Book Clinic Appointment with Dr. Pranjal Kodkani
Knee Pain Treatment
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Ankle Pain Treatment
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Knee Injury Treatment
Hip Pain Treatment
Ankle Injury Treatment
Ligament Reconstruction Surgery
Joint Pain Treatment
Spine Mobilization Disorders
Treatment of Rheumatic Complaints
Knee Braces For Osteoarthritis Treatment
Submit a review for Dr. Pranjal KodkaniYour feedback matters!
Patient Review Highlights
If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.
Types of Arthritis
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture. Major symptoms Arthritis pain may occur all of a sudden but develops slowly.
In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile. Periodic inflammation is a common symptom of arthritis of the knee. You may have formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being active for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, and irreversible damage to the joint.
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. Appropriate physiotherapy may help in some patients NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:
- Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
- Corticosteroids are used for reducing inflammation.
- Certain DMARDs or disease-modifying antirheumatic drugs are used.
- Certain injections that are used for helping with knee arthritis.
Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints. Corticosteroid injections also soothe inflammation and pain. PRP (Platelet Rich Plasma) BMAC (Bone Marrow Aspirate Concentrate) You may also require a surgery for dealing with knee arthritis when other modes of treatment fail.
The most common surgeries are as follows:
- Joint Preservation Surgeries: Arthroscopy, where a keyhole incision is made in the knee for treating the damaged parts.
- Ligament repairs & reconstruction
- Cartilage repair
- Meniscus repair & transplantation
- Osteotomy, where the knee bones are modified for optimising the function of and damaged knees. This avoids replacement of any part of the knee with an artificial prosthesis like a joint replacement.
- Joint Replacement Surgeries: Uni knee replacement/Total joint replacement where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.
What is Articular Cartilage Injury?
Cartilage is an important structural unit of the body. It is present in places like the joints, the spine, the end of ribs, in the bronchial tubes, and the ear and the nose. Cartilages are firm, but flexible tissues. There are many types of cartilages found in the body. Among them articular cartilages are the ones that are present on the surface of the bones. As the name suggests articular cartilages exist to render articulation to the bones and retain their lubrication. Complexities arise when these cartilages are damaged, behind which many causes can play an active role. For example, a sport injury can damage the cartilages around the knees. Other causes include the twisting of the Anterior cruciate ligament and a progressive knee injury. Articular Cartilage Injury can also be an isolated event.
Since there are no blood vessels in the cartilages, it takes quite long for them to heal. Symptoms Pain and inflammation of the knee Locking of the knee Generation of noises when the knee is moved
The best treatment option for damaged cartilages is RICE therapy if the injury is not too severe. rice can be broken down into Rest, Ice, Compression and Elevation.
- Rest: One needs to rest the affected area in order to prevent further injury. However, Rest does not indicate complete immobility. One needs to put as much strain as is within one’s capacity.
- Ice: Ice must be applied on the affected area every 15 minutes following injury for at least 48 hours. Ice works as a vasoconstrictor, as well as a pain reliever.
- Compression: The next step is wrapping a bandage around the affected area. But it is to be remembered that the compression must not be too tight. Compression reduces inflammation and it also safeguards the joint from injury. Professional help might be sought to properly bandage the area.
- Elevation: After the area has been bound well, the leg has to be raised to prevent the fluid from accumulating in the affected area. The leg must remain in that position for as long as the doctor recommends.
- Ibuprofen or pain killers might be prescribed to the patient.
For severe cases, interventional methods like osteochondritis dissecans surgery might be attempted. The objective of this surgery is to attach the detached fragment. Another surgery that works to restore the damaged cartilage is marrow stem cell transplant whereby the stem cell is implanted in the cartilage defect. Multiple arthroscopic modalities of treatment are now available for cartilage repair which are customised according to the specific condition.
Osteochondritis dissecans of Talus, more commonly known as OCD Talus, is a condition affecting the ankle. In it, a portion of the joint bone gets separated from the joint due to faulty blood supply. In some cases, the bone may remain in place and gradually repair itself over time. However, most of the times, the bone splinter falls into the joint, hindering mobility and causing great pain.
