Doctor in Nivaran Pain Relief Centre
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
Excellent experience. Dotor was very clear about the cause of knee problem and line of treatment to be taken
Dr. Himanshu Gupta provides answers that are very helpful. ..sir operation period sep oct 2002 & 2008
Dr. Himashu gupta Ji very kind and best doctor and good and deep knowledge of his work
Very Good experience.
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 harmful 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, such as
- 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.
Since childhood, we are told time and again to stand tall, sit straight and maintain a good posture. We can do this only because of the spinal column. However, with age, the spinal column may be affected by osteoporosis. This is a muscular skeletal degenerative disease that reduces bone density. In the case of the spine, it can cause deformities, vertebral compression fractures and can even be fatal. Thankfully, these fractures can be treated with medication and surgical intervention.
- Kyphoplasty is one of the surgical procedures commonly used to treat spinal osteoporosis fractures. This is a minimally-invasive surgery that aims at reducing pain, stabilizing the vertebrae and restoring the normal height of the spine. This surgery may be performed under local or general anesthesia. To begin the procedure, a small incision is made in the back. The doctor then places a narrow tube through this incision and uses fluoroscopy to place it correctly in the pedicle of the broken vertebrae. A balloon is then inserted through the tube and carefully inflated. As the balloon inflates, it elevates the vertebrae and returns the spine to a normal position. This balloon also creates a cavity inside the vertebra by compacting the soft inner bone. Once this cavity has been created, the balloon is deflated and removed. A cement-like material known as polymethylmethacrylate is then injected into the cavity to fill it up. This cement hardens quickly and stabilizes the spinal column. The procedure may then be repeated on the other side to correct deformities and ensure uniformity.
- Hospitalization is not usually required for this procedure and the patient may go home on the same day. Most patients experience immediate pain relief while others may see the reduced pain within 2 days of the surgery. Kyphoplasty is considered to have the highest chances of success if it is performed within 6 weeks of sustaining the fracture. Heavy lifting and any form of strenuous exercising should be avoided for at least 6 weeks. Other than this, patients can return to their normal lifestyle. To prevent further bone loss, medication will be prescribed that should be taken regularly.
- As with any surgery, there are a few risks to this procedure. This includes a reaction to anesthesia, infections, spinal cord compression or nerve injury and an allergic reaction to the balloon. However, the surgery has a high success rate and complications are rare.
Staying healthy involves a wholesome state of being where the mind and body are in perfect sync. A less than properly functioning body can leave you in a state of potential depression after a certain point of time, while a depressive mind can leave you feeling less than stellar where you end up imagining and experiencing pain. The health of your bones and joints is one such area that requires even more care as you start growing older. Wear and tear is just one of the reasons for degeneration while fractures and injuries can lead to a sudden halt of normal functioning of the bones and joints too. So how can you ensure bone and joint health in the long run? Follow our tips!
- Eating Right: Pick calcium rich food like dairy products that have a low fat content, including milk and yogurt. Also, have a daily dose of green, leafy vegetables and plenty of citrus fruit and juices for your fill of calcium. Further, food like eggs and soya beans which have lots of vitamin D can also help in retaining good bone and joint health. Vitamin C rich fruit like watermelon, oranges, squash and tomatoes also help in natural tissue and cartilage repair. And finally, get plenty of Vitamin K to retain good bone density for a prolonged period with ingredients like leafy green vegetables, eggs and cheese.
- Exercise: This is the key to good bone and joint health. Much like machinery and tools, the bones and joints of your body can also wither with disuse and prolonged inactivity. Make sure that you indulge in exercises like long walks and muscle strengthening exercises which will give your joints and bones good amount of strength as well. Remember to speak with your doctor before you start a new exercise regime so that you avoid anything that may be harmful in case you have any other ailment. Low impact exercises will strengthen the spine, while fat burning and weight loss exercises will ensure that there is less pressure on the knees and lumbar area. Swimming and resistance building exercises can also be practised for these purposes.
- Abstinence: A major factor in promoting better bone and joint health is abstinence from all those things that can create problems in the long run, like smoking, drinking excessively and even too much consumption of caffeine and fatty food. All these things can create depletion of the natural bone mass. Also, switching to a lower heel for everyday wear footwear and changing your position during your time at your work station are a few things that will go a long way.
