A painful condition affecting the tendons on the thumb side of your wrist is referred to as De Quervain's Tenosynovitis. If you have De Quervain's Tenosynovitis, it will probably hurt every time you turn your wrist, make a fist or grasp anything. The exact cause of De Quervain's Tenosynovitis isn't known, however any activity that relies on repetitive hand or wrist movement, such as playing golf or racket sports, lifting your baby, working the garden, etc. may result in such a condition.
De Quervain's Tendonitis can also be referred to as a relatively common overuse condition affecting the tendons located at the back / outer aspect of the thumb and is characterized by inflammation and swelling of one or more of these tendons.
When you grip, grasp, clench or pinch anything in your hand, you use two major tendons in your wrist and lower thumb. These tendons normally glide unhampered through the small tunnel that connects them to the base of the thumb. This may irritate the sheath around the two tendons, causing thickening that restricts the movement of the tendons, if your repeat a particular motion day after day. Other causes of De Quervain's Tenosynovitis include any direct injury to your wrist or tendon, inflammatory arthritis, such as rheumatoid arthritis. Scar tissue can also restrict movement of the tendons.
If the condition goes too long without appropriate treatment, the pain may spread farther into thumb, back into your forearm or both. After this, it is very painful for you to perform activities like pinching, grasping and other thumb related movements.
Your doctor or physiotherapist will examine your hand to see if you feel pain when pressure is applied on the thumb side of the wrist. You may have to perform a test called the Finkelstein test, which requires you to bend your thumb across the palm of your hand and bend your fingers down over your thumb. Then you have to bend your wrist toward your little finger. While doing this, if you feel pain on the thumb side of your wrist, you likely have De Quervain's Tenosynovitis.
Your physical therapist will review your habits and give suggestions on how to make necessary adjustments to relieve stress on your wrists. He will also teach you exercises focused on your wrist, hand and arm to strengthen your muscles, reduce pain and limit the irritation of the tendons. If your case is more serious, your doctor may recommend a surgery.
A physiotherapist can teach you various strengthening exercises that will help you move your wrist and thumb quite efficiently. Physiotherapy treatment for De Quervains Tendonitis is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of future recurrence.
A condition that affects the ulnar nerve where it crosses the inside edge of the elbow is referred to as Cubital Tunnel Syndrome. When you hit your funny bone, you are actually hitting the ulnar nerve on the inside of the elbow. There, the nerve runs through a passage called the Cubital Tunnel. When the cubital tunnel becomes irritated from injury or pressure, it can lead to Cubital Tunnel Syndrome. The symptoms of Cubital Tunnel Syndrome are very similar to the pain that comes from hitting your funny bone.
One common cause of problems is frequent bending of the elbow. Elbow bending activities like pulling levers, reaching or lifting are very common causes of Cubital Tunnel Syndrome. Constant direct pressure on the elbow over time may also lead to Cubital Tunnel Syndrome. The ulnar nerve can be irritated from leaning on the elbow while you sit at a desk or from using the elbow rest during long drives, etc. A massive blow to the cubital tunnel can also damage the ulnar nerve.
You may be asked to do special tests to get more information about the nerve. For this, you may have to undergo a physical exam. One common test is the nerve conduction velocity (NCV) test. The NCV test measures the speed of the impulses traveling along the nerve.
If your symptoms are worse at night, a lightweight plastic arm splint would be recommended by your therapist to limit movement and ease irritation. If your symptoms do not easily start fading away, even with changes in your activities and the nonsurgical treatments, you may have to undergo a surgery.
Your physical therapist will help you find ways to do your tasks that don't put too much stress on your elbow. Even after you undergo a surgery, your doctor may recommend you to meet your physiotherapist, so that he can help you perform some essential exercises as a part of rehabilitation. The exercises will be designed keeping in mind your daily or sports activities, work tasks, etc. in order to restore strength and flexibility.
