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The Diabetic Shoulder

Adhesive Capsulitis, or a frozen shoulder, is a poorly understood condition in which the deepest layers of soft tissue, called the joint capsulate, become diseased.

What are the commonest complaints?

Shoulder range of motion becomes very limited and painful.

What is the cause?

The cause of a frozen shoulder is still not known

  • Minor traumas,
  • Hyperthyroidism,
  • Psychiatric patients,
  • Post-surgical patients,
  • And prolonged immobilization of the shoulder may in someway cause this condition.

How does this affects the shoulder?

People with Frozen Shoulder typically lift the entire shoulder girdle when attempting to lift the shoulder.

The disease is characterized by 3 stages

  1. Freezing,
  2. Frozen,
  3. And thawing stages

What is the best treatment?

Physical therapy consisting of patient education, stretching, joint mobilization, and a home exercise program can help speed recovery.

What are the other possible options?

The treatments that decreased the likelihood of pain reduction and improved function were:

  1. Ultrasound
  2. Massage


Back Pain

Back Pain?

 Back pain can range from a dull, constant ache to a sudden, sharp pain that makes it hard to move. It can start quickly if you fall or life something too heavy, or it can get worse slowly.

What are the Causes of Back Pain?

There are many causes of back pain including mechanical problems in the spine, injuries diseases and genetic factors. Occupation and lifestyle are emerging as major factors today.

How is Back Pain diagnosed?

Medical tests may not show the cause of your back pain. Many times, the cause of back pain is never known. Back pain can get better even if you do not know the cause. To diagnose back pain, your doctor will take your medical history, do physical exam and conduct tests.

What is the Difference between Acute and chronic Pain?

Acute pain starts quickly and lasts less than 6 weeks. It is the most common type of back pain. Acute pain may be caused by things like falling, being tackled in football, or lifting something heavy. Chronic pain lasts for more than 3 months and is much less common than acute pain.

Who gets Back Pain?

Anyone can have back pain, but some things that increase your risk are age, race & gender, poor physical fitness, being overweight, inherited diseases, occupation, smocking and stress.

Can back pain be prevented?

The best things you can do to prevent back pain are:

  • Exercise often and keep your back muscles strong.
  • Maintain a healthy weight. To have strong bones, you need to get enough calcium and Vitamin D every day.
  • Follow Proper ergonomic methods while on the job, lifting heavy objects, sitting or driving.

How is Back Pain Treated?

Treatment for back pain depends on what kind of pain you have. Acute back pain usually gets better without any treatment. Proper Exercise can help ease chronic pain.

Avoid Neck Pain with Correct Posture

PAIN in the neck is more than just a phrase for those who experience serious pain in the neck region. In fact, all of us must have experienced it at some point of time or the other with difficulty even in turning the head.

Think of every joint in your body as the centre point of a tug of war game between opposing muscle groups. Muscular pain generally occurs when one group is overused, underused or misused causing it to become either tight or weak. Wrong posture, compounded with muscle imbalances, can create undue amount of stress on the joints in this region.


Most upper back and neck problems are due to the posture used in each persons everybody activities. Some people keep their computer slightly off to one side of their heads, such that the head is constantly turned towards one side.

Others sit in such a slouched position, where the backrest forces the head forward and the chin down. Stress can also be a cause. The muscle tightening increases in direct proportion to stress. The body then adapts to that tightened posture, making it normal for the person.


Osteoarthritis is a chronic and degenerative disease characterized by progressive deterioration of the articular cartilage, synovium (smooth lining of joint), ligaments and subchondral bone (providing support for cartilage of articular surface).

It is the most common type of arthritis & associated with a breakdown of joint cartilage mainly due to mechanical stress on weight bearing joints.

In OA, the top layer of cartilage breaks down. As the cartilage deteriorates and tendons / ligaments stretch causes pain.

Eventually cartilage completely erodes and the opposing bone ends rubs with each other.

This leads to:

  • Pain that may be intermittent or chronic
  • Stiffness in the morning and after rest
  • Loss or restricted mobility.
  • It commonly occurs in the weight-bearing joints like hips, kness and spine.

In OA small pieces of bone and fragments of cartilage are found in synovial fluid

Symptoms of OA:        

  • Joint pain
  • Swollen joint
  • Stiffness
  • Loss of movement
  • Muscle weakness
  • Crepitation

Causes of OA:

  • Overweight / Obesity
  • Injury
  • Genetic defect


What is arthritis?

Arthritis is inflammation of the joint that can result in  pain, swelling of the region and limited movement. Arthritis is a general term that describes more than 100 diseases affecting the joints and connective tissues. It is avery common disease that have verying effects on individuals.

Forms of Arthritis

There are many forms of Arthritis but osteoarthritis and rheumatoid arthritis are the most common. Osteoarthritis occurs when the cartilage deteriorates allowing the bones to rub against each other. Over time, the joint may lose its normal shape and bone spurs may grow on the edges of the joint. In Rheumatoid Arthritis, the synovial membrane becomes inflamed causing pain & swelling and may end to joint erosion.

What are the Symptoms?

If you have arthritis, you may experience the following – joint pain, swelling, stiffness, especially in the morning, warm felling/ redness of skin around joint and reduced ability to move join.

How is it diagnosed?

No single test can diagnose arthritis and it is established based on physical examination to check for tenderness, redness, warmth, stiffness, or fluid in a joint along with personal and family medical history.

What are the Common Causes & Risk Factors/

Common Causes: Injury to the joint, infection, general wear and tear due to aging and repetitive usage, and autoimmune diseases. Common Risk Factors are obesity that increase risk of developing osteoarthritis in the knees, and possibly in the hips and hands, and repetitive use of joint.

How to prevent/Manage Arthritis?

