The Fountain of Youth

Posted on March 14, 2023 | by admin | Leave a Comment

Aging and Exercise: Does it Make Your Muscles ?

As we age, our bodies undergo many changes that can affect our muscles. Sarcopenia, the gradual loss of muscle mass and strength, is a common consequence of aging. It can lead to decreased mobility, increased risk of falls, and reduced quality of life.

However, research has shown that even a single eccentric round of exercises increases the production of body stem cells which are main building blocks of muscles, tendons ligaments and cartilage in the body, and once stem cells they get activated it repairs the small damages in the muscles and rejuvenates them and there are studies to prove it.
**https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0029760
Lets take a closer look at how exercise can impact muscle aging and what types of exercises are most effective.

The Effects of Aging on Muscle

As we age, our bodies undergo several changes that can impact muscle function. These changes include:

1. Loss of muscle mass: Our muscles naturally start to shrink as we get older, a process known as sarcopenia. This loss of muscle mass can lead toweakness and decreased mobility.2. Decreased muscle strength: As our muscles become smaller, they also become weaker. This can make it harder to perform everyday tasks andincrease the risk of falls.3. Reduced muscle quality: Aging can also affect the quality of our muscle tissue. As we get older, our muscles can become infiltrated with fat,collagen, and other substances that make them stiffer and less responsive to stimuli.

How Exercise Can Help

Regular exercise can help counteract the effects of aging on the muscles in several ways:1. Increased muscle mass: Resistance exercise, such as weightlifting, can help increase muscle mass and strength, even in older adults.
2. Improved muscle strength: Exercise can also help improve muscle strength, making it easier to perform everyday tasks and reducing the risk of falls.
3. Enhanced muscle quality: Research has shown that exercise can improve the quality of muscle tissue, reducing stiffness and increasing responsiveness.

What Types of Exercise Are Best ?

While any type of exercise can be beneficial for overall health, some types of exercise may be particularly effective for improving muscle function in older adults. These include:

1. Resistance exercise: This type of exercise, which involves lifting weights or using resistance bands, is particularly effective for building muscle mass
and strength.
2. High-intensity interval training (HIIT): This type of exercise involves short bursts of intense activity followed by periods of rest. It has been shown to be effective for improving muscle function in older adults.
3. Aerobic exercise: While aerobic exercise may not be as effective for building muscle mass, it can still help improve muscle function and overall
health.
It’s important to note that older adults should consult with their healthcare provider before starting any new exercise program. They may also want to work with a personal trainer or physical therapist to develop an exercise program that is safe and effective for their individual needs.

Conclusion

Aging can have a significant impact on the muscles, leading to sarcopenia, decreased strength, and reduced quality of life. However, regular exercise can help counteract the effects of aging on the muscles and turn back the genetic clock which modifies the structure of muscles to make them appear young, studies have proven that older people who exercise and do some weight training the muscle structure becomes comparable to the younger people as proven by studies.

** https://www.ncbi.nlm.nih.gov/pubmed/25824446

The fountain of youth lies in your hand and your thought process so once you decide to hit activities in any form, the muscles will respond as they get activated and repaired by your own stem cells and they start healing and changing in structure and function. By incorporating regular exercise elders can reduce their risk of falls, and enjoy better overall health. so start exercising no matter what your age and start living…

Know about Knee Cap Pain the Patellofemoral syndrome.

Posted on June 15, 2022 | by admin | Leave a Comment

Knee cap pain is very common in the current scenario and affects mostly young active age group, it is a pain in front and side of knee cap, usually aggravates while walking up and down the stairs, squatting or kneeling, also knows as runners knee.

The other name of this is movie goers knee or people who do sedentary office desk top work as they keep their knees bent and it leads to pain.

The main reason of misaligned knee cap(patella) where the cap is not tracking accurately in its groove and the extra friction leads to cartilage injury and in long run arthritis.

The multiple causes of PFC are:

Low back –irritated nerves which lead to weakening of butt (gluet) muscle and quadriceps which makes the quadriceps weak too and lead to friction and loss of cartilage.

