Dizziness Found to be Significantly Reduced in Patients Undergoing Vestibular Rehabilitation Therapy

Dizziness is one of the most common complaints a family practitioner will deal with day to day and some estimates suggest that 1 in 3 of us will have vestibular dysfunction (causing dizziness) at some point over a 3 year period.

Patients who have dizziness because of a peripheral cause (aka the balance system outside of the brain) report symptoms that include:

● Dizziness
● Imbalance
● Some visual disturbance

There are a number of causes of unilateral peripheral vestibular dysfunction, some rarer than others. These include:

● Meniere’s disease
● Vestibular neuritis (often caused by a viral infection)
● Benign paroxysmal positional vertigo (known as BPPV)

What is vestibular rehabilitation therapy?

For patients that are having trouble with balance, there are a number of medication available. However, these can be used to more effect in combination with physiotherapy from specialist centers across the united states. Vestibular rehabilitation therapy is done a trained and specialized physiotherapist who will assess your needs and recommend a personalized blend of different exercises and retraining regimes to help your particular balance problems.

These can involve a whole host of different techniques but a few are listed below:

● The Epley maneuver: This is highly effective for those patients suffering from benign paroxysmal positional vertigo (BPPV).
● Gait drills: these can help you with walking
● Balance retraining guidance: these exercises help hone your balance so that dizziness and vertigo don’t take you off guard.
● Strength training: training groups of muscles can help the body respond to imbalance. Don’t worry – this isn’t bodybuilding! It just gets your core muscles to a point where they can react appropriately to instability.
● There are also other therapies that include symptom management (accepting you have balance issues and psychologically getting over this) and relaxation therapies

Does vestibular rehabilitation therapy?

Evidence-based medicine counts for a lot in this 21st century. Treatments that don’t have a good evidence base quickly fall by the wayside. Thankfully vestibular rehabilitation therapy has a large and growing body of research suggesting how beneficial it is. Many doctors consider a Cochrane review to be the highest form of evidence. Vestibular rehabilitation had a Cochrane review undertaken in 2015. A Cochrane review is a systematic review that looks at all the previous research published across the world and amalgamates it see if overall the treatment is working. The researchers pooled 39 scientific studies including more than 2440 patients and conclude

“ There is moderate to strong evidence that vestibular rehabilitation is a safe, effective management for unilateral peripheral vestibular dysfunction, based on a number of high-quality randomized controlled trials. There is moderate evidence that vestibular rehabilitation resolves symptoms and improves functioning in the medium term”

This is great news for anybody struggling with balance problems. If you or somebody you know has problems with dizziness and vertigo and thinks they might benefit from vestibular rehabilitation therapy – get in contact with a specialist physiotherapy clinic today.

PRP Therapy Can Relieve Osteoarthritis Pain

For people suffering from osteoarthritis, even the most common day to day tasks – driving, walking, climbing stairs, can become challenging. While physical therapy and anti-inflammatory medications can provide relief in mild cases, total joint replacement surgery may be required for severe cases. Surgery puts patients at risk and requires a long and painful recovery period.

If you suffer from severe osteoarthritis in hip or knee joints and have been thinking of surgery, here is a highly effective alternative you should consider – Platelet-Rich Plasma (PRP) therapy.

PRP Therapy

Platelets are blood cells that help in clotting. In case of damage to a blood vessel, platelets create a clot at the site of the damage to stop the bleeding and allow healing.

PRP therapy uses a patient’s own platelets to promote healing in the damaged joint. It is a quick and safe procedure.

Blood is drawn from the patient and spun in a centrifuge. This separates the platelets from other blood cells. These platelets are directly injected into the damaged joint. The entire process is done as an outpatient procedure and takes about an hour.

Your orthopedic doctor may prescribe physical therapy regimen for weeks following the injection. You would be asked to come back for an evaluation after six weeks. A second injection is necessary, in some cases. In successful cases, you would be able to comfortably resume activities that arthritis had previously made too painful, within 3 months of the injection.

PRP therapy has also shown to be highly effective in treating osteoarthritis, tendonitis, lateral epicondylitis (tennis elbow), and patellar tendonitis (jumper’s knee).

To learn more about PRP Therapy, call the top Orthopedic surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333. OSPI’s Board Certified orthopedic surgeons have extensive experience and expertise in sports medicine, general orthopedics and joint replacement surgery.

 

Busting 4 Common Myths about PRP Therapy

PRP or Platelet Rich Plasma therapy is a regenerative medicine procedure that is being used to treat a wide range of problems involving the joints, tendons, ligaments, muscle, connective tissue and cartilage.

