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orthopaedic Orthopaedic Surgery

Benefits of Physical Therapy After Orthopaedic Surgery

Every time someone goes for an orthopedic surgery, you will notice reduced mobility in their body. If we look at the older treatment methods under orthopedic surgeries, the recovery time used to be extensive, but nowadays, the surgeries have become more efficient and reduced complications.

Also, physical therapy has been added to the list after orthopedic Surgery.

Still, most people believe that physical therapy is not essential. If you also think the same, this post is for you, as here we will help you understand the benefits of physical therapy.

How Physical Therapy Helps After Orthopaedic Surgery?

There are several ways physiotherapy helps a person after orthopedic Surgery, let us have a look at some of them:

The first and most significant reason physical therapy is prescribed to a patient after their orthopedic Surgery is to enhance the person’s mobility. With the help of physical therapy, the person can move their body more effortlessly and live an everyday life easily.

Every time someone goes for orthopedic Surgery, they face many pain-related issues. So the second reason that makes physical therapy important after orthopedic Surgery is it helps with pain management issues.

Following all the movements made during physiotherapy could eliminate any development linked with blood clots. However, it is said that if you sit or keep your body in one position for a long time, blood clots usually form, and in severe cases, it can lead to blockage issues.

Most people are unaware of this fact, but because of the trauma of the Surgery, your tissues and muscles weaken. Hence if you want to strengthen them back, then physiotherapy is important.

Even if the patient thinks he is completely fine and doesn’t want to go for physiotherapy, they should also look for therapy, as their body would be able to get more strength to do the work.

With the help of physiotherapy, the patient could get more confidence about his body and movements. Hence if you are someone whose Surgery is completely cured, but you cannot walk or do movements properly then physical therapy is the right option for you.

Do we need Physical Therapy after every Orthopaedic Surgery?

Physical therapy is suggested after almost every Orthopaedic Surgery because with the help of physiotherapy, you can get the motion of your body back, and it also helps with pain relief.

Let us have a look at the list of orthopedic surgeries after which you need physical therapy:

Shoulder Replacement Surgery
Hip or Knee Joint Replacement Surgery
Spinal Surgery
Ankle or Elbow Reconstruction
Rotator Cuff Repairs

There are many more such orthopedic surgeries after which physical therapy is essential.

Conclusion:

If you are looking for the best Orthopaedic hospital in Ludhiana, then Hunjan Hospital is the best option, as they have the best Orthopaedic Surgeon in India

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orthopaedic

4 Orthopaedic Health Problems Which You Thought Were Normal

Do you know even if we are facing a minor headache, our body is trying to tell us something through it? But, people nowadays are considering serious orthopaedic issues as general health issues.

In this post, we will talk about some of the most faced orthopaedic health problems, which are considered generic problems by the people of India. Orthopaedic Surgeon in India usually faces such an issue where they would have to educate their patients about their problem and how serious it can get if not treated.

Let us discuss all those health problems and check if you are facing them.

4 Orthopaedic Health Problems Which You Thought Were Normal

Are you someone who faces lower back pain frequently? If you said yes, we would like to tell you that this is an orthopaedic problem you are facing.

And the worst part is most people are not doing anything to cure it; instead, they are taking pain relievers that do not solve the problem but minimize the pain for a few hours.

Let us discuss all such orthopaedic health problems that were considered normal:

1- Knee Pain:

Generally, knee pain is faced by bodybuilders and athletes or by someone who overuses their knees. But anyone can be affected by knee pain issues, and patients need physical therapy or surgeries in severe cases of knee pain.

If you are facing even a minor issue linked with knee pain, then get in touch with Orthopaedic Hospital in Ludhiana to get treated as early as possible.

2- Lower Back Pain:

Lower back pain is one such issue that is faced by each and everybody with a long-sitting job. And instead of solving the actual reason behind this problem, we start using painkillers, which worsens our overall condition.

If you are facing lower back pain because of no or less physical activity, you should start working out or going for walks. This will surely help.

3- Hamstring Injuries:

A hamstring injury is faced by people who do strenuous physical activities daily and face tears in one of their hamstrings. When we talk about the cure for this issue, one should go for physical therapy as early as possible for better recovery.

