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Book Clinic Appointment with Dr. P.S Gaur
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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I am suffering from back pain from last 2-3 months. I working minimum 10 hours sitting job and I think this pain is just because of my sitting job. Please help me and suggest.
As my wife age is 60 yrs is having knee pain both knees are having gap while standing sitting there is some noise coming form her knee and its paining is there any medicine so please let me know, her weight is 76 kgs Kindly suggest?
My father has 57 years old. Form few months his getting heavy pain in right hand shoulder, his can't lifting anything by right hand and he was consultant the doctor in last month. The doctor said that the pain may be coming due to sugar level in the body. (sugar test is conducted in the past. The reports shows that sugar level is done in the body. Some days he had sugar pills and stopped). The doctor gave tablets to the shoulder pain for a period of 20 days but the tablets are not working anything. The pain is going like that only. And may be increasing that pain. Why it is paining. What should I do for this type of pains.
I am suffering from neck pain from past one month. I have to sit all day long due to my work. My neck and shoulder blades are paining. My left hand is also paining and I am feeling numbness. Please suggest.
Sir, I have pain my muscles all time? I feel irritated all time? Give some suggestion and tell me its solution.
Hi I am suffer from bleeding from back side when I was going to toilet. It give me too much pain while I sitting or lying.
Perthes disease of the hip is a childhood disorder, which occurs due to the disruption of blood flow to the femoral head. Inadequate supply of blood flow results in softening of the bones which result in the breakdown of the bones. Perthes disease is also referred to as Legg-Calve-Perthes disease or avascular necrosis.
Reasons Behind Occurrence of Perthes Disease
With the advancement of the latest techniques and bio-materials, it is possible to attain successful outcomes for hip arthroplasty. It is the activity level that mainly decides the need for hip replacement surgery and not the age of the patient. An individual with good bone quality can live young for a longer time and take part in physical activities. The main cause of this disease is not known, but it is not caused due to genetic factors. The bone abnormalities in certain cases are caused due to mutations in the COL2A1 gene, which is the characteristic of Perthes disease. The reason behind the occurrence of the blood vessel problem is not known and does not occur due to an injury. A child suffering from this condition is generally well and it takes several months for the blood vessels to regrow and for the blood supply to return to the dead bone tissue.
Symptoms of Perthes Disease
Perthes disease is actually not a disease and the main symptoms that are noticed include pain in the hip, limb or groin. The pain in these regions cause stiffness in the hip or shortening of the leg and results in constrained movements. It also causes a restricted range of motion of the hip joint. It causes a lot of pain while walking and the affected leg appears thinner and shorter. In some cases, both the hips of children are affected by this condition and mostly at different times. The important tests that are performed by a specialist to check for Perthes disease include ray of the hip and a bone scan. The extent of damage caused by Perthes disease is assessed by an MRI scan.
Most children suffering from this condition are treated with a brace or plaster cast. Recently, even surgery has been performed to treat Perthes disease. There are certain milder cases that have healed even without any treatment, particularly in children who are below the age of 5 years. To keep the hip joint active some doctors advise parents to encourage children to swim and to avoid high impact exercises such as jumping or running. The main aim of the treatment provided by the specialist is to support the healing process and make certain that the femoral head is well seated in the hip socket. The treatments that are provided include a plaster cast, crutches and bed rest, observation, special leg brace and surgery.
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Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.
Why do you need knee replacement?
Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.
If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.
Some of the common reasons why you may opt for this particular surgery are:
- Gout, where, small crystals are formed inside the joint.
- Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
- Hemophilia, wherein, the blood ceases to clot normally.
- Injuries to the knee.
- Disorders that cause unusual bone growth (bone dysplasias).
- Death of bone in the knee joint following blood supply problems (avascular necrosis).
- Knee deformity with pain and loss of cartilage.
- Unusual growth of bones in the knee joint.
Knee replacement surgery is classified into:
- Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
- Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.
The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.