PRP refers to blood plasma derived from the person’s own blood. PRP therapy can be used for the treatment of various injuries and degenerative conditions, promoting a healing response at the site of injection.

If you are considering PRP therapy or wondering whether it will work for you, it is important to be educated about the treatment. Here are 4 common myths about PRP therapy and the truth about them.

PRP therapy is Risky

On the contrary, PRP therapy is a minimally-invasive, low-risk treatment that has minimal side effects. Since your own blood cells and platelets are utilized, there is no chance of rejection or infection.

PRP treatment is Lengthy

PRP therapy can, in fact, speed up recovery. The procedure takes up to about an hour or two and does not have any downtime. Usually, 3 PRP injections are given in a 3-week period. Most patients start noticing relief in the injured area after the second injection.

Too Young for PRP

There is no fixed age to undergo PRP therapy, but it is commonly used for adults who are suffering from degenerative conditions and painful injuries. Your doctor at OSPI, Arizona can help you understand whether you are a good candidate for PRP therapy.

PRP is Expensive

Typically, regenerative medicine treatments are expensive. But PRP therapy is one of the more cost-effective procedures. PRP therapy helps you avoid the need for surgery and allows your body to heal naturally. Most patients recover quickly with positive results, making PRP therapy a treatment worth trying.

To learn more about PRP Therapy in Gilbert, AZ, call the best orthopedic surgeon at OSPI Arizona at Chandler, AZ at 480-899-4333.

Who is considered for a Knee Replacement Surgery?

One of the most common reasons for considering a knee replacement surgery is severe osteoarthritis of the knees. Patients with knee joint damage due to trauma, people with stiff knees, rheumatoid arthritis and traumatic arthritis may also be recommended for knee replacement. However, knee replacement becomes an option only if conservative treatments have failed to provide pain relief.

Need for Knee Surgery

The recommendation for a knee replacement surgery is made only after the knee surgeon has made a physical examination of knee joints, assessed X-ray reports and other scans and talked to the patient about severity of pain, extent of damage and the mobility and stability of the joints.

Risks Involved

While modern technology and advancements in medicine have made total knee replacement surgery quite safe, there are a few risks associated with it. One risk is the formation of blood clots in the legs, which can cause pulmonary embolism. Stiffness of the joint or nerve damage are the other associated risks. Discuss these risks and any questions you may have in your mind, before you say yes to knee replacement surgery.

Knee Implant

After a knee replacement surgery, which involves implanting a prosthesis to replace the damaged part of the joint, and rehabilitation and physical therapy, you can expect significant pain relief and restoration of function and motion. You can go back to a normal life, walking and going about your day, with much ease.

If you are looking for the best knee replacement doctors, call the top knee doctor in Gilbert AZ, at OSPI Arizona at 480-899-4333.

Stories of Trigeminal Neuralgia

Trigeminal Neuralgia“When an attack actually happens, it feels like you’ve been placed into an electric chair for about five minutes. It feels like your face is being scraped off, acid being thrown on it, and it’s a burning, searing sensation that will travel on my whole right side,”

These are the words of Tim Haynes – who recently talked to Daily-Journal.com about his struggles with the severe facial pain disease Trigeminal Neuralgia.

“You can’t see it. You can’t tell it’s there until you live with it,” Haynes said. “It’s a life-changing, debilitating disease, and you wouldn’t want your worst of the worst enemies to have it. … And I don’t have it nearly as bad as a lot of people that have it.”

Amy Cook is another young sufferer of the disease. At just 21 she is also plagued by the sharp stabbing pains. She talked to the Daily Mail saying

“It has almost taken over my life in a sense because when it’s really bad I cannot function.”

From Johannesburg in South Africa, Amy said

“I have decided to raise awareness of it. It made me happy to know that I was not alone in this rare condition.”

What is Trigeminal neuralgia?

Trigeminal neuralgia is a disease whereby the trigeminal nerve that supplies the sensation to the face comes into contact with blood vessels in the brain. When this happens, the nerve is stimulated and it shoots signals off to the brain that tell the central nervous system there is severe injury happening to the face. As such patients feel a shooting electric intense pain for just a few seconds. This happens periodically as the blood vessel touches up against the nerve.

