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Who wants to be cut opened if non-surgical treatments can cure

– not even the surgeons.

 

TRAINED DOCTORS

Artery Clearance Therapy

(ACT) / Chelation Therapy

With ACAM(USA) Protocol

Technical know-how

&

Training from

ARTERIAL DISEASE CLINIC,

London and Manchester (UK)

---------------------

External Counter Pulsation (ECP)

Technical know-how & Training from

World leaders - CANTON (China)

---------------------

Stone Management / Lithotripsy (ESWL)

Technical know-how & Training from

Teaching Department of Direx Ltd, Israel

 

 

 

DISCLAIMER

 

 

All 'peaceful', non-invasive,
non-surgical methods should be
tried before going in for
traumatic risky procedures."
   

Dr.Rajah Vijay Kumar

who made it possible.

 

Cytotron is intellectual property
and is protected under a
Patent Cooperation Treaty
application.  It remains the
only device in existence to
use nuclear resonance for
in-vivo tissue engineering.

----------------------

Dr.Kumar should be awarded the Nobel Prize for inventing Cytotron and putting Quantum of electromagnetic energy to use for the benefit of humanity. He has made possible what Albert Einstein had written over a hundred years back.
                                   - Dr.Sibia

- - - - - - - - - - - - - - - - - -

Revolutionary Treatment

Arthritis patients now need not be in pain or have knee replacement.

Why Cytotron?
Focused beam regenerates and repairs cartilage.

Why it is a breakthrough?
Almost all patients treated are pain free, can walk, climb stairs and sit on floor.

How are results documented?
X-rays and MRI shows increased cartilage.

- - - - - - - - - - - - - - - - - - -

:: KNEE ARTHRITIS - F.A.Q's  ::  
Patient's
Experience
Presentations In News F.A.Q's
On This Treatment
About Cytotron

 

Some questions others have asked

 

How is the treatment done?

The affected joint (knee) is placed inside RFQMR machine and the desired exposure characteristics (like the cartilage to bone gap, skin to cartilage distance, Name, age, gender, height and weight etc.,) are fed into the computer, the computer then computes various wave front and spin frequencies, pulse amplitudes, field strength etc., there after the operator precisely focuses the beams with the aid of LASER guides and the subject's MRI. The treatment is given for 30 to 60 minutes daily for a period of 21 days uninterrupted.

The patients do not feel any pain or discomfort during the treatment, all parameters are periodically measured on the body surface.

The patients are evaluated by x-rays, MRI, Dynamometry and human engineering, in the beginning of the treatment and after 3months, to assess the sustained effect.

 

Will my insurance company pay for the Cytotron treatment?

Many insurance companies have paid the patients for Cytotron Therapy and we see no reason for any insurance company not to pay the treatment expenses. However as each insurance company has its own rules it is best to consult your insurance agent. We provide all necessary genuine documents required for this purpose.

 

Will my employer / office / pay for the Cytotron treatment?

Many government, public sector undertakings and private offices have reimbursed the expenses borne by the patients and we feel there is no reason for them not to pay for the treatment. However as each employer / office has its own rules it is best to consult your rule book or the concerned authority. We provide all necessary genuine documents required for this purpose.

 

Can I combine my treatment with pleasure, pilgrimage or family visit?

Yes. As you are required to attend the hospital for only half an hour a day for twenty one days you can use your spare time as you wish for sight seeing or shopping. Ludhiana being an industrial city you may even enhance your business by utilizing this opportunity of being in Ludhiana. By adjusting the treatment time it may be possible to visit the following:

Historic Gurdwaras like Gurudwara Manji Sahib at Alamgir,

Maharaja Ranjit Singh War Museum,

Phillaur Fort and Ludhiana Fort

Punjab Agricultural University Kisan Mela and Rural Museum

Kila Raipur Rural Olympics, Chappar Mela.

Cities near Ludhiana can be visited on week ends:

*           Amritsar - Golden temple, Durgiana Mandir, Wagah Border.

