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A chronic systemic disease characterized by inflammatory changes in joints & related structures that result in crippling deformities. Diseases primarily affecting the synovium & adjacent tissues.
Rheumatoid arthritis is a chronic systemic inflammatory disorder that may affect many tissues and organs, but principally attacks the joints producing an inflammatory synovitis that often progresses to destruction of the articular cartilage and ankylosis of the joints. Rheumatoid arthritis can also produce diffuse inflammation in the lungs, pericardium, pleura, and sclera and also nodular lesions, most common in subcutaneous tissue under the skin. Although the cause of rheumatoid arthritis is unknown, autoimmunity plays a pivotal role in its chronicity and progression.
Causes of Rheumatoid Arthritis:
- Exact cause is not known.
- Evidence points to autoimmune etiology.
- Genetic predisposition common.
Signs and symptoms of rheumatoid arthritis may include:
- Tender, warm, swollen joints
- Joint stiffness that is usually worse in the mornings and after inactivity
- Fatigue, fever and weight loss
Early rheumatoid arthritis tends to affect your smaller joints first — particularly the joints that attach your fingers to your hands and your toes to your feet.
As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders. In most cases, symptoms occur in the same joints on both sides of your body.
About 40 percent of the people who have rheumatoid arthritis also experience signs and symptoms that don't involve the joints. Rheumatoid arthritis can affect many non-joint structures, including:
- Salivary glands
- Nerve tissue
- Bone marrow
- Blood vessels
Rheumatoid arthritis signs and symptoms may vary in severity and may even come and go.Over time, rheumatoid arthritis can cause joints to deform and shift out of place.
Homeopathic Remedies for Rheumatoid Arthritis
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions.
In allopathy, there is no effective treatement for rheumatoid arthritis except painkillers and steroids that hampers the overall dynamic power of the body. Homoeopathy is a safe and effective alternative that targets the root cause of the problem and treats holistically.
The Scope of homeopathic treatment in rheumatoid arthritis is very favorable. But the patient needs to understand that the homeopathic system is aiming to clear out the disease from the body and not trying merely to suppress or give temporary relief. Thus it could take a while before one experiences relief. The time for its treatment is dependent on various factors- The chronicity of the disease (the duration since the disease has been in the body), genetic propensity and the extent of damage. Homoeopathy can hit the autoimmunity and starts with a better pain relief and can also help you to get rid of painkiller and if treatment continued systemically then may also help you to get rid of steroids, anti-inflammatory drugs leading to better mobility and better quality of life.
What kind of homeopathic medicines are used in treating rheumatoid arthritis and how safe are they?
Homeopathy works on the principle of ‘like cure like ‘ this in homeopathic terms means that substances which in their raw states produce symptoms similar to the disease have the potential to stimulate the body’s own restorative process for a similar illness when given in an activated dilution.
Homeopathic medicines that are used in treating rheumatoid arthritis are mainly from all plant, mineral kingdom. They are then highly diluted and succused (shaken in a specific way).These activated dilutions then stimulates our body’s own restorative systems to eradicate the disease. When rightly prescribed, they are extremely safe.
Most of us may not be aware, but the knee is the largest joint in the human body and contributes the maximum to a person’s physical movement from one place to another. The knees play a significant role in a variety of movements including squatting, supporting the weight, running, kneeling, sitting, etc.
Whether it is a severe accident, osteoarthritis that set in with age, or other reasons, the result could be stiff, painful knees. The first line of treatment would be exercise, physiotherapy, and medications. However, if these do not work, then surgical treatment is the choice. Though usually it is reserved for people over the age of 50, there could be exceptions.
Given the number of functions it is involved in, when a serious procedure like knee replacement is being considered, the pain that the person would go through and the recovery time are two important parameters to address. It is best that the patient has a detailed discussion with the doctor and gets all doubts clarified. This will help both the patient and the doctor have realistic and practical expectations about what to expect after the surgery.
So, when pain and stiffness make knee replacement inevitable, prepare for it. The following sequence outlines what happens right from surgery to recovery.
Under general anesthesia, the damaged portion of the knee is removed, and a prosthesis (metal or plastic) is used to replace the removed portion.
Hospital stay can range from 3 to 5 days.
In about a month, the patient will have remarkable recovery, with almost no pain.
Though not advisable, most patients would be able to stand and do basic movement on the day of surgery.
Begin walking with the support of parallel bars and continue using cane/walker/crutches for the first few days to avoid overload on the knees.
With proper support, walking is possible in 3 to 5 days. Continue using a cane for the next few weeks to strengthen the knee.
Schedule a postoperative visit in the 4th to 6th week after surgery.
Draw up an exercise routine with your physiotherapist.
