Category Archives: Blogs

hip pain

What are hip diseases?

Blogs, ,

Hip pain is the main symptom that something is not right and it can be related to several diseases. 

We know that the hip is responsible for supporting the body and connecting the thigh bone (femur) to the pelvis (acetabulum). And this fitting of the head of the femur with the bone of the pelvis needs to be exact, as any type of deficiency or malformation results in the emergence of problems in the region, which include pain in the gluteus, lower back, groin, knees and legs.

It is important that the cause is always investigated so that the appropriate treatment is applied. Among the main diseases of the hip are:

  • Osteoarthritis: chronic degenerative disease that wears out cartilage, decreasing joint space, which causes limited movements, leading the person to start limping, in most cases.
  • Arthritis: Chronic inflammatory and autoimmune disease, which can affect multiple joints. It generates pain, swelling and reduced range of motion. The main cause for this pathology is genetics.
  • Epiphysiolysis: this disease is related to the growth of the femur that generates the slipping of the femoral head in the pelvis. Symptoms include groin pain, which may extend to the inner thigh to the knee, and decreased hip mobility.
  • Hip Developmental Dysplasia (DDH): known as congenital dislocation, DDH happens when the femur is not articulated with the pelvis, that is, there is a displacement between the head of the thigh bone and the acetabulum. The disease brings a noticeable difference between the limbs, in addition to causing pain in the knees and lumbar spine.
  • Bursitis: is characterized by inflammation of the bursa, a small fluid-filled sac that surrounds the joints and acts as a cushion between the bones, tendons and muscle tissues. Causes pain when getting up, walking, climbing stairs, and driving.
  • Pubalgia: tendinitis of the adductors of the hip or abdomen, with all affected muscles and tendons having their insertion in the pubic bone.
  • Femoroacetabular impingement syndrome: when there are one or more changes in the shape of the hip, which can be of the CAME, PINCER type or a combination of them (mixed type). These bone changes can cause abnormal contact between the femoral neck, acetabular rim and acetabular labrum, causing damage to the articular cartilage.

If you notice any of the symptoms listed above, it is important to seek the help of a hip specialist orthopaedic in Delhi. This is the case of Dr. Ashu Consul, who has been working in this area for over 15 years. Schedule a consultation right now!

covid

Joints Problem Post Covid-19 Infection

Blogs

Did you know that the Coronavirus infection can leave you sequelae of pain in the joints and muscles? Many people have joint pain before they start with the Covid-19 infection. During infection these problems can be aggravated due not only to immobilization, but also to tissue damage caused by the medication used to fight the virus.

The most common problems reported by patients are pain in the shoulders and back, although they can affect any joint in the body. Some patients may have more severe problems such as difficulty standing, climbing stairs, grasping objects in their hands, or raising their arms above the head. Some patients also report cramping and tingling sensations as well as weakness in the arms and legs.

What can I do to improve these joint and muscle problems

Most problems progressively improve after overcoming Covid. Taking care of your joints and muscles should be a very important part of the recovery process. The goal would be to return to the same level of activity as before getting sick, so you have to try to increase the amount of movements and activities progressively.

Our joints and muscles are designed to move so any gentle exercise is beneficial. Sometimes due to respiratory problems due to Covid, fatigue and / or high air can be noticed so you do not have to rush to accelerate the recovery and you will have to try to do a little more each day. It is very important to keep a balance between exercise, activities and rest. For this reason, at the beginning of recovery it is better to incorporate simple activities and then gradually introduce stronger activities.

Here are several examples of strengthening and flexibility exercises as well as tips that will help your joints and muscles.

– Examples of stretches to perform 1 or 2 times a day :

  • yoga
  • Tai Chi
  • any joint stretching as far as possible

– Examples of strengthening exercises at least 2 times a day :

  • climbing stairs
  • lift weight
  • rubber band exercises
  • gardening activities
  • bike

– Try to change your posture frequently. Limit the amount of time you spend in the same position, such as sitting, watching television or watching your mobile. If you feel that the pain increases with a certain position, change position or take a walk to relieve it.

– Use some ointment or mild analgesics to help relieve some mild pain, although always check with the pharmacist or doctor first.

