Author: Vishal Shinde

All About “Wear and Tear” Arthritis of the Hand

“Wear and tear” arthritis, also known as osteoarthritis (OA), is the most common type of arthritis and often affects the hands. It occurs when the cartilage that cushions the ends of the bones in the joints gradually deteriorates, leading to pain, stiffness, and reduced function.


Osteoarthritis in the hands can result from:

  • Aging: The risk of developing osteoarthritis increases with age.
  • Repetitive Use: Activities that involve repetitive motion or heavy use of the hands can contribute to joint wear.
  • Genetics: A family history of osteoarthritis can increase the risk.
  • Injury: Previous injuries to the hand or wrist can lead to osteoarthritis.
  • Gender: Women are more likely to develop hand osteoarthritis than men.
  • Obesity: Excess weight can increase stress on the joints, although this is more significant for weight-bearing joints.


  • Pain: Joint pain that worsens with activity and improves with rest.
  • Stiffness: Especially in the morning or after periods of inactivity.
  • Swelling: In and around the affected joints.
  • Reduced Range of Motion: Difficulty moving the fingers or wrist.
  • Bony Enlargements: Development of bony nodules at the middle or end joints of the fingers (Heberden’s and Bouchard’s nodes).


  • Physical Examination: Assessment of joint pain, swelling, and range of motion.
  • Imaging: X-rays can show joint space narrowing, bone spurs, and other changes.
  • Lab Tests: Generally not required for osteoarthritis but may be used to rule out other conditions.


Non-Surgical Treatments:

  1. Medications:
    • Pain Relievers: Acetaminophen, NSAIDs (ibuprofen, naproxen).
    • Topical Analgesics: Creams or gels applied directly to the skin over the joints.
  2. Therapies:
    • Physical Therapy: Exercises to strengthen muscles around the joints and improve range of motion.
    • Occupational Therapy: Techniques to protect joints and improve daily function.
    • Splints or Braces: Support and stabilize the affected joints.
  3. Lifestyle Modifications:
    • Weight Management: Maintaining a healthy weight to reduce joint stress.
    • Activity Modification: Avoiding activities that exacerbate symptoms.
    • Exercise: Regular, low-impact exercise to maintain joint flexibility and strength.
  4. Assistive Devices: Tools to help with daily activities, reducing strain on the hands.

Surgical Treatments:

  • Joint Fusion: Fusing bones in a joint to eliminate pain.
  • Joint Replacement: Replacing a damaged joint with an artificial one, typically used in severe cases.


  • Ergonomic Adjustments: Using tools and workspaces that reduce strain on the hands.
  • Regular Exercise: Maintaining joint flexibility and muscle strength.
  • Protecting Joints: Using proper techniques during activities to avoid injury.

Managing hand osteoarthritis involves a combination of treatments and lifestyle changes aimed at reducing symptoms and maintaining hand function. Early intervention and a comprehensive approach can help improve quality of life for those with hand osteoarthritis.


What is Carpal Tunnel Syndrome.?

Carpal Tunnel Syndrome (CTS) is a condition caused by compression of the median nerve as it travels through the carpal tunnel, a narrow passageway in the wrist. The median nerve controls sensation and movement in the thumb and first three fingers. When this nerve is compressed, it can lead to a range of symptoms in the hand and arm.

Symptoms of Carpal Tunnel Syndrome:

  • Numbness, tingling, and pain in the thumb, index finger, middle finger, and half of the ring finger.
  • Weakness in the hand and difficulty gripping objects.
  • A feeling of swelling in the fingers, even if no swelling is present.
  • Symptoms often worsen at night and may be relieved by shaking or moving the hand.

Causes of Carpal Tunnel Syndrome:

  • Repetitive hand movements, especially those that involve prolonged flexing of the wrist.
  • Conditions such as rheumatoid arthritis, diabetes, and hypothyroidism.
  • Pregnancy, due to fluid retention that can increase pressure in the carpal tunnel.
  • Wrist injuries or fractures.
  • Genetic predisposition, as the carpal tunnel may be smaller in some individuals.


  • Physical examination: Tinel’s sign (tapping on the median nerve to elicit symptoms) and Phalen’s maneuver (flexing the wrist to see if symptoms are reproduced).
  • Nerve conduction studies and electromyography (EMG) to assess the function of the median nerve.
  • Ultrasound or MRI may be used to visualize the carpal tunnel and surrounding structures.


  • Non-surgical options:
    • Wrist splinting: Wearing a splint, especially at night, to keep the wrist in a neutral position and reduce pressure on the median nerve.
    • Activity modification: Reducing or avoiding activities that aggravate symptoms.
    • Medications: NSAIDs for pain and inflammation.
    • Corticosteroid injections: To reduce inflammation and swelling in the carpal tunnel.
  • Surgical options:
    • Carpal tunnel release surgery: A procedure to cut the ligament pressing on the median nerve, which can be done through open surgery or endoscopic techniques.


  • Taking frequent breaks from repetitive tasks involving the hands and wrists.
  • Using ergonomic tools and workstations.
  • Performing hand and wrist exercises to maintain flexibility and strength.
  • Maintaining a healthy weight and managing underlying health conditions.

Early diagnosis and treatment of carpal tunnel syndrome can help alleviate symptoms and prevent permanent nerve damage.


What is Arthritis of the hand.?

Arthritis of the hand refers to inflammation of the joints in the hand, which can cause pain, stiffness, swelling, and reduced range of motion. There are different types of arthritis that can affect the hand, including:

  1. Osteoarthritis: This is the most common type and occurs due to the wearing down of cartilage, the smooth covering on the ends of bones. It often affects the joints at the base of the thumb, the end of the fingers, and the middle joints of the fingers.
  2. Rheumatoid Arthritis: This is an autoimmune condition where the body’s immune system attacks its own tissues, including the joints. It often affects the same joints on both sides of the body, leading to pain, swelling, and deformity.
  3. Psoriatic Arthritis: This type of arthritis affects some people with psoriasis, a skin condition. It can cause swelling, pain, and stiffness in the joints, including those in the hand.
  4. Post-traumatic Arthritis: This type of arthritis can develop after an injury to the hand, such as a fracture or dislocation.

Symptoms of Hand Arthritis:

  • Pain in the joints, especially during or after use
  • Swelling and tenderness in the joints
  • Stiffness, especially in the morning or after periods of inactivity
  • Decreased range of motion
  • Redness and warmth around the affected joints
  • Development of bony knobs on the finger joints (common in osteoarthritis)
  • Deformity and instability in the joints (common in advanced rheumatoid arthritis)


  • Physical examination by a healthcare provider
  • Imaging tests like X-rays or MRI to assess joint damage
  • Blood tests to detect markers of inflammation or autoimmune activity (especially for rheumatoid arthritis)


  • Medications: NSAIDs for pain and inflammation, DMARDs for rheumatoid arthritis, and corticosteroids.
  • Physical therapy: Exercises to improve range of motion and strength.
  • Splints or braces: To support and protect affected joints.
  • Lifestyle changes: Maintaining a healthy weight, using assistive devices, and modifying activities to reduce joint stress.
  • Surgery: In severe cases, joint replacement or fusion may be considered.

Managing hand arthritis involves a combination of treatments tailored to the type and severity of arthritis, aimed at reducing symptoms and improving hand function.

फिट किंवा मिरगी आल्यानंतर काय करावे.?

फिट किंवा मिरगी आल्यानंतर काय करावे:
१. शांत राहा:

घाबरू नका. शांत राहण्याचा प्रयत्न करा. आपल्या स्वतःची आणि रुग्णाची सुरक्षा सुनिश्चित करा.
२. रुग्णाला सुरक्षित ठिकाणी ठेवा:

रुग्णाला जमिनीवर किंवा सुरक्षित ठिकाणी ठेवावे. रुग्णाच्या आसपासच्या धोकादायक वस्तू दूर करा, जसे की धारदार वस्तू, कठोर फर्निचर इ.
३. डोक्याचे संरक्षण करा:

रुग्णाच्या डोक्याखाली मऊ वस्तू, जसे की उशा, कापड किंवा आपल्या हाताचा वापर करा, त्यामुळे डोक्याला इजा होण्याची शक्यता कमी होते.
४. रुग्णाच्या कपड्यांमध्ये आराम द्या:

रुग्णाच्या कपड्यांचा कॉलर सैल करा आणि नेमटाई किंवा इतर घट्ट कपडे असल्यास ते सैल करा.
५. रुग्णाच्या तोंडात काहीही ठेवू नका:

रुग्णाच्या तोंडात काहीही ठेवू नका, कारण त्यामुळे रुग्णाच्या श्वास घेताना अडचण येऊ शकते आणि त्यामुळे गुदमरल्याची शक्यता असते.
६. वेळेचा विचार करा:

दौऱ्याची वेळ मोजा. जर दौरा ५ मिनिटांपेक्षा जास्त वेळ चालला तर त्वरित वैद्यकीय मदतीसाठी संपर्क साधा.
७. रुग्णाला एका बाजूला वळवा:

दौऱ्यानंतर रुग्णाला एका बाजूला वळवावे, ज्यामुळे तोंडातील लाळ बाहेर येऊ शकते आणि श्वास घेण्यास सुलभता होते.
८. रुग्णाशी संवाद साधा:

दौरा संपल्यानंतर रुग्णाला जागेवर आणण्यासाठी त्याच्याशी शांतपणे बोलावे. त्याला भ्रम होण्याची शक्यता असते, त्यामुळे त्याला धीर द्यावा.
९. वैद्यकीय मदतीची गरज असल्यास:

जर रुग्णाला पहिल्यांदा दौरा आला असेल, रुग्णाला गंभीर दुखापत झाली असेल, दौरा ५ मिनिटांपेक्षा जास्त वेळ चालला असेल, दुसरा दौरा लगेच आला असेल किंवा रुग्ण श्वास घेत नसल्यास त्वरित वैद्यकीय मदतीसाठी कॉल करा.
दौऱ्यानंतर काय करावे:
१. रुग्णाच्या स्वास्थ्याची तपासणी करा:

दौरा संपल्यानंतर रुग्णाला काही वेळासाठी विश्रांती घ्यावी लागते. त्याला ठिक आहे का ते तपासा.
२. डॉक्टरांना माहिती द्या:

दौऱ्याची सर्व माहिती रुग्णाच्या डॉक्टरांना द्या. दौऱ्याची वेळ, किती काळ चालला, आणि दौऱ्यानंतरची लक्षणे याची माहिती द्या.
३. पुढील उपचार योजना तयार करा:

डॉक्टरांच्या सल्ल्याने पुढील उपचार योजना तयार करा आणि आवश्यकतेनुसार उपचार पद्धतीमध्ये बदल करा.
मिरगीचा दौरा आल्यास रुग्णाची योग्य काळजी घेणे अत्यावश्यक आहे. योग्य तयारी आणि माहितीने रुग्णाला सुरक्षित आणि आरामदायी ठेवता येऊ शकते.

जाणून घेऊयात मिरगी किंवा अपस्मार म्हणजे काय?

मिरगी किंवा अपस्मार हा एक तंत्रिका तंत्राचा विकार आहे ज्यामध्ये मेंदूतील विद्युत क्रियेमध्ये अडथळा निर्माण होतो आणि त्यामुळे वारंवार दौरे येतात. हे दौरे अचानक, अनियंत्रित आणि अनपेक्षित असतात. मिरगी हा एक दीर्घकालीन विकार आहे आणि याचे विविध प्रकार आहेत.

मिरगी किंवा अपस्मार म्हणजे काय?
१. मेंदूतील विद्युत क्रियेत अडथळा:
मिरगीमध्ये मेंदूतील तंत्रिका पेशींच्या विद्युत क्रियेत अडथळा येतो, ज्यामुळे अनियंत्रित आणि अचानक विद्युत स्फोट होतात. या विद्युत स्फोटांमुळे दौरे येतात.

२. दौऱ्यांचे प्रकार:
मिरगीचे दौरे विविध प्रकारचे असू शकतात:

जनरलाइज्ड (Generalized) दौरे: हे दौरे मेंदूच्या दोन्ही भागांत एकाच वेळी सुरू होतात. यामध्ये टॉनिक-क्लोनिक (ग्रॅंड माल) दौरे, अ‍ॅब्सन्स (पेटी माल) दौरे इत्यादी येतात.
फोकल (Focal) दौरे: हे दौरे मेंदूच्या एका विशिष्ट भागातून सुरू होतात आणि त्या भागातील क्रियेवर परिणाम करतात. यामध्ये फोकल ऑनसेट अ‍ॅवेयर (साधे फोकल), फोकल ऑनसेट इम्पेअर्ड अवेयरनेस (कम्प्लेक्स फोकल) दौरे येतात.
३. लक्षणे:
मिरगीच्या दौऱ्यांचे लक्षणे विविध असू शकतात:

अनियंत्रित अंगाचा कंप (Jerking movements of limbs)
जाणीवेत बदल (Altered awareness)
विलक्षण संवेदना (Unusual sensations)
आचके (Convulsions)
अचानक पडणे (Sudden falling)
४. कारणे:
मिरगीच्या अनेक कारणे असू शकतात:

जन्मजात विकार (Congenital abnormalities)
मेंदूच्या जखमा (Brain injuries)
संक्रमण (Infections)
जिनेटिक कारणे (Genetic factors)
मेंदूतील ट्युमर (Brain tumors)
अज्ञात कारणे (Unknown reasons)
५. निदान:
मिरगीचे निदान विविध पद्धतींनी केले जाते:

इलेक्ट्रोएन्सेफलोग्राफी (EEG): मेंदूतील विद्युत क्रियेचे निरीक्षण करण्यासाठी.
एमआरआय (MRI) आणि सीटी स्कॅन: मेंदूतील संरचनात्मक अडचणी शोधण्यासाठी.
रक्त चाचण्या: इतर आरोग्याच्या समस्या शोधण्यासाठी.
६. उपचार:
मिरगीचे उपचार वैयक्तिक गरजांनुसार ठरवले जातात:

औषधे: मिरगीचे दौरे नियंत्रित करण्यासाठी विविध एंटी-एपिलेप्टिक औषधे (AEDs) दिली जातात.
शस्त्रक्रिया: जर औषधे कार्यरत नसतील तर शस्त्रक्रिया विचारात घेतली जाते.
आहार: काही प्रकरणांमध्ये केटोजेनिक डाएट उपयोगी ठरते.
जीवनशैलीत बदल: नियमित झोप, तणाव कमी करणे, आणि आरोग्यदायी आहार घेणे.
मिरगीचे उपचार तज्ञांच्या मार्गदर्शनाखाली करणे आवश्यक आहे. अपस्माराच्या रुग्णांना नियमित फॉलो-अप आणि योग्य काळजी मिळणे महत्त्वाचे आहे.

अपस्मार आजारावर उपचार पद्धत कशी होते.?

अपस्मार आजार, ज्याला इंग्रजीमध्ये Epilepsy म्हणतात, यावर विविध उपचार पद्धती आहेत. प्रत्येक रुग्णाच्या परिस्थितीनुसार उपचार पद्धती निवडली जाते. उपचार पद्धतीमध्ये औषधोपचार, आहारातील बदल, शस्त्रक्रिया, आणि अन्य चिकित्सक उपचारांचा समावेश होऊ शकतो.

१. औषधोपचार (Medications):

एंटी-एपिलेप्टिक ड्रग्स (AEDs): सामान्यतः अपस्माराच्या उपचारासाठी प्रथम ओळखली जाणारी पद्धत आहे. या औषधांमुळे बहुतेक रुग्णांच्या दौऱ्यांना नियंत्रित केले जाऊ शकते. औषधाचे प्रकार आणि डोस रुग्णाच्या वयानुसार, आरोग्यानुसार आणि दौऱ्यांच्या प्रकारानुसार ठरवले जातात.
२. आहारातील बदल (Dietary Changes):

केटोजेनिक डाएट: काही रुग्णांमध्ये, विशेषत: मुलांमध्ये, केटोजेनिक डाएट वापरले जाते. हे डाएट उच्च फॅट, कमी कार्बोहायड्रेट युक्त असते, जे अपस्माराच्या दौऱ्यांची वारंवारता कमी करण्यास मदत करते.
३. शस्त्रक्रिया (Surgery):

जर औषधोपचार आणि आहारातील बदलांनी अपस्माराचे दौरे नियंत्रित झाले नाहीत, तर शस्त्रक्रिया विचारात घेतली जाते. शस्त्रक्रियेत दौरे होणाऱ्या मेंदूच्या भागाला काढून टाकले जाते किंवा तो भाग तुटवला जातो.
वागस नर्व स्टिम्युलेशन (Vagus Nerve Stimulation): एका साधनाने वागस नर्वला उत्तेजित केले जाते, ज्यामुळे दौऱ्यांची तीव्रता आणि वारंवारता कमी होते.
४. इतर चिकित्सक उपाय (Other Therapies):

डीप ब्रेन स्टिम्युलेशन (Deep Brain Stimulation): हे उपचार काही प्रकरणांमध्ये वापरले जाते, जिथे मेंदूच्या ठराविक भागात इलेक्ट्रिकल स्टिम्युलेशन दिले जाते.
रेस्पॉन्सिव्ह न्यूरोस्टिम्युलेशन (Responsive Neurostimulation): ही पद्धत देखील अपस्माराच्या उपचारासाठी वापरली जाते, ज्यात एका साधनाने मेंदूच्या ठराविक भागात स्टिम्युलेशन दिले जाते.
५. जीवनशैलीत बदल (Lifestyle Modifications):

अपस्माराचा परिणाम कमी करण्यासाठी काही जीवनशैलीतील बदल आवश्यक असतात. यामध्ये नियमित झोप घेणे, तणाव कमी करणे, नियमित व्यायाम करणे, आणि आरोग्यदायी आहार घेणे महत्वाचे आहे.
६. मानसिक आणि सामाजिक सहाय्य (Psychological and Social Support):

अपस्मारामुळे होणाऱ्या मानसिक तणावाशी सामना करण्यासाठी मनोवैज्ञानिक उपचार आणि सामाजिक सहाय्याची देखील गरज असते. थेरपी, सपोर्ट ग्रुप्स आणि कौन्सेलिंग रुग्णांच्या एकूण कल्याणासाठी उपयुक्त ठरू शकते.
उपचार पद्धती वैयक्तिक गरजांनुसार ठरवली जाते, त्यामुळे न्यूरोलॉजिस्ट किंवा अपस्मार तज्ज्ञांच्या सल्ल्याने योग्य उपचार पद्धती निवडणे महत्वाचे आहे.

Refractory Epilepsy म्हणजे नेमकं काय.?

Refractory Epilepsy म्हणजे औषध-प्रतिरोधक मृगी किंवा दौरे, म्हणजे अशी स्थिती ज्यामध्ये दोन किंवा अधिक योग्य औषधे आणि योग्य उपचार घेतल्यानंतरही दौरे नियंत्रित होत नाहीत.

मुख्य मुद्दे:

परिभाषा: जर दोन किंवा अधिक योग्य औषधांच्या प्रयत्नांनंतरही दौरे नियंत्रित होत नसतील, तर त्या स्थितीला Refractory Epilepsy म्हणतात.

कारणे: या स्थितीमागील कारणे विविध असू शकतात, जसे की आनुवांशिक घटक, मेंदूतील रचनात्मक विकृती, चयापचय विकार किंवा अज्ञात कारणे. काही वेळा मृगीच्या प्रकाराचे चुकीचे निदान किंवा औषधांचा अनुचित निवड हे देखील कारण असू शकते.

प्रभाव: औषध-प्रतिरोधक मृगी असलेल्या लोकांचे जीवनमान खूपच कमी होऊ शकते, कारण वारंवार आणि अनियंत्रित दौरे आणि एकाधिक औषधांच्या दीर्घकालीन वापरामुळे होणारे दुष्परिणाम.

व्यवस्थापन: औषध-प्रतिरोधक मृगीचे व्यवस्थापन साधण्यासाठी विविध पद्धतींचा वापर करावा लागतो:

निदानाचे पुनर्मूल्यांकन: मृगीच्या प्रकाराचे आणि सिंड्रोमचे योग्य निदान सुनिश्चित करणे.
प्रगत उपचार: केटोजेनिक डाएट, मृगी शस्त्रक्रिया, वेगस नर्व स्टिम्युलेशन किंवा नवीन औषधांचा विचार करणे.
सहाय्यक काळजी: मानसिक आणि सामाजिक बाबींचे निराकरण करणे आणि रुग्णाच्या एकूण कल्याणासाठी सहाय्य प्रदान करणे.
विशेषज्ञांच्या सल्ल्याचा महत्त्व: औषध-प्रतिरोधक मृगी असलेल्या लोकांनी न्युरोलॉजिस्ट किंवा एपिलेप्टोलॉजिस्ट (मृगीतज्ज्ञ) यांच्याकडून विशेष काळजी घेणे अत्यावश्यक आहे, कारण ते सर्व संभाव्य उपचार पर्यायांची तपासणी करू शकतात आणि विशेष काळजी देऊ शकतात.

Refractory Epilepsy समजून घेणे आणि Dr. Poornima Gauri सारख्या आरोग्य तज्ज्ञांच्या मदतीने या स्थितीचे योग्य व्यवस्थापन करणे आवश्यक आहे.

