Frozen shoulder, also known as adhesive capsulitis, is a condition where the connective tissue surrounding the shoulder capsule becomes inflamed and thickened. This leads to shoulder pain and stiffness, which gradually limits the range of motion. Thick bands of tissue, called adhesions, develop, and the amount of synovial fluid, which lubricates the shoulder capsule and joint, is reduced.

This condition is characterised by worsening symptoms, and full recovery may take up to 3 years.

In this blog, we will explore the stages, symptoms, causes, treatment options, and risk factors associated with frozen shoulder.

A] Stages of Frozen Shoulder

1. Freezing Stage

This stage involves a gradual increase in shoulder pain, often worsening at night or when resting on the affected side. The pain progresses to stiffness, resulting in limitation of shoulder movements and difficulty performing daily activities.

2. Frozen Stage

In this phase, the pain begins to decrease and is comparatively less than in the freezing stage. However, the shoulder remains stiff, which may cause the muscles to weaken due to reduced movement.

3. Thawing Stage

The thawing stage, also known as the recovery phase, is the final stage when the shoulder movements slowly return to normal and the pain and stiffness gradually improve. However, occasional pain may still occur, especially at night.

B] Symptoms of Frozen Shoulder

• Pain: A dull pain is experienced in the shoulder or the upper arms. It often worsens at night, if lying on the affected side, or with sudden shoulder movement.
• Stiffness: A stiffness that affects one shoulder at a time, resulting in difficulty performing everyday tasks such as dressing, grooming, lifting the arm to reach objects, etc.
• Limited range of motion: You may find it difficult to move your shoulder, especially in certain directions.
• Muscle weakness: Due to reduced use of the shoulder, surrounding muscles can weaken over time, which may compound the stiffness and mobility issues.

If you are experiencing such symptoms and are considering expert consultation to understand the underlying cause, you can explore orthopaedic treatment in Andheri for professional guidance and care.

C] Causes of Frozen Shoulder

• An injury or surgery might be one of the causes that have triggered the development of frozen shoulders.
• Certain medical conditions such as thyroid disorders, cardiovascular diseases may increase the risk of developing frozen shoulders. Diabetics show a strong link with frozen shoulders.
• People with inflammatory conditions such as arthritis or bursitis may experience thickening of the shoulder capsule leading to stiffness and restricted movement.
• People between the ages of 40 and 60 generally develop frozen shoulders, with women being more likely to be affected.

D] Treatment Options for Frozen Shoulder

1. Physical Therapy

Exercise is crucial in improving flexibility, especially in a condition like a frozen shoulder. Performing exercises that stretch the tight shoulder capsule and strengthen the surrounding muscles are effective for recovery.

Regular exercises with a physical therapist can also help regain the range of motion when combined with daily home exercise.

2. Medications

Although medications do not cure frozen shoulders, they are still beneficial in recovery as they enable our participation in physical therapy and daily tasks.  

In the early stages, pain relief and inflammation control are important. Medications such as paracetamol and over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, are commonly recommended to treat pain and swelling. In more severe cases, a healthcare provider may prescribe stronger pain relievers and muscle relaxants.

3. Corticosteroid Injections

Corticosteroid injections contain a synthetic version of cortisone, a powerful anti-inflammatory hormone. These injections are usually administered into the joint capsule to reduce pain and inflammation, especially during the early stage of pain.

Corticosteroid injections are effective in providing temporary relief and managing symptoms; however, their use is limited to one or two injections to avoid any potential side effects.

4. Home Care and Activity Modification

To manage the pain at home, heat therapy can be one of the solutions; for example, applying warm compresses or a heating pad to the shoulder, especially before stretching or exercising.

Heat therapy can be followed by cold therapy, in which an ice pack can be applied to reduce pain and inflammation. Performing gentle range of motion exercises, such as the pendulum stretch, which involves leaning forward slightly with your arms hanging down and gently swinging in small circles. However, it is important to ensure that such exercises are only performed if pain is manageable.

Simple activity moderation, such as using the affected arm for light activities, avoiding lifting heavy objects, and using a pillow under or behind the affected arm – all such steps can greatly impact the frozen shoulders.

5. Minimally Invasive Options (Arthroscopic Surgery)

Arthroscopic surgery is a minimally invasive surgery that is recommended when the symptoms do not improve with traditional treatments after 3 to 6 months. This technique involves making small incisions around the shoulder and inserting surgical tools and a tiny medical camera. The camera provides a view of the tight, inflamed joint capsule, and a radiofrequency device is used to precisely cut and release tissue to restore mobility.

One of the key advantages of this approach is less tissue damage. However, physical therapy is crucial after surgery to maintain the motion achieved during the procedure.

In diabetic patients, some degree of shoulder stiffness may persist even after surgery.

The decision on the type of treatment can be made based on the stage and severity of the condition. If you are looking for expert guidance on your issue, consider consulting an orthopaedic doctor in Andheri for personalised guidance.

E] Who Develops Frozen Shoulder?

Frozen shoulder is a more common condition in people aged 40 to 60, especially in women. Individuals with conditions like diabetes or thyroid disorders are normally at a greater risk of developing it.

Although it affects only one shoulder, it generally occurs in the less-used arm, for example, the left shoulder of right-handed individuals.

Conclusion

Frozen shoulder is a painful condition that limits our daily activities and often impacts middle-aged individuals, particularly women. People with underlying health issues like diabetes are also at higher risk. Although many cases improve by managing symptoms through physical therapy, individuals who continue to experience persistent symptoms may benefit from advanced frozen shoulder treatment like arthroscopic surgery. Such minimally invasive procedures can provide effective, long-term relief.

Early diagnosis is crucial for timely recovery and to prevent the condition from worsening.

If you experience persistent stiffness around your shoulder or restricted movement, especially if you are between 40 and 60 years old, consider booking an appointment with Dr. Tanay Prabhoo, a highly trusted orthopaedic surgeon in Mumbai. An expert in joint disorders, Dr. Prabhoo deeply understands these conditions and provides the most accurate solutions to your unique needs.

Have your joints been aching more than usual? Does getting out of bed in the morning feel harder than it used to? If you’ve been noticing joint pain, stiffness, or swelling, you might have arthritis. This common condition affects millions of people worldwide but is often misunderstood. In this blog, we will break down what arthritis is, its causes, symptoms, and types, and we will guide you through the best treatment for arthritis.

