PLID Treatment in Bangladesh

What is Prolapsed Lumbar Intervertebral Disc (PLID) ?

Prolapsed lumbar intervertebral disc (PLID) is a prevalent spinal condition impacting millions globally. This disorder occurs when the soft, cushion-like substance situated between the vertebrae in the lower back, referred to as the intervertebral disc, either bulges or ruptures. Such changes can lead to the compression of nerves and the spinal cord, often resulting in pain, numbness, and weakness in the lower back and legs for numerous individuals.

We will know the treatment of PLID without surgical options at the Spine Physiotherapy & Rehabilitation Centre (SPTRC) in Shyamoli.

Causes of  Prolapsed Lumbar Intervertebral Disc (PLID):

Prolapsed lumbar intervertebral disc development can be caused by a number of factors, such as-

• Age and degeneration: The lumbar spine's intervertebral discs can lose water as people age, which makes them less flexible and more vulnerable to injury. This may result in the disc protruding or rupturing, compressing the spinal nerve system.

• Trauma: Physical trauma can result in prolapse by applying abrupt, intense pressure on the intervertebral discs, as in the case of a fall, auto accident, or sports injury.
• Poor Posture and Body Mechanics: Long periods of sitting, standing, or heaving large objects while hunching over can put too much strain on the low back pain, eventually bulging or rupturing the intervertebral discs.
• Obesity: Carrying too much weight can put strain on the lower back, causing the intervertebral discs to deteriorate and eventually prolapse.

Symptoms of Prolapsed Lumbar Intervertebral Disc:

Depending on the extent and location of the damage, different PLID Treatment symptoms can appear in Bangladesh. Typical PLID symptoms consist of-

• Lower Back Pain: Lower back pain is the most typical sign of a lumbar disc herniation. It can be mild, moderate, intermittent, or severe. A surgical technique called spinal fusion unites two or more vertebrae to form a single, solid bone in order to treat lower back pain.

• Leg Pain and Numbness: The compression of spinal nerves may lead to symptoms such as pain, numbness, tingling, or burning sensations in the legs, which can intensify with movement or extended periods of sitting or standing.

• Weakness in Lower Limbs: Injury to the nerves may result in weakness or impaired mobility in the legs or feet, thereby complicating the ability to walk or engage in everyday tasks.

• Bladder and Bowel Dysfunction: Sciatica from a prolapsed lumbar intervertebral disc can result in bladder and bowel problems, including trouble passing pee or feces or loss of control, which needs to be treated right once.

Diagnosis of PLID:

The assessment of a prolapsed lumbar intervertebral disc typically requires an integration of the patient's medical history, a thorough physical examination, and various imaging studies in Bangladesh.

• Medical History and Physical Examination: The physician will initiate the process by gathering a comprehensive medical history, inquiring about symptoms, potential risk factors, and any prior issues related to the back. Following this, a physical examination will be performed to identify any indications of pain, weakness, or numbness in the lower back and legs, while also evaluating posture, flexibility, and the range of motion.

• Imaging Tests: Diagnostic imaging techniques, including X-rays, CT scans, or MRI, may be utilized to verify the diagnosis and evaluate the severity of the disc prolapse. These examinations can provide insights into the specific location and degree of damage affecting the intervertebral discs and adjacent structures, including bones, muscles, and nerves.

• Nerve Conduction Studies: In certain instances, nerve conduction studies may be conducted to assess the degree of nerve damage resulting from the prolapse. This procedure entails the application of small electrodes to the skin to monitor the electrical activity of the nerves and muscles in the region affected.

Treatment Options for PLID in Dhaka:

In Bangladesh, PLID or prolapsed lumbar intervertebral disc, is a common spinal condition. Severe back pain, numbness, and weakness in the lower extremities can be symptoms of the condition. Medication and physical therapy are the two types of treatment options available for PLID in Bangladesh.

• Stretching Exercises: Doing stretching exercises that focus on the muscles and tendons in the front of the ankle is one of the best ways to reduce the symptoms of PLID. Your physiotherapist can suggest a variety of pain-relieving exercises to increase range of motion and release tightness.