Importance of Neuro Rehabilitation Physiotherapy

Neurorehabilitation physiotherapy plays a crucial role in the recovery and management of individuals with neurological conditions. Here are some key reasons highlighting its importance:
• Improving Functionality: Neurological conditions often lead to impairments in movement, balance, coordination, and other functional abilities. Neurorehabilitation physiotherapy aims to restore or maximize these functions, enabling individuals to perform activities of daily living independently and participate more fully in society.
• Enhancing Quality of Life: By addressing physical limitations and promoting independence, neurorehabilitation physiotherapy can significantly improve the quality of life for individuals with neurological conditions. It helps them regain confidence, autonomy, and a sense of purpose in their daily activities.
• Preventing Secondary Complications: Neurological conditions may predispose individuals to secondary complications such as muscle weakness, contractures, pressure sores, and respiratory problems. Physiotherapy interventions, including exercises, positioning techniques, and respiratory exercises, help prevent these complications and maintain overall health.
• Promoting Neuroplasticity: Neuroplasticity refers to the brain’s ability to reorganize and form new neural connections in response to learning, experience, or injury. Neurorehabilitation physiotherapy harnesses the principles of neuroplasticity to facilitate recovery by stimulating specific neural pathways through repetitive exercises and motor learning techniques.
• Optimizing Recovery After Acute Events: Following acute neurological events such as stroke or traumatic brain injury, early and intensive rehabilitation is crucial for maximizing recovery and minimizing disability. Neurorehabilitation physiotherapy is an integral part of the multidisciplinary rehabilitation team, working to promote neurorecovery and functional gains during the acute and subacute phases of recovery.
• Facilitating Long-Term Management: Many neurological conditions are chronic or progressive in nature, requiring ongoing management and support. Neurorehabilitation physiotherapy provides individuals with the tools, strategies, and resources to manage their condition effectively over the long term, adapting interventions as their needs change.
• Improving Participation and Social Integration: By improving physical function and mobility, neurorehabilitation physiotherapy enables individuals to participate in social, recreational, and vocational activities, enhancing their overall social integration and well-being.
• Supporting Caregivers: Neurological conditions can place significant demands on caregivers, both physically and emotionally. Physiotherapy interventions not only benefit the individual with the condition but also provide support and education to caregivers, helping them better understand and assist in the rehabilitation process.
Overall, neurorehabilitation physiotherapy is essential for maximizing functional outcomes, promoting independence, and enhancing the overall well-being of individuals living with neurological conditions. It addresses the complex physical, cognitive, and emotional needs of patients, guiding them towards a more fulfilling and meaningful life.

Elbow Problems in Students while Studying.

Students, especially those who spend long periods studying, using computers, or writing, may experience elbow problems due to repetitive strain or poor ergonomics. Here are some common issues and causes:

• Repetitive Strain: Continuous and repetitive movements of the elbow, such as typing or writing for extended periods, can lead to overuse injuries like tennis elbow or golfer’s elbow.

• Poor Posture and Ergonomics: Sitting in a position that puts strain on the elbow, such as having the arms unsupported or using a desk and chair that are not properly adjusted, can contribute to elbow pain.

• Compression of Nerves: Sitting with the elbow bent for long periods or resting the elbow on a hard surface can compress the ulnar nerve, leading to numbness, tingling, or pain in the elbow and down the arm (known as cubital tunnel syndrome).

• Inadequate Rest Breaks: Not taking breaks while studying or using a computer can increase the risk of developing repetitive strain injuries.

• Poor Equipment Setup: Using a keyboard and mouse that are too high or too low can strain the elbow and other parts of the arm.

• Preventive measures and strategies to manage elbow problems while studying include:

• Adjusting the Workstation: Ensure the desk, chair, keyboard, and mouse are at a comfortable height and distance to minimize strain on the elbow.

• Taking Breaks: Regularly taking breaks from studying or computer use to stretch and rest the arm can help prevent overuse injuries.

• Using Ergonomic Aids: Arm rests or padded wrist rests can help provide support and reduce strain.

• Maintaining Good Posture: Keeping a straight posture while studying can help prevent unnecessary strain on the elbow.

• Stretching and Strengthening Exercises: Doing specific exercises for the forearm and elbow can help strengthen the muscles and tendons and prevent injuries.

• Avoiding Prolonged Flexion: Keep the arm relatively straight during long periods of use to avoid putting pressure on the ulnar nerve.

If a student experiences persistent elbow pain, it’s advisable to seek medical advice for an accurate diagnosis and appropriate treatment.

What are the Common Causes of Elbow Pain.?

Elbow pain can be caused by a variety of conditions ranging from overuse injuries to direct trauma or other underlying health issues. Some common causes of elbow pain include:

Tennis Elbow (Lateral Epicondylitis): This condition is caused by overuse of the forearm muscles that attach to the lateral epicondyle of the elbow. It is often associated with repetitive wrist extension movements.

• Golfer’s Elbow (Medial Epicondylitis): Similar to tennis elbow, this condition is caused by overuse of the forearm muscles, but it affects the medial epicondyle (inner part of the elbow) and is associated with repetitive wrist flexion movements.

• Olecranon Bursitis: Inflammation of the bursa (fluid-filled sac) at the tip of the elbow can cause pain and swelling. This can be due to repetitive pressure on the elbow or an infection.

• Elbow Arthritis: Arthritis, such as osteoarthritis or rheumatoid arthritis, can affect the elbow joint, causing pain, stiffness, and limited range of motion.

• Elbow Fractures: A break in one of the bones of the elbow (humerus, radius, or ulna) can cause significant pain and dysfunction.

• Elbow Dislocation: This occurs when the bones of the elbow joint are displaced, often due to trauma or a fall onto an outstretched arm.

• Cubital Tunnel Syndrome: Compression of the ulnar nerve as it passes through the elbow can cause pain, tingling, or numbness in the elbow and down into the hand.

• Tendinitis: Inflammation of the tendons around the elbow can cause pain and tenderness, often due to repetitive motions or overuse.

• Elbow Sprains and Strains: Injury to the ligaments or muscles around the elbow can result from a sudden impact or overuse.

• Referred Pain: Sometimes pain in the elbow can be due to problems elsewhere, such as in the neck or shoulder.

If you’re experiencing elbow pain, it’s important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.

What is Neuro Rehabilitation Physiotherapy.?

Neurorehabilitation physiotherapy is a specialized area of physical therapy focused on helping individuals recover from neurological conditions or injuries affecting the brain, spinal cord, and nerves. It aims to improve mobility, strength, balance, coordination, and functional abilities that may have been compromised due to conditions such as stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, Parkinson’s disease, cerebral palsy, and other neurological disorders.

Neurorehabilitation physiotherapy involves a comprehensive assessment of the patient’s impairments, limitations, and goals, followed by the development of an individualized treatment plan. Treatment techniques may include:

• Exercise therapy: Tailored exercises to improve muscle strength, flexibility, endurance, and coordination.

• Gait training: Assistance in learning to walk again or improving walking patterns using devices such as parallel bars, walkers, canes, or orthotics.

• Balance training: Exercises and activities aimed at improving balance and reducing the risk of falls.

• Functional training: Practice of activities of daily living (ADLs) such as dressing, bathing, and cooking to enhance independence.

• Manual therapy: Hands-on techniques including massage, joint mobilization, and stretching to improve range of motion and reduce pain.

• Neuromuscular re-education: Training to help the brain relearn movement patterns and improve coordination.

Assistive device training: Instruction in the use of assistive devices such as wheelchairs, braces, or prosthetics to optimize mobility.

Adaptation strategies: Teaching compensatory techniques or modifications to overcome specific challenges related to neurological deficits.

Neurorehabilitation physiotherapy is often delivered by physical therapists with specialized training in neurology and rehabilitation. The ultimate goal is to maximize functional independence, enhance quality of life, and promote participation in meaningful activities for individuals with neurological conditions. Treatment may be provided in various settings, including hospitals, rehabilitation centers, outpatient clinics, and home-based care. Additionally, interdisciplinary collaboration with other healthcare professionals such as occupational therapists, speech therapists, and physicians is common to address the multifaceted needs of neurorehabilitation patients.

Recognizing the Signs of Stroke: BE FAST

Recognizing the Signs of Stroke: BE FAST


Every year, millions of people worldwide experience strokes, making it one of the leading causes of disability and death. A stroke occurs when the blood supply to the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. This sudden disruption can have devastating consequences, impacting a person’s ability to move, speak, and even think. Consequently, stroke is rightly regarded as a medical emergency that demands swift and decisive action.


The urgency in addressing stroke lies in its potential to cause irreversible damage to the brain. Brain cells begin to die within minutes of a stroke, underscoring the critical need for timely intervention. Recognizing the signs and symptoms of stroke can be the difference between life and death, between independence and disability. Therefore, increasing awareness about stroke and understanding its warning signs is paramount in our collective efforts to combat this debilitating condition.


As we delve deeper into the intricacies of stroke, exploring its causes, treatment options, and preventive measures, it becomes apparent that knowledge truly is power. By arming ourselves with information about stroke, we empower individuals, families, and communities to take proactive steps towards stroke prevention and to respond effectively in the event of an emergency. In the following sections, we will unravel the complexities of stroke, shedding light on its multifaceted nature and equipping readers with the tools they need to navigate this challenging terrain.


Causes of Stroke


Stroke is a complex medical condition that arises from the interruption or reduction of blood flow to the brain, leading to the impairment or death of brain cells. This interruption can occur for various reasons, resulting in two main types of stroke: ischemic stroke and hemorrhagic stroke.


Ischemic Stroke: This type of stroke occurs when a blood vessel supplying the brain becomes blocked or narrowed, restricting blood flow to a specific part of the brain. The blockage is typically caused by a blood clot or plaque buildup in the blood vessels, a condition known as atherosclerosis. Without adequate blood supply, brain cells begin to suffer from oxygen and nutrient deprivation, leading to tissue damage or death.


Hemorrhagic Stroke: Unlike ischemic stroke, hemorrhagic stroke occurs when a blood vessel in the brain ruptures or leaks, causing bleeding into the surrounding tissue. This bleeding can result from various factors, including high blood pressure, aneurysms (weakness in blood vessel walls), arteriovenous malformations (abnormal connections between arteries and veins), or head trauma. The presence of blood in the brain can exert pressure on surrounding tissue, leading to further damage and neurological deficits.




BE FAST serves as a mnemonic device to aid in the recognition of stroke symptoms and prompt action. By remembering this acronym, individuals can quickly assess whether someone may be experiencing a stroke and seek timely medical attention:


B: Balance: Sudden loss of balance or coordination can indicate a stroke. Individuals may experience difficulty walking or maintaining their balance, often without any apparent cause.


-E: Eyes: Sudden trouble seeing in one or both eyes is another warning sign of stroke. This may manifest as blurred vision, double vision, or even complete vision loss in one eye.


-F: Face: Sudden weakness or drooping on one side of the face is a classic symptom of stroke. This facial droop may affect the mouth, causing a lopsided smile or difficulty in fully closing one eye.


-A: Arms: Sudden weakness or numbness in one arm, particularly on one side of the body, can indicate a stroke. Individuals may struggle to raise their arm or maintain a firm grip on objects.


-S: Speech: Sudden difficulty speaking or understanding speech is a common symptom of stroke. This may manifest as slurred speech, difficulty forming words, or trouble comprehending language.


-T: Time: Time is of the essence when it comes to stroke. If any of these symptoms are observed, it is crucial to call emergency services immediately and seek medical attention without delay. Rapid intervention can significantly improve outcomes and minimize long-term disability.

Treatment of Stroke

-Time Sensitivity: When it comes to stroke treatment, time is of paramount importance. The phrase “Time is brain” underscores the critical need for swift action. The longer blood flow is disrupted to the brain, the greater the risk of irreversible brain damage. Therefore, recognizing the signs of stroke and seeking immediate medical attention is crucial.

-Medications: The specific treatment approach for stroke depends on the type and severity of the stroke. In the case of ischemic stroke, where a blood clot blocks a blood vessel supplying the brain, medications such as tissue plasminogen activator (tPA) or thrombolytics may be administered to dissolve the clot and restore blood flow. These clot-busting drugs are most effective when given within a few hours of the onset of symptoms.

-Surgery: In some cases of hemorrhagic stroke, where bleeding occurs within the brain, surgical intervention may be necessary to repair the blood vessel and stop the bleeding. This may involve procedures such as aneurysm clipping, coiling, or arteriovenous malformation (AVM) removal, depending on the underlying cause of the bleeding.

-Rehabilitation: Stroke recovery does not end with acute medical intervention; it is a journey that often requires ongoing rehabilitation to regain lost function and maximize independence. Rehabilitation programs are tailored to the individual needs of stroke survivors and may include physical therapy, occupational therapy, and speech therapy. Physical therapy aims to improve mobility, strength, and coordination, helping individuals regain control over their movements and reduce the risk of falls. Occupational therapy focuses on relearning everyday tasks such as dressing, bathing, and cooking, adapting the environment to accommodate any physical limitations. Speech therapy addresses communication difficulties and swallowing problems that may arise as a result of stroke, helping individuals regain their ability to speak clearly and safely consume food and liquids.


Precautions and Prevention

– Healthy Lifestyle: Adopting a healthy lifestyle is essential for stroke prevention. This includes maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while limiting saturated fats, cholesterol, and sodium. A healthy diet can help control weight, blood pressure, and cholesterol levels, reducing the risk of stroke.

– Regular Exercise: Regular physical activity is crucial for maintaining cardiovascular health and reducing the risk of stroke. Aim for at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity exercise each week, as recommended by health guidelines. Exercise can help lower blood pressure, improve circulation, and promote overall well-being.

– Smoking Cessation: Smoking is a significant risk factor for stroke, as it damages blood vessels and increases the likelihood of blood clots. Quitting smoking can dramatically reduce the risk of stroke and improve overall health. Support resources and smoking cessation programs are available to help individuals quit smoking and maintain a smoke-free lifestyle.

– Limit Alcohol Intake: Excessive alcohol consumption can contribute to high blood pressure, irregular heart rhythms, and other risk factors for stroke. Limiting alcohol intake to moderate levels—defined as up to one drink per day for women and up to two drinks per day for men—can help lower the risk of stroke and promote cardiovascular health.

– Manage Chronic Conditions: Conditions such as high blood pressure, diabetes, and high cholesterol significantly increase the risk of stroke. Managing these conditions through medication, lifestyle modifications, and regular monitoring can help control risk factors and prevent stroke.

– Regular Check-ups: Regular check-ups with a healthcare provider are essential for monitoring and managing risk factors for stroke. Routine screenings for blood pressure, cholesterol levels, and other cardiovascular risk factors can help identify issues early and take appropriate measures to prevent stroke.

In conclusion, staying informed about stroke and its warning signs is paramount for everyone’s well-being. By familiarizing ourselves with the BE FAST acronym and understanding the importance of swift action, we can play a proactive role in preventing strokes and mitigating their impact. Empowering ourselves and our communities with knowledge about stroke empowers us to recognize its signs promptly and seek timely medical attention, potentially saving lives and minimizing long-term disability.


Moreover, advocating for stroke awareness and prevention initiatives within our communities can have a profound impact on public health outcomes. By spreading awareness about the risk factors for stroke and promoting healthy lifestyle habits, we can collectively work towards a future free from the burden of stroke-related disabilities. Together, let us prioritize stroke prevention, empower individuals to take control of their health, and foster a supportive environment where everyone is equipped to recognize and respond to stroke effectively. Through concerted efforts and education, we can pave the way for a healthier, stroke-free future for generations to come.


Understanding Epilepsy: Intracris of the Seizure Disorders

Epilepsy is a neurological condition that affects millions of individuals worldwide.

In this blog article, we will look at epilepsy’s causes, symptoms, and the necessity of effective medical therapy.

What is epilepsy?

Epilepsy is a chronic condition marked by recurring seizures, which are transient disruptions in the electrical activity of the brain.Types of seizures: Highlight the many forms of seizures, such as generalized and focal seizures.

Causes of Epilepsy:

  •   Genetic factors.
  •   Brain injuries: 
  •  Developmental disorders


Signs & Symptoms of epilepsy: 

  1. Seizures are the defining characteristic of epilepsy. These can manifest in different ways:


  • Generalized seizures: These seizures affect the entire brain and can cause loss of consciousness, convulsions, and muscle stiffness.
  • Focal seizures: Seizures that originate in a specific area of the brain can cause altered consciousness, unusual movements, or sensations that are limited to one body part.


  1. Auras are symptoms or warning signals that some people with epilepsy experience before having a seizure. Auras can manifest in a variety of ways, including odd tastes, scents, or visual distortions like déjà vu.


  1. Brief Bewilderment: People may go through a phase of confusion or disorientation following a seizure. The duration of this postictal state varies from a few minutes to multiple hours.


  1. A transient loss of consciousness may result from some seizures, especially absence seizures. People may appear “absent” or gaze blankly into space during these instances.


  1. Unplanned Motions: Extremity jerking or shaking are common uncontrollable motions associated with generalized tonic-clonic seizures. It’s crucial to remember that convulsions are not always the result of seizures.


  • People who are having focal seizures may go into staring spells where they are unresponsive and may move repetitively.
  1. Automata:


  • Automatisms are automatic, repetitive behaviors brought on by seizures. Lip-smacking, chewing, and other meaningless motions are examples of these.


  1. Symptoms in the body:
  • Many physical symptoms, including tingling in the extremities, numbness, and muscle weakness, can be present during a seizure.
  1. A shift in emotions:
  • The presentation of epilepsy can be complicated by mood swings or emotional shifts that might happen before, during, or following a seizure.


Diagnosis : 

  •  It’s really important to visit a doctor if you think you have epilepsy. They can figure out what’s going on and how to help you.
  •  Doctors might do tests like an EEG (brain wave test) or an MRI (a type of body scan) to understand more about what’s happening in your brain.


Treatment : 

  •   Doctors might give you special drugs called antiepileptic drugs (AEDs) to help control your seizures.
  •   Healthy choices: Making good choices like getting enough sleep, managing stress, and staying away from things that trigger your seizures can also make a big difference.



Epilepsy, while a complex condition, is manageable with the right medical care and support. By fostering awareness and dispelling myths, we can contribute to creating a more understanding and inclusive society for individuals living with epilepsy. If you or someone you know is affected by epilepsy, seek professional medical advice to ensure accurate diagnosis and optimal management.

Navigating the Whirlwind: Understanding Vertigo and Finding Balance

Have you ever felt like the world around you is spinning out of control, even when you’re perfectly still? Welcome to the enigmatic world of vertigo. Vertigo, often misunderstood as a fear of heights, is a complex neurological condition that disrupts our sense of balance and spatial orientation. In this article, we delve into the depths of vertigo, exploring its causes, treatments, precautions, and the role of neuroscience in unraveling its mysteries.


Causes of Vertigo

  1. Inner Ear Disorders:

   The inner ear comprises delicate structures crucial for balance, including the semicircular canals and the cochlea. Disorders affecting the inner ear, such as Meniere’s disease, disrupt the normal fluid balance within these structures, leading to vertigo episodes. Meniere’s disease is characterized by fluid build-up in the inner ear, causing pressure changes that result in vertigo, hearing loss, and tinnitus. Vestibular neuritis, another inner ear disorder, involves inflammation of the vestibular nerve, often triggered by viral infections. This inflammation disrupts the transmission of balance signals to the brain, resulting in vertigo spells.


  1. Benign Paroxysmal Positional Vertigo (BPPV)

    BPPV is the most common form of vertigo, typically triggered by specific head movements. Within the inner ear’s semicircular canals, tiny calcium carbonate crystals called otoliths or canaliths can become dislodged and accumulate in the wrong part of the canal. These displaced crystals interfere with the normal flow of fluid within the semicircular canals, sending false signals to the brain about head movement, leading to vertigo spells.


  1. Neurological Issues

   Vertigo can also stem from neurological conditions affecting the brain and its associated structures. Migraines, for instance, can cause vertigo as a symptom, often referred to as vestibular migraines. These migraines may involve abnormal activity in the brain’s vestibular pathways, leading to vertigo episodes. More severe neurological issues such as strokes or tumors affecting the brainstem or cerebellum can disrupt the brain’s ability to process balance signals, resulting in vertigo.


  1. Medication Side Effects

   Certain medications, particularly those affecting the inner ear or the brain’s neurotransmitter levels, can induce vertigo as a side effect. Examples include certain antibiotics, antiepileptic drugs, antidepressants, and medications used to treat high blood pressure. These medications can interfere with the normal functioning of the vestibular system or disrupt the brain’s ability to process balance signals, leading to vertigo symptoms.

Treatment Options


  1. Vestibular Rehabilitation Therapy (VRT)

   VRT is a structured program administered by trained therapists to address vertigo and balance issues. It involves exercises tailored to each patient’s specific needs, focusing on enhancing the brain’s ability to compensate for vestibular deficits. These exercises may include head movements, eye exercises, balance training, and habituation exercises aimed at desensitizing the vestibular system to motion-related stimuli. VRT aims to improve balance, reduce dizziness and vertigo symptoms, and enhance overall quality of life for individuals affected by vestibular disorders.


  1. Canalith Repositioning Maneuvers

   Canalith repositioning maneuvers, such as the Epley maneuver or the Semont maneuver, are highly effective treatments for benign paroxysmal positional vertigo (BPPV). These maneuvers involve specific head and body movements designed to reposition displaced calcium crystals (canaliths) within the inner ear’s semicircular canals. By guiding the movement of these particles back to their proper location, canalith repositioning maneuvers alleviate vertigo symptoms and restore normal vestibular function. These maneuvers are often performed by healthcare professionals but can also be taught for self-administration at home under proper guidance.


  1. Medications

Medications may be prescribed to manage vertigo symptoms or address underlying causes, depending on the individual’s diagnosis and medical history. Antihistamines such as meclizine or diphenhydramine can help alleviate vertigo and associated nausea by stabilizing the vestibular system. Antiemetics like promethazine or ondansetron may be prescribed to relieve nausea and vomiting accompanying vertigo episodes. Benzodiazepines such as diazepam or lorazepam may be used to reduce anxiety associated with vertigo or to suppress vestibular symptoms.


