Doctor in AMIT Specialty Clinic
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Skin Care Treatment
Treatment of Migraine Treatment
Treatment Of Female Sexual Problems
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Chronic Skin Allergy Treatment
Treatment Of Pregnancy Problems
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Whether you are an athlete or a ballet dancer, you will appreciate the importance of having a stable kneecap. Medically known as the patella, the kneecap is a triangular bone that connects the upper thigh to the lower half of the leg. It sits in a groove in the bottom of the femur (thigh bone). When the leg is bent, it stays within the groove. When the leg is extended, it provides support to the quadriceps muscles.
That being the case, a dislocation of the kneecap is a very common injury. Subluxation is a state where there is partial movement of the kneecap out of its position, thereby making the patient’s kneecap unstable. When it completely moves out of its place, it is known as dislocation. Whether you fall on your knees during a sport or have a fall from a bike or get injured during dance or aerobics, it is common to have a dislocated kneecap. Some people are prone to repeated dislocations.
The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:
Buckling of the knee, where your legs cannot support your body weight
Sliding of the kneecap to a side
Catching of the knee in the groove when trying to move it
Pain in the front of the kneecap with any activity
Painful while sitting
Swelling and/or stiffness of the knee joint
Crackling/creaking sound when trying to move the knee joint
Inability to straighten the leg
Though these sound scary, the good news is that in 90% of the cases, the knee returns to its position spontaneously. However, putting it back into its place is a simple and safe procedure and can be done by almost any seasoned medical practitioner. The first step is to confirm that the kneecap is indeed dislocated. This can be done by a combination of physical exercise and x-ray. If required, MRI can be used, but it is not required in most cases. Initial treatment would include the following steps in sequence:
Immobilizing the knee with splint by keeping the leg in a straightened position.
Calling for medical assistance immediately. They can replace the knee back in its position carefully (reduction). An injured kneecap can cause what is known as foot drop by putting pressure on the peroneal nerve. The toes drag on the ground, making it difficult for you to walk.
Use ice in the affected area for 15 to 20 minutes, and repeat after three to four hours throughout the day to reduce pain and swelling.
Surgical correction may not be required, if there is a damage to the ligament.
- Flat femur and/or tissue laxity can cause repeated dislocations, where physiotherapy and strengthening exercises are useful.
Loss of hair can have adverse effects on your physical as well as mental health. Not only does hair loss affect your self-esteem or appeal, it also hints at an underlying health problem. There could be many reasons for the loss of hair. ‘Alopecia areata’ is a condition wherein sudden loss of hair begins with one or more circular bald patches that might or might not overlap.
Some of the common cosmetic treatments for hair loss include:
- Hair Grafting or Transplant: Hair transplant or grafting is a procedure that uses surgery to move hair follicles from one spot in the body to another and is mainly used to treat male pattern baldness. The transplantations are carried out in outpatient form, with local anesthesia and mild sedation. Harvesting of hair follicles is done using various methods, each with its own advantages and disadvantages. Some of the common harvesting techniques are:
- Strip Harvesting: A strip of skin from the scalp or from any other spot where there is good growth of hair is harvested by the surgeon.
- Follicular Unit Extraction (FUE): Follicular Unit Extraction is a procedure which involves the singular extraction of each hair follicle without any removal of strip of tissue.
- Follicular Unit Transplant (FUT): Follicular Unit Transplant involves the removal of a small strip of tissue from the rear part of the head. The donor hair follicles would be extracted from this strip.
- Robotic Hair Restoration: The devices associated with Robotic Hair Restoration utilize robotic arms and cameras to provide assistance to the surgeon during the FUE procedure.
- Scalp Reduction: This cosmetic procedure involves removal of skin (non-hair-bearing) from the scalp, which ensures that the remaining skin (hair-bearing) can be extended to the area that it is capable of covering the bald spots on the head. This procedure is effective in covering bald areas on the back as well as top of the head. However, it is not favourable for the hairline in the frontal areas of the head.
Laparoscopic surgery is also called minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby the lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.
However, as with any surgery, complications may occur during the course of laparoscopic surgery.
1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
4. Anesthesia-related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
5. Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract: Proper protocol must be followed by the doctor to avoid such complications as much as possible.
The fever itself isn’t a disease but a symptom of a disease. It is generally caused when the immune system heats itself to fight the infections that enter our body. One of the most common reasons a person catches a fever is due to Influenza or the common cold.
Though fever is a common symptom, it can aggravate very quickly if not taken care of properly. This article will educate patients how to take care of themselves if they have a fever. The first and foremost step of taking care is to go to a doctor and get a proper diagnosis.
