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Sai Snehdeep Hospital

Rheumatologist Clinic

Plot No 12/ 13, Sector 20, Kopar Khairane. Landmark: Near Indian Oil Petrol Pump, Navi Mumbai Thane
1 Doctor · ₹400
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Sai Snehdeep Hospital Rheumatologist Clinic Plot No 12/ 13, Sector 20, Kopar Khairane. Landmark: Near Indian Oil Petrol Pump, Navi Mumbai Thane
1 Doctor · ₹400
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About

We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Sai Snehdeep Hospital
Sai Snehdeep Hospital is known for housing experienced Rheumatologists. Dr. Atul Gattani, a well-reputed Rheumatologist, practices in Thane. Visit this medical health centre for Rheumatologists recommended by 90 patients.

Timings

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

Location

Plot No 12/ 13, Sector 20, Kopar Khairane. Landmark: Near Indian Oil Petrol Pump, Navi Mumbai
Thane, Maharastra
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Doctor

Dr. Atul Gattani

MBBS, DNB - Rheumatology
Rheumatologist
Available today
15 Years experience
400 at clinic
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Effective Management of Rheumatoid Arthritis

MBBS, MD - Medicine, ACLS, POST GRADUATE COURSE IN RHEUMATOLOGY
General Physician, Jaipur
Effective Management of Rheumatoid Arthritis

Over time, our joints, connective tissues and muscles go through a lot of wear and tear. Additionally, certain conditions may also cause problems, including inflammation and conditions that create persistent pain. These conditions usually fall under the broad category of arthritis, which can be of many types. Rheumatoid arthritis (RA) happens when your immune system targets your joints and causes inflammation. RA influences the joints on both sides of the body, for example, both hands, wrists and knees. This symmetry separates it from other kinds of arthritis. It can affect the skin, eyes, lungs, heart, blood, or nerves.

Various signs of inflamed joints are as follows:

  1. Stiffness: Functioning of the joints becomes rigid and doesn't move properly. It is particularly severe in the morning. While those with different types of arthritis have stiff and immobile joints in the morning, people with rheumatoid arthritis take over 60 minutes before their joints feel free.

  2. Swelling or Inflammation: Liquid enters the joint and gives rise to inflammation.

  3. Extreme pain: Irritation inside a joint makes it painful and delicate even to touch. In a chronic condition, this may also lead to fractures.

  4. Redness and warmth: The joints might appear hotter and more pink or red than the skin around it.

Needless to say, your lifestyle choices affect all aspects of your physical wellbeing, and that also include your joints- especially if you are suffering from arthritis.  It’s a common theory, that joints which are strained and stressed by bearing the burden of extra pounds show more inflammation, wear and tear and stiffness which lead to aggravation of arthritic pain. Here are a few holistic approaches to consider; certain changes in your existing lifestyle that can help you to reduce your arthritic pains:

  1. First and foremost, it’s important that you must indulge in plenty of exercises every single day, to keep pounds off and thus help yourself handle this degenerative disease.
  2. In case of creating a healthy diet plan, stick to low calorie and low carb foods. Also be sure that you are consuming lots of vegetables and fruits in your diet. This also helps you to keep fit and put a break on the obesity factors that are detrimental to your health.
  3.  As even a few extra pounds can worsen arthritic pain, keep track of your weight and talk to your orthopedic doctor to determine your optimal and healthiest weight. Focus on this prescribed weight coefficient and keep tracking your weight loss patterns unless you have reached your goal.
  4. Cut down on alcohol. There has never been a finer alternative to that. 
  5. Feeling depressed or stressed by arthritic pain is a common syndrome among arthritic patients. Nevertheless, on the flipside, such reactions actually worsens the agony of this disease and inhibit you from doing what you need to do, such as taking medications and exercising to keep yourself fit at the end of the day. 

Although admittedly, making drastic modifications in your lifestyle can be painful and difficult at first, these are the best remedies for easing arthritic pain in a natural way.
Don’t just rely on medications, take control of your disease in a holistic manner and you’ll soon find yourself in control of your life again.

