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Dr. Shekhar Srivastav - Orthopedist, Delhi

Dr. Shekhar Srivastav

83 (12 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics

Orthopedist, Delhi

25 Years Experience  ·  800 - 1000 at clinic  ·  ₹300 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Shekhar Srivastav 83% (12 ratings) MBBS Bachelor of Medicine and Bachelor of Surgery, MS - O... Orthopedist, Delhi
25 Years Experience  ·  800 - 1000 at clinic  ·  ₹300 online
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Dear friends,<br/><br/>I m Dr. Shekhar Srivastav. I m senior consultant of orthopedic at Sant Per...

 

Dear friends,

I’m Dr. Shekhar Srivastav. I’m senior consultant of orthopedic at Sant Permanand hospital and I have clinic at Jagriti Enclave name Prime Specialty Clinic.

Today I ll be speaking on knee arthritis and its management, the causes of knee arthritis and how do we manage it. Now if we see the knee is compose of these two bones, this is a thigh bone and this is a leg bone and this forms a knee joint. Now the knee joint’s end of the bone is covered with cartilage. Now cartilage are cushion like structures which helps in shock absorptions and helps in smooth motion of the knee joint. Now when this cartilage get destroyed you get arthritis. So there are many causes of arthritis like infection it can be any inflammatory cause, trauma. But the most common cause is aging process. As we age due to wear and tear the cartilage gets destroyed and start getting this arthritis. So the patient will first complain of pain and stiffness while walking. Then he will have difficulty in climbing up the stairs or having difficulty walking long distances as the problem increases you will have problem in getting up from sitting position, complain of pain, stiffness and swelling in the knee joint and in the severe stages there will be the deformity of the knee. You must have seen your neighbors or your parents having bow legs which is because of advance form of arthritis of the knee joint the osteoarthritis of the knee joint. Now there are many factors which contribute to arthritis of the knee joint. The most common being is aging process i.e. because of wear and tear but we also see arthritis more in females or there is also some sort of family tendency it means that if your parents were having arthritis then there is slightly higher chance that you may develop arthritis. How can we prevent it? So there are various things which you can do to prevent the symptoms of arthritis.as you know that it is an aging process so it can’t be stopped but the pain or disability arising from it can be prevented. First of all you have to maintain your weight so, obesity is one of the major causes of the arthritis so you should prevent obesity, you should keep your muscles strong by doing exercises, you should keep your joints flexible by exercising by stretching exercises and then there are also some medications. Physiotherapy, medications they all helps in preventing arthritis. But if you don’t get better with that means arthritis is severe then in that case sometimes you need injections. Now injections are given inside the knee joints and if given judiciously they will give very good relief.in very severe cases when the joint is totally destroyed, the joint is deformed, the limb is not align properly then in that case surgery is needed. There are different type of surgeries for arthritis which will be decided by your orthopedic surgeon. Now we have arthroscopy which is just a key ball incision surgery or we can have alignment surgery. One of the most common procedure we perform is knee replacement. Now people have misconception that in knee replacement whole of the knee is removed, it’s not done in that way. We just gave shape at the end of the bone and we put cap over it just like this so you just gave shape at the end of the bone and you applied a cap over it similarly for the leg bone also. You put the cap over it and in between there is a plastic type thing which allows smooth motion of the knee joint. So these are the various causes and treatments of arthritis. The treatment varies according to the grade of arthritis and that is decided by your orthopedic surgeon.

If you want to know more about the problem or if you have any problem or if you want to contact us, you can contact me at lybrate or you can contact me at Sant Permanand hospital or in my clinic Prime Specialty Clinic at Jagriti Enclave. Thank you!

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Dear friends, I am Dr Shekhar Shrivastav. I am senior consultant orthopaedic at Sant Parmanand Ho...

Dear friends, I am Dr Shekhar Shrivastav. I am senior consultant orthopaedic at Sant Parmanand Hospital, Delhi. Today, we'll be discussing Arthritis and specifically arthritis of the knee joint.

