{"from_page":"speciality","cor_word":"Orthopedics","cname":"knee-replacement-surgeon-mumbai","patient_terms":[{"id":"4905","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/Total-Hip-Replacement-Information-Dr-Shreedhar-Archik\/4905","snippet":"What is a hip replacement?\nHow does a total hip replacement eliminate pain?\nWhat part of the hip is replaced?\nWhich to choose? An uncemented or a c...","title":"Total Hip Replacement Information - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedic Surgeon Mumbai Dadar","summary":"What is a hip replacement?\nHow does a total hip replacement eliminate pain?\nWhat part of the hip is replaced?\nWhich to choose? An uncemented or a cemented hip replacement?\nWhat is a hip replacement?Total hip replacement surgery has become a common procedure to alleviate pain and debilitation caused by osteoarthritis, rheumatoid arthritis, fractures, dislocations, congenital deformities, and other hip related problems.The immediate benefits of this operation are great. After 4 months, in most uncomplicated cases, a patient is relatively pain-free, has full mobility of the hip, and can walk with a minimal or no limp.If you are considering a total joint replacement, you can obtain more information from Care Clinic, 2444 5608, and numerous other web resources.How does a total hip replacement eliminate pain?The cup and stem in this illustration are covered with a metal porous-coating, resembling sandpaper; this enables bone to grow into the implants, providing stability for the hip replacement.Basically, a total hip replacement eliminates pain, because the damaged, articulating surfaces on the hip are replaced with smooth, artificial surfaces.What part of the hip is replaced?The head (or ball) of the patient\u2019s femur and the neck of the femur (the thigh bone) are removed. An acetabular component is placed into the damaged socket. This component is a metal \u201ccup\u201d lined with a polyethylene shell (a hard plastic-like inner lining). The ball of the femoral implant (or stem) fits into this cup, creating a new, movable joint.The operation usually takes about 2 hours. The hospitalization time also is relatively short, usually about five or six days. In most cases, full recovery takes about 4 to 6 months.Prepare yourself with reliable information.Which to choose? An uncemented or a cemented hip replacement?This figure shows the type of hip implant generally used at the Anderson Orthopaedic Institute.Although initially developed for young, active patients, our experience in several thousand cases shows that this porous-coated method works well for patients of all ages and lifestyles.Today, both cementless (also called uncemented and porous-coated) and cemented hipreplacements offer patients effective, long-term relief.However, this was not always the case. In the the late 70s, cement was used in total hip replacements to attach implants to the femur and acetabulum. At that time, loosening of implants was the greatest shortcoming of hip replacements. When revision operations were done to correct the problem, the success rate was lower than with the initial surgery.At care clinic I do both cemented and uncemented hip replacements. It is important to know that the price of each implant varies but generally the uncemented hip cost more than the cemented hips.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns4","attachments":[{"vlink":"https:\/\/www.drarchik.com\/images\/displayimage\/61a4a67ffd7c7d55622789c1398aa447e57fb9a75bd69c1493fb1.jpeg?type=ht&size=300","alt":"Total Hip Replacement Information - Dr Shreedhar Archik"},{"vlink":"https:\/\/www.drarchik.com\/images\/displayimage\/6144062341b18b02abc7f5256dd3b6a520916bf35bd69c149402d.jpeg?type=ht&size=300","alt":"Total Hip Replacement Information - Dr Shreedhar Archik"},{"vlink":"https:\/\/www.drarchik.com\/images\/displayimage\/b086b976e4862144ef5451273d1dcf847297f5bf5bd69c1494083.jpeg?type=ht&size=300","alt":"Total Hip Replacement Information - Dr Shreedhar Archik"}],"append_div":"
\"Total<\/div>\n <\/div>","target":""},{"id":"4903","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/title\/4903","snippet":"ShalakaDeo a 33 year old mother of two recently visited me with pain in both her knees. She has been steadily putting on weight since the birth of ...","title":"The young arthritic knee: do\u2019s and don\u2019ts - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedic Surgeon Mumbai Dadar","summary":"ShalakaDeo a 33 year old mother of two recently visited me with pain in both her knees. She has been steadily putting on weight since the birth of her first son 8 years ago. She now weighs 85kgs and she is five feet four inches tall. She is otherwise healthy but started complaining of pain in both her knees while climbing stairs. Her younger son is 3 years old. She started finding it difficult to get up from the floor after playing with him for a while. Her x-ray showed early wear and tear which is not expected at this age.I am seeing patients like Shalaka almost every alternate day. Osteoarthritis is an age related wear and tear of the joints which all of us undergo. Traditionally I see these patients in the age group of 55+. Young arthritis patients pose a different problem. If these young individual s do not take adequate care in the early stage they end up having a knee replacement surgery by the time they are in their late forties. I am used to doing knee replacement surgeries in elderly arthritic and the average age group id 65+.Shalaka was very keen to get rid of her nagging knee pain and followed my instructions religiously. Shalaka now weighs 63 kgs and has no complaints whatsoever.I would like to share our treatment plan with other young patients for obvious reasons.The first important goal is to strengthen the muscles around the knee joint. My physiotherapist gave Shalaka a few exercises to strengthen her knee muscles. These are simple exercises which require no equipment and can easily be done at home. We asked Shalka to avoid unnecessary stair climbing and sitting on the floor. I gave her anti \u2013inflammatory drugs for just 7 days and her pain settled. We then gradually started her with low impact aerobic exercises (Pilates). A dietician planned her diet properly. Shalaka was given a target of burning certain calories per day. She started Pilates and regular morning walks but what helped her was a lifestyle modification. She started parking her car at least a kilometer away from her destination and started walking. She used a free app available on the net to calculate how much distance she was walking and how many calories she burnt. Shalaka also started getting up from her couch while watching her favorite daily soap every time a commercial break came up. She used to walk in front of the TV for those 2 or 3 minutes. She set up an inactivity alarm on her smart phone which used to buzz every 15 minutes to remind her to move around. She slowly inculcated a habit of not sitting in one place for more than 30 minutes unless there was a valid reason. Many friends suggested her to take nutraceuticals like Glucosamine\/ Chondroitin\/ Green mussles extract but she refrained from trying medicines. Slimming tablets also were pushed by some friends. Shalaka asked me for any scientific evidence about the effectiveness of these drugs and when I told her there was none; she refused to take these tablets.Shalaka\u2019s close friend had lost a lot of weight going for Zumba classes and she asked Shalaka to join her class. Zumba dancing is a very good exercise to burn calories but for knee pain cases it is classified as a high impact activity and hence should be avoided. Acupuncture and Acupressure are allowed but they have only a temporary pain reliving advantage. Both these modalities do not treat the basic cause.Shalaka\u2019s aunt from USA sent her a fancy knee brace called \u201cunloader\u201d (cost 26,000 indian rupees). These braces again are not useful for young arthritic patients.So friends the take home message from Shalaka\u2019s case study is important1. Reduce your weight2. Change your lifestyle3. Strengthen the muscles around your knee4. Eat sensibly5. Avoid tablets of any kind especially to lose weight or for cartilage growth.6. Customize your exercises after consulting your doctor, what is good for your friend may not be good for you!7. Use your smartphone for tracking your calorie burn and workouts.8. Avoid fancy braces\/belts.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns1","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic2.png","alt":""}],"append_div":"
