Arthritis Treatment. The goal of treatment is to provide pain relief, increase joint mobility and strength, and control the disease to the extent that it is possible. Treatment options include medication, exercise, heat/cold compresses, use of joint protection, and surgery.
Osteoporosis happens when bone density decreases and the body stops producing as much bone as it did before.It can affect both males and females, but it is most likely to occur in women after menopause, because of the sudden decrease in estrogen, the hormone that normally protects against osteoporosis.
A bone fracture is a medical condition where the continuity of the bone is broken.
A significant percentage of bone fractures occur because of high force impact or stress.A fracture caused by a medical condition is known as a pathological fracture.
Intraarticular (IA) corticosteroid injections can be considered as an adjunct to core treatment for short term reduction of moderate to severe pain in people with osteoarthritis (OA). IA hyaluronic acid (HA) injections might have efficacy and might provide pain reduction in mild OA of knee up to 24 wk.
“Orthobiologics”, refers to the use of biological substances to help musculoskeletal injuries heal quicker. ... The substances include bone grafts, autologous blood, platelet-rich plasma (PRP), autologous conditioned serum and stem cells.
Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.
Knee osteoarthritis is a common but often difficult problem to manage in primary care. Traditional nonsurgical management, consisting of lifestyle modification, physical therapy and pharmacologic therapy (e.g., analgesics, anti-inflammatory medications), is often ineffective or leaves residual symptoms.
Primary total knee arthroplasty (TKA) is a reliable procedure with reproducible long-term results. Nevertheless, there are conditions related to the type of patient or local conditions of the knee that can make it a difficult procedure.
Total knee replacement is one of the most successful procedures in all of medicine. In the vast majority of cases, it enables people to live richer, more active lives free of chronic knee pain. Over time, however, a knee replacement may fail for a variety of reasons. When this occurs, your knee can become painful and swollen.
During knee replacement surgery, damaged bone and cartilage is resurfaced with metal and plastic components. In unicompartmental knee replacement (also called "partial" knee replacement) only a portion of the knee is resurfaced. This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of the knee.
Knee osteoarthritis represents a major health issue. The prevalence of symptomatic tibio-femoral osteoarthritis was estimated at 12.1% of the adult population in the US.Over half of adults in the US diagnosed with knee osteoarthritis will undergo a total knee replacement. The number of total knee arthroplasties (TKA) performed annually in the US has doubled in the last decade.
High tibial osteotomy (HTO) is a widely performed procedure to treat medial knee arthrosis. In general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. The ideal candidate for an HTO is a middle aged patient (60 to 65 years of age), with isolated medial osteoarthritis, with good range of motion and without ligamentous instability.
ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as basketball, soccer, football, downhill skiing and gymnastics.
Arthroscopic meniscectomy is an outpatient minimally invasive surgical procedure used to treat a torn meniscus cartilage in the knee. The meniscus is often torn as a result of sport-related injury in athletic individuals. Only the torn segment of the meniscus is removed. Some patients require assistance from physical therapists postoperatively. The average time of return to all activities is 4-6 weeks after the surgery.
Arthroscopic meniscus repair is an outpatient surgical procedure to repair torn knee cartilage. The torn meniscus is repaired by a variety of minimally invasive techniques and requires postoperative protection to allow healing.
The posterior cruciate ligament, or PCL, is the strongest ligament of the knee. While the anterior cruciate ligament, or ACL is injured more often than the PCL and is more commonly discussed, a torn PCL accounts for more than 20% of reported knee injuries. The ACL sits in front of the PCL location in the knee. A torn PCL is commonly missed and left undiagnosed.
Hip osteoarthritis (OA) causes the cartilage that cushions your joints to be lost, resulting in pain and stiffness.Because hip arthritis is a degenerative condition, your symptoms will likely worsen as the cartilage breaks down even more. Some people can go many years using conservative treatments before surgery is indicated. Read on to learn about the treatment options you have for hip arthritis.
Intra-articular hip injection is a frequently used technique for diagnostic and therapeutic purposes and is gaining more importance for the early diagnosis of hip disease. It is commonly performed with imaging guidance such as ultrasonographic or fluoroscopic control.
