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Surya Hospital

Orthopaedic Clinic

- Shikrapur, Taluka - Shirur, Landmark: Near At Post, Pune Pune
1 Doctor
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Surya Hospital Orthopaedic Clinic - Shikrapur, Taluka - Shirur, Landmark: Near At Post, Pune Pune
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Surya Hospital
Surya Hospital is known for housing experienced Orthopedists. Dr. Shriyansh Kapale, a well-reputed Orthopedist, practices in Pune. Visit this medical health centre for Orthopedists recommended by 83 patients.

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09:00 AM - 09:00 PM

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- Shikrapur, Taluka - Shirur, Landmark: Near At Post, Pune
Shirur Pune, Maharashtra
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Spondylosis - Is Ayurveda The Best Form Of Treatment?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda, Ph.d Arthritic Disorder
Ayurveda, Surat
Spondylosis - Is Ayurveda The Best Form Of Treatment?

Spondylosis is a disease of the bone which involves wear and tear of the discs. The latter is the cushion between the joints of the neck and the neck bone. While it is mostly observed in aged people, it is not too uncommon among the youth as well. It can present with symptoms such as numbness, neck pain, headache, stiffness near the shoulder area etc. Ayurvedic treatment has been extremely promising in treating both cervical and lumbar spondylosis.

  1. The food connection: Ayurveda states that there is a close connection between Spondylosis and food. In Ayurvedic terms, an increase of Vata Dosha can lead to the problem of Spondylosis. For instance, consumption of frozen or processed food, sodas, junk food, low consumption of water, excess consumption of curried food heighten the chances of Spondylosis.

  2. Habits matter: As per the books of the Ayurveda, a reckless lifestyle increases the chances of Spondylosis. Habits such as day sleep, regular walking for a long distance, urging the suppression, rigorous exercise daily, work that involves bearing of weight on the neck, head and shoulder, night awakening etc. can wreak havoc and result in Spondylosis. On the other hand, healthy lifestyle changes can help a person refrain from this condition.

  3. Psychological Factors: Ayurveda states that even psychological factors can go a long way in making a person suffer from Spondylosis. Certain factors such as excess stress, loss of interest in day to day work, fear of failure, feeling of frustration, too much anger, grief resulting from personal loss etc. play a major role in Spondylosis.

Visible Symptoms of Spondylosis:
Some medical symptoms that can be easily identified as the signs of Spondylosis include fatigue, pain in the arm, shoulder, and forearm, difficulty in functions pertaining to neck rotation, extension, joint stiffness, muscular spasm, headache, weakness in the arm, difficulty in movement, difficulty in muscle coordination etc.

Some ayurvedic treatments to deal with Spondylosis

Treatment: 

Home Remedies For Cervical Spondylosis:

  1. Use Cow's ghee in your food. It is a best natural "Vata" reliever and gives nourishment to the nerves and other body parts.

  2. 1 tablespoonful of Turmeric should be consumed once every day, after boiling it in milk for half an hour. It is a very useful herbal treatment for cervical Spondylosis.

  3. Constipation must be avoided at all costs. Constipation may increase pain in Cervical Spondylosis.

  4. Herbs have divine healing powers and they have the ability to cure any type of disease from the root. They were gifted to us by God when he created life. So believe in God if you want to get rid of your problems!

  5. Ayurvedic herbs are unique natural remedies for Cervical Spondylosis. Ayurvedic principles are different in many ways from modern medicine for example - Drinking water from a copper pan after keeping it overnight is also very useful in Rheumatoid arthritis and Cervical Spondylosis.

  6. Consuming castor oil at night with milk or alone is a very useful herbal remedy for arthritis, especially rheumatoid arthritis and Cervical Spondylosis.

  7. Improve your nutrition as the first step.It plays an important role to fight diseases. When nothing works, nutrition does!

  8. Use herbal juices like Aloe vera juice (Kumari Saar) and Amla Juice (Amla Saar) in routine. Amla is the richest source of natural Vitamin C. Vitamin C improves the natural immunity of the body. 100 gm of Amla juice contains 30 times more vitamin C than 100 gm of oranges.

  9. Greeva Basti- A compound created with Bala Ashwagandhadi oil, Medicated oil and black gram paste is applied on the affected area. Regular application of this can regenerate the muscle bone and reverse Spondylosis to a considerable extent.

