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How to stop leg cramps

June 28, 2024
by admin

Can you imagine a scenario where you are reclined and experience a sudden tightening in your lower leg? The discomfort is so severe that it elicits a desire to scream. The sensation persists, and the affected muscle feels rigid to the touch. Any attempt to shift your leg is met with a sensation of immobility. Does this situation resonate with you?

If yes, you are not alone. Almost everyone has experienced these leg cramps once in their life. These cramps, also known as muscle spasms or Charley horses, are characterized by the involuntary tightening of one or more leg muscles.

In this blog, we will provide you with everything you need to know about leg cramps as discussed by a bone specialist doctor in Ludhiana.

What are leg cramps?

Leg cramps, known as nocturnal leg cramps or Charley horses, are frequently marked by sudden and involuntary muscle contractions.
These cramps mainly impact the calf muscles, although they may also occur in the thighs or feet.
They may present as severe pain, tightness, or a noticeable muscle bulging.
The duration of leg cramps can vary significantly, typically lasting from a few seconds to a few minutes before easing.
However, certain individuals may experience prolonged cramps lasting several hours, leading to discomfort and impeding mobility.

Causes of leg cramps

Tired muscle

Exhausted muscles may be attributed to muscle fatigue, which has been identified as a potential primary factor.
It has been noted by research that individuals engaged in intense physical activities, particularly athletes, are more susceptible to experiencing leg cramps following unusually intense levels of exercise.
Furthermore, overexertion, characterized by prolonged and intense muscle exertion, can lead to increased cramping for certain individuals.

Position of body

Proper body positioning, such as avoiding crossing the legs or resting one leg on the other, can help prevent cramps by promoting adequate blood flow and movement in the legs.
Individuals may consider trying different sleeping positions to determine if this alleviates nocturnal leg cramps.

Age factor

Studies indicate that a minimum of 37% of individuals aged 60 and above suffer from leg cramps.
Prolonged standing at work, a common occurrence in many professions, can lead to muscle fatigue.
The muscles may become exhausted throughout the day, increasing the likelihood of cramping later in the night.

Medical conditions

Certain medical conditions, such as cardiovascular disease, diabetes, alcohol use disorder, kidney failure, liver failure, lumbar canal stenosis, flat feet, hypothyroidism, osteoarthritis, nerve damage, and nerve disorders, may increase the risk of chronic leg cramps.
If you suspect that any of these conditions may be contributing to your leg cramps, it is advisable to consult a bone doctor in Ludhiana for additional information and guidance.

Pregnancy

There is a potential association between pregnancy and nighttime leg cramps, possibly attributed to increased nutritional requirements and hormone fluctuations during gestation.

Insufficient circulation

A constriction of the arteries responsible for delivering blood to the lower extremities may result in discomforting cramps in the legs and feet while engaging in physical activity.
Typically, these cramps dissipate promptly upon cessation of exercise.

Symptoms of leg cramps

You can feel a sudden pain and discomfort in your calf muscles.
You can find a temporary lump under your skin.

How to stop leg cramps?

During a leg cramp, various strategies are available to help alleviate discomfort and promptly address the cramp.
These options encompass stretching the impacted muscle, massaging the affected area, applying heat or cold therapy, utilizing over-the-counter pain relief medications, or employing a topical muscle relaxant.

When to consult with the doctor?

Leg cramps typically resolve without medical intervention, but it is advisable to consult a bone specialist doctor in Ludhiana if experiencing severe discomfort, leg swelling, redness or skin changes, muscle weakness, frequent occurrences, or lack of improvement with self-care measures.
The doctor may conduct tests to pinpoint any potential root causes.
If you are currently taking medications that could potentially induce cramps, the doctor may consider adjusting the dosage or prescribing an alternative medication.

Prevention tips

It is recommended to consume ample fluids on a daily basis to ensure optimal muscle function.
It is advised to regularly hydrate during physical activity, and to continue drinking water or non-caffeinated, non-alcoholic beverage after any heavy activity.
You can gently stretch your muscles before and after using them to prevent cramps. Prior to bedtime, stretching can help avoid leg cramps at night.
Additionally, engaging in light exercise, such as riding a stationary bicycle for a few minutes before sleep, may also aid in preventing cramps during the night.

Conclusion

Leg cramps are a prevalent issue that can occur without a clear cause. Engaging in stretching and massaging the affected muscle can often provide relief. However, there are instances where an underlying medical condition may be the root cause. If cramps persist or intensify, it is advisable to seek guidance from a bone doctor in Ludhiana.

Orthopaedic

Things to know about back pain while skiing

June 28, 2024
by admin

If you are a passionate skier, the physical demand of this sport is no secret. Typically people would consider protecting their head, joints and face— but the thought about the spine often does not cross one’s mind.

Participating in skiing can exert a considerable amount of force on the lower part of your spine. This force can lead to soreness or injury (such as herniated discs) if you do not sufficiently prepare yourself. You should consult with a bone specialist in Ludhiana if you are going skiing for the first time.

In this article, you can also get a list of things you must know to avoid injuries and pain while skiing.

Causes of back pain while skiing

While ski injuries can occur to individuals of any skill level, the likelihood of injury is elevated for those lacking professional training.
Furthermore, individuals who opt to rent equipment instead of owning it, as well as those aged between 35 and 50 years old, face an increased risk of injury.
Accidents while skiing are frequently attributed to factors such as insufficient physical conditioning, inadequate warm-up routines, a lack of adequate ski instruction, failure to adhere to safety guidelines on the slopes and ski lifts, engaging in high-risk behavior like venturing off designated trails, exercising poor judgments, using incorrect or damaged skiing equipment, and collisions.