• Manual Therapy: The goal of manual therapy is to increase the ankle joint's range of motion and flexibility through manual methods like mobilization and massage. These methods can be used by your physiotherapist to help with PLID symptoms.

• Electrotherapy: Electrotherapy, which uses electrical stimulation to stimulate the muscles and nerve roots in the affected area, is an effective PLID physiotherapy treatment. This therapy has the potential to decrease pain and inflammation, improve blood circulation and help accelerate the healing process.

• Postural Correction: As many cases of PLID are brought on by bad posture, improving your posture can help stop the illness from occurring or from coming back. Your physiotherapist can recommend exercises and techniques to help you improve your posture and reduce your risk of developing PLID.

• Shockwave therapy: Shockwave therapy utilizes high-intensity acoustic waves to activate the body's natural healing processes, alleviate pain, and enhance blood flow in the targeted region. A handheld device is employed to transmit the sound waves to the affected area, with a trained physiotherapist meticulously regulating both the intensity and duration of the treatment.

• Acupuncture: Acupuncture is a practice that entails the insertion of slender needles into designated points on the body, aimed at activating the body's natural healing processes, alleviating pain and inflammation, and enhancing blood circulation. The needles remain in position for a certain duration, during which the patient might feel a slight tingling or numbness.

• Lumbar traction therapy: Lumbar traction is commonly used to relieve lower back pain and improve range of motion. The technique stretches the lower back to increase space between vertebrae, helping to alleviate pinched nerves and problems associated with disc disorders.

• Manipulation therapy: Manipulation is a highly skilled form of manual therapy where the physio performs a short, sharp thrust to a stiff joint in order to release it and allow it to move more efficiently.

The condition known as prolapsed lumbar intervertebral disc (PLID) is prevalent and can lead to lower back pain, leg discomfort, and various other symptoms that may greatly diminish an individual's quality of life. In Dhaka, available treatment modalities include conservative methods such as pain relief strategies, physiotherapy, and modifications in lifestyle, as well as more invasive interventions like spinal surgery performed by a specialist in spine surgery.

Exercise for Prolapsed Lumbar Intervertebral Disc (PLID): Here are five effective exercises for managing lumbar disc prolapse:

• Back Extensions: This exercise enhances spinal flexibility by stretching the back. Lie on your stomach with your elbows propped under your shoulders. Push down with your hands and arch your back upward. Hold this position for 5 to 10 seconds while keeping your hips grounded and your neck in a neutral position. Return to the starting position and repeat.

• Strengthening Exercises: Certain exercises can help strengthen the muscles that support the lower back to reduce pain and prevent injury. These movements could be done with or without added weight.

Overall, the management of prolapsed lumbar intervertebral discs necessitates a collaborative approach that includes healthcare professionals, physiotherapists, orthopedic specialists, and the patients themselves. By fostering teamwork among these parties in Bangladesh, it is feasible to attain the best possible results and enhance the quality of life for individuals impacted by this condition at the Spine Physiotherapy & Rehabilitation Centre (SPTRC) in Shyamoli.

Effective management of prolapsed lumbar intervertebral discs at Spine Physiotherapy & Rehabilitation Centre (SPTRC) in Shyamoli requires teamwork among medical professionals and patients, which in turn improves the patients' quality of life.

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Treatment for Back Pain

Back pain is extremely common, especially lower back pain. It normally goes better in a few weeks, but occasionally it may continue longer or keep coming. You can take several actions to reduce your pain.

Causes of back pain:

Back pain can have many causes. It's not always obvious what causes it, and it often gets better on its own.

• Muscle Strain or Injury: Back muscles and spinal ligaments can be strained by frequent heavy lifting or an unexpectedly awkward action. Constant straining on the back might result in excruciating muscle spasms in persons who are not in good physical shape.
• Bulging or ruptured discs: In the spine, disks serve as cushions between the bones. A disk's soft inside substance may swell or burst, applying pressure to a nerve. Back discomfort, however, may not always result from a bulging or ruptured disk. MRIs, CT scans, and spine X-rays performed for various purposes frequently reveal disk disease.