How can trigeminal Neuralgia be treated

Is there any hope for Amy, Tim and the others afflicted with this rare disease? In fact, there is. Treatments are currently available and recent reports suggest new drugs are on the horizon. However, people need specialist help to get the treatment they desperately need. Treatments can include:

● Avoiding triggers. This seems simple but specialists can often provide invaluable tips and tricks to avoid the shooting pains. Knowing what triggers the pain, like a scarf touching your chin or the blowing of the wind can help patients avoid these situations
● Epilepsy drugs are the major treatment options. Anticonvulsants, as they are often called, were not originally intended to treat pain but they calm activity in the nerves and as such work well in conditions like trigeminal neuralgia. The most commonly used is Carbamazepine – which is effective in lots of patients. Others, however, are available such as pregabalin and baclofen.

If you or somebody you know are suffering from sharpshooting facial pains then consider getting in contact with a specialist clinic to help relieve their condition. Often family doctors are ill-equipped to deal with this rare and debilitating disorder and specialist help can often make all the difference.

When Athletes Suffer from Hip Labral Tears

Is it game over when an athlete suffers from a labral tear in the hip? Many athletes have found themselves in the unenviable position of having to consider surgery when a labral tear has occurred. Although there are treatments to consider, professional athletes are very aware of the significance of such an injury. As a prime example, British tennis star Andy Murray had to make the decision recently to have surgery on his hip and even with a favorable result, it is unlikely that he will be able to compete at the top level for a while.

Approximately one-fifth of all athletes who suffer from groin pain have hip labral tears and require treatment to help heal the injuries to the acetabular labrum surrounding the hip socket. There’s no doubt that treatment including arthroscopic techniques have certainly improved surgical options and there are regenerative curative treatments available too, so, it is a far more favorable outlook these days. When an athlete, professional or not, has tried various treatments including rest and physical therapy but, is still unable to compete after six months, the diagnosis is likely to be a labral tear and articular cartilage damage.

This is a painful injury and it causes great discomfort also restricting movement. The labrum serves to seal the joint of the hip and to provide stability and cushioning. Hip labral tears occur when partial or complete damage has occurred although compression or traction injuries will happen.

Hip Labral TearSymptoms of a hip labral tear include:

  • Groin pain
  • Pain in the front of the hip
  • Stiffness in the hip joint
  • Grating or locking feeling within the hip
  • Restricted movement
  • Reduced stability of the hip
  • Radiating pain to the buttocks

Frustratingly, it can be difficult to determine the actual cause but could include:

  • Stress, pressure or excessive force to the area
  • Dislocated hip
  • Degeneration of the hip
  • Microtrauma affecting the capsular tissue
  • Hypermobility
  • Structural abnormalities
  • Direct trauma – falling and landing on the hip, etc.

Anyone who participates actively in sporting events could find themselves suffering from this type of hip injury.

Medical advice is essential.

For any athlete, this is the type of diagnosis that is most unwelcome. There’s no doubt that following this type of surgery, athletes will make an incredible recovery, but delays are unavoidable. It takes time for fitness, strength, and mobility to be regained.

A diagnosis is made through movement of the hip joint and placing the leg in different postures. Where there is a limited range of motion, this is often indicative of a labrum hip tear, but, x-rays or MRI scans can help to confirm whether injury to the soft tissues has occurred.

Medication can help to ease the inflammation, and this is a good starting point. Often, cortisone injections are used which provide pain relief and then, physical therapy can increase strength and stability while reducing stress on the joint. Treatment is likely to include strengthening workouts with massage therapy.

Stem cell surgery has also been found to be highly effective when it comes to treating these types of injury and should certainly be considered when physical therapy and anti-inflammatory treatments does not ensure full recovery.  Treatment will depend on the exact diagnosis and on the patient’s needs, but recovery potential is typically good.

Shoulder Instability Causes and Treatment

The shoulder joint possesses a wider range of motion as compared to any other joint in the human body. But this mobility comes with a price – less stability.

This article shares all you need to know about shoulder instability, its causes and treatment options.

Shoulder Instability

Shoulder instability is a condition affecting the GH or Glenohumeral joint of your shoulder. If you are wondering what it means, the GH joint is where the collar bone, shoulder blade and the upper arm bone come together. When the tissue holding the upper arm bone in place fails to keep the bone in place, it causes shoulder instability.

The GH joint is a ball-and-socket joint but the socket is much shallower than that in the hip joint, allowing the GH joint very little bony support. It depends upon ligaments and tendons for stability. When one or more of these is damaged, the head of the humerus may start moving too freely and slip out of the socket, resulting in shoulder instability.

Causes of Shoulder Instability

Shoulder instability can be the result of –

  • direct trauma, for example, falling onto an outstretched arm which can cause dislocation or tears in shoulder ligaments
  • congenital problems
  • repetitive strain and chronic overuse can stretch and weaken the shoulder’s ligaments and tendons, leading to instability

Pain, clicking or popping feeling, numbness during movement and tenderness are common symptoms of shoulder instability.

