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Orthopedic Disorders

Orthopedic Disorders Online Doctors Consultation

141 questions

Experience the Precision of Evidence-Based Medicine in Managing Orthopedic Disorders Through Our Online Consultations Discover science-backed solutions for a wide range of orthopedic concerns with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based treatments for musculoskeletal health, offering timely and accurate guidance tailored to your needs. We address conditions such as arthritis, osteoporosis, fractures, joint pain, back pain, scoliosis, tendinitis, carpal tunnel syndrome, sports injuries, and more. Through confidential and accessible consultations, our doctors provide personalized treatment plans and recommendations based on the latest clinical research. Early intervention can help alleviate pain, improve mobility, and prevent complications. Whether you’re recovering from an injury, managing a chronic condition, or experiencing discomfort in your bones, joints, or muscles, our team is here to provide expert support and solutions. Our evidence-based approach ensures accurate diagnoses and effective treatments, with options for both free and paid consultations. Without requiring site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take the first step toward better musculoskeletal health—consult an evidence-based orthopedic specialist online today!

Questions about Orthopedic Disorders

angle closure glaucoma

31 days ago
1 answers

A few days ago, I woke up with severe eye pain and blurry vision. My doctor said I might have angle closure glaucoma, and now I’m really worried. I know that glaucoma can cause vision loss, but what exactly is angle closure glaucoma, and how does it happen? I read that angle closure glaucoma is different from open-angle glaucoma because it happens suddenly. Does that mean the pressure in the eye rises very fast, and if so, how dangerous is that? Can it cause permanent vision loss if not treated quickly? My doctor mentioned that some people are more at risk for angle closure glaucoma than others. What are the main risk factors? I don’t have a family history of glaucoma, but does that mean I’m still at risk? Another thing I’m wondering about is treatment. Is medication enough to control angle closure glaucoma, or is surgery usually required? I saw that laser treatments like iridotomy are common—does this completely fix the issue, or does glaucoma always need long-term management? For those who have had angle closure glaucoma, what was your experience like? Were you able to get treatment in time, and did it help? I’m really scared about losing my vision and want to make sure I do everything possible to protect my eyesight.


Dr. Evgeny Arsentev
30 days ago
Angle closure glaucoma occurs when the drainage angle in your eye becomes blocked, causing a rapid increase in eye pressure. This can happen suddenly, leading to severe pain, blurry vision, nausea, and even vomiting. If the pressure isn't reduced quickly, it can cause permanent damage to the optic nerve and lead to vision loss, which is why it’s considered a medical emergency. The main risk factors for angle closure glaucoma include being over 40, having a family history of the condition, being farsighted, or having certain anatomical features in your eyes. While you might not have a family history, other factors like age or eye shape can still put you at risk. Treatment typically starts with medications to lower the pressure in your eye. Once the pressure is controlled, laser treatments like iridotomy can help by creating a small hole in the iris to allow better fluid drainage. While this can be very effective in managing the condition, ongoing monitoring and management may still be necessary to prevent future episodes.
Accepted response

Osteophytes

25 days ago
1 answers

I recently had an X-ray done for neck pain, and the doctor mentioned that I have osteophytes. I wasn’t familiar with the term, so I started researching, and now I have a lot of questions. What exactly are osteophytes, and what causes them to form? From what I’ve read, osteophytes, or bone spurs, are extra bony growths that develop on joints. But why does the body form them? Are they a sign of aging, or do they only develop in people with arthritis or joint damage? One thing I’m really curious about is whether osteophytes always cause symptoms. My doctor said that some people have osteophytes without even knowing it, while others experience pain, stiffness, or nerve compression. How do I know if my symptoms are actually being caused by the osteophytes, or if something else is contributing to my pain? I also read that osteophytes can form in different parts of the body, including the spine, knees, and hips. If someone has osteophytes in the spine, can they press on nerves and cause problems like numbness or weakness? What are the most common symptoms when osteophytes affect different joints? Another thing I want to understand is whether osteophytes can be treated or reversed. Are there medications, physical therapy, or lifestyle changes that can slow down their growth? I’ve heard that anti-inflammatory diets may help reduce joint damage—do they have any effect on osteophytes, or is surgery the only real solution? If anyone has been diagnosed with osteophytes, I’d love to hear about your experience. Did you need treatment, or were you able to manage the symptoms naturally? And at what point does surgery become necessary?


