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Apex Citi Hospital

Multi-speciality Hospital (Physiotherapist, ENT Specialist & more)

D-440, West Vinod Nagar, Hanuman Road, Landmark: Near Nazzir Hotel. Delhi
35 Doctors · ₹0 - 500
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Apex Citi Hospital Multi-speciality Hospital (Physiotherapist, ENT Specialist & more) D-440, West Vinod Nagar, Hanuman Road, Landmark: Near Nazzir Hotel. Delhi
35 Doctors · ₹0 - 500
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About

Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Apex Citi Hospital
Apex Citi Hospital is known for housing experienced Ophthalmologists. Dr. Sanjay, a well-reputed Ophthalmologist, practices in Delhi. Visit this medical health centre for Ophthalmologists recommended by 98 patients.

Timings

MON-SUN
12:00 AM - 11:55 PM

Location

D-440, West Vinod Nagar, Hanuman Road, Landmark: Near Nazzir Hotel.
Delhi, Delhi - 110092
Get Directions

Doctors

Dr. Sanjay

MBBS
Ophthalmologist
300 at clinic
Available today
12:00 AM - 11:55 PM

Dr. Abhilasha Garg

MBBS, DGO
Gynaecologist
35 Years experience
300 at clinic
Available today
09:00 AM - 09:00 PM

Dr. Tilak Gupta

MBBS
General Surgeon
Available today
09:00 AM - 09:00 PM
400 at clinic
Available today
06:00 PM - 08:00 PM

Dr. Amit Pal

MBBS, MS - ENT
ENT Specialist
15 Years experience
300 at clinic
Available today
12:00 AM - 01:00 PM

Dr. B K Chaudhari

MBBS
Pediatrician
Available today
10:00 AM - 11:00 AM
250 at clinic
Available today
10:00 AM - 01:00 PM

Dr. Bhagat

MBBS
General Surgeon
500 at clinic
Available today
12:00 AM - 11:55 PM

Dr. Vineet Dubey

MBBS
ENT Specialist
Available today
09:00 AM - 09:00 PM

Dr. Anurag Jain

Cosmetic/Plastic Surgeon
Available today
09:00 AM - 09:00 PM

Dr. Ashe Sahai

MBBS
Gynaecologist
Available today
12:00 PM - 01:00 PM

Dr. K. K. Singhal

MBBS
Pediatrician
Available today
10:00 AM - 11:00 AM

Dr. Ashutosh Jha

General Surgeon
Available today
09:00 AM - 09:00 PM

Dr. Ranju Kumar

MBBS
Gynaecologist
Available today
12:00 PM - 01:00 PM

Dr. M.K Saxena

MBBS
Cardiologist
Available today
02:00 PM - 04:00 PM

Dr. H.C. Bhatt

MBBS
Pediatrician
Available today
10:00 AM - 11:00 AM

Dr. Ekram

MBBS
Physiotherapist
Available today
09:00 AM - 09:00 PM

Dr. P K Choudhary

MBBS
Pediatrician
Available today
10:00 AM - 11:00 AM

Dr. A. P. Gupta

MBBS
Orthopedist
Available today
09:00 AM - 09:00 PM

Dr. Archna Gupta

MBBS
Gynaecologist
Available today
12:00 PM - 01:00 PM
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3 Ways To Diagnose Herpes!

MS, MBBS
Gynaecologist, Noida
3 Ways To Diagnose Herpes!

Herpes is caused due to the presence of the herpes simplex virus in your body. Herpes can appear on multiple areas of your body, but more commonly manifests in the genitals as well as the mouth. The two types of herpes are HSV-1 (oral herpes) and HSV-2 (responsible primarily for the outbreak of genital herpes). 

Causes of Herpes Simplex:

  1. Herpes is contagious in nature and can be passed to you by having sexual intercourse with anyone who has been infected. HSV 2 is the primary form of the virus, which is transmitted in this manner. 
  2. Herpes could be transmitted to an infant from their mother if she was infected while pregnant
  3. It can also get passed through direct contact like using the same plates or spoons or even the sharing of lip balm. Even kissing can spread the virus if the infected person has cold sores.

