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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
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Patient Review Highlights
I was diagnosed with shoulder pain. Thanks to Dr Ajay for the shoulder pain treatment he gave me has given brilliant results. He ensures that he listens to his patients. I was in too much pain because of shoulder pain, but even after consulting a number of doctors, I was not getting any relief. But after consulting Dr ajay, I am perfectly fine.
Initially the joint and muscle problems were not that severe but then it became worse. I have consulted so many doctors , but no one was able to solve my problems. I am so happy with the results of my treatment, that I will surely recommend Dr Ajay Rao to anyone gladly. Hygiene is very important, and I must Nava Hospital was extremely clean.
mere back pain ki vajah se meri life kharab hogaye thi. mere boss ne merko batay ki mai dr Ajay rao ko dikhau unke clinic Nava Chethana Hospital banglore mei. unke pas mai gaya aur unhe mera ilaaj etne acche se kia ki aj mai bilkil aarm se koi bhi kaam karta hoon aur ,merko dard hi nahe hota. mai abse hamesha unhi se apna treatment karvaunga.
I was in so much stress due to my knee pain. I consulted a number of specialists but the way he treated me was the best. i went to Nava Chethana Hospital in case of emergency. He is very courteous and behaves very aptly with elder patients. Dr Rao has so much knowledge that for everything my family takes his reference.
I was shocked to experience the symptoms of osteoarthritis. It was so quite pleasant in the Nava Chethana Hospital. I was in too much pain because of osteoarthritis, but even after consulting a number of doctors, I was not getting any relief. Dr Ajay's treatment suited me the best and now I am fine.
dr Ajay Rao gave me a very prompt action & treatment for my problem of arthiritis the medicines he prescribed were the best. I have been under his treatment since long.. And found him to be very competent in his field . Fully satisfied. He can be consulted at Nava Chethana Hospital in bangalore.
Thanks to Dr Ajay for the spinal surgery,I am quite better now. I never thought I will suffer from spinal pain like this. But Dr Ajay helped me immensly. I thank him for the treatment he offered. I am back to my normal self.
I was suffering from excess pain in my knee.One of my colleague referred Dr Ajay. The way he treated me was great. His surgery was very effective. I owe him a big thank for my knee surgery and I am perfectly fine now.
One of my colleague referred Ajay Rao for knee replacment. He is not just friendly, but also is very motivating. The atmosphere in the Nava Chethana Hospital is always so positive and full of life.
The best Ortho We have visited. Very patient and effective.
Shoulder impingement occurs due to bursitis, tendinitis or bony impingement. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours.
How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.
Symptoms of shoulder impingement:
- You will have difficulty in completing tasks which involve your back.
- There may be a weakness in your shoulder muscles.
- Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
- Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.
Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.
Treatment of shoulder impingement:
It should not be given in partial or complete tear of the rotator cuff tendon. NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.
Corticosteroid injection is helpful in relevant pain as it reduces inflammation. It should not be given in partial or complete tear of the rotator cuff tendon.
In the shoulder, they are particularly useful in the management of:
- Rotator cuff disease (degenerative tendonosis, impingement, subacromial bursitis)
- Adhesive capsulitis (or ‘frozen shoulder’)
- Glenohumeral osteoarthritis
- Acromioclavicular joint disease (osteoarthritis or osteolysis)
Physiotherapy for Impingement:
Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:
- Pain Management
- Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
- You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
- Strengthening Exercises
- The therapist will teach you the proper posture which is an important part of rehabilitation
- ultrasound Massage
And in case physiotherapy fails, arthroscopic sub acromial decompression is the best treatment option.
Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.
Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.
Discontinue antiplatelets: Discontinue antiplatelets and blood thinners. It has to be stopped atleast 5 days before Surgery.
Prepare for blood loss: Most people experience some blood loss, but not excessive.
Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.
Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).
Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.
Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.
Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.
Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.
After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.
Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail
Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.
Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.
Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.
Smoking and alcohol should be completely stopped, as healing can be hampered.