\n \"\"\n <\/div>","target":""},{"id":"4902","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/The-New-Once-A-Year-Osteoporosis-Drug-Dr-Shreedhar-Archik\/4902","snippet":"The New Once \u2013 A-Year-Osteoporosis DrugOsteoporosis or literally \u201csoft bones\u201d is the disease everybody is concerned with for obvious reasons....","title":"The New Once - A-Year-Osteoporosis Drug - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"The New Once \u2013 A-Year-Osteoporosis DrugOsteoporosis or literally \u201csoft bones\u201d is the disease everybody is concerned with for obvious reasons. We expect a surge in the elderly population over next 15 years and with the increasing geriatric population we expect more osteoporotic related issues i.e. fractures. There is tremendous development occurring in the drugs available for treating osteoporosis. I am going to discuss one such drug today and it is called \u201cZolendronic Acid\u201d.There is a group of drugs called bisphosphonates which are widely used in treating osteoporosis. These drugs coat the bones and make them harder so that they do not break. Initially these drugs were given on a daily basis. They improved and we started using them on once a week basis. They further improved and we started giving them once a month. Zoledronic acid is one such drug but the beauty is that it can be given once a year! The oral tablets which discussed had another disadvantage. They had to be taken first thing in the morning on an empty stomach and the patient was advised not to eat anything or sleep for 30 minutes. Many patients developed acidity and long term gastritis because of these drugs. Patients also had to remember the date on which they were specified to take the drug. The result was quite a few dropped out. These drop outs then faced a major risk of fractures. Zolendronic acid is not a new drug. It was used to treat pain due to cancer spreading to the bones for a long long time. Recently a higher (5mg) dose was approved for the prevention of osteoporosis. This drug is given once a year intravenously. The drug was not very popular because of the cost involved i.e. INR 18,000 for one. The monthly tablets used to coast around 2000 INR. For 12 months! This year a lot of Indian companies have introduced this drug literally at a throw away price! The cost of one annual injection is now 2100 INR! So the cost is similar to the annual tablet budget but the convenience is great. All the patients complaining about the acidity issues can relax because the drug is injected and not swallowed! It takes 30 minutes to inject this drug and any nursing home or a day care clinic can do the job easily.Are there any risk factors or side effects? There are 2 common side effects with these drugs. Many patients get body ache for 2 days similar to the pain we feel during a flu attack. Fortunately this resolves on taking paracetamol tablets. Some patients actually get fever for 24 to 36 hours and gain it responds to paracetamol. There are other side effects mentioned on the leaflet accompanying the drug but they are very rarely observed. We do tell the patient to drink plenty of water before the injection which reduces the body aches significantly.Over all it is a very beneficial drug for patents undergoing anti osteoporotic treatment. So if your doctor orders one please go ahead. For more information consult your local orthopedic surgeon or write to Dr. Shreedhar Archik on\u00a0drarchik@yahoo.com","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns0","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic10.png","alt":""}],"append_div":"
\n \"\"\n <\/div>","target":""},{"id":"4901","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/The-Importance-of-Calcium-Dr-Shreedhar-Archik\/4901","snippet":"Calcium as most of us know is an important part of our bones. Calcium gives our bones the necessary strength to carry our body weight. Calcium is a...","title":"The Importance of Calcium ? - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"Calcium as most of us know is an important part of our bones. Calcium gives our bones the necessary strength to carry our body weight. Calcium is also required for functioning of all the muscles and the most important muscle being the heart of course. Without calcium, muscles would not contract normally, blood would not clot and nerves would be unable to carry messages. Calcium and bone health go hand-in-hand. Increasing scientific evidence indicates that adequate calcium intake reduces the risk of several major chronic diseases, most notably osteoporosis, a potentially crippling disease of thin and fragile bones. Calcium also helps protect against colon cancer, high blood pressure and recurring premenstrual syndrome, and possibly cardiovascular disease and kidney stones (well most think it causes stones). The daily requirement of calcium varies significantly during our life time. The growing phase during the childhood obviously needs more calcium than the younger phase. Women need maximum during pregnancy and lactation. After menopause ladies need additional calcium whereas men require it to fight the senile (post 65 years) osteoporosis. Diseases like hypothyroidism, rheumatoid arthritis, chronic steroids usage. Kidney failures mean increasing the calcium requirement. The World Health Organization gives us the daily required dose according to the age group and I am making it simple for you here. Most adults need between 1,000 and 1,500 milligrams (mg) of calcium every day. Requirements for young children and adolescents range from 800 mg to 1500 mg daily. Calcium can be found in foods from each of the five food groups. Some good sources: 8 ounces of plain yogurt \/Dahi (450 mg); 8 ounces of milk (300 mg); an ounce of cheese (200); 3 ounces of fish with bones (370 mg); one cup of broccoli \/spinach\/methi (90 mg); and one cup of cooked soybeans, (130 mg). There are also many new calcium-fortified foods, such as orange juice, rice and pasta that provide a good source of calcium.It is important to know certain facts about calcium since there are a lot of myths circulating about how much and when and why.Vitamin D is absolutely essential for the absorption of calcium and has very few dietary sources. Vitamin D is naturally produced under our skin when it is exposed to sunlight (they taught it this in our school days). Unfortunately with increasing pollution in our metros the sunlight has lost its importance or strength. Add the fact that most of the affluent people are indoors most of the time or travel in cars with dark glasses! The recommended dosage of Vitamin D :400-800 international units (IU) a day\n400-600 IU\/day for those over 50\n600-800 IU\/day for those over 70.\nMultivitamins often contain only 200-400 IU.\n\nMake sure food sources plus supplements do not exceed 1000 IU\/day. A traditional Indian diet itself is usually deficient in the calcium content and the best designed diet can give you a maximum of 300 mg of calcium (that too if you keep having the same diet every day!). Do you now get it? All of us need calcium because of our lifestyle and dietary habits.Having established the need of calcium let us see what are the myths or facts surrounding the calcium use. It is important to note that calcium absorption form the gut is much better at night so if you are going to take a pill take it at night. Calcium is also absorbed better with food so take the tablet at the end of your meal (especially carbonate salt, whereas citrate can be taken any time). It is now easy for you to decide how much you need. Subtract 300mg (dietary source) from the daily requirement according to your age and that is what you need in the medicinal form. The other myth is \u201ctoo much calcium is bad\u201d, true but if it is really too much, so see the chart and decide whether it is too much! Most patients feel 2 tablets are too much! Most of the patients believe that one should take calcium every alternate month to avoid side effects! Well your muscles require it every day so why take only 6 months a year? You will be surprised as to how many people really believe this, just ask around. The other problem is the availability of various salts in they market! There is calcium carbonate which is cheap and easily available but the absorption is slightly poor. Then there is calcium citrate which is very good from all aspects and then there is ionic calcium and few other new salts. Most of the tablets have vitamin D added to them. The confusing starts when patient X who is taking a carbonate tablet reads his foil which states 500mg of calcium carbonate and compares it with the prescription of patient Y who takes calcium citrate which reads calcium citrate 1000mg. Patient X then tells Y that his doctor is giving him a \u201cdouble\u201d dose!! Both doses are similar but the 500-1000 mg difference is because of the salt, so it is comparing oranges with apples, but patients too often fall pray to this confusion! Best solution is to seek your doctor\u2019s help. It also too common to see young ladies stopping the calcium as soon as they deliver. While they are breast feeding the calcium requirement is the highest and the baby never suffers but the mother\u2019s stores i.e. bones get depleted. If one has successive pregnancies then imagine the plight of the mother.So what about the diet. All milk and milk derived products are rich in calcium. Fish is a good source. Green leafy vegetables like palak (spinach) and Methi are again a good source. Rajma\/lentils\/kidney beans are again a good source of calcium. Raagi or Nachani flour can be added to the routine atta to increase calcium intake. Raagi biscuits are available over the counter and are excellent afternoon snack. Almonds and Banana are also a good source. One should also look at the calorie content while consuming these food items otherwise the calcium intake is good but one puts on a lot of weight eating Bananas. Solutions consult a doctor or a dietician before eating almonds!If you are running low on calcium you feel tired, lethargic, you fatigue out easily. One may become irritable and start complaining about generalized aches and pains all over. Bright sparks get their blood calcium levels done and feel happy that it is normal. Calcium is mobilized from its stores i.e. bones to keep the blood level normal and therefore blood levels are usually normal though you may be deficient. I would strongly advise one to get the Vitamin D3 level checked once in a while which can sort out most of the problems of calcium deficiency. Remember one need Vit D for calcium to get absorbed. The ideal level for Indians is near 25 though your lab would suggest a normal range from 7 to 9. Below 15 and you are sure to show symptoms.So do I take calcium tablets as per the chart and feel secured? NO, life is cruel; one needs to regularly exercise to keep the calcium inside the bones! And excessive alcohol and smoking cause calcium loss! All ladies need calcium after forty and the shorter their stature the sooner they will exhaust their calcium stores.