MD (General Medicine), Chief Clinical Co-ordinator MRCP Ireland
Interventional Rheumatologist and Immunologist
Member of Association of Physicians of India (API)
Member of Indian Rheumatology Association (IRA)
Listen to a patient's point of view in his journey into Ankylosing Spondylosis. A 26 year old Information Technology professional depicts his story of getting his Low back pain managed under Rheumatologist consultation in Kolkata, India. Surprisingly enough he was diagnosed as a case of Osteoporosis too at the age of 26
Synovial Fluid Replacement Therapy for Knee Osteoarthritis
Knee Osteoarthritis is a dead end degenerative disease of old age and the terminal and gold standard treatment is Total Prosthetic Knee Replacement. Since this surgical porcoess is exorbitantly costly many patients fail to afford it. Synovial Fluid Replacement Therapy is done in patients with Grade 2 to 3 Osteoarthritis of any joint. We depict the video of Synovial Fluid replacement with High molecular Weight Inert Non Newtonian Fluid called HYLAN GF 40 under USG guidance in OPD basis. A Practically painless procedure than can bring change in quality of life. Though costly but around 24000INR per knee is much cheper than 170000INR per knee of Joint replacement.
USG of Sacro Iliac Joint
This is a case of a 40 year old male who was suffering from inflammatory back pain and was HLA B27 Positive, but he was radiologicaly clean. Although, MRI of SI Joints is the gold class diagnostic procedure to look for early inflammatory changes in the sacroiliac joints, Power Doppler USG scan can be very useful in this case. Kindly find that in this patient the Right SI Joint shows Power Doppler Enhancement.
Heel Pain: Terocalcaneal Bursitis
A classical example of management of Heel Pain or Retrocalcaneal Bursitis by injecting Triamcinolone Hexacetanoid ( Steroid ) under USG Guidance giving one time permanent solution to the aching heel.
USG guided injection
at Retrocalcaneal Bursa
Synovial Gel Replacement Therapy in Knee Osteoarthritis: An unbiased experience
Osteoarthritis of knees are best treated with Total Knee Replacement Surgery. This surgery is the most modern therapy and yield the best possible results. In spite of this knowledge and due to the cost factor and some uncertain reasons, people suffering from Knee Osteoarthritis tend to defer the surgery or cannot afford the same.
Synovial Fluid ( Gel) Replacement and Regeneration therapy is emerging as a new modality of treatment where 6ml of Highly viscous artificial High Molecular Non Newtonian Gel Fluid is Implanted under Ultrasonographic guidance into the affected knee joint under regional anesthesia.
This 65 year old lady from Tripura, India gives an unbiased opinion on the results of the treatment she underwent for her knee osteoarthritis.
