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Category Archives: IVH Blogs

Fad Diets And Their Repercussions!

Dr Purwa Duggal

These days there are numerous diets that promise instant or easy weight loss. One should however exercise caution while following such diets as its impact may vary from person to person, not leading to the expected outcome. These diets may provide drastic results, but it will always be short term. People following such diets range from teens to elderlies.

 ATKINS DIET: Is a low carbohydrate diet program. It is based on the core principles of regulating the overall Caloric and Carbohydrate intake, rather than the Fat intake alone to aid weight loss.  It propagates intake of high amounts of Protein while limiting the intake of Carbohydrates. The suitability of western diets to the Indian scenario can be questionable.

Atkin’s prescription of a high-Protein, high-Fat and low-Carbohydrate diets may pose serious long-term health risks such as, Heart disease, impaired Kidney function, Diabetes and even Osteoporosis due to increased calcium loss.

RAW FOOD DIET: Refers to the diet comprising of unprocessed foods that may be eaten raw or uncooked and contains active enzymes. The main components of a raw food diet include, fresh fruits and vegetables, nuts, seeds, sprouted grains, beans, legumes and seaweed. Several food theorists believe that essential nutrients are destroyed when some foods are cooked, and hence they must be consumed in their original form to retain all the nutrients that they have to offer. While the raw food diet does increase energy, promote weight loss and lowers incidence of disease such as Diabetes, Cancer, Cardiovascular ailments; the long term benefits are questionable. Not everyone may be able to tolerate the raw foods. Adherence to very strict dietary regime may further aggravate problems by inducing Calcium, Iron and Protein, Calories and B12 deficiencies.

GM DIET: Originally planned for the General Motor employees, this diet is based on the principle that by eating only the foods in the eating plan, the body will burn more calories than food otherwise provides. It is a 7 day meal plan with only select foods to be consumed each day, with inclusion of 10 glasses of water and total abstinence from alcohol.

The problem with this kind of plan is the body holds back the fat reserve and burns muscle for energy that is required for daily activity. The initial rapid weight loss is mostly water loss. Once, the person goes back to eating normally, there is a rebound; person gains back all the lost weight. Following this diet repeatedly can deplete the body of energy and some important nutrients.

BLOOD TYPE DIET: This diet is based on the principle that what you eat reacts chemically with your blood type. If you follow a diet designed for your blood type, your body will digest food more efficiently. You’ll lose weight, have more energy and help prevent disease. Each blood type will have has its own unique diet and exercise prescription, including recommended foods, and foods/food groups to avoid.

The limitation is that it may cause serious nutrient deficiencies since foods will be restricted for each blood type. Not consuming meat may cause Mineral and Protein deficiencies, but eating too much meat (in place of healthy fruits, vegetables and whole grains) can increase your risk of developing certain types of Cancer and Heart disease. Ex: Dairy products are to be abstained from by blood types this A, increasing the risk for developing a Calcium deficiency, leading to osteoporosis.

DUKANS DIET: Is based around eating high-Protein foods while severely limiting all Carbohydrates including fruits, starchy vegetables, legumes and whole grains. Low-fat, Protein-rich sources such as fish, poultry and reduced-fat dairy products are recommended. The diet is implemented in a phased manner (a 4 phase plan). This diet does provide a quick jumpstart for people with sluggish metabolism. It allows people to eat unlimited amounts of specific foods. However, the flip side is as follows:

  • Focus is on high-Protein. Indians may find it difficult since our daily intake of Protein compared to the western countries is low.
  • Restrictions of certain food groups cause lack of essential Vitamins and Minerals
  • All may not adapt well to low-carbohydrate diet since it may cause mood swings and fatigue
  • It cannot be recommended for patients with Kidney problems, high Cholesterol and Gout disease

SOUTH BEACH DIET: Is low in Carbohydrates high in Protein and healthy Fats. This diet aims at making food and lifestyle changes. Major risk from this diet is Ketosis in case of severe carb restriction resulting in symptoms such as nausea, headache, mental fatigue and bad breath; sometimes dehydration and dizziness.