4- Arthritis:

Arthritis is the swelling of one or more joints; in such a condition, most people cannot walk, and it’s extremely painful. Arthritis is also hereditary, so if your parents have this issue, there is a high chance that you will have to face this issue as well.

Categories
orthopaedic orthopaedic doctor Orthopedic doctor

Tips for choosing best orthopedic surgeon for your ortho care health

How to choose the best orthopedic surgeon?

Every individual deserves the best healthcare practices!

Health is the greatest treasure of all, without any doubt. But as we age, there’s a need for extra effort and care to take care of yourself effectively; otherwise, the risk of health issues increases with time. Primarily our concern here is about orthopedic problems and on time looking for the best Orthopaedic Surgeon In India.

If someone plays sports or does a physically challenging task, there’s an increased risk of orthopedic problems with age. Therefore, visiting the best Orthopaedic Hospital in Ludhiana on time is extremely crucial to diagnose, preventing, and treating the specific problem on time. Whether your condition requires surgical or non-surgical care, the ortho doctor can tell properly which condition is required.

5 tips to look for the best orthopedic surgeon

Tip 1: Check the ortho surgeon credentials

The orthopedic surgeon’s expertise is extremely crucial to seek the right care at the right time. The board-certified ortho surgeon needs to pass a proper examination to gain the required knowledge and have the commitment to offer the most reliable care. During training, the surgeon gets knowledge regarding the specific body part, technique type, methods used, and other essential factors to perform the surgery in an accurate manner. So, select the surgeon who has enough knowledge and experience to perform the specific procedure with utmost ease.

Tip 2: Don’t neglect the reviews

To ensure that you have selected someone experienced and skilled, it’s important to carefully see the patient reviews mentioned on the website. So, while looking for a surgeon, you need to do enough search on the web. Apart from reviews do get an idea about the:

  • Doctor’s method of giving treatment
  • Used of treatment approach
  • Overall skills
  • Clinic environment
  • Doctor’s skill

The combination of all these factors plays an imperative role in ensuring the patient seeks the desired results on time with utmost satisfaction.

Tip 3: Schedule initial consultation for a better understanding

Once you have found a list of a few good orthopedic surgeons, the next step is to carefully analyze the list. In that case, it’s much easier and more effective to plan everything. When you talk to the doctor face to face, it gives you a better idea about their treatment approach and how they answer your doubts. In case you have difficulty getting the necessary answer, then consider it as a red flag and look for someone else. Scheduling initial consultation allows you to be in a better state and seek the expertise of an experienced orthopedic surgeon.

Final word

Choosing an orthopedic surgeon is an essential part of your healthcare regime. Make the decision with a mindful approach by considering all the given factors mentioned above. Go through the website and schedule an initial consultation at the earliest.

Categories
Bone Health orthopaedic orthopaedic doctor

Get detailed supervision about the orthopedic plates for the well-being

Orthopedic bone plates for better well-being

The bone plates are an essential part of the internal fixation of fractures. The plates allow the bone through the required medical tools when somebody has a fracture. If there’s any concern about which types of plates you need, then you better get supervision from the best Orthopaedic Hospital in Ludhiana.

What are the situations that require the use of bone plates

The need for bone plates is necessary in various cases. The Orthopaedic Surgeon In India checks the situation and tells when to get the same:

  • There’s a need to get the alignment restored precisely.
  • The use of screws on their own won’t be appropriate.
  • The need for load sharing needs utmost precision. A bone graft is considered an important choice if that is not possible.

Some of the body parts that won’t require them to an extreme level are:

  • Jaw & face
  • The Pelvis area includes the area around the acetabulum.
  • Around the joints area where it’s difficult for the joint to get the area surfaced suitably & it might not seem everything as even

Tension band requires specific requirements

For the plate to be in a specific state to be like the tension band, there are a few essential specifications that need to be fulfilled are:

  • Make sure the fractured bone is loaded to its area
  • The plate should be placed on the tension side
  • The tensile forces should stand well with the plate
  • It’s essential to have the proper force and compression to make everything seem better

Most common bone plating

The modes of bone plating fall into different categories, and some of the important ones to keep the structural support right are:

  • Compression Mode
  • Neutralization Mode
  • Buttress plate
  • Antiglide Plate
  • Span Plating or Bridge Plating
  • Tension Band

Choosing a plate means you need to be considerate about the shape and size of the bone. Additionally, the anatomical shape keeps everything in a better and balanced state. With every plate, there’s a need for a different screw. Depending on what sort of fracture due to have and where it’s located, take the necessary further steps. Therefore to make an informed choice, it’s essential that you get the supervision of the best ortho doctor. The doctor will even make changes based on the fracture for the right material of the fracture to make the overall bone health better.