*           Chandigarh,

*           Shimla

*           Macleod Gang – The headquarter of the Tibetan Government and abode of His Holiness   

                 The Dalai Lama.

 

Is any other medication required during the treatment?

No medication is required during the treatment. How ever nutritional supplements and vitamins are required as nutrition for the growing cartilage cells/

 

Do you advise any physiotherapy – if so what are the charges?

Yes, we advise physiotherapy consisting of simple exercises. As arthritis weaken the muscles due to their disuse or under-use exercises are essential part of the treatment. We provide supervised exercises in the hospital without any extra charges. Supervised physiotherapy can be arranged at the hotel / residence at an extra charge of Rs.200/- per day for Indian patients and at USD 10/- per day for international patients..

 

How many joints have you treated?

We have treated about 200 joints. (Updated on 21.09.2006)

 

Can rheumatoid arthritis (Rheumatoid Factor positive) patients be treated with Cytotron?

We have treated rheumatoid arthritis patients successfully enabling the patients to be off pain killer drugs and improved deformity. The initial results are good and time will tell how long the good effects will last.

 

Is not Knee replacement a good option?

We feel all surgery should be avoided as far as possible. All surgery has risk to life and this one single reason is enough to consider Cytotron a better option than joint replacement.

Furthur no surgery is successful in every patient. A failed surgery can cripple a patient for life and there is no other option left for the patient.

The life of the artificial joint is limited and a second replacement is less successful and lasts less.

Cytotron cannot be done in replaced joint.

 

What if RFQMR fails?

In the rare patient where RFQMR fails either next higher harmonic of RFQMR can be tried or knee replacement can done.

 

How long will the effect of RFQMR last and what after that?

RFQMR is a new technology and it is not possible to accurately predict the duration of benefit of RFQMR therapy. Like with knee replacement, bypass surgery, angioplasty stenting or any other therapy the duration of benefit depends on various factors known and unknown – hence varies from patient to patient. We guess that it should last for 5 to 10 years or more. Even if there is recurrence after a few years RFQMR can always be repeated or as a last resort knee replacement can be considered.

 

What exactly is Tissue Engineering?

Tissue Engineering is the field of altering, modifying, controlled reproduction and controlled regeneration and degeneration of biological tissue. Using Tissue engineering techniques, today it is possible to regenerate dying tissues and organs inside the body, grow new blood vessels, heal wounds or fix an adamant fracture, grow new cartilage or even teach a few lessons to cancerous cells that go into a multiplication spree.

 

How is Tissue Engineering being done at Sibia Medical Centre?

We utilize Cytotron which is the world’s first Rotational Field Quantum Magnetic Resonance (RFQMR) Generator to achieve this. We have the latest second generation RFQMR generator, that looks like a MRI machine, to produce high power multi frequency rotating quantum electromagnetic resonating beams from 288 special RFQMR guns with an aperture of 120 mm, that are precisely focused to the target area of repair. (The first generation RFQMR generators had only 96 guns and an aperture of 40mm.)

 

What are the future applications of RFQMR?

In future, RFQMR can prove effective as a non-invasive solution in the treatment of Osteoarthritis, relieving pain and disability due to trauma, temporo-mandibular joint disease, tinnitus, peridontal disease, carpal tunnel syndrome, osteoporosis, tendonitis and convalescence following surgical repair of ligaments, fresh bone fractures in elderly, aseptic necrosis, fibromyalgia, sciatica, post-polio syndrome, migraine, metatarsalgia, acute burns, immune deficiency disorders, drug resistant epilepsy, diabetic neuropathy, herniated disk, problem wound healing, Stimulation of Angiogenic Growth Factor and promoting Coronary and peripheral pro-angiogenesis and retarding the Angiogenic Growth Factor to promote Anti-Angiogenesis in Cancer, degenerating and destroying tumors, by cellular apoptosis (programmed cell death)

 