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns2","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic22.png","alt":""}],"append_div":"
\n \"\"\n <\/div>","target":""},{"id":"4900","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/The-Danger-Called-Alternative-Therapy-Dr-Shreedhar-Archik\/4900","snippet":"I see a lot of patients going for alternative therapies now days. These patients are mostly the ones whom I have recommended some kind of surgery! ...","title":"The Danger Called Alternative Therapy - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"I see a lot of patients going for alternative therapies now days. These patients are mostly the ones whom I have recommended some kind of surgery! The fear of surgery usually drives these patients to seek an \u201calternative\u201d. Then there is a small group of patients who suffer from chronic ailments like rheumatoid arthritis and are fed up of taking multiple drugs and therefore seek alternatives. A small group also believes that anything in \u201callopathy\u201d means dangerous and has bad side effects. Unfortunately most of these patients end up having a side effect or they do not improve at all. I am narrating two stories of my own patients who unwittingly had to go through nightmare and both wanted me to educate others. The stories tell you how to deal with the situation.I was treating an elderly lady for a fracture in the spine and her son and daughter in law used to accompany her to the clinic for regular follow-ups. Her son was one of the top executives in one of the big IT companies and the daughter in law was a school teacher (both highly educated). This couple was childless and had gone through multiple tests and had spent a fortune to see if they could bear a child. Finally they were told to adopt a child and they had gracefully accepted the fact. My patient i.e. the old lady , after sustaining the fracture went into depression and started believing that she was about to die! She started pestering the couple for having a baby before she breathed her last! She also threw tantrums about getting an adopted baby inside her home! This couple was in terrible situation and I used to counsel the old lady about the fact that she was alright and was NOT going to die! Suddenly their visits to me stopped and then I saw this man (son) looking terribly unwell coming one day to my clinic. He was pressurized by his mother for a child and poor fellow took some \u201cherbal\u201d drug from a man brought to his door by his mother. He knew that this guy was not a doctor and the guy also sold the \u201ctherapy\u201d saying that he had gift from the God and took no money for this so called medicines. Our man took this religiously feeling that these herbal medicines won\u2019t harm him and will keep his mother out of depression. Four weeks down the line he was admitted to the hospital with severe abdominal pain. His investigations revealed a peculiar picture as far as the blood count went it showed signs of lead poisoning! The abdominal colic was due to lead poisoning. My friend who was treating him was puzzled since he could not believe that a top executive would have lead poisoning. (It is common in paint industry workers). He sent for the blood levels of lead and they came sky high! He had bone marrow depression also due to lead poisoning. On digging deeper it was found that he was taking this herbal medicine. The sample was sent for assessment and bingo it had high levels of lead in it. Two weeks in the hospital and our man went home with great mental trauma and a huge bill for something called \u201cherbal\u201d. He is a noble man and called this guy who had given him the drug and pleaded to stop this practice!MoraleDo not think that everything you take as herbal may not have side effects. We commonly come across heavy metal poisoning cases after being treated with \u201cAyurvedic\u201d drugs by the so called doctors (always found to have no qualifications) or most of the times by \u201cfaith healers\u201d (lay public saying they have a gift etc.).The second story took place last month. A police sub inspector whom I had treated for a leg fracture got his father to see me. This 70 year old gentleman could not walk. He had a peculiar picture which could not fit his inability to walk. On probing I found out that he was taking some powder from a villager for the last 2 years as a cure for his knee arthritis. His nerves were getting affected and I thought this was typical due to steroid abuse. We see patients being given steroids by quacks as a \u201cpowder\u201d almost every day and I felt this was along term side effect of steroid use. I explained everything to him and started treatment. He showed no improvement and remembering my last case I ordered a fresh blood count which came back looking similar to our IT executive! I got his lead levels and bingo here was another case of lead poisoning sitting in front of me! I discussed this case with my physician friends and they all smiled saying \u201cah! We see this very often\u201d, get the arsenic levels done! I did and here was this poor farmer, he had arsenic levels which were high. It took him 6 months to recover! I then realized that my 2 guys were fortunate, my physician friends ell me that most of them end up having permanent kidney damage!MoraleNever ever take any \u201cmedicine\u201d unless you know what it contains! If you do not believe your doctor\u2019s opinion take a qualified second one but please do not take so called \u201calternative\u201d remedies and especially from unqualified \u201cdoctors\u201d.Please note that I am not criticizing ayurveda or homeopathy, I am commenting about unqualified people selling dangerous stuff as miracle cures. Ayurveda or homeopathy still works in the hands of trained and qualified doctors.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns5","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic8.png","alt":""}],"append_div":"
\n \"\"\n <\/div>","target":""},{"id":"4899","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/Tennis-Elbow-Treatment-Dr-Shreedhar-Archik\/4899","snippet":"Tennis elbow at a glance\u2022 Tennis elbow (also known as lateral epicondylitis) develops when the tendons and muscles in the elbow become inflamed f...","title":"Tennis Elbow Treatment - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"Tennis elbow at a glance\u2022 Tennis elbow (also known as lateral epicondylitis) develops when the tendons and muscles in the elbow become inflamed from repetitive arm, forearm, hand or wrist movements.\u2022 Improper technique in racquet sports has led to this condition being referred to as tennis elbow, but anyone with occupations or hobbies that require similar motions may develop tennis elbow.\u2022 Symptoms include pain that increases with activity in the outside part of the elbow.