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Dr. Manu Mengi | Best Orthopedic Doctor in Chandigarh

The Complete Guide to Bursitis: Causes, Symptoms, Diagnosis and Treatment

What is bursitis?

Bursitis is inflammation of the bursa. A bursa is a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. The major bursae (bursa plural) are located next to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.

Bursitis is usually a temporary condition. It may limit motion but generally does not cause deformity.

Bursitis can happen in any bursa in the body, but there are some common types of bursitis, including:

  • Retromalleolar tendon bursitis. This type of bursitis is also called Albert disease. It’s caused by things like injury, disease, or shoes with rigid back support. These put extra strain on the lower part of the Achilles tendon. This attaches the calf muscle to the back of the heel. This can lead to inflammation of the bursa located where the tendon attaches to the heel.
  • Posterior Achilles tendon bursitis. This type of bursitis, also called Haglund deformity, is in the bursa located between the skin of the heel and the Achilles tendon. This attaches the calf muscles to the heel. It is aggravated by a type of walking that presses the soft heel tissue into the hard back support of a shoe.
  • Hip bursitis. Also called trochanteric bursitis, hip bursitis is often the result of injury, overuse, spinal abnormalities, arthritis, or surgery. This type of bursitis is more common in women and middle-aged and older people.
  • Elbow bursitis. Elbow bursitis is caused by the inflammation of the bursa located between the skin and bones of the elbow (the olecranon bursa). Elbow bursitis can be caused by injury or constant pressure on the elbow (for example, when leaning on a hard surface).
  • Knee bursitis. Bursitis in the knee is also called goosefoot bursitis or Pes Anserine bursitis. The Pes Anserine bursa is located between the shin bone and the three tendons of the hamstring muscles, on the inside of the knee. This type of bursitis may be caused by lack of stretching before exercise, tight hamstring muscles, being overweight, arthritis, or out-turning of the knee or lower leg.
  • Kneecap bursitis. Also called prepatellar bursitis, this type of bursitis is common in people who are on their knees a lot, such as carpet layers and plumbers.

What causes bursitis?

The most common causes of bursitis are injury or overuse. Infection may also cause it.

Bursitis is also associated with other problems. These include arthritis, gout, tendonitis, diabetes, and thyroid disease.

What are the symptoms of bursitis?

The following are the most common symptoms of bursitis. However, each person may experience symptoms differently.

  • Pain
  • Localized tenderness
  • Limited motion
  • Swelling and redness if the inflamed bursa is close to the surface of the skin

Chronic bursitis may involve repeated attacks of pain, swelling, and tenderness. These may lead to the deterioration of muscles and a limited range of motion in the affected joint.

The symptoms of bursitis may resemble other medical conditions or problems. Always see a healthcare provider for a diagnosis.

How is bursitis diagnosed?

In addition to a complete medical history and physical exam, diagnostic tests for bursitis may include:

  • X-ray. A diagnostic test that uses invisible electromagnetic energy beams to make pictures of internal tissues, bones, and organs on film.
  • Magnetic resonance imaging (MRI). An imaging test that uses a combination of large magnets, radiofrequencies, and a computer to make detailed pictures of organs and structures within the body.
  • Ultrasound. An imaging test that uses high-frequency sound waves to look at the internal organs and tissues.
  • Aspiration. A procedure that involves using a thin needle to remove fluid from the swollen bursa to check for infection or gout as causes of bursitis.
  • Blood tests. Lab tests may be done to confirm or rule out other conditions.

How is bursitis treated?

The treatment of any bursitis depends on whether or not it involves infection.

  • Aseptic bursitis. This inflammation results from local soft-tissue trauma or strain injury. The bursa is not infected. Treatment may include:
  • R.I.C.E. This stands for rest, ice, compression, and elevation
  • Anti-inflammatory and pain medicines, such as ibuprofen or aspirin
  • Injection of a steroid into the affected area to help decrease pain and swelling
  • Splints or braces to limit movement of the affected joint 
  • Septic bursitis. The bursa becomes infected with bacteria. This causes pain and swelling. Treatment may include:
  • Antibiotics
  • Repeated aspiration of the infected fluid (a needle is used to take out the fluid)
  • Surgical drainage and removal of the infected bursa. This is called a bursectomy.

What can I do to prevent bursitis?