Dr. Evgeny Arsentev
24 days ago
Osteophytes, commonly known as bone spurs, are bony projections that develop along the edges of bones, particularly in joints. They typically form as a result of bone remodeling due to underlying conditions such as osteoarthritis, degenerative disc disease, and general wear and tear associated with aging. Essentially, they are a response of your body to increased stress or injury in the joints. The formation of osteophytes often indicates an underlying issue within the joint, making them more common in individuals with arthritis. However, they can also arise in healthy individuals as a part of the aging process; not all individuals with osteophytes experience symptoms. In fact, many people may have them without any awareness they're present, as you noticed in your research. When symptoms do occur, they can include pain, stiffness, or in some cases, nerve compression, which can lead to sensations such as numbness or weakness. To determine if your neck pain is specifically caused by osteophytes, a physical examination from a healthcare provider is crucial. They may perform various assessments to distinguish between neck pain attributable to the osteophytes and pain caused by other conditions, including muscle strain or nerve issues linked to spinal alignment. Osteophytes commonly affect different joints, and the symptoms may vary based on their location. For instance, spinal osteophytes may encroach on spinal nerves, leading to symptoms like neck pain, radiating pain down the arms, or neurological symptoms such as numbness and weakness. In knee or hip joints, symptoms often manifest as localized pain or restricted range of motion. In terms of management, the treatment of osteophytes hinges on the severity of your symptoms. Non-surgical options often include: 1. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce inflammation and pain. Ensure to follow dosing guidelines and read the medication instructions for any contraindications. 2. Physical Therapy: A tailored physical therapy program can help strengthen surrounding muscles, improve range of motion, and relieve pain. 3. Lifestyle Changes: Engaging in low-impact exercises, maintaining a healthy weight, and incorporating anti-inflammatory foods into your diet—such as omega-3 fatty acids found in fish, leafy greens, and nuts—can potentially benefit joint health. 4. Corticosteroid Injections: In certain cases, injections may provide temporary relief from inflammation. Surgery is generally considered when conservative treatments fail to alleviate significant symptoms, especially if osteophytes cause nerve compression leading to functional impairments. This typically involves procedures to remove the bone spurs or to decompress affected nerves. Considering your symptoms, it would be advantageous to follow up with your healthcare provider, who can perform a full assessment and recommend the most appropriate management strategy tailored to your specific needs. Discuss your concerns, including any limitations your neck pain might be causing, to ensure you receive the best care possible.
Accepted response

spine anatomy

33 days ago
1 answers

I’ve always been curious about spine anatomy and how it supports the body. I know the spine is made up of bones called vertebrae, but what are the different sections, and how do they function? I read that the spine is divided into the cervical, thoracic, lumbar, sacral, and coccygeal regions. How does each part contribute to movement and stability? For example, why is the lumbar spine more prone to pain and injuries compared to the other sections? Another thing I wonder about is the spinal cord. How exactly does it send signals between the brain and body? Also, what happens when the spinal cord gets injured—can nerves regenerate, or is the damage usually permanent? I’ve heard of conditions like herniated discs, scoliosis, and spinal stenosis. How do these affect the spine anatomy, and what are the best ways to keep the spine healthy? For those who have dealt with back pain or spinal problems, what treatments worked best? Is physical therapy helpful, or do some conditions require surgery?


Dr. Evgeny Arsentev
32 days ago
The spine is divided into five main sections: cervical (neck), thoracic (mid-back), lumbar (lower back), sacral (pelvic region), and coccygeal (tailbone). Each section plays a vital role in both stability and movement. The cervical spine supports head movement, the thoracic spine provides structure and stability for the ribcage, and the lumbar spine supports much of your body’s weight, which is why it's more prone to pain and injury. The spinal cord, running through the vertebrae, is crucial for sending signals between the brain and body. When the spinal cord is injured, the damage can be permanent because the nerves in the spinal cord do not regenerate easily. However, some functions may be regained with intensive therapy, depending on the injury's severity. Conditions like herniated discs, scoliosis, and spinal stenosis can alter the spine's anatomy and lead to pain or discomfort. Treatment options vary; physical therapy can help with strengthening and mobility, while surgery may be necessary in more severe cases. To keep your spine healthy, regular exercise, good posture, and proper lifting techniques are essential.
Accepted response

