Thursday, 12 April 2018

Dr Naval Kumar - Joint Pains, Symptoms, Risk Factor and Treatments

Knee pain is common among the population in the world, especially in the old age. It is generally a special problem for runners - over 50 % coming from all athletes endure it every year. Knee joint pain could be the most prevalent musculoskeletal complaint that brings visitors to their doctor.
Anatomy of the Knee Joint
The knee joint's main function will be to bend, straighten, and bear the body weight of the body and also the ankles and hips. Your leg, more than just a basic hinged joint, however, also twists in addition to rotates. In order to perform these types of actions and to support the entire body while doing so, the knee relies on many structures including our bone tissues, ligaments, tendons, and cartilage.
Bones
The knee joint involves some bones. The thighbone or femur comprises the most effective portion of the joint. One of several bones from the lower lower-leg (or leg area), the shin, affords the bottom weight-bearing percentage in the joint.
The kneecap or patella rides throughout the front of the femur.
The bone from the calf, the actual fibula, is not involved in the weight-bearing portion of the leg joint. It only provides tendon attachments intended for stability.
Do I want to ask why is this going to be important to you?
As we know Sacroiliac Joint pain is a condition that affects 15% to 25% of patients with axial low back pain, I would like to say it largest axial joint in the body Arthrodial synovial joint, the function of this joint is more for designed primarily for stability.
The function of SI joint?
This joint is playing as transmission and dissipation of trunk loads to the lower extremity With Limiting x-axis rotation, for woman it doing a great job as facilitating parturition (giving birth) and it provides various types of motions as
1.      Gliding
2.       Rotation
3.       Tilting
           The muscle surrounding this SI Joint.
           These SI joint cover-up muscles are functionally connected to SI joint ligaments, therefore their            actions can affect joint mobility and the Muscles involved:
·          Gluteus maximus and minimums
·          Piriformis
·          Biceps femoris
·          Quadratus lumborum
·          Erector spinae
Mechanism of Injury at SI Joint.



The mechanism of injuries related to SI joint most common due to combination of axial loading and abrupt rotation
In other problem is related to this mechanism are Pathological changes affecting SI joint structures
•        Capsular or synovial disruption
•        Capsular and ligamentous tension
•        Hypomobility or hypermobility
•        Extraneous compression or shearing forces
•        Abnormal joint mechanics
•        Microfractures or macrofractures
•        Soft tissue injury
•        Inflammation

The risk factor when having SI joint pain is
•         Leg length discrepancy
•         Gait abnormalities
•         Prolonged vigorous exercise
•         Scoliosis
•         Spinal fusion to the sacrum
•         Pregnancy (weight++)


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