Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
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
Knee Injury Treatment
Treatment of Spine Injuries
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It's been so long, I have lost all hope, as I was suffering from hip pain from quite long but then I met Dr Rakesh Kumar and I am hopeful again that I will be fine. I was having this problem, but the symptoms were not very visible. Not only he is very calm and composed, but is also a very understanding doctor. The nurses at the Apollo Spectra Hospitals were really helpful. Thanks to him I am totally satisfied with the results.
I am happy with my Arthroscopy with dr Rakesh Kumar fully. Was suffering for 5-6 yrs but got good relief only after his treatment and quick too within 7 days . he can be consulted at Apollo Spectra Hospitals in Delhi.
Dr. Rakesh is one of the best orthopaedic surgeons in Delhi NCR .I would like to recommend him to all the people in need .
The experience is good and nature, medications, are effective.
Lack of proper mobility due to stiffness and significant pain can be due to a number of bone and joint problems. Osteoarthritis, arthritis, rheumatoid arthritis, as well as injuries, trauma and inflammation of the knees are only some of the reasons why a patient may be experiencing joint pain. Apart from rest and medication, various surgical procedures may be considered as an option for particularly severe cases. Partial knee replacement surgery is one such option. So, here are the five questions that you must ask an orthopaedic specialist about partial knee replacement surgery.
- What is partial knee replacement surgery: This kind of surgery usually seeks only to replace the damaged part of the knee where the movements of the patient get restricted to a great degree. With the help of this surgery, the orthopaedic surgeon can replace the medial or inner part of the knee; or the lateral or outer part of the knee. When the surgeon conducts a surgery to replace the entire knee, this is called knee replacement.
- How to prepare for the procedure: The doctor will advise you to stay away from any medication and dietary supplements that may hinder the work of the anaesthesia that will be administered before the surgery. Before the surgery, the orthopaedic specialist will understand your medical history.
- What is the procedure: The surgical procedure for partial knee replacement surgery usually involves keeping the knee in a bent position so that all the joint surfaces are well exposed. The surgeon will start by making an incision that is about six to ten inches in length, before removing the knee cap in order to remove the joint surfaces that have faced damage. Once this has been done, the surgeon will attach artificial joint pieces and close the knee. Then, the doctor will bend and rotate to test for balance and proper functioning of the knee. This procedure usually takes close to two hours.
- How long does recovery take: The recovery process usually takes about three to four weeks following the surgery.
- What to do after the surgery: Pain medication will help the patient in coping with the initial discomfort and after effects of the surgery. Right after the surgery, the patient will be shown exercises before he or she is put onto a graduated walking program where walking indoors and then outdoors will be practiced. The patient will be required to take on physiotherapy for four to six months following this procedure so as to recover in a better manner and have a better functioning knee.
Get a complete check-up done in case you are facing persistent knee problems. If you wish to discuss about any specific problem, you can consult an Orthopedist.
A bone may break due to several reasons starting from a fall or an injury or a condition like osteoporosis that makes the bones brittle and leaves them susceptible to fractures. The fracture usually takes a few weeks to get fixed as the broken bones grow back together with the help of various forms of treatment including a plaster and sling applied by the orthopaedic specialist or general physician. Find out more about how bones heal with this article.
Types of fracture: Before we get to the subject of how bones heal, it is important to understand the various kinds of fractures recognised by doctors. The first kind is the complete fracture where the bone breaks into two distinct parts. The next kind is the greenstick fracture or hairline fracture where there is simply a crack on one side of the bone due to pressure. Further, there is the single fracture which occurs where there is breakage of the bone only in one place. A bowing fracture may occur when the bones bend instead of breaking completely. This kind of fracture is pretty common for children. The comminuted fracture happens when the bone is crushed or broken in many places. And finally, the open fracture is one where the bone ends up protruding from the skin.
Treatment: Once you have broken a bone, the doctor will conduct an X ray which will help in understanding the type of fracture and the extent of the damage caused. The doctor will then apply a cast and plaster that will help in bringing the bone back to its normal position so that it grows back with the main bone. In case the bone has broken into various parts or there is a complete fracture, then the doctor may even insert metal pins.