Crash dieting by oneself is dangerous for any age group. Type of diet or combination diet to be followed will vary depending on one’s health makeup. Weight loss under professional guidance is recommended.

Is Head of Nutrition at Fortis Hospital, Mulund

Testosterone And Hormone Overdose Amongst Gym Goers

Dr Altamash Shaikh

Testosterone, the primary hormone in the male body helps in increasing muscle mass & body strength, boosting libido, virility and decreasing the risk of illness. It is also a drug, used for treating delayed puberty (a medical condition) amongst adolescent males. Sport supplements are becoming highly popular amongst the gym goers, not only those who are deep in to fitness and interested in competing professionally, but also for non-competitors to look good! Many people consume these supplements enriched with hormones, for various health benefits, like building muscles and staying fit. However, there is a need for people to understand that these supplements are temporarily beneficial and can cause harmful effects to the body at large.

Consumption of any kind of hormones for fitness benefits has its own pros and cons; they only benefit the body for a temporary period, but in the long-run these are highly damaging. Having and maintaining a good physique has become a trend now-a-days and it comes more with the issues that are unfair rather than fair. Although, these supplements and other related steroid hormones, gives the sole benefit of muscled and chiseled body; it also involves medical challenges. It could trigger as mood swings, Heart Disease, Dyslipidemia (abnormal amount of lipids in the blood), lower energy, it also takes away the sperm count and triggers infertility, apart from damaging libido and causing Gynecomastia (enlargement of the gland tissue of the male breast). It also causes problems with the Brain, Kidney, Skin and the immune system of the body.

For women who consume such supplements, it may lead to excessive hair growth, irregular period cycles, acne and disrupted metabolism. Amongst adolescents, taking these supplements apart from the long term problems listed above, it also causes bone maturation and Epiphyses (early closure of ends of bones). Regular exercise is key for today’s youth and fitness freaks to make their mind and body healthy.

 Is a  Consultant Endocrinologist, Diabetologist and Metabolic Physician, at S.L Raheja Hospital.

Mild Sports Injuries Can Lead To Crippling Arthritis

Dr (Prof) Raju Vaishya

Mild sports injury is a major concern for players whose sports career spoil due to injuries. However most sports injuries are mild and temporary, with no long-term effects. Minor sprains and bruises or overuse injuries treated properly may be nuisances but do not necessarily cause any permanent problems. Some injuries, however, may lead to crippling arthritis later in life, but new techniques like Autologous Chondrocyte Implantation (ACI), help young people who suffer from arthritis or knee damage due to sports injuries or accidents, by growing cartilage tissue in the affected area, allowing for a complete recovery.

Autologous Chondrocyte Implantation (ACI) has recently become available in India, where near normal chondrocytes (cartilage cells) are developed, which can then be implanted to treat the damaged cartilage has been catching on. Many young people are opting for this procedure. A number of such surgeries have been performing in India. This surgery is a good option because it allows young people to get back to sports quickly and they can resume normal activity in 7 to 9 months. The treatment he claims is effective because good cartilage cells are taken, harvested and cultured and used to replace the damaged cartilage.

These good cells grow on the damaged cartilage cells by stimulating near normal cells and making the affected area as good as new.

There are a few different methods to prevent sports injuries. The first is proper conditioning. When someone is poorly conditioned or fatigued, the muscles do not protect the joints, and an injury is more likely. It is important for athletes at any level to be properly conditioned for their sport, not only with regards to stamina but also strength and flexibility. Proper nutrition and hydration also come into play. The next aspect of prevention is proper form and technique in the specific sport, assured in part by following the rules of the game. Finally, certain sports offer protective equipment, and this may be of benefit in injury prevention. Once an injury has been sustained, there are still measures that may prevent arthritis. Avoiding strenuous or demanding activities may decrease the chances of arthritis. In many cases, as in the torn ACL, the problem can be surgically corrected, restoring proper mechanics and thereby hopefully preventing arthritis.

