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Dr. Pijush Kanti Guha

Orthopedist, Kolkata

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Dr. Pijush Kanti Guha Orthopedist, Kolkata
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Pijush Kanti Guha
Dr. Pijush Kanti Guha is a trusted Orthopedist in Jessore Road, Kolkata. You can consult Dr. Pijush Kanti Guha at Dr Pijush Kanti Guha in Jessore Road, Kolkata. Save your time and book an appointment online with Dr. Pijush Kanti Guha on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 29 years of experience on Lybrate.com. You can find Orthopedists online in Kolkata and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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74, Jessore RoadNagerbazar, KolkataKolkata Get Directions
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Knee Replacement

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
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Benefits of Knee Replacement

Hello, friends, I am Dr. Gaurav Khera I am a consultant orthopedic surgeon joint replacements and spine. Today I will be talking to you about total knee replacement. Knee replacement is the most common surgery which is being done these days it is also a surgery which has got a lot of bad name to it because of a few complications that are associated a few myths which are associated. I'd like to clear all those out today.

Before I start talking about knee replacements I would like to tell you something about the anatomy of the knee joint. (Displaying knee model) now this is the knee joint knee joint is a type of a hinge joint, a modified hinge joint, it has three compartments, it has the middle or the inner compartment the lateral or the outer compartment and the patella femoral compartment. now what basically happens in osteoarthritis that is the reason why we do a total knee replacement is that the joint it starts to age or it starts to degenerate, and as the joint degenerates this blue coloured cartilage cover it starts to go away, as the cartilage cover goes the joint tries to recover from this degeneration process and in doing so in the repetitive process these osteophytes which are like bony specules they are formed, now these bony spicules as they are getting formed they start pinching into the surrounding tissues, surrounding tissue means the ligaments, basically 4 ligaments are in the joint 2 of which are inside and 2 of which are outside. the outside ones are the lateral and the middle collateral ligament and the inner other anterior and posterior cruciate ligament now the first ligament to get involved is the medial collateral ligament which is on the inner aspect of the knee joint and there is tightening of this ligament which takes place as the recommend gets tightened this middle compartment it starts to tighten up and there is further rubbing of these bones as these bones are out this blue cartilage it goes away and the bone gets exposed and the raw bone Easter surfaces they rub against each other causing severe excruciating pain.

The patients  come to us then they complain of pain when they are going up and down stairs they complain of funny sounds which are coming, they complain of difficulty and squatting difficulty in cross leg sitting. so this is the reason why you get all these pains. now Osteoarthritis is not the only reason why were doing knee replacements. knee replacements are also being done father causes like hemophilia, septic arthritis, septic arthritis means infections. a few other causes like imposed tuberculosis, again its an infection. now there are two types of knee replacement surgeries which are being don,e one is the unicondyler knee replacement and one is the total knee replacement, a unicondyler knee replacement what we do is we change only the middle aspect of the joint or the inner aspect of the joint and in total knee replacement we change the entire joint. now changing of the joint does not mean that we remove the bone from the top and bottom and we just put in a new knee, basically were just changing the damage surface so this is the model of a knee replacement surgery.

Basically there seven cuts which is involved in a total knee replacement the main cut being the table cut and the other cuts are the femoral cuts now the femoral cuts are again you know the distal anterior posterior the chamfer the box so once these cuts are done this is how the femur of the knee joint looks like of the implant. this is then fitted onto these cuts with the help of a bone cement and on the tibia we put a tibial plate which is again fixed with a cement and then we put a insert. the size of the cuts and the amount of bone which is being cut is generally decided inter operatively. the types of implants which are being used are different, the types of implants vary we have patient-specific implantations we have computerized implantations you know in which we can do computerised cuts during the surgery and we have high flex knees we have normal needs so huge variety of things which are coming. now coming to rehabilitation process after the surgery the rehabilitation process for you as a patient is the most important, see normally the patient requires two to three months to recover after the knee replacement.

We make the patient walk after 24 to 48 hours .now the reason why we are making you walk so early is so that we can get your knee to start moving we can prevent complications like DVT and we can start your physiotherapy for muscle strengthening as soon as possible. your physiotherapy will continue for at least two months after the surgery and you will be able to lead a completely normal life that is hardly any activity which is going to be restricted after your surgery, you can go for your cycling you can go for your mountaineering you can go for your running you can go for your walks, we will only advise you not to be squatting and not to be cross leg sitting other than these you will be allowed to do all other activities. the complication rates of the surgery has come down tremendously. about 10 years back the complication rates were much higher now the complication rates have really come down that is because the most common complication is infection. now infection the methods which we are using in this surgery they are better antiseptic methods that we are using, there are better barriers which are there in the hospital, better antibiotics so infection rates have come down. the other thing is the failure of the implants there is a much better understanding of how the knees functioning, there is a much better understanding of what the soft tissue balancing is required. so all these complications have really come down so I would advise you that

If you are really suffering from a lot of knee problem if you’re having to take a lot of painkillers if youre not being able to do your daily activity then you should get in touch with us and you start thinking of a knee replacement surgery. you can contact me and come and meet me at my clinic at dr Kheras wellness clinic, I am here everyday in the evening from 6 to 9. I am also available at Apollo spectra hospital, you can call text or video chat with me through Lybrate. Thank you.

4098 people found this helpful

How Ayurveda Helps Manage Muscle Pain?

