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Muscle Weakness Tips

Sprained Thumb - Know More About It!

Dr. Varun Shanbhag 86% (10 ratings)
BPTh/BPT, Bachelor In TCM, DTCM
Physiotherapist, Mumbai
Sprained Thumb - Know More About It!

A sprained thumb is a painful condition caused due to an injury on the ligament of a thumb. A ligament is a soft tissue, which connects bones to each other at a joint. The ligament might get partially or fully torn due to extreme backward bending of thumb causing the ligament connecting the thumb and index finger to suffer injury.

The problem is quite common among basketball, rugby and football players. For this reason, it is known as a sports injury. Skiing may also cause extreme pressure to the thumb, causing a ligament tear. Injury due to skiing is called skier’s thumb.

The injury causes pain, bruising and tenderness. It can cause swelling on just the thumb or sometimes on the entire hand. In severe cases, weakness and instability in the region can be seen. A sprained thumb weakens the ability to pinch and grasp things. The patient will have trouble holding a glass, turning a knob or writing. An untreated injury may lead to joint stiffness, muscle weakness, scar tissue formation, instability of the thumb or even arthritis. It is strongly advised to visit a professional therapist for an early diagnosis and treatment.

Usually, an X-ray leads to an apt diagnosis of the injury. The doctor also ascertains damage to the bone and ligament and develops a treatment plan. Some ligament tears can be treated using a splint or cast. A chronic ligament tear might not heal and would require surgical intervention.

A partial or mild ligament tear can be managed through useful home remedies like putting an ice pack, bandage or splint. It is also advised to keep the thumb elevated and restrict its movement. A heat pack is beneficial as it can ease pain and relax the muscles. However, heat pack must be avoided during the first 48 hours of injury as it can lead to bleeding.

If there is a chronic injury and the ligament is completely torn, a surgery is needed. A surgery helps join a new ligament to the bone in case the torn ligament fails to heal. It also helps reconnect the injured ligament to the bone. Sometimes, there might be bone damage as bone fragments might get pulled away with the ligament. In such cases, bone fragments need to be put back in their position through surgery. After the surgery, a cast or splint is put till it heals completely.

An early visit to a physiotherapist has potential advantages. A therapist can fasten the healing process, help relieve pain and improve a person’s ability to resume daily tasks. Massages and strengthening exercises are initiated to avoid re-injury and instill strength in the injured region. Physiotherapy also helps immensely after surgery through planned mobility exercises that regain movement and strength.  

What Should You Know About Common Orthopedic Disorders In Children?

Dr. Arun Gupta 83% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS
Orthopedist, Agra
What Should You Know About Common Orthopedic Disorders In Children?

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

  1. Flatfeet: While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.
  2. Toe Walking: Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weaknesscerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.
  3. Pigeon Toes: In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.
  4. Knock-Knees: It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.

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

3537 people found this helpful

Biceps Tendon Tear Reason

Dr. Anuradha Sharma 91% (16115 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Biceps Tendon Tear Reason

 Biceps tendon tear at the shoulder

Tendons attach muscles to bones. Your biceps tendons attach the biceps muscle to bones in the shoulder and in the elbow. If you tear the biceps tendon at the shoulder, you may lose some strength in your arm and have pain when you forcefully turn your arm from palm down to palm up.Many people can still function with a biceps tendon tear, and only need simple treatments to relieve symptoms. If symptoms cannot be relieved by nonsurgical treatments, or if a patient requires complete recovery of strength, surgery to repair the torn tendor may be required.

Symptoms

  • Sudden, sharp pain in the upper armsometimes an audible pop or snap
  • Cramping of the biceps muscle with strenuous use of the armbruising from the middle of the upper arm down toward the elbow
  • Pain or tenderness at the shoulder and the elbow
  • Weakness in the shoulder and the elbow
  • Difficulty turning the arm palm up or palm downbecause a torn tendon can no longer keep the biceps muscle tight,
  • A bulge in the upper arm above the elbow (" popeye muscle") may appear, with a dent closer to the shoulder.

Muscle Strain: Causes, Symptoms and Treatment

Dr. Atul Kumar Garg 85% (11 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Muscle Strain: Causes, Symptoms and Treatment

Muscle strain or muscle pull is a condition, which is characterized by damage to the muscles or its adjoining tendons. Undue pressure can be exerted on the muscle when you are carrying out routine activities such as sudden lifting of heavy things or playing contact sports. The damage to the muscle is usually in the form of partial or complete tearing of the tendons and fibres attached to the muscles. The small blood vessels in the muscles can also be damaged by the tearing of the muscles, leading to local bleeding and bruising.

