Articles on joint

Bad Bites and Temporomandibular Joint

Dr. N Srinivas, Dentist
The teeth and bone structure form the foundation of the mouth and its surrounding tissues.W hen the framework isn't aligned,a malocclusion(bad bite) results.On the surface,this often appears as little more than an aesthetic problem,but the ramifications of improperly aligned teeth are more far-reaching.Bad bites can cause problems ranging from headaches to faulty hearing.They also can cause digestive problems that affect overall health.Many adults,as well as children,suffer from bite disorders that affect their physical and social well-being. Fortunately,modern dentistry offers a variety of ways to treat improperly aligned bites many of which are imperceptible to others.What causes bad bite?A bad bite is typically caused by genetics.For example,the teeth may not fit in the jaws properly,or the teeth may not be in a correct relationship with the rest of the face.Destructive habits,such as lip or nail biting or clenching and grinding teeth,also can cause bad bites.Finally,loss of teeth without proper replacement can cause the bite and the face to collapse,resulting in an aged and unattractive appearance.Bad bites and Temporomandibular joint:When the teeth are out of alignment,the facial muscles may spasm,creating misalignment of the jaw.This can lead to temporomandibular joint disorders(TMD).Symptoms can include headaches,neck pain,back pain, and earaches.Treatment of  TMDs depends on the severity of the disorder and ranges from muscle relaxation therapy to orthognathic surgery.No cosmetic procedures should be performed until the TMD is corrected.Is your new bite a bad bite?Occasionally,even properly constructed restorations can contribute to bite problems.This typically occurs when a disharmony already exists in the mouth.In such cases,any irritation or change even as minor as that caused by crowns or orthodontics-can initiate a muscle spasm and TMJ disturbance.Such problems may be unforeseen by dentists.When noted,however,they should be corrected quickly.If allowed to persist,they can be extremely difficult to repair.

Gout - Gouty Arthritis

Dr. A Mohan Krishna, Orthopedist
Description of gout:Gout is a medical condition, a metabolic disease in which crystals of Uric acid (Monosodium urate) gets deposited in joints and tissues. These crystals are the by-product of body’s Protein degradation.Causes:The proteins that we consume in our diet get digested and undergo various steps of degradation in our body. Uric acid is produced during this process is usually excreted from intestine and kidneys.High levels of Uric acid can be produced due toIntake of protein rich diet- high purine dietAbnormalities in chemical pathways that leads to excessive production of uric acidCertain drugs like Aspirin (Salicylates), Diuretics (Kidney drugs) interfere with the excretion of uric acid thereby raising its level in blood.The body’s own overproduction of uric acid is an inherited condition and is present from birth.Symptoms :Uric acid is deposited in the form of crystals (Monosodium urate) in joints and tendon. This result in intense irritation, inflammation and pain in the joints and tendon tissues. The