Sciatica is nerve pain caused due to irritation of the sciatic nerve. It is leg pain caused by a pinched sciatic nerve in the lower back. The sciatic nerve is the largest nerve in the body. The pain begins in the nerve roots that are located on either side of the lower spine, which runs down from the buttock to the foot. Sciatica can also cause feelings of numbness, tingling and weakness.
Pain can get worse by prolonged sitting, standing, coughing, sneezing, lifting, straining or twisting. Depending on the severity and the underlying cause of sciatica pain, different types of medications and treatment methods are undertaken.
Risk factors for sciatica include lumbar disc, degenerative arthritis of the lumbar spine, slipped disc, trauma or injury to the lumbar spine.
A specific controlled, progressive exercise program can be tailored around the underlying cause of the sciatica pain. The specific sciatica exercises serve two main purposes by reducing the sciatica pain in the near term and provides conditioning to help prevent future recurrences of the pain. Various sciatica exercises are usually better for relieving sciatica pain than bed rest. Without exercise and appropriate movement, the back muscles and spinal structures become deconditioned. The exercises recommended by your physiotherapist will depend on what's causing the sciatica pain.
In some cases, patients may need to undergo a surgery after 4 to 6 weeks of incessant pain.
There are complementary and alternative therapies such as acupuncture, massage and yoga techniques that help ease sciatica pain. A physiotherapist treats the leg pain and other symptoms by prescribing specific exercises and at the same time teaches the patients how to do them. It's important to work with a specialist who has experience working with people suffering from sciatica pain.
The clavicle or collarbone is a curved bone that runs from the breastbone to the shoulder blades. It connects the shoulder blade and shoulder to the front part of the chest wall. The clavicle is susceptible to fractures because it lies close to the surface of the skin above several important nerves and blood vessels. Sternoclavicular and acromioclavicular joints are at the ends of the collarbone. Sternoclavicular joint is near the neck region, whereas, acromioclavicular joint is where the collarbone ends connecting the shoulder.
Collarbone fracture and shoulder separations are most common amongst sports players who play soccer, football and hockey. Infants, too, can sometimes suffer a broken collarbone during the birth process.
Inability to lift your arm
A grinding sensation when you attempt to raise or move your arm
A bulge on or near your shoulder region
Crackling sound when you try to move your shoulder
Immediately after injury, immobilize your broken shoulder for which you may have to wear an arm sling. However, in most cases it is important to begin some movement to minimize stiffness in your shoulder while you're still wearing the sling. But make sure you do that only when your physiotherapist asks you to do so. Once your sling has been removed, your doctor may advise you to perform some rehabilitation exercises or physical therapy. Physical therapies will help you regain muscle strength, flexibility and joint motion.
Once your bone begins to heal, the pain will gradually decrease. Slowly and gently your physiotherapist will ask you to perform shoulder and elbow exercises. These exercises will help prevent stiffness and weakness. He may later ask you to perform strenuous exercises once the fracture is completely healed.
Osteoarthritis is the most common joint disorder which often begins in the 40s and 50s. It affects almost all people to some degree by the age of 80. It is a chronic disorder linked with damage to the cartilage and surrounding tissues. Osteoarthritis is characterized by pain, stiffness and loss of function of joints cartilage.
Primary osteoarthritis may affect only certain joints, such as knee, elbow, shoulder, hip, or at times even all joints. Osteoarthritis is classified as primary or idiopathic when the cause is not known. It is classified as secondary when the cause is another disease or condition, such as an infection or joint abnormality that appeared at birth or due to some injury.
White shiny covering over the ends of the bone is referred to as articular cartilage. Articular cartilage has a very unique feature because it is smooth yet tough, and serves as the bearing surfaces of the joint. Cartilage degeneration can lead to osteoarthritis over time causing pain and disability of the joint.
Osteoarthritis is most often caused due to tissue damage. Typically, after years of use, overuse or due to any injury, the articular cartilage starts wearing out and damages the tissue.
There are other reasons that the cartilage can get injured and most of these injuries are traumatic:
Most cartilage injuries lead to swelling and pain in the joint. This makes the cartilage unstable and can lead to irritation of the synovium, which is the covering of the joint. Unstable cartilage causes excessive secretion of synovial fluid (joint fluid) and leads to swelling.