  1. Surgery

   Surgical intervention is typically considered when other treatments have failed to provide relief or in cases of severe vertigo due to structural abnormalities or tumors. Surgical procedures may involve repairing inner ear structures, removing tumors compressing the vestibular nerve, or severing the nerve to alleviate vertigo symptoms.

While surgery carries risks and is usually reserved as a last resort, it can be beneficial for patients with debilitating vertigo unresponsive to conservative treatments.


Precautions and Lifestyle Adjustments


  1. Avoid Triggers

 Vertigo triggers vary from person to person but commonly include sudden head movements, rapid changes in position, and environments with excessive visual or motion stimuli. Individuals experiencing vertigo should identify their specific triggers and take proactive measures to avoid or minimize exposure to them. This may involve modifying daily activities, such as avoiding rapid head turns or crowded, visually stimulating spaces, to reduce the likelihood of vertigo episodes.


  1. Stay Hydrated

   Adequate hydration is crucial for overall health and can also help mitigate vertigo symptoms. Dehydration can disrupt the balance of electrolytes in the body, affecting the function of the inner ear and exacerbating vertigo. Individuals prone to vertigo should ensure they drink enough water throughout the day to maintain proper hydration levels and support vestibular function.


  1. Mindful Movement

   During vertigo episodes or when feeling dizzy, it’s essential to move cautiously and mindfully to prevent falls or injuries. Rapid movements, sudden changes in position, or standing up too quickly can trigger or worsen vertigo symptoms. Practicing deliberate and controlled movements, such as rising from a seated position slowly or using handrails for stability, can help minimize dizziness and reduce the risk of accidents.


  1. Stress Management

   Stress and anxiety can exacerbate vertigo symptoms by heightening sensitivity to sensory inputs and increasing muscle tension. Implementing stress management techniques, such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation, can help alleviate anxiety and promote relaxation. By reducing stress levels, individuals may experience a decrease in the frequency or intensity of vertigo episodes and better cope with the challenges associated with this condition.


The Role of Neuroscience


  1. Understanding the Vestibular System

  The vestibular system, located within the inner ear, is responsible for maintaining balance, spatial orientation, and coordination of head and eye movements. Neuroscience plays a crucial role in elucidating the complex neural pathways and sensory integration mechanisms involved in processing vestibular information. Researchers explore how signals from the vestibular organs are transmitted to the brainstem and cerebellum, where they are integrated with visual and proprioceptive inputs to maintain equilibrium.


  1. Advanced Imaging Techniques

   Neuroscientists employ various imaging modalities, such as functional magnetic resonance imaging (fMRI), positron emission tomography (PET), and diffusion tensor imaging (DTI), to visualize brain structures and activity associated with vertigo. These techniques allow researchers to map brain regions involved in vestibular processing, identify abnormalities in patients with vertigo, and monitor changes in neural activity following treatment interventions.


  1. Neurophysiological Studies

   Electrophysiological studies, including electroencephalography (EEG), vestibular evoked myogenic potentials (VEMP), and electronystagmography (ENG), provide valuable insights into the electrical activity of the vestibular system and its connections with other brain regions. By recording neural responses to vestibular stimuli, researchers can investigate sensory processing deficits in individuals with vertigo and develop targeted therapeutic approaches to address these impairments.


  1. Research in Leading Journals

   Scientific journals like Nature Neuroscience serve as prominent platforms for publishing cutting-edge research on the neurobiology of vertigo. Studies published in these journals elucidate the molecular, cellular, and circuit-level mechanisms underlying vestibular function and dysfunction. By disseminating groundbreaking discoveries and fostering collaboration among researchers and clinicians, these journals drive innovation and facilitate the translation of basic science findings into clinical applications.


Vertigo may disrupt our sense of equilibrium, but with the combined efforts of medical science, physical therapy, and a deeper understanding of the neurological mechanisms at play, we can regain our balance and navigate life’s whirlwinds with confidence. By shedding light on the causes, treatments, and precautions associated with vertigo, we empower individuals to take control of their health and seek appropriate care when needed. Let’s continue to explore the fascinating intersection of neuroscience and vertigo, unlocking new insights and forging pathways towards a world where dizziness no longer holds us back from experiencing life to the fullest.

Recovering from orthopaedic surgery: What to expect and how to optimize your healing

This article can be your starting point if you are planning to undergo orthopaedic surgery. Read on to know how Sancheti has the best spine specialists and hand surgery team in India to treat and care for you.

What to expect during recovery?
All surgeons will recommend rehabilitation for patients who underwent any orthopaedic surgery. This improves the range of motion, function, and greater strength and mobility, reducing pain and quickening your recovery. Most rehabilitation programs are tailored to relieve pain in specific areas after surgery. Once you discuss your expectations post-operation, your doctor will suggest the best process for recovery.

Occupational therapy
What follows your orthopedic surgery is physical/occupational therapy. Your surgeon might suggest informal therapy routines, like walking or moving the affected parts to reduce friction. Based on the severity, you need to sign up for physical therapy, spanning from a week and extending to a month. Physical or occupational therapy focuses on training the muscles and nerves to work together, restore balance and strength, learn to use canes and other helping devices and help you perform daily tasks like dressing, bathing and eating

The recovery period for each person differs. Your patience, tolerance level, and regular follow-up with your surgeon will aid in a quick recovery. It’s normal to feel the pain, even after one month of surgery. Hence, follow your surgeon’s instructions to T to get back to your routine as soon as possible.

How to optimise your healing?
Optimising your healing is as important as preparing before orthopaedic surgery. The following measures can be helpful.

Lift your affected part higher
Increasing blood circulation from the operated area to your heart is essential. Hence, learn to lift maximum, which also reduces pain and swelling.

Move other parts for reduced swelling
Though your operation targets only one part or area, the entire unit can get sore after surgery. If you have had an elbow operation, you must start moving your arms slowly, per your physical therapist’s recommendation. This makes the other surrounding parts active and reduces pain too.

Move your joints
If you had joint surgery, with your surgeon’s permission, you could perform exercises to activate the other joints. Rotate, move or bend to prevent your joints from becoming stiff. With time, you can rotate your surgical joint with others’ help.

Use necessary device
In the knee, ankle, shanks or foot surgeries, you may first need a cane or other walking devices to help you manage weight while walking. Broken bones need strength to bear weight and balance, so a walking cane is used. Using these devices would help until you can manage walking alone.

Apart from this, what you eat, and drink can help your recovery quickly. Many don’t feel like eating post-surgery, as patients feel nauseated. You can ask your doctor what to include so that you feel hydrated and energetic. Remember that food is fuel to make your body work after an operation.

How can Sancheti help you
Sancheti has the best team of orthopaedic surgeons in the country who follow the latest and minimally invasive techniques to treat our patients. Sancheti also has a fully functional rehabilitation centre, which promises a speedy recovery. Visit our website to learn more about our doctors and success stories.

People also ask

How can I maximise my healing after surgery?

Feel confident that you can get better after surgery. Hydrate and eat a nutritious meal, follow instructions and allow your body to heal. All these will maximise healing.

What is the most complex orthopaedic surgery to recover from?

Knee and shoulder replacement, spinal fusion and reconstruction are the most complex orthopedic surgeries, as these cause more pain and have more extended recovery periods. With Sancheti, you can get the best solutions for all your orthopedic issues.

How long is the healing process for orthopaedic surgery?

Four weeks is the minimum healing period for orthopedic surgery, and it can also take two to three months, based on the type of surgery and severity of the issue. With occupational and physical therapy, all patients can get back to shape within a short time.

How do you recover from orthopaedic surgery?

Physical therapy can improve your recovery after surgery, depending on your diet, health and other conditions. Simply put, trust your surgeon and follow his advice to return to your feet!

How to prevent common orthopaedic injuries: Tips & exercises for keeping your joints & bones healthy

Whether you’re a gifted athlete who trains regularly or an office worker who spends his entire life hunched in front of a desk daily doesn’t matter. Everyone is vulnerable to an orthopaedic injury that could strike at any time. Many orthopaedic injuries occur because of an accident, and we can’t do much about them but get the orthopaedic urgent care they need. Nevertheless, while accidents certainly happen, we can prevent most orthopaedic injuries and succeed. Here are some tips and exercises that can help you prevent common orthopaedic injuries.

When suffering from common joint injuries, follow the RICE protocol:
R: One should take complete rest after an acute injury; the problem will alleviate with excessive movement of the joints.
I: Apply ice packs to the area at least 3-4 times for 10 to 15 minutes around the joint area where it hurts; ice packs reduce the inflammation and help in healing.
C: Apply compression with crepe bandage for knee injuries as it reduces the excessive swelling and supports the part.
E: Elevate the injured body part, reducing the swelling as it increases venous blood flow away from the joint towards the central body.

RICE protocol can be followed for bone and joint injuries like ankle, foot, wrist, elbow and fingers. We can apply any standard pain ointment or balm but avoid rigorously massaging the area as it leads to further injury and increased reactionary circulation leading to increased swelling

Here are some tips and exercises that can help you prevent common orthopaedic injuries.

  • Get regular exercise
    Regular exercise provides many health benefits, preventing orthopaedic injuries included. As you regularly perform strength training and endurance exercises, your muscles and joints become potent and tougher, allowing you to handle the effects of high-impact activities better. Stronger muscles provide additional bone protection, which regular exercise can make denser
  • Stretch your muscles
    Stretching is vital to working out, as it helps improve your body’s flexibility and aids blood flow to your muscles. Better blood flow to the muscles improves their nutrient absorption ability, and discarding lactic acid and other waste products becomes manageable. On top of helping you become more flexible, stretching exercises can also provide additional benefits, such as increasing your range of motion, improving your posture, and calming your mind
  • Maintain a healthy weight
    Being overweight strains your weight-bearing joints, such as your knees, ankles, hips, and back. Every pound of excess weight you carry results in an additional four pounds of extra pressure on your weight-bearing joints. Your chance of developing joint damage can reduce by achieving and maintaining a healthy weight, which will lessen the strain on your joints. It would also be great to consume healthy amounts of dietary fats that help with nutrient absorption and hormone production, which are critical in protecting your muscles and joints from injury.
  • Wear the right shoes
    Whenever you stand, walk, jog, or run for specific stretches, you put a certain amount of strain on your legs’ structural makeup. Over time, the effects of that strain will accumulate and lead to various musculoskeletal issues. However, wearing footwear appropriate for the activity you’re engaging in should help reduce the pressure on your feet and legs. There’s a veritable treasure trove of shoes designed to cushion your joints and bones, from the most comfortable running footwear to basketball shoes that effectively absorb the impact of landing on the court.
  • Go swimming
    If you want a workout that doesn’t strain your joints and bones too much, go swimming instead! Swimming is a low-impact activity that gives you excellent cardiovascular exercise without damaging orthopaedic health. When you go swimming, you get the opportunity to increase not just your flexibility but your range of motion as well, both of which reduce your risk of orthopaedic injury.
  • How does Sancheti Hospital help you?
    Through minimal incisions, orthopaedic physicians at Sancheti Hospital Pune undertake joint replacement surgeries. This process is called minimally invasive surgery. It might result in less bleeding, a smaller scar, less pain, and a simpler recovery. Additionally, these procedures may need

    d specialised tools and materials, such as computer-generated tailored surgery resection guides, computer-assisted surgical intervention, and computer-assisted robotics. Sancheti Hospital has state-of-the-art machinery to ensure excellent and smooth joint replacement surgery, guided by the able hands of surgeons with years of expertise and knowledge.


How can you help avoid injury to your bones and joints?

Injury-prevention tips are

  • Avoid doing too much, too soon.
  • Maintain strength in the muscles surrounding the joint area.
  • Train smart by cross-training
  • Never skip your warm-up or cool-down.
  • Always use proper technique and body mechanics when playing sports involving repetitive motion, such as tennis and golf.
  • Be in shape.
What is the best exercise to protect joints

The best exercise to protect joints includes walking, bicycling, swimming and water aerobics. If working out for 10 minutes is easier on your joints, do that.

What are four ways to keep your joints healthy?

Here are four ways to keep your joints healthy:

  • Maintain a healthy weight
  • Keep moving
  • Use correct posture
  • Eat right.
How do you keep your bones, muscles and joints healthy?

Exercise is a fantastic way to preserve your bone and joint health. Weight-bearing exercises– such as using hand weights, doing bodyweight exercises like push-ups or squats, or even walking at an incline–can help keep your bones healthy by increasing bone density.

What foods are good for your joints?

Here are a few foods that help reduce joint pain:

  • Omega-3 fatty acids/fish oils
  • Nuts and seeds
  • Brassica vegetables
  • Colourful fruits
  • Olive oil
  • Lentils and beans
  • Garlic and root vegetables
  • Whole grains
Causes of Foot Pain

Roots of Discomfort: Understanding the Causes of Foot Pain

Our feet are the foundation of our bodies and carry us through our daily activities. However, foot pain is a common problem that affects millions of people worldwide. Foot pain can be caused by a variety of factors, and understanding the root cause of discomfort is essential for finding the right treatment. Here, we explore the top causes of foot pain and what measures can be taken to avoid it.

Causes of Foot Pain

  1. Dry skin
    Dry skin is a common cause of foot pain, especially during the winter months. When the skin on our feet becomes too dry, it can crack, leading to pain and discomfort. To avoid this, it is essential to keep your feet moisturised regularly. Apply a moisturiser specifically designed for feet at least twice a day, and avoid using products that contain harsh chemicals that can dry out your skin further.
  2. Extra weight
    Carrying excess weight puts a lot of pressure on your feet, which can cause pain and discomfort. Obesity is a significant risk factor for foot pain, as it increases the strain on the bones, joints, and ligaments in the feet. Losing weight can reduce the pressure on your feet and alleviate pain. Regular exercise and a balanced diet can help you achieve a healthy weight and improve your overall foot health.
  3. Cold weather
    Cold weather can also contribute to foot pain, as it causes the blood vessels in our feet to constrict, reducing circulation. This can lead to pain, numbness, and even frostbite in extreme cases. To avoid this, wear warm socks and appropriate footwear when going outside during the winter months. Invest in a good pair of insulated boots with good grip and traction to avoid slipping on icy surfaces.
  4. Inappropriate footwear
    Wearing inappropriate footwear is one of the most common causes of foot pain. Shoes that are too tight, loose, or lack support can cause pain, blisters, and other foot problems. It is essential to choose shoes that fit properly, have good arch support, and are appropriate for the activity you are doing. High heels are notorious for causing foot pain, so limit your use of them and wear them only for special occasions.
  5. Lower circulation
    Poor circulation in the feet can cause pain, numbness, and cramping. Diabetes, peripheral artery disease, and other medical conditions can result in poor circulation in the feet. If you have a medical condition that affects circulation, it is essential to work with your healthcare provider to manage the condition and improve circulation in your feet.

Measures to Avoid Foot Pain
Now that we understand the common causes of foot pain let us explore some measures that can help you avoid it:

  • Wear comfortable and appropriate footwear for the activity you are doing. Invest in good quality shoes that fit well and provide adequate support.
  • Keep your feet moisturized to prevent dry skin and cracking.
  • Maintain a healthy weight to reduce pressure on your feet.
  • Exercise regularly to improve circulation and strengthen the muscles in your feet.
  • Avoid walking barefoot on hard surfaces.

If you have a medical condition that affects your feet, work with your healthcare provider to manage the condition.

How Sancheti Hospital Helps You
Sancheti Hospital is a leading healthcare provider that specializes in orthopaedic care, including foot and ankle pain. The hospital has a team of highly skilled and experienced doctors who use the latest technology and techniques to provide the best possible care to their patients. Sancheti Hospital offers a comprehensive range of services for foot pain, including diagnosis, treatment, and rehabilitation.

When to Consult a Foot Doctor?
If you are experiencing sudden or chronic foot pain, it is essential to consult a foot doctor. A foot doctor can diagnose the root cause of pain and develop a treatment plan to help alleviate your symptoms. You should also see a foot doctor if you have any signs of infection, such as redness, swelling, or drainage from a wound on your foot. Additionally, if you have diabetes or other medical conditions that affect your feet, you should have regular check-ups with a foot doctor to monitor your foot health.

People Also Ask

  • Why is foot pain so common in the winter?
    Foot pain is common in the winter because freezing weather can cause the blood vessels in our feet to constrict, reducing circulation. This can lead to pain, numbness, and even frostbite in extreme cases. Additionally, wearing inappropriate footwear in the winter, such as shoes without adequate traction, can increase the risk of slips and falls, which can lead to foot injuries and pain.
  • How do you treat your feet in winter?
    To treat your feet in winter, it is essential to keep them warm and moisturised. Wear warm socks and appropriate footwear when going outside, and apply a moisturiser specifically designed for feet at least twice a day to prevent dry skin and cracking.
  • Why does cold weather increase my risk of foot problems?
    Cold weather increases the risk of foot problems because it causes the blood vessels in our feet to constrict, reducing circulation. This can lead to pain, numbness, and even frostbite in extreme cases. Additionally, wearing inappropriate footwear in the winter, such as shoes without adequate traction, can increase the risk of slips and falls, which can lead to foot injuries and pain.

Managing orthopaedic injuries: Treatment options for sprained foot and ankles

Ankle or foot sprain is common among those who often involve in intense workout sessions or don’t have steady balance while walking. If you find any ankle sprain symptoms like bruises or pain around the ankles, here’s what you need to know about how it can be treated.

What causes a sprained ankle?
Sprained ankle occurs when the muscle in your ankle, attached to the ligament, is stretched beyond its limit during a fall, twist or roll. This is a common and easily treatable condition with a short recovery period.

What are the indications of a foot and ankle sprain?
You may have a sprained ankle if you experience the following symptoms:

  • Swelling in the ankle joint
  • Bruising around the ankle, foot or toes
  • Discomfort while walking
  • Difficulty while bending the ankle up and down
  • Pain in the ankle region

How do I know if I sprained my ankle?
There are many ways through which you can detect an ankle sprain. When you hear a popping sound or sensation near your ankle, it might indicate a sprain. Also, you may lose balance due to an unstable ankle and experience sudden and terrible pain in that area. There can be a slight reduction in the range of motion, where you can take only a few short steps. This is how you know that your ankles are sprained.

How is a sprained ankle treated?
The affected ankle can be treated through the ‘PRICE’ method after 24-48 hours of the injury. It consists of the following:

Doctors will provide crutches, braces or splints to reduce the force applied to your ankles. You can take little steps not to hurt your ankles again.

To avoid further damage, all you need is at least one day’s rest to be up and running the next day or in a couple of days after the injury.

Application of ice
Take an ice pack and keep it on the injured ankle at regular intervals to reduce swelling.

To decrease swelling, you can also wrap your ankle in an elastic bandage, so you don’t move the damaged part often, and worsen the condition.

Raise your ankles on a pillow while sitting or sleeping so there is enough pressure to reduce the pain around your ankle.

How can Sancheti help you?
Sancheti Hospital has a great foot and ankle care centre that offers the latest medical technologies to give the best solutions for a sprained ankle and other foot troubles. To know more about our doctors, visit the website.

People also ask
Can I walk on a sprained ankle?
Anyone can walk with a sprained ankle. However, it would help if you kept a few things in mind before walking with the affected ankle. You can apply ice before visiting the doctor, as it reduces swelling and pain. Once you receive medical attention, you can walk as per your physician’s advice.

Do I need surgery to treat my sprained ankle?
According to the severity of your ankle pain, it’s divided into three grades. Based on it, your doctor might advise you to opt for surgery. Grade three is the worst, as the damage can be significant, while grade one needs minimal treatment. Visit your physician immediately for a quick recovery.

How can I reduce the possibility of spraining my ankle?
Several factors can make your ankle weak, leading to a sprain. Here’s what you can do to reduce it:

  • You can use an ankle brace made of elastic that supports your ankle during jogging or working out
  • Involve in exercises to increase your balance and strengthen the ankles
  • Reduce weight, if your BMI is higher

How do I take care of myself after spraining my ankle?

After spraining your ankle once, it would help if you took great care of it to avoid another sprain. So, you can perform isometric, isotonic and coordination and agility exercises that heal your ankle quickly.

Osteoporosis Bone Fractures

Osteoporosis and its relation to Bone Fractures

Our bones are living tissues that constantly perform regeneration to survive. When the formation of new bones isn’t as fast as the deterioration of old bones, we face osteoporosis.

Vulnerable Groups
While anybody can get osteoporosis, there are a few groups more vulnerable to the disease. For example,

  1. Non-Hispanic white women and Asian women who have completed menopause.
  2. People with low sex hormones (estrogen or testosterone) or high thyroid hormone levels.
  3. People who have small body frames and lesser bone mass.
  4. Aged people.
  5. People who’re underweight or have a calcium deficiency.
  6. People who have the disease running in family history.

Osteoporosis causes our bones to become weak and brittle. So weak that even a blow or a fall can cause you a fracture. It is a silent disease, whose presence you only realise after you’ve already got a fracture.

Fractures of the spine, hip, or wrist are the most common types in people with osteoporosis. However, the spine or hip fractures are the most serious complications of osteoporosis since hip fractures often are caused by a fall and can result in disability and the spine is an essential part of our nervous systems.

    1. Low Trauma or Fragility Fractures: The low intensity falls or injuries that might not hurt a healthy bone but fracture a bone affected by osteoporosis. These are called low trauma or fragility fractures. Sometimes these fractures heal on their own by conservative treatment but other times you need to contact an orthopaedic surgeon. Following surgery, a physiotherapist will help train your nerves, muscles and bones post-fracture and shows exercises to get back on with your regular life.
    2. Spine Fractures: Since they are relatively more critical, patients with spine fractures typically receive pain medication, exercises, and a back brace or treatment for muscle spasms while they heal. While most spine fractures heal by this, more severe cases need vertebroplasty or kyphoplasty.
      Under vertebroplasty, your doctor injects bone cement into your spine to stabilise it and lessen the pain. Additionally, it can prevent further fractures of the vertebrae and curvature of the spine.
      Under kyphoplasty, your doctor inserts a balloon device into the fractured vertebra to help restore the height and shape of the vertebra. The device leaves a small cavity. The doctor then fills the cavity with special bone cement.
    3. Hip Fractures: Hip fractures are a break in the upper portion of the femur. They are highly painful and often too critical to have their surgical treatment delayed. X-rays, MRI scans or CT scans diagnose these fractures followed by treatments including surgical repair with screws, nails, or plates; a partial or total hip replacement and lastly, exercises.
    4. Wrist Fractures: Wrist fractures are healed simply by adding a cast or splint.

