The shoulder joint is the most frequently dislocated joint of the body. Because it moves in several directions, your shoulder can dislocate forward, backward or downward, completely or partially, though most dislocations occur through the front of the shoulder. Extreme rotation of your shoulder joint can pop the ball of your upper arm bone out of your shoulder socket.read more
I am Dr. Malvika Sabharwal from jeevan mala hospital and apolo spectral hospital in Karol Bagh, New Delhi India.
I am gonna tell you about uterus removal. Uterus removal is a very common operation. Bht commonly isko kara jata hai k patient ata hai apko bolta hai k ji hamary ko flah flah flah problem hai or ap hamara uterus nikal dijiye. Sb sy phly to main apko btaungi kya indications hain. Chahye wo fibroid k hn, ya bleeding zyada ho rai ho. Koi fibroid nai hai per bleeding bht zyada ho rai hai ya koi changes a rhy hain. Jaisa k agr mouth of the uterus main agr koi peps pal krty hain routinely jo k karna chahye, her ek marez k liye. Ap regular apasnaol kar ry hain us main koi changes any lag jaty hain ya aisi koi bhi problem ho to patient ata hai or wo bara clear mind sy kehta hai k ji mje uterus remove krwana hai. Kbhi kbhi wo refered cases hoty hain. Ya marez ko kahein kaha jata hai or hamary pas aty hain. Q k hamary pas jo uterus removal ka tareka hai wo hai durbeen sy or ek pait khol k. pait khol kr jo karty hain, ek bara 8 centimeter, 8 inches k kareeb ek insection hota hai pait k upper or us k through hm uterus ko, us ko pakar k baher nikal k us ki puri surgery kr k as pas disconnect kr k us ko nikal dety hain. Or abdomen ko stitch kr dety hain. Laparoscopic surgery jb sy hm ny shuru kari hai. Year was 92. I think ye sb sy bara bone hai. Doctor k lye bhi, patient k lye bhi. Ek to patient friendly surgery hai. Or doctor k liye offcourse, doctor ko sekhny main thora samain zaror lgta hai,but once you have commanded the technique of Laparoscopic surgery, it is the best. It is the best for the patient and for you it’s a very affective way of taking out the uterus without any problems. Ap us ko Laparoscopicly nikalty ho or Laparoscopicly jb nikalty ho 1 din ka stay rehta hai hospital main. 1 din main mareez back to normal work hota hai. Wo ghr ja kr k, serhioyon sy charhta hai. Serhiyon par jaye, upper rahy, ghar k khanay bnaye, baheer ghumny jaye, hr roz piture dekhy, us py koi issue nai hai. Bht minimal unko btaya jata hai do’s and don’t’s. unka upper charhny main koi problem nai ati. Sirf halki phulki jo problem, sirf 2 chezain ki hm log btaty hain which Is hardly any issue. So patient is back to normal routine. Ap apny ffice dubara ja skty hain itni jaldi. Loss of working days is very less. To loss of working days jaisy e kam oty hain, aj kal apko pta hi hai, mostly ladies are working, most of the women are working today. Chahy wo ghr py, ghr ka bhi kam itna hota hai. Bachon k aj kal kitny kam hoty hain, us k ilawa office girls bht hoti hain. Jo k office ko bhi sambhalti hain or ghr ko bhi sambalti hain. Let me tell you hamary bht patients hain un ko kbhi ye problem nai I k hum uterus nikalny k bad hm ghr ka kam nai kar paye. Ya office ka kam nai kar paye. Hamary pas doctors aty hain. Dur dur sy aty hain, in fact patients are coming from dubai, London, America, Canada all over. Wo aty hain apna operation krwaty hain or 2 din k bad they are ready to go home. Because this surgery has really picked up so much k jb o dekhty hain k kitny aram sy ye kam ota hai to unko aisa koi hesitancy nai lagti. Un k roz mara ki zindagi main koi change nai ata. Unko minimalistic thory sy do’s and don’ts hoty hain which is hardly anything. And aam tor per jb hum uterus nikalty hain, jaisa k main apko dekhati hn. This is one uterus. Two tubes and two ovaries. Aj agr main uterus nikal rai hn, lady ka age hai 45, I will tell her definetly ovary tubes to ap nikal hi lijye. Ovaries jo hain, wo apko hormones deti hain. Hormones ek lady ko femerity bna k rakhti hai. Femariti sy ye bhi matlab hai, tubes ka koi aisa role nai hai per ovaries apko hormones dy k, hormones k karan apka skin, hair, heart, sb k upper us ka zor hai. So ovaries ko hum bina puchy bilkul nai nikalty. Us k lye permission lety hain tabhi nikali jati hai. Per agr uterus nikal ry hain to aam tor per hum tubes ko bhi nikal dety hain.
Thank you very much.read more
I’m Dr. Malvika Sabharwal, from Jeewan mala hospital and Apollo Spectra hospital, New Rohtak Road in Karol Bagh. In fact I’ve been a laparoscopic surgeon since the year 92, I introduced it in the North of india. 2000, we had got recognition at this hospital for managing most of the gyne problem laparoscopically.