Ayurvedic Herbs For Spondylosis
Some ayurvedic herbs are known to be extremely beneficial for treating Spondylosis. When these are consumed or applied on the affected area, they can fetch surprising result for a Spondylosis patient. Some of these herbs include Prishniparni (Uraria picta), Ashwagandha (Withania somnifera), Guggulu (Commiphora mukul), Shunthi (Ginger), Bala (Sida cardifolia), Amalaki (Emblica officinalis), Gambhari (Gmelina arborea), Shallaki (Boswelia serrata), Rasna (Pluchea lanceolata), Castor root (Ricinus communis) etc.

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Homeopathy: An Ideal Cure for Knee Pain

BHMS
Homeopath, Ajmer
Homeopathy: An Ideal Cure for Knee Pain

The knee joint is a very complicated joint in the body as it helps in a number of movements. Knee pain may result from sudden injuries, osteoarthritis or due to overuse and over exertion on the knees.

The various causes of knee pain are:

  1. Osteoarthritis
  2. Injury to the knee joint
  3. Being overweight puts stress on the knee, resulting in knee pain
  4. Infections in the knee joint result in knee pain
  5. Movements such as heavy squats may cause the knee joint to be sprained

Homeopathy is a holistic method of treatment that focuses on treating the cause of the disease rather than just the symptoms. There are many homeopathic remedies that are used for the treatment of knee pain:

  1. Rhus Tox: This remedy is used to treat knee pain that results from repetitive motion of the knee joint.
  2. Bryonia Alba: This is used in treating knee pain that gets worse when the knee joint is moved. Also, it is advised to rest after using this remedy.
  3. Ledum Pal: This is an excellent treatment for knee pain that is caused by rheumatism and gout. The symptoms tend to worsen under cold conditions.
  4. Guaiacum: If the knee pain is caused by abscess in the knee joint, then guaiacum is used to treat it. It is advised to apply cold compress to the affected area to allow it to heal faster.
  5. Benzoic acid: If the cause of the knee pain is deposition of uric acid, benzoic acid is used in the treatment.
  6. Hypericum: This remedy is used to treat pain that stems from rheumatoid arthritis, such as pain while contracting the knees. It is an effective remedy to reduce pain in the nerves around the knee joint.
  7. Colchicum: This remedy is administered if the knee pain worsens after moving the leg. It is advised to rest the knee and apply warm compress on the affected area to reduce the pain after this particular remedy is administered.

Hello Dr. I am 30 years old and my V B12 is 150pg/ml. I am feeling very tired, feel weakness, can not get proper Sleep, feel tired Mind, Pain in neck, what can I do?

BAMS, Msc-Psychoneurobics, Diploma in Counseling and Spiritual Health
Ayurveda, Faridabad
Hello Dr. I am 30 years old and my V B12 is 150pg/ml. I am feeling very tired, feel weakness, can not get proper Slee...
Try to learn meditation for better sleep, Avoid electronics 2 hrs before bed time and hav your dinner also 2 hrs before bed time. See your diet it should be nutritious. Avoid cool stuff. Need more information for proper Guidance.
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I just wanna ask that I am suffering from neck pain or cervail pain so doctor told me you shouldn't go gym but I just confirm should I go park daily for wait loss and can I do cardio exercise and crunches for fat loss pls help me.

BHMS
Homeopath,
I just wanna ask that I am suffering from neck pain or cervail pain so doctor told me you shouldn't go gym but I just...
Avoid bending forward. And if any exercise have this posture don't do until your cervical pain cured. You can use homoeopathic medicine named as. Spondin (bhargava) 20 drops thrice a day in half cup of water. It will be helpful to you.
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Hello doctor my question to you iz about my knee pain. My knee pains a lot wen I climb stairs or wen I do my household work my right knee pains very badly.

DHMS (Hons.)
Homeopath, Patna
Hello doctor my question to you iz about my knee pain. My knee pains a lot wen I climb stairs or wen I do my househol...
Hello, reduce your weight if you are obeased, please. You need to go for physiotherapy, first. Go for meditation to reduce stress to check knee-pain. Tk, plenty of water to hydrate your body. Your diet be easily digestible on time. Tk, homoeopathic medicine:@. Colchicum 1000-6 pills, weekly. Avoid, junkfood, alcohol & nicotine. Tk, care.
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My 1 years baby is having rashes with small red bumps and getting rough skin in back shoulders and chest From 1month he is suffering doctor said it is heat rash but it is from 2 months getting worse.

