tag:blogger.com,1999:blog-22209066056226532872026-10-13T14:59:34.094+05:30Our goal is to help patients take an informed decision regarding their Orthopedic Surgery. Visit us for a primary evaluation by our Expert, or Second Opinion. Information is your Right: Ask for it ! Gurgaon,India (Delhi NCR Region)Unknownnoreply@blogger.comBlogger46125tag:blogger.com,1999:blog-2220906605622653287.post-26197413310130345692015-02-03T12:07:00.000+05:302017-07-15T13:35:18.677+05:30

Knee pain is such a common complaint in our Orthopedic practice, that I decided to write something about it; so the readers may benefit by getting an insight into the medical intricacy of diagnosis and treatment planning. Lets diversify our subjects according to Age. I 'll be focusing on common ailments which cause knee discomfort. Adults, both Men & Women, between the age group of 25-35

Unknownnoreply@blogger.com28tag:blogger.com,1999:blog-2220906605622653287.post-50169253414634520932012-11-17T23:06:00.000+05:302012-11-17T23:06:54.383+05:30

Lumbar and Cervical discs are prone to degeneration and prolapse due to their secondary acquired curvatures. Each disc consists of Outer Annulus, and Inner Nucleus pulposus. As annulus becomes weak, or becomes degenerative, or ruptures secondary to an injury; the nucleus pulposus material extrudes into the spinal canal or the nerve root region. This produces pressure on the nerves producing

Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-2220906605622653287.post-39321470502441372362012-08-04T20:06:00.002+05:302012-09-16T00:59:31.201+05:30

Chronic Patellofemoral instability can be a disabling condition. Female adolescents are the most common first time dislocators. The younger a patient is at the time of first dislocation and the more severe the dislocation, the greater is the risk of subsequent dislocation. Common causes of Recurrent patellar dislocation are : 1. Increased Q angle 2. Trochlear dysplasia 3. Lax or deficient

Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2220906605622653287.post-77355667909046437942012-07-18T20:03:00.010+05:302016-08-09T15:01:41.441+05:30

Carpal tunnel syndrome is pressure on the median nerve -- the nerve in the wrist that supplies feeling and movement to parts of the hand. It can lead to numbness, tingling, weakness, or muscle damage in the hand and fingers. Carpal tunnel syndrome is common in people who perform repetitive motions of the hand and wrist. A number of medical problems are associated with carpal tunnel syndrome,

Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2220906605622653287.post-83821199229115923912012-07-03T14:20:00.003+05:302016-08-09T15:02:48.660+05:30

Shoulder dislocations commonly seen in young individuals occur as a result of direct or indirect impact over the shoulder joint. There are two broad types of dislocations described; based on the position of the Humeral head. Anterior dislocations are more common. Posterior dislocation are a rare entity; often seen in epileptics. After an impact, the patient feels sudden give way in the shoulder

Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-2220906605622653287.post-42713839601135251232012-06-13T00:26:00.001+05:302016-08-09T15:03:11.119+05:30

Intoeing means that when a child walks or runs, the feet turn inward instead of pointing straight ahead. It is commonly referred to as being "pigeon-toed." Intoeing is often first noticed by parents when a baby begins walking. In the vast majority of children younger than 8 years old, intoeing will almost always correct itself without the use of casts, braces, surgery, or any special treatment

Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2220906605622653287.post-1154198090871019962012-05-13T00:26:00.002+05:302012-09-20T11:56:51.365+05:30

Nursemaid elbow or Pulled Elbow, as is commonly called, most commonly occurs in children aged 1-4 years. The usual history is a child been lifted or pulled by the wrist, followed by pain and loss of active forearm rotation. The forearm is usually flexed 15-20 degrees at the elbow, and the forearm is partially pronated. Often, the weight of the affected arm is supported with the other

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-47374788441579302502012-03-26T12:04:00.001+05:302012-09-20T11:56:51.877+05:30