Today I will tell you about fibroid uterus. It’s a very very common problem, seen almost in 25% of cases and at all ages, at any age and It causes various problems. In case agar ye bleeding cause kar ra hai, to bleeding k sath to mareez fatafat aatay hain k han g hamay bleeding ho rai hai, un ka diagnosis b ho jata hai. Kabi kabi wo infertility cause karta hai, infertility ka matlab k pregnancy nai ho rai hai. In such cases, agar pregnancy nai ho rai hai to b mareez aa jaat hain sooner or later. Par kai fibroids aise hain jo k hotay hain even after having couple of children. 2,3 bachay ho gae phr b wo fibroids hai. Ab basically fibroids hotay ki hai, ye normal uterus hai, 2 tubes hain 2 ovaries hain, ye muscle wall jo hai agar is me se ek bhi fibre barh jata hai, ye fibroid cause karta hai aur fibroids jo hain wo is tarha k tumors hain uterus k andar. Agar ye uterus me fibroid andar ki taraf jhukav de ga, agar 2cm ka b hai, wo bleeding cause karay ga aur us k liye aap fatafat doctor k paas pohnchen gey aur us ka samadhan ho jae ga. Agar fibroid boht barha hai, wo upper ki taraf jae ga aur us ka pata b nai chalay ga aapko. Kabi kabi kuch pata b nai chalta, kabi kabi us se aata hai patient k g hamy urine nai ho paa ra, hum peshaab nai kar pa rae aur ye hamay boht tang kar ra hai, tou tab diagnose hota hai. Any which ways, hamaray paas 2 hi options hain, ya tou uterus ka nikaalna ya fibroid ka nikalna. Agar hamay uterus ka kaam lena hai, patient young hai, aagay bachay paeda karne hain tou definiteky fibroid ko nikalna hi better hai par agar family complete hai, agar us ko bachay aur nahi chahye aur us ki umer b towards the maybe 40 years or above hai or even otherwise agar boht zaada takleef ho rai hai, many options are there par durbeen se hum fibroid b nikalte hain aur uterus b nikalte hain. Agar fibroid nikala jae tou sirf fibroid ko nikaal kar k hum bolte hain ab aap pregnancy shuru kar sakte hain. Once fibroids are removed laparoscopically ya ek aur tareeka hota hai hysteroscopically, uterus ko andar se ja kar k hum dekhte hain, muaaena karte hain aur jahan fibroid hota hai us ko nikaal letay hain. It’s a non-touch technique hysteroscopy wala. Laparoscopic jo karte hain, us me 2, 3 holes bante hain pait k andar aur us kop hr morselate kar k tareekay se nikaala jata hai. Ye morselation b boht zaada ajkal controversy me b aaya , is k baaray me tarah tarah k hare k forum me discussions hue k karna chahye ya nai karna chahye aur ye jo fibroid ko nikalne ka tareeka morselation ka hai, aaj kal in-bag b hai matlb aap bag k andar fibroid ko daalo aur us ko nikalo. Is se wo cheez jo hai wo phailti nai hai aur boht araam se wo aap k nikal aati hai. Ye ek din ka stay rehta hai hospital me fibroid nikalne k liye. Laparoscopic fibroid removal me patient is there in the hospital just for one day. Us k baad you’re back to normal and aap ko koi rok thaam nai hai, serhiyon pe jaana utarna, aap ko koi jhukna, travel karna. Log Hindustan k bahr se b aatay hain is ko remove karwanay k liye. So, this is one thing which is available in our hospital and we’ve been doing it since 92. 2000, we have already got to recognized training center for fibroid removal. Now there are situations jahan pe fibroids nahi nikal paatay, tou us me b koi aisi baat nai hai, it’s not k it’s the end, like k agar tubes k boht paas ho, agar boht zaada paas hai tou kabi kabi situationally aap nai nikaal paatay but that is something jo k aap ko us k liye koi aisi wo baat nai hai as long as the tubes are patent, matlb aap tube ko test karte ho aur pregnancy amooman hojati hai. Fibroid removal k baad sab ka question hota hai hum kab shuru Karen pregnancy? 3 maheenay is the ultimate time jo l hum log detay hain k us k baad hum kehte hain aap zarur us ko shuru karlo and jo ye fibroid ki problems hain this is something which is so common. I feel that we should look into it, regular checkup is the only answer at every age. Har ek umer ki larki ko apna every year checkup kara lena boht zarurui hai.read more
Different methods to treat Disc problems
Hello friends, I am Dr Gaurav Khera. I am an orthopaedic surgeon, doing joint replacements and spine surgeries at the Access healthcare. Now today I will be talking about the lumbar degenerative disc disease. Now it sounds very big, but it is not as complicated as it sounds. It basically is what you people commonly know as a disc disease. So it is a fairly common problem that is seen in our population today. In fact about 30 or 40% of the patients who come to our OPD have lower back pains, some have other disc problems and very commonly seen after 40 years of age and this incidence gradually increases up to 60-70 years of age. The other ecological factors which are associated with this are, first of all smoking, secondly it is, mild to moderate trauma, thirdly its seen in people who lift heavy weights, fourth is obesity, especially central obesity, that is if you have a very heavy waistline.
Now what is Lumbar degenerative disc disease? Now, our spine is composed of multiple bones, which are starting from your neck and they come all the way down to your hip, divided into the cervical, dorsal, lumbar and sacral spine. And between these bones, there are these small pieces of discs, which act as cushions. When your body walks, these act as shock absorbers between your body’s bones. Now this discs, when these come out of their normal place, it gives or presses against the nerves which are passing through these areas and it causes pain. This is what happens in the disc disease. Basically, in the patient it will come as a lower back pain, and this pain will be travelling down to the hip, and it will also be coming down to the legs. Some people complain that as they walk, the pain increases.