DHMS (Hons.)
Homeopath, Patna
My 1 years baby is having rashes with small red bumps and getting rough skin in back shoulders and chest
From 1month ...
Hello, Intake of water be enhanced, please. His diet be non-irritant and easily dugestitle. Give her the underlying homoeopathic medicine, being rapid, gentle and safe in administration: @.Antim crud30-4 pills thrice. Report, weekly.
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Hi doctor I've been facing neck pain, tingling numbness in my hands and arms from last 6 month. And I couldn't sleep. Never have a deep sleep almost from last 6 month .now am so weak. I really don't know what to do. Please help.

BPTh/BPT, DMS
Homeopath, Kolkata
Hi doctor I've been facing neck pain, tingling numbness in my hands and arms from last 6 month. And I couldn't sleep....
Most probably you are suffering from Cervical Spondylolisis, So, U confirm the diagnosis by X- Ray and go to the physiotherapist.
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Sir my disk is somewhat cross towards right side I think it should be straight. Will I face any problems in future because of this cross disk and what should I do for straighten my disk.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sir my disk is somewhat cross towards right side I think it should be straight. Will I face any problems in future be...
It should be due to Lumbar spondylosis which is untreated for the longer time, might make you to have cross disk. Yes undoubtedly it will lead to posture problems which might have impact on the knee and other gait pattern movements.
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What are the main issue which causes calf muscle pain and what are it's exercise.

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
What are the main issue which causes calf muscle pain and what are it's exercise.
If no history of smoking then it is calf strain Start ice fomentation followed by volini gel and ankle and feet exercises. For more details about exercises please refer my health tips or contact me on private consultation.
1 person found this helpful
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Sorry I have disc pain problem i'm not able walk for longer time and i'm not able carry much weight.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sorry I have disc pain problem i'm not able walk for longer time and i'm not able carry much weight.
It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. The lower end of the vertebral column is inflamed and that bone is called coccyx bone and the condition is called Coccydynia. The conservative management would be to keep ice in that inflamed area during one time in a day and also to sit in a hot water bowl where the penetration of the heat would help to reduce the inflammation. And to reduce the weight falling on the inflammed surface we suggest patients to use air cushion pillow (also called as doughnut pillow) where in the buttock's weight will not fall exactly on the painful tail bone and that would automatically reduce the pain.
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Arthritis - Causes And Risk Factors!

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Arthritis - Causes And Risk Factors!

Arthritis is a disease in which the joints in your body swell. Inflammation or swelling can be caused due to body's natural response to injury or disease. It can cause discomfort in the form of pain, stiffness as well as difficulty in movement. Major types of arthritis are osteoarthritis, rheumatoid arthritis, psoriatic arthritis and gout.

Causes of arthritis

Arthritis is generally caused by a combination of factors. It can happen due to genetic factors in case the disease runs in the family. Sometimes it can be caused due to injuries of the past; it can also be a by-product of your lifestyle. Some of the common causes of arthritis are:

1. Genetic makeup in which arthritis can be a hereditary trait
2. Physically taxing work life or injuries caused in an accident
3. Imbalance in the immunity system
4. Infections in the joint.

Risk Factors associated with arthritis

1. Family history - You can be prone to develop arthritis if it runs in the family. It can occur due to its hereditary trait hence making you more vulnerable to the environmental factors which contribute to developing arthritis.

2. Age - The risk of arthritis can increase with age. Types like osteoarthritis, rheumatoid arthritis and gout are more common in the old age.

3. Gender - Your sex is an important factor as women are more likely to develop rheumatoid arthritis while men are prone to suffer from gout.

4. Joint injury - Joint injury caused due to accidents or due to sports activities can trigger arthritis. People with previous joint injuries can develop arthritis in that joint.

5. Obesity - Excess weight can put a lot of pressure on the joints, on the knees and hips in particular. Hence, obese people have more chances of developing arthritis than fitter people.

Wounds On The Feet, Not Healing? Find out why!

