Doctors in Krishna Institute of Medical Sciences (KIMS)
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Prevention & Treatment of Diabetes
Treatment of Depression
Treatment of Knee Pain
Treatment of Acidity
Management of Sugar Disorders
Treatment of Thyroid Disorders
Treatment of Hand Pain
Treatment of Abdominal Pain
Treatment & Management of Stress
Treatment of Shoulder Pain
Treatment of Jaundice
Treatment of Anxiety
Treatment of Alcohol Addiction Disorder
Treatment of Foot Pain
Treatment of Mood Disorder
Treatment of Lower Back Pain
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Patient Review Highlights
Dear sir/madam, I am always experiencing lightheadedness with heavy feeling in back of head. My bp is around 137/90. Lightheadedness feeling occurs mainly in standing. I have allergic rhinitis and laryngo pharyngeal reflux. Is lightheadedness related with these diseases or something else. Please prescribe cheap and powerful medicines for mainly lightheadedness.
Age of patient is 67 year, as per medical reports 90% multiple blockage but patient is still normal take the medicine and diet.
Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints. These surfaces closely replicate the original anatomy.
When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when have pain, swellingand deformity fail to respond to medicines, physiotherapy, injections and rest.
Aim of the surgery
- Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
- Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
Aftercare tips for joint replacement patients:
- Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks after the surgery.
- Activities: Normal walks of 3 to 5 km per day, climbing stairs, cycling, swimming and driving can be performed with the new implant(s) now.
- Avoid: Squatting/kneeling, playing sports like football, cricket, tennis, jumping, adventure sports,
The longevity of joints will vary between 15-35 years depending on the material used by the doctor.
Relationships are entirely dependent on the personalities of the two individuals involved in it. While some are easy going and make it seem like a cakewalk, others have a tough time keeping the relationship stable and happy. If one of the partners is a narcissist, the relationship is going to suffer, as relationships are about mutual give-and-take, which never happens with narcissists.
By definition, they give themselves too much importance and do not have much regard for the other person. The good news though is that there are tell-tale signs which can help one identify if they are dealing with a narcissist and become aware at the earliest before too much physical or emotional damage is done. Read up and for best results!
- Right over you and your stuff: They feel that they are entitled to all their wants, irrespective of how the other person feels. There is also no reciprocation involved here.
- No rules apply: The person behaves as if no rules apply to them and do not feel any shame in skipping queues, jumping lanes or traffic signals, etc. They feel rules are not for them but only others.
- Emotional swings: Blow hot, blow cold syndrome where they are blowing praises on you one minute and embarrassing you and mocking you the next.
- Think too much of themselves: They also make their partner feel like they are indispensable and the person cannot live without them.
- Take credit: If the partner has done or achieved something good, the narcissist will make sure they draw credit for it or they might not give credit or might praise them for their achievements.
If one feels that a person has narcissism that could be causing harm to oneself or to others around, and if you are unable to handle the situations yourself then they can seek professional help or counseling.
Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities. There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.
If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.
- The skin is pale gray or blue in color due to excessive venous flow in the system
- Excessive sweating
- The child is exerting to breathe regularly
- Rapid breathing causes added load on the heart accompanied by a grunting noise
- Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
- Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
- Shortness of breath, even during feeding
- Clubbed fingernails
- Lethargy and low energy, even with feeding, therefore very poor feeding pattern
- Chest pain, which may cause the newborn to cry incessantly
- Low weight gain, as they feed less
In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:
- Swelling of the hands, feet, and ankles due to fluid accumulation
- Lowered energy levels, leading to easy fatigue
- Shortness of breath with even minimal physical activity
- Inability to exercise
- Developmental delays and changes in growth milestones
- Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
- Pulmonary hypertension
- Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.
Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention.
Gridhrasi is what Sciatica is known as in Ayurveda. It is the disorder that causes mild to agonizing pain in the sciatic nerve or neuralgia. These nerves, emerging from the pelvis, run along the hamstring and may cause intense pain in one or both the legs when a person suffers from Sciatica. Sciatic pains fill your life with misery as the simplest of daily activities cause sudden and excruciating pain. There are two types of sciatia i.e. true sciatica and pseudo sciatica. Sciatica may be caused due to bulging disc or herniated disc, degenerative disc disease, piriformis syndrome, pregnancy or trauma etc.
According to Ayurveda, Sciatica is caused due to impairment in Vata i.e. the dosha responsible for the functional ability and movement of the body, and also in some cases due to impairment in the Kapha i.e. the dosha that is responsible for body fluids and lubrication.
1. Babunah is also known as Bitter Chamomile. Not only is it used to relieve and reduce the pain faced by a sciatica patient, but it is also used for treating problems such as rheumatism due to the advancement of age. Compressed bitter chamomile flowers are prescribed for sciatica.
2. Guggulu is also known as Indian Bdellium. Since guggulu is well known for its anti-inflammatory properties, it relaxes the sciatic nerves.
3. Rasna is also known as Vanda Orchid. Intense or agonizing pain due to the sciatic nerve issues can be reduced by this ayurvedic herb due to its anti-inflammatory properties.
4. Juniper oil is extremely helpful when massaged onto the thigh muscles with firm strokes or pressure. It is used extensively in massage therapy for treating sciatica since the extent of reduction in sciatic nerve pain is tremendous.
5. Jaiphal is also known as Nutmeg. After being mixed with sesame seeds oil, nutmeg is coarsely powdered and then fried till it turns brown. This is then applied to those areas where the sciatic pain is intense for instant relief.
6. Kumari is also known as Indian Aloe. Properties of Indian Aloe are extremely helpful in treating lower back ailments such as sciatica and lumbago.
7. Shallaki is also known as Boswellia or Frankincense. Containing anti-inflammatory properties, shallaki is applied externally to get relief from sciatic nerve pain.
Ayurvedic preparations such as yogaraja guggulu, Vataganjakusha, Saindhavadi taila are also very useful in treating Sciatica.
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
Procedure: 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 8-12 inches 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!