Tag: physical therapy

Orthopedic Problems in Adolescents

Physical health problems encountered during adolescence can affect the development of the body, if not treated. There are few anatomic regions, such as spine, knee and ankle, in adolescents which can get orthopedic problems such as Osgood-Schlatter disease, and Slipped Capital Femoral Epiphysis.

Osgood-Schlatter disease is caused due to injury or overuse of the knee which causes swelling and pain in the area below the knee, above the shin bone. The patellar tendon and the soft tissues surrounding it gets inflamed, because of the constant pulling of the area where the tendon joins the below knee. Usually, adolescents who participate in sports actively and are athletic, such as football, basketball, soccer, ballet and gymnastics, tend to get the Osgood-Schlatter disease. Boys of age eleven to fifteen and girls of age eight to thirteen are at greater risk. The reason why adolescents get this problem is that their bones grow faster when compared to the tendons and muscles in this age and because of this the muscles and tendons stretch and become tight.

The symptoms of Osgood-Schlatter disease are swelling of knee, tenderness below knee area and limping. The doctor will check the medical history of the patient and will conduct physical examination and diagnostic procedures such as taking an X-ray. The physician will decide on the treatment to be done by studying the overall health, age, medical history, tolerance for certain medications and extent of the disease. Treatment will include medications, rest, compression, elevation, neoprene knee sleeve and physical therapy. The main aim will be to control and limit the knee pain by cutting down on the adolescents physical activities. Usually the Osgood-Schlatter disease gets healed over a period of time and in very rare cases is a surgery required.

Slipped capital femoral epiphysis is a problem which affects the hip joint. The ball or head of the thigh bone, also known as femoral head slips from the thigh bones neck. Because of this the hip joint becomes stiff and painful. Slipped capital femoral epiphysis is the most common disorder of the hip which can happen in both the hips or one and it is more common in boys when compared to girls. Basically, adolescents of the age ten to eighteen years and who are overweight can be affected by this condition. The condition can arise over a time interval of few weeks or years. The condition, if resulted because of trauma and is also called acute slip and if results after a period of time is called chronic slip. Slipped capital femoral epiphysis is caused because of medications, radiation treatment, thyroid problems, and chemotherapy.

There are three degrees of intensity of slipped capital femoral epiphysis, mild, moderate and severe. In mild slipped capital femoral epiphysis, only one third of femoral head slips from the thigh bone. In moderate, one third to half slips and in severe, more than half of the femoral head slips. The symptoms of this condition are pain in hip which increases upon movement, pain in thigh, knee & groin and limpness in the leg. When an adolescent walks there will be a clicking sound in the hip and his/her legs will be turned outwards.

Apart from studying the medical history of the patient, the doctor will recommend diagnostic procedures such as bone scans, X-ray, magnetic resonance imaging and blood test. The bone scans will determine the arthritic changes and degenerative changes in the joints, which helps to detect tumors & bone diseases and the cause of pain and inflammation. The X-ray will give the inside picture of the bones, tissues and organs. The magnetic resonance imaging provide detailed image of the structures within the body with the help of large magnets. It is best if slipped capital femoral epiphysis is determined in the early stages, so that the femur bones head doesnt slip off any further. The adolescent may need to undergo a surgery along with physical therapy.

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Handling Pain from Arthritis

Handling Pain from Arthritis
Nestler

Arthritis is an inflammation of the joints, the junctures where
the ends of two bones meet. This common disability comes in more
than 100 forms but for many sufferers, all they really want to
know is how do I get arthritis pain relief.

Some detective work on the part of the sufferer may be called
for. By determining when the symptoms pop up, it may be possible
to manage some of the suffering. Pain in a joint may be felt
during or after use, or after a period of inactivity. Discomfort
may signal a change in the weather or be felt during it.

Although there’s no cure for arthritis, available treatments can
relieve pain and help you remain active. At the first signs of
the illness, treatment should begin. Rest and easy exercise such
as swimming may be effective starting points along with some
over the counter medications to ease the pain and improve joint
functioning.

Among the treatments your doctor may suggest are medication,
self-care, physical therapy and occupational therapy.
Occasionally surgery is recommended; some individuals seek
relief from various forms of alternative medicine.

Medications include both topical and oral medications. Topical
medications come in the form of sprays, gels, creams and
ointments. Over-the-counter (OTC) medications may be sufficient
to treat milder arthritis, but stronger prescription medications
also are available.

OTC pain relievers such as acetaminophen can relieve pain but
does not reduce inflammation. Taking more than the recommended
dosage of acetaminophen can cause liver damage, especially if
you consume three or more drinks of alcoholic a day.

Acetaminophen can also affect other medications you may be
taking, so be sure to inform your doctor if you’re taking it.

Nonsteroidal anti-inflammatory drugs (NSAIDs) work in two ways.
They relieve muscle pain and fight inflammation (such as from
rheumatoid arthritis). NSAIDs have risks of side effects that
increase when used at high dosages for long-term treatment.

Discuss with your doctor before using other medications such as
COX-2 inhibitors, and others which have different side-effects.
Antidepressants, apart from their antidepressant qualities,
especially tricyclics, can help reduce chronic pain. Some people
with arthritis also experience symptoms of depression.
Antidepressant medications can treat the sleep disturbance that
can accompany arthritis. Occasionally, your doctor may suggest
injecting a joint space with a corticosteroid, which can offer
some pain relief and reduce inflammation. In addition, how well
you live with arthritis often depends on your behaviors and
attitude. If you actively manage your arthritis, you may be able
to gain control over your pain.