Lifestyle Changes

Being overweight is a large risk factor for osteoarthritis because it puts a large amount of stress on weight-bearing joints. This damage is largely preventable by losing excess weight and increasing safe activity. Exercise (as long as it does not put dangerous strain on the joints) will improve your muscle strength. Strong muscles will support your weight-bearing joints and ultimately lower the chances of the negative symptoms of OA. Regular exercise can help prevent and reverse these effects. Several different kinds of exercise can be beneficial, including range-of-motion exercises to preserve and restore joint motion, exercises to increase strength (isometric, isotonic, and isokinetic exercises), and exercises to increase endurance (walking, swimming, and cycling). Exercise programs for people with rheumatoid arthritis should be designed by a physical therapist and tailored to the severity of your condition, your build, and your former activity level. Getting a sufficient amount of rest is also necessary for management of OA symptoms. 

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Osteoarthritis - Top Signs You Are Suffering from It!

MBBS, MD - Internal Medicine, Fellowship in Rheumatology
Rheumatologist, Khammam
Osteoarthritis - Top Signs You Are Suffering from It!

Osteoarthritis is the most common form of arthritis and can affect any joint of the body. Typically, the joints of the hands, knees, hips and spine are worst affected. This degenerative condition occurs when the cartilage cushioning the bones of a joint wear out. This causes the bones to grind against each other when moving the joint. The effects of Osteoarthritis cannot be reversed, but with medication and lifestyle changes, it can be managed and the progression of the disease can be slowed down. In cases where the joint pain causes immobility, joint replacement surgery may also be considered. One of the key factors that affects how well this pain is managed is the early diagnosis of the disorder. Here are a few symptoms that you should look out for.

  1. Pain: Unexplained pain that is not triggered by any kind of injury can be a sign of osteoarthritis. This pain usually worsens with movement. You may also feel a grating sensation when an affected joint is moved.
  2. Joint stiffness: Movement after a long period of inactivity or on waking up in the morning can be stiff and you may not be able to move a joint through the full range of possible motions. The joints may also feel tender when pressure is applied on them.
  3. Bone spurs: Bone spurs are extra bone growths which feel like hard lumps. This is generally formed around the affected joints.

Some people are at a higher risk of suffering from this disorder than others. The risk factors that determine this include:

  1. Age: This disease usually affects elderly people and hence advancement in age increases the risk of this disease.
  2. Sex: Women are at a higher risk of suffering from osteoarthritis than men.
  3. Obesity: Weight gain not only affects the way you look but also puts extra pressure on your joints, especially the hips and knees. In addition, proteins produced by fatty tissues can also cause inflammation around the joint.
  4. Joint injuries and bone deformities: Though an injury may have occurred and healed many years ago, it can increase a person’s risk of osteoarthritis in their later years. People born wiCalcium - 10 Excellent non-dairy foodsth defective cartilage or malformed bones are also at a higher risk of suffering from this condition.
  5. Occupation: Jobs or tasks that put stress on a particular joint can increase the risk of damage to the cartilage in that joint. Performing these tasks repeatedly can eventually lead to osteoarthritis.
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Knee Pain - It Could Be A Sign Of Arthritis!

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Knee Pain - It Could Be A Sign Of Arthritis!

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.

Major symptoms

  1. Arthritis pain may occur all of a sudden, but commonly 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.
  2. 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.

Treatment
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:

  1. Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
  2. Corticosteroids are used for reducing inflammation.
  3. Certain DMARDs or disease-modifying antirheumatic drugs are used.

Certain injections that are used for helping with knee arthritis. They include:

  1. 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:

  1. Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
  2. Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.

It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

1 person found this helpful

I am suffering from knee pain in right side leg. Full legs muscle and vain also pain very hard. What can I do. Please suggest me.

BPT
Physiotherapist, Delhi
I am suffering from knee pain in right side leg. Full legs muscle and vain also pain very hard. What can I do. Please...
- Osteoarthritis Knee Pain Dos and Don’ts: - You can do many things to help knee pain, whether it's due to a recent injury or arthritis you've had for years. 1 Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, quads exercises( u can search in net). 2 Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. Curb your risk of falling by wearing knee cap whike walking in house or outside home.can be taken out when u go to sleep only. 3 Do use "RICE." Rest by not standing fir prolonged time, ice, compression by bandage, and elevation (RICE) is good for knee pain caused by a minor injury or an arthritis flare. 4 Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 5Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 6Do consider acupuncture. This form of traditional Chinese medicine, which involves inserting fine needles at certain points on the body, is widely used to relieve many types of pain and may help knee pain. 7Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. For knee osteoarthritis, doctors often recommend special insoles that you put in your shoe. To find the appropriate insole, speak with your doctor or a physical therapist. 8 in physio u can ask for us , ift, taping therapy , other rechniques , strengthening exercises knee and leg muscles by use of weight cuff or thera band. 9 check for uri acid level, vit d deficency
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Hi sir /madam my mom is having gout arthritis whats the remedy for this arthritis please suggest my mum s having knee pain for that we have done blood test in tat confirmed gout arthritis.