Another possible application of QMR could be Electroporation. Electroporation involves directly applying QMR pulses of millionths of a second duration and field strength of 100-1500 volts per centimeter to living cells. These pulses cause nanoscopic pores to open up through the cell's membrane. When the pulse stops, the pores close again, trapping the drug or DNA inside the cell. Electroporation can be carried out by applying the QMR pulses either directly to the target tissue to be treated in a living organism, or to cell suspensions and isolated organs. This application of QMR may go a long way, as it will open up the potential for new approaches to medical problems where successful treatment depends on finding ways for the therapeutic molecules to reach the cell interior. This includes - among others - treatments such as cancer chemotherapy, the delivery of DNA for gene therapy and DNA vaccines, the delivery of drugs for treating cardiac and vascular problems as well as the treatment of the eye disease. After more studies are completed, many other potential applications such as the treatment of haemophilia and other genetic defects or the treatment of cardiovascular diseases and the prevention of atherosclerosis can be explored.

  

What is the Principle of RFQMR in Tissue Regeneration and Degeneration?

The cellular mechanisms and processes involved are complex, RFQMR works on the principle of altering cell membrane potential and "Jamming" the "Command and Control" of the target tissue cells, by altering the proton spin in the inside and outside the cells.

 

How does RFQMR work in Tissue Regeneration of the cartilage?

Like other tissues, bone and cartilage are constantly being built up and broken down by a variety of metabolic and physical influences. The major stimulus for bone and cartilage formation is a signal generated when these structures are subjected to tension or compression. This explains why bone atrophies in the absence of any significant pressure, such as weightlessness during space travel or immobilization in a cast. The transmission of this signal is also impaired following joint injury due to trauma or diseases such as osteoarthritis. QMR is designed to characterize and reproduce the required signal that initiates these regenerative activities by the induction of a spin in the hydrogen atoms thus creating a streaming potential in the extra cellular matrix (ECM) when bone or cartilage are placed under a load.

 

In other words, when you take a step, putting weight on the joint, the cartilage is compressed, the fluid gets displaced, and it carries with it mobile ions, the sodium ions, leaving behind the negatively charged proteoglycan carboxyl and sulfate ions. This generates an electric potential because you have "unneutralised" negative charges. This is called a streaming potential. RFQMR can recreate this streaming potential and its restorative rewards in joints impaired due to disease or trauma even though they are at rest.

 

How does RFQMR work in Tissue Degeneration of the tumour?

In Degenerative RFQMR, like in the application of destruction of the tumor in a cancer patient, it is thought that the chromosomes, following the messages received as a result of the variations of potential (-70 to -90mV normal, -40 to -60 when infected, -20 to -30 in cancer and 0 when dead) in the cytoplasmic membrane, activate through electromechanical effects (stress responsive), the emission of messages by the genes that regulate cell dynamics for normal cell functions or for the mitochondrial activities for ATP production.

 

It is supposed that the excessive production of ATP is related to an alteration of the glycoproteinic sensors present on the mitochondrion membrane with consequent lowering of the impedance that in turn does not discriminate between the signals in frequency and activates the production of ATP in an almost continual way. The cancer cell would therefore go into mitosis due to the excess of ATP. RFQMR fields are used to act on the mitochondrial membrane, increasing the impedance of the glycoproteinic sensors through the lengthening of the polyglycidic chain. The spin of the RFQMR field is used to interfere with the communications between the genes and the protoplasmic glycoproteinic complexes involved in the promotion of cell mitosis.


By this the impedance of the mitochondrial membrane to the messages coming from the genes increase with the RFQMR treatment and with increase in the malignancy (the highest impedance for undifferentiated tumors). This is related to a greater alteration of the sensors of the undifferentiated tumors and therefore to their greater predisposition to the bond with polyglycidic chains. The undifferentiated cancer cells, because of the high impedance induced on the mitochondrial membrane by the RFQMR treatment, it stops producing ATP and therefore 'possibly' enter into apoptosis. Following the treatment the differentiated cancer cells have an impedance which is still sensitive to some messages coming from the chromosomes promoting the normal production of ATP, so these cells change their state of mitosis; however, they continue to live in a quiescent state (vegetative form of life). The normal cells are not influenced by the RFQMR radiation treatment as the impedance of their mitochondrial sensors is not modified and remain sensitive to messages that arrive from the chromosomes for the activation of the ATP synthesis.

