Zen Multispeciality Hospital

Dr. Tapiawala will be talking about how this deadly virus can impact our kidneys, and what measures we can take to protect ourselves. Please feel free to ask your questions in the comment section. About - Dr. Shruti Tapiawala: Dr. Shruti Tapiawala is a renowned Nephrologist with many credentials in her field of expertise. She is well known for her leading contributions in Renal Transplantation cases and studies - within India and Abroad.
Major Achievements:
1. Fellowship in HLA medicine-North America
2. Established SORTER-Ist national registry for sensitized organ recipients
3. Fellow American Society of Transplantation
4. Faculty for National meetings, SNDT Course for Renal Dietetics and Dialysis Technology
5. President Narmada Kidney Foundation & Secretary-ISN-WZ-Chapter

Hello,

I am doctor Krishna Prasad cardiothoracic surgeon practicing in Mumbai.

I would like to discuss with you all about valvular heart disease, so heart has four valves and valves can get affected by various diseases, especially rheumatic heart disease and also degenerative disease, which is due to aging and infection and other causes of valve disease.

So when the valve is diseased, the heart valve either become stenotic that means orifice or the opening becomes tight or it can be regurgitant or in other words leaking, so either it can be a tight lesion or can be regurgitant leaking lesion or it can be combined, so what we do? the surgical management in these cases are two options, one is valve replacement and other one is valve repair.

Replacement, we have two options by using metal valve or otherwise known as mechanical valve and other one is tissue valve. Tissue valve prepared from other animals or from cadavers, so there are various pros and cons and where to use there are guidelines so at a young age usually we put mechanical valve but the only problem with mechanical valve is patient has to be on long-term anticoagulant, but the advantage of mechanical valve is It stays longer because life is long with the metal valve.

Tissue valve is opted in old age above 65 or so, the main advantage is no need to take anticoagulation for a long time but the disadvantages is that new valve can undergo destruction early so re-surgeries are more common with tissue valve.

The other option as I told it's a valve repair, valve repair is possible especially in mitral, aortic valves when there is regurgitant lesions or stenotic lesions. We can address disease pathology and try to bring the valve near normal. The main advantage of having a repair is patient retains his own native valve and there is nothing like the natural valve, so no need for any anticoagulation and other thing is the disease may recur and may require surgery redo surgery at a later date, which can be performed whenever time is suitable and he develops the disease further. Otherwise repair is always the first option when it is possible, beyond any further details you can contact lybrate.

Thanks

Hello,

 I am Dr. Krishna Prasad, cardiothoracic surgeon. I want to discuss about coronary artery bypass surgery otherwise known as heart bypass surgery, which is a surgical management of coronary artery disease or the heart blocks, here what we do is we bypass blockages in the coronary arteries by using patient's own vessels from other parts of the body, so they are known as conduits and there are many ways to do it one is to stop the heart and do it and the other thing is to do in a beating heart without stopping the heart and also depend upon the conduit we use, the veins can be used from the legs or arteries can be used from the hand or arteries from within the chest wall .

So it can be divided or discussed in either a beating heart surgery or on-pump surgery or what we call stopping the heart and other thing is by what conduit we use, total arterial grafts or venous grafts like that. So now in the beating heart surgery with total arterial revascularization, the beating heart surgery is the more physiological we are not stopping the heart so it is a more natural way of doing it, second thing is we use total arteries so arteries have been found to stay longer than the vein grafts so patient gets a conduit which stays longer, here patency rates are very high and this has been proved in many investigations, so total arterial beating heart surgery is better and number one method for bypass surgery.

Thank you

Hello,

 I am Dr Krishna Prasad cardiothoracic surgeon from Mumbai. I would like to discuss with you all about minimally invasive cardiac surgery. Now recently minimally invasive cardiac surgery is picking up its interest and lot of surgeries can be done with a small incision. The surgery which we can do with minimal incisions are coronary artery disease, especially uncomplicated like single-vessel or double-vessel or sometimes triple-vessel disease then valve surgeries, mitral valve, aortic valve surgery and atrial septal defect.

