Posted by: wockhardthospitals | November 21, 2009

Tissue Preserving Total Knee Replacement

The Tissue Preserving Total Knee Replacement surgery goes beyond the general scope of conventional TKR surgeries that involve cutting through the quadriceps muscle during the surgery. Conventional Total Knee Replacement surgery causes trauma to the surrounding tissues that result in painful, long, recuperation periods. The patient would typically need walking aids for three to six weeks for the tissues to heal. However, in the case of Tissue Preserving TKR, the procedure involves just flipping across the muscles to reach the bone. The specialised technique perfected by Dr Kaushal Malhan allows the advantage of satisfactory surgical exposure in all patients including the very obese with easy implantation of standard implants with standard instrumentation.  Lesser tissue damage means less pain and earlier recovery.

Tissue Preserving TKR surgery aims to reduce the collateral damage which has always been part of this operation. It combines a muscle sparing exposure (which does not damage the quadriceps muscle- the front main thigh muscle) with computer assisted alignment so as to reduce the need for ligament release and appropriate implants which sacrifice less normal bone. This technique offers, among others, the ability to bend the knee almost immediately after the operation, and walk without aids much faster than conventional TKR procedures. Above all, there is no danger of any complication because there is no blood loss.

Advantages of Tissue Preserving TKR Surgery

  • On the whole, there is less soft tissue damage and if combined with appropriate implants, one can reduce the amount of bone sacrificed during operation.
  • Less post surgery pain
  • Less bleeding and no need for blood transfusions
  • Faster return of knee function – muscle strength and control comes back more quickly – allows faster rehabilitation. Patients can walk on day 1 after surgery
  • Shorter hospital stay
  • Less soft tissue damage and a better result
  • Early return of knee motion
  • After surgery recovery time is less than one third of that with conventional TKR technique.
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Posted by: wockhardthospitals | November 17, 2009

New Treatment for Osteoarthritis Patients : No Painkillers

For osteoarthritis patients suffering from joint pain, stiffness and loss of movement, a new treatment is now available that can reduce the side effect of painkillers besides delaying the prospect of undue surgery. Called Synvisc-one, they are a special kind of lubricant called ‘viscosupplement’ made from a natural substance that lubricates and cushions joint and provides up to six months of knee pain relief with just one injection.

Says Dr Sreedhar Archik, Senior Orthopaedic Surgeon Lilavati Hospital, “Viscosupplementation is the preferred therapy for patients suffering from osteoarthritis of knee where surgery and painkillers can be safely avoided. A single shot can provide relief for six to eight months as well as avert gastrointestinal complications arising out of intake of common painkillers such as NSAIDs.”

Since the cause of osteoarthritis is not completely known, there is no cure but only treatments that help reduce pain. Explains Dr Kaushal Malhan, Senior Orthopedic Consultant and Surgeon, Wockhardt Hospital, “In osteoarthritis, there is breakdown of joint fluid and cartilage, the slippery disc tissue that covers and protects the ends of the bones in the joint. Viscosupplementation involves removal of diseased joint fluid and replacement with a biological substance that supplements elasticity and viscosity in the diseased knee joint and reduces pain and improves mobility.”

Osteoarthritis also known as degenerative arthritis is a group of diseases and mechanical abnormalities entailing degradation of joints and affects approximately 4 out of 100 people. An International Osteoporosis Foundation assessment predicts that more than 50 per cent of osteoporosis patients will be from Asia in 2020, with India and China taking the maximum economic burden. Most people generally develop osteoarthritis after the age of 45. It is more commonly seen in women and people who are obese or those with previous knee injuries.

source: expresshealthcare.

Posted by: wockhardthospitals | November 16, 2009

Diabetes and Heart Disease : Facts and Precautions.