The more common way a sports injury leads to arthritis is when a ligament or supporting structure is damaged, causing abnormal mechanics in the joint. This greatly increases the stress on the articular surface, which over time, wears out and causes arthritis. One of the most known examples of this type of this injury is in the knee. With the increased attention of media to the injuries sustained by star athletes, most people have heard of an ACL injury.

 Is President of  Arthritis Care Foundation  & Senior Consultant Orthopaedic & Joint Replacement Surgeon at Indraprastha Apollo Hospitals, New Delhi. Dr. Raju Vaishya is a specialist in sports injuries, who has performed many such surgeries.

Understanding & Tackling falls Amongst the Elderly

Dr. Sriniwas B. Thakur

When a person grows older, mobility concerns come in to play. Falls are one of the major health problems amongst senior citizens and a common cause of injury in this age group; an event which is most of the times accidental and seen mainly in elderly individuals. Recurrent falls are a critical cause of morbidity and mortality in elderly and a marker of poor physical and cognitive status. Studies in Indian population have shown that incidence of falls in elderly (60yrs of age and above) ranges from 14% to 52%. An Indian study has found that after a fall, fracture is seen in 21% and other forms of injury in nearly 80%. Falls in elderly are one of the major contributors of hip fracture, spine injuries and severe head trauma. They are also major cause for hospitalization of elderly and need for long-term institutional care.

Medications are one of the most common causes of falls in elderly. Taking five or more medicines (Polypharmacy) has been shown to be directly related to increased risk of falls. Medicines that act on the nervous system, particularly, sedatives, psychoactive drugs, anti-depressants, anti-histamines, medications affecting BP are some of the common reasons contributing to falls. Falls are generally a combination of several risk factors which can affect and threaten the ability of a person to continue with daily routine activities for a living.

Physical risk factors:

  • Ageing
  • Previous history of having fallen
  • Arthritis
  • Chronic medical conditions like Diabetes, Thyroid problems, Anemia
  • Neurological problems like Stroke, Parkinson disease
  • Vertigo and Balance disorders
  • Muscle weakness
  • Mood disorders like Depression and psychiatric issues
  • Impaired mental status like cognitive impairment and dementia
  • Visual problems like Cataract
  • Medications

Environmental risk factors:

  • Poor lighting
  • Slippery floors
  • Cluttered walkways
  • Wearing improper footwear
  • Incorrect use of the walking aids such as canes or walkers
  • Lack of grab bars in bathrooms
  • Uneven and broken sidewalks
  • Irregular steps
  • Unpredictable level changes

Falls can range from trivial to major injuries in the elders which are mentioned below:

  • Physical injuries like (muscle pains, scratches and wounds, hematomas, lacerations, fractures, head injuries leading to intracranial bleeding) and in severe cases can lead to death.
  • Self-imposed limitation of activity
  • Social isolation
  • Loss of independence
  • Poor quality of life

It is of utmost importance that the elderly report any fall that they may have had, when visiting their doctor for a check-up. Consultation with a Geriatrician (Elderly Care Specialist Physician) may benefit, as they are experts in preventing and managing falls. Gait and balance training, medication optimization, muscle strengthening exercises, home hazard modifications, correction of underlying problems like cataract are some of the preventive measures. An efficient preventive strategy is to educate patient and caregiver. The patient at risk and family members shown be educated about the multifactorial nature of falls, the specific risk factors and recommended interventions. Vitamin-D supplementation has been shown to be effective in preventing falls; but it should be taken only after reviewing with a doctor.

