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Subcutaneous Tissue Tips

Physiotherapy And Soft Tissue Injuries

Dr. Vishwas Virmani 91% (22727 ratings)
MPT, BPT
Physiotherapist, Noida
Physiotherapy And Soft Tissue Injuries

A soft tissue injury occurs due to overuse of ligaments, muscles or tendons. Most cases of soft tissue injuries occur due to uncontrolled or unexpected movement. A Certain example of the same includes awkward stepping of foot and getting the ankles rolled. Soft tissue injury can also happen from overuse of muscles, tendons, and ligaments. The example of the same includes using the same hand for heavy lifting day after day. Certain soft structures of the body that are prone to injuries are Achilles tendons and calf muscle.

Difference Between a Sprain and a Strain:

A strain is defined as a trauma that occurs to the tendons or muscles because of overstretching. Tendons are soft in nature and are responsible tying the muscle and the bone together. Sprain, on the other hand, are trauma caused due to overstretching of the ligaments. There exist 3 severity levels: grade 1 is mild tenderness and minimal stretching of the soft tissue, grade 2 is a tear of fiber resulting in swelling and moderate pain, grade 3 is a rupture of the soft tissue resulting in sharp pain, deep swelling and immobility of the affected area.

Pre-medical Care:

Immediately after the injury, certain things such as total rest and immobility should be ensured, an ice pack should be applied to the structure, compression, and elevation should be ensured in order to avoid any major damage to the soft tissue. Certain things that hamper the healing process immediately after the injury include applying heat to the injured area, consumption of liquor, exercising or running with an injured condition and massaging the injured area.

Physiotherapy For Soft Tissue Injury:

  1. Pain Relief: The first task for a physician is to ensure that the level of pain comes down. Although this is the primary task of a medical practitioner, physiotherapists ensure that the pain does not aggravate to an unbearable level. They recommend certain movements and advice against some movements which could do harm to the injured structure.

  2. Full Structure Movement: The immediate goal of a physiotherapist is to ensure that the full movement of the injured structure is regained at the earliest. This includes identifying abnormalities, verifying the range of motion and suggests corrective exercises ensure that the full movement of the soft tissue can be regained without having to go through the hassle of a surgery.

  3. Muscle Strengthening: While the injured structure is in the process of healing, physiotherapists ensure that the surrounding muscles support the tendon and the ligament by binding well. This is done by suggesting very individualistic exercise for the muscle to hold up. It also negates the possibility of a recurring injury at the same place.

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

6260 people found this helpful

Physiotherapy and Soft Tissue Injuries - What Should You Know

Dr. Aneeta Verma 84% (10 ratings)
Wellness Diploma, MBA (Healthcare), BPTh/BPT, Post Graduate Specialization In Preventive Health Care
Physiotherapist, Noida
Physiotherapy and Soft Tissue Injuries - What Should You Know

Soft Tissue Injuries occur when soft body tissues of the likes of muscular tissue, ligaments or tendons receive a dose of stress or strain caused by sudden impact, which is far greater than the load the soft tissues are able to withstand. The occurrences of soft tissue injuries are far greater than the probabilities of suffering a fracture, as the soft tissues absorb the majority of the impact, before passing it onto the bones. Swelling, edema, tendon or ligament break, etc. are some of the immediate effects observed following a soft tissue injury in the majority of victims.

If the whole process of tissue damage to regeneration new tissue is observed, this is how the process would appear to us:

  1. Damage to the tissue would almost immediately be followed by bleeding internally, and inflammation, which would be highly painful if touched. The damaged tissue would then be gradually removed and replaced with a live, healthy tissue by the body, without any external intervention.
  2. Based on the severity and extent of damage, the process of removal and repair can take a few weeks to a couple of months. This transition is highly painful and tends to affect the normal functioning of the whole surrounding region, irrespective of how minuscule the damage may seem.
  3. The duration when remodeling of the tissue occurs, is most susceptible to fresh damage, as the live cells are not yet ready to develop the full potential of stress-bearing capability. The remodeling phase generally does not require any external aid in the form of supportive drug therapy or physical therapy.
  4. Though the application of physiotherapy in soft tissue injuries are sometimes contested, physical therapy may come in handy for patients who put up a delayed response in regeneration than usual. Physiotherapy takes care of the little details such as an inability to resume normal body functions, as well as stiffness of the affected area. Physical therapy ensures normal blood flow has been restored, a stiffness of the surrounding soft tissues is addressed, and normal functioning of the area begins to restore.
  5. Generally, patients who experience a disrupted mechanism of removal and repair of soft tissues require any sort of medical help in the form of drugs and/or physical therapy. While drugs reduce the turnaround time in terms of boosting the chemical balance, physiotherapy addresses the trauma experienced by the patients. In addition, physiotherapy may indirectly boost the activity of chemical mediators which further speeds up the recovery process as a whole.

