Apollo Spectra Hospital - Karol Bagh

Hello friends.

I am Dr. Anil Kumar Raheja. I am an orthopaedic surgeon and my special area of interest is spine and joint replacement. Aaj hum ek bohot common topic ke baare mein discuss karne jaa rahe hai which is low back ache, kamar ka dard. Hum mein se har ek ko kamar ka dard kabhi na kabhi life mein hua hoga to usko kaise roka jaa sakta hai, iske kya treatment hai uske bare mein hum aaj discuss karenge. Main dekh raha hoon pichle kuch saalo se low backache ka incidence youngsters mein bohot badh gaya hai aur iska main cause hai posture; jo log computer pe kaam karte hain, sara din baithe rehte hain aur unka baithne ka posture theek nahi hai; unko yeh takleef zada hone ke chances hain. Adult age mein yani older age group mein degenerative condition of spine can lead to low backache aur ya phir wajan uthane se, aage jhukne se jo roz jinka kaam hota hai unko bhi ye zada samsya hoti hai.

Ab ye hai ki doctor ko kab consult kiya jaye? Low backache kyunki itni common bimari hai so when do we need to consult a doctor? So there are a few red flag signs. No. 1 is if your pain is going down the legs yani ki agar aap ka dard taango ki taraf jaa raha hai, pairo mein koi jhanjhanahat ya sunnpana ho raha hai ya aap ko urine pass karne mein dikkat ho rahi hai to aise mein aap ko turant doctor se consult karna chahiye, otherwise low back ache ko apne aap se bhi treat kar sakte hai. Agar aap ko sirf subha uthte hi thoda sa dard hai jo ki thodi activity ke karne se theek ho jata hai to aise cases mein aap ko sabse pehle jo karna hoga vo hai apne uthne baithne ka tareeka improve karna hoga; to usme aap ko hamesha jab bhi baithna aap ko kamar ke piche support laga ke baithna hai ya aap apni kursi pe cushion bhi rakh sakte hai. Jab aap drive kar rahe hote hai tab bhi aap ko piche ek chota cushion ya ek back support rakhne chahiye. Aap apne office mein baithe hai to aap har 45 minute ya 40 minute ke baad khade hojaiye, 3 ya 4 minute ka rest lijiye, thoda stretch kar lijiye uske baad aap dobara aakar baith ke apna kaam kar sakte hain.

Ismei diet ka bhi bohot important role hai agar aap high protein diet lete hain aur aap calcium rich diet lete hain to aap ko low back se bachne mein madat milti hai. Mainly jo aaj kal youngsters mein isliye bhi ho raha hai kyunki jo bache hain vo mostly indoors rehte hain, outdoor sports mein participate nahi karte hai jisse ki unki muscles development nahi ho pati aur vo weak reh jate hai. Doosra yeh hai ki aaj kal maine dekha hai mostly youngsters jo hai vo slouch posture mein baithte hain jab vani jaise kamar jhuki hoti hai unki us position mein baithte hai, to us position ko hame avoid karna chahiye. Ab yeh hai ki iska ilaj kya hai? Jab aap kisi ko kamar dard ho aur aap ke kuch red flag signs hai jo maine pehle discuss kiye tha to aap ko doctor se consult karna chahiye.

In mein sabse zada important jo mai manta hoon usko exercises ko manta hoon, to kamar ke exercise jo kahi bhi aap ko YouTube pe bhi videos uplabdh hai uske ya apne doctor ki salah se aap kamar ki regular exercises kijiye, apne uthne baithne ka tareeka theek kijiye, agar dard aap ki tang mein ja raha hai to doctor apko kuch dawaiyan prescribe karenge aur bohot hi rare case mein isme hame surgery ki bhi zaroorat padti hai aur surgery ke wahi indications hai ki agar aap ka dard aap ki tango mein ja raha hai ya aap ka pair sunn hone lag gaya hai toh phir isme operation ki zaroorat padti hai. Operation kayi tarike se kiya ja sakta hai; sabse pehle conventional tarika hai ki usme incision deke chira laga ke aur jo offending reason hai usko nikal dia jaye, disc ko nikal dia jaye jo disc offend kar rahi hai ya fir old age mein jinme ki haddi aage piche khisak jati hai ya haddi badi hone ki vajah se unke kamar mein dard hai; aise cases mein unko screw fixation karke aur jo spine ko decompress kar dete hai aur jo nerves impinge ho rahi hai badi hue haddi ke kaaran unko bhi decompress kiya ja sakta hai.

