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R K Poly Clinic And Diagnostic Centre

Rheumatologist Clinic

2nd Floor, Heritage Complex, Ranchi. Landmark: Near RMCH, Ranchi Ranchi
1 Doctor · ₹500 · 1 Reviews
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R K Poly Clinic And Diagnostic Centre Rheumatologist Clinic 2nd Floor, Heritage Complex, Ranchi. Landmark: Near RMCH, Ranchi Ranchi
1 Doctor · ₹500 · 1 Reviews
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about R K Poly Clinic And Diagnostic Centre
R K Poly Clinic And Diagnostic Centre is known for housing experienced Rheumatologists. Dr. Deonis Xess, a well-reputed Rheumatologist, practices in Ranchi. Visit this medical health centre for Rheumatologists recommended by 96 patients.

Timings

MON-SAT
09:00 AM - 11:00 AM
SUN
09:00 AM - 12:00 PM

Location

2nd Floor, Heritage Complex, Ranchi. Landmark: Near RMCH, Ranchi
Ranchi, Jharkhand - 344452
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Doctor in R K Poly Clinic And Diagnostic Centre

Dr. Deonis Xess

MBBS, MD - Medicine
Rheumatologist
18 Years experience
500 at clinic
Unavailable today
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Knee Arthritis & High Tibial Osteotomy - An Overview!

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Knee Arthritis & High Tibial Osteotomy - An Overview!

What is arthritis of the knee?

The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.

What is medial compartment arthritis?

Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee. 

How do you diagnose medial compartment arthritis?

ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.

Non-operative treatment

Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.

Who requires surgery?

People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.

Runner's Knee - What Should You Do To Manage It?

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Runner's Knee - What Should You Do To Manage It?

Runner's knee is a painful condition that is usually encountered by athletes who indulge in varied exercises like running, jumping, walking, biking and more, on a regular or professional basis. The kneecap is a region that gets affected with aches and pain when a person is suffering from Runner's knee. This condition can occur due to a fall or constant bending of the knee, which can lead to misalignment of the knee joints and knee cap. Also, weak muscles and lack of balance during physical activities can add to the risk of contracting this condition.

Here's how you can deal with it.

  1. Give it Rest: Literally! Suffering from Runner's knee could also mean that your body is trying to ask you to slow down. Wear and tear from excessive levels of physical activity can lead to Runner's knee, and in such cases, the best way to come back to peak physical form is to take some rest so that the knee is free of activity and consequent pain until it is ready to take on exercise again.
  2. The Only Way is 'Up': When you are suffering from pain in the region behind and around the knee cap due to Runner's knee, the best way to alleviate the pain is to place your knee in an elevated position. Get yourself some comfortable cushions and pile a few of them up before placing your knee on top. This position will give support even as blood circulation increases and inflammation, if any, decreases.
  3. Anti-inflammation Medication: See your doctor for chronic Runner's knee and find out if you are suffering from inflammation which may require the help of medication. This medication can bring down and gradually eliminate the inflammation or swelling, to give you relief from the pain. Remember to check for side effects before you take these medicines, though.
  4. Strengthening Exercises: A sure shot way of dealing with chronic pain is to do some muscle strengthening exercises as prescribed by your orthopaedic specialist or a physiotherapist. Doing these exercises will give your muscles the strength to support your knees in a better way while you indulge in athletic activities. Remember to substantiate these exercises with a calcium and protein rich diet as well.
  5. Cold Compress: In case you have had a fall or suffered an injury which has led to Runner's knee, you can make use of a cold compress or an ice pack to relieve the pain for some time. Ice is a well-known treatment for acute and sudden pain.

Runner's knee is a condition that needs care, rest, and medication if it is persistent. If these methods do not help, you should see a doctor for scans and tests. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2 people found this helpful

I am, 30 year female I having pain in my knee when I bend my knee after long time standing, also feel discomfort when I cross one leg on my another leg, I feel pain in front of my knee & also back of the knee. So kindly let me know it is a symptoms of any danger disease or a normal thing & what I need to do to for healthy knee musculus.

BAMS
Ayurveda, Villupuram
I am, 30 year female I having pain in my knee when I bend my knee after long time standing, also feel discomfort when...
You. Should go for x ray knee. Or consult to orhtthropedic for better advise. I just wanna try to convince you, according to ayurved terminology it arises due to imbalane of not proper digestion of your intake food. We say it aam dosha. Which goes to joint for nurishment but aam is present that deposited in there and arise pain and sometimes with kriptus sound. When your touch your palm in joint you can feel some warmness there. Sweling. And redness may also seen. If it is in starting .you cane cure in short time.
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Now I'm suffering with knee pain also. Every day 5 to 6 times I'll go up and down through steps.

Bachelor of Physiotherapy, PGDEI, FNR, FSR
Physiotherapist, Zirakpur
Now I'm suffering with knee pain also. Every day 5 to 6 times I'll go up and down through steps.
Dear user do hot water fomentation and simple knee exercises. If pain is not reducing then see a nearby Physiotherapist.
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I hit my knee in mirror door n it's swollen n painful and I have diabetes too. So what should I take?

MS - Orthopaedics, MRCS Ed UK, FASM(Fellowship in Arthroscopy and Sports Medicine), DNB (Orthopedics)
Orthopedist, Bangalore
I hit my knee in mirror door n it's swollen n painful and I have diabetes too. So what should I take?
You should do icing on it. RICE protocol- Rest, Ice, Crepe bangage, Elevation and some over the counter pain killer sprays should be enough. If it does not come down in 2 days get an orthopaedic opinion.
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L have undergone ACL reconstruction surgery in November 2017. I am doing knee strengthening exercises. Is swimming recommended as a part of rehabilitation?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
L have undergone ACL reconstruction surgery in November 2017. I am doing knee strengthening exercises. Is swimming re...
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. Yes at this period, now you can go for swimming for better rehabilitation. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
1 person found this helpful
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How To Control Pain After Knee Replacement?

MBBS, MS - Orthopaedics, Fellowship Joint Replacement Surgery
Orthopedist, Delhi
How To Control Pain After Knee Replacement?

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!

How to increase bone strength I want to increase my cartilage because an as offering with knee pain severely.

MS Orthopaedic
Orthopedist, Vadodara
How to increase bone strength I want to increase my cartilage because an as offering with knee pain severely.
You should consult Orthopaedic doctor to rule out any ligaments injury of knee. If it's OA knee then you can take medication for cartilage Tab cartigen Duos twice day for one mth then after follow up you can continue it.
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I am suffering from Knee pain from past 1 year and I have consulted to many doctors also but there is no relief. Doctors have suggested me many tests like MRI, anti ccp etc.In MRI scan, its shown that there is little fluid in knee. Every time I go to doctors and they suggest me new tests but I have not got any relief yet. Kindly suggest me what to do.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am suffering from Knee pain from past 1 year and I have consulted to many doctors also but there is no relief. Doct...
Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Knee pain more than 2 weeks:if your knee is paining since 2 weeks, then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
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I am getting pain in between my toes around the hole area from one month. Ten days back I had sex with my girl friend that day evening I feel some pain on my knees yesterday I play cricket and I am getting pain in between my ties and my knees also paining my age 23 is it serious.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am getting pain in between my toes around the hole area from one month.
Ten days back I had sex with my girl friend...
Hi lybrate-user. The pain is at random location and there are no apparent cause of the pain so it is difficult to suggest what is it. You may need to take proper blood test like VDRL and other tests. Then will be able to diagnose. Till then take homoeopathic medicine Medorrhinum 200 one dose.
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