Don’t delay and get medical assistance

The doctor’s assistance plays a crucial role in changing the entire situation for the better. If you have a fracture, then you better get medical assistance on time and get everything effectively managed. Make sure that you ask all the questions that come to your mind to make the entire journey go extremely smoothly.

Categories
Back Pain orthopaedic

Why do people use orthopedic mattresses when dealing with back pain?

Nowadays, back pain is becoming a serious concern in people of all ages. It may severely influence millions of masses daily in the world. The famous Orthopedic Hospital in Punjab says that this may happen when you lift heavy weight, an injury in your spinal cord, awkward movements of your back muscles and bones, etcetera.

Although, individuals try to resolve this issue by taking different types of oral medication treatments and by doing masseuses with various oils that may give relief for a few days or hours and remain the same. During this situation, you have to consult with the Best Ortho Doctor in Ludhiana who will help you to rectify your problem from its root cause and can offer a suitable cure.

Moreover, you may see due to the naughty behavior of children, they always do something exciting and naughty. During these activities, sometimes they get injured, or their muscles may stretch incorrectly. Thus, they begin suffering from bone issues and pain.

Due to injuries, sometimes their tissues may be prone to chronic pain. At this stage, rather than try to cure these situations at your home, you must meet the Child Bone Specialist In Ludhiana, who will find an actual problem and give medicine accordingly.

Define an orthopedic mattress?

The term orthopedic mattress refers to the particular type of cot or mattress specially designed to relieve back pain. It is made with various materials like innerspring, latex, memory foam, etcetera.

It will also align your bad spinal alignment and eliminate joint and back pain. Apart from back pain, it is also helpful for those who are determining the problem of osteoporosis, arthritis, aches, and other bone-related conditions that cause severe pain in your bone locks, etcetera.

Working: When you sleep on a regular mattress or cot, your body may get numerous curves and sinks that may cause severe pain in your back. Thus, we recommend orthopedic beds. Due to the formation of memory foam and latex material, these mattresses are very comfortable and obtain your body shape while laying down on them, whether on the single side or the other side.

These are robust hence confer full support to your body posture while sleeping. Additionally, the firmness of an orthopedic mattress will turn your spinal cord into a straight form so that you will not feel any pain during sleeping.

What benefits will you get from an orthopedic mattress while laying down on them?

  • Relieves from body pain: Your lower back or spinal pain will hide when you get eight hours of regular sleep on these ordinary mattresses. You will not feel that you are sleeping on any concave surface that you may think with another form of bed or cot that leads to pain due to sinks in your back.
  • Better Sleep: You may feel relaxed from your previous spinal inflammation, back pain, and joint injuries. It will help rectify your wrong posture while sleeping, which may cause back pain and joint injuries. It’s definite that when you do not feel pain, you may get good sleep that overcomes your back pain stress.
  • Long-lasting: When you start spending most of your time on an orthopedic mattress, you will automatically feel that you will gradually get rid of your chronic back and joint pain. It will confer a long-lasting treatment to say goodbye to your back pain forever.
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orthopaedic orthopaedic doctor

Why should I consult the local orthopedic doctor for knee and bone health?

Need to Consult a Local Orthopedic Doctor

The orthopedic doctor is trained to diagnose and treat the musculoskeletal problems linked to:

  • Bones
  • Joints
  • Muscles
  • Tendons
  • Ligaments
  • Connective Tissues

Over time when the problem gets worse, the person’s ability to have a high-quality life goes down. Additionally, if your profession demands you to exercise often, play sports, or walk, you have increased chances of getting ortho injuries. The need to visit the Orthopaedic Hospital in Ludhiana increases.

Your local orthopedic doctor gets the necessary training to give you non-surgical and surgical treatment to improve your knee health.

What are the non-surgical treatments for ortho problems?

During the initial visit to the ortho surgeon, your treatment plan includes giving non-surgical care. Especially when the problem is in the initial stage, the non-surgical options work the best. The most effective and successful non-surgical options for ortho problems are:

  • Pain-relief medications

At first, the ortho doctor gives pain relief medications to limit the extent of pain. Just make sure to consult the doctor.