A] What is Arthritis? 

Arthritis is a medical condition that means inflammation of one or more joints. It’s not a single disease but an umbrella term for over one hundred different types of joint-related disorders. These conditions affect the joints and surrounding tissues and cause symptoms like pain, stiffness, swelling, and reduced range of motion. In severe cases, arthritis can lead to joint deformity and disability.

There are several causes of arthritis. These include:

• Genetic factors: If you have a family history of arthritis, your risk of getting it increases. Certain genes make you more likely to develop certain types of arthritis disease.
• Age: The risk of arthritis increases with age as joint cartilage wears down over time.
• Infections: Certain types of bacterial or viral infections can cause joint inflammation.
• Joint injuries: Previous trauma or repetitive stress on the joints can trigger arthritis later in life.
• Autoimmune responses: Some types of arthritis, like rheumatoid arthritis, occur when the immune system attacks the body’s joint tissues.
• Lifestyle factors: Obesity, poor eating habits, physical inactivity and smoking are all associated with higher risk of arthritis.

Knowing the reason for arthritis is key to accurate diagnosis and treatment of arthritis.

B] Types of Arthritis 

1. Osteoarthritis (OA)

Osteoarthritis is the most common type of arthritis which affects the joints. It happens when the cartilage that lines the joints is worn down over time, and the bones rub against each other. The most common joints affected by OA include the joints in the hands, knees, hips, neck, and lower back. When the cartilage in the joints breaks down, the bones underneath begin to change and can worsen over time, causing pain, stiffness, and swelling. Some people may also notice a decreased range of motion or flexibility. 

2. Rheumatoid Arthritis (RA)

Rheumatoid arthritis is a type of inflammatory arthritis. In this condition, the immune system attacks parts of the body, especially the joints, which can lead to inflammation and cause severe damage. These form over joints that receive pressure, such as knuckles, elbows, or heels. You may have swollen or tender joints, stiffness, severe pain, and joint deformity. 

3. Psoriatic Arthritis

Psoriatic arthritis is an inflammatory form of arthritis that is linked with psoriasis, a chronic skin condition where the body’s immune system attacks your own skin cells. Around 20% of people with psoriasis develop psoriatic arthritis. The symptoms include stiffness and skin lesions that are caused by joint inflammation. Psoriatic arthritis can affect the joints, skin, fingernails and toenails. 

4. Gout

Gout is caused by the buildup of uric acid crystals in the joints. It most commonly affects the big toe and causes sudden, intense pain, redness, and swelling. Gout attacks can come on quickly and are often triggered by dietary habits like eating red meat, seafood and drinking alcohol.

5. Ankylosing Spondylitis

This is a chronic inflammatory arthritis that affects the spine. Over time, it can cause the spinal vertebrae to fuse together, reducing flexibility and posture changes. Early symptoms are lower back pain and morning stiffness. It usually starts in early adulthood and is more common in men.

6. Juvenile Arthritis

Contrary to the assumption that arthritis only affects adults, children can also develop joint inflammation. Juvenile arthritis affects children under 16. It causes joint inflammation, pain, stiffness, and mobility issues. In some cases, it can also affect growth and development. The exact cause is unknown, but autoimmune reactions are believed to be involved.

C] Symptoms of Arthritis 

The early signs of arthritis differ individually depending on the type of arthritis. Symptoms can develop gradually or suddenly. Some of the common symptoms are:

• Joint Pain: This can be constant or intermittent. It can worsen with activity or during rest.
• Joint Stiffness: You may be stiff in the morning or after sitting for a long time. It can restrict your movement.
• Swelling Of The Joints: Swelling due to inflammation may make the joints larger than normal.
• Decreased Mobility: It can be hard to move the involved joints freely.
• Redness and Heat: In certain forms of arthritis, the joints can become warm and red due to inflammation.
• Fatigue and Overall Weakness: Autoimmune conditions such as rheumatoid arthritis may lead to tiredness and weakness.

Identifying these early signs of arthritis and getting timely medical attention will aid in controlling the disease before complications arise.  Dr. Tanay Prabhoo offers orthopaedic treatment in Andheri, which can help you identify and manage your arthritis and allow you to enjoy your daily activities without pain. 

D] Treatment Options for Arthritis

Managing arthritis involves a combination of medical treatments and lifestyle modifications to reduce pain and improve mobility.

1. Medications

• Painkillers: Over-the-counter medications like Acetaminophen or ibuprofen relieve mild to moderate pain and inflammation.
• Disease-modifying drugs: DMARDs are used in autoimmune arthritis to slow down disease activity and avoid joint damage.
• Corticosteroids: These are strong anti-inflammatory medications that minimise severe symptoms and are frequently injected into the joints for rapid relief.

It is advised to visit a qualified physician who will help determine the best medication and create a treatment plan according to your requirements. 

2. Lifestyle Changes

Lifestyle Changes

Make these changes in your daily lifestyle to enhance joint health and long-term arthritis management:

• Maintain a healthy weight: Reduce excess weight to decrease stress on weight-bearing joints such as knees and hips.
• Eat a well-balanced diet: Add anti-inflammatory foods such as fish which is high in omega-3, green leafy vegetables, nuts, and berries.
• Apply heat or cold therapy: Heat compresses help to loosen up stiffness, and cold packs help reduce swelling.

3. Physical Therapy and Exercise

Staying physically active helps strengthen muscles around the joints and helps improve mobility:

• Stretching and light exercises can help reduce stiffness.
• Strength training builds muscles that help support weak joints.
• Low-impact exercises like swimming, walking, and yoga.
• Occupational therapy helps reduce joint strain during everyday activities.

4. Surgical Options

When medication, physical therapy, and lifestyle modification no longer help, surgery could be the next option in the management of arthritis. Individuals with extreme joint damage, persistent pain, or restricted mobility may find surgery to be a viable option, although it is not the initial course of treatment. Surgery aims to regain joint function, reduce pain, and enhance the quality of life. These are the most frequently used surgical treatments for arthritis:

Joint Replacement Surgery (Arthroplasty)

One of the most effective surgical treatments for arthritis is joint replacement surgery, also known as arthroplasty. It involves replacing the worn-out parts of a joint with artificial parts made of metal, ceramic, or plastic. It is usually performed on weight-bearing joints such as the knees and hips, but it can also be performed on the shoulders, elbows, and even the fingers.

