Doctors in GD Hospital
I had extreme knee pain. I had a great experience going through the whole treatment. Dr Patidar was available all the time for smallest of doubt. I am now able to walk like a young person again.
Osteoporosis refers to the condition where the bones become fragile and porous, resulting in compression fractures and severe back pain. Over the course of time, due to their fragility, the bones tend to break. Osteoporosis is a leading cause of bone fractures and back pain. in nearly 29% of women between the ages of 40-60 years.
Symptoms to look out for!
- Brittle nails
- Inability to lift heavy objects
- Loss of grip
- Receding gums
Common risk factors for osteoporosis may include-
- Family history
- Poor nutrition
- Physical inactivity
- Body weight
How is the condition diagnosed?
Often a person having osteoporosis is not aware of the condition until it is diagnosed.
- To check for osteoporosis, the doctor will go through your medical history and perform a physical examination.
- Bone density test is the ideal choice of diagnosing osteoporosis. Its uses x-rays to measure bone density of the spine, wrist and hips. These areas are mostly prone to osteoporosis.
Treatment of osteoporosis-
Osteoporosis can be treated using the following medications and supplements.
- Bisphosphonates- These prevent loss of bone mass. You can either take them orally or your doctor may prescribe an injection. Examples of bisphosphonate include- alendronate, ibandronate etc.
- Vitamins- Calcium helps build strong bones. Vitamin-D helps your body absorb the calcium, thereby strengthening your bones. Calcium nitrate supplements work better for older adults as it easily gets absorbed in the body.
- Hormonal Therapy- Hormone replacement therapy is a preferred choice of treatment for women suffering from osteoporosis during menopause. It involves the use of estrogen hormone. These are taken in the form of oral tablets or injections.
- Teriparatide- This helps increase bone formation and promotes bone density. These self-administered drugs are taken through injections. Teriparatides are prescribed to patients with severe osteoporosis or those who have low tolerance for other medications.
Apart from these, making certain lifestyle changes such as eating healthy, exercising etc. are also crucial for long-term results. This improves mobility and bone health. Consult a doctor and get yourself checked for osteoporosis early in life.
Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.
Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:
- Sore or stiff joints – after inactivity or overuse
- Limited range of motion or stiffness that goes away after movement
- Clicking or cracking sound when joint bends
- Mild swelling around a joint
- Pain that is worse after activity or toward the end of the day
Treatment Options For Osteoarthritis
Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:
- Managing symptoms, such as pain, stiffness and swelling
- Improving joint mobility and flexibility
- Maintaining a healthy weight
- Getting enough of exercise
Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.
Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.
Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.
Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.
Management Using Medications
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.
For Pain Management
- Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
- Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year
Knee pain or functional status has failed to improve with non-operative management
Types of Surgery
- Arthroscopic Irrigation
- Arthroscopic Debridement
- High Tibial Osteotomy
- Partial Knee Arthroplasty
- Total Knee Arthroplasty
Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.
Joint Replacement Surgery: Joint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.
Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.
Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.
- People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
- In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
- X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
- Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
- A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Meniscus refers to the soft ligament in your knee joint, which cushions your bones and protects it from wear and tear. It is vital for the fulfillment of regular activities and the health of your bones. Thus, a damage to the meniscus can be extremely painful. Meniscuses are exposed to injuries and shocks in case of rigorous activities and this is a fairly common syndrome faced by athletes and sports persons. It can cause a substantial amount of hurt and generally impairs movement to a large extent. It potentially gets worse as the inflammation sets in and the swelling grows. The risk of a meniscus tear increases with age. The treatment for a torn meniscus depends upon the degree of tear. While minor tears repair on their own, for grave injuries, the following therapies may prove effective.
Symptoms of a torn meniscus
- You might be able to experience a popping sensation in your knee joint
- Stiffness and swelling
- You will experience pain, especially while you are trying to twist your knee
- You might not be able to straighten your knee completely
The treatment for a torn meniscus depends upon the degree of tear. While minor tears repair on their own, for grave injuries, the following therapies may prove effective:
- Light exercises: For slightly serious meniscus tears, there are certain knee exercises which are recommended to abort any further damage as well as to repair the wound. Limiting the activities which might exert pressure on the knees, getting adequate rest, using ice packs and wearing neoprene sleeves always aid in recovery.
- Anti-inflammatory medications: Often, meniscus tears are cured with the help of anti-inflammatory drugs like Ibuprofen. They not only reduce pain but also enable the mending of the injured tissue. However, one needs to be aware of a few side effects which often become natural repercussions of such drugs. The possibility of ulcers and bleeding get increased by leaps and bounds on the intake of such drugs.
