Rheumatoid Arthritis (RA) is a long term chronic inflammatory disorder which can cause joint pain. This disease mostly affects distal joints like hands, wrists and knees and it mostly occurs in women than men. In some people, Rheumatoid Arthritis can also damage other body system including skin, eyes, lungs, heart and blood vessels.
Rheumatoid Arthritis is an autoimmune disease which occurs when immunity system mistakenly attacks own body’s tissues. Rheumatoid arthritis and osteoarthritis affect the body in a different way. It affects the lining of joints causing a painful swelling which finally result in bone erosion and joint deformity.
Symptoms of Rheumatoid Arthritis:
Rheumatoid Arthritis is a complex chronic disease which is mainly recognized by the symptoms of inflammation and pain in the joints. Early symptoms include:
• Tender, warm and swollen joints.
• Joint stiffness usually becomes worse in the morning
• Fever, fatigue and weight loss
Rheumatoid Arthritis is a progressive disease. It should be treated without wasting a time. As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips and shoulders. In most cases, symptoms occur in the same joints on both sides of body.
If Rheumatoid Arthritis is untreated or unnoticed at an early stage then inflammation starts to develop in other parts of the body causing serious complications which can affect other organs such as:
• Nerve tissues
• Bone marrow
• Blood vessels
If anyone experience above symptoms, then it is very important to diagnose and to start treatment at the earliest for avoiding severe complications in future.
Causes of Rheumatoid Arthritis:
Rheumatoid Arthritis is mainly occurs due to the attack of immunity system on healthy body tissues. Immunity system mistakenly sends antibodies to the lining of joints where they attack tissues surrounding the joints, so that Synovium (lining of the membranes that surround joints) becomes sore and inflamed. It damages nearby bones, cartilages, tendons and ligaments.
As pert the study, Genes don’t actually cause rheumatoid arthritis, they can make person more susceptible to environmental factors such as infection with certain viruses and bacteria that can trigger the disease.
Diagnosis of Rheumatoid Arthritis:
Rheumatoid arthritis is very difficult to diagnose in its early stages because the early signs and symptoms are similar to many other diseases. There is specific blood test or physical test to confirm the diagnosis. Doctor considers medical history of patients and family to determine Rheumatoid Arthritis. After the evaluation of symptoms, doctor orders blood test for rheumatoid factor and other antibodies.
Imaging tests such as X rays, ultrasound and MRI scans also used to determine level of joint or bone damage, joint inflammation, erosion and fluid buildup.
Treatment of Rheumatoid Arthritis:
There is no permanent cure for rheumatoid arthritis but treatment is used to control it. The aim of treatment is to stop the progression of the disease by reducing symptoms, controlling inflammation, minimizing joint as well as organ damage and improving physical function.
Various treatment options include:
Doctor prescribes medicines as per the severity of symptoms. General medicines include Non steroidal anti-inflammatory drugs (NSAIDs), steroids, Disease-modifying antirheumatic drugs (DMARDs) and biological agents.
• Physical therapy:
Physical or occupational therapist suggests various exercises to rheumatoid arthritis patients for keeping joints flexible. The therapist also suggests new ways to do daily tasks which will be easier for joints.
If medications failed to prevent or slow joint damage then doctor considers surgery to repair damaged joints. Surgery helps to restore the ability to use joint efficiently. It also reduces pain and correct deformities. Rheumatoid arthritis surgical procedures include synovectomy, tendon repair, joint fusion and total joint replacement.
• Lifestyle and Home remedies:
Certain home remedies and lifestyle changes also helpful to improve quality of life when living with Rheumatoid Arthritis.
Gentle exercises are very helpful to strengthen muscles around the joints. Gentle yoga is useful to regain strength and flexibility. Every patient should consult doctor before starting exercise. Patients should avoid heavy and strenuous activities.
Rheumatoid Arthritis patient can also apply heat or ice packs. Heat is used to ease pain and relax painful muscles. Cold reduces the sensation of pain. Cold also has a numbing effect and decreases muscle spasms.
Rheumatoid Arthritis patients should eat foods rich in of omega 3 fatty acids like walnuts, fishes, chia seeds, flax seeds as well as foods containing vitamins A, C and E like blueberries, strawberries, kidney beans, spinach and dark chocolate.
