#neck and shoulder pain treatment specialists in Delhi

[physio1plus]

www.physiooneplus.com

In today’s fast-paced world, physical health and well-being often take a back seat until pain or discomfort disrupts daily life. For those seeking effective and holistic care, Physio 1+ in Lajpat Nagar, Delhi, stands out as a premier choice for physiotherapy, chiropractic care, and rehabilitation services. Our clinic is committed to providing high-quality, individualized treatments that address a wide range of physical ailments—from chronic back pain to sports injuries.

Why Choose Physio 1+?

Experienced and Specialized Team Physio 1+ boasts a team of certified and experienced physiotherapists, chiropractors, and wellness specialists. With years of hands-on experience, our team uses a combination of traditional methods and modern techniques to deliver effective treatment plans.

Comprehensive Services for All Ages We understand that each patient’s needs are unique. That’s why we offer a broad range of services, including:

Post-Surgical Rehabilitation: Guiding patients to recover strength, mobility, and confidence after surgery.

Spinal Injuries Treatment: Effective treatment plans for spinal injuries to help patients restore normal function.

Therapeutic Exercises: Tailored exercises that target pain relief, increase flexibility, and build strength.

Vestibular Rehabilitation: Specialized therapy for balance issues and vertigo.

With services for children, adults, and seniors, Physio 1+ meets the needs of every age group with care and professionalism.

State-of-the-Art Facilities Physio 1+ is equipped with advanced tools and technology, allowing for accurate diagnosis, in-depth analysis, and targeted treatment. From ultrasound therapy to resistance training equipment, we utilize advanced tools to create an effective healing experience.

Personalized Treatment Plans We believe in providing customized treatment plans that address individual pain points and health goals. Our experts conduct thorough assessments and develop tailored plans to ensure every session contributes to optimal recovery and lasting well-being.

Conveniently Located in Lajpat Nagar Conveniently located in Lajpat Nagar, Physio 1+ is easily accessible for Delhi residents looking for a reliable and professional physiotherapy center.

Our Most Popular Treatments

Back Pain and Shoulder Pain Treatment Back and shoulder pain are common concerns among many patients, often due to sedentary lifestyles or heavy physical activities. Our therapists specialize in identifying the root cause of pain and treating it with effective manual therapy, stretching, and strength-building exercises.

Chiropractic Care Chiropractic care at Physio 1+ focuses on improving spine alignment, which helps to relieve pain, enhance mobility, and improve overall health. From back and neck pain to headache relief, our chiropractic services are tailored to meet each patient’s needs.

Arthritis Treatment Arthritis can be challenging to manage, but our clinic offers specialized arthritis treatment plans that relieve pain and improve joint mobility, allowing patients to live with greater comfort.

Neurological Physiotherapy We offer neurological physiotherapy for conditions like stroke, multiple sclerosis, and Parkinson’s disease. Our approach focuses on restoring mobility, improving balance, and enhancing quality of life.

Sports Injury Rehabilitation Physio 1+ has expertise in sports injury recovery. We work with athletes to design treatment plans that accelerate recovery, prevent further injuries, and optimize performance.

Benefits of Choosing Physio 1+

Accelerated Recovery: Our therapy programs are designed to facilitate quicker recovery, minimizing the risk of recurring pain or injury.

Affordable Care: We believe in making quality healthcare accessible and affordable.

Friendly and Supportive Environment: Our clinic offers a welcoming, comfortable environment that encourages healing.

Evidence-Based Techniques: We use proven, evidence-based techniques for effective treatment outcomes.

What Our Patients Say

"The best physiotherapy clinic in Lajpat Nagar! My back pain improved significantly after just a few sessions. The team is extremely knowledgeable and dedicated. I highly recommend Physio 1+." – Anil K.

"I went to Physio 1+ after my knee surgery, and they helped me get back on my feet quickly. Excellent care and professional staff!" – Preeti S.

Schedule Your Appointment Today!

If you’re searching for the best physiotherapy clinic in Delhi or need expert help for a specific pain or injury, Physio 1+ is here for you. Whether you need post-surgical rehabilitation, pain management, or preventive care, our team is dedicated to providing effective, compassionate care.

Get in Touch!

At Physio 1+, we prioritize your health and well-being. Visit us in Lajpat Nagar to experience top-notch physiotherapy and rehabilitation services tailored to meet your unique needs. Call us today to schedule an appointment or visit our website to learn more.

Physio 1+ is where you can find exceptional care and support to help you move better, feel better, and live better.

[centreforbrainandspine1]

Scoliosis treatment without surgery using exercise | Neurosurgeon in Delhi

Scoliosis can cause trouble if not treated correctly. Many doctors and top neurosurgeon have suggested exercises to help patients deal with pain and correct the spine posture during daily activities. Scoliosis exercises should be done cautiously and with good technique. The objective is to establish spine symmetry to restore trunk alignment and relieve back discomfort. 

This guide curated by the Dr. Nagesh Chandra, Neurosurgery Specialist in Dwarka, Delhi, explains the meaning of scoliosis, exercises, etc. You must consult your doctors before performing any exercise to ensure it is safe for your condition. Follow all the instructions from your doctor and take a path towards fitness. 

What is Scoliosis and its diagnosis in Delhi?

Scoliosis is a sideways spine curve that can look like an “S” or “C” shape. It can cause the body to tilt to the side, and some people may have one shoulder higher than the other. Scoliosis is usually mild and does not cause symptoms but can lead to back pain. Most cases of scoliosis are mild, but some curves worsen. Scoliosis is more likely to get worse while bones are still growing. 

Scoliosis occurs in about 3% of people and most commonly develops between the ages of ten and twenty. Females typically are more severely affected than males, with a ratio of 4:1.

Scoliosis and Kyphosis however looks similar but are two different spine conditions.

Scoliosis treatment without surgery using exercises

These are some of the exercises for scoliosis that must be performed under an Spine doctor supervision. 

Cat-camel

The cat-camel stretch is a freehand exercise that can help improve the flexibility and mobility of the spine. It can also help prevent spinal disorders and reduce pain. 

How to perform it: You must lie down and stand on your hands and legs. Ensure your back is on level and your head & neck are comfortable. Arch your back and inhale deeply while drawing your abdominal muscles up & down. Now, exhale, relieve your abdominal muscles, and drop your neck. Lay flat on your belly and lift your towards, facing towards the ceiling. 

Latissimus dorsi stretch

How to perform it: Stand and keep your back straight. Keep your legs apart and slightly bend your knees. Raise your hands and hold the right wrist with your left hand. Bend towards the right side until you feel a stretch in your body. Hold your breath for 10-15 seconds, and release your breath and hands. Repeat the same process on the left side. 

