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Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
Corn Removal Procedure
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Dear friends, I am Dr Shekhar Shrivastav. I am senior consultant orthopaedic at Sant Parmanand Hospital, Delhi. Today, we'll be discussing Arthritis and specifically arthritis of the knee joint.
Now people usually come and ask me what do you mean by arthritis. So arthritis is the inflammation of the joint. Joint is made up of two ends of the bone which are lined by an articular cartilage which helps in a smooth motion of the joint. So when that cartilage gets destroyed you get arthritis. Now it can get destroyed due to various reasons but the most common reasons are due to ageing process which we call osteoarthritis. So there is degenerative wear and tear of the joint which leads to osteoarthritis or there can be an inflammatory cause such as rheumatoid arthritis which involves the lining of the joint and damages the cartilage. Now then people ask or most of the people who come to us with arthritis involve arthritis of the knee joint. So knee joint is the joint which is common in which is most commonly involved in osteoarthritis of the knee joint. The patient usually comes with pain, swelling and stiffness. They have difficulty in walking, climbing stairs and sometimes in severe cases, they have pain even at rest.
How do we manage that?
Now in order to manage that first, we should know what is the cause of arthritis? So we do some x-rays. X-rays give us an idea about the cause of arthritis as well as the extent of the damage. Now we also go for some blood tests which will give us an information if it's because of an inflammation or any infection. So these are the various causes of arthritis.
Now how do you manage our practice?
Patient has a company with pain, swelling and such disability so initially, we start with conservative management which is nonoperative management. So in that we ask the patient to do some lifestyle modification like we asked them to avoid using stairs or if they are using stairs then they have to use a railing so that there is not much stress on the joints. If they are into sports then we ask them to shift from contact sports like jogging or Aerobic to low impact exercises like swimming or cycling. We send them for physiotherapy. Physiotherapy helps a lot in arthritis. It helps in gaining strength in the muscles which protects the joint and it also gives increased flexibility and moment of the joint. We can give some medications and form of painkillers and thin perimeter because they reduce the inflammation, reduces the pain and in acute cases we can also inject the region.
Now, in severe arthritis when all this treatment has failed in that case it requires surgery. Surgery can be in different form. If the patient is having any loose fragment which is causing locking, then, in that case, we can go for arthroscope which is a keyhole surgery, where we make just small incisions like the tip of this pen, we put our instruments inside and we take out that piece which is a simple thing. In severe cases, we go for replacements. So it can be either partial replacement or total knee replacement. Now in severe cases with patients of great disability who have difficulty in walking who have pain on each step, who have pain even at rest, knee replacement surgery is a boon for these patients. It increases their activity, it increases their social life and it also makes them more mobile.
So if you want to know more about arthritis, if you are suffering from this problem and you want treatment you can contact me through lybrate or you can contact me at Sant Parmanand Hospital, Delhi.
Hi sir. I have problem of foreskin, first it able to pull back easy after erection now it's painful also it's seem the upper part of foreskin has become white ring type which cause pain when it is pulled back. Please suggest what to do.
Hi, I have a friend whose periods last for around 10 days. She weighs around 53 kgs and 5.8 feet in height. She is 22 now. Is this normal? If not What must she do?
I have headache for 3 days. It's paining simultaneously. What should I do. Please answer me soon. Waiting.
Why does my breast produce milk (galactorrhea) when I am not pregnant. I just completed my menses on 17 or 18th November. Kindly guide me. And also my even after regular gymming. My weight is increasing 1 kg every month and also I suffer from severe constipation and abdominal cramps.
I have tight foreskin please suggest a cream or ointment for it as I am not willing to go for circumcision.
I am having back pain for long time. Before 5 months suddenly I felt down in the floor due to low pressure and after that sometimes I feel pain in my back. What should I do? Please help me.
I have very hard skin problem in penis and as wall as near by this place, I used caladryl lotion for approx 10 days, but didn't see my changes, what should I do?
In what ways can alcohol consumption lead to physical injuries and how to recover from those injuries?
According to a recent study of fertility and diet conducted by the Harvard Medical School, it has been revealed that consuming certain foods and abstaining from some can be easily opted for without any external intervention in order to aid in improving the ovulatory system, even though there are factors that you are unable to control, such as genetics and age. It is important to be aware of the small dietary changes that can potentially make you much more fertile than those who do not go for a healthy diet.
- Go for complex carbohydrates: Experts suggest eating more of slow and complex carbohydrates and restricting the consumption of processed ones. Your body is able to digest bad carbohydrates in order to turn them into blood sugar, which is harmful to the body. So you must stay away from cakes and cookies, white breads, white rice, junk food and all such items that appear unsurpassable. It is because the pancreas are compelled to release an additional amount of insulin into the blood for controlling the blood-sugar spike. On the other hand, you can go for good carbohydrates, such as whole grains, fruits and vegetables, which take time to digest and have a much slower effect on the insulin and blood sugar. It is evident that high levels of insulin can inhibit the process of ovulation.
Choose Iron-Rich Foods: A diet rich in iron that comes from vegetables and supplements may lower the risk of ovulatory infertility. Ovulatory infertility is only one cause of infertility and affects 25 percent of infertile couples. Vegetarian foods with iron include all types of beans, eggs, lentils, spinach, fortified cereals, long-grain enriched rice and whole grains. Add vitamin C from citrus fruits, bell peppers or berries to your meals to enhance iron absorption.
The "Fertility Diet": Women should choose the following "fertility diet" -
- Less animal protein and more vegetable protein
- Less trans fat and more monounsaturated fat (from foods such as avocados and olive oil)
- More high-fiber, low-glycemic carbohydrate-rich foods (including whole grains)
- More vegetarian sources of iron and fewer meat sources
- High-fat dairy instead of low-fat dairy
- Get enough folic acid: Folic acid has been proven to reduce a baby's risk of neural-tube birth defects such as spina bifida, and it is linked to a lower incidence of heart attacks, strokes, cancer, and diabetes. A good over-the-counter prenatal vitamin should contain more than the minimum recommendation of folic acid, between 600 and 800 mcg – what you'll need during pregnancy. In addition, you can eat folate-rich foods, such as dark green leafy vegetables like spinach or kale, citrus fruits, nuts, legumes, whole grains, and fortified breads and cereals.
- Dairy: It pays to bone up on dairy (milk, yogurt, and cheese) when you’re trying to conceive. Adding dairy to your preconception diet is good not only for bone health but also — potentially — for your reproductive health. So drink that milk, spoon up that yogurt, sip that smoothie, nibble on that cheese. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
I am under medication for thyroid for the past 8 years. Thyronorm_50mcg-now - 75mcg. Does this medicine have any side effects?
My penis size is smaller as compared to my age. And I suffer from erectile dysfunction too. What should I do?
Lybrate | Dr. Mahimanjan Saha speaks on IMPORTANCE OF TREATING ACNE EARLY