\u2022 At-home treatment should include rest, ice, compression and elevation, as well as wrapping the elbow. In severe cases of tennis elbow, physical therapy or surgery may be necessary.If you are experience symptoms of Tennis Elbow or other elbow pain, contact us to request an appointment with one of our orthopedic specialists.Causes of tennis elbowTennis elbow is an overuse injury caused by repetitive contraction of the forearm muscles to straighten the hand or lift with the palm side of the hand facing down \u2013 a backhanded motion typically seen in tennis. The repetitive stress causes the tendons or muscles that attach the forearm muscles to the outside of the elbow to become inflamed or develop small tears.Despite its name, tennis elbow if fairly common and affects more than 200,000 people in the United States each year. Women and men are equally affected, although it is most common in people ages 30 to 50. Any repetitive activity that involves twisting of the wrist (such as using a computer mouse or screwdriver) can cause this condition.A similar condition called golfer\u2019s elbow refers to the same injury to the inside of the elbow.Symptoms of tennis elbowSymptoms of tennis elbow include pain and tenderness in the outside part of the elbow (the lateral epicondyle), which becomes more painful during intense use of the arm. Some people may experience pain only when they use their forearm and wrist for twisting movements (such as opening a jar).If the condition has become severe, increased pain could also extend to the forearm and wrist and increase with everyday activities such as lifting and grasping objects.Treatment of tennis elbowTreatment of tennis elbow depends upon a variety of factors including how a patient\u2019s injury occurred, any occupational risk factors, and recreational sports participation.To relieve pain from tennis elbow, the activity causing the pain should be limited or stopped completely. Initial treatment should include the rest, ice, compression and elevation of the elbow with over-the-counter medication, such as ibuprofen, to relieve the pain. Be sure to talk to your pharmacist before purchasing anti-inflammatories as these medications may be contraindicated as they may interact with other medications and medical conditions.Wrapping the forearm just below the elbow or wearing a wrist splint to protect the injured muscles and tendons as they heal may also be necessary. In severe or long-lasting episodes, an injection of medication into the arm may relieve discomfort.After a few weeks, exercise and stretching to strengthen the muscles will help prevent tennis elbow symptoms from returning, although recurrence of the condition once normal activity is resumed is common.Learning proper technique when playing tennis, participating in sports or making adjustments to movement during other activities, as well as wearing a brace during the activity, will go a long way in preventing tennis elbow from developing again.The American Academy of Orthopedic Surgeons estimates up to 95 percent of all tennis elbow cases heal on their own with proper at-home remedies. However, physical therapy or surgery may be recommended by your doctor if the pain does not go away or the condition does not improve after 6-12 months.Cubital Tunnel Syndrome TreatmentCubital tunnel syndrome at a glance\u2022 Cubital tunnel syndrome, also known as ulnar neuropathy, is the compression or irritation of the ulnar nerve, which runs through the groove in the center of the elbow (in the area commonly referred to as the funny bone).\u2022 Cubital tunnel syndrome is caused by repeat injury that causes scar tissue, pressure, or stress to the funny bone area, affecting the way the nerve operates and causing pain, similar to carpal tunnel syndrome in the wrist.\u2022 Symptoms of cubital tunnel syndrome include pain, numbness, and tingling through the fingers.\u2022 Treatment should start with conservative methods such as rest and stretching, but may require surgery for severe cases of cubital tunnel syndrome.Causes of cubital tunnel syndromeSimilar to carpal tunnel syndrome, cubital tunnel syndrome is caused by repetitive pressure put on the ulnar nerve, which runs alongside the bone at the elbow. The elbow joint provides little padding, so the nerve is more susceptible to compression.Compression can be caused by habitual activities such as leaning your elbows on a hard surface, and bending the elbow for long periods of time (such as during sleep). Additionally, tissue surrounding the nerve may become thicker through injury or the muscle may become larger, compressing the nerve at the elbow.Cubital tunnel syndrome may also result from abnormal bone growth or fluid buildup in the elbow or from physical activity that puts pressure on the ulnar nerve.A direct blow to the groove of the elbow can hit the ulnar nerve, commonly called hitting your funny bone.Symptoms of cubital tunnel syndromeWhen the ulnar nerve becomes pinched, it can cause pain, numbness and tingling in the elbow that can extend into the fingers, especially when the elbow is bent or pressure is applied (such as leaning on a hard surface) for extended periods of time. In more severe cases, loss of strength in the fingers and a decreased ability to grip with the hand or fingers may also develop.Some people also experience the ulnar nerve moving over the boney part of the elbow when the arm is bent and straightened, which can increasingly irritate the nerve over time.If the nerve has been compressed for several weeks, muscle wasting or the hand becoming locked in a claw-like position can occur, so it\u2019s important to see a doctor if cubitsl tunnel symptoms persist.Treatment of cubital tunnel syndromeAt home treatment for cubital tunnel syndrome should include rest, stretching and anti-inflammatory medicines. Other conservative methods may include using a splint to keep the elbow from bending (such as during sleep), avoiding unnecessary pressure on the elbow during daily activities, and wearing a pad over the elbow to protect the **** funny bone. Be sure to talk to your pharmacist before purchasing anti-inflammatories as these medications may be contraindicated as they may interact with other medications and medical conditions.If the ulnar nerve is under severe pressure, surgery may be necessary to release or reposition the nerve and alleviate symptoms. Surgical procedures include cubital tunnel release, ulnar nerve anterior transportation and medial epicondylectomy.If you are experience symptoms or elbow pain associated with cubital tunnel syndrome, contact us to schedule an appointment with one of our orthopedic specialists.Little League Elbow TreatmentLittle league elbow at a glance\u2022 Little league elbow (also known as pitcher\u2019s elbow or medial apophysitis) is an overuse injury that affects children and adolescents involved in sports such as baseball that require a throwing motion (pitching).\u2022 Little league elbow is caused by repetitive stress to the elbow\u2019s ligaments and tendons from the muscles in the forearm pulling on the growth section of the elbow, and essentially is a form of tendinitis.\u2022 Symptoms include pain, swelling and restricted motion.\u2022 Treatment may include rest and ice, physical therapy, or surgery.Causes of little league elbowLittle league elbow occurs when young baseball players (or participants in other sports requiring throwing) extend their arm in a throwing motion too hard or too often. Throwing a baseball (and similar motions) causes the forearm muscles to pull and stretch the soft tendons and ligaments in the medial epicondyle of the humerus (the part of the elbow that grows through adolescence).With Little league elbow, the medial epicondyle of the humerus becomes overused, enlarged and, in more severe cases, torn. This condition worsens if activity is continued, and can pull the ligaments and tendons away from the bone, which can severely impact bone growth.Symptoms of little league elbowSymptoms of pitcher\u2019s elbow include :\u00a0\u2022 Pain on the inside (medial) part the elbow.\u2022 Tenderness.\u2022 Swelling.\u2022 A restricted range of motion from the pain.\u2022 The elbow joint becoming locked.Treatment of little league elbowIf a child is experiencing symptoms of little league elbow, they should stop pitching immediately as this condition often becomes more severe with repeated stress and can lead to major complications.Nonsurgical treatments include rest and applying ice to the painful or swollen area of the elbow for a few days, as well as over-the-counter medications for pain and physical therapy. Once the condition clears, changing or refining throwing techniques may help prevent future injury. Be sure to talk to your pharmacist before purchasing anti-inflammatories as these medications may be contraindicated as they may interact with other medications and medical conditions.If pain returns when pitching or throwing is resumed, further treatment is necessary and the child should stop the activity until the condition is healed.Surgery may be necessary to reattach ligaments, remove loose bone, or perform bone grafting particularly in adolescents approaching or entering their teen years.If you have a child who is experiencing pain and symptoms associated with Pitcher\u2019s Elbow, contact Dr Shreedhar Archik to request an appointment with one of our sports medicine specialists.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns1","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic4.png","alt":""}],"append_div":"