Symptoms usually develop gradually and affect only a few joints at first. Commonly affected are the joints of the fingers, bases of the thumbs, lower back, neck, big toes, hips and knees. The first symptom is often described as a deep ache. Weight-bearing joints get worse by activities that involve weight bearing (body weight).
Depending on the severity, the joint may become less movable and eventually may not be able to completely straighten or bend.
Maintaining joint flexibility, optimizing overall joint function and relieving pain are the main goals of the treatment. Physical measures that involve exercises for strength, flexibility and endurance are achieved primarily from these goals. Physical therapies help people to modify their daily activities while they are suffering from osteoarthritis. Additional treatment includes surgery (for some people), drugs and newer therapies.
A physiotherapist can help you perform appropriate exercises which include stretching, strengthening and postural exercises that help maintain healthy cartilage, increase joint flexibility and strengthen surrounding muscles so that they can absorb stress. Stretching exercises should be performed daily.
Burners and stingers are common injuries amongst athletes who play contact or collision sports. The injury is most likely to occur when a sports athlete falls and receives a powerful blow to the neck or the shoulder region. Such an injury could also occur with any accident that creates a sudden type of stretch between the cervical spine and shoulder.
Because of the stinging or burning pain that spreads from the shoulder to the hand, this injury is named as the Burner / Stinger syndrome. The sensation goes like an electric shock down the arm. This syndrome is usually caused due to stretching of brachial plexus or nerve roots.Brachial plexus is a complex of nerves located in the lower neck and shoulder area. Burner or Stinger syndrome is a stretch or compression injury to the brachial plexus.
An athlete should always undergo proper warming-up and cooling-down sessions before and after the game. This helps in preparing the muscles for strenuous activities. Athletes or kids should be taught to recognize and respect signs of injury so that they know when to cease before the pain gets worse. Try to avoid landing directly on your shoulder or neck region after any collision. But even if you accidentally land on your shoulder or neck region, ensure that you distribute your body weight evenly to all parts of your body.
After a few days of injury, the athlete should be restricted from undergoing strenuous exercises that require an extensive use of arms and shoulders. A physiotherapist can provide active assistance for performing neck and shoulder-related exercises. Cervical isometric exercises like flexion, extension, rotation and sidebending are simple exercises to increase strength in the neck muscles.
Carpal Tunnel Syndrome is a hand and arm condition that causes numbness, tingling, weakness and other problems because of pressure on the median nerve in your wrist. Several tendons and the median nerve run from your forearm to your hand through a small space in your wrist referred to as the Carpal Tunnel. This nerve protects a main nerve to your hand and the nine tendons that bend your fingers.
The movement of your first three fingers and your thumb is controlled by the median nerve. Too much pressure on your median nerves causes the Carpal Tunnel Syndrome. It can be caused by anything that makes the carpal tunnel small, such as pressure from swelling, illness like hypothyroidism, diabetes, etc.
You will experience numbness and a tingling sensation in your fingers or hand, especially your thumb, index, middle and half of the ring finger. However, your little finger will experience no such pain whatsoever, because its movement is controlled by some other nerve. Some people may have pain in their arm between their hand and elbow.
You may get such painful sensations while holding a steering wheel, phone or newspaper. Most commonly, this syndrome wakes you up while sleeping. The painful sensation may extend from your wrist up to your arm.
You may also experience weakness in your entire hand, due to which your grip of holding things loosens and you gradually develop a tendency to drop objects.
Compression of the median nerve causes Carpal Tunnel Syndrome. Median nerve provides sensation to the palm side of your thumb and fingers, except your little finger.
Anything that irritates, clots or compresses the median nerve in the carpal tunnel space can lead to Carpal Tunnel Syndrome. A wrist fracture, for instance, can narrow the carpal tunnel and irritate the nerve. In many cases, no single cause can be identified that may lead to Carpal Tunnel Syndrome.
