Happy Diwali

 Wishing you all a very Happy Diwali.

- Dr. V.A. Senthil Kumar

Low Back Ache, Sciatica and Slipped Disc are common problems faced by people all over the World.

Low back Ache is experienced by the 70% to 80% general population , at lest once in their lifetime. 5-10% of low back ache patients suffer from a condition called “Sciatica”, which is the name given to leg pain radiating from lower back to the calf and foot. 90% of all Sciatica is due to “Slipped Disc”. DISC( Intervertebral Disc) is a rubber bush like structure between any two individual VERTEBRAE ( small brick like bones ) of the Spinal Column. They give flexibility to the BACKBONE (Spinal Column) and act like shock absorbers. The SPINAL CORD (Main Cable of nerves from the Brain) , is inside the BACKBONE, and a pair of SPINAL NERVES exit,from the spinal cord at each one of the 33 levels, one for Right side and another for Left side. SPINAL NERVES (Branches from Spinal Cord ) supply sensation and power to different parts of body - upper limbs and lower limbs.SCIATICA is caused by compression of the Nerve Roots supplying the legs, most commonly due to SLIPPED DISC L4/5 & L5/S1. 

90% of patients of Sciatica recover in 4 to 6 weeks, with Conservative treatment with Medications, Physiotherapy and precautions. Patients are advised NOT TO BEND FORWARD AND NOT TO LIFT WEIGHT.

If no relief occurs in 6-8 weeks of conservative treatment, Surgery- MicroDicsectomy / Laminectomy and Discectomy may be indicated if MRI proves a correlating Disc Herniation( Slipped Disc). It gives immediate relief of leg pain and related symptoms of Sciatica.

Urgent surgery is indicated if there is Cauda Equina Syndrome ( Numbness in Perineal region- Saddle Anaesthesia, disturbance in control of urination and passing motion) or if there is weakness of Foot or Toes( Difficulty in walking on Toes or Heels).

World Osteoporosis Day and Arthritis Day

Dr V.A Senthil Kumar from Delhi Ortho Spine Center, Mayur Vihar, Delhi, will be conducting a health awareness program through Online Video , on the occassion of World Osteoporosis Day and Arthritis Day, for the your benefit. In this program, Dr V.A Senthil Kumar will provide information about the problems caused by weak bones ( Osteoporosis) and about Arthritis and joint pains.

Our program will be organized by virtual mode (through online video).

*Time: 12: 00 noon-1: 00pm*

*Date: 1/11/2020 (Sunday)*

Dr V.A Senthil Kumar will talk about weak bones, back pain, knee pain, neck pain , Sciatica and shoulder pain and how to prevent and deal with them. 

Dr Nair will give information on Physiotherapy and exercises for back pain, knee pain, neck and shoulder pain.

If you wish to join this program, please contact this number. Give us your e-Mail ID on WhatsApp. We will send you a link on your e-Mail through which you will be able to join our program. You can get free advice from the doctor and physiotherapist. 

Our contact number for WhatsApp is -7838567422 (Kawaljeet)

E-Mail id-doscclinic@gmail.com

विश्व ओस्टियोपोरोसिस दिवस और आर्थ्राइटिस दिवस

 विश्व ओस्टियोपोरोसिस दिवस  और आर्थ्राइटिस दिवस के अवसर पर डॉक्टर. वि. ए.सेंथिल कुमार,  दिल्ली ओर्थो स्पाइन सेंटर मयूर विहार ,

एक हेल्थ जागरूकता प्रोग्राम ऑनलाइन( ONLINE) माध्यम से करने जा रहे हैं। इसमें डॉक्टर वी ए सेंथिल कुमार आप को हड्डीयो के कमज़ोरी (OSTEOPOROSIS) से होने वाली  तकलीफ  के बारे में और गठिया (ARTHRITIS)एवं जोड़ों का दर्द के बारे में जानकारी देंगे।

हमारा प्रोग्राम १/११/२०२० को आयोजित किया जायेगा। विडीओ ( Online Video)माद्यम से किया जाएगा।समय:-12:00noon-1:00pm. दिनांक:-1/11/2020(Sunday).

