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Dr. On and off I am getting back problems. In jan I had back spasam problem in right side and took some injections and it was ok. Then the problem came in the right side hib cured after injection and physiotherpy. Now from day right side paining a lot. I donot have any sugar or no bp but cholestral is there. My near by Dr. Says obesity is the problem and I am 5.3 and weighing 98 kgs. I donot want to take physiotherapy or any power killer tablets. Kindly advise what to do. Pain is acute.
I have physical test of 5 km running .I have done a lot practise for that but my legs suffer from so much pain during running. I have to complete 5 km in 25 minutes but it takes 28.29 minutes. So what should I do that can help me to reduce time and pain?
Back & Right mussel pain from 5-6 month ago. What is the problem? And what can I doing at this moment.
Hi Doctor, My right shoulder and Elbow is paining when I throw the ball but when I am balling it does not pain, same when I sleep on right side it pains and when I pick up some weight my last two fingers get numbness please advice me some exercise for this pain.
My wife is 55 years old and a sugar patient also. Recently she is getting pain in the knee and she went for x-ray. The report showing that she is suffering from ostro-arthritis and she is taking Jointace C-2 and calcium tablets also. What should we do now.
Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.
There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.
Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)
Read on to know some of the most common causes for cartilage damage and ways to manage it.
Age and trauma are the main reasons for cartilage damage.
Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).
Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.
Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.
Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.
The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.
Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:
Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.
Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.
Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.
Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth.
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