Here what we require is a small incision to enter the particular hard cavity or surface of the heart and do the surgery and when valve surgery, open heart surgery is required the cannulations are done from the groin with a small incision, so the femoral artery, femoral veins are cannulated and the advantage of minimally invasive surgery is patient get very small incision, cosmetically very appealing and the pain is very less and the patient goes home earlier as compared to the conventional median sternotomy procedures and also the risk of infection and especially the sternal infection and all are avoided and to do this minimally invasive surgery we require lot of special instruments and sometimes the help of scopes to help make the surgery easier. Further queries and details you can contact lybrate.

Thank You.

Hi,

I am Dr. Hitesh Kubadia, Orthopedist. I will talk about the queries being asked about knee replacement.

Q1: How long my replaced knee lasts?

Ans: The knee should last for almost 15-20 years if you are taking good care of it. It also depends on the patient's moving activities. If a patient is in sports, it will not last for a long.
 

Q2: How long will it take for me to be back to the normal routine?

Ans: It is major surgery. The body takes time to adapt it. With minimally invasive surgery, it takes less time. But I would say that within a few days, the patient is able to take a round of their compound. They are able to go to the market and come back. Maximum time is required for 6-12 weeks to live a normal life. But yes, the patient may suffer from a little pain because the body is accepting the new joint. There is a bit of swelling around the knee. It causes some burning sensations around the knee. These are all the normal process of healing. They all settle down over a period of time.


Q3: Patients ask when I would be able to sit down and use Indian toilet?

Ans: I would never suggest my patients do those activities on a routine basis but doing once a while will not cause much harm. But if a patient is doing this activity continuously, the life of the knee will become much small. That is why it is never suggested to do these activities.

Q4: Patients ask, can I postpone my knee replacement with alternative methods, non-surgical methods.

Ans: Yes, osteoarthritis is a debilitating disease. It is a degenerative disease which happens with the age. Yes, there are times when we try to protect the knee. When we fail to give pain-free treatment then we talk about knee replacement. Physiotherapy in such cases helps a lot. Body muscles are very important to be strong. So, they decrease the load of the knee. And causes less degeneration around the knee. Sometimes, we also inject certain gels in the knee and helps the knee for the frictionless movements. And that also helps in causing less pain around the knee. These are a few methods tried in early and moderate arthritis. It is only when these methods actually do not help the patient to get enough pain relief in their daily routine. Then we talk about replacement.

Hi,

I am Dr. Hitesh Kubadia, Orthopedist. I will talk about the problem of the shoulder joint. Patients tell me that they have frozen shoulder. They may have frozen shoulder but what I have seen that it is not frozen shoulder in a few of the cases. What they have is called subacromial. They have some swelling in between 2 bones. Because of this, the movement of the shoulder gets restricted. This causes a lot of pain. This reduces the movement of the shoulder. This can be easily diagnosed in the clinical examination. Very rarely we need to do an MRI scan. We insert an injection in the joint which helps in reducing the swelling and pain.

The moment pain is reduced, the shoulder starts moving comfortably. Another common problem is of shoulder dislocation. The shoulder is a kind of a socket joint. It has a ball and a socket. The shoulder is a very versatile joint and requires a lot of movement. The socket is very shallow. To increase the depth, the tissue is called liberal tissue. Something will get teared then the only shoulder will come out. And when we put the shoulder back to its place, tissue also goes at its place. So, it becomes common for the shoulder to get dislocate again and again. Every time when shoulder gets dislocated, there is no damage causing in the ligaments. So, what is recommended?

We impair the tissue and then it is back to its place. This is done arthroscopically. When tissue is back to its origin, it prevents the shoulder from coming out. Another common problem we see in the older age group is the tear in the rotator cuff. Now, what is it? It is a very common pathology. A rotator cuff is a group of muscles. When tender tear, it actually goes back and comes and lies between the 2 bones. Again it causes pain. Being a very important stabilizer of the shoulder, taking out the shoulder becomes very difficult. So, what is to be done as it causes a problem in the routine activity. These are the common pathology are seen around for shoulders and they have a very good system of the treatment. So, treatment helps in decreasing the pain.