When should you go to the doctor

You should go immediately to an emergency service to be evaluated if:

– you have very acute pain in your arms and / or legs, a loss of strength or insensitivity that prevents you from performing the previously indicated exercises.
– If you have any swollen, red and hot joints.
– If you have acute back pain radiating to the legs and accompanied by loss of reflex to urinate or defecate .

Contact your orthopaedic doctor in Delhi preferably if:

– your joint or muscle pain worsens or does not improve after 3-4 weeks.
– if you are unable to perform activities or exercises due to shortness of breath or fatigue .
– if new symptoms appear such as cramps, worsening weakness in the arms and legs or stability problems that make you fall or need to lie down.
– If new muscle aches appear that prevent you from sleeping

hip arthritis

Coxarthrosis: Osteoarthritis of the Hip Joint

Blogs, , ,

Coxarthrosis is osteoarthritis of the hip joint.

It is called primitive when there is no malformation responsible for osteoarthritis, and secondary in the opposite case.

The diagnosis is made based on pain and examination of the hip and is confirmed with x-rays. Treatment involves non-drug measures, medications, and eventually a resort to hip replacement surgery in Delhi.

The two coxarthrosis

The primitive coxarthrosis It occurs in a normal hip, in an individual over 60 years of age and represents 40% of the cases of coxarthrosis.

The secondary coxarthrosis it occurs in a “dysplastic” hip (with an anatomical malformation), in a younger individual, and accounts for 60% of cases of coxarthrosis.

Morphological abnormalities are, therefore, the main risk factor for coxarthrosis.

However, we must not forget the excess weight (overweight and obesity) and the trauma and microtrauma of contact sports.

Diagnosis is indicated by symptoms and examination

The symptoms are the same as those of coxarthrosis, both primitive and secondary.

Pain is the main symptom. It is a mechanical pain that is accompanied by a limp. This is usually located in the groin, but it can also be located in the buttock or reveal itself through knee pain.

Joint stiffness associated with pain is responsible for a disability that also manifests itself as discomfort when walking and lameness. The examination performed by the orthopaedic in Delhi reveals a limitation of hip movements.

Radiology confirms the diagnosis

Radiography of both hips is essential for diagnosis.

This has two objectives: search (or confirmation if it is already known) of a hip dysplasia and search for radiological signs of coxarthrosis:

  • decrease in the height of the space between the articular surfaces (impingement of the interline);
  • condensation of the part of the bone immediately under the cartilage;
  • bony outgrowths at the bone-cartilage junction (osteophytes).

Non-drug treatments take center stage

The reduction of any possible excess weight is a priority. The same happens with the implementation of an “aerobic” exercise program (30-minute brisk walk 3 times a week, cycling, swimming) and functional rehabilitation exercises in order to maintain hip mobility and strengthen the muscles that stabilize it.

The orthotics are reduced to shock-absorbing soles (running shoes with thick soles) and the technical assistance of a cane that will be carried on the opposite side to the diseased hip. The joint economy recommendations are not superfluous: avoid lifting weights, walking on rough terrain and standing for a long time.

Medications are administered in 2 ways

For the treatment of coxarthrosis, drugs are prescribed in the form of tablets or, less often, in the form of an intra-articular injection. Analgesics (paracetamol) are prescribed first.

Non-steroidal anti-inflammatory drugs have a superior analgesic effect, but they are not without undesirable effects. If there are no contraindications, they are prescribed in short cures, with effective doses, preferably during painful outbreaks.

Symptomatic slow-acting antiarthrosis drugs represent the background treatment. Its excellent tolerance authorizes its long-term prescription. Its action is delayed, but often prolonged after stopping treatment.

Intra-articular corticosteroid injections are indicated in the event of an inflammatory flare. Technique and vigilance must be rigorous.

Surgery is contemplated when disability becomes significant

The total hip replacement is the preferred prosthesis in case of coxarthrosis.

This gives good results against pain and for the autonomy of the arthritic patient.

Rheumatic-Disease

How to take care of your joints

Blogs,

The joint is a structure made up of bones, muscles, synovium, cartilage, and ligaments such as the knee, hip, wrist, or shoulder. They are the most important joints between the ends of the bones and allow the mobility of the skeleton.

