Month: July 2022

Om Physio Plus Nutrition & Yoga Therapy2022July
Sciatica Pain
By Dr. Niraj Patel 0 Comments Physio, Therapy , ,

5 Tips to Cope with Sciatica Pain

The nerve pain that comprises sciatica can significantly hinder your ability to appreciate life, so it’s worth researching and learning as many options as possible to relieve your pain. Sciatica is one of the most common yet misunderstood sorts of pain. As many as 40% of individuals will get it during their life, which turns out to be more continuous as you age. Sciatica will, in general, get generalized with the likes of chronic back pain; however, it is unique. The pain originates with the sciatic nerves and often disappears without help from anyone else within a couple of hours or days. Nonetheless, a few attacks can travel every way for a long time or even months. Fortunately, there are thousands of ways you can opt to prevent sciatica and relieve the pain.

Sciatica pain is caused by irritation, inflammation, pinching, or compression of a nerve in the lower back. The most common cause is a herniated or slipped disk that causes pressure on the nerve root. The vast majority with sciatica get better on their own with time and care for their treatments.

True sciatica is an injury or irritation to the sciatic nerve, which starts in your buttock/gluteal area.

WHAT IS SCIATICA?

Sciatica is nerve pain from an injury or irritation to the sciatic nerve, which originates in your buttock/gluteal area. The sciatic nerve is the body’s most prolonged and thickest (almost finger-width) nerve. It’s made up of five nerve roots: two from the lower back region called the lumbar spine, and three from the final section of the spine called the sacrum. The five nerve roots meet up to form a right and left sciatic nerve. On each side of your body, one sciatic nerve goes through your hips, buttocks, and down a leg, ending just beneath the knee. The sciatic nerve then branches into other nerves, which continue down your leg and into your foot and toes. Actual injury to the sciatic nerve “sciatica” is rare. Still, “sciatica” is commonly used to describe any pain that originates in the lower back and radiates down the leg. What this pain shares in common are an injury to nerve irritation, inflammation, pinching, or compression of a nerve in your lower back. Assuming you have “sciatica,” you experience mild to severe pain anywhere along the sciatic nerve path – anywhere from the lower back, through the hips, buttocks, and down your legs. It can also cause muscle weakness in your leg and foot, numb leg, and an unpleasant tingling pins-and-needles sensation in your leg, foot, and toes.

Sciatica Treatment Video Below is five tips that you may not have heard before, all of which may contribute to sciatic pain reduction:

WAYS TO PREVENT SCIATICA PAIN

  1. Reduce inflammation through nutrition

An eating routine wealthy in entire grains, natural food varieties, fruits, vegetables, nuts, fatty fish, like salmon, and dissolvable and insoluble fiber can be robust in reducing inflammation. Curcumin (turmeric), ginger, green tea, and black tea are strong wellsprings of anti-inflammatory substances that assist with building up immunity and work on overall health. Following this kind of diet will help build the degrees of anti-inflammatory substances in your body over the long haul and may reduce the occurrence of sciatica in the long term.

What to avoid while following an anti-inflammatory diet

When you choose to consume anti-inflammatory foods regularly, it is crucial to prevent or limit1:

  • Inflammation-causing foods, such as sugars, refined carbohydrates, trans fats, and hydrogenated oils
  • Smoking can lower the production of anti-inflammatory molecules and induce inflammation

It is advised to check with your doctor before making extensive dietary changes and to ensure that your diet does not interfere or interact with any current medications.

  1. Build specific micronutrients

Supplements help build up micronutrients in your body, which may not be fully obtained through a regular diet. A few examples of essential micronutrients include:

  • Magnesium
  • Vitamin D
  • Vitamin E
  • Vitamin B12
  • Vitamin B6
  • Zinc
  • Selenium
  • Fish oil (Omega-3 fatty acids)

These micronutrients assist with suppressing inflammatory mediators and reduce the overall inflammatory cycles. Vitamin E, zinc, and selenium act as antioxidants in the body. The B group of vitamins assists with improving nerve health and reducing sciatica. You can also take curcumin (turmeric) supplements if you don’t consume turmeric as a part of your daily eating regimen.

  1. Release your natural pain killers with massage

Massages can help you feel relaxed, release endorphins (your body’s natural hormones that reduce pain perception), improve blood circulation, and soothe sore spinal muscles.

