Wednesday, 15 November 2017

Do you need a Kneecap ??

Yes & no.You certainly don't need a kneecap or hinged brace for arthritis. You are much better off & much more comfortable doing exercises & making subtle changes in your lifestyle. If you have end stages knee arthritis, then also you won't benefit from any braces, you may be better off getting a knee replacement.

If we are able to diagnose isolated arthritis of one half of the knee replacement.
If we are able to diagnose isolated arthritis of one half of the knee, then you will benefit from an offloading brace.The problem with the offloading brace is that it also offloads your purse! Most such braces are very expensive.Another problem is that you need to wear them throughout the day, which may be a challenge n our mostly tropical climate & if you are fond of tight clothing.Sometimes these braces simply don't fit us diameters & that causes the brace to lift off the skin in some places.An ill-fitting brace will not work for you & might actually be counterproductive by constantly rubbing against the skin & eventually ulcerating it!


How Soon will the braces start having its effect?



We are all in a terrible hurry to see results, especially after spending a fortune on the offloading brace. Results in terms of pain relief take time . just like a new shoe, the knee may feel sore. Some people don't obtain that much of pain, but their mobility & joint flexibility improves. In a nutshell, it is unrealistic to expect magic from the braces. Be prepared to wait out a few weeks for its effects to kick in.


Are offloading braces available in India?


Yes, but only on a doctors prescription.All the braces available off the shelf are mostly useless from afar as knee osteoarthritis.

Shree Meenakshi Orthopedics & Sports Medicine Clinic has all the modern equipment and techniques to perform all kind of orthopedic surgery  Dr. Raju is a well-known surgeon for knee injuries and one of the best orthopedic doctors in New Delhi. The hospital has a good hold on knee surgeries and has a high rate of successful surgeries.


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Wednesday, 25 October 2017

The anatomy of a push-up


If your only upper-body movement is moving beer to your lips, then this one move is sure to get you on the path to fitness and a better body

The push-up is one of those basic exercises, casually thrown at military cadets as a punishment during their training days, in batches of 100s. In fact, says Dr Raju Easwaran, a sports surgeon, the single-arm push-up (with one arm behind the back) is an important yardstick for most commando training around the world. If you’re not going commando, here’s a guide to doing one and getting yourself toned: “It works almost every muscle in the chest, upper back and arms, but it also helps build the core muscles,” says Dr Easwaran, who is a senior consultant with Max Hospitals in Delhi.

“This do-anywhere body-weight exercise has multiple variants, so it’s versatile enough for you to start with the simple wall push-up, used as a rehabilitation tool by physiotherapists for people recovering from a shoulder injury or surgery,” he says.

You could then progress to placing your arms at a higher level (like a step), or performing it with the knees folded, quads on the ground. When starting off, you may use a push-up handle for stability. Avoid it if you have a rotator cuff problem (the muscles around the shoulder). For the rest of us, “Ants can lift many times their weight; surely we should be able to lift at least our own,” says Dr Easwaran. Give yourself 45 days to do a regular push-up.


3 STEPS TO

DOING IT RIGHT


Praveen Nair, Mumbai-based personal trainer to Bollywood stars like Shraddha Kapoor, Aditya Roy Kapoor and Sushant Singh Rajput in the past, gives us the perfect push-up position.

Get your start straight: Lie down on the ground. Keep feet hip-width apart and get yourself up on the strength of your arms and chest. Stay on your toes and position hands slightly wider than the shoulders, forming a 90-degree angle to the ground. This is the high plank position. Place your hands flat, spreading the fingers out and grounding them. Align your neck and spine in a way that they form a straight line.

Get your muscles and joints ready: Imagine squeezing something under your arm. Your shoulders should be drawn back rather than towards the ears. Be conscious of engaging your core: clenching the glutes and tightening the abs. Your weight will hinge on the three joints: shoulder, elbow and wrist, so keep your hands steady.

Breathe steadily: Inhale as you go down, keeping the elbows close to the body, and not fanning out. This is called an eccentric muscle contraction, when muscles are lengthening and you are building strength. Exhale on the way up. This is called a concentric muscle movement, when muscles are shortened, with some weight on them. Studies have shown that eccentric movements are more important than concentric to build muscles mass. Simply put, this means that it is in the downward movement of a push-up, towards gravity that you’re actually building your body.


3 MISTAKES


NEWBIES MAKE


Nisha Varma, an American College of Sports Medicine exercise physiologist and a Reebok Master Trainer based out of Pune, points to common errors people make.

The progression is too quick: Perhaps because of the proliferation of online videos that glamourise the advanced forms, people end up doing a single-hand push-up teetering to one side. Focus on posture, progression and your own fitness level so you don’t injure yourself.