BPT
Physiotherapist, Delhi
Hi sir /madam my mom is having gout arthritis whats the remedy for this arthritis please suggest my mum s having knee...
- take medicine for gout - also check for vit d deficiency - knee exercises- with knees straight and back supported keep towel roll under knees and press it for 30 sec and after it rekeive pressure. Do this for 10 times atleast for 2- 3 times daily - do contrast bath prior to exercise to releive muscle - ankle pumps - apply taping therapy to support her knees. Exercises change acc to gain in muscle strength. Tgere strengthening exercises by weight cuffs or by theraband .continue exercises throught out life as if your leave them after getting pain releive, your muscles will revert back. - you can also take us, ift by physio to releive pain.
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Know How Physiotherapy Can Help to Reduce Knee Pain!

BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Sangrur
Know How Physiotherapy Can Help to Reduce Knee Pain!

Knee pain is one of the most common and painful ailments that can limit mobility. Injuries can result in cartilage or meniscal tears or sprains too. Obesity is another reason because of which knee pain is on the rise. Also, regular wear and tear of ligaments and tendons around the knees due to old age is another cause. These days, with reduced physical activities and sedentary lifestyles, the rate at which knees are wearing out has also become accelerated. Whatever the reason, a correct diagnosis followed by prompt treatment can help. Over the years, physiotherapy has been playing an important role in treating knee injuries. Whether to supplement the various drugs to reduce pain and inflammation or to avoid surgery, physiotherapy has helped many and its popularity is growing every day. Here are some ways that physiotherapy can help reduce pain.

  • Improve flexibility of tendons: The knee cap is an area where there are lot of tendons and ligaments, coordinating to enable movement. Careful exercising can ensure that the flexibility of tendons and ligaments is improved, thereby making your knee movement easier and less painful.
  • Improves blood supply: As we all know, proper movement requires good blood supply. Exercising with special focus on the knee ensures that blood supply is improved, and thereby the supporting ligaments and tendons function optimally.
  • Enhances the knee cap function: The knee cap is that portion which joins your thigh bone to your calf bones. This is prone to slip out of place, especially with arthritis and injuries. This can be painful and limit movement to a great degree. Focused exercises aimed at improving knee cap function will ensure that the knee cap has a wider range of function, and does not slip out of its socket easily.
  • Reduce rigidity: Once you start physiotherapy, you will feel your knees getting more flexible. The rigidity that had set in as a result of injuries and/or old age will also reduce over a period of time.
  • Slow down the wear and tear: When you start physiotherapy after knee damage, continuing the exercise routine, of course with expert guidance, can reduce the pace at which further damage might happen. A word of caution though. Be sure to consult an experienced physiotherapist before you begin. Exercising in a bad manner can do equal or more harm than the original injury or old age itself.
2 people found this helpful

My legs (from knee to feet) pain a lot when I walk or do even routine house work or even just go to market. My thais are very heavy is it concerned with that. please suggest me some thing for that so that I can hv some relief from leg pain.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
My legs (from knee to feet) pain a lot when I walk or do even routine house work or even just go to market. My thais ...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Nat mur 200x 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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Knee Pain - Causes And Symptoms

MBBS ,MD
Pain Management Specialist, Hyderabad
Knee Pain - Causes And Symptoms

Knee pain is characterized by a feeling of pain in the knee joint caused by injury or overuse. The knee joint consists of small bone structures, the kneecap, supporting ligaments and cartilage of the knee. This joint bears the full weight of the body, which makes it very vulnerable to injury.

Causes of knee pain

Knee pain is usually caused by injuries to the knee such as exposure to a direct force on the knee, abnormal twisting of the knee or falling on your knees. Some causes of knee pain are -

  • Knee strains and sprains - Overworking the knee joints can damage the tissues of the knee joint resulting in knee sprains and strains
  • Osteoarthritis - it is condition where the protective cartilage around the kneecap is damaged, resulting in knee pain
  • Bursitis - Excessive movement of the knee or kneeling down for extended periods can irritate the bursa (a fluid sac below the skin above the knee joint) that causes swelling and pain, thereby giving rise to this condition
  • Gout - This condition is characterized by the accumulation of uric acid in crystal form around the knee joint, causing inflammation and pain
  • Tendon disorders - Tendons connect the muscles to the bones, and overworking the knee can cause the tendons around the knee to become sore and painful
  • Kneecap dislocation - Injuries may cause the kneecap to shift out of its position, this causes swelling and pain in the knee joint

Symptoms of knee pain

Severe knee pain can restrict movements such as walking or standing. The symptoms vary according to the extent of the damage suffered by the knee. Most common symptoms of knee pain are problems in climbing stairs, inability to extend the knees, limping and swelling of the knee joint. In some cases, knee pain may also cause fever.

Treatments

There are advanced and scientific treatments available now for severe knee pains. They include intra-articular injection of ozone, PRP, steroid, local anesthetic medication in isolation or in combination. These are cost-effective and easily accepted by patients.

Physiotherapy helps in restoration of movements of knee in a pain-free manner. Pain management specialist deals with knee comprehensively.

1636 people found this helpful

One year back I used to be around 50 or 52. I have gained around 15 kgs in a year. I hv been doing gym for last 6 months but I am not satisfied with the result. Can you recommend me some fat burner. I am 25 years old and my weight is 60 kgs. I am married and want to plan a baby soon. I have been experiencing knee pain after doing gym. Now I want to continue walking with some fat burner. Can you suggest me. I will be highly thankful to u.

MPTh/MPT
Physiotherapist, Hyderabad
One year back I used to be around 50 or 52. I have gained around 15 kgs in a year. I hv been doing gym for last 6 mon...
Fat burners are not good for health it will damage your kidneys ,instead of fat burners try natural procedure like drink grean tea and take protein shek after your aerobic workout. Avoid taking heavy meals at a time ,try to eat samll meals like 5 times that will reduce your appetite and reduce weight.
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My Father is 82 years old. Suffering from knee pain for 6 month, unable to Walk freely, he has to depend upon Walker as local orthopaedic suggested. The doctor told that it's all about osteoarthritis. In this atmosphere I am feeling helpless, please advise what to do.

BPTh/BPT
Physiotherapist, Mumbai
My Father is 82 years old. Suffering from knee pain for 6 month, unable to Walk freely, he has to depend upon Walker ...
Hello Do proper rest & do hot fomentation for 15-20 min thrice in a day .Take UST followed by IFT for 15 days. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.
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What is knee pain. What are you the symptoms of knee pain. I want prescription For knee pain. And what are the precautions I would take for it.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
What is knee pain. What are you the symptoms of knee pain. I want prescription For knee pain. And what are the precau...
Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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I am 32 years. I have knee pain and joints pain. My vit D level is fine. What should I take to get rid of pains?

MBBS, Post graduate in diabetology
General Physician, Howrah
I am 32 years. I have knee pain and joints pain. My vit D level is fine. What should I take to get rid of pains?
If you have pain for less than 1 week, just take paracetamol 1 g twice daily for 3-5 days. If the pain is for a longer duration, then consult.
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Hi Doctors, my mother is 59 years old she is having knee pain in both legs from past 8 years her weight is 104 kg, as per the recent digital knee scan in both legs their are gaps in knee joints .she hardly walk due to pain. She get a little relief from daily tablets .orthopedician have suggested to go for knee transplantation we have got information from many friends and relative as well as some doc about the knee surgery materials. Knee implants made of a metallic alloy, cobalt chrome, or of stainless steel wear out in about 15 years, while the new oxinium implants last twice as long is that .a well know orthopediciansuggested johnson.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hi Doctors, my mother is 59 years old she is having knee pain in both legs from past 8 years her weight is 104 kg, as...
Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Sports Taping- stretch the tape from both ends and apply on the affected area Contrast Fomentation (Hot and Cold).
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Suffering From Insomnia - 7 Lifestyle Changes You Must Do!

MBBS, MD - Psychiatry
Psychiatrist, Raigarh
Suffering From Insomnia - 7 Lifestyle Changes You Must Do!