Aur ek beech ka tarika hai jisko percutaneous nucleoplasty bolte hain. Aise mein ek needle dwara jo disc hai usmei ek needle daal ke needle ko burn ya shrink kar diya jata hai jisse ki jo tango mein dard jaa raha hai vo dard kam hojata hai. Aur bhi tareeke hai microscopic surgery hai, endoscopic surgery hai bohot sare tariko se kamar ka operation kiya ja sakta hai lekin sabse jo important cheez hai vo hai ki kamar dard ko prevent karna chahiye jo ki jaise maine bataya ki aap exercises karke, posture theek rakh ke aur diet improvement karke aap aasani se usse chutkara pa sakte hain. Yadi aap kamar dard se peedit hai ya aap ko iske bare mein aur jankari leni hai to aap mujhse consult kar sakte hai aur mera clinic address hai C-25, ground floor, Vijayanagar, Delhi-9. Ispe aap prior appointment lekar mujhse mil sakte hai.

Thanks!

Hi! I am Dr. Ashwani Maichand, Orthopedist practicing in Delhi. Today, I will talk about slipped disk. Hamari bones mein ek spongy material hota hai. Isse hum disk bolte hain. Agar disk jagha se nikal jaye jise slipped disk kehte hain to vo nerves ke liye problem karti hain. Patient ko legs mein pain hota hai jisse sciatica kehte hain. Jyada chalne se patient ka leg sun ho jata hai and patient ko baithna padta hai. Surgery se har koi darta hai. Patient ko darr hota hai ki kahin unhein bed rest na karna pade. Ya unko paralysis na ho jaye. Unko urine mein koi problem na aa jaye.

Slipped disk ke 90% operation laparoscopy se kiye jaate hain. Nerve ko damage nahi hota hai. Cut ka size chota ho jata hai and blood loss kam hota hai. Jis din operation hota hai usi din evening mein patient chalna shuru kar deta hai and uska discharge ho jata hai. Within a week patient office jaa sakta hai. Ye bilkul safe surgery hai. Isliye endoscopy ke bare mein aur padhein. Agar aap ko koi bhi information chahiye to Lybrate ke through mujhse contact karein. Thank You!

Namaskar,

I am Dr. Ashwani Maichand, Orthopedist. Aaj main aap logon se joint replacement ke baare mein discuss karunga. Aisa maana jaata tha ki old age mein patient knee replacement karate hai, but last kuch years se hamare paas young patients aa rahen hain. Inko problem hota hai avascular necrosis (AVN), ankylosing spondylitis ya fir rheumatoid arthritis ki, jisme patient ke hip joint kharaab ho jaate hain.

Aisi age mein patient kaafi demanding ho jaata hai kyuki unhe abhi sab dekhna hai like job and family. Patient ki initial demand hoti hai ki 25 ki age mein new joint kitne saal chalega. 2nd demand ye hai ki humein kayi chizon me niche baithna padta hai. Isliye kuch aisa ho jo 30-35 years chale and patient zameen pe baith sake. Iske liye hum ceramic hip replacement use karte hain.

Purane treatment me humein 15 years ke baad dobara surgery karni padti thi. Lekin ab latest technology me humara implant 30-35 years chalta hai and patient zameen pe bhi baith sakta hai. To agar aap young hain to aapko latest technology se hi treatment lena chahiye hip replacement ke liye. Isse apko acha result milega and surgery baar baar nahi karani padegi.

Thank You.

Hi,

I am Dr. Rakesh Kumar, Orthopedist. Me apko aaj knee and usse related problem ke bare me btana chahunga. Ye 3 bones ko mila kr banta hai femur, tibia, patella. Inke fracture open surgery se hi thik kia jate hain. Lekin ligament injury and ACL (anterior cruciate ligament) injury, posterior cruciate ligament or meniscus injury durbin se thik ki jati hai. Hum knee ko repair krte hain. Sabse jyada injury mediale meniscus me hoti hai or lateral meniscus me kam injury hoti hai. Agar in dono me se kuch bhi damage hota hai to vo bone ko rub krega. Is ke treatment me agar pura damage hai to hum ise pura nikal dete hain.

Aaj kal hmari koshish hoti hai ki isko hum repair kr den. Repair krne se hmara joint filler ka kam krta hai. Isko krne se joint contact area kafi badh jata hai. Bone ka stress ek dusre pe bhut kam hota hai. Bone kharab hone se arthritis ke chances bhi badh jate hain. Inko repair krne ke lia hum multiple ligaments lete hain. Sab tendons ko leke multi ligament injury ko repair kia jata hai. ACL repair krne se anterior rukta hai knee ka and PCL repair krne se posterior rukta hai knee ka. Hum implantation technique use krte hain. Ab ek new procedure me hum cartilage ko lete hain. Usko culture ke lia bhejate hain and vapas re-implant krte hain. Agr uske baad bhi knee khrab hota hai to replacement ki jrurat pdti hai. Replacement kafi successful procedure hai.