Symptoms of OCD Talus
Here is a look at some of the symptoms and signs which you are likely to encounter if you suffer from OCD Talus.
- The ankle joint will be swollen and sore.
- While trying to move the joint, it may get locked or caught up, preventing the full range of motion.
- You may feel a cracking or popping sound when the joint is in motion. This sound is known as crepitus.
- A general weakness of the ankle joint is also a marked symptom in most cases.
- Fluid deposits may be formed at the joint affected, causing even more inflammation and discomfort. This is known as an effusion.
- The condition will be painful and the pain increases with physical activities such as walking or exercise.
Treatment options for OCD Talus patients
While there are many different treatment methods for the condition, some are more effective than the others. At the initial stages of the disorder, the doctor may-
- advise you to rest the ankle and thus give the splintered bones time to heal.
- advise you to take a break from sports if you are involved in such activities.
- prescribe non-steroidal pain medications to deal with the discomfort resulting from the condition.
- suggest wearing braces or other artificial devices to immobilize the joint temporarily. The patients may need to use crutches in such cases.
The treatment methods mentioned above usually work for children and young adults. However, people of advanced ages may suffer from additional complications. Surgery is a viable option and it can help patients in two ways. It can restore normal blood flow, which may be suppressed due to the bone splinter, and it can also repair the ankle joint.
OCD Talus affects a very limited number of people. Osteochondritis dissecans is more common in knees and elbow joints. Almost 75 percent of OCD cases affect the knee joint. However, if your ankles are affected, it may be just as severe and can greatly affect your ability to move properly. In case you have a concern or query you can always consult an expert & get answers to your questions!
Orthopaedic stem cell treatment is an advanced branch of medicine, which can only be performed by a handful of physicians across the planet. If you are considering the surgery and the treatment, you should first know the important factors that can have an impact on the same.
Outlined below are 5 things you should know about the treatment before you schedule the surgery.
- Source of the stem cell: The source from which the stem cells have been extracted play a huge part in determining how successful the surgery would be. In case of orthopaedic stem cell treatment, the best place to extract the cells from is the bone marrow. However, in some cases, these cells may be taken from fatty regions of the body and not the bone marrow. This will eventually have an impact on the outcome of the surgery. Bone marrow cells are much more proficient at repairing damages of the bones than stem cells from any other source.
- The technique for extracting stem cells: A procedure called the bone marrow aspiration or BMA is used to harvest the stem cells from the bone marrow. However, there is a correct way of doing it and a not so correct way of doing it. For instance, the stem cells need to be harvested using special needles and from several high density spots inside the bone.
- Placing the stem cells in the right spot: Just extracting the stem cell properly is not enough. It also needs to be injected at the right place through the correct procedure. The surgeon will use advanced machineries to conduct the surgery, which are essential for the success of the treatment. These could include the use of c-arm fluoroscope, other one is called the ultrasound or may be even an arthroscope.
- The correct dosage: This is a gray area, as knowledge needs to be further refined about the precise dosage required for the treatment. Specialised instruments and digital centrifugation systems help in acquiring and concentrating the necessary amounts of stem cells for the procedure.
- Understanding that the treatment works: Since stem cell treatment of any kind is a fairly new concept, most people feel that it may not work as advertised. However, if you go to a reliable facility where such surgeries are performed, you will get to know that not only does the treatment work but there have been several patients whose quality of life has improved greatly. Joint preservation surgery is the field which specialises in management of various conditions by these procedures.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Footballer’s ankle is most commonly caused among football players but may also occur in others. If the ankle bone extends and touches the shin bone, it causes excessive pain, swelling and inflammation. The bone spur slowly progresses and causes a large impact on the soft tissue at the front portion of the ankle. This medical condition is known as the footballer's ankle.
