Doctors in Indus Super Speciality Hospital
Back Pain Treatment
Treatment of Pregnancy and related Disorder
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Depression
Treatment of Knee Pain
Treatment of Irregular Periods
Treatment of Hand Pain
Management of Pregnancy
Treatment of Shoulder Pain
Treatment of Ovarian Cysts
Management of Pregnancy Query
Treatment of Anxiety
Management of Abortion
Treatment of Alcohol Addiction Disorder
Treatment of Painful Periods
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
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Knee pain or injuries are very common and have numerous causes. Knee pain can emerge from delicate tissue wounds like ligament sprains and muscle strains. Bone conditions like knee joint pain, Osgood Schlatters, and biomechanical dysfunction can also cause knee pain. Treatment can include basic knee mobilization techniques, taping, massages or knee strengthening exercises completely through a careful recovery method after knee replacement or reconstruction.
Physiotherapy can help you overcome the pain and increase your strength and flexibility. A physiotherapist can suggest you a number of treatments and also help you understand your issue and get you back to your everyday routine. Physiotherapists are said to be successful in getting rid of the source of the knee pain by diagnosing a cause. This includes tightness around the knee and treating it with stretching and exercises.
Following are some of the exercises a physiotherapist might generally recommend for knee pain:
- Hamstring stretch: Stretching keeps you flexible and increases your scope of movement, or how far you can move your joints in different directions. It additionally helps you reduce your chances of injuries and pain. Continuously warm up with a five minute walk first. Lie down when you are prepared to stretch your hamstring. Circle a bed sheet around your right foot, use the sheet to pull the leg up and hold for twenty seconds and then lower the leg. Repeat twice and switch legs.
- Calf stretch: Use a chair for balance. Bend your left leg. Step back with your right leg and gradually straighten it behind you. Press your left heel toward the floor. You should feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice and then switch legs.
- Straight leg raise: It helps build muscle strength to give support to the weak joints. Lie on the floor. Twist your left knee, foot on the floor. Keep the right leg straight, toes pointed up. Tighten your thigh muscles and raise your right leg.
- Quad set: With these, you don't raise your leg. Just tighten the thigh muscles, also called the quadriceps, of one leg at once. Begin by lying on the floor. Keep both legs on the ground, loose. Flex and hold the left leg tense for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Cushion squeeze: This move strengthens your legs from the inside so that they can support the knees. Lie on your back, both knees facing inwards. Place a cushion or a pillow between the knees. Press your knees together, squishing the cushion between them. Hold for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Heel raise: Stand tall and hold the back of a seat for support. Lift your heels off the ground and rise on the toes of both feet. Hold for three seconds. Gradually lower both heels to the ground. Do three sets of ten repetitions.
Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.
Why do you need knee replacement?
Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.
If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.
- Gout, where, small crystals are formed inside the joint.
- Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
- Hemophilia, wherein, the blood ceases to clot normally.
- Injuries to the knee.
- Disorders that cause unusual bone growth (bone dysplasias).
- Death of bone in the knee joint following blood supply problems (avascular necrosis).
- Knee deformity with pain and loss of cartilage.
- Unusual growth of bones in the knee joint.
Knee replacement surgery is classified into:
- Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
- Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.
The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.
Life is constant game of changes and people who can adapt to it and move on generally tend to find their pockets of happiness. From bad finances to lack of love to a near ones loss, each of us constantly face struggles that can leave us drained and depressed. People often work on these external factors to find their happiness. Those who suffer from depression as an illness though find it taking over multiple spheres of their lives disabling them from doing routine tasks with ease. Depression, like other diseases, can also have a biological origin.
Several theories concerning the biologically based cause of depression have been suggested over the years. Simply put, chemical imbalance in the brain can be a trigger to depression. As the 'command center' of our body, the brain uses a number of chemicals as messengers to communicate with other parts of itself and with the nervous system. These chemical messengers, called neurotransmitters are released and received by the brain's nerve cells called neurons. Neurons are constantly communicating with each other by way of exchanging neurotransmitters. This communication system is essential to all of the brain's functions.