 

Are you treating Cancer patients at Sibia Medical Centre?

We are presently not treating cancer patients but are likely to do so in future.

 

 

New non-surgical osteoarthritis treatment

Now knee joint cartilage can be regrown by QMR based Bio-electronic Tissue Engineering with Cytotron Therapy. QMR regenerates degenerated cartilage and relieves chronic pain and disability of Knee non-invasively with multi-frequency rotating quantum electromagnetic resonating beams. Many knees can be saved from knee replacement surgery.

 

What is the mechanism of RFQMR Tissue Engineering (Regeneration and Degeneration)?

QMR produces high power multi frequency rotating quantum electromagnetic resonating beams that can be ‘focussed ‘ on the site required to be treated.

 

What is the Principle of RFQMR in Tissue Regeneration and Degeneration?

Rotational Field Quantum Magnetic Resonance (RFQMR) technology utilized highly complex quantum electromagnetic beams in the sub-radio and near-radio frequency spectrum. The beams are precisely controlled and focused onto tissues to alter the proton spin inside and outside the cells therein generating streaming voltage potentials. This alters cell membrane potential and "Jams" the “Command and Control" of the target tissue cells stimulating cartilage growth.

 

What is the method of treated?

The affected joint (knee) is placed inside QMR machine.

The desired exposure characteristics (like the cartilage to bone gap, skin to cartilage distance, Name, age, gender, height and weight etc.,) are fed into the computer. The computer then computes various wave front and spin frequencies, pulse amplitudes, field strength etc.,

There after the operator precisely focuses the beams on the required site. The treatment is given usually for 30 to 60 minutes daily for a period of 21 days.

The patients are evaluated by x-rays, Ultra-sound scans, etc in the beginning of the treatment, after 21 days and once again after 30 says, to understand the sustained effect. The Subjects do not feel any pain or discomfort during the treatment, all parameters are periodically measured on the body surface.

 

Cytotron treats osteoarthritis of knee and other joints by tissue Engineering with Rotational Field Quantum Magnetic Resonance (RFQMR) and is on the cutting edge of medical technology as a non-invasive, non-surgical alternative to Knee replacement surgery with prosthesis.

It has been developed by Scalene Cybernetics and Centre for Advanced Research and Development at Bangalore by Dr.Rajah Vijay Kumar and clinically tried at the Institute of Aerospace Medicine (a Ministry of Defence of India) by Wing Commander Dr. Vasistha at Bangalore. The equipment is also being used at Sibia Medical Centre, Ludhiana in Punjab and at Jamnagar.

Other than treatment for OA patients having pain, swelling and deformity it has successfully been tried in Rheumatoid arthritis and Cancer management.

It may be a better alternative to physiotherapy, magnet therapy, PMF, acupuncture, accumassage, stem cell therapy and knee replacement. 

It is safe and has no harmful radiation.

It has been extensively written about by The Hindu, Times of India, Hindustan Times, Business Line, Tribune, Punjab Kesri, News week, Week, Red Herring, etc

Cytotron, an Indian invention and international patent being applied for may bring India in the forefront of Tissue engineering to treat arthritis, cancer, diabetes, etc.

 It is the treatment that should bring India on the forefront of Medical Tourism by out sourcing patients from world over specially Non-Resident Indians (NRI).

 

In which types of arthritis is RFQMR applicable?

The RFQMR treatment has been mostly applied to osteoarthritis patients on the clinical trials. Mostly conditions related to a damaged or deteriorated cartilage responds best to RFQMR treatment. Although positive responses has been noticed on patients with Rheumatoid arthritis, the long term success of this improvement is currently unknown in such patients as there is a risk of immune cells attacking the freshly regenerated cartilage.

