Doctor in Fortis Hospital
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
Submit a review for Fortis HospitalYour feedback matters!
Patient Review Highlights
He is a fine and very patient doctor and listens to patients very carefully. He takes full time to understand the issue and also consults fellow radiologists for reports if reqd. He is a good doctor
It was very nice meeting with him. Me and my Fiancé have visited him for the first time today but he was so nice to us and attended us as his own children.
Plantars Fasciitis is an orthopaedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel. Let us look at ways that can help you deal with this pain.
-Rest: Taking rest and giving your feet a break from all kinds of strain-inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
-Supportive Footwear: Using pads within your shoes with gel built into them, or using specific footwear that helps in walking without feeling too much of pain is a good way of dealing with Plantars Fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for the feet. These also give your heel and its arch good support, while Orthotics pull at the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and this ligament stretched while you enjoy a good night of sleep.
-Exercise: Indulging in mild muscle strengthening exercise that also involves stretches and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
-Pain Killers: Use painkillers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain-inducing nerves in the brain and give you instant relief.
-Anti Inflammatory Drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
-Surgery: Heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.
Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.
Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.
Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. Perfect alignment and balance are achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.
There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.
In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are called prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in the backward and forward swing of the legs.
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. The post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.
Arthritis is a very painful disease. It restricts you from doing a lot of the activities you would love to engage in. However, there are steps you could take to reduce the chances of it happening to you.
1. Take Omega-3 fatty acids
Research proves that the regular consumption of Omega-3 fatty acids, present in fish, results in decreased risks of rheumatoid arthritis. Omega-3 fatty acids are also found in foods such as olive oil and walnuts.
2. Take Vitamins and olive oil
Vitamins are crucial, especially A, C and D. Vitamin A can be found in carrots. Vitamin D can yet again be found in fish while Vitamin C can be found in strawberries, mangoes, pineapples and oranges. Olive oil is also useful because it contains polyphenols which reduce the chances of developing arthritis.
4. Avoid injury
Although this is very hard to do sometimes, avoiding injuries do reduce your chances of getting arthritis.
5. Control your weight
This is very important, especially for your knees. It has been proven by researchers at Johns Hopkins University that if you are 10 kg overweight, then 30 to 60 extra kilograms of weight fall on your knees.
Strengthening your muscles around your joint decrease the pressure on the joint. If there is less pressure on the joint, then the chances of arthritis are reduced. The best way to decrease pressure on the joint and strengthen your muscles is to exercise.
Physical deformities that occur due to birth defects can affect one both physically and psychologically, and thus giving them the right treatment is important. Typically, a physical deformity usually refers to musculoskeletal deformities and these can be treated using deformity correction.
Deformity correction refers to the process of adjusting or modifying such bone deformities. Although the process can be used for almost any part of the skeletal structure, it is usually implemented on the limbs at knee joints through surgery or orthotic devices.
Guided Growth For Deformity Correction
The deformities that can be corrected are stem from congenital or developmental deformities which occur at childbirth. Such deformities get worse with age, if not treated early before the age of four. One of the most effective procedures for correction of deformities is guided growth.
Hemi-epiphysiodesis for deformity correction has been performed for many years using staples. This procedure offered very little flexibility and caused several problems such as mal-placement, bending and breakage. As a result of this procedure drawback, the new eight-Plate technique had to be adopted .
The eight-Plate technique is a form of guided growth, which overcomes the obstacles faced by hemi-epiphyseal stapling. The eight-Plate gets its name from its figure eight shape, and it is a device that’s the size of a paper clip. It has two holes for screws, and one side of it is meant for holding the growth plate. The two screws diverge within the plate, as the opposite side of the physis gradually expands and grows. The hinge action prevents the growth plate from being compressed, thus allowing proper growth to take place when the plate is removed without causing any damage. Since the plate is manufactured with titanium, it ensures flexibility and the least chances of breakage.
How is the eight-Plate fitted?
The fitting of the plates involves a surgical procedure under general anesthesia, and the patient can be treated on a day case basis. During the surgical procedure, a 2-3 cm incision is made at the level of physis of the bone that needs correction. The plate is then inserted with the help of x-ray control for optimum placement. The procedure is not restricted to only one deformity, since multiple deformities can be surgically operated within the same procedure inserting a single eight-Plate per physis.
Although, the patient may initially need the support of crutches, the post-operative recovery is rapid. Normal physical activities can be resumed after 3 weeks. As for the correction time, the implant prevents growth on one side of the plate, while allowing normal growth to take place on the other side.
Since growth occurs gradually, the correction can take place over a span of several months up to 2 years. During the recovery period, regular follow-ups with full-length x-rays of both legs shall be required to track every step of the recovery process by your surgeon. After the deformity has been corrected, the eight-Plate is surgically removed under general anesthesia.
It is considered as the medical speciality, which caters to injuries and various diseases in the musculoskeletal system of the human body. This constitutes the joints, bones, tendons, nerves and muscles that enables a human being to move, be active and work. Orthopaedic surgeons perform special problems like diagnosis of the injury or disorder, treatment with right medication, rehabilitation that is by prescribing exercises and physical therapy in order to restore back movement, function and strength and finally prevention by providing information and plans of treatment to prevent the injury or reduce the progression of the disease.
