Knee joint and arthritis treatment in mumbai

The knee joint is the largest joint in the human body and has to sustain the greatest stress, since it supports the entire weight of the body above it. The knee joint is the junction of three bones: the femur (thigh bone or upper leg bone), the tibia (shin bone or large bone of the lower leg), and the patella (knee cap). The patella protects the knee and gives leverage to muscles.

The ends of the three bones in the knee joint are covered with articular cartilage, a tough, elastic material that helps absorb shock and allows the knee joint to move smothly. If damaged, the cartilage cannot repair itself.

The entire knee joint is covered by a sack-like structure filled with sysnovial fluid which lubricates the joint and also supplies nutrients to the cartilage and other joint structure.

About arthritis

There are two common types of knee arthritis, Osteoarthritis and Rheumatoid Arthritis.


Osteoarthritis (OA):

OA or the degenerative joint disease, is the most common type of arthritis (also known as synovial disease). OA is a chronic condition characterized by the breakdown of the joints cartilage. The breakdown of the cartilage causes the bones to rub against each other, causing stiffness, pain and loss of movement of the joint. It is associated with aging and most typically begins among people aged 50 years or older. A young person, who develops OA, typically has had an injury to the knee or may have other pathological conditions.


Characteristics / Symptoms of Knee OA

Pain in and around the knee joint
Morning stiffness
Swelling of joint
Occasional night pain
Restrict continuous walking for just a few steps also
Unable to stand for long


Rheumatoid Arthritis (RA):

Rheumatoid arthritis, which generally affacts people at a younger age then OA, is an autoimmune disease. This means it occurs as a result of the immune system attacking its own cartilage of the body.

RA generally attacks all joints of the body. This disease is commonly known as the crippling disease.


Treatment options at different stages


1) Medication:
If you suffer from mild to moderate OA pain, your doctor may recommend you a group of medicines called non-steroid anti-inflammatory drugs (NSAIDs) based on your disease condition. While NSAIDs can reduce symptoms, they do not stop or improve underlying condition of the disease.

2) Exercise:
As your OA advances, your doctor may recommend a change in your physical activities to help reduce the pain and inflammation in your joints.

Some of the suggestions he might give are:
Physiotherapy aims to restore function to the maximum possible degree.
Obesity aggravates the symptoms of OA. You may be recommended weight loss as a way to relieve some of the stress on your joints and reduce pain and inflammation.
You may also be suggested prescription medications or injections.
However, these treatment options provide symptomtic relief from pain but cannot cure or arrest the progression of the disease.

3) Surgical Options:
When you can no longer manage the pain through non surgical treatment or deal with the loss of mobility caused by your severe OA, surgery is the final option.


Dr. Girish Puchal provide drugless treatment.

Bring back the walking ability
Improved alignment of deformed joints
provide a detail program to improve the joints movement, strength and flexibility
Improve your mobilization and confidence
Our treatment relieve pain that does not respond to other treatment options
Straightens the knee to the original position
Educate you on how to protect your new knee