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Hello everyone,
I am Dr Sanjay Alle and practicing orthopedic surgeon in area of Worli. So, today we will discuss some of the common problems in day to day life. So, I would be discussing most common patients who, the maximum patients who come to me like back pain, knee pain generally these are the common most common problems. And and the age group for this backache and knee pain is most of the working group as well as the old age groups. So, the reason for the different age groups is different. So, the most common problem nowadays because most of the persons are going to office going people. So, what they do is they are not exposed to sunlight as such, so because of that there is the there is a massive diff deficiency of Vitamin D3. So, that is one of the main cause for back pain in mainly the office going population. So, in that what happens is how we all know that calcium is most important to the body, for the bone basically. But, most of us are not, unaware of the vitamin D3. As we all know vitamin D3, food content is very much very very minimal. So, the main source of vitamin D3 is sunlight.
So, I always advise all of my patients to at least to go for 20 to 25 minutes in the sun exposure. So, there won't be a Vitamin D3 deficiency but considering the present scenario means all of the morning 9 to 5 there is a job so very minimal exposure sunlight is there so that is a practical problem. So, because of that there is a massive vitamin d deficiency and due to that there is a backache and everything. And lack of exercises also leads to most of the backache problems. In old age, it rather than most of the vitamin d deficiency in old age also we see vitamin d deficiency but along with that the osteoporosis, osteoporosis one of the main reason in the old age people. And because of the deficiency of calcium, because of the mainly hormonal changes, mainly in females after the menopause, there is a hormonal change and because of that the main reason for osteoporosis and because that will lead to the back pain of it.
So, all these conditions, medicines play a very minimal role, we normally prescribe medicines but apart from the medicines, the main role should be preventive medicines like preventive measures like what the preventive measure would be we should avoid forward bending which is one of the main reason of back pain. So, we should not forward bending should be avoided as much as possible. The second thing, sitting on the ground. Sitting on the ground is one of the major factors. We all see whenever we all for lifting the heavy weight by doing forward bending, so in osteoporosis we have seen multiple fractures also. So, we have to avoid we have to take care of the preventive measures like avoiding forward bending, sitting on the ground and for knee pain knee pain also sitting on the ground is very much it fastens the degenerative process. We all know the osteoarthritis of knee, the main reason for knee pain in old age.
So, it is an ageing process. Nobody can stop the ageing process. So, osteoarthritis is one of the ageing processes. So, what we need we need to do for that is if you ask me really, there are very minimal medicines for the knee osteoarthritis of the knee. There are different stages of the knee osteoarthritis mainly from simple grade 1 to grade 4. So, normally for the last stage we third stage or 4 stages, we advise for a surgery. But to avoid those things, to avoid the fastening the process of the osteoarthritis, we have to take some preventive measures like we should not do cross leg sitting, we should not sit on the ground, we always advise not to do some basic exercises they are not much, they don't take much of time but we have to do the basic exercises. If you want to take an expert opinion for that, it is always advisable to visit a physiotherapist for that. So, so both common problems I have told you back pain, knee pain and vitamin D deficiency. So, I hope this information will help you in tackling some common problem orthopaedic problems and for more information, you can contact me through Lybrate.
Thank you!
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Mahalashmi Co op housing society SRA building, Shop No G 12, G wing, P B Marg, Opposite Shankar Mandir, Mumbai Get Directions
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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Orthopedic Surgery
Knee Care Procedures
Arthroscopy Procedure
Joint Replacement Surgery
Ankle Pain Treatment
Anesthesia Techniques
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Arthritis is a common musculoskeletal condition that affects elderly men and women. Joint pain, stiffness and inflammation are the most common symptoms of this condition. This pain can get so bad as to affect your movement and leave you unable to do simple things like walking up stairs or even simply turning a doorknob.
Arthritis cannot be reversed but with medication and a few lifestyle changes, your quality of life can be improved.
- Exercise and weight loss: Though it is difficult to do, losing weight can help relieve the pain of arthritis. This takes the pressure off your joints and increases the range of possible motions. Though exercising may be the last thing you want to do, it can help increase your flexibility and help strengthen your muscles. Aerobics, stretching and strength training are ideal for arthritic patients.