joint becomes hot, red and swollen.Classically the big toe joint of the foot is affected, but ankles, knees, elbows and joints of hand and feet can be involved. Large joints like hip and shoulder joints tend to be spared.Predisposing factors:Men are more likely to be affected than women.The commonest age for the first attack is between 30 and 60.Risk factors include.A high alcohol intake. Alcohol by itself  does not cause gout, but it will stimulate gout attacks in those who are affectedA protein rich diet.Certain races, like Maoris and Polynesian- who have higher blood levels of uric acid are more susceptible to goutObesity,Conditions that cause high cell turnover, such as polycythaemia (increased red cells), lymphomas and various other cancers can increase blood uric acid levels.A family history of gout,Drugs like Diuretics (drugs increasing urine flow) or low dose salicylates,Kidney diseases,Some percentage of patients suffering from Gout can have renal colic due to deposition on uric acid crystals in the kidneys.Diagnosis:History and complaintsSudden onset of severe pain, swelling and redness of joint in great to of the foot.Sometimes swelling of joints of foot, ankles and handsHistory of similar episodes in the past.Examination:Red, tender, swelling of joint of great toe or other involved joints.Long standing cases uric acid crystals deposit in tendons, tissues appear as swellings called Gout tophi. More common around the elbow, wrists, finger and toe joints and sometimes on the earlobe.Investigations:Blood tests: Raised blood uric acid levelsDoubtful cases: Fluid examination from Gout swelling for Uric acid crystals.X rays: in long standing cases shows joint destructionTreatment:Acute attack:Acute attack of gout is characterised by hot, swollen, red and painful joint of great to of foot.Non-steroidal anti-inflammatory drugs in acute attacks help in reducing the pain and swelling. They should be given in high doses initially.Colchicine is one of the oldest known drugs and can be taken during acute painful phase.New drugs are available that can be given during acute attacks which can reduce blood levels of Uric acid.Drug treatment:Drugs in the treatment of gout are given to control the levels of uric acid in blood and to prevent long term complications. Drug dosage should be adjusted according to the levels of uric acid in the blood.Allopurinol is one of the oldest and common drug used to control the levels of uric acid in blood. This drug inhibits xanthine oxidase which converts xanthine into uric acid.Probenicid and Sulphinpyrazone – Promotes excretion of uric acid through kidneys.Prevention:Once you are diagnosed with Gout, you’re a patient of gout for your life.Avoid Protein rich diet – High Purine foodsAvoid Dehydration: especially in hot weathersAvoid unaccustomed strenuous exercise.Care should be taken in patients on long term diuretics and low dose aspirin.Regular medications to control the uric acid levels by the advice of physician or orthopedician.Complications of untreated Gout:Long term complications of uncontrolled gout can causeJoint damage (Arthritis),Formation of gout tophi (swellings around the joint) andRare complication of chronic kidney disease.