Prevention is better than cure. If you’re diagnosed with osteoporosis, it’s a good idea to strengthen your bone health, change your lifestyle to prevent injuring your bones and have your eyesight checked so you don’t fall by mistake!

5 Tips to stay hydrated during the summer heat

It’s ice cream and lemonade season! But it’s also the season of heat waves, sunburn and dehydration. To live this summer to its fullest, the following are some tips to stay hydrated:

  1. Drink water: Water makes up 60% of our body. It stimulates biochemical reactions, discards waste, stabilises the heartbeat, supplies nutrients to all organs, maintains body temperature, aids digestion, forestalls constipation, enhances blood circulation, and cushions our joints and tissues. All of these tasks come to a halt when you don’t drink water, or rather enough of it. Our body requires more water than usual during hot summers, so ensuring at least 13 cups of water daily is indispensable. Mobilising multiple sources of hydration is how one can live in hot HYDRATED summers.
  2. Cooling down: Staying hydrated is more than just drinking water; it means modulating your body temperature. During hot summers, we are more vulnerable to heatstroke. It’s essential to avoid overheating your body by consuming liquids at regular breaks, wearing light and loose-fitting clothes, avoiding dark-coloured clothes, and staying indoors during the afternoons when the sun is high. Don’t forget to pack a water bottle wherever you go this summer vacation.
  3. Steer clear of anti-hydrating liquids: Liquids like coffee, energy drinks, sugary soda, beer, alcohol, lemonade, flavoured milk, smoothies, and sweet tea do the opposite of hydration. They contain sugar, sodium, and other ingredients that dehydrate our tissues, and avoiding such liquids is advisable by experts at Sancheti Hospital, Pune. If we have them anyway, drinking enough water after finishing them is recommended.
  4. Fancy water: Plain old H2O may sound tedious. Sometimes adding a little razzle-dazzle to your water is vital to keeping you hydrated. Slices of lemon, lime and oranges make your glass look more inviting, enhancing its taste by infusing the water with fresh berries, pineapples, lemon, and cucumber. One can even freeze them inside ice cubes and plop them in the drink as one goes. Fresh mint leaves, basil, ginger, rosemary or cilantro also add a rejuvenating glow to our water. These natural preservative-free flavours will make you feel like a flamboyant health guru.
  5. Eating water: Devouring the right food can make up 20% of the water intake of your body. Coconut water is a mineral-rich drink high in magnesium, sodium, potassium, and calcium; it quickly replaces lost fluids and electrolytes caused by exertion and hot weather. Eating oats in the morning can keep you hydrated till lunchtime as oats expand and absorb water. Watermelon, strawberries, cantaloupe, peaches, oranges, skim milk, cucumber, and lettuce are some foods with more than 90% water content.

Experts at Sancheti have suggested that dehydration can have vast ill effects like sleepiness, headache, light-headedness, burning urine, decreased elasticity, dry skin, high heart rate, and low blood pressure. The heat waves cause more sweat, leading to substantial water loss; drinking ample water and taking cold showers calm our muscles and prevent us from sweating a lot. Don’t forget to replenish yourself before, during, and after your hot summer body workout!

5 Ways to speed up the healing process after surgery

If surgery is in the near future, you might be curious about how to recuperate more rapidly, get back to work more quickly and get back to the gym faster. Although your “want for speed” may be strong, keep in mind that the quality of your recovery is also essential. The following advice may be helpful to you as you try to resume your life after surgery:

  1. Listen to your healthcare provider: Patients often disregard those instructions that may cause inconvenience in their lifestyle. Taking a sponge bath, staying home from work, not sitting cross-legged, not lifting heavier weights, or not bending from the back may all seem abnormal to your craving to return to everyday life. Still, all in all, the rest is significantly more important. Doing too much too soon will lead you back to square one.
  2. Infection and inspection: The best way to get rid of surgical aftermath is to take care of your wound and prevent it from being infected. Surgical site infections may happen within 30 days after surgery. It is essential to wash your hands before touching your wound and keep the area surrounding it clean. It might not be the best sight to look at but inspect your incision several times a day to ensure the stitches are intact and there is no wound drainage.
  3. Eating means healing: It is common to lose appetite after surgery, but remember that eating implies healing. Your body needs the correct fuel to amp up the recovery. You might feel nauseous, constipated, or simply not hungry, but make sure you stay hydrated and consume a healthy diet. Modifying your diet will take you a long way past common complications and unnecessary side effects of anaesthesia.
  4. Move: Take a short stroll around your house every hour to relieve yourself. Walking will help you avoid major issues, including deep vein thrombosis (DVT), blood clots, and pneumonia. Walking is an excellent approach to start exercising again. Additionally, it makes it simpler to return to your routine once you’ve recovered. You can begin engaging in more physical activity two to four weeks after the beginning of the treatment. Following surgery, regular check-ups and rehabilitation sessions are pretty helpful. It prevents post-operative problems while also continuously monitoring your progress.
  5. Know When to Seek Your Doctor: Discomfort is a certainty after surgery. Patients, however, often object to taking antibiotics because they worry about developing a drug addiction or because they dislike how they feel after taking prescription medications. Failure to take prescribed post-surgical medications may cause some complications. It’s necessary to call your healthcare provider if you experience an excruciating amount of pain. If you’re bleeding or having trouble breathing, can’t keep food or water down, have difficulty urinating, or have obvious signs of infection, immediately seek help from the healthcare provider in Sancheti.

Remember that the success of your recovery largely depends on how carefully you follow your post-op instructions, which are very precisely given to each patient in Sancheti Hospital.

Pre-surgical anxiety: 5 Important tips on how to stay calm before going into surgery

Many people experience anxiety before having surgery. Anxiety before surgery is described as unpleasant stress, uneasiness, or tension resulting from patients’ fears and doubts. Surgeries can be life-saving, but many fear going under the knife. In the process, you must ensure that the anxiety and stress don’t overwhelm you.

This feeling of anxiousness before surgery is also known as pre-operative or preoperational anxiety. Some common reasons for experiencing this feeling of uneasiness are-

  • Apprehension that the surgery may not be successful.
  • Having to recover in a completely new, and unknown surrounding in the hospital.
  • Anxiety about not being able to bear the pain.
  • Fear of not being able to fully recover.

People might become over-sensitive to the surgery, and the experience can be far less pleasant and even increase future anxiety. Research has shown that high levels of stress have been linked to a higher risk of postoperative discomfort, extended hospital stays, and a need for painkillers. Thankfully, many different practices can help you stay calm before a surgery.

Have trust and faith in the fraternity
Trusting the medical professionals involved in the procedure is essential to lessen your fear and anxiety. Concern and trust are opposites. You will naturally feel in control again, and your mind will be at ease if you can trust the medical specialists treating you. The secret is good communication. You can only trust your doctors if you check their credentials, confer with them before surgery, and accept that they are the greatest at what they do.

Educate yourself well
Once you know your medical condition, you should research it properly and know everything. It will help you overcome the fear of the surgery, the hospital, and the illness itself. At the same time, awareness can also be a cause of anxiety. An incorrect Google search can do a lot more harm. So, make sure you only trust credible sources.

Stop smoking
If you smoke, you might need to do so to relax, and this is because stress causes the body to seek smoking. Smoking will indeed soothe your anxiety, but only temporarily. Smokers have a concern because it dramatically raises the possibility of difficulties during post-surgery recovery.

Additionally, it significantly slows down the healing of your wounds and raises the risk of infection. If you smoke and you know you will need surgery, ask to be considered for nicotine replacement treatment so you can give up smoking before the procedure and lower your risk of complications.

Seek support from family and friends
Support comes in various forms, some of which may surprise you. Family and friends might be your most significant resource when conquering anxiety before surgery. Inquire about their amusing surgical tales and remind yourself that they’ve been there and had great results.

Alternative therapies for anxiety
Therapy is not the only treatment available for those anxious before surgery, even though surgery may be the only option for some diseases. Yoga, hypnosis, massage, mindful meditation, and many other excellent alternative health practices show promise in treating surgical-related anxiety. Remember, stress is temporary. The surgery you have scheduled is to help you feel better than before. View your surgery as unlocking a positive future with a better quality of life.

How does Sancheti Hospital Help you?
Sancheti Hospital is an experienced orthopaedic in Pune, India. Operating for many years, the hospital specialises in orthopaedic traumas and dislocation. Sancheti is also one of the finest rehab centres in Pune.

Text neck syndrome? Is my phone causing my neck pain?

Well, years ago, nobody imagined that we wouldn’t be able to live without a little screen in our hands. No matter how hard we try to decrease screen time, those devices hold an increasing proportion of our work and entertainment.

Along with prolonged smartphone usage comes text neck, a strain injury that’s becoming more common lately. Aggravating muscle pain in the neck, shoulders, and sometimes the lower back is seen even in teens and young kids.

Text neck is a term used to describe the neck pain and damage sustained from looking down at your cell phone, tablet, or other wireless devices too frequently and for too long.

How does text neck cause neck/back pain?
The weight of the head is a critical factor for text neck pain. The neck’s muscles, tendons, and ligaments support the head’s weight—10 to 12 pounds—in a neutral position balanced atop the cervical spine. When texting on the phone, it is common to bend the head forward and look down at a 45- or 60-degree angle, which places about 50 to 60 pounds of force on the neck. The neck cannot withstand this amount of pressure over a prolonged period.

The course of text neck
Text neck typically begins with a relatively mild neck or upper back ache. It could also present with sharp pain or stiffness in the neck. When text neck is suspected of causing pain, it is typically treated with a combination of:

  • Limiting screen time use to necessary tasks
  • Using better posture by holding devices up closer to eye level
  • Performing exercises and stretches that specifically target the neck, chest, and upper back

If this issue is not addressed in time, the continued forward head posture and hunched shoulders may worsen, leading to more pain and reduced mobility in the neck, upper back, and shoulders.
In some cases, the excessive forward head posture may exacerbate or accelerate degenerative conditions in the cervical spine, such as cervical degenerative disc disease and cervical osteoarthritis.
How to prevent it

Preventing text neck syndrome is possible by adjusting your posture and behaviour while using your mobile phone or other electrical devices. You should try to align your neck, so it is as straight as possible and doesn’t hunch your shoulders and arch your back. Try to change your posture now and then if you are using your phone for long periods.

Three tricks to help you feel better:

  1. Straighten up – Learn proper posture and neck alignment by peeking at your profile in a mirror. If you’re standing correctly, you should be able to draw a vertical line from your ear to your shoulder.
  2. Arch your back – If your posture isn’t perfect, try doing shoulder extensions. Arch your neck and upper back backwards, pulling your shoulders into alignment under your ears. This simple stretch can alleviate stress and muscle pain.
  3. Look forward – Rather than tilting your chin down to read your smartphone, raise the device to eye level. The same goes for your desktop computer. Your monitor screen should be at eye level, so your head isn’t perpetually dropping and causing muscle strain.

If you have neck pain, try to alleviate it by applying ice or a heat pack and stretching exercises. Visiting a physiotherapist is always a good idea. While it may be nearly impossible to limit using your smartphone, remember to take breaks or only use it for shorter amounts of time.

How can Sancheti help you?
Sancheti houses one of the best team, to treat your neck and shoulder issues. To know more about our doctors, visit our website.

Tennis elbow

Tennis elbow: What to expect?

Tennis elbow, also called lateral epicondylitis, is a pain in the forearm’s tendons to our elbow. It is caused by overuse or repeated strenuous activity such as banging or knocking the elbow.

What are the causes of tennis elbow?

Despite the name, playing tennis only causes 5% of tennis elbow cases. Tennis elbow is caused by any repetitive, forceful motion that pulls on the tendon and muscle around your elbow. During tennis, gripping the racquet too tightly while hitting the ball puts more stress on the tendons, and this can cause rapid wear and tear. This also applies to other sports such as squash, badminton, softball, baseball, bowling etc. Other activities that can cause tennis elbow are: cutting wood, carpentry, playing instruments, painting, plumbing, butchering, cooking, gardening, farming, dentistry, etc.

What are the symptoms?
Tennis elbow is usually self-diagnosable. Its symptoms include:

  • Pain on the outside of the elbow (lateral side). The pain is triggered by wrist movements that tug your elbow tendons.
  • Other symptoms are difficulty moving your arm sometimes, having a lump or bulge on it, loosening of grip, pain or difficulty in doing everyday tasks or finding that the area around your elbow is swollen.

You must see a doctor if symptoms continue for over a week. The doctor may even diagnose tennis elbow for you through tests like MRI and X-Ray for arthritis and electromyography to detect discrepancies in nerve function.

How is it treated?
Tennis elbow is treated through physical therapy, rest and medications. You must stop the activity triggering the tennis elbow and get rest—medications to ease swelling and pain. A splint or a brace might also be given to help your armrest. Ultrasound treatment can break up scar tissue and increase blood flow for better healing.

How do I prevent it?
Tennis elbow can be prevented by warm-up exercises to ease the intensity of repetitive movements. Strength training and flexibility exercises for the elbow and wrist are also necessary precautions. The tears caused by the tennis elbow can last a while and cause discomfort in lifting and gripping if not treated immediately. Listening to your body is a must. Use proper equipment to reduce stress on tendons.

When you consult a doctor, ask what activity caused your tennis elbow, what treatment is best recommended for your case, how you should change your current routine to maximise your healing procedure and what complications you should watch out for.

How can Sancheti help you?
Though tennis elbow can easily be treated, getting a doctor’s advice would help you in the long run. Visit Sancheti or our website learn more about our expert team.

Stress management techniques

Stress management techniques, strategies and activities

The 21st-century lifestyle has an overwhelming abundance of everything. And with so many things to cope with, our primal friend ‘stress’ takes over most of our conscience, leaving us unhinged and anxious. Stress is our body’s natural defence against predators and danger, and it prepares us to fight or flight and releases umpteen amounts of cortisol, epinephrine, and norepinephrine.

A few symptoms of stress can range from physical, emotional and behavioural effects and hinder the productivity and the general well-being of a human being. Chronic stress can also lead to complications like anxiety disorder, depression, heart disease, blood pressure problems etc.

Stress management techniques include:

  1. Exercise: Either full-fledged workout plans or finding opportunities to move your body, exercise is a great stress-buster. It releases hormones like endorphins that block pain, improves sleep, and sedate you. It gives your body a euphoric feeling, and when your body feels good, your mind follows. Running, swimming, dancing, walking, cycling, and cleaning are a few relaxants.
  2. Diet: The benefits of eating healthy foods majorly impact your mental health. Eating healthily can eliminate stress, boost your immune system, reduce blood pressure, and level your mood. While junk food, alcohol, cigarettes and caffeine can seem even more appealing when you’re under a lot of stress, lots of added sugar and fat can have the opposite effect. Antioxidants protect your cells from all the damage stress causes. Including complex carbohydrates, vitamin c, omega-3 fatty acids and magnesium are inherent stress busters,
  3. Prioritisation: Grinding at work and having overflowing to-do lists may be a hustler’s identity, but sometimes focusing on only high-priority and time-sensitive tasks and calling it a day can bring more human satisfaction than anything else. Bring your nerd out; organize your schedules, relax, and pursue your interests and hobbies. You are more significant than the thing causing you so much stress.
  4. Techniques:

    The slow movements, stretching and deep breathing of Yoga evaporate generous amounts of stress.

    • The 5000-year-old cure of meditation or the quiet exercise of paying attention to your breathing, allowing thoughts to come and go and living in your body than in your mind, cures even the modern-day man.
    • Deep breathing calms your nervous system, which controls your ability to relax.
    • Learning how to manage your heart rate, muscle tension, and blood pressure when stress hits through biofeedback can also help you recognize and eliminate the sources of stress.
    • When you laugh, you take in more oxygen. Your heart, lungs, and muscles boost, and your body releases those feel-good hormones. Take Laugh Therapy or watch a comedy show!
    • Simply ranting about what is stressing you out blows off a lot of steam. Talk therapy breaks down negative thought patterns and gets it all out of your system.
    • Dodge stress bullets by not over-committing yourself, sharing responsibility, acknowledging the problem, thinking through before responding, counting numbers while under stress, and simply saying no.
  5. Lastly, as the Stoics believe: “Focus on what you can control and let go of the rest.” You cannot control what life throws at you, but you can control how your mind responds. Be there for yourself and treat yourself like you’d treat somebody you love.

Should I worry if I have flat feet?

The terms flat foot, pes planus, and pronated foot are often used interchangeably to mean that there is little or no arch. When you look at a foot from the inside, you’ll see that the middle of the foot has an upward curvature. This is known as an arch. The arch is formed by tendons and tight bands connecting the heel and foot bones. Several tendons form the arches in your foot, in your foot and lower leg working together. A little or no arch is seen when the tendons fail to work thoroughly.

Flat feet is a common and typically painless condition that occurs when the arches of the foot do not form properly during development. Flat feet can also occur due to an injury or the natural wear-and-tear strains of ageing. Because flat feet can change the alignment of your legs, it can occasionally cause problems in your ankles and knees. If your feet are flat and you don’t have any pain, there’s no need to be concerned.
However, if you get pain after walking for long distances or standing for a long time, flat feet can become a matter of concern.

Test yourself for flat feet
You can self-test your flat feet. Wet your feet or dip your feet in a container of colour. Now, walk a few steps. Observe the foot impressions. If you see a complete imprint of the bottom of the feet, you will likely have flat feet. Generally, the arch doesn’t imprint on the ground as it has an upward curvature and doesn’t come in contact with the ground.

What are the causes of flat feet?
A variety of medical conditions cause flat feet in adults. They are:

    1. Congenital: Present from birth.
    2. Tight or torn tendons.
    3. Posterior Tibial Tendon (PTT) Injury: PTT connects your lower leg along the ankle to the middle arch. Any damage or inflammation to PTT is likely to cause flat feet.
    4. Health disorders such as Rheumatoid Arthritis
    5. Broken/dislocated bones.


Other risk factors include:

  1. Ageing
  2. Obesity
  3. Diabetes
  4. Pregnancy
  5. Standing/walking for long hours.

Flat feet symptoms

The symptoms of flat feet include:

  • Painful/ achy feet at the heel/area of the arch.
  • Pain at the back of the leg and ankle
  • Standing on the toes becomes difficult
  • Pain in feet due to strenuous activities / long hours of walking or standing.
  • The bottom/inside of the feet becomes swollen.

Flat feet treatment
Flat Foot Treatment depends on the cause and the severity of pain. If the flat feet don’t cause pain, treatment is not required. In other cases, the following treatments can be practiced.

Foot support
Your healthcare provider (Orthopedician or physiotherapist) may recommend an Orthotic device, shoe modifications or use of a cast depending on the severity of the flat feet.


  • Pain relief medications (NSAIDs).
  • Injected drugs to reduce inflammation.

These exercises can help in pain relief and can help reduce flat feet.

  1. Heel Stretches
  2. Tennis ball rolls below feet
  3. Calf raises
  4. Arch lifts
  5. Towel Curls
  6. Toe raises.

Foot surgery
Flat feet rarely require surgery unless a bone deformity, tendon tear, or rupture causes them. Surgery may be advised if you have chronic foot pain from flat feet that haven’t improved after trying the alternative treatments mentioned above. Your orthopaedic surgeon may create a foot arch, repair tendons, or fuse your bones and joints. The surgeon can lengthen your Achilles tendon if it is too short, relieving your pain.

Why choose Sancheti Hospital for Flat Feet treatment?

  • 56 Years of Experience in Orthopedics and Rehabilitation.
  • Use of latest technologies and types of equipment.
  • Physiotherapists who are experts in musculoskeletal conditions and manual therapy.
  • Hassle-free appointment.

For more details or queries, reach us at our customer care number 8888808845


When skin is damaged, the body’s natural way of replacing it is by producing a scar. Fibrous tissue frequently makes up scars. Scars can develop for a variety of reasons, including infections, surgery, traumas, or tissue inflammation. Anywhere on the body, a scar can develop, and its structure might differ, appearing flat, lumpy, sunken, or coloured. The scar could hurt or itch. The final appearance of a scar is influenced by a number of variables, including the person’s age, nutritional state, skin type, where the scar is on the body, and the direction of the incision.
A surgery to change a scar’s appearance is known as a scar revision. The repair may enhance the scar’s aesthetic appeal, allow movement in a body region that the scar may have limited, or soothe an itchy scar. It’s critical to keep in mind that scars cannot be entirely eliminated.

What are the different types of scars?

4 different types of scars are known to exist, these are:

  • Surface irregularities or discolourations- Acne scars, scars from minor injuries, scars from previous surgical incisions, all of these forms of scars do not interfere with function or create physical discomfort.
  • Hypertrophic scars- Hypertrophic scars are dense clumps of scar tissue that form just at the site of a wound. They are frequently elevated, painful, red, and/or raised, and they may enlarge over time. Hyperpigmented people have darker skin than hypopigmented people (lighter in colour).
  • Keloid scars- Hypertrophic scars are smaller than keloids. They may pucker and be uncomfortable or irritating. They go beyond an initial wound or incision’s borders. Although keloids can grow everywhere on the body, they are more common on the face, neck, ears, chest, and shoulders where there is less underlying fatty tissue.
  • Contractures- Contractures are scars that limit movement as a result of the underlying tissue and skin pulling together when the wound heals. When there is significant tissue loss, such as after a burn, they can happen. Where a wound crosses a joint, contractures can also develop, limiting motion in the fingers, elbows, knees, or neck.