Charcot Joint

19 days ago
1 answers

A few months ago, I started noticing that my right foot was swelling up more than usual. At first, I thought it was just from walking too much or maybe my shoes being too tight. But then, the swelling didn’t go down. In fact, it got worse. My foot felt warmer than the other one, and sometimes there was this deep ache, but weirdly, not a lot of pain. I have diabetes, so I went to my doctor, and they sent me for X-rays. That’s when they mentioned something called Charcot joint. I had never heard of Charcot joint before, but my doctor said it happens in people with neuropathy, which I do have from years of uncontrolled blood sugar. They said the bones in my foot are weakening, and if I don’t take care of it, it could collapse and lead to deformity. That really scared me. They told me to stop walking on it as much as possible and recommended a special boot, but no one really explained if this will heal or if it’s permanent. Since the diagnosis, my foot looks even more swollen, and I feel like I’m losing shape in my arch. Is this normal for Charcot joint? Also, if there’s not much pain, how do I even know if it’s getting worse? I’m trying to stay off my foot as much as possible, but I still need to move around sometimes. Could walking a little be making it worse, even with the boot? My biggest question is—can Charcot joint be reversed, or is the damage permanent? Will I always have to worry about this happening again? And if I follow all the doctor’s advice, is there a chance my foot will go back to normal, or should I expect it to stay swollen and weak? I just want to make sure I’m doing everything I can before it gets any worse.


Dr. Evgeny Arsentev
18 days ago
Firstly, it's important to acknowledge that you're facing a challenging situation with Charcot joint and diabetes-related complications. Your concerns are valid, and I'm here to help clarify your questions regarding this condition. Charcot joint arthropathy, especially in the context of diabetes and neuropathy, is characterized by progressive degeneration of weight-bearing joints. The swelling, warmth, and deep ache you are experiencing are common symptoms associated with this condition. It’s also typical for the affected foot to lose its normal shape, particularly in the arch, due to structural changes caused by the weakening of the bones. Regarding your specific concerns and questions: 1. **Progression and Symptoms:** It's common for the foot to remain swollen and change in shape; this does not necessarily mean the condition is worsening. However, any increase in swelling, changes in the foot's appearance, or new symptoms like increased warmth should be communicated with your doctor. Being proactive is vital, especially since you have diabetes, which can complicate healing. 2. **Pain and Monitoring:** Lack of pain does not indicate that the condition is stable or improving. Neuropathy can mask pain, which complicates the detection of deterioration. To monitor your foot's condition, look for any changes such as increased swelling, discoloration, or new areas of warmth. If these occur, seek medical attention promptly. 3. **Activity with a Boot:** While it’s necessary to reduce weight on your affected foot, limited, gentle movements might be acceptable as long as you avoid putting significant pressure on the foot. Always follow your doctor’s advice regarding weight-bearing activities while using the boot. You might consider offloading devices like crutches or a walker for safer movement. 4. **Reversibility and Prognosis:** Reversal of Charcot joint is variable and depends on how early the condition is addressed and how well you adhere to the management plan. Treatment often focuses on immobilization (using a boot or a cast) to allow for healing and stability of the joint. Many individuals see improvements with appropriate management, and some can regain significant function. However, there is potential for recurrence, especially in individuals with ongoing neuropathy and poorly controlled blood sugar levels. 5. **Long-term Outlook:** Following your doctor's recommendations closely—resting the foot, using the boot, and managing your diabetes through diet and medication—can help improve your condition and possibly reduce future risks. Regular follow-ups are crucial to assess your foot's health and adjust your treatment plan if necessary. The next step for you would be to keep track of your symptoms closely and schedule regular check-ups with your healthcare provider to ensure that your treatment plan is effectively addressing the Charcot joint involvement. If there are any new developments or persistent concerns, don’t hesitate to reach out to your doctor for further evaluation or modification of your care plan. Taking a proactive approach will help you manage this condition more effectively and minimize potential complications.
Accepted response

Rib cage pain and discomfort, should I be worried?

23 days ago
1 answers

For the past few weeks, I’ve been feeling pain around my rib cage, especially on the left side. It’s not constant, but sometimes it feels like a dull ache, and other times it’s a sharp pain when I move a certain way or take a deep breath. I haven’t had any injuries that I can remember, but I did have a bad cough a few weeks ago, so I don’t know if that could have strained something. I also spend long hours sitting at a desk, so I wonder if bad posture could be causing pressure on my ribs. I read that rib cage pain can be linked to issues like costochondritis or even digestive problems like acid reflux, but I don’t know how to tell what’s actually causing mine. I don’t have trouble breathing, and the pain doesn’t feel deep in my chest, but it’s uncomfortable enough to make me worried. Could this be something serious like a lung problem or even a heart issue? Should I get an X-ray to check if there’s a fracture, or would a muscle strain cause this kind of pain? What’s the best way to relieve rib cage pain naturally, and when should I see a doctor about it?