The symptoms of muscle pain are:
1. You will experience pain even while resting
2. There will be bruising, swelling and redness around the affected area
3. You will experience weakness of the muscles and tendons
4. The movement and mobility of the muscle will be impaired
5. You will experience pain when you use the affected muscles

The causes of a muscle strain are:
1. Playing contact sports can lead to injuries

2. Lifting heavy things
3. Exercising without a proper warm up routine
4. Lifting extremely heavy weights during exercise without proper acclimatization
5. Sleeping on one side only for a long period of time
6. Not stretching properly
7. Falling from a height

The treatments for muscle strains are:
1. Pain medications: You can opt for pain relieving medications such as non-steroidal anti-inflammatory medications to help combat the associated pain of a muscle strain.
2. Rice: Rice stands for rest, ice, compression and elevation. This treatment is usually the first step after suffering a strain, before opting for medications. This treatment prevents further aggravation of the problem.
3. Compress: You can alternate between hot and cold compress to reduce the swelling and pain.
4. Stretches: Once the affected area has healed, it is important for you stretch the muscles to improve their mobility and strength.

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

 

4856 people found this helpful

Know About The Common Orthopaedic Conditions in Children!

Dr. Sachin Singh 89% (350 ratings)
MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
Know About The Common Orthopaedic Conditions in Children!

Sometimes children suffer from conditions where their feet may not be in proper shape or size which can affect their posture. Most of the times the disorders correct themselves as they grow up but certainly there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet: While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking: Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes: In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees: It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.

2707 people found this helpful

Muscle Straining - Ways You Can Handle It!

Dr. Mukesh Kumar Agarwal 88% (15 ratings)
MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Guwahati
Muscle Straining - Ways You Can Handle It!

Muscle strain or muscle pull is a condition, which is characterized by damage to the muscles or its adjoining tendons. Undue pressure can be exerted on the muscle when you are carrying out routine activities such as sudden lifting of heavy things or playing contact sports. The damage to the muscle is usually in the form of partial or complete tearing of the tendons and fibres attached to the muscles. The small blood vessels in the muscles can also be damaged by the tearing of the muscles, leading to local bleeding and bruising.

The symptoms of muscle pain are:
1. You will experience pain even while resting
2. There will be bruising, swelling and redness around the affected area
3. You will experience weakness of the muscles and tendons
4. The movement and mobility of the muscle will be impaired
5. You will experience pain when you use the affected muscles

The causes of a muscle strain are:
1. Playing contact sports can lead to injuries
2. Lifting heavy things
3. Exercising without a proper warm up routine

4. Lifting extremely heavy weights during exercise without proper acclimatization
5. Sleeping on one side only for a long period of time
6. Not stretching properly
7. Falling from a height

The treatments for muscle strains are:
1. Pain medications: You can opt for pain relieving medications such as non-steroidal anti-inflammatory medications to help combat the associated pain of a muscle strain.
2. Rice: Rice stands for rest, ice, compression and elevation. This treatment is usually the first step after suffering a strain, before opting for medications. This treatment prevents further aggravation of the problem.
3. Compress: You can alternate between hot and cold compress to reduce the swelling and pain.
4. Stretches: Once the affected area has healed, it is important for you stretch the muscles to improve their mobility and strength.

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

4400 people found this helpful

Dr. Stephen Hawking: The Man Who Lived By The Thought, "Intelligence Is The Ability To Adapt To Change"

Dr. Aparna Gupta 86% (30 ratings)
DNB (Neurology), MD/MBBS - General Medicine
Neurologist, Delhi
Dr. Stephen Hawking: The Man Who Lived By The Thought, "Intelligence Is The Ability To Adapt To Change"

“I'm not afraid of death, but I'm in no hurry to die. I have so much I want to do first”, are the famous words of a man who, against all odds pursued his passion till the end. 14 March 2018 will always be considered as one of the darkest days as the world mourns the loss of the great Dr. Stephen Hawking, who enlightened people with his theories related to, ‘exploration of general relativity and properties of the black hole’.

At the age of 21 he was diagnosed with a rare neurological disease known as Amyotrophic Lateral Sclerosis (ALS)  or Lou Gehrig’s disease and despite the challenges he faced, he lived his life with fun & vigor.

So, what is Amyotrophic Lateral Sclerosis?

Amyotrophic Lateral Sclerosis (ALS) is a motor neuron disease, which is responsible for controlling the voluntary muscle movement in the body. It is one of the rare neurological diseases and has no cure at present. It is degenerative disease i.e. the condition affected by it will get worse over a period of time and weakens the working of these neurons.

