Even after first you have to go for RA factor Quantitative. Anti CCp if you find the report against your patient u can start ARMDs with NSAIDs like Etoricoxib with Rutoside and peptidase. But even after for better functional improvement in your patient condition can go with Physiotherapy. Physiotherapy programs are 1- US Therapy with 1MhZ for about 6-8 mins and 0.8watt/cm2 for both shoulder and PIP. DIP as well. 2. IFT for about 12-15 for shoulder only 3. Contrast bath 8-10mins for PIP DIP and Shoulder 4. Shoulder MWM followed bu PRT 5. PIP and DIP Mobilization Advice for Active ROM Exercises for shoulder and other joints. Capsular stretching for shoulder active and passive as well. Do isometric exercise for shoulder and other joints. M sure this will improve your patient's health. Thanking you
Why only medical management, why not other. Other alternative medicine can improve better your patient's condition.
Kindly reffer the patient to a rheumatologist specifically. And along witb that continue the physiotherapy treatment. That will definitely improve the general condition of the patient. Physiotherapy part as told by dr. Rahul pandey ji. Is perfect.
First you have to go for RA factor Quantitative.. Physiotherapy programs: 1.Us therapy according to the pain.U can give 1 MhZ for 5-8min with 0.8 watt/cm for both shoulder PIP DIP and Shoulder.. 2.PIP and DIP Mobilization 3.Hot pack 8-10 min. 4.IFT for about 10 -12min.. 5.Active ROM Exercises for shoulder joint? 6.isometric for shoulder joints. 7. Capsular streching 8.Go for shoulder gjoints exercise, finger lader, stick exercise etc.
i strongly contradict the statements given by several physios. And a humble request. Kindly don't give heat therapy in any form other than contrast bath to any rheumatoid arthritis patient without any deformity. As the condition itself is inflammatory. Giving heat will worsen the condition. Apply cold or contrast bath if there is no contracture or deformity. Not going according to literature. But sharing my experience.
Along with medication patient require exercise protocol, superficial heat therapy to reduce pain, ultrasound to reduce inflammation in joint, Active ROM exercise along with joint mobilization. Life style counselling will also work with this patient. It is long term therapy. Shoulder joint capsular stretch and passive joint mobilization will work. If he developed any deformity in hand splitting will also work.
"No Heat packs" . The joints are already inflamed. By heating modalities chances of inflammation will increase and worsen patients problem. Superficial pain relieving modalities with manual mobilization of affected joints will definitely improve patients condition.
Since RA factor is positive you have to get base line liver and renal function test and blood counts. After the test according to the reports start dmards. Repeat blood test monthly.
Along with medications for RA ,she should do ROM exercises for shoulder and finger ,wrist stretches, hot water fomentation also eases the pain and stiffness.
As the ESR is high and Rheumatoid Factor is positive the patient may be diagnosed as a patient of Rheumatoid Arthritis and accordingly treated with DMARDS
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10 Amazing Health Benefits Of Molokhia stylecraze.com Oct 23, 2017 11:51 AM ￼ Are high blood pressure levels making your life a mess? Do you think your cholesterol levels are sapping the energy and vitality from your life? What if there is one single ingredient that can help you combat these issues, in addition to numerous other common problems? We are talking about molokhia leaves here! This little known vegetable is widely used for its many known health benefits. Want to know what they are? Go ahead with your read! Health Benefits Of Molokhia – Top 10: 1. Lowers Blood Pressure: Molokhia leaves have been found to reduce the risk of hypertension, by effectively helping reduce blood pressure. Molokhia leaves are rich in potassium, and since potassium is a known vasodilator, it helps relax the arteries. This property of potassium helps improve oxygenation and reduces cardiovascular strain (1). 2. Improves Circulation: Molokhia leaves are rich in iron, which not only increases RBC production, but also leads to improved blood circulation. Iron is needed for the blood to carry oxygen and a deficiency in iron usually results in anemia. An iron-rich diet ensures that blood circulation is at the optimal level, which in turn helps you stay energetic (2). 3. Aids Digestion: Molokhia leaves are rich in dietary fiber, and this makes them especially good for your digestive health. Dietary fiber is a bulking agent which helps relieve irritable conditions like bloating and constipation (3). 4. Lowers Cholesterol: Molokhia leaves have been proven to reduce blood pressure, and they are especially rich in dietary fiber. This makes them one of the best agents for cholesterol reduction. Dietary fiber has been found to help reduce bad (LDL) cholesterol, which directly reduces the risk of you contracting arterial diseases like stroke, heart attack or even atherosclerosis (4).‘ 5. Relieves Insomnia: Molokhia is rich in many essential minerals, most notably magnesium. Magnesium has been proved to help eliminate sleep disorders like insomnia and even snoring disorders like apnea. Magnesium triggers the release of hormones that relax the body and calm the nerves. An increase in magnesium intake has been directly linked with regular and better sleep cycles (5). 