Joint Pain - All You Need to Know

Dr. Manaan Gandhi, Ayurveda
 The most comprehensive post on understanding and healing joint pain according to ayurveda by Dr. Manaan Gandhi.When movement is restricted, pain has increased, effectiveness and concentration on work and family suffers. You feel restricted and limited and opportunities go to waste because of this ever increasing problem. Treating such joint pain is very easy to do with ayurveda. The key is to understand which type of ayurvedic category that particular joint pain fits in. This categorization is the most crucial part of understanding and treating any joint pain and if this fails, then everything else will also fail. There are three major categories of joint pain according to ayurveda. The first of which is called "aamvata." In this category, the patient suffers from "shifting joint pain" or the pain which migrates from joint to joint. Sometimes it is the elbow, sometimes it is the knee, sometimes the shoulder. This condition will also show swelling and stiffness of the joints and relief on exercise or movement and massages. Oil application on the other hand will increase the pain and worsen the situation. The tongue of such a patient will be coated and even after scraping the tongue, the coating will persist. The pain and stiffness will reduce as the day goes on but be unbearably high in the morning hours. This sort of migrating pain has to be dealt with differently than the other types. The diet for such a pain has to be light and easily digestable. It should comprise of moong, rice, digestive soups, boiled vegetables. The person must avoid all dairy products, non veg food, bread, biscuits and other bakery products, raw foods like salads, sour, spicy or fermented food, fried food and must exercise daily either brisk walking for 2 to 3 kilometers or by practising yoga postures.The second type of joint pain is known as "vata-rakta" wherein the pain and swelling starts from a small joint like the interphalangeal joint in the hand or the toes, slowly all the joints in the body get involved. There may be an increase in the serum creatinine levels of the patients that suffer from this condition. There is a dushti of rakta here along with vata dosha and therefore skin problems and nervous problems are sometimes associated with this disease. The patient does not have a white coating on the tongue but feels as if air is moving when the joint is pressed. Anything hot and spicy becomes unbearable to the patient and he feels as if the pain is pricking and spasmatic. Also I have seen patients burp when any of these affected joints are pressed. This condition requires the patient to take diet that is easily digestable but not very hot in potency. Blood letting (Raktamokshan) is a process in ayurveda wherein the dushit or vitiated blood is sucked out of the body and is increasingly effective in this disease. The person should not eat anything dry, should avoid things like bhel, popcorn, khakra, khari biscuits etc, not have anything heavy to digest like wheat or wheat products including bread, biscuits, etc. The person should use a lot of cow's ghee and cow's milk and should compulsarily avoid cold food and drinks.The third type of joint pain is one of the most common types known as "Sandhigata Vata." The person suffering from this type will have swelling and pain in the joint. This pain may be a dull pain throughout the day or a sharp spasmatic pain. It is said in the ayurvedic scriptures that the swelling feels as if it is filled with air(vayu). This pain generally starts in one of the major joints like knee, sholder, lumbar, cervical, elbow or ankle joints. It then spreads to all joints eventually. The X-ray will show osteophytes and osteoarthritic or osteoporotic changes. This type of joint pain is divided into 2 categories:Upasthambhit sandhigatavata- In this type of sandhigatavata, the patient has a coating on the tongue, stiffness in the morning, relief on massage, relief on exercise and pain decreases as the day moves on. For this type of pain, the patient should take light diet like mentioned in "aamvata," also the patient should add dry ginger powder (sooth) to the normal drinking water in the ratio of 2 tbsp per litre. Exercise daily is a must for help in relieving pain. Avoid sleeping during day time and stay as active as possible. For such a patient, staying active and exercising despite the pain will give tremendous relief eventually. Nirupasthambit sandhigatavata- In this type of sandhigatavata, the patient has no coating on the tongue, no stiffness in the morning, pain increases on massage, there is more pain on exercising and the pain increases as the day moves on. For this type of pain, the patient should take more kadva or bitter food. Milk and milk products are extremely helpful with the exception of dahi. Smoking and drinking is extremely harmful to such a person, and cow's ghee is extremely beneficial to the same. Rest and day sleeping is beneficial to such a person. Ayurvedic medication is a must to improve the condition as it does not improve significantly on its own but is very easily cured compared to the other types of joint pain by ayurveda.There are other diseases and reasons of joint pain which may be mentioned or explained here, but according to my experience most joint pains can be classified in the above.Dr. Manaan Gandhi+91-9664024377

