UNDERSTANDING PAIN IN MUSCULOSKELETAL DISORDERS

PAIN

        Each and every person in his or her life will be experiencing some sort of musculoskeletal disorders( joint,bone,muscle,tendon,ligament). This is common and a normal case in an active persons daily life. One and only important factor is the correct time to get an appointment with your health care provider.
        Why I am writing this post is specific - there are many pain killers( both external and internal) easily avilable in market, common man dosent know the good and bad effects. Since new generation marketing trends are diverse, it's very easy to get a personal experience with little knowledge.

     Let's discuss the pattern of PAIN you experience in a musculoskeletal injury.

    Main cause of injury can be due to muscle injury,bone, nerve, vascular.  There will be associated symptoms sometimes due to inflammatory , degenerative,infection, neoplastic.

    We will give you a rough idea to differentiate the type of pain you experience and whether it should be medically attended or not.

• MUSCULAR PAIN -  this will be  dull, achy type, poorly localised, can refer to other area      Whenever muscle pain not alleviated within 12-24 hrs of injury, you should consult your health care provider.  
• BONE PAIN -         This will be deep and  well localised. It's always to consult a doctor if you experience this pattern of pain, if the pain was associated with any trauma , an immediate evaluation is needed.
•  NERVE PAIN -      This will be burning ,sharp, pain in nerve distributed areas. If pain was not associated with trauma take rest for 12-24 hrs,if not alleviated consult your health care provider.
• VASCULAR -      This will be same as that of  muscular pain, but can be diffuse dull ache with poor localisation. If not associated with trauma take rest for 12-24 hrs and not alleviated consult your health care provider.

There will be associated symptoms like weakness, numbness, tingling,elevated temperature in the limb, joint immobility,locking, clicking, swelling etc..

                     This is a rough idea of PAIN, one of the major symptom, there are many other factors 

along with pain. Why I am giving more importance is the 12-24 hr time period, this is the time of  

OTC ( over the counter medicines). In most of the cases these medicines will benefit but the major 

problem is the continuous use without knowing the type of injury.

  

HOW TO CHOOSE AYURVEDA TREATMENT

HOSPITAL   VS    RESORT

1. DIFFERENCE        

                HOSPITAL -  24hrs fully dedicated ayurveda  specialist doctors, nurses,therapist, pharmacist. Individual specialist doctors and specific treatment protocols as mentioned in classics.

               RESORT.    -  A well build hotel with ayurveda doctor as the manager, hospitality at its best.

     2.  WHAT TO LOOK FOR
   
                 HOSPITAL -  It should be registered, should have specialist doctors to handle emergency, qualified therapist, nurses, pharmacist. 

                 RESORT    -    It should be registered with tourism department ,  well maintained, safe, recommended by experts, charges should be specific.

     3.   PURPOSE OF VISIT

                  HOSPITAL -  It should be clinical ( specifically for disease conditions)

   

                  RESORT     -     It can be for relaxation, holidays, parties etc..

     4.  HOW TO CONTACT

                  HOSPITAL -  In person with patient is most preferred, for appointments -websites, phone call.

                  RESORT   -  Always pre-book, there will be changes in charges depending upon season. Web sites, tour operators.

     5.   ALWAYS LOOK FOR TESTIMONIALS

                  HOSPITAL - specific case studies/ recovery/ videos of patients.

                  RESORTS. -  should be genuine (look for language of writer). Pics and videos should be original.

    

Written by,

Dr.Samson c Varghese

Cheif Research officer

Kottathil ayurveda

TONSILITIS........ An Ayurvedic approach

           
As we all know all people during the course of life get affected with this condition

TRUE STORY OF RECOVERY WITHOUT SURGERY

                                             Hear from one of our patients diagnosed IVDP (lumbar) from a famous hospital in Banglore and was posted for immediate surgery on 2010. During the time of admission at our hospital he was on wheel chair and it take four healthy persons to make him stand. After our preliminary physical examination and medical images we suspected something more than IVDP which was again supported with his EMG reports. Since he was very young and was recently married its hard to comment on his future. But truly speaking we doctors at Kottathil are proud to say our Ayurveda along with his courage and faith made him stand...walk...run... and now its the third year 2013. It take three years of continoues  documentation,monitoring and interactions with the patient  for us to post this video as a sucess story which is medically relavant. He is a bank employee in middle east and is happy with his wife with no health problems. You can hear form his mouth

Written by,

Dr.Samson c Varghese(+91 9495352072- whats app) 

Cheif Research officer

Kottathil ayurveda

SPINAL CANAL STENOSIS RECOVERY WITHOUT SURGERY

BODY TREATMENTS- SCIENTIFIC EXPLANATIONS

                                         What comes to our mind  When we hear  the word Ayurveda . Treatments with oil, massage, dara etc. Then comes the next question. Are these procedures scientific?

                                               Here am discussing some facts about Ayurvedic external treatments and its action on human body, i think after going through this topic some of you will get an idea of what impact these procedures can do.

SWEDANAM ( THERAPEUTIC HEATING)

1.  Conduction heat- Heating modalities which are in contact with the skin .In ayurveda different types of heat modalities are used raining from choorna pinda swedam (dry heat) to shashtika pinda swedam . In the above mentioned procedures different types of medicinal plants, leaves etc are powdered made into bolus, packs etc and the procedures are done by expert personals with at-most care, preventing the skin temperature rising above 45 degree C.

                                         Therapeutic effects are only achieved if tissue is heated to 40-45 degree C for at least 5mts. Effects of heating include circulatory changes, pain reduction, alteration of collagen extensibility and reduction in muscle spasm. For every one degree rise in tissue temperature there is 13% increase in metabolic rate, if temperature is too low ,tissue damage may again result as body fluids are frozen. For deep tissues therapeutic temperatures ranging from 5-6 degree above or below are recommended .  Joint stiffness is shown to reduce with deep heating, it reduces viscosity of joint fluid, but superficial heating will not affect .

     2.     Radiation heat- use of heat with out direct contact over skin surface.

ABHYANGAM (MASSAGE)

        In this procedure massage, mobilization and manipulation are incorporated with at most care. Massage techniques ranging from Effleurage to Tapotment are integrated with ayurvedic marma points and hand movements, which are done with medicinal oils and other medicinal liquids. Effects are mechanical, Physiological and Psychological. These procedures  will improve venous and lymphatic drainage, fresh blood will enter the area . Passive movements to increase joints range of motion.

        This is a  brief discussion regarding the two main procedures used in ayurveda for external  treatments. Normally in every case  SWEDANAM+ABHYANGAM are performed. This approach will give maximum results than individual methods. Ayurveda uses this approach in almost all musculoslkeletal conditions.
                                           

Written by,

Dr.Samson c Varghese

Cheif Research officer

Kottathil ayurveda

HAPPY CHRISTMAS

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              " Happy christmas "

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