Driving should be possible, once you are off pain medications, as these can make you drowsy.
Knee replacement is almost magical as in the long run (10 years postoperatively), there is a good 98% chances of success.
Having said this, it is important to remember each person responds differently to the procedure and therefore treatment/rehabilitation is completely personalized.
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.
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.
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 are looking for natural remedies for arthritis, you should opt for Ayurvedic treatment. Arthritis is a chronic, systemic inflammatory disease causing damage to your joints and connective tissues. The knee gets commonly affected. There are three primary types of arthritis, which occur in your knees. Ayurveda is ideal for arthritis treatment, and there are several Ayurvedic remedies that you can opt for.
How Does Ayurveda Approach Arthritis?
Ayurvedic treatment for arthritis is based on the understanding of the various doshas or humors of the body. According to Ayurveda, there are four main humors in the body and it is these that govern our health, wellness and our proneness to disease. Arthritis, as per Ayurveda, is a condition caused due to the aggravation of vata dosha (air). The body produces ama – a toxin that is released as a by product of improper digestion. When ama is produced, it circulates in the body and gets deposited at sites that have already weakened. So when the vata is already stirring up, ama finds the perfect place to build up. That is why you experience arthritis in fingers or knees. For most people, arthritis in the knee is more painful than in the fingers because knees are load bearing joints. If you have arthritis in your knees, you will have trouble moving and the range of motion in your joints will be severely restricted. You may have to depend on people or walking aids to make even the smallest of movements.
Ayurvedic treatment for arthritis aims at balancing and stabilising the Vata component of your body. This is done by strengthening your alimentary canal and metabolic pathway. This makes sure that your circulatory channels do not get blocked by impurities, and are functioning properly. You need to drink a lot of water in order to detoxify your body. There are several Ayurvedic home remedies for arthritis treatment as well, which help in improving your motion range.
You should start your day with a big glass of lukewarm lemon water every day.
You should opt for fenugreek which is an ideal natural inhibitor of ama and corrects your Vata dosha. This natural arthritis remedy can be taken in various ways. You can take these seeds in your food. You can also grind them, mix mustard oil to it, and apply the mixture to your joints. This provides warmth and relief to your joints.
You can opt for an Ayurvedic hot oil massage of your joints. This is effective, especially during the winter. You can use castor oil, and sesame seed oil for massaging your arthritis affected joints. Do not apply pressure while massaging your joints as applying pressure goes against the principles of Ayurveda.
It is recommended for you to meditate regularly for relieving stress and coping with anxiety. These factors are responsible for the development of ama in your body. Regular meditation makes your body relaxed and calm. You should practice yoga as it involves several breathing exercises which help in initiating you into meditation. Having effective control over your breath, your meditation will be more effective.
It is important for you to sleep early and wake up early. The disruption of your sleep cycle causes aggravation of all your doshas and causes stress and fear. A healthy sleep cycle helps you in keeping away from obesity. This improves the health of your load bearing joints, as the chances of them getting extra load because of obesity are prevented.
If you are looking for Ayurvedic remedies for arthritis, it is important for you to consult an experienced Ayurvedic practitioner. He will be able to prescribe you Ayurvedic remedies which suit your symptoms and stage of arthritis. Certain food habits like taking too much ice cream, fast food, red meat etc. should be restricted to a certain extent to prevent the production of Ama( toxin) as by-product to prevent inflammation of joints.
What is shin pain? Hello doctors I am rohit 26 years old working guy facing pain in the bone which goes down from knees to foot on the front side. Guide me whether it is shin pain or could be any other prob. I have been facing this prob since 1 year, initially it was a mild one but from 1 week its getting severe. Thanks.
This query is with regard to my wife Age 54 years. She is a patient of hypo-thyroid since her childhood for which she currently consumes 1 Tablet of Eltroxin 100 mg/day. She has issues with her bowel movements which are irregular, despite taking care to include fiber based diet, off and on. She is also allergic to nights and can only be prescribed other pain-killers like Paracetamol. She is a post-menopausal housewife and we do not have any children. For the last few days she has been complaining of severe pain in the forward part of her left heel which is sometimes felt upwards to her knee. This is impeding/obstructing her movements while walking and performing daily morning exercises. She also periodically complains of hot flushes in both her feet below her knees. She takes a Paracetamol tablet whenever the pain in her left-knee (which is an old health issue since 2013) is unbearable, may be 3-4 times a year. She regularly consumes Shelcal 500 mg or Supradyn tablet with breaks of about a month, which gave her relief from her left-knee pain. Kindly advice what could be the cause and remedy for these issues of my wife. Thanks and best regards.
I fell from stool 6 months back my knee was fractured after recovery I took physiotherapy for 15 days but even know I can't climb steps what should I do know.
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!