There are two kinds of joint replacement:

• Total Joint Replacement: The whole joint surface is replaced by prosthetic parts. This is most typically done for severe arthritis in the hip and knee.
• Partial Joint Replacement: Only the damaged part of the joint is replaced. This can be done when arthritis is limited to one joint area.

Patients who have joint replacement surgery tend to experience a significant improvement in pain, mobility, and function. Many can resume normal daily activities and even low-impact exercise with proper rehabilitation and physiotherapy.

Arthroscopy

Arthroscopy is a minimally invasive surgical procedure in which physicians can diagnose and treat joint issues through a small camera and specialised tools inserted via very small incisions. It’s most often used for arthritis in the knees, shoulders, and wrists, particularly in early to moderate stages.

During arthroscopy, a surgeon can:

• Remove loose fragments of bone or cartilage
• Trim or repair torn cartilage
• Clean the joint to reduce inflammation

The procedure has a shorter recovery time than open surgery. It can be very beneficial for certain types of arthritis, especially when symptoms are caused by mechanical irritation within the joint.

E ] When to See a Doctor?

If you have joint pain that lasts more than a few weeks or stiffness and swelling that affects your daily activities, it is time to see a doctor. Sudden and severe pain in the joints, especially in the case of gout, should not be ignored. As a renowned orthopaedic doctor in Andheri, Dr. Tanay Prabhoo is dedicated to providing expert evaluation and personalised care, always putting your well-being first to ensure you receive the best possible treatment.  Book an appointment, and don’t let your joints hold you back anymore.

Lower back pain (LBP) is a global health concern affecting over 600 million people worldwide. By 2050, the number is projected to rise to 900 million. Given the widespread impact of this condition, it has become one of the leading causes of disability. It can range from mild discomfort to chronic conditions. Understanding the root causes, symptoms, and treatment options is essential for effectively managing and preventing lower back pain.

A] Understanding Lower Back Pain: What You Need to Know 

When the lower region of the spine, called the lumbar region, is affected by various reasons, such as muscle strains, sprains, or disc problems, it causes pain in the lower back, which is known as lower back pain. It can be mild to severe, sometimes chronic, making daily life more difficult. It is one of the most common ailments affecting more than 600 million people globally. It is also a leading cause of YLD (Years of healthy life lost due to disability). Let’s look at common causes that lead to lower back pain:

B] Common Causes of Lower Back Pain

1. Muscle Strain and Overuse

Muscle strain and sprain are prominent causes of lower back pain. They can stem from muscle overuse, rigorous activities, prolonged periods of sitting, and other injury-prone exercises that directly strain the lumbar. Injury damages tendons and muscles in the lower back, leading to lumbar strain and, thus, lower back pain. It is also caused by poor posture, heavy lifting, or sudden movements. Such lower back pain often gets better with time when followed by physical therapy or medications for intense pain.

2. Herniated Disc & Spinal Issues 

A herniated or bulging disc strains nerves, leading to pain, numbness, and muscle weakness. It also compresses the nearby nerves, straining lower back muscles and causing pain across the lower back. Spinal issues, such as neck pain, spinal cord injuries, spinal infections, and spinal stenosis, can also cause lower back problems. 

3. Arthritis and Degenerative Conditions

Arthritis and other degenerative conditions, such as osteoarthritis and degenerative disc disease, can contribute to lower back pain. Over time, the cartilage that cushions the spinal joints wears down, leading to stiffness, inflammation, and pain. Patients with osteoporosis are particularly vulnerable to fractures in the spine, which can worsen lower back pain. Seeking osteoporosis treatment in Andheri can help manage symptoms and prevent further complications.

4. Injuries and Accidents

Lower back pain can also stem from injuries resulting from sports, falls, or accidents. Sudden impact or trauma can damage spinal discs, ligaments, and muscles, leading to prolonged pain and limited mobility. In such cases, proper pain management treatment strategies are essential to facilitate recovery.

5. Lifestyle and Poor Habits

A sedentary lifestyle, obesity, and lack of exercise contribute significantly to lower back pain. Inadequate physical activity weakens the core muscles that support the spine, increasing the likelihood of developing lower back issues. Incorporating a balanced exercise routine, maintaining a healthy weight, and practising good posture can help prevent and manage lower back pain effectively.

6. Underlying Medical Conditions

Certain medical conditions, such as sciatica and kidney infections, can also contribute to lower back pain. Sciatica, in particular, occurs when the sciatic nerve is compressed, leading to radiating pain from the lower back to the legs. Proper diagnosis and treatment of underlying conditions are essential to addressing the root cause of lower back pain.

C] Symptoms: When to Worry About Lower Back Pain

1. Persistent Pain for More than 6 Weeks

If lower back pain persists for more than six weeks despite rest and self-care, it may indicate an underlying condition that requires medical attention. Chronic pain should not be ignored as it can worsen over time.

2. Numbness or Tingling in Legs

Numbness, tingling, or a burning sensation in the legs may indicate nerve compression or damage. Conditions like herniated discs or sciatica can cause these symptoms, requiring professional evaluation.

3. Weakness or Difficulty Walking

Weakness in the legs, difficulty maintaining balance, or frequent falls can signal serious spinal issues. If mobility is affected, consulting a spine surgeon in Andheri is advisable to prevent further complications.

4. Loss of Bladder or Bowel Control

Loss of bladder or bowel control is a red flag symptom of back waist pain that may indicate a severe spinal condition, such as Cauda equina syndrome. This requires immediate medical intervention to prevent permanent damage.

D] Back Pain Relief: Effective Treatment Options

1. Home Remedies & Lifestyle Changes

Home remedies and lifestyle changes can play a key role in alleviating acute to mild back pain. Individuals with back pain should include home remedies like heat/cold therapy and self-massage or professional massage. They should also maintain good posture throughout the day. In addition, mild exercises, like gentle stretches, yoga, and regular physical exercises, relieve lower back pain. Turmeric milk, ginger, and omega-3 fatty acids have anti-inflammatory properties that help decrease inflammation and associated pain. However, these strategies may not be fruitful for severe or chronic back pain, it is always beneficial to get spine treatment in Andheri by known professionals. 

