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Showing posts from October, 2023

Hot Pack or Cold Pack ? Which One To Use ?

Pain is the most common symptom when it comes Bone , Joint and Spine Problems. One of the most effective home remedies as well as doctor prescribed remedy is the application of a Hot Pack in some conditions and a Cold Pack in certain conditions. This article is all about what to apply in which condition and how it works. Also a few precautions when you choose to apply a pack to relieve your symptoms. Hot Pack or Cold Pack for Orthopaedic Problems: Introduction Orthopaedic problems are a common source of pain and discomfort, affecting millions of people worldwide. Heat and cold therapy are two of the most widely used non-invasive treatments for orthopaedic problems. Both modalities have been shown to be effective in reducing pain, inflammation, and swelling. However, there is some debate about which modality is more effective for specific conditions. Heat Therapy Heat therapy works by increasing blood flow to the affected area. This increased blood flow brings oxygen and nut

70 Hour Work Week ... Your Choice But Don't Ignore This!!!

Mr. NR Narayana Murthy is an iconic businessman who rose from humble backgrounds to become one of India's richest and respected businessman. He is the founder of the IT Giant Infosys and also an investor in various start ups that have grown big. His recent statement that youngsters should work for 70 hours a week if they wanted make it big in life. Proponents of Work Life Balance were up in arms against this proposal.  I am not here to say if it is the right thing or not . It depends on the individual, the circumstances , the needs , the ambitions and may be for some work is their entertainment that gives them happiness. This article is what you need to do , from an Orthopaedic & Ergonomic perspective, if you choose to work 70 hours per week in the IT Sector. Well most of the advice holds good for the 40 hour week also. Ergonomic Requirements for IT Professionals Working 70 Hours a Week Introduction Information technology (IT) professionals are increasingly required

Sitting is the new Smoking. An Orthopaedic Perspective

Sitting is called the "new smoking" because it has been linked to a number of the same health problems as smoking, including heart disease, stroke, type 2 diabetes, and some types of cancer. Just as smoking cigarettes can damage your lungs and other organs, sitting for long periods of time can damage your body in a number of ways. For example, sitting can: * Slow down your metabolism, leading to weight gain * Increase your risk of developing chronic diseases * Weaken your muscles and bones * Increase your risk of developing blood clots * Reduce your circulation * Cause pain and stiffness in your muscles and joints The phrase "sitting is the new smoking" was coined by Dr. James A. Levine, a professor of medicine at Mayo Clinic. In a 2012 study, Levine and his colleagues found that people who sat for more than six hours a day were twice as likely to die from cardiovascular disease as those who sat for less than three hours a day. Another study, published i

Bone , Joint and Spine Problems Caused By Car Driving.

Yesterday's post was about How Orthopaedic Conditions can Affect Car Driving. Today it is about Orthopaedic Problems caused by Car Driving , which has become an essential part in most people's lives. Even the distances and time being spent in cars has been increasing consistently year on year and with it the associated Bone , Joint and Spine Problems Orthopedic Problems Caused by Car Driving Car driving is a convenient and efficient way to get around, but it can also put your body at risk for a variety of orthopedic problems. These problems can range from mild to severe, and they can affect any part of your body, from your neck and shoulders to your back, knees, and ankles. Some of the most common orthopedic problems caused by car driving include: Neck and shoulder pain: This can be caused by poor posture, sitting in a cramped position for long periods of time, or repetitive movements such as reaching for the steering wheel or turn signal. Back pain: This can be

Orthopaedic Problems & Their Effect on Car Driving

Car Driving has become an essential activity that helps us pursue our personal , professional and social activities.  There are many Orthopaedics related ailments that can affect our ability to drive. So this note tries to describe some conditions and also the modifications & measures required to overcome them. Car Driving and Orthopaedic Problems : Introduction Driving is a common activity for many people, but it can be challenging for those with orthopaedic problems. The repetitive motions involved in driving, such as turning the steering wheel, pressing the pedals, and shifting gears, can put stress on joints and muscles. Additionally, the vibrations from the road can aggravate pain and discomfort. Prevalence According to a study published in the journal Spine , approximately 50% of people with orthopaedic problems experience pain or discomfort while driving. The study also found that people with orthopaedic problems are more likely to have car accidents. Challenges

WHATSAPPITIS. Orthopaedic Problem or Something Else?

