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
I found the answers provided by the Dr. Sanjay Kapoor to be very helpful and knowledgeable. Very helpful and knowledgeable person.I can understand how difficult it is to check reports and xray images online as they are not that clear,but still manage to advise pretty well.many thanks.though i didn't get respond to my queries for thr last 3 days but i cn understand how busy doctor's life is
mera expirence dr Sanjay kapoor ke saath bahut accha hai. mai unke clinic KK Health Care Centre Gurgaon mei apne back pain ka treatment karvane gaya tha. Merko unke dawaiyo se jitna aaram se aya hai, ajtak kabhi kisi bhi doctor ki dawai se nahi aya. unke treatment lene ke vajah se mai vapis cricket khel paa raha hoon kyunki ab merko pain nahe hota.
P Vinod Menon
Dr. Sanjay Kapoor provides answers that are knowledgeable, well-reasoned and nurturing. I think we can go to the U.S.for my brother's graduation'provided I get my Visa.I will keep the answer in mindThanks,Doctor.Vinod.
Knee replacement surgery — also known as knee arthroplasty (ARTH-row-plas-tee) — can help relieve pain and restore function in severely diseased knee joints. During knee replacement, a surgeon cuts away damaged bone and cartilage from your thighbone, shinbone and kneecap and replaces it with an artificial joint made of metal alloys, high-grade plastics and polymers.
Why is it done?
The most common reason for knee replacement surgery is to relieve severe pain caused by osteoarthritis. People who need knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. Some also have moderate or severe knee pain at rest.
The procedure begins with you being administered general anesthesia, after which, an incision of 9-12 inches is made on the knee. The part of the joint that has been damaged is gotten rid of, following which the surfaces of the bone are redesigned to hold an artificial joint. Cement is used to attach the artificial joint to the shin, knee cap and the thigh bone. Once the fitting is complete, the artificial joint is supported by the surrounding muscles.
For most people, knee replacement provides pain relief, improved mobility and a better quality of life. Consult a doctor about what you can expect from knee replacement surgery.
Three to six weeks after surgery, you generally can resume most daily activities, such as shopping and light housekeeping. Driving is also possible at around three weeks if you can bend your knee far enough to sit in a car and if you have enough muscle control to operate the brakes and accelerator.
After you've recovered, you can enjoy a variety of low-impact activities, such as walking, swimming, golfing or biking. But you should avoid higher impact activities — such as jogging, skiing, tennis and sports that involve contact or jumping. Talk to your doctor about your limitations.
The duration of the hospital stay is around 2-3 days. The effects of the surgery start becoming noticeable within a month of the surgery being carried out. Initially, you may require walking aids. It takes about 5-6 weeks to regain your ability to walk without any external or physical support.
You will have to undergo physical therapy after the surgery to improve your muscle strength. The physiotherapist may prescribe various exercises to strengthen the muscles around the knees. You need to follow certain precautions after the surgery; squatting and kneeling become certain activities which you should avoid. Avoid activities that places undue stress on the knees. If you wish to discuss about any specific problem, you can consult an Orthopaedist.
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.
The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:
Buckling of the knee, where your legs cannot support your body weight
Sliding of the kneecap to a side
Catching of the knee in the groove when trying to move it
Pain in the front of the kneecap with any activity
Painful while sitting
Swelling and/or stiffness of the knee joint
Crackling/creaking sound when trying to move the knee joint
Inability to straighten the leg
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:
Immobilizing the knee with splint by keeping the leg in a straightened position.
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.
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.
Surgical correction may not be required, if there is a damage to the ligament.
- Flat femur and/or tissue laxity can cause repeated dislocations, where physiotherapy and strengthening exercises are useful. If you wish to discuss about any specific problem, you can consult a physiotherapist.
A blood clot in the leg is termed as Deep Vein Thrombosis or DVT. This blood clot can be fatal, because it usually blocks the passage of blood to the heart by damaging the one way valves of the veins. This can also reach other organs like the lungs, in which situation the case becomes complicated and may also lead to death. There are various ways of preventing the onset of these clots. Follow these points to know more.
- Blood thinners: Prolonged hospital stay and a major surgery like joint replacement can lead to blood clots in the legs or DVT. Therefore, it is imperative to ask your doctor about a prescription for blood thinners, which can help in better blood flow despite minimal motion in the legs or stiffness.
- Compressions stockings: If you have been in the hospital for a prolonged period or suffering from leg paralysis, then the risk of blood clots is greater than most others. You can make use of compression stockings, which will help in preventing clots by holding the area tight so that the blood is forced to pump and flow. These should be used every time you are admitted to the hospital.
