 Articles tagged: Piriformis Syndrome
<< previous page 1 2 next page>> written by David Ravech Ravech
Physiotherapists are in greater demand at present than they ever have been before in the modern management of health. There is increasing evidence of the efficacy of physiotherapy in a variety of pathologies and conditions, with exercise in the forefront. written by David Ravech Ravech
Diagnosis is relatively straightforward as most patients will have peripheral vascular disease and will have had considerable treatment for it already. As the small blood vessels block off gradually the toes can develop gangrene and ulcers on the pressure areas, which permits bacterial invasion leading eventually to bony infection. written by David Ravech Ravech
The amputation of a leg is a major happening for a person and represents an upheaval in their life, with psychological problems added to the difficulties of learning the rehabilitation, the management of the new prosthesis, and the relearning of ambulation. The surgeon's plan will be to manage the process to allow the patient early access to rehabilitation, reduce their energy requirements in walking to the minimum and allow them to manage the prosthesis successfully. written by David Ravech Ravech
An acute wry neck is a condition characterised by sudden onset of severe neck pain accompanied by an involuntary contraction of the neck muscles which leads to an abnormal head posture being maintained. The abnormal posture or torticollis is a symptom of the underlying process and can have a number of causes, but the cause discussed in this article is acute mechanical neck pain leading to an acquired torticollis. written by David Ravech Ravech
The wrist-hand complex is a highly complicated tool which allows for the precise use of the hand and its very important role in human function, with the wrist a vital link in this process. written by David Ravech Ravech
If knee control is not precise and the knee moves in unplanned ways such as laterally when it shouldn't, then the menisci (cartilages) within the knee will suffer increased stresses. written by David Ravech Ravech
The knee can be catapulted into a painful condition by a traumatic event or injury, often minor, which sets off the process. It does not take a large injury to start up swelling within the joint and the knee is sensitive to the presence of any amounts of fluid within it. written by David Ravech Ravech
The inward rotation of the femur which occurs as the knee comes close to its locking position of extension is not large but very important to knee function, making the knee much more complex than a simple hinge joint. written by David Ravech Ravech
The knee, like the elbow to some extent, is a hinge joint but not a simple one. The lower part of the thigh bone expands into the femoral condyles and the upper shin bone likewise expands into the tibial condyles, the junction of these two enlarged areas forming the knee joint. written by David Ravech Ravech
The effect on the function of the hip joint of a difference in the length of the legs has been mentioned previously in an article in this series. The longer of the two legs will attempt to keep the head level by flexing slightly at the hip and knee, leading to a lack of movement into extension of the hip as we walk. Rotation of the hip and pelvis is required to achieve a more normal gait pattern if extension is not fully achievable. written by David Ravech Ravech
Small movements which allow a glide and a slide inside a joint are essential for the normal use of the joint but cannot be done in isolation, occurring with other movements. These are called accessory movements and their presence is vital to joint function, a reduction in available range or a pain problem resulting if they are lost or reduced. written by David Ravech Ravech
The trunk and the legs are linked mechanically at the large ball and socket joints of the hips. The acetabulum, the large curved and deep hip socket with a cartilage rim, tidily covers the similarly shaped femoral head, the ball at the top of the thigh bone. This is a steady joint with deep structure and strong stabilisers. written by David Ravech Ravech
The large bulk of the bodys joints, including the elbow, are competent of producing what are known as accessory actions, small sliding and gliding movements happening inside a joint which a person cannot execute on their own. written by David Ravech Ravech
The elbow is the middle joint of the arm and divides it up into two suitable halves, looking initially simply like a backwards and forwards hinge. On closer inspection the elbow shows itself to be a extraordinarily clever and multi-talented joint. written by David Ravech Ravech
Connecting diagonally the two major bones of the navicular and the calcaneus and running under the talus is the spring ligament, a strong band-like arrangement which braces the foot arch. The burden of the body presses down to flatten the arch and the spring ligament holds among the two bones, becoming tauter as more weight is applied. written by David Ravech Ravech
