Tag: Rheumatology

ARTHRITIS TODAY IS AS TREATABLE AS DIABETES: EXPERTS AT ASSOCHAM’S ILLNESS TO WELLNESS SERIES

New Delhi: The Associated Chambers of Commerce and Industry of India (ASSOCHAM), one of the apex trade associations of India concluded the fourteenth edition of the ‘Illness to Wellness’ series themed ‘Preventive and Curative Measures for Bones and Joint Pains During Winter & COVID–19’. The event saw an expert panel of rheumatologists invited to hold an informative dialogue on challenges faced by patients suffering from pain in bones and joints, finding the right exercises and activities to elevate their pain and the importance of reaching out for treatment.

Supported by the hygiene brand SAVLON, the programme which promotes healthy living with focus on wellness and preventive health through healthy habits, diet, exercise, and holistic health saw the speakers actively engage on the importance of right medication and treatment to control and prevent pain for arthritic patients.

Speaking on how arthritis may not have a cure just like diabetes or hypertension, Dr. P. D. Rath, Director & Head of Department, Rheumatology, Max Super Speciality Hospital, Saket Smart, New Delhi emphasised how science has now ensured that arthritis is treatable. “When we suffer from an autoimmune disease, it is important that we don’t run away from it. We should face it and treat it. Today, with the kind of treatment we have, arthritis is as treatable as blood pressure, thyroid or diabetes. In our country, we have drugs that are at comparably cheaper and effective. So, patients should be confident enough to pursue treatment,” he said. Calling arthritis, a multifactorial disease, he listed some of the common factors behind arthritis like genetics, stress, infections and others.  He also added, “Don’t manage arthritis on your own with pain killers. They can only provide temporary relief, but they will not address the underlying disease. In cases of dangerous arthritis this can be life threatening.”

Highlighting the wide prevalence of joint-related diseases in adults and not just seniors, Shri Anil Rajput, Chairperson, ASSOCHAM CSR Council said, “It is a well-known fact that a healthy mind lives in a healthy body and certain medical conditions like diabetes, obesity and hypertension need to be well controlled to have better immunity against all types of infections. Bones and joint pains are no longer a disorder that affects only elders, rather, these health conditions have trickled down to adults as a result of lifestyle choices. Acute or chronic trauma, degenerative changes and the wear and tear of joints and joint structures over the time are the common causes of major bone injuries and health conditions. To prevent this, a healthy ecosystem and environment is a prerequisite. Taking multivitamins and other healthy foods is important, however, not enough to boost immunity alone. Experts are stressing on the need to spend at least 30 minutes a day doing regular exercises and taking brisk walks.”

Taking the discussion further, Dr. (Lt. General) (Prof.) Ved Chaturvedi, Senior Consultant, Rheumatology, Sir Gangaram Hospital, New Delhi, spoke of the importance of ensuring right dietary supplements to prevent bones and joint-related diseases. “Calcium and Vitamin D are two of the most recommended supplements by doctors and specialists. In women, calcium supplement post 45 years of age, during menopause is crucial. You roughly require 1-1.5 gm of Calcium daily. Growing children too need it. Vitamin D has also emerged as one of the most recommended supplements because it can help immune systems, nerves, muscles,” he said.

The experts further agreed that patients should focus on increasing dietary intake of required supplements as opposed to taking them in the form of pills unless suggested by doctors. Tablets should only be used for those for whom dietary intake may be difficult due to allergies and other reasons. For calcium, the most recommended form was in milk, curd and cheese. Omega 3 found in fish and flax seeds was another was recommended as a must have element in daily diet due to its anti-inflammatory properties.

Commenting on the best course of action to eliminate joint pains during winters, Dr. Maninder Shah Singh, Senior Consultant, Chief Foot & Ankle Services, Indian Spinal Injuries Centre, New Delhi said, “The most effective way to reduce joint pain during winter is keeping active through brisk walks and exercises such as running and cycling. Those who are elderly and have pre-existing joint problems may opt for simple stretches to avoid stiffness in joints. Yoga and warm baths are particularly effective. Keeping your body warm is also very important, especially around joints using gloves, scarves, thermals and warm boots. Spending just 30 minutes or 2% of a day exercising can go a long way in keeping our body healthy as we all have only one body for our entire life.”