Try the following measures to prevent bursitis:

  • Warm up before exercising or before sports or other repetitive movements.
  • Start new exercises or sports slowly. Gradually increase the demands you put on your body.
  • Take breaks often when doing repetitive tasks.
  • Cushion “at risk” joints by using elbow or knee pads.
  • Stop activities that cause pain.
  • Practice good posture. Position your body properly when doing daily activities.

When should I call my healthcare provider?

Call your healthcare provider if you have any of the following:

  • Pain or trouble moving affects your regular daily activities
  • Pain doesn’t get better or gets worse with treatment
  • A bulge or lump develops at the affected joint
  • Redness or swelling develops at the affected joint
  • You have a fever, chills, or night sweats

Key points about bursitis

  • Bursitis is inflammation of a bursa, a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body.
  • The most common causes of bursitis are injury or overuse, but it can also be caused by infection.
  • Pain, swelling, and tenderness near a joint are the most common signs of bursitis.
  • Bursitis can be treated with rest and medicines to help with the inflammation. Antibiotics are used if infection is found. If needed, surgery can be done to remove the bursa.
  • You can help prevent bursitis by doing things like warming up before exercise or sports, increasing activity slowly, padding joints, taking rest breaks often, and stopping activities that cause pain.
July 10, 2023 / by Manu

Dr. Manu Mengi: A Leading Shoulder Pain Specialist in the Tricity Region

In the bustling region of Tricity, where Chandigarh, Mohali, and Panchkula converge, individuals suffering from shoulder pain are fortunate to have access to top-notch medical care. Among the distinguished medical professionals in the area, Dr. Manu Mengi stands out as a leading expert in treating shoulder pain. With an exceptional track record and a commitment to patient well-being, Dr. Mengi has earned a reputation as one of the region’s most esteemed doctors in this specialized field.

Expertise and Qualifications: Dr. Manu Mengi brings a wealth of experience and expertise to the field of shoulder pain treatment. With a specialized focus on shoulder ailments, he has dedicated years of study and practice to understanding and alleviating the discomfort and limitations caused by such conditions. Dr. Mengi holds an impressive array of qualifications, including a medical degree from a prestigious institution, advanced training in orthopedics, and specialization in the diagnosis and treatment of shoulder-related issues.

Unparalleled Patient Care: Dr. Mengi is renowned for his exceptional patient care and unwavering dedication to his patients’ well-being. With a compassionate and empathetic approach, he takes the time to listen attentively to his patients’ concerns, thoroughly understand their symptoms, and develop personalized treatment plans tailored to their specific needs. Dr. Mengi firmly believes that effective communication and trust are essential in the doctor-patient relationship, and he ensures that his patients feel heard and supported throughout their treatment journey.

Cutting-Edge Diagnostic Techniques: Utilizing state-of-the-art diagnostic techniques, Dr. Mengi employs a comprehensive approach to accurately diagnose shoulder pain. From physical examinations and detailed medical histories to advanced imaging tests such as MRI and ultrasound, he leaves no stone unturned in identifying the root cause of the discomfort. By employing cutting-edge technology and his extensive expertise, Dr. Mengi ensures precise diagnoses, enabling him to formulate the most effective treatment strategies.

Advanced Treatment Options: Dr. Mengi offers a range of advanced treatment options to address shoulder pain, tailored to each patient’s specific condition and needs. These options may include physical therapy, medication management, minimally invasive procedures, and surgical interventions if necessary. With a focus on evidence-based medicine and a commitment to staying updated with the latest advancements in the field, Dr. Mengi ensures that his patients receive the most appropriate and innovative treatments available.

In the Tricity region, individuals suffering from shoulder pain need not look any further than Dr. Manu Mengi for expert diagnosis and exceptional care. With his extensive knowledge, remarkable expertise, and patient-centered approach, Dr. Mengi has rightfully earned his place among the topmost doctors in the area for shoulder pain treatment, providing much-needed relief to countless individuals and improving their quality of life.

June 27, 2023 / by Manu

Revitalize Your Knees: Unveiling the Power of Knee Replacement Surgery

Knee replacement surgery, also known as knee arthroplasty, is a medical procedure performed to replace damaged or worn-out parts of the knee joint. The procedure involves removing the damaged or diseased cartilage and bone from the knee joint and replacing it with an artificial joint made of metal or plastic. Knee Replacement Surgery in Chandigarh is generally performed to alleviate pain and restore function in patients suffering from chronic knee pain caused by arthritis, injury, or other degenerative conditions.