Platelet Rich Plasma Therapy (PRP)
PRP is the next generation injection method which is used commonly for conditions like knee, hip, shoulder and spine osteoarthritis, cuff tears, ACL injuries, pelvic instability, tennis elbow, back and neck injuries, ankle sprains, ligament sprains and tendinitis. It includes higher blood rate platelet concentrations and the patient experiences fewer chances of inflammatory side effects due to its pure PRP mixture.
How does it heal the body?
- The human body at first responds to the soft tissues injury which is to have the platelet cells.
- They are packed with healing factors that initiate repair and also attract critical assistance of the stem cells.
- The process intensifies the human body’s efforts which directly delivers a higher platelet concentration into the area of need.
- To create the PRP, a small section of the patient’s blood is drawn and it is placed into centrifuge which spins blood at a higher speed and separates the platelets from the components.
- It is injected into and at around the mark of injury and it significantly strengthens the process of healing.
- Just because the patient’s own blood is used in the process there is no risk of transmissible infection and also has less chance of allergic reaction.
- The procedure takes a couple of hours inclusive of the recovery and preparation time. It offers instant recovery as well avoids a long stay in the hospitals and application of anesthesia.
Outcome of PRP?
As the goal of PRP therapy is just to resolve pain by healing, it can prove to have long-lasting results. Initially, improvements are seen within few weeks eventually increases with the healing progress. The research studies have shown that PRP therapy is safe and effective and enables the patient to get back to their normal daily routine.
The PRP is very rich in platelets and it is a very old therapy that is adopted. It is a simple process and has multiple injections lasting 60-90 minutes and above all, it has natural end results, for example, PRP therapy is applied in hair restoration that provides natural appearing end results. It is a reliable process and therapy.
Mobility for a person is very important, and when you look through, the hip is a very important component to this. It connects the upper and lower parts of the body and helps in movement. It is a ball and socket joint, where the hip bone provides a socket, into which the upper part of the thighbone (femur) sits into, allowing for free movement.
Like any other human organ, the hip also is prone to damage. Be it natural ageing, infection, injury, or diseases, hip movement can be affected, leading to limited movement and increased pain and stiffness. For these people, being able to get back a hip which will allow them to be back on their feet is a boon for sure. It helps in relieving pain and improving mobility, almost giving people a second lease of life.
Reasons for hip replacement:
- With natural ageing, the hip joint can lose its ability to move, due to normal wear and tear of the hip and thigh bones
- Diseases of the hips (infectious or autoimmune) can also lead to hip replacement
- Injury or trauma is another major cause that requires hip replacement
- Joint problems, leading to repeated dislocations
- Tumours of the relevant bones
Understanding the procedure in detail
- The affected bones (whether diseases or worn out) are replaced with a prosthesis which is compatible with the normal body tissue.
- While some materials fuse to the natural bone, others do not and are simply placed as a separate unit
- This is a surgery which requires hospitalisation and stays for up to 5 days depending on patient’s overall health condition
- The entire procedure may take a couple of hours and is usually done under general anaesthesia
- An incision is made through the side of the hip
- Both the hip and the thigh joints are prepared, diseased tissue removed, re-shaped, etc. to make way for the prosthesis
- The prosthesis is introduced through the same incision and positioned into place
- As noted earlier, there are two types. The ones which fuse to the bone have pores in them into which normal bone eventually grows.
- The other variety is the cemented version, and a glue is used to keep it in place
- Most doctors now use a combination, that is cement a porous prosthesis, into which bone will grow, and the incisions are closed
- The patient stays in the hospital for 1 to 4 days depending on overall health
- Once discharged, infection and pain control are continued
- Exercise and physiotherapy play a major role in restoring normal function
- Weight management is also very important
In case you have a concern or query you can always consult an expert & get answers to your questions!
Osteoarthritis is a condition that causes cartilages in the joints of a human body to wear away. The joints in your body are made of bones and the ends of each bone have cartilages to prevent friction between them. Certain factors like age, nutrition or health threats can cause the cartilages to break down into bits and pieces. As a result, bones come into direct contact with one another causing the joints to swell or to turn tender.
Take a look at the following factors that can cause osteoarthritis
- Stress on specific joints due to certain postures: The triggering cause behind acute joint pain could be the way you sit for long hours in a day. A sportsperson might face joint pains due to his or her occupation. Similarly, any person required to sit or stand for a long stretch of time due to his/her jobs can suffer from osteoarthritis as well.
- There might be a deformity in any of your joints: A person born with joint deformities might suffer from arthritic problems later in life. Severe accidents can lead to deformities too.
- You may have suffered injuries that resulted in the condition: Joint pains needn’t always require an impactful injury. Mild or heavy injuries can lead to arthritis all the same. Defects in the joint cartilage could be passed on through genes.
- Age could also be a contributing factor: If a person is aging, his or her chances of developing osteoarthritis increase manifold. Age can make your bones and cartilages go weak. As you grow older, the capacity of your bones to absorb nutrition also decreases.