  • Orthotics

Orthotic includes splints, braces, and custom foot inserts to help with your mobility. Getting support makes it easier to have a comfortable walking pattern and won’t lead to excess pressure.

  • Injection therapy

The possible injections are epidural, trigger point, and much more to ease the pain and block pain signals.

  • Physical therapy

The most effective one to help increase muscles strength through different options like:

  • Massage
  • Therapy
  • Electrical stimulation therapy
  • Heat & cold therapy

All in all, the therapies allow to boost the range of motion and bring ease in functioning.

Benefit ortho care through minimally invasive surgery

Your local ortho doctor can also perform minimally invasive surgery to improve your ortho health. The Ortho surgeon in Punjab is well-aware of the latest minimally invasive approach to promoting your knee and joint health.

The ortho doctor can perform the most advanced care for your knee health through robotic knee replacement. The said approach allows surgery with utmost precision and brings comfort to the patient’s health. Being an advanced approach, the procedure even allows the patient at the age of 65 to feel leading relief with knee pain.

The latest and modern treatments have cut down the need for excess downtime and discomfort. The patients can walk independently within 22 days after getting the surgery. Depending on your condition or how many problems you have, the ortho doctor will suggest the best possible approach.

Are you looking for an ortho doctor?

Hunjan Super-Speciality Hospital gives the most effective ortho care through advanced and inventive treatment options to improve your knee and joint health. The doctor will give you the most appropriate care. Tell the ortho doctor everything about your ortho health and seek the most effective care.

Categories
fracture repair orthopaedic

Orthopedic problem: Everything to do with first aid for accidental fracture

Emergency tips for accidental fracture

Orthopedic problems are a very common scenario noticed among patients. All over the world, patients are dealing with ortho-related problems which occur due to different reasons like accidents, falls, or wear & tear with age. At times, there is a situation that a patient needs to get the Knee Replacement in Ludhiana because the impact put on the knee is extremely severe. In this situation, consulting the best Orthopaedic Hospital in Ludhiana is the right way of managing everything and getting the right solution for the ortho problem. One such problem is an accidental fracture that requires First aid (First Investigation Relief Symptom Treatment Arrangement Immediately Disposal).

Do you know?

There are 7 key steps involved in first aid which are:

  • Take better account of the scenario
  • Be careful when you approach the patient
  • Do emergency rescue and get the first aid
  • Patient protection is important
  • Look out for other injuries on the body
  • Prepare the plan on what is needed
  • Do as per the plan (Here you can move the patient)

First aid after accidental fracture

First aid is the way to react better to the emergency. No doubt, fractures are unexpected and they can happen anywhere & anytime. But, that does not mean that till the time you get the medical assistance you need to suffer in that situation only. Before taking them to the emergency room, some first aid measures have to be taken from your end like the ones which are mentioned below.

  • Protect

You need to protect the fractured part so that there is not any sort of additional injury. The fracture area is the upper extremity then give it support through these things (select the thing as which is available): Newspaper, stick, pillow, and you can use a sling made of cloth. Just make sure the dressing is not so tight or it should not lead to any pain. If the person is wearing any accessories, then make sure to remove them right away.

  • Check Blood Circulation

Once you have protected the injured part of the person, you should check the pulse. In case, the pulse is not easy to find then the chances of blood vessel injury are increased. In such a state, the person needs to be taken to the ER so that they get medical assistance on time before any further damage occurs.

  • Apply cold pack

You need to apply the cold pack on the injured area so that the pain & swelling are reduced. Applying the ice will limit the blood vessels as they are constricted. Especially, if there is an open wound then it is useful. You can put the ice cubes in the plastic bag and then apply them to the problematic area.

  • Elevate

The fractured area needs to be elevated to the desired level so that there is no swelling & blood vessels get compressed along with nerves. The blood loss amount will reduce when it is kept at the desired level. Till the patient reaches the hospital it is an important step to carry out.

Categories
orthopaedic

Dietary Advice By Hunjan Hospital – For The Great Orthopaedic Health

The most reputed doctors who carry out Knee Replacement in Ludhiana have emphasized the good quality diet for healthy bones. They have said that if you start consuming a good diet from the beginning, then the chances for you to suffer from deteriorated and unhealthy bones will get lessened even in the progressive age.