What preparation should be done before the scar revision surgery?

Before the surgery, your doctor may ask you to do the following things:

  • Get certain tests done
  • Adjust medications
  • Stop smoking in advance
  • Avoid anticoagulants and anti-inflammatory medicines


What are the different scar revision procedures?

The management of scars varies according to the type of the scar.

Keloid scars: There are various keloid scar treatments. In order to get rid of keloid scars, there is no simple fix. Following treatment, recurrence is frequent. The following may be part of the treatment:

  • Steroid injection: To assist lessen the stinging, burning, and redness that these scars may cause, steroids are directly injected into the keloid scar tissue. In certain cases, the injections really assist in reducing the scar’s size.
  • Cryotherapy: A drug is used in cryotherapy to “freeze off” the scar. When combined with steroid injections, this therapy is frequently successful in treating keloid scars.
  • Pressure treatment: A specific sort of pressure appliance is worn over the location of the keloid scar during pressure therapy. For a maximum of four to six months, these may be worn day and night.
  • Surgery: Surgery may be performed if nonsurgical therapy approaches are ineffective for treating the keloid scar. In one kind of surgery, the scar is directly removed through an incision, and stitches are used to assist seal the wound. Skin grafts may occasionally be applied to assist close the wound. This entails adding skin to the missing area or replacing it. When doing skin grafts, a healthy patch of skin is removed from the donor site and stitched to the place that needs it.
  • Laser therapy: Laser surgery is an additional keloid scar therapy option. Depending on the underlying cause of the scar, different lasers may be used to cure it. A scar may be flattened, have its odd hue removed, or smoothed with laser technology. The majority of times, steroid injections, specialised dressings, and bandages are used in addition to laser therapy for keloid scars.

Hypertrophic scars: Although there isn’t a single straightforward treatment for hypertrophic scars, steroids may be the first line of therapy. Steroids can be used topically or administered intravenously. Surgery is another option for removing these scars. In order to speed up healing and reduce the possibility of the scar reappearing, steroid injections are frequently administered concurrently with surgery and may be continued for up to two years afterward.

Contractures: Surgical options for contractures are-

  • Skin graft or skin flap- After the scar tissue is removed, skin grafts or skin flaps are applied. In skin grafts, the lost skin is replaced or joined to the skin-less area of the body. In order to accomplish a skin transplant, a piece of healthy skin from another part of the body, known as the donor site, is removed and attached to the desired area. In skin flaps, the skin that is recovered has its own blood supply, unlike in skin grafts where a portion of the skin is removed from another place. The underlying blood arteries, fat, and muscles are present in the skin flap that is used. When the area where the skin is removed has a poor blood supply due to its location or because of damage to the blood vessels, flaps may be employed.
  • Tissue expansion- A more recent method for treating scars called tissue expansion involves a procedure that expands the amount of tissue already present that can be used for reconstruction. The flap surgery is frequently used with this treatment.


What can be expected during recovery from the surgery?

The first week or so of a surgical scar revision recovery may be characterised by regional swelling, discolouration, or discomfort. For several weeks, the new scar will heal and gradually improve and diminish as it does so. You may also experience general sensitivity in the operated region.
Your scar revision surgery will have long-lasting effects, but it can take some time before you see them. In some situations, it might even take a year for the new scar to entirely recover and fade.

Scar revisions are becoming increasingly popular and have a good success rate. To know more about the procedures and to select the procedure suitable for your condition, contact your doctor. They will help you come up with an optimal plan of action suitable to your needs.


Rhinoplasty, commonly known as a nose job, is a surgery performed on the nose in order to improve its function or to change its appearance and shape. It is one of the most commonly performed types of plastic surgery.

Why is rhinoplasty done?

A rhinoplasty may be performed for cosmetic reasons, that is if a person is unhappy with the shape and size of their nose, and wants to change its appearance, or for medical reasons, like to improve breathing pattern or to correct a birth defect.
It is suggested to wait until the age of 16 when the nose has grown to its adult size, although it can be performed at an earlier age if it is done to correct a breathing difficulty.

What are its types?

The types of rhinoplasty vary according to the reason for which the surgery is being performed. Some of the types are-

  • To correct a birth deformity
  • To change the size of the nose- either increase or reduce it
  • If there is regular bleeding from the nose
  • Remove obstruction in the airways
  • Changing the size of the nostrils


How is it done?

Rhinoplasty can be performed as an outpatient procedure in a doctor’s office or in an operation theatre, depending on the complexity of the procedure. In case of a simple procedure, local anaesthesia is used which will allow the patient to remain awake and will numb the sensations of the nose.
Once the nose is numb, the surgeon makes a cut on the nose to separate the skin from the cartilage or bone and then begins the procedure of reshaping the nose.

How does the recovery take place?

Plastic or a metal splint is usually prescribed by the doctor after the surgery to avoid any movement of the nose. The splint also allows the nose to maintain a new shape while it recovers from the surgery. Keeping your head elevated is helpful in reducing swelling post-surgery. Your doctor may also suggest the use of nasal packs that stabilise the middle cartilaginous separation of the nose.
If it is an outpatient procedure, the patient is kept under observation for a couple of hours and then can be sent home the same day. In case of more complicated surgery, the patient may be asked to be admitted for 2-3 days after the operation.
Some of the activities that you should avoid doing after your surgery to promote complete recovery are:

  • Vigorous physical activity
  • Sleeping with head down
  • Harshly pulling clothes overhead
  • Using heavy glasses over the nose
  • Expressing too much using facial muscles
  • Chewing too hard


What are its risks?

Every surgical procedure has some risk associated with it. Some of the risks of rhinoplasty are:

  • Scar formation at the base of the nose
  • Excessive bleeding
  • Damage to an artery or vein
  • Damage to a nerve
  • Excessive swelling
  • Abnormal shaping of the nose
  • Prolonged numbness in the nose

Rhinoplasty is regarded as a relatively safe procedure and is widely performed throughout the world for various reasons. If you think you need to get this procedure done, you should approach your plastic surgeon who will design an optimal plan of treatment designed specifically to suit you.

Repairing Your Achilles Heels

Although Achilles is not a medical term, you see that it is often used to describe the swelling and pain at the bottom of the foot. The term Achilles refers to weakness or vulnerability and is rooted in a myth from Greek mythology. Achilles Heel is an injury due to the overuse of the Achilles tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone.
Most cases of Achilles Heels could be treated at home under the doctor’s supervision, but if the pain is unbearable then one should seek medical help immediately.

You might start experiencing mild aches in the back of the leg or above the heel after running or other physical activities. The pain might be severe after running, sprinting, or climbing stairs. Bone spurs in the heels are also a symptom.
Swelling and tenderness in the heels during the morning are seen, which would typically go away after walking or stretches.
Call the doctor immediately if you hear a pop sound and experience sudden pain in the back of your leg or heel, which could mean that the tendon has torn.

A most common cause is the overuse or repetitive strain on the tendon. Achilles tendinitis is commonly seen in men. It might be caused due to worn-out shoes or colder weather. Obesity or a tight calf muscle also increases the strain on the tendon. People with psoriasis or high blood pressure are more likely to have this.

How to treat your Achilles heels?
The treatment depends on how bad the injury is. Some ways are:

    1. Rest. It is important to have good healing with reduced stress on the heel.
    2. Taking pain relievers could help get a temporary break from the agonizing pain.
    3. To decrease swelling and aches apply an ice pack for about 15 minutes when you experience pain.
    4. Using the RICE method: Rest, Ice, Compression, and Elevation can help with healing the underlying injury.
    5. Wearing footwear with softer heels reduces pain while walking. Wearing a walking boot or orthotic shoes also helps by taking some of the stress off the Achilles heels so they can start to heal.
    6. A system of exercises that help strengthen your calf muscles to take the pressure off your tendon can be performed.
    7. You can visit an orthopedic doctor or try out physical therapy.
    8. If the pain is severe, the tendon could be torn which could only heal with the help of certain surgeries. Some types are:
      1. Surgery that lengthens your calf muscles.
      2. Debridement surgery to remove damaged tendon tissue and repair the tendon.
      3. Surgery to remove your damaged tendon tissue, repair the remaining tendon, and give it extra strength by moving another tendon to the heel bone.

It usually takes about three to six months to heal the Achilles heel depending on the severity of the injury, taking ample rest and care can provide a speedy recovery. Follow your doctor’s recommendations and schedule an appointment if pain or trouble moving affects your regular daily activities

Physical Health Problems In the Elderly

A longer life brings with it opportunities to take care of physical health, not only for the elderly but also for their family members. The inevitable physiological changes cause the accumulation of a wide variety of molecular and cellular damage. This leads to a gradual decrease in physical health and well-being. This article mentions a few common physical health problems in ageing.

  1. Osteoporosis: Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength, which is a common problem in older adults.
    Our bones are living tissues that constantly perform regeneration to survive. When the formation of new bones isn’t as fast as the deterioration of old bones, we face osteoporosis. Low bone density due to osteoporosis is the major cause of falls that can lead to fractures.
  2. Falls: Falls are the leading cause of injuries in the elderly. The consequences of falls can rise with growing age. The elderly are usually susceptible to falls because of accidents or environment-related reasons. However, there are multiple risk factors that precipitate the elderly to fall. They might be muscle weakness, arthritis, prescription medications that induce dizziness as their side effects, impairment in cognition or vision, postural hypotension (a state where your blood pressure drops due to an elongated period of lying or sitting), confusion, heart disease, diabetes, thyroid, nerves or blood vessels or improper footwear
  3. Osteoarthritis: Osteoarthritis (OA) is a chronic degenerative disorder that primarily affects the articular cartilage of the joints. It also involves bone remodelling and overgrowth at the margins of the joint in the form of spurs. OA leads to activity limitation and reduced participation. Prolonged mechanical stress, muscle weakness, and overweight are possible causes of OA. There are 4 stages of OA. Peculiar signs of OA are morning stiffness and joint pain with weight-bearing. Common joints involved are the joints of the Hands, Lumbar spine, Hips, Knees, and Feet (1st Thumb).
  4. Sarcopenia: Sarcopenia, or the decline of skeletal muscle tissue with age, is one of the most important causes of functional decline and loss of independence in older adults. Sarcopenia is increasingly defined by both loss of muscle mass and loss of muscle function or strength. Beginning as early as the 4th decade of life, evidence suggests that skeletal muscle mass and skeletal muscle strength decline in a linear fashion, with up to 50% of mass being lost by the 8th decade of life. Sarcopenia is a common condition in older adults that contributes to functional decline, disability, frailty, and falls.
  5. Back pain and neck pain: When you age, the cartilage fades away. At the same time, the discs lose water and become narrow, adding more pressure to the joints. This pressure causes inflammation and can lead to back pain. When spine pain is primarily in the neck, it could be due to cervical spondylosis (arthritis of the neck). Cervical spondylosis develops when there is abnormal wear on the bones and cartilage in the neck. Other conditions such as disc bulge, spinal stenosis, etc. can contribute to back and neck pain.

Patellofemoral Pain Syndrome Explained

Are you suffering from anterior knee pain that gets aggravated by activities like ascending/descending stairs, sitting with knees bent, kneeling or squatting?
This pain arises from the patellofemoral joint itself or adjacent tissues.

The patellofemoral joint is where the back of the patella (kneecap) and the femur (thigh bone) meet at the front of the knee. The causes of anterior knee pain may be due to direct trauma, overuse and overload of the patellofemoral joint, faulty patellar tracking, joint degeneration, soft tissue length and strength imbalances in the hip, knee, ankle isolated or in a combination.

Diagnosis Of Patellofemoral Pain:

The diagnostic procedures mainly include the exclusion of other pathologies that causes knee pain. The clinical diagnosis criteria include:

  1. Presence of retropatellar pain. Dull aching pain at the front of the knee.
  2. Reproduction of the pain in activities such as squatting, climbing stairs and other activities that involve flexing the patellofemoral joint.
  3. Exclusion of the other conditions that cause knee pain such as tibiofemoral pathologies, etc.

Risk Factors:

Factors that can increase your risk include:
Age: Adolescents and young adults are the most commonly affected by patellofemoral pain syndrome. In elderly people, arthritis is the common cause of knee pain.
Sex: Women are twice likely as men to get patellofemoral dysfunction. This could be because a woman’s wider pelvis causes the bones in the knee joint to meet at a greater angle.

Several sports: Running and jumping sports can put additional strain on your knees, especially as you advance in your training.

Preventive Measures:
Patellofemoral Pain can be prevented by practising the following measures:

  • Physiotherapy: Think alignment and technique. Ask your physical therapist about flexibility and strength exercises to optimize your technique for jumping, running and pivoting — and to help the patella track properly in its groove. Exercises focusing on Strengthening the quadriceps muscle, Closed and Open Kinematic Chain exercises, Vastus Medialis Obliquus (VMO) strengthening, Hip Abductors and lateral rotators strengthening, and proprioceptive training under the supervision and advice of the physiotherapist perform wonders.
  • Keep a watch on the BMI. If you’re overweight, losing weight relieves stress on your knees.
  • Begin with a warm-up. Before starting exercising, warming up for five minutes or doing a lighter version of the same exercise will help prevent knee injuries.
  • Stretch. Stretching proves to be an effective way to relieve muscle soreness. Promote flexibility with gentle stretching exercises.
  • Increase intensity gradually. Going gradual can go a long way. Avoid sudden changes in the intensity and increase it gradually as per the tolerance. Do not overload and overexert the joints.
  • Invest in shoe smarts. Make sure your footwear fits well and provides good shock absorption. If you have flat feet, consider shoe inserts.

Paediatric Physiotherapy for children with developmental delay

Who is a Paediatric Physiotherapist?

You all must be wondering about the difference between a paediatric physiotherapist and a physiotherapist, let’s read about it. A paediatric therapist is the one who is a licensed healthcare professional who specializes in children’s treatment. So a paediatric physiotherapist assesses various conditions such as musculoskeletal injuries, birth abnormalities, and gross developmental delays and treats other such conditions.

What are developmental delays?

Developmental delay refers to a child who has not achieved all the developmental skills expected at his/her age. Developmental delays can be seen because of different causes such as asphyxia, premature delivery of baby, trauma during delivery, delayed cry, infections, genetic causes, and neonatal meningitis.
There are 4 major types of developmental delays. They are cognitive, sensorimotor, speech and language, and socio-emotional delays. Developmental delays are first observed by the mother as she is the primary caregiver of the child. Early detection of developmental delays helps a lot for early intervention.

Role of physiotherapy in children with developmental delays?

Physiotherapy is one of the main treatment options for developmental delays. A Paediatric physiotherapist plays an important role in such cases. The main aim of Paediatric physiotherapists is to promote the ability of the child to reach the missing milestones and to promote independence so that the child won’t face any difficulties in future. A paediatric physiotherapist usually works on the neural centres, sensory system, vestibular system, proprioceptive centres, muscles and muscle spindles.

Goals of treatment –

  1. Improve the independence of the child
  2. Improve confidence of the child and parents
  3. Help achieve delayed milestones
  4. Improve muscle strength and control
  5. Improve head and trunk control
  6. Improve mobility, posture, gait and balance.

The specialized treatment protocol is determined by the paediatric physiotherapist based on the assessment. Different techniques are used while treating a child with a developmental delay such as Neurodevelopmental technique, Sensory integration, Myofascial release, Hydrotherapy, Assistive devices, Oromotor stimulation, and Play therapy.

  • The neurodevelopmental technique focuses on reinforcing the normal movement pattern without the use of compensation and strictly prohibits the use of abnormal patterns for motor recovery. Encourages proper alignment and symmetry of the trunk. Facilitates normal reactions.
  • Sensory Integration is designed to restore normal effective neurological processing by enhancing vestibular and proprioceptive systems. Enhances focus on education, society improves cognition.
  • Oromotor stimulation helps to improve oro motor skills, which helps the baby in feeding and sucking.
  • Myofascial release along with stretching helps to loosen up the tight muscles.
  • Hydrotherapy is also one of the most used techniques in children with developmental delays, water-based rehabilitation is done.
  • Play therapy is a type of psychotherapy that helps the child to tackle all emotional issues.
  • Assistive devices are external devices that are designed, made, or adapted to assist a person to perform a particular task.
  • An assistive device helps the child to maintain an upright posture, walk, and run.

Physiotherapy treatment will improve your child’s physical function by using a variety of activities that are fun and stimulating as well as effective.

For more information on physiotherapy for developmental delay, or to book an appointment please call 8888808845

Everything you need to know about knee pain causes and Treatment

  1.  What are the common causes of knee pain?

    Knee pain can be caused post an injury. A knee injury ranges widely from injuries to the ligament, tendons, bursas (fluid-filled sacs that surround your knee), bones, cartilage and menisci that form the knee joint. ACL injuries are the most common ligament injuries, particularly affecting people who play sports or have frequent torsional movement at the knee. Patellar tendonitis is the inflammation of the patellar tendon commonly occurring in runners, skiers, or people involved in jumping sports. Some knee injuries cause the inflammation of the bursae causing knee pain. The bones of the knees can be fractured during trauma including the patella. The tough, shock-absorber menisci can get torn by sudden twists of the knee in weight-bearing. In older age, knee pain can be caused due to degenerative changes in the bones called Osteoarthritis.
    With 56 years of Orthopedic expertise and promising results, Sancheti Hospital is a one-stop solution to knee problems. If you have any knee problems, it’s time to visit Sancheti Hospital to get customized knee pain treatment.

  2. What are the common knee conditions that cause pain?

    The common pain-causing conditions that affect the knee joint are:

    1. Osteoarthritis: It is a degenerative condition. OA is the most common type of arthritis with signs like the reduction in joint space, formation of bony spurs, and reduction in bone density visible on a radiograph. This wear-and-tear condition occurs as the cartilage in the knee deteriorates with increased use and age.
    2. Rheumatoid arthritis: An autoimmune disease that affects almost any joint in the body including the knee joint.
    3. Gout: A type of arthritis when uric acid crystals build up in the joint. It commonly affects the great toe but can affect the knee joints too.
    4. Pseudogout: In this condition, calcium-containing crystals develop in the joint fluid.
    5. Septic arthritis: Septic arthritis causes damage to the cartilage leading to redness, swelling and pain.
    6. Patellofemoral pain syndrome: Pain that occurs between the kneecap and the thighbone, commonly seen in athletes when the kneecap doesn’t track properly in the groove.
    7. Iliotibial band syndrome: A tough band that extends from your hip to the outside of your knee (iliotibial band) becomes so tight that it rubs against the outer portion of your thigh bone.

    Be it any condition causing knee pain, Sancheti Hospital, Pune provides comprehensive orthopedic care catering to all your needs. With 56 years of promising results and ranking as the 2nd best orthopedic hospital in India, Sancheti Hospital continues to provide promising orthopedic healthcare to its patients.

  3.  What are the common symptoms of knee pain?

    The location and the pain scale may vary depending on the cause of the pain. A few commonest signs and symptoms of knee pain are:

    • Knee stiffness.
    • Swelling.
    • Weakness and instability.
    • Popping or crunching noises.
    • Inability to fully straighten the knee.
    • Redness and warmth to touch.

    If you experience any of these symptoms, it’s best to visit an expert and get treated for it. Sancheti Hospital Pune provides a comprehensive range of orthopedic services with the use of the latest technology, experts who specialise in treating knee conditions and In-patient and Outpatient physiotherapy.

  4.  When should I consider going to an orthopedician?

    It is your time to pay a visit to an orthopedician when you experience the following problems:

    1. Pain on weight-bearing (involves activities like sitting to stand, standing, walking etc.)
    2. You feel that the knee is unstable or gives out.
    3. Have marked swelling at the knee.
    4. If you are unable to fully bend or straighten your knee.
    5. See any obvious deformity in your knee.
    6. Having severe knee pain associated with a history of injury.

    Visit Sancheti Hospital Pune, book a hassle-free appointment and meet the expert orthopedics who specialises in providing the best knee pain treatment.

  5.  How can I prevent knee pain?

    The following suggestions may help in the prevention of knee pain

    1. Maintain a healthy weight: Those extra pounds put additional strain on your knees, increasing the risk of osteoarthritis.
    2. Be prepared to play the sport: Take time for conditioning and prepare the muscles for demands/participation in the sports activities.
    3. Get strong, get flexible: Weak muscles can lead to injuries. Strengthening for quadriceps and hamstring muscles helps support the knees. Balance and agility training help muscles around the knee function efficiently.
    4. Be smart about your exercises: It is always advisable to take an opinion from the physiotherapist if you are suffering from chronic knee pain or if you have osteoarthritis. A physiotherapist will plan exercises catering to your needs considering your pain.

    Physiotherapy OPD at Sancheti Hospital Pune is a well-set and equipped clinic with experienced physiotherapists who give special attention to the subjective needs of the patients and encourage and track their timely progress.

Knee Pain Treatment

  1.  What are the indications to undergo knee surgery?

    You should consider a knee surgery if you experience the following

    1. Severe knee pain on weight-bearing.
    2. Destruction of knee cartilage due to osteoarthritis.
    3. Destruction of the lining of the knee due to immune system attack in Rheumatoid arthritis.
    4. Significant knee joint deformity (Genu valgum/ Genu varum).
    5. Failure of non-operative management for pain (medicines, injections or physiotherapy).
    6. Other causes: Torn ligaments or broken bone may lead to secondary arthritis that causes pain and movement limitations.