Now people usually come and ask me what do you mean by arthritis. So arthritis is the inflammation of the joint. Joint is made up of two ends of the bone which are lined by an articular cartilage which helps in a smooth motion of the joint. So when that cartilage gets destroyed you get arthritis. Now it can get destroyed due to various reasons but the most common reasons are due to ageing process which we call osteoarthritis. So there is degenerative wear and tear of the joint which leads to osteoarthritis or there can be an inflammatory cause such as rheumatoid arthritis which involves the lining of the joint and damages the cartilage. Now then people ask or most of the people who come to us with arthritis involve arthritis of the knee joint. So knee joint is the joint which is common in which is most commonly involved in osteoarthritis of the knee joint. The patient usually comes with pain, swelling and stiffness. They have difficulty in walking, climbing stairs and sometimes in severe cases, they have pain even at rest.

How do we manage that?

Now in order to manage that first, we should know what is the cause of arthritis? So we do some x-rays. X-rays give us an idea about the cause of arthritis as well as the extent of the damage. Now we also go for some blood tests which will give us an information if it's because of an inflammation or any infection. So these are the various causes of arthritis.

Now how do you manage our practice?

 Patient has a company with pain, swelling and such disability so initially, we start with conservative management which is nonoperative management. So in that we ask the patient to do some lifestyle modification like we asked them to avoid using stairs or if they are using stairs then they have to use a railing so that there is not much stress on the joints. If they are into sports then we ask them to shift from contact sports like jogging or Aerobic to low impact exercises like swimming or cycling. We send them for physiotherapy. Physiotherapy helps a lot in arthritis. It helps in gaining strength in the muscles which protects the joint and it also gives increased flexibility and moment of the joint. We can give some medications and form of painkillers and thin perimeter because they reduce the inflammation, reduces the pain and in acute cases we can also inject the region.

Now, in severe arthritis when all this treatment has failed in that case it requires surgery. Surgery can be in different form. If the patient is having any loose fragment which is causing locking, then, in that case, we can go for arthroscope which is a keyhole surgery, where we make just small incisions like the tip of this pen, we put our instruments inside and we take out that piece which is a simple thing. In severe cases, we go for replacements. So it can be either partial replacement or total knee replacement. Now in severe cases with patients of great disability who have difficulty in walking who have pain on each step, who have pain even at rest, knee replacement surgery is a boon for these patients. It increases their activity, it increases their social life and it also makes them more mobile.

So if you want to know more about arthritis, if you are suffering from this problem and you want treatment you can contact me through lybrate or you can contact me at Sant Parmanand Hospital, Delhi.

Thank you.

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Causes, symptoms and treatment of Frozen shoulder <br/>Causes, symptoms and treatment of Frozen s...

Causes, symptoms and treatment of Frozen shoulder

Hello friends! I am doctor Shekhar Srivastav a senior orthopedic consultant at Sant Parmanand hospital in Delhi. Today we will discuss a very common topic that is frozen shoulder. It is commonly seen in general population, more commonly seen in middle aged persons. Though it is seen in almost all classes of people, but it is more commonly seen in people who have diabetes, thyroid problems or if they have any heart problem.
Sometimes it is also seen after trivial trauma. It usually happens because of the capsule which surrounds the shoulder joint, it becomes stiff and inelastic.

Gradually the patient starts having pain and it also reduces the movement of the shoulder joints. Initially the patient gets pain while moving the shoulder but then gradually he can also feel the pain during the rest period. Sometimes it even disturbs the sleep. The treatment includes usually exercises and medication. Now many a times we see patients going to quacks for treatment where they forcibly move the joint and this can lead to complications such as fractures or damage to muscles and ligaments inside the joints. So this should be totally avoided. The proper treatment would be to consult an orthopedic surgeon who will give you some medication and will also send you for some supervised physiotherapy.


Exercises to stretch the stiff capsules are very essential for treatment. It usually takes two to three months to get resolved. Sometimes the stiffness is too much and it may persist for months together. If it doesn't improve with medications and exercises in that case we go for surgery. The surgery in this case is not an open surgery but it’s a key hole surgery where we make small cuts like the size of a tip of a pen. So we make few cuts behind and infront of the shoulder and through these cuts we release the capsule all around the shoulder. So the patient gets his motion and pain also decreases. But this is reserved for only those patients who don’t improve with medications and exercises. The mainstay of the treatment remains medications and exercises.

So in frozen shoulders what I would like to suggest is you should take proper treatment, you shouldn't go to quacks which may cause more damage to your shoulder joint, but instead you should consult an orthopedic surgeon. For that you can visit Lybrate to find out the appropriate orthopedic surgeon for you. Thank You.

