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

Grief is a complex emotion that may give you side effects like guilt and make you struggle as you try to get through your everyday life. It is usually caused by some loss in life which may have to do with relationships, work or any other reason like a chronic physical ailment or disability. Complicated grief disorder is a condition where the extreme level of grief impairs a person and how he or she behaves in his or her daily life. It can have a debilitating effect and make a person helpless when it comes to dealing with everyday functions. It may continue for more than six months after the loss, and may even lead to depression and anxiety, among other complications.

Let us cast a glance of how this may be dealt with.

Psychotherapy: Cognitive-behavioral therapy and other forms of therapy can often help people who are suffering from this form of prolonged grief. With this kind of therapy, a patient can actually find an outlet to discuss the various emotions that the bereavement has brought on, and how he or she is not able to cope. The therapist, in this case, is usually a psychiatrist or a psychologist, who can then help in reprogramming the attitude of the patient so as to curb the grief and move on with life by embracing daily functions.
Group Therapy: In many cases, group therapy may also work. It is a natural human tendency to be grateful for what we have when we get to hear of higher and greater adversities. And when we see people suffering from those adversities actually taking steps to get over it, we can also get hugely motivated to do the same with our own lives. This is why group therapy is a powerful mechanism that many doctors and psychiatrists recommend for dealing with complicated grief therapy. This does not even need to be a formal therapy session. It can even be a club or a get together of people who have been through a similar problem.
Medication: In some extreme cases, the patients may be prescribed some antidepressants as well as beta blockers that can put their emotions right until they can deal with them in a better manner. Such medicines also help in numbing that part of the brain so that the patient may function in a more normal manner. Yet, care must be taken that the patient does not get addicted to such kind of medication.
Change of Focus: Travelling or picking up a new hobby can also have a positive effect on the person suffering from this condition. It can help in triggering the production of dormant hormones in a more normal way so that the patient may function in a more normal way, without the debilitating grief.


How To Deal With Complicated Grief Disorder?

7 food combos to help you get that gorgeous figure

Nowadays, each and every one of us is extremely conscious of our dietary habits and make sure that we consume the right foods. Thus, we are also aware of many healthy foods which not only help us crush fat but also provide a great boost to our metabolism. We bring to you 5 food pairings which work wonders for your figure when consumed together:

1. Ginger and tuna
Ginger prevents inflammation of the body caused due to bloating and also speeds up gastric emptying. Tuna, on the other hand, stops the growth of belly fat cells and contains docosahexaenoic acid which protects against stress chemicals, thus preventing flab storage. Thus, start pairing up your tuna roll with that ginger pickle!

2. Honey and cinnamon
Daily dose of honey with the goodness of cinnamon is the perfect recipe for a picture-perfect body. Cinnamon is packed with healthy antioxidants that help curb belly fat accumulation. Moreover, honey is known to aid in weight loss and enhance immunity.

3. Raspberries and yogurt
This combination is an extremely effective slimming agent. Yogurt is a rich source of vitamin d and calcium which helps prevent the absorption of fat. As for raspberries, they contain polyphenols which stop the formation of fat. Also, they are packed with insoluble fiber that increases ghrelin levels, a hormone that regulates hunger.

4. Spinach and bananas
Spinach contains almost zero calories and is known to significantly increase satiety levels. Bananas are packed with potassium that prevents bloating and gives the body a lean look. They also contain resistant starch which resists digestion and thus not only promotes oxidation of fat but also brings down the level of abdominal fat. So go make that smoothie now.

5. Watermelon and apples
Apples are abundant sources of fiber which is essential for the reduction of visceral fat. Watermelon is the perfect fruit for decreasing fat accumulation and improving lipid profiles. Consume these fruits together as a salad, dessert or snack; they are packed with good health!

If you would like to consult with me privately, please click on consult.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.


7 Food Combos to Help you get that Gorgeous Figure

Loss of hair from the scalp, one of the most common problems plaguing the world today, can be caused by a variety of factors such as genetics, disorders and environmental factors. There are a number of homeopathic treatments that are used to treat hair loss. These treatments focus on the cause of the disease rather than just treating the symptoms. 