As soon as you begin to experience symptoms of Carpal Tunnel Syndrome, you should treat it as soon as possible. Mild symptoms of Carpal Tunnel Syndrome can be eased by taking frequent breaks and resting your hand. You should avoid activities that worsen the symptoms and apply cold packs for 10 -15 minutes to reduce occasional swelling.
A wrist splint holds your wrist still, while you're sleeping and can help relieve night-time symptoms of numbness, irritation and tingling. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB) can help relieve pain for a short term. However, there is no evidence that these drugs improve the symptoms of Carpal Tunnel Syndrome.
Consult a physiotherapist immediately if you experience any symptoms of Carpal Tunnel Syndrome. He will give you a number of different wrist exercises that will relieve you from pain and keep your carpal tunnel and wrists in good shape.
Anterior Cruciate Ligament is one of the most common knee injuries. This injury is usually caused due to a sprain or muscle tear in or around your knee.
Our knee joint is formed where three bones of your leg meet: Thighbone (Femur), Shinbone (Tibia) and Kneecap (Patella). Kneecap protects our knees from any sort of sudden trauma, as it sits in front of the entire joint. Bones are connected to other bones through ligaments and they act like strong ropes holding other bones together.
Anterior Cruciate Ligaments of those athletes who participate in sports like football, soccer, hockey, etc usually get sprained or torn. Depending on the severity of your injury, you may have to undergo a surgery or physical therapy to regain full function of your knee.
According to severity of the injury, sprains are classified into different grades:
Grade 1 Sprains:
In the first level, the ligament is mildly damaged, hence it is classified as a Grade 1 sprain. The ligament has been slightly stretched, however it is able to keep the knee joint stable.
Grade 2 Sprains:
When the ligament is stretched enough to a point where it becomes loose, then it is categorized as Grade 2 sprains. It is also referred to as a partial tear of the ligament.
Grade 3 Sprains:
In a Grade 3 sprain, the ligament is completely torn and it is broken into two pieces. The knee joint hence becomes completely unstable.
The Anterior Cruciate Ligament can be injured due to several causes:
Landing on your legs incorrectly from a jump
Direct collision or blow to your knee
Suddenly stopping while running
Changing direction rapidly while running
When you injure your Anterior Cruciate Ligament, you may feel discomfort while walking and may hear a popping noise. Within 24 hours of injury, your knee will start feeling pain followed by swelling. Do not return to strenuous activities even if pain and swelling reduces all by itself. There are possibilities that the cushioning cartilage (meniscus) of your knee may get even more damaged leaving your knee fairly unstable. You may also lose full range of motion.
Anterior Cruciate Ligament tear treatment varies depending upon the patient's needs and lifestyle. An athlete involved in agility sports will most likely require a surgery to safely and speedily return to sports. Whereas, the less active people, usually old or those who do not perform exhausting activities with their legs and have a quieter lifestyle may do without surgery.
A completely torn ligament may not heal without surgery. But nonsurgical treatment may be effective for elderly patients or for those people who have very low activity levels. Plus, if the overall stability of your knee is not impaired in anyway, simple nonsurgical treatment should be adequate.
Bracing: Your doctor may advise you to wear a brace to protect your knee from any further damage. Depending on the severity of your injury, you may be given crutches to keep you from putting weight on your leg.
Physical Therapy: Once the swelling has gone, your physiotherapist will sketch a rehabilitation program for you. Specific exercises will restore function of your knee and gradually strengthen leg muscles that support it.
Whether your treatment requires surgery or not, rehabilitation plays a vital role in getting you back on your feet and daily activities. Rehabilitation and a physical therapist helps you regain knee strength and motion. Physical therapy first focuses on returning motion to the joint and surrounding muscles.
Neck pain (in the cervical spine) is less common than any sort of back pain (upper or lower back in the lumbar spine). Trauma around the neck area is usually the common cause of neck pain. Neck can be injured by direct blows to the neck or shoulder region, or by gradual strains such as sudden movements or overuse.