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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Shekhar Srivastav
Dr. Shekhar Srivastav is a popular and acclaimed Orthopedic Surgeon based in Civil Lines, Delhi. With over 21 years of experience in his sleeve, he is currently associated with Sant Parmanand Hospital in Civil Lines, Delhi. He is also available for check-ups at Speciality Orthopedics Centre at Anand Vihar, Delhi. Dr. Srivastav received his MBBS from MKCG Medical College, Berhampur University in 1995. Dr. Srivastav completed his MS, specializing in Orthopaedics in 1999 from Utkal University. For his invaluable contributions in the field of Orthopedics, he was honored with a fellowship by Arthroscopy and Sports Medicine in 2007 and AO Fellowship from Austria in 2008. Dr. Srivastava is also a member of the prestigious Indian Orthopedic Association, Delhi Medical Council and Indian Arthroscopy Society. So, in order to get effective remedy for orthopedic problems it is recommended to seek association of Dr. Srivastav as he is known to provide efficient remedies to many patients in an ever-increasing career graph. Dr. Srivastav has a special Interest in knee and shoulder problem- management and arthroscopy. Dr. Srivastav also provides services like Cartilage Surgery, Shoulder Replacement, Ligament Reconstruction etc. to ensure maximum comfort to his patients in a relaxed and calm environment.

Info

Specialty
Education
MBBS Bachelor of Medicine and Bachelor of Surgery - MKCG Medical College, Berhampur, Orissa - 1994
MS - Orthopaedics - Sriram Chandra Bhanj Medical College, Cuttack - 1999
Languages spoken
English
Hindi
Professional Memberships
Indian Orthopaedic Association
Indian Arthroscopy Society
Delhi Medical Council(DMC)

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Sant Parmanand Hospital

No.18, Sham Nath Marg, Civil Lines, New DelhiDelhi Get Directions
  4.2  (12 ratings)
1000 at clinic
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Prime Speciality Clinic

No. 182, First Floor, Jagriti Enclvae, Pushpanjali, Karkardooma, Anand Vihar, DelhiDelhi Get Directions
  4.2  (12 ratings)
800 at clinic
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Dislocated Kneecap - Knowing The Symptoms & Treatment Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Delhi
Dislocated Kneecap - Knowing The Symptoms & Treatment Of It!

Whether you are an athlete or a ballet dancer, you will appreciate the importance of having a stable kneecap. Medically known as the patella, the kneecap is a triangular bone that connects the upper thigh to the lower half of the leg. It sits in a groove in the bottom of the femur (thigh bone). When the leg is bent, it stays within the groove. When the leg is extended, it provides support to the quadriceps muscles.

That being the case, a dislocation of the kneecap is a very common injury. Subluxation is a state where there is partial movement of the kneecap out of its position, thereby making the patient’s kneecap unstable. When it completely moves out of its place, it is known as dislocation. Whether you fall on your knees during a sport or have a fall from a bike or get injured during dance or aerobics, it is common to have a dislocated kneecap. Some people are prone to repeated dislocations.

Symptoms:

The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:

  1. Buckling of the knee, where your legs cannot support your body weight

  2. Sliding of the kneecap to a side

  3. Catching of the knee in the groove when trying to move it

  4. Pain in the front of the kneecap with any activity

  5. Painful while sitting

  6. Swelling and/or stiffness of the knee joint

  7. Crackling/creaking sound when trying to move the knee joint

  8. Inability to straighten the leg

Treatment:

Though these sound scary, the good news is that in 90% of the cases, the knee returns to its position spontaneously. However, putting it back into its place is a simple and safe procedure and can be done by almost any seasoned medical practitioner. The first step is to confirm that the kneecap is indeed dislocated. This can be done by a combination of physical exercise and x-ray. If required, MRI can be used, but it is not required in most cases. Initial treatment would include the following steps in sequence:

  1. Immobilizing the knee with splint by keeping the leg in a straightened position.

  2. Calling for medical assistance immediately. They can replace the knee back in its position carefully (reduction). An injured kneecap can cause what is known as foot drop by putting pressure on the peroneal nerve. The toes drag on the ground, making it difficult for you to walk.

  3. Use ice in the affected area for 15 to 20 minutes, and repeat after three to four hours throughout the day to reduce pain and swelling.

  4. Surgical correction may not be required, if there is a damage to the ligament.

  5. Flat femur and/or tissue laxity can cause repeated dislocations, where physiotherapy and strengthening exercises are useful.
2590 people found this helpful

Shoulder Impingement - What Should You Know About It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Delhi
Shoulder Impingement - What Should You Know About It?