MBBS, MS - General Surgery, MCh - Vascular Surgery, F.V.E.S
Vascular Surgeon, Bangalore
Wounds On The Feet, Not Healing? Find out why!

An injury runs its course of a few days to weeks depending on the size and heals and closes. There could be scarring or mobility issues in some though. However, this does not happen in all cases, and a wound that has not healed for more than 6 weeks is termed as chronic. They are most common in the hands and feet. In those who have mobility issues, hips, buttocks, and thighs are also common areas.

Read on to know more about why this happens and how they can be treated.

Reasons: Though there could health conditions aggravating the healing, most wounds heal late due to 3 reasons:

  1. Poor circulation: A healing wound requires nutrition for the cells to repair, and if there is improper circulation, then healing is definitely delayed. This can happen due to diabetes, malnutrition, reduced mobility, vascular disease, etc. In many unsuspecting people, nonhealing wounds have led to diabetes being diagnosed. Diabetes also affects nerve supply, so delayed healing may go unnoticed too. Post injury, it is also important to completely stop movement, as circulation needs to be maintained for proper, quick healing.
  2. Infection: By preventing tissue regeneration and interfering with blood clotting, they can prolong bleeding and cause chronic inflammation. This leads to delayed healing and in most cases, worsening of the current situation.
  3. Fluid accumulation/edema: Any injury causes leakage of cellular fluid into the surrounding tissues. This causes edema and the surrounding tissue is often swollen. This leads to poor circulation also, which is another cause for delayed healing. Edema also reduces tissue repair difficult, not allowing skin to form over the wound.

Symptoms: While the wound per se is an indication, there are also other symptoms which indicate a non-healing wound.

  1. Pain, which has not subsided
  2. Swelling, discharge, odor, and skin color changes due to the ongoing infection. A thin discharge is not worrisome, but a thicker or foul-smelling discharge is definitely a cause for concern
  3. Open wound: Most wounds heal within the 30-day period. If the wound is open beyond that, it is always advisable to seek medical support.

Management: This would include generic and local treatment.

Generic treatment would include a nutritious diet, good sleep and rest, adequate exercise and rehab program to ensure adequate mobility, and frequent monitoring. In addition, conditions like diabetes have to be monitored and brought under control.

Local treatment options would be:

  1. Wound debridement and skin or tissue grafting
  2. Medications to improve wound healing
  3. Hyperbaric oxygen to provide more oxygen to the wound in particular
  4. Vascular repair to improve circulation.

Delayed healing of wounds should not be ignored; timely medical help can avoid complications.

Muscle Cramps - 9 Ayurvedic Remedies That Can Treat It!

B.A.M.S
Ayurveda, Noida
Muscle Cramps - 9 Ayurvedic Remedies That Can Treat It!

In Ayuveda, muscle cramp is known as “khalli vaata”. Vyaana vaata it is a biological force that is responsible for regulating the functioning of your voluntary muscles. In case of a muscle cramp, the vyaana vaata gets impaired. Metabolic wastes are harmful toxins that tend to get accumulated in your system if not flushed out of your body and deposited between your muscle tissues and nerve-endings. This toxic waste is known as “aama” in Ayurveda, and it is known be a prominent cause of cramps. Besides aama, vata dosha is also responsible for muscles cramps.

Ayurveda provides a number of remedies to treat the problem of muscle cramps. The following are some of the most effective remedies to relief the discomfort of muscle cramps:
1. Drink warm milk to get instant relief from abdominal cramps. The alkaline properties of milk help to pacify the acidic condition in stomach that results in cramps. It is also a rich source of calcium which is known to aid in the relaxation of troubled muscles.
2. Physical activity including stretching exercise is effective in reducing the acute pain of leg cramps.
3. Garlic compound which is also called as 'Lagsunadivati' is helpful in relaxing muscles and it is also known to calm the “vata dosha” that aids in relieving muscle cramps.
4. Do warm up exercises and stretching exercises to lessen the risk of developing a muscle cramp during your workout session
5. Increase the intake of foods that are rich in minerals, calcium, potassium and magnesium as it is known to reduce the chances of muscle cramps.
6. Massage the painful region with 'prasarini taila' or 'mahanarayana taila' to relax the strained muscle.
7. Apply ice pack on the strained muscle to reduce the swelling and pain of the muscle.
8. Sinhanaada guggulu is well known to provide instant relief from muscle cramp. It has medicinal properties which have a mild laxative effect. It eases the problem of abdominal cramps and lessens the discomfort associated with it.
9. In case of extreme pain, 'Lakshmivilaas rasa', “Prataapa lankeswara rasa”, are among the most effective Ayurvedic medications which are known to provide relief in case of chronic muscle cramps.

