FAQ
Frequently Asked Question
An orthopedic doctor, also known as an orthopedist, is a medical doctor who specializes in the diagnosis, treatment, and management of musculoskeletal conditions and injuries. Orthopedic medicine is a branch of medicine that focuses on the musculoskeletal system, which includes the bones, joints, ligaments, tendons, muscles, and nerves.
Some of the main responsibilities of an orthopedic doctor include:
- examining and diagnosing patients with musculoskeletal conditions and injuries
- prescribing and managing treatment plans, which may include medication, physical therapy, and surgery
- performing surgical procedures to treat musculoskeletal conditions and injuries, such as joint replacements, spinal surgeries, and fracture repairs
- managing and monitoring patients' recovery and rehabilitation
- collaborating with other healthcare professionals, such as physical therapists and primary care physicians, to provide comprehensive care for patients.
Overall, an orthopedic doctor is a medical doctor who specializes in the diagnosis, treatment, and management of musculoskeletal conditions and injuries. They use their expertise, knowledge and skills to help patients recover from injuries, manage chronic conditions, and improve the quality of life for people with musculoskeletal disorders.
There are many different types of orthopedic problems, but some of the most common include:
- Osteoarthritis: a degenerative joint disease that results in the wearing down of the cartilage that cushions the joints. It most commonly affects the hips, knees, and hands.
- Low back pain: a common condition that affects the muscles and bones of the back. It can be caused by a variety of factors, including poor posture, injury, and overuse.
- Tendinitis: inflammation of a tendon, which is the tissue that connects muscle to bone. Tendinitis commonly affects the shoulders, elbows, wrists, hips, and knees.
- Fractures: breaks in the bone caused by trauma or overuse. Fractures can occur anywhere in the body but are most common in the arms, legs, and spine.
- Bursitis: inflammation of the bursa, a fluid-filled sac that acts as a cushion between bones, tendons, and muscles. Bursitis commonly affects the shoulders, hips, and knees.
- Carpal tunnel syndrome: a condition in which the median nerve, which runs through the wrist, becomes compressed. It causes numbness, tingling, and weakness in the hand and wrist.
- Tennis elbow: is a form of tendinitis that affects the tendons that attach to the lateral epicondyle, a bony bump on the outside of the elbow.
- Rotator cuff injuries: a tear or strain of the tendons or muscles in the shoulder that are responsible for lifting and rotating the arm.
These are some of the most common orthopedic problems, but there are many other conditions that can affect the musculoskeletal system. Orthopedic doctors are trained to diagnose and treat a wide range of orthopedics.
Sports physiotherapy: is a branch of physical therapy that is geared towards both athletes and casual players who have suffered an injury or ongoing problem. Sports physiotherapy is a specialized form of physiotherapy that is designed to help with injuries or conditions occurred during sports activities. The modalities include hands-on treatment and rehabilitation. Whether you’re a professional athlete or at the beginning of your athletic journey, sports physiotherapy can be a suitable form of treatment for you.
Sports activities, whether professional or otherwise, can cause muscle strain or even serious injuries. If these problems are not given proper medical attention and treatment, they can worsen. However, these unwanted injuries can now be alleviated and prevented from happening again through the application of sports physiotherapy. You can maximize your performance and prevent future injuries through various techniques and exercises. Sports physiotherapy is meant to help you get back on track as soon as possible in a safe, secure, and effective way. The treated conditions through sports physiotherapy differ from the nerve, ligament, or muscle injuries to other musculoskeletal disorders.
The Key Areas of Sports Physiotherapy Include:
- Examining and diagnosing injuries
- Identifying the cause of an injury
- Designing an individual treatment plan
- Rehabilitation
As with every surgical procedure, there are a number of risks to consider. The neurosurgeon will be able to discuss these in detail, and help weigh up the risks and benefits of having the surgery.
During surgery
The potential risks during surgery include:
- Allergic reaction to any of the medications given as part of the general anaesthetic
- Neurological damage (resulting in numbness, tingling, weakness or pain following spinal surgery)
- Excessive bleeding during the procedure
- Very rarely, paralysis or death can occur.
After surgery
Some of the general issues to be aware of following surgery include:
- Pain - both over the incision site and from the surrounding muscles and tissues. This is often reduced following minimally-invasive spinal surgery Infection – This can occur at the site of the surgery itself or rarely, at other sites in the body
- Increased risk of developing a blood clot, this is known as deep vein thrombosis (DVT). In rare cases, the clot travels to the lungs, causing a serious problem called a pulmonary embolism
- Excessive bleeding from the wound
Unresolved symptoms: Sometimes, despite undergoing spinal surgery, it is possible for the initial symptoms to come back, or even get worse.
Our specialist experts, anaesthetists and their teams are very experienced and will do their best to minimise any risks. They will discuss all the risks and benefits to individuals before surgery and be on hand to answer any questions.
Following surgery, if any unexpected symptoms are experienced, or problems persist or worsen, then patients are advised to make contact with their specialist teams immediately.