Treatment for Shoulder Instability

There is no common treatment for cases of shoulder instability. Treatment options would vary depending upon the severity of the underlying conditions and the intensity of pain or disability.

Conservative measures include physician-directed physical therapy and exercises, non-steroidal anti-inflammatory drugs and activity modification.

For severe cases, surgery may be required. Two types of surgery are commonly used for the treatment of shoulder instability.

  • Capsular Shift Surgery – This is an option when the joint capsule is too large. The surgeon makes a ‘tuck’ in the connective tissue which heals together, making a tighter joint capsule that holds the joint stable.
  • Bankart Repair Surgery – This is done when the joint has suffered damage to the connective tissue. The surgery repairs the ligaments that stabilize the shoulder.

Both these procedures can be done in a minimally invasive manner, causing less soft tissue trauma, less pain after surgery, and for many patients, faster recovery times.

If you or a loved one is suffering from shoulder pain, stiffness, tenderness or numbness, consult a shoulder orthopedic surgeon immediately for an accurate diagnosis and effective treatment. Any delay in treatment may worsen your condition and reduce treatment options.

To learn more about shoulder arthritis or to consult the top orthopedic surgeon in Chandler, AZ, call OSPI Arizona at 480-899-4333.

Could Texting Cause Carpal Tunnel Syndrome?

Have you ever felt a numbness, tingling or shooting pain in your hands? If so you might be one of millions of people worldwide who suffer with Carpal Tunnel syndrome. The causes of Carpal Tunnel have long been contested, and previously doctors argues that it might be caused by “overuse” of the wrist – ie people sat still at a desk typing all day. New research points the finger at our smartphone addiction, with a possible link between smartphone use and Carpal tunnel recently being reported by the DailyMail and CNN after research in Hong Kong found a link.

 

Carpal Tunnel Syndrome Due to textingWhat is Carpal Tunnel Syndrome?

 

The carpal tunnel is a small passageway in your wrist that the median nerve travels through. It is thought that this passageway can become compressed and in turn compress the median nerve. This results in a number of symptoms such as:

 

  • Pins and needles in your hand (known to medical professionals as paresthesia)
  • Thumb Weakness (the median nerve controls your thumb)
  • A dull ache in your hand

 

Could Carpal Tunnel Be Linked with texting?

 

The study, published in the Journal Muscle and Nerve asked a small number of patients (48_ to fill out questionnaires on their wrist pain before taking tests to see whether they has numbness and tingling – the classic symptoms of carpal tunnel. They found that patients who used their devices for 4-5 hours a day or more often had enlarged median nerves (seen in carpal tunnel) and had more pain in their wrists.

 

The director of Arthritis Research UK talked to the DailyMail, and said of the results

 

‘Previously we only saw this type of repetitive strain injury in people using a mouse and keyboard at work.

‘Now we have these new repetitive movements, swiping and tapping, in our leisure time, as people are barely ever without their smartphones and tablets.

‘This is a real new challenge for the 21st century and I would encourage anyone suffering symptoms of burning and tingling to contact their GP promptly.”

 

He also noted that the sample size of the study was small – and more research is needed.

 

What Can Be Done About Carpal Tunnel?

 

A number of specialist clinics across the united states can provide excellent care if you think you are suffering from carpal tunnel syndrome. The treatments usually include the following:

 

  • Self Care: Take it easy – rest up! If you are over using a keyboard then stop!
  • Medication: Drugs like Ibuprofen can reduce swelling and inflammation in the nerve and reduce pain
  • A splint or brace: These can be bought cheaply online and keep the wrist in a position that doesn’t hurt.
  • Steroid injection: Corticosteroids can be injected right into the wrist – these are much more powerful than simple painkillers.
  • Surgery: Some clinics will offer a surgery that opens up the roof of the passageway (the carpal tunnel) and reduces pressure on the median nerve.

 

If you or someone you know are suffering from carpal tunnel, contact a specialist clinic today.

What is Tendonitis and How can it Be Managed?

TendonitisThe tendons are thick, fibrous cords that attach muscles to bones and they can become inflamed and cause pain similar to that experienced by muscle injury and inflammation. This is them referred to as tendinitis and the causes of this condition may be due to:

  • Sudden injury sustained to the affected limb or joint.
  • Repetitive movements over a period of time that results in increased stress being placed on the affected tendons.
  • Occupations that involve the individual being placed into awkward positions to perform duties in, frequent overhead reaching, forceful exertion, and being exposed to repetitive vibrations.
  • Using improper techniques to perform certain jobs or sport-related movements.