Upon a proper diagnosis, one can determine the kind of fever they are having. If someone has a fever due to diseases like Malaria then the course of action will be quite different. However, following are the common steps for most of the fevers:
● The first step is to keep a proper check of the temperature every 2 hours. For that, it is advisable to keep a thermometer handy. For better accuracy, it is better to carry a digital one.
● The next step is to keep the patient hydrated as fever usually leads to loss of appetite. This can cause dehydration and loss of nutrients.
● Drinking water isn’t enough to battle dehydration, which is why the patient will need to take the ORS solution every 15 minutes.
● If the temperature rises, one should soak a cloth in cool water and put it on the forehead for a few minutes.
● If the temperature keeps rising, the patient should take Paracetamol only.
● Get a blood check by calling a local pathology technician and subsequently send the report to the doctor to get a proper diagnosis.
Don'ts: While Having a Fever
● Don’t take an Antibiotic unless the doctor prescribes it.
● The fever may cause temporary body pain and stiffness; don’t take Ibuprofen and other painkillers to get rid of it.
● Don’t take any kind of NSAIDS without doctor’s supervision.
● Don’t take any kind of dairy products or junk food.
● Don’t starve because of the loss of appetite.
● Don’t agitate by doing any kind of household work or exercise.
● Don’t sleep with the air conditioning on.
● Avoid drinking and smoking while having a fever.
● If the doctor prescribed antibiotics, don’t quit halfway. It is important that one must complete the course of antibiotics.
● Don’t take a bath while having a fever; it is better to clean the body with a soaked cloth or sponge.
Though fever is a fairly common disease, the treatment can go haywire if the usage of certain medicines isn’t done properly. Following the above instructions will help to take care of when someone has a fever and will help to get better. However, if the fever isn’t going down after 2-3 days, one should see a doctor immediately.
aAcne could be a real headache for normal skin. It not only ruins your face, but is also tough to get rid of. The condition is characterized usually by red pimples or blackheads and occurs due to infected or inflamed sebaceous glands. If you are skeptical about using chemical products, here is list of acne related treatments with alternative medicines:
- Apple cider vinegar: Apple Cider Vinegar has multiple qualities. It can dry up the excess oil present in the face thereby ensuring that the bacteria cannot feed upon it. Its alkaline property helps the skin's pH to come down to an accepted level. Last, but not the least, apple cider vinegar directly attacks the acne causing bacteria and eradicates them from within. This pack is easy to prepare and can be applied multiple times a day.
- Honey and cinnamon combo: Cinnamon possesses antimicrobial properties and attacks acne right from the word go. Honey, on the other hand, is a natural cleanser which helps to drive out the acne from your face. The pack is prepared by mixing 2 spoons of honey and 1 spoon of cinnamon. Before applying it on the face, it has to be ensured that the face is rinsed well with water. Owing to the pack's sticky nature, it should not be left on the face for more than 15 minutes.
- Milk and honey paste: There is a wide misconception about milk causing acne. Unless injected inside the skin, milk actually improves the skin tone and limits acne outbreak. It also helps in reducing skin irritation and redness. Honey has antibacterial properties and fights acne. The pack is prepared by adding 1 spoon of honey and 1 spoon of milk and applied on the face for no more than 10 - 15 minutes. The mask can be washed off with warm water and by lightly rubbing the skin in circular motion.
- White portion of the egg: The white portion of the egg has unaccountable benefits. Being rich in protein, it helps to fight acne and reduces blemishes of the skin. The vitamin present in the white portion combat acne and soak up excess oil present in the skin. This pack should be applied for 15 minutes followed by a thorough face wash with lukewarm water.
- Mashed papaya: Papaya ingredients are found in almost all beauty products these days. Raw papaya is a great remedy for acne problems though. Papaya also helps to remove excess fat from the skin and eradicates dead skin. It contains an enzyme called Papain, which is known to have anti-inflammatory properties. It also restricts pus formation in the skin. Papaya can be mashed evenly and applied on the face for 15-20 minutes before washing it off with plain water. This pack can be tried three or four times a week to see visible changes in the face.
A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.
What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage. Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below).
What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.
Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.
There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.
Treatment for stroke
- Treatment depends on the type of stroke.
- Ischemic strokes can be treated with 'clot-busting' drugs.
- Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
- The most effective way to prevent strokes is through maintaining a healthy lifestyle.
What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms
Time is brain
- Remember Every second Loss means brain cells die.
- Rush to the nearest Stroke Centre whenever you experience such symptoms.
- U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER.
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including
- High blood pressure,
- Cigarette smoking,
- Atrial fibrillation and
- Physical inactivity.
- More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control.
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.
Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urination, pain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.
Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.
Substances which help the body maintain its tissues trigger fibroid growth as well.
Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin D, obesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.
Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.
Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-
Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production
Progestin-releasing intrauterine device (IUD) to alleviate severe bleeding caused due to fibroids
Tranexamic acid to ease excessive menstrual periods
Progestins or oral contraceptives to regulate menstrual bleeding
Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain associated with fibroids
Surgeries to Treat Fibroids:
Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:
Hysterectomy: removing the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.
Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.
UAE (Uterine artery embolization): this treatment cuts off the fibroid's blood supply, effectively shrinking the fibroid.
Oily skin is a result of overactive sebaceous glands that produce excessive oil, thus giving the skin its characteristic greasy look. Oily skin is usually caused by a number of factors such as stress, food, genetics and hormonal changes in the body. Blackheads, whiteheads and acne are some complications that can result from skin.
It is important to take care of oily skin to prevent breakouts. Mentioned below are few tips to assist you in your skincare regimen:
1. Use warm water to clean your skin
Cleaning your face with warm water opens up the pores and clears the dirt from; thus removing the layer of oil on the face more effectively than cold water.
2. Face masks
You may use face masks such as sandalwood or fuller earth to get rid of the excessive oil on the skin. In addition to removing oil, it also cleans and removes impurities from the skin.
3. Limit scrubbing
You should restrict exfoliating your face 2-3 times a week as too much exfoliation may result in excessive oil production. Over scrubbing may cause the skin to lose its natural oils and turn dry.
4. Use a toner
You may apply toner on the skin regularly for its astringent properties that help in cooling and soothing the skin. It also reduces pore size which thus decreases oil production.
Diet plays an important role in the health of your skin, so consuming too many oily and fried foods can increase the chances of getting acne and pimples on your skin. Eat more vegetables and fruits to keep your skin healthy.
6. Stay hydrated
Drinking water regularly helps in replenishing the lost fluids from your body and it also improves overall body health.
7. Use medicated pads
To freshen up your face, use wet tissues or medicated pads to soak up the oil which shall help in freshening up your face.
8. Choose makeup wisely
It is not recommended to use heavy makeup if you have an oily skin. Instead use water based makeup that is light and oily skin friendly.
Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.
Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:
Osteoarthritis: The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:
severe pain in the knee joints
pain after walking up the stairs and it subsiding once you are on rest
severe pain after the movement of joints for a long time
pain that becomes worse in rainy days
joints becoming stiff after waking up in the morning but they improve in the latter part of the day
pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.
Rheumatoid Arthritis: Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:
severe pain in the morning
mild fever accompanying the pain
joints suddenly becoming swollen, red and warm causing, immense pain
sudden stiffness of the joints
pain that increases in cold weather
mild fever, extreme tiredness and weakening of the muscles
Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.
When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:
If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.
Muscle-stretching exercises are effective in keeping the knee joints flexible.
Acupuncture and devices such as knee braces and knee caps can relieve the pain.
Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.
- If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.
Physiotherapy For Knee Arthritis
Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.
The main goals of physiotherapy for your knee arthritis are:
- Reduce your knee pain and inflammation.
- Normalise your knee joint range of motion.
- Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
- Strengthen your lower limb: calves, hip and pelvis muscles.
- Improve your patellofemoral (knee cap) alignment and function.
- Normalise your muscle lengths.
- Improve your proprioception, agility and balance.
- Improve your technique and function eg walking, squatting.
Myelopathy refers to any neurological deficit in the spinal cord. The three most common types of myelopathy are cervical myelopathy, lumbar myelopathy and thoracic myelopathy. Here are the causes and symptoms of myelopathy.
Causes are as below :
This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.
2. Spinal stenosis
This is a condition in which the spinal cord narrows. It is one of the leading causes of myelopathy.
3. Degenerative disc disorders
As you get older, these get more likely as well as other conditions which affect the spinal column such as osteoporosis.
It is a little known fact that tumors very often do cause myelopathy.
There are many other diseases which may cause myelopathy and multiple sclerosis is one of them .
Symptoms are as below :
There are many indications that you are having a form of myelopathy and should consult a medical expert. Here are some of them :
1. Changes in coordination
What this means is that all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, this can affect the whole body.
2. Sudden muscle weakness
It is highly likely that if you have myelopathy then you will have sudden weakness in your muscles.
3. Decreased hand-eye coordination
This is perhaps the biggest indicator of myelopathy since hand eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be worse.
These are just some of the symptoms of myelopathy, however the doctor cannot diagnose myelopathy until he does certain tests. These tests include MRI scans and other tests as well as a regular physical check-up in addition to a look at your medical history.