Abdominal press

The abdominal press is a static exercise that can help with scoliosis by strengthening the core and abdominal muscles. Read more

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Don't Let Spondylosis Slow You Down: Effective Treatment Options for a More Active Life

Are you tired of letting spondylosis slow you down and limit your active lifestyle? Don't worry; there are effective treatment options to help you reclaim your vitality and mobility! In this blog post, we will delve into what spondylosis is, its impact on the body, common symptoms to watch out for, and the best treatment approaches available. Let's explore how Dr. Amit Chugh, the best spine doctor in Delhi, can guide you towards a life with less pain and more movement.

Understanding Spondylosis: What it is and How it Affects the Body

Spondylosis, also known as spinal osteoarthritis, is a common degenerative condition that affects the spine. It occurs due to wear and tear on the spinal discs and bones over time, leading to pain and stiffness in the affected area. This condition typically affects older adults but can also occur in younger individuals, especially those with a history of spine injuries or heavy physical labor. The impact of spondylosis on the body can vary depending on the location and severity of the degeneration. Symptoms may include neck or back pain, limited range of motion, muscle weakness, numbness or tingling sensations in the extremities, and even difficulty walking. As spondylosis progresses, it can lead to more severe complications such as herniated discs or spinal stenosis. Understanding how spondylosis affects your body is crucial for seeking timely treatment and managing symptoms effectively. By working closely with a knowledgeable healthcare provider like Dr. Amit Chugh specializing in spondylosis treatment in Delhi

Symptoms of Spondylosis and When to Seek Treatment

Spondylosis, also known as spinal osteoarthritis, can manifest in various ways. One common symptom is neck or back pain that worsens over time. This discomfort may radiate to the shoulders or arms and could be accompanied by stiffness in the affected area. Some individuals with spondylosis may experience tingling sensations or numbness due to nerve compression caused by bone spurs forming along the spine. Muscle weakness in the arms or legs could also indicate spondylosis progression. If you notice persistent pain, limited range of motion, or neurological symptoms like numbness and weakness, it's crucial to seek medical advice promptly. Early diagnosis and treatment play a significant role in managing spondylosis effectively. Consulting a specialist like Dr. Amit Chugh, renowned for providing top-notch care for spinal conditions in Delhi, can help you address your symptoms before they escalate further.

Traditional Treatment Options: Medications, Physical Therapy, and Surgery

Traditional treatment options for spondylosis typically include medications, physical therapy, and in some cases, surgery. Medications such as pain relievers, anti-inflammatory drugs, or muscle relaxants may be prescribed to help manage symptoms and reduce inflammation in the affected area. Physical therapy is often recommended to strengthen the muscles supporting the spine, improve flexibility, and promote better posture. A customized exercise plan can target specific areas of weakness or stiffness to alleviate discomfort and enhance mobility. In more severe cases where conservative measures are not effective, surgery may be considered to address underlying structural issues contributing to spondylosis. Surgical interventions aim to relieve pressure on nerves or stabilize the spine through procedures like spinal fusion or decompression surgeries. It's essential for individuals with spondylosis to work closely with their healthcare providers to determine the most suitable treatment approach based on their unique needs and medical history.

Alternative Treatment Options: Chiropractic Care, Acupuncture, and Massage Therapy

When it comes to managing spondylosis, exploring alternative treatment options can provide relief and support your overall well-being. Chiropractic care focuses on spinal adjustments to improve alignment and reduce pain associated with spondylosis. By addressing misalignments in the spine, chiropractors aim to enhance mobility and decrease discomfort. Acupuncture, an ancient Chinese practice, involves inserting thin needles into specific points on the body to promote healing and alleviate pain. This holistic approach may help manage spondylosis symptoms by targeting underlying imbalances that contribute to discomfort. Massage therapy offers a hands-on approach to easing muscle tension, improving circulation, and reducing inflammation related to spondylosis. Therapeutic massage techniques can help relax tight muscles around the spine and enhance flexibility for better range of motion. By incorporating these alternative treatments into your spondylosis management plan, you may discover new avenues for finding relief and enhancing your quality of life.

Lifestyle Changes to Manage Spondylosis Symptoms

Living with spondylosis may require some lifestyle adjustments to help manage symptoms and maintain an active life. Incorporating regular exercise tailored to your condition, such as low-impact activities like swimming or yoga, can help strengthen the muscles supporting your spine and improve flexibility. Maintaining a healthy weight is also crucial in reducing strain on the spine. A balanced diet rich in nutrients can support overall health and potentially alleviate inflammation associated with spondylosis. Ensuring proper posture while sitting, standing, and lifting objects can prevent additional stress on the spine. Ergonomic furniture at home or work can provide better support for your back. Prioritizing restful sleep by investing in a supportive mattress and pillow can aid in alleviating discomfort during nighttime hours. Additionally, finding stress-relief techniques like meditation or deep breathing exercises may help manage pain triggers associated with spondylosis symptoms.

Tips for Staying Active with Spondylosis

Living with spondylosis doesn't mean you have to give up on staying active. It's important to listen to your body and find activities that work for you. Consider low-impact exercises like swimming, yoga, or walking to keep your body moving without putting too much strain on your spine. Don't forget the importance of proper posture while exercising. Focus on maintaining a neutral spine position and avoid movements that exacerbate your spondylosis symptoms. Incorporating core-strengthening exercises can also help support your spine and reduce discomfort. Take regular breaks during physical activity to prevent overexertion. Listen to your body's signals and rest when needed. Remember, it's okay to modify exercises or routines based on how you're feeling that day. Stay consistent with gentle stretching exercises to improve flexibility and reduce stiffness in the affected areas. Warm-up before any physical activity and cool down afterward to prevent muscle strain. Consult with a medical professional or physiotherapist for personalized advice on creating an exercise plan tailored to your specific condition and needs. Stay proactive in managing your spondylosis by staying active in a way that works best for you.

Conclusion

Spondylosis can indeed be a challenging condition to manage, but with the right treatment and lifestyle adjustments, it doesn't have to slow you down. Whether you opt for traditional treatments like medications or surgery, or explore alternative options such as chiropractic care or acupuncture, finding the best approach for your spondylosis is crucial.

Remember that Dr. Amit Chugh is renowned as one of the best spine doctors in Delhi, offering top-notch spondylosis treatments tailored to individual needs. By working closely with a knowledgeable healthcare provider like Dr. Chugh and making positive changes to your daily routine, you can effectively manage your symptoms and enjoy a more active life despite spondylosis. Don't let this condition define you – take charge of your health and well-being today!

