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Juvenile rheumatoid arthritis also known as juvenile idiopathic arthritis is a commonly occurring arthritis in children under the age of 15. Some common problems that are faced by patients with this disease include stiffness, joint pain, and swelling. While the symptoms might persist for a few months for some patients, for others it might continue for the rest of their lives. Patients might face serious complications such as inflammation of the eye, problems related to growth etc. The treatment of this condition focuses on preventing the bones from getting damaged, pain control and improving the function of the body.
What are some of the common symptoms of juvenile arthritis?
- Pain: A child suffering from juvenile rheumatoid arthritis might face extreme pain in the joints. They might limp after a nap or night sleep due to pain or stiff joints.
- Swelling: Larger joints such as the knee might swell frequently. The swelling might occur in smaller joints too.
- Stiffness: In addition to limping the child might appear rough and clumsy after waking from night sleep or a nap.
What are the causes of Juvenile Rheumatoid Arthritis?
Juvenile Rheumatoid Arthritis occurs when the immune system of the body attacks its own tissues and cells. It is still unclear as to why it happens, although, researchers believe that the environment and heredity have a role to play. Certain geneticmutations might make a childmore vulnerable and susceptible to microbes that can trigger this condition.
What are the complications involved?
There could be several complications that might arise due to this condition. It is, therefore, wise to keep a close watch on the child. Seeking immediate medical attention can go a long way in mitigating the risk of these complications.
- Problems related to the eye: Juvenile Rheumatoid arthritis can damage the eye by causing an inflammation known as uveitis. If this condition is not treated, it might result in other conditions such as glaucoma, cataracts, blindness etc.
- Growth problems: Juvenile rheumatoid arthritis could result in growth problems. To treat this, a child would require a dose of corticosteroid.
How to diagnose juvenile arthritis?
It is not very easy to diagnose juvenile arthritis. Doctors often prescribe blood tests to get an idea of erythrocyte sedimentation rate, rheumatoid factor, C-reactive protein, anti-nuclear antibody, cyclic citrullinated peptide etc. A doctor might also prescribe imaging tests such as X-rays, MRI etc to detect congenital defects, fractures, tumors etc.
What are the treatment options available?
Some of the medications that are prescribed for this condition include NSAID such as ibuprofen and naproxen, DMARD such as Trexall and Azulfidine, TNF blockers such as Humira and Enbrel, immune suppressants such as Kineret, Rituxin and Orencia. In addition to this doctors would also prescribe corticosteroids and therapies.
I have history of multiple arthritis. I was detected with Spondyloarthropathy arthritis in 1986. Now I am also positive with HLA B27. Have lot of pain in my various joints. Internal injuries like twisted ankle or thumb does not get cured. Please advise.
I am suffering from my leg knee pain Sir. 1 year back, road accident, lightly crack in my knee. Daily night time lightly painful Sir, and sometimes sound my knee, cloud please t suggested me Sir.
The after effects of any surgery can be harsh on the body. Post knee replacement surgery, one will need to remain in a straight and relaxed position for a long time due to the bed rest prescribed by the orthopaedic specialist. Yet, it is important to carry out some kind of activity after the surgery so as to make the knee strong, firm and ready to be normal again.
Here are a few physiotherapy exercises that can help post knee replacement patients:
- Heel Slide: The heel slide is a good option for those who are going through bed rest. This exercise ensures that you work your knee in a suitable way as the bending motion gets the knee to get used to being functional again. Due to the posture of the patient, this does not put pressure on the knee. Slowly bring your heel up, stop and then slide it down. Repeat at least ten times for each knee before increasing it to twenty times.
- Kicks: While you are lying down, you can render small kicks into the air. Repeat at least ten times for each leg before increasing it gradually to twenty kicks per leg. This should be done when you are lying flat on your back. This exercise can help in flexing and strengthening your quadriceps. Hold the kick for at least five to ten seconds before you relax and repeat with the other leg.
- Sitting Flex: You can also sit in a chair and flex your knee, holding the leg out in front of you for at least five to ten seconds, before slowly bringing it down and lifting again. This will help in strengthening the thigh and knee to a great extent.
You will need to exercise regularly in order to recover well after a knee replacement procedure.
How to remove knock knee? I am very upset because I want to go in army and my friends told me that with knock knee I can not go in Indian army? So tell me about exercise to making distance between my knee.