Coccidynia is classically defined as pain in the coccyx region. It may occur secondary to a fracture in coccyx or a ligamentous sprain in sacrococcygeal ligament. Patients usually complaint of pain while sitting on hard surface, or during defecation. Treatment is mainly supportive. Most patients respond to Ultrasonic and IFT stimulation therapy. In resistant cases, local steroid injection along

Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2220906605622653287.post-76005798820613463952011-10-12T21:31:00.000+05:302012-09-20T11:56:52.125+05:30

Dr Anurag Awasthi, Orthopaedic Specialist, Sohna Road, Gurgaon; 9718112112 Chondromalacia of the patella occurs in adolescents and young adults. This condition is more common in females. It can be related to the abnormal position of the knee. Chondromalacia patella is abnormal softening of the cartilage of the under the kneecap (patella). Chondromalacia patella is the most common cause of

Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2220906605622653287.post-6967279726696880712010-12-13T07:33:00.000+05:302010-12-13T07:33:49.827+05:30

Osgood Schlatter disease is the osteochondritis of the tibial tuberosity occurring in adolescent knees. It causes pain and mild swelling just below the knee joint over the prominence in the front of the upper leg. Patients complain of difficulty in running activities. It is a developmental affection of the tibial tuberosity apophysis, and settles with completion of growth maturity, and fusion of

Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-2220906605622653287.post-56254388936152687742010-12-07T10:17:00.001+05:302016-08-09T15:05:28.295+05:30

Frozen shoulder or the technical name Adhesive Capsulitis of Shoulder, mostly seen in middle aged women and diabetics, causes global loss of shoulder movements in all directions. Usually a self limiting disease, but the prolonged disease course causes much disability. Early cases should be managed by a course of physiotherapy. In non- responding patients, manipulation under anesthesia after

Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-2220906605622653287.post-84426321793563130562010-12-07T09:53:00.001+05:302016-08-09T15:05:53.384+05:30

Shoulder impingement syndrome causes limitation of shoulder movements in one or more directions, but never complete global loss of movements. Also known as a "Painful arc syndrome"; when the arm is taken overhead in the window cleaning position, patient catches pain. Pain is reproduced on every attempt to do this manoeuvre. The patholy lies in the reduction of space for the free excursion of

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-63292133293265363262010-12-04T09:48:00.002+05:302016-08-09T15:06:13.561+05:30

AC Joint injuries are common due to fall on out-stretched hand. They have significant impact in overhead activities and sports. Patients with AC joint injuries have been classified into six types, with severity ranging from simple sprain to complete destruction of all supporting ligaments and marked displacement of the collar bone from its normal position. Not all patients with AC joint

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-10423825568931496142010-12-01T09:05:00.003+05:302016-08-09T15:06:42.907+05:30

Collar bone (Clavicle) fracture occurs commonly due to indirect forces with fall on the out-stretched hand. Most comon area of fractur is at the junction of inner 2/3 and outer 1/3. However, at times, the fracture occurs more outwards and closer to the shoulder joint. The latter presents a technically challenging scenario. Most collar bone fractures can be treated without surgery.

Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2220906605622653287.post-16665524569115180972010-11-24T14:57:00.001+05:302016-08-09T15:07:00.209+05:30

Most Sciatica is labelled to be because of a protruding disc (disc prolapse). However, there are other reasons to it. Making a correct diagnosis, is therefore important to correctly relieve the symptoms. Pain due to disc disease are usually aggravated with forward bending; however, pain of facetal arthropathy is worsened by backward bending. In case of Facetal Arthropathy, the facet joints

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-39136772523380524212010-11-18T10:53:00.001+05:302016-08-09T15:08:46.864+05:30

Gout is characterized by excessive uric acid levels in blood and deposition of sodium monourate crystals in the joint and subcutaneous tissues (tophi). The deposition of urate crystals and reaction with the white blood cells (phagocytes) incites the release of inflammatory mediators, which cause the characteristic pain and inflammation. During an acute attack, the involved joint is red,

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-85149615885865078982010-11-17T07:31:00.001+05:302016-08-09T15:09:21.038+05:30