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Spinal Deformity Due to Smartphones and Its Treatment in Delhi

Smartphones and digital connectivity become ubiquitous, transforming the way we live, work, and communicate. While smartphones offer numerous benefits, they also bring about a set of health concerns, including the alarming rise of spinal deformities among people, especially in metro cities like Delhi. In this comprehensive article, Neurosurgeon in Dwarka will explore the impact of excessive smartphone usage on spinal health, causes and types of spinal deformities that can occur, and discuss the available Spine deformity treatment in Delhi.

The Smartphone Revolution and Its Consequences

Smartphones have revolutionized our lives, enabling instant communication, access to information, and entertainment. However, their constant use, often in poor postures, has given rise to a modern health epidemic – spinal deformities. The prevalence of smartphones in India has soared over the years, with millions of people spending hours each day hunched over their screens.

Poor Posture and Spinal Strain: One of the primary reasons for spinal deformities related to smartphones is poor posture. Users tend to slouch or crane their necks forward while engrossed in their screens, leading to excessive strain on the spine.

Types of Spinal Deformities: The most common spinal deformities associated with smartphone use include:

Text Neck: This condition occurs when people constantly tilt their heads forward to look at their phones, leading to neck pain and a gradual change in the cervical spine's curvature.

Kyphosis: Smartphone users who spend hours in a hunched-over position can develop kyphosis, a condition characterized by an excessive outward curvature of the upper spine.

Scoliosis: While less common, excessive smartphone usage can contribute to scoliosis, an abnormal sideways curvature of the spine.

The Impact on Spinal Disease 

The consequences of excessive smartphone use on spinal health in India are becoming increasingly evident:

Pain and Discomfort: Many smartphone users in India complain of neck, shoulder, and upper back pain due to poor posture while using their devices. Over time, this discomfort can progress into chronic pain.

Spinal Deformities: Spinal deformities, such as text neck and kyphosis, are becoming more prevalent among Indian youth and adults who engage in prolonged smartphone use.

Psychosocial Impact: The physical discomfort resulting from spinal deformities can have a significant psychosocial impact, affecting one's overall well-being and quality of life.

Spine Treatment in Delhi

Recognizing the growing concern of spinal deformities due to smartphone use, India has seen a surge in the availability of treatment of spine in India, especialliy in cities like Delhi, Banglore, Pune etc. These include:

Physical Therapy: Physical therapists in India work with patients to correct posture and strengthen the muscles supporting the spine. This is a non-invasive approach that can help alleviate pain and improve spinal alignment.

Chiropractic Care: Chiropractic care has gained popularity in India as a holistic approach to spinal health. Chiropractors use manual adjustments to correct spinal misalignments and alleviate pain.

Orthopedic Consultation: Individuals with severe spinal deformities may require consultation with orthopedic specialists. In some cases, bracing or surgical intervention may be recommended to correct the deformity.

Ergonomic Awareness: Education on ergonomics is essential in preventing and managing smartphone-induced spinal deformities. Schools, workplaces, and healthcare providers can play a role in promoting healthy device use habits.

Yoga and Exercise: India's rich tradition of yoga offers various postures and exercises that can improve spinal health. Practicing yoga regularly can help strengthen the spine and promote better posture.

Preventive Measures

Preventing smartphone-induced spinal deformities in India requires a multi-pronged approach:

Limit Screen Time: Encourage individuals, especially children, to limit their screen time and take frequent breaks from smartphone use.

Promote Ergonomics: Schools and workplaces can create ergonomic environments that encourage good posture while using electronic devices.

Exercise and Stretching: Encourage regular physical activity and stretching exercises to strengthen the muscles that support the spine.

Regular Check-ups: Routine check-ups with healthcare professionals can help identify and address spinal issues early on.

Awareness Campaigns: Government and healthcare organizations can launch awareness campaigns to educate the public about the risks of poor posture and excessive smartphone use.

Smartphones have become an integral part of modern life in India, offering convenience, connectivity, and entertainment. However, the prevalence of smartphone-induced spinal deformities is a growing concern. It is crucial for individuals, healthcare providers, and policymakers to take proactive steps to address this issue, from promoting healthy device use habits to providing access to appropriate treatments. By doing so, India can mitigate the adverse effects of excessive smartphone usage on spinal health and improve the overall well-being of its population.

[painmanagementindelhi]

Shoulder Pain Treatment In Delhi, Frozen shoulder treatment in delhi

Shoulder Pain

Shoulder pain may be an isolated problem localised to the shoulder or be a part of widespread pain as in rheumatoid arthritis. A combination of history, examination and diagnostic investigations is utilised to identify the pathology and guide further management. Diagnostic ultrasound scan is an effective bedside tool as it can reliably identify common shoulder pathologies and reduce the requirement of additional investigations. I routinely perform ultrasound scans at the time of initial assessment. This reduces the requirement of additional investigations and if required a guided injection can be performed at the same time.

Some of the common reasons for shoulder pain include

Inflammation, injury or weakening/tear of muscles and tendons around the shoulder joint (rotator cuff)

Damage to bones, cartilage of shoulder joints as in arthritis of glenohumeral, acromiocalvicular joint

Bursitis (Bursa allow for smooth sliding of tendons or muscles over the joint or frictional areas)

Frozen shoulder or Adhesive capsulitis

Spasm/injury of neck and shoulder muscles

Referred pain from surrounding areas like neck for example in nerve entrapment or neck joint arthritis

Frozen Shoulder

What is frozen shoulder?

Frozen shoulder is a condition in which there is significant loss of motion of shoulder joint accompanied by pain and stiffness. The movement involving reaching straight up and rotation of joint such as while reaching behind the back may be affected first although with time all movements may get affected. Pain may be deep seated, poorly localised and constant or only at night when lying on the affected side.

In frozen shoulder the capsule surrounding the shoulder joint becomes thickened and tight thereby limiting the movements of the joint. The joint may loose some of its lubricating fluid reducing the space for the arm bone ot move. Movement of shoulder causes pain, hence one tries to avoid this which leads to further contraction of the capsule. As the condition advances scarring or adhesions may develop between the capsule and the head of arm bone further limitating the movement. With time there may be relative weakening of the muscles with loss of muscle mass (atrophy).

What causes frozen shoulder?

The cause behind the condition is not well understood. This condition is estimated to affect 2-3 % of individuals although this may be an overestimation as previously many more conditions were labelled as frozen shoulder – with it becoming more like a waste bin diagnosis. The actual incidence may be around 0.75%.

It is seen more commonly in

Women as compared to men

People over the age of 40 years, most commonly between the age of 40-60 years

Diabetics have approximately five times more chances of developing this condition compared to non – diabetics. (10 – 20 percent of individuals with diabetes may develop frozen shoulder and about 30% of people with a frozen shoulder also have diabetes).

Periods of shoulder immobilization like after a fracture or stroke (more like an under use injury)

Patients with overactive or underactive thyroid

Parkinson’s disease

How is frozen shoulder diagnosed?

