Dr. S.V. Khond

Osteoarthritis

Low back pain

Trigger thumb

Tennis elbow

Ganglion /Wrist cyst

Fractures

Osteoarthritis is the most common, and it is a degenerative disease that affects the cartilage. Rheumatoid arthritis, which also affects the cartilage, is characterized by swollen, inflamed joints. It is important to note, however, that overlap between the two does exist.

Osteoarthritis

Pain and stiffness worsens with use (symptonsworse later in the day)

Older age of onset

Inflammation and swelling is minor

Often non-symmetrical

Rheumatoid Arthritis

Pain and stiffness often better with use

(symptoms worse beginning of the day)

Younger age of onset

Inflammation and swelling is apparent

Often symmetrical

Some of the treatments for knee arthritis include; lifestyle modifications such as losing weight, changing your sport from high-impact sports like running to cycling and swimming, exercise, braces and other supportive devices, anti-inflammatory medications, glucosamine and chondroitin sulfate (which help alleviate osteoarthritic pain), among other medications.

Severe Arthritis

For severe arthritis that does not respond to the above therapies, surgery may be indicated. At this point, the knee cartilage is often very worn and damaged.

Arthroscopic surgery which repairs torn cartilage and cleans up the joint.

Knee arthroplasty - after the joint is cleaned, metal and plastic parts are used to partially or completely rebuild the knee.

Osteotomy - a bone or bones in the leg are trimmed to improve alignment of the knee.

Cartilage graft - a relatively new procedure, it involves replacing the damaged cartilage with new cartilage.

Finger keeps locking & hurts to touch my palm

"My finger is stuck and locks in the morning and I have to force it straight"

"My finger is clicking and locking"

Trigger finger is a condition affecting the tendons involved in bending the fingers which connect the muscles of the forearm to the bones of the fingers. It results in a finger bent into a “trigger” position, and is more common in people over age 40 with a history of rheumatoid arthritis or diabetes.

The exact cause of trigger finger is unknown, but it involves swelling and thickening of the tendon sheath. As the sheath becomes inflamed, the tendon can no longer glide back and forth smoothly and catches with bending of the finger, causing further irritation. Eventually, the finger may become locked into place.

Resting the affected finger, often in a splint,

to allow the inflammation to go down

Anti-inflammatory medications may also be

useful

If these initial therapies do not relieve your

symptoms, a steroid injection into the

tendon sheath may prove helpful

For those patients with rheumatoid arthritis

or diabetes, an outpatient surgical procedure

may be necessary.

Tennis elbow is an inflammation of the

tendons that join the forearm muscles on the

outside of the elbow.

Tennis elbow, or lateral epicondylitis, is a

painful condition of the elbow that can be

caused by overuse or instigated by trauma. It

can caused by playing tennis or other racquet

sports but many people who play no sports at

all suffer from tennis elbow.

Dishwasher , washing clothes

Pain and tenderness on the outside of the elbow.

simplest of tasks painful and debilitating including lifting a cup of coffee, shaking hands, writing and typing.

Typically any kind of lifting is extremely painful.

Lateral epicondylitis, or tennis elbow, involves the muscles and tendons of your forearm. Your forearm muscles extend your wrist and fingers. Your forearm tendons -- often called extensors -- attach the muscles to bone. They attach on the lateral epicondyle. The tendon usually involved in tennis elbow is called the Extensor Carpi Radialis Brevis(ECRB).

Non surgical treatment typically involves

Splinting, tennis elbow brace

Exercises and medicine either by mouth or

injection

Intralesional steroid injections

Physical or Occupational Therapy is needed.

Shockwave therapy, Arthroscopic

Surgery and Open Surgery.

A ganglion is a balloon like structure that grows out of a joint, formed by connective tissue.

Ganglion cysts are benign lumps growing typically on the top of the wrist, though they may appear on the underside of the wrist or at the tip or base of a finger.

Although the exact cause of ganglion cysts is unknown, they are more common in people applying frequent pressure to the wrist, such as gymnasts. They are more common in men than in women.

Both a physical exam

And imaging studies, such as MRIs and X-rays, to rule out other causes of growths in the wrist region.

There are several treatment options for wrist cysts, and most are quite non-invasive:

Simply wait and see if the cyst goes away on its own.

Wrist brace to reduce pain and pressure on the affected region.

Draining the fluid from the cyst,

A simple surgical procedure may be performed to removed the ganglion cyst, although it may still reappear in some cases.

C/o :

Acute onset pain while lifting heavy

object,getting up from sitting position,

LBP radiating to posterior thigh ,buttocks and

calf muscles

Difficulty in bending forwards,

Xray lumbar spine AP and Lateral views with

bowel preparation

Lumbar strengthening exercises,

Flexion and extension exercises ,

Short wave diathermy SWD,

Lumbar traction and use of lumbar belt,

NSAIDS and muscle relaxants for spasm of

paraspinal muscles,

Calcium supplements,

Vitamin D3 injections and capsules.

c/o

Pain and swelling

Tenderness over fracture site

Abnormal mobility

Wrist and lower end radius, ulna fracture

should be given below elbow POP

slab/splint/ brace immobilization and limb

elevation

Fracture radius ulna shaft , both bone

forearm fracture, supracondylar humerus TY

type should be given above elbow slab

Fracture shaft humerus –U slab

Ankle sprain and swelling should be given

below knee POP slab and limb elevation