Proximal Fibular Osteotomy – A breakthrough procedure for treating knee pain.

Proximal fibular osteotomy (PFO) is a simple, innovative surgical procedure that’s fast becoming the go-to pain relief solution for knee osteoarthritis patients. It’s less invasive than other prevalent surgical procedures recommended for the same medical conditions, highly effective in treating knee pain and improving the patients’ quality of life, easy to perform and has a relatively short post-surgery recovery period. 

Who’s it meant for?

If you’re affected by medial compartment osteoarthritis and suffering from debilitating knee pain that’s affecting your ability to walk and engage in even basic physical activity, you might want to consult your doctor about Proximal fibular osteotomy. Total knee arthroplasty has been one of the most recommended treatments for osteoarthritis in elderly patients. For younger patients ailed by Varus knee deformity, High tibial osteotomy (HTO) and Unicondylar knee replacement (also known as partial knee replacement) have remained the physicians’ go-to solutions for long. These procedures, in addition to being rather invasive, require lengthy recovery periods, and pose restrictions on weight bearing and even on physical activity. In Proximal fibular osteotomy, you have a novel alternative to these popular surgical procedures, with proven success rate, minus the complications that can arise with the prevalent treatments.

What to expect from a Proximal Fibular Osteotomy?

Proximal fibular osteotomy is a cost-effective procedure requiring a shorter recovery span than other conventional surgeries. Patients can expect reduced knee pain within days of undergoing the procedure, and total pain relief in the following months. They can also look forward to becoming more active and self-sufficient than they’ve been in years, to a happier, pain free future. 

Contact Dr. Manu Mengi for further information.

Osteoporosis – Truth

Of patients diagnosed with Osteoporosis only 14% receive calcium & vitamin D supplementation along with proper treatment, according to the study presented at annual meeting of American Academy of Orthopedic Surgeons.

Consult your doctor for further information on Osteoporosis (Reasons & Treatment)

Vitamin D Deficiency Side Effects

Known as the sunshine vitamin, Vitamin D is produced by the body in response to skin being exposed to sunlight. It also occurs naturally in a few foods — including some fish, fish liver oils, and egg yolks — and in fortified dairy and grain products.

Vitamin D helps your body absorb calcium, which is one of the main building blocks of bone. Vitamin D also has a role in your nervous, muscle, and immune systems. It also plays a role in the prevention and treatment of a number of different conditions, including type 1 and type 2 diabetes, hypertension, glucose intolerance, and multiple sclerosis.

You get vitamin D in three ways:

Through your skin

From your diet 

From supplements

 Your body forms vitamin D naturally after exposure to sunlight. But too much sun exposure can lead to skin aging and skin cancer; so many people try to get their vitamin D from other sources.

The most accurate way to measure how much vitamin D is in your body is the vitamin D blood test. 

Vitamin D deficiency prevails in epidemic proportions all over the Indian subcontinent, with a prevalence of 70%–100% in the general population. In India, widely consumed food items such as dairy products are rarely fortified with vitamin D. Indian socioreligious and cultural practices do not facilitate adequate sun exposure, thereby negating potential benefits of plentiful sunshine. Consequently, subclinical vitamin D deficiency is highly prevalent in both urban and rural settings. 

Side effects

Moderate to severe vitamin D deficiency can lead to rickets (soft bones) in infants and children.

Low vitamin D levels can lead to osteoporosis and increase your risk fractures (broken bones) following fall. Osteoporosis occurs when your bones lose calcium and other minerals, making them fragile and more likely to break. Vitamin D helps your body to absorb calcium, while not having enough can increase your risk of developing osteoporosis.

A number of diseases have been linked to low vitamin D levels such as increased risk of death from cardiovascular disease, cognitive impairment in older adults, severe asthma in children and cancer. 

You may be at risk of vitamin D deficiency if you:

  • stay mostly indoors for health, work or other reasons.
  • have naturally dark skin.
  • cover your body for religious or cultural reasons.
  • avoid the sun for skin protection or due to medical reasons.
  • have a health condition that affects vitamin D absorption from your diet.
  • are a baby of a vitamin D deficient mother.

If you have a mild deficiency then 

  • increase your sun exposure
  • increase dietary calcium
  • increase physical activity
  • take a vitamin D supplement

If you have a moderate to severe deficiency then you might need to take a high-dose supplement. Check with your doctor about how much you need to take, how often you need to take it, and for how long you need to take it.

Keep up with your vitamin D levels and stay healthy.

NOTE: – High Levels of Vitamin D are known to cause toxicity so knowing Vitamin D blood levels is essential.

Tennis Elbow: Symptoms, Causes and Treatment.

