Doctor in We Care Ortho & Wellness Clinic
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Patient Review Highlights
Dr. Sachin Singh provides answers that are very helpful, professional, practical and knowledgeable. I was visited the doctor clinic, and after 2 monrhs treatment, my problem gone. The main positive thing about doctor is listing carefully and try to describe the technical thing of your problem in easy language and suggest better solution.
Knee replacement is a procedure where the weight-carrying surfaces of knee joint are replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.
Knee replacement is mainly of two main types:
- Total knee replacement where both the sides of knee joints are replaced
- Partial knee replacement where only single side of the joint is replaced
In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage, and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.
In total knee replacement, four steps are performed:
- Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
- Replacement with metal components, which help as a recreated surface of the joint
- Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
- Insertion of a medical-grade plastic spacer amid the metal components. This creates an effortless gliding surface.
After general or spinal anaesthesia, an incision of 8-12inches is made in the front part of the knee. Joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin as well as knee cap is attached to the artificial joint with either cement or a special material.
After Effects of the Procedure-
After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.
There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.
Presently, over 90% of total knee replacements function well even after 15 years of surgery. Hence, knee problem is no problem at all!
In case you have a concern or query you can always consult an expert & get answers to your questions!
The human hand is made up of 27 bones and a number of tendons and ligaments. An injury to any one of these bones or a disease that affects the bones and ligaments can make you experience excruciating pain in your hands. This pain can affect your ability to perform simple day to day tasks like holding a spoon or writing.
Some common reasons your hand may pain are muscle strains, fractures, arthritis and carpal tunnel syndrome. Apart from pain relieving medication, there are a number of ways you can deal with this pain.
- Hot and cold compresses: Hot and cold therapy is ideal for any type of muscle or ligament injury. A cold compress helps in reducing the pain and inflammation by constricting blood vessels and numbing the area. On the other hand, a hot compress dilates blood vessels and increases the flow of blood and oxygen to the affected area. Ideally, the two should be used alternatively for 10 to 20 minutes each. A bag of frozen vegetables or ice wrapped in a towel makes an easy cold compress. To treat your hand with heat, use a moist heating pad or a hot water bottle. You could also dip your hands in warm water.
- Massage: A massage is a great way to treat hand pain that results from carpal tunnel syndrome. If the exact cause of pain is not known, massage the entire hand, wrist and forearm. A massage enhances blood flow to the area and hence improves flexibility and opens locked tendons. Using a few drops of essential oils such as lavender or rosemary can also aid in relieving hand pain.
- Hand exercises: If your work involves repetitive actions like typing, knitting or embroidery, the muscles in your hand can get locked into position thereby, causing pain and discomfort. To relieve this it is important to take a break from this repetitive exercise every hour and flex your hand. Try bending your fingers forwards and backwards and rotating your wrists in both directions to ensure that your joints remain smooth.
- Epsom salt water bath: For instant relief from intense hand pain, soak your hands in a bath made of hot water and epsom salts for 10 to 20 minutes. Follow this by wrapping your hands in a warm, wet washcloth and applying gentle pressure over the hand for 5-10 minutes. You should instantly feel relief from the pain and experience increased the flexibility of hand. In case you have a concern or query you can always consult an expert & get answers to your questions!
I feeling pain in my back. I am doing cycling 37 km, running 7 km, gyming 2: 30 hrs. Kindly suggest.
Metabolic Bone Disease is a term used for various conditions of the bones that can be caused by a number of different disorders. Most of these disorders are developed due to nutritional deficiencies, defects in the bone metabolism procedure or due to hereditary defects in the skeletal structure. Conditions that fall under the category are osteoporosis, osteomalacia, rickets, Paget's disease, parathyroid conditions, chemotherapy induced bone loss and menopause induced bone loss.
Causes of Metabolic Bone Diseases
- Imbalance in the level of calcium: Too much calcium or too little calcium can cause bone diseases. While the overabundance of calcium (hypercalcemia) in the body will lead to calculi formation, which can be harmul for the body, the lack of calcium (hypocalcemia) causes weakness, bone pain and restricted growth.
