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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
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
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I have been suffering from shoulder ache It's been 10 days since I am having this ache. I am having this feeling of some nerves problem Is it the symptoms of brain stroke?
What is arthritis of the knee?
The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.
What is medial compartment arthritis?
Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee.
How do you diagnose medial compartment arthritis?
ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.
Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.
Who requires surgery?
People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The bottom of my foot is flat. Does it cause any problem in future. Can you suggest any better way to get rid of this problem?
Peripheral neuro pathy. Numbness in hands and legs for a long time now.. I am vegetarian. Nerve conductivity test done. A few places results are different from standards. What is a Solution?
I am sixteen years old male. I have backache problem for last two months. I used ointment oil for relief but I can't get relief. What should I do now?
I had a sprain in my leg and I used volini and the pain was not cured so suggest me a good and curable medicine within the range of rs50.
Paget's Disease is a terrible affliction that affects millions of people around the world. It is basically a malformation of bone growth, leading to weakness, easily fractured bones, deformations, and lack of function in joints and bones. This can be caused by two things, either genetics or a slow-developing virus that may be present in the body for many years before actually demonstrating any symptoms.
Paget's disease of bone most commonly occurs in the pelvis, skull, spine and legs. The risk of Paget's disease increases with age. Your risk also increases if any family members have the disorder. Complications of Paget's disease can include broken bones, hearing loss and pinched nerves in your spine.
The following factors may play a part in causing Paget's disease:
- Genetic factors: About 10-15 in every 100 people with Paget's disease have relatives who also have the condition. In these cases the condition can be passed on from one generation to the next. But often there's no family history of the condition.
- Lifestyle factors: There's some evidence that poor diet or a bone injury early in life may act as triggers for the later development of Paget's in people who also have genetic risk factors.
Another theory is that Paget's disease may be linked to a viral infection early in life, but some experts dispute this.
Not all people with Paget's disease need to be treated. People who may not need treatment include those who:
- Only have mildly abnormal blood tests
- Have no symptoms and no evidence of active disease
- Paget's disease is commonly treated when:
- Certain bones, such as weight-bearing bones, are involved.
- Bony changes are getting worse quickly (treatment can reduce the risk of fractures).
- Bony deformities are present.
- A person has pain or other symptoms.
- The skull is affected.
- The calcium levels are elevated and causing symptoms.
Drug therapy helps prevent further bone breakdown and formation. Currently, there are several classes of drugs used to treat Paget's disease. These include:
- Bisphosphonates: These drugs are the first treatment, and they help decrease bone remodeling.
- Calcitonin: This hormone is involved in bone metabolism. It may be given as a nasal spray (Miacalcin), or as an injection under the skin (Calcimar or Mithracin).
- Acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) may also be given for pain. In severe cases, orthopedic surgery may be needed to correct a deformity.
If you have Paget's disease, your GP may recommend taking regular calcium supplements. Both of these help strengthen your bones.
- Physical Therapy: Some people with Paget's disease find they benefit from physiotherapy or occupational therapy, particularly people with fractures or other types of damage in the bones of their legs or spine.
- Surgery: Surgery is usually only used if Paget's disease causes further problems, such as bone fractures. Surgical options for osteoarthritis include:
- Arthroplasty-where the damaged joint is removed and replaced with an artificial joint; the most commonly performed arthroplasties are hip replacements and knee replacements
- Arthrodesis-where the joint is fused into a permanent position
Some quick tips to prevent the onset of Paget's Disease
- Calcium Intake: Increasing the amount of calcium that you are consuming can be a major preventative measure for Paget's disease, or at least a way to minimize the impact of the disease on your body.
- Vitamin D: Vitamin D is the second essential nutrient associated with Paget's disease.
- Sunlight: The second and easier way for humans to increase their Vitamin D levels is through being exposed to sunlight. So, catch some rays to treat Paget's disease.
- Exercise: Light exercise and flexibility practice is very important when it comes to avoiding Paget's disease. Exercise can keep your muscles and joints in shape, which makes it more difficult for Paget's disease to set in.
- Weight Loss: Going on a diet, or making a concerted effort to shed a few extra pounds is a good home remedy for Paget's.