The structures that allow this union are the joint capsule and the ligaments. Inside the capsule, the synovial membrane secretes a fluid, synovial fluid, which acts as a lubricant, facilitating the friction of the articulating bone ends. It is like oil for a car.

Another important component of the joints is the cartilage, which covers the articular bone surfaces and acts as a shock absorber in the movements of movement between them.

JOINT PAIN

Joint pain is the most common disorder affecting the musculoskeletal system. This type of pain can affect a single joint (monarticular) or several (polyarticular) and originate in the joint itself or outside of it, such as in a ligament, cartilage, tendon, or muscle.

The conditions that cause joint pain are osteoarthritis, arthritis, fibromyalgia, and gout, among others. Two of the best known are:

  • Osteoarthritis: it is the wear of the cartilage of the joint and causes the bones to rub against each other. This causes pain and loss of flexibility. 10% of the Spanish population has osteoarthritis of the knee and 6% of the hand.
  • Rheumatoid arthritis (RA):  a chronic inflammatory joint disease, which causes joint destruction, deformity, and functional limitation.

HOW TO TAKE CARE OF THE JOINTS

According to orthopaedic in Delhi, Joint care is important at all ages since, as time passes, they lose their functionality. Keep these recommendations in mind:

  1. Be active. It is advisable to practice aerobic activities such as walking, swimming, and cycling. Exercises help keep the joint active and prevent muscle atrophy. You should exercise regularly and gently to avoid injury.
  2. Correct posture. Bad posture produces an uneven distribution of weight on the body. When sitting, your back should be straight and supported on a backrest. Avoid sinking chairs, a firm seat is better; feet must be firmly on the ground.  Do not spend a long time standing or sitting, change your position from time to time. To pick up objects from the ground, do not bend your spine, but rather your knees.
  3. Control your weight.  Excess weight will put stress on your joints, especially spine, knees, hips, and feet. Obesity increases the risk of osteoarthritis.
  4. Feeding. Try to maintain a balanced diet, containing fruits and vegetables. Seasonings like turmeric are proven to reduce inflammation, oranges have antioxidant effects and protect joints, the Mediterranean diet reduces pain and stiffness in those with rheumatoid arthritis, broccoli protects against arthritis pain, and ginger is anti-inflammatory and antioxidant.
  5. Avoid overload.  Activities that generate extreme pain or exertion should be stopped or limited.  Wear wide shoes, the insoles can be used to mitigate pain in the joints of the legs. Canes and crutches can also relieve pain, by unloading diseased joints, while preventing falls.
  6. Use assistive devices.  To prevent falls, place handles on the walls, hallways, and bathrooms to facilitate holding. The taps should preferably be single lever. A trolley on wheels can allow the transport of various objects (daily groceries, dishes …) without making great efforts. In the bathroom, install non-slip floors, supports for the entry, and exit of the bathtub and toilet, plastic seats for the shower.
  7. Some compounds such as collagen and hyaluronic acid promote mobility.
calcification

Calcification: Causes, Symptoms, Prevention And Treatment of Calcium Deposits

Blogs, ,

Calcium is incredibly important for the functioning of the human body. Although 99 percent is found in teeth and bones, blood vessels, nerves, and muscles also need calcium.

They get it through blood vapor, in which that important remaining one percent must reside.

The term “calcification” refers to the accumulation of calcium in parts of the body where it should not accumulate, causing hardening of the tissues in question. This type of calcium build-up can affect many parts of the body, including:

  • The arteries ( atherosclerosis )
  • heart valves (calcification of the aortic valve)
  • other organs, such as the kidneys, bladder, and even (though rare) the liver
  • other soft tissues (muscles, breasts, fatty tissue)
  • joints and tendons.
  • the brain (cranial calcification)

What Causes Calcification?

Some calcification is a normal and expected part of the aging process. Almost all adult humans have some calcification of the pineal gland in the brain, and about half of women over 50 have some calcification within their breast tissues.

