Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.

When do you need a knee 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.

Joint Replacement Surgery - When Should You Go for  it

Dandruff is a very common hair condition which affects the hair follicles and the scalp of thousands of people. Dandruff tends to weaken the hair strands and also causes numerous hair related problems. White flakes in small numbers are not an issue to be considered because the dried out cells tend to fall off that way. But when you see that the white flakes are increasing at a rapid rate, you should understand that you have the problem of Dandruff.

So, how are you going to get rid of this? Ayurveda can be the best way to treat such a problem. Different Ayurvedic remedies have been helping people to get rid of dandruff in a very natural way without any kind of side effects. So, let us have a look at some brilliant ways in which Ayurveda can help you.
Camphor with coconut oil
A small amount of camphor with coconut oil has been helping people to get rid of dandruff for a very long time. Using this mixture will help you to get rid of dandruff and also cool down your scalp.

Lemon with coconut oil
Lemon is a very common ingredient which is used to treat dandruff. So, if you mix lemon juice with coconut oil and apply it on your scalp then you will get rid of dandruff in a very natural way. Apply this oil regularly before you take a bath and you will see some amazing benefits.

Neem leaves with lemon 
Neem is one of the most important Ayurvedic ingredient. Take some neem leaves and turn them into a paste and mix this with some lemon juice. Apply this paste on your scalp and keep it for some time for around 30 minutes. You will see brilliant results within a week or two if you apply this every day.

Fenugreek seeds 
Fenugreek is also a brilliant Ayurvedic ingredient, if used the right way, can provide you with some amazing results. Soak some fenugreek seeds overnight in water and then turn it into a paste. After this apply the paste on your scalp for around 20 to 25 minutes and wash it off. It will not only help you to get rid of dandruff but also increase the strength of your hair follicles.

Amla paste 
You might have heard that consuming amla is beneficial for your health. It is a brilliant dose of antioxidants and also gives your metabolism a much-needed boost. But amla can also help you get rid of dandruff effectively. Make some paste out of Amla powder and apply it on your scalp for 15-20 minutes before you wash it. This will help your scalp to detoxify and remove all dandruff.

So these are some of the best ayurvedic ways which can help you get rid of dandruff from your scalp. Ayurvedic remedies do not have any kind of side effects and therefore, you can choose any of these processes to have a dandruff-free scalp.

Ayurvedic Ways Of Maintaining Dandruff-Free Scalp!

Gall bladder stones can be painful. Until and unless it is surgically removed and cured from within, the pain continues to hinder daily life. The good news is that there are ways by which pain from gall bladder stones could be managed. 

Here is a list of quick, easy-to-follow remedies to counter the pain.

Heat Pack: Applying a heat pack or hot water bottle on to the stomach making sure that the heat is directly passed on to the gall bladder can give instant relief from the pain. The heat should be applied at an interval of half an hour and a layer of cloth should be placed in between the skin and the heat pack.
Over the counter medicine: In most cases, over the counter pain relief meds can make the pain go away. NSAIDs should be avoided until and unless suggested by the doctor. A pain relief medicine with anti-inflammatory properties will perfectly suit the gall bladder condition.
Try vegetable juice: While gulping vegetable juice might sound a little indifferent, it has instant benefits with no side effect. All it needs is to mix beetroot, cucumber, and carrot in equal proportions and extract the juice from it. The juice extracted from this mixture should be consumed twice in a week to flush out the toxins from the system and ease the gall bladder pain.
Citrus fruits: Citrus fruits such as lemon, orange etc. contains pectin that is believed to be a remover of stones and blockages. This is also believed to be a great agent for countering pain originating from the gall bladder. Consumption of 10-12 tablespoon of lemon juice extracted from fresh lemons followed by a glass of water will wither the pain away in few weeks.
A mixture of honey and turmeric: Honey s antiseptic nature prevents infection and the curcumin found in turmeric makes the bile more soluble in the gall bladder. These two herbs in tandem can ease the gall bladder pain and get relief from the stones too. A tablespoon of honey and 1 tablespoon of turmeric should be consumed daily to get the benefits.
Take the herbal route: There are several herbals that are believed to be extremely effective in treating pain origination from the gall bladder. Some of them include goldenseal, quebrapedra, catnip, fennel seed, yellow dock, rosemary, nettle, peppermint herbal tea etc.
Apple Cider Vinegar: Apple cider vinegar is acidic in nature and consumption of a quarter of a glass followed by a quarter of a glass of apple juice can show instant results. It should be consumed daily after breakfast. There are instances where the pain eases out within a matter of 15 minutes.

Gall Bladder Stone Pain - Tips To Help You Manage It!

Why drastic deficiency of vitamin d is becoming increasingly common among urban Indian youth?

On this women's day, let's understand why young Indians esp. Are women facing this unforeseen deficiency and resultant problems?

