QUESTION: I injured my knee while skiing 3 years ago and since then I have suffered occasionally from a swollen knee, which is why I’m reluctant to go skiing or do any other sports.
ANSWER: An examination should help determine whether there is any damage to ligaments and then, depending on the findings, electro- and laser therapy would be used to reduce swelling in the joint, revitalize the tissue and stimulate the muscles in order to stabilize the joint. This is a common condition, so you would have to learn certain protective positions in order to avoid another injury, while the set of prescribed exercises would enable you to restore full muscle functionality. After that you could do sport, including skiing.
QUESTION: When I go to the hairdresser’s, I find the position in which I have my hair washed extremely uncomfortable, in addition to which I suffer from dizziness and headaches. I have never had a head or neck injury nor do I suffer from high blood pressure or any heart or vascular diseases, so I wonder what’s wrong with me.
ANSWER: These symptoms are very common in people who work in an office or in front of a computer and are not very physically active. It is necessary to do a bilateral X-ray of the cervical spine and then assess the condition of the neck and shoulders. Certain physical therapy treatments (ultrasound, massage, electro-, laser and magnet therapy, kinesiotherapy) could help to solve your problems very quickly. After that your symptoms will go away, but it is vital that you continue at home with the exercises that would keep your spine fully functional.
QUESTION: I suffer from pains in my left shoulder and numbness in the fingers of my left hand. I often drop things from that hand.
ANSWER: First we need to determine whether your original problems stem from your shoulder or cervical spine, and then we can proceed with the treatment, which can remove your symptoms completely. The treatment consists of physical therapy (electro-, laser, magnet and ultrasound therapy, vacuum and manual massage), but it is also important that you continue exercising at home in order to keep your muscles in good condition. As with any other condition, the sooner you see a doctor, the shorter and more effective the treatment will be.
QUESTION: I have a pain in my left heel. The X-ray shows a thorn-like growth. I can no longer walk even in trainers. Because I have been putting a strain on my other leg, I now have pain in my right knee as well.
ANSWER: The symptoms you describe lead me to believe that you have calcar calcanae – a calcified growth on the heel which has affected the stability of your walk and shifted the weight onto the other leg. This growth can be broken up by a series of ultrasound treatments which are completely painless and pleasant. At the same time, exercises can help to restore static balance resolving the symptoms on the other leg.
QUESTION: I have pains that radiates along my leg up to my toes. My toes, especially the big toe, feel numb. If I fall asleep after I have taken a strong painkiller, I get woken up in the middle of the night by a constant excruciating pain. I can’t stand on that leg and the pain has been unbearable for the past five days.
ANSWER: Judging by the clinical picture you provide, this is most likely a classic case of lumbar sciatica, which cannot be treated with medications nor should they be taken at random. It is vital that you receive therapy immediately, otherwise the condition will start affecting the other leg, on which you have been putting extra strain. In order to avoid injections, it is important to start electro-, magnet and laser therapy as soon as possible, depending on the extent of the nerve inflammation, and thus reduce inflammation. In the second stage of the treatment it is necessary to learn exercises and use the muscle corset to maintain stability of the lumbar spine in order to prevent this condition from happening again. You would also learn a series of protective positions which you would apply in your daily life.
QUESTION: A few weeks ago I felt a strong pain in my lower back which travelled down my left leg. For the past 7 days I haven’t been able to lift my left foot off the floor or walk in slippers. Since I got frightened, I had an MRI scan of the lumbar spine done and was diagnosed with an L4-L5 disc herniation with a prolapsed disc as well as an L5-S1 disc protrusion. The doctors suggested surgery. What would you advise me to do?
ANSWER: Unless you are incontinent, i.e. unable to control urination, there is no need for surgery. Using a specific method of extension on a special table, with programmed small loads, extension is applied to the compressed disc cushion decompressing it completely. The method is painless, pleasant and free from human error. This procedure is coupled with laser biostimulation of the compressed nerve root, which helps to revitalize it.
Upon completion of therapy, your therapist should teach you some simple exercises which you will do at home every morning. However, in order to avoid complications and surgery, which is certainly the least desirable outcome, extension therapy should be repeated twice a year.
QUESTION: I am 56 years old. I have been diagnosed with osteoporosis and prescribed FOSAMAX. Do you think that taking this medication is enough?
ANSWER: It is very important to change your diet and increase your calcium intake by consuming milk and dairy. It is also necessary to increase physical activity, walk every day for an hour and do exercises for osteoporosis. hese exercises are customized for the patient, who must learn how to perform them correctly at home. The exercises activate certain muscle groups, which, through their insertions, transfer their movement to bones, whose metabolism is thus boosted. This provides better bone nourishment and effectiveness of your medication, all of which slows down and potentially halts this serious degenerative process.
QUESTION: I broke my arm (radii loco typico) a week ago and the doctors in A & E put it in a cast and told me that I must wear it for two weeks. I seem to recall that people used to wear casts longer so I was wondering if two weeks are enough. On the other hand, since my job entails working at the computer, it is extremely important for me to go back to work as soon as possible.
ANSWER: The orthopaedist was able to see from the X-ray whether or not the fracture was dislocated and determined how long you would wear a cast accordingly. Not every fracture is the same. When your cast is removed and a follow-up X-ray taken, if the fracture has healed, you should start physical therapy immediately. What you can do on your own straight away is cryotherapy: fill three clean plastic (yoghurt) cups with water and put them in the freezer. Once your cast is off, massage your arm with ice from the fingers to the point above the fracture, always in the same direction, for three to five minutes. When you finish with cryomassage, dry your arm and keep it wrapped in a blanket for 20 minutes. Repeat this procedure twice a day. The alternation between hypothermia and hyperthermia causes small blood vessels to enable faster regeneration of soft-tissue structures and the fracture itself. Rather than make up your own exercises, you should consult your physiatrist. Therapy (physical therapy and exercises) for this kind of fracture normally lasts from two to three weeks. At the same time, you should continue with cryotherapy, while the physiatrist should teach you exercises you will do on your own to speed up the recovery process.