Book Clinic Appointment with Dr. Kailash Kothari
Treatment of Headaches
Treatment of Pain
Treatment of Knee Pain
Treatment of Nerve Pain
Treatment of Cervical Problem
Treatment of Neurological Problems
Treatment of Osteoarthritis
Treatment of Hip Disorders
Back Pain Treatment
Neck Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment Of Disk Slip
Chronic Pain Management
Treatment Of Herniated Disc
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Treatment of Muscle Spasticity
Treatment Of Foot Infection
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Patient Review Highlights
Knee osteoarthritis is a common condition affecting the knee joints. This condition results from age related degeneration of joint cartilage and synovial fluid. This results in excessive stiffness, swelling, pain and decreased mobility due to loss of lubricant functions of joint cartilage.
Treatment for Knee Osteoarthritis:
Treatment for knee osteoarthritis consists of anti inflammatory drugs, lifestyle modifications and knee exercises. In advanced stages where pain is severe or conservative therapy fails, replacement of knee joint is required. In many cases, knee replacement is not feasible or desired due to various reasons. For such cases, other treatment option is available in form of Platelet rich Plasma (PRP) injection in knee joint.
How is PRP therapy done?
The procedure involves drawing a sample of blood from the patient and then placing it in a Centrifuge machine which extracts the Platelet rich plasma (PRP) constituent from blood.The sample constitutes of platelets (blood cells) which consist of numerous healing and inflammatory chemicals. This PRP sample is injected in the knee joint under sterile precautions. This decreases inflammation, and promotes healing.
The body’s first response to soft tissue injury is to deliver platelets. Platelets carry cells, proteins, and other growth / healing factors that initiate repair and recruit stem cells. PRP therapy’s natural healing process intensifies the body’s efforts by delivering a higher concentration of platelets within the damaged joint. Research has shown PRP therapy to be very effective at relieving pain and returning patients to their normal activities. Both Ultrasound and MRIimages have shown definitive tissue repair after PRP therapy, confirming the healing process.
The need for knee replacement can also be greatly reduced by promoting repair of cartilage before joint damage becomes extensive. In fact PRP therapy works best when done in early stages of Knee Osteoarthritis.
No hospital stay is required. The procedure is performed safely and takes approximately two hour including preparation and recovery time. In fact, most people return to their jobs or usual activities right after the procedure.
Most patients require 2 to 3 sessions of knee PRP therapy.
Side effects of PRP Therapy:
The procedure is free of side effects when done by experienced pain specialists. Since the therapy involves injecting patient's own blood derivative, it is a safe procedure.
Pain management can be simple or complex, depending on the cause of the pain. The treatment of pain is guided by the history of the pain, its intensity, duration, aggravating and relieving conditions, and structures involved in causing the pain.
I have Migraine headache and it is so serious that it can only be recover temporarily by taking pain killer (Diclovin). By Taking so much of pain killers ,my platelets goes down .So what should I do?
I am 23 years old I'm suffering from lower backache from 6 months, used lot of medicines suggested by doctors but did not resolve. If I take rest it's reducing ,unable to sit for even 1 hour.
I am suffering from disc prolapse from around 15 days now I sometimes I suffer from pain and sometimes it is completely fine now we are thinking if we should operate on it or not. Actually I want to know the disadvantages of operation or surgery in this case.
Few days back my legs muscle started paining, till now its paining while I do some physical work, or I do play cricket, is it a muscle pull or anything else?
I am having mild to moderate headache that comes and goes from 2 weeks, its more when I don’t get enough sleep. But I have never been a headache patient. Some times pain near eyes. On eye check up, dryness was found. I am getting medicine and drops for it. Bp is 135/85. I am IT software professional and can not concentrate a lot on screens. Head pain radiates but its not too much.
Movement of the head and neck is enabled by the various joints, muscles and ligaments in this region, in the cervical spine. Cervical spine is a part of the vertebral column or the spine. It supports the head and neck in all movements. There are cervical vertebrae, ligaments, muscles, and nerves which ensure this movement happens smoothly. However, given the complexity of the whole structure, head and neck pain are also two of the most common joint pains.
The Neck Bone’s Connected to the Head Bone…
The vertebrae of your neck (cervical spine) support the weight of your head and all its motions, which may not seem like much – until you realize your head weighs as much as a bowling ball. When your neck bones are not positioned properly, the result is tightening of the muscles and irritation of the nerves that connect with your head. Your head and neck symptoms may include some or all of the following:
- Sharp or dull pain or discomfort in your neck
- Stiffness in your neck Pain radiating to the one or both arms and hands
- Inability to turn your head to one side
- Shoulder pain
- Jaw pain
Fortunately, you don’t have to live with head and neck pain – and you don’t have to take drugs to eliminate the pain.
- Posture problems: Not providing adequate support when being seated grows to be a menace. With the changing lifestyle where people end up staring at a monitor, there is tremendous stress on the neck muscles, leading to pain and stiffness. There is also loss of flexibility, leading to a stiff neck and headaches.
- Muscle strain: This can occur due to a sudden movement, either when doing something or as a result of accident (like a whiplash injury). The muscle can be torn or injured and this can result in pain, swelling, and inflammation of the affected area.
- Stress: One of the most common identifier of stress is the constant ache/nagging pain in the back of the neck.
- Disk herniation: When the disk is bulged or moved out of its space due to excessive movement and rotation, the disk gets herniated and the nerve gets ‘pinched.’ This can cause a sharp, shooting pain to the area where the nerve emerges out of that disk. Spondylitis, arthritis, etc., are other chronic inflammatory conditions which can affect the neck and head areas. Side effects: When there is pain in the head and neck area, the whole body function is affected. The movement is limited and affects overall functioning of the patient. This, in turn, affects the overall quality of life.
- Management: Identify the problem with a thorough examination, X-ray, and if required MRI. Ice or heat application over the area for relief of pain temporarily. Improve ergonomics in terms of height of the monitor, seat/chair, etc., so the strain is minimized. Develop an exercise regimen, which gives adequate exercise to the head and neck muscles.
- Manage stress: Be it physical, chemical, or emotional stress, it takes a toll on the head and neck area. Managing the stress (there is no escape from it!) will definitely see the pains and stiff neck go away. Engage in pain management, which is holistic (as above) and does not always resort to medications. Pain management treatment like cervical epidural injections, facet joint RF ablation, myofacial trigger point injection etc helps in relief of pain and there by assisting in good rehabilitation program.