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Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Pain in Ribs
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
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Patient Review Highlights
Experience was great, He attended me well and his knowledge on the field is very good. I was able to recover from Severe Pain in just 24 hrs.
Dr. Kulwinder Singh Shah provides answers that are very helpful. Thank you dor your response
I found the answers provided by the Dr. Kulwinder Singh Shah to be very helpful. Thanks
Knee injury can occur from the direct blow as well as through stretching and twisting injuries. At times the ligament that holds the knee in place gets stressed and results in sprains. Depending on the extent of the ligament and fibre damage, the sprains are graded. Then there are knee injuries that are caused by overuse of it. These injuries cause harm to the tendons and the muscles. Since the knee is interconnected to a lot of other structures, any damage to the knee can have serious repercussion to other connected bones and ligaments.
What are the Risk Factors?
1. Muscle imbalance leading to hamstring spasm.
2. Imbalance of the thigh muscle leading to injury of the knee.
3. Pregnant women and people who are overweight are at increased risk of knee injury
Signs and Symptoms of a Knee Injury:
Knee injuries that are serious in nature can result in instant swelling along with difficulty in bending it. People may find it difficult to bear any sort of weight whatsoever. Joint pain, swelling, inflammation of the muscles are some of the other symptoms of injury to the knee. Pain, instability, locking of the knee can be felt while walking fast or climbing stairs.
When to Contact a Doctor?
Any knee injury should be instantly reported to a doctor. Signs such as deformity, loss of sensation, cold ankle, swelling of knee etc. are signs of a knee injury. A doctor should be consulted, if home remedies such as rest, elevation, compression and ice treatment fail to fetch any fruitful results. If the swollen area has become warm and red and accompanies fever, it is a sign to visit the doctor.
A doctor starts the diagnosis with medical history along with physical exam of the patient. Doctor first does a thorough inspection of the nerve and blood supply of the area.The next step of the diagnosis includes palpation. This is a step where the doctor tries to find out the exact location of the pain and tries to correlate the same with the injury location. The doctor might also stress the ligament in order to find out if they are fine. Other imagery tests such as X-ray and MRI are performed to find out the exact location of the injury.
The nature of the injury decides the treatment plan. In many cases, the injured area is suggested to be kept at rest or moved in the specific direction as per the direction of a physiotherapist. For serious injuries with a tendon or ligament injury, a reconstructive surgery is necessary to get the knee to the original condition. The type of surgical procedure depends on the kind of Injury one have faced.
Are you aware of the importance of vitamin D in your body, and why you should keep away from vitamin D deficiency? Vitamin D, referred to as the sunshine vitamin, is produced by your body in response to your skin’s exposure to sunlight. It is found naturally in certain food items such as egg yolks, fish liver oils, and fish. Vitamin D is essential for strong bones as it helps your body in using calcium from your diet.
Causes of vitamin D Deficiency
There are various reasons that lead to vitamin D deficiency. The most common ones are as follows:
- It happens when you are a vegan and do not consume any animal-based products, as it is common in foods like fish, egg yolks, beef liver, and fortified milk.
- You have limited exposure to sunlight, in such a case your body fails to make required vitamin D
- If you spend a lot of time indoors or live in the northern latitudes, or wear robes and covering as part of religious requirements, you may become vitamin D deficient.
- In case you have dark skin, as a pigment known as melanin reduces your skin’s ability to make vitamin D based on your exposure to sunlight.
- Aged adults having a dark skin tone are more likely to suffer from vitamin D deficiency.
- The primary symptoms of vitamin D deficiency include muscle weakness and pain in the bones.
- In some people, the symptoms are not prominent.
Management of vitamin D deficiency
- The treatment of vitamin D deficiency aims at getting more vitamin D via diet and health supplements.
- Usually, there is no consensus about vitamin D levels that are required for optimal health, and it depends on a person’s health condition or age.
- The recommended dietary allowance of vitamin D is stated to be 600 international units for all people within the age of 70.
- For people above the age of 70, the allowance is stated to be 800 international units.
- It is also possible for a doctor to prescribe over 4000 international units for correcting vitamin D deficiency.
It is recommended for you to consult a doctor regarding vitamin D deficiency in case you do not spend enough time in the sun, or when you always cover your skin by applying sunscreen, which restricts the production of vitamin D. You may need to take vitamin D supplements, as prescribed by the doctor.
When performing simple daily activities like climbing stairs, getting out of a chair, or walking tend to become a rather painful experience, knee replacement surgery seems to be the only suitable solution. Referred to as arthroplasty, it is a common surgery nowadays and ideal when several other therapies and injections fail to bring back the knees into the normal functioning order. Below are some the things that one can expect from a knee replacement surgery-
- Medications: It is quite natural to receive lots of prescribed medicines right after the completion of the surgery. From antibiotics to painkillers, one needs to be ready to have various medicines which are meant to relieve the pain of the surgery as well as to prevent blood clots. However, the drug dosages continue to get lesser, after each passing day, depending on how well the knees are performing.