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

4312 people found this helpful

Early Stages Of Recovery Of Brain Tissue After Injury!

Dr. Deepak Kumar 86% (26 ratings)
M. Ch (Neuro Surgery), MS - General Surgery, MBBS
Neurologist, Gurgaon
Early Stages Of Recovery Of Brain Tissue After Injury!

The tissue in the brain does not heal in the same way as the tissues in the rest of the body. A traumatic incident such as an accident involving the head, a fall or a gunshot can damage and destroy brain tissue. The extent of this damage depends on the force exerted on the head. Recovering from such accidents can take anywhere from a few months to a few years. No two people recover in the same way and hence it is difficult to set a universal timetable to this recovery. Some people make a full recovery and go back to living their normal lifestyle while others may need help throughout their lives.

  • In the first few weeks after the injury, the tissues inside the brain are likely to be swollen and the patient may have internal bleeding. As a result, the person may be in a coma and unaware of the happening around him or her. In this state, the patient will not be responsive to external stimuli of any kind and will be unable to communicate with others.
  • As the swelling subsides, the brain tissue functioning will improve. Though the patient’s eyes may still remain closed, he or she may begin to show signs of responsive behavior. With time, he or she may open their eyes and they may begin to experience irregular sleep-wake cycles. At the point, the patient may be said to be in a vegetative state.After some time, the person may also begin to respond to family members and display an ability to follow simple commands. This is known as a minimally conscious stage.
  • Caregivers will need to be very patient with the person as at this stage as inconsistent behavior is very common. The person may appear nervous and restless and may often feel frustrated with his or her inability to do things they were able to before the accident. Some days could be very productive while on others, the person may not be able to pay attention to commands or complete actions that they could do on the previous day. The patient may also turn aggressive or overreact to stimuli.
  • These first few stages of recovery usually happen within six months of the accident. Between six months and two years from the accident, the brain will slowly regain its functionality. Improvements slow down after two years but may still continue for many years. It is important to remember that the rate of recovery varies from person to person.

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

2063 people found this helpful

Soft Tissue Injuries - Know The Common Types!

Dr. Amit Shridhar 87% (23 ratings)
MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Soft Tissue Injuries - Know The Common Types!

There are two main categories into which soft tissue injuries fall into first is overuse and the second is acute.

  • Acute injuries: These are brought on by unexpected trauma such as a twist, fall or a heavy blow. Strains, contusions and sprains are examples of acute injury.
  • Overuse injuries: They happen gradually with time. Athletics experience this as they use specific areas of their bodies repeatedly, without giving them time to heal. Examples of soft tissue injuries due to overuse are bursitis and tendinitis.

Types of Overuse injuries

  1. Tendinitis: It is an irritation or inflammation of the tendon coverings (also known as a sheath). Repeated small stresses that agitate the tendon may cause it. Pain and swelling are typical symptoms that may worsen with overuse. Professional swimmers, baseball players, golfers and tennis players are more prone to their arms and shoulders being affected by tendinitis. Stress elimination, steroid injections, anti-inflammatory drugs and splinting can all be used in the treatment of tendinitis. The tendons might get significantly damaged due to persisting inflammation and corrective surgery may be required.
  2. Bursitis: Small sacs resembling jelly which are spread throughout the whole body are called bursa. These areas include the knees, the hip, heels, the elbow and the areas adjacent to the shoulders. They are located between soft tissues and bones and have small amounts of fluid to assist in reducing friction. An inflammation of the bursa is called bursitis. Tendinitis and bursitis are many –a- times experienced together.

Types of Acute injuries 

  1. Contusion: Multiple blows or a direct one can cause a contusion. It is a bruise in which the underlying connective tissues and muscle fibres get crushed without a break in the skin. It may result from the body hitting a tough surface or from falling. The pooling of blood around the site of injury can cause a discoloration in the skin.
  2. Strain: An injury to the muscles or tendons leads to strain. Fibrous tissues that hold the bone and muscles together are called the tendons. They generally happen in the back, the feet or legs. It may be just a stretch in the tendons and muscles, or it might be a complete or partial tear in the tendon and muscle junction. Pain, muscle weakness, muscle spasm, cramping, inflammation and swelling are typical strain symptoms.
  3. Sprain: A tear or stretch in the ligament is called a sprain. Ligaments join the ends of bones together. They support and stabilize the joints of the body. For example, the knee ligaments connect the shinbone to the thighbone and this in turn facilitates running in athletes. The knees, wrists and ankles are the most susceptible to sprains.
3450 people found this helpful

