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Dear Doctor,
Please find the Joining details of the live surgery workshop on Tips & tricks of intertrochanteric Fracture nailing by Dr. B.Shivashankar (President, IOA)
Date: 5th Sep’2021
Time: 10.00 AM to 1.00 PM
Platform: Life-size video conferencing
Join the meeting from Chrome Browser: https://call.lifesizecloud.com/10505423
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See you at the Event!


The outbreak of the Covid-19 has changed lives for the worse. It has affected physical as well as emotional health significantly and has also affected mobility in many ways. For people who are affected by health issues such as arthritis, it is especially important to care for their health. These are some of the most important ways of management of joint pain at the time of Covid-19 lockdown. According to eminent Orthopedist Orthopedic Surgeon Dr. Joydeep Banerjee Choudhury of the Joint & Bone Care Hospital (JBCH Hospital), these are some of the best ways to manage joint pain during the lockdown.

Work out

When there is an insufficient amount of physical movement, it affects the muscle mass in the body directly. This also had a very negative impact on the metabolism, causing a rise in weight – which puts the joints under strain. You need to work out regularly, or on most days of the week, in order to keep your body fit. When you keep your body weight under control, it can keep the joints and muscles fit.


You can carry out simple exercises every day at various times, so as to make your body move and stay fit. It is a good idea to perform yoga and other simple exercises. You might also work out on equipment such as exercise cycles or treadmill, which can be set up even at home, although these can be difficult if you suffer from arthritic conditions.


Maintain a proper physical posture

Also, you have to pay proper attention to the body posture. Avoid actions such as bending or slumping from your waist, and straighten your body from your knees. As Dr. Joydeep Banerjee Choudhury says, one needs to maintain your physical posture as one work on a PC, use a mobile phone, watch TV, read books etc.


You have to sit on a firm chair at all times while carrying out the above activities. If you do these in a lying down posture, it can reduce blood circulation in the body and affect your posture very badly. If you suffer from back pain problems due to bad posture, you can perform stretching and yoga. These can be useful for you in making your joints and muscles much stronger.


Do not lift heavyweights

Avoid pulling or lifting heavy objects at home or weights at the gym. If you suffer from cervical spondylosis, you always need to care for your neck. It is important to move the neck from time to time, for proper movement, and prevent jamming of the muscles located therein.


Follow a proper diet

The lockdowns have helped curb bad diet and bad foods habits for many, for lack of the same as well as for fear of reducing natural immunity. It is essential for you to follow a good diet that can boost your bone health and benefit the muscles all over your body. Avoid the consumption of aerated drinks, spices, sweets, carbohydrates and oily foods. You should consume plenty of water, nuts and fruits to stay healthy and fit at home.


You must have heard of knee replacement. It is a popular orthopedic process where a patient’s knee joint is surgically removed and replaced with some prosthetic component. In the last few years, the number of patients for knee replacement surgery has increased in India. Thus, it clearly shows that this surgical procedure is gaining success and people have started growing faith in it. Now, there are two categories of knee replacement surgery –

  • Partial Knee Replacement
  • Total Knee Replacement


Some people have completely damaged knee joints that cannot be repaired. The complete damage can be due to some injury or degenerative disease. Such patients require total knee replacement to get relief from pain, better motion and healthy life. After surgery, patients have to follow some guidelines and need some modifications to a healthy lifestyle. They should avoid rigorous physical movements for a few weeks in the post-surgery period.

There are three types of total knee replacement:

  • High flex total knee replacement

High flex implantation gives better motion and allows a person to perform activities such as, kneeling, squatting, climbing stairs.

  • Oxinium total knee replacement

Prosthetic components in knee replacement are usually made of metal which gradually undergoes wear and tear thereby loosening the upper surface. To reduce this wear and tear, oxidized zirconium is used in Oxinium implant and this turns out to be the best option.

  • Revision total knee replacement

As you can understand from the name itself, it is revision surgery where an existing prosthetic joint or a portion of it is replaced. This process is quite similar to primary surgery of total knee replacement. In case of chronic infection also, revision surgery is done.


In some patients, a small portion of the knee joint gets damaged and hence, it is no use replacing the whole knee. Partial knee replacement is the right treatment for them. In this surgery, the damaged portion of the joint is replaced with some new prosthetic component. In this joint surgery, doctors make a cut on the knee for accessing the damaged bone and affected joint. Then, a small plastic or metallic component is placed in that place.

Now, how to know whether to go for partial knee replacement or total knee replacement. Only an orthopedic doctor can decide this after careful examination of the damaged knee and the extent of its damage. Therefore, it is very important to examine all opinions and get in touch with some specialist prior to deciding anything.