Thanks!

Hi,

I am Dr. Kailash Kothari, Pain Management Specialist, Mumbai. I am interventional pain and spine pain management specialist. So, in pain clinic, we identify that what is the cause of your pain by the specialized treatment called diagnostic nerve blocks or diagnostic block of particular structure which all examination we feel might be a cause of pain. So, coming one by one. I will just tell you, how we diagnose it. So, if the disc is coming back again and it is compressing the nerve, the procedure called discography. So, we just put the small needle in the disc, we try to see whether the disc is causing pain. If the disc is painful, the patient will feel a lot of pain, so, we can identify whether the disc is causing pain or not. There are various treatments option like decompressor, disc affects, which are non-surgical and kind of injection technique through which we can remove the bad disc and we can cure disc without doing any open surgery.

Another is inflammation of nerves because of the fibrosis the procedure called transforaminal epidural dialysis. In that, what we do, there is a small catheter which is inserted through the tailbone. The area which is operated where the fibrosis is happening or the nerve is getting compressed, we put the catheter and that catheter we inject, open up space, then injecting certain medicines, editions are broken and the nerve is freed. That is very effective and post-operative editions. So, this is about nerve. If we have joint pain, we do test injection of the joint under x-ray control. We block that medial branch. We ask immediately to the patient, whether they have pain or not. If the patient has pain because of the facet joint, they will immediately say that they have pain relief. They can stand, sit, move, the activities they were not able to do, they can do all those activities. We can do level 1, 2 & 3 blocks and we can see that how many joints patient have which are bad. If we have confirmation, we can start radiofrequency ablation of the nerve which is causing pain. The best part about pain management technique is, these are all daycare procedure. You come in the morning, get the procedure done and you will be back within a few hours. It will not cause you to go on the bed. You don't need any rest.

You can go back to your work immediately after the procedure or maybe next day depending upon what procedure are we doing. These are very good to improve the quality of your life without surgery. In certain cases, where the muscles are involved which is causing pain. So, similarly, as we did for disc, nerve, for facete joint we can also block the muscles with a local anesthetic. And we see whether you have pain or not. If you have pain, we can confirm that muscles are having pain. And there are certain symptoms, we identify what muscle or joint or disc might be causing pain. By examination, we pinpoint, what is the area or which is the structure which might be causing pain and then we do a diagnostic injection or block that area and confirm our clinical diagnosis by diagnostic injection. Once we get confirmation, we do the therapeutic treatment by injecting some kind of steroids, radiofrequency ablation. But a few patients are really bad. They have so much pain. They have pain 10/10. We tell the patient to identify what is the level of their pain. And if your pain is not improving after trying everything, this is not the end of your treatment.

So, there are certain patients, who do not respond to surgery, to nerve blocks or radiofrequency ablation. For them, there is a certain specialized treatment called neuromodulation. Basically, pain is what? Pain is carried by nerves to the spinal cord and from there it goes to the brain. So, we need to identify the pain pathway and you can block the pain going to the brain. So, we put a small electrode or a small wire through a small needle. This is called spinal cord stimulator. And that wire is connected to a small battery which is implanted in the abdomen just under your skin. Wire applies the current over the spinal cord. We call it spinal cord stimulator. So, in the area where the pain is going will be replaced by some tingling or soothing sensation. This is a very effective treatment especially for the patient who does not respond to any kind of treatment. Some patient comes to us with 2-3 surgeries, even I have treated the patient with 6 surgeries they have in the past. And they have responded really well to spinal cord stimulator. So, this is a very effective treatment which is available in our clinic.

The 2nd is called morphin pump implantation in short, it is called intrathecal pump implantation. A catheter is being inserted through the needle. It is implanted just below your belly. It is under the skin. It is superficial. Then the drug is directly delivered to the spinal cord in microquantity. So, you do not have any side-effects of the drug. It is very safe. It is a very effective treatment. So, these are a few treatment options which are available and if you want you can always call us. You can go on websites and find out more information about these procedures. And I am sure that you will get very good relief. You will be back to your quality of life to be achieved by these procedures. You do not need any further surgery. If one surgery has not worked then there is no chance that another surgery will work for you. So, better to identify the pain structure, go for pain management treatment which is not surgical. Do call us if you have any query.

