18. March 2014 13:38
Hip Pain refers to the pain felt in and around the hip joint. According to the pain specialists, the pain can originate from the back, groin structures or the actual hip joint. Read on to know about the causes, symptoms and treatment of hip pain.
- Injury: Hip pain can be caused by a number of injuries such as stress on hip bone resulting into fracture and hence pain. Another most common factor causing acute hip pain is over exercising or over weight lifting results into a stretch in the joints and consequently leads to pain.
- Arthritis: Arthritis can cause pain, stiffness, tenderness and swelling in hip joints.
- Other medical conditions: It has been found that Bursitis, Tendinitis, Cancer and Avascular Necrosis patients are more prone to hip pain.
- Compression: Various physical activities may lead to nerve compression. Nerve compression should not be ignored as it may further lead to a severe problem like hip pain.
- Miscellaneous: It can be caused by various other factors including hip injury, overuse of the joints, posture problems or another factor such as rheumatoid arthritis.
- Deformity: Hip joint getting deformed.
- Difficulty in lifting weight: If the hip is unable to bear weight.
- Swelling: When large amount of swelling is felt at the affected area and bars the body to walk, stand and sit.
- Severe Pain: Severe pain felt in hip joints, thighs and legs.
- Inflammation: Inflammation in hip joints can also be taken as one of the symptoms. When the bursa (a liquid-filled sac next to a joint) over the hip joint gets inflamed.
Treatment: Treatment of hip pain depends on the factors causing it. Following are the treatment options:
- For injuries, treatment generally involves medication and bed rest used to relieve stress or pain.
- Surgical intervention may be required in case of hip fractures or malformation of the hips. This kind of surgery is generally termed as hip replacement surgery in which damaged hip joint is replaced with an artificial one.
11. March 2014 13:33
A Bunion is a localized area of enlargement of the inner portion of the big toe joint (known as metatarsal phalangeal joint). Sometimes Bunion may also affect the outside portion of the foot at the base of the little toe. This kind of Bunion is sometimes referred as a tailor’s Bunion or Bunionette.
- Hereditary: Some hereditary (genetic) tendency to have this joint weakness can be taken as one of the causes of Bunion.
- Arthritis: According to foot and ankle specialists, patients of Osteoarthritis or rheumatoid arthritis are more prone to Bunion.
- Trauma: Sprain, nerve injuries and fractures may sometimes lead to the condition.
- Tight-fit and high-heeled shoes: It has been found that tight-fitting, high-heeled and narrow –toed shoes may increase the risk of developing Bunion.
- Repetitive Stress: Ballet dancers are more likely to suffer from the disease as these kind of activities causes repetitive stresses to the foot resulting into Bunion.
- Inflammation: The enlarged joint at the base of the big toe can become inflamed with redness.
- Pain: Tenderness and pain can be felt and sometimes pain could be so severe that it can get difficult to walk.
- Swelling: Swelling can be seen and felt at the base of the toe. The foot may become so wide that may cause difficulty in fitting into a shoe.
- Deformation: Along with the deformation in the big toe, the second toe might get deformed too.
- Severe Condition: In case of severe conditions, the big toe can push the smaller toe up out of place, making the condition worse.
- Footwear Recommendation: High-heeled, pointed and tight fitted shoes should be avoided. Trainers, Slippers or shoes with laces and straps are highly recommended by foot doctors.
- Icing: Ice packs’ padding over the Bunion may help relieving the pain and swelling.
- Medication: Anti-inflammatory medicines can be taken for the first-aid.
- A course of antibiotics may be included in the prescription if the skin and tissues over the deformity are affected.
- Medication may differ if the Bunion had developed as a part of arthritis.
- Surgery: An operation may be advised in severe cases:
- Choice of the operation depends upon the severity, shape of the foot and some other factors.
4. March 2014 06:00
One of the most common issues that bring patients to wrist surgeon is Carpal Tunnel Syndrome. It is a condition that causes numbness, tingling, pain, and weakness in the fingers and thumb. It is basically caused due to compression of the median nerve, which is located in the wrist and is responsible for imparting sensation to the first three fingers and thumb.
The major cause of Carpal Tunnel Syndrome is pressure on the median nerve. This pressure is due to swelling or any condition that makes the carpal tunnel smaller. Some other causes that lead to the syndrome include:
- Diseases such as Rheumatoid arthritis, hypothyroidism, and diabetes
- Wrist injuries
- Certain wrist movements, which are made repeatedly
- Smoking also causes the syndrome by reducing blood flow to the median nerve
- Some of the common symptoms of Carpal Tunnel Syndrome are:
- Numbness, tingling, weakness, and pain in the thumb, index finger, middle finger, and ring finger except little finger
- Pain in arms between elbow and the hand
- These symptoms may be more noticeable at night and the problem often subsides by shaking hand.
- The doctors often diagnose this problem by physically examining hands, neck, shoulders, arms, and wrists. They may ask many questions to the patient related to their health and activities. They may also conduct some blood and nerve tests to confirm the problem.
Initially the symptoms can be treated at home by taking proper care for wrist and hands. It is important that the patient should start the treatment as soon as possible, as this will prevent long-term damages.
- A patient may feel better by giving rest or icing the wrist for a few minutes.
- A patient can also take anti-inflammatory drugs to relieve pain and reduce swelling.
- Patients are advised to wear wrist splint at night, which helps in keeping wrist in a neutral position.
Though mild cases may be treated with braces, injections, or self management techniques, moderate and severe cases need surgery. During surgery, a wrist surgeon makes an incision from the palm to the wrist, or a limited incision in the palm. The surgery is also done with an endoscopic carpal tunnel release that uses a fibro-optic instrument. Surgery for Carpal Tunnel Syndrome can have a recovery time of three to four months.