Hi, Mujhe arthritis ki problem hai is wajah mere body mein bahut gathe ho gaye hai. Main yeh janana chahta hoon kya mein bhi blood donate kar sakta hoon arthritis ki problem mai?
I am suffering from leg pain in my calf and back of knee when I walk. I do construction job. I do not understand whether it nerve or muscle. If I think it as nerve I am getting pain above knee and near hip also. It gradually changes side. Sometimes I do get left and sometimes right. But mostly on left. I have been with this for more than 1 month. I have consulted orthopedist, neurologist. They said it as normal and just a muscle strain and prescribed medicines. But no use. Some times I am getting as if it is sciatica that I can not keep complete weight on leg. There is no swelling. I do smoke also. I am suffering with cervical spondylosis since 2 years. I don't understand what is it but sometimes it os disturbing my works. Please kindly help me.
Having pain in my right knee, when I put some pressure like walking upstairs, when I situp from the floor. I feel some cracking sound when I put my hand on my knee. I have this problem for the last 1 month. But when I walk on a plan surface I do not have any such issue. I face problem only when I do some work which put pressure on my right knee.
Insomnia is a mental condition, which is characterized by a difficulty in falling asleep, even when you have the chance to do so. The causes of insomnia include stress, emotional or physical discomfort; environmental factors like noise, light or extreme temperature that interferes with sleep; and depression or anxiety.
The visible symptoms of insomnia are inability to fall asleep no matter what, irritability, depression, lack of concentration and enthusiasm, and distressed stomach and intestine. Complications associated with insomnia can cause psychiatric problems, obesity, increased risk of long-term diseases or conditions like high blood pressure, heart disease and diabetes.
Insomnia can be classified in the following ways -
- Acute insomnia: it is also known as short-term insomnia and usually lasts for a night or a few weeks.
- Primary insomnia: it refers to sleep problems which aren't directly related with any health condition.
- Chronic insomnia: insomnia is described as long-term or chronic if you suffer from it for about 3 nights a week for 1 month or longer.
Homeopathy is a boon towards treating insomnia.
- Efficiency - The efficiency of homeopathic medicines in curing the several problems associated with insomnia is unquestionable. Plus, targets at providing long-term cure for insomnia instead of just temporary relief. The approach that homeopathy adopts includes getting at the root cause of the problem, and weeding it out so that there's never a relapse of your condition.
- Safety - Homeopathic medication are far safer therefore, it is preferable and highly recommended. It serves invaluably during insomnia and does not involve any side effects.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Knee pain or injuries are very common and have numerous causes. Knee pain can emerge from delicate tissue wounds like ligament sprains and muscle strains. Bone conditions like knee joint pain, Osgood Schlatters, and biomechanical dysfunction can also cause knee pain. Treatment can include basic knee mobilization techniques, taping, massages or knee strengthening exercises completely through a careful recovery method after knee replacement or reconstruction.
Physiotherapy can help you overcome the pain and increase your strength and flexibility. A physiotherapist can suggest you a number of treatments and also help you understand your issue and get you back to your everyday routine. Physiotherapists are said to be successful in getting rid of the source of the knee pain by diagnosing a cause. This includes tightness around the knee and treating it with stretching and exercises.
Following are some of the exercises a physiotherapist might generally recommend for knee pain:
- Calf stretch: Use a chair for balance. Bend your left leg. Step back with your right leg and gradually straighten it behind you. Press your left heel toward the floor. You should feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice and then switch legs.
- Straight leg raise: It helps build muscle strength to give support to the weak joints. Lie on the floor. Twist your left knee, foot on the floor. Keep the right leg straight, toes pointed up. Tighten your thigh muscles and raise your right leg.
- Quad set: With these, you don't raise your leg. Just tighten the thigh muscles, also called the quadriceps, of one leg at once. Begin by lying on the floor. Keep both legs on the ground, loose. Flex and hold the left leg tense for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Cushion squeeze: This move strengthens your legs from the inside so that they can support the knees. Lie on your back, both knees facing inwards. Place a cushion or a pillow between the knees. Press your knees together, squishing the cushion between them. Hold for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Heel raise: Stand tall and hold the back of a seat for support. Lift your heels off the ground and rise on the toes of both feet. Hold for three seconds. Gradually lower both heels to the ground. Do three sets of ten repetitions.
In case you have a concern or query you can always consult an expert & get answers to your questions!