 
There is no direct effect of RFQMR on ligaments, meniscuses or thorn muscles. However once the joints condition is improved with treated cartilage further benefits can be obtained with the help of physiotherapy where the strength of the muscle groups can be improved.

Currently the RFQMR can be applied on both knees, or hips, or shoulders, or elbows.

 

What is the effect of RFQMR on cartilage and the overall condition of the joint?

In patients responding the treatment, there is a noticeable reduction in pain and improvement in mobility after 10-15 sessions. By the end of 21 sessions most patients should be free of pain and not requiring any pain killers. There is a significant improvement in joint mobility. Even patients who can hardly walk a few steps or those who are bedridden may walk longer distances without pain. But yet the overall efficacy is based on several factors including other conditions that may affect the joint.

The regenerative effect of RFQMR on cartilage is expected to continue once the treatment period is over. The 21 day sessions are required to initiate the regeneration process by increasing the membrane potential of the cells to a level where command and control center can issue orders for cell division.
During the clinical trials measurable regeneration has been observed on MRI scans 90 days post treatment period and this situation continues even nine months after the treatment is over. As a result continual improvement is expected for a considerable time frame. 

 

How does the RFQMR arthritis treatment process takes place?

In order to determine the suitability of the RFQMR treatment we need to obtain a dossier that contains personalized information of the patient such as age, sex, weight etc, the diagnosis and the prognosis of the disease based on previous investigations, therapies applied and the outcome, the current situation of the patient with detailed symptoms, and test results and a CD in DICOM format that contains the diagnostic images such as MRI, CT Scan, X-Ray etc. There will be an initial evaluation of the patient, and if RFQMR is applicable there will be a further appointment with our doctors to discuss the terms and expected outcomes of the treatment.

Prior to the treatment the MRI of the area where treatment will be made is taken and will be fed to the Cytotron system. Afterwards based on the condition of the cartilage there will be a dose planning. The therapy will take place as a continuous 21 day sessions of 30 minutes each.

 

Is Cytotron Therapy safe? Does RFQMR beam have any side effects ?

The Cytotron has a safety certificate from the DRDO, Ministry of defence, Govt. of India. Over the last 3 years no significant side effect has been noticed in the  300+ patients that participated in the clinical trials. In very few patients minor issues such as temporary redness itching has been observed. The patient does not feel anything during the treatment.

RFQMR does not utilize the ionizing, thermal, destructive radiation of the upper side of the electromagnetic spectrum such those used in radiotherapy including X-rays or gamma knife that may also adversely affect the healthy cells. The non-ionizing, non-thermal radio frequency waves utilized in RFQMR has been safely used in thousands of electrical devices for more that 100 years and the MRI technology that has been utilized to precisely focus the rays on the application area has been in wide spread use for more than 30 years.

 

Can you give the names and address of patients treated by you ?

The Code of Ethics Regulations, 2002 of the Medical Council of India notified on 11th March, 2002 that “The registered medical practitioner shall not disclose the secrets of a patient that have been learnt in the exercise of his / her profession” Hence it is not proper to divulge the information provided by the patients.

Only details of patients who permit us for the same can be shared. These are available in the testimonial section.

 

Is Cytotron Therapy available in Europe?

Yes, Cytotron Therapy is available in Cyprus in East Europe. More details of this centre are available on website www.cytotron.com.

 

How do I reach Sibia Medical centre?

Ludhiana is located in the heart of Punjab – one of the most prosperous cities of India.

 

Air Links:
International links:
* Raja Sansi Airport at Amritsar (200 Km from Ludhiana)
* Indira Gandhi International Airport, New Delhi (300 Km from Ludhiana)

 

The Domestic airports nearby are:
* Airport at Chandigarh (90 Km from Ludhiana)

* Raja Sansi Airport at Amritsar (200 Km from Ludhiana)
* Palam (Domestic) Airports New Delhi (300 Km from Ludhiana)

 

Rail / Road Link:
Situated at Grand Trunk Road (GT Road) Ludhiana is well connected by rail and road with all parts of the country and with Pakistan.