Prevalent symptoms that help you identify osteoarthritis
- A grinding sensation in the joints: A person suffering from osteoarthritis will experience continual bouts of grinding pain in the joints. This may keep him or her from walking, sitting, working or even resting. The grinding sensation is indeed disabling.
- You tend to face stiffness in the bones: Patients with this kind of arthritis have been reported with lacking flexibility in their joints. If they are sitting for too long, or have been inactive for some time or might have just woken up from sleep, they are likely to experience stiffness in their bones. Joints even turn sore in such situations.
- Extra bits of bones could create trouble: Extra bits of bones that develop at a later age are also referred to as bone spurs. They stick around the sore area and make movement a real challenge.
Modes of treatment
If osteoarthritis is detected at an early age, it can be fought against using medications. However, when the disease is really discomforting, treatment procedures like acupuncture or regimented exercising can help a patient. Yoga also does wonders to remedy joint pain. Surgical procedures are also available but they should be fallen back upon as a lender of the last resort.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Muscle sprains and ligament tears are one of the most common injuries that medical practitioners encounter on a regular basis. These injuries are painful and can also limit one’s movement, needless to say. However, there are simple things that can be done as soon as the injury happens so that the impact of the injury can be reduced, the symptoms minimised, and recovery improved.
A sprain is a tear of the ligament. The ligament is responsible for connecting the tissue strands that connect the bone to the muscle. When this sprain affects the muscle or even the tendon, it is known as a strain.
Sprains are very common and can occur due to a fall, twist, or impact. Most commonly affected areas are the ankles and wrists. Sprains happen when there is a pull or a twist of the ankle or the joint. This is very common in athletes and can be caused by repetitive motions in the knees, wrists, elbows, etc.
- RICE therapy: RICE is an acronym for rest, ice, compress, and elevate. Rest the affected area immediately by stopping any further activity. Ice the area using an ice wrap, with the ice cubes wrapped in a towel or a cotton cloth. Repeat this exercise if possible for every 20 minutes. This will reduce the swelling and pain. Compress the area using a sling or a wrap. This will help in reducing the swelling. Elevate the affected area if possible above the heart. This will help control the blood flow and thereby reduce the swelling and pain.
- Pain control: If there is pain that needs medication, go for the non-steroidal drugs like ibuprofen or acetaminophen. If it is a child that is injured, it is advisable to give non-aspirin ones.
- Seek professional help: Most sprains can be self-limiting over a couple of days. However, it is advisable to seek medical help if there is significant pain, swelling, or numbness, open wounds or bruises, or inability to move the joint.
The doctor may decide to do the following.
- Scanning or imaging to rule out any internal hard/soft tissue injury like fracture or tear
- Immobilise the joint with a splint or a cast
- Start physical therapy if there is severe pain and immobility
- Surgical repair if there is a ligament injury
A word of caution to athletes or people who are very active physically is to go easy on the joint. In an eagerness to quickly get back to their routine, more and severe damage may be caused. This can be avoided by allowing time for complete healing.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am suffering from l1 vertebrate compression fracture along with anterior chip fracture due to fall from parachute landing still I am having pain and unable to do my activity. I am sports person .what shud I do? Recent MRI report say that still edema is there and disc reduction is there in t12-l1 and t11-t12. What should I do?
Fibromyalgia is a musculoskeletal disorder that is characterized by pain in the muscles and the joints. This disorder leads to the development of multiple tender points on the body, wherein, a very small amount of pressure applied might result in pain. In some cases, social isolation and depression may occur as a result of this disorder.
The symptoms of fibromyalgia are:
1. You will have difficulties in sleeping at night
2. You may experience mental problems and cognitive dysfunction
3. Light and noise sensitivity
4. Irritable bowel syndrome
5. A numb feeling on your hands and feet
6. Chronic headaches
7. You may experience painful periods
8. Restless legs syndrome
9. You may be depressed
The muscles of the body tend to feel overworked, even though you may not have exercised. You may also experience deep throbbing pain and burning sensation in the muscles. In addition, it may cause symptoms similar to osteoarthritis and bursitis. You are at a higher risk of being affected by fibromyalgia if you have a family history of this particular disease.
Some other causes of this disease are:
1. Certain infections and illness may lead to fibromyalgia
2. Car accidents
3. Any repetitive motion
The treatments for this disorder include:
- Sleep management: Optimal levels of sleep at night help in improving symptoms of fibromyalgia. Don’t drink coffee or consume spicy foods before going to bed as these have the ability to interfere with your sleep cycles.
- Medications: The doctor may prescribe medications to manage the pain. Taking anti-depressants may be necessary if you suffer from depression.
- Other therapies: Massage treatments help in easing the symptoms of fibromyalgia. You may continue with your exercise regimen after consulting the doctor. Relaxation techniques like mediation may help improving your mental health. You may also be asked to include various food supplements to make sure your body receives the necessary nutrients in the right amounts. In case you have a concern or query you can always consult an expert & get answers to your questions!