Players are at risk of injury at any moment, they can sustain injuries to the head, face, shoulder, arm, thigh, and knee There are various measures to prevent the injuries by making sure that the muscles and joints are properly warmed up, protective gears are used, using safety equipment, and doing proper cool-down exercises. The exercises should be done under the guidance of a trained and experienced physiotherapist.
Sports in which injuries occur most commonly are:
- Soccer/football
- Tennis
- Cricket
- Hockey
- Athletic
Though there are various other sports that also require physiotherapy treatment like Basketball, Volleyball, Rugby, Badminton, Cycling etc.
Muscle Strain: Muscle strain or pulled muscle is one of the most common sports injuries that often take place when a muscle is overstretched and gets torn. Muscle strains mainly affect the quadriceps, calves, quadriceps, groin, lower back, and shoulder.
Tendonitis: Inflammation of the tendon is referred to as tendonitis, associated with overuse, but can also be developed when a traumatic injury creates micro-tears in the muscle fibers.
Stress Fracture: Stress fractures are also a form of overuse injury. It takes place when the muscles are no longer able to absorb the pressure, thus resulting in a fracture. Stress fractures usually affect the lower legs and feet and women athletes are more prone to such injuries than men.
Contusions: Direct impact on the muscle causing injury is known as contusions. The faster the speed of the equipment that hits the player more severe the injury is resulting in swelling and bruising of the area. RICE is recommended for treatment, and medical assistance may be required for more severe contusions.
Whiplash injury: Whiplash injury can happen by an abrupt or unexpected backward or forward motion of the neck. Falling suddenly or getting hit causes the head to jerk and the neck gets strained. It occurs commonly in contact sports, causing pain, and numbness in the arms due to minor or major soft tissue damage to muscles and ligaments in the neck and vertebrae. The recovery of the player depends upon the severity of the injury.
Shoulder Impingement: Shoulder impingement occurs due to repetitive overhead movement during playing. These repetitive concentric and eccentric movements place demands to maintain high levels of muscular control, required to maintain the stability of the shoulder joint. Initial physiotherapy treatment for these conditions is rest, ice, and Kinesio-taping. To increase the flexibility of the muscles, ligaments, and tendons, range of motion and strengthening exercises are designed by the physiotherapist.
Acromioclavicular joint injury: The prevalence of shoulder injuries is high in hockey. The most commonly seen shoulder injury is Acromioclavicular (AC) joint injury, also known as a shoulder separation. This injury occurs due to direct contact hit into the shoulder. The severity can vary from a sprain to a complete tear of the involved ligaments. The physiotherapy treatment includes immobilization by rest in a sling followed by isometrics and gentle ROM exercises.
Rotator cuff injury: The most common cause of a rotator cuff tear is repetitive microtrauma, which can occur over some time. Bruising or swelling occurs due to repeated rotator cuff injury by pinching or straining, catching, or squeezing the rotator cuff tendons. Physiotherapist focuses on reducing inflammation and pain. The therapist recommends ROM exercises, isometric exercises, and capsular stretching, followed by isotonic exercises and aggressive pain-free strengthening.
Tennis elbow: Tennis elbow injury occurs to the tendons located on the outer side of the elbow, this overuse and overload occur from the serve and forehand stroke. Physiotherapy treatment for tennis elbow involves rest, ice and Kinesio- taping. A wrist brace or tennis elbow band can be used and special physiotherapy exercises for stretching and strengthening the muscles are beneficial.
Golfer’s elbow: Golfer’s elbow Or medial epicondylitis is caused due to excessive use of topspin and due to overload on the backhand stroke-causing pain and inflammation. Physiotherapy treatment involves rest, ice, and Kinesio- taping. A wrist brace can be used, followed by stretching and strengthening exercises.
Wrist strain: Falling on an outstretched arm includes wrist sprains, wrist fractures, and shoulder dislocations. It can occur when the wrist moves in an abnormal position, suddenly twist, bends backward, or sustains heavy impact. The player feels tenderness, warmth, popping or tearing sounds, and difficulty in moving the wrist.
Carpal tunnel syndrome: These injuries occur due to the laid-back grip, rotation of the palm upward, and quickly turning the wrist to perform the topspin. Treatment for these conditions involves rest, ice, Kinesio- taping and range of motion, and strengthening exercises.
Lower Back pain:
Players suffer from low back pain due to the fast weight transfers, jumping, and twisting, resulting in repeated flexion, extension, rotation, and lateral flexion of the spine commonly required during cocking or loading phase of the tennis serve. The physiotherapist designs strengthening exercises for back and abdominal muscles to increase strength
Abdominal side strain: Side strain occurs in the side of the body involving the Oblique muscle. Due to the forcible contraction of the muscle, the injury occurs on the opposite side of the bowling arm. Side strains also occur because of repetitive arm action. The player feels pain and tenderness associated with internal swelling. Treatment requires adequate rest. After examination of the injured part, for appropriate strength and conditioning, the player can gradually return to activity,
Femoroacetabular impingement: Femoroacetabular impingement can occur due to the multidirectional movement pattern, loading and abruptly starting, cutting, twisting, and stopping. This form of hip injury can be treated with the help of RICE and physiotherapy sessions under the guidance of a physiotherapist.