However, calcifications can also be pathological, and depending on the type of calcification, the following causes may play a role:

  • Excessive intake of vitamin D (soft tissue calcification, kidney stones)
  • a vitamin K deficiency
  • age in combination with excessive physical activity and / or being overweight (calcification as a complication of osteoarthritis)
  • genetics
  • existing heart or kidney conditions
  • taking certain medications that affect the way your body processes calcium, such as high blood pressure and cholesterol medications.
  • injury
  • of smoking

How do you know if you are experiencing calcification? Can you prevent it?

Due to the various parts of the body that can be affected by calcification, it is impossible to make general statements about the symptoms that people may experience. However, most of the time there will be no obvious symptoms, and it is very likely that you will discover calcifications after undergoing an X-ray for entirely different reasons.

The best thing anyone can do to try to prevent calcification is to live a healthy life and talk to the orthopaedic doctor in Delhi about prevention if they are at higher risk. It is also advisable that you attend preventive medical exams with your doctor, especially once you reach middle age and beyond.

Treatment for calcification

Treatment for calcification depends entirely on the type you are dealing with. Calcium deposits in the joints and tendons can be removed surgically. While people with kidney stones will likely be prescribed diuretics that stimulate calcium build-up in the bones.

Those prone to kidney stones may also be advised to reduce their calcium intake. Surgery may be necessary if you suffer from heart valve calcification, while those with cerebral calcification may be prescribed bisphosphonates, a class of medication that is also used to treat osteoporosis.

In conclusion

While calcification of any kind is unlikely to produce symptoms that easily lead to self-diagnosis, anyone concerned about their health should see a orthopaedic in Delhi. The detailed description of your symptoms will allow your doctor to decide what kinds of tests should be done, leading to a diagnosis.

Tibial-Periostitis

Tibial Periostitis: Causes, Prevention and Treatment

Blogs

Tibial periostitis is an injury produced by various causes. Adequate lifestyle and training habits are key to preventing it and the recommended treatment focuses on understanding, cold therapy and the biomechanical study of gait that allows correcting alterations that cause its appearance.

Both in athletes and in those people who spend many hours standing, shin splints is a well-known injury. At least it is the feeling of overload in calves and shins and localized discomfort (as if it were a bruise) in the area of ​​the tibia.

What is tibial periostitis and what are its causes?

Tibial periostitis is the inflammation of the periosteum, the membrane that covers the tibia on the external surface and unites it with the calf, tibialis anterior and posterior, and peroneals.

Like many other injuries, there is no single cause. There can be many reasons for this injury and to identify them you have to understand the context of the patient.

At a general level, an unhealthy lifestyle (diet, stress) or certain habits at work, such as driving too many hours or working standing up, are the typical causes of this injury outside the sports environment.

In the case of athletes and people who train regularly, the causes are usually:

  • Train constantly on hard surfaces, especially asphalt
  • Starting to train or practice sports without prior and adequate muscle preparation, as well as excessive training intensity or volume
  • Wearing inappropriate shoes, especially those with poor cushioning
  • Skip muscle treatments, for example not stretching or not going to the masseur
  • Biomechanical defects: from the shape of the foot, excessive pronation to other body load defects

How can we prevent it?

Faced with such a variety of causes, prevention and change of habits (as far as possible) are essential to avoid tibial periostitis.

In the case of athletes, for example,  changing exercise routines, not neglecting stretching before and after exercise and wearing suitable equipment can help save us from suffering such an annoying injury.

What is your treatment?

However, if the damage has already been done, using compression bandages can improve support. Applying cold with the leg elevated (either through ice in the area or through thermotherapy products) will help to lower the inflammation, with which the pain will be considerably alleviated.

Among all these preventive and solution techniques for tibial periostitis, it is highly recommended by orthopaedic in Delhi to perform a footprint study. This study allows to locate and diagnose those biomechanical defects (such as poor posture when walking, running or standing) that are usually the cause of problems in the locomotor system. The biomechanical study allows the patient to correct or minimize said defects or alterations, which results in the prevention of injuries, in this case, tibial periostitis.

arthroscopy in Delhi

Knee Ligament Operation or Arthroscopy

Blogs,

Cross Ligament Operation

Arthroscopy is a minimally invasive technique, which carries a 50% less chance of infection and a faster recovery compared to the classical technique.