The lower back falls in: When you dip, the hip, stomach, and knees touch the floor or are lowered before the chest comes down. This shows lack of core control.

The push-up is not completed fully: When a person does not come back to the high plank position, and comes up just about 80%, the serratus anterior, muscles deep within the chest, are not activated. Again, if you don’t go down completely, you’re not experiencing the full range of motion.

BUILD It UP


3 EXERCISES TO


Vinod Channa, an Action-certified personal trainer to Bollywood stars Shilpa Shetty and John Abraham, says it’s necessary to develop mobility in the joints and strength in the muscles before you actually begin a push-up.

Bench press: Lift what you can, even 2 kg, either dumbbells or a bar. Get comfortable doing 10 reps; progress to doing 2 sets, then 3. Increase weight and sets gradually. This will build strength in your chest, arms (especially the triceps) and shoulders.

Planks: Hold a high plank for 10 seconds and build to 30 seconds. Introduce the forearm plank and again progress from 10 seconds. Go on to the side plank. These will strengthen the core.

Mobilisation: Before you begin, warm up the muscles and joints, so you don’t get injured. Do about 10-15 rotations of the neck, shoulders, wrists, hips and ankles.

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Friday, 4 August 2017

Are you Suffering from Pain in Meniscus?

A meniscus is a part of cartilage that gives a cushion between the femur (thighbone) and tibia (shinbone). In the each knee joint, there are two menisci which can be torn or damaged during activities. The meniscus can be torn and cause pressure or direct contact from a forced rotation or twist during activities. Heavy lifting, sudden turn or pivot or deep squatting can cause meniscus tear injury. Normally, sports person or athletes are at the risk for meniscus tear but it is also quite common in normal people too.
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The meniscus is gradually weakened with the age and cause stiffness and pain in the joints. Older people experiences a meniscus tear due to degeneration as the knee cartilage becomes thinner and weaker with the age.
The symptoms of meniscus tear are
  • Having pain when touch the area
  • Swelling
  • Difficulty in moving knee 
  • Difficulty in motion
  • Feeling of knee catching or locking
A patient may experiences a popping or slipping sensation, which is a true indication that part of cartilage has become loose and blocking the knee joint. If a person experiences any of these signs, it is good to consult with a doctor. The treatment options for meniscus tear can vary from home remedies to outpatient surgery which is completely depends on the severity of the injury.
If a person is not responding to the normal treatment then doctor may suggest arthroscopic surgery. In the surgery, the surgeon will make a tiny incision in the knee and insert tools and a camera to repair or trim away the damaged meniscus. The entire surgery will takes an hour and so. The patient can go home same day of the surgery however, full recovery will take time. Physical exercises and proper rest is recommended after the surgery. It takes at least six weeks to complete recovery. Knee brace or crutches are suggested to wear during this time period.
Shree Meenakshi Orthopedics & Sports Medicine Clinic,  has all the modern equipments and techniques to perform surgery for meniscus tear treatment in New Delhi. Dr. Raju is a well-known surgeon for knee injuries and one of the best  orthopaedic doctor in new delhi . The hospital has a good hold on knee surgeries and has a high rate of successful surgeries.

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Monday, 31 July 2017

Make your best Movement by Physiotherapy

Physiotherapy involves specifically designed exercise for treating injuries, illness, condition or protect from any future health problems. Physiotherapy exercises can improve the ability of body parts that have been affected by disease or injury. Physiotherapy generally recommended movement and exercises to provide support in improving mobility and function. The objective of physiotherapy is to develop, maintain, and restore the extreme functional capability of a person. Physiotherapy uses a person’s health history to analyse and develop a management plan and provides exercise according to the person’s capability. Physiotherapy can treat a wide variety of medical conditions, such as
  • Cardiopulmonary conditions such as cystic fibrosis
  • Hand therapy for conditions
  • Neurological conditions such as spinal cord injuries, stroke
  • Musculoskeletal dysfunction such as back pain
  • Sports associated injuries such as concussion

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Women’s health and pelvic floor dysfunction such as 
  • urinary infections
  • Pediatric conditions such as cerebral palsy
  • Diabetic ulcers
  • Burns and wounds
  • No need of surgery
  • Effective pain management
  • Improve movement and mobility
  • Recover from trauma or injury
  • Recover from paralysis or stroke
  • Managing age related medical problems
There are various types of physiotherapy methods are available such as orthopedic, geriatric, neurological physical, cardiovascular and pulmonary, pediatric or wound care, which is recommended according to the patient condition and position. Physiotherapy also includes electrical stimulation, phonophoresis, stimulation, heat, moist heat and cold therapy, and light therapy.