Frozen shoulder is diagnosed clinically, however investigations are required to rule out other conditions which may present similar symptoms.

To diagnose frozen shoulder, your doctor will:

The doctor will evaluate the range of shoulder movement. In frozen shoulder both the active movements (when you move your shoulder/ arm) and passive movements (when the doctor moves your shoulder /arm) are reduced. Examination may reveal tenderness in the front of shoulder at a specific spot called the coracoid process.

The doctor may carry out other special tests to rule out other conditions which may present with similar symptoms

He may conduct examination of your neck as neck problem manifests with shoulder pain frequently

Tag : Shoulder Pain Treatment In Delhi, Best pain specialist in Delhi, Body pain treatment in Delhi, Pain Management in Gurgaon

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https://www.removemypain.com/

[painspecialist]

The acromioclavicular (ACJ) is a small joint between the collarbone (clavicle) and the tip of the shoulder blade (acromion). It is located at the tip of the shoulder forming the highest point of the shoulder. Like many other joints in the body, it has cartilage covering the ends of the bone, is surrounded by a capsule and stabilised by strong ligaments. This joint has minimal mobility. It is involved in overhead arm movement and when the arm is moved across the body.

[activeayulifedelhi]

Panchakarma is ostensibly the most important branch of Ayurveda. Panchakarma literally translates to “Five Actions,” a fitting name for a technique that relies on five unique basic acts to govern the body: Vomiting, Purgation, Niruham, Anuvaasan, and Nasyam. In other words, Panchakarma is a foundation upon which the majority of Ayurvedic procedures are built. 

Panchakarma is a therapy that includes detoxifying your body from every part. It removes all the impurities and toxic waste from the body and works as a purity agent. Panchkarma is the most important and the most magnificent of ayurvedic values. Consult now with dr Ruchi Bharadwaj panchakarma specialist in Delhi.

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Neck Pain Treatment in Delhi | Best Neck Pain Specialist in Delhi

Majority of us would experience neck pain at some point in our life. Neck Pain can disrupt daily routine activities. Muscle spasm, pain can make it difficult to turn head and activities such as driving become difficult. It is not uncommon for the neck pain to radiate to shoulders or lead to persistent headaches. Neck pain is more commonly observed in middle ages and may have a mechanical or postural basis. Most uncomplicated neck pain is associated with poor posture, anxiety and depression, neck strain, injuries. Fortunately majority of cases are not due to serious causes. If you are experiencing unresolving or severe pain, you should seek medical opinion from neck and shoulder pain treatment specialists in Delhi so that timely diagnosis can be done and corrective action can be taken.

Some common causes include –

Muscle sprain, spasm/ increased tension

Poor posture and work ergonomics

Incorrect positioning of the neck while sleeping

Aging: Degenerative disc disease and spinal osteoarthritis become more common as we age

Injuries/ Whiplash: Whiplash neck involves sudden jolting of neck forwards and backwards and is commonly observed in vehicular accidents. This can cause excessive stretching of neck muscles, ligaments or other injuries which can be associated with neck pain.

Neck pain can be a part of more widespread medical issues such as in fibromyalgia, arthritis, ankylosing spondylitis, infections, cancer etc. You can approach Pain Management Specialists in Delhi for diagnosing your problem and suggesting suitable solutions

It is advisable to seek early medical attention if you experience any of the following

Persisting symptoms or severe pain not responding to usual care or medications

Pain starting after fall, injury

New onset numbness, weakness or tingling in arms

Gait or balance problems

Loss or urine or stool control

Signs of infection/ meningitis

Pain worse at night time/interfering with your sleep

Some of the pain management techniques for neck pain include:

Lifestyle changes: Incorrect/ ignored posture while working on laptops mobiles etc can put excessive cervical spine strain leading to pain. Certain professions can be more prone to develop neck pain. Simple posture awareness and improvement, taking regular breaks can go a long way in reducing symptoms.

Medications: Anti-inflammatory drugs such as ibuprofen or naproxen and pain relievers like acetaminophen may initially be prescribed by your doctor. Sometimes medications like muscle relaxants or stronger painkillers may also be suggested by your doctor.

Physical Therapy: Regular exercise, good posture, stretching can help to reduce/ prevent to prevent unwanted stress and tension to your neck muscles. Heat or cold application may be used during the initial phases of injury to facilitate your recovery and physical exercise. Depending on the severity, time since injury and your recovery the specialist may recommend limiting normal physical activity or slow range-of-motion exercises or strengthening exercises.

There is research evidence supporting the use of specific strengthening exercises as part of a routine practice for chronic neck pain, cervicogenic headache and radiculopathy.

Ergonomics & Posture Simple posture changes and better workplace ergonomics can help in preventing/reducing neck pain. Measures include adjustment of furniture height and computer position such that

Eyes point directly at the top third of the screen

Forearm is parallel to floor

Feet should be flat on the floor with thighs parallel with the floor

While sitting in office chair it’s a good practice to have back aligned against the back of the office chair and avoid slouching. Avoid sitting in one place for too long. Taking regular breaks to walk around and stretch is a good practice.

Relaxation techniques: relationship between stress and increase pain is well known and easily appreciated by most patients. Measures to deal with stress and anxiety help in more effective pain management.

Massage Therapy: The evidence supporting the use of massage therapy is limited although some people do find it useful in the short term. Massage can help in relaxing, loosening of muscles but it is important to remember that wrongly done massage can lead to harm.

Acupuncture: Certain people find Acupuncture helpful in neck pain management. When performed correctly it is a low risk procedure. The traditional acupuncture is based on the theory of restoring the energy balance in body and removing any blockages to the flow of energy.

Injections/ other interventions such as Radiofrequency ablation: These would depend on the cause of neck pain and actual pathology. They have been explained in more detail in the neck & arm pain section under treatments, on my website- removemypain.com

Ignoring persisting symptoms can aggravate the situation leading to chronic pain with reduced functionality. So, if your pain persists and does not respond to usual lifestyle changes and painkillers then seek medical opinion on time.

Tags >> neck and shoulder pain treatment specialists in Delhi, Neck Pain, Neck Pain Management In Delhi, Pain Management Specialist in Delhi, Pain Specialist In Delhi

For More Information https://www.removemypain.com

[kneepaintreatmentinindia]

Neck Pain Treatment in Delhi | Best Neck Pain Specialist in Delhi

Majority of us would experience neck pain at some point in our life. Neck Pain can disrupt daily routine activities. Muscle spasm, pain can make it difficult to turn head and activities such as driving become difficult. It is not uncommon for the neck pain to radiate to shoulders or lead to persistent headaches. Neck pain is more commonly observed in middle ages and may have a mechanical or postural basis. Most uncomplicated neck pain is associated with poor posture, anxiety and depression, neck strain, injuries. Fortunately majority of cases are not due to serious causes. If you are experiencing unresolving or severe pain, you should seek medical opinion from neck and shoulder pain treatment specialists in Delhi so that timely diagnosis can be done and corrective action can be taken.

