Carpal Tunnel Syndrome: How to Handle it?

Carpal Tunnel Syndrome is a painful one that is born from a strain on the median nerve, which loops through the wrist bone to connect it with the rest of the hand and fingers so as to promote motion. This condition can be a painful and debilitating one that usually starts at night, and affects the various fingers, especially the thumb and index finger. The symptoms include numbness, a tingling sensation, a weak grip, and the inability to do many tasks that involve the thumb and index finger. There are many ways of treating this condition with the help of physiotherapy, steroids and corticosteroids.
There are easier ways of dealing with this issue on an everyday basis, as follows.
* Wrist Splint: It is a good idea to wear a wrist splint at night which will keep the bones and muscles stationery as the pain in this condition usually starts at night. This will also prevent further damage to the median nerve.
* Activity: Keep your activity to a minimum to give your hand and rest, in particular, some much needed rest from the pain, numbness and tingling. Further, you need to avoid activities that cause too much pain and numbness. Also, take care to keep your thumb and wrist straight during other activities so that there is less strain on the median nerve.
* Strength and Flexibility: Many times, the pain from the wrist and fingers can spread towards the arm as well. In order to prevent this and to treat the pain on a more long term basis, it is important to turn to some mild exercise which can make the area more flexible and strong. This can include wrist twists which can be done ten times for each hand. One can also try Yoga to strengthen the joints in the upper body.
* Ice Pack: Use an ice pack or ice compress on your wrist for ten to fifteen minutes each every few hours to help in reliving unbearable pain.
* Anti Inflammation Medication: Patients suffering from this condition can also turn to non steroid medication that will help in bringing down the inflammation. This inflammation is usually responsible to a great extent for symptoms like numbness and pain which can halt various activities. These drugs may include aspirin, ibuprofen, and even naproxen sodium.
* Taking Breaks: One must take regular breaks at work and flex the fingers and the wrist so that the painful bending posture does not make matters worse.
Ensuring that you manage your everyday functioning despite Carpal Tunnel Syndrome is a matter of balancing your activities with rest.
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What is Spinal Stenosis?

The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.
Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine
Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.
Treatment of spinal stenosis:
– A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
– Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
– Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
– Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain.
Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

6 Lesser Known Symptoms of Osteopenia

Deficiency or loss of calcium and phosphorus in the bones among other minerals causes the bones to go weak. With passage of time, some people develop a bone condition where the bone mineral density (bmd) goes very low. This condition is called osteopenia and it is now a very common problem. When the bone density goes even below than what it is in osteopenia, then the person develops osteoporosis. Although it is not mandatory that whoever has osteopenia will end up with osteoporosis as well. Fact is, it is very difficult to notice the signs of osteopenia. Just like osteoporosis, it could be present in your body for years, before your find out that you got the problem. Although we call all weakness of bone as osteoporosis, weakness of bone due to deficiency of calcium and vitamin d are clinically called osteomalacia. To label it as osteoporosis, bone should be weak with a normal blood calcium and vitamin d levels.
The symptoms of osteopenia are:
1. Extreme pain when fracture: this condition doesn’t cause any physical pain in normal life. The only time one will experience immense pain is, if there is a fracture in the bone. On the flipside, a lot of fractures occur because of osteoporosis.
2. Receding gums: this symptom is quite a surprise and one we don’t usually imagine it to be. While receding gums could be the symptom for many problems, it is one of the symptoms of osteopenia.
3. Brittle nails: if you have weak and brittle fingernails, this is a direct indication of your bone health.
4. Shrinking with age: as we age, we tend to lose height. This happens to those with vertebral fractures and poor postures. In both the conditions, this could be a symptom of osteopenia.
5. Dehydration: in some very rare cases, extreme dehydration has been a silent cause. So if you are suffering from side effects of dehydration, keep a check on your bones too.
6. Pcos: irregular periods in women is also something that could be a symptom for many irregularities, but pcos can also lead to osteopenia as are eating disorder or over exercising.
Earliest symptoms of osteopenia is generalised tiredness, easy fatiguability and vague body or joint pain.