\n \"\"\n <\/div>","target":""},{"id":"4898","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/Lateral-Epicondylitis-Tennis-Elbow-Dr-Shreedhar-Archik\/4898","snippet":"What is lateral epicondylitis (tennis elbow)?Lateral epicondylitis (tennis elbow) is the name for a condition in which the bony bump at the outer s...","title":"Lateral Epicondylitis (Tennis Elbow) - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"What is lateral epicondylitis (tennis elbow)?Lateral epicondylitis (tennis elbow) is the name for a condition in which the bony bump at the outer side of the elbow is painful and tender.The elbow joint is made up of the bone in the upper arm (humerus) and one of the bones in the lower arm (ulna). The bony bumps at the bottom of the humerus are called epicondyles. The bump on the outer side of the elbow, to which certain forearm muscles are attached by tendons, is called the lateral epicondyle.Lateral epicondylitis is also referred to as wrist extensor tendonitis.How does it occur?Tennis elbow results from overusing the muscles in your forearm that straighten and raise your hand and wrist. When these muscles are overused, the tendons are repeatedly tugged at the point of attachment (the lateral epicondyle). As a result, the tendons become inflamed. Repeated, tiny tears in the tendon tissue cause pain. Among the activities that can cause tennis elbow are tennis and other racket sports, carpentry, machine work, typing, and knitting.What are the symptoms?The symptoms of tennis elbow are :Pain or tenderness on the outer side of the elbow\nPain when you straighten or raise your wrist and hand\nPain made worse by lifting a heavy object\nPain when you make a fist, grip an object, shake hands, or turn door handles\nPain that shoots from the elbow down into the forearm or up into the upper arm.\nHow is it diagnosed?Your doctor will ask you about your daily and recreational activities. He will examine your elbow and arm and will have you do movements that may cause pain in the outer part of your elbow. Your doctor may order X-Rays of the elbow.How is it treated?Treatment includes the following :Put an ice pack on your elbow for 20 to 30 minutes every 3 to 4 hours for 2 to 3 days or until the pain goes away.\nYou can also do ice massage. Massage your elbow with ice by freezing water in a Styrofoam cup. Peel the top of the cup away to expose the ice and hold onto the bottom of the cup while you rub the ice over your elbow for 5 to 10 minutes.\nWear a tennis elbow strap. This strap wraps around the forearm below the elbow and helps keep the forearm muscles from pulling on the painful epicondyle.\nTake anti-inflammatory medication.\nDo the exercises recommended by your health care provider. Your doctor may also recommend physical therapy in the form of local ultrasound therapy.\nYour doctor may recommend an injection of a corticosteroid medication around the lateral epicondyle to reduce the inflammation.\nIn severe cases, surgery may be recommended.\nYou will need to avoid or reduce racket sports or other activities that involve repetitive motion of the elbow until your symptoms disappear. Try to lift objects with your palm facing up to keep from overusing your lateral epicondyle.\nHow long will the effects last?The pain of tennis elbow will last until there is no stress to the area. Avoid physical activities that make the condition worse until the symptoms disappear. Usually the symptoms go away a week or two after you begin treatment.How can I take care of myself?To help take care of yourself, follow the full treatment your health care provider prescribes. In addition, you can :Get enough sleep and avoid becoming overtired.Avoid painful activities, including racket sports, shaking hands, hammering, unscrewing jars, or using a screwdriver.How can I prevent tennis elbow?To prevent tennis elbow :Use proper form during your activities, whether they are sports or job-related. For instance, be sure your tennis stroke is correct and that your tennis racket has the proper grip size.Warm up before playing tennis or doing other activities that involve your elbow or arm muscles. Gently stretch your elbow and arm muscles before and after exercise.Ice your elbow after exercise or work.In job-related activities, be sure your posture is correct and that the position of your arms during your work doesn\u2019t cause overuse of your elbow or arm muscles.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns2","attachments":[{"vlink":"https:\/\/www.drarchik.com\/images\/displayimage\/f70e6b5a8f27211d5bffd7be537877b24624d9835bd41ec45a676.jpeg?type=ht&size=300","alt":"Lateral Epicondylitis (Tennis Elbow) - Dr Shreedhar Archik"}],"append_div":"
\n \"Lateral\n <\/div>","target":""},{"id":"4897","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/Steroid-Injections-for-Back-Pain-Dr-Shreedhar-Archik\/4897","snippet":"Steroid injections for back pain at a glance\u2022 Steroid injections deliver corticosteroids that resemble the body\u2019s anti-inflammatory hormone to ...","title":"Steroid Injections for Back Pain - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"Steroid injections for back pain at a glance\u2022 Steroid injections deliver corticosteroids that resemble the body\u2019s anti-inflammatory hormone to specific areas in the back via a needle to decrease inflammation and provide pain relief.\u2022 The three main types of steroid injections for the back are categorized by where the injection is made and include trigger point, facet joint and epidural.\u2022 Steroid injections for back pain reduce the pain and increase mobility.What are steroid injections for back pain ?Steroid injections are a common, nonsurgical treatment for spine, back and neck pain. Steroids, short for corticosteroids, are synthetic drugs that resemble cortisol, an anti-inflammatory hormone that the adrenal gland produces naturally.\u00a0 Steroids work by decreasing inflammation and reducing activity in the immune system, and are used to treat a variety of diseases and conditions, including spinal stenosis and sciatica.Steroid injections are performed to help reduce the inflammation and pain associated with a compressed nerve.\u00a0 Nerves can be compressed by a herniated disc, spinal stenosis or bone spurs.Steroids are administered two ways.\u00a0 They can be administered to the entire body system or injected into the entry point of the affected area.\u00a0 There are three main types of steroid injections for back pain associated by their\u00a0 location\u00a0 :\u2022 Epidural injections : A steroid that is injected into the spinal canal around the area that surrounds the spinal cord and nerve roots for relief of sciatica.\u2022 Trigger point injections :\u00a0 The steroid is injected into the area in the back that triggers or causes pain at that spot or extends to another area of the body such as the hip or leg.\u2022 Facet joint injections : The steroid is injected into a facet joint, which is one of the points where a vertebra connects to another.Benefits of steroid injectionsSteroids work to reduce inflammation (heat, swelling, redness and pain).\u00a0 As a result, patients suffering from neck, spine or back pain typically feel less pain, swelling and stiffness and are able to function better after receiving steroid injections.Steroid injections are a first-time option for patients who suffer from sciatic and do not want to have surgery. Steroid injections can be added to a treatment plan that may already include pain medications, anti-inflammatory drugs, physical therapy, occupational therapy or supportive devices such as\u00a0 canes or braces.\u00a0 Whether one or more of those treatment methods are used depends on the nature of the problem.\u00a0 They are used for long-term treatment of sciatic pain and are often repeated once or twice a year.Steroid injection procedureThe patient will be given specific instructions prior to coming in for the injection and can usually continue on their normal medications with the exception of any blood thinners or anti-inflammatory medications.\u2022 An intravenous (IV) line will be placed in one of the veins. Patients may be given medication to help them relax during the procedure.\u2022 The patient will be placed on an X-ray machine over a bolster to help open up the spaces between the bones in the back. The X-ray is obtained to verify the proper level for the injection.\u2022 The patient\u2019s skin is cleaned and they are injected with a medication to numb the area.\u2022 After the area is prepared and numb, the doctor will insert a needle through the skin and toward the spine.\u00a0 Once the needle is in the proper space, a small amount of dye may be injected to verify the position of the needle on the X-ray.\u2022 A mixture of numbing medication and steroids is injected into the epidural space.\u00a0 The needle is removed and a bandage is placed over the site.The injection is generally very quick and is administered in under 30 seconds. It is usually not painful because of the numbing medication used at the start. Many people have a mild tenderness in the days following the injection and it may help to apply ice to the affected area for 15 to 20 minutes at home.Steroid injections are one of the most effective ways to decrease pain and improve function.\u00a0 It\u2019s important to keep in mind that not everyone gets the same level of relief from the injections.\u00a0 Since the amount of steroid injected is usually small, injections may be repeated up to three times per year if necessary with no significant side effects.Common side effects of steroid injections include :\u2022 Insomnia\u2022 Flushing\u2022 Headache\u2022 Muscle tensions","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns2","attachments":[{"vlink":"https:\/\/www.drarchik.com\/images\/displayimage\/30cbfb1942fd8a007dab9dc55be30f83e0eb4ff85bd41cfe693ca.jpeg?type=ht&size=300","alt":"Steroid Injections for Back Pain - Dr Shreedhar Archik"}],"append_div":"