Symptoms of Herpes Simplex:

  1. The presence of blistering sores within the mouth or in the genital area is a telltale sign that you may have contracted genital herpes.
  2. If you are having painful urination then you should check with your doctor for the herpes virus.
  3. Continuous itching in certain areas such as the genitals.
  4. Not wanting to eat, having a fever could also be symptoms of herpes simplex virus in your body.
  5. Herpes can spread to your eyes and is known as herpes keratitis. It can cause pain in your eyes.

Diagnosis of Herpes Simplex:

  1. The common way to diagnose herpes is with an actual physical exam. Doctors will generally look out for sores on your body and may also check for some similar symptoms which might indicate herpes simplex. 
  2. HSV testing (alternately called herpes culture) is done to check the presence of a virus on the genitals. A fluid sample from the genitals is sent to laboratory for tests and will require a visit to the health center.
  3. There are blood tests to look for antibodies for both forms of HSV to diagnose the infections. However, this test is done only when there is and absence of sores or visible symptoms. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Depression - How To Identify If You Are Suffering?

Ph.D - Ph.D in Psychology, Ph. D - Education
Psychologist, Kakinada
Depression - How To Identify If You Are Suffering?

Most of us have faced the feeling of being weighed down by life's harsh realities and have been sad or low for a long while. It is very common to be upset for some time and most people recover from this feeling and start smiling again in a short span of time. But, if you or any of your loved ones are almost always very sad and this spirit is affecting your daily life considerably, then chances are you might be undergoing a phase of depression.

Here are certain signs to watch out for to determine whether you are struggling with depression.

  1. Cultivation of a pessimistic approach about everything in life - You feel a sense of hopelessness and that your situation in life will always be the same without any improvement is a sure shot sign that you are suffering from depression.
  2. Sudden variation in weight or appetite - If you suddenly find that you've lost or gained a significant amount of weight without any substantial reason, then chances are high that it is happening because of your depression.
  3. A significant change in sleeping patterns - If you've been experiencing insomnia lately or have got a habit of oversleeping, then these might be symptoms of depression.
  4. Feeling of guilt without any particular reason - If you have started feeling guilty or constantly blame yourself for everything you've done in the past then the reason behind this may be your state of depression.
  5. Anger or irritated mood - Having a low level of tolerance, getting angry quickly or always being in an irritated mood can be a prominent sign of depression.
  6. Displaying an uninteresting behaviour towards regular activities - If you no longer feel pleasure in pursuing your favourite activities or things from daily life like hobbies; socialising doesn't interest you anymore then it can be a warning sign for you. In such cases, you can visit a psychiatrist to get treatment for depression.

Baldness - The Best Way To Fight It Is To Go For Transplant!

DVDL, MBBS
Dermatologist, Delhi
Baldness - The Best Way To Fight It Is To Go For Transplant!

Hair transplant surgery is the technique wherein hair is taken out from other parts of your body and grafted on the scalp to treat baldness. Basically, these are such hair follicles that are genetically resistant to balding; therefore, they serve as a permanent treatment for hair loss.

Hair loss in men and women:

  • Male pattern baldness (Androgenic alopecia): Androgenic alopecia is a condition which is characterized by a gradual receding hairline, especially along the temples. This is caused due to the testosterone hormone being converted into Dihydrotestosterone (DHT) which causes shrinking of the hair follicles. If you are affected by male pattern baldness, then you may opt for a hair transplant surgery.
  • Female pattern baldness: Females may also be affected by baldness which is characterized by loss of hair from the top of the head and gradual thinning of hair. It may lead to self-esteem issues; so opting for a hair transplant surgery is recommended.

Popular Hair Loss Treatments:

Follicular Unit Extraction (FUE): FUE is a hair transplant procedure, in which the hair transplant physicians extract each hair follicle directly from the scalp. It is done randomly and it results in lower density of hair in the donor area which is not noticeable in most cases.

  1. Pain Management: In FUE, stitches are unnecessary and there is no existence of any linear scar, so healing time is short and there is almost non-existent post procedural discomfort.
  2. Scarring: There is no linear scarring as such in FUE but there are 1mm in diameter or less puncture marks which heal by themselves within 3 to 7 days.