Hip issues: studies have shown that biomechanics play a major role with foot turned in (internal rotation) or foot turned out (external rotation) can cause the groove for patella in femur bone to be misaligned https://www.ncbi.nlm.nih.gov/pubmed/20436239, this study explores how too much rotation of femur groove inside will track the knee cap to the outside and cause misalignment.

VMO muscle weakness (inner thigh muscle weakness) allows the knee cap to move too far to the outside

Patellar trauma:

Injury to the undersurface of the knee cap or the cartilage can cause arthritis

Hamstring stiffness and ITB over tightness can lead to knee cap and meniscal injury

Management and treatment:

IT involves joint preservation mechanisms along with interventions which are done under regenerative medicine techniques, which involve injecting super concentrated platelets and mesenchymal cells which are taken from iliac crest and have similar activity as stem cells under imaging followed by a well structured rehabilitation programme for better outcomes.

Preventing shoulder rotator cuff injuries

Posted on June 15, 2022 | by admin | Leave a Comment

Rotator cuff tears are very common and more than 10 to 15% of population above 50 and more than 25% active population or athlete’s will suffer one of the rotator cuff tears or damages.

It affects all as shoulder is a highly mobile structure so from sedentary adults to weekend warriors and prime elite athletes everyone gets affected due to rotator cuff injury.

But here are steps that can be taken to reduce the injuries, specific exercises, ergonomic correction, stretches, conditioning and isometric strengthening helps you prevent your shoulder girdle from getting injured.

MOST COMMON REASON FOR SHOULDER INJURY IS OVERHEAD ACTIVITY.

For sports men, cricket player’s tennis players, trying to lift weights overhead without shoulder muscle activations, are the commonest causes of rotator cuff and AC joint injuries and pain.

Teachers writing on black boards, house wife who repeatedly keep reaching out to overhead cabinets while working in kitchen all injure their shoulders one way or other leading to nagging pain in the shoulder which is on the side and makes It difficult for you to sleep on one side and perform basic routine activates like combing hair, to unhooking the clips of the clothing.

EXERCISES HELPS IN PREVENTION OF SHOULDER INJURIES.

A good shoulder exercise program which does not focus on just weight training or aerobics but should include, isometrics holds, chest and pectoral muscle stretch, with mobility exercises and strength training will help in both preventing and also healing the shoulder injuries.

TREATMENT OPITONS FOR ROTATOR CUFF TEARS.

CAN IT HEAL WITHOUT SURGERY?

Yes in a lot many cases non-surgical options are the way to go for mild to moderate tears or even complete tear without retraction of muscle fibres.

Opting out for AXIS ORTHOBIOLOGIC procedure where we use your own blood and cells and implant them on same day under usg and x ray guidance has shown to have a faster recovery from pain and less down time for athletes to get back to active games following our state of art orthobiologic treatment. Rotator cuff tendinitis treatment, rotator cuff bursitis all can be easily be cured with orthobiologic interventions and physical therapy after that, there is not much evidence for surgical decompression or artho scopy repair unless the tear is massive with tendon fibres damaged to an extremely severe level.

AXIS SD OB*PROCEDURES SURGERY

Return to daily a week 4 to 6 weeks

Routine

Return to Sports 2 to 3 months 6 months plus

During recovery physiotherapy 6 weeks & PT for months, less

Time post procedure over counter pain med and brace driving and limited rom

Done same day Yes needs IPD admission

Rotator cuff intact Yes NO

SD OB= Same day ortho biologic procedures.

We at AXIS always thrive for the best treatment solutions for our general public and elite athletes and DR Madhur Chadha our main lead in regenerative and sports science leads it from the fore front to develop tailored made programs for you to get back to active routine as soon as possible after a shoulder injury.

LIGAMENT INJURIES

Posted on May 19, 2022 | by admin | Leave a Comment

A ligament is made up of specific fibres, like an elastic rubber band which connects a bone and a cartilage, a bone to a meniscus, a bone to a bone, ligaments are very strong and when a ligament is stretched or torn it is called a sprain.