\n \"Steroid\n <\/div>","target":""},{"id":"4896","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/Stem-Cell-Therapy-Dr-Shreedhar-Archik\/4896","snippet":"Stem cell therapy at a glance :\u2022 Stem cell therapy is a minimally invasive procedure that uses a needle to inject stem cells into damaged tissue ...","title":"Stem Cell Therapy - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"Stem cell therapy at a glance :\u2022 Stem cell therapy is a minimally invasive procedure that uses a needle to inject stem cells into damaged tissue to initiate healthy cell growth.\u2022 Stem cells occur naturally in the body and contain anti-inflammatory and regenerative properties that can treat any condition that damages tissue, such as arthritis and torn cartilage.\u2022 Patients typically require only one treatment to improve function and decrease pain in the damaged area, and benefits typically last years.\u2022 Stem cell therapy is approved by the Food and Drug Administration and is generally very safe.What is stem cell therapy?Stem cell therapy injects stem cells into an area of injury, such as an arthritic knee, to help initiate a natural healing process and create new healthy cells. Stem cell therapy offers a natural, minimally invasive treatment alternative to traditional surgery, often with less recovery time.Stem cells are naturally occurring cells in the body but are different from most other types of cells because they are multipotent, which means they can develop (\u201cdifferentiate\u201d) into a wide variety of specialized cell types including muscle, tendon and cartilage.Stem cells are categorized as either embryonic (derived from a fetus) or as adult (found in the human body). Adult stem cells grow in abundance in bone marrow and fat, but can also be found in smaller quantities in most tissue.Stem cells naturally release anti-inflammatory elements that help decrease inflammation and pain that occurs in damaged tissue. The stem cells also signal existing cells to begin producing cartilage. All of these functions work to decrease pain, increase joint function and heal worn out or damaged cartilage.Stem cells are not critical to the body\u2019s natural healing process. But by harnessing their ability and targeting them to specific areas, they provide a promising treatment for a diverse range of injuries and conditions.Stem cell therapy procedureWhile there are multiple storage sites for adult stem cells in the body, Dr. Shreedhar Archik recommends using a patient\u2019s own stem cells from their bone marrow, which has a high concentration of cells and is easily accessible.To obtain the cells an orthopedic surgeon will apply anesthesia to the area overlying the pelvic bone in the patient\u2019s lower back before inserting a needle through the bone into the bone marrow. A sample of bone marrow is withdrawn and prepared in a machine that is specifically designed to concentrate stem cells.Once the cells are isolated, the area receiving injections is then sterilized and numbed. Using ultrasound guidance to confirm accurate placement, a surgeon injects the stem cell solution into the damaged area of the body.Recovery time is minimal and varies from patient to patient.After the initial procedure, patients report improvement in pain and function. In most cases, only one treatment is needed to see benefits. These improvements seem to reach their peak at two months after the procedure and can typically last for several years.Stem cell therapy for OrthopedicsDue to their ability to help create new cells in existing healthy tissue, stems cells are used in a variety of therapies. Sports medicine physicians and orthopedic surgeons are primarily focusing on adult mesenchymal stem cells. These are multipotent cells that can differentiate into bone cells, muscle or cartilage cells.Physicians are developing these orthopedic, or musculoskeletal, stem cell procedures to treat bone fractures and breaks regenerate cartilage in arthritic joints and heal ligaments and tendons. The regenerative potential of stem cells has also created a flurry of research and clinical applications aimed at treating osteoarthritis, rheumatoid arthritis and spinal cord injury.Such treatments could serve as better alternatives for adults suffering from those types of damaged tissue or cartilage conditions than the current treatment options available, which are :\u2022 Use donated tissue to replace lost or damaged tissue.\u2022 Treat symptoms such as pain and inflammation with medication.\u2022 Surgery to replace joints or repair damaged areas of the body.\u2022 Slow, natural healing.Each individual\u2019s response to treatment is different, and complete pain relief or full functionality cannot be guaranteed. Many studies demonstrate the efficacy of stem cell therapy in improving pain relief and increasing function after treatment. Various studies underway also demonstrate evidence of cartilage repair in both humans and animals.Stem cell therapy considerationsPatients who have had stem cell therapy are advised to minimize excessive activity (specifically, prolonged weight-bearing and exercise) for two months after the procedure to allow healing to occur. In the case of arthritis, depending on the extent and location, doctors may recommended that the patient wear a brace for several months after the procedure.Although stem cell treatment has been in practice for almost 10 years, most insurance companies still consider it experimental and do not cover treatments. Muir Orthopaedic Specialists will contact a patient\u2019s insurance company to determine whether or not it will cover the stem cell therapy procedure and discuss the insurer\u2019s response with the patient.The main risks of stem cell therapy are the same of any minimally invasive procedure, including risk of bleeding, infection and some pain during and after the procedure. Working with a qualified physician can minimize these risks.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns0","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic20.png","alt":""}],"append_div":"
\n \"\"\n <\/div>","target":""},{"id":"4895","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/Sports-Injuries-Treatment-Dr-Shreedhar-Archik\/4895","snippet":"Food & Heel PainInjuries to the foot can be acute (sudden onset) or chronic which come on gradually often through overuse. We have categorized ...","title":"Sports Injuries Treatment - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"Food & Heel PainInjuries to the foot can be acute (sudden onset) or chronic which come on gradually often through overuse. We have categorized foot pain injury heel pain, midfoot pain, forefoot pain including pain under the ball of the foot, toe injuries and skin conditions such as athletes foot and blisters. If you have suffered a recent foot injury then you should apply immediate first aid for foot paint. We also explain under which circumstances you should see a doctor.Ankle Pain & Achilles PainIf you are not sure what your injury is then why not tray our sports injury symptom checker (\/symptom-checker) ? Or select from the options below. Ankle injuries are classified as sudden onset (acute ankle injuries) or gradual onset injuries, often referred to as chronic injuries. The most common ankle injury is a sprained ankle. However, there may be other complications that arise from ankle sprains which are not initially diagnosed. If you are unsure of have any of these symptoms then you should seek medical advice.Shin & Calf PainShin pain usually occurs gradual and affects the inside lower part of the shin but can also affect the outside of the shin. Calf pain can be sudden onset or acute such as in a calf strain or it can develop gradually through overuse.Knee PainSudden onset or acute knee injuries are usually the result of twisting or a hard impact and will likely involve ligament, tendon or cartilage joint injury. Read our advice on immediate first aid as well as when you should see a doctor. Pain which comes on gradually can affect the front (anterior), back (posterior), inside (medial) or outside of the knee (lateral knee pain).Thigh PainThigh pain can occur at the back of the thigh as in a hamstring strain or at the front with a quadriceps muscle strain. Most thigh injuries are sudden onset but can also be clinic injuries and occur gradually, especially if an acute injury has not been treated correctly or healed properly.Buttock, Hip & Groin PainButtock hip and groin pain is often connected or might be pain referred from another area such as the lower back. The hip and groin area is one of the most challenging areas of the body to treat by sports injury specialists. The reason for this is that there are a large number of possible structured that can be injured and cause pain in this area and also because most of the structures are very deep within the groin area (including the hip joint).Head & Face InjuriesIf you have sustained any kind of head injury