2. Medical Treatments & Therapies

If changes in the lifestyle and basic remedies don’t work, medical treatments and therapies are viable solutions to eliminate the nagging pain you are experiencing in your back. It may include pain relievers, physical therapy, chiropractic care, and IVs for inflammation control. These medical treatments are prescribed and are done under professional guidance. 

E] When to See a Spine Surgeon?

If medical treatments and basic remedies are not working and you are still struggling with persistent backache, it is advised that you visit a spine specialist or a spine surgeon. They will prescribe a set of tests and procedures, the results of which can help them easily understand the cause of your discomfort. The spine surgeon may suggest surgery or other suitable medications based on the results.

Conclusion

Lower back pain can significantly impact daily life, but with the right treatment, individuals can find relief and regain normal mobility. Identifying the symptoms early and seeking appropriate pain management treatment can help prevent complications and ensure better spinal health. If you are experiencing persistent or worsening symptoms, do not hesitate to seek professional medical care.

If you are looking for an expert spine specialist in Andheri, Mumbai, Dr. Tanay Prabhoo, a renowned orthopaedic and spine surgeon, can help you eliminate the excruciating pain you are experiencing. Contact his clinic today.

Millions of people around the globe suffer from the debilitating health problem which is sciatica. Pain from sciatica moves through the sciatic nerve pathway until it reaches a suitable diagnosis. Knowledge about different sciatica pain treatment methods becomes vital when someone tries to recover from this condition. The following discussion provides detailed information about sciatica’s sources of occurrence followed by diagnostic processes and available therapeutic options for effective symptom management.

A] What is Sciatica?

Before we get into the specifics of Sciatica. Let’s first understand “What is the sciatic nerve?” It is a human body nerve that starts in the lower back and runs down the back of each leg. It’s responsible for controlling the muscles in the lower leg and back of the knee and providing sensation to the foot, lower leg, and back of the thigh.

Sciatica develops when sciatic nerve compression or irritation occurs in a condition that affects the body’s largest nerve. The sciatic nerve extends from the spine throughout the gluteal area to reach the length of both legs. The nerve functions as the essential link between spinal cord tissues and the leg and foot muscles.

The occurrence of sciatica shows a strong preference for the adult age bracket spanning from 30 to 50 years old. The distinct characteristic of sciatica back pain causes pain to spread from the lower back to one individual leg while also producing symptoms of numbness or tingling sensations and weakness in the affected area. Knowledge about sciatic symptoms enables healthcare providers to distinguish it from other types of lower back pain.

B] What Causes Sciatic Nerve Pain?

Several factors contribute to sciatic nerve pain:

1. Herniated or Slipped Disc: A herniated disc is one of the most common reasons for sciatic nerve pain. When the soft interior of a spinal disc protrudes through its outer layer, it can press on the sciatic nerve, leading to pain.
2. Spinal Stenosis: This condition involves the narrowing of the spinal canal, which can compress the nerves and cause significant discomfort. Stenosis treatment in Andheri can help manage this condition effectively.
3. Piriformis Syndrome: When the piriformis muscle, located deep in the buttock, irritates or compresses the sciatic nerve, it can trigger symptoms of sciatica.
4. Degenerative Disc Disease: The breakdown of spinal discs over time can cause nerve compression and sciatica-like symptoms.
5. Spondylolisthesis: This condition occurs when one vertebra slips over another, leading to sciatic nerve irritation.
6. Lifestyle Factors: Obesity, prolonged sitting, and poor posture can exacerbate lower back pain sciatica. Making lifestyle changes can play a critical role in managing discomfort.
7. Trauma or Injury: Accidents or falls that damage the lower spine can lead to a pinched sciatic nerve, causing sciatica.

C] Symptoms of Sciatica

Sciatic nerve pain symptoms typically present as:

• Pain: The hallmark of sciatica is sharp, shooting pain that starts in the lower back and travels down the back of one leg. This pain often worsens when sitting, standing for extended periods, or making sudden movements like coughing or sneezing.
• Numbness and Tingling: Individuals may experience a sensation similar to “pins and needles,” especially in the lower leg or foot. This can make it difficult to walk or maintain balance.
• Muscle Weakness: In some cases, the affected leg may feel weak, making it challenging to lift objects, climb stairs, or perform other routine activities.
• Unilateral Pain: Sciatica typically affects only one side of the body. However, the intensity and specific areas affected may vary from person to person.
• Worsening Symptoms: Over time, untreated sciatica can lead to more intense discomfort and decreased mobility. Activities that put additional pressure on the lower spine can aggravate symptoms.
• Warning Signs: If you experience sudden, severe pain combined with loss of bowel or bladder control, seek immediate medical attention. These symptoms may indicate a condition called cauda equina syndrome, which requires urgent treatment.

D] How is Sciatica Diagnosed?

Diagnosing sciatica involves several steps to ensure accurate identification and effective treatment:

1. Physical Examination: A thorough physical exam is the first step. The doctor will evaluate reflexes, muscle strength, and sensitivity. Specific tests like the straight-leg raise can help identify the presence of sciatic nerve irritation.
2. Medical History: Gathering a detailed medical history is essential. The doctor will inquire about prior injuries, lifestyle factors, and any pre-existing conditions that may contribute to sciatica.
3. Imaging Tests: To confirm the diagnosis, imaging tests may be ordered. MRI scans are particularly useful for detecting herniated discs, spinal stenosis, or other structural issues. CT scans or X-rays may also be used to assess spinal alignment or identify bone spurs.
4. Electromyography (EMG): EMG tests measure electrical activity in the muscles and nerves. This test can determine whether nerve compression or damage is present, helping to confirm a sciatica diagnosis.
5. Differential Diagnosis: Some conditions, such as kidney stones or infections, can mimic sciatica symptoms. It is crucial to rule out these possibilities with the help of a spine specialist in Andheri. Comprehensive evaluation ensures that the correct treatment plan is followed.