Some common causes include –

Muscle sprain, spasm/ increased tension

Poor posture and work ergonomics

Incorrect positioning of the neck while sleeping

Aging: Degenerative disc disease and spinal osteoarthritis become more common as we age

Injuries/ Whiplash: Whiplash neck involves sudden jolting of neck forwards and backwards and is commonly observed in vehicular accidents. This can cause excessive stretching of neck muscles, ligaments or other injuries which can be associated with neck pain.

Neck pain can be a part of more widespread medical issues such as in fibromyalgia, arthritis, ankylosing spondylitis, infections, cancer etc. You can approach Pain Management Specialists in Delhi for diagnosing your problem and suggesting suitable solutions

It is advisable to seek early medical attention if you experience any of the following

Persisting symptoms or severe pain not responding to usual care or medications

Pain starting after fall, injury

New onset numbness, weakness or tingling in arms

Gait or balance problems

Loss or urine or stool control

Signs of infection/ meningitis

Pain worse at night time/interfering with your sleep

Some of the pain management techniques for neck pain include:

Lifestyle changes: Incorrect/ ignored posture while working on laptops mobiles etc can put excessive cervical spine strain leading to pain. Certain professions can be more prone to develop neck pain. Simple posture awareness and improvement, taking regular breaks can go a long way in reducing symptoms.

Medications: Anti-inflammatory drugs such as ibuprofen or naproxen and pain relievers like acetaminophen may initially be prescribed by your doctor. Sometimes medications like muscle relaxants or stronger painkillers may also be suggested by your doctor.

Physical Therapy: Regular exercise, good posture, stretching can help to reduce/ prevent to prevent unwanted stress and tension to your neck muscles. Heat or cold application may be used during the initial phases of injury to facilitate your recovery and physical exercise. Depending on the severity, time since injury and your recovery the specialist may recommend limiting normal physical activity or slow range-of-motion exercises or strengthening exercises.

There is research evidence supporting the use of specific strengthening exercises as part of a routine practice for chronic neck pain, cervicogenic headache and radiculopathy.

Ergonomics & Posture Simple posture changes and better workplace ergonomics can help in preventing/reducing neck pain. Measures include adjustment of furniture height and computer position such that

Eyes point directly at the top third of the screen

Forearm is parallel to floor

Feet should be flat on the floor with thighs parallel with the floor

While sitting in office chair it’s a good practice to have back aligned against the back of the office chair and avoid slouching. Avoid sitting in one place for too long. Taking regular breaks to walk around and stretch is a good practice.

Relaxation techniques: relationship between stress and increase pain is well known and easily appreciated by most patients. Measures to deal with stress and anxiety help in more effective pain management.

Massage Therapy: The evidence supporting the use of massage therapy is limited although some people do find it useful in the short term. Massage can help in relaxing, loosening of muscles but it is important to remember that wrongly done massage can lead to harm.

Acupuncture: Certain people find Acupuncture helpful in neck pain management. When performed correctly it is a low risk procedure. The traditional acupuncture is based on the theory of restoring the energy balance in body and removing any blockages to the flow of energy.

Injections/ other interventions such as Radiofrequency ablation: These would depend on the cause of neck pain and actual pathology. They have been explained in more detail in the neck & arm pain section under treatments, on my website- removemypain.com

Ignoring persisting symptoms can aggravate the situation leading to chronic pain with reduced functionality. So, if your pain persists and does not respond to usual lifestyle changes and painkillers then seek medical opinion on time.

Tags >> neck and shoulder pain treatment specialists in Delhi, Neck Pain, Neck Pain Management In Delhi, Pain Management Specialist in Delhi, Pain Specialist In Delhi

For More Information https://www.removemypain.com

[drjatinderjuneja]

Rheumatoid Arthritis Affecting Your Movement?

What is it

Rheumatoid arthritis is a chronic and degenerative disease that is characterized by causing inflammation of the synovial membrane (membrane that nourishes, protects and covers the cartilage) of the joints and surrounding tissues. Sometimes arthritis can have an extra-articular behavior and damage organs and systems such as the heart, kidney and lung. For this reason, rheumatologist in Delhi describe it as a systemic disease.

The inflammation of this membrane is responsible for the pain, the clearly visible swelling, the sensation of stiffness that patients can feel in the mornings and the loss of joint mobility.

According to the best rheumatologist in Delhi, it affects joints more intensely than others, mainly the more mobile ones such as the hands and feet, the elbows, the shoulders, the hips, the knees and the ankles. There are some that are never affected.

If the swelling remains in a sustained and not controlled can end up damaging the bones, the ligaments and the tendons there around the joint. This can cause a progressive deformity of the joints and the loss of the ability to perform daily movements and tasks. All this affects the quality of life of patients, says top rheumatologist in Delhi.

Incidence

According to arthritis specialist in Delhi, it is estimated that worldwide this pathology affects between 0.5 and 0.8 percent of the population, that is, approximately five people per thousand worldwide. However, there are still many people who are not diagnosed.

According to arthritis doctor in Delhi, in India there are more than 1,000,000 people with rheumatoid arthritis and each year 20,000 new cases are diagnosed. "This is a remarkable figure because rheumatoid arthritis is the most disabling of rheumatic diseases," best arthritis specialist in Delhi explains.

Its incidence is greater in women than in men. In fact, for every 3 diagnoses in women, only one is performed in men. Although it can affect any person and appear at any age, it usually manifests itself more frequently in women from 30 to 50 years old.

Within the same geographical area there is a tendency to greater occurrence in urban versus rural areas.

Causes

The cause of the onset of this disease is unknown. Infectious agents such as bacteria or viruses have been studied and, although suggestive data have been found in some cases, there is still no evidence to confirm their involvement.

Rheumatologist in Delhi believes that it may have a genetic origin since the immune system attacks the joints because they do not recognize them as their own and therefore become inflamed. What is known as autoimmune disease. Likewise, it is believed that certain proteins that are transmitted in a hereditary way could predispose to the disease.

The differences in the frequency of the disease make the arthritis specialist in Delhi also suggests that there are environmental factors that intervene in the onset of the disease.

Symptom

As indicated by the best rheumatologist in Delhi, the disease begins slowly and insidiously with general manifestations that present other diseases, such as fever or asthenia.

However, the main symptom of this disease is the involvement of the diarthrodial joints. Initially there is an inflammation that is noticeable to the naked eye and causes pain in the individual who suffers. Along with inflammation, other manifestations may appear, such as increased volume, stiffness after night time rest that gradually disappears as the patient exercises daily activity, muscle weakness and limited mobility.

