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    Shivansh Mehra

    @Shivansh Mehra

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    Latest posts made by Shivansh Mehra

    • RE: How can I lessen the pain after Total knee replacement surgery (TKR)?

      @adina Hello, Your pain should lessen every week. There are many ways you can ease your pain:

      • Go for a walk a few times each day.
      • After activity (exercises or walking) lie down and apply a cold pack to your incision. This can help reduce swelling and pain. Use cold packs several times throughout the day.
      • You may feel some discomfort in your new joint. Raise (elevate) your leg above the level of your heart by placing a pillow under your calf or ankle, not your knee. You can also try massage, aromatherapy, music therapy or other non-medicine ways to relieve pain.
      • Take the prescription pain medicine as directed.
      • Talk to your doctor if your pain doesn’t lessen.
      posted in Bone
      S
      Shivansh Mehra
    • RE: What precautions do I need to take after Total knee Replacement Surgery (TKR)?

      @maheep Hello, After going through a total knee replacement surgery, there are certain precautions which you must take in order to avoid any post-surgery complication or damage and dislocation of your replaced knee.

      • Prevention of blood clots
        There are chances of blood clot formation during the first few weeks of recovery. Therefore, your orthopedic surgeon may prescribe certain anticoagulants like Aspirin and Warfarin to prevent the clot formation. You must complete the anticoagulant therapy as recommended by your doctor. Also, you must stay vigilant regarding any sign of blood clot formation in your treated leg. These signs include: Excessive pain in the calf. Redness, irritation, and tenderness below or above the treated knee.Increased edema swelling in your ankle, calf, or foot. If you suffer from any of these signs, contact your doctor on an immediate basis to get timely treatment.
        Right after your surgery, your replaced joint may not be able to bear your total body weight. Your surgeon will guide you regarding how much weight you can easily put on your knee which won’t cause any damage, injury, or dislocation of your joint. As your replaced knee joint gains strength with time, you’ll be able to put your complete body weight on it without suffering from any harm. However, during the initial weeks, it’s advisable to use a cane, or crutches to walk around. Other instructions regarding proper body posture and physical activity include:
      • Don’t twist or cross your legs.
      • Do sit in chairs which have seats as high as your treated knee.
      • Don’t keep standing for extended periods of time.
      • Don’t keep sitting for more than one hour at a time.
      • Don’t sleep on the body side which had the surgery.
      • Do climb one stair at a time.
      • Do avoid excessive kneeling.
      • Keep up with physical therapy exercises to maintain strong muscles around the knee, which will support the artificial joint.
      • Try to avoid infections. Infectious bacteria enter the body though a cut or wound, major dental procedure (e.g. root canal), or other surgical procedures and eventually reach the artificial knee. An infected artificial knee may require an operation.
      • Follow up with the surgeon regularly. Patients are typically asked to follow up with their orthopedist every year or two to check on the artificial knee. These appointments can help detect problems with the artificial knee before the patient notices symptoms.
      posted in Pre & Post Operative Care
      S
      Shivansh Mehra
    • RE: Exercise after Total knee replacement surgery (TKR)

      @nakul-mehta Hello, The following exercises will help increase circulation to his legs and feet, which is important for preventing blood clots. They will also help strengthen his muscles and improve knee movement.

      • Quadriceps Sets
        Ask him to Tighten his thigh muscles. Try to straighten your knee. Hold for 5 to 10 seconds. Repeat this exercise approximately 10 times during a two-minute period, rest one minute, and then repeat. Continue until your thigh feels fatigued.
      • Straight Leg Raises
        Tighten thigh muscle with your knee fully straightened on the bed, as with the quadriceps set above. Lift his leg several inches. Hold for 5 to 10 seconds. Slowly lower. You also can do leg raises while sitting. Tighten your thigh muscle and hold your knee fully straightened with your leg unsupported. Repeat as above.
      • Straight Leg Raises
        Tighten thigh muscle with your knee fully straightened on the bed, as with the quadriceps set above. Lift his leg several inches. Hold for 5 to 10 seconds. Slowly lower. Repeat until your thigh feels fatigued.
      • Knee Straightening Exercises
        Place a small rolled towel just above his heel so that your heel is not touching the bed. Tighten your thigh. Try to fully straighten his knee and touch the back of his knee to the bed. Hold fully straightened for 5 to 10 seconds. Repeat until your thigh feels fatigued.
        He may experience knee pain or swelling after exercise or activity. You can relieve this by elevating his leg and applying ice wrapped in a towel. Exercise and activity should consistently improve your strength and mobility. In case of any problems, contact your orthopedic surgeon or physical therapist.
      posted in Pre & Post Operative Care
      S
      Shivansh Mehra
    • RE: When is the best time to go back to work after total knee replacement surgery (TKR)?