A Little Advice

To make it certain that you enjoy good bone health for a long time and even in old age, then visit Hunjan Hospital – The best orthopaedic hospital in Ludhiana, for a regular bone health check-up.

    1. Your bones need calcium

It is the calcium that has the potential to make the bones robust and shock-resistant. So the doctors would suggest you never skip any kind of dairy product unless it interferes with your digestive capabilities.

Did you know?

For good bone health, our body needs about 700mg of calcium regularly.

Sources of Calcium

  • Dairy Products (Milk, Cheese, Fresh Cream, Yogurt)
  • Leafy vegetables (Broccoli, Cabbage, Spinach)
  • Soya beans and Tofu
  • Soya Drinks and other kinds of the plant-based drinks
  • Nuts
  • Fish which provides you with Sardines Pilchards
    1. Vitamin D

It is quite challenging to fulfil the deficiency of Vitamin D from the diet we take. We get most of it from the direct action of the sun.

Did you know?

The body of an adult needs about 10 mg of Vitamin D per day.

Sources of Vitamin D

  • Fishes that have oil in them (Salmon, Sardines, Mackerel)
  • Egg Yolks
  • Fat spreads
  • Breakfast Cereals

Know The Vegan Diet Plan For Healthy Bones

Vegans

Those who are non-vegan fulfils the nutrition demand from dairy products, but vegans incorporate the following in their diet for fulfilling the nutrition:

  • Soya Beans
  • Oat Drinks
  • Pulses
  • Fortified Soya
  • Dried Fruits
  • Rice
  • Sesame seeds

Did You Know?

Excessive Consumption Of Vitamin A Can Make Bone Fractures More Prone.

Is there any evidence?

Since so much research has shown that the excessive consumption of vitamin A makes the bones of the individuals more prone to fractures.

Here are some of the precautions:

  • Do not consume the liver more than once a week
  • Do not intake any kind of the retinol symptoms

Why Do Women With Menopause Start Losing The Power Traits In The Bones?

When menopause is encountered, then the ovaries are also impacted. The oestrogen production is obstructed. It is oestrogen-only which helps to form a protective layer on the bones.

Since no guarding layer is present, the bones start losing their effectiveness.

So no matter whether the woman has encountered menopause or not, she should start consuming good dietary elements. A good diet will keep her away from joint pain issues.

Final Comments!

The dietary advice published in this blog is generic. Visiting Hunjan Hospital in Ludhiana will provide you with individualized advice so that the particular issue which is accountable for causing poor bone health can be targeted.

Categories
orthopaedic Venous Disease

Hunjan hospital ortho doctors discussing the ortho venous disease

Ortho Venous Disease Treatment

Are you diagnosed with Ortho-Venous disease? Do you know what exactly it is? In this blog, the specialist team of ortho doctors from the Hunjan Hospital will discuss this disease. Many of the patients visit our Orthopaedic Hospital in Ludhiana wanting to know about the ortho venous problem. To put it straight, this condition occurs when the ‘Orthopedic and Venous Disease Collide’. It is a neologism (newly coined word).

Patients diagnosed with ortho-problem are at more risk of getting venous insufficiency. In case you have undergone Knee Replacement in Ludhiana or any other ortho surgery, then it is better that you discuss this condition with the doctor. Studies have shown that with this condition a person has a struggle of ache and swelling which even makes it difficult to do the daily work with ease.

Venous insufficiency

Many patients are diagnosed with the condition of venous insufficiency be it large varicose veins, swelling, and discolored legs or the additional symptom of heaviness, cramps & fatigue led to the state of total knee replacement. In this state, the condition is known as ortho venous problem.

Get your veins problem treated before hip or knee replacement

You must be thinking, ‘Why?’ One of the observations has been done on the patients who have vein problems and they got their condition addressed before the knee or hip replacement got better outcomes. It means that the problem of leg swelling & they were able to respond better to physical therapy. So, whether you are planning to get a knee or hip replacement, you should get the post-operative rehabilitation efforts done on time, and this way the post-surgical swelling is addressed properly.

