Monday, October 19th, 2009

Bone Talk

 

knee repair

 

Dr. Harshvardan Hegde, Heads Orthopaedics and Spine Surgery at Artemis Health Institute, Gurgaon answers your queries

I’m suffering from excruciating back pains. I’m 16 years old and recently (over the last few months) my back has been in bad shape. I am fine during the morning but my backache haunts me in the evening around 5, especially right at the spine in the middle towards my upper back, just in between my shoulder blades; and the pain is so awful that I can not even sit in a chair or to grab some sleep. Can you give me any information about what I could do to prevent or stop the pain?

From the symptoms that you have enlisted above the pain appears to be from the dorsal nerve roots at the C5-C6 & C6-C7 levels in the cervical spine. An MRI of cervical spine will help us to diagnose the exact cause of the pain and then suggest further line of treatment.

I am 34 years old, my height is 5’4″ and I weigh 72 kg and am non-vegetarian with a definite inclination for fish. My problems are as follows:
1. I have joint pains and lesion in my left knee.
2. I have a severe pain in my right arm due to a muscle pull and have had it for 1 and a half years, it’s getting worse now. Please help

A few details about the kind of joint pains would help us in arriving to a conclusion for example: identifying joints, when the pain gets worse, is there a swelling or is there a family history of joint pain. The information on the lesion in the left knee is not complete to arrive at any diagnosis. As far as muscle pull is concerned, as a rule it does not last for a year and half. The cause of pain may be somewhere else. Further details and investigations would be necessary to manage this problem.

I would like to know if there is any treatment for sciatic nerve problem? It pains a lot when I walk or move. I am 35 years old.

I understand you probably mean sciatic which means rotating pain going down in the leg from the lower back. There are many reasons for this problem. The actual cause in your case can be concluded only after a physical examination and if required an MRI examination. Most of the causes can be treated by analgesics and physiotherapy but a final solution will depend on the diagnosis.

• My mother-in-law is 55 years old and for the past 10 years she has arthritis. She is still very active, takes exercise religiously and she is not over weight at all. But bouts of backache and joint pain trouble her a lot at times. What is the remedy?

You would need to be more specific regarding the variety of arthritis your mother in law suffers from. From your query it appears she suffers from Rheumatoid arthritis or one of its variants. She is on the right track so far as exercises and weight management is concerned. But she may need additional tests to zero down on the diagnosis. She would need medication to control her symptoms better. A Rheumatologist would be of great help.

• I feel acute pain in my heels when ever I get up after sitting for a while. Taking painkillers does reduce the pain but it’s just a temporary relief. Please suggest.

You seem to be suffering from plantar fasciatis. The plan of treatment is as follows. After treating fasciitis incase you are suffering from it:
1. soft heels in shoes- use soft slippers at home, change footwear

2. contrast baths: twice a day for 10 minutes each time where you dip your foot in hot and cold water alternatively for one minute in each dip

3. if these measures don’t work then local ultrasound therapy with a physiotherapist is recommended

4. Local steroid injections if all measures fail

I am 33-year-old woman and physically fit. My problem is that whenever I climb stairs my knees pain. What should I do?

The bones within joints have a layer of cartilage to make movements smooth. Due to abrasion of the knee cap with the thigh bone there is total breakdown of cartilage. This condition is called chondromalacia patellae. The easiest way out would be to do static quad strengthening for some time to avoid exercise flexion at the knees.

You seem to be suffering from plantar fasciatis. The plan of treatment is as follows. After treating fasciitis incase you are suffering from it:
1. Wear soft heels in shoes- use soft slippers at home, change footwear
2. Do contrast baths twice a day for 10 minutes each time where you dip your foot in hot and cold water alternatively for one minute in each dip.
3. If these measures don’t work then local ultrasound therapy with a physiotherapist is recommended.
4. Local steroid injections if all measures fail.

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