Ankylosing spondylitis  or AS, is a form of arthritis that primarily affects the Sacroiliac joints and the spine, although other joints may become involved at advanced stages. Progreesive stiffness and ossification of ligaments produces the characteristic forward stooped posture.AS can also cause inflammation, pain and stiffness in other areas of the body such as the  hip joints,

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-71781015141453985822010-11-16T23:53:00.001+05:302016-08-09T15:08:28.683+05:30

Ganglion cysts appear to arise often on the extensor aspect of the wrist and hand. They may be associated with the degenerative conditions of the joints. They may occur adjacent to joints, tendons, fascial planes, and within bone. Usually soft in consistency, they may be firm to hard at times. These cysts are filled with gelatinous substance, which can be removed by a thick needle

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-72773381716641032622010-11-13T12:03:00.000+05:302010-11-13T12:03:05.653+05:30

Chronic musculo-skeletal pain syndromes are often associated with variable amount of depressive illnesses. Treatment of such patients purely by using analgesics often proves futile. A comprehensive approach with involvement of psychotherapist is often mandatory. In a recent report, US-FDA had approved the use of Duloxetine hydrochloride for use in conjunction with nos-steroidal and opioid

Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2220906605622653287.post-33415015284362721432010-11-12T11:51:00.000+05:302010-11-12T11:51:54.947+05:30

Pain in the hip joints with progressive limitation of activity is the predominant symptom in a case of advanced Hip arthritis. It may be a result of degenerative changes,/ inflammatory arthritis (RA),/ post-traumatic,/ Post AVN Hip etc. The picture shows almost complete obliteration of both hip joint spaces (more on the right side). This patient had a reasonable range of motion in left hip, so

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-64260653427273369772010-11-07T16:33:00.001+05:302016-08-09T15:09:56.842+05:30

Most fractures associated with osteoporosis have occurred due to progressive weakening of the bone. This is also associated with generalized weakening of the bones elsewhere in the body, particularly the spine and the wrist. So, any patient of osteoporosis presenting with fracture must be carefully assessed for fragility fractures elsewhere. The second point of concern is, osteoporosis worsens

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-50321179077761295692010-11-07T16:22:00.001+05:302015-07-04T19:08:42.193+05:30

Most fractures around the hip joint in elderly patients are associated with Osteoporosis. It may involve the femoral neck or the Inter-trochanteric region of proximal Femur. Usually the impact of trauma is trivial; hence many consider these fractures to occur as a result of progressive weakening of the bone and the ultimate give way. The treatment of such fractures in elderly population

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-76896591985954947572010-11-04T22:30:00.001+05:302011-10-10T12:01:38.038+05:30

for queries, pl contactDr Anurag Awasthi  Orthopaedic Specialist, Sohna Road, Gurgaon 9718112112 AVN Hip is defined as the irreversible changes in the femoral head, as a result of the interuption to the blood supply. It commonly follows fracture of femoral neck/ prolonged steroid intake/ alcoholism/ muco-polysaccharidoses/ sicle cell anemia etc. The femoral head gradually undergoes changes

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-88142302354691214042010-11-03T00:56:00.001+05:302010-11-04T19:22:16.211+05:30

ACL reconstruction is required if the instability due to damaged ACL fibers is limiting the activity level of patient to a significant extent; or if the patient wants to pursue an active athletic activity/ sport. ACL has two bands of fibers which interlace with each other. Anteromedial and Posterolateral; Of these, Posterolateral fibers are most important from patho-mechanical point of view.

Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-2220906605622653287.post-8954912377642370612010-11-02T21:14:00.000+05:302010-11-02T21:14:14.093+05:30

There is a plethora of technical terms used to describe the various ailments of spine; often used inter-changebly, and more often mis-interpreted by the patients. I want to offer a simple explanation to all these terms, to avoid every patient of neck pain or back pain, being labeled as spondylitis. Spondylosis : This is used to define a degenerative condition of the spine, which usually develops

Unknownnoreply@blogger.com3