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Diseases
Clinical orthopedics
Semester 5th
Ambreen Sadaf
Contents
• Low back pain.
• Painful arc syndrome.
• Fasciitis.
• Leprosy.
LOW BACK PAIN
• Low back pain (LBP) is a common disorder
involving the muscles, nerves, and bones of
the back.
• Pain can vary from a dull constant ache to a
sudden sharp feeling.
• Low back pain may be classified by duration as
acute (pain lasting less than 6 weeks), sub-
chronic (6 to 12 weeks), or chronic (more than
12 weeks).
CAUSES
• Sitting for long period time.
• Standing for long periods without
moving.
• Poor sitting or sleeping posture.
• Obesity.
• Lack of regular exercises.
• Bad posture.
Treatment
• Medications.
• Physiotherapy.
• Surgery.
Painful arc syndrome
• It is a clinical syndrome which occurs
when the tendons of the rotator
cuff muscles become irritated and
inflamed as they pass through the
subacromial space, the passage beneath
the acromion.
• This can result in pain, weakness and
loss of movement at the shoulder.
Causes
• It occurs when there is impingement of tendons or bursa in
the shoulder from bones of the shoulder.
• Overhead activity of the shoulder, especially repeated activity
• Examples include: painting, lifting, swimming, tennis, and
other overhead sports.
• Other risk factors include bone and joint abnormalities.
Treatment goals
• To relieve pain & swelling.
• To decrease inflammation.
• To retard muscle atrophy & strengthen cuff muscle.
• To maintain & improve ROM.
• To increase neuromuscular control.
• To increase strength, endurance & power.
Fasciitis
• Plantar fasciitis the most common cause of heel pain.
• The plantar fascia is the flat band of tissue (ligament) that
connects your heel bone to your toes.
• It supports the arch of your foot.
• If you strain your plantar fascia, it gets weak, swollen, and
irritated (inflamed). Then your heel or the bottom of your foot
hurts when you stand or walk.
Causes
• Straining the ligament that supports your arch.
• Repeated strain can cause tiny tears in the ligament. These
can lead to pain and swelling.
Treatment
• Give your feet a rest.
• Cut back on activities that make your foot hurt.
• Try not to walk or run on hard surfaces.
• To reduce pain and swelling, try putting ice on your heel.
• Take an over-the-counter pain reliever like ibuprofen.
• Do toe stretches.
• Calf stretches.
• Towel stretches.
Leprosy
• Leprosy is a chronic infectious disease caused
by Mycobacterium leprae, an acid-fast, rod-shaped bacillus.
• The disease mainly affects the skin, the peripheral nerves,
mucosa of the upper respiratory tract, and the eyes.
Signs
• Pale or slightly reddish patch.
• Definite loss of sensation in the patch.
• Signs of damage to nerves.
• Definite loss of sensation in hands/feet.
• Weakness of muscles of hands/feet/face.
• Visible deformity of hands/feet/face.
Mode of transmission
• Transmission by inhalation.
• Droplet infection (most common).
• Transmission by contact.
• Skin to skin contact with infectious cases.
• Contact with soil.
Treatment
• Leprosy is curable with a treatment known as multidrug
therapy.
• Treatment for paucibacillary leprosy is with the medications
dapsone and rifampicin for six months.
• Treatment for multibacillary leprosy consists of rifampicin,
dapsone, and clofazimine for 12 months.

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Diseases Low back pain. Painful arc syndrome. Fasciitis. Leprosy.

  • 2. Contents • Low back pain. • Painful arc syndrome. • Fasciitis. • Leprosy.
  • 3. LOW BACK PAIN • Low back pain (LBP) is a common disorder involving the muscles, nerves, and bones of the back. • Pain can vary from a dull constant ache to a sudden sharp feeling. • Low back pain may be classified by duration as acute (pain lasting less than 6 weeks), sub- chronic (6 to 12 weeks), or chronic (more than 12 weeks).
  • 4. CAUSES • Sitting for long period time. • Standing for long periods without moving. • Poor sitting or sleeping posture. • Obesity. • Lack of regular exercises. • Bad posture.
  • 6. Painful arc syndrome • It is a clinical syndrome which occurs when the tendons of the rotator cuff muscles become irritated and inflamed as they pass through the subacromial space, the passage beneath the acromion. • This can result in pain, weakness and loss of movement at the shoulder.
  • 7.
  • 8. Causes • It occurs when there is impingement of tendons or bursa in the shoulder from bones of the shoulder. • Overhead activity of the shoulder, especially repeated activity • Examples include: painting, lifting, swimming, tennis, and other overhead sports. • Other risk factors include bone and joint abnormalities.
  • 9. Treatment goals • To relieve pain & swelling. • To decrease inflammation. • To retard muscle atrophy & strengthen cuff muscle. • To maintain & improve ROM. • To increase neuromuscular control. • To increase strength, endurance & power.
  • 10. Fasciitis • Plantar fasciitis the most common cause of heel pain. • The plantar fascia is the flat band of tissue (ligament) that connects your heel bone to your toes. • It supports the arch of your foot. • If you strain your plantar fascia, it gets weak, swollen, and irritated (inflamed). Then your heel or the bottom of your foot hurts when you stand or walk.
  • 11.
  • 12. Causes • Straining the ligament that supports your arch. • Repeated strain can cause tiny tears in the ligament. These can lead to pain and swelling.
  • 13. Treatment • Give your feet a rest. • Cut back on activities that make your foot hurt. • Try not to walk or run on hard surfaces. • To reduce pain and swelling, try putting ice on your heel. • Take an over-the-counter pain reliever like ibuprofen. • Do toe stretches. • Calf stretches. • Towel stretches.
  • 14. Leprosy • Leprosy is a chronic infectious disease caused by Mycobacterium leprae, an acid-fast, rod-shaped bacillus. • The disease mainly affects the skin, the peripheral nerves, mucosa of the upper respiratory tract, and the eyes.
  • 15.
  • 16. Signs • Pale or slightly reddish patch. • Definite loss of sensation in the patch. • Signs of damage to nerves. • Definite loss of sensation in hands/feet. • Weakness of muscles of hands/feet/face. • Visible deformity of hands/feet/face.
  • 17. Mode of transmission • Transmission by inhalation. • Droplet infection (most common). • Transmission by contact. • Skin to skin contact with infectious cases. • Contact with soil.
  • 18. Treatment • Leprosy is curable with a treatment known as multidrug therapy. • Treatment for paucibacillary leprosy is with the medications dapsone and rifampicin for six months. • Treatment for multibacillary leprosy consists of rifampicin, dapsone, and clofazimine for 12 months.