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Difficulty sitting, standing and climbing staircase. What is the reason? Treatment?

muscular dystrophy evaluation forum chief complaints: difficulty in sitting position to standing and stair climbing. medical history/surgical history: no. family history :3 rd child to cans arguers parents. on observation: a breathing pattern_ tho race abdominal. b atrophy_no c skin condition_normal d orthotic devices_ nil e limb attitude_ hip external rotation , knee neutral problems list: a difficulty in stair climbing & sit. b difficulty in lifting. c Something there . Treatment programs: a AAROM ex’s to B/L U.L & L.L b AROM ex’s to B/L U.L & L.L c strengthening ex’s d pelvic bridging e squads, minisquats f incentive spixemeter g back muscle strengthening & abdominal strength h positive correction i gait training
Asked On : Mon, 14 Jan 2013
Answers:  1 Views:  96
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Orthopaedic Surgeon, Joint Replacement 's  Response
Feb 2014
Thanks for your query.
From your symptoms it seems that you are having calcium or vitamin D 3 deficiency. Usually application of hot pads can make the movement possible.
The treatment options include pain killers, hot fomentation, lubricating agents like glucosamine sulfate, calcium and vitamin D3 supplements, etc and some life style modifications and physiotherapy.
Right now you can start taking Tablet Tylenol ( Acetaminophen) Double Strength after breakfast and after dinner. It is suggested to add calcium supplements 500mg each twice daily. This will take care of your mild symptoms in 3-5 days. You can start with walking and aerobic fitness exercises, quadriceps strengthening, patellar tapping, lateral heel wedges, etc- under the guidance of your physiotherapist. A Big No to Stair case, squatting postures, any chair which has a sitting platform lower than your knees.
I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
Answered: Mon, 16 Dec 2013
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