The knee joint is a complex hinge joint that allows for the movement of the lower leg bone (tibia) relative to the thigh bone (femur). The ends of these bones are covered with a layer of cartilage, which serves as a cushion and reduces friction during movement. The knee joint is also surrounded by a network of ligaments, tendons, and muscles, which provide stability and support to the joint. However, due to ageing, injury, or other degenerative conditions, the cartilage in the knee joint may wear away, causing the bones to rub against each other, resulting in pain, swelling, and stiffness. In severe cases, this can lead to complete loss of function, making it difficult for patients to perform even simple activities like walking or climbing stairs.

Knee Replacement Surgery in Chandigarh is usually recommended when conservative treatments, such as medication, physical therapy, or assistive devices, are no longer effective in relieving pain or restoring function in patients with knee problems. The surgery is performed in a hospital under general or regional anaesthesia. During the surgery, the surgeon makes an incision in the knee and removes the damaged cartilage and bone from the joint. Then, the artificial joint is placed into the knee and secured with cement or other materials.

There are several types of knee replacement surgery, including partial knee replacement, total knee replacement, and revision knee replacement. Partial knee replacement is a procedure that involves replacing only the damaged part of the knee joint, while preserving the healthy parts. Total knee replacement, on the other hand, involves replacing the entire knee joint. Revision knee replacement is a procedure performed to replace a previously implanted artificial joint that has worn out or failed.

The need for knee replacement surgery varies from person to person and depends on several factors, including age, medical history, and the severity of the knee problem. Generally, knee replacement surgery is recommended for patients with chronic knee pain or other symptoms caused by arthritis, injury, or other degenerative conditions that have not responded to conservative treatments. Common conditions that may require knee replacement surgery include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and avascular necrosis.

Knee replacement surgery is a safe and effective procedure that can provide long-lasting pain relief and improve function in patients with knee problems. According to the American Academy of Orthopaedic Surgeons, more than 600,000 knee replacement surgeries are performed each year in the United States, and the success rate of the procedure is very high. However, like any surgical procedure, knee replacement surgery also carries some risks, including infection, blood clots, and nerve damage. Therefore, it is important for patients to discuss the potential risks and benefits of knee replacement surgery with their doctor and to carefully follow post-operative instructions to ensure a successful recovery.

In conclusion, Knee Replacement Surgery in Chandigarh is a common medical procedure performed to alleviate pain and restore function in patients with knee problems caused by arthritis, injury, or other degenerative conditions. The need for knee replacement surgery varies from person to person and depends on several factors, including age, medical history, and the severity of the knee problem. While the surgery carries some risks, it is generally considered safe and effective and can provide long-lasting pain relief and improve function in patients with chronic knee pain. If you are experiencing knee pain or other symptoms, it is important to talk to your doctor to determine the best course of treatment for your specific condition.

May 18, 2023 / by Manu

Ankylosing Spondylitis (AS): Understanding the Causes, Symptoms, and Treatments

Ankylosing Spondylitis (AS) is a type of arthritis that affects the spine and other joints.

It causes inflammation in certain parts of the spine and can lead to stiffness and pain. Early signs and symptoms include pain and stiffness in the lower back and hips.
The exact cause for ankylosing spondylitis is not known, but gene mutation could be a factor. Other factors that could contribute to ankylosing spondylitis include gender (men are at increased risk than women), age (the disease tends to develop during late adolescence or early adulthood), and family history.

Treatments including medications, therapies, exercise, and surgery help manage the condition.

Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) are used to relieve inflammation, pain, and stiffness.
Disease-modifying antirheumatic drugs (DMARDs) are used to relieve inflammation, pain, and stiffness.
Biologics are used to reduce inflammation, pain, and stiffness.
Joint replacement surgery may be required in cases of severe damage to hip and knee joints.
Physical therapy includes range-of-motion and stretching exercises, proper sleep and waking positions, etc.

Foods that contain omega-3 fatty acids such as flaxseeds, walnut, fishes such as salmon and tuna, kale, spinach; whole grains such as oatmeal, low starch diet such as fruits, vegetables, meat, fish, milk and milk products, eggs are recommended for people with ankylosing spondylitis.

Foods that should be avoided include sugar, sodium, fat; alcohol should be avoided as well.

The primary diagnosis depends on physical examination followed by other imaging tests to rule out any other conditions.