What is the cause of it?

In 90% to 95% of cases, the definitive cause of it is still not known. And, for the remaining cases, there is a possibility that this disease can occur due an inherited genetic history of certain specific genes from their parents.

How the disease affected Stephen?

The symptoms of this disease vary from person to person. Also, the disease has a tendency to spread to unaffected regions of the body with the affected regions turning worse. Due to the progressive nature of the disease, the patient eventually will not able to walk, use their hands & arms, loses his ability to speak, to swallow food or their own saliva, and lastly, it affects the ability to cough & breathe resulting in the death of the patient.

In most of the cases, people who are diagnosed with ALS live up to 2-5 years. However, Hawking was a rare case who survived for over 50 years, since he was diagnosed when he was 21. And, in spite of his disease, he came up with highly elaborate researches such as that of the black hole theory.

How did he survive for so long?

When a patient suffers from ALS it is possible he or she can die due to respiratory failure, or deterioration of swallowing muscles which leads to dehydration and malnutrition. The case of Hawking is still a mystery for both doctors and scientists alike. As, in all ALS cases, the symptoms of cognitive dysfunction or memory dysfunction are common but were proven wrong in Hawking’s case. As per Hawking’s biography ‘A Brief History of Time’, his grasping, and learning ability improved only after his disease.

Due to the progression of his disease, he was paralyzed and confined to a wheelchair and was not able to perform day to day activities such as bathing, eating, and even talking. He was only able to move a few fingers. In order to overcome his difficulties, he started using a speech synthesizer that gave him a computerized voice. Also, after reading his case many doctors claimed that the disease progressed slower than it usually does in his case.


Common signs of this disease

Although the above symptoms can indicate other health ailments in case of continuous occurrence one should consult a doctor immediately. In case of any concern, do consult an expert and get answers. 

3637 people found this helpful

How To Treat Joint Pain?

Dr. Napoleon Dangmei 90% (119 ratings)
BHMS
Homeopath, Imphal
How To Treat Joint Pain?

In simple words - we can say" pain in the joints, which is a complex disorder with both genetic; environmental factors (like weight liftings, obesity, joint injuries etc).

It most commonly occurs in the knee joint, hip joint, lower back, neck & in the small joints of hands.

Symptoms include:-

1) 1st stage: occasional pain esp. In cold weathers, heavy works, weight lifting etc.

2) 2nd stage: pain with swelling on affected joints. Pain worsens esp. On cloudy days, winter & rainy seasons.
Stiffness of joints on & off. Muscle weakness with cramps & wasting. 

3) 3rd stage: pain is always present with typical stiffness of joints. 
Restricted movement & joint (bony) deformity. 

* for 1st & 2nd stage, the condition can be maintain & reverse with medicines, diets & other therapies like physiotherapy, accupunctures, aerobic exercises etc but for the 3rd stage surgery is the only option. 

General management:

  • weight loss with regular exercises (visiting to physiotherapist),
  • adequate supplement of calcium rich diets
  • using soft slippers & shoes 
  • use of walking stick
  • avoid extra weight lifting etc
  • Homeopathy has got lots of remedies for osteo-arthritis like rhus tox, bryonia, caulophylum, arnica, causticum, calc carb, calc fluor etc

But these medicines are prescribed only after proper case history takings.

Note: osteoarthritis is not a 1 week cure disease, it takes months together to get complete cure.

Homeopathic medicines are quite safe for all ages including pregnant & lactating womans. Once osteoarthritis is cured by homeopathic medicines, it never returns.
 
 

2 people found this helpful

Physiotherapy Treatment for Spinal Arachnoiditis

Dr. Vishwas Virmani 93% (21767 ratings)
MPT, BPT
Physiotherapist, Noida
Physiotherapy Treatment for Spinal Arachnoiditis

SPINAL ARACHNOIDITIS

Arachnoiditis of the spinal cord is a non specific inflammatory disease of the arachonoid membrane which is characterized pathologically by thickening of the arachnoid membrane with adhesion or adherence to the dura matter and manifested clinically through roots or radiclar signs and symptoms.  

CLINICAL FEATURES

Arachnoiditis is usually seen in 40 to 60 years of age but rarely below 20years.

Onset: it can be acute or sometimes it may take months.Pain: pain is usually localized type with a burning character. Later the painstarts radiating down the lower limb due to nerve root irritation.

Paresthesia: this also takes place due to irritation of the sensory nerve  roots.