Hot and cold therapy has a tendency to reduce pain, assist with tissue healing

Dr. Priyanka Tyagi 88% (143 ratings)
BPTh/BPT
Physiotherapist, Delhi
Hot and cold therapy has a tendency to reduce pain, assist with tissue healing
Hot and cold therapy has a tendency to reduce pain, assist with tissue healing, control swelling and increase flexibility if used appropriately after an injury.
84 people found this helpful

Lipoma Excision - Facts You Need To Be Aware Of!

Dr. Srinivas Kasulabada 86% (71 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Lipoma Excision - Facts You Need To Be Aware Of!

Lipoma excision is the surgical removal of lipomas present in the body of persons affected by lipomatosis. People affected with lipomatosis have fatty lump-like accumulations in the subcutaneous tissues of the head, neck, shoulders and back. These fatty deposits are slow-growing benign tumours that are mostly painless and soft, mobile masses. A lipoma or multiple lipomas that exceed 5 cm in size and cause cosmetic disfigurement, pain or restrict movement in individuals, require surgical intervention. The classic method for removal of lipomas is excision biopsy or lipoma excision, which involves the incision and removal of the deposits and their capsules. However, the surgical removal of a large lipoma or multiple lipomas often results in disfiguring scars.

Pre-Surgical Procedure
Outlining the lipoma area prior to the surgery with a marker serves as a guideline for the surgeon. The marked area is then cleansed with betadine solution. Sterile towels are used to drape the area after cleansing. Local anaesthesia is administered along with a field block into the subcutaneous area.

Enucleation
This procedure is followed for lipomas of smaller sizes. An incision of 3-4mm is made over the lipoma, following which a curette is placed in the wound to cut away the lipoma from the surrounding tissue. The tumour is then enucleated through the incision with the curette. A pressure dressing is applied to prevent the formation of hematoma after enucleation. Sutures are not required for this procedure.

Excision
Larger lipomas or multiple lipomas spanning larger areas are best removed by incisions made on the skin overlying the lipoma. The incisions are made in the form of a fusiform excision that are aligned with the skin tension lines and are smaller than the underlying tumour. A haemostat is used to grasp the skin inside the incision; this provides the necessary traction for removing the tumour. Once the central island of skin has been grasped by the haemostat, dissection is performed beneath the subcutaneous fat to the tumour. A scalpel is used to cut away tissue around the lipoma. Cutting of tissue is carefully performed under direct supervision to avoid damage to surrounding nerves or blood vessels. For further removal of the remaining lipoma mass, haemostats or clamps are used. Once freed, the lipoma is removed as a whole, and haemostasis is achieved.

Occasionally drains have to be placed for preventing fluid accumulation. The skin is then closed with nylon sutures and a pressure dressing is placed to prevent formation of hematoma. The wound is checked in 2-7 days and the sutures are removed after 21 days. Lipoma excision often results in complete cure. Common risks associated with lipoma excision are hematoma formation, surgical infection, injury to nearby tissues, and deformity due to the incision.

3082 people found this helpful

Where to inject insulin (Sites) ?

Dr. Nikhil Prabhu 93% (551 ratings)
MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Where to inject insulin (Sites) ?

Where to inject insulin (sites)?

Insulin is injected subcutaneously, i. E just below the skin in fatty tissue. If insulin is injected deeper in muscles then it may get absorbed quickly and can lead to low sugars. Insulin should not be given in scars, moles, varicose veins, sites with broken blood vessels etc. As it may alter its absorption. Insulin injection site must be rotated each time to avoid lipodystrophy (at least, take insulin injection an inch apart from the previous site).

Sites where you can take insulin injection:

  1.     Abdomen: this is a preferable site for self-administration since absorption of insulin is quicker and predictable. You can take insulin, at least, two fingers width away from belly button.
  2.     Thigh: this is second best site after abdomen for self-administration of insulin injection. Top and outer aspect of the thigh is preferred. Avoid injecting insulin on the inner side of the thigh.
  3.     Arms: normally when somebody else is administrating insulin to diabetes patient it can be given on outer back aspect of the arm away from shoulder and elbow in fatty tissue.
  4.     Buttocks: upper outer padded part (wallet area) is a preferred spot.

 

Surgical Treatment For The Infected Diabetic Foot!

