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Post Covid Bone Death

    Bone Death/Avascular Necrosis of femur is the death of bony tissue of head of femur due to loss of blood supply to the head of femur which forms the “ball” component of the ball and socket joint of the hip.
    You might be having Bone Death if
  1. Unexplained pain in hip
  2. Painful restriction of hip movements
  3. Difficulty in squatting or sitting cross legged
    The normal hip joint is a ball and socket joint with congruent surfaces moving in all directions. Because of Avascular Necrosis, the head of the femur gets flattened and loses it’s normal sphericity. So now we have incongruent surfaces rubbing over each other and causing pain.
    It has been seen in post Covid patients in whom steroids were used in excess because steroids are known to compromise blood supply to the head of femur. This results in bone death of head of femur.
    You will need to get Xray and/or MRI done. MRI pics up very early stages of Avascular Necrosis which cannot be seen on Xray.
    In early stages, when the spherecity of head is maintained and head has not collapsed, surgery to restore blood supply, like core decompression can be done. Once the head has collapsed and the movements are restricted, hip replacement is the only option.

For more information, contact your nearest Orthopaedic surgeon or call us at 020-25883678


What is an ENT specialist? What Does an ENT Doctor Treat?

An ENT specialist (ear, nose, and throat specialist) or an Otolaryngologist is a physician who specializes in the treatment of conditions of the ears, nose, throat, and associated structures of the head and neck. 

Ear Treatment

The treatment of ear problems is the specialty of the ENT specialist. This comprises medicinal and surgical therapy for hearing problems, ear infections, balance disorders, facial nerve or cranial nerve diseases, as well as care of congenital (birth) and malignant outer and inner ear disorders.

Nose Treatment

One of the major skills of an ENT specialist is in the care of the nasal cavity and sinuses. An ENT’s field of specialty includes the management of nasal cavity, paranasal sinuses, allergies, sense of smell, and nasal respiration (breathing) problems, as well as the outward look of the nose.

Throat Treatment

Expertise in addressing illnesses of the larynx (voice box) and the upper aerodigestive tract or esophagus, including problems of the voice, respiration (breathing), and swallowing, is also unique to the ENT specialty.

Head and Neck Treatment

An ENT specialist is qualified to treat infectious illnesses, tumors (both benign and malignant/cancerous), facial injuries, and facial abnormalities in the head and neck area. They conduct both aesthetic and reconstructive plastic surgery.

A well-trained ENT specialist is well-versed in all of the organs and physical structures of the head and neck area. Almost all ear, nose, and throat specialists treat adenoidectomies, tonsillectomies, nosebleeds, earaches, hearing loss, dizziness, hoarseness, and sinus illness on a regular basis

An individual’s practice will be influenced by the physician’s credentials and preferences, as well as the requirements of the community. In addition to delivering the finest inpatient care, the diverse difficulties of the specialty provide for a choice of path.


Back Surgery: Types, Recovery, Risks, and Benefits

Every day, millions of individuals across the world suffer from back discomfort. The reasons can be different: injury, disease or harmful daily routine like sitting all day in front of the computer playing buster blackjack. Are you among those people? If yes, this piece will help you determine if back surgery is appropriate for you by going through the many types of surgery available, the recovery duration, and the risks and advantages of each. 

Types of Back of Surgery


Spinal fusion is the permanent joining of two or more bones in your spine. It can alleviate pain by increasing the stability of a spinal fracture. It is sometimes used to relieve uncomfortable motion between vertebrae caused by a deteriorated or damaged disc.


The bone covering the spinal canal is removed during this operation. It is utilized to alleviate nerve pressure caused by spinal stenosis by enlarging the spinal canal


This procedure includes removing the herniated part of a disc in order to alleviate nerve discomfort and inflammation. Diskectomy generally entails removing the rear section of a vertebra (lamina) to reach the ruptured disc

Artificial discs

Artificial discs are a therapeutic option for spinal fusion for uncomfortable movement between two vertebrae caused by a deteriorated or damaged disc.

