UNDERSTANDING THE CAUSES _ TREATMENT FOR JOINT PAIN

 Joints are the meeting point of your bones. Joints help your skeletal structure to bend, move and twist. Our Joints include:

1.Shoulders

2.Hips

3.Elbows

4.Knees

Joint pain refers to a condition where we face discomfort, aches, and soreness in one or more than one of the body’s joints. Joint pain is very common and usually doesn’t require to get hospitalized.If you feel that yourjoint pain is being unbearable then approach the Best Joint Replacement Hospital in Delhi,  to get a proper check-up and know what is the actual cause.

 

What are the causes of joint pain?

Arthritis

One of the most common causes of joint pain is arthritis which is faced by maximum people. The 2types of arthritis are:

1. Osteoarthritis (OA):  Joint pain due to OA results from the tear and wear of the cartilage that acts as a cushion and absorbs potential shocks and harms.
2. Rheumatoid arthritis (RA): This progresses slowly and steadily and is noticed to affect joints like the:

• wrists
• hands
• hips
• knee

 

Other causes

Joint pain can also be caused by:

1.Bursitisor you could feel inflammation of the cushioning pads around joints

2.Lupus

3.Gout

4.Certain infectious diseases likemumps, influenza, and hepatitis

5.Chondromalacia of the patella

6.An injury

7.Tendinitis, or inflammation of the tendon

8.An infection in the bone or the joints

9.Overuse of a joint

10.Cancer

11.Fibromyalgia

12.Osteoporosis

13.Sarcoidosis

14.Rickets

 

What are the symptoms of joint pain?

You should also seek a consultation at the Best Super Speciality Hospital in Delhi in case you are experiencing the following symptoms:

1.The area surrounding joint is swollen, red, tender, or warm to touch

2.The pain persists for three days or even more

3.Repetitive fever but without any signs of the flu

4.You’ve experienced a serious injury

5.The joint appears deformed

6.Swelling of the joint occurs suddenly

7.The joint is completely immobile

8.You have severe joint pain

 

How is joint pain diagnosed?

1.The doctor usually performs a complete physical examination and also asks relevant questions about your pain, location of pain, severity of pain, timeline of pain, lifestyle, allergies and also the current medications.

2.A joint X-ray may also be needed to understand the level of damage done.

3.A blood test may also be suggested to rule out any immunodeficiency diseases.

 

How is joint pain treated?

Treatment at Home

No treatment has been estimated yet that will make your pain go away permanently because this pain comes back again and again. It is also to be kept in mind that there are ways to manage the pain:

1.A little help might be rendered by using pain relievers to reduce pain, swelling, and inflammation.

2.Stay physically active and try to follow a fitness routine

3.Stretch before exercising so that a good range of motion is easily achieved

4.Keep your body weight in check, as obesity can bring about more problems

5.If your pain isn’t due to arthritis, you can opt foran anti-inflammatory drug, getting a massage, taking a warm bath, stretching frequently, and getting adequate rest.

 

Medical treatment

Your treatment options will depend on the cause of the pain and sometimes the Doctors might also recommend surgery to replace the joint.

Common procedures for joints include:

1.Total Knee Replacement

2.Unicompartmental Knee Replacement

3.Bicompartmental Knee Replacement

4.Total Hip Replacement

5.Shoulder Surgery

6.Knuckle Replacement

Considering other non-surgical methods is to make changes in lifestyle or medications that can potentially help in easing out the pain. Every person needs a different and personalized treatment plan. Approach the Best Super Speciality Hospital in Delhi to know what works best for you, and how exactly your treatment plan should be followed.

BREAST CANCER SYMPTOMS, RISK FACTORS & TREATMENT

 Breast cancer is the cancer that forms in the cells of the milk ducts in the breast.Along with skin cancer, breast cancer is considered to be one of the most common cancers, that can occur in both men and women, though in men the instance is comparatively low.The instances of breast cancer have increased in the last few years, but with upgraded technology and treatment options, the death rate has continuously decreased. Don’t let the fearovercome you, but seek medical guidance immediately if you are diagnosed or you feel that you are showing similar symptoms.

Consult experts at the Best Oncology Hospital in Delhi, to know the correct diagnosis of your symptoms, and accordingly find a proper treatment plan.

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Types

1.Angiosarcoma: A rare cancer that usually develops in the inner lining of blood vessels and lymph vessels

2.Ductal carcinoma in situ (DCIS): Ductal carcinoma in situ (DCIS) means the cells that inline the milk ducts have turned to be cancerous but hasn’t spread to other areas

3.Inflammatory breast cancer: A rare and rapidly developing cancer that turns the breast red, swollen and tender.

