Hello everyone, I am Dr Sanjay Bansal, I am orthopaedic surgeon my fields of interest is joint replacement arthroscopic surgery. Today we will talk about a very common disease known as osteoporosis. Osteoporosis is a disease in which our bones become brutal and they are prone to fracture because the bone density decreases. Now the patients generally come with mild pain, weakness and when we do X-Ray’s, we see that there are fractures and it is most common in the spine. There are multiples spine fractures and a patient of osteoporosis even if he is walking, he gets even a jerk, and the bone gets fractures. It is a very dangerous disease because it only appears, the symptoms only appear when there is a fracture and there is a mild pain. It can be treated, there is a various test like the blood test, DEXA scan and some X-Ray’s, which can diagnose it and one its diagnose there are some medicines which can be given in the form of oral and injectable. If you want to prevent osteoporosis kindly take care of your diet, do proper exercises and have a regular checkup with your doctor's. It is a very dangerous disease but can be easily prevented.
If you want to consult me I am available through Lybrate either physically or through telephonic conversation or through chat.read more
Hello everyone, I am Dr Sanjay Bansal I am in MS orthopaedics main field of interest is join the placement in arthroscopic surgery, I work in Apollo spectra Hospital in New Delhi and in various places in Faridabad. Today we'll talk about a very common disease known as osteoarthritis of the knees. This disease is quite common in middle age and aged people, in this the patient comes with us with complaints of severe pain in the knee joint, he cannot move the knee joint, there is stiffness of the knee joint, swelling of the knee joint and even the movement of the knee joint in some patient gets restricted, he cannot fully extend or fully flexes joint. This disease occurs due to the degeneration of the cartilage and may occur due to various others factors like the weakness of the muscle, bone weakness, improper postures. There are various treatment modalities for it. If the osteoarthritis is of grade 1 and grade 2 we can treat it with various physiotheripical exercises we can put intra-articular injection and energetics and kneecap. If it goes through grade 3 and grade 4 then the options left are only surgery. We can feed it with arthroscopic surgeries and a joint replacement surgery. Joint replacement surgeries are very much modified nowadays which we can replace half of your knee joint or we can replace full of the knee joint. Now, these patients asked the what is the outcome of the total hip replacement I assure you the success rate of knee joint replacement is almost 99%. If you follow the advice what's the doctor says, you will be absolutely free of pain. Now patients come to us and ask, how can we prevent it, it can be delayed slightly if you take proper care of your muscles and bones. For that, you should do regular exercises strengthen your quadriceps muscles strengthen your hamstring muscles, take proper food, don't use up the inappropriate posture that it can be easily delayed or prevented.
If you need any consultation or any help of mine you can contact me through Lybrate, either via phone, either through chat or either physicallyread more
Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 38 years of experience on Lybrate.com. Find the best Orthopedists online in Faridabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Sanjay Bansal
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Pain in Ribs
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
Submit a review for Dr. Sanjay BansalYour feedback matters!
Patient Review Highlights
Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.
- Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
- Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
- Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
- Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
- Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation.
In case you have a concern or query you can always consult an expert & get answers to your questions!
What is Osteoporosis?
Osteoporosis is a medical condition wherein the bone becomes fragile and breaks easily even with a minor fall. The bones of spine, wrists and hips get affected the most. These fractured bones lead to severe pain and can force a person to become immobile. A spine fracture can even lead to a loss of height.
What is parathyroid hormone?
Parathyroid is a naturally occurring hormone that regulates the amount of calcium present in the body. They mitigate the risk of bone breakage in the body for a patient suffering with osteoporosis. These hormones are injected into the body on a daily basis to maintain the normal flow of calcium in the body.
How does the treatment work?
Treatments are available in the form of drugs and injections. A doctor can prescribe drugs, if the patient is at an increased rate of bone breakage. The parathyroid hormone helps to protect the bone from breaking, but have no role when the bone actually breaks. The body has a natural process of breaking a bone and rebuilding it by itself. Osteoporosis sets in motion when this process of bone formation is disturbed.