Know About Joint Pain

Dr. G.K. Kumar, Neurologist
Pain in the joints affects millions of people worldwide. There are many different types of joint pain—pain related to osteoarthritis, pain after traumatic injury, pain after joint surgery, pain related to inflammatory joint disorders such as rheumatoid arthritis and psoriatic arthritis, and pain related to crystal deposition in the joints such as gout or chrondrocalcinosis. Depending on the individual, pain might be felt in the joint or in the muscles around the joint. The pain may be diffuse and constant, or it may occur at rest or while moving, depending on the cause. Despite the wide range of conditions and symptoms, different types of joint pain might share similar underlying mechanisms, manifestations, and potential treatments. Why Pain in the Joints? The following issues may contribute joint painTreatment for joint pain is often inadequate. Joint pain is associated with loss of function, and treatment should focus not only on pain but also on activity and function. Medications are sometimes unsafe, and rehabilitation and physical therapy are essential. Chronic joint pain can be manageable, but patients might continue to suffer.A person's joint pain often bears little relationship to what the joint looks like on x-rays or scans, and this makes joint pain especially challenging to understand. Even when the source of the joint pain is identifiable, this might not fully explain the severity of the pain.  In addition to the suffering and discomfort associated with joint pain, the problem can exact substantial financial and other costs. These include high medical expenses, lost work days, and diminished quality and productivity in people's work and personal lives. Aging populations, sedentary lifestyles, and an increasing propensity toward obesity all mean that the problem of joint pain is likely to continue unabated worldwide. What Is Pain? Pain is a protective mechanism that alerts the brain when damage has occurred. But pain isn't just a sensation, it is a personal experience. It has emotional effects too, making us feel upset or distressed. Pain may continue when the damage seems to have gone. This is a feature of some chronic pain syndromes. Pain may be caused by a physical injury or damage to body tissues, chemicals produced by inflammation, or damage to the nerves or nerve endings. The most common causes of chronic pain in joints are osteoarthritis, rheumatoid arthritis, spondyloarthritis and psoriatic arthritis, systemic diseases, and crystal deposition disease, also known as chondrocalcinosis or pseudogout. Pain severity can be affected by a number of factors. For example: the extent to which one concentrates on the pain; the ability to enjoy various activities that can take one's mind off the pain and make it more manageable; unhappy feelings, anxieties, or depression, which can worsen pain; and prescription drugs, which can have a direct effect on the brain, chemically reducing the impact of pain. How Is Joint Pain Treated? A number of approaches are available to help manage pain, including various drug therapies, physiotherapy, and exercise.Painkilling drugs, ranging from paracetamol to codeine and, only in few cases, up to stronger options such as oxycodone, slow-release morphine, or patches containing fentanyl or buprenorphine.Non-steroidal anti-inflammatory drugs (NSAIDs) and coxibs, which are painkillers and have anti-inflammatory effects.Corticosteroids, often called steroids for short, given mostly by injection Drugs for nerve pain and chronic pain syndromes.Tricyclic antidepressants (for example, amitriptyline or dosulepin), which improve sleep and help the brain control sensations from the upper body and limbs Gabapentin, carbamazepine, and pregabalin help control some types of pain, especially when there is nerve damage.Transcutaneous Electrical Nerve Stimulation (TENS) can help ease pain, though evidence on its effectiveness is mixed (A TENS machine is a small electronic device that sends pulses to nerve endings via pads placed on the skin. TENS produces a tingling sensation and is thought to alter pain messages sent to the brain.) Other pain-relief treatments and therapies include a heating pad or hot-water bottle and technologies such as ultrasound, laser, or interferential treatment In all cases, individually tailored exercise programs are essential and contribute to regained strength and function In some cases, surgery can be effective, but individuals should always discuss this option with doctors in light of the intensity of their pain and the extent of their disability.Interventional Procedures Interventional procedures are non surgical method of pain relief. This may be useful for some of the patients with joint pain especially knee, hip& shoulder. Medications are injected accurately into & around the joint with the help of x Ray guided or ultra sound. The pain producing nerves are managed by radio frequency ablation method. Some time the swollen joints are decompressed with X-ray or ultra sound guided aspiration of joint fluids. In some conditions there may not be adequate lubricant in the joint, in such conditions synthetic synovial fluids are accurately injected into the joint with the help of X-ray or ultra sound.This particular method is called synovial fluid replacement,especially useful for knee joint pain.Multimodal Approach  All joint pains are evaluated after careful clinical examination along with biochemical ( blood investigation) , and radiological ( X-ray,CT , MRI,Bone Scan) investigations. Then treatment is planed accordingly. Multiple methods like drugs, nutritional supplements, intervention procedures,physical exercise & rehabilitation methods, life style modifications like weight reduction & posture correction, surgery are available & chosen according to the clinical condition of the patient.Multimodal approach is choosing more than one method to handle the pain effectively.Unfortunately, for some people pain is long lasting, doesn't respond fully to drugs or physical treatments, and cannot be cured by surgery. In such cases, multimodal method will be useful and also it is worth thinking about lifestyle changes, such as learning to rest sensibly (but not giving up all exercise), avoiding certain activities, asking for help, or using gadgets and home adaptations. A doctor, physical therapist, social worker, or occupational therapist can offer expert help and advice with these changes. For a small minority of people, pain can be severe and disabling. This can result in a vicious cycle of pain,anxiety, depression, and deteriorating physical fitness. People affected in this way should be referred to a pain-management clinic to learn new ways to cope with pain. 

