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Category Archives: Orthopedics / Joint replacements

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List of Orthopedics Surgeons in India

 

Top 20 Orthopedic Surgeons in India| Best 20 Knee Replacement Surgeons in India 

Here is the list of top 20 Orthopedic Surgeons/Best 20 Knee Replacement Surgeons in India.

1.Dr. Ashok Rajgopal 

Dr ashok rajgopal Orthopedic Surgeons

Qualification:

  • MBBS
  • MS
  • FRCS
  • MCh

Brief Profile:

Dr. Ashok Rajgopal is one of the famous and talented & respected Orthopaedic surgeons in India having experience of more than 32 years. He has a making record of completing 25,000 Total Knee Replacement surgeries. He was the famous surgeon to the President of India. He treated many eminent sportspersons like Pullela Gopichand. He was also the 1st orthopedic surgeon in India and performed. MIS Unicompartmental surgery & Bilateral Total Knee Replacement surgery. He has played different 28 Knee Replacement surgeries in less than 12 hours.

Highlights:

  • Dr. Rajgopal has honored with the Padma Shri award which is the 4th highest civilian award.
  • He has done articles in the popular print media such as Times of India, The Hindu, The New Indian Express.

Hospital Website:  https://www.medanta.org/

2.Dr. IPS Oberoi

Dr ips oberoi Orthopedics Surgeons in India

Qualification:

  • MBBS
  • MS
  • MCh

Brief Profile:

Dr. I.P.S.Oberoi is famous for the best knee replacement, hip replacement, and arthroscopic surgeon having the experience of more than 25 years. He performed more than 7000 joint replacements surgeries and has 97% success rates. He is one of the surgeons who trained to do an arthroscopic surgery for labral tear for the hip. His keen interests are:

  • Arthroscopic Surgery for Labral Tear of Hip
  • Arthroscopic Surgery for Sports Injury
  • Arthroscopic Surgery for ACL / PCL
  • Arthroscopic Surgery for Meniscus Repair

His specialties are Orthopedic Surgery, Replacement Surgery, Orthopedics, and Joint & Arthroscopy.

Highlights:

Dr. I.P.S.Oberoi is the Member of prestigious organizations:

  • American Association of Orthopaedics Surgeons (AAOS),
  • Asia Pacific Orthopedics Association (APOA),
  • Orthopedics Association of SAARC Countries
  • International Society of Arthroscopy
  • Knee Surgery and Orthopedic Sports Medicine (ISAKOS)
  • Asian Arthroscopy Society (Secretary)
  • Indian Orthopedic Association (IOA )

Hospital Website:  https://www.artemishospitals.com/

Osteoarthritis– The Degenerative Disorder of Cartilage(Opens in a new browser tab)

3.Dr. A.B. Govindaraj

Dr. A B Govind Orthopedic Surgeons

Qualification:

  • MBBS
  • MS
  • FRCS
  • Fellowship

Brief Profile:

Dr. A B Govindaraj is a famous Orthopaedecian and a joint replacement surgeon having an experience of over 30+ years. His expertise in:

He also has done over the treatment of Anterior Cruciate Ligament Surgery, Instrumentation spine surgery, and Hip Resurfacing, Shoulder replacement.

Highlights:

  • Dr. Govindaraj is a member of the Indian Orthopedic Association at LM 1561, Association of Surgeons of India, Tamil Nadu Orthopedic Association, American Academy of Orthopedic Surgeons at 151329, and Bombay Orthopaedic Society.
  • He presented various papers in international and national conferences and has attended several seminars.

Hospital Website:  https://mgmhealthcare.in/

4.Dr. Rakesh Mahajan

Dr. rakesh mahajan orthopedics surgeons in India

Qualification:

  • MBBS
  • MS
  • Ortho

Brief Profile:

Dr. Rakesh Mahajan is a famous orthopedics surgeon with the experience of 18+ years. Now he worked as Sr. Consultant in BLK Centre for Orthopaedics. He is specialized in Sports medicine and Arthroscopy and knee replacement surgeries.
His keen interests are:

  • Sports Medicine and  Arthroscopy
  • Primary Arthroplasty of Knee, Hip, and Shoulder.
  • Reconstructive surgery in adults- all complex fractures.

Highlights:

  • Dr. Rakesh Mahajan received Amar Jyoti Award and the Bharat Gaurav Award.
  • He is a member of prestigious organizations:
  • Indian Orthopaedic Association
  • Indian Society of Hip and Knee Surgeries.

Hospital Website: https://www.blkhospital.com/

5.Dr. Pradeep Sharma

Dr. Pradeep Sharma Orthopedic Surgeons

Qualification:

  • MBBS
  • MS
  • MCh
  • Fellowship

Brief Profile:

Dr. Pradeep Sharma is a famous Joint replacement Surgeon having experience of 40+ years in Joint Reconstruction Surgery & Joint Replacement surgery. He takes part and Faculty to many  Orthopaedic meetings nationally and internationally. He is dealing with routine trauma, management of infections, tumor resections, diseases involving the skeleton and bone grafting techniques. His expertise is:

  • Scoliosis surgery
  • Surgery in CDH
  • Perthes’ disease
  • Cerebral palsy
  • Limb lengthening procedures
  • Dissectomies and lumbosacral fusions, to name a few.

Highlights:

  • He is a member of the famous Indian Orthopedic Association.

Hospital Website:  https://www.isiconline.org/
Kindly check more details for joint replacement hospitals in India.

6.Dr. Gyan Sagar Tucker

Dr. Gyan Sagar Tucker

Qualification:

  • MBBS
  • MS

Brief Profile:

  •  Dr. Gyan Sagar Tucker is a famous orthopedic surgeon with the experience of more than 27 years. Now he is working as the Head of Orthopaedics and Joint replacement department in Max Saket City Hospital, New Delhi.
  • He is currently associated with Max Super Smart Specialty Saket City Hospital.
  • He also worked as a Senior Consultant at the Batra Hospital and Research Centre, New Delhi. Dr. Tucker keen  interest in:
  • Difficult Fracture Management
  • use of the Ilizarov Technique
  • Hip and Knee Joint Replacements
  • Specialized Surgeries of the Slipped Disc
  • Spinal Trauma

Highlights:

Dr. Tucker is a proud member of the following prestigious organizations:

  • Indian Orthopedic Association
  • Indian Arthroplasty Association
  • Member A.O. Alumni (India)

Hospital Website:  https://www.maxhealthcare.in/

7.Dr. U.K. Sadhoo

Dr. U.K. Sadhoo

Qualification:

  • MBBS
  • MS

Brief Profile:

Dr. U.K. Sadhoo is a famous Orthopaedist with more than 38 years of experience. Dr. Sadhoo has worked as a Senior Consultant at Batra Hospital in New Delhi and the Fortis Hospital in Noida.  His expertise in surgery – Hip & Pelvis of the Orthopaedic Group.
He  provides services by the doctor are:

  • Muscle release
  • Skeletal Muscle Therapy
  • Musculoskeletal Pain Management
  • Arthroscopy and Herniated Disc etc.

His Interests lie in:

  • Pelvic and Acetabular Fractures
  • Primary, Revision Hip Replacements
  • Primary, Revision Knee Replacements
  • Complex Upper, Lower Limb Trauma
  • Polytrauma and Failed Fixations salvage.

Highlights:

U.K. Sadhoo is the active Member of the prestigious organization:

  • Asian Association for Dynamic Osteosynthesis
  • Delhi Medical Council
  • Medical Council of India

Hospital Website: https://www.psrihospital.com/

8.Dr. Bhatiprollu S. Murthy

Dr. Bhatiprollu S. Murthy

Qualification:

  • MBBS
  • MS

Brief Profile:

Dr. Bhatiprollu S. Murthy is a famous orthopedic surgeon with the experience of more than 22 years. Now he is working as Associate Director and Unit head of Orthopaedics department at Max Hospital in Patparganj, New Delhi. His keen  interest in:

  • Hip Arthritis
  • Knee Arthritis
  • Joint Replacement
  • Hip, Elbow and small joint
  • Arthroscopic Surgeries for Shoulder and Knee
  • Pelvic Fractures and Acetabulum.