Rheumatoid Arthritis is manageable and controllable if detected at early stages. Certain lifestyle changes, medications and exercises are very helpful in the management of Rheumatoid Arthritis.
We are really honored to receive this and we will continue to serve the society better than ever We aim to provide the world-class Knee/Hip Replacement Surgical (Minimal Invasive Surgery) treatment to every patient suffering from knee or hip pain and at the same time make their life pain-free and happy.
Dr. Bakul Arora’s Joint Replacement Clinic is also known as “Arora Clinic” which is located at Hiranandani Meadows in Thane, within a very convenient proximity to Mumbai. Arora Clinic dedicated clinic for Knee Replacement surgery and all kinds of Orthopaedic treatments and surgeries
The Arora Clinic is one of the most advanced Orthopaedic clinic in Thane region and dedicated to providing the best, personalised healthcare with a breadth of surgical and medical expertise. Arora Clinic offers the modern surgical treatments like “Minimally Invasive Knee Replacement Surgery” which is also called as “PAIN-LESS SURGERY” for any complex knee diseases.
Dr. Bakul Arora is a Consultant Joint Replacement & Orthopaedic Surgeon is one of the leading Knee Replacement Surgeon in Thane and Mumbai with over 4000+ successfully surgeries. Dr. Bakul Arora specialises in Mini-invasive techniques which offer multiple benefits to patients. He does the surgery using Subvastus approach for Knee Replacement surgery and Direct Anterior Approach for Hip replacement Surgery . This new techniques has many advantages for patients like its pain-less , stich-less surgery, patients walks on the same day after surgery, no blood loss, faster recovery etc.
Knee replacement is required for advanced arthritis of the knee joint, producing painful limitation of movements and restriction in activities of daily living. Knee replacement as a solution should be offered when all non–surgical methods of treatment failed and painkiller medicines and injections also failed to reduce the Knee and hip pains.
Knee replacement can be total or unicondylar, depending on the number of compartments involved. Among the total knee replacement, there are two popular designs- Cruciate Retaining, and Posterior Stabilized. The decision for the design is best taken by the operating orthopedic surgeon based on the integrity of ligaments. Patella resurfacing as a routine is a debatable subject.
Yes, most knee replacement surgeries are minimally invasive, with numerous benefits to the patient, including smaller incisions, less tissue trauma, bleeding and post–operative pain, shorter hospital stays, faster recovery, and earlier return to work and activities — in weeks rather than months. Advantages of Minimally Invasive Knee Replacement Surgery. Patients Start walking in few hours of surgery. Patients start climbing the staircase from second day of his surgery. Patients Discharge with in 3 Days from the Hospital after surgery. No blood loss during the surgery, no blood Transfusion required. Less Physiotherapy.( No Physiotherapist required for home) Less Antibiotic. Stitchless Surgery. Recovery time is just two – three week.
Bilateral knee replacement in the same sitting, can be performed if both the knee joints are damaged to the same extent, however, the medical condition of the patient, and bone quality must be kept in consideration.
Surgery through Minimally Invasive technique patients start walking on the same day and staircase climbing starts from the second day of surgery. Patients can resume his work after 3 – 4 week.
The most significant risks include Infection, Deep vein thrombosis,and Aseptic loosening of implants. The risks correlate with the co-morbid medical condition, and must be discussed with the patient before surgery.
Patients normally require hospitalization for 3-4 days in single knee replacement, and up to 5-6 days in both knee replacement surgery
A single knee replacement takes approximately 90 min- 2 hours. Both knee replacement surgery takes approx 2-3 hours.
Years ago, knee replacement surgery was reserved for elderly patients due to a high complication rate and lack of implant durability. Modern techniques have allowed orthopaedic surgeons to base surgical decisions on a patient’s pain and disability, and not necessarily chronological age. Most patients who undergo knee replacement are between the ages of 50 and 80, but surgeons evaluate patients individually and primarily on their physiologic age and demands.
Patients can resume his/her light work after discharge from the hospital, no need for rest.
Patients are given epidural anesthesia for surgery, and post op pain relief. They are expected to follow instruction from physiotherapist regarding muscle training.
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