Oxford Knee Partial Knee Replacement

Oxford Knee Partial Knee Replacement

I had an opportunity to attend hands on workshop cum certificate course on Oxford knee ( Partial knee replacement) , conducted by the pioneer of this technique, Dr. Christopher Dodd . It’s a good thing that they don’t allow anyone to do this surgery, unless one has done the certificate course of this . I am feeling honoured and privileged on being allowed to perform this cutting edge surgery.
Oxford knee partial knee replacement can be offered to approx. 25 % of the patients who have been advised total knee replacement. It has following advantages over total knee replacement , although the surgery in itself is very exacting, precise and demanding:

1. It is performed through a very small incision. Hence , it has been named microplasty .
2. As there is very less soft tissue handling, this is a less painful surgery.
3. It’s a bone preserving surgery, as there is very minimum bone cuts .
4. Patient starts walking on the same day of surgery. He needs a stick for walking, not a walker .
5. There is no role of physiotherapy after this surgery, while after total knee replacement physiotherapy is to be continued at least for 3 – 4 months .
6. Patient is discharged from the hospital just after 1 – 2 days , just like any other surgery .
7. Postoperative discomfort and stiffness rate is very less .
8. Chances of infection is very minimal, less than 0.01% .
9. Patient becomes normal within 3 – 6 months .
10. It follows kinematics of the normal knee , leading to normal movement.
11. Patient can squat , sit cross legged and on the ground after 3 – 6 months.
12. Success rate ( survival rate ) of this procedure is 95% after 20 years of surgery.
13. If knee becomes bad due to increasing osteoarthritis, it can be converted into total knee replacement later on .

Phew …… And the list goes on about the advantage of Oxford Knee above Total knee replacement in the selected patients.

The Secret of Knee and Hip Surgery in India

Knee and Hip Surgery in India

Knee and hip replacement surgical operation is typically done by orthopaedic surgeons. India offers best orthopaedic surgery in comparison to  best surgeons in the world at  reasonable prices also offering medical care multi-speciality hospital providing high quality treatment and patient care . The joint replacement surgeries  are generally suggested due to destruction of the joint  caused by osteoarthritis or accidents that hinder a person’s range of movement, tractability and ease.

Resurfacing of knee and hip is perfectly done in India with implantations, doctors and best supportive facilities. The availability of knee and hip replacement in India comes with reasonable packages in comparison with other developed nation state.

Replacement surgical operation of knee and hip is usually performed by orthopaedic specialists whereas they cut or sculpt out and change the injured or dented segments of the knee and exchange it with man-made (artificial) joints as implantations for better mobility. With the impressive network of multi-speciality hospital groups, diagnostics and day care facilities are available in the healthcare vertices.

The country India proffers excellent knee and hip resurfacing treatments and medications at 70-80% which is less than prevailing USA or UK rates. Knee and hip resurfacing is exactly demanding and needs precise planning and also a multiplicity of odd-on in terms of implantation accessories will be required  to be made available in the operating room before commencing surgery. Such replacement is also called as arthoplasty, which is a surgical process to resurface a knee dented by arthritis.

The branch of medicine which deals with treatment of dislocation and injuries of bones and muscles is orthopaedic. It is basically the study of muscular as well as skeletal system together called musculoskeletal system. This system is responsible for giving shape, support, stability to the human body and the ability to move. There are many people who take help from an orthopaedic surgeon for injuries and ailments related to hip and knee bones like infections, tumour, spinal issues, sports injuries, replacement of knee, arthritis and other disorders are cured by an orthopaedic surgeon.

The surgeons and expertise first go through the patient’s medical reports and then recommend the options available. If it can be cured by non-surgical methods then the same will be recommended. The surgeons work hard to make the joint replacement surgery 100% successful with the best available facilities in India.

Treatment or medication in India

There are appropriate treatment facilities available for bones and joint injuries in India like osteoporosis, sports injuries and to name a few. There are thousands of medical tourists from across the globe who visit India for Orthopaedics surgery for two reasons- first the knee and hip replacement cost in India is much more affordable as compared to other countries and second, the quality of health care facilities are outstanding. There are modern tools used in health care facilities for different surgeries like cartilage replacement, spine injuries, broken or cracked bones, scoliosis, etc. which are treated in a careful and appropriate manner. In India, joining and steadiness of the spine or merging of the spine and other complicated bone issues are treated in a complete manner with modern technologies, which meets the international standards and hence many people come to India for various joint replacement surgeries.

The Best Joint Replacement Surgery in India

Joint Replacement is a surgical treatment that lets total relief from pain and enhanced quality of life for patients who are in anguish or torment from aching and painful joints. The orthopaedic specialist has all-encompassing experience with joint replacement and competent of proving outstanding result for both adults/grown up and children. There are so many reasons for needing a knee and hip replacement but the most usual cause is arthritis, a devastating disease or syndrome.