Undergo the preoperative ultrasound

The ultrasound done before time will help to point out whether there is DVT or not. If yes, then it helps to check the:

  • Location
  • Presence
  • The severity of the condition

By understanding all these things, the doctor will be at ease to understand how the treatment plan should be made. For the optimized orthopedic surgical outcome, addressing the vein problem is important.

Get timely medical assistance

In case you are diagnosed with knee, leg, or hip problems along with the varicose vein, heavy legs, discolored skin, or swollen legs, then it is important that you seek medical assistance for both problems. Only this is the approach that will help you be at ease and the outcomes will be the best. So, to get relief from any sort of issue you need to consult the doctor without any delay.

Have trouble finding the best ortho treatment?

Schedule your initial consultation at Hunjan Hospital

Finding the best medical care is important at all and if you are struggling to find it, then schedule your initial consultation with our ortho doctor. Expect nothing but the best treatment for ultimate relief and to put your entire life in a state of comfort. If you have any problem, then schedule your consultation with us to understand better what type of treatment plan can help your condition.

Categories
Joints orthopaedic

Which are the major bone and joint problems associated with diabetes?

Can bone and joint problems occur due to diabetes?’ It is one of the common questions asked by patients when they visit the best Orthopaedic Hospital in Ludhiana. Understand that, if you have diabetes you are at increased risk of getting joint and bone problems. At Hunjan Hospital, many diabetic patients have undergone successful and safe Knee Replacement in Ludhiana to live the better life than they always wished for. In this blog, we have mentioned the bone and joint problems which are due to diabetes.

Most common bone and joint problems associated with diabetes

  • Charcot joint

Charcot joint is also known as ‘Neuropathic arthropathy’. The condition occurs when the joint deteriorates due to nerve damage. In most cases, the feet are affected.

Symptoms of Charcot joint

  • Numbness
  • Tingling sensation
  • Swelling, redness, and warm
  • The affected area can get deformed

Treatment of Charcot joint

Early detection is important to slow down the progression. You should not do weight-bearing activities. The doctor will suggest you use orthotic support for the affected joint.

  • Diabetic hand syndrome

Diabetic hand syndrome makes the person’s hand skin thick and waxy. Due to the syndrome, finger movement is limited. Although, its cause is not known. The chances are more in individuals who are diabetes for a long time.

Symptoms of Diabetic Hand Syndrome

  • Not able to press the play together as flat
  • Not able to extend the fingers

Treatment of Diabetic hand syndrome

  • Keep the blood glucose level right
  • Do physical therapy
  • Osteoarthritis

Osteoarthritis is a type of joint disorder that breaks the joint cartilage. Individuals with type 2 diabetes are at increased risk of getting osteoarthritis, and they are overweight also.

Symptoms of osteoarthritis

  • Joint pain
  • Joint stiffness
  • Swelling
  • Joint movement or flexibility reduces

Treatment of osteoarthritis

Some of the best treatment options are:

  • Exercise regularly
  • Maintain a healthy weight
  • Rest the affected joint & take proper care, as suggested by the doctor
  • Get physical therapy
  • Take medications on time

If the situation gets worse, then the doctor will suggest you knee or hip replacement to lessen the pain and improve your knee mobility.

  • Osteoporosis

Due to osteoporosis, the bones get weak that increases the chances of fracture. Individuals with type 1 diabetes are at more risk of getting osteoporosis.

Symptoms of Osteoporosis

Initially, it does not show any symptoms but as the condition gets advanced it leads to:

  • Stooped posture
  • Loss of height
  • Bone fracture

Treatment of Osteoporosis

You need to follow a healthy lifestyle like do regular walking, eat a nutritious meal filled with Vitamin D & calcium. Take the necessary supplements suggested by the doctor.

  • DISH (Diffuse idiopathic skeletal hyperostosis)

DISH is also known as Forestier Disease. In this condition, the ligaments & tendons get hard that primarily affects the spine. The problem can occur with type 2 diabetes, and insulin-like growth or insulin presence which leads to new bone growth.

Symptoms of DISH

  • Stiffness
  • Pain
  • Reduced range of motion
  • Neck & back stiffness

Treatment of DISH

The doctor will give you the treatment to manage symptoms, and the possible treatment options are:

  • Pain relievers (Tylenol & others)
  • Surgery, in few cases, when the bone grows due to this problem

Consult the best ortho doctor

If you are worried about your bone or joint health, then without delaying a single second consult the best ortho doctor.