Follicular Unit Transplant - Follicular Unit Transplant or FUT is the procedure of transplanting your hair by removal of a small strip of tissue from the back of your head. Hair follicles are extracted from there for further use. FUT is recommended in cases of advanced hair loss. FUT also recommended as in most cases, your physician will be able to deliver results which meet your expectations.

  1. Pain Management: FUT procedure can cause some pain as swelling may occur in the region from where the tissue has been extracted. Suitable medication can be prescribed by your physician in case the pain persists.
  2. Scarring: Opting for a FUT procedure results in a very thin linear scar in the donor region. The scar is very much concealable as it is visible only if you opt for the shortest haircut styles.

How to decrease the increasing power of my eye lenses i am 17 years old. My lens power is -5 what things shouldn't done by me?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gwalior
How to decrease the increasing power of my eye lenses i am 17 years old. My lens power is -5 what things shouldn't do...
Daily triphala water eye wash morning time diet proper follow junk, spicy hot and acid product not use If you want more better treatment than you can take online consultation.
2 people found this helpful
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How and what to feed my one year old baby when suffering from cold cough and throat infection specially when he is not eating solid from few days. Suggest some beneficial food so that he gets nutrition without losing weight. How to take care of him like giving steam and heat if required.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
How and what to feed my one year old baby when suffering from cold cough and throat infection specially when he is no...
prefer carb and protein rich food . #ragi , khichdi, che rice , idli, upma , pongal , kanji etc #khir ,sattu ,modak , sheera one sweet alreast once a day # cerelac like consistency once # soup , mung water , daal , once # fruits like kela , apple , sapota which are calorie rich . remember for kids calorie rich food is required not weight loosing stuff avoid maida
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I am 27 years old. Married since 2 and half years. Trying to conceive for last 11 months. But unable to conceive. Sperm leaks out after sex, is there any problem in that. Whether it effects conceiving?

Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Ghaziabad
I am 27 years old. Married since 2 and half years. Trying to conceive for last 11 months. But unable to conceive. Spe...
Semen leakage from the vagina is normal and to be expected when there is enough of the ejaculate. However some of it remains in the back of the vagina (in the posterior fornix) and an even smaller amount makes its way up through the cervix, into the uterus and down the fallopian tubes. It doesn't decrease your chances of conceiving.
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I lost my attention on study due to some thing create in my mind. So what I do ?how I increase my weight from 57 to 65?

Bachelor of Ayurvedic Medicine And Surgery , MD - Ayurveda
Ayurveda, Hyderabad
Hello lybrate-user ji, take Ashwaganda Lehyam 5gm morning and evening with milk daily up to six months and take Saraswatharisam daily basis 15 ml morning and evening with milk daily up to six months enough.
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Why I am filing stress some time so I very angry some time, So I do not feel very good.? Please suggest me fro removing my stress.

MBBS, MD Psychiatry, DNB (Psychiatry)
Psychiatrist, Kolkata
Why I am filing stress some time so I very angry some time, So I do not feel very good.? Please suggest me fro removi...
Hello. Stress can not be removed completely. It can be channelised. Identify what are your stressors and see the ones you can control. For eg if the traffic stresses you out, you can’t change the cars on the road but you can try to leave a bit earlier. Similarly certain things will never be under your control, and you have to not stress about t. Stress is a good thing at some times. Eg before exams or deadlines at work. Otherwise no one would work hard. I recommend you to adopt a healthy lifestyle and balance work and home. For further management you can meet a stress management expert in form of a good psychiatrist, therapist or counsellor.
1 person found this helpful
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I am suffering from ocd ,depression, panic attacks, anxiety for 30 yes .now I am 49 yes old .my doc prescribed me mirtazapam7. 5 mg,duloxetine30, sertraline50,topiramate50 at night and clonazepam1 mg, tofisopam50 in the morning but at night I feel shortness of breathing, anxiety, high heart beat.