E] Treatment Options for Sciatica

Treating sciatica depends on the severity of the symptoms. Both conservative and surgical options are available:

Conservative Treatments

1. Rest and Activity Modification: Limiting movements that worsen pain can promote healing.
2. Ice/Heat Therapy: Applying ice packs reduces inflammation, while heat relaxes tight muscles.
3. Physical Therapy: Stretching and strengthening exercises improve posture and relieve pressure on the sciatic nerve. For comprehensive spine treatment in Andheri, consult a specialist.
4. Medications: Over-the-counter pain relievers (NSAIDs), muscle relaxants, and corticosteroids can help manage pain.
5. Epidural Steroid Injections: When pain is severe, a doctor may prescribe steroid injections to reduce inflammation and provide relief. This should only be done under the guidance of an orthopedic and spine surgeon in Andheri.

Surgical Treatments

In cases where conservative treatments fail, surgical options may be considered:

1. Discectomy: This procedure involves removing the part of a herniated disc that is pressing on the sciatic nerve.
2. Laminectomy: Removing part of the bone or disc material pressing on the nerve can alleviate symptoms.
3. Spinal Fusion: For severe spinal instability, spinal fusion may be necessary to stabilise the spine and prevent further nerve compression.

When to Seek Medical Help?

If sciatica symptoms worsen or do not improve with conservative treatments, it is crucial to seek medical advice. Additionally, any loss of bowel or bladder control requires immediate attention. Pain management treatment options are available for those experiencing persistent discomfort. Contact us today!

By understanding what causes sciatic nerve pain and recognising the symptoms early, you can take the necessary steps to find relief. Whether through conservative care or more advanced interventions, there are numerous effective methods for sciatica pain relief.

Neck pain affects a significant number of people and is sometimes beyond a minor inconvenience. The medical condition impacts all areas of life from professional work ability to sleep quality. The increasing prevalence of neck issues in people who spend time in front of screens makes it important to understand neck pain causes and their treatment options. 

Read this blog to learn everything about neck pain treatment techniques.

A] Neck Pain: More Than Just a Stiff Neck

Neck-related pain can be in two different forms which, in medical terms, are called acute and chronic pain. Basic neck pain treatment and rest for a few days typically heal acute neck pain; it lasts for a few days or a few weeks. Chronic pain, on the other hand, lasts longer than 12 weeks and may need continuing treatment.

People with this type of pain encounter difficulties in performing common activities including driving, lifting things, and head movement to view screens. Sleep disturbances because of this condition result in fatigue and increased stress levels. 

The increasing use of smartphones or computers has developed neck pain into a widespread condition due to prolonged device screen viewing. Complete disregard for neck pain develops long-term problems in your ability to move freely.

B] Causes of Neck Pain

There are many potential causes of stiff neck pain, ranging from everyday habits to more serious medical conditions:

• Poor posture: Consistently slouching or leaning forward while using devices or sitting can strain neck muscles and lead to pain.
• Muscle strain: Everyday activities, such as lifting heavy objects or repetitive neck movements, can strain the muscles.
• Whiplash injury: A sudden jerk to the neck, often from car accidents, can overstretch the neck muscles and ligaments.
• Herniated disc: A bulging or slipped disc in the spine can put pressure on nearby nerves, leading to shooting pain or numbness.
• Spinal stenosis: The narrowing of the spinal canal can compress nerves and cause pain, tingling, or weakness.
• Osteoarthritis: This degenerative condition breaks down cartilage between the vertebrae, resulting in pain and stiffness.
• Spondylolisthesis: A condition where a vertebra slips out of place, pressing on the spinal nerves and causing discomfort.
• Other causes: Neck pain may also result from infections, tumors, or chronic conditions like fibromyalgia and rheumatoid arthritis. 

Consulting a spine specialist in Andheri can help identify more complex causes of neck pain.

C] Everyday Habits That Cause Neck Pain

Daily routines play a significant role in neck pain. Certain habits put unnecessary stress on the neck, leading to ongoing discomfort:

• Tech Neck: Constantly bending the neck to look at phones, tablets, or computers can lead to muscle strain and stiffness.
• Poor Sleep Posture: Using an unsupportive pillow or sleeping in an awkward position can contribute to neck pain from sleeping.
• Prolonged Sitting: Spending long hours at a desk or in a car without regular movement can cause tension and stiffness in the neck.
• Stress and Tension: Emotional stress often results in muscle tightness, which can manifest as neck and shoulder pain.

Making small adjustments, such as using an ergonomic chair or taking breaks during screen time, can significantly reduce these daily strains.

D] Common Symptoms of Neck Pain

Neck pain can manifest in various ways. Recognising the specific symptoms is essential for seeking appropriate treatment:

• Dull, achy pain: Often felt at the base of the neck or extending to the upper back. This is one of the most common forms of neck and shoulder pain.
• Sharp or stabbing pain: Sudden, intense pain may indicate nerve compression or irritation.
• Stiffness and reduced range of motion: Difficulty turning the head or bending the neck can make everyday tasks challenging.
• Radiating pain: Pain that spreads to the shoulders, arms, or hands may indicate more serious nerve involvement.
• Numbness or tingling: A pinched or irritated nerve can cause sensations of numbness or tingling in the arms or hands.
• Muscle spasms: Sudden, involuntary muscle contractions can cause intense neck discomfort.
• Warning signs: If neck pain is accompanied by fever, weight loss, or changes in coordination or strength, it’s essential to seek medical help. Severe neck pain symptoms may require pain management treatment.

E] Effective Neck Pain Treatments

There are many treatment options for addressing neck pain and stiffness, ranging from simple lifestyle changes to advanced medical interventions.

Non-Surgical Treatments

• Physical Therapy: A physical therapist can recommend targeted exercises to stretch and strengthen neck muscles. Manual therapy techniques may also improve mobility and reduce pain.
• Chiropractic Care: Spinal adjustments from a chiropractor can help realign the neck and relieve neck pain symptoms.
• Massage Therapy: Therapeutic massage helps reduce muscle tension, promote blood circulation, and alleviate stiffness.
• Immobilisation: Temporary use of neck braces or collars can support healing in cases of severe muscle strain or injury.
• Medication: Anti-inflammatory drugs, muscle relaxants, and pain relievers may provide neck pain relief for short-term use.

