Doctor in Unity Hospital
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
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Patient Review Highlights
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.
- 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. In arthroscopy, joints are visualised using camera introduced through a tiny incision
- Resection arthroplasty is a method that involves the surgical removal of the bone from the collarbone and substituting it with a scar tissue to treat arthritis of particular joints.
Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.
What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running.
What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks.
Are you experiencing knee pain and seek ideal treatment for your condition? Knee pain is a very common issue which may develop in any bony structure of your body, comprising your kneecap, the knee joint, ligaments, and cartilages of your knee. Knee pain is common in people of all ages, and simple home remedies can be used to treat knee pain effectively. In severe cases, professional treatment or help is required.
• The location of your knee pain varies based on the structure that is involved.
• Your whole knee may swell up and seem painful in the case of infections and inflammatory processes. On the other hand, a bone fracture may show symptoms in one specific area.
• The severity of knee pain may vary from acute to serious and disabling.
Other common symptoms associated with knee pain include the following:
• Difficulty in walking because of knee instability.
• Limping because of discomfort.
• Difficulty in going up and down the staircase because of ligament damage.
• Swelling and redness.
• The inability of extending the knee.
Knee pain may occur because of several reasons and factors that include:
- Chondromalacia patella
- Baker’s cyst
- Rheumatoid arthritis
- Meniscus tear
- Torn ligament
- Bone tumors
Factors that may make the situation worst are:
• There are several treatment measures for knee pain, based on the cause, your condition, and severity.
• The most common treatment procedures include the following:
• Several medications are used for the treatment of an underlying medical condition that causes knee pain, for effective pain relief.
• Strengthening of the muscles surrounding the ankle makes it stable and helps in achieving the best mechanical movements.
• This is effective in avoiding injuries and preventing an existing injury from worsening.
• Several injectable medications are injected into your knee directly.
• Corticosteroids and lubricants are commonly used for dealing with inflammation in the knee, and for improving movement and pain.
• In case of severe and persistent knee pain, a surgery may be required. Knee operations include arthroscopic surgeries, total knee replacement and much more.
• Arthroscopic surgery is the most common procedure in which injuries in your knee are repaired and pieces of loose cartilage and bone are removed.
• During partial knee replacement, the damaged parts of your knee are replaced with metal and plastic parts. Only a part of the knee joint gets replaced.
There are several other therapies that are also beneficial for the treatment of knee pain. You can opt for acupuncture, which is ideal for osteoarthritis patients. Glucosamine and chondroitin supplements are also prescribed in some cases.
When performing simple daily activities like climbing stairs, getting out of a chair, or walking tend to become a rather painful experience, knee replacement surgery seems to be the only suitable solution. Referred to as arthroplasty, it is a common surgery nowadays and ideal when several other therapies and injections fail to bring back the knees into the normal functioning order. Below are some the things that one can expect from a knee replacement surgery.
- Medications: It is quite natural to receive lots of prescribed medicines right after the completion of the surgery. From antibiotics to painkillers, one needs to be ready to have various medicines which are meant to relieve the pain of the surgery as well as to prevent blood clots. However, the drug dosages continue to get lesser, after each passing day, depending on how well the knees are performing.
- CPM: Taking the help of CPM or continuous passive motion becomes necessary for many people after having the knee replacement surgery. Depending on the condition of one’s knee, one might need to spend time in a CPM system, which helps in keeping the knee flexible. There’s a cradle in the machine for the legs, and the machine is fitted with the joint position and leg length. One can adjust the level up to which the machine can bend the knees, depending on their comfort level.
- Walking: The majority of the people who undergo knee replacement surgery can walk the very day of the surgery or the next day. Most of the people become able to bear the weight of the replaced knee with the help of crutches or walkers. However, one can expect a bit of pain when starting to walk for the first time after surgery.
- Rehabilitation: The primary purpose of rehabilitation after a knee replacement surgery is to make one capable of bending his or her knees at least 90 degrees which is essential for performing the daily activities easily. Several therapies can make the rehabilitation process a success and make the knees bendable more than 90 degrees in most of the cases.
- Exercise: Most people go home within a few days after a knee replacement surgery and is essential to take care post-surgery. The best way to maintain the good health of the knees is by performing the exercise program regularly, which is suggested by the doctors. Following the exercise program regularly and performing regular short walks, can make the knees flexible like before while regaining their strength as well as the motion range more quickly.
It's best to visit one's doctor from time to time, even months after the knee replacement surgery is done to not only monitor his or her knee replacement; but also to ensure that there are no risks of any complications.
When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged.
If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts.
What can lead to a dislocated shoulder injury?
- Sharp or a very fast twist of your arm.
- Falling down on a hard surface.
- A sudden hurt or hit.
- It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place.
In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation.
The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury.
After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan.
The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.
When it comes to contact sports like football or basketball, orthopaedic injuries are unavoidable. Given the high risk of falling and accidents and wear and tear of muscles, injuries like stress fractures, torn ligaments, ACL tears and chronic pain are common complaints a sports doctor comes across. Not all orthopaedic doctors can deal with sports injuries. Sports medicine is a specialisation of this field that deals exclusively with the prevention, diagnosis and treatment of injuries sustained while playing sports. A sports doctor must not only treat an injury but must also speed up the healing process so as to allow their patients to return to the field as quickly as possible.