Dr. Rajesh Kesari, Founder and Director, Total Care Control acted as the moderator of the event and raised pertinent questions before the panellists to guide the discussion into a strong knowledge-sharing webinar. His smart manoeuvring of the discussions helped reap health foresights from the veteran rheumatologists.

Rare Disorder keeps 25-year-old Rewari female bed-ridden for 1 year, revived successfully

Rewari: 25-year-old Rachna Devi, from Rewari, who got bed ridden last year due to a rare disorder was successfully treated at Fortis Hospital, Gurugram. The patient is now completely back to her daily routine without any complications.

Since January 2018, when Rachna started developing swelling and rashes throughout her body, gradually lost her ability to walk within 2 months. Upon various consultations at multiple Hospitals (even in Delhi) were not seeming to ease her complication. By this period, she completely got bed-ridden and was completely dependent on her family for support.

Since her condition was not even diagnosed, what she is suffering from, she was referred to Fortis Hospital, Gurugram by her relatives. On presentation she was diagnosed with Dermatomyositis, an uncommon inflammatory disease marked by muscle weakness and a distinctive skin rash. It is a form of arthritis where the joints, skin, muscles, and lungs can get inflamed.

Arthritis, known in common language as Gathiya, usually refers to pain, inflammation and swelling in the joints. It can affect one or multiple joints together. Dermatomyositis is one of the most uncommon types of arthritis. It can affect your lungs, skin, muscles, and eyes. The symptoms of dermatomyositis can appear suddenly or may develop over time. The most common signs and symptoms include skin changes, muscle weakness and swelling.

“When I saw the patient, she had red rash all over her face and body and had swelling in the complete body. She could barely walk, eat, or sit for a long period. I examined her and found that all the muscles were swollen, and she could barely lift her legs and hands. Various diagnostic tests revealed abnormal levels of CPK, Aldolase with high liver functions that confirmed this to be a case of dermatomyositis. Being a rare condition, her skin and muscle inflammation had gone undiagnosed initially, and hence her situation worsened to become bedridden. “said Dr Naval Mendiratta, Consultant, Rheumatology, Fortis Memorial Research Institute, Gurugram

The patient was administered and monitored with a combination of injections and tablets under her medication course for over 1 month in the hospital. With gradual response of medication and now recovered completely, the doses were reduced and now after one year, most of her medication have been stopped.

“During her last visit for routine follow-up, it was difficult to tell if she was the same female last year who was bed ridden. Due to her undiagnosed condition, she was almost on the verge of collapse and not treating her on time would have led to repercussions that would have been irreversible. It is important to note that arthritis is treatable provided you reach your rheumatologist on time.” added Dr Naval.

Mrs. Rachna Devi, the patient said, “In January 2018 I started to have fever and vomiting which did not go away from the medicines. I was hospitalised at a local hospital in Rewari for 8 days where instead of getting any relief, my symptoms started to worsen. During that period my body started developing rashes all over that was unbearable. Since then I had been trying to consult the expert doctor in local as well as in Delhi for over 2 months, when I noticed that my body had almost swollen to one-third of my actual size.  I could barely eat or stand.  Whatever I ate, would come back through my nose. My ears started to release water. I was totally dependent on my family to even use the restroom. I had lost all my hair in my entire body. After two months of suffering, my relative referred me to show at Fortis Hospital., Gurugram. After I met Dr Naval, he was sure of his diagnosis and after taking medicines for 2 months I started to see improvement. My swelling had gradually decreased; I stopped vomiting and could eat on my own. My rashes also improved and have now disappeared. After taking the medicines continuously for 6 months, I was back to my normal life. Earlier my children used to see me in pain and cry, now I can play with them like before. I cannot thank Dr Naval enough for what he has done for me. He has given me my life back.”