The reconstruction of the cruciate ligaments also called knee arthroscopy in Delhi. It is a surgery to rebuild the ligament in the centre of the knee. This ligament, the anterior cruciate ligament, holds the tibia in place. Its breakage can cause that during physical activity, the knee does not move correctly.

Injuries to the cruciate ligament cause instability in the knee. And in the long run, this increases the likelihood of a meniscus tear. The cruciate ligament reconstruction is also recommended when knee pain, when it becomes impossible to sport or other daily activities, when other ligaments are damaged or when there is a meniscal tear.

Information about surgery

What does Cruciate Ligament Surgery consist of?

The knee arthroscopy operation consists of replacing the anterior cruciate ligament with tissue from the patient’s own body and is usually taken from a patella tendon or a hamstring. During the procedure, orthopaedic surgeon in Delhi inserts a camera into the knee through a small incision. Through other small incisions around the knee, the rest of the medical instruments are introduced. The old ligament is removed and the new ligament is fixed with screws or other devices to hold it in place. The advantage of this technique over others is the speed with which the patient can return to a normal life. The type of anaesthesia used for this intervention is general or epidural.

How is the postoperative period?

Typically, the patient leaves the hospital the day after surgery (depending on each patient) and must use crutches between the first and fourth week. It is advisable to move your knee immediately after surgery to prevent stiffness.

Once at home, the patient will need the help of a friend or relative to carry out daily activities. It is not recommended to take the weight, or to bend the knee too much until the ligament is well seated.

After the operation, it is usually necessary for the patient to follow a rehabilitation program for 4 to 6 months. This routine can help you regain normal movement and strength in your knee.

carpal-tunnel-syndrome

Carpal Tunnel Operation

Blogs, , ,

Carpal Tunnel Operation duration

The duration of the Carpal Tunnel Operation is approximately 60 minutes. Generally, the patient can go home the same day of the surgery, although it will depend on the indications of the orthopaedic doctor in Delhi.

What is the Carpal Tunnel Operation?

The carpal tunnel syndrome is a condition in which the median nerve is subjected to excessive pressure. The median nerve is located in the wrist and allows the hand to have sensitivity and movement in certain parts. When a person has carpal tunnel syndrome, they often feel numbness, tingling, weakness, or muscle damage to the hand and fingers.

This syndrome can be caused by using tools that vibrate and it is even believed that other activities such as typing, using the mouse, playing an instrument … can cause this inflammation and narrow the carpal tunnel, causing pain.

Other causes can be alcoholism, fractures of the bones, arthritis in the wrist, cyst or tumor in the wrist, infections, obesity, fluids that accumulate during pregnancy and menopause, or rheumatoid arthritis.

It is more common in women than in men and occurs especially in people between 30 and 60 years old.

Surgery Information

What is Carpal Tunnel Release Surgery?

It is a minimally invasive surgical procedure in which the ligament that exerts pressure on the nerve is cut. Local anaesthesia is used and the patient leaves the hospital the same day. At home, the patient is advised to make hand and wrist movements to avoid stiffness and swelling.

The surgical intervention has a very short duration, about 15 minutes.

The use of a special wristband may be indicated during the first three weeks. Of course, overexertion and forced wrist postures should be avoided.

Normally it is a very effective surgery, but it will depend on each patient. Full recovery can take about two months.

After the operation you may feel discomfort or swelling, for this, the orthopaedic in Delhi will prescribe the indicated medication.

Full recovery usually occurs after these 4 or 6 months. This intervention is usually very effective. The innovative techniques used make possible a faster recovery and fewer complications in surgery.

Do not hesitate to go to a consultation with the orthopaedic surgeon in Delhi if you think you may have this problem.

What symptoms does carpal tunnel syndrome have?

Some of the most common symptoms are:

  • The clumsiness of the hand when grasping objects.
  • Numbness and tingling in the thumb and the next two or three fingers. It can also be felt in the palm of the hand.
  • Pain from hand to elbow.
  • Pain in the hand or wrist.
  • Problems with coordination in fine movements.
  • Atrophy of the muscle below the thumb.
  • Difficulty loading bags.
  • Weakness in one or both hands.

What is the initial treatment?

When this syndrome appears, your orthopaedic doctor in Dwarka will advise you to wear a splint at night, avoid sleeping on your wrists and apply cold or heat to the affected area. Additionally, nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to relieve symptoms.