- Natural healers: Bones are known as natural healers that can heal with the process of new cells and vessel production which rebuilds the bone by covering the broken ends and closing the gap caused due to the damage or the crack.
- Clot: Once a bone has broken, a blood clot or a callus forms in the surrounding region, which kind of acts towards sealing the area.
- Threads: Once these clots have formed, the new threads of the bone cells begin to grow slowly from the ends of the broken bones. This will grow on both sides of the affected and fractured bones, almost as if drawing a line from one broken end to another.
- Absorption: Finally, the callus will be absorbed by the new cell and the gap will close.
See a doctor is you are experiencing any noticeable symptoms that may point towards bone fractures. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Arthritis is a painful joint condition that leads to pain and stiffness as well as lack of proper mobility due to inflammation and swelling. Usually, an orthopaedic specialist will prescribe anti-inflammatory and pain relieving medication for this condition, but there are various things that you can do to ensure that this condition does not become a debilitating one in the long run. One of the best ways of doing this is by limiting your diet in certain ways when it comes to inflammation producing food.
Here are a few types of food to avoid if you are suffering from arthritis.
- Fried food: Fried and processed food is packed with too much of salt in order to better preserve it so that it has longer shelf life. Also, the use of oil in order to deep fry can have a detrimental effect on the inflammation that is already causing problems for your joints. Therefore, it is best to avoid fried, fatty and processed or packaged food that has been frozen for too long.
- AGEs: When we speak of AGEs, we are not talking about the number of birthdays that you have celebrated. AGEs are actually Advanced Glycation End products that are a toxin released by food when it is heated, grilled, fried or pasteurised. These toxins can render damage to the proteins in your body. Once this process starts, the body retaliates by sending forth cytokines which are basically inflammatory messengers. This can lead to inflammation and arthritis.
- Sugar: Sugar and other refined carbs also have a large amount of AGEs as discussed above. These types of food should also be avoided by patients suffering from arthritis. Also, artificially sweetened drinks and too many baked goodies should be avoided by these patients.
- Dairy products: Owing to a certain kind of protein that most dairy products contain, these kinds of food are considered harmful for patients of arthritis. These proteins can encourage inflammation and irritation of the tissue that surrounds your joints. Switching to a vegan diet is considered helpful for arthritis patients.
- Alcohol: Excessive drinking is a major problem that can aggravate your arthritis situation. Smoking and drug abuse also leads to such problems. Drinking excessively can lead to the development of gout.
- Corn oil: This kind of oil is a part of most packaged, processed and fried food. It also leads to inflammation. Arthritis patients should switch to omega fatty three oils which can be found in fish.
Taking care of your body is a matter of maintaining a good diet with lots of activity that will be congenial for your condition. This will also help in keeping the painful symptoms of arthritis away. If you wish to discuss about any specific problem, you can consult an Orthopedist.
ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.
Read on to know what you can expect in the recovery phase following an ACL surgery.
- Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
- Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
- Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
- Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
- Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.
Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
Orthopedic disorders include all the health issues and ailments that are related to the muscles, joints and ligaments. Orthopedic disorders are so widespread and so large in number that it is very difficult to list all of them down. However, among them the four most common orthopedic disorders are:
- Arthritis: It is a chronic and a long lasting orthopedic disorder in which you witness the swelling or inflammation of one or more joints in the body. This condition is very painful in nature and it tends to deteriorate gradually. This condition usually affects elderly people and it also worsens with age which ultimately causes stiffness of the joints and limits your routine body movements.
- Osteoarthritis: This is a degenerative joint disorder which leads to immense pain and discomfort in the joints of the body. This is one of the most serious forms of orthopedic disease that has been noticed. This disease involves degradation and decline in the overall quality of the bones and joints in the affected areas.
- Lower back pain: This condition refers to periods of pain and discomfort in the lower part of your spinal area. This condition is very common nowadays and as a result of this pain, your back usually becomes tender, swollen and stiff. This pain also stops you from doing your overall routine activities.