Physiotherapy promotes use of hands to manipulate, mobilize and massage the body parts. Physiotherapy provides relieve in pain, improves blood circulation, improves body movement, and promotes body relaxation. Physiotherapy helps in keeping the joints movement smooth and provide strengthen to the surrounding muscles. People are now recognizing physiotherapy as a holistic healing method to get a healthier and active life.

Shree Meenakshi Orthopedics & Sports Medicine Clinic, New Delhi provides best treatment in physiotherapy. The clinic has trained physiotherapist and provides best treatment method to their patients.



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Wednesday, 14 June 2017

Successfully Treating Sports Injuries..

Orthopedics or Orthopedic surgery is mainly dealing with conditions that involves the musculoskeletal system. Sports medicine is one of the sub-specialties of orthopedics. Sports medicine includes prevention, diagnosis, treatment and rehabilitation of injuries that a person received during athletic activity. The main objective of the treatment is to cure and rehabilitate the patient's injuries so that they can smoothly perform their daily activities quickly. 

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Athletes are more prone to orthopedic injuries because of the risk of fall, wear and tear, or accidents associated with sports activities. Generally, orthopedic injuries include severe pain, stress fracture, stretching or tearing of internal structures. It is good to take precautions to protect the body while playing sports. There are many physicians who help the patient to regain the higher use of the injured joint and limb. The physicians received specialized training to diagnosis, treatment, and prevention of sports injuries. Dr. Raju Easwaran is one of the best sports medicine doctor in India. The doctors treated common injuries such as

  • ACL Tears
  • Muscle cramps
  • Fractures
  • Sprains and strains
  • Stress fractures
  • Muscle contusions


Treatments in sports medicine includes
  • Surgery
  • Orthotics
  • Physical therapy
  • Rest
It is essential to get a proper medical attention while receiving primary symptoms of a sports injury because delay in medical attention can lead to even more damage of muscles or limbs.

Shree Meenakshi Orthopedics & Sports Medicine Clinic provides best treatment for sport injuries in New Delhi. The clinic offers a wide range of facilities  to heal sports injuries and protects from any possible future injuries as well. Dr. Raju Easwaran is a highly qualified and experienced doctor for treating sports injuries.
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Tuesday, 16 May 2017

Effective Treatment for Arthritis

What does arthritis mean?
Arthritis is derived from the Greek words "Arthros" meaning joint & "itis" meaning inflammation. Any inflammation/ irritation/wear & tear of the joint is called arthritis. In the initial stages arthritis results in pain & stiffness of the joint. Later on the muscles around the joint weaken & become smaller in size. Towards the end, the joint loses most of its useful movement & the bone develops deformities.
What are the causes of arthritis?
Broadly speaking arthritis is of two main types; inflammatory arthritis & non inflammatory arthritis. The more common non-inflammatory arthritis is also known as osteoarthritis is due to the age related wear & tear of the joint cartilage. The less common inflammatory arthritis is due to the body producing antibodies to the joint cartilage. The body reacts against its own tissue & causes widespread damage to the joints.
Common types of Arthritis
  • Osteoarthritis
  • Rheumatoid Arthritis
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What are the symptoms of osteoarthritis?
lt depends on the joint affected. If knee is affected, it causes pain in the knee, with decreased ability to walk & run. Stiffness of the knees makes simple things like getting into a chair or getting out of it difficult. Stair climbing also becomes increasingly difficult. In the spine, pain is brought on by bending. Sometimes the tiny nerve endings that branch off from the spinal cord & travel in various directions can get pinched by excess bone formation that is seen with arthritis. This results in numbness & tingling in the arms & legs depending on the area affected (neck vs low back). Hip arthritis makes sitting difficult &there is pain especially in the night. Finger arthritis makes down fine things difficult like turning a key, holding a pen or a spoon to eat.
What is osteoarthritis?
It is the most common form of arthritis affecting our joints. Really speaking it is not a disease at all ! It is simply a manifestation of ageing. As me grow older our joints undergo wear & tear. Normally each of our joints has a cushion of variable thickness at its ends called, the cartilage. As we age, the thickness of the cartilage decreases, forcing raw bone to come in contact with raw bone, thereby leading to pain. Our joints have another protective mechanism called the "synovial fluid”. In our youth, healthy thick viscous synovial fluid is produced which adds to this Iubrication. As we age, our joints produce copious amounts of less viscous watery synocial fluid that is Iess efficient in lubricating the joint.The reason why we develop arthritis is not fully known. Almost any joint can be effected, the commonest being the knees, hips, neck, lower back & the fingers.
Usually through a good clinical history & detailed examination, one can diagnose osteoarthritis. Sometimes blood tests may be required to distinguish if from the more serious inflammatory arthritis. X rays will be required in all instances to assess the stage of the disease.Very rarely MRl may also be required in addition to study the soft tissues around the joint.
How is osteoarthritis treated?
Once the smooth cartilage of the joint is destroyed, it cannot be replaced by any known modern treatment. However, if one keeps the muscles around a joint strong through exercise, the ill effects of the lost cartilage can be minimised.