  • A deep tissue massage can help restore the spine’s range of motion, improving flexibility.
  • Manual therapy, a thorough medical massage, can help knead out knots, trigger points, or muscle tension.4

Many forms of massage can be beneficial, for example, myofascial release and Shiatsu (a Japanese massage method that uses finger and palm pressure and stretching techniques). These massages may be more viable in relieving sciatica pain from poor posture, muscle strain, or fatigued musculature in the lower spine.

  1. Try mind-body techniques

You can utilize the force of your mind to lower your perception of sciatica pain. Mind-body procedures, which include profound breathing exercises, meditation, directed imagery, and cognitive behavioral therapy, can help relax your muscles and increase your feeling of control over the pain. You may find that these methods also assist with reducing anxiety and depression often associated with chronic pain.

  1. Walk-in a swimming pool

Water therapy exercises or even walking in waist-profound water can improve nerve and muscle function in the lower body. The natural buoyancy, hydrostatic pressure, thermodynamics, hydrodynamic forces, and water viscosity manages the functioning of nerves and muscles, letting you exercise less pain.

Summary

The quantity and quality of your rest can directly affect pain and inflammation in your body. When you rest, several inflammatory substances peak in your bloodstream and stay active throughout the evening. When there is poor rest quality, these inflammatory agents continue to circulate in the body as the day progresses, resulting in pain and fatigue. An entire evening of profound, restorative rest can assist with decreasing inflammatory pain and make you feel refreshed and rejuvenated. If your sciatica pain deteriorates and severely disrupts your daily life, visit your physiotherapy doctor about additional pain relief options, including medications, manual manipulation, epidural steroid injections, and more.

Arthritis
By Dr. Niraj Patel 0 Comments Physio, Therapy , , ,

Arthritis – Causes, Symptoms, And Treatment

What is Arthritis?

Arthritis is the swelling and tenderness of one or more joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis. Osteoarthritis causes cartilage — the hard, slippery tissue that covers the ends of bones where they form a joint — to break down. Rheumatoid arthritis is a disease in which the immune system attacks the joints, beginning with the lining of joints. Uric acid crystals, which form when there’s too much uric acid in your blood, can cause gout. Infections or underlying diseases, such as psoriasis or lupus, can cause other types of arthritis. Treatments vary depending on the type of arthritis. The main goals of arthritis treatments are to diminish symptoms and improve quality of life.

TYPES OF ARTHRITIS

  • Ankylosing spondylitis
  • Gout
  • Juvenile idiopathic arthritis
  • Osteoarthritis
  • Psoriatic arthritis
  • Reactive arthritis
  • Rheumatoid arthritis
  • Septic arthritis
  • Thumb arthritis

SYMPTOMS OF ARTHRITIS

The most common signs and symptoms of arthritis involve the joints. Depending on the type of arthritis, signs and symptoms may include:

  • Pain
  • Stiffness
  • Swelling
  • Redness
  • Decreased range of motion

CAUSES OF ARTHRITIS

The two main types of arthritis osteoarthritis and rheumatoid arthritis damage joints differently.

Osteoarthritis: The most common type of arthritis involves wear-and-tear damage to a joint’s cartilage — the hard, slick coating on the ends of bones where they form a joint. Cartilage cushions the ends of the bones and allows nearly frictionless joint motion, yet enough damage can result in bone grinding straightforwardly on bone, which causes pain and restricted development. This wear and tear can happen over many years, or a joint injury or infection may hasten it. Osteoarthritis also causes bone changes and deterioration of the connective tissues that attach muscle to bone and keep the joint intact. On the off chance that cartilage in a joint is severely damaged, the joint lining may become inflamed and swollen.

Rheumatoid arthritis: In rheumatoid arthritis, the body’s immune system attacks the lining of the joint capsule, a tough membrane that encloses all the common parts. This lining (synovial membrane) becomes inflamed and swollen. The disease process can eventually destroy cartilage and bone within the joint.

RISK FACTORS

Risk factors for arthritis include:

  • Family history. Some types of arthritis run in families, so you may be more likely to develop arthritis if your parents or siblings have the disorder.
  • The risk of many types of arthritis — including osteoarthritis, rheumatoid arthritis, and gout — increases with age.
  • Your sex. Women are more likely than men to develop rheumatoid arthritis, while most people who have gout, another type of arthritis, are men.
  • Previous joint injury. People who have injured a joint, perhaps while playing a sport, are more likely to develop arthritis in that joint eventually.
  • Carrying excess pounds stresses joints, mainly your knees, hips, and spine. People with obesity have a higher risk of developing arthritis.