- Assistive devices: Arthritis can make a person knock kneed or bow legged. Wearing unloading braces, shoe inserts or walking with a cane or shoe inserts can help redistribute your weight and take the pressure off your joints. It can also help relieve pain and prevent arthritis from worsening.
- Eating right: Some types of food can worsen arthritic symptoms. This includes processed foods like white flour and sugar, yeast, chemical additives, gluten, hydrogenated and trans fats, milk products, caffeine, alcohol and tobacco. Hence, avoid consuming these foods and instead have a diet rich in fruits, vegetables, nuts and whole grain. You could also try alkaline foods like green leafy vegetables, wheatgrass and aloe vera.
- Massage therapy: A massage not only de-stresses the body but can also relieve muscle and joint pain by improving blood circulation. Massages also help break up muscular waste deposits and increase the amount of oxygen circulated in the body. This helps transport nutrients to tissues and carries toxins away. Ideally, an arthritic patient should have a massage 2-3 times a week in the beginning and at least twice a month once the condition has stabilized.
- Supplements: Along with eating healthy, including a few supplements in your daily diet can also help alleviate arthritic symptoms. When it comes to rheumatic arthritis; the anti-inflammatory properties of vitamin C help fight arthritis by promoting bone and cartilage growth and reducing infection. Fish oil is rich in Omega-3 fatty acids that help reduce inflammation, Vitamin D is another supplement that helps relieve arthritic pain by helping the bones absorb calcium faster and preventing further loss of cartilage.
Muscle strain or muscle pull is a condition, which is characterized by damage to the muscles or its adjoining tendons. Undue pressure can be exerted on the muscle when you are carrying out routine activities such as the sudden lifting of heavy things or playing contact sports. The damage to the muscle is usually in the form of partial or complete tearing of the tendons and fibers attached to the muscles. The small blood vessels in the muscles can also be damaged by the tearing of the muscles, leading to local bleeding and bruising.
The symptoms of muscle pain are:
1. You will experience pain even while resting
2. There will be bruising, swelling and redness around the affected area
3. You will experience weakness of the muscles and tendons
4. The movement and mobility of the muscle will be impaired
5. You will experience pain when you use the affected muscles
The causes of a muscle strain are:
1. Playing contact sports can lead to injuries
2. Lifting heavy things
3. Exercising without a proper warm-up routine
4. Lifting extremely heavy weights during exercise without proper acclimatization
5. Sleeping on one side only for a long period of time
6. Not stretching properly
7. Falling from a height
The treatments for muscle strains are:
1. Pain medications: You can opt for pain-relieving medications such as non-steroidal anti-inflammatory medications to help combat the associated pain of a muscle strain.
2. Rice: Rice stands for rest, ice, compression and elevation. This treatment is usually the first step after suffering a strain, before opting for medications. This treatment prevents further aggravation of the problem.
3. Compress: You can alternate between hot and cold compress to reduce the swelling and pain.
4. Stretches: Once the affected area has healed, it is important for you to stretch the muscles to improve their mobility and strength.
The shoulders are the most mobile joints in your body. Shoulder joints undergo wear and a tear over time and hence become unstable. Shoulder arthritis is one of the painful conditions affecting the shoulder joints. Arthritis not only takes a toll on the tendons and muscles but also affects the ligaments and joints too. They usually cause symptoms such as joint pain, resulting in limited mobility.
Treatment:
Nonsurgical or Lifestyle treatments:
- Take rest or avoid the activities that provoke pain or change the way of your arm movements.
- Physical therapy boosts shoulder mobility.
- Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin alleviate pain and inflammation.
- Corticosteroid injections in the shoulders can also help to ease the pain and inflammation, although temporarily.
- Applying moist heat or ice packs over the shoulders for about half an hour at least thrice a day brings relief.
- Drugs such as methotrexate can be administered in case one is suffering from rheumatoid arthritis (a chronic disease attacking multiple joints of the body).
- Dietary supplements such as chondroitin and glucosamine may help reduce pain.
Surgical treatments (if your pain results in disability and does not lessen with nonsurgical options)
- Join replacement surgery or arthroplasty involves replacing the damaged parts of the shoulder with a prosthetic (artificial) joint.
- Few mild forms of arthritis may be treated using the Arthroscopic procedure (minimally invasive surgery). It requires a surgeon to ease the joint pain by making small incisions to “clean out” the joint. A tiny camera fitted into the joint guides the surgeon through the surgery.