Thank You!

Hello!

I am Dr. Rajeev Nangia, senior consultant ENT. Today I will be telling about what is sinusitis, the symptoms, the treatment and the new age advances. Now sinuses are air-filled spaces in the head and the face. There are four sets of sinuses. Now the sinuses are a normal structure and any inflammation or an infection in the sinuses is called sinusitis which is not normal. The symptom of sinusitis if you have a recurrent cough and cold, sneezing, itching, redness, itching around the eyes, loss of concentration, post nasal drip, mild fever. The reason for the sinusitis is- it can be viral. it can be bacterial, it can be infective, it can be due to obstructive causes. Now we come to the treatment. The first one is the symptomatic treatment and that is by medicines. Medicines we prefer like anti-allergic, antibiotic and steroids in some cases. The third part is the surgical part.

First of all, we have to diagnose it with CTL sinuses and diagnostic nasal endoscopy. The surgical way further is FES or Functional Endoscopic Sinus Surgery and that means we create the aeration of the sinuses, remove the polyps, remove any obstruction like any deviated nasal septum. The latest advances in this are Balloon Sinuplasty which is normally done with minimal to moderate sinus problems. If you have any headache or you not able to concentrate or similar things are there then this is the best way. The advantage of balloon sinuplasty which is the latest technique is that there is hardly any bleeding, the post-surgical complications are also minimal. The only problem is it is a little bit expensive though now it bein manufactured in India and it is slightly expensive on the surgical part. But nowadays it is also covered under insurance. That is the best part. I advise balloon sinuplasty as first treatment if it is possible and affordable to the patients. For any other queries or any requirement you want, you can contact me at Lybrate app on my portal.

Thank you!

Hi!

I am Dr. Arush Sabharwal from SCOD. Obesity and diabetes surgery today is very common. We all should understand the basis of the surgery. It is not meant for everybody. It is not a cosmetic surgery. If your BMI is less than 30, you should never undergo bariatric surgery. If you have any other issues like diabetes, hypertension, dyslipidemia, cholesterol, gout, varicose veins, snoring, breathlessness, day time sleepiness, lethargy, so you are the patient and you should contact the doctor immediately. Obesity and diabetes aisi problems hain jo apko or bhi problems deti hain body me. Diabetes ke sath apko kidneys, eyes, legs, sab kharab ho skta hai. Aaj ki date me diabetes HIV se bhi jyada dangerous hai.

70-80% obese patient me diabetes hota hai. But ye important nhi hai ki diabetics mota ho. Regular exercise kren. treatment hai laparoscopic sleeve gastrectomy me hum peat ka vo hissa nikal dete hain jis se apko bhook lgti hai or sugar hoti hai. Is treatment se apka sugar cure ho jata hai lekin apko protein and fibre jyada khana hota hai. Hmare pass team baithti hai jo patient follow up krte hain. Hmare dietition hain jo apke before and after surgery apke diet ka dhyan rkhti hain. Diet apke BMI pe depend krti hain. Diet apke 3 phase me divided hain. 1st phase me liquid diet dia jata hai and ye 2-3 weeks ka hota hai. Uske baad soft diet dia jata hai and ye 2 weeks ka hota hai. 5 weeks ke baad aap apni normal diet start krte hain. Surgery ke baad bhi apki diet healthy hi honi chaiye and routine test ki jrurat pdti hai. Hum follow up apka 1 year tak krte hain. 2nd year me apko every 6 months me ek baar diet follow up ke lia bulaya jayega. 3rd year ke baad apka sugar jab normal ho jata hai to apko aage 1 saal me 1 baar bulaya jata hai. Bacha bhi aap 1.5-2 years ke baad hi plan kren.

Thank You!

Hi!

I am Dr. Arush Sabharwal from SCOD. We are the only one who is doing the surgery for obesity and diabetes. We have branches in all over India. We see patient at Karol Bagh, Vasant Vihar Delhi; Chandigarh, Dehradun and Noida. Bariatric and metabolic surgery are for all age groups. The lowest age we have done so far is about 10. The highest age we have done is about 76 years old. We also treat obesity related other problems like diabetes, hypertension, dyslipidemia, varicose veins, gout, osteoarthritis, obstructive sleep apnea. Surprisingly there are chances to reduce the risk factors of cancer. Breast cancer, prostate cancer can come done with bariatric surgery.