Among the biological causes of depression, the most prominent and widely researched is the monoamine hypothesis. The three main monomine triggers of imbalances that trigger depression are neurotransmitters called serotonin, norepinephrine and dopamine. Serotonin regulates functions like sleep, aggression, eating, sexual behavior, and mood. Similarly, the catecholamine hypothesis suggests that a deficiency of the neurotransmitter norepinephrine (also known as noradrenaline) in certain areas of the brain was responsible for creating depressed mood. Norepinephrine helps our bodies to recognize and respond to stressful situations.
Dopamine plays in important role in helping each of us seek out our 'high' or 'pleasure' from rewards. Low dopamine levels may in part explain why depressed people don't derive the same sense of pleasure out of activities or people that they did before becoming depressed.
Another leading cause of clinical depression is focused on the endocrine system. The endocrine system is responsible for making hormones and releasing them into the blood to regulate processes like reaction to stress and sexual development. Hormonal irregularities may lead to depressive symptoms like loss of appetite and sleep. It is further observed that those who have particular endocrine disorders sometimes develop depression, and some individuals who are depressed develop endocrine problems despite having healthy glands.
In a research done among depressed individuals, over half had a hormone called cortisol in excess in their body and abnormal times of secretion.
Depression can have many triggers and origins and it is important to see the right doctor who can treat the cause, triggers and symptoms in addition to the disease. Depression has a genetic predisposition. Also, the faulty thought pattern alters the physiology by upsetting the hormonal balance. Psychological professional help should be a priority in depression and its role should not be under emphasized.
Cancer today is not as rare as it once was. Today, cancer affects the young and old alike. One of the reasons for this is the pollution in particular air and water pollution that we are exposed to on daily basis.
The air we breathe in today is a mixture of smoke, particulate matter and noxious gases that causes great harm to our bodies. Amongst these, particulate matter that is smaller than 2.5 millionths of a metre is the worst.
These particle matters are emitted into the air from car exhausts, industrial exhausts, coal fires, wood stoves etc. While the body’s natural defences help keep larger particle matter out of the system by sneezing or coughing it out, smaller particle matter enters the body easily. These then get trapped in the lungs and enter the bloodstream. Particle matter has in particular been linked to increasing number of lung cancer cases. Apart from lung cancer, coal tar particle matter has been linked to bladder cancer, soot to oesophageal cancer and benzene and other pesticides to leukaemia.
Radon is another source of air pollution that is emitted from the ground. In some cases, radon can also be emitted through the water. As this gas decays, it releases tiny particles that when inhaled bombard the lung cells with radiation that can cause radiation. Smoking can worsen this effect and increase a person’s risk of suffering from lung cancer. Both first-hand and second-hand smoking have also been linked to breast cancer. Apart from trying to reduce emissions to lower air pollution, it is also important to clean filets of air conditions, etc. regularly to lower indoor air pollution. Preventing the smoking of tobacco in public spaces can also help improve air quality.
All pollutants emitted by us eventually find their way into the water we drink. Even if you are not drinking contaminated water, merely, showering or swimming in contaminated water can make your body more vulnerable to the carcinogens in it. Common water pollutants include arsenic, hazardous waste, animal waste, radon, chemicals and asbestos. Drinking water with concentrated amounts of arsenic has been linked to cancer of the lungs, liver, kidney and bladder while the chlorine used to treat drinking water increases the risk of bladder and rectal cancer.
To reduce the risks of cancer caused by polluted water, it is essential to reduce disinfectant by products by keeping water treatment facilities updated and promote green chemistry and alternative assessments to reduce pollution as a whole.
Epilepsy is a neurological disease which is characterised by recurring epileptic seizures. These seizures can be brief or can persist for prolonged periods. Vigorous episodes which last long can result in physical injuries such as broken bones. Mention that 6th February is International epilepsy day.