LOCATION AND COMMON CAUSES OF LIGAMENT TEAR AND SPRAIN:

Any movement which causes extreme or unnatural turning and twisting can cause the ligament to undergo extreme stress and leads to sprain or a tear. The most common ligaments affected are

Knee: The main ligaments of knee are anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament and lateral collateral ligament, the ACL is the most commonly injured ligament and the lateral collateral ligament injury treatment involves treating the illio-tibial band along with the ligament.

Ankle: In ankle the inversion injuries that is ankle bending inwards causes more common injury to the lateral ligament injury complex which includes anterior talofibular (ATFL), calcenofibular and posterior talofibular (PTFL) ligaments. The medial deltoid ligament is lesser common. A high ankle sprain is more common in athletes and involves the distal tibiofibular ligaments

Wrist: The most common ligament injuries in wrist is the triangular fibrocartilage complex (TFCC) and the scapholunate ligament

Shoulder: shoulder joint is kept stable with different ligaments and any dislocation of the joint can cause injuries to these ligaments the common are Superior glenohumeral ligament and inferior glenohumeral ligament, usually using regenerative medicine protocols to tighten these ligament are sufficient to heal them

Along with these ligaments of back illio-lumbar ligament of spine, the interspinous ligament is common to undergo sprain and whiplash injuries causes’ injury to the neck ligaments as well.

Diagnosis and treatment of ligament injuries

Usually clinical examination history and using imaging modalities like real time musculoskeletal examination using ultrasound gives a good picture of the grade of tear and sprain and along with it MRI can be ordered to have even more accurate diagnosis

The grading of sprains/tears are done as follows

Grade 1; mild sprain with some changes in fibre structure but no tear

Grade 2: swelling some fluid collection with partial tear with no joint instability

Grade 3: complete sprain and tear with joint instability

Ligament injury Treatment

For any acute and mild to moderate grade 1 and 2 tears first line of treatment is conservative using RICE approach (REST, ICE, Compression and elevation) once the swelling has subsided over some days advanced management can be planned which includes minimally invasive injections.

For mild to moderate ligament injuries (grade 1 and 2 and some times grade 3) treatment like ACL, lateral collateral ligament injury treatment, TFCC (triangular fibro cartilage of the wrist) and ankle ligament sprain is done using the best and most advanced treatment modality that is using orthobiologics and regenerative medicine protocol, where under image guidance and with precision specific blood products are injected to the tear site which helps in healing and getting the strength of the ligaments back, this ligament tear treatment using your own cells has advantages of less down time, faster recovery no scar and less complications which are associated with surgery.

Surgery is only required in very complex cases of ligament tear where the ligament has totally torn and no fibre connection is seen on MRI and has retracted more than 5 to 6 mm, even then if you want can avoid surgery unless there is instability in the joint as surgeries come with their own risk and also aggravate arthritis development in longer stages.

Stem Cell Interventions for Knee? Where do we stand!!

Posted on May 19, 2022 | by admin | Leave a Comment

These days orthobiologics and regenerative medicine for musculoskeletal pain conditions is making a big stride across the western hemisphere and also finding its roots in south Asia, but few questions always crop up how effectively stem cell work for knee? Can they repair knee cartilage? How long they last?

How this idea of injecting same day stem cell (orthobiologics) Come into existence?

Usually patients with moderate to severe knee arthritis are generally offered traditional remedy, mainly surgery if they fail to get better with physiotherapy and basic medicines, In Indian subcontinent option of surgery is given even a bit earlier due to various factors, in western studies approximately 7 lakh knee replacement were completed in 2006 alone in USA and that number was set to rise to 3.5 million annually by 2030 (1)

In India the incidence of Knee OA is around 28-30% for a population of over a billion, which makes it an epidemic if you look at it closely (2)

This is a big surgery, and though very safe due to advances in the techniques, a recent study demonstrated that in many patients the procedure did not work that well as expected (3), the problem was patient selection, younger age who are more in more age active group, plus the understanding that knee pain in OA is more complex than previously considered.

So the idea of knee stem cell came into play almost two decade back, which is less invasive, and pushes back the need for a knee replacement for years together in middle age group and younger till they are more older, and is also helpful in patients who do not want to undergo knee replacement by mitigating their pain for few years.