They also complain of tingling numbness. They complain that sometimes their fingers or their toes are feeling numb. These are some of the very common symptoms which are being seen. Few people may have only lower back pain, and these are the people who do not have very significant disc disease. Now there are two main causes of the disc disease. First is an inflammatory reaction that occurs in the disc, and second is the micro motion instabilities that occur. Inflammatory reactions may occur as a result of some small traumas which may occur such as when you may injure your back. Such inflammatory reactions occur in the form of small swellings in the body. And micro motion instabilities are when the body ages, the disc which has an outer fibrous thick layer, that degenerates, and as it degenerates, the pulp which is there at the centre, of the discs, tends to degenerate. What I mean is it comes out of its normal space. And as it comes out of the normal place, it comes and tends to press on the nerves and these are the two most common causes.
All disc patients are not to be operated. When we get these patients, the first and foremost investigation that we do is a X-Ray. And if required, we go in for a MRI. Frankly MRI is the known standard to diagnose the disc disease. The findings of a MRI are always coordinated with the clinical findings. Once we have diagnosed that it is a disc problem, we have to establish that what the compression on the nerves is. If the nerve compression is a lot, and if we think that we cannot do anything other than surgery, then we take the patient for a surgery.
If not, we take the patient fro physiotherapy, lifestyle changes and few medications. These medications may carry on for few weeks to few months. And a lot of exercise has to be carried on regularly. Lifestyle changes such as weight loss, stoppage of smoking is very important. And if you can achieve this, then your problems are very easily solved. If you have any queries regarding your disc problems or back pains, then you can get in touch with me for the same.
You can reach me in my clinic, which is there in Indrapuri, by the name of Dr Khera’s Wellness Clinic or you can also contact me through Lybrate for the same. Thank You.
Benefits of Knee Replacement
Hello, friends, I am Dr. Gaurav Khera I am a consultant orthopedic surgeon joint replacements and spine. Today I will be talking to you about total knee replacement. Knee replacement is the most common surgery which is being done these days it is also a surgery which has got a lot of bad name to it because of a few complications that are associated a few myths which are associated. I'd like to clear all those out today.
Before I start talking about knee replacements I would like to tell you something about the anatomy of the knee joint. (Displaying knee model) now this is the knee joint knee joint is a type of a hinge joint, a modified hinge joint, it has three compartments, it has the middle or the inner compartment the lateral or the outer compartment and the patella femoral compartment. now what basically happens in osteoarthritis that is the reason why we do a total knee replacement is that the joint it starts to age or it starts to degenerate, and as the joint degenerates this blue coloured cartilage cover it starts to go away, as the cartilage cover goes the joint tries to recover from this degeneration process and in doing so in the repetitive process these osteophytes which are like bony specules they are formed, now these bony spicules as they are getting formed they start pinching into the surrounding tissues, surrounding tissue means the ligaments, basically 4 ligaments are in the joint 2 of which are inside and 2 of which are outside. the outside ones are the lateral and the middle collateral ligament and the inner other anterior and posterior cruciate ligament now the first ligament to get involved is the medial collateral ligament which is on the inner aspect of the knee joint and there is tightening of this ligament which takes place as the recommend gets tightened this middle compartment it starts to tighten up and there is further rubbing of these bones as these bones are out this blue cartilage it goes away and the bone gets exposed and the raw bone Easter surfaces they rub against each other causing severe excruciating pain.
The patients come to us then they complain of pain when they are going up and down stairs they complain of funny sounds which are coming, they complain of difficulty and squatting difficulty in cross leg sitting. so this is the reason why you get all these pains. now Osteoarthritis is not the only reason why were doing knee replacements. knee replacements are also being done father causes like hemophilia, septic arthritis, septic arthritis means infections. a few other causes like imposed tuberculosis, again its an infection. now there are two types of knee replacement surgeries which are being don,e one is the unicondyler knee replacement and one is the total knee replacement, a unicondyler knee replacement what we do is we change only the middle aspect of the joint or the inner aspect of the joint and in total knee replacement we change the entire joint. now changing of the joint does not mean that we remove the bone from the top and bottom and we just put in a new knee, basically were just changing the damage surface so this is the model of a knee replacement surgery.
Basically there seven cuts which is involved in a total knee replacement the main cut being the table cut and the other cuts are the femoral cuts now the femoral cuts are again you know the distal anterior posterior the chamfer the box so once these cuts are done this is how the femur of the knee joint looks like of the implant. this is then fitted onto these cuts with the help of a bone cement and on the tibia we put a tibial plate which is again fixed with a cement and then we put a insert. the size of the cuts and the amount of bone which is being cut is generally decided inter operatively. the types of implants which are being used are different, the types of implants vary we have patient-specific implantations we have computerized implantations you know in which we can do computerised cuts during the surgery and we have high flex knees we have normal needs so huge variety of things which are coming. now coming to rehabilitation process after the surgery the rehabilitation process for you as a patient is the most important, see normally the patient requires two to three months to recover after the knee replacement.
