Doctor insights on:
Leg Strengthening Exercises For The Elderly
The last 30-40 degrees of extension strengthening are the safest on the knee.
Leg presses, squats, knee extension exercises that focus on the last 30-40 degrees of motion can create good strength and mass without stressing the knee cap or meniscus significantly. Lunges put high stresses on the knee. ...Read more
Can I use my exercise bike everyday to treat my moderate knee osteoarthritis? What about daily leg strengthening exercises? How much is too much?
Manage OA: Using an exercise bike is an excellent exercise if one suffers with osteoarthritis. Your knee will tell you if you've had enough. Progression of OA can be generally minimized by losing weight, performing light weight training and low impact cardiovascular exercise (elliptical, exercise bike, swimming). Glucosamine and chondroitin supplementation can help to rebuild lost cartilage as well. ...Read more
Knee osteoarthritis. Advisable to add ankle weights when doing strengthening exercises like straight leg raise?
0kay: If no discomfortGet a more detailed answer ›
there are many and most you already know such as belt pulls, ankle lifts, jump rope, balance boards and etc.
dr. Mark reed
placentia-linda foot & ankle group
drs. Mark and melanie reed
1275 rose drive, suite 136
placentia, ca 92870
fax: (714) 528-0739
office: (714) 528-2252
www. Footpain. Org
drmreed@footpain. Org. ...Read more
About 6 weeks: 6 weeks is typical to heal a fracture in the foot well enough to return most to normal, everyday activities. You might need more bone depending on where and how extensive the fracture (s) are. Return to physical activities such as sports might need more time as well. Talk to a podiatrist or orthopedist for specific guidelines. ...Read more
I've had patella maltracking in the past and have it again...Where can I find knee strengthening exercises specifically for this...Cant afford pt?
Patellofemoral exerc: This is a nice guide with pictures that I printed off for a friend in the past: http://www. Permanente. Net/homepage/kaiser/pdf/6946.Pdf. .... Patella maltracking causes patellofemoral syndrome, so exercises for patellofemoral syndrome would be helpful for patella maltracking (for your internet searching leisure). ...Read more
How does the physiotherapist determine when I'm ready for stretching and strengthening exercises after my ankle sprain? When is the right time?
Varies: Remember you are dealing with experts- physiotherapist require years of training before they receive their degrees. The transition from symptomatic treatment to more active stretching is typically based on decreased swelling and pain. As symptoms further improve strengthening exercises are added. If at any point progression is difficult a return visit to physician is warranted. ...Read more
6th week after ankle sprain. Do foot n ankle stretching n strengthening exercises, but feel pain doing heel cord stretch n calf raise. What to do?
Ankle sprain: Check with orthopedic surgeon. May have talar dome injury, avulsion fracture, syndesmotic injury, or bone contusion. ...Read more
How soon should rehab n strengthening exercises start after a 2nd grade ankle sprain? Should I wait till there's totally no more pain when walking?
3-4 weeks: Typically it takes 3-4 weeks for ligaments to heal. Starting physical therapy around that time may assist with balance, proprioceptiom, and strengthening. You'll still have residual swelling for a while so don't wait until there is no pain. However if pain continues to increase, you might need to get reevaluated for a possible pathologies (olt) that can happen with severe to moderate sprains. ...Read more
Blood vessels: Any significant trauma to the veins or lymphatics after even a minor trauma can cause swelling in elderly oatients ...Read more
A nerve disorder-yes: It is a very difficult to treat disorder which causes large muscle groups to twitch spontaneously. .. Usually the legs, usually at night. The difficulty is that the most effective medications are apt to cause tolerance to develop. .. They are very helpful at first, but eventually the twitching returns with a vengeance. It is more common with increasing age, but it can affect even young people. ...Read more
Can be poor veins: A common change as people get older is for the blood vessels in the legs to get weaker and often damaged. Poor vein function (varicose veins, venous insufficiency) can cause swelling, and blood pooling. Gravity makes it worse. Sometimes vessels leak blood which can make the skin look red or brownish. Prevent weak veins by staying active, stretching the legs, and putting them up when sitting. ...Read more
1st find cause: Before discussing treatment options, we always need to figure out cause of problem. Swollen legs could be due to blood clot, kidney failure, heart failure, liver failure or just venous insufficiency (vein failure). Each cause requires different approach. So it's best to take patient to see Family Doc (or Geriatrician if elderly) for complete evaluation then treatment as appropriate. ...Read more
Stasis: Common cause may be stasis dermatitis brought on by weak veins in the legs. Fluid builds up in legs and cause inflammation and redness. This may respond to cortisone creams and compression hose. Other causes may include a skin infection (cellulitis)- best to be checked by your doctor. ...Read more
How to clean desiten off the skin? My elderly client is having a sores in her between legs & I put desiten but its hard to remove it from the skin.
