Category: Dr Manu Mengi

Dr. Manu Mengi – Best Orthopedic Doctor in Mohali

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 Mengi

Frozen Shoulder.

Frozen shoulder, also known as adhesive capsulitis is a disorder that cause stiffness thereby resulting in pain in the shoulder joint. This condition leads to the loss of normal range of motion of the shoulder, leaving the affected individual unable to perform even simple physical activities like reaching for objects placed on an overhead shelf. A frozen shoulder can get significantly worse if left untreated. In most cases, the problem deteriorates, and then goes away over the course of time, usually over a period of 1 to 2.5 years.

Symptoms

Dull, lingering pain in one of the shoulders or in the muscles of the outer shoulder and upper arm region accompanied by stiffness of the shoulder joint are common symptoms of frozen shoulder. The pain may worsen at night in some cases. Most patients will experience pain at the slightest movement of the shoulder.

Who all are at risk?

For reasons yet unclear, women are more likely to develop a frozen shoulder than men. People belonging to the age group of 40-60 years old and those recovering from a stroke, mastectomy and other medical conditions that restrict the movement of arms are most likely to be affected by a frozen shoulder. 

Individuals suffering from heart and thyroid related issues (hyperthyroidism/ hypothyroidism), tuberculosis, cardiovascular disorders, Parkinson’s disease and diabetes too have a high susceptibility to developing a frozen shoulder.

In addition, individuals recovering from tendinitis or injuries that cause them to wear a sling for several days are also at the risk of getting a frozen shoulder in absence of regular stretching. An estimated 10 percent of people suffering from rotator cuff disorders are affected by frozen shoulder.

Diagnosis

A physical examination is required for diagnosing a frozen shoulder. This involves active and passive movement tests. In the ‘active’ part, the doctor will have the affected individual move the shoulder on his/her own to get a measure of pain and stiffness. In the ‘passive’ leg of the examination, the doctor will move the affected individual’s shoulder to gauge the differences in discomfort and range of motion. 

In some instances, the doctor can administer anesthesia to numb the shoulder in order to carry out the physical examination. In addition, imaging tests such as X-ray, MRI or ultrasound may also be required if the doctor suspects a torn rotator cuff, arthritis or a similar condition to be the underlying cause of shoulder distress.

Treatment

In some cases, non-steroidal anti-inflammatory drugs are prescribed to alleviate the pain, especially if there’s noticeable swelling in the affected shoulder. If there is significant inflammation or pain, the doctor can prescribe different, more potent medications.

Physiotherapy has been found to be effective in improving mobility of the shoulder and is often recommended. In severe cases wherein oral medication fails to bring relief, the doctor can revert to administering a corticosteroid injection into the shoulder joint.

Some rare cases may call for a shoulder surgery. The surgery is an arthroscopic or keyhole procedure.

September 19, 2019 / by Manu Mengi

Bursitis

Tender, swollen joints that ache when you move – you could be suffering from Bursitis, a painful medical condition wherein bursae – the small, fluid filled sacs that work as cushion between the bones, muscle and tendons around the joints have become inflamed. 

The human body has 150 plus bursae. Their primary function is providing lubrication to reduce friction between the tissue during physical activity. Joints like hips, shoulders and elbows that engage in frequent physical activity are the most commonly affected by Bursitis. 

Bursitis too can affect other joints, like the knee and the base of the big toe. Bursitis of the knee is commonly called “Housemaid’s knee” or “Clergyman’s knee”.

Symptoms

Bursitis is marked by easy to spot visual and physiological cues. These include – 

  • Stiffness and ache in the joint region.
  • Swelling and redness in the affected joint.
  • Experiencing increased pain when moving or putting pressure on the affected areas.

Causes

Bursitis is usually caused by repetitive movements that wear out or stress the bursae. Athletes and laborers whose daily routine involves lifting objects over their heads or kneeling for long durations are at a high risk of developing bursitis.

Something as seemingly innocuous as leaning on your elbows for long when studying or reading can also lead to bursitis. Ageing, rheumatoid arthritis, gout, infections and injuries suffered to the joint region are other common causes.

Diagnosis

Diagnosis of Bursitis involves an examination of the affected joint and inquiry into recent physical activities and injuries. In some cases, swelling and soreness in the joint can be accompanied by fever. In such an event, the doctor will draw a small quantity of fluid from the bursa close to the affected joint which will be tested.