Majority series of neck pain generally gets better with time and can be treated with nonsurgical methods. However, there are a few symptoms that indicate immediate medical attention.
Many episodes of neck pain have no identifiable anatomical cause. Certain types of neck pain and arm pain can be linked to a general cause, such as muscle strain or a diagnosable condition such as cervical herniated disc or cervical stenosis. There are various types of neck pain that you should be aware of:
Acute neck pain:
Due to muscle strain or other soft tissue sprain (of your neck muscles; ligaments or tendons) you may be tormented with acute neck pain. Sudden force resulting from car accident or from straining the neck (having a stiff neck) from sleeping in the wrong position or carrying something heavy inappropriately.
With a good supply of the necessary nutrients and proteins, most minor injuries to the soft tissues, such as ligaments, tendons and muscles in the neck usually heal with time. Nonsurgical care such as ice or heat medications, physical therapy, osteopathic manipulations can help attenuate neck pain while it is healing. Immobilize your neck for acute injury.
Neck pain that radiates down the arm:
Neck pain that radiates down the arm, and possibly into hands and fingers, is frequently caused by a cervical herniated disc or foraminal stenosis pinching a nerve in the neck. Pain may be accompanied by numbness or tingling in the arms and / or hands.
Commonly, the symptoms are temporary and can be treated successfully nonsurgically with proper care, such as through physical therapy, manipulation or medication.
Neck pain that is related to certain activities or positions:
Neck pain that develops slowly over a number of years tends to occur during or after certain activities or neck positions, frequently caused by cervical foraminal stenosis.
Such kind of cervical stenosis is caused by aging related changes in the joints of the neck (facet joints) or at the margins of the discs. These changes can be diagnosed either by an MRI scan or a CT scan with a myelogram.
Treatment for stenosis, as with a herniated disc is medical care, which includes therapy exercise, medication, etc.
Fluctuating neck pain that may persist for more than a few months:
Certain activities or positions may worsen neck pain that is often characterized by a low level of chronic pain that sometimes flickers. This may be accompanied by arm pain and may indicate symptomatic cervical disc degeneration.
Cervical disc degeneration is pervasive in humans, however symptoms are less common and often short-lived. Symptoms are often proportional to the person's activity; the more the shoulders, arms and neck are used, the more they hurt.
Maintaining good strength and conditioning program for your neck, you may be able to prevent neck related problems. However, you should seek professional help if your neck pain becomes too persistent and keeps emerging occasionally. Visiting a physiotherapist on a regular basis helps you understand your body and stay fit.
Many people suffer from back pain at some point in their lives. Back pain can occur due to several reasons and not necessarily due to some serious health issues or injuries. Your sleeping position could be your back's enemy, or your mattress or it could be even your favorite pair of shoes.
If you suffer from back pain due to some sort of injury, then you should visit a doctor or a physiotherapist. And then make sure that you do not let your everyday habits ruin your back again!
Here are some crucial things to make note of in your everyday activities that cause back pain:
Stress and Depression:
Any type of stress can contribute to back pain and make it worse. It could either be physical and emotional stress, or perhaps good stress such as winning a lottery or getting married. When you're stressed out, your whole body is also stressed out, including the muscles in your neck and back, which contract and clench up.
Depression has always been known to aggravate back pain symptoms. If you are already suffering from back pain and also flooded with emotions at the same time, then your pain will be worse. If exercise doesn't help you release stress, then you should consult your physiotherapist or doctor to know about other approaches.
Sitting All Day Long:
For all those who are clinging to desk jobs, this is not a good news. Sitting all day may feel nice, but not maintaining a proper posture while sitting may lead to back pain causing your back muscles to weaken because of inactivity. Sitting puts 40 percent more pressure on your spine than standing does.
Slumped shoulders also contribute to back pain. Leaning your head forward or slumping your shoulders can pull on your back and causes pain. You should make a conscious effort all day long to maintain good posture to ease or help prevent back pain. You ears should be over your shoulders, your shoulders should be over your hip joints and hip joints should be over your ankles.