Types of tendinitis

Some common names of tendonitis pathologies include:

  • Golfer’s elbow – involvement of the medial (inside) tendon of the elbow.
  • Tennis elbow – involvement of the lateral (outside) tendon of the elbow.
  • Swimmer’s shoulder – impingement of the rotator cuff tendon between the acromion of the shoulder blade and the greater tuberosity of the humerus (bone of the upper arm). This is seen in swimmers who specialize in freestyle and front crawling swimming strokes.
  • Pitcher’s shoulder – inflammation of the long head of the biceps muscle that attaches to the shoulder which is called bicep tendonitis and may occur in baseball and softball pitchers. This condition may also occur in swimmers where the bicep muscle is involved as well as in any other sports where throwing activities are performed such as javelin and cricket, and where contact occurs such as in wrestling, gridiron football, and martial arts.
  • Jumper’s knee – inflammation of the tendon of the patella (knee-cap) or even the quadriceps tendons caused by repetitive straining from too much running and/or jumping.

Signs and symptoms

Patients may present with the following clinical signs and symptoms when dealing with tendinitis:

  • Pain that is often described as a dull pain that is felt over the affected area.
  • Increased pain when moving the affected limb or joint.
  • Tenderness and swelling over the affected area.
  • Decreased range of motion of the affected limb which is restricted due to pain.

Management

Tendonitis is managed conservatively with the following therapies:

  • Resting the affected limb and not performing movements that cause pain.
  • Using pain medication such as acetaminophen and anti-inflammatory medications such as ibuprofen or naproxen.
  • Applying ice packs or cold compresses over the affected areas to help reduce swelling and inflammation.
  • Physical therapy to help incorporate exercises and to learn correct techniques that will help prevent inflammation of the tendons.
  • Steroid and local anesthetic medications can be injected into an affected joint or around an involved tendon to also help reduce inflammation and pain.
  • Regenerative medicine in the form of platelet-rich plasma (PRP) can be administered where the platelet cells help to repair damage to a tendon caused by chronic inflammation.

If these therapies are ineffective, then surgical intervention may be warranted. Procedures may include:

  • Focused aspiration of scar tissue (FAST) which is performed to remove scar tissue on tendons caused by chronic inflammation of the tissue.
  • Arthroscopic tendon repair using small instruments if the inflamed tendon has torn or ruptured.

5 Most Important Facts about PRP Therapy Pain Patients should know

Platelet Rich Plasma or PRP Therapy is proving to be highly effective in treating musculoskeletal injuries, especially sport injuries, such as ligament sprains, chronic inflammation and tendon tears.  PRP therapy holds the potential to stimulate permanent healing and eliminate the need for potentially risky surgery.

Platelet Rich Plasma (PRP) Therapy involves drawing a small quantity of a patient’s blood to separate the platelets. The concentrated platelets are injected back into the injured tissues, such as shoulders, hips, knees, elbows and Achilles tendons. The platelets release growth factors that aid tissue recovery.

Here are 5 most important facts you should know about Platelet Rich Plasma Therapy.

Tissue Regeneration

Research has shown that PRP therapy is highly beneficial. Ultrasound and MRI images have shown definitive tissue repair after treatment.

Surgery can also be avoided or delayed if injured tissues have been treated before the damage progresses.

Conditions that can benefit from PRP Therapy

  • osteoarthritis of the knee
  • hip and spine
  • shoulder
  • rotator cuff tears
  • pelvic pain & instability
  • back and neck injuries
  • ankle sprains
  • tennis elbow
  • tendonitis
  • ligament sprains

PRP stimulates the Body’s Healing

The human body has an excellent natural healing ability. In case of soft tissue injury, platelet cells are immediately sent to the site. Since they carry growth and healing factors, platelets begin the repair process, attracting stem cells in the process.

PRP stimulates the body’s natural healing mechanism by supplying a higher concentration of platelets, thereby enhancing the body’s natural healing ability.

PRP Therapy is Safe

Patients who have received PRP Therapy have shown significant improvement in their pain and discomfort level.

Since a person’s own blood is used during the procedure, there is no risk for rejection and infection.

PRP aids Faster Healing

PRP Therapy aids pain relief through healing, hence producing lasting results. Improvement begins within a few weeks and steadily increases as healing progresses.

To learn more about PRP therapy or to consult the top shoulder and sports medicine surgeon in Gilbert, AZ, call OSPI Arizona at 480-899-4333.

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