Movement of spine, movement of legs and breathing tests are performed during physical examination.
Magnetic resonance imaging (MRI) scan of sacroiliac joints provides detailed images of bones and surrounding tissues. X-ray of back and pelvis may be performed to assess the severity of the disease.

May 1, 2023 / by Manu

Everything you should know about Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune condition in which your body’s immune system has decided to attack its own joints. It’s likely to cause you pain for the rest of your life, thus making it difficult for you to see the bright side. It is estimated that people suffering from arthritis have much higher rates of depression and anxiety than the general population.

Rheumatoid Arthritis and Fibromyalgia

Fibromyalgia and RA have symptoms that are similar, such as fatigue and pain. RA, however, causes joint pain and inflammation and can be treated with a variety of medications. It can trigger your chance of developing fibromyalgia as well. According to research, 20–30% of people have RA and fibromyalgia together.

Daily tribulations of living with Rheumatoid Arthritis

Living with rheumatoid arthritis (RA) can be a challenging experience. Some common symptoms of RA include:

Joint pain and stiffness
This is often the most prominent symptom of RA, and it can make it difficult to move the affected joints.

Fatigue
Many people with RA experience fatigue, which can make it difficult to carry out daily activities.

Swelling
RA can cause swelling in the joints, which can make them appear red and feel warm to the touch.

Joint deformities
Over time, RA can cause joint deformities, which can lead to permanent disability.

Reduced mobility
The joint pain, stiffness, and swelling associated with RA can make it difficult to perform daily activities, such as dressing, cooking, and cleaning.

Emotional impact
Living with a chronic illness like RA can be emotionally challenging. It can cause feelings of frustration, sadness, and anxiety.

Despite these challenges, you can work towards reducing pain and stiffness, improving mobility, and maintaining your overall health and well-being. Rheumatoid arthritis needs to be managed daily, as it can affect all aspects of your life. Though there are certain treatments that can help you manage RA symptoms, you can adopt some lifestyle changes to help manage your condition.  

Regular exercise
Exercise is important for maintaining joint health, reducing stiffness, and improving mobility. It can also help reduce fatigue and improve overall physical and mental health. Talk to your healthcare team about what types of exercises are safe and effective for you.

Healthy diet
A balanced diet that is rich in anti-inflammatory foods, such as fruits, vegetables, whole grains, and omega-3 fatty acids, can help reduce inflammation and improve overall health.

Stress management
Stress can trigger RA flares, so it’s important to manage stress levels. This may involve relaxation techniques, such as deep breathing, meditation, or yoga.

Avoid smoking
Smoking can increase the risk of developing RA and worsen symptoms for people who already have the condition.  

Maintain a healthy weight
Excess weight can put additional strain on joints, exacerbating RA symptoms. Maintaining a healthy weight through a balanced diet and regular exercise can help reduce stress on joints.

Adapt daily routines
People with RA may need to adapt their daily routines to minimize stress on their joints. This may involve using assistive devices, such as canes or splints, to support joints, and modifying daily activities to reduce joint strain.

Get enough sleep
Getting enough restful sleep is important for overall health and can help reduce fatigue and improve mental clarity.

In addition to making these lifestyle changes, it is important to work with a healthcare team to develop a personalized treatment plan that incorporates these lifestyle changes and other medical interventions as necessary.

Rheumatoid Arthritis treatment
Get insights into some common treatment options for RA

Medications
There are several types of medications used to treat RA, including nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and biologic agents. These medications work to reduce inflammation and pain, and slow down or halt the progression of the disease.

Physical therapy
Physical therapy can help improve joint function, reduce pain, and increase mobility. A physical therapist can create an exercise regimen that is specific to a person’s needs and abilities.

Occupational therapy
Occupational therapy can help individuals with RA learn new ways to perform daily activities, use assistive devices, and modify their environment to reduce stress on their joints.

Surgery
Joint replacement surgery may be an option for people with severe joint damage. This involves replacing the damaged joint with an artificial one.

Lifestyle modifications
Making lifestyle changes such as regular exercise, maintaining a healthy diet, and managing stress can help manage symptoms and improve overall health.


To Sum Up

Treatment for RA is aimed at reducing pain and inflammation and improving the overall quality of life. Learn as much as you can about rheumatoid arthritis, including the causes, symptoms, and treatments. This will help you make informed decisions about your care and manage your expectations.

April 19, 2023 / by Manu