- Resection arthroplasty is a method that involves the surgical removal of the bone from the collar bone and substituting it with a scar tissue to treat arthritis of particular joints.
A fracture separates a single solid object into two or more pieces due to pressure. In medical terms, a fracture refers to a broken bone due to some kind of external trauma. A crack in the bone, on the other hand, does not cause a clean break in the bone - there is only separation or discontinuity in the bone material. A crack in the bone caused due to repeated stress is often called a 'hairline fracture'. Here are the basic differences between a crack and a fracture in the bone and how to treat them:
1. A crack or hairline fracture is rarely caused by a single injury. It is usually the result of bone fatigue which may be caused due to repeated concentrated stress over a long period of time and thus it is also called a stress fracture. Other bone fractures are almost always the result of sudden and severe force on the bones.
2. The skeletal system constantly remodels itself. The cells called osteoblasts absorb calcium and secrete bone connective tissue. If a particular site is exposed to recurrent bouts of force (which are individually not impactful enough to cause a crack), over time the osteoblasts in that region malfunction and the crack appears. Muscular exhaustion can also cause cracks in the bones. Fractures are caused due to sudden external single force trauma to the bone. Nutritional problems like deficiencies of calcium, phosphorus and vitamin D and excessive smoking decrease the bone mineral density and increase the chances of both cracks and fractures.
3. The symptoms of a crack are swelling, tenderness and sharp pain in the injured region. The symptoms worsen over time. A fracture has similar symptoms and might also exhibit an external physical distortion and makes it impossible to move the part of the body that where the broken bone is.
4. An MRI is better for the detection of cracks or crack-prone areas because an X-ray can only detect the crack after it widens somewhat or the bone starts paining because the rays cannot pass through the tiny gap in bone material. A fracture is easily detectable by an X-ray because the rays pass right through the break.
5. Complete rest for six to eight weeks is the most effective way of healing a crack. Using a walking boot in case of cracks in the leg bones is also helpful. Healing fractures require extensive medical intervention. Surgical techniques like bone grafting and insertion of metal plates are used to reposition the broken bone.
Every day we use our hands the most to get everything done. From drinking water to typing on the keyboard (and today on mobile phones); from holding the newspaper still when reading it to taking down academic notes- we use our hands for everything. But our hands like all other parts of the body have the capacity to carry out their functions. At times, we unknowingly put a lot of strain on our hands and they start to pain. Hand pains are quite common in everyone and it is equally common to practice certain exercises to control them quickly.
If you experience frequent pains in the hands, these are some of the exercises you can resort to.
-
Fist: You do not always make a fist while punching people. Sometimes you make a fist to tighten your hand muscles and nerves and smoothen the blood flow in your hands. This helps in reducing the pain in your hands to a great extent. In fact, folding your hand to a fist can also help in preventing hand pain.
-
Finger Bends: Bend each finger tightly toward your palm for at least a minute and then release it. Do it separately for each of the five fingers on your hand. This would ease out the tension in each of the fingers and normalize blood flow. This helps in curing any finger pain that you might be experiencing. It is especially a great exercise to prevent pain from developing in your thumb and index finger.
-
Thumbs Up: Usually, we show the thumbs up sign to signal all is well and best wishes to people. But it is also an exercise if continued for some time. All you have to do is place your palm on a table and curl all your fingers except the thumb inwards. Stretch the thumb outwards and hold it in this position counting up to ten. Then curl your thumb towards the palm. This exercise too helps in stretching the muscles.
-
Wrist: An important part of the hand is the wrist. The wrist joints are a very crucial set of bones and they tend to get injured very fast. They are also delicate enough to be sprained if the hand is turned abruptly. To avoid such injuries, strengthen the wrist and reduce wrist pain, a lot of wrist exercises are also prescribed. The simplest one is to extend your hand and move the wrist in anti-clockwise and clockwise directions.
Thus, these are some of the ways in which you can ease the pain in your hand in no time and go about normally with your daily chores.