Tips to reduce pain during skiing

Correct position of knees

Several skiers tend to inwardly bend both knees while skiing, rather than maintaining a balanced position directly above their feet.
Misalignment of the knees can lead to chronic knee discomfort. This habit may be occurring regularly without one’s awareness of its negative impact.
To effectively address this issue, it is recommended to practice skiing in front of a mirror, with particular focus on the alignment of the knees.
Ensure proper alignment by positioning the knees parallel to the second and third toe, and practice the motion of straightening and bending the knees repeatedly.

Enhance the Strength of Your Quadriceps

Considerable stress is placed on your quadriceps during skiing activities. Insufficient quadriceps strength may result in fatigued muscles and an inability to ski for prolonged durations.
Conversely, robust quadriceps enables you to align your knees effectively for optimal skiing posture.
The best orthopedic doctor Ludhiana has recommended engaging in cycling during the warmer off-season months to preserve and enhance quadriceps strength.

Strengthen the core

Your core muscles must be adequately strong to maintain balance during complex movements and prevent back pain.
Regularly exercising your core can help reduce the risk of injury and enhance your skiing experience.

Hydration

To function properly, your body needs to maintain hydration levels.
Activities such as skiing demand a significant amount of energy to execute the required movements. Failure to stay hydrated can result in avoidable injuries and muscle cramps.
Well-hydrated muscles are efficient and can contribute to improved form and endurance.

Always stay fit

Maintaining physical fitness throughout the year is paramount for individuals who partake in activities such as skiing.
Consistent training during the off-season will undoubtedly yield benefits, regardless of one’s skiing proficiency.
It is highly advisable, even for recreational skiers, to engage in regular physical activity to ensure endurance and strength for the demands of the sport.

Preventing back pain while skiing

You are recommended to start exercising at least six weeks prior to hitting the ski slopes in order to prepare for skiing.
If you are significantly out of shape, it is advisable to initiate a preparatory exercise regimen several months in advance of skiing.
Always perform a warm-up run down the gentlest slope before progressing to more difficult terrain when skiing.
If you have a back issue, seek guidance from a ski instructor with a proven track record in imparting ski lessons to those with similar conditions.
Apply ice to the areas experiencing discomfort after each day of skiing. If desired, consider using a whirlpool or hot tub post-skiing to alleviate muscle soreness.

Wrap up

Whether you are an individual at any skill level – beginner, intermediate, or advanced – enrolling in a ski lesson at the beginning of the season can greatly enhance your technique and form. Additionally, ski instructors excel at unveiling the mountain’s hidden treasures.

If you have an injury during skiing it is imperative to consult with the best orthopedic doctor Ludhiana to address your individual rehabilitation or injury prevention requirements. Keep in mind that this article serves as a general outline, it may not cater to your specific needs.

Remember to pay attention to your body, prioritize correct technique, and take measures to strengthen and support your back both while skiing and in your daily activities. We wish you a pleasant skiing experience!

IVF

IVF- Frequently Asked Questions

June 28, 2024June 28, 2024
by admin

When it comes to fertility issues, no other technology has had a greater impact than IVF. Currently, there are well over 5 million individuals worldwide who owe their existence to IVF, and this number is expected to grow significantly in the near future.

Despite the abundance of helpful information about IVF online and offline, there is also a lot of misinformation and outdated material circulating. The objective of this article is to address a few of the more frequently asked questions about IVF and to provide you with knowledge that may be beneficial when speaking with your doctor or visiting to IVF hospital.

What is IVF?

In vitro fertilization (IVF) is a widely utilized form of assisted reproductive technology (ART) that is employed to generate an embryo by circumventing specific factors contributing to infertility, including minor sperm irregularities in males, and fallopian tube or ovulation irregularities in females.
In the process of IVF, a woman’s eggs are extracted surgically and subsequently fertilized within a laboratory setting through the combination with either a partner’s or donor’s sperm.
Following fertilization, the resulting embryo is allowed to develop for a period of two to five days before being surgically re-implanted into the woman’s uterus.

Is IVF associated with discomfort?

The majority of patients do not experience significant discomfort throughout the IVF process.
Some women may encounter bloating during the ovarian stimulation phase, and there may be instances of light bleeding or cramping after egg retrieval.

Will IVF significantly enhance the likelihood of conceiving twins or triplets?

This is the most common question raised by couples considering IVF treatment. The number of embryos to be implanted in the uterus is based on various factors.
You and your doctor will collaborate in deciding the appropriate number of embryos to be transferred. Opting for a single embryo transfer eliminates the possibility of a multiple pregnancy.
Nevertheless, due to the uncertainty of successful embryo implantation, numerous women opt for transferring multiple embryos. This will increase the chance of conceiving twins or triplets.

Is there any restriction while undergoing IVF?

It is advisable for both partners to refrain from smoking at least three months prior to starting an In vitro fertilization cycle and before ovulation induction. The harmful effects of tobacco on a woman’s eggs have been well-documented.
Similarly, alcohol consumption should be avoided from the beginning of IVF treatment until after the pregnancy test, and if pregnant, until the child is born.
Inform your doctor of any prescription or over-the-counter medications you are taking, as some may interfere with fertility medication or embryo transfer.
Intense physical activities such as aerobics, weightlifting, and running are not recommended during ovarian stimulation and until pregnancy results are confirmed.

What is the duration of the IVF process from beginning to end?

The average duration of a single IVF cycle spans approximately four to six weeks.
In this process, the female partner undergoes an ovulation induction protocol to optimize the yield of mature eggs for that cycle.
Upon reaching maturity, the eggs are retrieved and fertilized with a sperm sample from the male partner, a procedure lasting approximately half a day.
Subsequently, three to five days later, the resulting embryos are transferred to the uterus.

What is the right age for IVF?