Joint Pain on Weather Change (The Effects of Change in Seasons on Joint Pain)

Dr. Priyanka K. Bhandagey, Physiotherapist
Can you feel ‘weather’ in your bones? Does rain cause ‘pain’?Often many people are seen complaining about getting pain in their joints with change of season. Even with some variations in temperature or humidity in the environment, people come blaming the weather, for their sudden joint pains.* Believe it or not, the weather forecasting system may have some validity. All thanks to the barometric pressure changes on the body and brain. It might be microscopic to be noticed but can be felt. Sometimes nerves could be more sensitized due to recent or previous injuries, inflammations, scarring or adhesions. Since a long time, the link between pain and weather changes has been considered hypothetical or psychosomatic, with mixed conclusions by researchers; but it could be supported according to surveys published in the Journal ‘Pain’.**At risk peopleThe old age group and growing childrenArthritis/ Rheumatoid arthritis/ Osteoporosis/ Chronic joint painRaynaud’s disease/ FibromyalgiaRecent or past surgeries/ Injuries/ Fractures, without proper post-rehabilitation and physiotherapyWeak joints (bones or muscles) due to lack of sunlight exposure and Vitamin DLack of proper nutrition/ Water intake/ SleepLack of exercises/ Sedentary lifestyleWhy consult a Physiotherapist?They say change is good, but this might not be true every time. With change in climate, people commonly complain of increased pain in the body. Such variations may occur with change in season, not only when people stay in the same place but also when they might travel to a different place.Joint pain can be triggered leading to tightness or stiffness. DO NOT SELF DIAGNOSE! Consultation with a Physiotherapist is only for the benefit of people and most importantly it comes without any side effects. No one can do anything about the weather apart from being prepared. Reassurance is necessary that pain is only temporary and short lived. Your Physio is the one who can help you get prepared with the care one has to take to avoid further damages. Although weather prediction may not be in hands of a Physiotherapist, having people establish a good plan of care can help them remain pain-free!!Tips Our advice would be to “KEEP WARM - KEEP MOVING” and the following comfort measures should be taken:Dressing in layers - keep warm and protected in winters.Get good amount of sleep.Have sufficient sunlight exposure - for healthy bones.Hydrate/ drink plenty of water - it increases flexibility and lubrication in joints, and reduces wear and tear of joints.Weight loss - advised in individuals with improper height-weight ratio. Avoid fatty foods and maintain a healthy diet rich in Vitamins and Minerals.Using heat modalities or hot water fomentation at home - as muscles are relaxed, pain is reduced in a soothing way.Not just winters, joint pain can shoot up with weather changes anytime. Unless otherwise sensitive, ice therapy can be taken.Always remember to maintain a good posture - avoid sitting or standing in one position for too long.Stay active - don’t be a couch potato!Importance of Physiotherapy exercisesThe benefits of exercising are longer lasting than other modalities and pain killers or medications which act only on the temporary symptoms like ‘pain’. It helps to warm-up the body as a precautionary measure.Stretching helps to loosen the stiffness in painful joints and maintain mobility, which helps in better fluid circulation and thus decreases pain. Exercises are essential to strengthen the muscles and bones, and prepare the joints to bear environmental changes.But always keep in mind to exercise within the pain limit. “DON’T TRAIN HARD, TRAIN SMART”.