Masters in Clinical Psychology, Bachelor in Psychology
Psychologist, Indore
I am suffering from ocd ,depression, panic attacks, anxiety for 30 yes .now I am 49 yes old .my doc prescribed me mir...
Hi, Psychotherapies are more effective for that. You can contact me for more information for over coming depression and anxiety like symptoms. Many psychotherapies and drugless techniques are available for any type of neurotic problems like depression, anxiety, OCD, panic attacks, phobia etc.
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Me and my girlfriend have unprotected sex in the night and thn again in the morning and after that she consumed unwanted 72. Is there is any reason to worry about pregnancy.

PGDS, MD, DCP, MBBS
Sexologist, Noida
Me and my girlfriend have unprotected sex in the night and thn again in the morning and after that she consumed unwan...
Normaly not but be careful and do prgency test after the next period date if no mensis comes normally.
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I have girl best friend. A like her alot. But she seems to not interested in relationships. Till now I don't proposed her. But it's giving mental stress. I am getting dreams about her. I always think about her during day time and night. I am going through very mental pressure. Please give me some advice to overcome this?

M.Sc- Child development, Master's in Counselling and family therapy, Cerificate in Guidance and Counselling
Psychologist, Faridabad
I have girl best friend. A like her alot. But she seems to not interested in relationships. Till now I don't proposed...
Hi dear, what you are going through is very common and a universal phase. What is troubling you is the difference in the level of commitments you both have ,towards this relationship. You may find it difficult to cope up with but the fact is that you can't bind someone in a relationship especially like this. Have clarity ,talk to her without forcing her to be in the relationship and then work accordingly.
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I have a continuous pimples on my face, I used many creams but no effect. What should i do?

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
I have a continuous pimples on my face, I used many creams but no effect. What should i do?
Dear lybrate-user, Regarding your problem you may note that treatment of Pimples should include both external application and internal remedy specific to your individual constitution. A comprehensive judicious program is required to get rid of Pimples. Treatment for Pimples should aim at: Reducing the bacterial population of hair follicle. Encouraging the shedding of the follicular horny plugs to free obstruction. Reducing the rate of sebum production either by acting on the sebaceous glands or indirectly by inhibiting the effect of androgen on sebaceous glands. Usage of anti-inflammatory agents to reduce the effect of pimples inflammation on the skin. Do not use any product on your skin unless guided by a medical professional, make sure that you keep your skin clean, wash it at least 3 times a day. Also keep in mind that any malady expressed outside on your skin is a result of some internal derangement you might be facing. You’ll require a holistic treatment which has no side effects to get a complete and permanent cure. All the required products and medicine will be sent to you by courier service.
1 person found this helpful
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I'm 23 years girl working, actually I had sex form the age of 16 with my boyfriend now I want to live like a normal women life can you please help me.

MD - Psychiatry
Psychiatrist, Vijayawada
I'm 23 years girl working, actually I had sex form the age of 16 with my boyfriend now I want to live like a normal w...
You are the master of your life. The decisions that you take, reflects your personality. U should have clarity about what is normal for u. You should have clarity about what you really want in life. If you think you r doing something that is not appropriate. You should change that habit. You should not get tempted or be weak to repeat the same mistake twice.
1 person found this helpful
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How to give steam to my one year old baby. Doctor advised that. He is having cold cough and throat infection from last few days. Not eating anything only milk. He is losing weight it seems.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
How to give steam to my one year old baby. Doctor advised that. He is having cold cough and throat infection from las...
Nowadays steam inhalation is not recommended. Can not lose weight within a short span. Continue breast feeding along with some soft and palatable diet.
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I am suffering from hair fall in front and bone pain in some days.Please suggest me something.

B.H.M.S., Post Graduate Certificate In Nutrition, Obesity & Health
Homeopath, Indore
I am suffering from hair fall in front  and bone pain in some days.Please suggest me something.
Hello lybrate-user You have mentioned two different conditions in your query but it is likely that they could be linked. Hairfall has quite a few reasons such as prolonged illness, stress, improper diet, scalp infection, use of hair gels, hormonal disturbance, anemia etc. Bone pains can be due to weakness or viral infection. To determine cause a detailed consultation is essential which will help decide medicine and further course of action. In the meantime, maintain proper diet, eat regular meals rich in protein and iron such as curd, paneer, sprouts, fish, eggs etc For any more questions please feel free to contact me.
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Reasons Behind Whooping Cough In Children!

