Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.

This week’s answers:

Dear Sir

I experience stiffness and pain in the hands in the morning. The joints are sometimes so stiff that I cannot bend the fingers to complete small tasks like holding a tooth brush.

Blood Test results show positive RA factor.

Kindly advise.

Regards
Gurjeet Singh

Its obvious that you are having Rheumatoid arthritis probably.Please consult a rheumatologist as you may require long term treatment.

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Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.

This week’s answers:

Hello sir

i am 21 year old student my problem is the pain in my hands since last
year. earlier it was only after 3 hours continuous writing during
examinations but it is regular and i do not wish to hold pen anymore and it makes me angry. i consulted the doctor and she suggested me for wax therapy but that did not helped much. some medication was also prescribed but when those medicines were finished pain started again.

pls help bcoz i am a student and i have to write.
priyanka thakur

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Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.

This week’s answers:

Hello Sir,

My husband, 44 yrs old has been diagnosed for :

* Multilevel small marginal osteophytes and Schmorl’s nodes in lower dorsal and lumbar spine.
* Diffuse bulge with posterior annular tear and a posterocentral extrusion of L3-4 disc. There is mild inferior migration of the extruded disc material carusing sac and contained nerve roots.

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A new study led by an Indian researcher from the Department of Orthopaedic Surgery at the Perelman School of Medicine at the University of Pennsylvania corroborates early evidence showing that cigarette smoking leads to longer healing times and an increased rate of post-operative complication and infection for patients sustaining fractures or traumatic injuries to their bone.

“Cigarette smoking is widely recognized as one of the major causes of preventable disease in the US, but there has been a lack of evidence showing other side effects of smoking, such as how it changes the way our bones heal,” Samir Mehta, MD, chief of the Orthopaedic Trauma and Fracture Service at Penn Medicine said.

“Our study adds substantial support to a growing body of evidence showing that smoking presents a significant risk to fracture patients. These risks need to be addressed with the patient both at the time of injury and when considering surgical treatment,” he said.

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Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.

This week’s answers:

Sir,

I am 47. Off late i have started getting tennis elbow. (Only now for the past 6 months i am playing tennis). I am unable to play tennis for a long time, because of the pain in my elbow. This pain is also affecting in my other activities i.e in the sense i am not able to left usual weights in the normal course of my daily activities.

My BP & Sugar levels are quite normal.
Request to kindly advice.
Thanks & Regards,
S.V.SHANKAR.

Rest Rest Rest is the only answer for tennis elbow. You can take some analgesics and some physiotherapy in the form of ultrasound massage.

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Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.
This week’s answers:

Sir,
I am 39 years old suffering from Ankylosing Spondylitis for the past 7 years. I do not have diabetes nor RA. thanks.

Previous question-

I am suffering from AS for past 7 years and having Lower extremities pain for last one year. Doctor says neuropathy. I am taking Gabapin 300mg thrice a day from last 9 month and methylcoblamin OD.
But leg pain has not reduced. Now my hand and shoulder have also pain. Neurologist done NCV test and diagnose peripheral neuropathy says 32m/sec conduction only.He says neuropathy due to SAZO. I stopped sazo before 9 moths. I want your opinion to reduce pain.
I am also taking Zerodol-P and Depomedrol 80mg inj. weekly. No benefit seen. Reply soon.
Thanks.
Regards
Ravi Shekhar

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Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.

This week’s answers:

Dear sir,
My wife is suffering from chronic muscle pain in shoulders,hip,knee,feet joints.She is a diabetic and taking insulin injection for the past four months.
She is not able to walk continuously for more than few minutes,sitting and raising from chir is also problem to her.Even she cannot able to use western toilet.Her weight got reduced tremendously from 75Kg to 53 Kg from last year.The doctors could not diagnosed.she is taking eltroxine for thyroid problem.She is suffering from immobility of shoulders.
She could not able to meet out her daily activities.Frequently she is suffering by diahrea.Muscles got tightened in her hands.Can I get any suggestions to treat my wife.Her age is 48 yrs.
best regards
Christopher peter

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Orthopaedics expert, Dr VV Prasad answers readers’ questions on bone health. Get your doubts cleared and see them featured on our FAQ page every Monday.

This week’s answers:

I got injured while playing Volley ball and ended with a ligament tear on my left ankle. It’s been almost 7 months but still I have pain. Last week, I had an MRI Scan and found ligament tear still exists and no other issues (bone…etc). I am still playing the game (almost daily) with the pain.Is there any treatment (eg. physiotherapy) that can reduce the pain & heal the wound, apart from giving total rest to it.?
Kindly advise.
Regards,
Radhesh

You can try wearing HIGH ANKLE BOOTS for daily use for 3 months.

I have been diagnosed to have a tennis elbow on my right arm.I do a routine gym workout of cardio and weight training under the watchful eyes of a competent trainer.Whats are the dos and donts to follow? Is their any physiotherepy I can use? I am 42 and slightly overweight.
Ravi Rajpal

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Dr. Sreedhar Archik has an M.Sc. in Orthopaedics from Oxford University. He practises at Lilavati Hospital, Mumbai and specialises in joint replacement surgeries using computer navigation system. Get your doubts cleared and see them featured on our FAQ page every fortnight.

This week’s answer:

1. Before 4 month I was done my operation of right side hip replacement and left side drilling
But still I have pain in thai knee of right side and more pain in right side leg and back side I don’t understand what I have to
Do plz help me iam fersated with my life …
tarique quraish
you need to send me the xrays so that i can help

2. My mother aged 55 is being diagnosed with Rheumatoid arthritis for last 5 years. Her left knee joint is in pretty bad condition where the doctor have given her medicines like HCQS, Sazo, Osteokit, Alanz and lot more. She is stable but without much improvement. After lot many X-Ray’s the doctor says she won’t recover much for the better as the joints have deteriorated bad and if things get worse have to consider knee replacement.
Currently, the doctor have prescribed an injection Acton Prolongatum daily for next 4 weeks after which every alternate days for next 4 weeks and then once a week for the next 4 weeks with a checkup after 1 month. He has also prescribed oral tablets such as Lasilactone, Oncotrex. Also Folvite as she is suffering with lowActon Prolongatu hemoglobin count.
Request you to suggest with the treatment and if m injection is fine for her without much side effects?
Advance thank you for your response.
Sourav.
she is on the right track. acton p is a steroid and is given by doctors in rhumatoid arthritis if everything else fails. it has its own side effects.

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Dr. Sreedhar Archik has an M.Sc. in Orthopaedics from Oxford University. He practises at Lilavati Hospital, Mumbai and specialises in joint replacement surgeries using computer navigation system. Get your doubts cleared and see them featured on our FAQ page every fortnight.

This week’s answer:

Dear Doctor, My wife aged 40 is suffering from actue back pain and we consulted a ortho and he told that the back bone is depreceating
He gave medicine for 2 weeks and while taking medicine, there is no pain.. However after stoping the medicine, the pain again started.
Kindly give us some suggestion . Will physiotherapy improve the condition? Any permanent medicine available?
Kindly suggest your answers.
You have given inadequate information for me to comment. Please provide exact diagnosis and x-ray pictures for me to help you.

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