Total hip arthroplasty is an extremely successful procedure that relieves pain and improves function. Orthopaedic surgeons should understand how to improve outcomes of patients who undergo primary total hip arthroplasty. Orthopaedic surgeons can enhance the outcomes of total hip arthroplasty by optimizing preoperative and perioperative management, improving surgical techniques, and selecting an appropriate femoral component and bearing surface.
During primary total hip replacement surgery, the hip joint is replaced with an implant or prosthesis made of metal, plastic, and/or ceramic components. Although most total hip replacements are very successful, problems can develop over time. These problems may require a revision procedure to replace the original components.
If you have a painful hip condition such as hip dysplasia, hip impingement, or avascular necrosis and haven’t developed significant arthritis, hip preservation surgery may be your best treatment option. In addition to alleviating your hip pain and restoring normal function, hip preservation surgery can reduce your risk of developing premature arthritis and the need for hip replacement surgery later on.
When you have plantar fasciitis, you usually feel pain in the bottom of the heel or the arch of the foot. ... If the swollen plantar fascia irritated a nerve in the foot, pain may radiate into the ankle. In the early stages of plantar fasciitis, the pain may go away quickly once you take weight off the foot.Plantar fasciitis is the most common cause of heel pain in adults. It involves painful symptoms occurring along the plantar fascia with or without the presence of a bony heel spur. Heel pain that occurs on standing after a prolonged non-weight-bearing period is a prominent symptom of plantar fasciitis.
People with flat feet have a very low arch or no arch, meaning that one or both of their feet may be flat on the ground.The arches provide a spring to the step and help to distribute body weight across the feet and legs. The structure of the arches determines how a person walks. The arches need to be both sturdy and flexible to adapt to stress and a variety of surfaces.
Orthotics are firmer than insoles, made of materials like plastic or fibreglass, to provide more support to the arch of the foot to alleviate pain or discomfort associated with a variety of conditions, including flat feet, bunions, and plantar fasciitis. ... The next step for proper foot support comes in custom orthotics.
Ankle injuries are among the most common injuries presenting to primary care providers and emergency departments and may cause considerable time lost to injury and long-term disability. Inversion injuries about the ankle involve about 25% of all injuries of the musculoskeletal system and 50% of all sports-related injuries. Medial-sided ankle sprains occur less frequently than those on the lateral side. High ankle sprains occur less frequently in the general population, but do occur commonly in collision sports. Providers should apply the Ottawa ankle rules when radiography is indicated and refer fractures and more severe injuries to orthopedic surgery as needed.
“Foot deformity” is an umbrella term that refers to any condition which alters the shape or structure of the foot into something painful or harmful—typically by misaligning bones and joints. They could be genetically inherited, arise from years of wear and tear, or even be caused by a little bit of both.
Deformities are generally progressive, meaning they won’t get better or go away with time. At Fixing Feet Institute, we provide conservative care options for deformities, as well as surgical reconstruction.
The human foot is built to move—its bones and joints are designed to walk, run, jump and swivel. But if those bones and joints move too much, lack the proper stability or are misaligned, the result can be cartilage damage, arthritis and persistent pain. In that case, fusion surgery may be required.Ankle arthrodesis, also known as ankle fusion, is a procedure done to relieve the pain of an arthritic ankle and maintain or improve its function. Midfoot fusion addresses problems of the bones and joints that make up the arch of the foot: If these joints are not sufficiently stiff or if the bones are misaligned, the result can be arthritis. In a midfoot fusion, some or all of these joints are fused.
Total ankle arthroplasty (TAA), also known as total ankle replacement, is a surgical procedure that foot and ankle orthopaedic surgeons use to treat ankle arthritis. Arthritic changes may be a result of normal wear and tear due to aging or from an injury such as a broken ankle or dislocation. Arthritis eventually leads to loss of cartilage, pain, and/or deformity.The goal of TAA is to provide pain relief while preserving ankle motion so the patient has less pain and better function during activity.
