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Arthritis

What is arthritis?

Any painful joint with swelling is arthritis.

Who all can have arthritis?

Those with family history, overweight, past history of joint injury or deformed limbs are more prone for arthritis.

How do I know that I have arthritis?

Constant or intermittent joint pain with repeated swelling in indicative of arthritis. Pain on getting up from bed or chair, morning stiffness and pain all indicative of arthritis.

Can it be cured?

Most people suffer from small bouts of joint pain or inflammation which can be cured if proper medication and precautions are followed. Long standing arthritis sometimes requires prolonged arthritis specific medicines called DMARDís or Biologics.

Advanced joint destruction and arthritis may require surgery to get relief from the constant pain.

When do we need surgery?

Prolonged disease with constant pain and discomfort which does not respond to medicines, massages brace or physiotherapy is an indication for surgery.

What type of surgery is available and needed?

Early arthritis can be treated with small arthroscopic surgeries or mini incision re alignment surgery.

Advanced arthritis may require Joint replacement surgery like total knee replacement or total hip replacement.

OSTEOPOROSIS

What is osteoporosis?

Progressively weakened bone making them brittle is called osteoporosis.

Who all can have osteoporosis?

Women with menopause more than 40-50 years, men above 65 are prone for osteoporosis. People taking medicines for epilepsy, asthma, stomach illness, arthritis, skin diseases are prone to osteoporosis. Smoking, tobacco in any form, alcohol, obesity, sedentary life style all predispose to osteoporosis.

How to know?

Generalized body ache, past history of fracture, difficulty in getting up from chair or bed, constant backache, reduced height and stooping posture are all indicative of osteoporosis.

How to prevent?

Regular exercises, walk, swimming,cycling with healthy nutritious diet rich in vitamins, calcium and minerals help prevent and fight osteoporosis.

Quit smoking, alcohol and reduce weight.

What is the treatment?

Other than calcium supplementation vit D, hormone replacement after menopause, treating any underlying cause remains the mainstay.

Special medicines (bis-phosphonates) taken weekly, monthly or yearly are also necessary. Nutritious diet and exercises are very important in its management.

For cases with fractures rest, braces or sometimes surgery may be needed

Can I  have fractures without accidents?

We all know fractures occur after fall or accidents but it may occur with simple jerks or no injury at all. Episodes of chronic cough or vomiting can cause such fractures. These are pathological or osteoporotic fractures.

How to know them?

If pain persists in back or hip after repeated coughing or sneezing. If slight jerk is followed by loss of power or function of foot or hand. If sudden painful swelling develops after such an event it should be evaluated for fracture.

What is the treatment?

Most such fractures of back or chest can be managed with rest and medicines. Evaluation may be needed if condition deteriorates or there is no relief. Fractures around hip or large bones may require surgery.

 

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