      @richard Hello, Generally, you can return back to work four to six weeks post-surgery if you have a desk job. You may be instructed to expect a longer recovery time before you return to a physically demanding job.. It could take much longer than the aforementioned if you have other health issues that need to be addressed. Many people who have total or partial knee replacement have very successful operations. It may take 4 to 6 months or up to an entire year to fully recover and realize the total benefits of knee replacement surgery. The following are good indicators that you are ready to get back to work after knee replacement:

      • You’re not dependent anymore on strong painkillers.
      • You have already regained leg strength and mobility to drive yourself to work, take public transportation, or adequately function in case of emergency.
        Before going back to work, do consult your doctor.
      posted in Pre & Post Operative Care
      S
      Shivansh Mehra
    • RE: Does acid reflux cause earache?

      @prashanth Hello, Heartburn and ear pain can both be symptoms of acid reflux. If you experience ear pain from acid reflux, it’s most likely 1 of 2 extraesophageal variants of GERD: LPR or NPR. Heartburn is an uncomfortable burning sensation just behind your breastbone. It’s caused by digestive acid moving into your esophagus, which is the tube between your throat and your stomach. If you have frequent heartburn that interferes with your lifestyle, you may have gastrointestinal reflux disease (GERD). Two extraesophageal variants of GERD are laryngopharyngeal reflux (LPR), also known as silent reflux, and nasopharyngeal reflux (NPR). These vary in sensation within your esophagus and other areas of the throat. LPR and NPR can lead to ear pressure and ear pain, often in the form of eustachian tube obstruction (ETO). Each of your ears has a eustachian tube. This is a canal connecting your middle ear to your nasopharynx to equalize the pressure in your middle ear to the air pressure outside your body. Your eustachian tube connects your middle ear and throat. ETO also referred to as blocked eustachian tubes or eustachian tube dysfunction, is characterized by symptoms such as Ear pain Lifestyle changes like Don’t lie down until 3 hours after eating, Avoid trigger foods, like alcohol, caffeine, onions, fried foods, garlic, and tomato, Eat slowly and thoroughly chew your food, eat healthily and maintain a healthy weight can also help in acid reflux. If you have a recurring earache or experience heartburn often, talk with your doctor.

      posted in Eye & ENT Care
      S
      Shivansh Mehra
    • RE: Can anyone suggest some Remedies to cure eye swelling?

      @utsav Hello, A swollen or puffy eyelid is common. Causes can range from fluid retention to a severe infection. In most cases, the swelling goes away within 24 hours. You can reduce the swelling with compresses, but how you treat a swollen eyelid also depends on the cause. Reasons for your swollen eyelid could be allergies, cysts, or inflammation that spreads to the skin around your eyes. You can treat swollen eyelids at home, especially if they are caused by fluid retention, stress, allergies, or lack of sleep. If those are possible causes, then swelling will often be in both eyes. If your eyelids are painful or tender to the touch, the cause is likely an infection, cyst, or style. It’s important to determine the cause of your swollen eyelid, as treatment options depend on what caused it.
      Here are some remedies-

      • Cool compress- A cool compress can help relieve eye inflammation and soothe irritated skin. Place a damp, cool washcloth over the eyes for 20 to 30 minutes at a time for relief. An ice pack will work as well — just remember to add a cloth buffer (such as a towel) between your eyes and the ice pack to avoid direct contact with skin. Cold cucumber slices and even chilled teething rings have also been used to soothe swollen eyes.
      • Avoid sugar- Too much sugar can cause inflammation throughout the body, including the eyes. Try to cut back on your sugar intake, and you may notice a difference in eyes that constantly appear swollen.
        Seek medical treatment immediately so they can get an accurate diagnosis and antibiotics. Always see a doctor if your cyst, blocked tear duct, or other cause of swelling does not clear up after a few weeks.
      posted in Eye & ENT Care
      S
      Shivansh Mehra
    • RE: Does a migraine attack make my eyes swell?

      @nishchay-verma Hello, Yes, it is quite common to have swelling and puffy eyes during or after a migraine attack. Puffy eyelids are a symptom seen in some people living with migraine disease. This is also called eyelid edema. It is considered a unilateral cranial autonomic symptom which means the symptoms happen on both sides of the head and cannot be controlled by the person. The pain sensors in the covering of the brain are often affected by migraine, and these nerves are related to the autonomic system, which then causes the autonomic symptoms. Migraine treatment should help relieve the symptoms associated with the migraine attack. Several home remedies may also bring relief:

      • Rinse your eyes to make sure there are no irritants in your eyes.
      • Place a cool compress over your eyelids for several minutes.
        However, I would recommend that you see a healthcare provider when the swelling occurs to be sure that it is not from something else, such as inflammation and allergy.
      posted in Eye & ENT Care
      S
      Shivansh Mehra
    • RE: Eye swelling after taking paracetamol. What should I do and how long will it be there?

      @kuldeep Hello, Paracetamol is used to relieve fever, headache, body aches, and pain in general. A swollen face or swollen eyes indicates that you are allergic to paracetamol or ingredients in it. If you experience swollen eyes, face, difficulty in breathing, or itching of these rare symptoms, you should stop taking Paracetamol and see your healthcare professional immediately. A dose of Paracetamol, the active ingredient in, is eliminated from the body within 24 hours in most healthy people. See your healthcare professional immediately.

      posted in Eye & ENT Care
      S
      Shivansh Mehra