- Rheumatoid arthritis: It is an orthopedic disorder in which there is severe swelling in a particular joint, accompanied by small lumps on the affected area that further degrade the external appearance of the skin. In case of adults, this disorder lasts for a lifetime and worsens with time, if left untreated. If you wish to discuss about any specific problem, you can consult an orthopedist and ask a free question.
In today’s world, which is technologically advanced, we don’t even realize that the whole day has passed by looking at or using our electronic devices. Our life sways between checking the social media on smart phones to using the computer in office, which just makes it easy for us to spend the whole day locked up with a screen. Though this could be fun at times, but it has some definitive effects on our body.
Link between posture and technology
When looking at people at office gives you a good idea of how they sit while they use their devices. Average person waiting in a doctor’s office usually sits with a hunched back, shoulders slumped and a bent down neck. In office these people might lean on their desks, push their neck forward in order to see what is on their screen and their hand is constantly scrunched over the mouse. The human body is not really designed to sit in this way and can have serious life impending issues.
The biggest problem with technology posture is position of the head. When the head is evenly balanced between the shoulders it weighs between 10 and 12 lbs. But with a slight tilt even 15 degrees, the weight on the spine spikes to 27 lbs. Another 15 degrees and it weighs 40 pounds. At 60 degrees, the position where the chin touches the chest weighs 60 pounds on the spine. The extended weight on the spine causes the lower spine to collapse along with a low back pain. Low back pain can further cause knee pain and a referred ankle pain and further leading to much more damage.
How to prevent technology posture?
There are many ways in which the damaging effects of the technology posture can be reduced. At office you can elevate the monitor so that top of the screen is at the eye level. The height of the chair should be such that the feet are firmly placed on the ground. The desk should be in such a manner that the forearms are parallel to the floor when the shoulders are relaxed.
While using the smart phone, avoid bending and slouching and use arms to place the phone in front of the face. The phone should be at eye level when browsing and should not be balanced by the neck when talking on the phone. The head should be kept straight and these easily avoid the damaes of technology posture.
A broken wrist is known as a wrist fracture and it may occur due to a variety of causes starting from undue pressure on the wrist which can result in an injury as well as debilitating conditions like arthritis, which makes the bones and joints prone to fractures. There are also non displaced breaks, which are stable kinds of fractures and in which, the wrist remains in its place. Let us find out more about the kinds of fractures and the procedures for treatment of the same.
Type of Fracture: The wrist is basically made up of eight small bones that connect the two long arm bones, which are known as the radius and ulna and create the forearm. The broken wrist can take place in any of these bones. A hand surgeon will generally take a look at this kind of fracture and determine whether it is displaced, stable or open. As discussed earlier, a wrist fracture can be of various types. While a non displaced wrist fracture is a more stable kind that does not really require much more than rest or medication, a displaced wrist fracture is a non stable kind where dislocation happens.
Other Factors: There are a variety of other factors that will be taken into consideration in order to repair this kind of a fracture. To begin with, the Orthopaedic specialist will consider your age and the kind of job, hobbies and other kinds of activities that you indulge in. Also, the doctor will try to ascertain whether or not you are in good health on an overall basis. The presence of other injuries will also be taken into account for this kind of an injury in there has been a bike or car accident that has caused the fracture.
Treatment: The method of treatment will vary as per the considerations listed above. A padded splint may be installed in order to align and support the bones and wrist respectively, so that there is ample relief from the acute pain as well. Further, an unstable fracture will require a cast as to support the entire forearm and give proper rest to the region so that the bone can grow back together and get aligned again. Surgery may also be required for very severe cases, and pins, screws, metals and plates may also be used depending on the exact location and type of fracture.
Recovery: Remember to move your fingers as much as you can so as to prevent them from getting stiff while they are held up in a splint or a cast.
Hand therapy will be helpful in gaining back motion and function of the wrist.