Dr. Evgeny Arsentev
22 days ago
It's understandable to be concerned about pain around your rib cage, especially with the variety of symptoms you're experiencing. Based on your description of a dull ache that sharpens with movement or deep breaths, along with your recent history of a bad cough and long hours of sitting, several possible considerations arise. 1. Musculoskeletal Issues: The positioning and duration of your desk work could contribute to muscle strain or tension, especially if you are experiencing pain on the left side. Poor posture can lead to discomfort in the rib area, and coughing could have exacerbated any existing strain during that time. 2. Costochondritis: This condition, which involves inflammation of the cartilage connecting the ribs to the sternum, could indeed cause the type of pain you describe. It typically worsens with movement or palpation of the ribs. 3. Possible Gastrointestinal Factors: While less likely, digestive issues such as acid reflux can cause discomfort that may be felt in the rib cage area. If you've noticed that certain foods correlate with the pain, that might be worth considering. Given that you don't have associated symptoms such as difficulty breathing or significant chest discomfort, serious conditions like lung issues or heart problems are less likely but cannot be entirely ruled out without professional evaluation. Here's how you can proceed: - Monitor Symptoms: Keep track of any specific activities or positions that worsen the pain, as well as any additional symptoms that may arise. Note if it improves with rest or gentle movements. - Posture Correction: Pay careful attention to your workstation ergonomics. Ensure your chair and desk are set to promote good posture to reduce strain on your ribs. Consider taking frequent breaks to stand and stretch. - Pain Relief Measures: You could try gentle stretches, applying heat or cold to the area, or over-the-counter anti-inflammatory medications like ibuprofen or naproxen, following the dosing instructions provided on the label. Always consult with a healthcare provider if you are unsure about the use of these medications. - When to Seek Medical Attention: It's advisable to see a doctor if the pain persists beyond a few weeks, worsens, or if you begin to experience any new symptoms like shortness of breath or significant changes in your health. A healthcare professional may recommend imaging studies, like an X-ray, or further evaluation (e.g., an ultrasound or CT scan) based on their assessment. Since rib cage pain can stem from various causes, reaching out to a healthcare provider for an in-person evaluation will be essential in determining the underlying issue and ruling out any serious conditions. They can explain whether imaging is necessary and help you find the most effective treatment plan tailored to your situation.
Accepted response

Tailbone Pain

27 days ago
700 INR (~8.24 USD)
1 answers

For the past few months, my 62-year-old father had been experiencing persistent pain in his tailbone that was worse when he sat for long periods of time or when he stood up from a chair. At first, he thought it was just a small bruise or strain from sitting on hard surfaces, but when the discomfort persisted and even began to affect his ability to move comfortably, we decided it was time to see a doctor. The doctor explained that this condition is known as coccydynia, or tailbone pain, and can be the result of injury, prolonged sitting, poor posture, or even underlying medical conditions. One of the doctor’s first recommendations was to change his sitting position and use a donut-shaped pillow to relieve pressure on his tailbone. He also recommended taking over-the-counter pain relievers, applying heat or ice, and doing gentle stretches to reduce inflammation. While these remedies provided some relief, my father’s pain did not completely go away. My father has recently lost weight due to dietary changes, and the doctor mentioned that the loss of fat around the buttocks can lead to decreased cushioning of the tailbone, making it more sensitive to pressure. What methods does suggest for relieving tailbone pain?