Well some of th seniors looking at today's generation that's texting always must be thinking that WHATSAPPITIS is a Social Problem. But officially it is an Orthopaedic Problem only. It is caused by increased use of the thumb for typing and also aided by the XL & Max sized phones that come sometimes with 8 inch screens. So this is a detailed note on the condition that describes it and also advises you on how to avoid it as well as treat it WhatsAppitis: A Comprehensive Review WhatsAppitis is a type of repetitive strain injury (RSI) that is caused by overuse of smartphones, particularly by excessive use of the WhatsApp messaging app. It is characterized by pain, inflammation, and decreased range of motion in the thumb and wrist. WhatsAppitis is most common in people who use their smartphones for extended periods of time, such as for texting, messaging, and gaming. Epidemiology and Risk Factors The prevalence of WhatsAppitis is increasing due to the widespread use

SACHIN TENDULKAR AS A SPORTS MEDICINE ROLE MODEL

Sachin Tendulkar. From his Ranji Trophy debut in 1988 to his retirement with his final IPL match in 2013 , it was a glorious career of 25 years. And 25 years of being at the top of his game smashing records by the dozens. But that superhuman effort extracts a toll on the body and Sachin suffered a lot of injuries. The way he handled them by seeking the right advice , resting adequately whenever necessary, undergoing surgery for some , adherence to strict rehabilitation protocols and more importantly the changes he made to his batting are stuff that only great men can do.  There are many who stop playing after a single injury or cannot perform at the highest levels , but Sachin is a role model in Orthopaedics that if addressed properly there are solutions to every Sports Injury problem affecting any Bone & Joint. Sachin Tendulkar's Injuries and Batting Modifications Sachin Tendulkar, widely regarded as one of the greatest batsmen of all time, suffered a number of not

Strength Training and Its Role in Bone & Joint Health.

The answer to the above question will not be You Can Do , rather it will be You Must Do.  Strength Training and Its Role on Bone & Joint Health Strength training, also known as resistance training, is a type of exercise that involves contracting muscles against an external resistance. This resistance can be provided by weights, machines, resistance bands, or even your own body weight. Strength training is an essential part of a healthy lifestyle for people of all ages, but it is especially beneficial for bone and joint health. How Strength Training Affects Bone Health Bone is a living tissue that constantly changes in response to the forces placed upon it. When we perform strength training exercises, we apply stress to our bones, which stimulates them to produce new bone tissue. This can help to increase bone density and improve bone quality. Bone density is a measure of the amount of mineral content in the bone. Higher bone density means stronger bones and a lower risk

Why LEO Worries Me as An Orthopaedician? Smoking!!!

Before Thalapathi (Actor Dr. Joseph Vijay's title given by his fans) fans get upset with me let me state the following: 1) I am a big fan of his acting , dancing and comic timing. 2) I understand smoking scenes may be the need of the script. 3) I know statutory warnings are displayed when smoking happens on screen. My angst is two fold. Firstly the impressionable minds might misconstrue that smoking is cool as their idol is doing it. And in this movie ,Leo, the number of scenes too is a lot . But more importantly the second thing is that everyone seems to know what smoking does to the heart and lungs but very little is spoken about its impact on Bone & Joint Health. So I will try to address that information gap in this blog post . Smoking and Orthopaedics: A Comprehensive Perspective Smoking is a major public health problem that has a number of adverse effects on the musculoskeletal system, including: Weakening of bones and increased risk of fractures: Smoking decre

Why did Heinrich KLASSEN struggle with Cramps during his Blitering Knock?

What a phenomenal knock it was. Clean hitting with perfect timing. But we saw Heinrich KLASSEN struggle yesterday and was seen cramping up.  The reason is Exercise-Associated Muscle Cramps (EAMC) The exact etiology of EAMC is not fully understood, but it is likely multifactorial. Two main theories have been proposed to explain the occurrence of EAMC: Dehydration/electrolyte imbalance theory : This theory suggests that EAMC are caused by a depletion of fluids and electrolytes, such as sodium, potassium, and magnesium, through sweating. When these electrolytes are depleted, it can disrupt the electrical signals that control muscle contractions, leading to cramps. Neuromuscular Fatigue Theory : When muscles are fatigued, they can become more sensitive to nerve impulses, causing them to contract involuntarily. In addition to these two theories , other factors that may contribute to the development of EAMC include: Muscle ischemia : A lack of blood flow to a muscle can also lead

When Will Hardik Pandya Play Again?

All Indian Cricket Fans know that Hardik is a vital cog in this Indian Cricket Team bringing in balance by being that in form all rounder who can hit the ball out of the park as well as break partnerships with his bowling. I will answer the query first and then get into a detailed description of the injury. From newsreports I am guessing that it is only a Grade 1 sprain where some Rest , Ice Packing , Compression and Medication will help. But he has to be assessed on a daily basis to see if his ankle would bear the demands of performing at the highest level. So he is out for the next game at Dharamsala and let's hope he recovers fast for the Lucknow game. Now getting into a detailed description of the injury. Ankle Sprain An ankle sprain is a common musculoskeletal injury that occurs when the ligaments that stabilize the ankle joint are stretched or torn. Ligaments are tough bands of tissue that connect bones to each other. Ankle sprains are a leading cause of disabilit

Is ARTHROSCOPY only for People Playing Sports?