India accounts for the largest number of diabetic patients in the world with approximately 56 million people affected and the number is set to grow to 900 million over the next 20 years i.e. 9% of the countries population. This disturbing trend has set alarm bells ringing as a large population of India still does not have access to basic health care needs. Unlike other diseases diabetics lasts for a lifetime leading to many other complications such as heart disease, stroke, blindness, kidney failure, damaged arteries to name a few. Studies have estimated that two out of three diabetic patients are likely to die of heart disease or stroke.

Diabetes is a chronic disease that occurs when the human body fails to produce enough insulin or when there is disruption in the process of insulin circulation. Insulin is a hormone secreted by the pancreas that enables cells to utilize glucose and convert it into energy. Most of the food we eat is converted into glucose (a from of sugar) and dispersed in the blood stream to be used as energy. In the absence of insulin the cells in the body are deprived of energy and begin to starve. Consequently glucose levels rise in the blood stream leading to several other disabilities.

High blood sugar over a period of time leads to damaged nerves and blood vessels. There is hardening of the blood vessels and increased deposit of cholesterol on their walls – a process termed as atherosclerosis. Atherosclerosis can lead to narrowing of blood vessels with increased tendency of blood clot formation. The narrowing of blood vessels and the formation of blood clots are the leading causes of heart disease and stroke.

Facts:

* A Diabetic patent is twice as likely of having heart disease or stroke as compared to a normal person.
* Diabetic patent tend to develop heart disease and stroke at a younger age than people without diabetics.
* People with diabetics are more likely to have a second heart attack as compared to healthy people.
* Women with diabetes are at a much higher risk of developing heart disease and stroke than men.
* Heart attacks in diabetic patents are generally more serious and complex and are more likely to be fatal.
* Diabetic patients are far more difficult to treat as high blood sugar levels slows down the natural healing process of the human body.

Precaution:

* Since diabetes is a chronic disease that can only be controlled, it is very important to stick to the advice given by the doctor and to take your daily dose of medication at the right times. Go for regular check ups and monitor your blood pressure and blood sugar regularly.
* Stick to a healthy diet: plan your diet with your doctor and stick to it. Diabetics require a diet that provides the necessary calories, fiber and protein. Care should be taken to avoid the intake of sugar, saturated fats and food with high cholesterol.
* Regular Exercise: follow a program that optimizes your physical activity, follow exercise routines and walk at least 45 minutes a day (consult your doctor before starting any exercise routine)
* Quit smoking: it could be the worst thing for you

Diabetes is a disease that patients can learn to live with and still lead very productive lives. Regular health checkups, healthy diet, Exercise and medication can keep diabetes well under control. Advancements in medical science has thrown up a number of new drugs that are very effective, however a large part to controlling diabetes lies with the individual leading a healthy lifestyle.

Posted by: wockhardthospitals | November 13, 2009

Boost your immunity

You may finally have a legimate reason to hug a tree:

A hike in the woods can boost your immunity, say Japanese researchers. They found that men who walked through a dense forest for a total of six hours over a period of two days experienced a 46 per cent spike in their blood levels of natural killer cells, which are part of your body`s SWAT team against invading viruses. Apparently, the study says that all trees release airborne chemicals called phytoncides that not only protect their foliage from microbes but also helps stimulate our own immune systems.

The woods are calling you!

Posted by: wockhardthospitals | November 12, 2009

Spicy Indian Food Can Beat H1N1

The next time you are served spicy vegetarian food do not grimace, because it is the much sought-after manna from heaven that has been lately found to effectively stave off the fatal impact of the dreaded H1N1 virus.

Researches have thrown light on the possibility of spicy Indian vegetarian menus restricting the number of swine flu deaths to just over 500 in a country with a population of 1.03 billion. The World Health Organisation (WHO) had initially warned that India would be the hotspot of swine flu impact.

Nutritionists, too, now attribute the muted impact of swine flu in India to spicy dishes, which are rich in anti-oxidants that boost the body’s immunity system. Bangalore-based nutritionists told DNA that spicy Indian menus could just be the right answer to effectively prevent contracting the H1N1 virus.