Recovery from the Surgery

Back surgery might result in significant post-operative discomfort. It would be beneficial to consider pain relief alternatives in the days and weeks following surgery. It is essential to discuss these options with a pain management expert who can explain the benefits and drawbacks of each option.

Risks of Back Surgery

Most patients who have back surgery experience few, if any, issues. Because it is performed closer to the neurological system, back surgery has a higher risk than other types of surgery. Healing time might vary depending on the type of surgery and your pre-surgical health.

Paralysis and infections are among the most significant of such risks.

Benefits of Back Surgery

Radicular discomfort, or pain radiating from the back to the legs, arms, or hands, is the most prevalent sign that may suggest the need for surgery. This is sometimes followed by numbness or heaviness, as well as lack of bladder control, all of which indicate a compressed nerve.

Over the last decade, surgical and imaging equipment and procedures have advanced dramatically, allowing surgeons to conduct back and spine surgery with very small incisions – frequently less than one inch – and tiny cameras and surgical instruments. This greatly decreases blood loss, muscle, nerve, and blood vessel damage, surgical complications, discomfort, and scarring.


Chronic Kidney Disease Treatment

Chronic Kidney Disease, you say? The Renal Project™ brings you some vital information on Chronic Kidney Disease Treatment. The what, the why and the how of it.

Understanding Ckd & Esrd

Chronic kidney disease (CKD) is the gradual loss of kidney function which causes lasting damage to the kidneys that can get worse over time. If the damage is extreme, the kidneys may stop working. This is called kidney failure, or end-stage renal disease (ESRD). In India estimated 3 Lakh patients are added each year who need dialysis. Nearly 2.5 Lakh kidney patients die due to unavailability or unaffordability of dialysis. Since Kidney transplant is rare, risky and only 5% are able to get it, dialysis becomes a lifeline for kidney patients in countries like India. When kidneys fail or stop functioning, dialysis or a kidney transplant is needed as method/s of chronic kidney disease treatment, in order to survive. Kidneys are responsible for filtering wastes and excess fluids from the blood, which are then excreted in urine. When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in the body. 

What Are The Symptoms?

How will you know that you have CKD in order to prevent it in time and save the effort for chronic kidney disease treatment? The build-up of wastes to high levels makes one feel sick constantly. It may also lead to a variety of complications like high blood pressure, anaemia (low blood count), weak bones, poor nutritional health and nerve damage. Not just that! If not tended to kidney disease also increases risk of having heart and blood vessel disease. CKD could stem from diabetes, high blood pressure and other disorders and hence needs a wholistic well-being in order to be avoided. Its early detection and treatment often helps keep chronic kidney disease from getting worse. If left neglected, kidney disease progresses to kidney failure, which requires dialysis or a kidney transplant to sustain life, as mentioned earlier. Some other common symptoms include itching, muscle cramps, nausea and vomiting, lack of hunger, swollen feet and ankles, excessive or unnaturally less urination, breathlessness and/or sleeping issues. If unable to detect in time the kidneys may stop functioning suddenly called acute kidney failure, under which circumstance the noticeable symptoms include abdominal (belly) and back pain, diarrhoea, fever, nosebleeds, rash/es and/or vomiting.

How Is Ckd Detected?

The only ways to know about the level of functioning of kidneys and whether you require chronic kidney disease treatment is to get tested for some renal specific tests like the eGFR (estimated glomerular filtration rate) test which is a blood test to estimate the level of creatinine in the blood. Creatinine is a type of waste which the body produces and releases into the blood thereafter getting filtered out by the kidneys.A high level of creatinine in blood, signs that the kidneys are having trouble filtering blood. If the eGFR is < 60 for 3 months/more, it indicates a kidney disease. Another test a potential kidney patient may be asked for is a simple urine test to see if there is blood or protein in the urine which could be a sign that the kidneys are not working efficiently. Another simple test indicative of kidney disease could eb a Blood Pressure (BP) Test which indicates how hard the heart has to work to pump blood. A high BP can cause kidney disease, but kidney disease can also cause high BP. A normal blood pressure is less than 120/80 (120 over 80).

How Can A Ckd Patient Be Treated?