In women over the age of 35, the success of IVF treatments may decrease due to the natural decline in ovarian reserve and egg quality.
Nevertheless, the utilization of advanced ART techniques like PGS/CCS can enhance treatment outcomes by identifying and transferring only viable embryos, leading to improved chances of a successful pregnancy.
Those opting for these procedures exhibit implantation rates similar to younger women, as the primary challenge often lies in identifying a healthy embryo.

Is there a possibility of any adverse effects associated with IVF treatment?

Fertility medications have the potential to elicit mild side effects including mood swings, headaches, hot flashes, abdominal pain, and bloating.
In rare instances, the use of fertility medication may lead to ovarian hyper-stimulation syndrome (OHSS), resulting in more severe symptoms such as nausea or vomiting, shortness of breath, decreased urinary frequency, feeling faint, significant weight gain within three to five days, and severe stomach pain and bloating.

When is the appropriate time to seek guidance from a fertility specialist?

Typically, individuals will consider consulting a fertility doctor after a year of unsuccessful attempts to conceive.
It is important to note that the natural pregnancy rate for a fertile couple in any given month is approximately 20%, with approximately ninety percent of couples achieving pregnancy within a year of trying.
It is advisable for the remaining 10 percent of couples to visit IVF hospital. Specifically, women over the age of thirty are urged to undergo a fertility treatment evaluation after six months of trying to conceive.
Additionally, it may be advantageous for women over the age of forty to consult with a fertility doctor soon after making the decision to start a family.

What is the approximate cost of IVF treatment?

Costs for IVF can differ based on the age and health of the patient, as well as the location of the treatment facility.
Patients have the option to finance the procedure through various EMI plans or saving plans.

Wrap-up

In Vitro Fertilization has given a sense of hope in numerous couples embarking on their journey towards parenthood. It is imperative for individuals considering this reproductive choice to have a thorough understanding of the fundamental principles of IVF, encompassing its procedure, associated risks, and potential outcomes.

Orthopaedic

Joint dislocations-Causes, symptoms, treatment and surgery

June 24, 2024June 24, 2024
by admin

When two or more bones come together, a joint is formed. The proper alignment of bones in a joint is crucial for facilitating smooth movement. However, joint injuries can cause dislocation, disrupting normal function. Immediate medical attention is necessary in case of dislocation to prevent damage to ligaments, nerves, and blood vessels associated with the joint.

In this article, we will provide you with causes, symptoms, treatment and surgery of joint dislocation. If you have any doubt after reading this article regarding the dislocation, then you should take a consultation from an ortho specialist in Ludhiana.

Know everything about joint dislocation

Dislocation- Understanding

A dislocation may occur when a bone becomes displaced from its joint, resulting in discomfort and potential injury.
This can happen in various joints throughout the body, such as the shoulder, knee, hip, or ankle.

Dislocation- Types

Healthcare providers categorize dislocations based on the extent of movement of the bones in the joints.

Complete dislocations (luxation): When the bones in the joint are completely separated and displaced, it is referred to as a complete dislocation.

Subluxation: It is the term used to describe a partial dislocation, where the joint is partially pulled apart and the bones remain in contact, although not as fully as normal.

Dislocation- Causes

Trauma is the primary cause of dislocations and other musculoskeletal injuries.
This can also result from direct force, such as falls or motor vehicle accidents, repeated wear and tear from daily activities or jerking movements, and overuse, particularly in athletes who over-train.
Certain sports activities can also lead to dislocations.
Additionally, individuals with certain disorders, like Ehlers-Danlos syndrome, may be more prone to dislocations due to their unusually flexible joints.

Dislocation- Symptoms

Below are some frequently observed symptoms of dislocated joints.

Sensation of discomfort

The impacted joint may exhibit intense, acute, or pulsating discomfort.
This may be accompanied by muscle contractions and sensitivity in the affected region.
It is important to be aware of these sensations, as they can indicate the necessity for medical intervention and possible realignment.

Swelling

Swelling is an indicator of dislocation characterized by an abnormal increase in the size of the impacted joint caused by increased fluid and tissue buildup.

Deformity

The occurrence of physical distortion or misalignment in a joint or limb due to bone displacement is a prevalent symptom of joint dislocation, which may lead to deformity.

Numbness or tingling

The sensation of numbness or tingling in the affected area may suggest nerve compression or injury, which could be indicative of a dislocation.

Discolouration

Bruises or discoloration surrounding the dislocated joint may be observed as a result of tissue damage and bleeding, frequently presenting alongside dislocation as an indication.

Dislocation- Diagnosis

Your healthcare provider may require the following imaging tests to assess internal damage after a dislocation:

X-rays
Magnetic resonance imaging (MRI)
CT scan
Ultrasound

Dislocation- Immediate care and treatment

Reduction

Reduction is the procedure in which the orthopedic specialist delicately manipulates the joint to realign the bones correctly.
Before this process, you will receive an anaesthetic or pain reliever.

Immobilization

Following the realignment of your bones by the best bone specialist in Ludhiana, your joint will be immobilized using a sling or splint for several weeks.
This measure is implemented to facilitate healing and prevent additional harm to the affected area.
The duration of wearing the device will be determined by the extent of your injury.

Medication

After the reduction procedure, your discomfort is expected to diminish.
In case, your discomfort persists, a mild pain reliever or muscle relaxant may be recommended for you.

Surgery

If nerves or blood vessels get damaged, or if the physician is unable to successfully realign dislocated bones, surgical intervention may be necessary.
It is common for orthopedic specialists to advise surgery for individuals experiencing frequent dislocations.

Prevention measures

You have to prioritize strengthening exercises in dislocation prevention and recovery, as these exercises specifically target the muscles surrounding the affected joint, thereby enhancing stability and support.
To mitigate the likelihood of dislocations, you should adapt some safety precautions such as wearing appropriate protective gear during physical activities, practicing proper body mechanics when lifting heavy objects, and being cautious to avoid falls.
You should prioritize regular check-ups with an ortho specialist in Ludhiana to monitor your joint health, identify potential risk factors, and address any underlying conditions that may predispose individuals to dislocations.