it is always advisable to seek medical attention. A direct blow to the head can be a minor injury right through to something more serious or even death.Shoulder PainShoulder injuries can be either acute or chronic depending on when they are diagnosed and how long the pain \/ disability has been felt for. If you are not sure what your injury is why not check out our symptom checker (\/symptom-checker) ! Or use the links below to view specific shoulder injuries. An acute shoulder injury occurs suddenly either through direct impact, over stretching a muscle, tendon or ligament, overusing a muscle or tendon or twisting of the shoulder joint. The top five most common categories of shoulder injury are listed below.Arm & Elbow PainArm and elbow pain covers pain on the outside of the elbow (lateral elbow pain), inside elbow pain (medical elbow pain), pain at the back of the elbow, upper arm pain and forearm pain.Wrist & Hand InjuriesThe most common wrist and hand injuries are wrist sprains and fractures (broken wrist or broken finger). Sudden onset injuries are called acute injuries and are usually caused by a fall onto the hand with an outstretched arm or a forced twisting movement. If a broken bone (fracture) is suspected, then always seek medical advice immediately. Gradual onset injuries or chronic injuries occur over a period of time and often cannot be traced back to a single incident or cause.Lower Back PainBack pain can be particularly difficult to diagnose due to the complexity and the number of structures and tissues in the lower back that can cause pain. The most common causes are slipped discs and this can sometimes cause leg pain called Sciatica (\/sport-injuries\/low-back-pain\/sciatica). In addition, scoliosis, spinal canal stenosis, spondylitis, spondylolisthesis, spondylolysis, transverse process fracture, facet joint pain and more.Abdominal & Chest PainChest pain in the athlete can be anything from indigestion to a heart attack so if you are at all unsure seek medical advice. Moderate to severe chest injuries should always be assessed by a doctor to ensure the ribs, lungs or other internal organs including the heart have not been affected or damaged. However, in view of the possible consequences from any chest or abdominal injury, if in doubt, always consult a doctor.Upper Back & Neck PainUpper back and neck injuries are relatively rare in sport and more often occur from activities of daily living, such as waking up with a wry neck (torticollis). Neck injuries that are sustained in sport must be taken very seriously, especially if they are associated with symptoms of concussion or referred pain into the shoulders and arms.General ConditionsThis section covers general medical conditions that do not fit into specific areas of the body.Sports Specific InjuriesTennis InjuriesHere we look at some of the most common injuries in the game of Tennis, as well as what you can do to try to prevent tennis injuries. Tennis injuries are often in the upper body, especially due to the forces required to hit the ball over and over again, especially on shots like serves and smashes ! Rotator cuff injuries are common, as are wrist and elbow injuries.Skiing InjuriesAlthough skiing has a reputation as a dangerous sport, research has shown that general skiing injury rates have reduced by 50% over the last fifteen years. Even so, it is almost as common for a skier to talk about their most recent injury as it is a road runner !Rugby InjuriesRugby is well known for a high injury rate and this is mostly due to the physicality and contact nature of the sport, coupled with a lack or protective equipment ! In most cases, the only protection a rugby player wears is shin pads and a gum shield, although shoulder padding and padded scrum caps are also available and permitted.Ice Hockey InjuriesIce hockey is a dangerous sport due to the high speeds, slippery surface, sharp blades and a solid puck traveling at up to 100 miles at hour ! However, players do wear extensive protective gear, including helmets.Football (Soccer) InjuriesSoccer injuries occur predominantly in the legs, although occasionally injuries to the upper body do occur, often through falls or impacts. Soccer injuries may be either acute \u2013 where there is one incident that clearly causes the injury, or chronic \u2013 where an injury develops gradually.Field Hockey InjuriesField hockey injuries are similar to other field sports such as soccer due to the sudden bursts of speed and changes of direction.Cycling InjuriesCycling injuries are either overuse injuries which develop gradually over time because of repeated movement patterns or pressures, or acute, traumatic injuries due to a fall ! These are extremely variable and so not really covered here.Cricket InjuriesCricket injuries are either acute injuries which occur suddenly such as a torn muscle, or an impact from the ball. Or they can be chronic injuries which occur gradually through overuse.Netball InjuriesNetball injuries can be a mix of both upper and lower limb injuries, as well as acute, impact injuries and gradual, overuse injuries.Basketball InjuriesBasketball injuries are some of the most varied sports injuries ! They commonly range from the finger tip to the toe and everything in between !Baseball InjuriesBaseball injuries tend to usually occur in the shoulder and elbow, due to the high forces involved. This is especially true in pitchers, but other positions, as well as batters may also suffer with this kind of injury.Football InjuriesAmerican Football is an intensive contact sport where serious injuries are not uncommon. However, it is also one of the best protected, due to the amount of body armour and protective headgear the players wear as a mandatory standard.Athletics InjuriesSprinting injuriesMuscles strains are common in sprints events, particularly hamstring strain groin strains and calf strains. Sprinters are always pushing the limits of speed and often training as close to the fine line of injury as possible. Injury risk can be mitigated by proper warm up which includes dynamic stretching and strength and conditioning.Badminton InjuriesBadminton injuries are usually overuse injuries which develop from repeated overhead movements. Injuries to the shoulder, elbow, wrist, knees and ankle are common.Running InjuriesRunning injuries are usually overuse injuries of the foot, lower leg, knee and hip.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns2","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic9.png","alt":""}],"append_div":"
\n \"\"\n <\/div>","target":""},{"id":"4894","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/title\/4894","snippet":"Neck pain is a common problem in our society and, at any given time, affects about 10% of the general population. The actual cause of the problem i...","title":"Neck Pain \u201c A real pain in the Neck !\u201d - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"Neck pain is a common problem in our society and, at any given time, affects about 10% of the general population. The actual cause of the problem is frequently difficult to determine.Our neck is an extremely flexible part of our body. Seven cervical vertebrae allow more motion than any other part of the spine, however, because it is less protected than the rest of the spine, the neck is more vulnerable to injury. In many patients it is a temporary condition and disappears with time, whereas others may need medical attention.Relevant Anatomy and common causes of neck painNeck painThis Figure shows the relevant anatomy of the neck. Involvement of the cervical nerve roots (N) usually results in pain and neurologic findings in the distribution of the nerve. In this figure one can appreciate the proximity of the disc (D) to the nerve root, even a very small herniation of the disc can thus irritate the nerve root. Similarly the uncinate process (U), a bony part of the vertebra forms one of the walls of the canal through which the nerve root exits. During the aging process we all develop degenerative or arthritic changes in these processes which in effect narrow the space for the nerve and thus irritate the nerve. This diagram also shows the location of vertebral artery in a canal, degenerative changes lead to narrowing of this canal leading to giddiness and vertigo in elderly patients.Cervical nerves are both sensory and motor so that damage, in addition to pain, may cause numbness, tingling, muscle weakness, and reflex deficits in a specific location. Signs and symptoms along the distribution of a cervical nerve root are called cervical radiculopathy.The cervical nerve roots C5, C6, and C7 are the most commonly involved and result in characteristic signs and symptoms in the upper extremities. Because the distal-most innervation of C4 is to the top of the shoulder, compression of the C4 nerve root does not produce symptoms below the level of the shoulder, and usually there is no demonstrable muscle weakness or any reflex abnormalities. Damage or irritation of C1, C2, and C3 does not result in reflex or motor deficits but can result in pain in the back of the neck extending along the back of the head.