Dr. Evgeny Arsentev
26 days ago
Clinical summary: Your father's symptoms are consistent with coccydynia, characterized by persistent pain in the coccyx (tailbone) that worsens with prolonged sitting and standing, particularly affecting comfort and mobility. Relevant factors include his age (62 years old), recent weight loss, and possible changes in posture and activity levels. Etiology and risk factors: Coccydynia can arise from various factors: - Trauma/Injury: Direct injury to the coccyx (e.g., fall, prolonged sitting on a hard surface). - Postural Issues: Poor posture while sitting can increase pressure on the coccyx. - Weight Loss: The recent weight loss leading to reduced fat padding around the tailbone may have contributed to increased sensitivity and pain. - Medical Conditions: Underlying conditions like infection, degenerative diseases, or tumors (though less common) should also be considered. Treatment plan: 1. Non-invasive interventions: - Cushion Usage: Continue using a donut-shaped or coccyx-specific cushion to alleviate pressure while sitting. - Pain Management: - Continue over-the-counter pain relievers like ibuprofen (e.g., 400-800 mg every 6-8 hours as needed) or acetaminophen (e.g., 500-1000 mg every 6 hours as needed) for pain relief (Class A recommendation). - Alternate ice and heat applications: Apply ice for 15-20 minutes several times a day to reduce inflammation, followed by heat to relax muscles. 2. Physical Therapy: - A targeted physical therapy program may help strengthen and relax the pelvic floor muscles, improve posture, and provide stretching and strengthening exercises specific to coccydynia (multiple studies indicate improvement with guided PT). 3. Lifestyle Modifications: - Encourage frequent postural adjustments and standing breaks during prolonged sitting. - Reinforce gentle stretching exercises to reduce tension around the pelvic area. 4. Medication Adjustments: - If pain persists despite these measures, consider discussing prescription options such as stronger NSAIDs or corticosteroid injections to the area, based on physician advice (supporting evidence suggests benefit for chronic cases). 5. Referral Considerations: - If symptoms do not improve with conservative measures, refer to a pain specialist or consider imaging (e.g., X-ray, MRI) to rule out more serious conditions. Follow-up and monitoring: - Schedule follow-up appointments every 4-6 weeks to assess the effectiveness of interventions and make necessary adjustments to treatment. - Regularly monitor pain levels, mobility, and the impact of dietary and lifestyle changes on overall comfort. Patient communication: Inform your father that many cases of coccydynia can be successfully managed with these interventions, allowing for improved comfort and quality of life. Emphasize the importance of adherence to the suggested measures, monitoring response over time, and communicating with his healthcare provider about any escalating concerns.
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Compound fracture recovery and risks of complications

24 days ago
1 answers

Last month, I suffered a compound fracture in my lower leg after a fall, and I had to undergo surgery to stabilize the bone with metal plates. The wound is healing, but I’m still experiencing pain and swelling around the area. How long does it typically take for a compound fracture to heal completely? I’ve been following the doctor’s instructions, but I’m worried about infection since the bone was exposed. What signs should I watch for that might indicate a complication? Also, is it normal to still have swelling and stiffness in the surrounding muscles? Another concern is whether I will regain full strength in my leg. Will I need physical therapy to prevent stiffness and regain mobility? Also, how soon can I start walking without support after a compound fracture? I need advice on the recovery timeline for a compound fracture, how to manage pain and swelling, and what steps I should take to prevent complications.


Dr. Evgeny Arsentev
23 days ago
Recovery from a compound fracture can vary widely based on several factors, including the severity of the fracture, your overall health, and how well you adhere to your rehabilitation plan. Typically, a compound fracture may take anywhere from 6 to 12 weeks for the bone to heal significantly, but complete recovery, including regaining full strength and mobility, can take several months. It’s crucial to monitor for signs of infection, especially since the bone was exposed during the fracture. You should be alert for symptoms such as increased redness or warmth at the surgical site, expanding swelling, persistent pain that worsens, fever, or discharge of pus or unusual fluid from the wound. If you notice any of these, it is important to contact your healthcare provider promptly. Swelling and stiffness in the muscles surrounding the fracture site are common in the early stages of recovery. Gentle movements and elevation of the leg can help manage swelling. Ice packs can also be effective. While you may experience some pain as you heal, it should gradually improve. If pain becomes severe or does not improve, follow up with your surgeon. Physical therapy is typically recommended after such injuries to help regain strength, flexibility, and mobility. Engaging in a structured therapy program can significantly enhance recovery. You should discuss with your physician or physical therapist when to begin therapy based on your progress, but it’s often initiated when the surgical wound has sufficiently healed and the bone is stable. Regarding walking, this is usually dependent on your specific case and the guidance of your healthcare provider. Typically, you may be advised to start partial weight-bearing activities around 6 to 8 weeks post-surgery, but this will vary. Your orthopedic surgeon will help you determine when it is safe to start walking without support, typically assessing whether the fracture is healing properly through follow-up x-rays. In summary, maintaining open communication with your healthcare provider is essential throughout your recovery. Keep monitoring for signs of complications, manage pain and swelling appropriately, and engage in physical therapy as needed. Following these steps will facilitate a smooth recovery process. If you have any concerns about your symptoms or recovery progress, follow up with your provider for a personalized assessment.
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Lumbar pain and how to manage lower back discomfort

