Category Archives: Joint Pain Disorders

Whilst the term “Morton’s neuroma” is universally used, it is inaccurate as the pathology is more in keeping with an abnormal fibrous reactive thickening of the nerve, rather than of a true tumour of nerve tissue. The term peri-neural fibroma is generally recognised as being accurate. Morton’s neuroma is an entrapment neuropathy, which typically occurs between the 3rd and 4th toes metatarsals, although it also frequently occurs between the 2nd and 3rd toes. The nerve effectively becomes compressed against the intermetatarsal ligament. The relative incidence of neuroma formation between the 2nd and 3rd and 3rd and 4th interspaces varies, however, some studies have shown a greater incidence between the 3rd and 4th interspace.

Morton’s neuroma is perceived to be a common form of foot pain, frequently encountered in podiatric and orthopaedic clinics. However, no formal studies have been undertaken to establish its prevalence within the general population and this remains unknown.

Diagnosing joint injuries and disease begins with a thorough medical history and physical examination. Sometimes X-rays and laboratory tests are required to help diagnose the problem.

Patients will be provided a discharge instruction sheet provided by the surgeon that instructs patients on how to look after their wounds, what activities they should avoid, and which exercises they should do to aid in their recovery. At a follow-up visit the surgeon will inspect the incisions, remove sutures, and discuss the rehabilitation program.

The amount of surgery required and recovery time will depend on the joint problem. Recovery time varies markedly from patient to patient.

Although uncommon, complications do occur occasionally during or following Mortons Neuroma Surgery. They include infection, phlebitis (inflammation of a vein), excessive swelling or bleeding, blood clots, and damage to blood vessels and nerves. There are also risks associated with the anaesthetic, both during its administration and after correction of toe surgery.

Some swelling is to be expected and it may actually increase gradually for the first two to three days. If the bandage feels tight, you should re-apply it more lightly and elevate the leg to reduce the swelling. Apply ice packs for 20 to 30 minutes every few hours may help to reduce the swelling and act as pain relief as required. If it persists, contact your surgeon if you have any concerns.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Rheumatoid arthritis (RA) is a systemic, inflammatory disease in which joint disease is center-stage, with a background of constitutional and internal manifestations. Systemic means that many parts of the body can be involved. Inflammatory means that the patient presents with redness, warmth, swelling and functional limitation in the joints. This can lead to joint damage, a major focus of the newer therapies for RA. Constitutional and internal manifestations mean that the body’s immune and inflammatory systems of the body are activated, can affect various tissues throughout the body, and can cause fatigue and weight loss.

We now know a great deal about what causes RA and how to control it. While we cannot cure it at present, joint damage can now be prevented — with early use of disease-modifying drugs that are essential in order to avoid joint erosions and limitation in function. The rate at which new advances in care are occurring in RA is mind-boggling!

The actual cause of RA is unknown, but it is thought to be triggered by environmental factors, such as infections with viruses or bacteria, in people with a genetic predisposition to the disease. However, while some patients do remember a viral-type illness when RA began, most do not. To date, no specific infectious agent has been found. (Some antibiotics may improve RA a bit, but their benefits seem to come from their anti-inflammatory action, not their bacteria-killing action.) Genetic factors appear to play as much as a 50% role in the development of RA. But it is the contact with an environmental agent in the genetically-predisposed person that seems to initiate the self-perpetuating inflammation characteristic of RA. While it is clear that genetics are important, if you have RA, this does not at all mean that your child or grandchildren will develop it. Actually, the risk is very small.

Diet may play a role in some patients with RA. However, in most, a well-balanced diet is the correct prescription. Patients should keep a diary to determine whether eating one type of food is commonly associated with a flare of RA. If that is the case, a trial of avoiding that food is reasonable. Optimal weight is always appropriate, especially patients with joint inflammation in the legs.

Patients commonly report that stress, either physical or emotional, was present or severe when their RA began. This is true in other autoimmune disorders as well. Since the mind-body connection is real, most physicians appreciate the linkage between stress and disease onset or exacerbation. Because there are clear interactions between the nervous, immune and endocrine systems, the impact of stress on disease presentation and severity is explainable in physiologic terms. Obviously, life is stressful. Thus, how to employ stress reduction in a therapeutic regimen is up to the individual patient, in concert with the physician.

The immune system plays a major role in development of joint inflammation and damage, fatigue, and the feeling that you have a chronic viral illness. The immune system is made up of body-protecting cells and antibodies. In normal people, these help to fight off invading infectious agents. In RA, however, something goes awry, and immune system appears to be directed against the person’s tissues. Thus, it is called an autoimmune disorder.