Hello everyone,
I am Dr Sanjay Alle and practicing orthopedic surgeon in area of Worli. So, today we will discuss some of the common problems in day to day life. So, I would be discussing most common patients who, the maximum patients who come to me like back pain, knee pain generally these are the common most common problems. And and the age group for this backache and knee pain is most of the working group as well as the old age groups. So, the reason for the different age groups is different. So, the most common problem nowadays because most of the persons are going to office going people. So, what they do is they are not exposed to sunlight as such, so because of that there is the there is a massive diff deficiency of Vitamin D3. So, that is one of the main cause for back pain in mainly the office going population. So, in that what happens is how we all know that calcium is most important to the body, for the bone basically. But, most of us are not, unaware of the vitamin D3. As we all know vitamin D3, food content is very much very very minimal. So, the main source of vitamin D3 is sunlight.
So, I always advise all of my patients to at least to go for 20 to 25 minutes in the sun exposure. So, there won't be a Vitamin D3 deficiency but considering the present scenario means all of the morning 9 to 5 there is a job so very minimal exposure sunlight is there so that is a practical problem. So, because of that there is a massive vitamin d deficiency and due to that there is a backache and everything. And lack of exercises also leads to most of the backache problems. In old age, it rather than most of the vitamin d deficiency in old age also we see vitamin d deficiency but along with that the osteoporosis, osteoporosis one of the main reason in the old age people. And because of the deficiency of calcium, because of the mainly hormonal changes, mainly in females after the menopause, there is a hormonal change and because of that the main reason for osteoporosis and because that will lead to the back pain of it.
So, all these conditions, medicines play a very minimal role, we normally prescribe medicines but apart from the medicines, the main role should be preventive medicines like preventive measures like what the preventive measure would be we should avoid forward bending which is one of the main reason of back pain. So, we should not forward bending should be avoided as much as possible. The second thing, sitting on the ground. Sitting on the ground is one of the major factors. We all see whenever we all for lifting the heavy weight by doing forward bending, so in osteoporosis we have seen multiple fractures also. So, we have to avoid we have to take care of the preventive measures like avoiding forward bending, sitting on the ground and for knee pain knee pain also sitting on the ground is very much it fastens the degenerative process. We all know the osteoarthritis of knee, the main reason for knee pain in old age.
So, it is an ageing process. Nobody can stop the ageing process. So, osteoarthritis is one of the ageing processes. So, what we need we need to do for that is if you ask me really, there are very minimal medicines for the knee osteoarthritis of the knee. There are different stages of the knee osteoarthritis mainly from simple grade 1 to grade 4. So, normally for the last stage we third stage or 4 stages, we advise for a surgery. But to avoid those things, to avoid the fastening the process of the osteoarthritis, we have to take some preventive measures like we should not do cross leg sitting, we should not sit on the ground, we always advise not to do some basic exercises they are not much, they don't take much of time but we have to do the basic exercises. If you want to take an expert opinion for that, it is always advisable to visit a physiotherapist for that. So, so both common problems I have told you back pain, knee pain and vitamin D deficiency. So, I hope this information will help you in tackling some common problem orthopaedic problems and for more information, you can contact me through Lybrate.
Thank you!
Muscle contusion is a condition that is characterized by bruising in the muscles. It generally tends to occur in athletes who play a lot of contact sports. Repetitive blows in any part of the body may cause damage to the underlying muscle tissues. These blows may lead to internal bleeding, resulting in blood clot formation. The most common site where it occurs are the quadriceps.
The various causes of this condition are:
- Direct repetitive blows to a part of the muscle in contact sports such as football
- If you fall on a hard surface
- It may also occur if the muscle comes in contact real hard with sports equipment like soccer balls
The symptoms of a muscle contusion are:
- You may experience swelling of the muscle
- Excessive pain
- Decrease in range of motion in the concerned body part
- It may lead to leaking of blood vessels
- You may also experience hematoma where a lump is formed over the affected spot
- Symptoms of broken bones, dislocations and fractures may also occur
Complications: This disorder may also lead to various complications such as compartment syndrome, which leads to compression of blood vessels resulting in pain.
Treatment: The basic treatment for this condition is the RICE protocol which is rest, ice, compression and elevation. You should rest the muscle, then apply ice to the affected area to reduce the pain. You can also take NSAIDs (non steroidal anti-inflammatory drugs) to reduce the pain. In severe cases, the doctor may drain the lump surgically.