 

Reaching us in Ludhiana:
From Railway Station:
Get off on Civil Lines / Rakh Bagh side > Fountain Chowk > Atam Marg (also called Cemetry Road) > Turn right after petrol Pump > Sibia Medical Centre is on the left side on this road linking the Atam Marg with Dayanand Road.
 

From Bus Stand:
Bharat Nagar Chowk > Fountain Chowk > Atam Marg (also called Cemetry Road) > Turn right after petrol Pump > Sibia Medical Centre is on the left side on this road linking the Atam Marg with Dayanand Road.

 

If you still have any problem give a call at 0161-2444818 or 98140-34818 and we will guide you how to reach us.

 

Do you want to help someone you know who has osteoarthritis knee / joint?

Sent this page by email to him or email us his address so we can send him this information.

 

COMMON ARTHRITIS QUESTIONS

How common is osteoarthritis?

Osteoarthritis is the most common form of arthritis affecting one out of eight people between the ages of 18 and 79. According to Arthritis Foundation, approximately 16 million Americans suffer from osteoarthritis, three times as many women as men. Osteoarthritis has increased recently due to sedentary lifestyle as people walking less, are more over-weight, eat fast food, junk food etc and are not keeping the muscles toned by doing quality exercises. so they are bound to suffer from knee disorders which is simply gravity and weight leading to wearing-out of cartilages. Also more osteoarthritis is seen due to increase in awareness and life expectancy, and increase in treatment modalities.

 

At what age does osteoarthritis occur?

Most common age for osteoarthritis is after 60-65 years and this is a normal course of events like losing hair or getting grey hair. But when it occurs in the late 40's or early 50's, then this is due to bad lifestyle.

Osteoarthritis due in some cases may occur at a much earlier age.

 

How does Osteoarthritis occurs?

Cartilage contains fluid and elastic tissue, and functions to reduce friction as the joint moves. It acts as a shock absorber and as the sliding surface that covers the ends of bones. Osteoarthritis results from chemical changes in the cartilage that cause it to break down faster than it can be produced.

Knee starts degenerating with age which is more when there is extra weight, diabetes. gout, autoimmune diseases, etc. Gradually the smooth and shiny cartilage between the two bones of the thigh and leg starts wearing out and the bone strikes bone and this leads to a lot of pain and stiffness, especially early in the morning. There is stiffness in the morning and patient requires to take a few steps before he can walk properly.

Previous infection of the joint may predispose to osteoarthritis by altering the chemical makeup of cartilage. The weakened cartilage causes it to wears out due to which bone rubs against bone. ultimately leadings to osteoarthritis and increased bone density, which may result in bones that are less able to absorb impacts and to protect cartilage from trauma.

 

What causes Osteoarthritis?

There is no known cause of osteoarthritis. The following make one more prone to osteoarthritis:

* Age – With age parts of the body wear out including the cartilage. By 50 years age, there is 90 percent chance of having change in the cartilage. After 65 years age most show X-ray evidence of osteoarthritis. However, with modern stresses osteoarthritis is seen in all age groups.

* General wear and tear on the joints.

* Sports such as jogging, tennis and skiing

* Specific joint injury

* Joint disease like rheumatoid arthritis, Gout and congenital defects.

* Hypermobiles or highly flexible people.

* Genetics may influence cartilage makeup.

* Extra body weight affects the weight-bearing joints such as the hips, knees and spine causing osteoarthritis in them.

* Repeated minor injuries or a single injury to a joint, may change the cartilage or joint structure.

* Repeated stress on a joint like repetitive squatting, kneeling, or heavy lifting.

* Unusual metabolic or endocrine conditions, such as excess body iron (hemochromatosis) or overproduction of certain hormones, can lead to cartilage changes and osteoarthritis.

* Defects in joint development or growth can accelerate cartilage loss at a younger age.

* Post-menopause Estrogen deficiency in women.

* Vitamin D deficiency.

 

What are the symptoms of Osteoarthritis?