- CPM: Taking the help of CPM or continuous passive motion becomes necessary for many people after having the knee replacement surgery. Depending on the condition of one’s knee, one might need to spend time in a CPM system, which helps in keeping the knee flexible. There’s a cradle in the machine for the legs, and the machine is fitted with the joint position and leg length. One can adjust the level up to which the machine can bend the knees, depending on their comfort level.
- Walking: The majority of the people who undergo knee replacement surgery can walk the very day of the surgery or the next day. Most of the people become able to bear the weight of the replaced knee with the help of crutches or walkers. However, one can expect a bit of pain when starting to walk for the first time after surgery.
- Rehabilitation: The primary purpose of rehabilitation after a knee replacement surgery is to make one capable of bending his or her knees at least 90 degrees which is essential for performing the daily activities easily. Several therapies can make the rehabilitation process a success and make the knees bendable more than 90 degrees in most of the cases.
- Exercise: Most people go home within a few days after a knee replacement surgery and is essential to take care post-surgery. The best way to maintain the good health of the knees is by performing the exercise program regularly, which is suggested by the doctors. Following the exercise program regularly and performing regular short walks, can make the knees flexible like before while regaining their strength as well as the motion range more quickly.
It's best to visit one's doctor from time to time, even months after the knee replacement surgery is done to not only monitor his or her knee replacement; but also to ensure that there are no risks of any complications.
Lumbago or Lower back pain is a condition that is characterized by mild to serious pain or uneasiness in the lower back region. Lower back pain is more prevalent among the youth whose work includes physical exertion or sitting for long hours and is also common in individuals belonging to the 'retirement age' because of their sedentary lifestyles. The pain might be acute (sudden and extreme) or chronic if it has been endured over a span of three months.
The most common causes of lower back pain are:
- Overuse of the muscles and includes strains or sprains of soft tissues such as muscles, ligaments and vertebral compression fractures.
- Pressure on the roots of nerves due to conditions such as spinal canal stenosis (narrowing down of the spaces within the spine) or herniated disc (a condition of the rubbery disc present between the spine bones (vertebrae)).
- Osteoarthritis is a condition wherein the shock absorbers, found in the joints, progressively break down.
When it affects the spine, the condition causes back pain by stiffening the spinal joints. Symptoms of Lumbago (Low back pain) include:
- Stiff back
- Numbness in the legs
- Loss of weight
- Difficulty in urinating
- Sciatica, which is the pain running down the lower back to hips, legs and thighs. This occurs due to a compression by an intervertebral disc in the back, which leads to a pinched nerve.
How to diagnose lower back pain or a slip disc?
Treatment options available -
Exercises along with correction of bad posture for relieving back pain are a common component of any treatment plan. Factors such as type and severity of the pain as well as the patient?s history can help in determining the type of treatment that can be administered. Typical treatment of back pain includes use of muscle relaxants, painkillers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below:
- Rest: A period of rest and inactivity would help the injured tissues to recuperate and relieve back pain. However, extended periods of rest lead to weakening of muscles and hence might prolong the existing back pain.
- Heat and ice packs: Both heat and ice therapies are used according to the patient's preference to reduce inflammation.
- Medications: A large variety of prescription and over-the-counter medicines are available. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. Examples would include acetaminophen, celecoxib and diclofenac.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Osteoarthritis (OA) is a disease that affects the joints(Knee,Hip) in your body. Cartilage covers the joints between bones, protecting and cushioning them. OA occurs when the cartilage breaks down, causing pain, swelling, and limited mobility. Some risk factors for OA include: Heredity, Gender, Age, Overweight and Inactive Lifestyle. Women who have gone through menopause have a higher risk of getting OA because their bodies slow down or stop producing estrogen, which helps bones grow. OA can also be inherited.There is no cure for OA, however you can manage symptoms and reduce risk factors. If you do develop OA, there are many lifestyle changes you can make to slow the course of the disease.
Jobs that involve a lot of repetitive motion can be hard on your joints.
Low-impact exercise can improve joint health. Look for activities that include strength training and stretching in addition to aerobic exercise. Regular exercise can help slow down, or even prevent, OA. Exercise helps people by:
• maintaining healthy joints
• relieving stiffness
• reducing pain and fatigue
• increasing muscle and bone strength
Maintain a healthy weight
Excess weight is one of the biggest risk factors of OA, as it puts extra stress on your joints, which can speed up the deterioration of joint cartilage. Overweight and obese individuals are at high risk of developing OA. Losing weight can help reduce pain and improve symptoms.