Treatment Options For Joint Pains From Arthritis

Dr. G K Sudhakar Reddy, Orthopedist
Life style changesIf one is overweight, try to lose weight by doing more physical activity and eating a healthier diet. Regular exercise keeps you active and mobile and builds up muscle, thereby strengthening the joints and can improve symptoms. Pain Killers Painkillers help with pain and stiffness but they don’t affect the arthritis itself and won’t repair the damage to your joint. Creams and gels can be applied directly onto painful joints . They are well tolerated because very little is absorbed into your bloodstream. Nutritional Supplements Glucosamine and chondroitin are nutritional supplements. Studies in animals have found that glucosamine can both delay the breakdown of and repair damaged cartilage. However there is insufficient evidence to support the use of glucosamine in humans and one can expect only a mild-to-moderate reduction in painJoint injectionsIf pain from osteoarthritis is severe joint steroid injections are injected into the joints that can reduces swelling and pain. The injections can start working within a day or so and may improve pain for several weeks or months. Hyaluronic acid injections, which help to lubricate your knee joint, are sometimes given but recent evidence that it works isn’t convincing.Surgery May be recommended if you have severe pain and/or mobility problems.ArthroscopyIf one has frequent painful locking/stiffening episodes especially in the knee joint,an operation to wash out loose fragments of bone and other tissue as joint can be performed by a minimally invasive key hole procedure called Arthroscopy. Joint replacement surgeryJoint replacement therapy is most commonly carried out to replace hip and knee joints. It involves involves replacing a damaged, worn or diseased joint withan artificial joint made of special plastics and metal.For most people, a replacement knee will last for at least 15 to 20 years, especially if the new knee is cared for properly and not put under too much strain.There are two main types of surgery, depending on the severity of arthritis:• total knee / hip replacement – both sides of your knee / hip joint are replaced• partial (half) knee replacement (PKR) – only one side of your knee joints replaced in a smaller operation where more of the undamaged knee is preserved with a shorter hospital stay and recovery period.Other surgical options for arthritisArthrodesis or Joint fusionIf hip or knee replacement is not suitable, especially in young people who do heavy manual work, one can consider an operation known as an arthrodesis, which fuses your joint in a permanent position. This means that your joint will be stronger and much less painful, although you will no longer be able to move it.OsteotomyIn young, active people in whom a knee joint replacement would fail due to excessive use one can consider an operation called an osteotomy. This involves adding or removing a small section of bone either above or below your knee joint.  This helps realign your knee so your weight is no longer focused on the damaged part of your knee. An osteotomy can relieve your symptoms of osteoarthritis, although you may still need knee replacement surgery eventually as you grow old.

Ever Wondered About the Cracking Sound of Knees?

Dr. Chetan Raj, Homeopath
You're doing your regular squatting exercise, and your knees start spazzing out. They crack, pop and pretty much create their own less-than-pleasant workout soundtrack.Crepitus, this crackling can just annoy anyone who doesn't want to damage his or her knee joints, or perhaps might  be suffering from knee issues like runner's knee, IT Band syndrome or osteoarthritis to name a few.What's That Sound?Crepitus can be totally harmless. Its just like popping your knuckles or back. During exercises like squats and lunges, the force on your knee joint can squish any gas that's hanging out in the synovial fluid surrounding your knee joint causing a popping sensation or maybe even an audible "crack,".While it can be very absurd if you don't know what it is. This form of crepitus is generally not painful or harmful. It's common in people of all ages. Patients who experience crepitus after undergoing a knee surgery, pain-free popping isn't cause for worry.In some people, crepitus can  be the sound of  the knee joint components rubbing against each other – and that is a sign of serious knee maladies to be invited in the future. Cracking or 'crepitus' can develop from poor alignment of the knee cap (patella), within the grove  which is formed by the bones of the knee joint. It leads to progressive wear and tear of the protective cartilage within the joint. Over time, the wearing worsens, and when the soft cartilage is worn away enough, it becomes very painful and leads to arthritis."In 2014, research published in Osteoarthritis and Cartilage, determined that, with presence with knee cap pain, crepitus is an early indication of patella femoral joint (where your knee cap meets your thigh bone) lesions and future osteoarthritis in the area. How to Deal with the Crackling with Homeopathy?Crepitus if not harmful does not need any treatment, but if there is any underlying pathology then the patient requires treatment and professional guidance. What could be more better for the patient apart from medicines which do not have any kind of side effects, contraindications and complications on the body. Homeopathy solves the issue with ease and also does not affect the other organs of the body in the way NSAIDS( Non Steroidal Anti Inflammatory Drugs) do. Let it be any underlying pathology homeopathy will give you a permanent result. While taking homeopathy,  parallel visits to a physio will also help in healing the problem sooner. Be fit. Stay healthy.

Struggling with Joint Pain After Chikungunya?