Depending on the severity of the fall and associated injury, the treatment options may vary. If there is a fracture, Orthopaedic intervention and corrective surgery is needed. Every individual with a fall needs to undergo detailed evaluation and assessment like review of medications, gait and balance assessment and other tests as per the need, medication optimization, gait and balance training, muscle strengthening exercises, using assistive devices like walkers, vitamin D supplementation, better home safety measures like hand rails, grab bars and raised toilet seats. Treatment of underlying cardiovascular or neurologic disorder and education of patient and caregivers regarding falls are important steps.

Caregiver assistance:

  • Frequent discussion with them about their current health conditions
  • Take them for regular eye check-up
  • Keep a watch on whether they are holding onto walls, furniture or taking help of someone when they are walking or face any difficulty in walking or getting up from a chair
  • Talk about medications
  • Eating healthy and food those provide nutrition
  • Wiping up the spills immediately
  • Keeping pathways in a good and clean condition
  • If they have difficulty in their daily activities or have balance problems or have fallen in the past, seek a consultation with a Geriatrician
  • Ensure that the elderly people are using assistive devices like canes or walkers, as prescribed by doctors

 Is Consultant Geriatrics atFortis Hospital, Mulund

Do not Self-Medicate!

Dr Rahul Pandit

With the winter approaching, self-medication becomes a major concern for doctors. Often it is the friendly chemist, friend or patient themselves who suggest self-medicating based on the common symptoms. Needless to say it is completely inappropriate to take medications without a proper medical consultation.

For one, most of the winter illness are mild illness, caused by viruses and are self-limiting. The treatment required would often be just symptomatic care, but often antibiotics are dispensed for the same and this promotes the development of resistant organism. Secondly, what looks like a mild illness would be actually a serious problem, requiring appropriate diagnosis, tests and treatment. If precious time is wasted in self-medicating, the consequences are dire, often leading to hospital and intensive care admission or in some cases, threat to life.

The more common symptoms like cough and cold, may actually be symptoms of Pneumonia, if not treated appropriately, the consequences are serious. It is important that the patients understand, that chemists are not allowed to dispense medications like antibiotics, pain relief medications, anxiolytics etc. without a doctor’s prescription. The reason being that Chemists may have an understanding of the drug and its actions, but lack the clinical skills, lack understanding of effects of a particular drug on physiological variables and certainly are not able to correlate with different system and drug interactions. The paucity of this knowledge may be deleterious to patient, causing harm than good.

Chemists mostly tend to dispense paracetamol with an antihistamine combination, followed by Non-steroidal anti-inflammatory drugs and antibiotics. Sometimes, these are not required as they are unaware of the person’s clinical history and findings. Most of the time the most concerning self-medication is for fever; fever could be a symptom for a lot of other factors. Self-medication hampers the possibility of being treated for the right reasons. Doctors do not advise taking an Aspirin as home intervention before reaching a hospital for treatment in regards to cough, cold, fever or headaches. Taking a mild paracetamol prior to doctor consultation or a remedial steam inhalation is preferable.

Is Director- Intensive Care of  Fortis Hospital, Mulund

 

Healthcare market in India may see threefold increase by 2022: Survey

Vinod Kumar

India’s healthcare market may see threefold rise as its size in value terms is likely to reach $372 billion (bn) by 2022 from the level of $110 bn as of 2016 thereby clocking a compounded annual growth rate (CAGR) of 22 per cent, according to an ASSOCHAM-RNCOS joint paper.

“Growing incidence of lifestyle diseases, rising demand for affordable healthcare delivery systems due to increasing healthcare costs, technological advancements, emergence of telemedicine, rapid health insurance penetration, mergers and acquisitions helping to reach untapped markets and government initiatives like e-health together with tax benefits, incentives and a host of upcoming regulatory policies are driving healthcare market in India,” noted a paper on ‘Indian Healthcare Sector-An overview,’ jointly prepared by ASSOCHAM and research firm RNCOS.

