Wishing you all Merry Christmas!!

 

ACL/PCL

3 month old injury to the Knee, in a 53 year old Gentleman,leading to ACL / PCL avulsion, treated treated by PCL bone fragment pull out suture fixation and ACL reconstruction done Arthroscopically.

Fracture of lateral end clavicle

 Fracture of Clavicle ( Collar bone) is common in all age groups ( children to elderly).It is usually managed by Fig 8 bandage. But fracture of lateral end clavicle in adults is difficult to treat . The following are pictures of a young adult patient of Lateral end clavicle displaced fracture fixed by tightrope. Good radiological healing and function at 6 weeks.

Pott’s spine

Tuberculosis of Cervical Spine is more common in Children than adults. Physicians call it as Pott’s Spine. It can be treated by TB medicines over 12-18 months period. A 11 year old child came in May 2020, with severe neck pain undiagnosed for 4 months. MRI showed C7-D1 Pott’s spine with large prevertebral and para vertebral abscess. ATT( Anti TB Treatment with Brace support) has completely healed the abscesses in 6 months .Displayed here are initial and latest MRI pictures showing significant healing and complete resolution of Pus in pre and paravertebral region of Cervicodorsal spine.

Initial MRI showing the pus collection ( yellow arrow mark)

MRI pictures done while on treatment (6 months on ATT) after showing significant healing and complete resolution of Pus( yellow arrowmark) in pre and paravertebral region of Cervicodorsal spine.ATT continued.

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