- Surgery: For all other forms of meniscus tears, if healing is not obtained through non-surgical methods, the only option available is that of surgery. Such a situation arises when the pain becomes unbearable and the meniscus tear does not respond favorably to superficial treatments. These surgeries are less complicated than replacement surgeries. They usually do not involve any life-threatening hazard and cautious and efficiently conducted surgeries release all pains and handicaps.
Are you aware of the health conditions - osteoporosis and gout? Both these conditions are associated with your joints and bones. They are both difficult diseases and require proper treatment. Osteoporosis concerns the bones, in which the bones are at a risk of breaking due to decreased strength. This condition is quite common in elderly people with brittle bones. Gout is a very painful form of arthritis and is featured by joint inflammation. The pain and inflammation occur due to the deposition of urate crystals in a joint when uric acid is present in excess in the body.
The symptoms of osteoporosis include pain and stiffening in a joint and swelling in the joints, especially in the thumbs, neck, knees and lower back. A patient’s skin may turn red and he may feel unusually hot.
Combined treatments are prescribed for osteoarthritis. Treatment aims at improving joint function, maintaining a healthy body weight, reducing pain and achieving a healthy lifestyle. Regular exercise is important for reducing pain, increasing flexibility and for improving blood circulation. You should take measures to lose weight in order to reduce the stress on the joints which bear weight. You should take sufficient amount of rest along with proper sleep. There are other alternative therapies for osteoarthritis treatment without the use of prescribed drugs. Hot and cold therapy is ideal for easing pain and increasing blood flow. Some forms of massage therapies are also ideal for giving relief to osteoarthritis pain.
There are several symptoms of gout, which occur all of a sudden. Intense joint pain is indicated and the large joint of the big toe is especially affected. It may also occur in the feet, ankles, knees, hands and wrists. The joint discomfort may last even after the intense pain subsides. The affected joints get swollen, arm, red and tender.
The treatment for gout aims at relieving severe pain and preventing future gout attacks along with long-term complications. The treatment methods include medicines and several home cure methods. Specific treatment is also prescribed based on the intensity of attacks and for preventing complications. As a part of long-term prevention methods, you should keep on taking your prescribed medicines, manage your body weight, exercise regularly and limit your intake of meat, seafood and alcohol.
Osteoarthritis and gout require timely diagnosis and treatment if you want to prevent them from worsening. In case you have a concern or query you can always consult an expert & get answers to your questions!
The problem of morning back and neck pain may be due to the position of sleeping or it may be related to inflammatory arthritis which can be familial. Morning back pain is largely related to wrong sleeping posture and less commonly due to arthritic conditions like Ankylosing Spondylitis or Rheumatoid Arthritis. Whatever be the cause- this condition requires attention by an Orthopedic doctor as it may worsen in due course of time and should not be taken lightly.
Some common factors causing this are:
- Mattress: Too soft or too hard a mattress might induce back ache after sleep. For people with waist and hips of equal proportion, a firmer mattress would do well. For those with narrower waist than their hips, a flexible and softer mattress that can move with the pelvic weight would be a perfect choice. Refrain from using old hardened mattresses.
- Pillow: The pillow you use must be able to render support to your neck naturally. Instead of using excessively firm or soft pillow, try substituting it with memory foam pillows, refillable water pillows or cervical support pillows.
- Posture: Not changing your position while sleeping or sleeping on the belly exerts strain on the back muscles, causing pain. On the other hand, sleeping on the back or on the sides causes comparatively less strain on the spine.
- Other causes such as strenuous workouts or physical activities or sitting at a stretch during the day might cause pain while sleeping or after getting up from bed.
Remedies for Morning Back Pain:
Fortunately, there are some home remedies to cure the morning back pain.
- Switching your mattress is a more expensive remedy for back pain, but may often be the ultimate cure. Most people sleep the best on medium-firm mattresses. Be sure to try out the mattress before you buy it.
- For occasional back pain after sleeping, apply heat to your back to relax your muscles before you go to bed and when you get up in the morning.
- Massage your back with pain relieving creams and apply heat on it with a heating pad for quick relief.
- Specific spinal stretching exercises and Planks (a type of exercise) can greatly help in easing back pain, if done on a regular basis.
- It is always recommended to CONSULT an Orthopaedic doctor if you suffer from morning back pain.
If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.
Types of arthritis
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.
- Arthritis pain may occur all of a sudden but develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
- Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:
- Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
- Corticosteroids are used for reducing inflammation.
- Certain DMARDs or disease-modifying antirheumatic drugs are used.
Certain injections that are used for helping with knee arthritis. They include:
- Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
- Corticosteroid injections also soothe inflammation and pain.
You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:
- Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
- Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
- Arthroscopy, where an incision is made in the knee for removing damaged parts.
In case you have a concern or query you can always consult an expert & get answers to your questions!