Sensory loss: this occurs when the sensory nerve roots get completely blocked.

Muscle weakness with atrophy: although the anatomy of the motor nerve roots make them less prone to get compressed, it can happen in the later stage which will then give rise to weakness and wasting of the corresponding muscles. 

MANAGEMENT 

The medical management usually consists of corticosteroids in acute stage of inflammation. NSAID for pain relief and inflammation.

Surgical management consists of Rhizotomy in cases of unbearable pain.Surgical decompression for removal of cyst

PHYSIOTHERAPY MANAGEMENT comprises of 

Moist heat mainly for reducing the muscle spasm. 

SSF also relieves pain by reducing spasm  and by increasing the blood supply to the area. In case of radiating pain due to involvement of nerve roots the patient may be treated with TENS. Even in     cases of paresthesia TENS is usually used. 

Laser has been found to reduce the inflammation and also break the adhesion in the deep seated structures  which helps in setting free the irritation on the nerve roots thereby     relieving the discomforts of the patient. 

Active exercises like static exercises for the abdominus, back extensor, gluteus and quadriceps helps in reducing   pain in the initial stages and also maintains the tone in the muscles. 

Dynamic exercises may be started once the  pain level comes within the patient’s tolerance level. These exercises may be continued by the patient throughout the life for preventing any chances     of recurrence. 

SLR: Active and passive SLR is given to  lengthen the neural structures and relieve the tension in them. This is a type of neural mobilization that helps in relieving the signs of   radiculopathy. 

Gait training in cases of muscular weakness.

Neuro Pysiotherapy Exercises/stretches in Spastic Stages of Stroke/hemiparalysis

Dr. Vishwas Virmani 93% (21767 ratings)
MPT, BPT
Physiotherapist, Noida
Neuro Pysiotherapy Exercises/stretches in Spastic Stages of Stroke/hemiparalysis

TREATMENT IN SPASTIC STAGES: 

In case of spasticity the therapist should try to achieve the following aims:· 

First normalize the tone.

Development of normal functional pattern.

Prevention of contracture and deformity.

Train the patient to be functionally independent.

Achieve highest possible physical security for the patient.           

Spasticity in the muscle can be reduced by the following methods:       

Gentle rhythmic passive movement.        

Sustained gradual stretching either manually or by using splints.Prolonged icing over the spastic muscle bulk for about 15 to 20 min.            

Faradic stimulation to the weak antagonist muscles can reduce the               

Spasticity of the agonist muscle by the principle of reciprocal inhibition.        

Reflex inhibiting postures or patterns.        

Biofeedback: This can be used to relax spastic muscle as well as to activate its antagonist. 

EXERCISES IN SPASTIC STAGE:

EXERCISES IN LYING:

Scapular movement: The patient scapula should be mobilized passively and also the patient should be asked to perform protraction and elevation movement of the scapula.Touching the opposite shoulder: The patient is trained to take his arm from extension, abduction and external rotation position towards his opposite shoulder into flexion , adduction, supination and external rotation.Touching the head: The patient is trained to touch the head by maintaining external rotation and supination. The Therapist maintains the hand in extension of the fingers with the thumb in abducted position and then she moves the hand into abduction and elevation maintaining the elbow in extension. This exercise can be progressed to active the as the patient learns to control the movement.Elbow extension with shoulder in 90 degree of flexion.The patient is then trained to maintain the arm  in space in different directions. This exercise will help the patient in developing good control of the upper limbs and also increase the proximal fixation.

Bridging: 

Bridging should be done by weight bearing on the affected limb only. The therapist maintains the normal limb in flexion and encourages weight bearingt hrough the hemiplegic lower extremities.

Unilateral rotation of the pelvis: 

The patient performs hip-knee flexion of the affected lower limb and then rotated the pelvis to the opposite side. The patient tries to maintain this posture so that the spasticity of the trunk is inhibited. This exercise also help in encouraging forward rotation of the pelvis and correcting pelvic retraction.The patient is encouraged to perform flexion adduction and extension abduction pattern of the lower limb keeping the knee in extension position throughout.

The affected lower limb is kept in abduction at the edge of the plinth such that the knee is in flexion. In this position the patient is encouraged to perform knee extension and flexion without any adduction or flexion movement at the hip.

The patient may be trained to perform dorsiflexion with hip extension and plantar flexion with hip flexion. In case the patient is unable to perform dorsiflexion he may be trained to do with hip-knee flexion and the flexion at the hip and knee gradually reduced. 

1 person found this helpful
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