Vitamin d is unique because it can be made in the skin from exposure to sunlight. We get a really good amount of sunny days as opposed to many western and northern countries where vitamin d deficiency is ought to be common.

It is surprising that vitamin d deficiency is such a common problem in India nowadays that it finds prevalence among 70-100 percent of the general population in the country. More than 80.63 percent of 73 lakh Indian youth suffer from the deficiency of vitamin d. What's more shocking is that it can lead to a variety of health issues ranging from osteoporosis to diabetes. Without vitamin d, only 10-15% of dietary calcium and about 60% of phosphorus are absorbed - which would certainly lead to weaker bones. Vitamin d sufficiency enhances calcium and phosphorus absorption by 30-40% and 80%, respectively.

Vitamin d exists in two forms - vitamin d2 and d3. Uv rays from the sun hit the skin, and vitamin d3 is naturally synthesized, so it is the most 'natural' form. However, our bodies do not make vitamin d2, and most oil-rich fish such as salmon, mackerel, and herring and eggs contain vitamin d3.

Here are a few reasons why deficiency of vitamin d is becoming increasingly common among urban Indian youth.

1. Being always indoors

Our youth is never out in the sun because they are too occupied with their laptops or video games. Their lifestyle is such that it does not allow them to spend some good time out in the sun, which is a major source of vitamin d for the body. Technological advancement and cut-throat competition have made the youth forget the sun as a source of a healthy dose of vitamin d.

2. No milk, no fish

A lot of Indian youth follow a strictly vegetarian dietary regimen and they avoid milk very commonly. Vitamin d is found in foods like fish, egg yolks, fish liver oils etc. And not consuming them is a major reason why youth face vitamin d deficiency.

In fact certain, distinct symptoms can help you know if you're suffering from vitamin d deficiency or not.

You need to keep an eye out for these:

- excessive sweating without indulging in physical activities or being exposed to high temperatures

- sudden bouts of weakness for no apparent reason

- brittle bones that break easily

- chronic pain in your brains

- feeling of depression

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Do You Need Vitamin Supplements?

Why Drastic Deficiency of Vitamin D is Becoming Increasingly Common Among Urban Indian Youth?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common treatments for pulmonary hypertension:

Medications

1. Blood vessel dilators (vasodilators): vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (flolan, veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (iv) catheter via a small pump that you wear in a pack on your belt or shoulder.

2. Ventavis: another form of the drug, iloprost (ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.

3. Treprostinil (tyvaso, remodulin, orenitram): it is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.

4. Endothelin receptor antagonists: these medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.

6. Sildenafil and tadalafil: sildenafil (revatio, viagra) and tadalafil (cialis, adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.

6. High-dose calcium channel blockers: these drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (norvasc), diltiazem (cardizem, tiazac, others) and nifedipine (procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.

7. Soluble guanylate cyclase (sgc) stimulator: soluble guanylate cyclase (sgc) stimulators (adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.

8. Anticoagulants: your doctor is likely to prescribe the anticoagulant warfarin (coumadin, jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.

9. Digoxin: digoxin (lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.

10. Diuretics: commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.

11. Oxygen: your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries

1. Atrial septostomy: if medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.

2. Lung transplantation: in some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing complications

1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail

2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.

Pulmonary Hypertension: How to Treat It?

Paranoid personality disorder (ppd) is a mental disorder which makes you feel fearful, nervous and suspicious about people or situations around. This disease usually starts to show its signs from early adulthood and is more common in men than women. People suffering from this disorder are unable to maintain close and long lasting relationships with people as they have the habit of blaming and not trusting other people. The most common symptoms of this disorder are:


	Doubting the loyalty of others
	Fear of revealing their own personal information
	A tendency of holding long lasting grudges
	Inability to handle criticisms
	Abrupt instances of anger and instant reaction
	Showing traits of coldness in a relationship
	Having a feeling of always being right
	Having problems in relaxing
	Being stubborn, argumentative and hostile



	Causes: the exact cause behind pdd is still unknown, but according to some medical researchers it happens due to a combination of biological and psychological conditions. Additionally, bad emotional experiences during childhood and having gone through a physical or mental trauma also leads to the development of the disease.
	Diagnosis:&nbsp;this condition cannot be diagnosed at home and is usually diagnosed by a specialist. The first step taken by a doctor in order to diagnose the disorder is an examination of the medical and psychiatric history of the person. Additionally, if the health records of a person do not indicate anything, then the doctors usually go for some expert opinions by a psychiatrist.
	Treatment:&nbsp;most of the people suffering from this disease are not even aware about it, until someone brings it to their notice. Doctors usually believe that psychotherapy, which is a form of counseling, is the best way to treat pdd.



All About Paranoid Personality Disorder

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