5 Easy Ways to Help With my Shoulder Pain

Shoulder pain can make life more difficult, whether it’s causing pain and interfering with your sleep or it’s limiting what you can do. Fortunately, there are some ways to help relieve the pain.

What causes shoulder pain?

Shoulder pain is often caused by an injury or medical condition such as osteoarthritis.

What are 5 ways to ease shoulder pain?

Many types of shoulder pain can be treated with the following 5 ways:

1. Anti-inflammatory medication and muscle relaxants

Nonsteroidal anti-inflammatory medications (NSAIDs) like aspirin and ibuprofen can help relieve pain and inflammation. Prescription muscle relaxants may be able to ease your symptoms if you have muscle tension or spasms around the shoulder joint.

These medications may not be recommended for long-term use. NSAIDs can increase your risk of heart attacks and strokes, stomach problems, and kidney damage. Muscle relaxants can be addictive for some people.

2. Cold compress and heat therapy

Cold compresses can reduce swelling and numb sharp shoulder pain. Apply an ice pack, frozen gel pack, or bag of frozen peas to your shoulder for 20 minutes at a time, up to five times a day. Be sure to wrap your cold compress in a towel before applying it to your skin.

Heat therapy can relax muscles and ease stiffness. A heated gel pack, or heating pad can be used to apply heat, or you could also take a mild hot shower.

3. Compression bandages

An elastic medical bandage such as a shoulder wrap, cold compression bandage or ACE bandage can help reduce swelling and pain. Make sure to not wrap it too tightly, since you could block blood flow.

4. Pain medication

Medications like aspirin and acetaminophen can help relieve pain, although they may cause side effects such as heartburn and upset stomach. Topical pain-relief gels and creams may also be used.

5. Shoulder exercises and stretches

These can decrease shoulder pain and increase range of motion. If exercises and stretchers are making your pain worse, stop. Take time to warm up before you start any of the following exercises and stretches:

  • Pendulum stretch – Stand and bend at the waist, letting your arm hang straight down. Relax   your neck, and move your arm in a circle up to 20 times. You should perform this stretch for one or more times a day.    
               
  • Neck release – Sit up straight and slowly tilt your chin toward your chest. Lean your head to the left to stretch your right shoulder and vice versa. Hold each stretch for one minute.            

At what point should you see a doctor?

If you’re having shoulder pain and having trouble breathing or are feeling short of breath, this may be a sign of a heart attack rather than an injury. Get emergency medical help immediately.

Otherwise, you should see your doctor when you’re experiencing the following:

  • Pain: especially if it doesn’t improve with rest and medication          
               
  • Repeat issues:             shoulder pain that occurs more than once       
               
  • Stiffness: if your shoulder is so stiff that it can’t be lifted and rotated normally         
               
  • Weakness: if your shoulder, arm, or hand is weaker on one side       
               

Separation or dislocation: if your shoulder is dislocated or feels like it could slide out        

What Are the Symptoms of a Dislocated Hip?

Does your hip feel swollen, painful, or is it visibly out of place? You may be experiencing symptoms of a dislocated hip. Learn the signs to look out for and the types of treatments a hip specialist offers to get started on a rapid and safe road to recovery.

What is a Hip Dislocation?

A hip dislocation occurs when the femoral head of the thighbone is pushed forward or backward out of the hip bone socket. This may cause the labrum, ligaments, nerves, muscles, and other soft tissues holding the bones in place to become damaged or injured as a result.

Patients who experience a dislocated hip are often in severe pain and unable to move their leg. The position of the leg may also appear abnormal when compared to the opposite side of the body. Patients may also experience loss of feeling in the foot or ankle area if there is nerve damage. Additional symptoms include:

  • Limping          
               
  • Abnormal warmth around the hip       
               
  • Groin pain      
               
  • Difficulty sleeping on the hip

Car accidents are the most common cause of hip dislocations because the knee typically hits the dashboard in a collision. This force drives the thigh backward, forcing the ball head of the femur out of the hip socket. A fall from a significant height, like a ladder, can also cause the hip to dislocate. Contact sports in which falls are common, such as football and hockey, can also cause the hip to dislocate.

Ultimately, imaging studies will be needed to confirm the dislocation and look for additional injuries that may have occurred. Your hip specialist will perform a thorough exam to rule out any further injuries.

Hip Dislocation Treatment

Hip dislocations can be successfully treated without any significant long-term complications if diagnosed and managed early. Typically, a patient’s hip can be manipulated back into place while they are slightly sedated. This nonsurgical procedure is called a reduction. Your doctor will then request another set of x-rays or a CT scan to confirm that the bones are in the proper position after the procedure.