The ankle is a very meticulous joint, usually referred to as a mortise joint. It hinges backwards and forwards whilst we are walking and also gives the sidelong support to allow us to hold our equilibrium in moving and unstable conditions. written by David Ravech Ravech
As the shoulder group becomes less well balanced a typical example develops of raising the whole shoulder area, tipping the neck somewhat over to the same side and allowing the scapula to branch away from the chest at the back. written by David Ravech Ravech
The shoulder is a predominantly appealing joint which is designed to allow a substantial degree of joint movement to occur between the arm and the trunk. The shoulder is classified as a ball and socket joint but the name is less fitting than the hip joint. written by David Ravech Ravech
If the clinician diagnoses that the joint is the probable cause of the presenting pain and other symptoms then the degree of difference diagnosis is the next choice to be made. Inflammatory arthritis affects the synovial lining of the joint and the tendon-bone and ligament-bone insertions. written by David Ravech Ravech
Reiter's syndrome is an additional name for reactive arthritis, although the latter is being used more regularly now. Genitourinary infections with organisms such as Chlamydia and gastrointestinal infections such as with Salmonella are known to be linked with the incidence of this condition. written by David Ravech Ravech
There are many dissimilar potential causes for joint pain and these include infection, accidents, crystals in the joint, inflammation and articular cartilage damage. The medical history and joint examination are the strongest guides to establishing a degree of difference diagnosis and once a temporary decision about the likely cause has been made then laboratory investigations can be useful to confirm or disprove this. written by David Ravech Ravech
Osteoporosis is a wide-reaching problem, though mostly recognized in countries with advanced healthcare systems, and affects many millions of people across all countries. Women have a higher lifetime risk of a fracture due to osteoporosis with about thirty to forty percent chance in their life, whilst men have a much smaller but still major risk of 13%. written by David Ravech Ravech
As the individual nerve roots come out from the neck they join together and divide in a complex fashion in an area called the brachial plexus, running down from the neck to the axilla where the individual arm nerves emerge. Nerves are very susceptible structures and can be injured in gunshots, direct blows, knife attacks and traction injuries, which involve an abrupt stretch. written by David Ravech Ravech
Psoriasis is a ordinary condition which is difficult to treat and the treatments for it can be less than pleasant for the patients. Patients may present with psoriasis and joint symptoms but the diagnosis of an arthritic syndrome connected with the skin condition is not always made. written by David Ravech Ravech
Corticosteroid injections by epidural or root blocks are normally used to treat leg and back pain and may point to that in some cases there may be an inflammatory involvement to the pain. In disc matter removed from humans during operation has been found heightened levels of inflammatory chemicals which could be affected by steroid use. written by David Ravech Ravech
The inter-vertebral discs are prepared of two main segments: the outer shell called the annulus fibrosis and the inner material called the nucleus pulposus. The external lining is tough and has many layers like those of an onion with the dissimilar layers being oriented at differing angles to give force in many directions. written by David Ravech Ravech
In industrialised countries back pain problems limit physical abilities in people under forty-five years more than any other pathology. Chronic covers a problem persisting beyond three months, which is a typical healing time for bodily soft tissues which may be affected by the injury. written by David Ravech Ravech
The arm pain from nerve root compression in the neck is often described as unbearably severe and can make a patient feel they would like the arm to be cut off. written by David Ravech Ravech
As mobility in the neck declines the facet joint capsules, the fibrous bags which surround the joints, are vulnerable to overstretching trauma. An unplanned movement such as turning without thinking about it can pull against the limits of the tightened capsules and cause trauma to the capsular fibres. written by David Ravech Ravech
It is very difficult to deal with the reality of acceptance whilst easy to talk about it. Pain sufferers find it very challenging that they cannot any longer manage an important ability they feel they should perform with ease. << previous page 1 2 next page>> |
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