Also, hard lumps (rheumatoid nodules) may appear in areas of skin friction such as the elbows, the back of the fingers and toes, which can also be located inside the body.

If the disease is at an advanced stage, the patient may have some deformity due to the progressive deterioration of the affected joints. In addition, it can evolve and affect vital organs such as the kidney or lung.

It often causes dryness of the skin and mucous membranes. This causes inflammation and subsequent atrophy of the glands that generate tears, saliva, digestive juices or vaginal discharge (Sjögren's syndrome).

It can also cause some fever and, sometimes, inflammation of the blood vessels (vasculitis), which causes nerve injuries or sores on the legs (ulcers). Other symptoms are inflammation of the membranes lining the lungs (pleuritis) or the envelope of the heart (pericarditis), or inflammation and scarring of the lungs can cause chest pain, difficulty breathing and abnormal heart function.

"In the long term, the consequences of the disease left to its evolution are the limitation and incapacity for the realization, initially, of the work activities and, later, of the daily life of the subject who suffers it.

Prevention

Currently there is no measure to help prevent the onset of rheumatoid arthritis. However, Joint pain specialist in Delhi recommends regular physical activity to promote the use of all joints.

In addition, once rheumatoid arthritis has been diagnosed, they recommend following arthritis treatment in Delhi appropriately to prevent the progression of the disease.

Diagnosis

Although there are no specific tests, the diagnosis of this pathology is relatively simple if the patient goes to the rheumatologist on suspicion of having some of the symptoms already described.

If the disease is in an initial phase, the diagnosis can be more complicated since all the symptoms may not appear in the laboratory tests, since the assessment of the disease is mainly clinical. "It is done in the presence of a series of signs and symptoms in the joints in the form of polyarthritis (arthritis of multiple joints) of symmetrical nature), chronic course (more than 6 weeks) and with practically constant involvement of hand joints", specify by top rheumatologist in Delhi.

The problem in diagnosing it is that there are other rheumatic diseases, such as lupus or psoriatic arthritis that in the early stages can be confused with rheumatoid arthritis.

During the evaluation, the rheumatologist in Delhi can perform a series of complementary examinations to facilitate the diagnosis:

Blood test.

Rheumatoid factor tests.

Test to detect antibodies against citrullinated peptides. These antibodies are present in two thirds of patients with this condition.

X-rays to detect the presence of erosions.

Treatments

Rheumatoid arthritis is a chronic disease that currently has no treatment to cure the disease. However, pharmacological therapies and treatment strategies are very effective and allow good control of the disease.

The best arthritis treatment in Delhi includes two types of drugs: those used to relieve pain (anti-inflammatories and corticosteroids), and those that serve to modify the disease in the long term. The latter can be effective weeks or even months after treatment. They are not effective in one hundred percent of patients, according to arthritis specialist in Delhi, so the doctor usually prescribes several sequentially to find one that is more effective and better tolerated by the patient.

The mainstay of the therapy is the antirheumatic drugs that modify the disease (Fames). Among them, the most used is methotrexate. Other drugs would be sulfasalazine, leflunomide or gold salts (now disused).

According to the arthritis doctor in Delhi, the early prescription of these treatments is essential to reduce to the maximum the joint inflammation and the progression of the disease.

In cases where the Fames do not work properly, the joint pain specialist in Delhi treats the pathology with biological therapies. These are drugs designed with complex formulas that include the TNF antagonists (etanercept, adalimumab and infliximab), abatacept and rituximab. These drugs have been shown to be very effective in improving pain and inflammation and in preventing joint destruction.

Both biological therapies and Fames can have side effects, but in general they are quite safe and patients tolerate them well.

If the disease is very advanced, the patient may need surgery.

Other data

Relationship with tobacco

Numerous studies have shown that there is an association between tobacco consumption and the development of the disease. However, best arthritis specialist in Delhi indicates that the causal relationship between smoking and the development of pathology is complex.

On the other hand, studies have also shown that patients who smoke suffer from the disease more severely than those who are not smokers.

Forecast

The prognosis of the disease is very variable, since in some cases there are benign diseases that can be controlled with a simple treatment and others in which the disease evolves very quickly and the prognosis is fatal in a short time.

If joint pain treatment in Delhi is not done properly, it is usual for the disease to evolve towards irreversible joint destruction with a deterioration of the important lung capacity. This prognosis varies if it is approached with the optimal treatment.

In addition, there are risk factors that worsen the prognosis: the onset of the disease at young ages, smoking, the existence of citrullinated antiprotein antibodies or rheumatoid factor or the involvement of other organs, for example.

Living with the disease

The first step that a person diagnosed with rheumatoid arthritis should take to adapt to their illness is to avoid a hectic life, sudden movements and try to sleep an average of 10 hours.

In addition, it is advisable that these patients avoid those jobs that require intense physical exercise. During the workday, they should maintain a straight position in the seat and avoid remaining with the neck or back flexed for a long time. Also, during the rest it is convenient to maintain a proper posture, avoid bending the joints and keep the arms and legs stretched.

Regarding footwear, arthritis specialist in Delhi advises that it be elastic, firm and leather. The heel should be attached, the wide toe and the instep high enough so that chafing does not occur.

The obesity can cause an overload on joints, therefore, try to lead a healthy and balanced diet and avoid gaining weight.

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How to Get Rid of Neck Pain ?

Daily existence isn’t thoughtful to the neck. You might be intimately acquainted with that kink you get when you support the telephone between your shoulder and ear, or the strain you feel in the wake of working at your PC. Neck torment seldom begins for the time being. It generally advances after some time. Furthermore, as noticed by Patients Attendant in Delhi, it very well might be prodded by joint inflammation or degenerative circle infection, and highlighted by unfortunate stance, declining muscle strength, stress, and, surprisingly, an absence of rest.

A great many people know all about the aggravation and burden of a solid neck, whether it showed up after getting up one morning or maybe grew later in the day after some difficult action, like moving furnishings. As a rule, torment and firmness disappear normally soon. In any case, how an individual oversees and really focuses on the firm neck side effects can influence torment levels, recuperation time, and the probability of whether it will return.

By a long shot the most well-known reason for a firm neck is a muscle strain or delicate tissue sprain as studied by 24 hours female nursing services. Specifically, the levator scapulae muscle is helpless to injury. Situated at the back and side of the neck, the levator scapulae muscle interfaces the neck’s cervical spine with the shoulder. This muscle is constrained by the third and fourth cervical nerves.

