If I have right knee osteoarthritis, do I have to work out my left side as well?
I was recently asked by a patient why he had to work out both sides of his body in physical therapy if only his right knee hurt. I can understand some of the confusion. After all, if your right shoulder were painful and inflamed and required an injection, the medication would only be put at the site of inflammation -- in your right shoulder. You would not be a candidate for a right and a left shoulder injection! However, physical therapy, for the most part, is much different. I'll explain.
There are two basic components to physical therapy -- passive and active. In the passive component, the therapist may apply ice, heat, ultrasound, electrical stimulation, and other modalities to the painful area. For the most part, these modalities are only placed at the site of injury (there are a few exceptions that are beyond the scope of this blog). So, in this sense, physical therapy is functioning si...
Fibromyalgia (FM) must be diagnosed by a qualified physician who is familiar with the illness and has experience diagnosing it. The specialists who most often diagnose and treat fibromyalgia are rheumatologists. In 1990, the American College of Rheumatology established the diagnostic criteria for fibromyalgia . Both of the following must be present: A history of widespread pain in all four quadrants of the body for a minimum duration of three months, and Pain in at least 11 of 18 designated tender points when four kilograms (about 10 pounds) of pressure are applied. (See a diagram of the fibromyalgia tender points here .) Although the American College of Rheumatology does not classify fibromyalgia as a diagnosis of exclusion, there are several other illnesses that have similar symptoms and sometimes occur along with FM. Therefore, it is important that the doctor test for certain comorbid conditions as well. Which tests may be necessary wi...
Congestive heart failure - left
The goals of treatments are:
Treat the disease that is causing the heart failure
Relieve stress on the heart
Reduce risks of worsening heart failure
You should see a heart specialist. You may need to stay in the hospital when symptoms are severe.
Treatment may involve surgery or cardiac catheterization to open blocked heart arteries, medicines for high blood pressure, and lifestyle changes such as stopping drinking alcohol.
Persons with heart failure should eat less salt, avoid alcohol, and exercise moderately.
Medicines that may be used include:
Diuretics such as furosemide (Lasix) or spironolactone (Aldactone) to help the body get rid of extra fluid
Beta blockers and ACE inhibitors to reduce the stress on the heart and to prevent further muscle damage and scarring
Digoxin to increase muscle strength and slow down abnormally fast ...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.