Clinical Orthopaedics for Physical Therapists - COPT

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It is a proud moment to share the   of our upcoming Special Issue on   and  , with a focus on conditions of the  ! It wa...
03/09/2024

It is a proud moment to share the of our upcoming Special Issue on and , with a focus on conditions of the ! It was a pleasure working as Guest Editor with Dr. Venu Kavarthapu as the Senior Guest Editor. A big thank you to all the who contributed their insightful articles to this special issue.

The free link to the editorial is in the comments. Look out for the release of the issue soon! 😊

Can a simple fibular   improve the pain of medial knee osteoarthritis? What is the  ? Here is the evidence so far about ...
06/01/2020

Can a simple fibular improve the pain of medial knee osteoarthritis? What is the ?

Here is the evidence so far about proximal fibular osteotomy as a procedure for medial of the !

Proximal fibular osteotomy has been proposed as a simple and inexpensive alternative to high-tibial osteotomy and unicondylar knee arthroplasty and may be useful for low-income populations that cannot afford expensive treatment methods. However, there is no consensus existing regarding the mechanism...

02/11/2019

Running does not cause arthritis. This is actually not a new finding. Researchers have known for years that running will not cause arthritis. Runners, in general, have a much lower chance of…

24/10/2019

Why is an Orthopedic Surgeon talking to you about neurodegenerative disorders such as Alzheimer’s Disease? Stay tuned; this is another post in our Live Better series which will be a major theme here…

21/04/2019

prevention is an important component of . have long times and are best prevented.

20/04/2019

line is an important finding in x ray of the hip!

19/01/2019

Basics of 'How to read a Knee MRI' - a short video by the King of Knee Ligament Reconstruction Dr La Prade. The video can help understand the structure and functioning of the knee joint better. Leave your comments below...
Physiotherapy Asian Physiotherapy and Research Institute MADRAS ORTHOPAEDIC MANUAL PHYSIOTHERAPY (MOMPT) Physiotherapy workshop/ seminars/ CEU / online teaching Physiotherapy Bangalore- Bangalore Physiotherapists Network SPORTS PHYSIOTHERAPY Physiotherapist SDAT-- SPORTS DEVELOPMENT AUTHORITY OF TAMILNADU Ligaments

13/03/2018
Stay tuned for Course on Basic Orthopaedics for Physical Therapists - BOPT by CARE Sports Injury Clinic.     learn the  ...
11/03/2018

Stay tuned for Course on Basic Orthopaedics for Physical Therapists - BOPT by CARE Sports Injury Clinic. learn the to understanding an and improve your practice! Physiotherapy workshop/ seminars/ CEU / online teaching MADRAS ORTHOPAEDIC MANUAL PHYSIOTHERAPY (MOMPT) SRM College Of Physiotherapy Physio Physiopedia Tamilnadu Physios PhysioConcepts Education SPORTS PHYSIOTHERAPY Physiotherapy Bangalore- Bangalore Physiotherapists Network Physical therapy Physical Therapist (PT) Bangalore Physical Therapists Bangalore Physio Tharikidazz BPT Physio Andhra Pradesh The Physiotherapists Federation Andhra Pradesh Physiotherapy doctor, Andhra Pradesh. Telangana Physiotherapist Association Telangana Physiotherapists Assosciation-TPA Telangana state association of physiotherapy TAP - Telangana Association of Physiotherapists Kerala Association for Physiotherapists Coordination KAPC Kerala Association Of Physiotherapy Students Kerala Association of Physiotherapy Students Kerala Association for Physiotherapy co-ordination Wayanad Kerala Physiotherapy Education

What is Q angle? Why is it important in    ?
08/03/2018

What is Q angle? Why is it important in ?

06/03/2018

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is a condition that causes pain, numbness, and tingling in the fingers or hands, particularly the thumb, index, middle, or ring fingers. Loss of sensation in the fingers and weakness in the hands can also occur.

Carpal tunnel syndrome is caused by repetitive finger and hand use (especially with improper positioning). A nerve called the median nerve becomes compressed as it passes through the carpal tunnel, the narrow passageway of bones and ligaments on the underside of the wrist.