We make the patient walk after 24 to 48 hours .now the reason why we are making you walk so early is so that we can get your knee to start moving we can prevent complications like DVT and we can start your physiotherapy for muscle strengthening as soon as possible. your physiotherapy will continue for at least two months after the surgery and you will be able to lead a completely normal life that is hardly any activity which is going to be restricted after your surgery, you can go for your cycling you can go for your mountaineering you can go for your running you can go for your walks, we will only advise you not to be squatting and not to be cross leg sitting other than these you will be allowed to do all other activities. the complication rates of the surgery has come down tremendously. about 10 years back the complication rates were much higher now the complication rates have really come down that is because the most common complication is infection. now infection the methods which we are using in this surgery they are better antiseptic methods that we are using, there are better barriers which are there in the hospital, better antibiotics so infection rates have come down. the other thing is the failure of the implants there is a much better understanding of how the knees functioning, there is a much better understanding of what the soft tissue balancing is required. so all these complications have really come down so I would advise you that
If you are really suffering from a lot of knee problem if you’re having to take a lot of painkillers if youre not being able to do your daily activity then you should get in touch with us and you start thinking of a knee replacement surgery. you can contact me and come and meet me at my clinic at dr Kheras wellness clinic, I am here everyday in the evening from 6 to 9. I am also available at Apollo spectra hospital, you can call text or video chat with me through Lybrate. Thank you.read more
Know more about the symptoms and types for frozen shoulder
Good morning everybody, I am doctor Rakesh Kumar, I am senior consultant in orthopedics in Apollo hospital, Jivan mala and MGS hospital. Today I am going to give health tips on frozen shoulder. Frozen shoulder is named as Adhesive Capsulitis. Adhesive Capsulitis is a condition in which contracted thickened joint capsules that seem to be drawn tightly around a humeral head in the absence of synovial fluid and chronic inflammatory changes within the subsynovial layer of the capsule occurs. The underlying pathological change in adhesive capsulitis are sinonasal inflammation, with subsequent reactive capsular fibrosis, cytokines and metaloprotanysis have been implicated in the process but the initial triggering event in the cascades is unknown. Incidence is 2%, but several conditions are specified with increased incidence, includes gender—i.e more common in females, more common in older ages—between 40 to 70 years, 5 times more common in diabetes mellitus, cervical disc diseases, prolonged immobilization, hyperthyroidism, stroke, or myocardial infections, the presence of autoimmune disease and trauma.
Individuals between ages 40 to 70 are more commonly affected, approximately 70% patients are females. 20% to 30% of affected individuals develop adhesive capsulitis in the opposite shoulder. Frozen shoulder in patients who report no inciting event and with no abnormality are designated as primary whereas in patients with precipitant traumatic injuries are designated as secondary. We have noted that internal rotation frequently is lost in sleep followed by loss of fluctuation and external rotation, most often our patients can internally rotate only upto the sacrum, have 50% loss of external rotation and have less than 90 degree of abduction.
Primary frozen shoulder have three phases-
Phase 1 is a phase of pain, patients usually have a gradual onset of diffused shoulder pain which is progressive over weeks to months, the pain usually is worse at night, and is exacerbated by lying on the affected side as the patient uses the arm less leading to stiffness.
Phase 2 is stiffness, Patient seeks pain relief by restricting movements this heralds the beginning of stiffness phase which usually lasts for 4 to 12 months. Patients describe difficulty in activity of daily living, men have trouble getting to their wallets in their back pockets while females have trouble with fastening their brassieres.
Phase 3 is pain thawing phase, this phase lasts for weeks or months. And as motion increases pain diminishes without treatment other than benign neglect motion return is gradual in most but may never objectively return to normal. Although most patients subjectively feels near normal, they make adjustments in ways of performing activities of daily livings.
Treatments- Frozen shoulder has been considered as self limiting condition lasting 12 to 18 months without long term sick leave. Approximately 10% of patients have long term problems. The best treatment of frozen shoulder is prevention. But early intervention is paramount. A good understanding of the pathological process by the patient and the physician also is important.
If you need further clarification and have any question and need any treatment you can contact me through Lybrate.
Here are some health effects of snoring
Hi I’m Dr. Rajeev Nangia, senior consultant ENT. Today I’ll be talking on a very important and common topic- Snoring. It is taken to be a very common thing but now it has been proved scientifically that there are a lot of bad effects of snoring too. It is caused by obstructive sleep apnea, whenever there are obstructions in the upper airway then there is a reduction in the oxygen levels to the body which leads to further effects on the body and can cause hypertension, diabetes, and weight gain and even affect your heart and can seldom lead to sudden death.
We should not ignore snoring but rather should always go for a complete ENT examination followed by a nasal endoscopy followed by a sleep test. It is nothing but while you’re sleeping we just attach some instruments and note the apnea and the hypopnea plus we note the oxygen levels and other things. So then we evaluate the severity of the sleep apnea whether it is in the mild, moderate or severe category. If it is mild then we can change our habits or we can reduce weight and other things, we can get over it.
Moderate or severe category can be a serious problem because sometimes people can have a daytime sleeping pattern and have a road accident which can be fatal. So for the moderate we have two things basically: we can either operate which is known as UPPP operation and or we can go for the BiPAPS but for severe category we have to go for the BiPAPS and for any other thing regarding snoring or its problems, you can consult me at this wonderful site called Lybrate or can consult ma directly online.
Doctors in Apollo Spectra Hospital - Karol Bagh
Patient Review Highlights
Dr Aastha Gupta is an outstanding endocrinologist and diabetologist. No other doctor listened to my symptoms as clearly as she did. I will highly recommend her to anyone.
She is always available to heal patients. She doesn't take walk in allowing her to manage appointments and minimise waiting time.
Very knowledgeable and friendly doctor that would listen to your problem and reply efficiently and effectively
He was good got proper treatment and i am happy with his advice because my ear I good now
Dr. Aastha Gupta provides answers that are practical. Not answer of my questions
It was good.. doctor is very polite and knowledgeable
Very through with her diagnosis
One of my cousin's referred to Malvika Sabharwal. Whatever tests the Malvika Sabharwal prescribed, were very correct and the gave they gave us an exact idea about my condition. The staff was very attentive to my needs. Overall gynae problems treatment was very effective. Jeewan Mala Clinic has all the latest technology in place to handle severe cases. I am amazed that She is such a sweet doctor, even though She is so busy all the time. Even though I was fit and fine, it was shocked when I got to know that I have gynae problems. From quite some time i was suffering from pain, but never gave much importance to it.