If you wish to discuss about any specifi problem, you can consult a doctor and ask a free question.

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What Is The Role Of Occupational Therapy In Rheumatoid Arthritis?

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
What Is The Role Of Occupational Therapy In Rheumatoid Arthritis?

Lifestyle Diseases have been on the rise and to manage these conditions, a combination of medications and therapies become essential.

Occupational Therapy focuses on the way of living rather on medicines to enable the people to lead a life they want to. It is more of a rehabilitation program or therapy to make the patients of rheumatoid arthritis more adaptable to the life changes and to perform their activities on their own.

What is included in occupational therapy?
Occupational therapy involves self-care procedures in which the patient is treated and trained to learn to do things by themselves like using the washroom, eating, and dressing up, etc. People with rheumatoid arthritis tend to lose balance and have less control over their movements and OT helps in rebuilding that strength required for performing the daily activities.

It also involves leisure time for the patients, and it allows them to choose how they want to spend their free time. An occupational therapist helps them understand their interests and to grow that interest as well.
In rheumatoid arthritis, doing some work is necessary to keep your bones and the joints active so that they don’t swell up or get inflamed which is common with this disease. Moreover, OT involves both physical and mental work to keep you active throughout the day.

Besides helping the patient to achieve physical stability, OT helps them to gain mental strength as well. There are sessions which assist them to determine their life goals and things they want to do in their life. Life's hard with rheumatoid arthritis, but with proper occupational therapy and Physical therapy combined, it can become much easier.

OT also involves different changes or interventions to perform and achieve the life goals of the person.

The Essential Role of an Occupational Therapist
The role of an occupational therapist is vital for the patient who has rheumatoid arthritis. As mentioned above that OT involves nothing but doing all the daily life activities which a person is afraid to do because of the joint and bone disorder in rheumatoid arthritis, the occupational therapist help them perform this action more scientifically. They can examine the household of the patient and make necessary changes like replacing small door knobs/handles/levers with the larger ones, small switches with the bigger ones. They can also rearrange the kitchen items to make it easier for the patients to use them and also suggesting the patients to use comfortable chairs or bedding to reduce pain and other symptoms.

The therapist keeps an eye on every change or improvement of the patient and makes necessary adjustments and intervention in the activities to achieve the life goal as soon as possible.

Occupational therapy is highly based on evidence from the past, and it is deeply rooted to the basics of scientific management of rheumatoid arthritis. A time-tested and approved therapy, Occupational therapy makes the life of an RA patient less-painful. If you wish to discuss about any specific problem, you can ask a free question.

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I am having anterior tilt issue. In my lower back. Having difficulty in standing after sitting and difficulty while walking.

B.A.M.S, MD - Ayurveda
Ayurveda, Ajmer
I am having anterior tilt issue. In my lower back. Having difficulty in standing after sitting and difficulty while w...
Hello Lybrate user it may be due to slip disc problem. So first of all go to a physician and take opinion for MRI. If you are diagnosed with slip disc than take ayurvedic and pancbkarma therapy to cure it.
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I met with an accident 7 days back, I fell from my showed to the left and landed on my left knee, nw its bit swollen and am suffering from a significant pain but bearable. Any suggestions which medicine I should have and any medical restrictions.

MBBS
General Physician, Mumbai
I met with an accident 7 days back, I fell from my showed to the left and landed on my left knee, nw its bit swollen ...
Dear lybrateuser, - Give rest to the knee & limb - do cold compress 3-4 times a day - elevate the affected limb while sitting & sleeping - take a pain relief tablet 2-3 times a day after meals - apply a compression bandage on knee - get an x- ray knee done to rule out any injury.
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Sir namaste, sir I have back pain last 4 years my duty nature was sitting 12 hrs some time good seat will come some times uncomfort seat will come that is why I suffered back pain give me suggestions my age is 33 and my weight 105.