4.Invasive lobular carcinoma: Invasive lobular carcinomais another kind of breast cancer that commences in lobules.

5.Male breast cancer: Male breast cancer is a rare kind of cancer that evolves in the breast tissue of men.

6.Paget's disease of the breast: A rare type of cancer which involves the skin of the breast

7.Recurrent breast cancer: A regionally restricted breast cancer that has returned and affected the similar lymph nodes

 

What are the stages of breast cancer?

Breast cancer has majorly 2 different staging. 1st stage is known as “anatomic staging” and the other is known as “prognostic staging”. The anatomic staging is stated by the areas of the body where the breast cancer has been found to spread and this helps to identify the appropriate treatment. The prognostic staging assists medical professionals estimate that how the patient is to be healed after all kinds of treatment is executed.

The anatomic staging system is mentioned below:

Stage 0 – This is, when the cancer localizes in the milk ducts only

Stage I –The cancerous area is lesser than 2 cm across and hasn't spread anywhere which means no lymph nodes have been affected

Stage II

• The cancerous area is smaller than 2 cm but has spread to the lymph nodes of the underarm

• The cancerous area ranges between 2 and 5 cm, may or may not spread to the lymph nodes.
• The cancerous area is bigger than 5 cm and has not affected the lymph nodes in under arm

Stage IIIThe cancerous area is any size thataffectslymph nodes as well as surrounding tissues.

Stage IVThe cancerous tumour has made its way to areas of the bones, lungs, liver or brain.

 

Symptoms

Symptoms of breast cancer may include:

1.A lump in the breast or thickening of an area in your breast tissue

2.Changes which are noticeable on the skin of the breast

3.Inverted nipple

4.Peeling, scaling, crusting of the skin on your breast

5.Redness or pitting of the skin

 

Risk factors

Factors that are associated include:

1.Being female.Women are more likely to get breast cancer when compared with men

2.Increasing age.The risk increases with increasing age

3.A family history of breast conditions. If your family history has the instance of breast cancer then you have an increased risk of breast cancer.

4.A personal history of breast cancer. If you have already had cancer in one breast, then you havea potential risk of developing cancer in the other breast too.

5.Inherited genes that increase cancer risk. Certain gene mutations are also a leading factor

6.Radiation exposure. If you have been under any radiation treatments for your chest

7.Obesity. Being obese increases your risk

8.Beginning your period at a younger age. Beginning your period before age 12

9.Beginning menopause at an older age.Commencement of menopause at an older age than what is the normal range

10.Drinking alcohol. Drinking alcohol has also been proven to increase the risk of breast cancer

Prevention

Making changes in your daily life may help to reduce the risk of breast cancer.

1.Ask your doctor about breast cancer screening. Discuss with Best Oncologist in Delhi when to begin the breast cancer screening exams and tests

2.Try to be familiar with your breasts through breast self-exam for breast awareness.

3.Drink alcohol in moderation, if at all. Limit the amount of alcohol youintake and the occasions you usually drink in

4.Exercise most days of the week.Try to undergo 30 minutes of exercise

5.Limit postmenopausal hormone therapy

6.Maintain a healthy weight. Reduce the number of calories you eat each day and make sure to balance your calories

7.Choose a healthy diet.Make sure to follow a very healthy diet to get proper nutrients and minerals

 

Prevention is better than cure, so always make sure to be aware of the prevention methods. Incase you are diagnosed with breast cancer, make sure to constantly be under medical guidance and remain active about your treatment plan. It is nothing to fear about if managed properly, as cancer can be cured.

TOTAL KNEE REPLACEMENT A RELIEF FOR THE ELDERLY SUFFERING FROM ARTHRITIS

 The knee is the largest joint in the human body, and is one of the most needed joints in our day-to-daylives. It is a pivotal joint that moves in only one direction but also allows some twisting.

Movements like climbing, walking, sitting, cycling, etc. everything requires our knee to function, and because it is so extensively used in our day to lives it can be exposed to certain kinds of tear and wear.

The knee joint is formed of 3 bones in the body:

1.The Lower end of the thigh bone, or femur

2.The Upper end of the shin bone, or tibia

3.Kneecap, or patella

 

Knee Deformities

Osteoarthritis: The leading cause of knee pain is osteoarthritis and is also named degenerative arthritis because it is a “wearing out” condition. When cartilage is worn out, the bones rub against each other, causing significant pain, stiffness and swelling.

Rheumatoid Arthritis: Another common cause of knee pain is rheumatoid arthritis where chemical changes are produced in the lining of the joints& it becomes thickened and inflamed. Eventually, the result is cartilage loss, pain, and stiffness.