    Sancheti Hospital, Pune provides comprehensive orthopedic care catering to all your needs. With 56 years of promising results and ranking as the 2nd best orthopedic hospital in India, Sancheti Hospital continues to provide promising knee surgeries for the elderly to young athletes.

  2.  What should I expect from a Total Knee Replacement Surgery?

    Knee replacement surgery is a procedure that involves prosthetic replacement (artificial joint) made up of metal alloys and high-grade polymers with the damaged bone and cartilage from the thigh bone (femur) and shinbone (tibia). An orthopedic surgeon evaluates your knee’s range of motion, stability, and strength to see if a knee replacement is ideal for you. X-rays aid in the assessment. Depending on your age, weight, activity level, level of damage to the knee joint, and overall health, the surgeon can choose from a variety of knee replacement prostheses and surgical approaches. Sancheti Hospital Pune provides pain relief, increased mobility, and a better quality of life. In-patient physiotherapy is started on the same day of the surgery. After 3 to 6 weeks, daily activities can be progressively resumed.

  3.  How will a surgery improve my quality of life?

    Knee replacement surgery offers pain relief, increased mobility, and a better quality of life. After 3 to 6 weeks, daily activities can be progressively resumed.
    After the surgery, it takes approx three months to resume normal activities. The majority of the patients walk without limping and do not require the use of a cane. Specialists in knee replacement surgery at Sancheti Hospital have achieved remarkable results with no or fewer complications.

  4.  What is conservative knee treatment?

    Before you undergo surgery, your doctor may ask you to try various conservative knee treatments. Conservative knee treatment is treating knee pain with non-surgical options. In some cases, these treatment methods help prevent knee problems. They are:

    1. Physiotherapy
    2. Anti-inflammatory medications
    3. Steroid injections
    4. Weight loss

    However, if the symptoms worsen and continue to affect your quality of life, you may need surgery. Sancheti Hospital Pune masters in providing orthopedic care be it expert opinion or conservative treatment in the form of physiotherapy.

  5.   How much does knee replacement surgery cost?

    Knee Replacement Surgery cost depends on the following factors:

    1. The tools and types of equipment used in the procedure.
    2. Types of implant selected.
    3. Requirement of procedures for additional knee corrections.

    Sancheti Hospital Pune guarantees the use of the best quality implants and the use of the latest tools and technology.

Shoulder Surgery

A complete guide for physiotherapy after shoulder dislocation

A common issue that many face daily is a shoulder dislocation. It can happen when someone lifts heavy objects mindlessly or when something hits the shoulder and neck region hard. Physiotherapy is one of the best solutions for shoulder dislocation. Read on to know how physio rehab can help.

What is a shoulder dislocation?
One can suffer shoulder dislocation due to an accident. The humerus bone comes out of the socket near the neck region, which can cause muscle and ligament tears and fractures. Shoulder dislocation can be cured with the proper treatment. Here’s why physiotherapy can be helpful after shoulder surgery.

What is physiotherapy management for shoulder dislocation?
Physiotherapy management refers to the exercises and medical advice offered to patients, especially after shoulder surgery. Heat and cold therapy can significantly help recovery by easing swelling and pain. The electrical stimulation will also help improve blood circulation, thereby the patient can get well soon.

Benefits of movement post dislocated shoulder
Doctors insist on physiotherapy for various reasons. You will have to sport a sling, which helps with minimal movement after surgery. With this sling and physiotherapy, you can move a little during the initial stages and increase the intensity of the exercises based on your adaptability. With tailor-made movements in physical therapy, you can regain confidence and the strength to move around and work like before.

Best exercises for shoulder dislocation
You will only be sceptical about the outcomes of physical therapy before you begin exercises for shoulder dislocation. What happens to shoulder dislocation after physiotherapy? It includes:

  • Reduced stiffness around the neck
  • Increase in blood circulation to the upper arm for a quick recovery
  • Decrease in shoulder instability and restoration of muscle function in the neck and shoulder region.

What can you do after shoulder dislocation?

Shoulder pendulums
Shoulder pendulums are easy to perform. Sit or stand, according to your comfort. Keep your arms relaxed and start swaying forward and backwards. Repeat this for one to two minutes, based on your tolerance.

Shoulder rolls, wall pushups
Roll your shoulders forwards and backwards ten times. Place your hands on the wall, slightly wider apart than your shoulders. Do pushups for twenty counts, with a pause after the first ten seconds.

Shoulder presses
Lift your arms at 90 degrees with lightweight objects, according to your physiotherapist’s recommendation. Do it twice or thrice, holding for 20 seconds.

Shoulder blade squeezes
Initially, you can squeeze your shoulders without resistance, which comes with a band. Stand or sit in a straight posture so that you don’t slouch. Squeeze your shoulder blades, imagining you are holding something on your back. Keep your neck relaxed and hold the pose for 10 seconds; repeat twice or thrice. You can do this to improve the coordination between the muscles and the shoulder blade after a dislocation.
These are the common strengthening exercises recommended by physiotherapists. Tweak it according to the damage inflicted on your shoulders. The exercises recommended for you will differ depending on your physical activity.
Sancheti offers the best shoulder rehabilitation in Pune and the country under the supervision of an expert medical team. Visit our website and understand how our doctors can help you get back on your feet with minimally invasive techniques for shoulder issues!

People also ask
How can you manage pain after surgery?
You will be given painkillers; however, you can use ice packs to decrease the swelling and pain. If you still feel discomfort in the operated area, we advise you to speak to your surgeon immediately.

When should you start physiotherapy after shoulder dislocation?
Your surgeon recommends physiotherapy to increase flexibility like before. After two to four weeks after surgery, the physiotherapists will assist you in stretching your shoulder blades to reduce the swelling and prevent further damage.

How long does it take to heal from shoulder dislocation surgery?
A full recovery from shoulder dislocation surgery can take 12-16 weeks. However, it depends on how active you are and regular physiotherapy. Based on these, your recovery period will differ.

Is physiotherapy good for a dislocated shoulder?
Physiotherapy is suitable for a dislocated shoulder, as it speeds up your recovery after surgery. Also, physiotherapists can assess the duration of the injury healing and how deep it is; hence, they will provide complete post-operative care till you are back on track.

What happens if you don’t do physiotherapy after shoulder surgery?
If you can skip physiotherapy after shoulder surgery, you should be aware of the following. You may have to experience an extended recovery period, your flexibility and mobility will be reduced, an injury may recur, and post-operative pain can cause discomfort. Hence, physiotherapy is an option.

Is physiotherapy necessary after shoulder surgery?
Doctors recommend physiotherapy after shoulder surgery, as it maximises the effectiveness of the operation. Your control and range of motion can be affected after the surgery if you don’t perform physiotherapy.

shoulder fracture

Everything you need to know about shoulder fracture

Shoulder trauma is common these days. The injuries might be from a split shoulder from a fall to a high-speed car accident fracturing the collarbone or shoulder blade (clavicle). Everyone suffers from a shoulder injury at some point in their lives; that is clear.

What is a shoulder fracture?
Shoulders are among the most intricate joints in your body because they allow you to move your arm in all directions—around, back and forth, and from side to side. As a result, a shoulder fracture might significantly affect your daily activities. The glenohumeral joint, or shoulder, is where the top of your humerus (upper arm bone) fits into the socket of your scapula (shoulder blade). A break in the clavicle (collar bone), the proximal humerus (head of the humerus closest to the scapula), or the scapula describes as a fractured or broken shoulder.

Clavicle fractures are the most typical type of shoulder fracture and are typically caused by falling. Scapula fractures are the least prevalent of the three major fracture types, and proximal humerus fractures more usually affect older adults. Most shoulder fractures are non-displaced fractures, in which the bone breaks, but the fragments do not move; in contrast, a displaced fracture occurs when the ends of the fragmented bone move. Fractures that are not displaced heal faster and require less medical intervention.

What kinds of fractures occur in the shoulder?
At least one of the three shoulder bones—the scapula (shoulder blade), clavicle (collarbone), or humerus—is involved in shoulder fractures (upper arm bone). There are notable distinctions between the three types of fractures, but they can all result in shoulder pain, tenderness, swelling, and a reduction in the shoulder’s range of motion.

  1. Clavicle Fracture

    The clavicle, also known as the collarbone, is a long, thin bone stretching from the neck’s base to the shoulder. Clavicle fractures can occur in people of any age, including babies and the elderly. These fractures typically result from falls, direct hits, contact sports (like football or hockey), or auto accidents. Common symptoms include bruising, swelling, and soreness near the collarbone. A hematoma (localised swelling) or a bone malformation may cause a bump to develop over the location of the injury. Patients who have clavicle fractures frequently have trouble raising their arms.

  2. Proximal Humerus Fracture

    There is a long bone called the humerus from the elbow to the shoulder. A fracture at or just below the humeral head on the top of the humerus bone is known as a proximal humerus fracture. It’s common to refer to the humeral head as the ball that sits in the shoulder socket. The proximal humerus frequently fractures. While they can happen to anyone at any age, the risk rises with ageing and osteoporosis. Surgery is not always necessary to treat humeral fractures. The degree of displacement, the involvement of the joint’s cartilage, and the patient’s age and level of activity are all elements that can determine whether surgery is necessary.

  3. Scapula Fracture

    A flat, triangular bone in the upper back is called the scapula, the main link between the arm and the chest. Less than 1% of all fractures and about 3% to 5% of shoulder fractures are uncommon scapula fractures observed in men between 25 and 45. Scapular fractures can result from trauma, such as an accident or a contact sport like football. Given the force required to fracture the scapula, a victim of this type of accident frequently has lung or nerve injuries and rib fractures.

What are the symptoms of shoulder fracture?
Pain is the main sign of a fractured shoulder, regardless of whether the scapula or the other bone is involved. Pain from shoulder fractures is typically terrible. Other common shoulder fracture symptoms include:

  • Swelling around the shoulder
  • A prominent bump or deformity of the shoulder
  • Bruising around the shoulder
  • Limited range of motion with your arm, much more if you have a proximal humerus fracture
  • Weakness in the arm
  • Tingling in the hand or arm
  • Swelling in the middle of the collarbone area if you have a fractured clavicle

An urgent medical situation is a broken shoulder. Surgery may be necessary for some shoulder fractures to heal properly. If surgery is unnecessary, your doctor will fit you with a shoulder fracture sling. The sling will support your arm and aid in maintaining the correct alignment of the bones for healing.

What is the best way to diagnose a fractured shoulder?
The majority of fractures go through physical examination and localised X-rays. Additional imaging methods, including computed tomography, are sometimes required.

Treatment options

  1. Clavicle Fractures

    Most clavicle fractures don’t require surgery to heal; surgery requires when a compound fracture has penetrated the skin, or the bone is significantly misaligned. Surgery usually entails placing plates, screws, or rods inside the bone to stabilise the fracture.

  2. Proximal Humerus Fractures

    Most proximal humerus fractures are repaired without surgery (displaced) if the bone fragments are not misaligned. Surgery happens if the fragments are out of place, and surgery typically entails replacing the shoulder or fixing the fracture pieces with plates, screws, or pins.

  3. Scapula Fractures

    The majority of scapula fractures can be treated non-operatively. Treatment options include ice, painkillers, and immobilisation with a sling or shoulder brace. Patients are assessed to rule out any more injuries. 10% to 20% of scapula fractures require surgery. Surgery is usually necessary for fractures that affect the shoulder joint or have additional clavicle fractures. The fracture fragments get repaired using plates and screws during surgery.

  4. Shoulder Separations (Acromioclavicular Joint)

    According to the patient’s physical needs, shoulder separations can be treated. Surgery is typically unnecessary to repair less severe shoulder separations, and surgery is required for tough upward breaks or dislocations that go backwards or downward. The ligaments get repaired during surgery. Surgery treats manual labourers and professional sports, but the outcomes are unpredictable.

  5. Shoulder Dislocations (Glenohumeral Joint)

    Reducing the dislocation is the first step in treating a shoulder dislocation. Mild sedation and painkillers are given to the patient via an intravenous line. To correct the joint, the doctor frequently tugs on the shoulder. After an X-ray confirms the reduction, the shoulder gets attached in a sling or other support. Based on the patient’s age, ongoing issues with the shoulder popping out of position, and the underlying linked soft-tissue injury, can be treated in the future (either to the rotator cuff or the capsulolabral complex).

Recovery from shoulder fracture surgery
The recovery depends on the type of surgery and the patient’s age. Overall, the elderly and people with other health conditions require a much longer recovery. For improved recovery, the surgeon must follow post-surgical instructions given by the surgeon to avoid complications. Rehabilitation is a must to regain the joint’s strength and range of motion. It includes targeted physical therapy sessions under the guidance of experienced professionals. Make sure not to perform restricted movements from the operated shoulder. Ignoring this may delay healing or displace the implant. Above all, the physiotherapy specialist will also suggest home exercises you need to perform as advised.

How does Sancheti Hospital Help you?
Sancheti Hospital is an experienced orthopaedic in Pune, India. Operating for many years, the hospital specialises in Arthroscopic Bankart repair for Shoulder dislocation. Sancheti is also one of the finest rehab centres in Pune.

Frequently asked questions

  1. How long does a fractured shoulder take to heal?

    Most shoulder fractures recover in six weeks or less. The normal anatomy may need to be restored through manipulation in about 20% of shoulder fractures. Occasionally, a fracture and a tear to the rotator cuff muscles coincide, and this could make the treatment more challenging.

  2. How do you treat a fractured shoulder?

    Shoulder fracture treatment options

    • Icing
    • Arm sling or wrap restriction during the duration of bone healing
    • Oral painkillers can reduce discomfort.
    • Exercises for a range of motion and physical treatment (to begin once the bones have started to heal and under the close supervision of a physical therapist)
  3. Can a fractured shoulder heal without surgery?

    Treatment options for most non-displaced shoulder fractures include icing, arm sling, or wrap immobilisation during the bone healing process. Oral painkillers can assist in reducing discomfort.

  4. How do you sleep with a broken shoulder?

    You can reduce swelling by holding the shattered bone above your heart to stop blood from collecting. First, try lying on your back with a few pillows supporting you. If this doesn’t work, try progressively adjusting to the side position. To avoid falling in the middle of the night, sleep in the middle of the bed.

Managing Sciatica Know-How

Managing Sciatica: Know-How?

Sciatica is nerve pain caused by irritation, inflammation, pinching or compression of the sciatic nerve. The sciatic nerve originates in the buttock/gluteal region. On each side, the sciatic nerve runs down your hips, buttocks and down the leg. “Sciatica” is commonly used to describe any pain that originates in the lower back and radiates down the leg.

You may experience mild to severe pain anywhere along the path of the sciatic nerve – that is, anywhere from the lower back, through the hips, buttocks and/or down your legs. It can also cause muscle weakness in your leg and foot, numbness in your leg, and an unpleasant tingling pins-and-needles sensation in your leg, foot and toes.

Causes Of Sciatica
Sciatica is caused by various medical conditions such as:

  • Herniated/slip disc: Pressure from vertebrae can cause gel-like discs to bulge in their outer wall. When this herniated disc happens in the lower back, it may compress the sciatic nerve.
  • Spinal Stenosis: The abnormal narrowing of the spinal canal.
  • Spondylolisthesis: Slippage of one vertebra over another narrowing the opening through which the nerve exits.
  • Osteoarthritis: Bone spurs in the aging spine can compress the sciatic nerve.
  • Trauma
  • Piriformis syndrome: Piriformis is a deep muscle in the buttock. A tight piriformis can put pressure on or irritate the sciatic nerve.

Diagnosis Of Sciatica

  • Physical examination: During the physical examination, the doctor will perform a few special tests that may aggravate the symptoms showing a positive test. Along with the special tests, a thorough examination of the sensations, reflexes and strength is also done.
  • X-rays: An X-ray will show spine abnormalities or bone spurs that may compress the nerve.
  • MRI: An MRI will produce cross-sectional images of your back. An MRI produces detailed images of bone and soft tissues such as herniated disks.
  • CT-scan: A contrast dye may be injected into your spinal canal before the X-rays are taken in a process termed a CT myelogram. Following that, the dye spreads around your spinal cord and spinal nerves, which look white in the image.
  • Nerve Conduction Velocity: Nerve conduction velocity studies/electromyography to examine how well electrical impulses travel through the sciatic nerve and the response of muscles.

Management for Sciatica

  • Self-care using ice/hot packs: To minimise pain and swelling, start with ice packs. Ice packs should be used on the affected area. Apply for 20 minutes, several times a day. After the first few days, switch to using a hot pack or a heating pad. Each application should last for 20 minutes.
  • Medications: Pain, inflammation, and swelling can all be reduced with medication. Non-steroidal anti-inflammatory drugs (NSAIDs) are a type of over-the-counter treatment that is widely used.
  • Physiotherapy: A physiotherapist can teach you how to stretch properly. A physical therapist who will work with you to create your own stretching and aerobic exercise regimen, as well as suggest other exercises to improve your back, abdomen, and legs muscles. The use of electrotherapeutic modalities for radiating pain shows excellent results.

When should you consider surgery?
If alternative treatment options, such as physiotherapy and medication, have failed, your pain is worsening, you have severe weakness in your lower extremities muscles, or you have lost bladder or bowel control, spinal surgery is usually indicated. The goal of spinal surgery for sciatica is to relieve pressure on pinched nerves while also ensuring that the spine is stable. Surgical procedures such as microdiscectomy or laminectomy are common procedures performed.

How Sancheti Hospital can help?
Sancheti Hospital is one of the leading hospitals across the country, specialising in Orthopaedic care. They have a panel of highly qualified and skilled surgeons with more than a decade’s experience in successful surgeries. From hip and joint replacements, knee and back surgeries, to treating sports injuries and helping patients recover faster, Sancheti offers it all, with advanced medical technology and equipment. So, if you are looking for the best orthopaedic care in Pune, you should definitely consider Sancheti Hospital.

Managing Constipation after Surgery

Managing Constipation after Surgery

One of the most common aftermaths of surgery is constipation. One may experience a sudden decrease of fewer than three bowel movements a week, feel the need to strain during bowel movements, have a bloated belly or increased gas. Abdominal or rectal pain and hard stools are also a few symptoms of constipation.

You might feel this incomplete emptying even after bowel movements due to surgical reasons like:

  • Pain Medication: Opioids absorb plenty of water from the gastrointestinal tract slowing down the movement of food and decreasing the urge for bowel movement.
  • Dietary Restrictions: A little to no food or fluid diet after surgery works against the bodily routine of elimination accelerating the chances of constipation.
  • Bed-Rest: Less physical activity is directly proportional to fewer bowel movements.
  • Anaesthesia: The post-surgery paralyzed muscles in the intestine stop functioning till the effect of anaesthesia allows them to wake up, causing a temporary pause in the bowel movements.

To manage the unpleasant experience of constipation after surgery, one can take the following measures:

  • Medications: While medication may cause constipation, medication can also get rid of it. Ask the healthcare provider to prescribe medication or go for over-the-counter medication. Stool softeners and laxatives increase the amount of water in your colon and help stools pass easily. Suppositories to insert into your rectum to soften stool and trigger your intestinal muscles to squeeze also make it easier to pass stool. Stimulants increase intestinal contractions. Osmotics help fluid move through the colon.
  • Fibres: Fibres are organic laxatives that increase water absorption in our colon, which forms bulkier stools and helps stools pass easier. Adding fruits, vegetables and whole grains to your diet do the trick. It is best to eat these fruits and vegetables as close to their natural state as possible, i.e. prefer orange over a pulpy juice version of it. Remember, too much fibre can cause diarrhoea and abdominal cramping so it’s important to slowly increase your intake.
  • Fluids: Dehydration dissuades bowel movements. Drinking plenty of fluids in the form of water, tea, juices and decaf coffee is essential for curing constipation. The senna tea is known to have excellent laxative effects and improves post-surgery Opioid-induced constipation when taken daily for six days.
  • Movement: As mentioned earlier, less physical activity is directly proportional to fewer bowel movements. Exercise and physical activity stimulate contractions in the intestinal tract and promote bowel activity. One must aim for at least 30 minutes of exercise most days of the week. It’s important to consult your healthcare provider to confirm the degree of physical activity you would be allowed to engage in post-surgery.
  • Dietary Supplements: Supplements including fibre, kefir, and carnitine, when consumed with a good amount of water conduce the farewell of constipation effectively. It’s essential to consult your doctor before taking the same.

Although opioids and other narcotics are great painkillers to relieve your post-surgical pain, the risk of constipation while taking these medications mustn’t be ignored. You may need to consult with your doctor if lifestyle changes, home remedies, and over-the-counter medications do not yield the desired results.

Learn About Yoga

Learn About Yoga for Overall Good Health

Yoga is a spiritual discipline that focuses on bringing harmony between mind and body. Yoga is for everyone, no matter their age! It encourages a positive and healthy lifestyle for physical, mental, and emotional health. Yoga helps develop strength, stamina, endurance, and high energy at a physical level. With the help of yoga, you can manage daily stress and its consequences. It is an ancient art based on a harmonizing system for evaluating the body, mind, and spirit.
There are tons of physical health benefits of yoga, including increased flexibility, balance, blood flow, and muscle strength, to boost immunity. Yoga also improves lung function, improves digestion, and can prevent bowel conditions from occurring. Some other benefits are:

  1. Stress Management: Research indicates that practising yoga leads to improvements in physical or psychological aspects of stress. You start noticing that you are more yourself and less enraged. You develop patience and will. Many people also experience feelings of gratitude, empathy, forgiveness, and a sense that they’re part of something bigger.
  2. Healthy Habits: Practicing yoga is associated with better eating and physical activity habits, such as more servings of fruits and vegetables, fewer servings of sugar-sweetened beverages, and more hours of moderate-to-vigorous activity. Those who participate in yoga have an increased total physical activity.
  3. Weight Control: In studies of yoga in people who were overweight or obese, practising yoga helps reduce the body mass index. It enables you to keep yourself fit and in shape, fortifies the core, and keeps your muscles engaged. It also gives you inner strength.
  4. Medical Benefits: Practicing yoga helps you focus and sleep better, as it unwinds the nervous system. It can even boost the benefits of any medications that you are taking or therapy you are doing and give you inner strength. Some asanas can help with back problems, arthritis, shoulder pains, asthma, headaches, menopause, and many hardships and diseases.
  5. Bad Habits: Yoga has seemed to help with bad habits such as smoking and alcohol. It reduces the craving that these adverse products bring. It can also help to focus more on the goal of quitting by calming your mind and body spiritually. It takes your mind off it and focuses on more spiritual aspects of life.
  6. Brighter moods: You might feel increased mental and physical energy, a boost in alertness and enthusiasm, and fewer negative feelings after getting into a routine of practicing yoga.