Dr. Krishna Chaitanya K H 90% (10 ratings)
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

What You Need to Know About Coolsculpting

Cosmetologist
Dermatologist, Delhi
What You Need to Know About Coolsculpting

CoolSculpting is a fat reduction procedure that works on the principle of freezing fat or cellulite. It is a non-invasive and non-surgical therapy that cools the subcutaneous fat cells under the skin without harming the skin tissue. Here are the things you need to know before you opt for CoolSculpting:

  1. CoolSculpting is very effective for body sculpting and reducing weight. This process can eliminate love handles, tires around the abdomen, thighs, and sagging arms. It also burns the fat collected in the upper back.
  2. The applicator targets only the fatty regions, cools the subcutaneous fat cells. The cooled fat cells crystallize and get destroyed without harming any other cell.
  3. The process works on both men and women, though the techniques might differ slightly because fat deposition in males and females vary in terms of location.
  4. The fat freezing treatment can reduce fat cells by up to 25% in each treated region.
  5. CoolSculpting is done with the help of computer regulated devices which are sensitive to the changing temperatures of the various layers of tissue. This avoids complications like over cooling or unnecessary cooling of cells.
  6. It different from exercise and dieting as they decrease the size of the fat cells while CoolSculpting reduces the number of fat cells.
  7. Untreated areas of the body will not have any change in distribution of fat cells.
  8. The cells are expelled from the system because other healthy cells eat the dead fat, so there is no risk of fat cell migration to other body parts.
  9. The cold also causes a certain amount of firmness in the treated areas.
  10. It does not require anesthesia, incisions, any invasive procedure, post-therapy recovery time or lifestyle changes.
  11. The treatment can be administered on the abdomen, thighs, chin upper arms and male breast.
  12. The effects of CoolSculpting are long term because the fat cells are eliminated.
  13. The clinician discusses the approach with you before the treatment. The schedule, number of sessions, number of areas being treated per session- all these factors are customized to fit your specific requirement.
  14. People are only advised against Cool Scupting if they suffer from Donath Landsteiner Syndrome (presence of hemoglobin in urine) or Cryoglobulinemia (presence of insoluble protein in blood) - both caused by exposure to cold.
  15. Side effects are very rare and curable.
3269 people found this helpful

CoolSculpting - 15 Important Facts You Should Know!

Dr. Jatin Sharma 90% (21 ratings)
MBBS, MD - Dermatology, Fellowship In Dermatosurgery
Dermatologist, Zirakpur
CoolSculpting - 15 Important Facts You Should Know!

CoolSculpting is a fat reduction procedure that works on the principle of freezing fat or cellulite. It is a non-invasive and non-surgical therapy that cools the subcutaneous fat cells under the skin without harming the skin tissue. Here are the things you need to know before you opt for CoolSculpting:

  1. CoolSculpting is very effective for body sculpting and reducing weight. This process can eliminate love handles, tires around the abdomen, thighs, and sagging arms. It also burns the fat collected in the upper back.
  2. The applicator targets only the fatty regions, cools the subcutaneous fat cells. The cooled fat cells crystallize and get destroyed without harming any other cell.
  3. The process works on both men and women, though the techniques might differ slightly because fat deposition in males and females vary in terms of location.
  4. The fat freezing treatment can reduce fat cells by up to 25% in each treated region.
  5. CoolSculpting is done with the help of computer regulated devices which are sensitive to the changing temperatures of the various layers of tissue. This avoids complications like over cooling or unnecessary cooling of cells.
  6. It different from exercise and dieting as they decrease the size of the fat cells while CoolSculpting reduces the number of fat cells.
  7. Untreated areas of the body will not have any change in distribution of fat cells.
  8. The cells are expelled from the system because other healthy cells eat the dead fat, so there is no risk of fat cell migration to other body parts.
  9. The cold also causes a certain amount of firmness in the treated areas.
  10. It does not require anesthesia, incisions, any invasive procedure, post-therapy recovery time or lifestyle changes.
  11. The treatment can be administered on the abdomen, thighs, chin upper arms and male breast.
  12. The effects of CoolSculpting are long term because the fat cells are eliminated.
  13. The clinician discusses the approach with you before the treatment. The schedule, number of sessions, number of areas being treated per session- all these factors are customized to fit your specific requirement.
  14. People are only advised against Cool Scupting if they suffer from Donath Landsteiner Syndrome (presence of hemoglobin in urine) or Cryoglobulinemia (presence of insoluble protein in blood) - both caused by exposure to cold.
  15. Side effects are very rare and curable.

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

2617 people found this helpful
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