- Deficiency of phosphorus: Low phosphorus in blood (hypophosphatemia) leads to softening of the bone tissue and bone loss. Osteomalacia is commonly caused by phosphorus deficiencies.
- Deficiency of Vitamin D: Vitamin D is essential for the body to absorb calcium. Cells called osteoblasts need vitamin D in order to absorb calcium and secrete the bone tissue proteins. A deficiency of vitamin D can lead to a number of metabolic bone diseases like rickets and osteoporosis.
- Over or under secretion of the parathyroid hormone: The parathyroid hormone (PTH) stimulates the secretion of an enzyme which converts the inactive circulatory form of vitamin D into its active usable form. The hormone can also increase the circulation of free or ionized calcium (Ca2+) which is not attached to proteins. Both underproduction and overproduction of the hormone causes skeletal problems.
Symptoms of Metabolic Bone Diseases
The symptoms of most of the Metabolic Bone Diseases are similar. They are:
- A dull, throbbing pain in the bones is the most common symptom. The pain is frequent and lasts for a long amount of time but, unlike muscular pain, the exact region of bone pain cannot be specified.
- Severe joint pains accompanied by stiffness and swelling of the joints. The patient experience pain during regular physical activities, especially during cold weather conditions.
- Frequent fractures are caused by most bone diseases because the bone mineral density decreases drastically. Severe bone injury may be caused by mild trauma.
- Defects in the bones can cause bowed out legs and a bent backbone.
- A general feeling of exhaustion is often caused by bone diseases.
- Kidney stones are an associated complication of metabolic bone diseases.
In case you have a concern or query you can always consult an expert & get answers to your questions!
As you get older, you are more prone to old age fractures. This is because of the weakening of your bones and enhanced likeliness towards falling. In case you have osteoporosis, you need to be even more careful to avoid fractures of any kind. Here are some must-read tips for prevention of fractures, which are likely because of old age.
- Exercise for improving balance and strength: Exercise directly impacts the strength of the bones. Keeping fit physically helps the reflexes to stay sharp and the muscles to stay strong. This will in turn result in lowering the risk of falling. When you are fit, you are less prone to falls. Bones do not stay fit unless you regularly work out. You should undertake exercises such as walking, weight lifting and also practice flexibility and balance exercises such as yoga and tai chi.
- Tread carefully: The selection of shoes is very important for preventing old-age fractures. You should wear shoes, which are low heeled, have rubber soles and provide proper support. Avoid leather soles. You should avoid sneakers having deep treads, which increase your risk of tripping and falling. Shoes must be worn inside the house as well. You also need to take several precautions while walking outside. In case you have arthritis, you require an assistive device to aid you with walking such as a walker or a cane.
- Certain medicines to be avoided, if possible: There are several medicines which increase your risk of falling by causing dizziness and lack of coordination. These medicines must be avoided. They include the following:
- Lighten up your surroundings: Because of old age, your vision is likely to degrade, making you prone to cataracts and other disorders. The lack of proper vision can make you fall and cause fractures. For solving this problem, you should install several lights all over your residence or workplace. Use overhead lamps, night lights for bathrooms and for your bedroom and always keep the staircases lit. It is also good to keep a flashlight beside you when you sleep.
- Fall proof your home: You should make your home safe and fall proof. The rooms should be clutter-free without piles of clothes and boxes. A carpet should be put over polished floors and rugs. Electric cords and phone lines should be away from the floor.
As you get older, you are likely to develop several health conditions, which may increase the chances of falls and fractures. Hence, all health conditions you experience should be properly treated to prevent falls and fractures. If you wish to discuss about any specific problem, you can consult an Orthopedist.