When does a doctor prescribe hormonal treatment?
If a patient has undergone a number of vertebral compression fractures and the condition has not improved, a doctor might suggest to undergo parathyroid hormone treatment. The treatment requires nursing support due to a patient’s delicate bone condition. A maximum dosage of 20 micro grams of parathyroid can be injected for a time duration not exceeding 2 years.
Things to know about the treatment:
- Be informed: It is good to be well informed about the course of the treatment, treatment duration, plausible problems etc. This will help a patient to be on top of the decision making process. The helpline of the 'National Osteoporosis Society' can be reached to understand the preparation required for a patient to undergo the treatment.
- Take the right dosage at the right time: Parathyroid injections should be injected on a daily basis for a maximum time period of 2 years. These injections are taken daily at the same time. It should be ensured that none of the injections are skipped without the prior approval of a doctor. The injection, which lasts for 28 days, needs to be stored in a refrigerator. In case a patient is travelling, special bags are available that has space for storing gel packs.
- Side effects: Most patients do not report any side effects, but they do exist. Possible side effects include dizziness, arthralgia, depression and headache. These symptoms often suggest that your body is reacting to the parathyroid hormone treatment. A doctor may or may not prescribe any further drugs to address these symptoms.
In medical terms, Osteoarthritis is referred to a disease of the joints. It mostly affects the cartilage or the slippery tissue, which helps to cover the ends of bones in a joint. A proper cartilage helps in gliding of the bones one over the other. In osteoarthritis, the cartilage’s top layer gets damaged or breaks down. This leads to rubbing of the bones and swelling, pain or loss of motion. As the time passes by, the joint may lose its shape. There is also a possibility of developing bone spurs from the edges of the joint. This causes pain and damage.
People suffering from osteoarthritis often complain of joint pain and experience reduced motion. Unlike the other kinds of arthritis, this affects only the joints and does not interfere with the working of internal organs. It is the most common form of arthritis. It mainly occurs in older people. In younger ones, osteoarthritis may occur due to joint injuries.
What Causes Osteoarthritis?
It is caused due to ageing. But there are certain other risk factors that have to be kept in mind. This include:
- Excess body weight or obesity
- Old age
- Joint injury
- Improper formation of joints
- Defective genes
- Stress on the joints
What are the symptoms?
It can develop in any joint in the body. But it mainly occurs in the hands, knees, hips, and spine. The symptoms that indicate towards its occurrence are as follows:
- Stiffness in a joint, especially as you get out of bed or sit for a long period of time.
- Swelling or tenderness in the joints.
- A crunching feeling.
- Sound of bone rubbing.
It cannot be diagnosed by a single test. It takes several methods to detect its symptoms. tHerefore, a combination of tests are conducted, including physical examination, X-rays, blood tests or examination of the fluid in the joints.
How Is It Treated?
It requires a combination of treatments to meet a patient's needs, as per his or her lifestyle, and health. The treatment has four main goals:
- To improve function of the joints
- Maintain a healthy body weight
- It is important to control the pain
- Efforts to achieve a healthy lifestyle
The treatment plan or sketch will involve focus on the following things:
- Weight control
- Rest and joint care
- Techniques to get relief from pain without the use of drugs
In case you have a concern or query you can always consult an expert & get answers to your questions!
Lumbago or Lower back pain is a condition that is characterized by mild to serious pain or uneasiness in the lower back region. Lower back pain is more prevalent among the youth whose work includes physical exertion or sitting for long hours and is also common in individuals belonging to the 'retirement age' because of their sedentary lifestyles. The pain might be acute (sudden and extreme) or chronic if it has been endured over a span of three months.
The most common causes of lower back pain are:
- Overuse of the muscles and includes strains or sprains of soft tissues such as muscles, ligaments and vertebral compression fractures.
- Pressure on the roots of nerves due to conditions such as spinal canal stenosis (narrowing down of the spaces within the spine) or herniated disc (a condition of the rubbery disc present between the spine bones (vertebrae)).