In case you are facing such deformities make sure not to waste time but consulting the Top Joint Replacement Hospital in Delhi and get diagnosed to know the exact cause of your pain.

 

When is knee replacement needed?

If you have already tested all the recommendations your doctor has made, but still the pain and stiffness are becoming a hurdle in your day-to-day activities, then it is time to consult with the Best Orthopaedic Doctors in Delhi and get an opinion on total knee replacement. The decision to have a knee replacement surgery is made considering certain factors like:

1.Pain – which is affecting your activities of daily living, your walking, or even sleep

2.Swelling – not improving with rest or medications

3.Stiffness – inability to bend or straighten the knee has become a permanent problem

4.No improvement with medications, therapy, or knee injections, or physiotherapy

5.Degree of deformity is increasing daily

 

Diagnosis:

1.Physical examination: Medical history, symptoms& level of pain, muscle strength, joint motion, and knee alignment, blood tests and other laboratory tests

2.Radiographic Evaluation: X-rays, Magnetic Resonance Imaging (MRI)

 

How is knee replacement done- An Overview

If you are undergoing total knee replacement in the Top Hospital in Delhi, your surgeon will consider certain facts and procedures before performing the actual surgery.

Complete Physical Examination:The doctor recommends a complete examination along with some tests like blood test, an EKG, and a chest x-ray.

Surgical Consultation:The doctor will brief you through the procedure and answer any questions you have in mind. Doctor will also review the test results from your physical examination that will let the surgeon know of any allergies or the medications you are currently taking.

 

Total Knee Replacement Surgery - Post-Operative Care/ Rehabilitation

Once the surgery is completed, you may observe the following things:

1.A drain near incision to collect the drainage and keep a check on the discharged amount

2.Elastic hose or compression stockings to minimize the instance of blood clots

3.Bandage covering the incision area to hygiene and prevent infection

4.Pain pump to manage pain levels

5.Catheter inserted into your bladder for easy urination

6.Ice packs to reduce swelling in knee area

Expect to be back on your foot, in a few days. Eventually, it might be painful but take the help of crutches, canes to ease out the strain during movement. Also, a noticeable big improvement in flexibility and the pain also fades away to a maximum level within a month.

In Centre for Joint Replacement in Delhi, we advise you to keep your knee joint in motion so that there is no restricted flexibility and the desired results can be achieved at the earliest. Try to resume your prior day-to-day activity slowly and steadily.

PATIENT SAFETY

 Patient safety is all avoiding errors, restricting harm, and reducing the number of mistakes through planning that consists of communication, lesser infection rates, and minimum errors. Care providers, patients, and support staff tend to have the same goal i.e the best possible outcome. Being the Best Hospital in Delhi, Saroj Hospitals follow the protocols strictly to make sure our patients get the best of treatment.

          

                       

To make compliance with the reviews received is very important and includes all managers, employees in crucial and accurate decision-making processes. Regular feedback and reviews provide an indicator of whether an organization has achieved intended outcomes.

Rapid Response System

1.Health organizations estimate the overall RRS framework using the STEP Assessment:

2.Status of the patient

3.Team members

4.Environment

5.Progress toward goal

6.Employees Know and Understand Safety Policies

7.One should not stop only at training each employee about hospital safety, but also be responsible to actively inform them about the occasional policy changes.

8.Employees must feel safe to voice concerns. Along with considering a briefed procedure for managing as well as reporting issues, comprehensive training is to be performed that would bring in the reassurance of the administrators being completely impartial while receiving information.

 

A Safety Compliance Plan

Hospital administrators continuously monitor and keep a check of how employees bide by the policies

1.Forming a community trust like a responsible organization

2.Framing and establishing compliance standards that are at par with the community and organization

3.Building up a framework to monitor the compliance of employees and vendors associated

4.Maintaining insurance claim integrity

5.Mitigating or eliminating illegal activity

6.Promoting positive treatment outcomes

7.Providing a centralized compliance outlet

 

Communicate Safety Information to Patients

Practitioners have an understanding that patients who are educated can actively assist in reducing medical errors. Also, with all the information being easily available on the net, it is important that the patients are made aware of every fact, including certain which apply on special occasions. As educated consumers, tend to receive after-treatment, because care providers and health advocates are regularly asked potential questions regarding situations being noticed.

 

Incorporate Safe Hospital Design

Engineers design modern hospitals with advanced wiring techniques that reduce potential errors, with extra attention provided to areas that are included for drug dispensaries. Most importantly, safe building design intake planning to measure facility conditions and characteristics, such as easy information access, vibrant noise levels, scalability, etc. Patients, employees, and administrators can eliminate most of the potential errors by just working as a team and conveying necessary details.