Wrap up

Dislocations in the upper limb, whether in the thumb, fingers, or shoulder, present a considerable challenge that impacts daily activities and athletic pursuits. These common injuries can have a significant effect on our capacity to perform essential tasks like writing and grasping, as well as our ability to engage in enjoyable activities. The consequences of such injuries can be enduring, particularly if the joint is not promptly and properly realigned, potentially resulting in prolonged misalignment, restricted movement, and diminished stability.

Timely identification, suitable medical treatment, and committed rehabilitation are crucial to guarantee a complete recovery. By recognizing potential hazards, adhering guidance of the best bone specialist in Ludhiana, and preserving joint strength and stability, the chance of dislocation and its associated issues can be significantly minimized.

Consider your own health and safety above all else; make it a priority.

IVF

Can fibroids cause infertility?

June 17, 2024
by admin

Nowadays several couples have encountered challenges with infertility. Both male and female factors are significant contributors to this issue, particularly in women where various factors can impact their ability to conceive and carry a healthy pregnancy. These factors include ovulation disorders, fallopian tube damage or blockage, pelvic adhesion, and endometriosis, an abnormal growth of endometrial tissue outside the uterus. Notably, one of the primary causes of female infertility is uterine fibroids, benign growths in the uterus that can obstruct the fallopian tubes or hinder the implantation of a fertilized egg. Furthermore, the presence of large fibroids may restrict fetal growth due to limited space within the uterus.

If you have faced this challenge, you must visit the IVF hospital in Ludhiana to discuss your issues with the expert team. In this post, we will provide each and every detail about fibroids.

Know everything about fibroids and infertility

Uterine fibroid & its types

Uterine fibroids, also known as leiomyomas, are noncancerous growths consisting of uterine muscle and other tissues. They are commonly located in or around the uterus and occasionally in the cervix. There are three types of fibroids based on their location:

Subserosal: Located in the outer wall of the uterus.
Intramural: Situated in the muscular layers of the uterine wall.
Submucosal: Found in the inner lining of the uterus and may extend into the uterine cavity.

Uterine fibroid- Causes

While the exact causes of uterine fibroids remain unclear, clinical research suggests that hormones, heredity, and obesity are significant factors to consider.

Estrogen is essential for promoting the growth of the uterine lining in preparation for pregnancy during each menstrual cycle. This hormone appears to significantly contribute to the development of uterine fibroids.
Additionally, the increased risk associated with obesity due to higher levels of circulating estrogen is also one of the causes of fibroids.

Uterine fibroid- Symptoms

There are some cases where women with fibroids may not exhibit any symptoms. On the other hand, some women have severe symptoms that can be affected by the location, size, and quantity of fibroids.
The main symptoms of uterine fibroids encompass heavy menstrual bleeding, the presence of menstrual clots, prolonged menstrual periods exceeding a week, pelvic pressure or abdominal discomfort during menstruation, irregular bleeding between menstrual cycles, and frequent urination.

Uterine fibroid- Complications

Uterine fibroids are mostly considered a non-serious condition. However, if they are situated in specific locations or persist in growing larger, they can result in various complications such as impaired fertility, severe pelvic pain, and heavy bleeding leading to anaemia.
Particularly in pregnant women, untreated fibroids may result in miscarriage, preterm delivery, fetal malpresentation, and postpartum haemorrhage.

Uterine fibroid- Diagnosis

For the diagnosis of uterine fibroids at IVF hospital near me, experts recommended tests include a pelvic exam, lab tests, and imaging tests.
Imaging procedures, such as abdominal ultrasound, vaginal ultrasound, and hysteroscopy, are utilized to detect any abnormalities in the uterus.
During a hysteroscopy, a hysteroscope is inserted through the cervix into the uterus to allow for a thorough examination of the uterine walls and fallopian tube openings after the injection of saline to expand the uterine cavity.
In some special cases, additional imaging tools like MRI may be necessary for a more comprehensive evaluation.

Uterine fibroid- Treatment

Medications for uterine fibroids target hormones that regulate the menstrual cycle to address symptoms like heavy menstrual bleeding. While these medications do not eradicate fibroids, they may reduce their size.
Laparoscopic gynecologic surgery is a minimally invasive technique that allows for the safe removal of uterine fibroids without the need for open surgery.
This approach involves the use of specialized instruments, such as a laparoscope, to visually assess the gynecologic organs before precisely and safely removing the fibroids.
The minimally invasive nature of laparoscopic surgery results in decreased pain, enhanced safety, and reduced post-operative complications, including infections, blood loss, and fibrosis formation.

After discussing the causes, symptoms, complications and treatment of uterine fibroids, the next question that comes to mind is—Can fibroids cause infertility.

The answer is the presence of fibroids may have various impacts on fertility, including

Blockage of the fallopian tubes,
Changes in cervix shape affecting sperm entry,
Alterations in uterus shape hindering sperm movement or embryo implantation,
Impact on uterine lining thickness,
Disruption of blood flow to the uterine cavity.

Fibroids and pregnancy

The presence of fibroids during pregnancy can potentially impact the growth and development of your baby, as well as your ability to carry the pregnancy to full term.
Approximately 12% of women experience fibroids during pregnancy, with complications being rare. However, if fibroids do grow, it typically occurs in the first trimester.
The growth of fibroids requires a consistent blood supply, which can deprive both the uterine lining and the developing baby of essential nutrients and oxygen.
This may lead to the risk of miscarriage or pre-term labor. Additionally, larger fibroids can influence the positioning of the baby, potentially necessitating a Cesarean delivery.