The study stated that factors like growing geriatric population, uptick in medical tourism and gradual decline in cost of medical services will drive medical devices market in India which was valued at $4 bn as of 2016 and is likely to cross $11 bn mark by 2022 thereby registering a CAGR of 15 per cent.

It however noted that imports make up about 75 per cent of Indian medical devices market.

The paper noted that Goods and Services Tax (GST) will have a positive impact on Indian healthcare market, particularly the pharmaceutical sector.

“GST would not only streamline taxation structure but lead to ease of doing business by minimising cascading effect of many taxes applied to a product, rationalise supply chain, enable flow of seamless tax credit, lower manufacturing cost, reduce cost of technology and make healthcare affordable.”

Generic drugs account for about 70 per cent of India’s $20 bn worth pharmaceutical market. Of these, anti-infectives occupy the largest share of 16 per cent followed by cardiovascular (13 per cent), gastro-intestinal (11 per cent), respiratory (nine per cent), vitamins/minerals (eight per cent) analgesic (seven per cent), anti diabetic (seven per cent) and others (29 per cent).

“Increasing expenditure on research and development (R&D), rising collaborations between Indian and foreign companies, reduction in product approval time and other such factors are driving the growth of Indian pharmaceutical market,” highlighted the paper.

Indian pharmaceutical market is third largest globally in terms of volume and 13th largest in terms of value.

 

Cosmetic treatments have made careers of innumerable people in the glamour world

Dr. Monica Kapoor

To create a niche in the glamour world, one needs to look admirable if not drop dead gorgeous. In order to appear flawless onscreen and meet up to the expectation of fans, Celebrities take solace in cosmetic treatments/surgery.  From the leading ladies of the film industry to the villains, there is hardly any name left in the industry who did not try these surgical experiments.

It a boon to the glamour world. “Cosmetic treatments have made careers of innumerable people in the glamour as well as the beauty industry. If one is not really happy about certain part of their body, which makes them uncomfortable, cosmetic treatments is all time suitable option that can be taken into consideration. From reshaping the nose to giving a pout to your flat lips, Cosmetic treatment / surgery is capable of every kind of miracles that you may wish for.”

But sometimes these treatments have some risk of   Failure if not done by well qualified and experienced doctor. One needs to remember that cosmetic surgery/treatment is the need for which you have to decide for yourself. I would never suggest to give heed to the opinions of random people. A wrong decision might lead you into a situation where you might regret endlessly.

Innumerable failures in the cosmetic surgery have been observed in Bollywood itself. Anushka Sharma, tampering her natural looks to Ayesha Takia opting for a liposuction, a lot of the cases ended up being a troll on the social media.

However on the other hand, Gauhar Khan, Preity Zinta and Priyanka Chopra took a wise decision when their post-surgery look left everyone stunned and amazed, thereby giving a greater lift to their career.

Well, the game is all about understanding the flaws and making the right call.

Is a a well-known cosmetic and aesthetic physician.

Nursing Can Help Mothers Too!

Dr. Vandana Gawdi

It is a well known fact that breastfeeding is essential for a newborn baby and that the mother’s milk is the best source of nutrition, aiding in sturdy growth and development of the child. It is not for nothing that we say that ‘Breast milk is the Best milk’. However, what many of us do not realize is that breastfeeding also has tremendous importance on the health and wellbeing of the mother.

It is very important for a new mom to successfully initiate and then maintain breast feeding her child. Studies say that in case of a normal vaginal birth, latching on should be initiated as early as possible which is within the first few minutes of birth. The skin to skin contact, after a long painful labor, instills a sense of calmness and provides comfort that aids in the well being of the mother. It also calms the newborn as it hears the heart beat of the mother, a sound it has heard for nine months. Nowadays, medical staff has started initiating breast feeding of the newborn even after a C-Section. If the mother has been given a spinal or epidural anesthesia, the process is started while still in the OT, with the help of a nurse and the anesthesiologist.