Groin pull: Groin pull occurs as a result of a pull or stretch of the muscles of the inner thigh. The player feels pain and tenderness in the groin and the inside of the thigh while raising the knee or while bringing the legs together. The player feels severe pain with a popping or snapping sound during the injury.
Iliotibial Band Syndrome: Iliotibial band syndrome occurs due to an overuse injury along the outer thigh. Due to continuous friction created by the IT band along the outer side of the thigh, during running. The player feels pain and tenderness on the lateral or outer part of the thigh and knee just above the knee joint.
Hamstring strains: A hamstring strain is usually caused when the muscles become overloaded, leading to a strain, or a complete tear. Hamstrings are usually injured during sprinting i.e during fast bowling while fielding or running between wickets as a batsman. The player feels sudden or severe pain during exercise, pain or tightness while straightening or bending the leg, and weight-bearing. Physiotherapy treatment starts with RICE followed by progressive strengthening through exercise, soft tissue massage, scar tissue mobilization, dry needling, and taping.
Torn ACL: ACL or anterior cruciate ligament helps in keeping the knee joints together and brings stability. A Torn ACL is extremely painful and restricts the ability to walk. The injury takes place from a direct shot to the knees, or from incorrect landing and or stopping and changing direction quickly.
Torn MCL: It is another form of a knee injury, which takes place when the medial collateral ligament that connects the femur to the tibia is injured. It is caused when the knees are pushed sideways. This form of knee injury can be treated with help of ice compression, braces, and sports physical therapy sessions under the watchful eyes of a sports physiotherapist.
Patellofemoral pain syndrome: Patellofemoral pain syndrome or runner's knee is a condition in which the cartilage under the kneecap is damaged due to injury. It can occur due to strained tendons or misalignment in the knee. The player feels pain while exercising, bending the knee, climbing the stairs, squatting, and jumping. The player feels cracking or popping sounds in the knee while climbing stairs or after sitting for a longer duration with the knee bent.
Shin Splits: These affect the insides of the lower leg or shin area and is an overuse injury and also a common injury found among runners. Athletes having flat feet are more susceptible to this form of injury.
Pulled Calf Muscle: Pulled calf muscle injury occurs when any one of the muscles i.e gastrocnemius or soleus is pulled from the Achilles tendon. This occurs due to jumping or running. The player feels bruising, redness, and mild swelling, and is unable to stand on the ball of the foot.
Plantar Fasciitis: Plantar Fasciitis is the inflammation of the plantar fascia ligament that connects the heel to the front of the foot. Putting too much strain and stress are the major reason behind this form of injury and is usually treated with rest, ice, and stretching exercises.
Ankle Sprains: Medial ankle sprain can occur when the toes are turned out while the foot is flexed upward. Lateral ankle sprains can occur in soccer when a player kicks the ball with the top of their foot. Ankle sprains take place when the ligament that supports the joint gets overstretched due to incorrect stepping or stepping on an uneven surface or twists and rolls. Usually, ankle strains heal with RICE – rest, ice, compression, and elevation.
Achilles tendon Rupture: Achilles tendon rupture occurs due to the partial or complete tear of the Achilles tendon. This can occur when a player performs a fast or jerky movement. Ankle sprains occur when the ligaments (surrounding the ankle joint) are stretched or torn.
Achilles tendonitis: Achilles tendonitis is the inflammation of the lower back of the leg just above the heel. Achilles tendonitis injury occurs as a result of overuse. Players perform sudden and repetitive movements that may eventually cause this injury over time. Physical activity worsens the pain and is usually treated with some rest, ice, stretching, and strengthening exercises.
More or less sports injuries treatment involves sports physical therapy along with proper medication to bring relief to the athletes. In fact, physiotherapy in sports injury has proven to be quite useful in the rapid recovery of athletes and is one of the most trusted forms of treatment
Many spinal problems can be treated effectively using physiotherapy and medications or injections. However, some causes of spinal problems require surgery to relieve symptoms.
Back pain
Some causes of back pain can be treated with a spinal fusion procedure (where two or more vertebrae are fused together into a single, solid bone), or through surgical stabilisation of the lower spine.
These procedures are targeted at treating back pain that is caused by instability of the lower back, spinal stenosis (narrowing of the spaces within the spine), general wear and tear of the spine, or fractures.
Sciatica
This is caused by a pinching of the sciatic nerve from the spine. The sciatic nerve runs down the back of the leg, so pinching of this nerve causes a characteristic shooting pain down the back of the legs. Surgery to remove any small bony spurs or a bulging disc that may be pinching the sciatic nerve can provide relief.
Disc degeneration
Sometimes the discs between the vertebrae in the spine can degenerate, causing pain and reduced movement. Surgery can be performed to remove the degenerated disc and replace it with a prosthetic disc.
Most people stay in hospital for three to seven days following spinal surgery. The length of stay often depends on the patient’s health prior to surgery, as well as their pain levels following the surgery.
A full recovery depends on the initial symptoms and the type of surgery that was performed.
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