At initial phase physiotherapy, splints, diathermy and medicines can regulate pain. Later on the replacement surgery of the damaged area of  hip or knee joints made up of specialized alloy metal and high density polyethylene is positioned. Joint surgical operation is well defined as a substitution of worn out arthritic joint in the body with man-made (artificial) instils or implant for pain relief, amplified or increased mobility and movements.

With the progression and advancement of modern mechanization joint replacement surgical operation is safe and efficient to alleviate pain, deformity and relief or benefit patients restart usual activity .The accomplished result of Joint replacement in India is without doubt equivalent and comparable with the best in the world. Joint replacement is taken into account as one of the surgical procedures which enables the patient to live-richer, more active and  pain free life .

Although the success ratio of the joint replacement surgery in India would be dependent on several factors including orthopaedic surgeons/specialist, expertise of the support staff, infrastructure of the clinic, patient selection , etiquette and infection control practice of the Hospital. So, amongst the best hospitals globally, India’s success ratio or percentage for Joint Replacement Surgical operation is more than 95% which is comparable to the preeminent in the world.

When compared to various leading nations like USA or UK, India is more popular as a healthcare tourism destination. This is not only due to availability to the most advanced and developed medication or treatment techniques , but also due to providing  these treatments at reasonable and cheap costs and is easily feasible at the Indian Hospitals.

India has an exceptional advantage of providing treatment as a presence of outstanding medical tourism consultant like Joint Replacement Surgery Hospitals in India, which are counselling and treating a numerous number of medical tourists for many more years. There are explicit and precise therapies present for bones and joint syndrome.  The obsession and maintenance of the spineal health or combination of the spine and other intricate bones issues are treated in all-embracing manner in India.

The specialists have broad knowledge that they have seen and handle every possible syndrome and injury of muscles and bones. The Experts tackle out the possible conditions of the muscular skeletal system. The utilization of latest technologies in India meets the International Standard and hence a lot of people from various walks of life visit India. The personalized medication and surgical operation packages have made Joint Replacement Surgery in India highly realistic and equitable.

Advantages Of Hip Joint Replacement Surgery In India

Hip Joint Replacement Surgery in India

Hip Resurfacing One of the advance and revolutionary medical technique. India is the first to introduce Hip Replacement process in the Asian sub-continent. Many people suffering from arthritis from across the world visit India to go through Hip Resurfacing not only for the effective cost but also for the professionalism and facilities. Hip resurfacing is like a blessing for younger patients, because there is negligible bone loss and almost usual unhindered movements and functions with 99% success rate.

Many hospitals in India provide superior treatment for different hip disorders along with arthritis. They also have the excellence of performing the Hip Replacement process in India. There is an assurance of 99% for the procedure to be successful and is highly beneficial for comparatively young patients facing secondary arthritis.

Total Hip Replacement

A Total Hip Replacement surgical operation is a specialised joint replacement surgery done in India whereas the diseased cartilage and bone of the hip joint is surgically substituted with man-made (artificial) materials called hip prosthesis  which usually is US FDA approved. Patients with dented and injured hip joint either due to Trauma, wear-and-tear arthritis, or some other cause should take into account hip replacement to become freed from pain and worsening daily activities  in order to preserve the standard and quality of the life.

One of the usual cause for hip joint replacement surgery in Osteonecrosis which occurs due to scarce or insufficient blood supply to the ball segment of hip joint, the bone may breakdown or deform. The specialist in India advise a hip replacement surgical operation if pain continues despite treatment, pain deteriorate or worsen with walking, pain inhibits or restricts with your sleep and affects the proficiency to reach downstairs or make it problematic to rise from a settled positioned.

In India Hip Replacement Surgery is firstly envisioned for use in people who are in dire need of a hip resurfacing at younger age and therefore are likely to be more vigorous or energetic.  The proximal or top portion of the thighbone which is damaged by arthritis and is changed with a metal head that can be strengthened and paved with special glue , called bone cement , to the stalk of the thighbone. The socket is exchanged with a metallic cup and high density plastic is utilized as an insert into it. Hip Replacement process allows renovation of the natural floating motion of the joint.

Proxima Hip Replacement

The proximal hip replacement is also superlative for young patients. In this minimally-invasive process, the portion of the thighbone to the point or centre where it begins in shaped and changed by a metal head. This fits in a metal cup that is attached into the socket. Through minimally- invasive procedures some hip surgeries can also be implemented.

Success Ratio for Joint Replacement in India

The extension of excellent hospitals orthopaedic expertise has made their patients with the surpassing well planned assistance. The physically tested medications and rehabilitation packages have made hip resurfacing surgical operations successful and affordable in India.