Through breastfeeding the mother and child bond and a feeling of security sets in. It is noted that by breastfeeding the child, the mother is less prone to develop postpartum depression and stress. Studies say that those mothers who successfully breastfeed in the first 24 hours are less prone to Depression that may occur due to hormone changes and other factors like poor sleep, tiredness and pain caused due to stitches. Breastfeeding also helps the uterus to contract thereby aiding in its return to its natural position in the pelvis. A well contracted uterus has lesser blood loss, and this also helps the mother to recover faster.

As long as the mother is breastfeeding, she is likely to take care of her diet, as we all know that eating healthy during nursing our baby passes on that benefit to the baby. Breastfeeding helps to burn calories faster causing the pregnancy weight to shed faster. Importantly, not many are aware that breastfeeding protects a woman from Breast cancer. The longer you breastfeed your baby, lesser are the chances of developing breast cancer. It also aids in natural contraception, your period is less likely to return when you are breast feeding so you naturally protect yourself longer. This only goes to prove that the emotional, physical and mental wellbeing of mother and child is the biggest reason to breastfeed.

 Is a Senior Obstetrician and Gynecologist at Hiranandani Hospital Vashi

Are Financially Anxious Millennials Depressed?

Dr Parul Tank

The millennials of today perceive themselves to know it all, to have it all; they appear confident, independent and strong willed. Their approach towards work life is far more balanced and their goals attainment is greater than their predecessor, Gen X. With the world having moved into the era of the tech-savvy millennial, everything is available merely by a click and can be achieved almost instantly. The pressure of not being able to do so due to financial worries and sustainability of material needs, can often result to one being stressed out and anxious.  Most millennials believe that they can plan on their own terms and are able to take their own steps, writing their destiny.

There are two financial groups of millennials; however both are equally stressed out when it comes to money matters. The 1st group includes those millennials who know what they want and possess the means to ensure that they get what they want. They are not financially dependent on their parents and don’t carelessly spend on materialistic needs. They adapt to their way of life and are strong minded when it comes to earnestly spending. However, trouble sets in when they tend to put too much pressure on their abilities to save for a drier day or their retirement savings. They become anxious and push themselves to the extreme limit; many a times they engage themselves in one or more jobs to ensure that the account is sustained. Inability to do so, often leads to a depressed state of mind. The 2nd group of millennials is those who love to keep their wallets open and are not afraid to have a good time. This does not last long as a reminder bell rings when at the end of the month they face financial complexity. Panic attacks and anxiety set in; this shows that this group is not essentially prepared for ‘real life’. Often a time nights out cost more than paying off the monthly rent and the day-to-day expenses and curbing these bad habits enables them to beat themselves up for not being able to strike the right cord in life, often leading to self-hate and depression.

The constant need to be competitive with their peers and have all the luxuries in life are often frustrating, stressful and hamper the mental health of a young adult. The millennials are optimistic in nature but often disregard the need to listen to older adults. Crippled by lifestyle needs, the generation is on an edge of a growing crisis. A generation which includes the age group between 18-30 years was raised to be eccentric; they were pushed to be competitive and achieve even the smallest feats and have come to perceive themselves as above average. The incapacity to do so, can push anyone under a rock that is hollow inside, in-depth with depression.

The role of parents, teachers, friends, older colleagues and team-mates can play a major role in addressing this problem. Watching out for signs and symptoms can evade a tragedy from taking place. Young adults too need to open up and confess their issues so that they can be helped. Speaking to parents or older adults about money management can help bridge the gap, parents sharing their past experiences can also help tremendously. Parents need to play an important role in advising their kids to set financial goals which can easily be accomplished without adding pressure on them and ensuring them that there is indeed a light at the end of the tunnel.

 Is a  Consultant Psychiatrist at Fortis Hospital, Mulund.

Obesity and Sedentary lifestyle are Principal cause behind early Arthritis & Knee Damage

By Vinod Kumar

Experts warn vicious cycle of inactivity and unbalanced diet flare the overweight kids up for arthritis as adult. According to experts  the effects of obesity put children at risk of long-term foot, leg and back problems.

