Clint Jhonson asked:




Nowadays joint pain is a common disease and people aren’t aware of the fact that if we let it aggravate, it can affect the quality of our life. Joint pain can be quite bothersome and the more severe types of pain will certainly make you consult a doctor and take the adequate treatment. Nevertheless, the most important aspects in the treatment of joint pain are prevention and rest.

One of the most frequent joint pains, knee joint pain is often involved in rheumatic diseases and immune diseases which affect the joints. Our knee joint has three compartments and the most common causes of knee joint pain include injuries, degeneration, arthritis, infections and rarely bone tumors. Usually, knee pain is a consequence of overuse, inadequate stretching and not warming up or cooling down during physical activities. Another cause of knee pain is overweight.

If a simple knee joint pain can be cured by means of rest and self care, we suggest calling a doctor if you cannot bear weight on your knee, the knee is deformed, you have a severe pain, you still feel the pain after a couple of days of rest. According to the severity of the knee joint pain, your doctor may prescribe anti-inflammatory drugs or he may inject a steroid which reduces pain and inflammation. If you suffer from severe pain, you may also consult a physical therapist. In some cases of severe knee joint pain, you may need a joint replacement or surgery.

Treatments for knee joint pain depend on the cause and the gravity of the problem. Therefore, it is of utmost importance to understand the cause of your symptoms, before beginning a treatment. If you are not sure of your diagnosis or of the gravity of your condition you should see a doctor in order to have an adequate treatment. The most common treatments for joint pain are rest, ice and heat application, physical therapy, stretching, anti-inflammatory medication and cortisone injections.

Another common joint pain which shouldn’t be neglected is elbow joint pain. When it comes to elbow injuries, the most frequent treatment is rest, due to the fact that most elbow injuries are caused by overuse. A limited usage of the elbow will significantly reduce elbow joint pain. In the case of a more severe pain, the doctors can recommend a heat therapy, which increases circulation and accelerates healing. Cold therapy is used in order to reduce the swelling and the pain.

Cortisone injections are used for a severe elbow joint pain, since they alleviate the pain and the swelling, but the drawback is that they can deteriorate the ligaments after repetitive doses. Surgery is the last option at your disposal, just as it is in the case of knee pain and other types of joint pain. Although elbow joint pain can be treated, do not let it aggravate if you experience any symptoms.

If your elbow joint pain doesn’t go away in a couple of days of rest, we suggest consulting a doctor. He will be able to establish the causes of your pain and to prescribe you an adequate treatment. Furthermore, he can recommend you a chiropractor or a physical therapist. Thus, you can make sure that the pain won’t aggravate and that it will disappear with the proper treatment.

Although most people tend to ignore joint pain, thinking that it will go away without treatment or rest, this is not the case with most joint pains. As a consequence, we strongly advise you to take care of your health and to treat joint pain from the very beginning. By doing this, you will avoid any possible aggravations and you won’t have any unpleasant surprises.



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Peter Harris asked:


People of all ages suffer from shoulder pain. The causes are many and can range from an unknown onset to a traumatic event. Many people develop shoulder pain from performing repetitive type activities for prolonged times. Others will experience pain in the shoulder following a fall onto the shoulder or on the outstretched arm. Sometimes the reason for pain is not as obvious. I see many cases where a person cannot identify what caused the pain in the shoulder. Often times this pain for unknown reasons can occur when someone bumps their shoulder against the door jam in the middle of the night when going to the bathroom. This rather benign action sets off a chemical process in the shoulder that will build up over several days. Eventually this will cause pain in the shoulder. Since the “injury” occurred several days earlier the person cannot recall any event that started the process. Regardless of the cause of the pain in the shoulder the treatment is often similar from case to case.

Treatment of the shoulder can encompass several different areas. Conservative measures include medication (anti-inflammatories, pain medications), rest, cortisone injections, and/or physical therapy. All of these methods can be effective in helping relieve a painful shoulder especially when they are performed in combination with each other.

Often times when you present to your medical doctor with complaints of shoulder pain they will prescribe some medication as described above. Rest will also be advocated although this is not always easy for people to follow depending on their activity levels or their occupations. Injections for the painful shoulder are sometimes given right away depending on your medical doctor’s philosophy. Some MD’s would rather you attend physical therapy before considering injecting the painful shoulder. Injections are not the end all beat all and they do not offer relief to all patients that receive them. Often times a well rounded physical therapy program can alleviate shoulder pain and you won’t have to consider having an injection.

Physical therapy treatment can consist of the following interventions:

Therapeutic exercises – this will consist of range of motion, conditioning, and strengthening exercises. The goal here is to maximize and restore any loss of range of motion, improve the overall endurance of the shoulder blade and shoulder muscles and to improve the strength of these same muscles. The muscles surrounding the shoulder blade must be conditioned and strengthened just as the main shoulder muscles would be because the shoulder blade muscles have to work in conjunction with the shoulder muscles in order to restore normal motion and to prevent recurrence of pain.

Manual therapy – this will consist of hands on treatment that the physical therapist would perform on you. This might consist of joint mobilization (i.e. techniques designed to improve joint motion and relieve pain), or soft tissue massage (i.e. techniques designed to improve muscle and connective tissue flexibility and to relieve pain).

Modalities – this consists of machines that the physical therapist may apply to your painful shoulder to assist in pain relief and healing along with the other treatments mentioned above. Some of these machines are ultrasound, electrical stimulation, TENS, or iontophoresis.

All of these interventions can be used in the treatment of a painful shoulder. It is common in clinical practice to use a combination of these interventions. It has been my experience in treating hundreds of shoulder patients over the years that therapeutic exercise is an absolute in the treatment of the painful shoulder. Well rounded exercises that target the shoulder blade and shoulder muscles are the mainstay of any good physical therapy regimen for the treatment of shoulder pain.



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