COMPLICATIONS

Severe arthritis, particularly assuming it affects your hands or arms, can make it challenging for you to do daily tasks. Arthritis of weight-bearing joints can hold you back from walking comfortably or sitting upright. In some cases, joints may gradually lose their alignment and shape.

TREATMENTS OF ARTHRITIS

The doctor will probably prescribe a course of physical therapies to assist you with managing some of the symptoms of arthritis. Treatment for arthritis aims to control pain, minimize joint damage, and improve or maintain function and quality of life. A range of medications and lifestyle strategies can assist with achieving this and safeguard joints from further injury.

Treatment could involve:

  • medications
  • non-pharmacologic therapies
  • physical or occupational therapy
  • splints or joint assistive aids
  • patient education and support
  • weight loss
  • surgery, including joint replacement

NATURAL REMEDIES

A healthful, balanced diet with appropriate exercise, avoiding smoking, and not drinking excess alcohol can assist individuals with arthritis in maintaining their overall health.

DIET

No specific diet treats arthritis, but some types of food may help reduce inflammation.

The following foods found in a Mediterranean diet can provide many nutrients that are good for joint health:

  • fish
  • nuts and seeds
  • fruits and vegetables
  • beans
  • olive oil
  • whole grains

FOODS TO AVOID

There are some foods that individuals with arthritis may want to avoid.

Nightshade vegetables, such as tomatoes, contain a chemical called solanine that some studies have linked with arthritis pain. Research findings are blended when it comes to these vegetables; however, some individuals have reported a reduction in arthritis symptoms when avoiding nightshade vegetables.

SELF-MANAGEMENT

Self-management of arthritis symptoms is also important.

Key strategies include:

  • staying physically active
  • achieving and maintaining a healthy weight
  • getting regular check-ups with the doctor
  • protecting joints from unnecessary stress

Seven habits that can help a person with arthritis diagnosed to manage their condition are:

  • Being organized: monitor symptoms, pain levels, medications, and possible side effects for consultations with your doctor.
  • Managing pain and fatigue: a medication routine can be combined with non-medical pain management. Learning to manage fatigue is critical to living comfortably with arthritis.
  • Staying active: exercise is beneficial for managing arthritis and overall health.
  • Balancing activity with rest: in addition to remaining active, rest is equally important when your disease is active.
  • Eating a healthful diet: balanced eating routine can assist you with achieving a healthy weight and controlling inflammation. Avoid refined, processed foods favorable to inflammatory animal-determined foods and choose entire plant foods that are high in antioxidants and have anti-inflammatory properties.
  • Improving sleep: poor sleep can aggravate arthritis pain and fatigue. Please take steps to develop sleep cleanliness further so you find it easier to fall asleep and stay asleep. Avoid caffeine and strenuous evening exercise and restrict screen time just before sleeping.
  • Caring for joints: tips for protecting joints include using the more substantial, larger joints as levers when opening doors, using several joints to spread the heaviness of an item, such as using a backpack, and gripping as loosely as possible by using padded handles.

Try not to sit in the same position for long periods. Take regular breaks to keep portable.

Are you searching for the best doctor to defeat all your issues? Contact Dr. Niraj Patel (physiotherapist).

High & Low Ankle Sprain
By Dr. Niraj Patel 0 Comments Exercises, Physio, Therapy , ,

High Ankle Sprain vs Low Ankle Sprain

The ankle joint comprises three bones, the tibia, the fibula, and the talus. These bony components are supported by multiple ligaments that can be divided into three groups: the lateral ligament complex, the medial deltoid ligament, and syndesmotic ligaments, which keep intact the tibia and fibula where the joint forms. These ligaments attach bone designs and give stability to the joint.

The ankle is described as a hinged joint that is responsible for upward motion (dorsiflexion), downward motion (plantar flexion), inward rotation (inversion), and outward rotation (eversion) of the foot. The ankle joint is crucial for ambulation because it allows the foot to adapt to the surface it is walking on and can sustain loads as much as multiple times the body’s weight.

