Myths about Total Knee Replacement

Myth#1 - Knee replacement is a surgery for old people. “I’m too young for a knee replacement.”
Fact - Candidacy for a knee replacement is not based on age, but on the person’s level of pain and immobility. Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking. Age is not necessarily a limiting factor. Often times, a patient is actually fearful about the uncertainty of surgery. Once they are able to resume many of the activities they enjoyed before the surgery, with increased mobility and with less pain, they are very happy they had the surgery. The quality of life one achieves by living without knee pain is priceless.

Myth#2 - “I should wait as long as possible to undergo knee replacement surgery” 
Fact - You don't need to suffer by waiting until the pain is intolerable. The longer life of joint replacements enables people to consider surgery earlier and at a younger age. Osteoarthritis is a degenerative disease that continues to damage the joint and delaying surgery makes both surgery and return to activity more difficult. Delaying surgery lowers a patients’ quality of life not only before the operation, but even for up to two years following surgery.

Myth#3 - “I should continue with medications as long as possible”
Fact - Medicines including painkillers just give symptomatic relief for a temporary duration and prolonged usage is riddled with serious side effects such as renal failure, peptic ulceration  etc. All these medicines are NOT curable.

Myth#4 - Alternative therapies such as acupressure, ozone treatment, massage beds, oils, laser therapy, magnetic therapy; braces will cure my advanced arthritis and knee pain.
Fact - Till date there is NO cure for advanced knee arthritis and these alternate therapies are not backed by established scientific data. All these modalities give temporary pain relief in early to moderate arthritis for some duration only and are NOT curative. Often times, a patient who is actually fearful about the uncertainty of surgery lands up trying these in order to avoid surgery. 

Myth#5 - After a knee replacement, it takes months to recover.
Fact - Depending on the activity, most patients who undergo knee replacement are able to perform routine tasks within a few weeks. A return to rigorous activity takes only a few months. One becomes independent for himself before discharge from hospital. There’s no prolonged best rest required after the surgery.


Myth#6 - After knee replacement, I’ll have to give up some activities and sports.
Fact - You have a high probability of getting back to activities like brisk walking or cycling in 6 to 12 weeks. It will take a bit longer to return to more rigorous activities and contact sports. Squatting and sitting cross legged though possible but at best should be kept to minimal.

Myth#7 - Knee replacement surgery leaves a large scar that is noticeable.
Fact - Scarring is minimal compared to traditional surgery. In fact, the scar is typically only 3 to 5 inches long. As time passes, the scar will fade and become less noticeable.

Myth#8 - Knee replacement is a very painful surgery. There is lots of pain in post operative period.
Fact - With modern day pain management such as in a multimodal approach, ensures that the patient does not feel any pain in post op period and has a smooth recovery.

Myth#9 - Knee replacement is done one at a time.
Fact - Both the knees can be operated at the same time if the patient does not have significant co morbidities and is deemed fit to undergo the procedure by the doctor.

Myth#10 - The new knee lasts for 5-6 yrs. only.
Fact - With modern day precision including computer assisted knee replacement and advancement in biomaterials, the survivorship has increased considerably. Today's joint replacements last 25 years or longer and, for most people, will last a lifetime.

Myth#11 - Knee replacement cannot be done a second time.
Fact - Knee replacement can be done multiple times what is called as a revision joint replacement surgery with good survivorship.

Myth#12 - “I am obese, I cannot undergo Knee replacement surgery.”
Fact - Knee replacement can be successfully done in an obese patient though the recovery is somewhat prolonged and might require additional implants. However, patients who are morbidly obese and have restricted mobility primarily due to obesity are better off after a bariatric procedure.

Myth#13 “I have diabetes or hypertension or heart ailment, so  I cannot undergo Knee replacement surgery.”
Fact  - diabetes hypertension or heart.



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 13 Myths About Total Knee Replacement (TKR), Busted!

Warts are benign growths on the skin. They are hard in nature and are caused due to virus infection. Warts usually infect the upper layer of the skin. This virus is generally passed through a cut in the skin or a damaged skin. If a person with a cut or a damaged skin comes in contact with another infected person, then the virus may spread rapidly. There are different kinds of warts depending on the areas they grow on.