The one word reply to the above query is No. In fact Arthroscopy and Sports Injury Clinics treat more non-athletes than atheletes. Arthroscopy for Non-Athletes Arthroscopy is a minimally invasive surgical procedure that allows doctors to diagnose and treat problems inside a joint. It is a valuable tool for treating a wide range of joint problems in non-athletes, including: Arthritis : Arthroscopy can be used to remove loose bodies, trim damaged cartilage, and repair the lining of the joint. Meniscus tears : Arthroscopy can be used to repair or remove torn meniscus tissue. Ligament tears : Arthroscopy can be used to repair torn ligaments, such as the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Cartilage damage : Arthroscopy can be used to repair damaged cartilage or to transplant new cartilage tissue. Fractures : Arthroscopy can be used to repair small fractures in the joint. Loose bodies in the joint: Arthroscopy can be used to remove loose

How long will an Artificial Joint last after Joint Replacement Surgery?

Lifespan of Artificial Joints Artificial joints are a common treatment for severe arthritis. They can help to relieve pain and improve function, allowing patients to return to their active lifestyles. However, artificial joints do not last forever and may eventually need to be replaced. Historically patients were told their hip or knee replacement would last about 10-15 years before needing to be replaced during a revision surgery. That makes it sound as clear cut as having a set of tires changed, but unfortunately, a joint replacement is not quite that simple. And it’s difficult to predict how long an individual’s replacement will last.  You can expect about one percent of people who have hip or knee replacement surgery every year to wear out. In other words, imagine 100 patients have their hips replaced in 2023. Ten years from now, it’s reasonable to expect that ten of them would need a second surgery while 90 of them will not. And 20 years from now, it’s probable that 20

Does Wearing High Heels Cause Problems

High heels are a type of shoe with a raised heel, typically 2 inches (5.1 cm) or more. They are often worn by women for fashion or to dress up an outfit. However, high heels can also cause a number of problems, including: * **Pain:** High heels can put a lot of pressure on the balls of the feet, which can lead to pain and discomfort. * **Blisters:** High heels can also rub against the skin, causing blisters. * **Corns and calluses:** High heels can also cause corns and calluses, which are thick, hard patches of skin that can be painful. * **Hammertoes:** High heels can also contribute to hammertoes, a condition in which the toes curl downward. * **Ankle sprains:** High heels can make it more difficult to balance, which can increase the risk of ankle sprains. * **Stress fractures:** High heels can also put stress on the bones of the feet, which can lead to stress fractures. If you wear high heels, there are a few things you can do to reduce the risk of these problems: * Choo

Paediatric Orthopedics: Children are not miniature adults.

Paediatric Orthopedics is the branch of medicine that deals with the diagnosis and treatment of musculoskeletal disorders in children. Paediatric Orthopedic surgeons are trained to treat a wide range of conditions, including Developmental dysplasia of the hip (DDH) : A condition in which the hip joint does not develop properly, which can lead to pain and dislocation later in life. Clubfoot: A condition in which the foot is turned inward and downward at birth. Legg-Calve-Perthes disease: A condition that affects the ball of the hip joint, causing pain and stiffness. Osgood-Schlatter disease: A condition that causes pain and inflammation below the kneecap. Sever's disease: A condition that causes pain and inflammation in the heel. Scoliosis: A condition in which the spine curves to the side abnormally. Cerebral palsy: A neurological condition that can cause muscle weakness and stiffness, which can lead to orthopaedic problems. How differ

Can we Operate on a 90 Year Old With Hip Fracture?

Yes, it is possible to operate on a 90-year-old with a hip fracture. However, the decision of whether or not to operate is complex and must be made on a case-by-case basis, taking into account the patient's overall health, cognitive function, and functional status. There are two main types of surgery for hip fractures: * **Hemiarthroplasty:** This involves replacing the damaged part of the hip joint with a metal device. * **Total hip replacement:** This involves replacing the entire hip joint with artificial components. In general, hemiarthroplasty is the preferred surgical option for older adults with hip fractures. It is a less complex surgery with fewer risks of complications. However, total hip replacement may be considered for younger, more active adults who are expected to have a high level of functional demand. The risks of surgery for hip fracture increase with age. However, the benefits of surgery often outweigh the risks, even for older adults. Surgery can hel

Paediatric Orthopedics: Children are not miniature adults.

Paediatric Orthopedics is the branch of medicine that deals with the diagnosis and treatment of musculoskeletal disorders in children. Paediatric Orthopedic surgeons are trained to treat a wide range of conditions, including Developmental dysplasia of the hip (DDH) : A condition in which the hip joint does not develop properly, which can lead to pain and dislocation later in life. Clubfoot: A condition in which the foot is turned inward and downward at birth. Legg-Calve-Perthes disease: A condition that affects the ball of the hip joint, causing pain and stiffness. Osgood-Schlatter disease: A condition that causes pain and inflammation below the kneecap. Sever's disease: A condition that causes pain and inflammation in the heel. Scoliosis: A condition in which the spine curves to the side abnormally. Cerebral palsy: A neurological condition that can cause muscle weakness and stiffness, which can lead to orthopaedic problems. How differ