डॉक्टर.वी. ए.सेंथिल कुमार हड्डीयो का कमजोर होना,कमर दर्द,घुठने का दर्द, गर्दन का दर्द,कंधे का दर्द ,सायऐटिका, की रोक-थाम और इलाज के बारे में बताएँगे।

डॉक्टर. नायर कमर दर्द,घुठने के दर्द ,गर्रदन और कंधे के दर्द का व्यय्याम बताएंगे।

अगर आप इस प्रोग्राम  के साथ जुड़ना चाहते हैं  तो कृपाय इस नम्बर पे whatsapp से समपर्क करे। अपना E- Mail ID हमें लिख बेजें। हम आपको आपके E Mail पर एक लिंक भेजेंगे जिसके जरिए आप हमारे साथ जुड़ पाएंगे।डॉक्टरसाहब  से और फ़िज़ीओथेरपिस्ट  से मुफ़्त सलाह ले सकते हैं। 

हमारा Whatsapp नंबर है:- 7838567422(kawaljeet)

E-Mail id:- doscclinic@gmail.com

विश्व ऑस्टियोपोरोसिस दिवस

 विश्व ऑस्टियोपोरोसिस दिवस के अवसर पर,

18 अक्टूबर (रविवार)

सुबह 11- 12 बजे 

*डॉ. वी ए सेंथिल कुमार (स्पाइन व हड्डी रोग विशेषज्ञ , दिल्ली ओरथो स्पैन सेंटर एवं मैक्स हस्पताल, वैशाली ग़ाज़ियाबाद)* से जुड़ने व *ऑस्टियोपोरोसिस  (हड्डियों की कमज़ोरी*) की बीमारी संबंधित अधिक जानकारी प्राप्त करने हेतु।

नीचे दिए गए नंबर पर डायल करें 

011- 64800008 और पासवर्ड 

डालें  1654354348##

Complex Primary Total Hip Replacement (THR) in a 50 year old Gentleman, done for treatment of Severe Crippling Arthritis of Left Hip for Childhood Injury

The Hip joint of our body is a “Ball and Socket” joint, in which, the upper end of the thigh bone - the Femoral Head ( Ball), moves freely inside the socket Acetabulum (Cup), in the Pelvic bone. It bears the whole body weight while standing and walking. This joint moves so smoothly in many directions, helping us to stand, walk, run, climb stairs,sit on a chair, squat on the ground, and even sit cross legged( Padmasan). Arthritis is a problem affecting the hip joint , which leads to damage to the smooth surfaces of this ball and cup, and leads to pain in the hip joint region and restriction of the above mentioned normal movements, in varying degrees.As you all know , MOBILITY IS IMPORTANT FOR LIFE and Arthritis of Hip joint, leads to significant difficulty in doing day to day activities. Many reasons can lead to Arthritis, like Previous Injury to the joint, Infection, Reduced blood supply to the Femoral Head ( AVN), sometimes Defects of Hip joint which occur at birth and so on. It develops over many months or years. Recently, we treated a 50 year old Gentleman who had developed , severe Arthritic changes of Left Hip due to Childhood injury,who was severely crippled by pain, deformity and 7 cm of True shortening and 10 cm of apparent shortening, which had developed over nearly 45 years.In a 6 hr surgery , a COMPLEX PRIMARY TOTAL HIP REPLACEMENT (THR) was performed in this patient by a team led by Dr. B. S.Murthy and assisted by Dr. V.A.Senthil Kumar. The patient’s Acetabulum (Cup)was reconstructed and Replaced with an Artificial Metallic Cup and Ball was replaced with a new Metallic Ball with a long stem, with a Subtrochanteric Femoral Shortening Osteotomy. See the photos, which are self explanatory.

Recurrent Dislocation Shoulder, Latarjet Procedure

Some youngsters (mostly between 20 and 40 years of age), more often men than women, have a problematic condition called “RECURRENT DISLOCATION OF THE SHOULDER”. Basically, the ball of the shoulder joint slips out of it’s socket . First time it is caused by significant injury, fall while playing in the playground or an accident when the arm and hand are in a throwing position. Initially it is so painful , that pain reduces only by relocating the ball in it’s socket. It becomes recurrent, if in the following weeks or months or years,repeated dislocation ( slipping of ball out of the socket ) happens with trivial injury or in sleep too. Such patients need an MRI and Surgical treatment like Arthroscopic Bankart Repair( Key hole surgery). But, sometimes the socket gets partly eroded by repeated dislocation, in which case, keyhole surgery cannot be performed, rather a open surgery called as LATARJET PROCEDURE, is required, which prevents further recurrent dislocations. Photo and video show the results after such a procedure in a young man- see the excellent function, and he is back to all activities, without fear of SHOULDER DISLOCATION.

- Dr. V.A. Senthil Kumar