People often suffer from several types of bone pain. But, most of them are now aware of the cause of the same. A proper diagnosis from the orthopedic surgeons will state the actual causes of bone pain. Let us explore the top 5 possible causes of bone pain in people belonging to any age group.


  1. Osteoporosis

Osteoporosis is a bone disease that is characterized by an increase in bone density of weak bones. The change happens with the changes in lifestyle and diet. The type of change that causes this bone disease is the loss of bone mass, the progression of the bone fracture, the presence of other bone diseases like arthritis, fibromyalgia, etc. At times, there can be other contributing factors like injury to the bone, systemic diseases such as cardiovascular disease, hormonal diseases like hypothyroidism, etc. People suffering from this bone disease can exhibit the following symptoms:


  • Weakness and stiffness in the low back and the spine
  • Bony lump or pain on the lower back
  • Nerve pain in the upper back or hip
  • Sharp pain in the front of the neck
  • Skin breakouts and peeling on the low back
  • Weight loss

If you suspect yourself to be suffering from these bone diseases, then consult a bone doctor immediately as the early diagnosis is the key to recovery. You will need to give up your healthy life until you recover from this condition.


  1. Lumbago and Inflammatory Bowel Disease

Lumbago is a condition in which the sacroiliac joint becomes swollen due to a compression of the facet joints by the sacrum. Inflammatory bowel disease is another reason for bone pain. Excessive pressure causes rheumatoid arthritis, fibromyalgia, irritable bowel syndrome, psoriatic arthritis, etc. These problems in the joints of the spine cause patients to suffer from spine pain. The symptoms of these diseases are the same as the ones given above. If you think that you suffer from these conditions,


  1. Fractures (Breaks)

Breaks in bones occur due to accidental impact. People have weak bones and they tend to break bones easily. Even if they don’t hit a solid object, the impact causes friction. This can cause the bones to break. According to the study conducted by the Orthopedic Journal of Sports Medicine, almost 40 per cent of the over 12,000 sports injuries that are reported to the National Athletic Trainers Association in the USA are due to fractures. So, it is always advisable to take care of your bones by wearing appropriate shoes and


  1. Bone Cancer

This is one of the rarest types of bone pain but is more serious. If you have symptoms like pain in the bones of the legs and the back, fatigue, rashes in the legs, numbness and tingling in the arms or the fingers, then it can be referred to as bone cancer. The normal healing time in such cases is two years but cancer can recur after two years. The other cause of this type of bone pain is the presence of cancer in the bones.


  1. Arthritis

This is a common type of bone pain that occurs due to damage to the joints. The condition is very common and is present in almost half of the people suffering from osteoporosis. This happens due to the presence of Osteoarthritis in the joints of the spine. It is due to inflammation of the joints, the consumption of alcohol, obesity, or the prevalence of obesity in the community. According to the study conducted by the Journal of Orthopaedic Research, 87 percent of the postmenopausal women had some form of osteoarthritis and 50 percent had full-blown osteoarthritis. Osteoarthritis is treated with joint replacement.


Exercise is always good for health and neck movement is not an exception. But, excess neck movement may lead to neck pain and stiffness in the neck. After a lot of overexertion during the physical work, you can observe the pain and stiffness in your neck.

How to prevent stiff neck?

You should follow these simple steps to prevent a stiff neck from physical work:

  • Go for an hour’s rest every hour.
  • Do some stretching.
  • Try to take a longer break from the excessive neck movement.
  • Keep the body in an upright position for the recommended time.

Can you take certain medication to treat a stiff neck?

1. The stiffness and pain in the neck is a natural reaction of the body after an hour of physical work.

2. It happens when the ligaments and muscles tend to separate. The body follows a sequence of symptoms when the ligaments are stretched. These include soreness, tightness and pain.

3. The natural antidote for stiffness is rest.

4. First, you need to treat the pain and then think about stretching. If you have been overexerted or under-exerted, you can try these exercises at home:


Some exercises to treat neck stiffness

  1. Neck Tweezing.

As an adult, the neck can be stretched by placing your chin on a flat surface. Start by pulling your head back by twisting your neck. You should not twist your neck too hard. Make sure that you do not cause any damage. Relax your neck for a few seconds, and then lift it back by relaxing your muscles. Make sure that you don’t lift your head up while lifting your chin.

  1. Standing Tweezing.

Use a pair of tweezers. Use the tweezer to gently tug on your neck. This helps you to stretch your neck without putting any pressure on the neck.