• Arthritis: Arthritis is a disease that causes damage to your joints. Joints are places in your body where two bones meet. Some joints naturally wear down as you age. Lots of people develop arthritis after that normal, lifelong wear and tear. Some types of arthritis happen after injuries that damage a joint.
• Osteoporosis: The spine's vertebrae can develop painful breaks if the bones become porous and brittle.
• Ankylosing spondylitis, also called axial spondyloarthritis: This inflammatory disease can cause some of the bones in the spine to fuse. This makes the spine less flexible.
• Unusual curvature of the spine: If the spine curves in an unusual way, back pain can occur. An example of this is scoliosis, in which the spine curves to the side.

Symptoms of back pain: 

• The unexpected drop in weight
• Fever
• Swelling or inflammation in the back
• Persistent back pain where lying down or resting does not help
• Pain in the legs
• Discomfort that extends below the knees
• A recent hit, trauma, or damage to the back  
• Fecal incontinence, or loss of control over bowel movements

Treatments of back pain:

• Physical therapy: Reducing pain, increasing range of motion, and allowing patients to resume their regular activities are the goals. In order to help patients heal, physical therapists administer treatment and create a personalized plan that may involve exercises and manual treatments. Studies have indicated that manual therapy is an effective treatment for low back pain, especially in cases when the patient has had the condition for a long time or has not responded to other forms of care. For safe and successful results, it is crucial to work with a physical therapist who has received specialized training.

• Acupuncture Therapy: Acupuncture is a traditional Chinese treatment for lower back pain, using thin needles inserted into specific points on the body to stimulate healing and reduce pain. It improves circulation, reduces inflammation, and releases natural pain-relieving chemicals. It’s usually done in several sessions and may be combined with physical therapy. Acupuncture is considered safe and effective, especially for those who haven’t responded to other treatments. It’s important to work with a licensed and experienced acupuncturist. In general, acupuncture is a good option for those seeking a non-invasive solution for lower back pain resolves.

• Extracorporeal Shockwave Therapy: Extracorporeal Shockwave Therapy (ESWT) is a non-invasive lower back pain treatment that uses high-energy shockwaves to reduce pain and stimulate healing. The therapy is given in several sessions and is delivered to the skin surface above the pain site.

• Pelvic Traction: Pelvic traction is a physical therapy treatment for patients with low back pain. It uses a traction device to relieve pressure on the lower back and improve alignment. This therapy is given in several sessions and may be combined with other treatments to achieve the best results.

• Exercises Therapy: By performing targeted exercises that improve flexibility, strengthen the muscles supporting the lower back, and reduce discomfort, exercise therapy helps alleviate lower back pain. Exercise recommendations vary according to the origin and degree of discomfort. Under the supervision of a therapist or physician, it can be performed at home or at a clinic. Start out with low-impact workouts and work your way up. Lower back discomfort can be avoided in the future by engaging in maintenance exercises and regular exercise. Moreover, exercise treatment lowers stress and elevates mood. For optimum outcomes, it is recommended to follow a regular schedule and seek professional supervision.

Why Do You Come to Spine Physiotherapy and Rehabilitation Centre (SPTRC) for Back Pain Treatment ?

Our physiotherapy staff in Shyamoli is very skilled in treating back pain. Before treating you, we must first assess the patient, discuss with them, and create a treatment plan. We offer shockwave therapy, acupuncture therapy, electromagnetic field therapy, intermittent cryotherapy, and more. We can immediately relieve your pain.  

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Osteoarthritis of Knee

Osteoarthritis of the knee happens when the cartilage in your knee joint breaks down, enabling the bones to rub together. The friction makes your knees hurt, become stiff and sometimes swell. While osteoarthritis in the knee can’t be cured, there are many treatments to slow its progress and ease your symptoms. Surgery is an option for more severe forms of osteoarthritis.

Causes  of osteoarthritis of knee: Osteoarthritis of the knee happens when your knee joint cartilage wears out or is damaged. Articular cartilage is tough, rubbery tissue on the ends of your bones that lets you bend and move. Meniscal cartilage absorbs shock from pressure on your knee.