What do they do?

Lot of claims that it regenerates the knee cartilage, which is of course not right, most of publication is coming from same day BMC (bone marrow concentrate)(4) where, stem cell are obtained from your iliac crest on hip and after same day centrifugation re-injected on same day, it has shown to help small tears, cartilage defects by improving the microenvironment and a positive view in MRI images (5,6), it helps by changing the chemicals in knee joint, improving your pain, improving the quality of remaining cartilage, avoiding fast progression of the knee arthritis , thus it makes the knee more healthier, so it does not regrow, but helps in improving the general health of knee joint which is more than just bone on bone.

How long does it last?

Studies have shown the beneficial of one time same day Bone marrow stem cell intervention to last anywhere between 2-7 years, depending on your wear and tear your activity level.

Reference:

Kurts S, Ong K, Lau E, Mowat F. Projections of primary and revision hip and knee arthoplasty in United states from 2005 to 2030. J Bone Joint Surg Am. 2007 Apr; 89(4):780-5.
Chandra Prakash Pal, Pulkesh Singh. Epidemiology of Knee Osteoarthritis in India and related factors, Indian Journal of Orthop.2016 Sep;50(5):518-22.
Ferket Bart S, Feldman Zachary, Zhou Jing, Mazumdar Madhu et al. Impact of total knee replacement practice: Cost effectiveness analysis of data from Osteoarthritis Initiative BMJ 2017;356.
Centeno CJ, Jusse D, Kisiday J Karli D. Increased knee cartilage volume in degenerative joint disease using percutaneoulsy implanted, autologous mesenchymal stem cell. Pain Physician.2008 May-Jun;11(3):343-53.

Vangsness Ct Jr, Farr J, Boyd J, Dellareo DT, Mills CR, LeRoux-Williams. Adult Human mesenchymal stem cells delivered via intra-articular injection to the knee following partial medial meniscectomy: a randomized, double –blinded, controlled study. J Bone Joint8. Surg

AC JOINT SEPERATION

Posted on May 10, 2022 | by admin | Leave a Comment

BASIC OF AC JOINT: IT is a prominent joint which is visibly seen and made up of urn collar bone (clavicle) and acromion a part of the scapula the shoulder blade bone, it’s a prominence in front of the shoulder when you trace urn collar bone.

What is AC joint separation or shoulder separation.

It is a very frequent injury among athletes , physically active individuals , in this the collar bone (clavicle) separates form the scapula (shoulder blade), cause is due to a fall, a direct impact injury mainly seen in cyclist, runners, football players or contact sports.

There are different types of AC joint separations:

Grade 1 AC joint Separation: Grade 1 is a mild form of displacement, this is where AC ligament may become partially torn or merely stretched, usually the symptoms are mild pain, tenderness on touch and some difficulty and pain when moving the shoulder, Grade 1 AC joint separation treatment is usually conservative , includes physical therapy along with use guided injections of super concentrated prep into the ligaments, it maintains the integrity of the ligament.

Grade 2 AC joint separation: In this there is partial joint dislocation with the acromioclavicular ligament being torn completely, though the coracoclavicular ligament is still intact, in this the patient may experience moderate to severe pains around the shoulder, some visible swelling and also the movement of clavicle is more pronounced as the ligament which supports the clavicle acromial joint is torn, Grade 2 AC joint separation treatment is again focused on minimally invasive interventions including using your own concentrated cell therapy with high concentrated PRP, these regenerative medicine protocols and orthobiologics help in preventing further damage, maintains the integrity and with a good physical therapy protocol over time most of the function is restored and pain is completely under control.

Grade 3 AC joint separation: in this there is complete tear of both the ligaments supporting the AC joint, the acromioclavicular and coracoclavicular are both torn, there is instability and also a visible bump on the shoulder, patients present with severe pain, popping sound, a visible deformity is appreciated in the shoulder region, the person needs support his arm by the elbow and will need a sling to avoid more movement.