Bachelor of Ayurvedic Medicine and Surgery (BAMS), Certificate In Osteopathy, Panchakarma Training
Ayurveda, Udaipur
How Ayurveda Helps Manage Muscle Pain?

Muscle pain is common to both men and women irrespective of their age. People usually resort to painkillers in order to receive temporary relief, but taking too much of these can affect your health adversely. Ayurveda provides effective ways to heal muscle pain.

The following few ways to treat muscle pain can be taken into notice:

1. Regular exercise- Regular exercise can help you treat muscle pain. Yoga can prove to be very helpful. You may try lotus pose, cobra pose, boat pose among many others to get relief from muscle pain.

2. Panchakarma- Panchakarma is a therapeutic treatment, which can help you heal your muscle pain. It includes five steps vamana, virechana, nasya, basti, raktamokshana, which will clean your body and mind from toxins and can also offer relief from pain.

3. Abhyanga-This process is suggested in ayurveda to offer relief from muscular pain. It involves applying oil all over your body followed by a warm bath.

4. Healthy diet- Having freshly cooked food and including green vegetables and spices like cumin, ginger, turmeric in your diet can help you to combat your problem of muscle pain.

5. Use of ice cubes- Applying ice cubes over the area of muscle pain can help you get some relief.

6. Foods to avoid- Avoiding food items like curd, sugar, refined cereal, rice, potato and sour food can help you to reduce muscle pain.

7. Ayurvedic Herbs- Ayurveda also offers many herbs, which can help you find relief from your muscle pain.

8. Obesity- Avoid gaining excess weight. Being overweight can increase muscle pain.

By following the aforesaid tips you can heal your muscle pain naturally without any side effects. In case you have a concern or query you can always consult an expert & get answers to your questions!

5688 people found this helpful

I am 20 years old, m having a pain in my calfs I have tried serval creams, tapes and also the bands but its nt working. What should I do?

DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Visakhapatnam
I am 20 years old, m having a pain in my calfs I have tried serval creams, tapes and also the bands but its nt workin...
Hello, you need clinical evaluation, avoid dehydration, take plenty of water. Consult neuro physician if not relived.
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During a riding bike for half an hour , getting too much pain in the left shoulder down and etching foe some time , and middle of the back left numbing every time , and during sleeping both hand finger is also numbing Please tell.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
During a riding bike for half an hour , getting too much pain in the left shoulder down and etching foe some time , a...
You should take acupressure therapy and take biochemic kali phos 200x +nat mur 200x, 4 tab each thrice a day with warm water and take it 5 days.
1 person found this helpful
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My husband is having burning sensations in the left foot. It comes and goes frequently. He is having diabetes family history. Are there any symptoms of diabetes to him. please suggest.

BPTh/BPT
Physiotherapist, Kota
My husband is having burning sensations in the left foot. It comes and goes frequently. He is having diabetes family ...
Foot exercises. Do the following exercises barefoot: •1. First write digits 1 to 10 using your toes raised up in the air. •2. Sit on a chair, raise your toes and curl them •3. Pick up a small piece of cloth off the floor using your toes. •4. Still in a sitting position, point your toes and circle your ankles in a slow counter and clockwise motion. •5. Stand up from the sitting position and go on tip toe for 5 seconds.
7 people found this helpful
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Dear sir I have lots of pain in my knee when I was strt running. Plzz suggests me what am I do and my CRPF physical is very near and I can't run with this pain.

MPT, BPT
Physiotherapist, Noida
Dear sir I have lots of pain in my knee when I was strt running. Plzz suggests me what am I do and my CRPF physical i...
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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I did my mri for dorsal and lumbar spine and the report says that lumbar spondylosis with degenerative disc disease at L1-2, L2-3, L4-5, L5-SI. Mild bilateral nerve root canal narrowing at L4-5. D-spine mri says mild collapse of D11 with abnormal marrow signal of D11 & anteriosupeeior D12 with right side paravertebral soft tissue & collection-likely tuberculous in etiology. Can you Please suggest me what does this report mean? Do I have tuberculosis?

MD - Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Post Graduate Certficate in Ksharsutra & Ano-Rectal Diseases
Ayurveda, Mumbai
Hello there, for proper management following factors to be considered and treated simultaneously:- 1) degeneration of spine 2) bone - vertebrae - disc - spinal cord - nerves - muscles 3) infection 4) immunity 5) rejuvenation nap therapy medicines treatment is ultimate solution for this problem. Nap therapy medicines treatment will treat all above-mentioned factors simultaneously. Consult privately online-telephone-video or visit personally for proper management. For confirmation of spine tuberculosis further advance investigations are to be done and interpret with mri reports. Consult privately online-telephone-vedio.
2 people found this helpful
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After masturbation I feel tired. I have a little pain in joints of my legs and hands. Am l right this is because of masturbation? Or it is by other thing?

MBBS
General Physician, Cuttack
After masturbation I feel tired. I have a little pain in joints of my legs and hands. Am l right this is because of m...
1. Masturbation is a normal way of relieving sexual tension. 2. It is, not harmful if done in moderation, preferably 1-2 times a week. 3. Excess indulgence may cause physical problem like weakness, tiredness, loss of memory, lack of energy, lack of concentration, behavioural disorder, stress, depression, and sexual problem like erectile dysfunction, premature ejaculation, testicular pain, decrease sperm count. Etc 4. Consult sexologist for further advice.
2 people found this helpful
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