Lybrate.com has a nexus of the most experienced Orthopedists in India. You will find Orthopedists with more than 27 years of experience on Lybrate.com. Find the best Orthopedists online in Agra. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Ankit Varshneya
Back Pain Treatment
Treatment of Joint Pain
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Treatment of Sports Injuries
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Submit a review for Dr. Ankit VarshneyaYour feedback matters!
Patient Review Highlights
Dr. Ankit Varshneya provides answers that are knowledgeable. Answer closely related to my question
I found the answers provided by the Dr. Ankit Varshneya to be very helpful. Thank you doc
I found the answers provided by the Dr. Ankit Varshneya to be very helpful. Very helpful
I found the answers provided by the Dr. Ankit Varshneya to be inspiring. Excellent
Movement of the human body is possible through various joints which work in coordination to allow for smooth painless movement. However, with age, these muscles and tendons undergo wear and tear which gradually leads to tender swollen joints and painful movement.
The knee is the largest human joint and most of the body movements (walking, running, squatting, sitting, etc.) are only possible because of the flexible knee cap. Whether with age or with injury or trauma, if the knee is affected, then total knee replacement (TKR) would be required.
Indications: With a success rate of almost 98%, knee replacement almost seems magical for arthritis patients.
Wear and tear of the knee leading to arthritis. This causes all knee movements to be painful, which can be especially distressing at night.
Injury or trauma where the knee joint is damaged beyond repair.
What to expect during surgery?
- Once it is decided that surgery is required, the doctor will brief you on what to expect before, during, and after the surgery.
- The operation is done under combined signal epidural anaesthesia, so 3 days admission is required in the hospital.
- The damaged portion of the knee is removed and this is replaced with an implant which is made up of titanium and cobalt chromium.
- Hospital stay can vary from 3 to 5 days depending on overall condition of the person.
- Most patients will be able to do basic movement on the very next day of the surgery.
- Ice pack and painkillers can be applied to control swelling.
- The pain will be completely gone within 15 days.
- In the beginning, walking with the support of parallel bars is advised (walker). This can be followed by the use of cane for the first few days to avoid overload and damage to the knees.
- Most people can walk the next day, though it is advisable to use a cane for the first few weeks so that knee can strengthen to support the load.
- Regular postoperative visits should be scheduled for up to 2 months after surgery.
- In addition, it is extremely important to draw up an exercise regimen and follow it to sustain and improve mobility.
- In the absence of regular exercise, there could be stiffness of the joint which can set in and further aggravate the situation
- Driving is permissible only after the doctor's advice.
Let your doctor know before going for any surgical procedure (including dental work) as people with TKR should have antibiotic coverage before any procedure.
Debilitating inflammation in the joints and its surrounding tissue usually characterize arthritis. This ailment can greatly weaken the body. At the point when joints are seriously influenced by joint pain, there are a number of treatment methods that may be available for the patient. Pain relievers, physiotherapy and other forms of treatment can help in offering relief. Yet, when these methods fail, one can go in for replacement surgery of the affected joint. This may not just lessen or eliminate the pain experienced but it can also it can reestablish better strength in the joint. Hip, knee, and shoulder joint substitutions are a portion of the more normal surgeries suggested when managing joint pain.
Joint Replacement Surgery for Various Joints: Arthritis can affect a variety of joints in various ways. In the shoulder, this can be found in the humerus (the upper arm bone) and a bit of the scapula (the shoulder bone). In the knee, it includes the finishes of the femur and tibia (the thigh bone and shin bone, separately) and the patella (the knee top). In the hip, the influenced zones are the femur and the attachment in the pelvic bones in which it rests (the hip bone socket). In simple words, an aggregate joint trade or replacement for joint pain includes replacing the harmed joint surfaces with simulated segments artificially.
Ideal Candidate: In the event that your joint pain is progressed yet you are generally healthy, joint substitution might be a choice. Notwithstanding, you should take the advice of an accomplished orthopedic pro who can give you moderate treatment choices and other negligibly intrusive ways to deal with the condition before resorting surgery.
As a rule, you may not be a decent candidate of the replacement if:
- You have inadequately controlled diabetes
- You are a chain smoker
- You are extremely chubby
- You have encountered contaminations in the influenced ligament joint before
- The best contender for a ligament joint replacement surgery includes patients who:
- Have joint pain that is extreme
- Are encountering a debilitating effect in their personal life due to the painful symptoms
- Have discovered moderate medicines, for example, mitigating drugs and non-intrusive treatment to be ineffectual
- Are willing to effectively and regularly participate in a recovery program after surgery
The accomplishment of a joint substitution surgery relies on upon the stability of the remaining parts of the joint. In the event that the joint has endured a few diseases, or in the event that it has experienced a few surgeries, it may not be sufficiently solid to withstand a joint replacement procedure. What's more, if you there are immune system disorders or long ailments like diabetes at play, then there may be little chance of aligning with the new joint.
Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced by artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.
When do you need a replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.
Aim of the surgery
Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking. progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Arthritis is an agonising and degenerative condition caused by swelling and inflammation of the joints that causes pain and stiffness. Whether it is dull, sharp, smouldering or a pressure that must be described as having a hammer crushing one of your joints, chronic arthritis pain and joint inflammation is a very common disease among many adults.
Here are a few generic tips to help the condition of arthritis:
- General and regular exercising: Specialists prescribe the use of a workout plan that guarantees certain activities and exercise routine. The point of the regular exercising routine is to guarantee mobility and flexibility of the joints and enhance the scope of movement for patients. In the meantime, working out helps in enhancing the quality of the joints and allows better strength and support for the body. Along these lines, they help in diminishing both weight and strain on the joints.
- Weight control and healthy diet: Patients with arthritis will suffer more on account of weight gain. To keep away from an excess of weight and pressure on the joints as an after effects of weight gain, stay away from putting on weight. Eat healthier foods that comprise of more minerals and vitamins while giving less fat and calories to the body. Increasing vegetables and organic products in the eating regimen is great for arthritis pain. The leafy vegetables contain anti-oxidants. They also have anti-inflammatory effects on the joints and bones.
- Hot and cool treatment: Simple and basic hot and cold treatments can improve things greatly with regards to arthritis pain. Long, warm baths or showers particularly in the morning ease solidness and stiffness in your joints. Use an electric cover or warming cushion around evening time to keep your joints free and use moist warming cushions. Cool treatments are best to relieve arthritis pain. Wrap a gel ice pack or a sack of frozen vegetables in a towel and apply it to the painful joints for fast alleviation and relief from the pain and swelling.
- Inflammatory and anti-inflammatory foods: Arthritis and joint pain can increase if patients continue using nourishments that have high inflammatory impacts. However, some might not have a thought of what the foods are or what they give to the body. One needs to abstain from eating fast and junk food and processed food products. Turmeric, the most basic Indian spice, has a chemical in it called curcumin that might have the capacity to diminish arthritis pain.
- Plan carefully: It is hard to tell when a flare-up may happen, making your joints turn out to be hard and swollen, or when you will try too hard while working out. Since you cannot anticipate these occasions, it is a smart thought to be prepared beforehand and get ready for issues before they emerge with medication and your emergency numbers in place.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is mostly common in the elderly people, especially in women. Mostly, the reason is underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopaedic department.
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule).
What causes the hipbone fracture?
As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile.
Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery.
Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture.
How to prevent hipbone fracture
- First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age.
- Always remember to maintain a healthy bone.
- Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day.
- Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling.
- Avoid consuming of tobacco and alcohols as it can reduce bone density.
- Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.
- Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors.
As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up. If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age. In case you have a concern or query you can always consult an expert & get answers to your questions!
We have 207 bones in the body and breaking of any one of them can be extremely painful. Broken bones are called fractures and are most often a result of accidents. The risk of breaking a bone depends largely on your age and fractures are most commonly suffered by children and elderly people. There are many types of fractures. The most important amongst these are:
- Complete or incomplete fractures: This refers to the way a bone breaks. A complete fracture involves the breaking of a bone into two or more separate pieces while in an incomplete fracture, the bone does not break all the way through and may only be cracked.
- Compound fractures: Compound fractures are also known as open fractures. This refers to fractures where the bone tears through the skin.
- Simple fractures: Fractures where the bone does not tear through the skin are known as simple fractures. This can be further categorized as greenstick fractures, transverse fractures, oblique fractures and impacted fractures.
Severe pain is one of the most common symptoms of a fracture. Other symptoms include swelling or bruising over the bone area, loss of function and deformity. Any form of a fracture needs medical attention. In most cases, using a splint to reset and support the broken bones can help heal them. This process can be surgical or non-surgical depending on the extent of the fracture. In some cases a pin or metal plate may need to be implanted along with the bone to give them support while they heal.
Fractures can be easily prevented. In your home look out for things you could trip over or bang into. Keep all stairways clear of obstructions and do not use them when wet. Advise your children not to run in the house as tiles are slippery and they could fall and hurt themselves this way.
Follow general safety precautions like wearing a seatbelt while driving or wearing a helmet while riding a bike or bicycle. This can significantly reduce your chances of breaking a bone if caught in an automobile accident.
The weaker your bones, the easier they are to break. Eat food rich in calcium and vitamin D to build stronger bones. Milk and other dairy products are rich in calcium while the best way to get vitamin D is by exposing yourself to the early morning sunlight.