Indians have a lot of vegetables, fruits and spices on their menu – a fitting recipe to fight the swine flu infection, the nutritionists said.

“Indian food has a lot of spices and herbs, vegetables and fruits, and there is no doubt that this has helped fight the infection among Indian swine flu patients, minimising the mortality rate,” says Farhana Afroz, chief nutritionist and head of dietetics department, Wockhardt Hospital, Bannerghatta Road.

A research by an Alabama team in the US has found that high levels of antioxidants — present in spices, vegetables and fruits — can neutralise a lethal action by a villainous protein that destroys crucial cells in the inner linings of the lungs.

These cells, known as epithelial cells, expel fluids from within the lungs and prevent pneumonia, the most common cause of death among H1N1 patients. But once the cells are destroyed by the protein, the lungs retain fluid, leading to pneumonia.

The Alabama research, published in the November issue of the Federation of American Societies for Experimental Biology (FASEB) Journal, shows how antioxidants that are found in abundance in plant-based foods, might hold the key in preventing the flu virus from wreaking havoc on human lungs.

The research team first injected frog eggs with anti-oxidants, and then infused the M2 protein along with the lung cells of a mouse into them. They discovered that the antioxidants in the frog eggs stopped the M2 protein from destroying the mice’s lung cells.

Courtesy : DNA

Posted by: wockhardthospitals | November 10, 2009

Heavy breather

Is that tight chest telling you to visit your doc for a checkup, or to just stop visiting the cake shop? Find out…

Out of shape Asthma
The symptoms Shortness of breath, but only after exercise, sex, climbing flights of stairs or all activities at the same time. Shortness of breath, not only after exercise but also after exposure to cold temperatures, to allergens such as cat fur or even laughing (possibly at the thought of sex on the stairs).
The cause It’s only when you exert yourself that you have problem breathing and it’s not an issue through the night. You wake up breathless in the middle of the night or feel a tightness of the chest in the morning.
The factors A little coughing or wheezing. Too much wheezing to speak of; if you could only muster the breath to do so.
The answer May find that running in the gym and improving your diet, thereby losing weight, helps shift it. May find you go through phases of severity, particularly when you’re stressed or exerting yourself or if you have a cold.
The future Head to the gym or add more exercise to your everyday routine; get off the bus one stop earlier than usual and walk, use the stairs at work and do up to three 30-minute workouts a week. Head to the doctor’s. You will probably be put on a course of inhaler treatments. Try swimming-it’s a good exercise for asthmatics.
Posted by: wockhardthospitals | November 9, 2009

Easy Breezy:Fight asthma, emphysema and bronchitis.

Power Up your lungs with shells.

A study by Cornell University found those who consumed above-average amounts of the antioxidant selenium drastically reduced the risk of pulmonary disease such as asthma, emphysema and bronchitis.

A starter of oysters once a week will boost your selenium, while ensuring you won`t be out of breath when their bedroom powers kick in. According to research leader Patricia A cassano, the positive pulmonary effect of the shellfish “is equivalent to the difference between non-smokers and people who have smoked a pack a day for 10 years,” which is more than enough for lung disease to be given the whoosh!

Posted by: wockhardthospitals | November 7, 2009

Health benefits of raisins

You`d be surprised at the benefits that the tiny raisin offers. Obtained from drying black or green grapes in driers or in natural light, raisins are among the most loved dry fruits.

  • raisins have generous quantities of iron that are great for treating anaemia.They also have members of vitamin-B complex as well as copper, that are needed for the formation of blood and red blood cells.
  • They are known to stimulate the libido since they contain arginine, an amino acid that combats erectile dysfunction.
  • Do you suffer from constipation often?
    Include raisins in your diet – they have fibre in them that puffs up and absorbs water, which inturn helps giving relief in constipation.
  • Since they are full of glucose and fructose, they provide a lot of energy , but at the same time do not increase your cholesterol levels.
Posted by: wockhardthospitals | November 7, 2009