Conclusion

Uterine fibroids are a common condition that can impact fertility in various ways. These include hindering the meeting of sperm and egg, preventing embryo implantation, disrupting pregnancy progression, and influencing fetal growth and positioning.

The approach to treatment of uterine fibroids is highly personalized, based on identifying individual symptoms. The decision of how to treat fibroids varies with the particular symptoms and their seriousness— it must be guided by a qualified healthcare provider.

If you have any doubts regarding this issue, we suggest you book an appointment with specialists at IVF hospital in Ludhiana.

Orthopaedic

Precautions to take after knee replacement

June 17, 2024June 17, 2024
by admin

After your knee replacement surgery, it is important to take caution in your knee movements, particularly during the initial months post-surgery. Gradually, you will regain your previous level of activity. Nonetheless, it is essential to continue moving with care to avoid any potential harm to your new knee replacement. You are recommended to prepare your living space in advance for your return, ensuring easier movement and minimizing the risk of falls.

In this article, we will provide you with several tips to make your movement easy and smooth after your knee replacement. But you have to consult with the best orthopedic surgeon in Ludhiana if you find any difficulty in mobility.

Post knee replacement: Cautions to take

Care of wounds

As total knee replacement is a surgical procedure, staples or sutures will be present on the wound.
You must refrain from attempting to remove these sutures at home.
A skilled clinician will be responsible for removing the sutures after 2 weeks post-surgery. Any attempt to cut the sutures yourself may lead to a worsening of the wound.
Prior to the wound being fully dried and sealed, avoid soaking it in water. However, you may continue to bandage the wound to maintain cleanliness and dryness.

Physical Therapy

The physical therapist will assess various exercises including quad sets, dangles, leg extensions, and straight leg raises.
The continuous passive motion (CPM) machine is a crucial tool for your rehabilitation.
However, individual cases may vary, and we recommend consulting with a therapist for optimal results.

Preventing blood clots

It is important to be aware of the possibility of blood clot formation in the initial stages of recovery. Therefore, your orthopedic surgeon may prescribe specific anticoagulants such as Aspirin and Warfarin to mitigate the risk.
It is crucial to remain vigilant for any indicators of blood clot formation in the treated leg.
These indicators may include excessive calf pain, redness, irritation, and tenderness above or below the treated knee and increased swelling in the ankle, calf, or foot.
If you experience any of these symptoms, it is imperative to promptly contact the top orthopedic doctors in Ludhiana for timely intervention.

Take care of swelling

Swelling in the knee can hinder the performance of range-of-motion exercises, crucial for recovery and rehabilitation.
To alleviate swelling, patients may apply cold packs and elevate the affected leg as prescribed by a healthcare provider.
Non-steroidal anti-inflammatory drugs (NSAIDs) can also be used for pain management and to decrease inflammation.

Treat pain

Unmanaged pain can delay rehabilitation activities and potentially result in long-term pain.
Individuals undergoing knee replacement surgery are encouraged to discuss post-operative pain and medication-related apprehensions with their healthcare provider.
Collaboratively, they can develop a personalized pain management strategy that suits the individual’s needs, with the flexibility to make adjustments as necessary.

Physical activities

After surgery, it is imperative to adhere to restricted physical activities to prevent any potential harm to the replaced joint.
Detailed guidelines from the best orthopedic surgeon in Ludhiana regarding weight-bearing limitations on the knees will help in preventing injury, damage, or dislocation of the joint.
Additionally, during the initial post-operative period, the use of assistive devices such as crutches, a walker, or a cane for mobility may be recommended.
Other directives include:
- Sitting only on chairs with seat heights aligning with the knees
- Avoiding leg crossing or twisting
- Limiting excessive kneeling
- Minimizing prolonged standing
- Refraining from sleeping on the side of the body
- Ascending stairs one step at a time.

Avoid participating in sports

It is advisable to avoid engaging in contact sports or activities that could potentially result in abrupt twisting or jerking of the knee during the recovery period after knee replacement surgery. These precautions are crucial for a successful recovery.
In contrast, cycling, golfing, and swimming are recommended as ideal low-impact sports to maintain physical activity levels.

Regular check-up

Maintaining a calendar can assist in ensuring timely attendance at your appointments with the doctor.
Missing appointments can result in setbacks, so it is crucial to keep track of follow-up visits and make transportation arrangements as needed.
You may be unable to drive for 4 to 6 weeks post-surgery, necessitating assistance in getting to appointments.

Long term care

Individuals are strongly encouraged to adhere to their physical therapy regimen to maintain strong muscles surrounding the knee, thereby providing necessary support for the treated joint.
It is important to take precautions to prevent infections, as they can enter the body through various means such as cuts, wounds, major dental procedures, or other surgeries, ultimately affecting the artificial knee and potentially requiring further intervention.
Regular follow-up appointments with the surgeon are advised to monitor the treated knee’s condition and address any issues promptly, ensuring optimal functionality and minimizing the risk of complications.

The bottom line

Undergoing knee surgery may become necessary for you if you are experiencing severe knee joint pain. It is important to adhere to all post-operative instructions given by the top orthopedic doctors in Ludhiana to prevent any potential complications.

Orthopaedic

Lower back pain and spine health: Things to know

May 27, 2024
by admin

Lower back pain affects approximately 8 out of every 10 individuals at some point. Typically, it does not generate from any serious disease or critical issue with the back, and the precise cause remains ambiguous— hence termed nonspecific lower back pain. The general recommendation is to stay active and continue with regular activities.

While the pain persists, painkillers can provide relief; usually, the pain subsides within six weeks but there is a possibility of its recurrence later. In certain instances, persistent (chronic) pain sets in which additional treatment by the best bone specialist in Ludhiana may be required.

In this article, we will provide you with all the information about lower back pain and spine health.