Take care of your bones and joints the right way today, for a healthier tomorrow. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Your knees are one of the most vulnerable parts of your bodies. In case of strenuous or vigorous activities, knees are more prone to damage and injury than the other parts. Several of the knee tissues are fairly delicate and often are easily impaired. Among the other knee tissue injuries, meniscus tears are perhaps the most frequent. Meniscus is essentially a cartilage that protects and stabilizes the knee joints. However, an untoward twist or a strain can lead to a tear in the meniscus. Meniscus tears are a common phenomenon among athletes and sportsmen. They have been noted to be more recurrent in older individuals.
Some of the early symptoms that indicate the onset of a meniscus tear are swelling and difficulty in bending or straightening of the leg. Sometimes a "locking sensation" in the knees also forebodes a torn meniscus. The inflammation potentially causes a lot of pain and irritation. While, it is fairly easy to ignore a meniscus tear for a normal knee injury, prolonged overlooking may only aggravate the pain and worsen the condition. The process of diagnosing a meniscus tear usually involves an MRI scan and an X-ray examination, over and above a detailed evaluation of the wound.
Treating meniscus tears vary according to the extent of the injury. Depending upon the location and the depth of the tear, various cures can be tried. The healing process, however, depends upon other allied factors such as age, level of physical activities and one's medical history. An external and minor injury is easily mendable. Whereas, graver injuries are resolved through surgical means. The other non-operative means include certain prescribed medicines and specific exercises. Some of the recommended ways of battling a meniscus tear can be enlisted as:
- Resting the knee by limiting the activities that involve excessive use of the legs or they may potentially strain the leg muscles.
- Applying ice pack can significantly bring relief to the swelling and the pain in the injured knee. Doctors advice regular use for a duration of at least 15 days.
- Compressing the knee using an elastic bandage or neoprene sleeve reduces the swelling in the knee.
- Prescribed medicines in the likes of non-steroidal anti-inflammatory drugs can be effective remedies for a meniscus tear. However, one must mandatorily consult a doctor before consuming such medicines.
I did my MRI and this is the report:- CONCLUSION:- Cervical spondylosis disco-osteophytes & right paracentral at C6_7 intervarteble disc ,encroaching on right foramina, causing significant compression of the subarachnoid space & right C7 ventral nerve root. Annular bulges at C4_5 & C5_6 intervertebral discs, causing indentation of the subarachnoid space. It is my request that please explain me this report and also suggest me any treatment or precautions that I should follow onwards. Also please suggest me about exercise if necessary. Waiting for reply.
Here are some tips to get rid of your lower back pain
'Fracture' is a medical term for a broken bone. According to an estimate, an average person has two fractures within their lifetime. When a force exerted is stronger than the bone itself, it can lead to a fracture. The risk and chance of fracture depend on your age. With age, bones tend to become brittle and, hence, a fall that would have been potentially harmless years ago can lead to a broken bone at a later age.
There are many types of bone fractures, but the main types are:
Closed fracture: A fracture in which the bone breaks but does not tear through the skin
Open fracture: Where the broken bone punctures through the skin and protrudes out. There's a greater chance of bone infection in an open fracture
Displaced fracture: In this type of fracture the bone snaps into more than two parts
Nondisplaced fracture: The bone cracks partly or wholly but it does continue to move
Some of the common signs and symptoms of a fracture are:
- Bruising and swelling of the bones
- Open fractures marked by protruding bones from the skin
- Loss of locomotive and functional ability of the injured area
- Deformity of the injured area
- Pain in the event of movement of the injured area
A fracture can be caused by a number of reasons, and they are:
- Injuries and accidents
- Falls and slips
- Wear and tear through overuse
- Sport injuries
- Fist fights and brawls
- Osteoporosis (a disease which causes bones to weaken in adults)
- Osteomalacia ( a disease caused due to softening of your bones, which is caused by a vitamin D deficiency.) Soft bones are more likely to bow and fracture than are harder, healthy bones.
Note - Osteomalacia is not the same as osteoporosis. Osteomalacia occurs due to a defect in the bone-building process while osteoporosis develops due to a weakening of existing bones.