Hair loss can be classified as: 
1. Telogen effluvium: This is a disorder of the hair growth cycle where the telogen phase (where the hair falls out) becomes dominant. 
2. Alopecia aorta: This is an autoimmune disorder where the immune cells of the body destroy the hair. Hair loss tends to occur in patches.
3. Androgenic alopecia: This type of disorder is caused by hormonal and genetic factors resulting in a receding hairline. 
The various homeopathic treatments for hair loss are: 
1. Silica: Silica is used to treat a number of diseases in homeopathy. Besides being an effective remedy for hair loss, it also treats symptoms of vitiligo, nail problems and eczema.
2. Phosphorus: Phosphorus is another homeopathic treatment that is used to treat hair loss. It promotes hair growth in spots where hair loss has occurred.
3. Kaliumcarbonicum: This treatment is used for brittle and thinning of hair, as it enhances hair growth. It is usually recommended for people with various forms of alopecia.
4. Lycopodium:This treatment is prescribed for people who suffer from premature balding. It is also recommended for pregnant women if they suffer from hair loss.
5. Natrummuriaticum: This homeopathic remedy is made from sodium chloride and is used to treat hair problems resulting from skin complications. It is also recommended for women who face hair loss from menstrual problems. It treats dandruff and hair disorders due to hormonal imbalances.
6. Sulfur: Sulfur is an excellent homeopathic remedy to treat hair loss as it promotes hair growth. It also eliminates dandruff from the scalp.

Homeopathy and Hair Loss

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them and possibly even prevent them. The two types of migraine are- 

Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
Motor: Usually related with the movement problems like the limb weakness
Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:

Pain on both sides or one side of the head
Pain is throbbing in nature
Vomiting and nausea
Sensitivity to smells, sound and light
Vision is blurred
Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

Onset of headaches >50 years 
Thunderclap headache - subarachnoid haemorrhage 
Neurological symptoms or signs 
Meningism 
Immunosuppression or malignancy 
Red eye and haloes around lights - acute angle closure glaucoma 
Worsening symptoms 
Symptoms of temporal arteritis
These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

Migraine - Identifying the Early Signs!

Ayurveda is effective because it treats the root of the problem in order to treat it. According to this ancient system of medicine, bronchitis, which is infection of the windpipe, is known as  kasa roga . According to Ayurveda, bronchitis happens primarily due to impaired digestion. This is the reason why Ayurveda treats bronchitis through drugs that have the ability to treat both the lungs and the digestive system. Chronic bronchitis is also caused due to airborne allergens like cigarette smoke and pollution.

The main symptom of bronchitis is chronic inflammation of the bronchial tubes or the windpipes that carry air to the lungs. This infection causes profuse secretion of phlegm. Other notable symptoms are chest pain, chronic cough, fever, poor digestion and loss of appetite, and shortness of breath. Children, senior citizens and those with an impaired immune system are extremely prone to bronchitis. If left untreated for long, bronchitis can manifest as tuberculosis. Another disease bronchitis can mutate into is bronchial asthma.

Ayurvedic treatment 

Haldi or turmeric, commonly used Ayurvedic spices in the world, is the most common home remedy for bronchitis. One can take a teaspoonful of haldi mixed in a glass of milk in the night for relief. Haldi is more effective if taken on an empty stomach.
The juice of vasa is also an excellent remedy for bronchitis. One can take it twice or thrice daily.
Ginger juice and honey mixed in a cup of warm water is also good for easy expectoration of phlegm.
One can also mix equal quantities of dried ginger, black pepper and long pepper with honey and take a teaspoonful thrice every day.
Tulsi or holy basil is a great cure for bronchitis. Water boiled with tulsi leaves brings instant relief to a sore throat. One can use this water for gargling too.
In case of a congested throat  khadiradi vati  gives effective relief, due to catechu that helps relieve congestion.
Ayurvedic medicines
Shringyadi churna, kaphaketu, kaphachintamani, sitopaladi churna, pravala pisthi, rasa sindur, talisadi churna, haridra khand and vasarishta are a few effective Ayurvedic medicines for bronchitis.

What else?

Protection from cold is key. Cold water and winds should be avoided. Use warm water for bathing, wear warm clothes and avoid excess humidity, dust and allergic pollen. Heavy physical exercises should also be avoided.
Stay away from cold foods like curd and sour substances, fruits like bananas and guavas, and from alcohol and tobacco.
Also, one should eat foods that are easy to digest. Lots of leafy vegetables will give one the vitamins and mineral required to fight bronchitis.
One can also opt for Ayurvedic therapies like Vamana and Virechana to treat bronchitis. If you wish to discuss any specific problem, you can consult an ayurveda.

Bronchitis - Ways Ayurveda Can Help You Treat It!

Don't wait any longer, manage your Panchakarma online with a Lybrate doctor today

Consult for Panchakarma - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES