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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
Submit a review for Dr. Pankaj MishraYour feedback matters!
Dear Doctor, I have back pen within four days I was don to sum pen relief tab but cant profit any dose so please sages to me any for doesethankyou, regard.
I have hypo thyroid (past 7 years), since 2 weeks I am having joint pains. Is that related and what should I do?
About 1 year ago construction work was going in our house, I bent down and lifted up a big heavy stone and my backbone sounded like (tik tik), after that day I am getting low backpain I have not taken any medical advise or any medicine yet. When I get up in morning at that time I get maximum pain and in rest of the day I get pain only when I sit on chair or sofa. Tell me how can I become normal, without this Backpain?
I am suffering from severe back pain since last more than one month. I am 30 years old unmarried lady.
My two hands paining very badly and fingers feeling like blood circulation is not in it and also severe joint pains all over, so advice me neurologist is OK for my problems?
I am 18 years old girl from delh I have 60 kg weight I can't exercise because I had intolerance pain in my right knee. Please help me.
Few days ago I fall from a hight of 10 or 11 feet and now I have pain in my leg. I have used many medicines but no relief. I can't walk properly. Please suggest something.
Along with bones, the human structure is also supported by cartilage. Cartilage is a tough, flexible tissue that acts as a cushion between bones at joints. Some parts of the body such as the outer structure of the ear is completely made up of cartilage. Damage to the cartilage can cause pain. inflammation and in some cases even a degree of disability. Since cartilage does not have a blood supply, cartilage damage takes longer to heal than other injuries.
There are three main causes of cartilage damage
- Direct impact: Cartilage can get damaged by heavy impact during a bad fall or an accident. For this reason, sportspersons have a high risk of suffering from cartilage damage.
- Wear and tear: Over time, joint experiences wear and tear that can damage cartilage. The knees are often most affected by this. Obese people are at a higher risk of knee cartilage injury than others because of the additional pressure being out on the knees.
- Lack of movement: Long periods of immobility or inactiveness can also cause damage to cartilage.
A physical examination may not be enough to diagnose cartilage damage as the symptoms of this condition are very similar to that of a sprain or ligament damage. In addition to a physical examination, a doctor may use Magnetic resonance imaging (MRI) or Arthroscopy. An MRI uses radio waves and a magnetic field to create a detailed image of the body. Arthroscopy involves the insertion of a tube-like instrument into the joint to determine the extent of cartilage injury.
Treatment for cartilage damage is both surgical and non-surgical.
Non-surgical treatment includes exercises, steroid injections and physical therapy.
If the patient does not respond well to this form of treatment, surgical options may be looked at. The type of surgery required depends on the age and activity level of the patient along with the extent of the injury.
Some of the surgical options include:
- Debridement: This involves using a small arthroscopic instrument to smoothen the damaged cartilage and remove loose edges. This prevents the cartilage from rubbing against adjacent bone and muscle tissue.
- Marrow stimulation: By drilling small holes under the damaged cartilage, the surgeon exposes blood vessels that lie inside the bone and trigger the formation of a blood clot. This, in turn, triggers the development of new cartilage.
- Mosaicplasty: This procedure involves the transference of healthy cartilage from one part of the body to another. It is used for isolated cases of cartilage injury on patients who are below the age of 50. If you wish to discuss about any specific problem, you can consult an Orthopedist.