Wednesday, 11 March 2015

Avascular necrosis of the hip - treatment in Nagpur

The original article can be read at

Various causes of hip arthritis are age related wear and tear, rheumatoid arthritis, ‘avascular necrosis’ of the hip etc. ‘Avascular necrosis’ means death of the head of femur bone because of loss of blood supply.
Sickle cell disease, alcohol consumption, prolonged treatment with medicines called as steroids, fracture of the hip etc are most common causes of avascular necrosis of the hip joint. Some rare & unknown diseases can cause avascular necrosis of the hip as well.

Sickle cell disease is very common 
in and around central India.
Even though in India, arthritis of the knees is more common than the arthritis of the hip, in Central India especially around Nagpur region, there is higher prevalence of hip arthritis because of sickle cell disease.

The original article can be read at

Hip and knee are the most significant joints that are affected by arthritis. Every time we perform our day to day activities like walking, standing, getting up from a chair or bed etc all our body weight is always transmitted through our hip & knee joints. Therefore in patients with arthritis of hip and knee there is severe pain even in normal day to day activities. There can also be shortening of the lower limb.

Beware of long term 
steroid medications
Pain leads to restriction of activity and loss of freedom leading to disability (handicap) and dependence. Patients having advanced arthritis cannot do simple activities like walking, sitting, getting up from a seat due to pain. As the disease progresses, they cannot go outside the confines of the four walls of their home even for simple activities like shopping, buying milk or vegetables. In the advanced stages of arthritis even household activities like going to toilet, cleaning, washing, wearing socks or tying shoe laces evoke pain leading to serious disability and dependence on others like spouse, family members, servants or neighbours.

Arthritis of hip joint.
Various treatment options available for hip arthritis include pain-killer medications and joint preserving surgeries in the early stages. In the advanced stages only a hip joint replacement can help the patient get relief from pain and regain normal movement. Hip joint replacement is so effective and popular surgery all over the world that, in an online poll hip replacement was voted as the single most significant medical discovery of the 20th century.

Hip arthritis in an 18 yr old
patient of sickle cell disease
Pain, loss of motion, restriction of activity, difficulty in walking, unequal leg lengths. Dependence on others, permanent disability, loss of confidence are other outcomes of this disease process.
  • Pain not controlled
  • Stiffness (loss of motion)
  • Disability
  • Restriction of day to day activities
Hip replacement surgery is performed primarily for pain relief and also to regain independence and ability to do day to day work.

The original article can be read at

Wednesday, 4 March 2015

Knee pain & Knee Replacement Surgery in Nagpur

For original article visit

  • Pain not controlled by medicines
  • Stiffness (loss of motion)
  • Instability
  • Disability
  • Restriction of day to day activities
TKR surgery is performed principally for pain relief. Although the range of motion of the knee may improve following surgery, this is not the primary aim of the surgery and extra motion should be regarded as a bonus
The damaged bearing surface of the knee joint (articular cartilage) is replaced by metallic prosthesis (made up of cobalt-chromium or titanium), which articulates with a polyethylene bearing. These prosthetic components are fixed to the bone using bone-cement or rarely using coated components onto which bone grows. The right decision about appropriate prosthesis for a particular patient is made.
Total knee replacement is a major surgical procedure with very high success rates. However, like any other surgical procedure it is also associated
with some risks, which are uncommon, but must be kept in the mind.

For original article 
For more detailed information