* Pain and stiffness in the joint – initially after exercise, latter constant

* Grating sound due to cartilage wearing away

* Loss of mobility may occur

* Warm and swollen joint

* Deformity of the joint

 

What are the tests for Osteoarthritis?

X-rays, MRI / CT, Dynamometry, Goneometry, Blood tests help diagnose osteoarthritis.

Researchers are still trying to develop test to detect the breakdown of cartilage.

 

What other conditions cause knee pain and can they be recognized?

 

SYMPTOMS

POSSIBLE DIAGNOSIS

Knee pain, swelling or deformity after injury

Fracture or torn ligaments

Tenderness over the kneecap

Fracture or bursitis

Knee swollen and filled with fluid. Difficult to walk.

Torn cartilage, torn ligament or chondromalacia patellae

Tenderness or pop behind knee

Torn hamstring muscle

Grinding in joint and possible locking of joint

Torn cartilage

Fever with swollen red joints

Rheumatic fever or infection bone

Other knee or joint red and swollen

Rheumatoid arthritis,  prepatellar bursitis or gout

Knee become tender over months or years

Overuse or arthritis, such as osteoarthritis

Swelling in the back of the knee

Baker's cyst

Pain and swelling knee at 12 to 18 years age

Osgood-schlatter disease

Knee pain below 18 years age

Knee pain due to hip problem

 

What is the prognosis of Osteoarthritis?

This depends mainly on which joints are affected, how serious it is and how much care is taken of the joint. Earlier the treatment is started the more active life a person can live.

 

What treatments are available for O.A.?

Till now there was no known cure for osteoarthritis. The treatments available were:

·         Decrease the pain with medicines, Herbs and Heat or cold applications

·         Supportive measures like Weight loss, Rest, Nutrition / food supplements

·         Assistive devices to make life easier.

·         Exercise and Paraffin bath etc

·         Surgical treatments for severe Osteoarthritis with significant loss of cartilage. These include :

-          Arthroscopy for pain relief or to fix the joint

-          Osteotomy to correct joint deformity

-          Arthodesis to immobilize joint by fixing bones

-          Joint replacement for severe joint deterioration

Surgery for osteoarthritis is usually considered a choice surgery unless patient is unfit for surgery. However it may need several months of rehabilitation after surgery and an artificial joint may only last for 10 to 20 years when it may wears out and need repeat surgery.

 

What should one do to decrease the chance of degeneration of the joints?

One must exercise regularly, keep weight in check, if diabetic ensure that it is controlled and if there is any other disorder like rheumatoid arthritis it must be treated properly. Most important is to avoid postures causing repeated straining and injuring the joints.

How common are knee problems? Are these increasing with our day-to-day lifestyle?

Knee problems fall into two categories. Those due to injuries and those due to degenerative process i.e. wear and tear with age or due to causes like gout & diabetes or disorders which involve joints.

With increasing life expectancy and change in lifestyles knee problems are being seen more and more. There is also an increase in awareness, easier approach to doctor and an increase in treatment modalities. Every second person at some stage or the other of life is likely to suffer from knee problems.


What exactly happens in degenerative conditions of the knee reasons? What are the typical symptoms that person experiences like pain, and how is the degeneration triggered off?
When the knee starts degenerating with age, increased weight, diabetes or other diseases like gout and autoimmune diseases, gradually the smooth and shiny cartilage between the two bones of the thigh and leg starts wearing out and the bone strikes bone and this leads to a lot of pain and stiffness, especially early in the morning. You need to take a few steps as your muscles wake up and then you start feeling better.


Are lifestyle problems actually creating these degenerative problems?

Sedentary lifestyle is the single most important cause. People are not going for walks, they have excessive weight, eat fast food, junk food etc. They do not keep the muscles toned and are not doing good quality exercises and hence are bound to suffer from knee disorders which are simply gravity and weight leading to wearing-out of cartilages.


Is there a particular age group that suffers the degenerative kind of knee problems?
Degenerative problems are usually seen after 60-65 years and this is a normal course of events like losing hair or getting grey hair. But when degenerative problems are seen in the 40's or 50's or earlier, then this is due to bad habits like increased weight, not exercising and stress or strain of daily life.