Surgical Options

For severe cases involving conditions like herniated discs or spinal stenosis, surgery may be necessary to relieve nerve compression or correct structural issues. Before considering surgery, it’s best to consult an experienced orthopedic and spine surgeon in Andheri.

Patients with related conditions, such as frozen shoulder, may also benefit from specialised care like frozen shoulder treatment.

Conclusion

Neck pain can be a significant disruption to everyday life, but it’s a manageable condition with the right approach. By identifying the root cause, addressing poor posture, and seeking appropriate treatment, you can reduce pain and improve mobility. For long-term solutions and expert guidance, consider professional care like spine treatment in Andheri. Early intervention can lead to lasting relief and improved quality of life, contact us today!

Neck pain is one of the most common discomforts experienced in today’s digital age Whether it’s from long hours at a desk, constant screen time, or even the way you sleep, poor posture is often the hidden culprit behind that persistent ache. The good news? Daily modifications of small magnitude lead to substantial changes in discomfort levels. You must first recognise how incorrect neck posture develops neck pain to find relief. In this blog, we will analyse the relationship between bad posture and neck and shoulder pain while providing potential solutions.

A] The Science Behind Posture and Neck Pain 

The spine is designed to support your head while maintaining balance and reducing muscle strain. Ideally, your neck should align with your shoulder while your head maintains a relaxed, neutral position. Your spinal alignment suffers whenever you spend too much time looking down while a screen is in front of you or when you stay in a permanently hunched position. An incorrect weight distribution occurs because of this, leading to neck muscle strain, which ultimately leads to bad neck posture. It is suggested that neck pain is a prevalent issue affecting 30% to 50% of the population globally, with poor posture being a significant contributing factor.

What Happens When Posture Is Off?

• Extra Pressure on Neck Muscles:  Your neck muscle tension increases with every centimetre your head extends toward your chest.  Even a slight tilt can cause significant neck pain due to wrong posture, leading to muscle fatigue and soreness
• Weakening of Supportive Structures: Proper neck muscle alignment requires supportive structures, which become weaker when people maintain improper and bad neck postures over time thus, their bodies lose natural posture control capabilities.
• Increased Risk of Chronic Pain: Whether it’s bad neck posture while sleeping or sitting inappropriately, it creates higher chances for developing chronic pain, muscle stiffness, and nerve compression, which entails persistent health conditions.

Signs That Your Neck Pain is Posture-Related

• Persistent stiffness and tension in the neck and shoulders.
• The base of the skull produces frequent headache occurrences.
• Your neck pain worsens after sustained sitting periods, especially during screen time.
• Numbness combined with tingling sensations in the arms acts as a sign that nerves might be compressed.

B] The Everyday Habits Affecting Your Posture 

• Tech Neck: Constantly looking down at your phone or computer can cause excessive strain on the cervical spine, now commonly known as the tech neck. This motion can lead to neck pain due to wrong posture, which can cause chronic pain, frozen shoulders, and stiffness. 
• Poor Desk Posture: Prolonged computer work with an improper seating position leads to bad neck posture and the development of rounded shoulders. Failure to use appropriate ergonomic support systems will result in persistent discomfort for your body.
• Bad Sleeping Positions: Wrong sleeping positions, such as lying on your stomach and using the wrong pillow support, can cause spinal misalignment and result in neck pain because of improper posture. 
• Carrying Heavy Bags: You experience discomfort when you overburden one shoulder with a weighted bag; this uneven weight creates abnormal tension in your neck and shoulder muscles throughout the day.

Current life choices contribute to worsening neck discomfort

• Screens cause you to look forward frequently, generating strain for your neck and upper body.
• Desk work combined with poor workstation setup extends the risk of neck pain development.
• Lack of physical movement causes muscle weakness in posture-supporting areas, making it harder to maintain proper neck and shoulder alignment.

C] Strengthening And Stretching For A Healthier Neck 

• Chin Tucks functions to create deep neck muscle strength, which counteracts the forward position of the head.
• Your upper back tension is reduced through Shoulder Rolls, which improves your circulation simultaneously.
• Neck Side Stretches help restore flexibility and reduce stiffness in the neck region.
• Wall Angels help improve shoulder and upper back alignment to decrease the tension in the neck.
• Shoulder Blade Squeeze develops the postural muscle groups responsible for spinal support.
• A strong core foundation gives the spine stability, so people reduce the risk of getting bad neck posture and shoulder pain.

D] Professional Treatment Options for Persistent Neck Pain 

Some posture-related conditions need professional treatment that goes beyond regular lifestyle changes and physical activities. Suppose your symptoms persist beyond reasonable expectations. It is time to see a neck and spine specialist. Some of the treatment options they offer for severe cases are as follows:

• Physical Therapy: A physical therapist can provide customised exercises to strengthen weak muscles and would have a better understanding of how to fix neck posture. They will provide targeted treatment that can help eliminate long-term pain caused by bad neck posture and shoulder pain.
• Chiropractic Care: Chiropractic adjustments can help realign the spine and relieve pressure from misaligned vertebrae, especially in cases of wrong neck posture.
• Injections or Medications: Anti-inflammatory injections or medications may temporarily relieve acute pain. If neck pain due to wrong posture becomes severe, these treatments can help manage symptoms while working on long-term posture correction.
• Surgical Options: In extreme cases or spinal disorders such as herniated discs or severe nerve compression, surgery may be recommended by a spine specialist. If non-invasive treatments fail, consult a spine specialist who can help determine the best course of action.

Get Expert Help for Your Neck Pain

If bad posture and neck and shoulder pain impact your daily life, get expert care before it worsens. A spine specialist assessment will help diagnose the exact cause of your pain and create a treatment plan for you.

At our clinic, our spine specialist in Andheri offers complete care from non-surgical to surgical interventions. We have the solution for you, whether it’s chronic pain due to bad sleeping posture, screen time, or an underlying spinal condition.

Don’t let bad neck posture hold you back. Book an appointment with our orthopaedic and spine surgeon in Andheri today and start your journey to pain-free living. With the latest treatment and patient-centric approach, we ensure you get the best care for a pain-free life. Contact us today!