- Exercise: It is important to keep moving in case you are travelling in a long flight that is over four hours long. Also, you can try certain mild exercises, in case you have a long standing condition of pain or cramping in the leg muscles and joints. From simple toe flexes to muscle strengthening exercises like the heel or towel hook, you can ensure that the tightening action makes your muscle firm so that the blood clots do not have a chance to form. You may also need to lose weight in case you are overweight so that you can alleviate the risk of these clots.
- Water: Staying hydrated is something that we all need to follow in any case, but it is especially important if you are risk of developing blood clots in the legs. Drinking plenty of fluids is a natural way of thinning the blood, especially if you have been in bed or travelling for prolonged periods.
- Loose fitting clothing: You may want to wear loose fitting clothing when you are travelling or in the hospital so that you do not end up unnecessarily compressing an area in a way that will be detrimental for the blood flow there. Wearing loose clothing ensures that the blood flow carries on as per its normal routine without any blockages.
It is important to remember the above points so that you keep blood clots in the legs at bay.
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.
If you are middle aged and can feel pain in your joints and can see them get inflamed and turn red, chances are that you suffer from rheumatoid arthritis. An early diagnosis can help control it through medication, lifestyle changes and exercise.
Exercise is one of the most important aspects of the treatment of this disease. Exercise has many benefits for a rheumatoid arthritis patient. Some of these are:
- Increased flexibility: Exercise helps relieve the stiffness caused by the disease and keeps your joints flexible.
- Stronger muscles and bones: This helps strengthen the muscles that support joints. It also helps strengthen bones by making them denser and thus preventing fractures.
- Pain management: When you exercise, the joints are kept flexible and the pain associated with moving them is reduced.
- A healthier heart: Rheumatoid arthritis increases the risk of suffering from heart disease. By exercising regularly, the heart muscles are kept healthy and there are lowered chances of heart diseases.
- More energy: Exercising boosts energy production, helps you sleep better and makes you a happier person.
Before you begin exercising consult your doctor to see what kind of exercises are suitable for you and what should be avoided.
Your exercise plan should cover these three points:
- Cardio: Avoid high impact exercises like running on paved roads and instead create a low impact exercise routine for yourself. Walking, swimming and cycling are good forms of exercise to increase your heart rate. Try and exercise for 30 minutes a day.
- Flexibility: Exercise is the only way to fight stiffness in joints. Do gentle stretches that are relaxing and do not hurt. Stretching a good way to warm up before cardio but should never be hurried. If a muscle starts paining while you re stretching it, stop immediately.
- Strength training: This sort of exercise helps build muscle strength and can be done in a gym or at home. Lifting hand held weights, working with resistance bands and using your own weight to create resistance are some ways of strength training. Start by doing these exercises every alternate day. As your muscles get stronger, you can increase the number of sets of each exercise. Avoid heavy weight lifting. The important part of exercising is to be regular. Exercising with a friend can help you stay motivated. Setting goals for yourself in terms of number of hours a week can also help keep you moving.
I am a 28 year old guy . I use ti to drive my bike 60 km pet day I am having backache and neck pain could you suggest me best ointment.
Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:
- Flatfeet: While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.
- Toe Walking: Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.
- Pigeon Toes: In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.
- Knock-Knees: It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.
I am 25 year old male and have a backache for last 3 months. I have used pain relief ointment but there is no relief. Now suggest me what to do?
I am 24 year old female and have backache for last 2 years. I have used many pain relief gel but have not get relief. What should I do now?
Please advise how can get rid of clicking sound in my knees. Probably I have vitamin D and B12 deficiency because of which I feel weakness and get this clicking sound in my bones especially knees.
I am 23 year old. I have a neck pain since a last 2 year. I used so many treatment but does not effect anything. Now what can I do for that?
I am 35 year old female. Whenever I work in my computer I get a severe pain in back of my neck and both the shoulder. The same occur when I lift weight. I work in a school as office secretary. Please give me suggestions to get rid of this.
Hai. Sir. I'm Phaneendra. I'm suffering from. Neck pain (from 6months). I was GOTO. Orthopedic doctor. He write tablets are. rantac250. paracetamol. And one of the ointment.
What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?
Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid and crystallization of these compounds in joints can cause attacks of painful arthritis, kidney stones, and blockage of the kidney filtering tubules with uric acid crystals, leading to kidney failure.
Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history.
Gout results from abnormal deposits of uric acid crystals in the joint cartilage.
The crystals are later released into the joint fluid.
Gout was once incorrectly thought to be a disease of only the rich and famous, caused by consuming too much rich food and fine wine.
Although diet and excessive drinking contribute to gout, they are not the main cause of the condition.