MBBS, MD - Paediatrics
Pediatrician, Mumbai
Reasons Behind Whooping Cough In Children!

Whooping cough, also known as pertussis, is a highly communicable respiratory disease, which particularly affects babies younger than 6 months and who haven't been vaccinated yet. It can also affect children of 11 to 18 years of age who suffer from low immunity.

Vaccination has significantly decreased the incidence in infant age group, though there is rise seen in incidence in older age groups, hence small pertussis component is getting added in booster doses in older ages. 

If the diagnosis of a whooping cough is done at an early stage, antibiotics of suitable dosage could help cut down coughing and few other symptoms. Doing so will also help prevent the infection from spreading to others.

What causes a whooping cough?

1. Bordetella pertussis bacteria

A whooping cough, characterised by a 'whooping sound', is caused by a bacterial infection called bordetella pertussis. The bacteria when inhaled get attached to the lining of the airways in your child's upper respiratory system, wherein they release toxins to cause swelling and inflammation. It's mostly transmitted to you from your infant, especially when he/she is in the early stages of the infection and hasn't been diagnosed yet. It can last about three weeks, this duration is reducible to five days, by antibiotic treatment.

2. Transmission from an infected person

When anyone infected with the disease sneezes or coughs, the droplets in the surrounding become infected. Young children who come in contact with the contaminated surrounding may get infected by the same bacteria.

How to recognise the signs of whooping cough?

The symptoms tend to worsen gradually and become worse at night, there are bouts of a cough as the airway gets irritated by the bacterial toxin leading to swelling and inflammation and mucus production with airway spasm.

You know that your child has this condition if he/she displays the following symptoms:

Moreover, children under 18 months of age affected with whooping cough should be watched at carefully as persistent coughing can disrupt their breathing process. It has multiple complications and can cause severe pneumonia itself. Can be effectively treated by macrolide group of antibiotics.

2 people found this helpful

How Is Pulmonary Hypertension Treated?

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
How Is Pulmonary Hypertension Treated?

Pulmonary hypertension is a medical condition that arises when the blood pressure remains consistently high in the vessels of the lungs. This condition can develop from a completely unrelated medical condition and is more prevalent among women. 

Pulmonary Hypertension can be a hard disease to diagnose. While it has no permanent cure, the medication depends on how far the disease has advanced. From group 1 PAH to group 5 PAH, pulmonary hypertension has 5 stages of advancement. 

Here is a list of 10 ways by which this disease can be kept under control along with the prescribed medication:

  1. Quit smoking: Smoking aggravates pulmonary hypertension. It has adverse effects on both the heart and the lung. It is therefore of utmost importance to quit smoking. If you fail to control your urge of smoking, contact your doctor who can suggest a quitting plan.
  2. Avoid high altitude: Patients suffering from pulmonary hypertension should avoid flying and living at high altitude. An altitude of 8000 feet and above can worsen the symptoms. It is therefore suggested that you do not take flights for travelling or come down below the altitude of 2428 meters if you are living in hilly areas.
  3. A healthy diet: A healthy diet consisting of fresh fruit and vegetables, lean meat and whole grains should be consumed on a daily basis. A nutritious diet goes a long way in keeping pulmonary hypertension in check.
  4. Adequate rest: A minimum of 8 hours of sleep is recommended for patients suffering from pulmonary hypertension. A good night’s sleep and frequent naps keeps fatigue at bay. 
  5. Pregnancy and birth control pills: Avoiding pregnancy is a must for patients suffering from this disease. Pregnancy can be life threatening for the both the baby and the mother. Birth control pills should be avoided as well. It greatly increases the chance of blood clots. 
  6. Maintain a steady blood pressure: Any activities that lower the blood pressure should be avoided by all means. Spending too much time in a bathtub or prolonged stress increases the chances fainting.
  7. Become more active: Patients of pulmonary hypertension often run out of breath with little to no activity. While activities such as weight lifting should be strictly avoided, some exercise or daily jogging can fetch good result in keeping a patient healthy.
  8. Get vaccine on time: Doctors often suggest vaccines if the patient suffers from pneumonia or influenza. It should be ensured that such vaccines are taken on time. For patients suffering from pulmonary hypertension, prolonged exposure to diseases such as pneumonia can wreak havoc.
  9. Regular checkup: Regular follow up with the doctor is of prime importance. Any possible side effects or deterioration can be arrested with constant supervision.
  10. On time medication: Patients of pulmonary hypertension should ensure that all the medicines suggested by the doctor are taken at regular intervals as per prescribed dosage.
2 people found this helpful

Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

MS - Orthopaedics
Orthopedist, Hubli-Dharwad
Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

Our knee is supported by several ligaments which help in movement. But what happens if you tear a crucial knee ligament? Tears or 'ruptures' in ligaments of the knee are common in sportsmen and/or accident victims, especially of the anterior cruciate ligament (ACL).

Though the ACL is not the only ligament of the knee, it is one of the most crucial to maintain stability of the knee joint. Any tear of this ligament frequently leads to chronic knee instability. When a tear in this ligament happens, patients know it immediately as they report feeling or hearing a “pop” along with pain and a feeling of an unstable knee.

Types of ACL injuries
ACL injuries can be classified by the amount of damage to the ligament. They can be partial or complete tears.

  • Grade I Sprain: In this there is some stretching and micro-tearing of the ACL, but it is otherwise intact. This does not require surgery.
  • Grade II Sprain or partial disruption: In this there is some tearing and separation of the ligament fibres and the ligament is partially disrupted. Usually, the knee joint is also moderately unstable. Arthroscopy surgery may be required.
  • Grade III Sprain or complete disruption: In this, there is total rupture of the ligament and the ligament is completely disrupted and the joint is unstable. Surgery is usually recommended for the young and active.

Treatments
There are many different ways that this ligament can be reconstructed depending on the age, activity level, and gender of the patient. ACL tears can be treated using arthroscopy and minimally invasive surgical techniques.

Though non-surgical methods are available, like rehabilitation and physical therapy, they don’t help much with complete ACL tears.
1. Exercises- this helps to increase the range of motion of the injured knee, decrease the amount of swelling, and maintain muscle control.
2. Arthroscopic surgery for reconstruction of the ACL

It can be of 2 types- Repair and reconstruction of the ACL.

  • A repair means that the injured ligament is left in place and the doctor tries to fix it back to the tibia or femur bones of the leg from which it has torn. This is a half-baked option as it does not restore full knee function.
  • A reconstruction, on the other hand, means that the ACL is substituted by a new ligament. The surgeon creates a soft tissue “graft” and uses it to reestablish knee stability. The body populates the graft with living cells and permanently attaches it in place. And, it usually takes about 4 to 6 months for the graft to start functional like the real ACL. Reconstruction surgeries help patients to get back to the same or higher degree of activity without pain or instability. The ‘graft’ usually comes from 2 sources
    • Taken from elsewhere in the patient’s body, called an autograft
    • Donated by donors, called an allograft

Knee arthroscopic surgery is a minimally invasive surgery which is done using pin hole cameras and under general or local anesthesia. The torn ligament is removed and the graft is introduced in its place and secured.

Post surgery outlook

  • Immediately after the surgery, the patient is placed in a brace. He or she can leave the hospital the same day if he/she wants.
  • The patient has to use crutches for preventing putting weight on the operated leg.
  • After-care is crucial for full functioning of the operated knee. The early postoperative period is devoted to restoring motion and decreasing swelling. After this the focus shifts to strengthening the knee joint.
  • The recovery of function following an arthroscopic ACL reconstruction continues over a few months and it usually takes 2-3 months for the patient to feel normal.

As long as the operated knee is cared for properly and other injuries are avoided, the benefits of the surgery are usually permanent.



 

ACL Reconstruction

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Rheumatology Patients - How They Can Manage Pain?

MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Rheumatology Patients - How They Can Manage Pain?