Thank You!

Hi,

I am Dr. Aparna Govil Bhasker, Bariatrician with an experience of about 13 years practicing in Mumbai. I deal with patients who are suffering from obesity. First thing I would like to share that obesity is a disease. Whenever we see the patient we see that somewhere they are also responsible for the weight that they are carrying. So, the first thing we need to realize that obesity is a disease like any other chronic disease. It is very similar to diabetes or heart disease and the progression is very similar to various stages. Today we define the stages on the basis of body mass index. That is the parameter that we use. So, if the BMI is between 23.5-27.5 then these patients are considered to be overweight. People between 27.5-32.5 suffers from grade 1 obesity. Any person with BMI more than 32.5-37.5 suffering from grade 2 obesity. Any person whose BMI is more than 37.5 suffering from grade 3 obesity.

When we talk about bariatric surgery, it is actually a treatment option for grade 3 obesity. And sometimes, for grade 2 obesity with 2 associated diseases like diabetes, hypertension, sleep apnea or say any other problem which is associated with obesity. The treatment will depend upon the grade of obesity. Now when we talk about bariatric surgery, it is basically a laparoscopic surgery, gastrointestinal surgery where we actually reduce the size of the stomach and some kind of surgeries where we re-route the intestines and join it to the stomach. There are 2 types of surgeries which are commonly performed in India: Laparoscopic sleeve gastrectomy. In this, we divide the stomach vertically. We create a small tube of the stomach. In this 65% of the stomach is removed out of the body. So, a small tube of the stomach remains inside the body. So, the amount of food gets reduced and they feel full early.

Another advantage, the person doesn't feel hungry much after the surgery. The other surgery is called a laparoscopic gastric bypass. This is one of the common and oldest surgery. It has one of the best results. In this small pouch of the stomach is created. So, here we are not removing any part of the stomach, we actually re-route the intestine to reduce the size of the stomach. This also has similar effects. The person is able to eat less. They don't absorb all the calories from the food. Now, it totally depends upon the patient's clinical profile. After a thorough evaluation, we see what surgery will be comfortable. All surgeries will lead to 65-75% of excess weight. Bariatric surgery also leads to very significant results and improves the quality of life. Associated diseases like diabetes, high blood pressures, sleep apnea, liver disease, lung disease, all these leads to a lot of improvement after bariatric surgery and overall health of the patient improves.

Weight loss happens over a period of about a year-year and a half. Most patients are able to maintain their weight. For the long term of weight maintained, a little bit of work is required from the patient's end as well. We do some degree of lifestyle and behavioral modification. Follow-up is a very important part of the whole program. Because good follow-up and great attendance keep the patient motivated. So, bariatric surgery is safe. In the end, I would like to say that when you are suffering from obesity, if you do not get treated properly, there are repercussions for that. And that can actually lead to a life-threatening problem. Doing surgery is always a risk and patients always think twice about it. But doing bariatric surgery for obese patients is much better than going into further risk. If you have any query regarding weight loss or bariatric surgery, you can contact me through Lybrate.

Thank You!

Hello friends,

I am Dr Kailash Kothari. I am Interventional Spine & Pain management Specialist . Hum ye pain ki treatment karte hain aur hamare jo doosre centres hain usme K M Hospital jahan pe mein honorary physician hoon. Wahan par bhi hum kafi patient jo hain pain ke wo treat karte hain. Hamare paas kafi tarah ke patient atey hain usme hamari jo back pain aur neck pain ke patient hote hain wo kafi hote hain. Aur ek bada percentage hota hain jo hamare ghootno ke dard ka hota hain knee pain. To aj maine socha ki knee pain ke jo treatment hain uske barey mein hum kuch baat karein. To knee pain jaisa aap ko sabko pata hain ki yeh ek bada karan hain jiske liye log hospital mein atey hain. Aur yeh knee pain aisa nahi hain ki aapko jo umar jyada hoti hain unhi logo mein hogi wo. Wo pain aapko young patient mein bhi ho sakti hain wo aapko umar darar logo mein bhi ho sakti hain. Aur iska karan yehi hain ki knee hamari ek continuosly kaam karnewali ek part hain body ki.