Causes of Epilepsy
The cause of this condition isn’t very evident; however, most medical practitioners attribute epileptic seizures to brain injury, tumours, infections in the brain or birth defects. Some doctors believe that epilepsy is caused due to genetic mutations and is an outcome of abnormal activity of cells in the brain. Other causes for this condition can be alcohol or narcotics withdrawal and electrolyte problems.
- Repeated seizures
- Impaired memory
- Bouts of fainting
- Short spans of blackout
- Sudden bouts of blinking and chewing
- Inappropriate repetitive movements
Types of Seizures
A seizure, also known as fit, is usually a brief episode characterised by uncontrollable jerking movement and loss of awareness due to abnormal neuronal activity in your brain. A collective occurrence of these seizures causes epilepsy.
There are three types of seizures an epileptic person usually encounters.
- Idiopathic: This kind of seizure has no apparent cause
- Cryptogenic: The doctors believe that there is a cause for the seizure but cannot detect it
- Symptomatic: These seizures occur due to a reason.
- Medication: Medication is the most common treatment in case of epilepsy. Drugs taken on a regular basis can stop the seizure partially. But in very severe cases, they seem to have no effect at all.
- Surgery: For symptomatic seizures which are caused due to abnormal brain function, surgery can be a way to get rid of seizures. In some minor cases, nerve stimulation in the brain and special diets can be prescribed to control the epileptic seizures.
Five facts about epilepsy you need to know:
- Epilepsy is not psychosis or madness and can be treated easily
- Popular celebraties with epilepsy include Aristotle, Alfred Nobel, Alexander the great, Sir Isaacs Newton, Martin Luther and Julius Caesar etc.
- Woman with epilepsy can have a normal pregnancy
- Newer medicines for epilepsy are effective and very safe
- Surgery can cure epilepsy in some patients.
What is salt and sodium?
Salt is made of sodium (40% by weight) and chloride (60% by weight). Sodium is a crucial electrolyte in the body. Sodium is an essential nutrient necessary for maintenance of plasma volume and blood pressure, acid-base balance, transmission of nerve impulses and normal cell function.
Different types of salt?
- Table salt or common salt
- Sea salt
- Himalayan rock salt (sendha namak and black salt)
The primary advantages of various types of salts other than common salt is having trace minerals (in very small amounts) and lack of processing and additives.
How salt intake normally?
WHO recommends that adults consume less than 5 g (just under a teaspoon) of salt per day. This goes around 2300mg of sodium per day. But, most Indian people consume too much salt - on average 9-12 grams per day.
What are health hazards of high salt intake?
How high intake of sodium cause kidney disease?
High salt intake is associated with kidney disease by two mechanisms:
Causing hypertension, vascular injury and proteinuria.
FOOD containing high salts?
Fast foods, preserved and packaged foods like:
- Bread products
- Salted and dry-roasted nuts
- Salt fish
- Smoked meat and fish
- Soy sauce
- Stock cubes
Many snack foods - chips, crackers, and pretzels - contain several hundred milligrams of sodium per serving.
Conditions where low salt is beneficial?
How to reduce sodium (salt) intake?
- Not adding salt during the preparation of food
- Not having a salt shaker on the table
- Limiting the consumption of salty snacks
- Choosing products with lower sodium content
- Remove salt from recipes whenever possible
- Use salt substitutes wisely
- Eat more fresh fruits and vegetables and low-fat dairy
- Use onions, garlic, herbs, spices, citrus juices and vinegars in place of some or all of the salt to add flavour
- Drain and rinse canned beans (like chickpeas, kidney beans, etc.) and vegetables
- Combine lower-sodium versions of food with regular versions. This will not differ much in taste. This works especially well for broths, soups and tomato-based pasta sauces.
- Cook pasta, rice and hot cereal without salt
- Cook by grilling, braising, roasting, searing and sautéing to bring out natural flavors. This will reduce the need to add salt
- Incorporate foods with potassium like sweet potatoes, potatoes, greens, tomatoes.
