Dr. Ashwani Maichand's Minomax Knee & Shoulder Clinic

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 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.