Neck Pain treatment and cures

Any stiffness in neck muscle, firmness, or other issues including neck pain should be assessed by a physical therapist. Precluding wounds and infections is significant. Continuously request proficient clinical counsel prior to giving methodologies a shot your own. An actual assessment by a specialist of 12 hours female nursing services can assist with recognizing the reason for your aggravation. X-beam, MRI, and ultrasound imaging can likewise be useful in making a determination.

Heat and Ice Therapy

Ice can assist with decreasing irritation and expanding by bringing blood stream down to an area. Heat does the inverse, animating blood stream. Both ice and intensity can cooperate to assist with calming a stressed or torn muscle, and now is the ideal time to mend. They can give convenient relief from discomfort to an exhausted spot on your body, like the neck. Attendant for Patients in Delhi suggests applying ice for 20 minutes a couple of times each day for delicate tissue wounds. You must ensure the ice pack should be used in limited contact with the body. You can switch back and forth between applying ice and intensity. Washing up or shower or utilizing a warming cushion may likewise help.

Assume control over-the-counter (OTC) pain killers

OTC painkillers don’t need a solution and can assist with decreasing general torment and irritation in the body. OTC painkillers incorporate a class of prescription called nonsteroidal calming drugs . Normal incorporates ibuprofen and naproxen sodium. Another OTC painkiller is acetaminophen , however while this medicine can diminish torment, it doesn’t have calming properties.Continuously take these as coordinated by a specialist or by adhering to the guidelines on the container. NSAIDs and other OTC painkillers can make side impacts, including furious stomach, queasiness, and the runs.

Stretch yet keep away from abrupt developments

Extending can assist with easing agony and firmness and keep it from repeating from now on. It’s essential to extend tenderly and gradually, ensuring you generally take in and out completely. Unexpected developments, or overextending, can cause more agony or injury. Activities to ease neck agony and solidness are frequently clear and should be possible at home . Chat with a specialist from Female Attendant for Patient in Delhi or actual specialist (PT) about making a sensible schedule that works for you.

See an PT (Physical therapist)

A specialist might allude to a PT in the event that you really want assistance recapturing strength and portability in your neck after a physical issue. PTs can likewise assist with ongoing agony the board and alleviation, allocating supportive activities to prepare your muscles. A PT from Patient Attendant in Delhi will make a treatment routine customized explicitly for you relying upon the reason for your firmness or torment. You’ll see your specialist during customary meetings and do practices as coordinated at home. In many cases, PT activities should be possible anyplace for several minutes out of every day!

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Pain Management In Delhi For Common Chronic Pain Conditions

Pain is a common reason for medical consultation. Over the years, studies evaluating the Global Burden of Diseases have found chronic pain conditions amongst the leading causes of disability worldwide. The impact of chronic pain can vary, ranging from an occasional distraction or discomfort to constant severe debilitation. Some examples of common chronic pain conditions include back and neck pain, sciatica, diabetic neuropathy, headache, frozen shoulder, persisting post surgical pain, cancer pain, abdominal pain, pelvic pain and fibromyalgia. Pain in a significant proportion of these conditions is amplified by stressful and sedentary life style with obesity, lack of regular exercise, smoking, poor workplace ergonomics contributing to the increasing incidence and severity.

Chronic or longstanding pain does not always signify ongoing damage. Conditions such as arthritic knee or back pain are often accepted as part of aging process, stopping people from exploring treatment options.  It can, however, cause significant distress and compromise the quality of life. With the correct help, you can control your pain better and make your life easier. A pain specialist can help to diagnose the cause of your pain and work towards relieving/ reducing it and minimise the impact on your daily routine. This is how the approach of pain management specialists is different:

Knowledge and experience

When you receive specialist training in a subject and deal with specific conditions on a daily basis (chronic pain in this case) your experience/ learning is bound to reflect your treatments and outcomes. The education and the training received helps in successfully diagnosing and treating pain issues. In India the opportunities for specializing in Pain Medicine are limited with no nationally ascribed curriculum. In the western countries pain medicine is reorganized as a separate specialty with numerous training and super specialization opportunities. Pain clinics form an integral part of most reasonable sized, good hospitals. Pain specialists generally undertake a detailed assessment of every aspect of pain and try to address problems comprehensively.

I have spent a year doing pain research and another year in pursuing advanced training in the field of pain medicine in London, UK. This is addition to the basic and intermediate training in pain medicine during my 7 years of initial anaesthesia training in London, UK.  Subsequently I have worked as a Chronic Pain Consultant in UK.

Treating the cause of the pain and not just the symptoms

Pain specialists try to explore why a problem may have occurred as this is important to prevent reoccurrences. Once the underlying problem has been resolved, the pain may automatically ease off giving you lasting relief. This is better approach than just taking medications for temporary relief. Understandably this may not be possible in all cases but this should not become a deterrent to trying.

Treating the body as a whole

Pain management specialists are trained to visualize body as a whole and use a multidisciplinary approach while addressing chronic pain. They don’t concentrate on just controlling the pain, as they understand that pain can affect multiple facets of life from mental health to relationships to jobs to social life etc. Each person is unique and experiences/ processes pain differently and hence the need for individually tailored therapies. They use a combination of modalities including physiotherapy, medications, injections/ interventional therapies, psychological therapies, Complementary and alternative therapies including Acupuncture, TENS, acupressure, and meditation along with patient education to achieve the best possible results.

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Tennis Elbow Treatment in Delhi by Pain Specialist - Dr. Amod Manocha

Elbowing the tennis elbow pain out of your life – Information Leaflet on Tennis Elbow

This leaflet has been written to help you understand more about your elbow problem. It is not intended to be a substitute for professional medical advice and should be used in conjunction with the information provided by your treating doctor.

What is tennis elbow?

Tennis elbow or lateral epicondylitis is a common cause of elbow pain. It presents with pain along the bony bump on the outer side of the elbow. This bony bump provides attachment to the muscles on the back of the arm which play an important role in lifting of the wrist and fingers (extension).

What causes the tennis elbow?

Tendons can be viewed as springs that make muscle movement more efficient. Repeated sudden overloading of forearm tendons and muscles can lead to small tears & degenerative changes. Generally both overloading and under loading of tendons can be bad. When exposed to excessive stress they try to adapt but if the load is too excessive or too sudden, it can predispose to the beginning of the degenerative process. On the other side under loading of tendons can predispose them to becoming thinned out/ weak (atrophic).

More often tennis elbow is seen in people with sedentary life style when then begin overloading the tendons by undertaking new activities such as exercising at the gym, gardening, lifting a baby etc. Some of the risk factors include

Age– most common between the ages of 30 to 50, although can affect all ages

Occupation and certain sports – Now days it is more commonly caused by excessive computer usage and spending long hours at keyboard. Repetitive forearm actions such as using screwdrivers can predispose to developing the condition. Professionals such as plumbers, carpenters are hence more prone. Poor backhand technique in tennis can also predispose although one does not have to be a tennis player to develop the condition.