While Childhood Arthritis (juvenile arthritis) is considered a rare disorder, the incidence is rising and doctors of the city blame obesity to be one of the major contributors. City doctors are shocked to discover that the school going children are also suffering from bone disorders like arthritis and osteoporosis. While there are many reasons for the kids to be obese, including hormonal issues, but being overweight is strongly connected to diet and inactivity inform the experts.

“Our hips and knees bear five to seven times our body weight. These little frames aren’t supposed to be carrying 50 to 60 kg of body weight. The heavier the child, the bigger the pressure on the joints and cartilage, and that can be painful. It sets up their soft tissue for inflammation.” Informed Dr. (Prof.) Raju Vaishya, Founder President of Arthritis Care Foundation (ACF) and senior consultant, orthopaedic & joint replacement surgeon at  Indraprastha Apollo Hospitals. Obesity causes an increased mechanical stress caused by extra weight on the joints as well as inflammatory effects of elevated cytokines and adipokines that affect cartilage degradation, said Dr. Vaishya.

According to senior dietitian & nutritionist Dr pallavi Vaishya, “if your child complains of joint pain, swelling or stiffness in one or more joints for a period of six weeks or longer, seek medical attention as early diagnosis and treatment is necessary to prevent permanent joint damage. The inactivity related to watching TV and playing video games have a significant impact on childhood obesity. Poor eating habits also lead to diets deficient in calcium and vitamin D – important nutrients for growing bones,”

“The diagnosis of knee osteoarthritis is occurring much earlier. Obesity and knee injuries may be helping to drive the increase in knee Osteoarthritis among younger people. Injuries to the knee have been linked with an increased risk of knee arthritis.   “More knee replacements are being performed in younger population than before due to obesity, sedentary lifestyles & other forms of arthritis,” said Dr. Raju Vaishya.

According to Dr. Vaishya, Over the last few years, the volume of joint replacement procedures has increased dramatically—and the percentage of joint replacement in patients who are younger than 65 years have seen marked increase.

Dr. Raju Vaishya said that it is a common misconception that autoimmune diseases (AIs) affecting joints, such as rheumatoid arthritis (RA), only affect the elderly. Statistics show that both the young and active can also suffer from these debilitating conditions.

“Patients must not lose hope. Treatment has improved significantly and newer therapies and methodologies including the very exciting biologic disease modifying drugs and procedures like arthroscopy and joint replacements have made a tremendous impact on our ability to treat the various Arthritis. With the help of these therapies, patients are now able to live a fuller, healthier and more active life no matter what their age. They can still reach for the stars and realize their dreams.” said Dr (Prof) Rohini Handa, senior consultant, rheumatology, Indraprastha Apollo Hospitals.

“As the number of younger patients with arthritic knees increases, the emphasis should be given to prevention, and improvements in surgical techniques and implants will lead to better long-term outcomes when joint replacement is performed,” said Dr. Handa.

According to Dr, Raju Vaishya now a day’s arthritis of the knee and other joints is striking at younger ages but shedding a few pounds if you’re overweight may reduce your risk. As people become more aware of the facts around joint pain they are more inclined to seek help.

“Many people believe that only the elderly suffer from arthritis but I treat patients of all ages in my practice. Often they are misdiagnosed because some doctor’s rule out the possibility of a patient having some form of arthritis as they are too young, and the elderly don’t seek treatment as they believe there is nothing that can be done,” explains Dr. Handa.

According to Dr. Pallavi Vaishya, “ a program of exercise & taking precautions has reduced pain and improved mobility by as much as 50 percent in those with knee arthritis. A good physical activity programme is possible for people of all abilities, sizes, ages and attitudes.  An effective self-management plan should include a plan to stay active, as well as medication, balance between rest and recreation, a healthy diet, and joint protection techniques.”