Exercise can help people develop healthy joints and muscles, but overuse of joints can increase the risk of developing OA. The key is balance. If your joints are swollen or achy, give them a break. Try to avoid using a swollen joint for at least 12 to 24 hours. Letting an injured joint heal helps reduce the risk of developing OA there in the future.
Control blood sugar
Diabetes may be a significant risk factor for developing osteoarthritis. High glucose levels can speed up the formation of molecules that make cartilage stiff, and diabetes can also trigger inflammation that can accelerate cartilage loss. Keeping diabetes under control and regulating your glucose levels can help prevent OA.
Although there is no cure for osteoarthritis, there are many ways to prevent it and manage its symptoms. Maintaining a healthy lifestyle with low-impact exercise, getting adequate rest and enough sleep, and maintaining a healthy diet and weight are simple ways you can reduce and manage OA symptoms so that you can live a healthy and fulfilling life.
Causes of Hip Pain
These are some of the conditions that commonly cause hip pain:
Hip fractures. With age, the bones can become weak and brittle. Weakened bones are more likely to break during a fall.
Tendinitis. It's usually caused by repetitive stress from overuse.
Muscle or tendon strain. Repeated activities can put strain on the muscles, tendons, and ligaments that support the hips. When they become inflamed due to overuse, they can cause pain and prevent the hip from working normally.
Avascular necrosis .This condition happens when blood flow to the hip bone slows and the bone tissue dies. Although it can affect other bones, avascular necrosis most often happens in the hip. It can be caused by a hip fracture or dislocation, or from the long-term use of high-dose steroids (such as prednisone), among other causes.
Symptoms of Hip Pain
Depending on the condition that's causing your hip pain, you might feel the discomfort in your:
- Inside of the hip joint
- Outside of the hip joint
Sometimes pain from other areas of the body, such as the back or groin (from a hernia), can radiate to the hip.
I have back pain while I sleep on bed or while I sit on chair with back touch. I went for vitamin D3 check so I found 38.33. Can that be cause of pain? Please let me know.
Tennis Elbow (Lateral Epicondylitis)
Anyone can get tennis elbow if they have the risk factors but common age group is 30 to 60.In racquet sports like tennis, improper stroke technique and improper equipment may be risk factors.Tennis Elbow can also occur without any recognized repetitive injury. This occurence is called "insidious" or of an unknown cause.
The symptoms of tennis elbow develop gradually. In most cases, the pain begins as mild and slowly worsens over weeks and months. There is usually no specific injury associated with the start of symptoms.
Common signs and symptoms of tennis elbow include:
- Pain or burning on the outer part of your elbow
- Weak grip strength
- The symptoms are often worsened with forearm activity, such as holding a racquet, turning a wrench, or shaking hands. Your dominant arm is most often affected; however both arms can be affected.
Every day, millions of people worldwide wake up with orthopedic problems that limit their ability to live a free and active life, causing severe long-term pain and physical disability.
1. Stay Active: One of the most important ways to maintain healthy bones and joints in the long-run is daily exercise.
•Strengthen – Avoid high-impact forms of exercise & try taking a brisk walk or use hand-held weights or stretch bands to build strength and muscles.
•Stretch – Building your flexibility is important to maintaining a wide range of mobility while avoiding injury and developing better balance. Before and after exercising, take five minutes to stretch your leg, back and arm muscles.
•Cool Down – Before you end your workout, ease into a cool down exercise, such as a light jog around the track, to prevent injury and unnecessary tightness or soreness post-workout.
2. Eat Right
3. Gear Up
Don’t let fashion get in the way of your orthopedic health. Like, Instead of wearing high heels, which throw the body out of its natural position, look for shoes that provide comfort and support. Make sure your feet have plenty of room within the shoe to avoid cramping and deforming. Additionally, wear looser fitting clothes to aid proper blood circulation and flexibility of muscles.
4. Develop Healthy Habits
Developing healthy habits is essential for long-term orthopedic health. Practice good posture ,When sleeping, use supportive pillows and choose a position that complements the natural curvature of the spine. Avoid alcohol and smoking.
5. Practice Precaution
Taking precautionary measures is essential when it comes to your bone and joint health. Avoid heavy exercises and In case of injury.
•Ice the area to reduce swelling
•Wrap the area to compress and keep in place
•Elevate the area to encourage blood flow
If the bone or joint continues to weaken or the pain continues to worsen, it is important to seek medical attention right away. From knee surgery to hip replacement and rehabilitation, contact our highly skilled orthopedic specialists to receive the right care and services to get you back on your feet quicker.