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Arthritis, The Pain And The Reasons

Arthritis, The Pain And The Reasons
Yvonne Loubet

Many fear the pain of arthritis as they age. But, it can attack anyone at any time. For those who it does strike, the pain is unbearable. It is a group of diseases of the bone joints. Each time a person moves, joints move with them. But, when arthritis lurks in the joints, pain is also lurking. Many people have mistakenly come to believe that it is a sign of growing old. In fact, it is not. There are different types of arthritis, and many ways that it can begin to consume your life.As we stated, arthritis is actually a common name for a group of diseases of the bone joints. These diseases include rheumatoid arthritis, which is an autoimmune disease and certain other types of arthritis, which are caused by a bad injury, repetitive use, sports, or overexertion. Septic arthritis is caused by a joint infection. And, the most common of all is osteoarthritis, which is a degenerative disease. In this particular disease, older people are mainly the target. Their joint cartilage is simply deteriorating over time. In any of these cases, arthritis can be profoundly painful and at times, unbearable. For those who are elderly, the worst of the pain comes in the morning or after sitting for long periods. This is due to the fact that joints become stiff. Once they begin to move and keep moving, though, the pain can be mild. When arthritis strikes a young child, he or she may just stop using the limb. Weather changes can also cause increased pain in the effected area. The pain of the disease comes from the joints developing extra nerve endings. They do this to protect the joint from more damage. If it hurts more, you likely wont use it more for fear of it getting worse. However, the stiffness sets in from lack of use and the vicious cycle continues. What can you do if you think you may have arthritis? The first course of action is to see a doctor. The doctor will ask you questions regarding any other symptoms you may have besides the obvious pain and limited use of the joint. Fever can be a cause for septic arthritis. In this specific cause, you should seek a medical emergency team right away as it can be life threatening. In any case, the doctor will most likely have blood work done as well as x-rays. Once the type of arthritis is diagnosed, your doctor will have a better idea how to treat it. For some this may include surgery, prescription drugs, physical therapy, or a reduction in the use of the effected joints. There are other products being used as well. One of these is a collagen injection. Other treatments that have been shown to ease the pain include herbal remedies. In the end, arthritis can be helped, and may be cured if treatment is sought and given in the right manner. If you suspect that you or someone you love is being affected by this disease, you should speak to your doctor as it can be an unnecessary pain that you or they face day in and day out. Unfortunately, arthritis cant heal itself and does require treatment. It is simply a wise choice to get it taken care of. About the Author
Yvonne Loubet is a Natural Therapeutic Specialist who retired from her 20-year massage therapy practice because of arthritis. She operates a website http://www.arthritispainsolution.com which provides information on an alternative arthritis treatment. More information can be found at http://www.arthritispainsolution.com/arthritis-treatment/rheumatoid-arthritis.html

Tennis Elbow in Adolescents

Tennis elbow is a condition in which tendon fibers that attach on epicondyle on the elbows exterior degenerates. The tendons talked about here anchor the muscles that help wrist and hand to lift. Although tennis elbow occurs mostly in patients of thirty to fifty years of age but it can happen to people of any age. Also tennis elbow affects almost fifty percent of teenagers who are in racquet sports thus the name tennis elbow. But still most of the patients who suffer with tennis elbow are people who dont play racquet sports. Majority if the times there isnt any specific injury before the symptoms start showing up. Tennis elbow can also happen to people who use their forearm muscles frequently and vigorously for day to day work and recreational activities. Ironically some patients develop the condition without any of the activity related reasons that leads to the symptoms.

The symptoms of tennis elbow include severe burning pain on the elbows exterior region. In majority of the cases this starts as a slow and mild pain gradually worsening with the passage of few weeks or sometimes months. The pain worsens when one tries to lift objects. In some cases it may pain even while lifting light objects like a book or full coffee cup. In the severest cases it can pain even at the movement of the elbow.

The diagnosis of the tennis elbow involves physician enquiring about the medical history of the teenager and a physical examination of the elbow by pressing directly on the part where bone is prominent on the elbows exterior to check if it causes any pain. The physician may also ask the teenager to lift the fingers or wrist and apply pressure to check if it causes any pain again. X-rays are never opted for diagnosis. However a MRI scan may be done to see changes in tendons at the attachment to the bone.

There are many treatment options available and in majority of the cases non-surgical treatment is given a try. The ultimate goal of the 1st phase of the treatment is pain relief. Be ready to hear from the physician to stop any activity leading to the symptoms. The doctor may also tell the teenager to apply ice to elbows exterior and he/she may also tell the teenager to take anti-inflammatory medicines for relief from pain.

The symptoms also diminished with the help of orthotics. The physician may also want to go for counterforce braces and also wrist splints which can greatly cut down symptoms by providing rest to tendons and muscles. The symptoms should show signs of recovery within 4 to 6 weeks otherwise next option would be to go for a injection called corticosteroid in the vicinity of the elbow. This greatly reduces pain and is also very safe to use. There are many side affects involved if it is overused.
Once there is a relief from pain the treatments next phase starts which involve modification of activities in order to prevent the symptoms from returning. The doctor may also prescribe the teenager to go for physical therapy which may include stretching exercises to gradually increase the strength of the affected tendons and muscles. Physical therapies have high success rates and return your elbow back to normal working again. Again non-surgical procedures are highly successful in eighty five to ninety percent patients.

Surgical procedure is considered only when patients undergo relentless pain that doesnt improve even after 6 months of non-surgical treatment. The procedure involves removal of affected tendon tissue and attaching it back to bone. The surgery is done on outpatient basis and does not need stay at the hospital. The surgery is done by making a small incision on elbows exteriors bony prominence. In recent years a surgery known as arthroscopic surgery has also been developed but no major benefits have been seen using it over the traditional method of open incision.

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