\u00a0Pain from neck sources other than cervical nerve roots does not result in sensory, motor, or reflex deficits and the pain patterns are not as well defined.Aside from patients with disc herniations demonstrated on imaging studies (MRI\/CT scan) and pain in a specific nerve root distribution, the relationship with degenerative changes is not always clear. This is because degenerative conditions are common with aging and many times are\u00a0incidental findings in asymptomatic people. Specific conditions that have been studied but also are not well understood are post-traumatic neck pain syndrome, commonly known as whiplash injuries, and pain following repetitive activities in an occupational setting. Although causes of neck pain are not well understood, outcome studies have shown that it frequently is not a self-limiting condition and can be a long-term problem.The human neck is a complex structure that contains the extension of a number of vital visceral structures, including the trachea, esophagus, and the carotid and vertebral arteries, and a musculoskeletal system that provides for support and motion of the head. (see fig.2). The cervical spine itself is a series of seven separate bone elements, all with intricate articulations and an elaborate system of ligaments and associated muscles.Referred neck painReferred neck pain is generated by disease in an anatomic structure other than the neck. Examples of this are visceral diseases such as angina, apical lung tumors, and subdiaphragmatic irritation as in a subdiaphragmatic abscess. The most common conditions that may be confused with neck problems are intrinsic shoulder diseases such as impingement, rotator cuff tears, and adhesive capsulitis (frozen shoulder). Peripheral nerve entrapment occurring in thoracic outlet syndrome, ulnar cubital tunnel syndrome, and carpal tunnel syndrome can simulate cervical nerve root compression. Systemic diseases such as rheumatoid (Comment [ms1]) arthritis, spondyloarthropathies, fibromyalgia, and herpes zoster may also cause neck pain. However, in these conditions it is unusual for the only symptom to be in the neck.In addition to neck pain being more common in women it has also been observed that older patients, those involved in both mentally and physically stressful jobs, and chronic smokers were more likely to have neck pain.Another common complaint in the elderly age group is of giddiness and vertigo. This is due to vertebral artery compression during the movements of the neck. These attacks occasionally are associated with retroocular pain, blurring of vision, tinnitus etc.InvestigationsA routine AP and lateral radiographs are a must. Flexion and extension views are ordered in case one suspects instabilty e.g. post-traumatic neck pain. Occasionally a MRI or a CT scan is required e.g. if one suspects a nerve root compression.When a nerve entrapment is suspected, EMG\/ Nerve conduction studies may be ordered.X-Ray Showing Early Degenerative ChangesChanges MRI showing a posterior disc protrusionConservative therapyThe primary aim of the cervical spine and associated musculature is to support the head while providing a conduit for the nervous system. The forces acting on the cervical spine are therefore smaller in comparison to the forces acting on the lower lumber spine.It is important to remember that cervical spine is vulnerable to muscular tension forces excessive motion and postural fatigue and therefore all conservative modalities focus to reduce these causative factors.The commonest regimen is rest, ice, massage and non-steroidal anti-inflammatory drugs. The position of the neck for comfort is essential for the relief of pain. For example patients with hyperextension injuries will feel comfortable with a flexion attitude.Postural aspects of neck pain can be treated easily after discussing the details of work environment, personal habits etc. A computer operator will get neck pain if the monitor in front of him is at such a height that he has to keep his neck extended all the time. Many tailors and weavers are prone to neck pain because they work with their neck flexed all the time. Sleeping prone can cause neck sprains easily because one has to keep the head and neck tilted so that the nose is not obstructed.Cervical traction is helpful in certain patients. Traction has to be applied in the position of maximum comfort and should never be continued if it increases pain. The weights should not exceed 10 pounds.Cervical collarA collar is most useful in a patient who is very active. Collars help because they limit excessive motion. They should be tailored to the most comfortable neck position.Counseling for reducing stressNeck pain is very commonly seen in patients who are involved in stressful jobs and an effort should be made to reduce the stress by suggesting various relaxation techniques.Neck and Shoulder exercisesExercises are most beneficial when started after the acute pain has subsided. Isometric exercises are helpful in acute phase.I have shown some simple exercises for the shoulder and the neck. All these exercise can be done even at your place of work and they do not need any special equipment.I recommend 2 sets of twenty minutes any time during the day.Transcutaneous Electrical Nerve Stimulation (TENS)This is a useful modality especially for chronic pain. A TENS machine is supplies electrical shocks of low intensity via electrodes applied to the affected area. Patient experiences these shocks as a tingling sensation. A TENS machine is portable and is similar to a pager in size. This works on what is known as a \u201cgait control theory\u201d at the brain level. In simple terms by supplying continuous tingling sensation the pain fibers at the brain level are blocked so much so that patient no longer feels the pain. TENS obviously does not treat the underlying pathology.Role of surgeryVery few patients require surgery to relieve neck pain. For the vast majority of patients, a combination of rest, medication, and physical therapy will relieve neck pain. Surgery may be necessary to reduce pressure on the spinal cord or a nerve root when pain is caused by a herniated disk or bony narrowing of the spinal canal. Surgery may also be requiredFollowing an injury, to stabilize the neck and minimize the possibility of paralysis such as when a fracture results in instability of the neck.Tips To Avoid A sore NeckGood Posture\nAvoid Sleeping On Your Tummy\nDo Not Read in Bed\nRoutine Neck Exercises\nRead\/Watch TV\/ Use Computer at Eye Level\nDo Not Use A Very Thick Pillow\n\nDr. Shreedhar Archik\u00a0is a consultant Orthopaedic surgeon attached to Lilavati Hospital, Bandra.","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns4","attachments":[{"vlink":"https:\/\/www.drarchik.com\/images\/displayimage\/395ac55f9d2bdf7b2eaa249aca1918774fc91ed35bd419fee5138.jpeg?type=ht&size=300","alt":"Neck Pain \u201c A real pain in the Neck !\u201d - Dr Shreedhar Archik"},{"vlink":"https:\/\/www.drarchik.com\/images\/displayimage\/4f5adbbf86ff36f437bf2bb29a199ffd17ed89e35bd419fee51c6.jpeg?type=ht&size=300","alt":"Neck Pain \u201c A real pain in the Neck !\u201d - Dr Shreedhar Archik"}],"append_div":"
\"Neck<\/div>\n <\/div>","target":""},{"id":"4893","links":"https:\/\/www.drarchik.com\/knee-replacement-surgeon-mumbai\/terms\/New-Technologies-in-Spine-Surgery-Dr-Shreedhar-Archik\/4893","snippet":"A 42 year old right handed male fell down while running because of paralysis of both his lower limbs. At the time of admission it was noted that he...","title":"New Technologies in Spine Surgery - Dr Shreedhar Archik","source":"Dr Shreedhar Archik - Orthopedics Surgeon Mumbai Dadar","summary":"A 42 year old right handed male fell down while running because of paralysis of both his lower limbs. At the time of admission it was noted that he also had lost all muscle power in both his upper limbs! He also had lost control over his bladder and bowels. An urgent MRI was ordered which showed 2 level disc prolapse at C4 and C5 and C5 C6 vertebrae. These disc prolapses were pressing against the spinal cord resulting in his paralysis.Few years ago we would have removed the offending discs and put patient\u2019s own bone (removed from the hip area) and asked him to wear a collar (belt) for 3 months. With the new PEEk cages available of the shelf life was easier.I removed the disc material and inseted these ready to use (sterile) cages between the two vertebrae. In the X-ray below I have labeeled the vertebrae iin the necjk from 1 to 7 and you can see cages between 4\/5 and 5\/6. These cages are stronger than bone so the patient can freely mobilize. They also have built in bone grafts so that the extra surgery on the hip is avoided ( less pain). The surgical time is saved.. last but not the least they are MRi compatible which means MRi in future is easily possible!Not surprisingly this gentleman had a full recovery and is back to work.within 3 months!","image_link":"","videolink":"","custom_flag":"1","summary_flag":"1","pattern_color":"patterns1","attachments":[{"vlink":"\/\/cdn.aboutmyclinic.com\/assets\/images\/Healthtopic22.png","alt":""}],"append_div":"
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