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manoj
12/9/2014 7:16:05 PM
ache at shoulder
shoulder ache is becoming a common complaint in the young at work.
Elderly all along complained of stiff, painful shoulder with pain going down the arm; and got a fancy name for it on reporting to the doctor- frozen shoulder.
Multiple problems got clubbed in under this label, and many fortunes got made by De-freezing efforts of yoga/ physio/ortho/itinerant and country practitioners of the art of medicine in its various avatars.Time the great healer, helps all.
Xray, sort out the spine vs shoulder trouble, posture, exercise,medication,focussed intra artic inj,realistic goal setting and encouraging the elderly to adjust and recoup-- is how we could solve this riddle together.
The young and the not so young, present more often with a weary irritating fatigue ache at shoulder , often above and between the blades. Sitting posture, stooping, laptop bag,long drives-- contribute. Here again, patience, counselling,guided activities, exercises play a large role in finding a solution.
Classic rotator strains/ tears/dislocators/ instability/clickers-- do form a distinct group, a minority, where arthroscopy and mini open interventions/ surgery can make a difference after a thorough assessment-with xrays/ mri/ mr arthrogram.
Human dexterity depends a lot on the shoulder. Here is a complex joint and the therapy of shoulder is also a complex matter.Realize that the road is rough and long.It helps.But there is light at the end of the tunnel.
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Perhaps , in addition to apathy and the scars are still some things stubbornly rooted in our heart, hang some flows , everything changes, it does not move in there ten thousand migration , obstinately refused to fade in the memory vault ~ ~ like a river pearly mussel body , wrapped in layers of shiny stick with their own . And what is this stick ? Responsibility ? Ideal ? Or growth ?

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manoj
7/12/2014 11:01:40 AM
heel pain
bothersome illness. most do not realize the severity of the plight of the patient.
like an ache in the back it refuses to go away. heel is always down , so the dependency aggravates the ache.
plantar fascia, fat pad , achilles tendon, calcaneum, tarsal neuralgia --are the sources to consider.
sciatica, diabetic neuropathy, bad shoe wear-- should be checked for.
symptom relievers, supports, steroid, sonotherapy,shoe change and surgery- will form the steps of care.
yet getting a lasting relief is very difficult.
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