With some preparation, spinal surgery can be sailed through smoothly.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Osteoarthritis: Complications and risk factors
Osteoarthritis is the most common form of arthritis. It affects millions of people around the world and is caused due to the gradual wear and tear of the protective cartilage at the end of your bones. The condition most commonly affects the joints in the hands, knees, hips and spine although it can damage any joint in the body.
The symptoms of osteoarthritis develop slowly and get worse with time, and include pain during and after physical activities like movement. The joints may become tender and may pain even with the application of light pressure. Stiffness and loss of flexibility are some of the other symptoms. The loss of cartilage due to gradual wear and tear causes the condition. It causes the smooth surface of the cartilage to become rough, giving rise to friction.
Some of the risk factors involved that can increase your chances of developing the condition are:
- Old age - The chance of osteoarthritis increases with a person's age.
- Sex - A study concluded that women are more likely to develop the condition. Although there isn't an established reason, lesser physical activity is attributed as a possible cause.
- Obesity - Having excessive body weight can be a contributing factor. This is because it puts added pressure on the weight-bearing joints, such as the hips and the knees.
- Joint injuries - Joint injuries contracted due to sports activities, accidents or other such factors can increase the likelihood of this condition.
- Genetics - In some of the cases, the condition is observed to be passed from generation to generation.
- Bone deformities - Some people who are born with bone deformities and defects can have greater chances of having this condition.
- Other diseases - Having diseases like diabetes and gout can increase the risk of the condition.
Some of the complications of this disease are:
- Joint pain and stiffness may cause hurdles in daily activities. Daily activities like changing clothes can be painful.
- Some people are unable to work any longer. Joint replacement surgeries are advised by doctors in these cases. If you wish to discuss about any specific problem, you can consult an Orthopedist.
There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.
Some of the most common conditions that cause hand pain are:
De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.
Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.
Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.
Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.
- Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition. If you wish to discuss about any specific problem, you can consult an orthopedist.
Meniscus refers to the soft ligament in your knee joint, which cushions your bones and protects it from wear and tear. It is vital for the fulfilment of regular activities and the health of your bones. Thus, a damage to the meniscus can be extremely painful. menisci is exposed to injuries and shocks in case of rigorous activities and this is a fairly common injury faced by athletes and sports persons. It can cause a substantial amount of pain and generally impairs movement to a large extent. It potentially gets worse as the inflammation sets in and the swelling grows. The risk of a menisci tear increases with age. The treatment for a torn menisci depends upon the degree of tear. While minor tears repair on their own, for graver injuries, the following therapies may prove effective.
Symptoms of a torn meniscus
- You might be able to experience a popping sensation in your knee joint
- Stiffness and swelling
- You will experience pain, especially while you are trying to twist your knee
- You might not be able to straighten your knee completely
The treatment for a torn meniscus depends upon the degree of tear. While minor tears repair on their own, for graver injuries, the following therapies may prove effective:
1. Light exercises: For slightly serious meniscus tears, there are certain knee exercises which are recommended to abort any further damage as well as to repair the wound. Limiting the activities which might exert pressure on the knees, getting adequate rest, using ice packs and wearing neoprene sleeves always aid in recovery.
2. Anti-inflammatory medications: Often, meniscus tears are cured with the help of anti-inflammatory drugs like Ibuprofen. They not only reduce pain but also enable the mending of the injured tissue. However, one needs to be aware of a few side effects which often become natural repercussions of such drugs. Possibility of ulcers and bleeding get increased by leaps and bounds on the intake of such drugs.
3. Surgery: For all other forms of meniscus tears, if healing is not happening through non-surgical methods, the only option available is that of surgery. Such a situation arises when the pain becomes unbearable and the meniscus tear does not respond favorably to superficial treatments. These surgeries are less complicated than replacement surgeries. They usually do not involve any life threatening hazard and cautious and efficiently conducted surgeries release all pains and handicaps. The surgery is done through a small incision, called as arthroscopic surgery or key hole surgery, where in the torn meniscus is either repaired or trimmed. If you wish to discuss about any specific problem, you can consult an Orthopaedist.