When none of these treatments works, carpal tunnel release surgery can be used. In the long term, surgical treatment is the only solution for carpal tunnel syndrome.

Femur-Fracture

Open Reduction and Internal Fixation of Femur Fracture

Blogs,

What is an open reduction and internal fixation of the femur fracture?

Open reduction and internal fixation is a surgery used to heal and stabilize a broken bone. You may need this procedure to treat your broken femur (thigh bone).

The femur is the large bone in the upper leg. Various types of trauma can damage this bone, causing it to fracture into two or more pieces. This can occur in the part of the femur near the knee, near the middle of the femur, or in the part of the femur that is part of the hip joint. In some types of femur fractures, your femur has ruptured, but its parts still line up correctly. In other types of fractures (displaced fractures), trauma moves the bone fragments out of alignment.

Usually, you need open reduction and internal fixation to get your bones back into place and help them heal when the femur fractures. During an open reduction, the orthopaedic surgeons replace their bone pieces during surgery, so that they are back in their correct alignment. This is in contrast to a closed reduction, in which an orthopaedic doctor in Delhi physically moves the bones into place without surgically exposing them.

Internal fixation can be defined as a method of physically reconnecting your bones. This could include special orthopaedic screws, plates, rods, wires, or nails that your orthopaedic surgeon in Delhi places inside your bones to put them in the correct position. This prevents your bones from healing abnormally. For a fracture of the long and middle part of your femur, your surgeon may insert a long metal rod through the middle of your bone. The complete operation is normally performed while you are asleep under general anaesthesia.

Why might you need open reduction and internal fixation of the femur fracture?

Some medical conditions can increase the chance of breaking your femur. For example, if you are an older adult, osteoporosis increases the risk of fracturing your femur. Your femur may also be expected to rupture if you have bone cancer. Auto accidents, firearm injuries, sports-related injuries, and falls are common sources of trauma that can cause a femur fracture. A direct blow to the hip can break the part of the femur associated with the hip joint.

Most people with a fractured femur need some type of surgery, usually open reduction and internal fixation. Your broken femur may not heal properly without surgery. Open reduction and internal fixation can put your bones back in their proper settings. This significantly increases the chance that your bone will heal properly. Your orthopaedic doctor in Delhi may recommend nonsurgical treatment for a very young child or for people with other medical conditions that make surgery more dangerous.

You may need open reduction and internal fixation for a fracture that occurs anywhere in your femur, including the part that is part of your hip joint. In a “broken hip,” it is usually a part of your femur that breaks, and not part of the hip bone itself.

elbow-fracture

What to do with an Elbow Fracture

Blogs, , ,

They are frequent in children and can become complex.

The fractures of the elbow include a wide spectrum of injuries whose treatment ranges from a brief period of immobilization and immediate rehabilitation to complex surgery and long periods of rehabilitation.

Dr. Ashu Consul an elbow and shoulder specialist traumatologist, orthopaedic surgeon in Delhi, indicates that when faced with a traumatic elbow injury, the first thing to do is apply ice, immobilize with a sling and consult an emergency or trauma service to Clinically and imaging the lesion.

“In those minor fractures, for example, fractures of the radius dome without displacement, a short immobilization period of 7-10 days is sufficient, and then early mobilization begins, sometimes assisted with kinesiology depending on the injury, ”orthopaedic in Delhi explains.

Above all, in children, elbow fractures are frequent, especially those that involve the distal humerus says the orthopaedic doctor in Delhi. “Its management ranges from plaster for 3 weeks in those nondisplaced fractures, and surgery with reduction (alignment of the fracture) and needle fixation in those displaced fractures,” he indicates.

There are severe elbow injuries that occur in higher energy trauma and these involve severe bone or soft tissue (ligament) injury. “These types of injuries may require a complex plate and screw fixation surgeries and long periods of rehabilitation,” says Dr. Consul.

The elbow is a joint in which stiffness is frequently presented as a complication, which is why its management must be carried out by specialists, both trauma and kinesiologists, he emphasizes.

Full and definitive recovery from a complex elbow fracture can take 6 to 8 months.