To a huge extent the chronic kidney disease treatment depends on the stage of CKD. In some cases, when detected at an early stage, the symptoms may be reversible however if it remains undetected till a later stage the damage caused to the kidneys by CKD is usually permanent and irreversible. It can be tried to keep the kidneys as healthy as possible for as long as possible and prevent further damage. Possible ways to do that would include controlling the blood sugar in case of diabetes, keeping blood pressure under control, following a low-salt and low-fat diet, exercising at least 30 minutes on most days of the week, maintaining a healthy weight, avoiding smoking or using tobacco, preventing/limiting alcohol usage. Having a scheduled diet plan almost always help in keeping high blood pressure, diabetes & weight gain in check. The calories, proteins, fats & carbohydrates must be monitored before consumption with higher levels of protein rich food in your meals and minimal to no sodium, phosphorus & potassium-based food products. This would mean that consuming different types of non-vegetarian food, apples, kidney beans, paneer, cauliflower, onions etc. would be a good idea for a CKD patient. However, usage of salt, cheeses, dips, sauces & junk food could lead to kidney damage directly or indirectly. Other foods to avoid would be items like coconut, banana, mango etc. CKD patients should also always remember to keep their fluid consumption highly restricted as per consultation with your doctor. Prescribed medicines alongside all forms of precaution can help enhance efficiency of chronic kidney disease treatment. For cases of end-stage chronic kidney disease treatment, the usual procedures include kidney dialysis and kidney transplant. In case of the dialysis as a method of end-stage chronic kidney disease treatment, the procedure artificially removes waste products and extra fluid from the blood when the kidneys can no longer do it. In haemodialysis, a machine filters waste and excess fluids from the blood. In peritoneal dialysis, a thin tube (catheter) inserted into the abdomen fills the abdominal cavity with a dialysis solution that absorbs waste and excess fluids. After a period of time, the dialysis solution drains from your body, carrying the waste with it. However, in case of the kidney transplant method of chronic kidney disease treatment, a healthy kidney from a donor is surgically placed into the recipient’s body. Transplanted kidneys can come from deceased or living donors. Prescribed medications will be a must for the rest of the life to prevent the body from rejecting replacement organ. Dialysis is not required to have a kidney transplant.

For further information and to know what treatment is right for you go to our website www.therenalproject.com or call us on +91-9560786456

Overcoming PCOD as a Pregnancy Obstacle

Overcoming PCOD as a Pregnancy Obstacle

PCOD a common disease affecting modern woman is considered to be a major reason for female infertility. Polycystic Ovarian Disease is characterized by enlarged ovaries with multiple cysts developing on them. The disorder is known to intrude with the natural ovulation process and when this is coupled with an excess production of estrogen and androgen hormones, it causes infertility.

PCOD and Pregnancy

The presence of PCOD does not make pregnancy impossible; it makes it more difficult. With an appropriate diagnosis followed up by an effective treatment procedure, the condition can be overcome successfully. Many infertility clinics in operation today, unfortunately, lack of quality, in terms of skill as well as infrastructure, messing up the procedures. And that is what sets Shashwat Hospital where every case of the disorder is treated individually with a treatment plan designed to cater to the specified needs of the patient.

IVF treatments are known to be one of the best options for a successful pregnancy for those affected by PCOD. Shashwat Hospital has a best in class team of specialists including doctors and highly skilled embryologists who are well versed in the different technologies of ART (Artificial Reproduction Technique). The rate of success achieved for the treatment at the hospital speaks for itself. Mostly 1 in every 10 women suffer from PCOD, it is very important to seek necessary treatments at early stages itself, let us check some of the symptoms of PCOD

  • Irregularity in menstrual cycle
  • Dark patches on skin in the neck or arm areas
  • Abnormal obesity
  • Abnormal growth of unwanted hair
  • Oil skin and increased presence of acne 
  • Increased hair fall

PCOD cases can be treated with the help of weight loss techniques, medications or surgical procedures where ovulation is restored by removing the cysts through laparoscopic procedures. The treatment plan might consist of options such as ovulation induction and IUI as well. However, they are specifically dependent on the individual treated.

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