Dr. Bhatiprollu S. Murthy has done Fellowship in Joint Replacement from Singapore General Hospital, Singapore. He has also visited fellow in Exeter England (UK), New Jersey (U.S.)

Highlights:

Dr. Bhatiprollu S. Murthy is a member of several prominent organizations such as:

  • Indian Orthopaedic Association
  • International Society for Hip & Knee
  • Indian Arthroplasty Association
  • Delhi Orthopaedic Association.

Hospital Website: https://www.maxhealthcare.in/

9.Dr. Krishnamoorthy K

9.Dr. Krishnamoorthy K Orthopedic surgeons in India

Qualification:

  • MBBS
  • Diploma
  • DNB

Brief Profile:

Dr. Krishnamoorthy K is a famous orthopaedist and joint replacement surgeon having the experience of more than 25 years. His field of expertise is:

  • Hip Replacement
  • Fracture Treatment(Ankle Fracture)
  • Revision, Knee replacement
  • Joint replacement.

Highlights:
His membership with the reputed organization:

  • Indian Orthopaedic Association
  • Indian Arthroplasty Association
  • Indian Arthroscopy Society
  • Madras Orthopedic Society.

Hospital Website:  https://www.askapollo.com/

10.Dr. Gopal Krishan Agrawal

10.Dr. Gopal Krishan Agrawal

Qualification:

  • MBBS; from Mahatma Gandhi Memorial Medical College, Indore
  • MS Orthopaedics degree from AIMS- All India Institute of Medical Sciences, New Delhi

 Brief Profile:

  • Dr. Gopal Krishan Agrawal is a famous Orthopaedist having more than 45 experience.
  • He has expertise in joint replacements, spinal surgeries, and all types of orthopedic surgeries. He has prevailed the role of President of Yemen.
  • He trained many undergraduate students in the field of orthopedics.
  • He handles the problem of Joint pain, Sports injury rehabilitation, Complex fractures, Joint mobilization, hip resurfacing, Spondylitis, Arthritis,  and replacement.

Highlights:

Dr. Gopal Krishan Agrawal won numerous national and international publications.
Hospital Website: https://www.fortishealthcare.com/
Kindly check more details for joint replacement hospitals in India.

11.Dr. Rajasekar P

11.Dr. Rajasekar P Orthopedic Surgeons in India

Qualification:

  • MBBS (Madras University)
  • DNB (DNB board)
  • Fellowship

Brief Profile:

Dr. Rajasekar P is a famous Orthopaedic and joint replacement surgeon having the experience of more than 24 years. Dr. Rajasekar is a member of the following organization:

  • Indian Assoc for Computer-Assisted Surgery
  • Indian Cartilage Society
  • Indian Arthroscopy Society

Highlights:

Dr. Rajasekar P has presented various paper presentations at State and National conferences.
Hospital Website:  https://www.askapollo.com/

12.Dr. P.K Dave

Dr. P.K Dave Orthopedic Surgeons in India

Qualification:

  • MBBS
  • MS

Brief Profile:

Dr. P.K. Dave is the most famous orthopedic surgeons in India who have an experience of more than 55 years. He holds fellowship to multiple prominent institutions such as:

  • IOA, National Academy of Medical Sciences,
  • International Medical Science Academy, and ICSIS

He is an Executive Committee member of the Indian Red Cross Society. Dr. P.K. Dave received his nomination as Member on the Board of Directors of HSCC and Managing Committee of AAUI. He also worked as an administrator, academician, research scholar, and as a versatile Orthopaedic Surgeon. Dr. P.K. Dave works with spinal corrections and disc surgery. He was editing the Indian Journal of Orthopaedics for six years, President of Association of Spine Surgeons of India, Vice-President of Delhi Medical Council, & President of Delhi Orthopaedic Association.

Highlights:

Dr. P.K. Dave appointed as Honorary Surgeon by Honourable President of India.
He has presented multiple publications, both nationally & internationally.

  • He has  presented with many the prestigious Awards :
  • Padma Shri Award
  • P. Jhunjhunwala Charitable Trust Award

He also nominated as Emeritus Professor of National Academy.
Hospital Website:   http://www.medeor.in/

13.Dr. (Brig.) B. K. Singh

13.Dr. (Brig.) B. K. Singh
Associate Director, 35 years of experience, ARTEMIS HOSPITAL, GURGAON Highlights

Qualification:

  • MBBS
  • MS

Brief Profile:

Dr. (Brig.) B. K. Singh is a famous Orthopaedic and Joint Replacement Surgeon having experience of more than years. Now he is working as associate director of the Orthopaedics department at Artemis Hospital, Gurgaon. Dr. Singh has a series of over 5000+ arthroplasties. He started various kinds of Arthroplasties in India during his career. He specializes in joint replacement surgery. Dr. Singh has done training from the Institute of Orthopaedics, The Robert Jones and Agnes Hunt Orthopaedic Hospital Oswestry, University of Birmingham. His expertise in Knee Replacements and Robotic Hip.   In 2003 he underwent advanced training on Navigation and Robot-Assisted Joint Replacement Surgery at Osaka, Japan.

Highlights:

Dr. (Brig.) B. K. Singh is the Member of various famous organizations such as:

  • Life member Indian Orthopaedic Association
  • Former President of Delhi Orthopaedic Association
  • Life Member of Indian Arthroplasty Association
  • Life Member of Association Surgeons of India.

Hospital Website:  https://www.artemishospitals.com/

14.Dr. Narendra Vaidya

Dr. Narendra Vaidya

Qualification:

  • MBBS (BJ Medical College)
  • MD (Orthopaedics).
  • MCh (Orthopaedics)
  • DNB

Brief Profile:

Dr. Narendra Vaidya is a famous surgeon in the Joint Replacement field in India, having the experience of more than 20 years. He conducts approx 1700 surgeries each year. Dr. Vaidya has also performed more than 5000 Joint Replacement Surgeries and more than 50,000 Orthopaedics Surgeries, which commended both nationally & internationally. He has also done extensive training in orthopedics in the US, Sweden, and Germany.
Dr. Vaidya conducted significant joint replacement surgeries elbow, hip, shoulder & knee. He is the 1st surgeon in Pune to perform percutaneous LASER disc decompression(Spine disc replacement). Dr. Vaidya achieves the privilege to represent our country in some of the prestigious orthopedic conferences nationally and internationally. He has also conducted live surgeries demonstrations on advances in Joint Replacements.
Dr. Vaidya has founded a multi-specialty orthopedic center in the PCMC area, which fulfills all the needs of orthopedic patients and also provides quality healthcare facilities.

Highlights:

Dr. Vaidya was the 1st to establish a comprehensive Trauma System in India, which helped to save 1000 lives of accident victims on National Highway.
Hospital Website:  http://lokmanyahospitals.in/

15.Dr. Laljee Kent

Dr. Laljee Kent Orthopedic Surgeons

Qualification:

  • MBBS (SMS Medical College, Jaipur)
  • MS (SMS Medical College, Jaipur)
  • Fellowship

Brief Profile:

Dr. Laljee Kent is a famous Orthopaedic and Joint Replacement Surgeon in New Delhi, India having the experience of more than
34 years of experience. He did a fellowship in:

  • Joint Replacement Arthroplasty Fracture treatment and Joint replacement surgery.

Highlights:

  • Dr. Laljee Kent is a member of the International Medical Sciences Academy.

Hospital Website: http://www.batrahospitaldelhi.org/
Kindly check more details for joint replacement hospitals in India.

16.Dr. Sudhir Kumar

Dr. Sudhir Kumar

Qualification:

  • MBBS (Banaras Hindu University, Banaras)
  • MS
  • MCh Ortho (Liverpool, UK.)

Brief Profile:

Dr. Sudhir Kumar is a famous Orthopaedecian in Greater Noida with experience of more than 40 years; he worked with the best hospitals in India, Nepal, UK, and Malaysia. He did his training in spinal surgery and joint replacement surgeries. His interest lies in

  • Repair and regeneration of bone
  • Joint replacement surgeries
  • Spinal diseases
  • Allogenic bone banking

Highlights:

  • Dr. Sudhir Kumar is a life member of
  • Indian Orthopaedic Association
  • World orthopedic Concern
  • Spinal Cord Society of India.