A yoga therapist can work with patients and put together individualized plans that work together with their medical and surgical therapies. That way, yoga can support the healing process and help the person experience symptoms with more centeredness and less distress.

Yoga is a safe form of physical activity for healthy people when done under the guidance of a qualified instructor. Participating in yoga classes can ease loneliness and provide an environment for group healing and support. It helps you sculpt your perfect body, free your true self and transform your life. As people say, yoga is a journey of the self, through the self, and to the self.

injuries by burns and wounds


Any physiological harm to the human body brought on by immediate physical stress is referred to as an injury. An injury can be brought on by blunt trauma, piercing trauma, burning, toxic exposure, asphyxiation, or overexertion, and it can also happen accidentally.

Burn injuries
A burn is a serious injury that results from fire or anything hot beyond a temperature that the human tissues can tolerate.

How do burns occur?
Several things can result in a burn. The most frequent causes of burns are thermal sources like fire, hot liquids, steam, and contact with hot surfaces. Other causes include:

  • Chemical agents like sulfuric acid, benzene etc.
  • Electric currents
  • Harmful radiation
  • Sunlight in extremely hot temperatures.

What are the types of burns?
Burns are categorised by severity levels by healthcare professionals. Your doctor will assess the severity of the skin injury. Burn degrees consist of:

  • Mild first-degree burns-It occurs on being subjected to relative mild heat, eg. Sunburns. Although the epidermis, the top layer of skin, often becomes red and uncomfortable, it rarely blisters.
  • Second degree burns- Upper and lower layers of skin are affected by second-degree burns (dermis). There’s a chance that you’ll feel hurt, red, swollen, and blistered.
  • Third degree burns- The epidermis, dermis, and fat of the skin are all affected by third-degree burns. The burn also kills sweat glands and hair follicles. Third-degree burns harm nerve endings, so you usually won’t feel pain directly where the burn is, but rather nearby. Burned skin might appear leathery and can be black, white, or red.

How does a doctor assess burns?
To assess the degree or severity of the burn, your healthcare provider will examine it. The depth and percentage of the burn that is influenced by this procedure are estimated. Your doctor could categorise the burn as:

  • Mild: First- and second-degree burns with a body coverage of less than 10% are regarded as minor and infrequently necessitate hospitalisation.
  • Moderate: 10% or more of the body with second-degree burns are considered moderate. Burns that affect the hands, feet, face, or genitalia can be mild to severe.
  • Serious: Burns of the third degree that cover more than 1% of the body are regarded as severe.

How are burns treated?
The type and extent of the burn determine the appropriate treatment. Depending on the severity of the wounds, you need to keep all burns clean and apply the appropriate bandages or dressings. The aim is to treat the person’s discomfort because poor control might hinder proper wound care.
Keep checking wounds for indications of infection and other chronic problems, such as scarring and tightening of the skin covering joints and muscles that makes it difficult for the patient to move.
Treatments for various types of burns include:

  • First degree burns: Apply cool water to the area. Apply no ice. Apply aloe vera gel on burns. Apply antibiotic cream on thermal burns and lightly wrap in gauze. Additionally, there are over-the-counter painkillers available.
  • Second-degree burns: They are treated similarly to first-degree burns. In order to destroy bacteria, your doctor might advise a stronger antibiotic cream that contains silver, such as silver sulfadiazine. The burned region can feel less painful and swollen if it is elevated.
  • Third degree burns: Third-degree burns are frequently fatal and may require skin grafts. With the aid of skin grafts, damaged tissue is replaced with healthy skin from an adjacent, unharmed area of the patient’s body. In most cases, the area from which the skin graft was obtained heals on its own. A temporary supply of graft can come from a deceased donor or a human-made (artificial) source if the injured person does not have enough skin accessible at the time of the injury, but they must eventually be replaced by the injured person’s own skin. Additional fluids are also given as part of the treatment (often intravenously via an IV) to maintain blood pressure and prevent shock and dehydration.

If not treated in time, burns can lead to a lot of complications such as infection, low blood pressure, chest complications, etc. Thus it is extremely important to get the patient to a doctor immediately after the burn injury is sustained.

A wound can be caused due to different types of trauma to the skin or muscles and the presentation greatly varies according to the cause. A wound may be closed or open. A closed wound is generally easier to manage as compared to an open wound.

What are the types of wounds?
Depending on the cause, wounds are divided into four types-

  • Abrasion- When a person’s skin rubs or scrapes against a rough or hard surface,it leads to an abrasion. An abrasion is something like road rash. Even though there is typically not much bleeding, it is nevertheless important to clean and scrub the incision to prevent infection.
  • Laceration- A laceration is a significant skin tearing or cutting injury. Accidents involving machinery, tools, and knives are common causes of lacerations. Bleeding from severe wounds may occur quickly and heavily.
  • Puncture- A puncture is a tiny hole made by a long, sharp tool, such a needle or nail. A gunshot can occasionally leave a puncture wound. Even though a wound from a puncture may not bleed much, it may nevertheless be deep enough to harm internal organs. Visit your doctor to have a tetanus vaccine and avoid infection if you have even a very small wound.
  • Avulsion- Avulsions are the partial or total tearing away of skin and underlying tissue. Avulsions typically happen during traumatic incidents, such as collisions with objects that crush the body, explosions, and bullets. They quickly and profusely bleed.

How are wounds managed?
Small wounds can be managed at home. It is important to wash the wound thoroughly with water first to remove all the dirt and debris, and then to apply an antiseptic solution. Any open wound should be covered with clean bandages and the bandages should be changed regularly. The wound should be kept clean and dry for a minimum of 5 days.

In case of severe wounds, you should go to a doctor to avoid any complications. Your doctor might treat your open wound utilising a variety of methods. Your doctor might use skin glue, sutures, or stitches to repair the incision after cleaning and perhaps numbing the region. If you have a puncture wound, you might be given a tetanus vaccine.
Your doctor can decide not to stitch up the wound and allow it to heal spontaneously depending on where it is and the risk of infection. This process is known as healing by secondary intention.

If the wound is very large and a lot of skin is lost, the doctor may recommend skin grafting inorder to restore blood supply to the wound area and to cover the wound area, which will lead to reduced risks of infection.
Open wounds are not to be taken lightly as they may be associated with a large amount of blood loss, risk of infection and other complications. Visit your doctor at the earliest if you have a wound they will guide with an optimal plan of action.

How Sancheti Hospital can help you?
Sancheti Hospital is a premier healthcare facility in the country. It’s also one of the most renowned medical facilities in Pune. Their expertise is plastic and reconstructive surgeries and orthopaedic care. Certain burns and wounds may require the expertise of a highly-skilled surgeon, and Sancheti Hospital has a panel of highly-qualified surgeons who can suggest the best treatment for your condition. They have successfully completed many surgeries over a decade, and offer advanced medical treatments with the latest technology to help you recover faster.

Global Hand washing Day

Global Hand washing Day

Leveraging the learnings from recent years, it is time to accelerate the hand hygiene progress!

October 15, Global Handwashing Day is a global advocacy day committed to raising awareness and understanding the significance of washing hands to decrease spread of diseases and save lives.

The theme for Global Handwashing Day 2022 is ‘Unite for Universal Hand Hygiene. It calls for coordinated action as we actively work towards universal hand hygiene.

Handwashing with soap and clean water is among the most adept and inexpensive ways to prevent diarrheal diseases and pneumonia, which have taken the lives of millions all over the world.

During the COVID-19 pandemic, personal hygienic practices, especially handwashing with soap, was one of the most crucial life-preserving behaviours.

When to wash your hands?
Before learning handwashing steps, it is better to know how germs spread to highlight the importance of handwashing.

Germs are tiny living organisms that have the potential to cause threatening diseases. Germs include bacteria, viruses and fungi, among many others.

As far as handwashing is concerned, it is crucial to know how unwashed hands make it easy for germs to spread.

You should wash your hands thoroughly:

  • After using the toilet
  • Before, during and after preparing food
  • Between handling raw and cooked or ready-to-eat food
  • Before eating
  • After blowing your nose, coughing or sneezing
  • Before and after attending to sick children or other family members
  • After handling rubbish or working in the garden
  • After handling animals
  • When you get back home, go to other people’s homes, at venues or at work.

How To Wash Your Hands Correctly?
If hands are visibly dirty, washing hands with soap and water is recommended.

  • Step 1: Wet hands with water
  • Step 2: Apply enough soap to cover all hand surfaces
  • Step 3: Rub hands palm to palm
  • Step 4: Right palm over the left hand, interlaced fingers and vice a versa
  • Step 5: Palms to palms, fingers interlaced
  • Step 6: Back of fingers
  • Step 7: Rotational rubbing of left and right thumbs
  • Step 8: Rotational rubbing on each palm
  • Step 9: Rinse with water
  • Step 10: Dry thoroughly with a clean towel
  • Step 11: Use the towel to turn off the tap

Why is hand washing critical?
Many times, it is the smallest of things that make a bucketload of difference. Likewise, hand washing is one simple process that shields you against many health issues, some of which you are not even aware of.

There is a plethora of highly transmissible diseases. An appropriate washing of your hands can prevent many gastrointestinal diseases and respiratory infections.

Handwashing either with soap and water or using hand sanitisers not only kill the germs but also stop their spread that may transmit infections from one person to another.

It is only in times of pandemics that we come to know the importance of handwashing. But its perks are not only limited to the covid outbreak.

With proper handwashing, we can avert the occurrence of many diseases. Moreover, more than a practice, handwashing can become a good habit if it is imparted at a young age.

With just a few seconds of hand washing, we can protect ourselves from many preventable diseases.

Gynecomastia Surgery


Gynecomastia is a condition that leads to enlarged male breast tissue. Males of all ages can exhibit it, but it is most common during puberty, the infant stage, and later life. Gynecomastia can have a variety of causes, but the most prevalent one is a testosterone and oestrogen imbalance.

In whom can gynecomastia be seen?
Gynecomastia is a fairly common condition and can be seen at different stages of life:

  • At birth: Male neonates develop swollen breasts, or breast buds, in more than half of cases. The mother’s oestrogen levels are to blame for this issue. Within a few weeks, the enlarged breasts usually go away.
  • At puberty: Teenage boys who have reached puberty have larger breasts than their peers to some extent. Breast tissue expands as a result of fluctuating hormone levels, such as dips in testosterone and increases in oestrogen. As hormone levels balance out, which can take anywhere between six months and two years, the condition becomes better.
  • Adulthood: Men aged more than 50 years are more likely to have enlarged breasts.The amount of testosterone produced by a male body reduces with age. Additionally, they might have greater body fat, which promotes the growth of breast tissue and oestrogen production.

What are its causes?
Gynecomastia is frequently brought on by an imbalance of the hormones oestrogen and androgen. The hormone that regulates breast growth, oestrogen, is typically only produced in small levels by men’s bodies. Your breasts may grow in size if your body produces excess oestrogen or if you have less testosterone (hypogonadism).
Due to extra fatty tissue, larger breasts can occasionally develop in obese people. This condition is called pseudogynecomastia.

What are the characteristics of gynecomastia?
This condition is characterized by:

  • Increased glandular tissue development
  • Increased localised fat
  • This may occur in one breast or both breasts simultanously.
  • Excess breast skin may also be present

What is gynecomastia surgery?
By reducing the size of the male breasts, gynecomastia surgery flattens and improves the chest outlines.
The weight of the extra breast tissue can sag the breasts and stretch the areola in severe cases of gynecomastia (the dark skin surrounding the nipple). In these situations, the areola’s position and size can be adjusted surgically, and any extra skin may be removed.
Gynecomastia plastic surgery is properly referred to as reduction mammaplasty.

What is the procedure?
General anaesthesia is administered before starting the surgery. Your doctor will provide you with the best option of anaesthesia suited for your need. There are different procedures that can be done based on the assessment don by your doctor. Some of these techniques are:

  • Liposuction technique- Techniques for liposuction alone may be employed when the main cause of gynecomastia is an excess of fatty tissue. A cannula—a small, hollow tube—must be inserted through numerous tiny incisions to do this.To remove extra fat from the body, a vacuum suction device is used to move the cannula back and forth in a regulated way. There are several liposuction techniques that may be employed; the technique best suited for your situation will be determined before your treatment.
  • Excision technique- When gynecomastia must be treated by removing glandular breast tissue or extra skin, excision procedures are advised. In order to shrink the areola or move the nipple to a more natural masculine contour, excision is also required. The type of surgery chosen and the individual diseases involved affect the incision patterns.
  • Combination of liposuction and excision technique- Sometimes excision and liposuction are used to treat gynecomastia.

What to expect after the surgery?
In order to reduce swelling and support your new chest contour as it heals following surgery, dressings or bandages will be placed over your incisions throughout your recovery from gynecomastia surgery.
Your doctor may temporarily insert a small, thin tube under the skin to drain any extra blood or fluid that may accumulate.
You will receive detailed instructions on how to take care of the surgical site and drains, how to apply or take oral medications to promote healing and lower the risk of infection, how to look out for specific problems at the surgical site or with your general health, and when to schedule a follow-up appointment with your plastic surgeon.
You should anticipate feeling exhausted and perhaps some breast pain. It’s crucial to understand that you will have scars around the incisions following a breast reduction. Although these scars are permanent, they will eventually disappear.
During the first few weeks, you should refrain from lifting anything heavy to minimise tension on the incision and lower your risk of experiencing bleeding issues. As a result of breast reduction, you can also experience loss of feeling or changes in sensation in your nipple. Sometimes the modification is irreversible. Even though they are uncommon, some people may encounter certain issues, like insufficient healing, which may necessitate a skin graft.

When should I contact my doctor post surgery?
Your doctor will provide you with dates for your follow up post surgery. Other than this contact your doctor if you experience any of these symptoms:

  • Discharge from the surgical site
  • Opening of the surgical sutures
  • Fever
  • Enlargement of operated breast tissue
  • Discolouration around the operation site

The awareness about gynecomastia and its surgical management is still quite poor in India. Gynecomastia can cause social stigma and embarrassment in men and thus the topic is usually avoided. It is important to seek medical advice for the condition. Your doctor will help you find the cause and will suggest an appropriate plan of management according to your comfort.

How Sancheti Hospital can help you?
Sancheti Hospital is a premier healthcare institution that excels in reconstructive surgeries and orthopedic care. Our team of renowned surgeons has a proven record of success in performing a wide range of procedures, from spine replacements to joint and hip replacements, as well as plastic and reconstructive surgeries. Our highly skilled doctors will collaborate with you to create a personalized treatment to reduce pain and treat specific conditions. If you’re seeking expert medical advice and top-notch care, Sancheti Hospital is the ideal choice.

Sprained Ankle

Got A Sprained Ankle? Here’s What You Can Expect

What Is Ankle Sprain?
A sprained ankle is caused by rolling, twisting, or turning your ankle at an uncomfortable angle. Due to this, the tough bands of tissue (ligaments) that hold your ankle bones together can be stretched or torn. Ligaments aid in the stabilization of joints and the prevention of excessive movement at the ankle joints. When ligaments are stretched beyond their normal limits, it results in a sprained ankle. The ligaments on the outside of the ankle are most commonly injured in sprained ankles. Three ligaments prevent the bones in your ankle from shifting out of place. When one of these ligaments is stretched or torn, it results in a sprained ankle.

There are 3 grades of ankle sprain:

Grade 1 Mild The ligaments are stretched by not ruptured (torn). The ankle feels stable and may feel pain on weight-bearing. It is accompanied by stiffness.
Grade 2 Moderate One or more ligaments are partially ruptured. The ankle joint isn’t stable and weight-bearing becomes difficult. It is accompanied by pain and swelling.
Grade 3 Severe One or more ligaments are totally torn and the ankle joint is unstable. It is accompanied by excruciating pain and cannot be moved.

Ankle Sprain Symptoms:
The symptoms of an ankle sprain may vary depending upon the severity and grade of the injury.
These include

  • Pain, particularly when weight bearing on the affected foot.
  • Tenderness on palpation/touch.
  • Bruising.
  • Swelling.
  • Unstable Ankle.
  • Reduced Range Of Motion.

Diagnosis Of Ankle Sprain:

  • Physical Examination: During a physical examination, the therapist/doctor will examine your foot and will palpate the joint to check tender points. He/she will move it in various angles to check the range of motions and understand the position of cause of pain and discomfort.
    If the injury is severe, other diagnostic tools may be suggested such as
  • X-Ray: X-ray is done to rule out bone fractures.
  • MRI: An MRI gives a cross-sectional or 3D image of the soft tissues around the ankle and also helps to diagnose the level of injury to the ligament.
  • CT-scan: CT scans can reveal more information about the bones. CT scans combine X-rays from a variety of angles to create cross-sectional or 3-D images.

Treatment Of Ankle Sprain:
Treatment of a sprained ankle depends on the grade of the injury. The goals are to reduce pain, reduce swelling, promote healing of the torn ligament and restore the highest functional level of the ankle joint. You may be referred to a physiotherapist or an orthopedic surgeon depending on the grade of injury.

  • Treatment by Physical Therapy
  • Patient education: Patient education on the condition and ways to reduce pain and swelling. Use of RICE (Rest, Icing, Compression and Elevation) method.
    Rest: Avoid excessive movement and movements that cause pain and discomfort.
    Icing: Use an ice pack for 15-20 minutes every 2 to 3 hours. Inform the doctor if you have a history of diabetes, vascular, reduced sensations.
    Compression: An elastic bandage is used to compress swelling until the swelling subsides.
    Elevation: To reduce the swelling, elevate the leg above the heart level. Gravity assists by draining excess fluid.
  • Physical Therapy Exercise Regime: The physical therapist will wait until the swelling subsides and then resumes the movement gradually. The exercises will focus on increasing the range of motion, strength and flexibility. The exercises will progress to improving balance and stability exercises. The exercises will focus on retraining the ankle muscles to work together and supporting the ankle joint to prevent recurrent sprains. The exercises will also focus on agility training and gradually on gym equipment.
  • Surgical Treatment
    When an injury does not heal or the ankle remains unstable after a long period of physical therapy and rehabilitative exercise, surgery may be required. Surgical procedures may be used to
  • Repair a ligament that isn’t healing properly.
  • Reconstruct a ligament with tissue from another ligament or tendon.

How Sancheti Hospital can help you?
Sancheti Hospital is a leading healthcare facility known for providing exceptional orthopedic services. Our team of renowned surgeons has a history of successfully performing various procedures, including spine replacements, joint and hip replacements, and plastic and reconstructive surgeries. Our highly qualified doctors will work with you to determine the best treatment to alleviate your pain. If you need expert medical advice and top-notch care, Sancheti Hospital is the perfect choice.

Recovery after a Sport Injury

Get in the Game: Recovery after a Sport Injury

It does not matter which sport you play, a standard part of any sport is getting an injury. They can range from just strains and sprains to something grave like fractures or tears. The process is frustrating and often dramatic but giving your body time to heal ensures proper recovery.
Regardless of the type of injury, it significantly affects life quality, especially if it disrupts mobility. Here are some ways to get back up on your feet and ensure a smooth recovery:

  1. Keep the body moving: It is always a wise choice to visit the movement experts-physiotherapists. It is also significant to follow through with the exercises your physiotherapist provides. When there is no inflammation from your injury left, it might be best to start with an early range of motion exercises. Consider exercise program with a physiotherapist who can provide guidance and ensure that you will achieve milestones.
  2. Follow a healthy diet: If your mobility has been affected, it can be easy to fall into bad eating habits and gain unwanted weight. Sources of protein-rich foods such as fish and meat can improve the muscle-building process in the body. Include high fiber food items. Omega-3 and Vitamin C can help to rebuild muscle tissue. Foods containing large amounts of calcium will help strengthen your bones. Your body also requires vitamin D to effectively absorb calcium which you can get from exposure to the sun.
  3. Be optimistic: When we face substantial life challenges, our minds get clouded with negative thoughts. Along with physical health keeping your mental health fit after an injury is essential too. Believe in your healthcare provider and be patient during the recovery. Talking to the healthcare provider will help keep the negative thoughts at bay. Positive affirmations can be helpful too.
  4. Focusing on the present: Whenever we are injured or ill, we want to get better quickly. Usually, players often want to get back to playing as soon as possible. Injuries require time and patience to heal and focus on the present instead of the future. Healing will happen one moment at a time.

After recovering from the injury, preventing it from recurring is also essential. Typically, the areas on your body that become prone to damage more than others are your back, shoulders, and knees because of their high ranges of motion. Exercises such as shoulder presses, back raise, shoulder-leg lifts, and leg extensions prevent injuries that may arise along the way. Performing warm-ups and stretching help a lot.
Reducing your time on the sidelines is crucial to take the proper time to rehabilitate fully before rushing back into training and playing. Some athletes feel that they can play through a nagging injury, but those can quickly develop into vital problems that last much longer. This is why you must give your body time to heal. Take your time to get in the game and ensure proper recovery instead of rushing the process.

