Doctor in Vardaan Hospital
Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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Sir I'm 26 years old and for the past 2 months I have been suffering from knee pain. In the starting it was paining when I used to sit or stand .but after 20-25 days it was not paining any more while sitting or standing. But I could feel a little pain while using stairs .after nearly at the end of 2nd month I thought of going for morning walk but it started paining in my knees while walking so I got some tests run. In that esr was normal, c creative protein was non reactive, RA factor was non reactive but uric acid was 8.so is uric acid responsible for the knee pain or am I suffering from arthritis .sir please help me .i m feeling very depressed .and what should I do to get relief from pain.
My fathers cpk level is 345. Dr. told me its muscular degradation. My father is having pain in right leg whenever he put his leg down ow walk. Plzz suggest me treatment home made remedies. Plzzzzz.
I’m 22 years old female having pain on my sternum and ribs so I consulted a ortho specialist and he asked me to take an X-ray and the X-ray seem completely normal. So I got diagnosed with costochondritis and he prescribed me chymoral forte 3 times a day. So is it the right prescription and should I take it before food or after food? And is it necessary to take pantoprazole tablet before taking this medication? Thanks.
Sir, I'm.suffering from shoulder and neck pain and also this is hurting a lot that I couldn't turn my neck slightly left or right. And I have also gone to ayurvedic care centre for some massage, but of no use, could you please tell me whether is it any nerves problem or any other problem.
Hello, Nowadays, I facing a Sensation problem in near paw & calves. This sensational problem is happening regularly for a month. Kindly guide us. What kind of problem to happen. Is this a serious problem for me. Whether going to doctor for a check-up or not. If normal problem, Kindly suggests a which medicine is taken.
My mother is suffering from knee joint pain seviourly some times she is getting pain badly and some she was un able to stretch her leg and rarely she get light crack sound in her knee joint when she wake up from bed to prevent all these what precautions and health tips as to follow and can you advise what type diet has to be taken.
I have problem i'm notice last two three days always pain in my boot feet and some time in back side But pain in my foot is always happen.
What is wound healing?
Wound healing is a process in which the body repairs itself after an injury by the complex mechanism by replacing destroyed tissues. It includes three types of intentions, and they are as follows:
1. Healing by primary intention
It includes healing in which restoration of continuity occurs by fibrous adhesion. Formation of granulation tissue does not take place and results in a thin scar.
2. Healing by secondary intention
In this type, healing takes place by adhesion of granulating surfaces. It occurs when the edges of the wound are far apart, and cannot be brought together.
3. Healing by tertiary intention
It is a combination of primary and secondary intention healing. In this type, the gradual filling of a wound cavity occurs by granulations, and by cicatrix formation. In this process various growth factors are involved, such as epidermal growth factor, vasculo-endothelial growth factor, platelet-derived growth factor.
How wound healing occurs?
Wound healing is divided into following phases:
- Establishment of rapid homeostasis: In this phase, the actual bleeding stops. It is accomplished by vasoconstriction, in which blood vessels contract to stop bleeding.
- Stage of inflammation: During this phase neutrophils (white blood cells) proliferates at the site of a wound to destroy bacteria, and to remove debris. The neutrophils are at highest count between 24, and 48 hours after an injury, and get reduced after 3 days. After that specialized cells called macrophage arrives to continue the process. These cells secrete growth factors and proteins that facilitate tissue repair. This phase lasts for 4 to 6 days and shows symptoms of edema, redness, heat, and pain.
- Proliferation and migration of the cells: During the process of inflammation, the body releases cell which causes migration, and proliferation. In this phase, epithelial cells proliferate to overlap the wound, and this phase can last from 4 days to 24 days.
- Formation of blood vessel: It is also known as angiogenesis. In this process body’s cells begin to replace the veins, and arteries which are damaged. In this process, the body either creates new vessels or adds onto the existing vessels. Along with this collagen deposition, granulation formation also occurs.
- Stage of reepithelialization: Once the blood vessels are formed, the damage tissues also start regrowing.
- Stage of synthesis: It is the last step, or it can occur simultaneously with above stages. In this process, blood clots are formed, which helps in prevention of further bleeding.
What are the complications of wound healing?
Most common complications are as follows:
- Deficient scar formation
- Excessive scar formation, such as a hypertrophic scar, keloids, etc.
- Deficient contraction of wound or excessive contraction