Your cartilage is like your car’s shock absorber, protecting your car from bumps and jolts. Drive on lots of rough roads, your shocks wear out fast. Drive on easy streets, your shocks last longer. You can wear out or damage your knee joint cartilage if:

• You’re overweight. If your body mass index (BMI) is 30 or more, you’re seven times more likely to develop osteoarthritis in your knee than someone with a lower BMI.
• You injure your knee or have an old knee injury.
• You frequently put stress on your knee at your job or playing sports.
• You inherited a tendency to develop osteoarthritis of the knee.
• You have crooked bones or joints, such as having knocked knees.

Symptoms of osteoarthritis of knee: Pain is the most common symptom of osteoarthritis in the knee. Your knee might hurt when you move it, or even when you are just sitting still. Other symptoms are:

• Your knee feels stiff, particularly when you first get up or when you’ve been sitting for a long time.
• Your knee looks swollen or feels puffy.
• You hear a cracking or grinding noise when you move your knee.
• Your knee feels wobbly, as if it could buckle or “give out."
• Your knee might lock up, or feel as if it is stuck.

Diagnosis of osteoarthritis of knee: The diagnosis of knee osteoarthritis will begin with a physical exam by your doctor. Your doctor will also take your medical history and note any symptoms. 

Make sure to note what makes the pain worse or better to help your doctor determine if osteoarthritis, or something else, may be causing your pain. Also find out if anyone else in your family has arthritis. Your doctor may order more tests, including:

• X-rays, which can show bone and cartilage damage as well as the presence of bone spurs
• Magnetic resonance imaging (MRI) scans

MRI scans may be ordered when X-rays do not give a clear reason for joint pain or when the X-rays suggest that other types of joint tissue could be damaged. Doctors may use blood tests to rule out other conditions that could be causing the pain, such as rheumatoid arthritis, a different type of arthritis caused by a disorder in the immune system.

Treatment of osteoarthritis of knee: The primary goals of treating osteoarthritis of the knee are to relieve the pain and make you more mobile. The treatment plan will typically include a combination of the following:

• Weight loss. Losing even a small amount of weight, if needed, can significantly decrease knee pain from osteoarthritis.
• Pain relievers and anti-inflammatory drugs. This includes over-the-counter choices such as acetaminophen, ibuprofen, or naproxen sodium. Don't take over-the-counter medications for more than 10 days without checking with your doctor. Taking them for longer increases the chance of side effects.
• Injections of corticosteroids or hyaluronic acid into the knee. Steroids are powerful anti-inflammatory drugs. Hyaluronic acid is normally present in joints as a type of lubricating fluid.
• Alternative therapies. Some alternative therapies that may be effective include topical creams with capsaicin; acupuncture; or supplements, including glucosamine and chondroitin or SAMe.
• Using devices such as braces. There are two types of braces: "unloader" braces, which take the weight away from the side of the knee affected by arthritis; and "support" braces, which provide support for the entire knee.
• Physical and occupational therapy. If you are having trouble with daily activities, physical or occupational therapy can help. Physical therapists teach you ways to strengthen muscles and make your joints more flexible. Occupational therapists teach you ways to do regular, daily activities, such as housework, with less pain.

Exercises of knee stiffness: In some cases, people with a stiff knee should avoid exercising. Some knee injuries need time to heal and would benefit from rest instead of exercise.

Range-of-motion exercises: Stretches and exercises that increase the knee’s range of motion keep the joint moving to reduce stiffness. Examples of these exercises include heel slides and stretching with a yoga strap.

Strengthening exercises: Increasing muscle strength around the knee reduces the stress on the joint. Examples of these exercises include leg lifts and hamstring curls.

Exercise of osteoarthritis of knee: This exercise information has specific exercises to help maintain your joint range of movement and strengthen muscles around your knee. When attempting the exercises it is important to perform them with a good technique. 

There may be a slight increase in your pain and you may feel some muscle aching. If the exercises cause pain then you should allow time for this to settle before trying again. All exercises should be performed gently, slowly and ideally done three times a day.

• Warm up and cool down
• Knee flexion and extension
• Inner Range Quadriceps
• Quadriceps Strengthening - sit to stand
• Calf strengthening - heel raises
• Stretching exercises
• Hamstring stretch
• Quadriceps stretch
• Calf stretch

Effective management of Osteoarthritis of Knee at Spine Physiotherapy & Rehabilitation Centre (SPTRC) in Shyamoli requires teamwork among medical professionals and patients, which in turn improves the patients' quality of life.

