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Author Archives: Dr. Rachit Sheth

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Author Dr. Rachit Sheth Categories Knee/Hip Replacement, LifeStyle & Health Tips Leave a comment

Common Causes of Hip Pain in Women

Women tend to experience hip pain more than men. There may be number of different causes of hip pain in women, and detecting the right one is the key to getting the best treatment.

When you visit your orthopedic doctor, the first thing they do is to confirm is it your hip actually causing the problem. Women might say they have hip pain, it could be pain in the side of the upper thigh or upper buttock, or they may be experiencing lower back pain.

Causes of hip pain in women

Hip pain is often felt in the groin or on the outside of the hip directly over where the hip joint (a ball-and-socket joint) is located. Among the most common causes of hip pain in women are:

Arthritis

This is one of the most common causes of hip pain in women, particularly osteoarthritis – the wear-and-tear kind that affects many people as they age. Arthritis pain is often felt in the front of your thigh or in the groin, because of stiffness or swelling in the joint.

Hip fractures

Hip fracture is common among older women especially those with decreased bone density. Hip fracture symptoms include: pain while standing or stretching your leg.

Tendinitis and bursitis

Many tendons around the hip connect the muscles to the joint. These tendons can easily become inflamed if you overuse them or participate in strenuous activities. One of the most common causes of tendinitis at the hip joint, is iliotibial band syndrome — the iliotibial band is the thick span of tissue that runs from the outer rim of your pelvis to the outside of your knee.

Hernia

Pregnant women can be susceptible to inguinal hernias because of the added pressure on the wall of their abdomen.

Gynecological and back issues

Gynecological issues in women can cause hip pain as well so it is important not to just assume that hip pain is caused by above mentioned reasons only.
Similarly pain from the spine and back can be felt around the buttocks and hip, like sciatica, a pinched nerve.

Hip pain treatment for women

Hip pain treatment totally depends on the diagnosis.

Excess weight can put pressure on the hip joint, so losing some weight can provide relief and help you avoid further problems. While some cases may require hip repair or hip replacement.

If you are looking for a hip pain treatment specialist in Ahmedabad, contact for an appointment.

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Author Dr. Rachit Sheth Categories Knee/Hip Replacement Leave a comment

It’s Time for a Hip Replacement Surgery – Are these the Warning Signs?

An ailing hip can make doing the things you love uncomfortable or even impossible. Persistent hip pain could signal something more severe. The symptoms may point to a worn-out hip joint, advanced osteoarthritis, or they might indicate another issue.

Here are some warning signs that it’s the right time for hip replacement surgery.

Pain did not respond to other treatments

You’ve tried these hip pain treatment options and they didn’t give you enough relief:

  • Pain medicines
  • Anti-inflammatory drugs or shots
  • Physical therapy
  • Exercise
  • Weight loss

At one point these conservative measures become less effective and fail to provide relief. When that happens, your orthopedic surgeon may suggest hip replacement surgery.

Daily life isn’t easy due to hip pain and hip disability

Whether you need a hip replacement surgery or not mainly depends on how much your injured hip affects your daily life. Even if you manage the pain somehow, significant hip disability can make your routine tasks difficult or impossible. You may find hard or painful to:

  • Walk
  • Stand up
  • Sit down
  • Bend over
  • Climb stairs
  • Putting your shoes or socks
  • Standing on one leg even with assistance or balance

Your hip hurts also when you are not moving or even while lying in bed.

Joint pain is wearing you down emotionally and mentally

Chronic joint pain can also take a toll on a patient’s emotional and mental well-being. You’re cranky or irritable most of the time, or you have symptoms of depression like:

  • Feel sad or hopeless
  • Lost interest in things you loved once
  • Can’t sleep or sleep too much
  • Feel tired all the time
  • Feel stressed or anxious
  • Put on weight or lost weight

Diagnosis revealed advanced arthritis or significant joint damage

Significant joint damage caused by arthritis or other joint conditions can create inflammation, causing the cartilage to wear away. Without cartilage, there’s no cushion between the bones rubbing together, and they begin to wear down. Advanced cases of joint damage may make surgery necessary.

Hip pain medications started showing up side effects

NSAIDs and other types of pain medication your doctor prescribes are relatively safe when used for a short amount of time. However, side effects can develop with prolonged use, including:

  • Stomach irritation
  • Ulcers
  • Increased risk of stroke, blood clots and heart attack
  • And more

If you’re dealing with adverse symptoms associated with hip pain and damage, it might be the right time that you need a hip replacement surgery.

If you are looking for a hip replacement surgeon in Ahmedabad, contact for an appointment.

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Author Dr. Rachit Sheth Categories Treatments Leave a comment

ACL Injury – What to Know

Overview

Anterior Cruciate Ligament (ACL) is tissue that connects the thighbone to the shinbone, at the knee. An ACL injury is a tear or sprain of the anterior cruciate – one of the most common ways people hurt their knees. This is one of the bands of tissue that holds the bones together within your knee. It also helps to keep your knee stable.

It’s often painful, and can make it hard to walk or put pressure on the injured leg.

How does it happen?

ACL injuries often happen during sports and fitness activities that can put stress on the knee. Most ACL injuries occur during certain sports such as basketball, football, skiing and tennis when they stop and quickly change directions while they’re running.