Other issues like infertility, PCOS, menstrual disorder, there are treatments for these problems. Erectile dysfunction in men can be cured with the treatment. WHO has declared obesity to be a non-communicable lifestyle disease. In US, obesity is the disease of the poor because they cannot get healthy food. But in India, obesity is the disease of an average middle class or upper middle class. India is the capital of diabetes in the world. The reason is the lifestyle. India food is rich in carbs. If anyone of you or in your family wants to take the proper treatment, can consult with me. There is a different kind of bariatric surgeries. Whoever has undergone the surgeries, they meet our new patients at our clinic and they decide about the treatment whether to take or not to take the decision. You can enroll with us.

Thank You!

Namaskar!

Main Dr. Rakesh Kumar. Aaj me apko shoulder dislocation ke bare me btaunga. Isme ek bone dusri bone ke socket se nikal jati hai. Ise dislocation kehte hain. Agar bone thik se nhi niklti to use subluxation kehte hain. Shoulder dislocation 3 types ka hota hai. Anterior dislocation mtlb kandha nikal gya hai or samne ki traf aa gya hai. Ek chot lagne ki vjha se bhi ho skta hai or bina chot ke bhi. Ek hai posterior dislocation jisme kandha piche ki taraf nikal jata hai. But ye situation bhut kam hoti hai. 97% anterior dislocation hai or 3% posterior dislocation hai. Aisi situation bhi hoti hai ki hath upar ki traf uth jata hai. Aisi problem ko immediate attaention ki jrurat hoti hai. Otherwise isme bone damage ho jata hai, muscles fatne ke chances hote hain. Iske lia radiography or x-ray kia jata hai. Isme dekha jata hai ki koi fracture to nhi hai. Agar fracture hai to re-dislocation ke chances bhut hain.

Jitni bar dislocation hoga utni bar haddi ghisegi. Teeno ka reduction bhut jruri hai fir vo bone ke sath ho ya fracture ke sath. Isme kbhi anesthesia dia jata hai or kbhi nhi. Aaj kal ki techniques se bina surgery ke bhi is problem ko thik kia ja skta hai. Reduction hone ke baad bhi isko check krte rehna jruri hai. Otherwise joint re-dislocate ho jata hai. Kbhi kbhi patient ka hand dead bhi ho jata hai jisme uska hath bilkul bhi kam nhi krta. Ise dead arm syndrome kehte hain. Ek situation hota hai jisme kandha bahar ko aane lgta hai or vo kam nhi krta. In sab chizon ko proper address kr k hum thik kar skte hain. Isme MRI kraya jata hai. Agar fracture hai to CT-scan bhi krate hain. Lekin starting stage me hi arthroscopy se ye problem thik ho jati hai. Isme 3 keyholes dia jate hain. Lekin agar patient surgery nhi krata hai to patient ki bones baar baar ghisti hai or fir surgery bhi successful nhi hoti hai.

And aise case me major surgery krni pdti hai. Major surgery me pure kandhe ko kholte hain. Jo bone ghis jati hai, usme dusri bone lga di jati hai. Jis se dislocation ke chances kam ho jate hain. Llekin still movement restricted ho jata hai. Lekin arthroscopy ke baad ye chances kam ho jate hain. Is surgery se root cause ka pta chal jata hai or sari chizen aram se manage ho jati hai. Agar patient ko fir bhi koi pain feel ho rha hai to immediate attention ki jrurat hai. Agar condition worst ho jaye to shoulder ko replace krna pdta hai. Rotator ko bhi repair krne ki jrurat pdti hai. Lekin aisi condition me result poor aane ke chances hote hain. Kbhi kbhi usme koi bhi option useful nhi hota hai. Islia kbhi bhi apko shoulder ka koi bhi problem ho to doctor ko jrur dikhayein.

Thank You!