  1. Neck Exercise:

The neck muscles need to be strong. The exercise can help you to strengthen your neck muscles. Do these exercises for 10 minutes twice a day for 2-3 weeks and you will feel the change in the neck.

Other ways to treat stiff neck from physical work:

Do not ignore the pain and stiffness

If you do not feel any change in the symptoms, it is better to wait. Rest it in bed for an hour or so and then, try to stretch the neck without pressing the neck. Take a long walk. Get a good night’s sleep.

See the pain response after putting pain reliever

Once you have applied your pain reliever ointment, wait and watch how it responds. This is to help you in preventing a recurrence of the stiff neck in the future. Just wait for 15 minutes. The after-effects of using an anti-inflammatory or anti-fever spray are not immediate. It takes 15-30 minutes to show the effect.

Test and work on a range of motion

If you observe that the neck is tight and painful, you must avoid stretching. Instead, go for some gentle movement. As a result, you can improve your range of motion. Also, you will get enormous relief from the pain.


If you are experiencing neck stiffness, it is a natural and beneficial reaction of the body after the excessive neck movement. Do some stretches. Also, you can do some neck exercises. You can also take a longer break from the excessive neck movement. If you feel stiffness in the neck, do not cause any harm. Stay calm and rest.

Book an appointment at the Best pain management specialist in Kolkata.


Do you know that one’s mind is a powerful tool that can reduce pain, anxiety and stress? Have you heard of guided imagery? Well, guided imagery is also called visualization – it is a mind-body technique and a scientifically recognized and validated method of getting relief from depression, anxiety, stress and pain. The idea behind this is if someone can envision that his pain is lessening, then he can achieve it.

For instance, when in pain, if a person, instead of taking pain relievers, can close his eyes, take a breath deeply and try to visualize his pain is like a glowing ball that is gradually moving away from his body.

How does guided imagery work?

According to Patrice Rancour, RN, “Guided imagery helps the body lower its circulating levels of stress hormones, particularly cortisol.” Rancour is an imagery practitioner in the integrated medicine department at Ohio State University Wexner Medical Center.

When a person is stressed, then his body adopts a fight-or-flight mechanism. A number of cortisol and stress hormones are released during this time, that prepare body either to face or run away from the threat. This hormone release is useful for some time, but, when it happens for a few days, it can increase inflammation level in the body. Rancour opines that mind-body practice can calm down the nervous system.

In guided imagery, an individual imagines a peaceful situation covering all the senses – from what he sees, hears, tastes, touches and smells to what he feels and thinks. If one can visualize his body as he wishes it to be, then it will be also helpful. When a person can indulge in a peaceful thought, he automatically puts himself in a relaxed state and lowers cortisol and anxiety level. As a result, the pain will go down.

Effectiveness of Guided Imagery

Research has shown that guided imagery can give relaxation from a painful state like arthritis. Studies have also proved that it can reduce cortisol circulation, ease anxiety and stress, reduce pain and improve body functioning. If guided meditation can be included in arthritis treatment, then it might reduce the need for medication. Experts say that the better a person becomes in this, the lesser will he need medicines for pain, or he can even sleep better during the night without taking sleeping pills.

Another great advantage of guided imagery is that it is very easy to practice, and it takes only 10 minutes and can be done anywhere. Thus, it is good to make guided imagery a daily habit to yield healthy rewards.

Find the best Rheumatologist in Kolkata.


The bones in our body are connected by joints that assist in movement. The joints also offer support to the whole body by effectively bearing the overall weight of our bones and body. Therefore it is important to always have proper joint health. However, joint pains are quite common and it can impact any area of the body, starting from legs and hands to shoulders, ankles and hips. Usually, joint pains are referred to as arthritis. In arthritis, the joints tend to become inflamed as the cartilage goes through wearing and tearing. This leads the bones to rub frequently against each other and this causes the pain. As one gets older, the chances of having joint pains also increase. The pain can be severe or mild and in some cases it can be quite debilitating. While there is no permanent cure for such joint pains, there are some treatment options that can manage the pain and minimize the severity.

The nature of pain in arthritis

About 20% people suffer from arthritis. The level of pain can vary depending on the form of arthritis. During the initial stages, the pain is felt predominantly while performing some specific activities such as walking on uneven surfaces, climbing the stairs and sitting and squatting in cross-legged position. With the progression of the condition, this pain is felt continuous and it can be felt with greater frequency even while performing routine activities such as walking a short distance. Hence it is always a good idea for a person to consult with an orthopedic if he or she has been suffering from joint pain for some time. The orthopedic is going to evaluate the pain using clinical examination and imaging techniques like X-rays.

Types of arthritis

There are many different forms of arthritis and let’s have a closer look at some of them.