Hospital Website:  https://www.shardahospital.org/

17.Dr. Rajeev Verma

Dr. Rajeev Verma

Qualification:

  • MBBS
  • MS
  • MSc

Brief Profile: 

Dr. Rajeev Verma is a famous Orthopaedic and Joint Replacement Surgeon who has the experience of more than 15 years. His expertise is:

He is specialized in Trauma Management on AO principles and Primary & Complex Revision procedures associated with Joint Replacement Surgery.

Highlights:

Dr. Rajeev Verma won the National Talent Search exam, conducted by the Government of India.

  • He is an active member of
  • Indian Orthopaedic Association (Life Member)
  • Royal College of Surgeons
  • England and British Trauma Society

Hospital Website:  https://www.manipalhospitals.com/delhi/

18.Dr. Rajesh K. Verma

Dr. Rajesh K. Verma Orthopedic Surgeons

Qualification:

Dr. Rajesh K Verma is Orthopedecian and spine surgeons In India, having the experience of more than 18 years. He successfully conducted more than 12,000 surgeries, such as all types of Complex Trauma surgeries and Spine Surgeries. He & his team have performed a “decompression surgery.
His keen interests are Foot /Ankle reconstructions & management of Metabolic bone disorders, including Osteoporosis & Rheumatic diseases and Minimal Invasive Spine Surgery.

Highlights:

Dr. Rajesh K Verma is a member of various famous organizations such as:

  • North American Society of Spine Surgeons
  • Indian Orthopedic Association
  • AO Spine International, Switzerland
  • Trauma & Arthroscopy Society of India

Hospital Website: https://www.narayanahealth.org/

19.Dr. Prakash M Doshi

Dr. Prakash M Doshi

Qualification:

  • MBBS
  • MS

Brief Profile:

Dr. Prakash M Doshi has experience of more than 30+ years. He has done training in the management of Osteoporotic Fractures with technology and Minima Invasive Fracture Care. He has a keen interest in particular interest in Sports Injuries and simple & complex fractures.

Highlights:

  • Dr. Doshi is an active member of Spine & Trauma, New York, USA, and ASEG Davos.
  • He is also an Indian member for ASEG based in Davos.

Hospital Website: https://www.nanavatihospital.org/

20.Dr. Sanjay Desai

Dr. Sanjay Desai Orthopedic Surgeons

Qualification:

  • MBBS
  • MS
  • Diploma
  • DNB
  • MCh

Brief Profile:

Dr. Sanjay Desai is a famous Orthopedic Surgeon having experience of more than 28 years. His particular interest in:

  • Ligament reconstruction,
  • Arthroscopy
  • Patellar Instability
  • Total Shoulder Replacement
  • Instabilities of Glenohumeral and
  • Management of all types of rotator cuff tears

Highlights:

  • Dr. Sanjay Desai made an academic record with Gold medals in his career, in one at the University of Liverpool.
  • He has got the “Young Achievers Award” and Giants International Award in the medical field.
  • He wrote the book “Romancing the Shoulder.”

Hospital Website: https://www.nanavatihospital.org/
Kindly check more details for joint replacement hospitals in India.

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Knee Arthritis Epidemic in India

Why is Knee Arthritis becoming an Epidemic in India?

Arthritis refers to an inflammation of joints. It may be an age-related degenerative change in the joint, known as senile osteoarthritis, or rheumatoid arthritis or gouty arthritis.

Knee arthritis is one of the significant causes of arthritis in the Indian population. It is characterized by difficulty in walking, pain in the knees, and noisy joints during the movements of the knees.

Are Indians more prone to develop knee arthritis?

Indians are more predisposed to developing knee arthritis than their western counterparts since they are genetically predisposed. The Indian way of life also contributes to increased chances of developing arthritis. The possible reasons for Indians could be sitting on the floor, the squatting position used by many Indians in the Indian toilet, heavy manual work, and relatively poor nutrition or overnutrition (obesity).

India has a population of about 130 crores, and about 15 crore Indians suffer from knee arthritis. In China, less than half of this number, around 6.5 crore people have arthritis. In India, an estimated four crore people require to have an urgent total knee replacement (TKR) surgery. This number will, however, keep on increasing.

Why has the number of arthritis patients increased?

One of the primary reasons for it is the increased life expectancy due to a thriving economy, advancements in healthcare, and an increase in affordability and accessibility. Vaccinations against various infectious diseases and effective antibiotics are also responsible for the increased life expectancy at birth of Indians. It has grown from an average of 45 years before independence to about 75 years today.

The Indian Scenario, compared to the West

In 1994, in India, around 350 knee replacement surgeries were performed, and the numbers have since increased many folds. The current figures for the year 2019 show that about 1,50,000 knee transplant surgeries were performed.

However, compared to the Western economies, for example, the USA, the population is about 30 crores, and annually about 7,00,000 knee replacement surgeries were performed. India has a long way to go because it faces an acute shortage of medical facilities, coupled with a disproportionately low number of orthopedic surgeons. The demand, according to prominent orthopedic surgeons, would be a staggering 1,00,00,000 knee replacements. But, according to current estimates, there would be about 1 million knee surgeries by 2023. Considering that it is a vast improvement, compared to the population, it is still a small number. Nearly 90% population of needs will always be deprived of a total knee replacement.

On the brighter side, several advanced techniques for knee surgery, including minimally invasive surgery, robotic-assisted arthroscopy have emerged. They have shortened the duration of hospital stay, have reduced the complications, and are now widely practiced.

Preventing Arthritis Epidemic

In the next ten years, knee arthritis is expected to emerge as the fourth most common cause of physical disability in the country after paralysis, stroke, and accidents. However, prevention is always better than cure. As far as possible, one must avoid over-working the knee joint. Thus, the elderly especially should use Western-style toilets. They should avoid sitting cross-legged and sit on chairs.

Besides, obesity and vitamin D deficiency are other preventable causes of developing or retarding the progress of arthritis. Cutting down the intake of processed foods and opting for fresh fruits and vegetables provides a rich source of anti-oxidants. They limit age-related degenerative processes and help fight infections. Regular moderate exercise also keeps the joints healthy. Static quadriceps exercise, cycling, and swimming are the three best exercises for early-stage patients of knee arthritis.

Additionally, Calcium-Vit D3 supplementation should be provided to all post-menopause women. They are more prone to developing osteoporosis since the protective effects of estrogens are lost after menopause.

Top 13 Joint Replacement Hospitals from India

 

 

List of Orthopedics Surgeons in India

 

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Knee Arthroscopy and Replacement

Knee Arthroscopy: Reasons, Procedure and Post-operative care

The knee joint is one of the largest and most complex joints in the human body. At this joint, the femur (thigh bone), tibia (shin bone), and the patella are connected to, giving the joint its structure and offering the various degrees of freedom. Around the structure, there are multiple ligaments and cartilaginous structures that provide additional strength.

Knee arthroscopy is a procedure that allows a surgeon to investigate a person’s knee joint with making a big cut.

Here, the arthroscope is used to diagnose and treat any problems. During the arthroscopy, the surgeon inserts a small camera attached to the arthroscope into the joint. The arthroscope is connected to a display monitor, which shows the internal anatomical structures. Attached to this arthroscope can be small surgical instruments that the surgeon can use to fix the underlying problem.

Read more about: Knee Arthritis Epidemic in India.

Who needs a Knee Arthroscopy? Or complete replacement

Arthroscopy is performed on individuals to treat:

  • Torn ligaments
  • Torn meniscus (cartilage between the bones)
  • Re-positioning patella
  • Fractures in the knee bone
  • Repair torn cartilage
  • Baker’s cyst removal

A person is subjected to a complete knee replacement when their existing apparatus cannot function efficiently or damaged beyond repair. Knee replacements are generally suggested to older people whose joints have worn out or to those who have broken their knee in some sort of an accident.

Read more about: Osteoarthritis: the degenerative disorder 

Osteoarthritis- The Degenerative Disorder of Cartilage

What to do before, and what happens during the surgery?

Before the knee surgery, the patient needs to refrain from taking any medication, such as aspirin or ibuprofen. Inform the doctor about any prescribed medicines that the patient must take daily, such as those for life-sustaining reasons. One should also refrain from eating or drinking up to 12 hours before the procedure.

Read more: Joint Replacement Hospitals in India

Knee arthoscopy

The procedure requires administration of anesthesia – local (to numb the knee), regional (to numb the lower body), or general (to put you to sleep), depending upon the requirement. If you choose to stay awake, you might get to watch the arthroscopic surgery on the monitor. The surgeon would start by making small incisions on your knee and filing them with a saline solution, which would expand the knee and make it easier for the doctor to envisage inside. Arthroscopy would be performed by inserting instruments through these cuts and thus be minimally invasive.

There are certain risks associated with any kind of procedure, no matter how minimal it is. There is always a risk of bleeding, infection at the surgical site, a problem in breathing due to anesthesia, and allergic reactions with medications. The patient can also bleed into the knee post-surgery, form a blood clot, or develop an infection in the joint. The patient is kept under observation after the surgical procedure, usually for one week.

Precautions after procedure

After the arthroscopy, the patient is given rehabilitative care in the hospital by the physiotherapist. Wherein he is trained to gradually bring back the function of the repaired knee without stressing it out. The patient should apply ice packs to the site and its surroundings to reduce the inflammation. The knee should be kept at an elevated level to avoid any excess strain on it. The dressing should be changed regularly as per the doctor’s guidelines and using crutches in the initial few weeks not to put excess weight on the healing knee.

Exercises, as suggested by the physiotherapist, are of utmost importance as they tend to gradually restore the strength and range of motion for the knee. Patients should not drive in the first couple of weeks post-surgery as it puts a strain on the joint and can make the healing process more painful and prolonged. People with the severely damaged knee cannot get back the full use of their knee, although they can still perform all the regular activities. Such patients should not participate in any high strenuous load-bearing activities such as running or jumping.

#knee #knee_joint #joint_surgery #knee_replacement_surgery #arthroscopy

List of Orthopedics Surgeons in India

Knee Arthritis Epidemic in India

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Ankle Fracture: the most common type of fracture

Ankle Fracture: Types, Symptoms, Causes, Risk Factors

Injuries on the ankle are a very common bone and joints injury. Ankle fracture is when there is a fracture of a single bone or a more than one bone that makes the ankle. These bones include the tibia, fibula, and talus.

The seriousness of the fractured ankle varies. The fracture is either a small crack or sometimes causes the bone to break into pieces.

The treatment for a broken ankle varies as the hairline fracture may just need a plaster to keep up a proper position for healing. Sometimes surgery is required to fix the bone is the correct position with the help of screws, plates, or rod to help in keeping the bones in the proper place while healing.

 

High impact sports, injuries with excessive force, falls, or accidents cause ankle fractures. The severity of fractures determines treatment. Recovery may take 6-12 weeks, depending o the impact and extent of an ankle injury.

Ankle Fracture

 

Types

  • Fracture of the lateral malleolus
  • Fracture of the medial malleolus
  • Fracture of the posterior malleolus
  • Bimalleolar fracture
  • Trimalleolar fracture

Symptoms:

  • Pain near the ankle
  • Swelling
  • Bruising
  • Difficulty in walking
  • Tenderness

Causes:

  • Excessive stress on the joint
  • Blunt injury
  • Falls
  • Accidents
  • Missteps

Risk factors:

The people who are at higher risk of having ankle fracture are:

  • Young children
  • Older adults
  • People who play high-intensity sports like football, gymnastics.
  • Using faulty equipment for a sport or using the wrong technique while playing a game.
  • People who have Osteoporosis.
  • The sudden increase in physical activities

Complications:

The complications associated with ankle fracture are infrequent. The complications include:

  • High ankle sprain
  • Compartment syndrome
  • Mal Union of the bones
  • Decreased joint movement
  • Nerve or blood vessel damage
  • Infection of bones

Prevention: 

This can be prevented by following some essential sports and safety tips:

  • Wearing proper size shoes.
  • Strengthen the muscles
  • Declutter the house, so you do not fall
  • Eat healthy food, eat food rich in calcium and vitamin D
  • Replace your sports shoes regularly

 

Repetitive Strain Injury

 

List of Orthopedics Surgeons in India

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Spine Disc Replacement: Surgery for Pain Relief

Spine Disc Replacement: Surgery for Pain Relief

Back and neck pain is a very common condition, but only a few people with back pain or neck pain have to opt for surgery to get relief. However, surgery is not indicated for all, Spine Disc Replacement is indicative for only those patients who are having back or neck pain for more than six months and there is no relief in symptoms even after medication. (How does back pain affect productivity?)

The disc that can be replaced are:

  • Lumbar disc, and
  • Cervical disc
Cervical Disc Replacement

Indications

Cervical degenerative disc disease with clinical features of cervical radiculopathy, or myelopathy which has shown no improvement to conservative treatment.

Contraindications

  • People having spondylosis or foraminal stenosis.
  • In cases where there is compression of spinal nerve
  • People having diffuse ossification of posterior longitudinal ligament
  • Severe kyphotic deformity
  • Active infections
  • Malignancy
  • Inflammatory spondyloarthropathy
  • Allergy to implant materials
  • Metabolic bone disease like Osteoporosis, renal osteodystrophy
  • Osteoporosis

The risk associated with cervical disc replacement:

  • Bleeding
  • Infections
  • Nerve injury
  • Spinal fluid leak
  • Voice change
  • Difficulty in breathing and swallowing

Complications of cervical disc replacement surgery:

  • Fever
  • Headache
  • Pain that does not respond to pain killers.
  • Redness at the site of incision
  • Numbness and weakness
  • Difficulty in breathing and swallowing
  • Hoarseness
 Lumbar Disc Replacement:

Indications:

Lumbar disc replacement is indicated for people with back pain mostly from 1 or 2 disks in the lower spine and is not excessively overweight.

Contraindication

  • Overweight
  • Previous history of spine fusion
  • History of spine surgery
  • Spondylosis
  • Joint disease
  • Spinal deformity such as scoliosis
  • History of failed spine surgery
  • People younger than 60 years of age.

The risk associated with lumbar disc replacement:

  • Infections
  • Narrowing of spine
  • Stiffness of spine
  • Blood clots in legs due to decreased activities

Complications of lumbar disc replacement surgery:

  • Infections
  • Dislocation of the disc
  • Bladder problems
  • Bleeding
  • Vertebra fracture
  • Male sexual dysfunction
  • Phlebitis
  • Spinal fluid leak
  • Slow intestinal movement
  • Nerve or Spinal cord damage
Spine Disc Replacement Pre-surgery preparation
  • Avoid smoking at least a few days before surgery
  • Inform the doctor about the medicines taken
  • Avoid any food or drink at least 6 hours before surgery
What to expect during the procedure:
  • Anesthesia is administered
  • The surgeons make an incision near the site of disc replacement
  • Replacement of the old disc with a new one
  • Suturing of the incision together by catgut
Postoperative care:
  • The patient is shifted to the ICU post-operation.
  • The patient stays about 4-5 days in the hospital.
  • Provide necessary support for the movement of the patient.
  • Start solid food gradually and in case of cervical disc replacement liquid should be started only once the pain starts to subside.
  • Encourage physical activities slowly.
  • Avoid contacting infections.

When to see a doctor?

Do visit the doctor if you experience any of the complications or any new symptoms or aggravation of old symptoms.

List of Top 20 Neurosurgeons

 

List of Orthopedics Surgeons in India

Top 13 Joint Replacement Hospitals from India

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Juvenile Rheumatoid Arthritis or Juvenile Idiopathic Arthritis

Juvenile Rheumatoid Arthritis: Risk factors, Diagnosis, and Treatment

Juvenile rheumatoid arthritis also recently termed as juvenile idiopathic arthritis, is a condition where a child below the age of 16 years, experience inflammation and stiffness of joints for more than 6 weeks. Due to inflammation, there is redness, swelling, soreness and warmth at the affected joints. Any joint of the body can be affected by juvenile idiopathic arthritis. Pain at joints is not considered as an important symptom as many children with juvenile idiopathic arthritis do not experience any pain.

Unlike rheumatoid arthritis in adults, juvenile idiopathic arthritis is self-limiting and children suffering from this condition can lead a normal and healthy life.


Types of juvenile idiopathic arthritis:

There are three different types of juvenile idiopathic arthritis:

  • Pauciarticular: In this type of arthritis four or less than four joints are affected. Large joints are most affected. The knee joint is mostly affected.
  • Polyarticular: Polyarticular arthritis is symmetric in nature affecting 5 or more joints, especially small joints, sometimes large joints are even affected.
  • Systemic: In this type of arthritis pain and rash is also seen along with inflammation of joints. This condition also affects heart, liver, spleen and lymph nodes.

Symptoms:

Juvenile Rheumatoid Arthritis or

The symptoms associated with juvenile idiopathic arthritis are:

  • Pain, few children may not complain about pain but many children complain of pain around their joints that are affected.
  • Swelling, is very commonly seen around affected joints, especially the knee joint.
  • Stiffness is commonly seen early in the morning.
  • Fever is associated in some cases of juvenile idiopathic arthritis especially in the evening.
  • Swollen lymph nodes
  • Rash
  • Redness around the affected joints.
  • Limping, especially early in the morning due to pain and stiffness of the joints.

Causes:

Juvenile idiopathic arthritis is an autoimmune disorder, mostly Hereditary or sometimes can be caused under the effects of outer environmental factors.

Risk factors:

The risk factors are:

  • Juvenile idiopathic arthritis is more commonly seen in girls.
  • Family history.

Complications:

Serious complications can be caused due to juvenile idiopathic arthritis. Keeping an eye on the symptoms and seeking appropriate medical care greatly decrease the chances of developing the following complications:

  • Stunned growth: In early years children diagnosed with juvenile idiopathic arthritis experience slower growth than normal affecting the overall height of the child.
  • Uveitis: Uveitis or inflammation of the eye, which if left untreated can lead to cataract, glaucoma or even blindness sometimes.
  • Chances of developing rheumatoid arthritis in their later life.
  • An unpredicted flare-up of symptoms.
  • Joint contracture.
  • Muscle weakness and muscle loss
  • Osteoporosis

Lifestyle modifications to relief symptoms

  • Exercise regularly: Exercise is very important as it reduces the risk of joints contracture of joints and prevents muscles from wasting.
  • Hot and cold application: To prevent stiffness of joints either hot or cold application can be done.
  • Children suffering from juvenile idiopathic arthritis must eat well. They should eat protein and mineral rich food to prevent wasting of muscle, and even maintain a normal growth curve.
  • Calcium-rich food must be taken to prevent complications of osteoporosis.

List of Orthopedics Surgeons in India

Top 13 Joint Replacement Hospitals from India

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Polymyalgia Rheumatica-Symptoms and Causes

Polymyalgia Rheumatica-Symptoms and Causes

Polymyalgia rheumatica is an inflammatory condition of joints usually seen in older adults associated with stiffness, pain, and flu-like symptoms. This condition mostly affects older men of Caucasian descent. It is a self-limiting disease and mostly lasts between 1-5 years.

Polymyalgia rheumatica usually affects the shoulder and is worse in the morning. Giant cell arteritis affects around 15% of people who are already affected by polymyalgia rheumatica or PMR gives rise to a set of new symptoms like a headache, sensitive scalp, jaw pain, and vision difficulties.

Symptoms:

The symptoms of PMR are usually symmetric, affecting both sides of the body and includes the following symptoms :

  • Pain in shoulders
  • Pain in the forearm, neck, buttocks, thighs or hips.
  • Stiffness in affected parts particularly in the morning or after rest
  • A range of movement affected
  • Pain and stiffness along the wrist, knees, and elbows.
  • Mild fever
  • Fatigue
  • Malaise
  • Loss of appetite
  • Unexplained weight loss
  • Depression

Causes:

Polymyalgia Rheumatica

The actual cause of PMR is still unknown, however, the following conditions are considered as causative factors for the development of PMR in an individual:

  • Genetic
  • Environmental factors
Risk factors:

The risk factors for developing PMR include the following:

  • Age, PMR mostly affects older adults. The old people are at higher risk, especially people between the age of 70-80 years.
  • Men are at higher risk of developing polymyalgia rheumatica than women.
  • PMR is mostly seen in people with North European or Caucasian descent. It rarely affects people of other origins.
Complications:

The discomforts caused by the disease hinders with the ability to do daily work such as:

  • Starting to do work after rest like to get out of bed after sleep, or get out of a car or even standing up from a chair is very painful and difficult.
  • Combing hair becomes very difficult as the scalp becomes very sensitive. Even the slightest touch is very painful and distressing.
  • Getting dressed is very difficult as the joints and muscles have become stiff and painful.
  • Giant cell arteritis

The difficulties can affect social interaction, sleep, and general wellbeing.

When to see a doctor:

If you experience pain and stiffness along that are:

  • New
  • Disturbs your sleep
  • Limit the ability to do daily activities

If you experience the following conditions then visit your doctor.

Lifestyle modifications to relief symptoms :
  • Exercise regularly.
  • Maintain a healthy body weight
  • Get adequate rest
  • Take medicines as prescribed by the doctor
  • Exercise as advised by the doctor

List of Orthopedics Surgeons in India

 

Rheumatoid arthritis -a chronic inflammatory condition

Top 13 Joint Replacement Hospitals from India

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Repetitive Strain Injury

Repetitive Strain Injury: Risk factors, Diagnosis, and Treatment

A repetitive strain injury is a painful condition that is caused due to repetitive movements of a joint, mainly affecting muscles, tendons, and nerves. It is a musculoskeletal condition, mainly occupational in origin. This condition mainly affects the extremities, but there are cases showing that this condition also affects the spine, which sometimes causes referred pain in upper extremities, causing difficulties to diagnose this condition.

The pain associated with this disorder is very severe that carrying out daily activities becomes very difficult.

Types of repetitive strain injury:

There are two types of repetitive strain injury:

  • Type 1: This type of repetitive strain injury is musculoskeletal, with swelling and inflammation of specific tendons and muscles.
  • Types 2: This type of repetitive strain injury is caused due to nerve damage caused due to the activities of joints at work.

It is also known as non-specific pain syndrome

Symptoms:

The disease progresses from mild to very severe. The symptoms are the following:

  • Pain and tenderness of joints
  • Stiffness of joints.
  • Throbbing sensation
  • Tingling and numbness in the affected areas.
  • Weakness of joints
  • Loss of sensation
  • Loss of strength in the affected joints.
  • Tennis elbow
  • Golfer’s elbow
  • Rotator cuff
  • A painful spot in the groove of where the arm meets the shoulders.
  • Swelling, redness, and warmth at the bottom of the kneecap.
  • Redness, swelling, and warmth at the elbows.

In the early stages, the symptoms only appear when the overused joints are being abused. As the disease progresses there is swelling in the joints with constant pain.

Repetitive Strain Injury

Causes:

The causes of repetitive strain injury are the following:

  • Repetitive use of joints
  • Doing high-intensity activities for a long time without any break.
  • Poor posture, sitting in an incorrect manner for long.
  • Exposure to cold temperatures for long.
  • Using equipment that vibrates.
  • Trauma
  • Crystal deposit as seen in cases of gout.
  • Friction
  • Systemic diseases as in rheumatoid arthritis
  • Carpal tunnel syndrome

Risk factors:

The following factors increase the risk of developing repetitive strain injury are:

  • Overuse of joints
  • Overuse a group of muscles
  • Exposure to vibrating instruments for long.
  • Exposure to cold for long periods.
  • Bad posture the same posture
  • Doing work in the same posture for a long time.
  • Forceful activities
  • Direct pressure
  • Fatigue
  • Increased stress levels.
  • Males are slightly at higher risk.
  • People suffering from systemic diseases like rheumatoid arthritis or gout.
Self-care:
  • Get adequate rest
  • Avoid using the affected joints or muscles
  • Use bands around knees, elbows, and wrist if they are affected.
  • Start to exercise as advised by the doctor once the symptoms start to get better.
  • Use ice packs at affected places.
  • Avoid activities that tend to flare up symptoms.
  • Use splints or bands to decrease strain in affected areas.
When to see a doctor?
  • When pain in joints is accompanied by fever, nausea, chills or vomiting.
  • More than one joint involved.
  • Migrating pains
  • Inability to sleep on the affected side.
  • Redness and warmth over the joints.
  • Pain in the movement of arms and legs.

List of Orthopedics Surgeons in India

Carpal Tunnel Syndrome- The Compression of Median Nerve

 

Ankle Fracture: the most common type of fracture

Top 13 Joint Replacement Hospitals from India

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All you need to know about Osteomalacia

Osteomalacia: Symptoms |Causes | Risk Factors | Complications

Osteomalacia is a condition where there softening of the bones, primarily caused due to deficiency of phosphate, calcium, and vitamin D. Vitamin D helps to facilitate the absorption of calcium in bones.

The body needs calcium to maintain the hardness of bones.

In children, this condition is known as rickets.

Bones consist of two parts, the outer part of the cortex and the inner-soft part of the matrix.

The cortex is made up of minerals, mainly calcium and phosphorus, whereas collagen fibers form the matrix.

When a bone is formed, the collagen fibers are coated with minerals, mainly phosphorus, and calcium; this process is known as mineralization. The mineral coating determines the strength of the bone. Oestomalsia happens due to the improper mineralization of the bone.

Osteomalacia

Symptoms:

  • Bone fracture due to the slightest injury.
  • The weakness of muscles.
  • Pain in bones, especially the hip bone.
  • Numbness and tingling in arms and legs.
  • Numbness around the mouth.
  • Cramps in hands and feet.
  • Pain worse by night
  • Pain not relieved by rest.

Causes:

Oestomalsia is caused to improper mineralization of the bone. Our body needs an adequate amount of calcium, phosphorus, and vitamin D for stronger bones. The following are the causes for osteomalacia:

  • Vitamin D deficiency
  • Certain surgeries where a part of the stomach has been removed results in poor absorption of the vitamin D and calcium, thus lack absorption of the vitamin D and calcium can further lead to osteomalacia.
  • Celiac disease is a disease of the small intestine where people who are intolerant of gluten, if consume gluten, the inner lining of the small intestine is damaged, resulting in no absorption of nutrients; hence there can be lack of calcium and vitamin D.
  • Kidney or liver disease, as kidney and liver play an essential role in activating the absorption of vitamin D. If the kidney or liver is diseased, then the activation of the vitamin D can be affected, causing in lesser absorption of calcium in bones.
  • Certain medicines like one that is used to cure seizures can cause severe vitamin D deficiency, finally causing Osteomalacia.

Risk factors:

  • Old age, people who are housebound have a higher risk of developing osteomalacia as they do not get enough vitamin D from the sun.
  • People who live in colder countries.
  • People who cover their whole body or use a very high band of sunscreen every time they go out in the sun.
  • People with dark skin, as dark skin produces less vitamin D as compared to light skin.
  • People who are lactose intolerant as they do not get enough vitamin D and calcium through their diet.

Complications:

  • Secondary hyperparathyroidism
  • Kidney stones
  • Hypercalcemia
  • Metastatic calcification in cases of renal failure
  • Increased chances of fracture.

Lifestyle tips for osteomalacia:

  • Eat a healthy and balanced diet.
  • Wear braces to reduce or minimize bone irregularities.
  • Enough exposure to sunlight

Top 13 Joint Replacement Hospitals from India

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Back pain-a leading cause for absence from work

Back pain: Classification, Symptoms, Causes, Risk Factors

Back pain is a distressing feeling. It is a leading cause of absence from work. The pain is debilitating, like physical discomfort anywhere in the back, which can either be mild or debilitating.

Back pain can occur due to various reasons. However, there are many household methods along with doctor’s intervention to reduce back pain.

Classification of back pain 

• Acute Pain is when back pain lasts less than six weeks.
• Back pain, which is persistent between 6-12 weeks, is termed as subacute back pain.
• Back pain, which lasts more than 12 weeks, is chronic back pain.

Symptoms 

• Sore muscles
• Pain worse by bending or lifting things
• Pain better by lying down on the back
• Pain and stiffness any place along the spine
• Pain is sharp and localized
• Muscle spasm
• Pain usually radiating down the small of the back, thighs also down the calf muscles.

Causes 

There are several causes of back pain; they are:
 Non-specific back pain: These types of back pain are usually acute. There is no pathological cause for this kind of back pain. Around 90% of back pain is non-specific back pain.

Structural causes of back pain :
 Spinal disk disease like disc prolapse, Cauda equina syndrome
 Degenerative spine disease like ankylosing spondylitis
 Spondylolisthesis
 Spinal stenosis
 Vertebral compression fracture

Systemic causes:
 Infections like osteomyelitis, epidural abscess
 Cancer: pain, along with fever, vomiting, weight loss, and chills. In cancerous condition, the back pain is dull and persistent and worse with rest.
 Autoimmune diseases like ankylosing spondylitis, psoriatic arthritis, systemic lupus erythematosus, which causes joints destruction.
• Referred pain: Back pain can be due to referred pain, as seen in kidney stones, pancreatitis, urinary tract infection, sometimes due to a heart attack also.

Risk factors

Back Pain

The following people are at higher risk of developing back pain:
• People who lift heavyweight
• Obesity
• Sedentary lifestyle (Know about how does physical inactivity affects humans?)

• Lack of exercise
• Poor posture
• Pregnant women
• Stressful work environment
• A family history of autoimmune diseases

Lifestyle changes to relieve back pain

• Gentle stretching exercises should be done daily
• Heat fermentation to relax muscles, especially in acute low back pain.
• Massage
• Acupuncture
• Spinal manipulation
• Eating healthy calcium and vitamin D rich food.
• Correcting posture
• Managing weight
• Avoid heavy and high heels shoes
• Avoid smoking
• Avoid lifting heavy things and twisting at the same time
• Correct sleeping posture should be maintained

When to see a doctor

Back pain is a distressing situation that is very uncomfortable. One should see a doctor when along with the back pain, they also suffer from the following symptoms :
• Numbness and tingling sensation
• Back pain after any fall or injury
• Weakness
• Numbness in legs and feet
• Fever
• Weight loss without any reason
• Dull constant pain, which is worse on lying down.

 

List of Orthopedics Surgeons in India

Top 13 Joint Replacement Hospitals from India

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Reactive Arthritis or Reiter’s Syndrome

Reactive Arthritis or Reiter’s Syndrome: Risk factors, Diagnosis, and Treatment

Reactive arthritis is caused due to some infection in other parts of the body commonly in the stomach, intestine or genitals causing joint pain and swelling. It is a painful form of inflammatory arthritis.

Reactive arthritis mainly affects the knee joints, ankle, and feet. Sometimes inflammation of eyes, skin, and urethra can also be seen. It was previously known as Reiter’s disease and now it belongs to the spondyloarthritis group. The symptoms are usually self-limiting and the symptoms are gone within 12 months.


Symptoms:

The incubation period of reactive arthritis is 4 to 5 weeks. The symptoms include the following:

  • Pain and stiffness of joints are commonly associated with reactive arthritis. The pain usually in knees, ankles, and feet. Pain is also experienced in buttocks, low back, and heels.
  • Conjunctivitis is also common in people suffering from reactive arthritis.
  • Increased frequency of micturition along with discomfort after passing urine. Inflammation of prostate in males and inflammation of the cervix in females is also seen.
  • Inflammation of soft tissues, muscles, tendons, and ligaments.
  • Swelling of fingers and toes sometimes reassembling a sausage.
  • Rashes on soles and palms.
  • The mouth is sore.
  • Pain in lower back worse at night or in the morning.

Causes:

It happens as a reaction to infections often in the urinary tract, intestine or genitals. Numerous bacteria that cause reactive arthritis are either sexually transmitted or are foodborne. The common bacteria which causes reactive arthritis are:

  • Salmonella
  • Chlamydia
  • Shigella
  • Yersinia
  • Campylobacter
  • Clostridium difficile

Although this disease is not contagious the bacteria can be transmitted either through food or sexually. However, getting infected by the bacteria does not mean that you will necessarily develop the disease. There are chances that you will not suffer from reactive arthritis.

Reactive Arthritis or Reiter’s Syndrome

Risk factors:

Factors that increase the risk of developing the condition:

  • People between 20 to 40 years are at higher risk.
  • Men are more likely to develop reactive arthritis caused due to sexually transmitted diseases than women, however, both the sexes are at equal risk of developing reactive arthritis because of foodborne infections.
  • Hereditary
Complications:

The prognosis is usually very good. The chances of suffering from complications associated with reactive arthritis reduce significantly if the condition is diagnosed at an early stage and proper treatment is done to curb away its symptoms. The complications include the following:

  • Conjunctivitis or inflammation of the conjunctiva.
  • Inflammation of the prostate gland.
  • Skin rash.
  • Pain and stiffness in joints.

Prevention

Reactive arthritis can be prevented considerably if one avoids sexually transmitted infections. Eating healthy and hygienic food prevents changes of getting infected from foodborne infections.

Self-care:

  • Take enough rest
  • Avoid affected joints
  • Do stretching exercises to strengthen affected muscles.
  • Use knee pads and splints to protect joints.
  • Use an ice pack or apply heat fermentation to reduce pain and swelling.
  • Exercise as advised by the doctor.

Osteoarthritis- The Degenerative Disorder of Cartilage

 

List of Orthopedics Surgeons in India

Top 13 Joint Replacement Hospitals from India

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Systemic Lupus Erythematosus

Systemic Lupus Erythematosus: Risk factors, Causes

Systemic Lupus Erythematosus (SLE)  is an autoimmune disease. It is a chronic condition that causes inflammation of the connective tissues which provides strength and flexibility to structure throughout the body. SLE can involve many organs and systems including skin, joints, kidney, lungs and even central nervous system. It also affects the blood-forming system of the body. The most characteristic feature is flat red rash across the cheek and bridge of the nose also known as the butterfly rash because of its appearance. The number of females affected by lupus is nine times more than that of men.

Types of SLE

There are three main types of lupus:

  • Systemic lupus erythematosus: It is the most common type of lupus. It affects many parts and systems of the body hence named as systemic lupus.
  • Discoid lupus: In this condition, only the skin is affected. A red rash appears which lasts for few days to years which may or may not reappear. A few people suffering from discoid lupus tend to develop SLE later.
  • Drug-induced lupus: This type of lupus is caused due to certain medicines. Once the medication is stopped symptoms cease.
Symptoms of SLE
  • Extreme tiredness or fatigue
  • Malaise
  • Low-grade fever
  • Loss of appetite
  • Loss of weight
  • Joint paint, mostly symmetrical
  • Flat red rash across the cheek and bridge of the nose. The rash doesn’t hurt or itch but is very prominent when exposed to sunlight.
  • Calcium deposit under the skin.
  • Vasculitis or inflammation of blood vessels.
  • Alopecia, or hair fall
  • Ulceration in the mouth, nose sometimes in genitals too.
  • Nephritis or inflammation of the kidney
  • Pericarditis or accumulation of fluid around the heart
  • Abnormalities of the heart valve
  • Headache
  • Abdominal pain and nausea
  • Raynaud phenomenon
  • Swelling in legs
  • Tingling of extremities
  • Pleural effusion

Causes of SLE

_ Systemic Lupus Erythematosus

The exact cause of the disease is still unknown, however, it is thought to cause due to the following reasons:

  • Family history
  • Environmental factors
  • Hormonal
  • Mostly affects African Americans and Asian

Risk factors of SLE

  • Genetic
  • Asian and African Americans
  • Women are at higher risk than men
  • Ages between 15-55 years.
Complications
  • Lupus nephritis, abnormal deposits in kidney occurs in people who suffer from lupus, leading to a condition known as lupus nephritis. This condition can further lead to kidney failure.
  • Blood clots in blood vessels
  • Chronic Anaemia
  • Pericarditis
  • Myocarditis
  • Pleural effusion
  • Miscarriage
  • Infertility
  • Stroke
  • Bowel damage to abdominal pain.
  • The medicines and disease itself, harm fetus in the womb.
  • Stroke
Lifestyle tips
  • Smoking aggravates the symptoms.
  • Avoid smoking as smoking increases the risk of cardiac complications associated with this disease.
  • Avoid exposure in the sun, as the sun aggravates the lupus rash and may even trigger to flare symptoms of lupus. If you have to go out, apply sunscreen with SPF 50 at least.
  • Eat healthy food, which is rich in protein, omega3, vitamin D, and all other vitamins and micronutrients. Avoid fatty foods, as it tends to develop hyperlipidemia.
  • Be active
  • Reduce stress
  • Rest enough

List of Orthopedics Surgeons in India

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Paget’s disease- symptoms, causes, and management

Paget’s disease- symptoms, causes, and management

Paget’s disease is a chronic disease of remodeling of old bones and replacing them with new bones. This process shifts out of balance making the new bone weak, abnormally shaped and brittle.

Most of the people who suffer from this disease are asymptomatic and the disease is diagnosed only if the person gets an X-ray done.

Symptoms:

Pain is the most prominent symptom. Many people with Paget’s disease are asymptomatic, but there are people who experience the following symptoms.

  • Pain due to fracture of bones. Fractures are really common as the bones are very brittle.
  • Pain because of deformed bones.
  • Arthritis in the advanced stage in joints near the affected bones.
  • Compression of nerves due to enlarged bones causing loss of sensation or movement.
  • Other symptoms associated with the advanced stage of Paget’s disease are:
  • Extreme fatigue
  • Constipation
  • Weakness
  • Loss of appetite
  • Abdominal pain
  • Overgrowth in the head can cause a headache.
  • If the spine is affected by Paget’s disease then nerve roots can be compressed causing pain, tingling, and numbness in hands or legs.
  • Paget’s disease in legs weakens the bones making it appear bowlegged. It can also put you to the risk of developing osteoarthritis in the knee and hip joints.

Causes:

The actual cause is not known, but the following conditions are thought to be the cause for developing the disease:

  • Genetic
  • Old age
  • People of Anglo Saxon descend
  • Environmental factors
Risk factors:

Factors that increase the risk are:

  • As the age progresses the chances of developing, Paget’s disease also increases.
  • Men are at higher risk than women.
  • People with European descend are mostly affected by Paget’s disease. Asian and Scandinavian are at lower risk of developing Paget’s disease.
  • People with close relatives having Paget’s disease are at higher risk of developing Paget’s disease later in their life.
Complications:

Paget’s Disease

The disease progresses slowly and is mostly manageable. The complications although rare are the following:

  • Fracture and deformity of bones. The affected bones become brittle and fracture on the slightest injury. In advance cases, the bowlegged condition develops affecting the ability to walk.
  • Due to change in the shape of the bones due to Paget’s disease causes stress on the adjacent bones in a joint later causing osteoarthritis.
  • Neurological problems can be caused if the nerve adjacent to the affected bone is compressed due to abnormal growth of the bones.
  • Heart failure
  • Bone cancer

Lifestyle modifications to relief symptoms:

  • Exercise regularly to maintain good skeletal health.
  • Avoid weight gain.
  • Avoid smoking tobacco
  • Avoid excessive consumption of alcohol and caffeine.
  • Eat a healthy and balanced diet
  • Avoid stress on affected bones to avoid injury.
  • Exercise must be done as advised by the doctor.

 

Repetitive Strain Injury

List of Orthopedics Surgeons in India

 

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Rheumatoid arthritis -a chronic inflammatory condition

Rheumatoid arthritis: Risk factors, Diagnosis, and Treatment

Rheumatoid arthritis (RA) is a chronic inflammatory condition that not only affects the joints but also affects other parts of the body. It is an autoimmune disorder causing chronic inflammation of the joints. (An autoimmune disease is a condition where the immune system starts making antibodies against its own body tissues causing inflammation)

Inflammation around the joints and tissue results in a condition known as inflammatory arthritis, which is a characteristic feature of rheumatoid arthritis. This inflammatory condition is not just limited to the joints and affects other body parts which are extra-articular in nature. It is also termed as a rheumatoid disease which signifies the condition as a systemic ailment and not only associated with the joints.

 

Symptoms:

• Pain in joints
• Swelling in the joints
• Fever
• The stiffness of joints especially in the morning and after rest
• Fatigue
• Loss of appetite
• Joint deformity
• Symptoms appear in symmetry, affects both the sides of the body.

Causes :

Rheumatoid arthritis• It is suspected to be caused due to some bacteria, viruses or fungi but it is yet to be proven
• Hereditary
• Scientists also believe that rheumatoid arthritis is caused due to smoking tobacco, long exposure to silica and chronic periodontal diseases increases the chances of developing rheumatoid arthritis.

Risk factors:

The factors that increase the risk of developing this condition are :
• Women are more likely to develop RA
• Most commonly detected middle-aged people
• Family history, people with their close relatives suffering from RA are at higher risk of developing this ailment
• Smoking increases the risk of RA
• Exposure to silica and asbestos also increases the risk of developing rheumatoid arthritis.
• Obesity, especially in middle-aged women, increases the chances of developing rheumatoid arthritis.

How to detect rheumatoid arthritis?

There is no particular test to decide rheumatoid arthritis, however presence of C reactive proteins, elevated ESR levels, positive RA factor and presence of anti-CCP antibodies signifies the condition of RA. There are chances of having mimicking RA too. There are chances when the RA factor is negative but still, the patient has rheumatoid arthritis.

Lifestyle changes to relief symptoms:

  • Exercise regularly
  • Apply heat fermentation to relax muscles
  •  Apply cold fermentation to numb pain and reduce swelling.
  •  Relax mentally
Complications:

Rheumatoid arthritis increases the risk of developing the following conditions :
• Osteoporosis
• Dry mouth and eyes
• Rheumatoid nodules
• Weaken immune system
• Carpal tunnel syndrome
• Heart ailments
• Lung diseases
• Increased risk of developing lymphoma

When to see a doctor?

One needs to see a doctor if the pain and stiffness is persistent with swelling and redness around the joints.

 

Osteoporosis –symptoms, causes and management

 

Osteoarthritis- The Degenerative Disorder of Cartilage

 

List of Orthopedics Surgeons in India

Top 13 Joint Replacement Hospitals from India

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Ankylosing spondylitis-arthritis of the spine

Ankylosing Spondylosis: Symptoms, Causes, Risk Factors

Ankylosing spondylosis, commonly known as ankylosing spondylitis is a type of inflammatory arthritis that affects the spines. It is a chronic condition with pain and stiffness from the neck to the lower back, which is progressive. In later stages, it can cause fusion of the joints
The main joints that are affected in ankylosing spondylitis are
• The sacroiliac joints
• The vertebral column

Ankylosing spondylitis Symptoms

• Low back pain with stiffness
• Pain and stiffness at buttock region which aggravates by rest and is better by movement
• Pain worse at night and early morning
• Stiffness, which is better as the day progresses.
• Fatigue
• Weight loss
• Pain in the chest due to the affection of the costovertebral joints and costosternal joints.
• Enthesitis, which causes problems like plantar fasciitis and an Achilles tendonitis.
• Inflammation of eyes

Causes

Ankylosing Spondylitis

The real cause of the disease is unknown. It is mostly thought to be caused due to HLA B27 gene.
This condition is often considered genetic and is mostly found in the Native American population.

Ankylosing spondylitis Risk factors

• Young men are at higher risk.
• Family history
• People who have HLA B27 genes

How to diagnose ankylosing spondylitis

Ankylosing spondylosis is an excruciating condition, sometimes disfiguring the curvature of the vertebral column. The diagnostic technique to diagnose this condition are:
X-ray: The typical presentation of a bamboo spine is indicative of an advanced stage of ankylosing spondylitis.
• Symptoms: the symptoms of pain are very characteristic of this disease.
MRI: An MRI of the affected joint shows inflammation of the joints.
Chest examination: Due to the involvement of costovertebral and costosternal joints, the measurement of chest size varies while breathing.
Blood tests: helps to reveal the presence of HLA B27 genes, presence of C reactive proteins in the blood.
Schober test: It is a significant test as it helps to decide the flexibility of the lumbar spine during the physical evaluation of the patient.

How to treat ankylosing spondylitis?

There is no cure for this condition; however, with some treatment, the discomfort can be reduced. The principal aim of the treatment is to reduce pain, stiffness, prevent deformity, maintain a good posture, and the ability to do daily chores without any disability.

Few methods that can be adapted to lead a healthy life are:
• Physical and occupational therapy
• Medication as advised by the doctor
• Exercise as it helps reduce the stiffness of joints. Swimming is very good for exercise for people suffering from ankylosing spondylitis.
• Surgery can be performed in cases with an advanced stage to reduce discomfort.

Complications

Ankylosing spondylosis is a very complex condition affecting many parts of the body, causing complications which leads to other health complications :
• Reduced flexibility due to the fusion of the vertebra together. The fusion of vertebra causes difficulties in changing positions.
• Joint damage due to prolonged inflammation of the joints. This condition sometimes calls for joint replacement surgery also.
• Iritis
Osteoporosis
• Cauda equina syndrome
• Amyloidosis
• A problem to sit for a long time

 

List of Orthopedics Surgeons in India

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Ehlers-Danlos Syndrome

Ehlers–Danlos syndromes (EDS): Symptoms, complications

EDS is a group of disorder of the connective tissues affects the skin, bones, blood vessels and even few organs and tissues. The symptoms can either be mild or even life-threatening.

Many people with Ehlers–Danlos syndrome have soft velvety skin that is highly stretchy and fragile and overly flexible joints. In 2017, it was classified and described in 13 different types.

Symptoms:

Symptoms can be classified under classic Ehlers–Danlos syndrome and vascular type of Ehlers–Danlos syndrome.

• Overly flexible joints, the joints are highly flexible, since the connective tissue around the joints are loose causing joints to move more than the normal range of movement. Since the joints are overly flexible there is an increased chance of joints dislocated and pain.
• Stretchy skin, the connective tissues are weakened allowing the skin to stretch much more than normal.
• Chronic fatigue
• The skin is so flexible that it can be pinched up away from the flesh, but once it is left it will go back to its original place. The skin is extremely velvety and soft.
• Fragile skin, the damaged skin takes time to heal and does not heal properly. The wounds take time to heal leaving a thin crinkly scar behind.

Symptoms severity varies from person to person. Few people exhibit only symptoms of the bones of overly flexible joints without any expression of the skin symptoms.

Symptoms of Ehlers–Danlos syndrome, the vascular type

Ehlers-Danlos Syndrome

It is seen in fair skinned person with visible underlying blood vessels. The facial features are very prominent in people suffering from the vascular type of Ehlers–Danlos syndrome, with the small earlobe, thin nose, and thin upper lip. In the vascular type of the disease, the blood vessels of the body are weakened. If aorta or any other major arteries are weakened and ruptures, then that could be fatal.

The vascular type also weakens the walls of the intestine and uterus which is also at risk of being ruptured.

Causes:

• Genetic causes
• Family history

Complications:

• Joints dislocation
• Early onset of arthritis
• Fatal rupture of blood vessels
• Prominent scarring
• Risk during pregnancy
• Rupture of organs like the uterus and intestine.

Lifestyle modifications:

• Learn to use joints correctly with the help of a physiotherapist.
• Reduce stress levels.
• Exercise regularly as advised by the physiotherapist
• Quit smoking tobacco

When to see a doctor?

If you experience symptoms of Ehlers–Danlos syndrome, see a doctor. If you are already diagnosed with the same and you are expecting a baby visit a doctor to prevent complications during pregnancy.
In case of pregnancy do visit a generic counselor to reduce the chances of the foetus to inherit the disease.

 

List of Orthopedics Surgeons in India

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