Ankle Arthroscopy Facts. Ankle arthroscopy is a surgical procedure that uses a fiber-optic viewing camera and small surgical tools to operate in and around the ankle joint through small incisions. ... Arthroscopic surgery can have a quicker recovery time than traditional open surgery.Arthroscopy can be used to diagnose and treat different disorders of the ankle joint. The list of problems that can be treated with this technology is constantly evolving and includes:
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in your shoulder joint. Signs and symptoms typically begin gradually, worsen over time and then resolve, usually within one to three years.Treatment for frozen shoulder involves range-of-motion exercises and, sometimes, corticosteroids and numbing medications injected into the joint capsule. In a small percentage of cases, arthroscopic surgery may be indicated to loosen the joint capsule so that it can move more freely.
Also known as "wear-and-tear" arthritis, osteoarthritis is a condition that destroys the smooth outer covering (articular cartilage) of bone. As the cartilage wears away, it becomes frayed and rough, and the protective space between the bones decreases. During movement, the bones of the joint rub against each other, causing pain.
Osteoarthritis usually affects people over 50 years of age and is more common in the acromioclavicular joint than in the glenohumeral shoulder joint.
Shoulder replacement surgery was first performed in the United States in the 1950s to treat severe shoulder fractures. Over the years, shoulder joint replacement has come to be used for many other painful conditions of the shoulder, such as different forms of arthritis.
Today, about 53,000 people in the U.S. have shoulder replacement surgery each year, according to the Agency for Healthcare Research and Quality. This compares to more than 900,000 Americans a year who have knee and hip replacement surgery.
Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to the head of humerus (upper arm bone). A partial tear, however, may need only a trimming or smoothing procedure called a debridement. A complete tear is repaired by stitching the tendon back to its original site on the humerus.Your doctor may offer surgery as an option for a torn rotator cuff if your pain does not improve with nonsurgical methods. Continued pain is the main indication for surgery. If you are very active and use your arms for overhead work or sports, your doctor may also suggest surgery.
The shoulder is the most moveable joint in your body. It helps you to lift your arm, to rotate it, and to reach up over your head. It is able to turn in many directions. This greater range of motion, however, can cause instability.
Shoulder instability occurs when the head of the upper arm bone is forced out of the shoulder socket. This can happen as a result of a sudden injury or from overuse.
Oxford Dictionary Definition – the cracking or breaking of a hard object or material.
A bone is fractured when there is a break in the continuity of the bone cortex. Similar terms used to describe a fracture include broken, crack, greenstick or buckle; all are used to refer to the same thing – a broken bone. The break is often described by its location (i.e. bone) and its direction (horizontal, oblique, transverse).
Carpal tunnel syndrome is a common condition that causes pain, numbness, and tingling in the hand and arm. The condition occurs when one of the major nerves to the hand — the median nerve — is squeezed or compressed as it travels through the wrist.
In most patients, carpal tunnel syndrome gets worse over time, so early diagnosis and treatment are important. Early on, symptoms can often be relieved with simple measures like wearing a wrist splint or avoiding certain activities.
A ganglion cyst is a tumor or swelling on top of a joint or the covering of a tendon (tissue that connects muscle to bone). It looks like a sac of liquid (cyst). Inside the cyst is a thick, sticky, clear, colorless, jellylike material. Depending on the size, cysts may feel firm or spongy.Ganglion cysts most commonly occur on the back of the hand at the wrist joint but they can also develop on the palm side of the wrist. When found on the back of the wrist, they become more prominent when the wrist is flexed forward.
Trigger finger is a condition in which one of your fingers gets stuck in a bent position. Your finger may bend or straighten with a snap — like a trigger being pulled and released.
Trigger finger is also known as stenosing tenosynovitis (stuh-NO-sing ten-o-sin-o-VIE-tis). It occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. If trigger finger is severe, your finger may become locked in a bent position.