It's been more than a year now, and I have noticed considerable change in myself. It's been so long, I have lost all hope, but then I met Malvika Sabharwal and I am hopeful again that I will be fine. All the staff members were very helpful. Malvika Sabharwal has in depth knowledge and ensures that She explains the problem in detail. The entire Jeewan Mala Clinic is very nicely designed. I was shocked to experience the symptoms of polycystic ovary synDromeHe is so pleasant to talk to and always ready to answer your doubts.
Thanks to herthat the delay periods treatment she gave me has given brilliant results. Even though Malvika Sabharwal is not from our city, she is still very famous, so we consulted her. It has been quite some time that i was suffering from delay periods. Both Malvika Sabharwal and staff were very helpful. In the very first sitting, Malvika Sabharwal clearly told us the problem and the what the treatment procedure will be in future. The lab in the Jeewan Mala Clinic was very clean and well managed.
I have consulted so many doctors , but no one was able to solve my slip disc. I thought it was something very normal, but then I realised the slip disc is something else. He is a very practical doctor. Hygiene is very important, and I must say Access Healthcare was extremely clean.Dr. Gaurav Khera has expert knowledge in the field. I remember, I read an article of Gaurav Khera in the paper and made contact. The waiting area in the Access Healthcare is very comfortable for elderly patients.
Rakesh Sharma has a very positive attitude towards all the patients. The dr Rakesh Clinic is decorated very nicely and doesn't look like a hospital. Over the period of time the diabetes treatment has helped me a lot. The guidance Rakesh Sharma gave me has helped me immensely with my situation. The atmosphere in the dr Rakesh Clinic is always so positive and full of life. It's been so long, I have lost all hope, but then I met Rakesh Sharma and I am hopeful again that I will be fine.
I was panicked, because I never thought I will suffer from joint pain like this. He is not just friendly, but also is very motivating. It was an amazing experience as everyone in the Access Healthcare is so nice. I was amazed that other doctors before him were not able to even diagnose my problem, but Dr Khera did it immediately and started the joint pain treatment for it. I am so happy that I chose this Gaurav Khera for my treatment as now I am perfectly fine.
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.
The symptoms were severe and unmanageable, as I was suffering from muscle cramps, but Dr Gaurav Khera was able to handle it. Many people gave very positive feedback for him. Gaurav Khera has a very positive attitude towards all the patients. He is not just highly qualified, but has years of experience in handling high risk cases. I am so much benefitted with his muscle cramps treatment, that i am perfectly fine now.
Apollo Hospitals can handle all types of emergency cases. It's been more than a year now, and I have noticed considerable change in myself after Dr Rakesh's treatment for knee pain. I was panicked, because I never thought I will suffer from knee pain like this. I remember, I read an article of Rakesh Kumar in the paper and made contact. In order to diagnose my problem completely he asked me a number of questions.
I was suffering from osteoarthritis. The osteoarthritis treatment has helped me greatly and now I am perfectly fine. The staff was very attentive to my needs. The Dr Rakesh Clinic is decorated very nicely and doesn't look like a hospital. Not only he is very calm and composed, but is also a very understanding doctor. Dr Rakesh Sharma has so much knowledge that for everything my family takes his reference.
I was suffering from shoulder pain for which I consulted Dr Rakesh. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. Almost all doctors suggested surgery for it, but I did not wanted to go for it for my shoulder pain. But thanks to Dr Rakesh for the perfect advice. I am back to my normal self post treatment.
As someone I knew, consulted Dr Khera and they referred us. He is not just friendly, but also is very motivating. he did my knee care. Everything was just spick and span in the Access Healthcare. I was quite depressed due to my condition, but my Gaurav Khera guided me to change my attitude. I am so happy that I chose him for my treatment as now I am perfectly fine.
It's been more than a year that I was experiencing leg pain. I thought it was something very normal, but then I realised the leg pain is something else. Dr Khera ensures that he gives enough time to each patient. I must say the hygiene was maintained very nicely in the Access Healthcare. In order to diagnose my problem completely he asked me a number of questions.
I was panicked, because I never thought I will suffer from masturbation addiction like this. But Dr Rakesh Sharma has a very positive attitude towards all the patients. I have consulted so many doctors , but no one was able to solve my masturbation addiction untill I consulted Dr Rakesh. I'am almost on the path to recovery, Thanks tohim for teh perfect advice.
No matter how critical be the situation, she is always very calm. The overall outlook of the Jeewan Mala Clinic was very nice. I was amazed that otherdoctors before her were not able to even diagnose my problem, but Malvika Sabharwal did it immediately and started the period pain treatment for it. heradvice and counselling has helped me immensely.
If you hear a constant ringing in your ears without any external stimulus, it is called tinnitus. The sound can also manifest as incessant roaring, hissing, buzzing or clicking. The sound can be loud or soft, low or high pitched. Tinnitus can occur in one ear, or both the ears.
Tinnitus is primarily of two types:
- Subjective tinnitus: This type of tinnitus is very common. In this type, only you are able to hear the ringing, or buzzing. The main cause of subjective tinnitus is ear problems, especially in the inner, middle and outer ear. Problems in the auditory nerves (hearing) or auditory pathways (the part in your brain that changes nerve signals into sound) can also cause subjective tinnitus.