Lack of Exercise:
A diet enriched with fats and overloaded with calories may lead to weight gain. Moreover, being sedentary without sufficient exercise sums up gaining that extra weight. Exercise gives your muscles a definite tone by making it strong and gives your back the needed support keeping it pain-free. Therefore, keeping your back strong and tight with exercise will help you avoid back pain.
To avoid back pain, there shouldn't be air between your body and your mattress when you lie down. Therefore, experts suggest you should go with a mattress that has medium fitness to avoid back pain symptoms. The age of your mattress is quite crucial. You shouldn't sink in your mattress when you lie down.
Pair of shoes:
Sandals without a supportive back can do damage, causing your feet to move from side to side and distributing your body weight unevenly. Flats can also be bad for you, depending on your foot type. Heels that are too high for you will force you to arch your back stressing your joints.
Cigarettes harm more than just your heart and lungs. It deprives cells all over your body of oxygen, including those that control the motion of your back. It is recorded that smokers are more prone to develop lower back pain that those who have never smoked.
We all suffer from back pain at least once in our life-time. Maintaining a healthy body as well as a healthy lifestyle can help you take care of it and prevent it from happening again.
The knee is the largest joint in the body. The knee joint allows the leg to bend where the femur (thighbone) attached to the tibia (shinbone). There are two menisci present in each of your knees. Those are C-shaped pieces of cartilage that act like a cushion between your shinbone and your thighbone. It is because of our complex flexible knee mechanism that the knee flexes and extends, allowing the body to perform activities from walking and running to climbing and squatting. The quadriceps and hamstring muscles are responsible for moving the knee joint.
Meniscal injuries may be the most common knee injury. Usually, meniscus tears are related to trauma, but a significant trauma or physical injury is not always necessary for a torn meniscus. Too much squatting, too much pressure on the knee joint or a sudden twist can tear the meniscus.
Signs and Symptoms of a torn meniscus:
Most meniscal injuries can be diagnosed by obtaining a detailed history. There may be acute onset of pain and you may actually hear or feel a pop in your knee if its a major meniscus injury. Just like any other injury, there is an inflammatory response, including pain and swelling. The swelling usually takes a few hours to develop, and depending upon the amount of pain, the knee may become difficult to move.
Causes of a torn meniscus:
Lifting something heavy when the pressure is directed to your knee joints
Forceful twisting of your knees
In older adults, degenerative changes of the knee may contribute to a torn meniscus
Treating a torn meniscus:
Avoid those activities that aggravate your knee pain, even if you feel pain while walking. You might have to use crutches to take pressure off your knee and let it heal. Giving your injured knee complete rest is the key.
Icing can reduce knee pain and swelling. Use an ice-pack on your knee for about 15 minutes. Do this everyday to relieve your knee from pain. Over-the-counter pain relievers can also help to ease the pain.
Physical therapy can be very useful for torn meniscus. It can help you strengthen the muscles around your knee and in your legs to help stabilize and support the knee joint. The goals of physical therapy treatment are to minimize the pain, normalize gait, prevent muscular atrophy, proprioception and maintain cardiovascular fitness.
If your knee remains painful, stiff or locked, you might have to undergo a surgery. Surgery may be done through tiny incisions using an arthroscope.
Recovery and rehabilitation becomes a long-term commitment. You have to ensure that you keep the muscles around your knee strong to promote joint stability. Also maintaining your body weight becomes crucial. You may have to avoid those activities that cause pain to your knee joints. It is best to seek advice from a professional physiotherapist to be able to deal with your torn meniscus.
'Bursa' is a fluid-filled sac near a joint. Trochanteric Bursitis is inflammation of the bursa at the outside point of the hip, known as the greater trochanter. When the bursa, that is located between the hip, the muscles and the tendons of the thighs, becomes inflamed, it causes pain in the hip. This pain is three times more common in women than in men and is most common in middle aged or elderly women.
What causes Trochanteric Bursitis?