Dr. D S Rathi, Ayurveda
If you have just recovered from an episode of Chikungunya Fever but have persistent pain in your joints, it could be Chikungunya Arthritis. It is also known as Post Viral Arthropathy. Even though this condition is reversible, it has been giving patients a scare. A small bite of the White Stripped aedes aegypti mosquito has debilitating outcomes and may confine the patient to bed for several weeks. Getting up in the morning, lifting your arms to pick your mobile phone or getting up to pee all seem like Herculean tasks. In this article we are going to discuss about the Joint Pains caused by Chikungunya Virus and its treatment.After-Effects of Chikungunya fever1. Pain in Joints (Most Common) - It may persist for several weeks.2. Feeling of weakness.3. Lethargy and Fatigue.Why does this pain occurThe pain in the joints is the result of the counter-attack by the body’s immune system to the viral infection. The immune system of the body is activated when exposed to certain virus or any other disease-causing organism. The immune system somehow recognises the body's own cells as infective agents and therefore it starts attacking some body cells alongwith the Chikungunya Virus. This results in inflammation of tissues and damage to the body cells. When this occurs in muscles and joints, it causes muscle and joint pain. Apart from causing immense pain, it could lead to a locking of the knee joints, elbows or wrists. Antibodies activated by a viral attack often end up striking cartilages at the joints. This leads to swelling in the joints, often restricting movement.The residual toxins left by the virus could also be the cause. These toxins tend to attack the cartilages and lead to inflammation in the joints. The result could be excruciating pain and frozen joints.Virus that causes Chikungunya reside at the major joints such as elbow, wrist, knee and ankle. They produce toxins and affect the immune mechanism, leading to muscular and joint pains accompanied by fever. The cartilages also get affected and cause joint inflammation. Typically this occurs a few days or weeks after the infection. By the time arthritis develops, the virus is no longer present in the body.Most Common joints affected by ChikungunyaThe joints of hands.Wrist and elbow.The joints of ankle, feet and to some extent hip are also affected.How long does it take for complete relief from the painPost-Chikungunya Arthritis can last up to three months, in some cases over a year. Medicines are effective in dealing with the pain and reducing the recovery period.The healthier the body, lower the debility so persons having healthy dietary habits and healthy lifestyle usually recover faster than others.How to deal with Chikungunya ArthritisChikungunya Arthritis can be very debilitating and the sufferers usually feel like handicapped as they are not able to do their daily work as normal. This condition can be managed by following :  Mild ExcercisesPain is increased if the joints are not frequently moved. This is the reason that the pain and stiffness is high in the morning as the joints are moved very less during the night.In the morning, move all your joints slowly at least twice.Sit on a chair and extend your legs.Stand and raise your legs.Stand and twist your body in both directions one by one.Avoid lifting heavy weights.Do not do heavy excercises.Cold PacksWrap a cold ice pack in a cloth/towel and apply it to the inflamed areas. This will provide some pain relief.Alternatively you can use hot packs as well.Pain killer MedicinesAlways consult your doctor before taking any medicine.Doctor may prescribe you a suitable painkiller.Avoid overuse and long term use of pain killer medicines as they may badly affect your kidneys and liver.If the pain continues for more than 3 weeks its better to start taking Ayurvedic treatment.Chikunungya Arthritis - Ayurveda has Perfect CureThe terrible joint pains one experiences in Chikungunya, which may get disabling for weeks or months even after the recovery from fever, are very effectively controlled with Ayurvedic medicines.1. Ayurvedic MedicinesSpecial treatment is planned as per the age, condition and other factors related to the patient. Medicines are focussed on three things Reducing Joint Pain, Increasing Body Immunity and Reducing weakness. Medicines may include some powder, capsules, tablets and oil (for local application). Treatment package cost varies from Rs 50/- daily to Rs 100/- daily depending on the the individual condition.2. Panchkarma TherapyPanchkarma is an Ayurvedic Detoxification Therapy and is very effective in managing Chikungunya Arthritis. It includes massage through specialised medicated oils. It gives quick improvement in joint pains. One session costs approximately 700/- for whole body treatment. At our panchkarma therapy centre, our therapists are well trained to help you recover well from the weakness and joint pains.Have a better recovery. Wish you lots of health.