- Objective tinnitus: In this type of tinnitus, the doctor can also hear the sound when he/she performs an examination. This type of tinnitus is rare. Muscles contractions, problems in the blood vessels or conditions in the middle ear bone can cause objective tinnitus.
Tinnitus is not a condition; it is more of a symptom of some other underlying medical condition. Tinnitus can be caused by any of the following complications-
- Hearing loss (This happens mostly among older people)
- Loud noises
- Sinus and ear infections
- Blood vessel or heart problems
- Meniere's disease (The inner ear is affected by unknown causes which lead to deafness)
- Brain tumours
- Hormonal changes (This happens mostly to women)
- Thyroid problem
- Certain medications (antibiotics, cancer medicines, diuretics, quinine medication, some types of antidepressants, aspirin)
- You hear noises that no one else will be able to hear
- The sound can be depicted as chirping, whistling, screeching, clicking, static, hissing, buzzing, roaring, pulsing, musical or whooshing.
- The sounds can vary greatly in volume and it is most prominent at night or when your surroundings are quiet
- Loss of hearing commonly follows tinnitus.
Treating Your Tinnitus
Depending on the results of your hearing evaluation, you may get a recommendation for one of the following types of tinnitus treatment.
- Tinnitus Retraining Therapy (TRT) uses cognitive behavioral therapy in combination with a masking device to help you learn to ignore the background ringing noise in your ears.
- Tinnitus masking or noise suppression devices are common treatment options for tinnitus sufferers. This type of device is worn in the ear like a hearing aid and produces either a constant signal or tonal beats to compete with the sounds you're hearing. The hearing care professional will use the pitch matching and loudness matching tests to set the signal at a level and pitch similar to the tinnitus you are perceiving.
- You can also use a free-standing white noise generating machine. Tinnitus generally gets worse when you're in a quiet space, so being able to bathe a room in background sound might be all you need to help you ignore the ringing in your ears.
Infection caused in the kidneys, bladder, urethra or the ureters is known as urinary tract infection. According to doctors, women are generally more at risk of suffering from this condition than men. Some of the causes which contribute to the development of this infection are-
1. Invasion of bacteria
Like any other infection, one of the causes of urinary tract infection is the invasion of the bacteria Escherichia coli in the bladder. This type of bacteria is most commonly found in the gastrointestinal tract and is most often held responsible for urinary tract infection.
2. Spreading of the bacteria from anus to urethra
The spread of the gastrointestinal bacteria from the anus to the urethra leads to the infection of the urethra thereby causing urinary tract infection.
1. A nagging urge to urinate
One of the most predominant symptoms of urinary tract infection is a persistent, nagging urge to urinate. You would know your urinary tract is infected when you feel the urgency to urinate extremely frequently.
2. There is a burning sensation when you urinate
The symptoms of urinary infection are extremely visible and are felt intensely by the one suffering from it. If you feel a burning sensation while urinating, chances are extremely high that you are suffering from urinary tract infection.
3. Red colored urine
Sometimes your urine may contain perceptible amount of blood in them. In most cases, presence of blood in urine is a definite sign of urinary tract infection.
4. Foul smelled urine
An internal infection in the urinary tract manifests itself in different ways. One of the chief symptoms of this infection is discharging foul smelling urine.
5. Pain in the pelvic area
Women who suffer from urinary tract infection experience excruciating pain near the pelvic area, sometimes extending to the pubic bone.
A problem pertaining to the storage function of the bladder that results in bouts of sudden, often uncontrollable urge to urinate is referred to as an overactive bladder. This condition which is marked by unconditioned or involuntary loss of urine can sometimes be quite difficult to stop. People who experience such a condition often feel humiliated and as such tend to limit their social and work life. Despite such, only a few are conscious that a brief evaluation can help them manage and overcome an overactive bladder.
Mechanism of Urination
During urination, the urine proceeds from the bladder and flows into the urethra which is located at the tip of the penis in men and above the vagina in women. As the bladder fills, the nerve signals in the brain prompts urination by coordinating the relaxation and contraction of the urinary sphincter muscles.
Primarily caused due to involuntary contraction and relaxation of sphincter muscles, several conditions can lead to overactive bladder.
Some of them are:
1. Parkinson's disease, Alzheimer's and other neurological disorders
2. Poor kidney function due to diabetes
3. Medications that lead to increased production of urine
4. Bladder abnormalities like tumors or stones
6. Excessive consumption of caffeine or alcohol
Some of the common signs of an overactive bladder are:
1. Bouts of sudden, uncontrollable urge to urinate
2. Awakening at night frequently to urinate
3. Urinating more than eight times a day
The risk of an overactive bladder gradually increases with age. Conditions such as diabetes and an enlarged prostate results in the increased likelihood of an overactive bladder. People who have previously faced strokes and heart attacks experience cognitive decline which often times lead to the development of an overactive bladder.
Urinary incontinence as well as a host of associated factors can be detrimental to your life. Emotional distress, interrupted sleep cycles and depression are some of the observed complications of this condition.
Thus if you experience or entertain suspicion of an overactive bladder, you should consider visiting a general physician who might refer you to a specialist, if need be.
A shoulder dislocation is a shoulder injury which is characterized by the upper arm bone popping out of the socket of your shoulder blade. The shoulder joint is the most mobile among all the joints in the body, making it the most prone to dislocation. The dislocation of the shoulder joint can either be partial or complete depending on the injury. In a partial dislocation, the head of the upper arm is partially shifted out of the socket whereas in a complete dislocation, the head comes out of the socket in its entirety.