Incorrect posture or bad posture
Physical trauma or injury to muscles, tendons
Play or work activities that cause overuse or slow injury to the joint areas
Hip bone spurs or calcium deposits in the tendons that attach to the trochanter
Any previous hip surgery
Prolonged pressure on the bursa
Activities that require twisting or fast joint movement, such as running or cycling
What are the symptoms of Trochanteric Bursitis?
Pain when you lie on the affected area
Pain when you press on the outside area of your hip
Swelling of the area where you feel pain
Buttock pain that spreads to the outer thigh and knee
Soreness and redness
Sharp or burning hip pain
How can Trochanteric Bursitis be treated?
Treating Trochanteric Bursitis is just like treating any other soft tissue injury. It includes reducing pain and inflammation, preserving mobility and preventing disability and recurrence. The treatment method incorporates combination of rest, splints, icing 10-20 minutes several times a day, stretching exercises.
Weight loss may be useful as well as avoiding long periods of standing, running upstairs or other strenuous activities. Consulting a physiotherapist for further help is quite essential, if home treatment proves insufficient and not useful. A physiotherapist will diagnose your hip pain and accordingly will advise you some stretching exercises.
How to prevent Trochanteric Bursitis?
Most cases of trochanteric bursitis are caused by overuse, hence the best treatment is to prevent it. Most importantly, strenuous activities should be reduced and modified to avoid extensive pressure on your joints. Conditions such as length differences, improper posture, poor technique in sports or work must be corrected.
Whenever you are about to perform rigorous activities, take it slow at first and gradually build up your activity level. Use restricted force on your hips and cease if unusual pain occurs.
Trochanteric Bursitis is very dangerous if you ignore to cure it. If it reaches a level when diagnosis is in doubt or when there are signs of infection and there is no relief from various injections or physiotherapy, then you might have to undergo surgical excision of the bursa. Therefore, in order to avoid surgery, you should make sure that you visit a physiotherapist at the earliest when you identify any symptoms of Trochanteric Bursitis.
Multiple Sclerosis is a disease in which your immune system (white blood cells) attacks the protective sheath (Myelin) that covers your nerves. When myelin is damaged, it disrupts communication between your brain and the rest of your body. The word 'sclerosis' refers to the scar tissue or lesions that appear as the myelin is damaged. Unprotected nerves can't function as they would with normal, healthy myelin. This is a process that is currently irreversible, as the nerves themselves may deteriorate.
Some people with severe Multiple Sclerosis may lose the ability to walk independently or at all. While others experience long periods of relapsing-remission during which they develop no new symptoms. There is no cure for Multiple Sclerosis determined so far, however treatments can help to boost the recovery from attacks, manage symptoms and modify the course of disease. There are four types of Multiple Sclerosis classified.
Signs and Symptoms of Multiple Sclerosis:
Depending on the location of affected nerve fibers, the signs and symptoms of Multiple Sclerosis vary. There is no such thing as a 'typical' symptom of Multiple Sclerosis as each person experiences the disease differently. These may include:
Tingling or pain in parts of your body
Numbness or weakness in one or more limbs that typically occurs on one side of your body at a time, or the legs or trunk
Partial or complete loss of vision, usually one eye at a time, often with pain during eye movement
Blurring vision or double vision
Unsteady gait or lack of coordination, tremor
Problems with bowel and bladder function
Electric-shock sensations that occur with neck movements, especially when you bend your neck forward
Causes of Multiple Sclerosis:
The cause of Multiple Sclerosis is unknown. It is said to be an autoimmune disease in which the body's immune system attacks its own tissues. Researchers know that the myelin sheath is directly affected, but they don't know what triggers the immune system to attack the myelin. It isn't therefore clear, why Multiple Sclerosis develops in some people and not others. A combination of factors, ranging from genetics to childhood infections, may play a role.
It is believed that countries that are farthest from the equator may have higher chances of developing Multiple Sclerosis. Therefore, lack of vitamin D may play a major role. Vitamin D benefits the function of the immune system. People who live near the equator are exposed to more sunlight, as a result, their bodies produce more vitamin D.