The hand is one of the most commonly used parts of our body and is susceptible to damage, wear and tear as well as injury. Pain in the hand can be attributed to numerous causes, including damage and other conditions that can affect the joints, cartilage, nerves and other parts of the hand. Know more about controlling Joints Pain
De Quervain's tendinitis: This is also known as de Quervain's tendinosis. It causes pain on the thumb side of the wrist. The pain may grow slowly or suddenly. It can also spread to every part of the thumb and up the lower arm. On the off chance that you have de Quervain's tendinitis, you may experience pain while performing the following actions:
- Clenching The fist
- Handling on or holding objects
- Turning the wrist
Treatment for this includes the following:
- Wearing a prop to rest the thumb and wrist
- Calming drugs
- Cortisone infusions
Carpal tunnel disorder: This is common amongst the well-known nerve issues. It can cause pain in the following parts of the hand:
- Palm and a few fingers
- Lower arm
The treatment methods includes the following:
- Resting the hand and wrist
- Wrist support
- Steroid infusions
- Active recuperation
Fracture: It's a crack or break in a bone that can cause immense pain in the hand. Other than this, the hand may also experience the following:
- Loss of proper motion and movement
The kind of treatment depends on the kind of fracture. Braces are usually used for small fractures. Sticks, wires, or plates might be used to treat severe fractures. Likewise, surgery may also be recommended to set the broken bone properly.
Arthritis: This is a disease causing joint inflammation and stiffness of the joints. It causes the joints to lose the ligament that permits them to move easily against each other. This tears the ligament, giving rise to crippling pain and swelling.
In the hand, the regions where this regularly happens are as follows:
- Base of the thumb
- Center joint of one or more fingers
- End joint, which is nearest to the fingertip
The treatment depends on the seriousness of the injury and the following may be used:
- Props for the fingers or wrist
- Non-intrusive treatment
Trigger finger: Also known as stenosing tenosynovitis, this defect causes the fingers or the thumb to bend. It can be difficult, particularly when bowing or fixing the influenced finger or thumb.
Knobs may form on the influenced ligaments. Also, the sheath itself may thicken. In the long run, the ligament may get to be adhered when you attempt to fix a twisted finger or thumb. Learn more about Ligament Injury.
Resting now and again while wearing a support may help resolve the issue. Over-the-counter torment pharmaceuticals can facilitate the agony. Corticosteroid infusions can mitigate side effects. Surgery might be recommended for extreme cases. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Knee replacement surgery is a procedure that is used to replace a worn out knee joint with an artificial knee joint. Such a surgery is advised if your knee is causing pain and limiting your daily activities, provided other treatments have failed to cause the desired impact. (Learn more to maintain bone and joint health)
Once the knee replacement surgery is completed, the focus shifts to the recovery phase.
The duration of the recovery depends on the type of surgery and the individual.
After the surgery, painkillers are administered to provide relief from the pain.
In some cases, oxygen is administered through various tubes if required.
A blood transfusion may also be required after a knee replacement surgery.
The surgical wound will require a dressing to allow it to heal faster and prevent infection.
A drain will be attached to the wound to drain out the blood from it and prevent accumulation of blood in the wound.
The dressing of the wound should be changed regularly.
Post- Surgery Care
Post-surgery, you will need assistance to help you walk. If the surgery that you underwent was minimally invasive, then you should be able to walk on the very same day. Your physiotherapist will prescribe and show you some exercises to strengthen the knee. It is important that you follow his/her instructions to avoid complications.
A passive motion machine is sometimes prescribed as it helps to restore the movement of the knee. It helps in reducing the swelling by keeping your leg elevated and moving the knee when you are lying down.
Here are some knee replacement recovery tips:
Avoid doing any work that puts pressure on the knees.
Eat nutritious meals so that the body receives proper nourishment, thus allowing your leg to heal faster.
Avoid heavy exercises which can strain your knees.
Perform all the exercises prescribed by your physiotherapist to speed up the recovery process.
- Do not sit with your legs crossed for a few months after the surgery.
If you wish to discuss about any specific problem, you can consult an orthopedist.
Osteopenia is a medical condition that gradually causes thinning of bone mass. While the thinning mass is not considered as severe, the real danger looms when osteopenia aggravates to osteoporosis, resulting in a bone fracture. Osteopenia is mostly witnessed in people above the age of 50. The difference between the diagnosis of osteopenia and osteoporosis lies in the measure of bone density.
Osteoporosis, on the other hand, is the loss of bone mass due to the deficiency of calcium, magnesium, vitamin D and other minerals and vitamins. Osteoporosis can lead to broken bones, height loss, acute pain and humpback. It is estimated that over 54 million people in the US suffer from osteoporosis.
Bone mineral density (BMD):
The calcium deposit in the bone is measured by the bone mineral density (BMD) test. This test rightly estimates the chances of bone fracture in a person. Furthermore, it helps a doctor to distinguish between osteopenia and osteoporosis. Being non-invasive in nature, this test can be performed anytime on areas such as hip, shin bone, spine etc. BMD can either be measured by plain radiographs or DEXA. The latter is a form of X-ray that has lesser exposure to radiation. Post the test, a score is given based on the calcium availability of the bones.
How is a BMD comprehended?
Every BMD result is evaluated in the form of T-score. The T-score is derived by comparing the result of the BMD with a normal person in the 30’s having the same race and sex. The difference of score between a healthy individual and a patient affected with osteoporosis or osteopenia is referred to as Standard Deviation. A patient with a T-score in the range of (-1SD) to (-2.5SD) is considered a prime candidate for osteopenia. A patient having a T-score lesser than -2.5SD is diagnosed with osteoporosis.
Risk factor for osteopenia or osteoporosis:
While not everyone runs the risk of getting either osteopenia or osteoporosis, there are certain risk factors attached to it:
- Gender: Women run a higher risk of getting affected with osteopenia or osteoporosis.
- Race: Women who belong from the Caucasian or Asian origin run a higher risk of getting these diseases.
- Age: Most people tend to get these diseases above the age of 50. Humans have a tendency of losing close to 0.5 percent of bone every year after a certain age.
- Family history: A person with a family history of osteopenia or osteoporosis has more than 50% chance of getting either osteopenia or osteoporosis.
- Lifestyle: Poor diet, excessive smoking, alcohol, lack of exercising etc. goes a long way in contributing towards these diseases. If you wish to discuss about any specific problem, you can consult a rheumatologist.
As you age, the cartilage cushioning your joints starts wearing down, causing the bones to rub against each other. This causes osteoarthritis, which is a type of degenerative disease caused. The rubbing of the bones causes inflammation of the joints. The joints of the arms and legs along with the lower back are most commonly affected by this condition.
Here are some common symptoms, which indicate that you are suffering from osteoarthritis:
1. Pain and tenderness: An aching back, knees, neck and hip with severe pain are some of the most common symptoms of osteoarthritis. The pain caused during the early stage of arthritis is classified into tenderness and pain. A sharper pain may be felt while moving the affected joint in a certain way. Tenderness is the discomfort experienced when the joint is pressed along with visible swelling in the affected area.
2. Joint stiffness: Joint stiffness is another early symptom of osteoarthritis. It refers to the wooden feeling, which makes a person feel slow and sluggish. The urge to rest or go to bed should be resisted. Warming up the joints with gentle exercise or moving around cause relief. It also helps in reducing the stiffness and you can continue your regular activities with more ease.
3. Abnormal sensations: When the cartilage wears down, the rubbing of the bones against each other may lead to some abnormal sensations. Grating of the joints is common in people with osteoarthritis. One may feel that their joints are cracking or clicking while moving.
4. Loss of flexibility: People who are in their early stages of osteoarthritis may face difficulty with moving the areas which are affected. This joint stiffness and pain may lead to a loss of flexibility or loss of range of motion. Range of motion refers to the extent up to which one can move his joints normally. In case you are not being able to bend your knee fully or as far as you would have done it normally, you might be experiencing osteoarthritis.
Loss of flexibility occurs slowly and gradually. A person may hurt his back unusually during a football game or may experience a stiff back in the morning after waking up. This gets more intense with time. In the later stages, you may experience joint pain even while resting.
In case you experience any symptoms of osteoarthritis, you must consult a doctor immediately. The doctor will provide you with a plan aimed at managing and getting a quicker relief from the pain caused due to osteoarthritis. Several over-the-counter medicines, braces for supporting affected joints and range of motion exercises are also effective ways of managing osteoarthritis.