It is advisable to not return to your normal sports routine in order to allow the muscle to recover. If you carry on with your regular routine, it may result in further complications like the formation of scar tissue. You may undergo various stretching exercises to relieve the pain and make a gradual return to your normal sporting activities.
Your knees are one of the most vulnerable parts of your bodies. In case of strenuous or vigorous activities, knees are more prone to damage and injury than the other parts. Several of the knee tissues are fairly delicate and often are easily impaired. Among the other knee tissue injuries, meniscus tears are perhaps the most frequent. Meniscus is essentially a cartilage that protects and stabilizes the knee joints. However, an untoward twist or a strain can lead to a tear in the meniscus. Meniscus tears are a common phenomenon among athletes and sportsmen. They have been noted to be more recurrent in older individuals.
Some of the early symptoms that indicate the onset of a meniscus tear are swelling and difficulty in bending or straightening of the leg. Sometimes a "locking sensation" in the knees also forebodes a torn meniscus. The inflammation potentially causes a lot of pain and irritation. While, it is fairly easy to ignore a meniscus tear for a normal knee injury, prolonged overlooking may only aggravate the pain and worsen the condition. The process of diagnosing a meniscus tear usually involves an MRI scan and an X-ray examination, over and above a detailed evaluation of the wound.
Treating meniscus tears vary according to the extent of the injury. Depending upon the location and the depth of the tear, various cures can be tried. The healing process, however, depends upon other allied factors such as age, level of physical activities and one's medical history. An external and minor injury is easily mendable. Whereas, graver injuries are resolved through surgical means. The other non-operative means include certain prescribed medicines and specific exercises. Some of the recommended ways of battling a meniscus tear can be enlisted as:
- Resting the knee by limiting the activities that involve excessive use of the legs or they may potentially strain the leg muscles.
- Applying ice pack can significantly bring relief to the swelling and the pain in the injured knee. Doctors advice regular use for a duration of at least 15 days.
- Compressing the knee using an elastic bandage or neoprene sleeve reduces the swelling in the knee.
- Prescribed medicines in the likes of non-steroidal anti-inflammatory drugs can be effective remedies for a meniscus tear. However, one must mandatorily consult a doctor before consuming such medicines.
Shoulder pain is one most common problem regularly seen in my opd. As this problem does not get cured only with medicines, patient get frustrated with pain. Physiotherapy plays very important role in the treatment.
When joints get inflamed, it is known as arthritis. This causes swelling and pain in the joints of your body such as the hips and the knees. When the cartilage gets damaged at the ends of bones, a type of arthritis called osteoarthritis occurs.
There are two main types of osteoarthritis:
- Primary: This type is more generalized. It affects the knees, fingers, hips, spine and thumb.
- Secondary: This type can occur after injury or joint inflammation, or as a result of any disease that affects the ligament's composition, like hemochromatosis.
How is the hip affected by osteoarthritis?
Patients have difficulties walking if they have hip osteoarthritis. Diagnosing hip osteoarthritis is difficult. It is because the pain appears in varied locations, such as the groin, buttocks, knee or thigh. The pain can be a dull throb or can be sharp and stabbing. The hip is usually stiff.
What are the causes of hip osteoarthritis?
The causes of hip osteoarthritis are unknown. However, the factors that can lead to osteoarthritis are joint injury, excessive weight and rising age.
Along with the abovementioned factors, the following may contribute as well:
- The joints may not have developed accurately
- The cartilage may have inherited the defects
- If the joints are too irritated due to added pressure on them, like excess body weight or stressful activities that include hip movement, osteoarthritis may develop.
What are the symptoms of hip osteoarthritis?
The symptoms of hip osteoarthritis are as follows:
- Joints feel stiff when you get out of bed
- Joints feel stiff if you have been sitting for some time
- The joints feel painful, swollen or tender
- You can hear (a "crunching" sound) or feel the bones rubbing against each other.
- You find yourself unable to do certain things, like putting on socks, as it requires your hips to move.
How is hip osteoarthritis treated?
The main objective of treatment is to restore the patient's ability to move around. A part of this objective includes correcting the function of the hip and managing the pain. The treatment can include:
- Joint care and rest
- To take weight off the area affected, a cane is used
- Pain relief that does not involve drugs
- Shedding excess weight
- Exercising
- Surgery
- Alternative and complementary therapies