The symptoms of shoulder dislocation are:
Excruciating pain in the shoulder region.
Mobility of the joint is greatly reduced.
There can be multiple ways in which a shoulder can be dislocated because of its ability to move and swing in all the directions. The fibrous tissues that connect the bones of your shoulder may also get stretched or torn. These injuries occur due to a sudden blow or a strong force exerted on the shoulder joint.
It is caused by:
Trauma to the Shoulder Joint: Hard blows to the shoulder joint such as one suffered from a vehicle accident can lead to shoulder dislocation.
Sports Injuries: In contact sports such as hockey and football, the sudden forceful contractions of the shoulder region may lead to dislocation of the shoulder.
Falls: Tripping or falling from an elevated place and landing on the shoulder can cause shoulder joint dislocation.
The treatments for shoulder dislocation are –
Medication: Medications such as pain relievers can be prescribed by the doctor to reduce pain.
Surgery: Surgery of the shoulder joint can help in treating chronic shoulder dislocations. Surgery is also required if the blood vessels or the nerves along the shoulder joint are damaged.
- Immobilization: This process involves attaching a sling or a splint to the affected area to prevent it from moving. This allows the shoulder joint to heal and recuperate faster.
Are you suffering from a sore throat that is prolonged in nature? Although, a sore throat is not very severe, being prolonged in nature indicates that it is chronic. You should not ignore a sore throat that does not heal over a long period of time. This might be an indication of a serious problem, and you will require proper diagnosis.
When is a sore throat termed as chronic?
- A sore throat may take various forms. It can be itchy, burning, scratchy in nature, and can also cause difficulty in swallowing food.
- It is likely for a sore throat to be accompanied by a form of pesky cough that leads to further irritation of the throat.
- Sore throats can also occur from common colds and several viruses. These usually resolve on their own.
- However, when your sore throat is persistent and you cannot find relief, it is referred to as a chronic sore throat. The primary cause of sore throat includes strep throat, allergies, tonsillitis or the infection of your tonsils, inhaling air pollutants, influenza, cigarette smoking, and inhaling via the mouth.
- Among these conditions, strep throat and tonsillitis may turn into severe problems, if not treated properly.
- Smoking is a major cause of chronic sore throat. You should control your smoking to eliminate these sore throat symptoms.
- Snoring is also a major cause for sore throat.
Relief from chronic sore throat
No matter what is the cause of your chronic throat pain, or sore throat is, you should follow some steps and undertake simple home remedies for soothing your scratchy, itchy and painful throat. Some of them include the following:
- Do hot water steam inhalation daily, which will help
- You must stay well hydrated and should moisten your throat by drinking lots of fluids throughout the day. You should add honey to warm drinks and hot tea.
- You may take over the counter pain relievers.
- You should install a humidifier in your home for preventing dry air that causes irritation to your throat.
- You may try gargling regularly with warm water and salt, at least twice a day.
It is difficult to diagnose the exact cause of a sore throat, but when it worsens or does not tend to leave, something serious is indicated. You must consult a doctor and undertake a physical examination of your throat in order to detect the cause.
Diabetes is known as a silent killer and this name is well earned. Research findings have shown that around 20 lakh Indians suffer from diabetes of which 5 lakh are not aware that they are diabetic. Managing diabetes can be a difficult task but definitely not an impossible one. However, if you do not take steps at the right time, diabetes can cause many health complications and emergencies. Read on to know more about this deadly disease.
What is diabetes?
Diabetes is an ailment, which compromises the body’s ability to produce or respond to the hormone, known as insulin. This leads to an increase in the blood sugar levels of the body and causes an abnormal metabolism of carbohydrates.
What kind of complications can diabetes lead to?
Yes, diabetes can lead to emergencies as diabetics always run the risk of suffering from insulin shock and falling into a diabetic coma. Excessive insulin in the body can lead to a low blood sugar level causing insulin shock. This is also known by the term ‘hypoglycemia’. Similarly, if your body has too little insulin then it is known as hyperglycemia where you run the risk of falling into a diabetic coma.
The symptoms of a diabetic coma are:
- The shaky or wobbly way of walking
- Dry, warm or flushed skin
- Drowsiness leading to a gradual loss of consciousness
- Quick and weak pulse
- Deep breaths
- The odor of sweet apple of nail polish
How can you deal with diabetes?
Even though diabetes is a very serious disease to deal with, there are a few things you can do that can help you deal with it and keep it at a normal level. Some of these steps are:
- Count your carbs - Even though carbohydrates is an essential nutrient for ensuring a healthy body, too much of it can wreak havoc on your blood sugar levels. It is imperative that you follow a well-balanced diet with the right amount of carbs in it. The best thing you can do is to pair high-fiber carbs with protein, as it can slow down your digestion and you will feel full without your blood sugar being hiked up. Some of the best sources of carbs and fiber are sweet potatoes, dried beans, whole wheat bread, and pumpkins.
- Check your blood sugar regularly - Go for regular blood sugar tests, so that you know where your diabetes stands. If your blood tests come back to normal then you are on the right path but if they do not, then consult a doctor so that he or she can help you come up with a plan to deal with this in a better way.
- Exercise - Exercise is something that does not just takes care of your body from the outside; it can also keep you in good shape internally by lowering your blood sugar levels. Make sure that you work out at least 4 days a week for a minimum of half an hour. Physical activity can also help your body secrete the hormone; endorphins, which can help, boost your mood and emotions.