Tennis elbow is the condition in which the outer part of the elbow becomes sore and tender. The origin of forearm muscles and tendons become damaged with the repetitive use of the wrist which causes an extreme pain. The pain initially starts on the outside of the elbow. 

Symptoms:

The symptoms of Tennis Elbow include pain in the outer elbow. Pain increases while gripping or holding anything.

Symptoms may also include:

  • Difficulty in shaking hands.
  • Difficulty in turning the doorknob.
  • Difficulty in holding small objects like a cup.

Causes:

Tennis elbow is caused by the overuse of wrist and arms. The repeated motion and stress results in tennis elbow. As the name suggests it is commonly seen in racquet sports players but they are not the only one who goes through this condition. It commonly occurs in IT professionals who have constant and repetitive use of computer mouse and keyboard & housewives, who repetitively twist clothes to dry and use circular wrist movements for cooking. 

Treatment:

  • Essentially the mainstay of treatment is rest and to avoid chronic repetitive stressful wrist movements.
  • Analgesics and anti-inflammatory medications will help muscles and tendons to recover from the damage.
  • Tennis Elbow Brace is a circular band, which helps in off-loading the point of origin of muscles. Must be used while playing racquet sports, use of computers or while cooking/working.
  • Physiotherapy using ultrasound massage and exercises gives excellent relief from pain and helps in building strength.
  • Local infiltrations of steroid are reserved for resistant or recurrent cases. Local infiltration of PRP (Platelet Rich Plasma) is gaining popularity over steroid injections as PRP is natural and uses patient’s own blood.
  • Surgical releases are seldom necessary and reserved for resistant cases wherein all the above methods of treatment have failed.

How to Avoid Tennis Elbow:

1. Correct posture.

2. ‎Correct grip or padding. 

3. Correct strength.

4. ‎Exercise your wrist and fingers.

5. ‎Take frequent breaks.

Precautions to be followed in Lower Back Pain.

The marvelous strength and flexibility that’s engineered into your lower back also make it susceptible to developing lot of problems and one of the most significant orthopedic health problems today is low back pain.

Most episodes of low back pain are caused by damage to the soft tissues supporting the lower spine, including muscles, tendons, and ligaments. The lower spine, also called the lumbar spine, depends on these soft tissues to help hold the body upright and support weight from the upper body. If put under too much stress, the low back muscles or soft tissues can become injured and painful.  

About 90 percent of the time, low back pain is short-lived and goes away within a few days or weeks without much fuss. A minority of patients, though, go on to have sub acute back pain (lasting between four and 12 weeks) or chronic back pain (lasting 12 or more weeks). If the pain worsens at night and while lying flat, if it’s associated with weight loss and fever, or if you’ve recently fallen or have osteoporosis or experience shooting pain down one or both legs, suddenly crooked posture, an inability to stand up straight, or holding your breath when changing position, you should immediately see a doctor.

Doctors Tips to prevent lower back pain

Exercise your core. Strong core muscles are important to provide support for the lower back and avoid injury. Low-impact cardiovascular exercise—like walking—increases blood flow to the spine, which supplies healing nutrients and hydration to the structures in your lower back.

Correct your posture. Poor posture places pressure on your back and can cause degenerated discs to become more painful. Support the natural curve in your lower spine by using an ergonomic chair. Make sure to get up and walk around at least once an hour if you sit most of the day. 

Lift heavy objects correctly. Even if you’re young and strong, you can still injure your lower back if you lift a heavy object incorrectly. Bend your knees first to lift an object rather than bending your spine.

Improve your overall physical health. The spine reflects the overall health of your body. Anything you can do to improve your overall physical fitness and general health will benefit your lumbar spine as well—including drinking lots of water, minimizing/not drinking alcohol and stopping smoking/avoiding any nicotine intake. It is also important to get enough deep, restorative sleep, as too little sleep can lead to back pain and/or worsen an existing back condition.

Stretch your hamstrings. A little-known cause of low back pain is tight hamstrings. Simple hamstring stretching exercises can help decrease the pressure on your pelvis and provide relief across your low back. Not all hamstring stretching approaches are good for all types of back conditions, though, so check with your physical therapist or doctor first.

Loose any excess weightYou can use the body mass index BMI calculator to find out whether you are a healthy weight for your height

Wear flat shoes with cushioned soles These can reduce the stress on your back

Avoid sudden / jerky movements.

Try to reduce any stress,anxiety and tension. Yoga May Help Patients with Chronic Nonspecific Low Back Pain. Try “non-drug therapies” such as exercise, swimming, yoga.

I recommend low resistance, high repetition exercise programs, alongwith a healthy lifestyle and encourage consistency, as an irregular program will not be helpful.

“Back pain affects us all; the best treatment is avoidance and the best way to avoid is with an active and healthy lifestyle.”