backache

[thabiso]

Hi Prem,

What's chikun ganya?

[prem]

hope u got what chikun ganya is. it spreads my mosquitoes. and the pain and joint inflammation as said by aisha kb, persist from weeks to months. usually symptomatic treatment with some antibiotic course will be given. to prevent the joint pains and stiffness, patient should be active like just warming up the body with simple exercises once in every 4 hours involving all the muscles around the joints and taking good diet in regular intervals. this improves the patient's condition.

[asha]

Coming back to the backache of your 60yr patient,check if she is better in supine or prone position. She has a loading problem & gets better in unloaded position. She seems to be bad on her core muscles & an attack of chicken gunya gave her general weakness which probably is putting a load on her posterior disc. If prone position is better, get her to do the mckenzie protocols for back. Sometimes if there is a huge obstruction due to the disc, patient may not tolerate prone initially. In such a case you may have to give a small cushion under her abdomen and then gradually initiate her to pressup.
Nailing her pain would be very easy. Do give me the info.
asha