If you suffer from osteoporosis, exercise regularly to improve your balance and increase the strength of your bones and muscles. Your doctor may also prescribe medication for the same.
In case you have a concern or query you can always consult an expert & get answers to your questions!
If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.
Types of arthritis
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.
- Arthritis pain may occur all of a sudden, but commonly develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
- Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:
- Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
- Corticosteroids are used for reducing inflammation.
- Certain DMARDs or disease-modifying antirheumatic drugs are used.
Certain injections that are used for helping with knee arthritis. They include:
- Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
- Corticosteroid injections also soothe inflammation and pain.
You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:
- Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
- Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
- Arthroscopy, where an incision is made in the knee for removing damaged parts.
It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.
When joints get inflamed, it is known as arthritis. This causes swelling and pain in the joints of your body such as the hips and the knees. When the cartilage gets damaged at the ends of bones, a type of arthritis called osteoarthritis occurs.
There are two main types of osteoarthritis:
- Primary: This type is more generalized. It affects the knees, fingers, hips, spine and thumb.
- Secondary: This type can occur after injury or joint inflammation, or as a result of any disease that affects the ligament's composition, like hemochromatosis.
How is the hip affected by osteoarthritis?
Patients have difficulties walking if they have hip osteoarthritis. Diagnosing hip osteoarthritis is difficult. It is because the pain appears in varied locations, such as the groin, buttocks, knee or thigh. The pain can be a dull throb or can be sharp and stabbing. The hip is usually stiff.
What are the causes of hip osteoarthritis?
The causes of hip osteoarthritis are unknown. However, the factors that can lead to osteoarthritis are joint injury, excessive weight and rising age.
Along with the abovementioned factors, the following may contribute as well:
- The joints may not have developed accurately
- The cartilage may have inherited the defects
- If the joints are too irritated due to added pressure on them, like excess body weight or stressful activities that include hip movement, osteoarthritis may develop.
What are the symptoms of hip osteoarthritis?
The symptoms of hip osteoarthritis are as follows:
- Joints feel stiff when you get out of bed
- Joints feel stiff if you have been sitting for some time
- The joints feel painful, swollen or tender
- You can hear (a "crunching" sound) or feel the bones rubbing against each other.
- You find yourself unable to do certain things, like putting on socks, as it requires your hips to move.
How is hip osteoarthritis treated?
The main objective of treatment is to restore the patient's ability to move around. A part of this objective includes correcting the function of the hip and managing the pain. The treatment can include:
If you are experiencing joint stiffness in your hip along with pain and tenderness, you could be suffering from hip arthritis or osteoarthritis. Osteoarthritis accounts for being the most common form of arthritis. It is referred to as degenerative joint disease and old-age arthritis and usually, occurs because of age-related issues. The condition occurs when injury and inflammation of a joint lead to the breakdown of the cartilage tissue, causing pain, swelling, and deformity.
How hip arthritis affects the hip joint?
People who are affected by osteoarthritis of the hip may have difficulty in walking properly. Diagnosis in the early stage is difficult as pain may occur in various locations such as the thigh, groin, knee or buttocks.
The underlying causes
The factors responsible for osteoarthritis include increasing age, joint injury and excess body weight. Some other factors may also be responsible. They are as follows:
- When the joints have formed improperly.
- In case of inherited defects in the cartilage.
- When a person puts excess stress on the hip joint because of being overweight or due to certain activities and motions.
How it can be detected?
The different symptoms of hip arthritis or osteoarthritis are as follows:
- Joint stiffness, especially after waking up in the morning.
- Joint stiffness after sitting for a long period.
- Swelling, pain, and tenderness in the hip joint.
- A crunching feeling or sound of bones rubbing against one another.
- The inability to move the hip for carrying out daily activities.
The aim of osteoarthritis treatment is to improve the patient’s ability to move about so that his regular life is less affected. The function of the hip and pain management are other targets of treatment for this condition. The different treatment plans are as follows:
- Proper joint care and rest
- Using a cane while walking for taking weight off your hip
- Losing excessive weight
- Non-drug pain relief measures for controlling pain
- Regular exercise
- Several medicines, including NSAIDS and other prescribed pain medication
- Alternative therapies
Hip replacement surgery
This is a surgical procedure used for osteoarthritis treatment when all other treatment plans fail. The damaged ball of the hip joint is replaced with a metal ball in this surgical procedure. The hip socket is resurfaced by using a plastic liner and metal shell. Apart from the mentioned treatment procedures, hip resurfacing is another surgical option for osteoarthritis treatment, which helps in giving relief when a hip replacement surgery is delayed. In this procedure, the affected hip joint surfaces are surgically removed and are replaced with metal. If you wish to discuss about any specific problem, you can consult an Orthopedist.