Wash with water!: Desetin or zinc oxide is kind of sticky and is hard to remove, even though it is a good barrier cream. Washing with water and soap will get rid of it. I advise patients to choose petroleum jelly in its place. In your case, the sores between legs could be fungal infection, which may need medical attention. Please have the patient checked by the doctor as prescription medications may be needed. ...Read more
Desk job kills me. Feel almost elderly at work (in 30s dealing w/ctd).Spine hurts, shooting leg pains. Get up atleast 1x/hr. Great when active. How 2 deal?
Keep moving: Two things to consider. First, consider further testing to ensure see if the back and leg pain you have may be more than just related to your connective tissue disease. For example, a disc herniation is a very treatable condition and could be diagnosed on an mri. Finally, although it is not simple, find a way to keep moving even while at work. Good luck! ...Read more
Are the elderly with COPD & pulmonary hypertension & clot in the leg prone to cough? How can cough be avoided?
Can an elderly with copd, pulmonary hypertension, blood clot in leg take cough syrup for her cough?
Yes: Yes, if your doctor prescribed it for you. He/she already factored in all of your problems and medications you are currently on with any new medication recommended. ...Read more
We visit an elderly man bedridden after a hip fracture. He complains of pain in his legs. Is it thrombophlebitis i?
Throbophlebitis is not that painful
he needs a complete examination by an experienced orthopaedic surgeon. ...Read more
Elderly female with no feeling in legs, hands and feet, dizziness and shortness of breath, is there any diagnosis for this? Has had pain behind one ear, on going. Some swelling of the feet, better with elevation. Also has a cough that comes with blood and
Same as in non-elder: Take anyone w/dislocated kneecap to ER if just happened. Need imaging/xrays to make sure nothing else injured/dislocated/broken. After ER visit, see Family Doc or Sports Medicine specialist for ongoing care. Bracing & exercise aka physical therapy are key to rehabilitation. Check out http://www. Nlm. Nih. Gov/medlineplus/ency/patientinstructions/000585.htm for more info. ...Read more
DVT. Swelling: Depend upon which comorbidities are present at the time of the surgery:diabetis, obesity, chf, copd, varicocities etc. Most common ones aredvt (blod clot), swelling, stiffness, infection. Of course there are several possible complications however those are the most common ones. ...Read more
Too many variables-: -to give a specific answer. Such as 2 pieces, transverse, comminuted & # of fragments, quality of bone, open or closed. High or low velocity injury. Also many co-morbidities add to poor healing: diabetes, thyroid R a couple. obesity also. Each presents one with the question how best to treat this, open, closed & cast, if open what 2 use, pins, wires, both, screws or all 3. each case is different. ...Read more
For a broken patella, how long would an elderly patient be expected to be on pain killers? Patient has been on pain killers for a month now.
Pain killers: This really depends on the healing - elderly folks take longer to heal - however the requirement for the medication should decrease as the healing proceeds, . ...Read more