Prevention- Exercise for arthritis is necessary to maintain healthy joints, relieve stiffness, reduce pain and fatigue, and improve muscle and bone strength.

Management- Splints are required to align joints and reduce pain and increase mobility and healing. Hot and Cold therapy helps manage pain. Sleep and rest helps recover from inflammations due to activity. You should also:

  • Avoid positions or movements that place extra stress on your affecting joints.
  • Avoid holding one position for too long
  • Reduce stress, which can aggravate your symptoms.
  • Try meditation,

Joint Pain

Joint pain can be caused by injury which is affecting muscle, ligaments, or tendons surrounding joint. Joint pain occurs in shoulder, knee, spine, cervical area etc.

Some of common causes of joint pain are

  • Osteoarthritis
  • Rheumatoid arthritis
  • Injury / fracture
  • Strains & sprains (Sprain is a stretch and / or tear of a ligament & strain is an injury of a muscle and / or tendon)

Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune disease that can cause chronic inflammation of the joints, Autoimmune diseases are conditions that occur when the body’s tissues are mistakenly attacked by body’s own immune system.

The cause of RA is unknown but it is believed that the tendency to develop rheumatoid arthritis may be genetically inherited. It is also suspected that certain infections or factors in the environment might trigger the activation of the immune system in susceptible individuals. This misdirected immune system then attacks the body’s own tissues.

Inflammatory process is characterized by accumulation of activated leukocytes in synovial area that attack articular cartilage leading to progressive destruction of cartilage.

Chronic inflammation can cause damage to body tissues, including cartilage and bone. This leads to a loss of cartilage and erosion and weakness of the bones as well as the muscles, resulting in joint deformity, destruction, and loss of function. Small joints of hands and feet, e.g. fingers may suffer from deformity depending on which joints are involved.

Rheumatoid arthritis & osteo arthritis

  Rheumatoid arthritis Osteoarthritis
Definition Rheumatoid arthritis is a chronic inflammatory condition. It is an auto immune disorder. Osteoarthritis is a condition due to breakdown of joint cartilage. It is a degenerative disorder.
Causes Exact cause not known Joint injury, obesity, extreme joint movement
Joint involvement Multiple joints affected (At least 3 small joints) joints affected in a symmetrical way Single & majority large (weight bearing) joint affected joints affected may be on one side of the body
Symptoms Stiffness, painful and swollen joints Relief in pain after movement Erythematous & warmness Pain and mild tenderness of joints pain increases after movement
Speed of onset Rapid Slow, over a period of time
Severity More severe Less severe
Investigations Blood test – CBC, ESR, CRP, ANA (Anti Nuclear Antibody), Anti-CCPA (Anti-Cyclic Citrullinated peptide Antibody)

RA Factor +ve in Blood




Time to heal from your pain with the help of physiotherapy!
You know what? Let it be a mild one or severe one, all that pain can be cured despite its severity and intensity! It is done even without a single dosage of drug or antiseptics.
Yes, physiotherapy cures your pain just with the help of some exercise therapy, electrotherapy and manipulation.


All those pain can be vanished like a magic with the help of some physiotherapeutic techniques like
Regular and proper Exercise,
Manipulating specific muscle region &
Using some machines which gives electrical impulses like Interferential therapy (I.F.T), Ultrasonic therapy (Ultrasound), Cervical traction,Lumbar traction, Electrical Nerve Stimulation,TENS etc.
With the help of specific aids etc .


The major areas where it assist are

  • Neck pain
  • Body pain
  • Low Back pain
  • Muscle sprain
  • Knee pain
  • Joint pain
  • Muscle spasms
  • Sports injury
  • Muscle stiffness
  • Rehabilitation therapy for bedridden patient
  • Rheumatoid arthritis
  • Leg Pain
  • Stroke / Hemiplegia
  • Paralysis
  • Muscular dystrophy
  • Lymphedema
  • Frozen shoulder
  • Vertigo imbalance
  • Dizziness
  • Chronic pain syndrome
  • Sprains
  • Disc herniation
  • Muscle pulls
  • Muscle imbalance
  • Arthritis


By understanding the cause behind your pain it will help you to manage its effect
Painless treatment is provided.
Help you in pacing yourself
Through planning, monitoring and implementing regular graded exercise the result can be gained soon.
It also stimulates body’s natural pain relieving hormones
Electrotherapy like ultrasound treatment helps us to minimize the ease of pain.
Manipulation help you to improve the movement in your joints.
In the end it will improve your fitness and enhance your wellbeing.


Contact CARE TO CURE CLINIC for immediate assistance in pain relievement and supportive therapy.Best pain relief centre in madurai.


Irritable bowel syndrome (IBS)

Most of us are worried and anxious during this uncertain situation.

Especially for people with IBS such unpredictable situations could make their stress worsen up more and create a huge breakdown in their health.

Do you know Why?
It’s because of the gut-brain connection.
It will pave the way to a repeated stress cycle and turn those symptoms chronic and affect our overall wellbeing and daily life.

Want to find a solution to this?
CARE to CURE Clinic can help you with this within a short period of time.
You can get proven results within 6-weeks and retrain the gut-brain connection by learning to manage IBS symptoms with its evidence based psychology programme.

Stop stressing over it and Start consulting “the best counseling center care to cure clinic” and break those cycles of stress!

Neck Pain

Many people experience neck pain or Neck stiffness occasionally. In many cases, it’s from poor posture or overuse, or by sleeping in an awkward position. Sometimes, neck pain is caused by injury from a fall, or contact sports.

In some cases, neck pain can indicate serious injury or illness like Finger Numbness,Head ache, Vertigo etc… Patient require a Physiotherapy doctor’s care.

If you have neck pain that continues for more than a week, is severe, or is accompanied by other symptoms, seek medical attention immediately.