Hi friends, I am Dr Ashwani Maichand and I am Orthopaedic surgeon based in Delhi. Today we will be talking about knee pain, knee pain is actually one of the commonest causes why people visit orthopaedic OPD’s we divide knee pain into three groups one athlete, second young females and third elderly patients. The causes are entirely different in our three groups and when to contact a doctor, how to prevent the problem and what are the causes will be discussing each of them. Let's take athlete first, we have now we see people are taking sports as a career now and the knee is one of the most important commonly injured joints causes can be cartilage tear what we call meniscal tear, it can be ligament tears, it can be tendon tear, it can be a muscle tear. So at the earliest, you should look for a knee surgeon, the knee is a very specialist branch these days, it's just not any Orthopaedic surgeon you should look for a knee surgeon. So, contact the person, the expert as soon as possible don't self-treat yourself because these problems can be treated very nicely at the early stage. If you delay there can be complications and it can affect your career that's a simple message. Second young ladies in their early thirties, late thirties they start having pain when their climbing stairs when they are squatting when they are getting up from chair and generally they ignore it. The reason is very very simple, the knee has only two things muscles and bones, one of them get a week with time or with lack of exercise, so we must get assist by an Orthopaedic surgeon by knee surgeon. What is the cause, in young ladies generally it is the beginning of osteoporosis that is lack of calcium in bones, one and second, the muscles on the medial side that is the inner side of the thigh they become weaker as compared to the muscle of the lateral side that is the outer aspect of the thigh, what happens it causes imbalance in your knee cap, the knee cap gets tilted on the outer side, it starts rubbing against your Femur bone the thigh bone it causes pain when you are climbing stairs, walking is perfectly fine but remember this is the beginning of the Arthritis which you will be suffering when you are 50 + and 60 +. If you stop this thing right now, there are high chances that you never suffer from Arthritis and you will never go for a knee replacement. So we should take opinion No.2, we should get our Vitamin D and Calcium check regularly and No.3, of course, regular exercises even if its a walk, jogging whatever yoga anything keep your body flexible, keep your muscles strong, keep your bones strong. Now we come to the elderly grow the osteoarthritis, that means the wear and tear of knee joints with age, so it's very common in 60 + and 70 + people. They come with Arthritis they have deformed joints and it affects not only their knees but their spine as well as their general well being. These days knee replacement is very successful surgery, very nicely done people hardly discharge on 3rd or 4th day they are walking the very next day these days knee replacement is done by MIS technique, whenever required avail it doesn't wait. Generally, we have pain in one knee and we wait for the other knee to get spoilt, we wait for the spine to have Arthritis then we go for knee replacement but by that time we have lost our 10-15 years of good productive life. So get treatment in time because this is something that is age-related if it happens, get it treated don't suffer. So that was the message, I am available for further opinions further the details on Lybrate.

Hi guys, I am Dr Ashwani Maichand and I am an orthopaedic surgeon based in Delhi.

Today, orthopaedic problems are very common over all age groups and patients are coming to us not only for trauma but for backache, neck pain, knee pain which are generally lifestyle problems. So today we will be talking about how to prevent them before you go to a doctor . Before you go for a surgery, can we identify these problems in advance and can we treat them ? Let's talk about that .

Backache - Generally patients come to us either with a low backache or with upper back. The upper back ache in our experience is more of a young age problem . People who are working on a computer laptop, the whole day they are sitting, they are working in offices. Generally, Orthopaedic surgeons and many general practitioners and sometimes we ourselves label them as cervical spondylosis and these patients by mistake are being treated as a patient of cervical spondylosis but they are not suffering from it. What they are suffering from is a muscle imbalance.

The muscles in our staple in our upper back, they are basically holding our upper limbs . But when we are sitting whole day long, the muscles on the anterior part of the body, the front of the body they become shorter and the muscles on the back become weak, so the whole weight of our arms and the shoulders comes on the neck and these patients present as neck pain and upper back pain instead of going for x-rays, MRI and extensive investigation. They should contact an orthopaedic surgeon where we label that these muscles are weak, these muscles are tight so we stress the tight muscle and strengthen the weak muscles . We correct their posture , we look at their workstation , their office , which type of chair they are using, at what height their system is placed , where their mouse is , where their keyboard is - all these are very basic things.

They come in Ergonomics. So it is all about changing your lifestyle, let's not adapt to the system that is given to us all. Working atmosphere rather we change the working environment according to our body so that these problems don’t bother and you don't have to visit the Orthopaedic surgeon , you don't have to take a leave so it is basically lifestyle problem.

Second, our younger generation is not active athletically. Sunlight exposure is very low and their meals are very irregular and its not a balanced diet so overall this lifestyle, It ultimately gives us pain discomfort and we rely on painkillers and we go to doctors and basically our whole system is disturbed because we are not careful about our body.

So that is the message - please take care of your body mentally as well as physically so that you never need a doctor, but unfortunately, if you are suffering from any of these conditions, you can contact us on Lybrate. We are available online and clinic as well. So now you know how to contact us.