Sleep is the most essential part of our lives because it is the time when our body gets rejuvenated and recharged. However, due to numerous reasons, quite a few individuals fail to achieve proper sleep or any sleep at all. This condition in which a person is unable to sleep at night can be termed as insomnia.

Causes of insomnia
There can be varied reasons for different people that can cause insomnia.

  • Unhealthy lifestyle i.e. improper sleep cycle, improper food habits, untimely naps, substance abuse etc.
  • Medical conditions like sinus allergies, gastrointestinal problems, endocrine problems, arthritis, asthma, neurological condition like Parkinson’s disease, chronic back pain etc.
  • Psychological conditions like depression and anxiety
  • Certain medications aimed to cure other health problems

In case of the treatable medical reasons, insomnia is gone once the problem is treated. However, for people who have no idea as to why they suffer from insomnia, here are certain tips that can help in fighting it.

Lifestyle changes to cure insomnia
Starting with a significant lifestyle change can be a great way to change one’s sleep cycles and get a good night’s sleep.

  • Maintain a proper and healthy diet, with more fruits and vegetables and less carbs and fat.
  • Try to sleep and wake up at the same time everyday (despite the fact that you may not feel sleepy). This will train the body and regulate the body clock.
  • Avoid afternoon naps or any short naps during the day.
  • Exercise daily for at least 30 minutes.
  • Avoid caffeine as it has contains properties that keeps a person up for long hours.
  • Avoid intake of alcohol and nicotine. Although alcohol is associated with fun and partying, it is actually a depressant and causes improper sleep.
  • Avoid any meal right before bed time.

Tips that can help

  • Take a good, warm shower right before sleep.
  • Ask your partner to give you a nice massage before bedtime.
  • Restrict bed activities to sleep and sex only, nothing more.
  • Make a really comfortable and inviting sleep environment.
  • Try and get rid of all your worries before going to bed.
  • Reduce stress using a number of stress reduction therapies like meditation, deep breathing, progressive muscle relaxation techniques, etc.

Apart from the lifestyle changes and the tips that will help you gain a better sleep, there is another therapy, which may be useful. It is called the cognitive behavioural therapy. This therapy can give essential knowledge about sleep and help achieve normal sleep routines. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2354 people found this helpful

My mother is 47 years old. N she has a terrible knee pain now. She had this since years but it was not this serious. Her left knee seems to be bend outwards. N she has a heavy body. Doctors said no to knee transplant. N told her do some exercise. We think probably loosing some weight would ease her pain. N she cud be at least able to walk properly. Can you pls pls suggest some weight loosing tips. For her. Which would actually help.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My mother is 47 years old. N she has a terrible knee pain now. She had this since years but it was not this serious. ...
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

MD - General Medicine, DM - Rheumatology
Rheumatologist, Delhi
Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.

2587 people found this helpful

When I walk some distance .my knees are paining and also my foot .why and what should I do to reduce this pain.

BPTh/BPT
Physiotherapist, Mumbai
When I walk some distance .my knees are paining and also my foot .why and what should I do to reduce this pain.
Hello Do proper rest & do cold fomentation for 15-20 min thrice in a day .Take UST followed by IFT for 15 days. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.
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Hello! I have been diagnosed with thinking knee cap and weak cartilage, can you advise me what food should I eat and what I should not for early recovery. I am 30 year old man.

BAMS
Ayurveda, Ludhiana
Hello! I have been diagnosed with thinking knee cap and weak cartilage, can you advise me what food should I eat and ...
Broccoli spinach flax seeds poha cure you should eat these above food items and that is rich in calcium and avoid deep fried food, rice, safed chna, cheese .
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I'm 40 years age male. I suffering knee pain for two months. I show to doctor. They say that you have starting of knee depreciation seeing my x-ray. So what I have do to get relief from this?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'm 40 years age male. I suffering knee pain for two months. I show to doctor. They say that you have starting of kne...
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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My mother has knee pain because of that she e is not walk well please suggest me treatment for that.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
My mother has knee pain because of that she
e is not walk well please suggest me treatment for that.
Homeopathic mode of treatment is very effective in treating knee pain. Homeopathic medicines treat by moderating the overactive immune system. They help reduce joint inflammation and symptoms including pain, swelling and stiffness of joints. Consult online.
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