BHMS
Homeopath, Chennai
Sir namaste, sir I have back pain last 4 years my duty nature was sitting 12 hrs some time good seat will come some t...
The usual cause of low back pain is the sedentary lifestyle that we lead these days. There is hardly any movement. We remain seated most of the time and stand for very short periods of time. Unfortunately walking, running and cycling like activities are also not a part of our daily routine. To add to it, our diet consists more and more of junk food. Fresh fruits, vegetables and high fibre foods are consumed less and less. This is a worldwide trend and is seen across all ages and cultures. These daily practices lead to obesity. The increased body weight puts lot of pressure on the spine which has to bear all the extra unwanted weight. The back muscles which are already weak due to lack of exercise and wrong posture are unable to cope with this increased load. This causes pain in the back muscles. When it comes to the medicinal treatment, homeopathic medicines are very helpful. They not only treat the acute stages but are also very helpful in the chronic stage of back pain. It must be said here that homeopathy offers a much better alternative for the permanent cure for low back pain. The focus of the homeopath is not just to relieve the immediate pain but to also eliminate the root cause of the pain. That is precisely why the homeopath asks so many questions which may or may not seem related to your immediate problem. A common cause that is easily overlooked is the presence of stress in an individual. Mental stress can also contribute to low back pain and should be taken into account while taking the details of the patient. This is absolutely necessary if you want a lasting cure You can easily take an online consultation for further treatment guidance and permanent cure without any side effects.
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Hip Osteoarthritis - Physiotherapy Treatment For It!

BPTH/BPT, MPTH/MPT-Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics)
Physiotherapist, Gurgaon
Hip Osteoarthritis - Physiotherapy Treatment For It!

With age, most bones of the body undergo degenerative changes leading to reduced movement. The cartilage that is present in the joints allowing free movement is gradually lost due to wear and tear. This loss of cartilage makes the movement painful. This can also be caused by obesity and trauma, but age is the most common cause. The reduced movement leads to weight gain, which further aggravates the osteoarthritis.

Hips are one of the most commonly affected areas of osteoarthritis. Especially with overweight people, hips are quite often affected. In most people, early diagnosis can help in arresting progress and even reverse changes. This will help avoid chronic use of pain medications and major surgical treatments for managing the osteoarthritis.

Some of the most effective ways of managing osteoarthritis include the following:

  1. Weight loss: Reducing weight is one the most important cornerstones of managing osteoarthritis. People who reduce weight will see a drastic improvement in their symptoms.
  2. Pain medications: Pain is one of the main reasons that people seek medical help and that is when the diagnosis is made. Therefore, for immediate relief, pain control is essential. Nonsteroidal anti-inflammatory drugs are often used to control pain. In parallel, other measures for long-term control of osteoarthritis should be undertaken.
  3. Cold therapy: Using cold packs in the area of pain can provide great relief from pain attacks.
  4. Electrotherapy: Use of mild amounts of electricity can stimulate the nerve endings, reduce pain, and help in pain control.
  5. Dry Needling: Dry needling is an effective and efficient technique for the treatment of arthritis pain.  Dry needling or intramuscular stimulation (IMS) is extremely effective for relaxing overactive muscles, which contain trigger points. In simple terms, the treatment involves needling of a muscle's trigger points without injecting any substance.
  6. Soft tissue massage: The soft tissues around the affected hip joint are regularly massaged, augmented by the use of a topical agent, which can help relieve the pain. The circulation is also improved, which can help in long-term symptom management including improved immune functions.
  7. Regular exercise: A well-planned routine exercise regimen will help control pain, improve movement, reduce fatigue, improve endurance, and improve the overall quality of life. All affected tissues should be covered in the exercise bones, muscles and cartilage.

Using a combination of these techniques, the physiotherapy will aim to achieve the following.

  1. Pain relief and protection: The first thing to manage is the pain, which brings the patient to the doctor. Once that is controlled, then long-term management needs to be planned.
  2. Restoring hip movement and strength: Once the pain settles down, then the muscle strength, tension, endurance, and range of motion need to be worked upon. This restoration will be done in phases, and with each phase, greater range of motion will be achieved with lesser discomfort to the patient.

Physiotherapy uses various techniques to minimise symptoms and in some people, even complete reversal of changes is possible.

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