Lower back pain- Understanding

The lumbosacral area, also known as the lower back, is situated between the base of the ribs and the upper portion of the legs.
The majority of the lower back consists of muscles that connect to and enfold the spine.
The spine is composed of numerous vertebrae, which are essentially cylindrical bones.
Each vertebra is separated by a disc, comprised of a sturdy fibrous exterior and a pliable, gel-like interior.
These discs function as shock absorbers, enabling the spine to maintain flexibility.
Robust ligaments attach to nearby vertebrae to provide additional support and strength to the spine.
The diverse array of muscles connected to the spine allows for flexibility and movement in multiple directions.
The spinal cord, safeguarded by the spine, houses the nerve pathways connecting the brain to the rest of the body.

Lower back pain- Causes

Arthritis of the spine

The gradual deterioration of the spinal joints known as arthritis of the spine is a common culprit for lower back pain.
It is a natural part of the aging process for individuals to experience wear and tear, resulting in potential discomfort in the lower back.
The breakdown of cartilage between spinal joints can lead to inflammation of surrounding tissues.
This inflammation, coupled with cartilage thinning, can escalate friction within the joints, potentially causing discomfort in the lower back.

Structural problems

The medical condition known as spinal stenosis occurs when the spinal column is constricted, resulting in compression of the spinal cord.
This compression can lead to intense sciatic nerve pain and lower back pain.
Additionally, scoliosis, a condition characterized by curvature of the spine, may result in discomfort, reduced mobility, and stiffness

Strains and sprains

Back strains and sprains represent the predominant cause of back discomfort.
Muscles, tendons, or ligaments can be injured when lifting objects of excessive weight or not adhering to proper lifting techniques.
Individuals may also experience back strain from actions such as sneezing, coughing, twisting, or bending over.

Fractures

It is possible for the spine to sustain fractures in accidents such as car crashes or falls.
Conditions such as spondylolysis or osteoporosis can elevate the risk of bone breaks.

Lower back pain- Symptoms, diagnosis, and treatment

Symptoms

Discomfort following the exertion of lifting a heavy object.
It happens when you make an uncomfortable twisting motion.
Pain starts from your lower back area and can radiate to one or both buttocks or thighs.
Typically, it subsides when you lie down flat— although it may recur upon specific movements or actions.
Take notice of when this localized discomfort intensifies: whether through body motion, coughs, or sneezes.

Diagnosis

The ortho specialist in Ludhiana will inquire about your symptoms and conduct a physical examination. In order to investigate potential fractures or other injuries, your doctor may request the following imaging tests.

Spine X-ray: Utilizing radiation to generate bone images.
MRI: Utilizing a magnetic field and radio waves to produce images of bones, muscles, tendons, and soft tissues.
CT scan: Utilizing X-rays and computer technology to generate 3D images of bones and soft tissues.
Electromyography (EMG): Testing nerves and muscles to evaluate for neuropathy.

Treatment

Medications

Your healthcare provider may suggest nonsteroidal anti-inflammatory drugs (NSAIDs) or prescription medications to alleviate discomfort.
Other medications can help relax muscles and prevent back spasms.

Physical therapy (PT)

PT can help strengthen muscles to provide support for your spine.
It also enhances flexibility and aids in injury prevention.

Hands-on manipulation

Various manual therapies can help relax tense muscles, reduce pain, and improve posture and alignment.
Depending on the source of pain, you may require osteopathic manipulation or chiropractic adjustments.

Injections

Your healthcare provider administers medication directly to the painful area using a needle.
Steroid injections can alleviate pain and decrease inflammation.

Surgery

Certain injuries and conditions may necessitate surgical intervention by the best bone specialist in Ludhiana.
There are numerous surgical options available for low back pain, including various minimally invasive techniques.

Conclusion

Low back pain affects millions of individuals. When stiffness, pain and the inability to move freely combine together, it can significantly affect one’s quality of life. However, there are ways to prevent lower back pain; try to keep a healthy weight and stay active in your daily activities. If the back pain persists – do have a discussion with an ortho specialist in Ludhiana. There are various treatments available that can help alleviate pain, improve your mobility and ultimately enhance the quality of your life.

IVF

IVF journey: 10 crucial discussions for your first consultation

May 27, 2024May 27, 2024
by admin

Embarking on the intricate journey of IVF can evoke a wide range of emotions, from the soaring hope of new possibilities to the underlying anxiety of the unknown. At Ludhiana IVF Centre, we deeply understand and empathize with these complex feelings, and our utmost goal is to create an environment where your experience is as smooth and comforting as possible.

Here is a comprehensive guide designed to equip you with the knowledge and understanding needed to feel prepared and informed as you step into the world of fertility treatments.

Things to know from your IVF specialist

IVF timeline

The timeline for your IVF procedure will be determined by a variety of factors, including whether you plan to undergo a cycle using embryos that will be created and frozen, whether genetic testing will be conducted on the embryos and the recommended embryo transfer protocol.
Typically, from the beginning of an IVF cycle until confirmation of pregnancy, the process takes approximately 8 to 12 weeks to complete.
You have to discuss your personal work commitments, holiday plans, and vacation schedule with your IVF specialist, all of which are crucial considerations in planning the overall timeline.

Financial aspect

In vitro fertilization (IVF) procedure can be costly sometimes, however, careful planning can help you to reduce your expenses.
Options for cost reduction include personal health insurance coverage, securing discounts for active military and veterans, exploring potential coverage from fertility-specific insurance providers and taking advantage of various IVF packages offered by infertility clinics to customize the number of cycles or goals for egg or embryo banking.