Yahan par hum chalet hain byath te hain bhagte hain aur uthte hain niche jamin pe byatna parta hain to har cheez mein ghutna apna kaam ata hain. To iski wajey se uski jo ligamants hain muscles hain cartilages hain wo sab under strain hotey hain unke upar kafi pressure hota hain. To uski wajey se kafi logo mein ye samasya ati hain. Aj mein jo aapko batane wala hun yeh knee, knee hamri ek simple sa joint hain jisme aapko upar femur yeh bone hota hain iske niche tibiaaur yeh fibula. Yeh 3 bono ka ek joint hota hain jisko hum knee joint kahatey hain. Uske ilava hamare ek doosra bone bhi hota hain jisko hum Patela bolte hain. Isko hum Marathi mein wati bolte hain aur hindi mein katori bolte hain jo jiske upar yeh muscles slide hotey hain aur hamare ghutne ko modne ka kaam karti hain.

Toh hamare jo ghutne hotey hain usme kaafi cheezey hoti hain jo hamare knee ko dard pain kar sakti hain. Jaise yeh ligaments hain yeh hum medial collateral ligaments usme kabhi kabhi sprain ata hain toh use pain ho sakta hain. Yeh jo patella hain iske liye ek special grove hota hain. Patella agar right ya left mein convert slip ho jaata hain toh yahan pe friction ho sakta hain yahan pe arthritis develop ho sakti hain yahan par aapko inflammation ho kar pain ho sakta hain. Uske ilava humare ghutno mein andar ki taraf kaafi ligaments hotey hain ACL aur PCL anterior cruciate ligament aur posterior cruciate ligament. Yeh ghutne ko friction aur extension matlab aap jab pura ghutna modte ho matlab jab aap pura sidha karte ho tab usko excessive friction aur excessive extension issey rokta hain taki aapka ghutna jyada extension ya jyada flexion na ho. To yeh limit karta hain at the same time stability deta hain. Uske ilava joy eh dekh rahey hain aap, do ghutney ke beech mein do bone ke beech mein yeh hain meniscus yeh kaafi logo mein meniscal injury ho jati hain aur yeh meniscus cartilages hotey hain jo cushioning effect dete hain apne ghutne ko. Yeh itni saari cheesey hoti hain jo ghutne ke andar aur uske aas paas ki jagayon mein pain kar sakti hain. But uske ilava yahan pe muscles hoti hain jo quadriceps muscles jisme 4 muscle ka ek group hota hain jo agey ki taraf ghutne ko pakarke rakta hain aur piche ki taraf hamstring muscles hoti hain toh hamstring muscles bhi ghutno ko support karti hain.

Uske ilava side se bhi muscle hoti hain dono bahar ki taraf aur andar ki taraf dono sides mein muscles hoti hain. Toh ye knee joint jiske upar kaafi dependent hotey hain hum chalet hain phirte hain baithte hain uthte hain usko support karne ke liye kaafi kaafi cheesey hoti hain. Koi bhi ek cheez agar damage ho jaye toh hamare ghutna sahi dhang se kaam nahi karega aur humko taklif dega. Toh humare paas jo ghutne ki itni saari bimariyan hain jisme sabse jo common bimari hain jiske liye log hamare paas atey hain uska naam hain osteoarthritis jo jaise umar badti hain humare ghutno ki cheesey jo ligaments muscles or cartilages hotey hain wo dhire dhire kamjor hotey jaatey hain wo patley hote jaatey hain thin out. Uski wajey se kya hota hain ki knee joint ka jo cushioning aur oiling effect hain jo fluid hain knee joint ke andar wo fluid kaafi kam ho jata hain. Aur uski wajey se hamare ghutney sooj jatey hain aur movement karne mein kaafi dikkat ati hain. Hamarey old age patient jo hotey hain wo ghutna fold nahi kar patey hain baithte hain to uth nahi patey hain uthte hain to chalne mein dikkat hoti hain thoda chalne mein pyarr dard hone lagta hain aur kabhi kabhi aas paas mein sujan a jati hain.