Shoulder impingement occurs when there is impingement or change in the position of the tendons or a bursa (fluid filled sac or cavity, which causes friction in the joints) in your shoulder. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours.

How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.

Symptoms of shoulder impingement:
1. You will have difficulty in completing tasks which involve your back.
2. There may be a weakness in your shoulder muscles.
3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.

Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.

Treatment of shoulder impingement:

NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.

Physiotherapy for Impingement:

Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitisbursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation
4271 people found this helpful

Knee Replacement - All You Need To Know About It!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Knee Replacement - All You Need To Know About It!

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:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. 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.

2557 people found this helpful

Shoulder Pain - Causes, Diagnoses & Treatment Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Delhi
Shoulder Pain - Causes, Diagnoses & Treatment Of It!

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are:

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:

  • Bankart lesion

Diagnose Shoulder Pain

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views.
  2. UltrasoundWith an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic ArthroscopyA surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

4275 people found this helpful

Shoulder Dislocation - Everything You Should Be Aware Of!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Shoulder Dislocation - Everything You Should Be Aware Of!

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.

Symptoms-

The symptoms of shoulder dislocation are:

  1. Swelling or bruising of the affected area.

  2. Deformed shoulder.

  3. Excruciating pain in the shoulder region.

  4. Mobility of the joint is greatly reduced.

Apart from these symptoms, there may be tinglingnumbness and weakness in the affected region.

Causes-

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:

  1. Trauma to the Shoulder Joint: Hard blows to the shoulder joint such as one suffered from a vehicle accident can lead to shoulder dislocation.

  2. 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.

  3. Falls: Tripping or falling from an elevated place and landing on the shoulder can cause shoulder joint dislocation.

Treatment-

The treatments for shoulder dislocation are –

  1. Medication: Medications such as pain relievers can be prescribed by the doctor to reduce pain.

  2. SurgerySurgery 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.

  3. 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.
2474 people found this helpful

Osteoporosis And Osteopenia - Tips To Prevent Bone Loss!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Osteoporosis And Osteopenia - Tips To Prevent Bone Loss!

Did you know that osteoporosis causes more than 8.9 million fractures worldwide every year? What is frightening is many  of these fractures are now taking place among the youth due to deficit  diet and poor lifestyle coupled with genetic predisposition. Both osteoporosis and osteopenia are two forms of bone loss conditions, with the latter being a precursor to the former. To distinguish between the two a bone mineral density test is usually performed.

What is difference between Osteoporosis and Osteopenia?

A BMD (bone mineral density) T-score between -1 SD and -2.5 SD indicates osteopenia with a high chance of osteoporosis. On the other hand, a T-score of -2.5 SD and below stands for osteoporosis. A higher bone density (above -1SD) is usually indicative of stronger bones. Fragility index is more accurate way to assess risk of fractures.

In osteoporosis the bone loss or weakening of bones take place over a long period of time, and results in unexpected fractures and severe bone problems. Disfigurement, fractures in the spine, loss of mobility and independence are usual characteristics of this bone disease once it progresses further.

Prevention is better than cure, ALWAYS!

To keep bones strong and healthy, calcium and phosphate is continuously absorbed by the body. But after 30, the body’s ability to absorb calcium slows down and there’s a decrease in the production of new bones. In contrast, bone desorption (the process of transferring calcium from the bone to the blood) continues unabated.

When the body starts absorbing the store of calcium in the bones to meets its needs, it leads to calcium depletion and is one of the causes of weakening of the bone.

At present, the age limit (50-60 years) for osteoporosis has seen a drop with many younger people increasingly suffering from the ailment. Factors like unhealthy lifestyle, late-night shifts, smoking and alcohol consumption have been found to be the culprits behind the rise in osteoporosis cases among the young.  Recent studies have identified vitamin D deficiency as a major factor for poor bone health and bone mass density in the young.

How to keep your bones strong and healthy? And manage Osteo - penia/porosis complications:

Bone loss can be prevented by adopting these very simple but effective ways:

- Exercising can help in building strong bones and muscles, while preventing bone loss.

- Maintaining a calcium intake of 1000 mg for pre-menopausal women and 1200 mg for women post menopause.