Causes includes:

  • stopping suddenly
  • receiving a direct blow to the knee or having collision
  • landing awkwardly from a jump
  • suddenly slowing down or changing direction (cutting)

ACL risk factors
There are a number of factors that increase your risk of an ACL injury, that includes:

  • Being female – possibly due to differences in anatomy and muscle strength
  • Sports like soccer, basketball, gymnastics, etc.
  • Using faulty patterns of movements in the sports
  • Wearing footwear that doesn’t fit properly
  • Using poorly maintained sports equipment

ACL symptoms

Many people hear a popping noise in their knee when they get hurt. But it doesn’t happen to everyone. More common symptoms include:

  • Severe pain and inability to continue activity
  • Rapid swelling
  • Loss of range of motion
  • A feeling of instability with weight bearing

ACL diagnosis

Your orthopedic doctor will check your knee swelling and will check both knees to see if the sore one looks different. You may also need some tests to rule out other causes of the ACL injury and to determine the severity of the injury. These tests may include:

  • X-rays
  • Magnetic resonance imaging (MRI)
  • Ultrasound (to check for injuries in the ligaments, tendons and muscles of the knee)
  • Arthroscopy (Your doctor can see what type of injury you have and repair or correct it, if needed)

ACL injury treatment

Treatment of ACL injury depends on how badly you have been hurt. Some of the treatment options your orthopedic surgeon may recommend include:

Basic first aid
If you have minor injury, you may only need to put ice on your knee, elevate your leg or wrap an elastic bandage around your knee.

Medications
Your may be prescribed with over-the-counter medications to reduce swelling or pain.

Knee brace
Wearing brace on the knee when you play sports as it provides extra support.

Physical therapy
To get your knee back in working order.

ACL Surgery
If your ACL is torn badly, your orthopedic surgeon may recommend a surgery that removes the damaged ligament and replaces it with a segment of tendon. This surgery is called ACL reconstruction.

Looking for and ACL injury treatment or ACL reconstruction surgery in Ahmedabad? Drop us a message or call for an appointment.

Author Dr. Rachit Sheth Categories Orthopedic Trauma/Fractures Leave a comment

Broken Femur – Causes, Treatment and Post Surgery Management

Your thighbone (femur) is the longest and strongest bone in your body. Your femur is one of the main bone used to walk. Being so strong it takes a lot of force to break the femur bone, similarly it takes a long time to heal.

How is a femur broken?

A femur fracture is usually caused by a severe accident and vehicle accident are one of the primary causes. The image below shows the types of femur fractures. [image credit: verywellhealth.com]
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Broken femur in elderly is due to a fall because their bones tend to be weaker competitively. Depending on how close to the hip the break is, it may be called a hip fracture instead of a femur fracture.

Other risk factors for a fractured femur

  • Age over 65
  • Deconditioning (loss of muscle mass, muscle weakness)
  • Frailty (general weakness, fatigue, loss of muscle mass and strength)
  • Metabolic bone disease
  • Metastatic (widespread) cancer
  • Osteoporosis
  • Participating in extreme or contact sports
  • Tendency to fall

Symptoms of a broken femur

  • Immediate severe pain
  • Can’t put weight on the injured leg
  • The injured leg appears to be shorter than the uninjured leg
  • injured leg appears to be crooked
  • Inability to move the affected leg
  • Numbness or tingling
  • Muscle spasms

Broken femur treatment

The majority of broken femurs require surgery and medication. Treatments for a fractured femur are based upon realignment of the fragments of the broken bone so that healing can take place.

Surgery – The most common surgery for a broken femur is called intramedullary nailing. This surgery inserts a rod into the length of the bone with screws above and below to hold it into place.

Medication – Before and after surgery, your doctor may help you manage your pain with over-the-counter and prescription medications.

Non-surgical treatment – It is unusual for femoral shaft fractures to be treated without surgery. Very young children are sometimes treated with a cast.

Management of broken femur post-surgery

Most femur fractures take 3 to 6 months to completely heal. While some take even longer, especially if the femur fracture was open or broken into several pieces or if the patient uses tobacco products.

Your orthopedic surgeon will most likely suggest physical therapy which helps to strengthen the muscle around the bone.

A broken femur will definitely have a major impact in your life, but it is only temporary. Femur fracture surgery is routinely effective and typically people are able to heal completely and can return to normal life.

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Author Dr. Rachit Sheth Categories Knee/Hip Replacement Leave a comment

Answers to Common Questions About Total Knee Replacement Surgery

Knee replacement surgery shouldn’t be taken lightly rather it is a major event in the life of every patient undergoing surgery. Dr. Rachit Sheth, an orthopedic surgeon in Ahmedabad with an expertise in knee replacement surgery, explains what you need to know about the procedure.

The need of knee replacement surgery

The need for a knee replacement surgery is the need to improve one’s quality of life. When you have a gnawing pain and discomfort that affects your quality of life on a regular basis you need surgery.

When cartilage inside the knee joint starts to break down, a person may begin to experience pain. If you have tried all other forms of non-operative treatment including lifestyle changes, medications, physical therapy and injections, and you have no relief from the pain, it might be the right time to think about knee replacement surgery.

An orthopedic surgeon will carry out a thorough examination and make a recommendation. It might also be beneficial to get a second opinion. When you are recommended a total knee replacement surgery, you will have a lot of questions. Here, we’ve tried to address the most common questions about total knee replacement surgery.

Common Questions About Total Knee Replacement Surgery

To make a consultation appointment with Dr. Rachit Sheth, drop us a message or give us a call.

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