How Sancheti Hospital can help you?
Sancheti Hospital is a premier healthcare institution renowned for its exceptional orthopedic care. Our team of highly skilled surgeons has a proven track record of success in various procedures, from spine replacements to joint and hip replacements to plastic and reconstructive surgeries. With extensive experience and a patient-centered approach, our doctors will provide you with the best treatment options to alleviate your pain. If you seek expert medical advice and top-notch care, Sancheti Hospital is the ideal choice.

Post-operative Immbolization

Fracture and Importance of Post-operative Immbolization

A fracture is a structural break in the continuity of the bone. After a fracture, its diagnosis, reduction, alignment and immobilization for healing are important procedures. Immobilization refers to the process of holding a bone in a place with the help of a splint, cast, or brace. If the injured bones, ligaments, tendons, and other structures are not immobilised, they will incur more damage. It also helps to keep the area from moving, which helps to reduce pain.
Bone healing occurs in three phases that need adequate rest. Rest is achieved with immbolization. Failure to immbolize the part can lead to complications such as mal-union (the fracture that is healed in an unsatisfactiry position resulting in a bony deformity), non-union (fracture that fails to unite with a bony union) or delayed union (fracture takes longer than normal to heal).
Immobilization is achieved using a variety of treatments suggested by your doctor based on the location and severity of the traumatised area.

  • Braces: Following an accident, braces are used to immobilise a body part. They can also be used to support a bone and keep it in place. Following surgery, a doctor may prescribe a brace to help with alignment. Braces are adjustable, allowing movement to be gradually added as the bone heals.
  • Cast: The most common method of immobilising a fracture is with a cast. After your doctor has properly positioned your arm or leg, a cast is applied. The fractured bone is immobilised by the cast, which keeps it in place until the damaged areas heal. A soft, protective cushion made of cotton or synthetic material is wrapped around the area to be cast before it is placed on the patient.
  • Collars: Collars immobilise the neck area to protect the head, neck, and spine from further harm. Collars come in a variety of styles to fit a variety of injuries. A cervical collar is a hard-to-touch. It’s also used to treat a serious head injury. Soft collars are less restrictive than hard collars in terms of reducing discomfort and restricting movement.
  • Slings: Slings are a simple way to immobilise an arm after an injury, but they’re usually used in conjunction with a cast for the best results. A sling is a bandage folded into a triangle and placed under the arm before being fastened around the neck.
  • Traction: Traction involves the use of tension to realign broken bones. Fractured bones are slowly pulled back together with ropes and pulleys. Traction stabilizes broken bones, while also immobilizing the patient’s movement.

Long periods of immobilisation are needed in which the patient is unable to move the restricted area. While immobilisation is required for healing, it comes with its own set of disadvantages. Muscle atrophy, or muscle shrinking, may occur in a patient. This can be treated with physiotherapy after the bone has healed. Muscle loss is another possibility, which can be addressed with exercise. Both of these immobilisation adverse effects are normally short-term and transient.

How Sancheti Hospital can help?
Sancheti Hospital is one of the leading hospitals in the country. They have a panel of the best surgeons who have successfully carried out various surgeries related to orthopaedic issues. From spine replacement to hip and joint replacement surgeries to plastic and reconstructive surgeries, Sancheti Hospital’s team of highly-qualified doctors have extensive experience and can help you get relief from pain with the best treatment for you. So, if you want expert advice and guidance and the best medical expertise, you should consider Sancheti Hospital.

Prevention Of Osteoporosis

Exercise For People With Osteoporosis

Osteoporosis is the disease of bone that leads to a decrease in the mineral content of the bone and causes bone weakness. This weakness may lead to fractures. Primary osteoporosis may risk postmenopausal women, people with low body weight, little or no physical activity, a diet low in vitamin D3 and calcium, smoking, etc. Prolonged bed rest and advanced age are additions to the list. Secondary osteoporosis occurs owing to other medical conditions. For eg, hyperthyroidism, chronic renewal failure, etc.

Regardless of the set of causes, osteoporosis is detected radiographically by classical features such as cortical thinning, increased bone radiolucency (osteopenia), trabecular changes and/or fractures.

Prevention Of Osteoporosis
Bone is a living tissue. It continually keeps replacing itself in response to daily demands and requirements. This continual replacement keeps our bones at their optimum strength. The National Osteoporosis Foundation (NOF) recommends four ways to prevent osteoporosis.

  • Maintaining a balanced diet rich in calcium and vitamin D3.
  • Eating foods such as fruits and vegetables.
  • Performing regular weight-bearing exercises.
  • Following a healthy lifestyle with moderate alcohol consumption and no smoking.

Exercises For Osteoporosis
As we age, there is a greater shift towards bone resorption. In women, resorption is accelerated during menopause owing to the decrease in estrogen. Physical activity has been shown to have a positive effect on bone remodelling. Regular exercises have been shown to reduce the effects of age-related bone loss. Muscle contraction exercises such as strengthening and resistance training along with mechanical loading i.e weight-bearing deforms the bone and improves the bone mass density by stimulating the bone formation (osteoblasts). The exercises should include

  • Weight-bearing/ aerobic exercises: Weight-bearing exercises such as walking, jogging, climbing stairs, elliptical machines etc. These types of exercises work directly on the bones of the legs, spine, and hips to lower the mineral loss. They also provide cardiovascular benefits and boost your circulatory system.
  • Non-weight-bearing exercises such as riding a static bicycle, and swimming also show additional benefits.
  • Resistance exercises: Resistance exercises that target the major muscles. Resistance training should be tailored to one’s ability and tolerance. Proper training is crucial and the correct technique is very important. It can be achieved with manual resistance, weight cuffs, resistance bands, etc.


  • For aerobic exercises, the frequency can be 5 days a week. The intensity of exercises can be 30 minutes of moderate-intensity (fast walking) or 20 mins of vigorous-intensity (running).
  • For strength training, the frequency can be 2-3 days/week with adequate rest. The intensity can be 8-12 repetitions which leads to muscle fatigue.

Precautions and Contraindications

  • When performing resistance training, it is important to keep a close watch on the increase in the intensity and progress within the structural limitations of the bone.
  • Because osteoporosis changes the shape of the vertebral bodies (vertebral bodies tend to become more wedge-shaped) leading to kyphosis, flexion exercises such as supine curl-ups and sit-ups should be avoided. Such stress may increase the risk of vertebral compression fractures.
  • Avoid combining rotations and flexion of the trunk to reduce stress on the vertebrae.

How Sancheti Hospital can help you?
Osteoporosis if neglected can disrupt your normal routine and life. It can also restrict mobility and function, hampering your daily routine. So, if you have been diagnosed with Osteoporosis, consider consulting our team of experts at Sancheti Hospital. Our panel of highly-skilled and qualified doctors are known for carrying out successful surgeries. Get relief from pain and recover faster under the supervision of our panel of doctors.

Work-Related Injuries

Ergonomics to Help Prevent Work-Related Injuries

It may surprise you that almost any aspect of your work environment can improve or hinder your ability to do your best work. Research has proven that ergonomic workspace designs minimize the risk of work-related pain and injuries but can also improve productivity and satisfaction.

Ergonomics is a scientific approach to understanding the human body’s abilities and then applying that knowledge to the tools they use every day to maintain physical health and prevent injuries.
Ergonomics and Injury Prevention Start with Posture
To maintain good back and neck posture, sit up straight, and pull your shoulders down and back while avoiding the bad from pushing forward. Fix your posture when and if it becomes necessary.
Over time, everyday activities like sitting, working, or even sleeping in one position, can result in poor posture.

Benefits of Ergonomics

  • Be less likely to suffer headaches, lower back pain, wrist pain, or eye strain.
  • Reduce existing neck, back, or wrist pain.
  • Prevent bursitis or tendon problems associated with repetitive movements.
  • Ergonomics will create a safer work environment and increase awareness
  • When you feel comfortable, you can focus better on the task. Ergonomics decreases pain, strengthens muscles, and increases blood flow. Combined, this improves mental insight
  • Ergonomics shows your company’s commitment to safety and health as a core value

How to Make a Workspace?

  • Proper desk alignment: When your desk is at the correct height, you won’t have to strain your forearms as you type, and it helps keep your shoulders relaxed, so you don’t put excessive pressure on your upper back by hunching over your desk as you work. An adjustable desk can help fight fatigue and prevent repetitive movement.
  • The right desk chair: Choosing a good chair can be challenging. Your desk chair should make it so you can sit with your feet flat on the floor and have your thighs horizontal and parallel to the floor. The chair should have good back support; if it does not, consider using a lumbar support pillow.
  • Computer glasses: You can experience eye strain because of the blue light emitted from various electronic devices you look at throughout the day. This excessive exposure to blue light can result in eye fatigue, and computer glasses with a blue light filter can ensure this harmful light does not strain your eyes.
  • Ergonomic keyboard and mouse: These keep your hands and wrists in a natural position. An ergonomic keyboard has a slight angle and lets your wrists assume a more natural, relaxed role.
  • Take frequent breaks: Poor posture can put a lot of pressure on your neck and back. Hence, it’s vital to take enough breaks and change positions. After every 30 minutes, stretch, stand, or walk for two minutes.
Elbow replacement


Elbow replacement surgery, also known as elbow arthroplasty, is a surgical procedure in which the surgeon replaces the elbow joint with an artificial joint. The surgery may be done to reduce constant pain and stiffness in the elbow. The surgery is known to improve the ability of the individual to participate in daily life activities which were difficult before.

Why is it done?
The elbow joint is made by 3 bones- humerus, the bone in the arm, and radius and ulna, the two bones present in the forearm. These three bones are bound by a connective tissue known as the cartilage which provides a smooth surface for the bones to move on. In case of any damage to the bones or the cartilage due to diseases like rheumatoid arthritis, gout, etc, or due to fractures that affect the elbow joint, the joint can become really painful and swollen. Such conditions can benefit from a joint replacement.

What happens during the surgery?
During the surgery, the parts of the elbow that are damaged are removed and are replaced with artificial metal implants to form a joint that resembles the elbow joint. The entire joint or a part of it can be replaced depending on the condition and the requirement of the patient. There are two types of artificial joints that can be used depending on the reason for the surgery. The types are:

  • Linked- an artificial connecting system is used to connect the artificial humerus, ulna and radius.
  • Unlinked- The patient’s own connective tissues are used to connect the artificial joint parts.

What can be expected after the surgery?
For a few days after the surgery, you can expect swelling to remain, as the structures that have been operated upon take time to heal. Elevation, icing and compression dressing can help in reducing this swelling. Your doctor may prescribe you pain relieving medications if you experience excruciating pain.
Immediately after the surgery, gentle range of motion exercises can be started under supervision of a physiotherapist. It is generally prohibited to force the movement of the elbow or bear weight on the operated hand until a few weeks after the surgery.

How long does it take to recover from the surgery?
It generally takes upto 3 months to completely regain the function of the upper limb. After the recovery most patients experience a great reduction in pain than before the surgery and are able to perform their daily activities in a much better manner.
It is usually suggested to not lift weights heavier than 3 kgs with the operated arm for quite some time after the surgery.
Your doctor can guide you appropriately about the plan of action for your treatment and suggest if you need to undergo the surgery. Your doctor will also brief you in detail about the precautions you need to take after the surgery and what you can do to take care of your new joint.

How Sancheti Hospital can help you?
Get the right diagnosis, consultation, and the best treatment options at Sancheti Hospital. Sancheti Hospital’s experienced panel of doctors can suggest the right treatment for you and also help you recover faster. The hospital is known for having access to the latest medical technology and advanced infrastructure required for successful surgeries.

Deep Vein Thrombosis

Deep Vein Thrombosis: All you need to know

Deep Vein Thrombosis or DVT is the condition in which a thrombus is formed in the deep veins in the legs. But, what is thrombosis? A thrombosis is a clot of coagulated blood in the circulatory system. Generally, a thrombus in the superficial veins in the calf resolves without complications, but the ones in the deep veins in the calf, thigh or pelvic areas, are known as Deep Vein Thrombosis.

Additionally, when this clot breaks loose, and travels through the bloodstream proximally, it is called an embolus. When such an embolus affects the pulmonary circulation (affects the lungs) it is known as pulmonary embolism. It is potentially a life-threatening disorder.
The warning signs and symptoms of a pulmonary embolism are:

  • Sudden onset of breathlessness.
  • Chest pain that worsens with deep breaths or chest movements like coughing.
  • Feeling dizzy or fainting.
  • Rapid breathing.
  • Coughing up blood.

What Are The Risk Factors For DVT?
DVT in the lower extremities is a common complication after any musculoskeletal injury, surgery, prolonged immobilization or insults to the walls of the vein. A list of common risk factors is mentioned below:

  • Postoperative or post-fracture immobilization.
  • Sedentary lifestyle with prolonged periods of sitting.
  • Prolonged bed rest.
  • Trauma to venous circulation (vessels).
  • Active malignancy (in the past 6 months)
  • Limb paralysis.
  • Obesity.
  • Advanced age.
  • Congestive Heart Failure.
  • Use Of Oral Contraceptives.
  • Pregnancy.

Signs And Symptoms Of DVT
The signs and symptoms of DVT include:

  • Dull aching or severe pain. The pain often starts in the calf and feels like cramps or muscle soreness.
  • Swelling. Commonly in the affected leg.
  • Changes in the skin temperature. A feeling of warmth in the affected leg.
  • Skin changes. Red or discoloured skin of the leg.

Diagnosis Of DVT

  • When the clinical features likely point toward a positive case, medical testing should be initiated to confirm or rule out the condition.
  • Diagnostic tests such as ultrasonography, venous duplex screening, or venography can confirm the condition.

Treatment For DVT
The treatment for DVT includes:

  • Blood thinners: DVT patients are commonly treated with blood thinners. They can be taken orally or injected.
  • Thrombolytics: Also called clot busters.
  • Filters: A filter is inserted into the vena cava. The vena cava filter prevents the clot that breaks loose from lodging in the lungs.
  • Compression stockings: Compression stockings reduce the chances of blood pooling and clot formation. It also helps to prevent swelling.

How Sancheti Hospital can help?
DVT patients need to be extra careful as it can be a life-threatening condition. If you have been diagnosed with a DVT, you should consider consulting with doctors at Sancheti Hospital. They will be able to advise you on the best treatment for DVT. Sancheti Hospital has an excellent team of experienced doctors and access to the latest medical technology and equipment. Experience optimal care under the supervision of highly qualified experts who can help you recover faster with minimal pain.

Deformities from childhood


Unusual or abnormal appearance of any body part is known as a deformity. A deformity not only affects the physical abilities of a child but also affects the child psychologically. An early detection of deformities can help in better management in the future.

Types of deformities
The types of deformities can be defined based on when they are developed-

  • Congenital deformities – Deformities that are present from birth, eg. Spina bifida, congenital hip dislocation, etc.
  • Developmental deformities- Deformities occurring due to improper development of the child. Eg. CTEV, stunted growth, etc.
  • Acquired deformities- Deformities that occur due to external factors- eg. due to malunion of fractures.
  • What are some commonly seen deformities in children?
    Several deformities can be seen in children at different stages of development. Some of them are-

    • CTEV-

      Congenital Talipes Equinovarus, often known as clubfoot is a disorder in which a child is born with one or both feet internally rotated at the ankle.
      It generally has two types- postural ctev and structural ctev. Signs and symptoms of CTEV are-

      • Inward turning of feet
      • Tight calf muscles
      • Inability to walk properly
      • Pain in the foot
    • Congenital dislocation of hip-

      A child can have congenital hip dislocation (CHD) if their hip is unstable at birth. It results from faulty hip joint construction in the foetus’ early developmental phases. This disorder is also known as “hip developmental dysplasia.” As your child gets older, this instability gets worse.
      Sometimes a child’s hip’s ball-and-socket joint can dislocate. This implies that movement will cause the ball to fall out of the socket. Sometimes, the joint may fully dislocate.

    • Congenital scoliosis-

      A sideways curvature of the spine that occurs in newborns is known as congenital scoliosis. Congenital scoliosis, which affects roughly 1 in 10,000 babies, is the least prevalent of the three main kinds of scoliosis.
      When the vertebrae do not develop normally before a baby is born, congenital scoliosis results. The severity of this kind of scoliosis can range from minor to life-threatening. Because the spine develops during the first few weeks of pregnancy at the same time as other organ systems, many kids with congenital scoliosis also have issues with their neurological systems, bladders, or kidneys. They might also experience issues with their spine or spinal cord.

    • Congenital kyphosis-

      A sharp forward angulation in the thoracic spine is know as kyphosis. Congenital kyphosis can be classified into two categories: failure of segmentation and failure of formation. A kyphosis is caused when a segment of one or more vertebral bodies fails to develop (Type I deformity), most commonly in the thoracolumbar spine. Kyphosis typically gets worse as a child grows . Typically, the abnormality is noticeable on the baby’s spine at birth as a lump or bump. When two or more vertebrae fail to separate and form typical discs and rectangular bones, the failure of segmentation deformity (Type II deformity) results. The likelihood of a diagnosis for this kind of congenital kyphosis increases when the youngster walks.

    • Cleft lip and cleft palate-

      Openings or cracks in the upper lip, the palate, or both are known as cleft lip and cleft palate, respectively. When a developing baby’s facial tissues don’t fully seal, it can lead to cleft lip and cleft palate.
      The most prevalent birth malformations are cleft lip and cleft palate. Although they most frequently manifest as solitary birth abnormalities, they are also linked to a variety of inherited genetic diseases or syndromes.

    How are deformities diagnosed?
    Deformities are diagnosed by a specialist doctor based on patient history, family history, and special tests and clinical examination. Imaging modalities such as XRAY, MRI, CT etc. may be done if thought necessary by the doctor. Certain special tests could also be performed to confirm the diagnosis.

    Management of the deformities
    The management of deformities in a child depends upon a number of factors. The doctor will examine the deformity thoroughly and to the extent with which it is interfering with the child’s function and accordingly decide the plan of management.
    The condition can be managed surgically or non surgically by applying casts and braces. When to perform the surgery is decided by the doctor based on the condition and clinical judgement.

    Deformities in children can cause quite a lot of stress to the child and the parents. The child may be discriminated against or can be treated differently and thus become sensitive. It is thus very important to diagnose them early and seek treatment promptly.

    How Sancheti Hospital can help you?
    Consider Sancheti Hospital if you are interested in plastic reconstructive surgery. It has a panel of leading surgeons with more than a decade’s experience in successfully carrying out various reconstructive surgeries. You can approach their panel of doctors for a diagnosis, treatment, and consultation to correct any deformities.

Body Health and Orthopaedic Health

Body Health and Orthopaedic Health

Body health and orthopaedic health are in direct correspondence with each other. Orthopaedic health means having healthy bones, joints and musculoskeletal parts of our body. Robust orthopaedic health ensures long healthy life. Along with regular exercise, a balanced diet, and stress management, we can have a well-maintained and healthy body.

The decrepit health of bones and joints invites orthopaedic disorders like:

  • Osteoporosis: Osteoporosis is a silent disease wherein the components of the bone are lost too rapidly or not replenished fast enough. Our bones become weak and brittle and make us vulnerable to fractures.
  • Chronic Pains: People having orthopaedic troubles often have aching knees or necks. These chronic pains are not only caused in the knees and neck but also in hands, joints, fingers, and backs.
  • Musculoskeletal Injuries: Musculoskeletal injuries are caused to the muscle or the skeleton due to stressful activities. They affect bones, joints, cartilages, ligaments, tendons, and muscles. They take place over a period of time and are fixed with the help of orthopaedic as well as physical therapy.

    Prevention is better than cure. There are ways in which one can take care of their body and ensure good overall orthopaedic health at home. Inculcating these habits into your daily routine can ensure the good body and orthopaedic health.
  • Activities: Activities such as swimming, stretching, walking and biking could be done in proper amounts and added to one’s daily routine to maintain a healthy lifestyle. The activities keep our muscles engaged and bones in fine fettle.
  • A Balanced Diet: Incorporating foods rich in calcium, magnesium, zinc, Vitamin D, Vitamin K and potassium refine bone health. Keeping track of what to eat, when to eat, and how much to eat is also very crucial. Sources like dairy products such as milk and cheese, green leafy vegetables (excluding spinach), soya beans, tofu, plant-based drinks with added calcium, nuts, anything made with fortified flour, fish where you eat the bones, such as sardines and pilchards etc improve orthopaedic health.
  • Keeping a Healthy Weight: Having a healthy weight relieves pressure on the joints. Obesity and excessive fat strain the skeletal structure causing risks to one’s orthopaedic health. The extra weight can also cause the cushioning around the knees to wear away which can cause surgical situations. Maintaining a healthy weight according to your age and gender can help reduce serious orthopaedic situations.
  • Core Exercises: Exercises like yoga and pilates help strengthen our core muscles and also encourage good posture. It strengthens and stabilises the spine along with relieving pressure on the joints. Good movement is also achieved through these exercises.
  • Listen to your body: It is imperative to not strain or force activities on your body. The body knows its limits and it is important to understand them otherwise it could cause long-lasting damage. Feeling pain, dizziness, nausea, and fatigue are some signs that you are overdoing it.

With regular visits to the orthopaedic doctor, a balanced diet, and regular exercise a healthy body can be maintained and there shall be a reduced risk of diseases and illness. Everyone should take these few steps to ensure and continue living a healthy and long life.

How Sancheti hospital helps you?
The Sancheti shoulder surgery department specializes in successful orthopaedic procedures, including Arthroscopy, Plastic and Reconstructive Surgery, Spinal Surgery, Sports Injuries, and more. It has a team of highly-qualified and experienced doctors with access to the latest medical technology and equipment. Visit our website to learn more about our shoulder, neck, and back surgery experts and ensure a quick recovery.