Is persistent back pain or neck stiffness disrupting your life? Millions of people suffer from spine disorders, impacting mobility and overall well-being. Understanding these conditions is important for effective management and better quality of life. In this blog, we will discuss some common spinal problems and outline a comprehensive range of treatments for effective relief. Let’s navigate the path to a healthier spine together.

A] Anatomy of the Spine

The spine is like a strong pillar that keeps us standing tall and allows us to move and sit. It is also designed to protect your spinal cord, a column of nerves that connects your brain with the rest of your body, allowing you to control your movements. Without the spinal cord, you can not even lift your finger, and your organs cannot function. This is why keeping your spine healthy is important if you want to live an active life..

The spine is made up of 33 vertebrae that are stacked on top of one another to create a spinal column. Between each vertebra is a soft gel-like cushion called a disc that helps absorb pressure and keeps the bones from rubbing against each other. Groups of ligaments hold each vertebra. Ligaments connect bones to bones, and tendons connect muscles to bones. The spinal column also has joints like you do in knees or elbows, known as facet joints. The facet joints link the vertebrae together, allowing them to move against each other.

The spine can be divided into five regions:

• Cervical spine: The first seven vertebrae at the top of the spine.
• Thoracic spine: The twelve vertebrae of the mid back that are attached to your ribs.
• Lumbar spine: The five vertebrae of the lower back.
• Sacrum: This bone carries all the body’s weight and is the site for many muscles and ligaments to attach to the hip and pelvic region of the body.
• Coccyx: Also known as the tail bone, this tiny triangular-shaped bone consists of four to five fused vertebrae.

B] Common Spine Disorders

The spine is an intricate and vital structure subject to many diseases like any other body part. These diseases spread their influence to the affected body parts, causing discomfort and pain in the spine. Some main spine disorders are:

1. Herniated Disc

A herniated disc occurs when the soft gel-like centre of a spinal disc is pushed through the outer layer. This condition occurs due to ageing, improper lifting techniques, or sudden injury. Identifiable symptoms will include pain in the lower back and numbness or tingling sensations in the arms or legs that depend on which disc is affected by the injury. It can get worse and might affect daily activities if left undiagnosed. Therefore, seeking spine treatment at an early stage becomes very important.

2. Spinal Stenosis

This condition results from the narrowing of the spinal canal, primarily due to age-related wear and tear, arthritis, or osteophytes (bone spurs). It can cause pain, weakness, and difficulty walking because of the compression of nerves within the narrowed spaces. Without proper care, spinal diseases like stenosis can reduce mobility and also lower the quality of life. Seeking a spine specialist can provide effective relief.

3. Scoliosis

Scoliosis is a sideways curve to the spine, which usually develops in the teenage years. Although most of the time, the cause remains unknown, it is sometimes inherited. Common symptoms include uneven shoulders or tilted waist and overall misaligned posture. In severe cases, it may even interfere with lung function or result in chronic discomfort. Hence, it is important to have regular checkups and consult a spine surgeon if required. If you are looking for a spine surgeon in Andheri, Dr. Prabhoo is a trusted expert who offers personalized care and advanced treatments to help you regain mobility and live pain-free.

4. Degenerative Disc Disease

As we age, the spines lose hydration and elasticity, referred to as degenerative disc disease. This wear and tear results in chronic back pain, sometimes extending to the limbs. Early management of symptoms of spine problems through physical therapy or medications can help maintain mobility and reduce discomfort.

5. Sciatica

Sciatica occurs due to a compressed sciatic nerve that originates from the lower back and runs into both legs. Usually, this is due to a herniated disc or a bone spur. The important sign of this condition is shooting pain from the lower back down one leg. Recurrent sciatica requires targeted spine treatment such as physical therapy or injections to improve quality of life.

6. Spondylosis

Spondylosis is a common spinal disorder. It is also known as spinal arthritis and occurs due to progressive degeneration of the spinal joints, discs, and ligaments. You may experience stiffness and decreased flexibility, especially around the neck and lower back. Exercising regularly and consulting a spine specialist can help reduce the effects and maintain spinal health.

C] Signs You Need to Consult a Spine Specialist

Knowing when your spine problems need a doctor’s attention is essential. You must never ignore persistent discomfort, as early treatment could prevent complications. Below are some top signs to look out for:

• Chronic Back Pain: If the back pain continues for weeks and has shown little improvement with rest or over-the-counter medications, it is probably time to visit a specialist.
• Radiating Pain: If the pain travels to your arms and legs, it might indicate nerve involvement, such as sciatica or a herniated disc.
• Numbness or Tingling: Unexplained numbness, tingling, or muscle weakness may suggest that the nerves are compressed, requiring urgent medical attention.
• Difficulty Walking or Standing: Struggles with posture, balance, or mobility could point to severe spinal diseases like stenosis.
• Loss of Bladder or Bowel Control: This is a medical emergency and may indicate spinal cord compression. Immediate consultation with a spine specialist is important.

Our spine specialist in Andheri can provide the expert care you need to address these symptoms effectively and treat various spine disorders, using advanced techniques to ensure the best outcomes.

D] Treatment Options for Spine Disorders

Non-Surgical Treatments:

• Physical Therapy: Specific exercises are targeted for strengthening the back and improving flexibility, hence reducing pain and preventing more damage.
• Medications: Pain relievers, anti-inflammatory medications, and muscle relaxants help treat symptoms of spine disorders more successfully.
• Epidural Steroid Injections: For pain due to conditions like sciatica or stenosis, epidural steroid injections would try to reduce inflammation and give temporary pain relief.

Surgical Treatments:

• Discectomy: It involves removing the damaged herniated disc to relieve the pressure. This procedure is commonly practised with a large success rate.
• Spinal Fusion: In severe conditions related to spinal diseases such as degenerative disc disease, this allows the joining of two vertebrae together, providing stability.
• Laminectomy: In this treatment, part of the vertebra is removed to relieve compression on the spinal cord, thus improving mobility and lessening pain.

Emerging Treatments

• Minimally Invasive Spine Surgery: It represents a new surgical approach that employs small incisions, allowing faster recovery with less postoperative pain.
• Regenerative Therapies: Advanced treatments using stem cells and other regenerative methods are emerging to repair degenerated spinal tissues.