23 days ago
1 answers

I’ve been experiencing lumbar pain, but I don’t fully understand what’s causing it or how to treat it. From what I read, lumbar pain refers to pain in the lower back, but does that mean it’s always related to the spine, or can muscle strain also cause it? I also saw that poor posture can contribute to lumbar pain—does that mean sitting for long periods makes it worse, and would standing desks help? Another thing I’m wondering about is whether exercise helps with lumbar pain—do stretching and strengthening exercises improve it, or do they sometimes make it worse? I also read that some people use heating pads and ice packs—does one work better than the other, or do they serve different purposes? Another thing I’m curious about is whether lumbar pain is a sign of something more serious—does it always go away with rest, or can it be caused by a herniated disc or sciatica? Also, if home remedies don’t work, what treatments do doctors usually recommend—physical therapy, medication, or surgery? I just want to understand what causes lumbar pain and how to relieve it effectively.


Dr. Evgeny Arsentev
22 days ago
Lumbar pain, or lower back pain, can indeed have multiple causes beyond just spinal issues, including muscle strain, ligament injuries, poor posture, and sedentary lifestyle choices. Here’s a structured overview addressing your concerns about lumbar pain. 1. Causes of Lumbar Pain: - Lumbar pain is common and can be due to various factors, including muscle strain from lifting heavy objects or awkward movements, poor posture, and long periods of sitting. Conditions like herniated discs or sciatica can also cause lumbar pain but usually come with additional symptoms like radiating pain in the legs. 2. Impact of Posture: - Poor posture can certainly contribute to lower back pain. Sitting for long periods—especially without ergonomic support—can lead to muscle fatigue and strain. Standing desks can help by promoting better posture and reducing prolonged pressure on back muscles, but their effectiveness varies from person to person. It's important to switch between sitting and standing and incorporate movement throughout the day. 3. Exercise and Lumbar Pain: - Controlled stretching and strengthening exercises can often improve lumbar pain by enhancing flexibility and strengthening core muscles that support the back. However, certain activities may exacerbate pain, so it’s crucial to approach exercises cautiously. Start with gentle stretches and build up to strengthening routines, focusing on proper form. 4. Heat vs. Ice Therapy: - Both heating pads and ice packs can be effective but serve different purposes. Ice is generally recommended during the first 48 hours after an injury to reduce swelling, while heat can help relax muscles and improve blood flow for persistent pain. You can alternate between the two based on what feels more comfortable and effective for your symptoms. 5. Potential Serious Conditions: - While many cases of lumbar pain resolve with rest and conservative management, persistent or severe pain accompanied by symptoms like numbness, weakness in the legs, or bowel/bladder issues may suggest underlying conditions such as herniated discs or spinal issues. In these cases, a medical evaluation is necessary. 6. When to Seek Medical Help: - If home remedies do not relieve your symptoms within a couple of weeks or if your pain worsens, consider speaking with a healthcare professional. They may recommend physical therapy, which can provide tailored exercises and education on body mechanics. In some cases, medications such as NSAIDs (e.g., ibuprofen) may be advised for pain relief. Surgical interventions are typically reserved for severe cases where conservative treatments have failed. 7. Next Steps: - Begin with gentle stretching exercises, assess your posture, and incorporate brief standing intervals if you're sitting for long periods. Use ice and heat as needed. If you do not experience improvement in the next one to two weeks, or if your discomfort intensifies, arrange an appointment with a healthcare provider for a thorough evaluation and potentially more advanced interventions. Understanding the underlying cause and an appropriate approach will help you manage your lumbar pain effectively.
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Foot Bones and Their Importance in Movement

32 days ago
1 answers

I recently started having foot pain, and my doctor mentioned that it could be related to the Foot Bones. I didn’t realize how many bones are in the foot, but now I want to understand more. What are the Foot Bones, and how do they help with movement?? From what I read, the foot has 26 bones divided into three main sections: the tarsals, metatarsals, and phalanges. But how do they all work together to support walking, running, and standing?? I also saw that conditions like flat feet, bunions, stress fractures, and plantar fasciitis can affect the Foot Bones. But how do you know if foot pain is caused by a bone problem or a muscle or tendon issue?? One thing I’m really curious about—can Foot Bones heal easily if they get fractured? I read that some foot fractures take weeks or even months to heal. What are the best ways to support bone healing?? For those who have had Foot Bone injuries, what was the cause, and how long did it take to recover??


