This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Dhaka Medical College Hospital (DMCH)

Context: Osteoarthritis is primarily a disease of cartilage as it is characterized by the degradation of hyaline cartilage in the joints. It is believed to be a dynamic disease that reflects the balance between destruction and repair. Clinically, there is pain, swelling of joints and limitation of motion. Pathological disease is characterized by focal erosive lesions, cartilage destruction, subchondral sclerosis, cyst formation and large osteophyte at the margin of the joints. The objectives of management of osteoarthritis (OA) of the knee are to relieve pain, maintain or improve mobility, and minimize disability. Treatment options include non -pharmacologic intervention, drug therapy, and surgery. Different modalities of physical therapy have been shown to help improve clinical symptoms and function of knee OA with fewer adverse effects. Transcutaneous electrical nerve stimulation (TENS) is among these non invasive therapies which have been used to treat a variety of painful acute and chronic conditions including osteoarthritis. Material and Methods: This randomized clinical trial was conducted on 60 (sixty) patients attending in Physical Medicine and Rehabilitation department of Dhaka Medical College Hospital, who were suffering from knee osteoarthritis. The patients were randomly divided into two groups, Group-A and Group-B. The patients were evaluated clinically and data was collected from both groups in a pre designed data collection sheet for visual analogue scale (VAS) on Pain, 50 feet walking time in seconds and tenderness index in every two weeks interval from the first visit for up to 6 weeks. All the data were analyzed by SPSS version 16.1. Result : The present study showed pain, tenderness and walking time were significantly improved in Group A who were treated with TENS, NSAID & ADL instructions than in Group B who were treated with NSAID & ADL instructions after 6 weeks( P<0.05). Conclusion: The results of this study suggest that application of TENS along with NSAIDs and ADL instructions is more effective in reduction of pain and improving functional performances in patients with knee osteoarthritis than the drug only treatment. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 62-67

Background: Plantar fasciitis causes heel pain. The disease normally develops without injury. Clinically, standing or walking causes sole of foot pain, usually under the heel. Planter fasciitis is diagnosed clinically. Rest, stretching, strengthening exercises, shoe modification, arch supports, orthotics, night splints, anti-inflammatory medications, and surgery can treat plantar fasciitis. Injections and NSAIDs provide brief relief. Calf and plantar fascia stretching may help. When conservative treatment fails for chronic plantar fasciitis, surgery is recommended. In this trial, night splints were used to treat plantar fasciitis. Objective: In this study our main goal is to evaluate the association of Night splint to NSAID + ADL instruction in improving pain and functional performance. Method: This randomized clinical experiment was undertaken on 50 plantar fasciitis patients at NITOR, Dhaka. Group A and Group B was randomly assigned. Group A received NSAID, ADL, and a night splint; Group B received NSAID and ADL. Pain score, Tenderness index, and Visual analogue scale data were gathered from both groups every 2 weeks from the initial visit for up to 6 weeks. SPSS version 23 analyzed all data. Results: The present study showed pain and tenderness were significantly improved in Group A who were treated with Night Splint, NSAID & ADL instructions than in Group B who were treated with NSAID & ADL instructions after 6 weeks (P<0.05). Conclusion: The results of this study suggest that application of Night Splint along with NSAIDs and ADL instructions is more effective in reduction of pain and other symptoms in patient with planter fasciitis than the drugs and ADL.

Background: Plantar fasciitis is one of the most common causes of heel pain. The condition usually comes on gradually without any injury. Clinically there is pain and tenderness in the sole of the foot, mostly under the heel, with standing or walking. The diagnosis of patient with planter fasciitis is essentially clinical. Treatment options for planter fasciitis include rest, stretching, strengthening exercise, shoe modification, arch supports, orthotics, night splints, anti- inflammatory agents, and surgery. Although injections and Non-steroidal anti-inflammatory drugs (NSAIDs) bring relief, their effects are often only temporary. Stretching of the calf and plantar fascia may provide some benefit. In chronic planter fasciitis, surgical treatment is only advocated where adequate conservative management fails. Objective: The aim of this study is to evaluate the effects of the application of night splint in the management of plantar fasciitis. Materials and Methods: This randomised clinical trial included 50 (fifty) patients with planter fasciitis who were seen in the Physical Medicine and Rehabilitation department of the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) in Dhaka. The patients were divided randomly into two groups, Group A and Group B. Patients in Group A were treated with NSAID, ADL and Night splint, whereas Group B patients were treated with NSAID and ADL. The patients were evaluated clinically, and data was collected from both groups in a pre-designed data collection sheet for Pain score, Tenderness index, and Visual analogue scale in every 2 weeks interval from the first visit for up to 6 weeks. All the data were analyzed by SPSS version 16.1. Results: The present study showed pain and tenderness were significantly improved in Group A, who were treated with Night Splint, NSAID & ADL instructions than in Group B who were treated with NSAID & ADL instructions after 6 weeks( P<0.05). Conclusion: Night splint is an easy, non-surgical and cost-effective one which can be applied with other modalities. Night Splint, along with NSAIDs and ADL instructions, is more effective in the reduction of pain and other symptoms in a patient with planter fasciitis.

This randomized controlled trial was conducted in Department of Physical Medicine and Rehabilitation of Bangabandhu Sheikh Mujib Medical University, Dhaka during the period from March 2014 to August 2014 to evaluate the effect of ultrasound therapy (UST) on patients of carpal tunnel syndrome. Total 110 subjects were participated in this study and they were selected randomly divided in two groups by lottery. Group-A was treated with UST, Exercise, Wrist splint, non steroidal anti inflammatory drugs (NSAIDs) and group-B received Exercise, Wrist splint and NSAIDs. Treatment continued for a period of 6 weeks. Group-A were compared to group B by both Visual Analog Scale (VAS) and Levine Symptom severity scale(LSSS) after 3 weeks and 6weeks of treatment. The result showed mean VAS at pretreatment (W0) in group-A was 6.42 ±1.23 and in group-B was 6.17±0.74. Group-A was 1.82±0.43 and in group-B was 3.1±0.23 in their follow up after 3 weeks (W 3) In Group-A was 1.71(±0.52) and in group-B was 2.52(±0.49) at 2nd follow up (W6) after 6 weeks. Mean LSSSat pretreatment (W0),1st follow up after 3 weeks (W 3), 2nd follow up (W 6) after 6 weeksin group-A was 31.64±1.55, 14.32 ± 2.29 and 14.31 ±1.12 respectively,and in group-B was 31.3±0.74,18.51±0.92and 18.31 ± 0.42 respectively.This study revealed that continuous mode of US therapy with exercise, wrist splint, NSAIDs have better outcome in case of Carpal tunnel syndrome patients. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 24-27