Symptoms For Footballer’s Ankle
The condition occurs in the ankle region when a kicking movement is made repeatedly. Here are some symptoms of the disorder.
- Restricted range of movement in the ankle.
- A pinching sensation when the joint is in motion. Often the lunging movement will cause this pinching sensation.
- A clicking or knocking sensation can be felt when the ankle joint is in use.
- A weakness of the joint, which may severely restrict the amount of weight you can put on the leg.
- Bone lump formation at the front of the ankle joint.
- Extreme pain and discomfort even in case of a simple sprain in the nearby ligaments.
Diagnosis and treatment of the condition
The simplest way to diagnose the condition is by performing an X-Ray of the ankle. Once confirmed, the treatment is initiated. Here is a look at some of the remedies for footballer’s ankle.
- Doctors will advise you to rest the ankle joint so that the condition does not deteriorate.
- Footballer’s ankle is best treated by physicians specializing in sports injuries, which is why you should seek their counsel.
- Ankle supports may also be used to provide relief from some of the discomfort associated with the condition.
- cdbe53899aa4fb660500870c7c95a247Steroidal painkillers can be useful in case of severe or unbearable pain caused by the condition.
- If the condition is serious and the bone lump is quite large, arthroscopic surgery may be the only solution. Through this surgery, the doctors look to remove the lump from the ankle.
- Apart from the surgery, patients may also be advised to attend rehab programs, once the healing process in the joint starts.
For complete recuperation, patients will need to undergo physical therapy or practice exercises along with the standard medications. A joint preservation surgeon will be able to help you with the kind of workout regime that you need to follow if you are looking to find relief from the pain and discomfort associated with the footballer’s ankle. In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you aware of a disease called osteoarthritis that is more likely to develop in case you are aging? Osteoarthritis is a disease, which affects the joints of your body. It occurs when the cartilages that protect and cushion your bones break down, causing swelling and pain, and may make you immobile. The chances of developing osteoarthritis increase with age as your cartilages start breaking down. Women who are beyond menopause are at a higher risk of getting this disease as they do not produce estrogen, which is essential for bone growth. There are several precautions you should follow for the prevention of osteoarthritis, especially if you are aged. They are as follows:
- Manage your occupational risks
- It is important for you to undertake exercises of low impact, which is very crucial for improving joint health, even if you are aging.
- You should choose activities that involve strength training along with stretching and aerobic exercise.
- Regular exercise helps in the slowing down or prevention of osteoarthritis. It helps you in maintaining healthy joints, reducing fatigue and pain, increasing your bone and muscle strength, and relieves stiffness.
- Maintaining a healthy body weight
- Excess weight is a primary risk factor for osteoarthritis, especially if you are aged. It causes extra stress on your joints that boosts the deterioration of your joint cartilage.
- If you are obese and overweight, your chances of developing osteoarthritis are more. Hence, you should lose extra weight for improving the symptoms.
- Although exercise is important for keeping your joints and muscles healthy, you should avoid overdoing them.
- Have a balanced lifestyle, and when your joints become achy or swollen, give them a break.
- Abstain from using your swollen joint for at least 12 to 24 hours after experiencing them. Letting your injured joint rest helps in reducing your risk of osteoarthritis.
- Fatigue increases pain in osteoarthritis patients, and hence you must sleep properly.
- Control your blood sugar
- Diabetes is considered to be an important risk factor for osteoarthritis in aged individuals.
- High glucose levels may boost the formation of molecules that make your cartilage stiff.
- Diabetes also triggers inflammation, and promotes cartilage loss.
- It is important for you to keep your diabetes and blood sugar levels under control for preventing osteoarthritis.
There are several ways of preventing and managing its symptoms. It is very important for you to maintain a healthy lifestyle and a balanced diet, and also to try and keep away from becoming obese. Joint Preservation modalities of treatment offer various methods to resolve this condition. These could vary from physiotherapy, medications, injections, arthroscopy to joint preservation surgeries.
In case you have a concern or query you can always consult an expert & get answers to your questions!