ALL THAT YOU NEED TO KNOW ABOUT WOMEN

 Heart diseases most of the time are linked with men, but it is very common in women as well. Some heart disease symptoms in women can differ from those in men, and hence women often don't know what to look out for.

Consult the Best Cardiothoracic Surgery Hospital in Delhi, to be sure of your symptoms and avoid extreme conditions.

Heart attack symptoms for women

The most common heart attack symptom in women is the same as in men – some type of chest pain, pressure or discomfort that lasts more than a few minutes or comes and goes. Women often describe it as pressure or tightness. It is completely possible to have a heart attack without chest pain.

1.Neck, jaw, shoulder, upper back or abdominal discomfort

2.Shortness of breath

3.Pain in one or both arms

4.Nausea or vomiting

5.Sweating

6.Lightheadedness or dizziness

7.Unusual fatigue

8.Indigestion

Women tend to have symptoms more often when resting, or even when asleep, than they do in men. Emotional stress can play a role in triggering heart attack symptoms in women.

Because women don't always recognize their symptoms as those of a heart attack, they tend to show up in emergency rooms after heart damage has occurred. Also, because their symptoms often differ from men's, women might be diagnosed less often with heart disease than men are.

If you have symptoms of a heart attack or think you're having one, call for emergency medical help immediately. Don't drive yourself to the emergency room unless you have no other options.

 

Heart disease risk factors for women

Several traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity But other factors can play a bigger role in the development of heart disease in women.

Heart disease risk factors for women include:

1.Diabetes. Women with diabetes are more likely to develop heart disease than are men with diabetes.

2.Mental stress and depression. Stress and depression affect women's hearts more than men's. Depression makes it difficult to maintain a healthy lifestyle .

3.Smoking. Smoking is a greater risk factor for heart disease in women than it is in men.

4.Inactivity. A lack of physical activity is a major risk factor for heart disease.

5.Menopause. Low levels of estrogen after menopause pose a significant risk of developing disease in smaller blood vessels.

6.Pregnancy complications. High blood pressure or diabetes during pregnancy can increase the mother's long-term risk of high blood pressure and diabetes

7.Family history of early heart disease. This appears to be a greater risk factor in women than in men.

8.Inflammatory diseases. Rheumatoid arthritis, lupus and others can increase the risk of heart disease in both men and women.

 

Is heart disease something only older women should worry about?

No. Women of all ages should take heart disease seriously. Women under age 65 — especially those with a family history of heart disease — also need to pay close attention to heart disease risk factors.

 

What can women do to reduce their risk of heart disease?

Living a healthy lifestyle can help reduce the risk of heart disease. Try these heart-healthy strategies:

1.Quit smoking. If you don't smoke, don't start. Try to avoid exposure to secondhand smoke, which also can damage blood vessels.

2.Exercise regularly. In general, everybody should do moderate exercise, such as walking at a brisk pace, on most days of the week.

3.Maintain a healthy weight. Ask your doctor what weight is best for you. If you're overweight, losing even a few pounds can lower blood pressure and reduce the risk of diabetes.

4.Eat a healthy diet. Opt for whole grains, a variety of fruits and vegetables, low-fat or fat-free dairy products, and lean meats. Avoid saturated or trans fats, added sugars, and high amounts of salt.

5.Manage your stress. Stress can cause your arteries to tighten, which can increase your risk of heart disease, particularly coronary microvascular disease.

6.Limit alcohol. If you have more than one drink a day, cut back. One drink is approximately 12 ounces (360 milliliters) of beer, 5 ounces (150 milliliters) of wine or 1.5 ounces (45 milliliters) of distilled spirits, such as vodka or whiskey.

7.Follow your treatment plan.Take your medications as prescribed, such as blood pressure medications, blood thinners and aspirin.

8.Manage other health conditions. High blood pressure, high cholesterol and diabetes increase the risk of heart disease.

 

Exercise to reduce the risk of heart disease in women

For a bigger health boost, aim for about 60 minutes of moderate to vigorous exercise a day, five days a week. Also do strength training exercises two or more days a week.

You can also add exercise to your daily activities with these tips.

1.Take the stairs instead of an elevator.

2.Walk or ride your bike to work or to do errands.

3.March in place while watching television.

 

What's a healthy weight?

What's considered a healthy weight varies from person to person, but having a normal body mass index (BMI) is helpful. BMI is a measurement of body fat calculated from height and weight. A BMI of 25 or higher can be associated with an increased risk of heart disease.

Is the treatment for heart disease in women different than in men?

Women are less likely to be prescribed statin therapy to prevent future heart attacks than are men. Angioplasty and stenting, commonly used treatments for heart attack, work for both men and women.