Age limit

Mostly the best IVF centre in Punjab imposes an age restriction on female patients seeking IVF treatment.
This is primarily due to the significant decline in fertility rates after the age of 40, even with assisted reproductive technology.
Most infertility clinics restrict IVF using a patient’s own eggs to those under 45 years of age, however, it is advisable to inquire about the specific age limit for this procedure at your chosen clinic.
It is important to note that the age cut-off for IVF using a patient’s own eggs may differ from that of IVF using donor eggs, therefore it is recommended to seek clarification from the clinic regarding the age eligibility for your intended treatment.

Recommended testing

Fertility testing is essential for customizing your IVF treatment plan.
You must have a thorough understanding of the recommended tests, their objectives, and their role in conducting a comprehensive evaluation of your reproductive well-being.
This may encompass assessments such as ovarian reserve testing, semen analysis, blood tests, imaging tests, and potentially genetic screening.

Egg or sperm donation

In cases where IVF is considered after numerous unsuccessful IUI attempts or when initiating a new round of IVF cycles, it is advisable to assess the potential benefits of utilizing donor eggs or sperm to enhance the likelihood of success.
The quality of eggs and sperm plays a crucial role in the process of conception and ensuring a healthy, full-term pregnancy.
If indications suggest that issues related to age, chromosomal abnormalities, or genetics may be contributing to the problem, it would be advisable to consider the advantages of using a donor egg or sperm in order to enhance your chances of achieving a successful outcome.
It is important to note that a woman in her early to mid-40s using donor eggs has comparable higher IVF success rates.

Treatment plan

Your customized treatment plan serves as the guiding blueprint for your IVF experience.
Always engage in a discussion with your doctor regarding the medication protocol, monitoring schedule, and potential incorporation of advanced reproductive technologies within your treatment plan.

Additional lifestyle changes

It is advised that both partners cease smoking or using tobacco products in order to optimize the success of IVF.
This lifestyle change is crucial for those considering IVF, as smoking has been shown to significantly reduce the chances of a successful IVF cycle.
To achieve the best possible outcome for pregnancy through IVF, it is imperative to cease smoking at least 6 weeks before beginning the IVF cycle.
In addition to this lifestyle change, seeking emotional support is also recommended for individuals or couples undergoing IVF.

Success rate

You can request specific data at Ludhiana IVF Centre regarding the clinic’s success rates, particularly for couples with similar backgrounds and ages as yours.
This information will help manage your expectations regarding potential success.

Add-on services

Likely, your physician has already provided suggestions for further testing or procedures to enhance the success of your IVF treatment. However, it is advisable to follow up for confirmation.
A sperm analysis may indicate a requirement for ICSI (intracytoplasmic sperm injection) or PGT (preimplantation genetic testing) to improve the quality of sperm and embryos.

Laboratory facilities

Verify that all essential diagnostic tests and procedures can be performed on-site to guarantee consistent and reliable care during your treatment.

The bottom line

The initial IVF consultation lays the groundwork for your treatment path. By taking a proactive approach, being well-prepared, and actively participating in discussions with your doctor at the best IVF centre in Punjab, you can enhance the likelihood of a favorable IVF journey.

Keep in mind that the journey to becoming a parent may present obstacles, however, with appropriate guidance and assistance, it is feasible to overcome infertility and achieve your aspirations of starting a family.

Orthopaedic

How does your sleeping position affect your orthopedic health?

May 27, 2024
by admin

Your sitting or standing posture affects your spine and hence bone health. This is something everyone knows and agrees with. But do you know that even your sleeping position affects your bone health?

Yes. That’s right! Many people complain of aching and stiffness upon waking up. Why? One of the biggest causes is their sleeping posture. Wrong sleep positions can heighten the chances of getting osteoporosis, an ailment affecting the skeleton making bones weak and susceptible to fractures.

You are not alone if you fall into this category. It is an issue faced by millions all over the world. So what should you do in order to overcome it suggested by a bone specialist in Ludhiana and how will you adjust your sleep patterns so that your bones remain healthy? Here it comes!

What is the impact of sleeping posture on bone health?

It is a common human behavior to shift positions during sleep, however, certain positions may put a strain on the bones. For instance, sleeping on the side or stomach with legs bent can cause stress on the hips and vertebrae, leading to potential bone damage. Likewise, adopting a curled-up sleeping position may compress the spine, resulting in back pain and other related issues.

In addition to sleeping posture, there are several factors which are as follows that impact bone health and contribute to morning pain and stiffness upon waking.

Factors affecting your orthopedic health

Selection of pillow

The use of pillows that are excessively high or low, or too soft or hard, may cause misalignment of the head with the spine’s neutral position.
Many people opt for memory foam pillows as they adapt to the contours of the head and neck, offering superior support.

Stable position throughout the day

Failure to stretch or maintain a stationary position of the shoulders during the day may result in carrying stress into sleep.
Consequently, engaging in stretching exercises and incorporating shoulder movements can effectively diminish stress on the shoulders, thereby alleviating morning discomfort.

Different sleep positions and their effect on your health

Fetal position

More than 4 out of ten people, especially women who are twice as likely as men to sleep curled upon their side, love it.
According to the best orthopedic surgeon in Ludhiana, it is a healthy way of napping because it enables your spine to rest in its natural position.
The fetal position might also help ward off conditions like Alzheimer’s or Parkinson’s: Recent animal research indicates that the brain clears away more waste associated with these neurological disorders when you sleep on your side rather than on your back or stomach.
This position is also good for pregnant women. You should stick to lying on your left side while expecting. It improves circulation to your growing baby and prevents your uterus from pressing against your liver.

Log position

Are you someone who sleeps on their side with both arms down, close to your body? You are not alone in this preference, as 15% of individuals opt for the log position for their rest.
This is beneficial for your health as well, making it a great choice.
Lying on your side with your back aligned can help reduce sleep apnea and alleviate neck and back pain, as it promotes proper spine alignment.
Keep a soft pillow, folded blanket, or towel between your knees to alleviate pressure on your hips.