The treatment of grade 3 AC joint separation is usually surgery, but with growing evidence pouring in a meta-analysis, researchers found out that a fusion surgery for high grade separation does not make any major significant difference in comparison to the group of other patients which same issues who were not offered any surgery, the group who dihttps://journals.lww.com/jorthotrauma/Abstract/2018/01000/Operative_Versus_Nonoperative_Management_of_Acute.2.aspxd not undergo surgery returned to work faster and had fewer complications too in the long run

So a good approach for treatment of AC joint separation is using a combination of interventions like PRP ( super concentrated platelets) cell therapy and physical therapy which yields better results and is more effective with less down time.

Osteoarthritis in young adults, why is it happening so soon and how to prevent?

Posted on May 10, 2022 | by admin | Leave a Comment

Osteoarthritis is a progressive disease of the joints in which the cartilage which cushions the bones and absorbs the shock wears down, causing pain, stiffness and swelling around the knee joint, in over period we see a bone on bone phenomenon.

According to Indian data millions of patients are suffering from OA knee with a prevalence rate of 25 to 35% of which women are more common than men(C p PAL IJO 2016, 10.4103/0019-5413.189608)

Making it one of the most common arthritis in India, though it is age relegated but nearly 18to20% of arthritis is from injury to abjoint or posttraumatic arthritis and this is not only restricted to athletes layman and general public are also not spared the trauma of it which happens due to repetitive stress injury, over weight and genetics.

We need to understand that our knee is just not bone and cartilage but a complex structure formed of ligaments, soft tissue, tendons, nerves and fat and any event which can destabilize or injure any one of the structure can lead to early arthritis in the younger age group the main components which trigger these events are.

A. Injury to the ligaments

B. Injury or damage to the cartilage

C. Meniscal tear or tear of the labrum

D. early arthroscopy procedures in the young adults which increases risk of OA manifold.

Recent paper in Journal of Athletics Training highlights how small injures to the joints can get blown up into full arthritis over the period, eg a small rent in cartilage or meniscus can lead to bone swelling and can in turn put more pressure on the spot leading to multiple rents in cartilage and end up damaging the surrounding ligaments and joint structure, the single biggest issue which we can fix and can prevent early arthritis in knee is instability, which is easily diagnosed on dynamic use scanning and education of few points.

The person suffering from popping sensation and cracking in knee sounds but no pain is a potential arthritic patient in long run and should be evaluated by a regenerative and musculoskeletal physician who understands instability of joints better.

We see a lot of patients with these instability issue and opt for stress mask USG to identify the instability and the loose ligaments, if you had some knee injury in recent times and suffering from such issues we opt for PRP for ligaments to strengthen and tighten the ligaments and cartilage to provide better stability to the joint in order to prevent OA later stages.

10 Foods To Ease Arthritis Pain

Posted on May 13, 2020 | by admin | Leave a Comment

Foods To Ease Arthritis Pain

Arthritis, where “Arthr” means joints and “itis” means inflammation. So any kind of persistent joint inflammation qualifies as arthritis. If you feel pain & stiffness around your joints or have trouble moving around you might have Arthritis. There are different types of arthritis like rheumatoid Arthritis, osteoarthritis, gout, and so on depending on the cause.

If you suffer from Arthritis, there are certain nutritionally powerful foods that can ease your joint pain and slow down the progression of the Arthritis. Here is list of some food item commonly used in our kitchen which eases arthritis pain and inflammation.

1. Fruits: All the fruits have health benefits however some have components that help lower inflammation associated with arthritis. All kinds of berries like blueberries, raspberries, strawberries, cranberries are loaded with antioxidants & ascorbic acid which provide arthritis – fighting power by reducing the risk of inflammation.

Pomegranates are rich in tannins and can fight the inflammation of arthritis. Watermelon reduces the risk of low levels of inflammatory marker CRP (C reactive Protein) and can reduce the risk of rheumatoid arthritis. Avocados & tart cherries also have good anti-inflammatory effect and decrease the risk of joint pain in osteoarthritis. Include these fruits in the diet for good joint cushioning & ease in pain.

