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Bones are very much like wood. Junction
of two bones forms the joint at which we can fold our arm, leg
etc. This junction or joint is lined by smooth sunmica ( over
wood like bone ) to facilitate friction less movement. This sunmica
like coating called cartilage is very much like coconut "malai
" - soft, smooth & white. And as the coconut matures
- the malai becomes hard. Similarly the coating - cartilage loses
its water content with aging & becomes brittle & starts
breaking up at places to expose the rough bone ( wood like )
underneath. This is Arthritis - the process of cartilage damage
which normally occurs with age ( as cataract in eye ).
What is the treatment
of ARTHRITIS? Prevention
is the best form of treatment.
Weight control, Diabetes control, prevention of osteoporosis,
regular physical activity along with an essentially controlled
balanced diet are the key factors in prevention.
THE TREATMENT
For practical purposes The treatment can be explained to a patient
in 4 stages.
1) Early stage - Medicines, Fomentation, etc.
Beware do not take so called "painkillers" - anti-inflammatory
drugs for a prolonged period - they can cause stomach ulcers
with blood vomiting, kidney damage, hypertension etc.
2) Joint Injections - Steroid & glucosamine injections
into the joint - result remains inconsistent & unpredictable.
Relief lasting from few months to even few years. Patient should
know this fact. RULE OUT diabetes before injection lest joint
gets infected!
3) Intermediate stage - ARTHROSCOPIC ( Telescopic ) Surgery
Washing of the joint to remove rough, worn out joint tissue.
This is very much like retreading / remolding the old worn out
tire, which does not become new.
4) Advanced stage - The joint is so much damaged
that any repair work including remolding will not do. The joint
is to be replaced with a new joint - JOINT REPLACEMENT SURGERY.
Patient should choose the type of treatment required as per his
symptoms. If the patient is happily managing well then no surgery
is required. Surgery is meant to improve the quality of life
of the patient (& not of the surgeon!! )
DISCLAIMER:
This article is not intended for medical advice. Always check
with your doctor for diagnosis and treatment of any illness.
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