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Understanding Osteoporosis and Rheumatoid Arthritis with Dr. Shankar Sanu

Dr. Shankar Sanu, an experienced medical professional with an MBBS, MS, and a Fellowship in Arthroscopy from FASM (Korea), emphasizes the importance of understanding osteoporosis and rheumatoid arthritis.

Rheumatoid Arthritis (RA)

Rheumatoid arthritis is an autoimmune disorder that primarily affects the joints, leading to inflammation, pain, and potential joint damage.

Common Symptoms Include:

  • Joint swelling and tenderness
  • Morning stiffness lasting more than 30 minutes
  • Fever and fatigue
  • Loss of appetite

Treatment and Management Options:

  1. Medications:

    • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): For pain relief.
    • Disease-Modifying Antirheumatic Drugs (DMARDs): To slow disease progression.
    • Biologic Agents: Target specific components of the immune system.
  2. Physical Therapy:

    • Customized exercise regimens to improve joint function and reduce stiffness.
  3. Lifestyle Changes:

    • Maintaining a healthy weight to reduce joint stress.
    • Incorporating anti-inflammatory foods into the diet.

Osteoporosis

Osteoporosis is characterized by weakened bones, increasing the risk of fractures. Symptoms may not be noticeable until a fracture occurs, but they can include:

  • Gradual height loss
  • A stooped posture
  • Frequent, unexpected bone fractures

Treatment and Management Options:

  1. Medications:

    • Bisphosphonates: To prevent bone loss.
    • Hormone Therapy: Particularly for postmenopausal women.
  2. Nutritional Support:

    • Adequate intake of calcium and vitamin D.
    • Engaging in weight-bearing exercises to strengthen bones.
  3. Preventive Strategies:

    • Implementing fall prevention measures to reduce fracture risk.

Knee Replacement as a Last Resort

Dr. Sanu advises that knee replacement surgery should only be considered after exploring all other treatment options, including lifestyle changes, physical therapy, and conservative management strategies. It is essential for patients and healthcare providers to work together to evaluate the pros and cons of surgery and determine the best course of action.

Dr. Sanu's goal is to empower patients with knowledge about these conditions and their management, enabling them to make informed decisions regarding their health and treatment options.