Toh aise situation mein normally hum kya karte hain anti inflammatory medicine lete hain. Anti inflammatory medicine yane sujan kam hone ki dawai sujan a gayi hain to doctor kya karte hain sujan ki dawai dete hain. Par kya yeh treatment hain? Sujan ki wajey se jo aapka regeneration process hain naye cells jo banna chahiye wo aur kam ho jata hain. Jaise umar badti hain humara nayi cells generation capacity kam ho jati hain aur hum kya kar rahey hain anti inflammatory medicine de rahey hain. Use hamari joy eh capacity aur bhi kam ho jayegi. Toh agar kisiko hum anti inflammatory medicine dete hain toh wo sochta hain mera pain kam ho gaya aur wo bohut khush ho jata hain. Kya arey wah main to chal sakta hun main baith bhi sakta hun niche par actually wo cheese ghutne ke liye achhi nahi hain. It is not good for your knee. Because it hampers further regeneration of the knee so we don’t want that. Toh hum kya karte hain. Hum aise treatment karte hain jiski wajey se apke jo ghutne mein ghisao ho gaya hain naya cells banne nahin ho raha hain regeneration nahi ho raha hain us regeneration ko hum stimulate karte hain. Aur uske liye ek treatment hotey hain jisko hum bolte hain prolotherapy.

Prolotherapy yaney proliferative therapy. Jo cells wapas nahi ban rahey hain hamare body ki capacity utni nahi rahi wo stimulate nahi kar pa rahi hain because of ageing umar ke hisab se toh ye therapy us chees ko stimulate karti hain. Toh hum kya karte hain hum ek simple sa treatment karte hain jisko bolte hain dextrose prolotheraphy jisme hum ek glucose jaisa substance hota hai dextrose it’s a sugar, uski ek particular concentration aur local anaesthetic injection isko hum ek combination banate hain aur us combination ko ghutno mein hum alag alag jagah par jahan pe uski jarurat hoti hain wahan pe inject karte hain. Aur sugar hamare body ke liye kuch damage nahi kar sakta it is very safe. It is a 100% side effect free treatment aur isme jo hamare body ke jo tissues hain usko wo stimulate karti hain cartilages ko ligaments ko muscles meniscus aur andar jo sinural fluid, jo fluid suk chukka hain hum kafi time sunte hain osteoarthritis mein ki fluid andar ekdum suk chukka hain andar oiling nahi hain toh us oil ko wo create karta hain kyon. Kyon ki yeh cells ko regenerate karta hain. Jo ghutne ke andar fluid hota hain usko bolte hain synovial fluid aur synovial fluid banta hain synovial cell se. us cells ko wapas banana ka kaam prolotherapy karti hain.

Aur ye koi doosri therapy nahi kar sakti hain. Uske ilava jab prolotherapy karte hain to humare muscles ligaments cartilages ye sab majboot hotey hain, kyun hote hain kyonki unke naye cells nirman hotey hain aur because of that they become more stronger. So you feel good aap ki joint ka stability a jati hain apko achha lagta hain pain kam hota hain aur wo pain killer je waje se nahi hota hain because of your knee which is getting better by recreating new cells. So yeh ek bohut bara part hain jo osteoarthritis ke patient mein hum karte hain. Aur hamare pas almost 30 to 40% patient hotey hain jo osteoarthritis ke patient atey hain. Aur hamare paas hazaro se jyada patient treatment le chukle hain aur unko kafi fayda hua hain. So this is one of the very very common treatment which is not done commonly anywhere in India but we are known for this therapy called prolotherapy. You can go on internet you can find a lot of papers research papers and there are lot of evidence about this therapy. Toh aur bhi information agar apko iske barey mein chahiye toh aap Lybrate dot com pe jakar apni queries daal sakte hain. Aur hum aapke queries ko answer karne ke liye will be more than happy. Humko bohuti khushi hogi ke hum apke queries ko answer karey. Hopefully apko yeh video pasand aya. Thank you very much and visit us on our website also.