Hi am Jyoti, I got positive pregnancy test in hospital checkup, but actually my Question is every month my mesus was delayed it take time of 45 days, am I confirm I am sure pregnant?
Pregnancy is a normal life function that many women go through. Yet, this is a function or a part of life where one has to take special care of one’s health and condition as there are many biological changes that happen in one’s body. Swollen legs and ankles are a common part of one’s pregnancy. This condition is most commonly known as edema and it usually occurs when fluid collects in the tissue. This in turn happens when the blood chemistry changes and the fluid gets routed to the tissue. This is a common occurrence due to the hormonal changes that one goes through during pregnancy. The condition usually troubles pregnant ladies during their third trimester.
Read on to find out the various ways in which one can deal with it.
- When to call a doctor: Call a doctor or a midwife for a thorough check up if you happen to see any puffiness or swelling in your face and eyes. This could point at a more serious problem like the onset of preeclampsia. Also, if you happen to notice that one leg is more swollen than the other, then you may want to see a doctor about it, as it could mean that there is a blood clot in the leg.
- Put your feet up: This is especially important if you are at a desk all day. The best way to deal with such swelling is to put your feet up every once in a while, so that the swelling may reduce. You can use a foot stool or even a pile of books for this purpose.
- Breaks: If you are constantly sitting or lying down, it would be a good idea to give it a break and walk around a little so that there is better blood circulation. This also keeps the blood from pooling into the lower regions of the legs, which can prevent an increase in the swelling.
- Comfortable footwear: One should stick to flat and comfortable footwear with an even elevation as well as foam soles so that the comfort level while walking and standing is optimum. Choose your shoes so that they can accommodate your swelling instead of pinching your feet. Also, you can choose to wear snug socks and stockings, which will form a band around your feet. This will ensure that the swelling does not increase to a painful level. At the same time, you must avoid socks that have bands, which are too tight as this may lead to blood pooling and subsequent swelling in the legs and ankles.
- Water: Drinking plenty of water ensures that there is less fluid retention. This is one of the best ways of fighting edema whether or not you are pregnant.
6. Freqent bp monitoring is required in these patients.
Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.
Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.
- Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
- Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
- Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
- Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
- Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
Children may run around having fun and growing in the process. Some children may be more active than the others and some may be more attentive at school. All children go through some sort of trouble while growing up. This is because of the drastic changes that the bodies of little children constantly go through. One such problem commonly faced by the children is bedwetting. This problem may be a common one, but it should be brought under control as soon as possible so that the children do not have to face social embarrassment as they grow older.
Apart from providing a healthy and happy living to the children, it may be essential to find a way of treatment that may not leave the child affected by the harmful ingredients of the regular allopathic medication. One of the safest and the most effective ways to be able to treat bedwetting is homeopathy. Homeopathy is a branch of medicine and treatment that works on the body of the user with the most natural ways. The medicines in homeopathy are made using basic ingredients from plants and other organic materials.
Homeopathy for children:
The use of homeopathy for problems that affect the children in particular is essential because of the fact that they have growing systems and the growth may get adversely affect with the strong and highly potent allopathic drugs. It is also important to understand the nuances of controlling the bedwetting issue in children and also know what the causes of the problem may be:
- When the children are highly fatigued, they may wet the bed due to the deep sleep that they may be experiencing after a tiring time.
- In times of winter when the cold is uncontrollable or much more than usual, it may be natural for some children to not be able to control their bladder.
- In a lot of cases, the children may also wet the bed when they have had a scary or traumatic experience.
Just as the causes of the problem are varied, it must be realized that the medications are also supposed to be administered according to the issue.
Homepathic medication for betwetting
Homeopathy is a stream of medicine that treats the body in the most delicate manner, which is why it is a safe alternative for children. However, it must also be ensured that proper medical intervention is attained to start a course of homeopathic medication as well, so that bedwetting may be treated within a desired amount of time and the child may feel free from the embarrassment of wetting the bed.