Wills a person with an active lifestyle and controlled weight never have a knee problem?

No, he may still have it but the chance of it is much lesser. This is because the genetic factor also plays a role and that is something we can't fight. There is a genetic preponderance so that if a father and grandfather have had degenerative arthritis, the chances of the son having it is more.


 If there is genetic preponderance what can one do on a daily basis to stay away from such problems?

One must exercise regularly and keep weight in check. If one is diabetic sure that diabetes is controlled. If there is any other disorder like rheumatoid arthritis, it must be treated properly. It is important to avoid those postures where there is repetitively straining and injuring the joints.

 
What is gout?

Gout is an autoimmune disorder with production of an enzyme which is reduced so that the uric acid level increases in quantity. The uric acid crystals settle around joints, usually at the big toe causing swollen, inflamed, painful big toe. It can also deposit on cartilages around the ears. Symptoms like pain can occur in other joints also.

 
Is there a treatment for gout?

Yes. Fortunately the treatment of gout is largely medical. In the initial stages medicines alleviate the symptoms. Surgery is required only if the patient has waited so long that the joint is totally destroyed.


My mother is a diabetic patient for the last few years has pain in both the knees and can't walk. She has taken a lot of treatments but nothing has helped. She is overweight too. So I wanted to ask what is the solution for this?

By the description I suspect that by now her joints must have become arthritic and worn out, so X-rays would show a lot of degeneration. If it does, in that case Cytotron Therapy should help regenerate the cartilage again. The other alternative is surgery. Of course controlling the diabetes and reducing weight will enable better treatment results.

But if the X-rays are fine and its only local pain, then simple exercises and physiotherapy should help.


I am 43 years old and have knee pain that has just started. The knee is slightly stiff. How can I prevent further deterioration? Do I need lifestyle changes & exercise or should I wait so that the problem gets better or should I show it to an expert and let him decide?

You probably should get a little more active and learn specific knee exercises which we call the quadriceps exercises from a good physiotherapist. If it is does not get better with that, then you must see an orthopedic surgeon.

 

How ever if the onset was due to travel, squatting or sitting cross legged in a religious ceremony you can wait for a few of days and not worry immediately.

 

But if it came on after an injury or if onset was sudden and there is swelling, pain, redness or fever, it could be due to an infection and needs immediate expert opinion.

 

My age is 40 years and I am basically fit. I go to the gym frequently for couple of hours. When on the treadmill on a high speed, my knees pain.

If it is a hard surface and you are jogging on it, the cushion between your leg and the thigh bone in the knee may have become impacted with the force against which your foot strikes the ground. You should slow down the speed at which you are on the treadmill and, perhaps in the beginning, reduce the time that you spend on it. Gradually increase it and, in addition, before any such activity you must warm up. If pain persists try Cytotron Therapy.


What is rheumatoid arthritis and does it have a treatment?

Rheumatoid arthritis is very different from degenerative arthritis. Rheumatoid arthritis is more common in women than in men and the entire joint gets destroyed. The disease starts between the age of 20 and 40 years and affects all parts of the body including many organs. It is not limited to one joint and is a polyarthropathy mainly involving the knee, the hip, finger joints and in a few years time the patient gets completely crippled. It is a serious problem. The treatment consists of correct diagnosis as the result of the treatment depends on how quickly it is recognised. If recognized in the early stages and the patient has only stiffness, then it is easy to treat the patient even medically.

 

I have been advised knee surgery. I suffered a knee surgery four years back. The doctor says I need surgery if I want to go in for sports activity, please advise.


I suppose what we are referring to is either a cartilage or damage to a ligament inside the knee. The cartilage is called the meniscus and if it is torn or the ligament in the knee called cruciate ligament are torn, then these days very good surgery can be performed by a keyhole technique or so called arthroscopy. Cytotron can also give very good result non-operatively. Definitely you can go back to sports.

 

 

 

 
 
 

 

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