- Staying out in the sun for 20 minutes to produce requisite amount of Vitamin D for calcium absorption and using supplements of vitamin D.

- There are many safe medicines available to prevent and treat osteoporosis like alendronates, calcitonin, Parathyroid , teriparatide preparation etc.

- In osteoporosis induced /associated fractures we have to to modify implants to negate weak purchase of implants in bone and improve mobility.

We have been using these modifications in established osteopenia/porosis case in fractures treatment/joint replacement/ arthroscopic fixations and MIS spine fracture management.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3997 people found this helpful

Knee Arthritis

MS - Orthopaedics, MBBS
Orthopedist, Delhi
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Dear friends,

I’m Dr. Shekhar Srivastav. I’m senior consultant of orthopedic at Sant Permanand hospital and I have clinic at Jagriti Enclave name Prime Specialty Clinic.

Today I ll be speaking on knee arthritis and its management, the causes of knee arthritis and how do we manage it. Now if we see the knee is compose of these two bones, this is a thigh bone and this is a leg bone and this forms a knee joint. Now the knee joint’s end of the bone is covered with cartilage. Now cartilage are cushion like structures which helps in shock absorptions and helps in smooth motion of the knee joint. Now when this cartilage get destroyed you get arthritis. So there are many causes of arthritis like infection it can be any inflammatory cause, trauma. But the most common cause is aging process. As we age due to wear and tear the cartilage gets destroyed and start getting this arthritis. So the patient will first complain of pain and stiffness while walking. Then he will have difficulty in climbing up the stairs or having difficulty walking long distances as the problem increases you will have problem in getting up from sitting position, complain of pain, stiffness and swelling in the knee joint and in the severe stages there will be the deformity of the knee. You must have seen your neighbors or your parents having bow legs which is because of advance form of arthritis of the knee joint the osteoarthritis of the knee joint. Now there are many factors which contribute to arthritis of the knee joint. The most common being is aging process i.e. because of wear and tear but we also see arthritis more in females or there is also some sort of family tendency it means that if your parents were having arthritis then there is slightly higher chance that you may develop arthritis. How can we prevent it? So there are various things which you can do to prevent the symptoms of arthritis.as you know that it is an aging process so it can’t be stopped but the pain or disability arising from it can be prevented. First of all you have to maintain your weight so, obesity is one of the major causes of the arthritis so you should prevent obesity, you should keep your muscles strong by doing exercises, you should keep your joints flexible by exercising by stretching exercises and then there are also some medications. Physiotherapy, medications they all helps in preventing arthritis. But if you don’t get better with that means arthritis is severe then in that case sometimes you need injections. Now injections are given inside the knee joints and if given judiciously they will give very good relief.in very severe cases when the joint is totally destroyed, the joint is deformed, the limb is not align properly then in that case surgery is needed. There are different type of surgeries for arthritis which will be decided by your orthopedic surgeon. Now we have arthroscopy which is just a key ball incision surgery or we can have alignment surgery. One of the most common procedure we perform is knee replacement. Now people have misconception that in knee replacement whole of the knee is removed, it’s not done in that way. We just gave shape at the end of the bone and we put cap over it just like this so you just gave shape at the end of the bone and you applied a cap over it similarly for the leg bone also. You put the cap over it and in between there is a plastic type thing which allows smooth motion of the knee joint. So these are the various causes and treatments of arthritis. The treatment varies according to the grade of arthritis and that is decided by your orthopedic surgeon.

If you want to know more about the problem or if you have any problem or if you want to contact us, you can contact me at lybrate or you can contact me at Sant Permanand hospital or in my clinic Prime Specialty Clinic at Jagriti Enclave. Thank you!

2562 people found this helpful

Hip Bone And Arthritis - Understanding The Effects!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Hip Bone And Arthritis - Understanding The Effects!

If you are experiencing joint stiffness in your hip along with pain and tenderness, you could be suffering from hip arthritis or osteoarthritis. Osteoarthritis accounts for being the most common form of arthritis. It is referred to as degenerative joint disease and old-age arthritis and usually, occurs because of age-related issues. The condition occurs when injury and inflammation of a joint lead to the breakdown of the cartilage tissue, causing pain, swelling, and deformity.

How hip arthritis affects the hip joint?
People who are affected by osteoarthritis of the hip may have difficulty in walking properly. Diagnosis in the early stage is difficult as pain may occur in various locations such as the thigh, groin, knee or buttocks.