Further treatment may be necessary if you injure the labrum or tissues surrounding the hip as a result of a dislocation and your doctor may suggest a hip arthroscopy. This is a minimally-invasive treatment that utilizes miniaturized instruments and a small camera to view the hip joint. Your doctor can then make any necessary repairs to the surrounding ligaments or soft tissue.

It often takes a few months for the hip to heal after a dislocation. If there are additional fractures, rehabilitation time may take longer. Your doctor might recommend limiting hip motion for several weeks to minimize the chance of your hip dislocating again. Physical therapy is often recommended during recovery in addition to walking aids like walkers, canes, and crutches.

Relieve Pain With This Hip Replacement Approach

When an injury or disease affects the hip joint’s normal functioning, it can result in pain and limited mobility. Several hip replacement approaches can relieve your pain and restore the hip’s function. Learn what a hip replacement is and the types of treatments a hip specialist offers to help you perform everyday movements without pain.

What Is a Hip Replacement?

A hip replacement — or arthroplasty — is a surgical procedure in which the diseased parts of the hip joint are removed and replaced with artificial parts called a prosthesis. These parts mimic how a normal hip works and can be made of plastic, metal, ceramic, or a combination of these materials. The goals of hip replacement surgery are to improve the hip joint’s function and improve mobility by relieving pain.

The most common reason people have a hip replacement is the wearing down of the hip joint due to osteoarthritis. Other conditions like rheumatoid arthritis, avascular necrosis, and bone tumors may also lead to a breakdown of the hip joint and the need for hip replacement surgery. Additionally, athletes who engage in high impact activities — like running or contact sports — are more susceptible to hip degeneration, making a hip replacement the best treatment option.

Do You Need Surgery?

Your doctor may encourage you to try alternative options before suggesting a hip replacement if you are experiencing hip discomfort. These alternatives include painkillers, maintaining a healthy weight, exercise, or a steroid injection into the hip joint. You may want to consider surgery if you have pain that:

  • Worsens with walking
               
  • Persists despite pain medication          
               
  • Interferes with your sleep       
               
  • Affects your ability to go up or           down stairs     
               
  • Makes it difficult to rise from a seated position          

Keep in mind replacement joints wear out eventually, so the younger you are when you have surgery, the more likely you will need another surgery in the future.

Hip Replacement Treatment

Hip replacements are among the most common treatments performed by orthopedic surgeons. At Aveksha Hospital, we specialize in minimally invasive posterior and direct anterior approaches to hip replacements.The most common procedure is a total hip arthroplasty. This involves replacing a worn-out or damaged hip joint after a hip fracture or due to arthritis.

During the surgery, worn-out or damaged sections of the hip are replaced with artificial implants. The socket is replaced with a durable plastic cup, which may include a titanium metal shell. The femur head is then removed and replaced with a ball made from a metal alloy or ceramic. The new ball is attached to a metal stem that is inserted into the top of the femur.

How quickly you recover from hip replacement surgery varies on several factors, such as your overall health and fitness level before surgery. For many people, much of their recovery occurs in the first few months after surgery. Keep in mind that the road to full recovery continues as you get stronger and more active over time.

If you have long struggled with hip pain or have just started to notice a change in hip function, several hip replacement approaches can help you resume a pain-free lifestyle faster. Aveksha is home to some of the top hip specialists in the field. Our “Centers of Excellence” offer top-level orthopedic care for any hip concerns you may have. Make an appointment at Aveksha Hospital to start your healing journey today.

HOW TO IMPROVE YOUR FACIAL BALANCE WITH A RHINOPLASTY

The nose is often referred to as the centerpiece of a person’s face. Its size and shape can, for better or for worse, significantly impact one’s facial profile. Some people feel that their nose creates a focal point that detracts from their more attractive features.

Imperfections with your nose that do not fit in with the rest of your facial features can be improved and better balanced through rhinoplasty, better known as a nose job.

As one of the most common types of plastic surgery, rhinoplasty can take care of those nasal imperfections and give your face a more proportional and balanced appearance.

When Are Facial Features Considered Balanced?

A person’s face is deemed well-balanced when the forehead, nose, and chin make up equal thirds of the face when viewed from the front. When viewed from the side, facial balance also considers how in proportion the forehead, nose, and chin appear to each other.

Chin augmentation may be required to correct a receding chin, and an improvement to the nose through a rhinoplasty can make facial features appear more harmonious. Balance is achieved when the facial features pleasantly align. The more balanced and in proportion a person’s features are, the more attractive they will appear.

People get rhinoplasty to restore their nose after an injury, correct breathing problems or a congenital disability, or simply to adjust the nose’s overall shape so that it perfectly matches the rest of the face.