Physiotherapy is the cornerstone of treatment of osteoarthritis. In the knee it means doing what we call the quadriceps & hamstring exercises, for the hip the muscle on the side & back or the hip (abdurtors and gluteus maximus) need to be strengthened, in  the spine the muscles on either side of the centre (paraspinal muscles) are strengthened & for the fingers, handgrip exercises are prescribed, Water based exercise (swimming) are far superior to land based exercises for osteoarthritis of almost any joint. Immersion in water makes our body lighter & restores the lost flexibility to our muscles and tendons. Light resistance training with weights/ theraband is also recommended to increase muscle strength. Weight loss helps immensely by offloading the sore joints. Applying hot packs helps soothe the muscles around the joint. For acute onset pains, Ice packs are
recommended. Application of an ointment or a spray always helps, The physical therapist also use ultrasound, tiny pulses of electric current (TENS) and a special form of deep heat to further help heal the pain. You should take simple precautions like not doing activities like squatting & cross legged sitting. Using a stick for knee and hip arthritis is also very helpful

Anti-nfIammatory medicines (loosely called pain killers) are also prescribed judiciously for a short period to help relieve the pain & inflammation of the sore joints. Prolonged intake of these medicines is harmful for the heart, stomach & kidneys. In case you feel the need to take these medicines on a daily basis, you may be suffering from an advanced stage of the disease & might benefit from a joint replacement, Collagen powders are increasingly being used for the treatment of osteoarthritis of the knee. They are contained in a sachet & are meant to be dissolved in a cup of lukewarm water & gulped down on a daily basis for 3-6 months. They have a role to play in early arthritis, once the disease is advanced, they have little to no therapeutic effect.

Newer therapies like willow bark extract are about to enter the market & will usher in an exciting phase of naturally occurring plant based pain relief medications. These medicines relieve pain & unlike the mainstream painkillers, they are virtually devoid of all major side effects.



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Wednesday, 26 April 2017

Treatment for Ankle Pain

There are many structures present at the anterior aspect of the ankle. These structures are often susceptible to injury. Common injuries and conditions around the anterior ankle.

1) Anterolateral Impingement. Painful limitation of full range of ankle motion due to soft tissue or bony pathology. Soft tissue thickening commonly seen in athletes with prior trauma that extends into the ankle joint.
2) Arthritis of the ankle joint. It is commonly the result of prior injury or inflammation to the ankle joint. It can usually be diagnosed with an examination and x-ray.
3) Osteochondritis Dissecans of the Talus. It is chip type fracture that usually occurs with severe ankle sprains. It causes pain, swelling and stiffness of the joint.   
4) Tibialis Anterior Tendonitis. It is an overuse condition common in runners. It is a common injury that usually accompanies anterior shin splints.
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 Treatment
Medications to ease pain, relieve inflammation, slow bone loss, modify the course of an inflammatory disease or prevent joint damage are an important part of treatment for many ankle problems. The medications used to treat arthritis and other problems that affect the ankles will depend largely on the form of arthritis or related condition you have.
Some of the medications used:
Nonsteroidal anti inflammatory drugs (NSAIDs) are used to help ease arthritis pain and inflammation. They are used for all forms of arthritis.
Corticosteroids: These quick-acting drugs, similar to the cortisone made by your own body, are used to control inflammation. If inflammation is due to a systemic inflammatory disease, doctor may prescribe oral corticosteroids. If inflammation is limited to one or a few joints, doctor may inject a corticosteroid preparation directly into the joint.
Disease-modifying anti-rheumatic drugs (DMARDs) are drugs that work slowly to modify the course of inflammatory disease. Different DMARDs may be useful for a number of different forms of arthritis, including rheumatoid arthritis, lupus and psoriatic arthritis, all of which can affect the ankles. 
Surgery:
Arthroscopic surgery of ankle gives faster recovery owing to less pain and earlier mobilization. Ankle arthroscopy enables the doctor to directly visualize the ankle joint surface. It is performed under general or regional anesthesia.

Dr. Raju Easwaran, is the best orthopaedic surgeon in New Delhi. He is very trusted in arthroscopy, joint replacement surgery and all orthopaedic related problem and provides the best ankle pain treatment.
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