The underlying causes
The factors responsible for osteoarthritis include increasing age, joint injury and excess body weight. Some other factors may also be responsible. They are as follows:

  1. When the joints have formed improperly.
  2. In case of inherited defects in the cartilage.
  3. When a person puts excess stress on the hip joint because of being overweight or due to certain activities and motions.

How it can be detected?
The different symptoms of hip arthritis or osteoarthritis are as follows:

  1. Joint stiffness, especially after waking up in the morning.
  2. Joint stiffness after sitting for a long period.
  3. Swelling, pain, and tenderness in the hip joint.
  4. A crunching feeling or sound of bones rubbing against one another.
  5. The inability to move the hip for carrying out daily activities.

Treatment
The aim of osteoarthritis treatment is to improve the patient’s ability to move about so that his regular life is less affected. The function of the hip and pain management are other targets of treatment for this condition. The different treatment plans are as follows:

  1. Proper joint care and rest
  2. Using a cane while walking for taking weight off your hip
  3. Losing excessive weight
  4. Non-drug pain relief measures for controlling pain
  5. Regular exercise
  6. Several medicines, including NSAIDS and other prescribed pain medication
  7. Surgery
  8. Alternative therapies

Hip replacement surgery
This is a surgical procedure used for osteoarthritis treatment when all other treatment plans fail. The damaged ball of the hip joint is replaced with a metal ball in this surgical procedure. The hip socket is resurfaced by using a plastic liner and metal shell. Apart from the mentioned treatment procedures, hip resurfacing is another surgical option for osteoarthritis treatment, which helps in giving relief when a hip replacement surgery is delayed. In this procedure, the affected hip joint surfaces are surgically removed and are replaced with metal.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2471 people found this helpful

Plantar Fasciitis - Causes, Symptoms And Treatment

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Delhi
Plantar Fasciitis - Causes, Symptoms And Treatment

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes. It can form curves on your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

  • Your feet roll inward excessively when you walk (too much pronation)
  • You have high curves or level feet
  • You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
  • You are overweight
  • You wear shoes that don't fit well
  • You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

  • Avoid walking or running on hard surfaces.
  • To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  • Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
  • Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
  • Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4000 people found this helpful

Runner's Knee - What Should You Do To Manage It?

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Runner's Knee - What Should You Do To Manage It?

Runner's knee is a painful condition that is usually encountered by athletes who indulge in varied exercises like running, jumping, walking, biking and more, on a regular or professional basis. The kneecap is a region that gets affected with aches and pain when a person is suffering from Runner's knee. This condition can occur due to a fall or constant bending of the knee, which can lead to misalignment of the knee joints and knee cap. Also, weak muscles and lack of balance during physical activities can add to the risk of contracting this condition.

Here's how you can deal with it.

  1. Give it Rest: Literally! Suffering from Runner's knee could also mean that your body is trying to ask you to slow down. Wear and tear from excessive levels of physical activity can lead to Runner's knee, and in such cases, the best way to come back to peak physical form is to take some rest so that the knee is free of activity and consequent pain until it is ready to take on exercise again.
  2. The Only Way is 'Up': When you are suffering from pain in the region behind and around the knee cap due to Runner's knee, the best way to alleviate the pain is to place your knee in an elevated position. Get yourself some comfortable cushions and pile a few of them up before placing your knee on top. This position will give support even as blood circulation increases and inflammation, if any, decreases.
  3. Anti-inflammation Medication: See your doctor for chronic Runner's knee and find out if you are suffering from inflammation which may require the help of medication. This medication can bring down and gradually eliminate the inflammation or swelling, to give you relief from the pain. Remember to check for side effects before you take these medicines, though.
  4. Strengthening Exercises: A sure shot way of dealing with chronic pain is to do some muscle strengthening exercises as prescribed by your orthopaedic specialist or a physiotherapist. Doing these exercises will give your muscles the strength to support your knees in a better way while you indulge in athletic activities. Remember to substantiate these exercises with a calcium and protein rich diet as well.
  5. Cold Compress: In case you have had a fall or suffered an injury which has led to Runner's knee, you can make use of a cold compress or an ice pack to relieve the pain for some time. Ice is a well-known treatment for acute and sudden pain.

Runner's knee is a condition that needs care, rest, and medication if it is persistent. If these methods do not help, you should see a doctor for scans and tests. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2436 people found this helpful
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