You might have to undergo an X-ray if the doctor suspects a break or a fracture or MRI in case of torn tendons. If the doctor suspects rheumatoid arthritis, you might have to undergo some blood testing. 

Management

Minor discomfort and inflammation can be managed and cured by ice packs and rest. Raising the affected joint to reduce the blood flowing into it can also sometimes help to reduce swelling. 

If you experience a sharp pain in the joint, are unable to move, develop a rash and/or a fever, consult your doctor. Based on the underlying cause and diagnosis, the doctor may administer steroid injections at the site of the pain and/or prescribe a course of antibiotics. Some cases may require intravenous administration of antibiotics and surgical draining to reduce fluid buildup. 

www.jointpaindoctor.in

July 8, 2019 / by Manu Mengi

Tips for Preventing Sports-Related Injuries

Sports injuries generally occur for two different reasons: trauma and overuse.  While traumatic sports injuries are usually obvious, dramatic scenes, like when we see a player fall down clutching their knee, overuse injuries are actually more common.

Traumatic Sports Injury

Overuse injuries often occur when the body is pushed past its current physical limits or level of conditioning — but poor technique and training errors, such as running excessive distances or performing inadequate warm-ups, frequently contribute. To help keep you or your young athlete from experiencing a sports-related injury following are the prevention tips:

1. Set realistic goals.

Setting goals and work hard to achieve them but it is crucial that our goals are realistic, achievable and sustainable. Whether your goal is to swim more laps, lift a certain amount of weight or run a specific distance, set an obtainable goal and gradually work to improve.

2. Plan and prepare.

If you plan to begin exercising regularly or want to begin a new program, take the time to learn the proper techniques required for your sport. Working with a coach or a knowledgeable group is often safe and enjoyable ways to start a new activity.

3. Warm up and cool down.

It is important to warm up before physical activity because research has shown that a heated muscle is less likely to be strained. To accomplish this some light walking or jogging before you start your exercise and then again afterward to help your muscles cool down slowly. Another important way to prevent injury is to increase your flexibility. Stretching before and after a workout can do this, but it is best to do so once the body is already warm.

4. Take your time.

Don’t push yourself too hard too fast. Getting in shape or learning a new sport takes time. We need to allow for adequate time to gradually increase training levels so that our bodies have time to adjust to the stresses on our bones, joints and muscles. For instance, when running, increase mileage gradually and give yourself plenty of time to recover between workouts. 

5. Listen to your body.

Adjust your activities if your body is showing signs of too much stress. While a mild and short-lived muscle ache is generally considered ‘good pain,’ pain in your joints is not normal and is a sign that you should cut back. Always listen to your body.

June 25, 2019 / by Manu Mengi

Proximal Fibular Osteotomy – A breakthrough procedure for treating knee pain.

Proximal fibular osteotomy (PFO) is a simple, innovative surgical procedure that’s fast becoming the go-to pain relief solution for knee osteoarthritis patients. It’s less invasive than other prevalent surgical procedures recommended for the same medical conditions, highly effective in treating knee pain and improving the patients’ quality of life, easy to perform and has a relatively short post-surgery recovery period. 

Who’s it meant for?

If you’re affected by medial compartment osteoarthritis and suffering from debilitating knee pain that’s affecting your ability to walk and engage in even basic physical activity, you might want to consult your doctor about Proximal fibular osteotomy. Total knee arthroplasty has been one of the most recommended treatments for osteoarthritis in elderly patients. For younger patients ailed by Varus knee deformity, High tibial osteotomy (HTO) and Unicondylar knee replacement (also known as partial knee replacement) have remained the physicians’ go-to solutions for long. These procedures, in addition to being rather invasive, require lengthy recovery periods, and pose restrictions on weight bearing and even on physical activity. In Proximal fibular osteotomy, you have a novel alternative to these popular surgical procedures, with proven success rate, minus the complications that can arise with the prevalent treatments.

What to expect from a Proximal Fibular Osteotomy?

Proximal fibular osteotomy is a cost-effective procedure requiring a shorter recovery span than other conventional surgeries. Patients can expect reduced knee pain within days of undergoing the procedure, and total pain relief in the following months. They can also look forward to becoming more active and self-sufficient than they’ve been in years, to a happier, pain free future. 

Contact Dr. Manu Mengi for further information.

May 22, 2019 / by Manu Mengi