Below mentioned are eight remedies to get rid of warts:

1. Try to be hygienic: warts may pass from one body part to another. So do not touch the infected parts of your skin several times. Make sure to wash your hands with clean water every time you touch the infected areas.
2. Eat healthy: make sure to eat healthy, exercise and sleep well as this will help you to develop a strong immune system. A strong immune system can help you to get rid of warts.
3. Garlic: a paste made of garlic can be very useful for treating warts.
4. Lemon juice: lemon juice has great healing powers for treating warts. It contains vitamin c which can destroy the viruses causing warts.
5. Using lukewarm water: soaking the infected parts of your body in lukewarm water will soften the warts and help you to get rid of them too.
6. Laser therapy: laser therapy can also help you to get rid of warts. In some cases, it might require anesthesia.
7. Oils: applying essential oils on the affected areas can also prove to be very helpful. You can use oils like tea tree oil or bergamot oil.
8. Acetic acid: acetic acid can also help you to get rid of your warts, especially from the areas of your feet or hand.
Apart from the remedies mentioned above, you can also consider special surgeries for removing warts after consulting a dermatologist.

8 Remedies to Get Rid of Warts

The inflammation of the tissues around the sinuses is a condition known as sinusitis. This can be triggered by a number of factors including a common cold and pollen allergies. The symptoms of acute sinusitis are

Facial muscle pain
Stuffiness of the nose
Running nose
Congestion
Loss of smell

Sinusitis is an uncomfortable condition on its own, but can also lead to a number of other complications. Ayurveda can be very effective in treating sinusitis without causing any other side effects. Here are a few ways to treat sinusitis with Ayurveda.

Steam inhalations

Steam is a decongestant that can successfully clear congestion and make sinusitis less painful. This can be done five to six times a day. If your sinus is causing excessive pain, this should be repeated regularly for at least a week. In cases of chronic sinusitis, you may even continue this form of treatment for two years.

Nasyam

Nasyam is one of the five therapies of detoxification according to Ayurveda. It treats sinusitis by administering medicated oils or herbal juices through the nostrils into the body. Nasyam acts by attacking and removing excess humor in sinus cavities. This improves the flow of oxygen in the body, and thus also helps treat the pain that is a result of your sinusitis.

Ginger-Garlic

Ginger and garlic have a number of medicinal properties. A teaspoon of fresh ginger juice with honey can help reduce the congestion caused by sinusitis. This should ideally be had early in the morning, as soon as you wake up and may be repeated in the evening. Similarly, create a concoction with crushed garlic, turmeric, and honey, in the ratio of 1 tsp each of garlic and turmeric and 2 tbsp of honey. Have 1 tsp of this concoction daily.

Jala Neti

Neti is a yogic purification method and jala neti refers to purification by water. This is a simple technique that should be practiced daily to relieve problems related to sinuses. Fill a neti pot with lukewarm water and a little salt. Position the neti pot such that the spout is in one of the nostrils. Breathe through your mouth and tilt your head till the water starts flowing from one nostril to the other. Once the pot has been emptied, repeat the process with another nostril. This can be repeated any number of times.

Change your diet

Ayurveda is a lifestyle and hence diet is a very important part of the treatment. Avoid cold and oily food. Starting the day with a glass of lemon juice and water is also said to be beneficial to sinusitis patients. Processed foods, chocolates, liquor, carbonated drinks etc are other things to be refrained from when treating sinusitis with Ayurveda.

Treating Sinusitis with Ayurveda

When you have a newborn bundle of joy, no parent would be ready for constant crying bouts from the infant. However, for various reasons, even healthy, well-fed infants can be colicky.

What is it: although a mystery, a baby is said to be colicky if it cries for more than 3 hours a day for more than 3 days a week for more than 3 weeks at a stretch. The baby is completely healthy, and the symptoms start about 2 to 3 weeks of life in both breast-fed and bottle-fed babies. The baby usually has a red face from crying and could be pulling its legs towards its chest due to the abdominal discomfort.

Causes: though still not exactly established, some things that are believed to cause colic include:
1. The baby's digestive system that is growing and goes through spasms
2. Extreme sensitivity to noise and light in the surrounding environment
3. Accumulation of gas in the belly that is ingested with the milk (breast or bottles)
4. Hormones that are supposedly affecting the baby's moods

Treatment: as there is no specific cause identified, the treatment is also symptomatic and aims at soothing the baby's pain and discomfort.

1. Altered feeding: given that a baby's tummy is very small and is about the size of a fist, it makes sense to feed it small amounts at regular intervals than to give a full feed once in like 4 to 5 hours. The baby is sure to feel full with this and therefore the discomfort. Burping between the feed is also shown to help avoid feeling of fullness. If you are breast feeding, try to not let the baby doze off when feeding.

2. Anti-colic bottles: these bottles have a vent inside the bottle which will help reduce the accumulation of gas within the bottle. There are various brands available in the market, these could be a good solution if the baby is even partially bottle-fed.