Treatments for signs and symptoms of Multiple Sclerosis:
There is no cure for Multiple Sclerosis, however, treatment can speed the recovery process, slowing the progression of the disease by managing symptoms. You may experience painful or uncontrollable muscle stiffness or spasms, particularly in your legs. A physiotherapist can can teach you various stretching and strengthening exercises to keep your muscles, tendons and fibers healthy. With proper physiotherapy, you can improve the quality of your life. You can thus try to:
Get plenty of rest
Eat a balanced diet
Stress may trigger or worsen your signs and symptoms. Yoga, Tai Chi, massage, meditation or deep breathing may help relieving stress and keep your mind and body calm. Medications can help ease Multiple Sclerosis attacks and possibly slow the disease. Physical therapy and other treatments help control the various symptoms and improve the quality of life.
The shoulder is the body's most mobile joint, which makes it vulnerable to dislocation. You can twist, swing and move your upper arm in any direction, but it is inherently unstable and prone to slipping out of it's shoulder sockets. A dislocated shoulder is a deformity in which your upper arm bone pops out of the cup-shaped socket which is a part of your shoulder blade.
The tissue and nerves around your shoulder joint get damaged in severe cases of dislocated shoulder. You could end up with chronic instability and weakness, if you keep dislocating your shoulder and neglect taking any precautions. Many people confuse shoulder dislocation with separated shoulder, which is false.
You may feel intense pain as soon as the shoulder is dislocated. You would be able to notice a visibly deformed or out-of-place shoulder. You may be unable to move your deformed shoulder because it is very painful. Swelling or bruising may occur around your shoulder joint. You may also experience numbness, weakness or tingling near the injury, such as in your neck and down your arm.
Extreme and rigorous rotation of your shoulder joint can pop the ball of your upper arm bone and out of your shoulder socket. Partial dislocation is, when your upper arm bone is partially in and partially out of your shoulder socket.
Shoulder injuries are common among sports players, such as football and hockey players. There are even chances that you may dislocate your shoulder if you fall directly on your shoulder.
You may need a surgery if you have a weak shoulder joint or ligaments and tend to have frequent shoulder dislocations. You may be advised to use a special splint or sling for a few days to three weeks depending on the severity of your shoulder dislocation. A splint will help to keep your shoulder from moving.
Once your injury heals and you can freely move your arm and shoulder, you will have to continue exercising. Your physiotherapist will suggest an appropriate exercise routine which includes daily shoulder stretches along with shoulder-strengthening and stability program. He will help you prevent recurrence of shoulder dislocation if you follow his outlined exercise routine.
Our foot consists of 26 bones and the heel bone (calcaneus) is the largest and the most important amongst them. It is designed to provide a firm support to sustain the weight of our body. When we walk, it supports our entire body weight and at the same time acts like an insulator by absorbing the impact of hitting the ground when we perform activities like running.
Mild heel pain can be short-term and may disappear on its own. However, it can even stay longer and turn into a chronic condition which does need immediate attention. When you walk, the stress placed on your heel may be 1.25 times of your entire body weight, and 2.75 times when you are running. Therefore, the heel is quite vulnerable to damage and very painful.
Here are some causes that could be the actual reason of painful heel:
A strong bow-string like ligament that runs from the calcaneus (heel bone) to the tip of your foot is called plantar fascia. Plantar fasciitis is nothing but inflammation of the plantar fascia. When plantar fascia is stretched too far, its soft tissue fibers become inflamed. It usually happens where it attaches to the heel bone, but sometimes it may happen in the middle of the foot. Especially after long periods of rest, you may experience pain under your foot if you suffer from plantar fasciitis.
Immediate medical attention should be seeked if you face severe pain accompanied by swelling near your heel. You can undertake home care measures such as resting, using cold compression, massaging, etc. to ease heel pain. However, it is better to visit a physiotherapist who can aid your heel pain by minimizing and completely treating it.