The shoulder is one of those joints in your body that enjoys the maximum wear and tear by virtue of being an extremely mobile joint and one of the most over-worked as well. This increases the risk of dislocation and instability. Arthritis is one of the most common causes of pain, as per various medical reports and is usually found to affect the tendons, ligaments, and even the muscles and joints of the body due to excessive wear and tear. There are various kinds of shoulder arthritis and treatments that are available. Read on to find out more.
Rheumatoid Arthritis: This autoimmune condition creates stiffness in the shoulders along with rheumatoid nodules or small bumps under the skin of this region. It may affect both shoulders at the same time. Swelling or inflammation of the joints is a common occurrence in this condition along with fever, fatigue and weight loss.
Osteoarthritis: This form of arthritis basically has to do with wear and tear of the connective tissue and bones. The symptoms are pretty severe and can go from tenderness to pain and stiffness with an increased risk of bone fractures.
Post Traumatic Arthritis: PA or post traumatic arthritis occurs due to an injury in the shoulder and can cause instability as well as dislocation of the shoulder. A sports injury is the most common cause of this kind of arthritis. Pain and inflammation are the most common outcomes of this kind of injury and arthritis.
Avascular Necrosis: When the tissues of the shoulder joints go through damage, it leads to this form of arthritis. Joint dislocations and fractures are the most common causes of this kind of damage. This usually happens because blood flow does not happen over the long arm bone to reach the shoulders due to the damage rendered to the tissue. Excessive alcohol consumption and high steroid intake can also lead to this damage.
Rotator Cuff Tear Arthropathy: This kind of arthritis is caused due to a rip in the shoulder cuffs.
The most common forms of treatment include surgery like joint replacement surgery (replacing the damaged parts of the shoulder with an artificial prosthetic joint), Arthroscopy (cleaning out of the joint with minor incisions), and resection arthroplasty (removing the bone from one’s collarbone). Also, corticosteroid injections can be given and anti-inflammation drugs like ibuprofen can be prescribed for this condition. Exercises and physical therapy will also be helpful in such cases so as to strengthen the shoulder and joints.
It is important to also make lifestyle changes to give rest to the shoulder and abstain from too much alcohol consumption.
A neck strain and sprain is not a serious injury. However, they can still cause significant dysfunction and pain.
Causes of Neck Strain
The anatomy of the cervical spine is such that it not only houses, but also protects the spinal cord. Along with this it supports the head and allows it for mobility and motion. But this area, which allows the spine to be flexible can also leave it vulnerable for injury.
Triggers for the onset of neck muscle strain can be:
- Too much time spent in an uncomfortable position, such as humping over the steering wheel while driving, bending over the computer monitor, talking on the phone while placing it in the crook of the neck.
- Sleeping on a very high or too firm pillow can lead to an uncomfortable position of the head thus leading to the strain of the neck
- Carrying heavy objects on one side of the body
- Any trauma that might have impacted the neck, such as an accident, whiplash or a fall that might have had a head landing
Most events of a neck muscle strain or the soft tissue sprain, such as the tendons and ligaments lead to stiff neck along with pain in shoulders. There is also pain and difficulty in moving the neck or head.
Neck muscle strain remedies
Minor strains in the tendons, ligaments and muscles of the neck usually heal within a day or two. But till the symptoms subside, there are a few self care remedies that are effective in reducing the stiffness and pain. These are:
- Application of cold or ice packs: The cold reduces the inflammation, which in turn allows the strain to heal. This ice pack should be applied for 20 minutes interval in the first 24 hours.
- Application of heat: Heat helps in bringing the nutrient rich blood to the affected area in order to stimulate a healing response. Moist heat as well as heat from a hot shower or bath can be used. Some people might find relief from applying heat wraps such as thermacare.
- Over-the-counter or OTC medications: Anti-inflammatory medication, such as naproxen and ibuprofen reduces inflammation, thereby leading to the reduction in pain. Pain relieving medicines such as acetaminophen can also be taken as this reduces the perception of pain.
- Massage of the affected area: A gentle massage in the affected area helps in stimulating the blood flow of the area which in turn helps in a quick healing.