We now know that heredity plays a role in the development of gout, and it's often associated with other medical problems like high blood pressure.
Not everyone with high levels of uric acid will develop gout.
The kidneys' ability to rid the body of uric acid is partly determined by heredity.
And just because someone in the family suffers from gout does not mean everyone in that family will have the disease.
This risk varies from person to person.
What Are the Symptoms of Gout?
- Sudden, intense joint pain, which often can wake a person from sleep
- Swollen joint that is warm to touch
- Red or purple skin around the joint.
The amount of uric acid in your blood can change depending on what you eat and drink, how hydrated or dehydrated you are, your overall health, how much alcohol you drink, and the medicines you are taking.
It can change in response to a sudden illness..
How Is Gout Treated?
There is no cure for gout, but it can be treated and controlled. Symptoms often are relieved within 24 hours after treatment has begun.
The type of treatment prescribed will depend on several factors, including the person's age, type of medications he or she is taking, overall health, medical history, and severity of gout attacks.
Gout attacks are mainly treated with anti-inflammatory drugs. These include:
* NSAIDs (nonsteroidal anti-inflammatory drugs), such as ibuprofen or naproxen, are generally prescribed to treat sudden and severe gout attacks.
They usually reduce inflammation and pain within hours.
* Corticosteroids (also called steroids), may be prescribed for people who cannot take NSAIDs.
Steroids also work by decreasing inflammation.
Steroids can be injected into the affected joint or given as pills.
* Colchicine is often used to treat gout and usually begins working within a few hours of taking it. This drug is used less often due to concerns about its side effects.
Dr. Sanjay Kapoor(Orthopedics & Joint Replacement Surgeon)
For More Details
A #joint is where two or more bones come together, like the #knee, #hip, #elbow, or #shoulder. Joints can be damaged by many types of injuries or #diseases, including
1. #Arthritis - inflammation of a joint. It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.
2. #Bursitis - inflammation of a fluid-filled sac that cushions the joint.
3. #Dislocations - injuries that force the ends of the #bones out of position
Treatment of #JointProblems depends on the cause. If you have a #SportsInjury, treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. For arthritis, injuries, or other diseases, you may need joint replacement surgery to remove the damaged joint and put in a new one.
Dr. Sanjay Kapoor(Orthopedics & Joint Replacement Surgeon)
Says Dr. Sanjaykapoor, senior consultant orthopedics and joint replacement surgery.
Arthritis affects over 15% approximately 180 million people in india, which is higher than many well known diseases.
While much has been said about high incidence of diabetes, hypertension, cancer and hiv in india, recent studies suggest that osteoarthritis beats them all to claim the no. 1 slot among ailments in the country.
Contrary to the misconception that arthritis only impacts the elderly, this disorder is increasingly found in the younger population.
Age is not a factor for arthritis; it can affect young and old alike. Earlier, arthritis patients would be around 65 years or so, but now the younger lot in the age group of 40-45 yrs which is normally considered to be in their golden years are increasingly turning up for surgery.
Higher levels of stress coupled with modern day lifestyles are increasing incidence of arthritis.
The best way to beating arthritis is by staying active.
The key to arthritis management is finding balance between activities and rest-exercising, as too much may stress sensitive joints, while being too sedentary can cause stiffness and immobility.
Stretching and gentle movements such as yoga are easy on the joints and keep them fluid and supple.
Exercises such as riding a bike, swimming and water aerobics keep the heart healthy and muscles strong while putting too much pressure on the joints.
Low impact exercises allow you to work your muscles without stressing your joints. Stretching often increases muscle tone and can help boost the range of motion of your joints.
Just make sure you warm up your muscles and joints before stretching to avoid aggravating joint pain and strain your muscles. By varying activities and following a well-rounded exercise routine with variety can help to maintain strength and protect your joints. Maintaining a healthy weight can reduce stress on your joints, especially weight bearing joints like your hips and knees.
In addition, this can slow down the wear on your joints during daily activities such as walking.
When you have experienced a joint injury, protecting that joint will lower the chances of developing arthritis later.
By taking care not to injure the joint again, you may also decrease the intensity of symptoms should arthritis develop later. Remember always listen to your body, stop exercising if you experience sharp pain and don't try to work through joint discomfort.
Find activities that are gentle on the body and take them at a comfortable pace.
Lastly but not the least, drinking enough water keeps the cartilage in joints lubricated so bones don't rub up against each other.
By eating foods rich in vitamin c and e and calcium, you'll help build a musculoskeletal system that can outlast degenerative conditions.
Dr. Sanjay kapoor (orthopedics & joint replacement surgeon)