Rheumatoid arthritis is an autoimmune disorder. It affects the joints as well as the skin, lungs, heart, eyes and blood vessels. This condition is most notorious for the pain and discomfort it causes in the joints. Unlike osteoarthritis, it does not attack the cartilage but affects the lining of the joints.

This results in erosion of the bone tissue and can even cause deformities. There is no known cure for this condition and treatment is mostly focused on relieving the pain caused. Some of the ways to manage your pain are:

  1. Medication: Medication can help control the inflammation and pain caused by rheumatoid arthritis. Disease-modifying antirheumatic drugs or DMARDs are usually the first course of treatment. These may be accompanied by steroids and help reduce inflammation. The best medication to relieve pain is non-steroidal anti-inflammatory drugs or NSAIDs. In some cases, stronger pain relievers may be prescribed but these should be used cautiously. Excessive dependence on pain relievers can cause addiction.
  2. Change Your DietA diet rich in Omega 3 fatty acids can help control inflammation. In turn, this can help relieve discomfort and slow the progression of the disease. Cold water fish and fish oil supplements are rich sources of omega 3 fatty acids. In addition, it is important to have a well-balanced diet and to avoid excessive carbs and sugars that can lead to weight gain. It is important to note that heavier people suffer from more pain as their weight puts pressure on the joints.
  3. Exercise Regularly: Rheumatoid arthritis makes movements difficult and hence exercising may seem counterintuitive but this can help in the long run. Avoid high-intensity workouts and pick low-intensity activities like walking, cycling, swimming etc. Water aerobics is one of the best forms of exercise for rheumatoid arthritis. Yoga can also be very beneficial. Regular exercise is important but it is also important not to overdo it. Put exercising on hold during acute flare-ups and avoid doing anything that increases your pain. It is a good idea to consult a physical therapist to know what the best type of activity is for you.
  4. Hot and cold packs: Heat and cold therapy can help relieve pain immensely. A hot pack will help relax the muscles while the cold pack will numb the pain. Heat packs and cold packs can be used alternatively. Alternatively, you could soak the affected joint in hot water and cold water.
1 person found this helpful

Considering a Nose Job? - Do Consult Your Doctor Before Opting It?

MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon, Navi Mumbai
Considering a Nose Job? - Do Consult Your Doctor Before Opting It?

A nose surgery (rhinoplasty) is performed to alter the structure and shape of your nose and improve its function and or appearance. Here are a few things you should know about nose surgeries: 

  1. Consult your doctor: Before deciding on undergoing a nose surgery, speak with your doctor regarding issues with your nose. Your doctor will check your problems and judge whether or not surgery is a feasible option. It is only with your doctor's confirmation that you should go for the surgery.
  2. Procedure:
    • The surgery is done either with local anesthesia (your nose and surrounding areas will be numbed) or general anesthesia (you will fall asleep).
    • The surgeon will make incisions in your nostrils and base of the nose and alter the shape, structure and position of the cartilages in your nose for appealing shape and better functionality. Polyp removal is also done by rhinoplasty.
  3. Recovery after the surgery: You will be required to wear a nose splint. You can expect swelling around the eyes, which will begin to subside after the third day. Swelling in the nose will go away after six months. Therefore, do not expect to see your results immediately, final condition of your nose will be apparent after the recovery period is over. You should avoid strenuous activity for 3 to 6 weeks. Do not smoke or drink alcohol during recovery. Smoking slows recovery time and alcohol reduces normal effects of drugs.

Type of rhinoplasty you can opt for

  1. Closed rhinoplasty: Incisions are made inside the nostrils and hence there is no scarring.
  2. Open rhinoplasty: An additional cut is made along the columella and this may result in scarring. However, the position of the scar is such that it is almost unnoticeable.

Risks associated with it 

Any surgical procedure has certain risks. These risks associated with nose surgery include:

  1. Infection
  2. Adverse effect to anesthesia
  3. Unfavorable outcomes
  4. Visible scarring
  5. Numbness
  6. Difficulty breathing
  7. Chronic nosebleeds
  8. A perforated septum
  9. Hematoma
  10. Burst blood vessels
  11. Nervous damage
  12. Possibility of revision surgery
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