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Plantar Fasciitis

Plantar fasciitis is one of the most common conditions causing heel pain. It involves inflammation of the plantar fascia a tough, fibrous band of tissue that runs along the sole of the foot. The plantar fascia attaches to the heel bone (calcaneus) and to the base of the toes. It helps support the arch of the foot and has an important role in normal foot mechanics during walking.

Tension or stress in the plantar fascia increases when you place weight on the foot, such as withstanding. The tension also increases when you push off on the ball of the foot and toes. Both of these motions occur during normal walking or running. With overuse or in time, the fascia loses some of its elasticity or resilience and can become irritated with routine daily activities.

Symptoms of plantar fasciitis: The most common symptoms of plantar fasciitis include:

• Heel pain.
• Pain in the arch of your foot.
• Stiffness.
• Swelling around your heel.
• A tight Achilles tendon.

Causes of plantar fasciitis: Anything that irritates or damages your plantar fascia can cause plantar fasciitis, including:

• Being on your feet all day for work.
• Playing sports.
• Exercising or working on a hard surface (like a warehouse floor or the sidewalk).
• Exercising without stretching or warming up.
• Wearing shoes that don’t support your feet well enough (like flip flops or flat, flexible sneakers).
• Walking or standing barefoot while you’re at home.

Some health conditions can cause plantar fasciitis, including:

• High arch feet.
• Flat feet.
• Obesity (or gaining more than 15 pounds in a few months).

Diagnosis of plantar fasciitis: Plantar fasciitis is one of many conditions causing heel pain. Some other possible causes include:

• Nerve compression in the foot or in the back
• Stress fracture of the calcaneus
• Loss of the fatty tissue pad under the heel

Plantar fasciitis can be distinguished from these and other conditions based on medical history and examination by a physician. 

Treatment of plantar fasciitis: In general, the longer the symptoms have been present and the more severe the pain, the longer the treatment may take. Additionally, high-demand athletes, such as cross-country or marathon runners, may require a longer course of treatment. Plantar fasciitis treatment options include:

• Stretching and Physical Therapy: Stretching is one of the best treatments for plantar fasciitis. Stretching should be focused on the plantar fascia and the Achilles tendon. A physical therapist can show you stretching exercises that you can repeat at home several times a day. Along with stretching, the exercises can also strengthen your lower leg muscles, helping stabilize your ankle.

• Over-the-counter NSAIDs: NSAIDs (like aspirin, ibuprofen and naproxen) reduce pain and inflammation. Don’t take NSAIDs for more than 10 days in a row without talking to a healthcare provider.
• Rest: Take a break from playing sports or participating in the activity that caused the plantar fasciitis for at least a week (if possible).
• Icing your foot: Ice your foot for 10 to 15 minutes, twice a day. Cover a frozen water bottle in a thin towel to protect your skin, then roll it along the bottom of your foot to massage the inflammation.
• Wearing supportive shoes: Wear sturdy, well-cushioned shoes. Don’t wear sandals, flip-flops or other flat shoes without built-in arch support. Don’t walk with bare feet.
• Orthotics or shoe inserts: You can add inserts into your shoes that add extra arch support. Your provider will suggest either pre-made inserts you can buy over-the-counter or custom-made orthotics that are molded to the exact shape of your foot.

Exercises of plantar fasciitis: The best exercises for plantar fasciitis and heel pain can depend on the individual, but may include various foot and calf stretches. They can help to relieve pain, improve muscle strength, and promote flexibility in the foot.

• Toe Curls With Towel
• Toe Extension
• Standing Calf Stretch
• Towel Stretch
• Calf Stretch on a Step
• Ice Massage Arch Roll

We at Spine Physiotherapy and Rehabilitation Centre (SPTRC) can develop a one-on-one physical therapy treatment plan customized and suitable for your needs to help you recover more quickly. Our highly trained physical therapists will make your treatment our primary focus and your recovery our primary goal.

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