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"My knee feels stiff when I sit for a long time and it hurts to get up. But, after I walk for a few minutes, the pain eases up."
"My hands are stiff in the morning or after I take a nap during the day. After I have been awake for about twenty minutes, the pain is completely gone."
"My lower back is very tight in the morning and it hurts to get out of the bed. I do a few exercises and my back seems to loosen up."
The above are just a few of the comments I hear on an almost daily basis. In osteoarthritis, joints are commonly sore, stiff, and painful after sleep or after resting them for a while. After getting up, the joints "loosen up" as they move around and are used. In the spine, the small facet joints are a common source of arthritis and back pain. The facet joints work as hinge joints similar to the hinges on a door. In a young, non-arthritic person, the joints glide smoothly over one another. However, as the joints become arthritic, they function more as a rusty hi...
What can be done about joint stiffness after a total knee replacement (TKR)? When all else fails, the implant can be revised. But does this really solve the problem? That's what researchers at the Florida Orthopedic Institute report on in this study. Sixteen knees were revised based on patients' complaints of pain and stiffness. Everyone had efforts made to restore motion before revision, including a trial of physical therapy. Some had the joint stretched or manipulated under anesthesia. Several had release of scar tissue by arthroscopic surgery. In the end, implants in all the knees were changed. The surgeon decided at the time of the operation what to remove and what to use as a replacement. Dense scar tissue was seen in all the patients. Continuous passive motion machines were used after the revision surgery. And everyone had physical therapy. Data showed two-thirds of the patients were happy with the results. They had less pain, more motion, and greater knee function. The remaining p...
Full Question: I wake up every morning with a soreness in the back of my neck and a hang-over like headache which makes me nauseous. I do not drink. I have had previous neck discectomy and fusion at three levels. I suffer from chronic muscle tightness in neck and shoulders. The headache lasts all day. Any suggestions? Aidan. Answer: Dear Aidan; You most probably have cervigogenic headaches based on your former neck problems. I suspect you don't sleep well and I would recommend you talk to your physician about a medication called tizanidine which reduces muscle spasm and helps sleep. It also helps chronic daily headaches . Good luck, John Claude Krusz and Teri Robert About Ask the Clinician : Dr. Krusz is a recognized expert in the fields of headache and migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri...
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