Conclusion

Your spine is the foundation of your mobility and overall well-being, making its care and health a priority. Understanding common spine disorders, recognising early symptoms, and exploring the available treatment options can make a significant difference in managing pain and improving your quality of life.

If you face persistent discomfort and exhibit signs of spinal problems, seek professional advice promptly. Dr. Tanay Prabhoo offers spine treatment in Andheri, providing expert diagnosis and treatments tailored to your needs.

Take the first step toward a healthier spine today. Go ahead and schedule your consultation and start your journey to moving freely.

We all have experienced some form of joint or bone pain in our lives. But most people do not rush to a doctor when they feel slight pain caused by exercising, playing sports, or minor injuries. Most people tend to wait out the pain and let the body heal naturally. However, there is a limit to how much your body can naturally heal. Much serious pain needs to be consulted by an orthopaedic surgeon at the earliest.

In this blog, we will learn what common conditions orthopaedic surgeons treat, when is the right time to consult an orthopaedic surgeon, what is their diagnostic procedure, and more. But first, we must understand their field of expertise.

A] What Is An Orthopaedic Doctor?

A medical doctor who specialises in preventing, diagnosing, and treating injuries and diseases of the musculoskeletal system is known as an orthopaedic surgeon. An orthopaedic surgeon deals with bones, joints, muscles, ligaments, and tendons in the body. They may also treat neural problems if the treatment calls for it. They consult patients suffering from fractures and joint pains and suggest surgical and non-surgical interventions.

They are highly educated and trained, needing to qualify for the National Eligibility cum Entrance Test (NEET), which is a competitive exam in India. Then they complete an MBBS degree before receiving hands-on experience with a three-year residency program in MS (Master of Surgery), specialising in orthopaedics. They also complete a fellowship or diploma course to further their expertise.

B] Common Orthopaedic Conditions Treated By Orthopaedic Surgeons?

• Joint pain: Joint pain can be a symptom of various types of arthritis, such as osteoarthritis and rheumatoid arthritis, and an inflammatory condition called bursitis. These conditions limit the mobility of joints and cause pain while walking, sitting, or doing everyday activities. Orthopaedics often suggest non-surgical treatments for these conditions at first.
• Back, Neck, and Spine Problems: Some of the most common orthopaedic issues in today’s society are back, neck, and spine problems. These occur mostly in office-going people who have to sit at their desks for extended periods. These problems include conditions such as herniated discs, spinal stenosis, and sciatica..
• Sports Injuries: Sports injuries like ACL tears, sprains in MCLs and LCLs, and tendonitis need immediate medical attention and intervention. Orthopaedic surgeons perform surgery to treat these conditions at the earliest. They may also consult the patient during the recovery phase to ensure a quick and healthy recovery.
• Fractures and Trauma: Broken bones, dislocations, and acute injuries fall under the specialisation of an orthopaedic doctor. Whether due to blunt-force trauma or accidental fractures, these conditions cause immense pain, swelling, redness, and inability to move. An orthopaedic surgeon will diagnose the type of fracture using X-rays, MRIs, and CT scans and suggest interventions.
• Degenerative Diseases: Degenerative diseases like osteoporosis and other age-related conditions make bones, ligaments, and tendons weaker over time. Weaker bones mean loss of strength and mobility. Orthopaedic surgeons address the root cause of these problems.

C] Signs You Should Consult an Orthopaedic Surgeon

• Joint and Bone Pain: Joint and bone pain can significantly reduce quality of life. If you experience acute and chronic pain in your knees, ankles, elbows, shoulders or any other bones, you must seek professional consultation from our orthopaedic doctor in Andheri at the earliest opportunity.
• Limited Range of Motion: Finding it difficult to move your body like before and experiencing stiffness in joints could be signs of arthritis. Getting evaluation and treatment by an orthopaedic specialist can help to diagnose underlying musculoskeletal issues.
• Loss of Strength: Loss of overall strength is natural in old age or while recovering from a major injury. According to a study, significant bone loss occurs around age 65 years in men and 50 years in women. An orthopaedic specialist will help you stop and reverse this problem to regain your strength..
• Inflammation: Persistent swelling, inflammation, or redness around a joint can be early warnings of bursitis, tendonitis, or arthritis. Get medical attention from an expert as soon as possible.

D] What Diagnostic Methods Do Orthopaedics Use?

• Physical Examination: A physical exam may include observation of swelling or inflammation, using a reflex hammer to see tendon reflexes and a pain test.
• X-ray: X-rays help to find fractures in bones and joints and may also be used for diagnosing arthritis.
• MRI: Unlike X-rays which only image the bones, MRI uses radio waves and magnets to create detailed images of the muscles, ligaments, and tendons.
• CT Scan: CT Scan is an advanced imaging technique that also uses X-rays to a certain extent for imaging the body, including bones, muscles, organs, and fat.

E] Orthopaedic Treatment Methods

1. Non-Surgical:

Non-surgical orthopaedic treatments include exercise, immobilisation techniques, and medication. Exercise helps to improve your strength, flexibility, and range of motion. Immobilisation techniques like braces, splints, and casts are used for treating fractures and traumas. Medication may be recommended for treating symptoms like pain and swelling, sometimes in conjunction with other treatment methods.

2. Surgical:

Surgery is recommended when other means of treatment are deemed ineffective. Some common surgeries offered by orthopaedic surgeons are joint replacement surgery, bone fusion, internal fixation, osteotomy, soft tissue repair, and release surgery.

F] Benefits of Consulting an Orthopedic Surgeon Early

• Diagnosing and treating conditions at an early stage.
• Professional consultation leads to faster recovery and better outcomes.
• Prevention of further complications or chronic issues.
• Access to specialized expertise and advanced treatment options.

Conclusion

Knowing when to seek professional medical attention from an orthopaedic surgeon is critical for maintaining a good quality of life. Early consultation with an orthopaedic surgeon can help to diagnose the underlying conditions at an early stage and address them. This can be done through a physical exam, x-ray, or even an MRI. The doctors will then proceed to create a tailored treatment for you which can be non-surgical or surgical.

If you are experiencing joint or bone pain, difficulty in moving them, or mobility issues, visit our orthopaedic clinic in Andheri today!

Take the first step toward a healthier spine today. Go ahead and schedule your consultation and start your journey to moving freely.