When it comes to surgeries for sports injuries, the smaller the incision made, the faster an injury will heal. This has led to the popularisation of minimally invasive surgeries. Arthroscopy is one such type of minimally invasive surgery that is used by doctors to diagnose and treat joint injuries and musculoskeletal conditions.
This procedure is typically performed on a patient under general or spinal anaesthesia. When being used to diagnose a condition, it involves the insertion of a thin fibre optic tube with a light, magnifying lens and camera into the body through a small incision no bigger than a button hole. This allows the doctors to examine the bone and joint in detail. In cases where this type of surgery is being used to treat a patient, specially designed instruments may also be inserted through an additional small incision to repair the injury.
Arthroscopic surgeries for sports injuries are often used in combination with other approaches or open surgery. One of the most common conditions, this type of surgery is used to treat are ligament injuries to the knee. Other conditions that can also be treated with arthroscopic surgeries are torn ligaments and cartilage, inflammation of the joint lining, carpal tunnel syndrome, tears in the rotator cuffs and loosening of bones and cartilage.
After the surgery, the incision will be stitched shut and a dressing will be placed over it. In most cases, patients require almost no pain medication as compared to the medication needed to recover from open surgery.
However, it can take several days for the joint to recover and for the incision to heal. Some of the benefits of this kind of surgery are:
- Faster healing
- Minimal scarring
- Lesser blood loss
- No danger of cutting muscles or tendons
- More comfortable rehabilitation
- Faster return to the sports field
Fibromyalgia is a condition characterised by extreme muscle pain that is followed by weakness, fatigue and issue with the state of mind. It is believed that fibromyalgia causes painful sensations by affecting the way your mind forms pain signals.
Indications now and then start after a physical injury, surgery, disease or critical mental anxiety. In different cases, side effects progressively show after some time with no single occasion that triggers it.
Minimize stress and tension in your life. Stress may play an essential part in activating fibromyalgia side effects and its symptoms. Many individuals with fibromyalgia tend to feel on the edge, anxious, and inactive around the time when the side effects fibromyalgia flare up.
Exclude yourself from unpleasant circumstances. People tend to amplify issues, making them appear to be far more prominent than they are. When you think of something to be a last chance situation, despite the fact that in reality, it is not, your body responds as though you are at risk. Work at treating your feelings as problems come by.
Make worksite adjustments. To continue working full-time, you should stay rationally and physically ready to handle your employment obligations. To keep away from stress and tension, you may need to give additional time during the day to complete your personal needs and sort out your problems. Converse with your manager and work out a timetable that allows you to manage your time.
Coordination. Coordination is important with an unending condition like fibromyalgia. Transparent conversations diminish the problems amongst you and your companion, family, friends and colleagues.
Figure out how to say no. Failing to say no to excessively numerous requests will make you overburdened. That will add to your anxiety level. To help yourself say ‘no’ to a convincing companion, consider the circumstance before you reply and also think about the time you will be saving.
Keep a diary. Writing in a diary consistently can turn into a great channel for analyzing yourself and your situation. A few people can also figure out when their fibromyalgia symptoms started. That can help them see how and when the symptoms began.
Take a hot shower. Take a hot shower, a hot tub bath, or a steam bath. To begin with, it will help you to unwind the muscles that are tense. It will also decrease the pain and make your muscles more flexible and effortless to move.
- Exercise frequently. As per physiotherapists, exercising routinely is vital to get rid of fibromyalgia. In light of the pain, delicate muscles, continuous weakness, and stiffness felt by individuals with fibromyalgia, many have turned out to be physically unfit. Hence, all of the above-mentioned treatments are very important in order to stay fit.
Osteoporosis is a Latin word for “porous bones”. A healthy bone holds tiny spaces within it resembling a honey comb. Osteoporosis causes an expansion in the dimension of these spaces so much so that the bone loses out on its density and strength, at the same time turning brittle and thin on the outer part. People afflicted with osteoporosis are prone to experiencing fractures at the slightest stimulation while engaging in daily chores. It usually affects one’s wrists, hip and the spine, thus rendering a stooped posture, loss in height and back pain as a result of a collapsed vertebra. Factors such as lowered estrogen count in women and testosterone in men, long term use of certain medications, certain medical conditions such as damage to the liver or the kidneys and a sedentary lifestyle along with excessive tobacco and alcohol consumption make one vulnerable to osteoporosis.
- Medications: Zoledronic acid, Ibandronate, Risedronate and Alendronate are some of the widely used medicines to combat the risks of fracture. However, these medicines carry considerable side-effects, for instance adnominal pain, nausea or a heart-burn like sensation. Ipriflavone, a laboratory manufactured product, in combination with calcium can be used as an alternative medicine to inhibit bone loss and alleviate pain.
- Quit smoking: Smoking escalates the rate of bone loss and the chances of sustaining another fracture.
- Refrain from excessive alcohol intake: Alcohol meddles with one’s bone formation. Also, excessive alcohol intake might cause one to feel tipsy and thus fall down, aggravating risks of injuries and fractures even more.
- Be careful while walking: Choose low or flat heeled footwear with soles that do not slip. Watch your step. Be careful with rugs, slippery surfaces, electrical cords or other scattered substances which might make you trip over and fall. Install ‘grab bars’ in your house so that you can hold on to them if you suddenly feel unsteady on the feet.