Remedies for Relieving Joint and Muscle Pain

Dr. Yogesh Kumar, Ayurveda
With increasing awareness toward health,accurate diagnostic tools,better medical services have ensured the increased probability of life enhancement and this is the cause that there has been an increase in the number of old age people in the world which is a good thing.It is said that the number of old age people is about twenty percent  and it is expected that the number should increase in the next eight to ten years.There have been some negative aspects of this also, the poly arthritis disease occurring mostly in old age people like Heart Disease,Hypertension,Paralysis,"Arthritis" and rapidly increasing.Historically,joint pain was considered as a disease of old age but it has started to occur in middle ages as well. Arthritis is som polyarthritis diseases as it can involve two or more joints. Comparatively it is found more in women. Women  with progressive age have more tendencies to gain arthritis,people living in the damp and cold region are found to be more susceptible to this disease.In this disease the tissues near joints are inflamed which cause swelling and pain in the joints.As the disease becomes chronic ,the pain and swelling become worse.Symptoms of ArthritisPain in the affected joints.Swelling in the joints.Spasm in the joints.Some patients might feel feverish in starting phase.Joints may feel stiff.Usually the small joints are affected in this disease.As the disease progress ,the joints may bend.These are the outer symptoms which are helpful for diagnosing this problem.The pain is usually even,in the joints and patient feels pain while walking and sitting.The degree of severeness of this disease depends on how much the joint tissues are damaged and swelled.Tips for Arthritis.Stay away from mental stress.Protect the body from extreme cold.Protect the body from extreme physical exertion.Do not use cold beverages.

Facts and Fallacies-Knee Joint Replacement Surgery

Dr. Purushottam Reddy Padala, Orthopedist
Knee Replacement Surgery- Who Needs It?Generally, but not always, joint replacement is done after the age of 50 yrs.  Having said that, no age should be exempted or delayed from surgery for want of a way out of the misery of pain from arthritis.Anybody who has end stage arthritis due to a variety of diseases-osteoarthritis, rheumatoid arthritis, joint damage due to injury etc should have joint replacement surgery.WHEN QUALITY OF LIFE IS AFFECTED TO AN EXTENT WHERE THE PATIENT IS DEPENDENT ON CRUTCHES, WHEELCHAIR OR IS UNABLE TO MOBILIZE AND ALMOST HOUSE-BOUND DUE TO PAIN, STIFFNESS AND DEFORMITY, THEN PERHAPS, JOINT REPLACEMENT IS MANDATED.What Is Available?Unless you need to squat due to religion or a job requirement, you require the usual knee- the one used for 80 % of people. The extra cost for marked knee bending provided by new knees( which is more expensive also) is possibly not required for you.Always ask your doctor to go for a reputed company. The money spent on quality is worth while in the long run.General Questions1. How long does it take after the surgery to be able to walk?Generally 2 days 2. How long before I get back to normal outdoor life?By 6 weeks you will be able to do most things like shopping, travelling etc.3. Period of stay in hospital?4-5 days.4. Do I need to do exercise?Physio is an integral part of joint surgery, to strengthen the muscles, so that normal balancing can take place. Physio for upto a month might be required.5. Can my father have surgery at the age of  seventy? No age is too old for surgery. As long as patient is fit for anaesthesia, which will be done by our anaesthetist, no age is bar from surgery.Where should I get it done?Some centres with no training are claiming 100% guarantee. Remember there is no 100 % in medical specialties. Out of the thousands that are done, a few are likely to get infected, loosen and become painful after surgery. It is recommended that you go to someone who has received advanced training abroad and practiced in Europe or the States, so that all or any eventualities are covered by that surgeon.Replace fear with confidence as joint replacement is now a well entrenched surgery, with very few complications and high success rate.Wish you all the best!Dr Purushotta Reddy