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Dr. Hamayun Ahad

Orthopedist, Srinagar

300 at clinic
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Dr. Hamayun Ahad Orthopedist, Srinagar
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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My finger got hit by a hammer a year before. The pain is gone but the swelling is still there on the top of middle joint of finger. I keeps massaging it but its not going away.

DHMS (Hons.)
Homeopath, Patna
My finger got hit by a hammer a year before. The pain is gone but the swelling is still there on the top of middle jo...
Hi, take homoeo medicines: @ arnica mont 200-6 pills, thrice a day. @ ruta g 1000-6 pills, wkly. Take care.
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Being just 20 I am facing back pain some times can you suggest me the way to over come it.

BHMS
Homeopath, Faridabad
Being just 20 I am facing back pain some times can you suggest me the way to over come it.
Hello. Maintain a right standing and sitting posture, keep your back always straight, avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. Management: -Stretching or activities that place additional strain on the back are discouraged. -Sleeping with a pillow between the knees while lying on one side may increase comfort. -Lying on your back with a pillow under your knees would also relieves pain and no pillow under your head. -Some people seem to benefit from the use of ice or heat. Take care, do not use a heating pad on ‘high’ or place ice directly on the skin. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.
2 people found this helpful
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Osteoarthritis: Symptoms And Treatment

MBBS, MS - Orthopaedics
Orthopedist, Chennai
Osteoarthritis: Symptoms And Treatment

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:

  1. Sore or stiff joints – after inactivity or overuse
  2. Limited range of motion or stiffness that goes away after movement
  3. Clicking or cracking sound when joint bends
  4. Mild swelling around a joint
  5. 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:

  1. Managing symptoms, such as pain, stiffness and swelling
  2. Improving joint mobility and flexibility
  3. Maintaining a healthy weight
  4. 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: Medical:
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
NSAIDs
Cox-2 inhibitors

Opioids

Intraarticular Injections

  1. 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.
  2. 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

Surgical Management

Knee pain or functional status has failed to improve with non-operative management

Types of Surgery

  1. Arthroscopic Irrigation
  2. Arthroscopic Debridement
  3. High Tibial Osteotomy
  4. Partial Knee Arthroplasty
  5. Total Knee Arthroplasty

Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.

Joint Replacement SurgeryJoint 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.

Preventive Measures

  1. People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
  2. In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
  3. 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.
  4. Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
  5. 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.
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I am 19 years old I have problem in my back so I can't sit normally so what should I do?

BAMS
Ayurveda, Ambala
I am 19 years old I have problem in my back so I can't sit normally so what should I do?
Dear, First of all check your posture when you are lifting any material like heavy bucket . And try to lift the heavy bucket without bending your back . you may lift the bucket after bending your knees only. This will definitely help you. * Gentle massage with lukewarm mustard oil of your waist area will also give you relief. * Surya Namaskar is only exercise which you need to do. * In diet vegetable protein of cereal , B complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
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I am 45 years old male, feel weakness, wholebody mild trembling specially two hands, neck. Sometimes spinnig head but bp normal. Backsidehead and neckache. For last one year. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It could be due to cervical spondylosis this is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days do neck & back (spine) exercises contact me again if need be. Use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take you will need other supportive medicines also.
1 person found this helpful
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Please suggest which treatment medicine is the best for joint pain, Homeopathic or Ayurvedic.?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Please suggest which treatment medicine is the best for joint pain, Homeopathic or Ayurvedic.?
If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your ESR levels to check whether you have inflammation.
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I am 26 year old, having pain in my knee and ankle, blood investigations shows deficiency of vitamin D.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 26 year old, having pain in my knee and ankle, blood investigations shows deficiency of vitamin D.
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform
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BPTh/BPT, MPTh/MPT
Physiotherapist,
A poor posture like sitting or driving in a hunched position for too long can cause strain the neck muslces.
15 people found this helpful

Treatments for Arthritis at Home

MPT, BPT
Physiotherapist, Noida
Treatments for Arthritis at Home

HEAT TREATMENTS: 

Hot baths, hot compresses. Heat is relaxing and soothing. It can help your joints move better with less pain by relaxing painfully tight muscles. Various forms of heat are frequently advised. These include hot baths, hot packs, heat lamps, and paraffin wax applications. A hot bath first thing in the morning may provide a better start to your day. Occasionally however, some people respond better to cold packs around an acutely inflamed joint than to heat.Hot compresses can be prepared by soaking towels in hot water, wringing them out, and applying to the painful area. Electric heating pads may be placed on the painful area for short periods of time.

COLD TREATMENTS:

 For some arthritic pains, cold treatment helps provide relief. An easy way to make a cold compress is by filling a plastic bag with ice cubes. Place a towel over the skin, and the icebag above the towel. Also, a towel can be soaked in ice water, wrung out, and placed on the painful area. A dry towel or piece of plastic wrap should be placed between the cold compress and the skin to protect the skin from effects of the cold compress.Some individuals find that alternating between heat and cold provides some relief. This is easier to do for hands and feet than other areas of the body,as hands and feet can be soaked alternately in hot or cold water. Usually, cold treatments are recommended for the first 24 to 48 hours after an acute injury.MASSAGE:Massage relieves tension and provides relaxation to the affected area. Deep kneading or gentle circular motions may be appropriate for different individuals and for different types of aches. For some areas of the body such as hands, knees, feet and neck, self-massage may be possible, for other are as assistance of a partner or professional masseur may be necessary.A recent advance in relieving or controlling pain is the transcutanous electrical nerve stimulator (TENS). When the individual wearing the TENS unit turn sit on, a low level of electricity is applied to designated areas of the body,sometimes producing a tingling sensation. The unit may be kept on a few minute sor a few hours, according to the needs of the individual. The size of the TENS units ranges from about the size of a package of cigarettes to larger device sused in medical centers.

 PHYSICAL THERAPY:

Physical therapy is often recommended in addition to exercises you can do at home. Some people need ongoing physical therapy, while others do well with an occasional series of therapy treatments, which are then followed by an at-home routine. You may be advised to have your therapy at a local hospital or health center or have a therapist visit you at home.

 EXERCISE:

Some of the stiffness and weakness of arthritis can be relieved with mild exercise. For some individuals, maintaining joint mobility and muscle strength can help prevent some of the crippling deformities caused by arthritis.

Swimming is a good exercise for individuals with arthritis because approximately one half of your body weight is supported by the water, it is easier to exercise and move in the water.Despite the presence of arthritis, you may continue to enjoy many forms of exercise, such as golf, tennis, boating, skating, skiing, or horseback riding.While the exercise you get in everyday living is helpful, there are exercises planned specifically for individuals with arthritis and specifically tailored for individual needs. 

HOW SHOULD YOU EXERCISE?

Be consistent and stick to your chosen set of exercise. Begin at a comfortable level and gradually increase the number of repetitions. Progress more slowly with rheumatoid joints that are prone to hot periods. With this gradual progression you will avoid unnecessary pain.

Exercises for arthritis should be performed with a slow, steady rhythm.

Give your muscles time to relax between repetitions of each exercise (10 to 15 seconds).It is important to coordinate your breathing with exercise. Breathe deeply and rhythmically as you exercise, never hold your breath. Interspersing deep breathing with exercise ensures an adequate oxygen supply to working muscles as well as release of tension. 

Deep breathing involves inhaling slowly and gently through your nose and drawing air down into your abdomen. Hold for at least five counts. Exhale slowly and gently through lightly closed lips for at least five counts. 

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