Starfish position

In this position, you will be lying on your back with your legs extended apart and your arms raised symmetrically alongside your head.
It may also increase the likelihood of snoring and exacerbate sleep apnea.
Ensure to place a pillow under your knees before resting. If your mattress is showing signs of wear or is too soft, consider replacing it with a firmer one. Proper spinal support can assist in preventing back pain.

Freefall position

You lie on your belly, arms folded under the pillow or at the sides of your head like you are plunging in some downy material.
It might feel wonderful to snuggle into a bed, but sleeping on the stomach can result in low back and neck pains.
Again, when compared with other positions, it is much more likely that you will toss and turn as you try to get comfortable on your tummy.
A firm pillow should be avoided; it causes pain by putting the neck at an awkward angle.
When turning your head to one side, try placing a softer pillow slightly under your forehead and sleep facing towards the mattress instead.

Soldier position

When lying flat on your back with arms by your side, snoring can occur, impacting half of all adults at some point and becoming more prevalent as we age.
It can also interrupt your sleep and result in thickening and issues with the carotid artery, responsible for supplying blood to the brain, face, and neck.
Additionally, sleeping on your back may result in discomfort in the lower back.

If you are suffering from persistent pain, we recommend scheduling an appointment with a bone specialist in Ludhiana for treatment.

Orthopaedic

Things to know about herniated disc and when to…

May 27, 2024May 27, 2024
by admin

A disc is found between each of the backbones in your spinal cord, which also acts as a shock absorber and helps to cushion the bones. When the outer ring of a disc herniates or tears and pushes over into the spinal canal it’s called a herniated disc. Nevertheless, it can happen anywhere along your spine even in your neck but most commonly occurs in the lower part (lumbar vertebrae).

You can get a herniated disk by lifting something incorrectly or suddenly twisting your back. Some other causes include obesity and degeneration due to disease or age.

Though not all herniated discs are painful, sometimes they may compress one of your nerves causing pain within the back or legs (sciatica). The pain from this condition may radiate down the shoulder and arm if it is in the neck area. Besides pains, there will be loss of sensation, tingling and weakness due to a prolapsed intervertebral disc.

Continue reading to find out more about herniated discs; their causes and symptoms; when it could be required to visit an orthopedic surgeon in Ludhiana.

Causes, symptoms, and diagnosis of herniated disc

Causes

A herniated or slipped disk may occur when a portion of the soft internal nucleus of a spinal disk protrudes through a crack in the disk’s fibrous lining.
This occurrence is most frequently observed in the lumbar region, although it is also possible in the cervical and thoracic regions of the spinal column.
The cause of a herniated disk typically involves a gradual deterioration and excessive strain due to repetitive motion over an extended period.
In older people, spinal disks tend to dehydrate and weaken, thus increasing the likelihood of a herniated disk occurrence.
Certain medical conditions, such as spinal stenosis and connective tissue disorders, may elevate the risk of disk herniation.

Symptoms of herniated disc

The symptoms related to herniated discs usually include when the disc is exerting pressure on a nerve, leading to weakness, numbness, and pain in the affected nerve, commonly resulting in back discomfort.
Individuals with a herniated disk in the lower back may experience discomfort in the buttocks, thigh, and calf, potentially extending to parts of the foot.
Conversely, those with a herniated disk in the neck may primarily feel pain in the shoulder and arm.
If the herniated disc is not exerting pressure on a nerve, it is possible that you may encounter minimal to negligible symptoms.

Diagnosis

Diagnosis of a herniated disc usually involves a primary care doctor conducting a comprehensive examination.

Medical history

During the complete medical history, the doctor will inquire about details such as the nature of the pain, any previous medical conditions, your line of work, your personal medical history as well as your family’s medical history.

Physical Exam

As part of the physical exam, your orthopedic surgeon will check how well you can walk, the strength of your muscles, your reflexes and whether you can feel light pinpricks.

Diagnostic testing

Herniated discs cannot be detected by X-rays, but an X-ray may be ordered to rule out infections or other spinal issues.
CT scans provide more detailed images along with multiple views that help in diagnosing a lumbar herniated disc.
In some cases, an MRI will be used to localize the herniated disc and evaluate its impact on nerve structures.
Myelogram is a diagnostic imaging procedure where an x-ray is obtained following the injection of contrast dye into the spinal canal space. This is done to establish whether there is compression exerted on the spinal cord by herniated discs or any other causes that result in clinical conditions.

Treatment

Medications

Nonprescription pain medicines

If experiencing mild to moderate pain, your healthcare provider may suggest over-the-counter pain medication options such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others), or naproxen sodium (Aleve)

Neuropathic medicines

Medicines such as gabapentin, pregabalin, duloxetine, and venlafaxine, are utilized to reduce pain by affecting nerve gently.

Muscle relaxers

These medications may be recommended in the event of muscle spasms.
It is important to note that sedation and dizziness are frequently experienced as side effects.

Injections

If the pain does not show improvement with medication, your orthopedic surgeon may suggest a corticosteroid injection.
This medication can be administered around the spinal nerves, with the assistance of spinal imaging to accurately guide the needle placement.

Therapy

Your healthcare professionals may recommend physical therapy as a method to alleviate your pain.
Skilled physical therapists will demonstrate positions and exercises tailored to reduce the discomfort associated with a herniated disk.

Surgery

Few people with herniated disks will need to undergo surgery.
If non-invasive therapies do not alleviate your symptoms within six weeks, surgery may be considered.

In many cases, patience, time, and medication can help alleviate herniated disc pain; however, certain symptoms may require medical intervention. If you encounter severe symptoms, it is imperative that you promptly reach out to an orthopedic surgeon in Ludhiana.