What Can Rhinoplasty Do for My Nose?

While the procedure will vary from patient to patient, rhinoplasty generally works by restructuring the bone, cartilage, and skin in your nose.Possible improvements your surgeon could apply to your nose through rhinoplasty include:

  • Change the size
  • ●   Change the angle
  • Straighten the bridge
  • Reshape the tip
  • Narrow the nostrils

While many people have nose surgery only for its cosmetic benefits, others will have rhinoplasty to improve their breathing. Often, the same defects that make your nose look unattractive are the same defects that may give you breathing problems.

IMPORTANCE OF GYNECOLOGIST IN WOMEN HEALTH

More than 50% of human resources comprise of women today in India. From managers, educators, decision makers to administrators and prime ministers leading a country are women. Their dedication and performance is unparalleled by any species. Hence health of women are a vital aspect to cater. Women face a lot of issues that can turn from bad to worse early on if adequate medical attention is not sought.

From puberty, menarche, breast development, pregnancy to menopause, significant diseases affect women. Each of such diseases are managed by a health professional known as a Gynecologist. Starting from maturity when the reproductive organs mature, women are advised to have an annual or at least 3 yearly health check with a gynaecologist. Awareness of basic bodily functions and maintaining good physical and mental wellbeing are all vital aspects of managing women health. This is a task performed skilfully by gynaecologists.

  • Birth control: Sexually active females need to be advised about birth control and the need to prevent various diseases such as herpes, HIV, gonorrhoea, syphilis etc, and unwanted pregnancies.
  • Preventive care: Every women needs to be counselled regarding healthy lifestyle practices to maintain good health during puberty, pregnancy and old age to prevent various diseases and cancers affecting each age group.
  • Clinical breast examination: Although monthly self-examination of breasts are advised, a regular check-up from a trained professional can help identify what is unknown.
  • Pelvic examination: Most women panic on abnormal discharges such as blood during non-menstrual days, white discharges, curdy discharges etc. Many women notice lumps and swellings in their private areas. Such notices can create huge panic in women. Having a gynecologist identify red flags of any disease is very important and hence regular clinical pelvic examinations are very essential.
  • Vaccination: Annually, a visit to the gynaecologist is recommended for getting the vaccination shots. HPV vaccinations reduce the risk of certain cancers such as cervical, vulvar, oral, vaginal and anal cancers. And other regular vaccinations such as flu-shots prevent influenza viral illnesses.
  • Sexual health. Perhaps a gynecologist is the only professional a female can freely discuss the issues pertaining to her sexual life and well-being. Hence periodic follow-up with a gynecologist will help establish a rapport to discuss awkward yet vital aspects of sexual health and seek immediate remedy.
  • Conception: With the current genetic diseases on the high and delayed age at pregnancy, a woman is prone to many illnesses and conceiving could turn out a bad outcome for the baby. Hence a premarital counselling and preconception counseling is extremely important to plan a child and create a healthy family. Necessary supplements such as vitamins, minerals and other nutrients are essential for a healthy growth of a baby which are prescribed individually to each women by the gynecologist.
  • Mental health: Most women suffer from regular hormonal imbalances leading to chaotic personal life and mental suffering. These moments are at an all-time high during monthly menstruation, post-pregnancy, menopause and for unknown reasons. During these events it is important for the woman to have someone to speak to comfortably and sort the issues medically to gain proper control in life.

MALARIA IN PREGNANCY- WHAT YOU NEED TO KNOW?

Malaria is predominant in tropical regions. Usually, this infection erupts during the monsoon season as it provides the ground for mosquito breeding. Factors like humidity, temperature, and rainfall play a significant role in the occurrence of malaria.

Pregnancy is a tricky period. This article will tell you why you are vulnerable to malaria during pregnancy, how you can identify it and what you should do about it. Malaria can lead to complications in the mother and also the baby. Nevertheless, precautions and timely treatment will help you avoid any problems.

Why more risk to the pregnant?

  • Loss of immunity: Pregnancy weakens a woman’s immune system in general due to decreased immunoglobulin synthesis. This makes the expectant woman vulnerable to malaria.
  • The new organ placenta: Placenta is a new organ growing inside your body. It allows the infection to pass through the immunity circle, and also allows placenta-specific phenotypes to multiply.
  • Transmission areas: Women in stable/ high transmission areas must have acquired immunity against malaria. Hence their chances of getting the infection are fewer. But in unstable/ low transmission areas women have lower immunity level, which increases the risk of the infection.

When to suspect Malaria in Pregnancy?

In its early stage, the symptoms of malaria can be similar to those of influenza or viral infection. Only a blood test can help determine the exact infection. The common symptoms of malaria in pregnancy are high fever and sweating or feeling chills, nausea, headache, vomiting and muscle pain.