- Osteoarthritis is a condition wherein the shock absorbers, found in the joints, progressively break down.
When it affects the spine, the condition causes back pain by stiffening the spinal joints. Symptoms of Lumbago (Low back pain) include:
- Stiff back
- Numbness in the legs
- Loss of weight
- Difficulty in urinating
- Sciatica, which is the pain running down the lower back to hips, legs and thighs. This occurs due to a compression by an intervertebral disc in the back, which leads to a pinched nerve.
How to diagnose lower back pain or a slip disc?
Some methods that can be utilized for diagnosing back include Xray, CT Scans, Myelogram and MRI scans.
Treatment options available -
Exercises along with correction of bad posture for relieving back pain are a common component of any treatment plan. Factors such as type and severity of the pain as well as the patient?s history can help in determining the type of treatment that can be administered. In most cases, the recovery time is usually six weeks without surgery. Typical treatment of back pain includes use of muscle relaxants, painkillers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below:
- Rest: A period of rest and inactivity would help the injured tissues to recuperate and relieve back pain. However, extended periods of rest lead to weakening of muscles and hence might prolong the existing back pain.
- Heat and ice packs: Both heat and ice therapies are used according to the patient's preference to reduce inflammation.
- Medications: A large variety of prescription and over-the-counter medicines are available. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. Examples would include acetaminophen, celecoxib and diclofenac. In case you have a concern or query you can always consult an expert & get answers to your questions!
I had faced a bike accident last month. After that my right knee has swollen. My doctor told that blood has clotted in my knee and they have drove out my clotted blood. Again after 15 days it has swollen. I have been suffering from saviour pain. Please consult me what to do?
Hi I recently had got 8 stitches on my left knee due to debridement. The stitches are not removed. What exercises must I do so that bending of the knee becomes as easy as bending the other knee? PS: It has been 4 days since driving stitches.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am travelling on bike daily 40 km. And am having too much back pain is this back pain becoz of travelling?
Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.
Some of the causes and risk factors for creating a frozen shoulder are as follows:
- If you are 40 years or older, your chances of a frozen shoulder are higher than others
- Recovering from a damage or surgery
- Hormonal imbalance
- Ladies are more prone to a frozen shoulder
- Cervical disc infection that influences the nerves around the shoulder
- Not moving your arm because of other pain or wounds
- Having a previous medical condition like diabetes or other heart diseases
- Open-heart surgery or spinal surgeries
- Poor diet and unhealthy lifestyle
The most widely recognized symptoms of a frozen shoulder include:
- Stiffness around the shoulder: this usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
- Restricted scope of movement
- Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)
- Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
- Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
- Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
- Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfaifa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder. In case you have a concern or query you can always consult an expert & get answers to your questions!
A small piece of bone is known as a fragment and it is very common that an avulsion fracture also tends to damage the protrusions of bone to which the tendons attach. This basically means that the tendon or ligament will come away from the bone and it will take a small piece of bone with it. It is sometimes very hard to find out what type of injury you have and this is why knowing the causes and symptoms of an avulsion fracture are very helpful in determining exactly how severe the injury is.
Here are the causes of an avulsion fracture.
Explosive Landing: Athletes who tend to jump or land with great impact tend to get these most commonly. Therefore, it is crucial for your health that if you participate in such sports, you do follow the correct method of jumping.
Explosive Extension: Similar to how an athlete landing ferociously can get an avulsion fracture, someone who is extending the legs very violently and explosively during an exercise can also get an avulsion fracture. This is because the bone getting extended could very well damage the protrusions to which the tendons are attached.
These are the two main causes of an avulsion fracture. There are not many symptoms of an avulsion fracture. This is because an avulsion fracture can only be determined by an MRI or by an X-ray scan. Therefore it is nearly impossible to diagnose that you have an avulsion fracture without looking at the results of the tests performed on the part of your body. However, the way you got the fracture and especially the details of it are very good indications of whether you have an avulsion fracture or not.
In case you have a concern or query you can always consult an expert & get answers to your questions!