Thank you.

Hello,

I am Dr. Kailash Kothari, Pain Management Specialist. We treat every type of pain and maximum patients are coming to us with knee, back and neck pain. So, today I will tell you about knee pain. So many patients are visiting the hospital because of knee pain and not only old but young people are also suffering from knee pain. The knee is the part of the body which works continuously during the regular walk, running, frequent sitting and then getting up from the place, sitting on the floor with folded legs. This causes strain to ligaments, muscles and cartilage. In our knee, we are having 3 types of joint: femur, tibia and fibula. A part in the knee is patella. Patella, we call vatti in marathi and katori in hindi. Patella is a muscle which slides over the knee joint and helps us in bending knee. So many things are there in the knee which can affect our knee badly. Injury to patella can cause arthritis, friction and inflammation.

The types of ligaments in our knee: ACL and PCL. These ligaments control flexion and extension of the knee while bending and straightening the leg. In the knee, between 2 bones, there is a meniscus which functions as a cushion to the knee. Apart from these, there is a quadriceps muscle which is a group of 4 muscles which holds the knee from the front and hamstring muscle which supports knee from the back. We also have muscles at the sides of the knee.

Many types of problems are there which affect knee and maximum patients are coming to us for osteoarthritis. As we get older, our ligaments, muscles, cartilage start getting weak and thin. This may result in the swelling of the knee and it gives problem at the time of the knee or leg movement. At an older age, the patient is not able to fold his legs. They suffer from problems while sitting, getting up, walking. In such situations, the patient takes anti-inflammatory medicines which only reduce the swelling. By taking these anti-inflammatory medicines, the regeneration of cells in the knee gets reduced. For that particular time, the patient gets relief and able to do all the activities but these medicines are not at all good for knee. So, we stimulate the regeneration of the cells at the time of the treatment. For this, the therapy is called prolotherapy. This therapy helps our body in increasing cells capacity. This treatment is called dextrose prolotherapy.

We prepare a combination of dextrose and local anesthesia and inject the same into the knee. This is 100% side-effect free treatment. This procedure stimulates our body tissues, cartilage, ligaments, muscles and this also reactivates the synovial fluid which gets dried in osteoarthritis patients. Prolotherapy is the only way to recreate the cells and strengthen our muscles, ligaments, cartilages. This gives stability to your joint. 30-40% of patients are coming to us to get rid of osteoarthritis and till date, we have given successful results to over 1000 patients. Now they are able to do their regular activities and avoided knee surgeries successfully.

We also have many patients who are in sports. Mostly we have seen that sportsmen are getting more affected with knee injuries as they do physical activities. There is a knee problem in sportsmen and we call it runner's knee. Sometimes our ligaments get twisted into the knee which causes pain. In such cases, prolotherapy helps to proliferate the normal cells, strengthen the muscles, ligament. If we will not keep our knee strengthen then it will cause instability which causes the problem to the patient in walking, running and routine activities. This treatment is not for the short term. People who play cricket, basketball, football can suffer from ligament injury or ACL & PCL tear and sometimes meniscal tear. This is a problematic situation in which if the patient straightens his legs, the knee gets locked and it becomes impossible for the patient to bend it again. We call this lock knee. It becomes difficult for us to pull the same back.

It also happens when our ligament gets damaged and we are able to move tibia, this is called instability of the joint. This instability causes pressure over the bones and also it creates osteophyte to create the new bone formation. Due to this new bone formation, our knee gives more pain. The best part of the treatment is that it gives you pain-free life for the longest time and makes the knee more stable. We repair the ligaments and cartilage with the help of prolotherapy. We stimulate the cells so as to build cartilage or fibrous tissues. This is the very common treatment which is not done pan India. We are known for this prolotherapy in India. These details can be found online and it has lots of successful evidence also. There is another therapy called PRP which helps in regenerating our tissues but for this dextrose prolotherapy is equally important and we treat the patient with both the therapies. Combination of these therapies gives better results.  If you want to know more about this, contact me through Lybrate.

Thank You.