August 4: Joint pain and stiffness for a time is known as arthritis, which gets worse with age and requires treatment. As we celebrate Bone and Joint Day on August 4, these top orthopedists share their tips for managing or delaying arthritis flare-ups when they do occur.
Dr Reetadyuti Mukhopadhyay
MBBS, MS – Orthopedics, DNB – Orthopedic Surgery, MNAMS – Orthopedics
Specialist in shoulder, arthroscopy and sports injuries
CK Birla Hospital, Gurugram
Arthritis can be debilitating to the patient, limiting movement and causing pain. Better mobile joints will cushion the effects of arthritis, which should be supplemented with occasional pain medication to enable pain-free movement with specific targeted treatment. The best way to keep the joints moving is to exercise regularly within the limit of pain. Regular exercise also keeps your muscles well-toned and reduces the load on the degenerating joint, providing significant symptomatic benefit.
Dr Chandeep Singh
MBBS, MS-Orthopedics, Associate Director – Orthopedics
Max Institute of Musculoskeletal Sciences (MIMS), Gurugram
Movement is an essential part of controlling your arthritis because sitting too long can weaken muscles and stiffen joints. Exercise can also reduce pain by gently strengthening the muscles surrounding an arthritic joint. A painful joint can be effectively relieved by applying both cold and heat. Heat can relax the muscles around a joint. A cold compress can be applied if the joint is hot and inflamed, using a thin towel to protect your skin from the cold. Using a cane, crutches, or even a walker to help you walk can make your knee or hip more comfortable.
Dr Sandeep Kapoor
Director Orthopedics & Healthcity Hospital
Trauma and Joint Replacement Surgeon, Lucknow
Arthritis is a lifestyle disorder that affects one in three Indians. The most common form of arthritis is osteoarthritis, which occurs in older people, which is not uncommon in middle age groups today. It involves the weight-bearing joints, therefore called wear-and-tear arthritis. Treatment requires physical therapy, lifestyle modification, weight control, and dietary habits. It does not require a lot of medication and the diagnosis is mainly clinical or radiological. If all else fails, replacement surgery is a good option. Don’t be afraid of arthritis; instead, try to incorporate healthy habits into your lifestyle to keep your joints in good shape.
Dr. Varun Aggarwal
MBBS, Ms- Orthopedics, Joint Replacement Surgeon
Golden Clinics, Chandigarh
I have been doing joint replacement for arthritis for a long time. We have advanced ortho-biological therapies that help the joints heal naturally, preventing or delaying surgery. Treatments like PRP therapy were introduced nearly three decades ago. However, they have recently gained popularity with orthopedists. PRP therapy has been used for shoulder rotator cuff tears, early osteoarthritis of the knees, and tennis elbow. PRP is derived from a patient’s blood and is the safest injection for anyone, especially young athletes.
Dr Madhur Mahna
MBBS, DNB Orthopaedics, FAGE
Center for Joint, Spine and Child Orthopedics, New Delhi
Kalra Hospital SRCNC, RLKC Hospital & Metro Heart Institute, Sunrise Hospital – New Delhi
Osteoarthritis is a degenerative disease, or we can say that it is a disease of aging. This makes it a lifestyle disease. A sedentary lifestyle, lack of sun exposure and the stresses of modern life have all contributed to an increase in the prevalence of osteoarthritis. The cause being multifactorial, the treatment must be similar. My approach to osteoarthritis has therefore always been holistic, including medication, physiotherapy, exercise and dietary changes to combat the disease.
Dr. Sushrut Babhulkar
MS Orth, MCh Orth (UK)
Sushrut Institute of Medical Sciences, Nagpur
As orthopedic surgeons, we frequently see patients with joint pain, whether young or old. We must determine the type of arthritis, because several types of arthritis must be identified before starting treatment. If the arthritis has progressed, we may add joint preservation drugs, joint cartilage rejuvenation drugs, or surgery. Let me assure you that all these surgical procedures have been thoroughly researched and studied all over the world. I suggest everyone sees an orthopedic surgeon to start managing pain and slowing the progression of arthritis.
Dr Ankur Dogra
MBBS, MS orthopedics, joint replacement surgeon and arthroscopy
Shalby Hospital, Mohali Punjab
A common cause of physical activity limitation in the elderly is knee pain due to joint damage or osteoarthritis. Rubbing of joint surfaces over time and inactivity is the common cause of joint stiffness in the elderly. Not only does it interfere with daily activities, but the pain caused by osteoarthritis of the knee can be excruciating. Since joint damage is irreversible, it is essential to prevent it. In severe cases, osteoarthritis of the knee requires total knee replacement surgery. Regular physical activity and exercise can help reduce knee pain and increase knee mobility. Walking, swimming and cycling are all beneficial forms of physical activity. Also, warm up before exercise, wear proper shoes, and build muscle strength.
Dr Sivaraman B
MBBS, MS (Ortho), MRCS, FRCS (Orth), FEBOT (Paris)
UK Sports Medicine Diploma, PG dip in Ortho UCLAN and Edgehill University
CESR/CCT Ortho UK,
BOA Fellowship in Complex Trauma and Upperlimb UK,
BOA Shoulder and Elbow Fellowship in UK,
Reviewer for JBJS Br, Shoulder and Elbow Journal (UK)
Senior Shoulder and Elbow Consultant,
Apollo Greams, Chennai
Osteoarthritis is the wear and tear of the joints. Depending on the joint, a permanent solution is either joint replacement or fusion. Other treatment options are physiotherapy, injection, braces or osteotomy. I am an internationally trained consultant for shoulders and elbows. Shoulder arthritis can be treated with a total shoulder replacement. We make short-stem shoulder prostheses preserving the bone, which gives very good results. For patients with rotator cuff arthritis, we offer reverse shoulder replacement. For elbow arthritis, we offer total elbow replacement for the elderly. Younger patients might benefit from the OK procedure or the interposition-arthroplasty.