What are the symptoms of tennis elbow?

This condition generally presents with varying degree of pain on the outer side of elbow. The pain can radiate downwards towards the forearm & wrist. The outside of your elbow may be very tender to touch. As the pain increases it can interfere with routine activities such as turning a doorknob, holding a cup of tea or gripping objects.

How is tennis elbow diagnosed?

Your doctor will take a detailed history and examine your elbow, wrist, neck & shoulder. Examination may involve applying pressure to the affected area or asking you to move your elbow, wrist and fingers in different directions. In majority of cases the diagnosis can be made based on medical history and physical examination. Your doctor may request for other tests to confirm the diagnosis or rule out other conditions with similar presentation. These may include

Ultrasound Scan– This can be used to confirm the diagnosis and if required an injection can also be performed at the same time.

X-ray. This is used more often when there is history of injury or to rule out elbow arthritis.

MRI scan– This can help your doctor to evaluate if a neck problem such as herniated disk or neck arthritis is responsible for your symptoms.

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Neck Pain Treatment in Delhi | Cervical Pain Treatment in India

Neck (Cervical) and Arm Pain

Neck Pain is a pain posteriorly anywhere between the skull base and thoracic spine. It is the largest cause of musculoskeletal disability after low back pain. Approximately two-thirds of the population will suffer from neck pain at some time in their life with high prevalence in middle ages. Fortunately for most people the acute pain resolves within days or weeks although in some it may reoccur or become chronic.

Neck pain may be a result of...

Local pathology

Whiplash (flexion-extension) injuries/ trauma

Be a part of a more widespread systemic problem such as ankylosing spondylitis, rheumatoid arthritis, fibromyalgia etc.

Be a result of referred pain from neighboring areas for example the shoulder joint

Neck pain usually has a multifactorial etiology -poor posture, neck strain/injuries, anxiety, depression and stress can play a role in magnifying the perceived pain. Quite often the diagnosis of simple or nonspecific neck pain is used implying postural and mechanical causes; this is contrary to other serious causes of neck pain such as fracture, tumour, infection etc.

Pain from upper neck can radiate towards the head leading to frequent headaches and that from the lower part of the neck can radiate to the shoulder, arm, chest wall and the scapula. Reduced neck movement along with localized areas of muscle tenderness known as trigger points are commonly observed along with pain.

Management

Like with other chronic pain conditions, multi-disciplinary management based on the biopsychosocial model of pain is the preferred approach. Please follow these links to find out how medication optimisation, physiotherapy, Psychology and complimentary therapies such as acupuncture TENS and meditation can help.

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Acromioclavicular Joint Arthritis

What is acromioclavicular joint and where is it located?

The acromioclavicular (ACJ) is a small joint between the collarbone (clavicle) and the tip of the shoulder blade (acromion). It is located at the tip of the shoulder forming the highest point of the shoulder. Like many other joints in the body, it has cartilage covering the ends of the bone, is surrounded by a capsule and stabilised by strong ligaments. This joint has minimal mobility. It is involved in overhead arm movement and when the arm is moved across the body.

Arthritis of this joint is more common than that of the shoulder joint (glenohumeral joint) although is less common than that of the hip and the knee joints. It is mostly seen in the middle-aged people and weightlifters and hence the other name of the condition “Weightlifter’s Shoulder”.

What are the symptoms of ACJ arthritis?

Common presenting features include:

Pain over the top of the shoulder

Difficulty reaching the arm across the body as while putting on a seat belt or swinging a golf club.

Pain with overhead movements and when trying to reach behind the back

Pain after high-intensity activities such as tennis, weightlifting, exercises such as bench press or push up

Pain when lying of the affected shoulder

Pain on pressing on the top of the shoulder

Pain can spread to the rest of the shoulder, neck and front of the chest

Stiffness associated with inactivity

Small bump or swelling at the top of shoulder

Clicking, popping or crunching sensation from the affected joint

What are the causes of ACJ pain?

The common causes include

ACJ arthritis

Repetitive strain and chronic injury

Trauma, sports injuries

ACJ separation

Problems with this joint are seen in both, young and the aged. In young individuals the joint is involved secondary to injuries/falls or as a consequence of repeated minor injuries due to heavy lifting gym activities. Collision sports such as rugby, throwing sports such as shot put, weightlifting and falls from bike are known to cause ACJ problems.

In older individuals main reason of this joint involvement is arthritis resulting from wear and tear of the cartilage present at the end of the bones. Over time the bones pointed edges called osteophytes can form at the end of the bones. These osteophytes can irritate the neighbouring tendons adding to the pain experienced. The joint space may become narrow or even disappears in advanced stages.

Injuries can cause tearing of the ligaments and disturb the alignment of the bones resulting in joint deformities. This can be quite painful and may require arm immobilization for some time.

How is this ACJ arthritis diagnosed?

The diagnosis can be established clinically on the basis of history and examination findings. Imaging modalities are used in combination with these to confirm the clinical diagnosis. Commonly used modalities include

X-rays. This may show that the bones are closer together than normal or bone changes such as osteophytes.

MRI. This can help visualise other tissues such as ligaments, tendons, and muscles in detail. ACJ may show abnormal swelling or excess fluid in or around the joint.

US scan. This has the advantage of being a quick investigation that can be performed in the clinic and may show changes in the capsule of the joint itself.

Often an injection of the joint is used to confirm the source of pain as not everyone with arthritic changes has pain.

What are the treatment options for ACJ pain?

Treatment for ACJ arthritis pain requires a multimodal approach using a combination of activity modification, physical therapy, hot or cold compression, medication and injections, if required. Weight lifting, golfing, and exercises involving cross-body arm movement should be avoided. At times only reducing the intensity of the activity may be sufficient rather that giving it up completely.

Simple painkillers like paracetamol, anti-inflammatory drugs and local gels are commonly used for this condition. Anti- inflammatory medications should only be used on clinical advice and for short periods in view of their potential side effects.

Injections. Steroid injections are the most commonly used injections for treatment of moderate to severe ACJ arthritis pain. They can help to confirm the diagnosis and reduce the swelling, pain and stiffness. Using ultrasound guidance helps to improve accuracy, reduce side effects. Some clinicians may also consider PRP (Platelet Rich Plasma) injections although there is not much research regarding their use in this condition.

Surgery may be considered if the symptoms are severe and above modalities fail to provide relief. The most common surgery performed involves resection of a small portion of the end of the collarbone with eventually the scar tissue bridging the gap.

TAG : Best Pain Specialist in South Delhi, Pain Management in Delhi, Pain specialist doctor in Delhi, Shoulder pain treatment in Delhi, Joint Pain Treatment in Delhi, Joint Pain Specialists in Delhi

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