense or chronic pain in the middle back. The injury may bring about a fracture, however in ladies over age 50 without critical injury or somebody known to have osteoporosis, an unconstrained vertebral fracture is possible.

Other contributing factors to injury include lack of strength which can be treated by a Pain Management Specialist using non-surgical methods. In case you have a concern or query you can always consult an expert & get answers to your questions!

3620 people found this helpful

Recurring Middle Ear Infections - Know The Signs Of It!

Mr. Sandeep Kumar 89% (66 ratings)
MSc - Audiology, BSc - Speech & Hearing
Audiologist, Ghaziabad
Recurring Middle Ear Infections - Know The Signs Of It!

Middle ear infection, also called Otitis media, is an infection due to bacteria or virus behind the eardrum. It is an inflammation of the middle ear, seen mostly in children. There is an area behind the eardrum, which has small vibrating bones. This kind of an infection happens usually in early spring or winter seasons. Usually, it does not need any kind of treatment, but since it is a recurring infection, it is always good to consult a doctor.

Symptoms of middle ear infection
Once the symptoms start appearing, the chances of infection are very fast. Here are some of the symptoms that you should watch out for:

  1. Severe ear pain, especially when you are sleeping
  2. Sleeplessness
  3. A flow of fluids from the affected ear
  4. Diminished hearing
  5. Loss of appetite
  6. Headache
  7. High fever
  8. Difficulty in hearing
  9. Excess crying in case of children

When you feel that the symptoms are unbearable and last for a very long time, you should consult a doctor immediately.
Causes of recurring middle ear infection

  1. Any virus or bacteria in the ear
  2. Any other types of illness
  3. Cold, allergy, or flu
  4. Swelling in the nasal passage

Treatment for recurring middle ear infection:
You should first see an ENT specialist for any kind of infection in your ears. There are many different kinds of treatments available for a middle ear infection. In most of the cases, the treatment will be decided based on the age, medical conditions, and present health condition of the affected individual.

A doctor will also take into consideration the following two factors:

  • How severe is the infection?
  • Will you be able to tolerate the dose of antibiotics?

For babies between the age of 6 months to 23 months, this kind of middle ear infection usually goes away in just 48 hours. So, it is always good to wait. For adults, most of the time, antibiotics are prescribed. Doctors suggest warm compress for kids as it is not healthy to give them pain medication. But in case the pain is not tolerable, a mild dose of pain medication is suggested along with a warm compression. Adults can take pain medication. Smoking should strictly be avoided when you are having a middle ear infection. Even passive smoking can be painful. Remember, it is better to be safe than sorry; so talk to the doctor immediately, if the ear pain in kids lasts for more than 48 hours.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2442 people found this helpful

Middle Back Pain - Common Causes Of It!

Dr. Varun Singla 90% (33 ratings)
MD, PDCC, MBBS Bachelor of Medicine and Bachelor of Surgery, FPCI
Pain Management Specialist, Delhi
Middle Back Pain - Common Causes Of It!

Back pain is something that affects many people all over the world. Persistent and chronic pain seems to be one of the most common complaints. Middle back pain is back pain that is felt in the thoracic vertebrae region, which is located between the base of the neck and top of the lumbar spine. The ribs attach to a long, flat bone in the middle of the chest called the sternum and wrap around the back. In case, there is a nerve around there is squeezed, disturbed, or injured, you are likely to feel pain in different spots where the nerve goes through, for example, your arms, legs, chest and the stomach.

Some of the most common causes of middle back pain are as follows:

  1. Middle back pain can happen as a consequence of injury or sudden damage or it can happen through strain or poor stance after some time.
  2. The most widely recognized reason for middle back pain seems to begin from soft tissue problems or muscular irritation. These can emerge from poor stance, lack of strength, prolonged sitting in front of a computer, utilizing a heavy backpack, overuse injuries, (for example, repetitive movement), or injury, (like a whiplash damage brought about by an auto crash or as a consequence of a sports injuries).
  3. The middle back is a moderately normal site for inflammatory, degenerative, metabolic, infective and neoplastic conditions.
  4. Middle back pain and its dysfunctions are connected with various conditions, for example, essential and optional osteoporosis (particularly vertebral cracks and hyperkyphosis emerging from vertebral bone loss), ankylosing spondylitis, osteoarthritis and Scheuermann's infection.
  5. Muscle strain, overuse or damage to the muscles, tendons, and discs that are backing your spine can also cause middle back pain.
  6. Weight on the spinal nerves from specific issues, for example, a herniated disc.
  7. A fracture in one of the vertebrae can also cause pain in this region.
  8. Osteoarthritis created by the breakdown of ligament or cartilage that cushions the little joints in the spine.
  9. Myofascial pain that influences the connective tissue of a muscle or gathering of muscles.
  10. In uncommon cases, pain might be brought about by different issues, for example, gall bladder disease, cancer or an infection.
  11. Getting hit hard in the back can also cause chronic pain.
  12. Lift something too heavy may cause pain and a sudden pressure in this area.
  13. A compression fracture of the vertebra can also bring about intense or chronic pain in the middle back. The injury may bring about a fracture, however in ladies over age 50 without critical injury or somebody known to have osteoporosis, an unconstrained vertebral fracture is possible.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3474 people found this helpful
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