LOW ANKLE SPRAIN (COMMON ANKLE SPRAIN)

At the point when physicians allude to ankle sprains, they are describing injuries to the ligaments that attach the bones of the ankle joint. An ankle sprain can happen to either the ankle’s inside (medial) or the outside (lateral) ligaments. These designs may stretch and tear when the joint is forced into an unnatural position. The most common mechanism of injury to the ankle joint is an inversion of the foot which mainly affects the three ligaments that form the lateral ligament complex. These are the anterior talofibular ligament (ATFL), the posterior talofibular ligament, and the calcaneal fibular ligament. With a typical ankle sprain where the foot is forcefully inverted, the ligament that experiences the most damage is the ATFL. Many low ankle sprains are because by forceful inversion, and the remainder is because by forceful eversion, which affects the medial deltoid ligament. The seriousness of the sprain corresponds to the level of involvement of these three ligaments. A grade I ankle sprain involves the ATFL alone, a grade II sprain involves two ligaments, and grade III involves all three.

Diagnosis of ankle sprains depends mainly on patient history, physical exam findings, and imaging (X-rays, CT, MRI) to preclude fractures and other locales of injury and assess seriousness. People who experience a low ankle sprain injury will regularly have pain with weight-bearing, swelling, solidness, and in any event, bruising in more severe sprains. Also, there is usually an area of delicacy which corresponds to the injury site; on a physical exam, joint laxity may be seen on the corresponding ligament.

HIGH ANKLE SPRAIN (SYNDESMOTIC ANKLE INJURY)

In contrast to low ankle sprains, a high ankle sprain happens when shearing damage is done to the syndesmotic ligaments. These ligaments keep the tibia and fibula above the talus intact. While bearing load on the leg, the tibia and fibula experience strong forces that spread them apart. The syndesmotic ligaments, or syndesmosis, act as shock-absorbing cables that keep these two bones from spreading too far apart. High ankle sprains commonly happen when the foot and ankle rotate together, such as unexpected twisting, turning, or cutting motion in high-impact sports like football, basketball, and soccer.

Diagnosis of a high ankle sprain is based on patient history, physical exam, and imaging to preclude fractures or compartment condition. High ankle sprains may be frustrating for patients because they don’t “look that bad” clinically, meaning that they don’t cause as much swelling or bruising as seen with low ankle sprains. Because of this, patients can become unaware of the seriousness of their injury, which can eventually affect the recovery and healing cycle. In any case, people who experience high ankle sprains may have extreme pain that radiates up the leg with each step and can become worse while doing developments similar to how the injury happened. On physical exam, there is the provocative test that may be unlawful pain, such as the press test (compressing the tibia and fibula at midcalf) and external rotation stress test (external rotation/dorsiflexion of the foot with knee and hip flexed at 90 degrees).

TREATMENT AND RECOVERY

Immediately after an ankle injury, the most critical factor will be rest. Once doctors diagnose a sprained ankle, the person should rest for a few days. A few home cures may aid recovery. Elevating the foot may help reduce swelling. Placing an ice pack wrapped in a towel on the area for about 10 minutes every few hours can also help reduce swelling and pain. Over-the-counter (OTC) drugs, such as ibuprofen (Advil) or acetaminophen (Tylenol), can also help with the pain. A few rest days are usually enough for most people with mild to moderate sprains. After a few days, the person may begin gentle exercises to help rehabilitate the ankle. Healing of the ligaments usually takes about six weeks.

Whether a low ankle sprain or a high ankle sprain, conservative treatment for the two sorts of injuries include: RICE protocol (rest, ice, compression, elevation), NSAIDs for pain and anti-inflammatory help, and physical therapy to regain motion and functionality, further treatment options will significantly rely upon the seriousness of the injury. In the case of low ankle sprains, ankle braces may help give additional stability to the joint and forestall future sprains, especially in patients with a history of repetitive sprains. On the other hand, high severe ankle sprains may require a non-weight bearing walker boot or cast for a few weeks to delay weight bearing until healing follows. The medical procedure is not considered if there is proof of a total tear or fractures.

Recovery from an ankle sprain will also rely upon seriousness. A grade I low ankle sprain can completely recover in days to two or three weeks, while a grade III sprain can take as long as twelve weeks. In the case of high ankle sprains, they generally require a longer recovery and rehabilitation period compared to low ankle sprains. It can take anywhere from six weeks to three months and, at times, much more. The key to effective recovery is to allow healing to happen without applying extreme weight on the ankle, and with legitimate therapy and exercise, regain strength and functionality back to normal. Are you searching for the best physiotherapy doctor to defeat all your issues? Contact Dr. Niraj Patel (physiotherapist).

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