Dr. Evgeny Arsentev
30 days ago
The foot has 26 bones, divided into three main sections: the tarsals (ankle bones), metatarsals (long bones of the foot), and phalanges (toes). These bones work together with muscles, ligaments, and tendons to allow for walking, running, and standing. They form the arch and provide stability, absorbing shock and distributing your weight as you move. Conditions like flat feet, bunions, and plantar fasciitis can cause pain by affecting the bones or soft tissues. To distinguish between bone-related pain and muscle/tendon issues, your doctor may need to conduct a physical exam and possibly imaging tests like X-rays. If you have a fractured bone, healing can take time, often weeks to months depending on the type of fracture. Rest, elevation, and following your doctor’s instructions are essential for bone healing. Wearing supportive footwear and avoiding stress on the injured area can also help.
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Knee anatomy

33 days ago
1 answers

I recently injured my knee, and my doctor explained some details about knee anatomy, but I didn’t fully understand. What are the main structures of the knee, and how do they work together? From what I read, the knee joint is made up of bones, cartilage, ligaments, and tendons. But what’s the difference between the ACL, MCL, PCL, and LCL, and how do they affect knee stability? I also wonder how meniscus injuries happen. If someone has a torn meniscus, does it always require surgery, or can physical therapy help? For those who have had knee injuries, what was the recovery process like? Did you need surgery, or were other treatments effective?


Dr. Evgeny Arsentev
32 days ago
The knee is a hinge joint made up of bones, cartilage, ligaments, and tendons. The main bones are the femur (thigh bone), tibia (shin bone), and patella (knee cap). Cartilage provides cushioning, while ligaments stabilize the joint. The ACL (anterior cruciate ligament) and PCL (posterior cruciate ligament) help with forward and backward stability, while the MCL (medial collateral ligament) and LCL (lateral collateral ligament) provide side-to-side stability. All four ligaments work together to prevent excessive movement and protect the knee. A meniscus injury happens when the cartilage in the knee is torn, often from twisting motions or sudden impacts. Not all tears require surgery; some can heal with physical therapy to strengthen the muscles around the knee. Surgery may be necessary for larger or more complex tears that don’t heal with conservative treatment. Recovery varies depending on the severity of the injury. For many, rest, physical therapy, and strengthening exercises are effective. Surgery is often reserved for severe cases.
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Dr. Aman Shaba is a highly qualified Consultant Neuropsychiatrist with extensive clinical experience in diagnosing and managing psychiatric disorders. His expertise spans across general psychiatry, neuropsychiatry, addiction medicine, sexual medicine and psychotherapeutic interventions. Educational Background Dr. Shaba completed his MBBS from M.I.M.E.R Medical College, Pune, where he developed a strong foundation in medical sciences and clinical medicine. His passion for mental health led him to pursue a Doctor of Medicine (MD) in Psychiatry at Jawaharlal Nehru Medical College (JNMC), Wardha. During his postgraduate training, he gained hands-on experience in managing a wide range of psychiatric disorders, neuropsychiatric conditions, and crisis interventions.Dr. Aman Shaba has also completed specialized training in Sexual Medicine from Allo Health, further enhancing his expertise in diagnosing and managing sexual health concerns Professional Experience Dr. Aman Shaba has worked in several esteemed institutions, providing specialized psychiatric care: 1.JNMC, Wardha – As a psychiatry resident, he was actively involved in patient care, research, and academic activities. 2.Deep Chand Bandhu Hospital, Delhi – He played a crucial role in the Children and Adolescent De-addiction Ward, helping young individuals struggling with substance use disorders. His work involved detoxification, behavioral therapy, and relapse prevention strategies tailored to adolescent mental health needs 3.Tele MANAS, Jharkhand (CIP Ranchi) – Currently, he is associated with Tele MANAS, a national tele-mental health service under the Central Institute of Psychiatry (CIP), Ranchi. He provides expert psychiatric consultations via telemedicine, enhancing accessibility to mental healthcare across India.
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