3. Simethicone: this is an anti-flatulent, which again helps eliminate gas bubbles in the stomach and thereby provides relief to the infant. It can be given either by a dropper or a syringe.

4. Exercise: try bending the legs at the knee and holding it towards the baby's stomach, this can help ease the pain.

Remember that this is a very transient thing and usually disappears on its own by the 4th month, and the above measures are only to help the baby and the mother.

Colic Pain - How to Treat It

Syphilis is a STD caused by the bacterium Treponema pallidum. It has several stages, like primary, secondary, latent and tertiary and is common in homosexual men. It should be remembered that Syphilis is curable. It can be treated, if diagnosed in early stage. It can be cured, if medical help is sought for. Sharing toilets, clothes, or utensils doesn t cause this disease. It will vanish forever, if treated at once. However, it can be reinfected if exposed to the bacteria through new syphilis sore. It can also spread, if transmitted by direct touch or contact with Syphilitic sore via anus, skin surface, vagina, mouth and lips. It is very rare though that syphilis can be spread during a kiss.

Syphilis can live within the body for months, even years or decades. Initially, it remains as a painless sore on the genitals like anus, vagina, mouth or skin surface. If present for many years, there is an increased risk of contracting HIV.

Causes
The major causes of syphilis are unsafe sex with homosexual partners and the practice of having unprotected sex like anal, vaginal and oral sex. Individuals who have multiple sexual partners and are specially sexually linked to HIV-infected persons have the highest risk of contracting Syphillis.

It can not only be spread through multiple sexual unsafe intercourses, but also has its high risk in spreading from mother to baby during pregnancy; commonly unknown as congenital syphilis. In such cases, the baby has low birth weight and can develop cataract, deafness or seizures. In some cases, even new born babies die from the disease.

Diagnosis
The doctor will first conduct a physical examination of the patient. Thereafter, blood and urine are collected for bacterial test. If a sore is found on the body, the doctor may collect a sample from the sore to examine the presence of syphilis bacteria. If there are nervous system disorders in the patient, a spinal tap or lumbar puncture is done to collect the spinal fluid. The fluid is then tested for syphilis bacteria.

Treatments for syphilis
Initially, syphilis is treated with penicillin. It has to be kept in mind that long-term exposure to the disease can have life-threatening consequences. Patients suffering from syphilis are either given a single dose or multiple doses of penicillin. The quantum of the dose depends on the nature of symptoms and the infection. Individuals must use condoms to reduce the risk of transmitting the disease while having sexual intercourse. In the case of penicillin allergy, the patient is recommended to have alternative medicines. Infants and newborns born with syphilis undergo antibiotic treatment.

Syphilis - How to Diagnose And Treat It?

Asthma is a chronic lung condition wherein the air passage gets blocked or constricted due to the production of extra mucus. It is an age old condition which has been creating problems for people since a long time. Despite the seriousness of the condition, there are various myths people tend to believe about asthma.

Here are a few myths about asthma and the usage of inhalers:

Regular Usage of Inhalers is Addictive: This is a total myth. Using inhalers is not at all addictive, it is a necessity. Just because you use your inhaler regularly does not mean you are addicted to it.  Just like brushing your teeth every day isn't an addiction, taking your daily medicine from an inhaler isn't an addiction as well. Using an inhaler will just help you with your asthma condition.
Oral Medicine Gets Better Results than Inhalers: Absolutely not. In fact, it is proven that inhalers give better results than oral medications. Oral medication takes longer to act during a sudden asthma attack while inhalers deliver the drug directly to the lungs.
Inhalers Are Meant For Severe Asthma Cases: Well, this again is not true. Inhalers are used for treating asthma. Period. Asthma is a condition where your lungs inflame which is best cured with steroids, and the easiest way to have steroids administered to you is through the inhalation method. When you use the inhalers, the steroids are delivered directly to your lungs. They also have a minimum number of side effects when administered through inhalers.
Asthma is Curable: You might tend to think that asthma can be cured with the help of proper medications. You might think that asthma is not a constant condition. But it is not what you think. The symptoms of asthma might not be present all the time but that doesn't mean you do not have asthma. Asthma is a long-term condition where the airways swell up causing you to suffer from breathlessness. If you suddenly stop taking your daily medicines because the symptoms have not surfaced, then it will take you a long time before you will be able to totally recover from the next attack you suffer from.
If you have asthma, remember to take your medicines daily and timely. 

Debunking Asthma Myths

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