It is important to recognize and treat pregnancy malaria at the earliest because it presents potential risks to the lives of both mother and the unborn baby. The treatments include the use of anti-malarial drugs that are safe in pregnancy.

Severe malaria is a life-threatening infection that can lead to anemia, acute respiratory distress syndrome, cerebral malaria, and organ damages in the mother while it can cause low birth weight, vertical transmission, miscarriages and preterm delivery in the fetus. Therefore, a pregnant woman diagnosed with malaria must get immediate medical attention to reduce the chances of any pregnancy risks.

Prevention of Malaria In Pregnancy

Follow these preventive measures to minimize the likelihood of getting infected:

  • Insecticide-treated bed nets (ITN) help in repelling malaria causing mosquitoes. They are cost-effective and are a safe way to prevent malaria, thereby protecting both the expectant mother and her baby.
  • Wearing light colored clothes: Generally, mosquitoes are attracted to dark colors. Pregnant women, who live or travel to malaria-prone areas, should wear light-colored and full length garments with long sleeves to avoid exposure of skin.
  • Stay in cool areas: Stay in cool or air conditioned areas since mosquitoes cannot flourish in cold temperatures.

Pregnant women have weak immunity, which makes them susceptible to infectious diseases. If you are pregnant and have any signs of a recurrent fever, then visit a doctor. A blood test can help determine the cause of a fever. Timely medical intervention and proper nursing at home can bring you back to sound health.

SHOULD HIGH URIC ACID BOTHER YOU?

There is a lack of awareness and many myths related to high uric acid levels in blood. My aim here is to remove common misconceptions related to uric acid and diseases associated with high uric acid. Through this article, I am explaining what needs to be done if you have high uric acid.

What can happen if one has persistent high uric acid?

If a person has persistent high uric acid, one of the following scenarios may develop 

  • Asymptomatic. Persistent high uric acid can remain asymptomatic throughout life without causing any disease or symptoms.
  • Risk of developing gout. Gout is pain and swelling of joints (arthritis) related to high uric acid. This does not mean that everyone with high uric acid has or will develop gout. People with persistent high uric acid are at risk of developing gouty arthritis. Usually first symptom is an acute gout which commonly affects great toe .There will be severe pain, redness and swelling at the base of the great toe. It can involve different joints in the foot and occasionally ankles and knees. The episode starts with severe pain in great toe base that increases rapidly and then subsides gradually over a week or two. Repeated episodes of gouty arthritis can lead to persistent joint pain, swelling and sometimes deformities known as chronic tophaceous gout.
  • Risk of developing kidney stones. Increased urinary uric acid excretion is associated with a higher risk of developing uric acid stones in kidney.
  • Chronic kidney failure. There is an association between high uric acid and chronic kidney disease (CKD) or kidney failure. People with other risk factors like hypertension have more chances of developing kidney failure. A definitive association between high uric acid leading to renal failure has not been firmly established.

Who is more likely to get Gout(uric acid related arthritis)

  • High blood uric acid levels (>7mg/dl)
  • Elderly male
  • Obese
  • Intake of certain medicines like diuretics, TB medicines etc
  • Those with kidney failure or high blood pressure or diabetes

What diet modifications are needed?

There are lot of misconceptions regarding diet restrictions in setting of high uric acid. Red meat, seafood, artificially sweetened juices, soda drinks and excessive alcohol intake should be avoided. Vegetarian sources of proteins like pulses, gram and peas can be safely taken. In short any vegetarian diet can be taken without change. Increasing milk and milk products inthe diet may actually help decrease blood uric acid.Since obesity is a risk factor of having high uric acid so weight reduction will definitely help.

Does high uric acid without symptoms require treatment?

This again is a common myth among people and many doctors too. Asymptomatic high uric acid doesn’t warrant treatment. Lifestyle and diet modifications, weight loss, good control of diabetes and hypertension along with close follow up is the appropriate approach. As per current guidelines starting uric acid lowering therapy is not justified only for high uric acid without any symptoms.

When is treatment required?

  • Frequent acute gout attacks
  • Persistent joint pain or swelling (Chronic gout)
  • Uric aciddeposits in soft tissues (tophi)
  • Gout with renal failure
  • Uric acid kidney stones

What if gouty arthritis is not treated?

In the absence of appropriate treatment and care, over months to years, uric acid crystals get deposited in joints and can cause irreversible damage.

To summarize I would conclude by saying that do not self-medicate with uric acid lowering medicines. Always consult a doctor preferably a rheumatologist, who are trained in treatment of arthritis and related diseases.