6. Boosts Immunity: Molokhia leaves are rich in vitamins A, C and E. It is especially effective for the immune system. Vitamin C is one of the most effective antioxidants that not only eliminates free radicals, but also helps instigate WBC production (6). WBCs usually attack pathogens and infections first. Vitamins A and E are antioxidant vitamins that prevent free radical damage. The consumption of Molokhia leaves helps boost immunity. 7. Anti-Carcinogenic: Along with other essential minerals and nutrients, molokhia is rich in antioxidantvitamins A, C and E (7), (8). Antioxidants usually help protect the body from cancer-inducing free radicals and restrict the spread of cancerous cells and tumors. The high antioxidant content of molokhia leaves makes it an ideal anti-carcinogen. 8. Boosts Bone Health: Molokhia is loaded with essential vitamins and minerals that have many health benefits. Some of these have been found to boost bone health and protect one against diseases like osteoporosis and arthritic conditions. Iron, selenium, calcium and magnesium are just some of the essential minerals that molokhia leaves contain (9), (10). 9. Anti-Inflammatory: In traditional medicine, Molokhia leaves have been used extensively as anti-inflammation agents. One of the constituent antioxidants that make up molokhia is Vitamin E, an especially effective anti-inflammatory agent that usually cures and treats most symptoms of inflammation. If you suffer from rheumatoid arthritis, cystitis or other inflammatory conditions, consider adding molokhia leaves to your diet (11). 10. Cellular Growth: Molokhia leaves contain many essential nutrients and minerals that not only aid in the proper functioning of the body, but also help create new cells, skin, ligaments, muscles and organ systems. As molokhia is especially rich in magnesium, it is a great food that boosts cellular growth. Magnesium helps build new organic material and is necessary for proper cell growth (12). So, we hope that all these health benefits of of Molokhia will make you to reevaluate your diet. Tell us about your experiences with molokhia leaves here. Leave a comment below! Recommended Articles:Dr. Tapan Kumar Sau3 Likes13 Answers
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::::: KALAJAJI - BLACK CUMIN SEED ::::: Sanskrit Name - KALAJAJI ( Basonyms ) Synonyms - Upakunchika, Karavi, Kalika English Name - Black Cumin, Black onion seeds Hindi Name - Kalonji , Kalajeera, Mang-raila Malayalam Name - Karun jeeragam Scientific Name - Nigella sativa Family - Ranunculaceae Distribution - In India, the plant grows in Himalayan region and Nilgiris. It is grown also in eastern India and Punjab. Aakriti - Kshup ( Herb ) Description of Plant - 20-30 cm long herb Linear, finely divided leaves Pale Blue to White flower Fruit - Large, inflated , contain 3-7 follicles Seed - Black coloured , look like Gingelly seeds Chemical Constituents - Linoleic Acid , Oleic Acid , Nigellin Thymoquninone, Thymol, Alpha - Pinene and Beta - Pinene ( Responsible for Aroma ) Thymoquinone is the prime constituent in Essential oil extracted from Nigella seeds. RasPanchak ( Medicinal Properties ) :-- 1. Rasa ( Taste ) - Katu, Tikta 2.Gun ( Qualities ) - Laghu, Ruksha 3. Veerya ( Potency ) - Ushna 4. Vipaka ( Post digestion ) - Katu 5. DoshaKarma - Kapha - Vata Shamaka Part Used ( Prayojyanga ) - Seed Uses :- 1. It is used as a spice in Indian Kitchen due to Dipana ( Stimulator of Jatharagni ) , Pachana ( Aids in Digestion ) and Rochana ( Appetizer ) effects. 2. Due to its Vatahara effect, it is used in Blood pressure. Recent researches also suggest that it reduces both Systolic and Diastolic pressure upto an extent. It's oil is also used in various Vatavyadhi ( Neurological Diseases ) e.g. Pakshagata. 3. It has good analgesic, antiinflammatory action. Its oil is also used in Headache, Toothache etc. 4. Its extracts help in reducing Triglyceride and LDL - Cholesterol level. Improves the level of HDL -Cholesterol. 5. Thymoquinone has antioxidant properties, so its oil containing capsule reduces free radical formation in body. It also boosts the immune system by its antioxidant property. 6. Due to its Krimighna Property, it's oil is also used in Intestinal worms , various skin diseases ( in EkaKustha - Psoriasis ) also. 7. Its capsule contains essential oil, reduces pain and inflammation in Amavata ( Rheumatoid Arthritis ) Patients. 8. Study shows benefits in various allergic reactions, used in Allergic Rhintis also. 9. Black Seed oil reduce risk factors in obese as it helps in decrease Cholesterol and Triglyceride level. 10. Effect Black Seed oil on Asthma and Diabetes under research. 11. It is beneficial in Sutika Jwara and Vishama Jwara. 12. It induces menstruation, so useful in Dysmenorrhagia and Amenorrhea. 13. It has Medhya Property , so can be used as Brain Tonic to improve intelkigence along with Bramhi, Vacha etc. 14. To some extent , it reduces hair fall. 15. The Anticancer activity and Cardio-Protective activity of Nigella is under research. Precaution - Due to its hot potency, it is better to avoid in Garbhini and Pitta Prakriti Patients. Dose - Seed Powder - 1-3 grams Seed oil - 3-5 mlDr. Niranjan Ram6 Likes10 Answers