2. Vegetables: Consumption of anti – inflammatory vegetables like cauliflower, broccoli, cabbage can help the patients to manage Arthritis. These veggies are part of the cruciferous family, and they are full of a compound called sulforaphane, which helps slow cartilage damage in joints. Beans like red beans, kidney beans, pinto beans can help lower your levels of C-reactive protein (CRP — a sign of inflammation).

3. Whole grains: Incorporating variety of whole grains such as sorghum, rice preferably brown rice, whole wheat flour, millets, barley, quinoa into your diet can add extra nutrient and may help lower CRP levels.

4. Oils: Extra virgin olive oil contains oleocanthal which has anti – inflammatory properties. Canola oil, Walnut oil & fish oil are all rich sources of omega 3 & 6. As many researches showed that Intake of omega 3 slow down the production of chemicals that raise inflammation and it block the enzymes which trigger it.

5. Spices: Turmeric contains curcumin and ginger has chemicals which help to reduce inflammation and improve RA symptoms. Both the spices are widely used in Indian & Chinese cuisine.

6. Nuts & Seeds: Walnuts, flax seeds, chia seeds & sunflower seeds are excellent source of Omega 3. Researchers studying their effects have found they lower C-reactive protein (CRP), a marker of inflammation linked to increased risk of arthritis and cardiovascular disease.

7. Fish: Fatty fishes like salmon, herring, sardines, and mackerel are all rich source of omega 3 which can decrease inflammation. Fatty fish also contains Vitamin D, which help prevent swelling & soreness. Include twice a week in your diet and don’t overcooked it.

8. Garlic & Onions: This allium family contains sulfur, which help to fight joint pain & reduce inflammation. Healthy joints depend on healthy cartilage. Inflammation can cause cartilage and joint damage.

9. Green tea: Researches show that certain anti-oxidants present in green tea reduce risk of severity of arthritis. Include non – decaffeinated green tea as decaffeinated version requires processing that will wipe off certain good nutrients.

10. Probiotics: Probiotics can reduce the progression & symptoms of the disease. So incorporate curd, kefir drink & kombucha tea in your diet.

What Is Sciatica?

Posted on May 8, 2020 | by admin | Leave a Comment

Sciatica uncoded

It is quite common that a back pain is accompanied by a leg pain or a progressive numbness in the legs. But, for those people, taking back pains for granted, this new weird kind of pain forces them to seek medical help. This running pain down the legs is commonly referred to as Sciatica. It may affect people of any age group but it is mostly common among the working age group.

The term Sciatica originated from Sciatic nerve, which is the main nerve controlling sensations and the movements of our lower limbs. The nerve is made from many smaller nerve roots coming out of the lower spinal cord which in turn join hands to form the sciatic nerve. We refer to pain sensations perceived in the region from where sciatic nerve carries signals, as Sciatica. Since sciatic nerve is made from different nerve roots, any irritation of a single root can also cause sciatica. Even a small inflammation affecting the nerve roots or anywhere along the course of sciatic nerve would cause sciatic pain.

Reasons of sciatica

Slipped disc or disc herniation:

This the most common cause and one generally comes across in working individuals. This is caused due to tear in the covering of the disc through which some of the disc material comes out. This initiates severe inflammation which irritates and puts pressure on the neighbouring nerve which results in chronic back pain with a pain running down the legs.

Degenerated spine:

This is more common among elderly population where due to ageing there occurs some changes in form of growth of tissues in the spinal canal. This narrows the spinal canal where the spinal cord rests. Eventually, this starts compressing on the nerves so much so that the person gets pain or heaviness in legs after walking for some distance. This is a progressive condition where the person cannot move without pain.

Inflammation: Many a time inflammation in the lower back muscles from usage or some trauma leads to tensing of the muscles and generate pain in pelvis and legs. Other joints of pelvis and lower discs if inflamed due to some infection or trauma may also cause pain in the legs.

There are many methods apart from the clinical examination, which is the most important, for the diagnosis of sciatica. Mri of the spine and electrophysiological studies of the nerve helps in defining the area of conflict which is causing the pain. These areas are then specifically treated for the relief of the symptom due to the nerve compression.