Benefits Of Coconut Water

  • Coconut water is known to be more nutritious than whole milk because it has no cholesterol and lesser fat.
  • It improves circulation and is known to clean your digestive tract.
  • Coconut water not only strengthens the immune system, but also helps the body fight different types of viruses.
  • If you suffer from kidney stones, include coconut water in your diet. Drinking it regularly will break up the stones and make them easier to push out.
  • Have urinary problems?
    Have a glass of naariyal paani (coconut water) to get quick relief.
  • If you are suffering from a hangover, nothing will help you faster than having some coconut water.
  • Tender coconut water is very rich in electrolytes and potassium, among other things. Potassium helps regulating blood pressure and heart function.
Posted by: wockhardthospitals | November 6, 2009

Diabetes: Symptoms, Types, Diagnosis, Treatment, Prevention and More.

What is Diabetes?

It`s a chronic disease that occurs when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces. Hyperglycaemia or raised blood sugar is a common effect of uncontrolled diabetes, and over time leads to serious damage to many of the body systems, especially the nerves and blood vessels.

Symptoms

* Excessive thirst
* Lack of energy
* Rapid Weight Loss
* Frequent urination
* Blurring vision
* Non-healing of wounds

Risk Factors

* Old age
* Overweight
* Hypertension
* Abnormal lipid levels
* Family History
* History of vascular disease
* Signs if insulin resistance
* Inactive lifestyle

Types :

* Type1 is a condition where there is complete absence of insulin secretion from the pancreas. This contributes to 5-10% of all diagnosed cases
* In Type2 , the basic defect is insulin resistance and deficiency. The insulin is unable to act efficiently to keep sugar levels normal and this leads to resistance. This is followed by insulin deficiency. This ac counts for 90-95% of all cases
* Gestational diabetes: Onset during pregnancy
* Secondary diabetes: It arises as a consequence of some other ailment. For example, cushings syndrome accounts for 1-2% of all cases

Diagnosis

* By testing glucose levels in the blood after fasting for over 8-10 hours
* Postprandial sugar (PPBS) or random blood sugar(RBS) test conducted 2 hours after eating

Treatment

* Veg Diet
* Exercise
* Insulin injections

Trends

* Self-monitored sugar level using glucometer
* Some new medications address insulin resistance

Prevention :

* Remain physically active
* Control weight
* Avoid junk food.Maintain low-calorie oriented diet
* Regular sugar screening, especially for those with family history
* Eating habits: limit intake of  sweets, ensure proper spacing between meals, be careful of when and how much carbohydrates you eat, eat whole-grain foods, fruits and vegitables instead of refined items, avoid alcohol

Diet to Follow:

* Vegetable Diet.
* Beverages: Tomato Juice, rasam, Vegetable juices, clear vegetable soups, buttermilk, unsweetened black tea and black coffee, lime juice, plain soda
* Whole pulses like grams, roasted Bengal gram and sprouts

Restrict these:

* Cereals: Rice, wheat, jowar, ragi, maize, barley and oats

* Refined cereals products: Semolina, noodles, vermicelli, maida, macaroni, spaghetti and sago

* All kinds of pulses and legumes

* Vegetables: Carrot, beetroot, raw banana, all varieties of beans, green mangoes, tender jackfruit

* Milk: Only 300 ml including tea, coffee, curd

* Fruits: Orange, sweet lime, papaya, apple, guava and watermelon

Avoid:

* All forms of sugar and sugar products

* Nuts: Coconut, peanut, cashew, almond

* High-calorie fruits: Banana, pomegranate, mango, grapes, chikoo, custard apple, wood apple, jackfruit

* Dry fruits

* Butter, ghee, cheese, cream, dalda, mayonnaise and salad dressing

* Fruit juice with sugar, squash, sherbet, milkshake

Carbonated drinks

* Alcohol

* Malted bottled items

* Fried items including chips, mixture

* Red Meat, Organ meat, seafood

* Sauces, pickles and chutneys with oil

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