Musculoskeletal Wellness

Wellness is a concept which is usually associated with various medical ailments and there is a big market promoting the same. The thrust on lifestyle diseases is more on the long term afflictions that are concerned with the longevity of the life or morbidity associated with the same; diabetes, hypertension, heart related ailments, stress, PCOD, infertility, obesity, and addictions. This are all long term effects of the altered lifestyle witnessed in the recent years. On the contrary the musculoskeletal aches and pains that are on the rise and occurring in more younger generation are still kept out of the ambit of lifestyle disease. Aches and pains are the earliest manifestation of the sedentary lifestyle that is on the rise nowadays. This requires to be dealt more aggressively and more focused than it is done today. They are all preventable problems and thus the concept of "Musculoskeletal Wellness (MW)" is very relevant today.  MW includes keeping the patient as pai...

Patient Profile: 64 year old female, on the taller side of average and healthier side. Sedentary lifestyle. Right dominant Complains:  1. Pain at small joints of hands, wrist, forearm & shoulder of Right upper limb- 4-5 months. Severe enough to disturb her sleep. She is able to use the hand for activites of daily living (ADL) with great difficulty. 2. Pain with gross restriction in mobility of left shoulder- 8-12 months 3. Tingling numbness right hand especially in the night with difficulty in sleeping on right side Patient had undergone a CABG (bypass) surgery 5-6 years back and was better for the next 2-3 years. But is incapacitated since last few months due to reduced ability to use the right hand and wrist. There is difficulty in forming a wrist and grasping objects. She has the maximum difficulty in the early morning. Her left shoulder is painful with progressive restriction in overhead movements. Observations: Right hand & Wrist: Swelling ++++, tende...