The main joint symptoms are related to the state of inflammation and include pain, swelling, redness, warmth and limitation in range of motion of the involved joints The joint pains in RA behave in a specific manner and affect multiple joints on both sides of the body in what is called a symmetric pattern. That is, if your left knee is affected, your right knee will likely also be affected. The joints most likely to be affected are the small joints of the hand and feet, elbows, knees, and ankles. The external signs of inflammation reflect a potentially-damaging disease process that can lead to injury to bone, cartilage, and soft tissues such as tendons. If left untreated, this can cause deformities and limitation in function. Fortunately, today we have excellent treatments that can stop this inflammation and avoid further damage.

Some patients with RA develop more generalized disease in which internal organs can be inflamed and damaged. This is quite rare, and rarer still today with our new therapies. Some of the patients who develop this problem have little nodules under the skin of their forearms. Internal problems can include: lung inflammation; nerve irritation called neuropathy; eye inflammation called scleritis; and dry eyes or dry mouth due to Sjogren’s syndrome. Each of these problems can be treated with many of the newer medications available for RA.

The diagnosis of RA is based on clinical signs and symptoms, but it is supported by laboratory tests. If someone presents with a clinical pattern suggestive of RA, a variety of blood tests and X-rays will be performed.

Today, we are blessed with a deeper understanding of the pathogenesis and characteristics of RA and the availability of safe and effective medications that can alter the natural history of RA and improve function. We start with the premise that RA is eminently controllable, and the goal of our therapies is “no evidence of disease.” That means no signs of redness, warmth, swelling or tenderness and normal function. Since we would not accept uncontrolled illness in angina, chronic obstructive lung disease, hypertension or diabetes, we should similarly not accept it in RA. Luckily, today, we have the therapeutic tools to make this happen. Early treatment with disease-modifying drugs is mandatory in order to prevent joint damage and dysfunction (i.e. within the first two to three months after disease onset). Treatment will continue for at least five years and possibly throughout life. Medications, physical and occupational therapy, and education for patients and their families should be important components of every regimen.

A multidisciplinary team that includes the primary care physician, the rheumatologist, the physical therapist, and other members of the health care system will bring about a coordinated treatment program that is both safe and effective. The primary care physician or internist commonly works in partnership with a rheumatologist. Referral to a specialist in rheumatology most commonly occurs in the following situations:

When the diagnosis is in question;

At the start of therapy, in order to craft the optimal medication and physical therapy regimen;

During the course of the illness to define response to or alteration in the treatment regimen;

In the setting of possible medication side effects;

Progressive disease despite therapy;

A single joint that is leading to significant functional limitation;

The presence of fever, marked fatigue, or weight loss;

Prior to orthopaedic surgery.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Psoriatic arthritis [pronounced sore-ee-AA-tic] causes pain, stiffness and swelling in and around the joints and places where tendons and ligaments connect to bone. Without treatment, psoriatic arthritis can potentially be disabling.

Both genetic and environmental factors seem to be associated with the development of psoriatic arthritis. The immune system plays an important role. Psoriatic arthritis is linked to psoriasis on the skin; in 85 percent of individuals, skin disease preceded joint disease.

• Tender swollen joints
• Swollen and tender entheses (where a muscle or ligament attaches to a bone)
• Back pain
• Nail changes—for example, a nail that separates from the nail bed and/or becomes pitted and mimics fungal infections
• Morning stiffness and tiredness
• Generalized fatigue
• A reduced range of motion
• Redness and pain of the tissues surrounding the eyes, such as conjunctivitis

There is no specific test for psoriatic arthritis. The diagnosis is based mostly on symptoms, examination, X-rays and the elimination of other types of arthritis. If you have psoriasis and experience persistent joint pain, you may have psoriatic arthritis and you should see a rheumatologist. These doctors specialize in arthritis and can provide further evaluation and/or a diagnosis.

There are considered to be five different forms of psoriatic arthritis:

• Symmetric: Affects multiple symmetric pairs of joints (occurs in the same joints on both sides of the body).
• Oligoarticular: Affects few joints in an asymmetric pattern and is usually milder.
• Distal interphalangeal (DIP): Affects primarily the distal joints of the fingers and toes (the joints closest to the nail).
• Spondylitis: Predominantly affects the spinal column from the neck to the lower back.
• Arthritis mutilans: Affects the small joints of the hands and feet, although it can appear in other joints. This rare form of arthritis is severe and destructive.

Drugs for the treatment of psoriatic arthritis are divided into three main categories:

Nonsteroidal anti-inflammatory drugs (NSAIDs) include over-the-counter medications such as aspirin and ibuprofen as well as prescription products.

Disease-modifying antirheumatic drugs (DMARDs) may relieve more severe symptoms and attempt to slow or stop joint/tissue damage and the progression of psoriatic arthritis.

Biologics such as Enbrel, Humira, and Remicade are also considered DMARDs. They are highly selective agents that target specific parts of the immune system that cause psoriasis and psoriatic arthritis.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.