Even though diabetes is a very unfortunate disease, that does not mean you will have to put your entire life on hold for it. If you take the right steps at the right time and listen to your doctor’s advice, you will be able to beat this disease in no time.
Knee related problems can have many causes and the effects are no doubt very critical for one's health. You must consult a good doctor to take the right guidance and treatment.
Your hearing is one of the most important functions your body carries out and sometimes you realize that you are losing your sense of hearing when it is too late to get it back. There are two main reasons for this. One of the reasons is age, as the inner ear's hair cells break down and do not pick up sound well. Here are 7 ways to safeguard your hearing.
1. Try to avoid loud places
It is not advisable to go to places where you have to shout to be heard such as in a street, a concert or a construction site.
2. Buy low noise rating equipment
The equipments in your house will make sounds that you hear the most. Try to avoid these equipments by buying appliances with a low noise rating.
3. Wear hearing protection at loud places
However, it is true that it is not always possible to avoid loud noises. This is when you need to get hearing protection. Earplugs and earmuffs are two of the best ways to make sure that even when you are in a loud place, your hearing does not get affected. Earplugs and earmuffs generally reduce sound by 15 to 30 decibels which may be crucial to make sure that later in your life, you do not lose your hearing.
4. Avoid smoke
Smoking raises your chances of hearing loss. Second hand smoke does the same thing. Therefore, try to stop smoking if you are a smoker, and try to stop consuming second hand smoke if you are not a smoker.
5. Remove earwax properly
Earwax cannot be removed properly using a cotton swab. Instead, you should use an irrigation kit. Remember this as otherwise; the earwax could muffle your hearing.
6. Avoid medications which reduce hearing
Certain medications increase hearing loss. Therefore, double check with your doctor to make sure your medicines will not make you lose your hearing.
7. Get your hearing tested
Finally, get your hearing tested as identifying the problem early on can help stop worsen the situation.
Knee joint surgery is a long and arduous procedure in most causes. However, outpatient procedures sometimes take less than an hour and require minimal recovery time. It is commonly conducted in cases of:
- Progressive arthritisa
- Injury, dislocation or fracture
- To fix deformities
If one is aware of these informative tips post-surgery, recovery can be a less painful and easier process :
- Clean linen sheets to prevent infection to the wound
- In case of pain, ice packs over the bandage can be used. However, one should be cautious as extended use of ice can result in cold burns
- Installation of preventive fall equipment is necessary to ensure that the patient does not sustain further injuries post-surgery.
- Knee surgery recovery can be very time consuming in which case, the patient may experience high levels of anxiety, and depression. A close friend should be available in times of emotional need to reduce negative feelings.
- Crutches and other supportive objects should perpetually be in close proximity to the patient as it can be very difficult for patients to reach their close destination without the help of these necessities when in need.
- In case of intensive pain attacks, the patient should be taught relaxation techniques such as breathing in and out or breathing intensively in settled intervals
- The patient should be put on a strict diet consisting of fruits, vegetables, carbohydrates and healthy fat to allow faster recovery
- The patient should also get 8-10 hours of sleep daily to allow the system to recover on its own
- The patient should not put pressure on their body during the recovery time, especially the injured area
It is a prerequisite for the families and loved ones of the patients to show emotional support as feelings of isolation can cause further pain to the patient. Along with that, the patient should keep a positive attitude during the course of their bed-rest time. If one keeps these tips noted, recovery can be a less arduous condition.
Cystic Fibrosis is a genetic disorder that is known to affect some of the vital organs of the body including the lungs, digestive system to name a few. For long it was believed that cystic fibrosis affects a person in their childhood. However, various research and studies suggest that adults are also susceptible to this inheritable disorder. In this article, we will discuss the cause and symptoms associated with cystic fibrosis.
The epithelial cells that line the stomach, nasal cavity and lungs, are responsible for the production of the digestive fluids, sweat, tears, mucus. The Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene codes for a protein called the CFTR protein. The CFTR protein, a membrane protein plays a pivotal role in transporting the chloride ions of the epithelial cells inside and out of the cell. This regulation of the chloride ions goes a long way in ensuring that the mucus produced is free-flowing and thin.
In the case of Cystic Fibrosis, the CFTR gene that codes for the protein undergoes a mutation. With the CFTR protein unable to perform its function, sticky and thick mucus builds up and clogs some of the major systems of the body including the digestive system, reproductive, and respiratory system. There is also a higher salt content in the sweat of the affected person.
For a person to be affected by cystic fibrosis, he/she must inherit a copy of the mutated CFTR gene from both the parents ( Autosomal Recessive Disorder) at birth.
The symptoms associated with cystic fibrosis depends on the organs and systems affected.
- The thick mucus formed can clog the digestive tract resulting in incomplete absorption of the essential nutrients from the food. This may have an impact on the overall growth and development of the body.
- - There may be stunted growth or no weight gain.
- - The stool may appear greasy and foul smelling. Some may also suffer from constipation.
- - Newborns and infants may suffer from an intestinal blockage.
- Cystic fibrosis, left unattended can lead to diabetes, intestinal blockage or obstruction.
- - The mucus can also block the bile duct triggering a host of problems including liver disorders.
- - At times, the obstruction or blockage can occur at the junction where the large and the small intestine meets (Distal intestinal obstruction syndrome).
- The thick mucus can also affect the lungs and the respiratory system by blocking the tubes that act as a passage carrying the air inside and out of the lungs. As a result,
Left untreated the complications can worsen resulting in
In severe cases, there may be a respiratory failure.
Cystic fibrosis can also trigger fertility problems (both in males and females).