Conditions such as obesity, pregnancy, hypothyroidism, arthritis, and diabetes can also cause carpal tunnel syndrome.

Natural Carpal Tunnel Syndrome Treatments

Here are few natural remedies that are used for carpal tunnel syndrome relief.

1) Acupuncture

Acupuncturists insert thin needles into specifics point on the body. Traditional theory holds blockages along energy pathways in the body, called meridians, can cause pain. Acupuncture releases these blockages and improves the flow of energy along meridians.

A scientific explanation is that acupuncture may release natural pain-relieving chemicals into the body, promote circulation in body, and balance the nervous system.

What is a treatment like? For carpal tunnel syndrome, acupuncture points are generally on the wrist, arm, thumb, and hands, as well as other parts of the body such as the upper back, neck, and leg.

The number of acupuncture sessions depends on various factors such as how long you've had the symptoms, symptom intensity, how much you use your arms and hands, and your overall health.

Laser acupuncture, which uses a handheld laser instead of acupuncture needles, is also used for carpal tunnel syndrome. One study looked at 36 people with a median pain duration of 24 months. Fourteen had one to 2 surgical release procedures with no results. After three laser acupuncture sessions a week for 4 to 5 weeks, 33 people had no pain or their pain was reduced by more than 50%. All of the people who had failed surgery had a noticeable improvement. Acupuncture wasn't a quick-fix-the follow-up after 1-2 years found that pain returned for only 2 people out of 23 people, and they were successfully treated within several weeks.
2) Acupressure

Acupressure is based on the same principles as acupuncture. Instead of applying needles to acupuncture points, pressure is applied, which is thought to stimulate blood flow to the wrists and hands and ease numbness and swelling in the area.

Acupressure points for carpal tunnel syndrome are typically on the wrists, forearms and hands.
3) Vitamin B6

In several research studies, vitamin B6 deficiency has been associated with carpal tunnel syndrome. A study by the Portland Hand Surgery and Rehabilitation Center in Oregon examined 441 people and found that higher levels of vitamin B6 were associated with fewer carpal tunnel syndrome symptoms. Researchers also found that higher levels of vitamin C relative to lower vitamin B6 levels were associated with a higher prevalence and greater frequency of carpal tunnel symptoms.

A Japanese study of 174 university students found that students with lower levels of vitamin B6 showed symptoms of carpal tunnel syndrome.

Food Sources of vitamin B6 include sweet potatoes, avocados, brown rice, sunflower seeds, chick peas, salmon, pork, chicken, turkey, potatoes, bok choy, barley, bananas, and mangoes.

Risk factors for vitamin B6 deficiency:

diet lacking in vitamin B6
use of oral contraceptives or HRT
consumption of foods containing yellow dye #5, such as some types of macaroni and cheese and pickles
stress
A typical dose of vitamin B6 for carpal tunnel syndrome is 50 mg 2 to 3 times a day. Side effects may include increased urination. It can take up to 6 weeks to notice an improvement. The maximum intake from all sources should be less than 200 mg a day, unless otherwise recommended by your doctor.

4) Herbal Medicine, Vitamins, and Supplements

Enzyme supplements such as bromelain or combination enzyme products (e.g. Wobenzym) may help to reduce tissue swelling associated with carpal tunnel syndrome. It can take several weeks to notice results. The main food source of bromelain is pineapple.
Arnica - a double blind randomized study by the Department of Plastic Surgery of Queen Victoria Hospital in West Sussex, England examined whether arnica can speed up the recovery of hand surgery compared to placebo. People who took homeopathic arnica tablets and arnica ointment had a significant reduction in pain after two weeks. There was no difference in grip strength or swelling between the two groups.
Vitamin B12 - a study looked at the effectiveness of vitamin B12 for people with carpal tunnel syndrome due to overuse of the nonparalyzed arm after stroke. For two years, 67 people in the study received 1500 mcg of vitamin B12 a day, and the remaining 68 did not. After two years, there was significant improvement in the group taking vitamin B12 compared to the untreated group.

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