Treatment for sciatica:

Traditionally sciatica was treated conservatively especially in the younger population. A surgery was avoided in view of the risks involved. And this reason applied to both the surgeons and the patients to avoid a surgery even if it meant living with some pain. But when the pain didn’t improve or the progressive numbness or weakness in the legs ensues it becomes necessary to do an open spine surgery. And this is followed till date and practised.

During the recent time the newer ways of treatment for the same conditions came into being in form of minimally invasive endoscopic procedures where the same objective is achieved without cutting open the spine or damaging its integrity. These so called interventions are much safer and carry minimal risks to the patient. This could be said to be a treatment which addresses the fears of the patient yet treating him effectively. These stitchless endoscopic procedures are intended to be targeted and precision driven. The lesser invasive nature causes lesser collateral damage in return and enables the patient to go home in a short time after the surgery just like a sci- fi movie.

Staying pain free is a human right and I believe no one should be left out with a chance to treatment especially the working and the elderly people who are left out citing the complications of an open spine surgery. This fast growing minimally invasive interventions would definitely bring a positive change and a ray of hope in the lives of people who are living with pain of sciatica.

What Is Bursitis?

Posted on May 3, 2020 | by admin | Leave a Comment

What is Bursitis Doc?

It is one of the most frequently used term used during any Consultation done for joint pain, often patients they failed to understand. So here we are to address this issue today so that none of our followers remains unaware and could discuss this matter with more confidence with your clinician.

Definition – Inflammation of the bursae is called as bursitis. Typically, bursae are the fluid-filled spaces at joints and muscles and helps in cushioning or greasing.

These are part of normal structure that vary in size and located around joints across body and contain varying amount of fluid depending on the locations, like in joints its volume is around several ml whereas in muscle’s its so minimum that we need to take help of sophisticated imaging to see them. As discussed, these are normal part of system but it becomes significant when its inflamed and start signalling us in the form of Pain.

Most Common Locations of Bursae –

The most common locations where we can find them are

Although there are neumerous other places but in clinics, almost 90% of patients present with these joints.

How to find if it is troubling you (Diagnosis)

There are few tips and tricks to diagnose it with good probability

Affected joint will look swollen
Very painful movement or when you press that joint
You won’t be able to lie down on that side
Redness maybe there
Feels stiff with movements.
There might be some rashes
Pain that gets better with rest and ice, get worse with work

When it comes to definitive diagnosis we have to take help of advanced imaging like – MRI or MSK – Ultrasound (Xray are not really helpful).

Bursitis – Causes and Treatment

Basically it developes due to over stress or repetitive stress injuries, trauma, Inflammation due to diseases (diabetes, arthritis, overweight and others), age, Occupation. Bursitis is simple to treat but it takes time depending on causative factors. But before treatment we would like to emphasise on Prevention as it’s the best cure. To prevent Bursitis to happen keep few things in your Mind, use paddings to distribute pressure, if you are putting a lot of pressure on joints (elbow – software professionals), ergonomic consideration while lifting weights, maintain your body weight in normal range, take frequent breaks during repetitive gestures, stretch and exercise properly. We assure you if you follow these advices you will never have to reach us. For person who is already suffering we have solutions for them like –

Medications –

Medicines like pain killers and antibiotics can do wonders in selected patients. (cautious use is recommended and please do not self medicate)

Physical Rehabilitation –

One of the important pillar of treatment which helps our patient naturally and without any side effects.
Assistive devices like canes or crutches may help you in coming out from it.(cautious use is recommended)

Steroids Injection And Surgery –

Although many clinicians prefers these options but we will recommend strictly not to go ahead with them as they are associated with wide variety of side effects and complications.

Regenerative Medicine –

One of the nobel and natural way of treatment. There are wide spread data available from many reputed universities and now is the preferred and most advanced treatment option to handle these situations. Regenerative therapy options like Plasma Lysate, PRP (Platelet Rich Plasma) and SCP (Super concentrated Platelets) are US-FDA approved and recommended options for bursities nowadays.

If you think you have bursitis kindly visit your doctor and ask them – what is bursitis doc, and discuss these things with them. Stay healthy.