A wrist fracture is a medical term for a broken wrist. The wrist is made up of eight small bones which connect with the two long forearm bones called the radius and ulna. Although a broken wrist can happen in any of these 10 bones, by far the most common bone to break is the radius. Some wrist fractures are stable. “Non-displaced” breaks, in which the bones do not move out of place initially, can be stable. Some “displaced” breaks (which need to be put back into the right place, called “reduction” or “setting”) also can be stable enough to treat in a cast or splint. Other fractures are unstable. In unstable fractures, even if the bones are put back into position and a cast is placed, the bone pieces tend to move or shift into a bad position before they solidly heal. This can make the wrist appear crooked.
For many people, arthritis of the elbow can cause pain not only when they bend their elbow, but also when they straighten it, such as to carry a briefcase. The most common cause of arthritis of the elbow is rheumatoid arthritis. Osteoarthritis and injuries can also cause arthritis in the elbow joint.
Although elbow joint replacement is much less common than knee or hip replacement, it is just as successful in relieving joint pain and returning people to activities they enjoy.A thin, smooth tissue called synovial membrane covers all remaining surfaces inside the elbow joint. In a healthy elbow, this membrane makes a small amount of fluid that lubricates the cartilage and eliminates almost any friction as you bend and rotate your arm.
Low back pain is a universal human experience -- almost everyone has it at some point. The lower back, which starts below the ribcage, is called the lumbar region. Pain here can be intense and is one of the top causes of missed work. Fortunately, low back pain often gets better on its own. When it doesn't, there are effective treatments.
Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body.
Sciatica most commonly occurs when a herniated disk, bone spur on the spine or narrowing of the spine (spinal stenosis) compresses part of the nerve. This causes inflammation, pain and often some numbness in the affected leg.
Degenerative disk disease is when normal changes that take place in the disks of your spine cause pain.Spinal disks are like shock absorbers between the vertebrae, or bones, of your spine. They help your back stay flexible, so you can bend and twist. As you get older, they can show signs of wear and tear. They begin to break down and may not work as well.
An epidural steroid injection is a spinal procedure in which a steroid and usually an anesthetic are injected in the spinal region called the epidural space. The nerves, spinal fluid, and spinal cord are enclosed within a membrane sack called the dura. The injection is outside this membrane. It is useful to reduce inflammation from nerve roots or intervertebral discs. Decreasing the inflammation may decrease the pain originating from these structures.
Lumbar discectomy is a surgery to remove a herniated or degenerative disc in the lower spine. The incision is made posterior, through the back muscles, to remove the disc pressing on the nerve. Discectomy may be recommended if physical therapy or medication fail to relieve leg or back pain or if you have signs of nerve damage, such as weakness or loss of feeling in your legs. The surgery can be performed in an open or minimally invasive technique.
Spinal fusion is a surgical procedure used to correct problems with the small bones in the spine (vertebrae). It is essentially a "welding" process. The basic idea is to fuse together two or more vertebrae so that they heal into a single, solid bone. This is done to eliminate painful motion or to restore stability to the spine.
The disc is the soft cushioning structure located between the individual bones of the spine, called “vertebra.” It is made of cartilage-like tissue and consists of an outer portion, called the annulus, and an inner portion, called the nucleus (Figure 1). In most cases, the disc is flexible enough to allow the spine to bend.
Dr Aashish Taneja is a Fellowship Trained Joint Replacement Surgeon and specializes in Primary and Revision Joint Replacement of hip, knee, shoulder and elbow. He has special interest in Unicompartmental Knee Replacement and Computer Navigated Total Knee Replacement. He has received his training from prestigious institutes of the country and abroad. He did his graduation from Maulana Azad Medical College, New Delhi and his post-graduation from PGIMER, Chandigarh. He then received his fellowship training from University of Calgary, Canada and University of Missouri, USA.
He is in practice for 11 years in which he has done thousands of procedures including primary and revision Joint Replacement, primary and complex Orthopaedic Trauma and Arthroscopic knee surgeries. He also focuses on non-surgical treatment of Orthopaedic problems and offers a complete spectrum of solutions to his patients.
Our services are General Orthopaedics, Knee, Arthroscopy, Hip, Foot and Ankle, Shoulder, Elbow, Wrist and Hand, Spine and Fracture Management.