Osteoarthritis is the main form of arthritis and it is caused by joint inflammations resulting from degeneration of cartilage. The cartilage offers cushioning to the bones by surrounding them but as it wears away, it exposes the bones which lead to pain.

Rheumatoid arthritis

Rheumatoid arthritis is a type of autoimmune disease wherein the tissues of the body are mistakenly attacked and depleted by the immune system. It leads to chronic inflammation of the joints. The condition may also attack other bodily organs.

Gouty Arthritis

Gouty Arthritis is caused by the presence of too much uric acid in the blood. It gives rise to sudden burning pain along with swelling and stiffness of joints.


Patients who are suffering from RA are well aware of the consequences of the illness. Controlling inflammation is another hassle that RA patients face commonly. Rheumatoid Arthritis is a chronic health disorder in which the immune system attacks tissues, creates inflammation and develops pain in joint areas or sometimes throughout the entire body. Though modern medical science has ample treatment and medications options to cure inflammation and RA, trying an appropriate diet along with medication will not cost you anything extra. Hence, to know what to eat and what to not, continue your reading here—


Like cauliflower, this vegetable is a must to include in your winter food routine. It has vitamins K and C and it is rich in calcium too. You can add this into your soup or just make curry by adding other vegetables. As it is rich in vitamin C, your immune system will get the required strength easily and the chance of inflammation will reduce.


When talking about seasonal foods, onion is available almost throughout the year. Though it is considered as a spice more than a vegetable, Indian cuisine is incomplete without it. Rich in antioxidant properties and anti-inflammatory properties, a piece of onion in salad or curry can do wonders for RA patients.


Saying no to the reddish, pretty looking fruit is just next to impossible for many children, however, when you will get to know the role of this amazing fruit in reducing your inflammatory issues, then you will feel the same. It contains vitamin C, folate and antioxidant which can reduce RA. Have a bowl of this fruit after your lunch or make a fruit salad with it to keep inflammation at bay.


Another amazing fruit to have on summer days is watermelon. You can add this to fruit salad or just have it without any seasoning in your breakfast. It has vitamin A, C and lots of natural water. It is a great fruit to stay hydrated. Sliced watermelon can be eaten anytime in the day and can be carried as a  tiffin too.


Like onions, garlic is available throughout the year and you can add this to your daily food routine easily. The sulfur compounds of garlic can reduce inflammation and gives you better health. Add chopped garlic in your curry, sauces, roasted vegetables, soups to enjoy the benefits of garlic.


Having medicines is essential when you are suffering from Rheumatoid Arthritis, however, following an appropriate diet can give you quick relief too. Visit JBCH to consult with the best Rheumatoid Arthritis specialists and have better health.


Pain in any body parts can be dangerous for you. It is not only intolerable but also can be a source of serious health hazard. If you are suffering from knee pain, then we feel for you. Suffering from knee pain does not need any specific reason; you can feel it anytime and may suffer a lot to solve the health issue. Though there are countless reasons for knee pain, however, nothing to worry about, there are different ways to get rid of the pain too. Before starting any treatment process, it is important to know the reason for your pain. Here most common three knee pain reasons will be discussed, read on to know if one of these reasons is yours—

Sprains, strains and injuries:

Pain in your knee can happen for sprains, strains and injuries. And injuries can be faced anytime. It might be then when you are practicing physical exercise or you are running a vehicle. To be clear, injuries need no reason and time to spoil your regular lifestyle. Staying protective is not possible always, however, when you have already experienced any injury, it is better to follow a treatment process like- P.O.L.I.C.E (Protection Optimum Loading Ice Compression and Elevation). When all these proved useless for you, then visiting an expert orthopedic surgeon for a better treatment procedure is a must.


It is a common type of arthritis that is caused by mechanical wear and when your cushioning of the joints is damaged. The most common consequence of osteoarthritis is swelling, pain and immobility in your joint areas. Osteoarthritis impacted the knee mainly. Hence. It can be said when you are facing terrible pain in your knee joint area, osteoarthritis can be the cause.

Rheumatoid Arthritis:

Another common reason for knee pain is rheumatoid arthritis. Unlike Osteoarthritis, it is an autoimmune disease that affects joint areas of your body. If your joints are becoming stiff in the morning or after hours of inactivity, then maybe you are suffering from this autoimmune disease. Visiting an experienced orthopaedic surgeon is the best possible solution for you to get rid of the issue.

If any of the mentioned reasons is your knee pain cause, then do not delay visiting a doctor. Book your appointment at Joint and Bone Care Hospital, Kolkata to have the best treatment facility.

About JBCH


Centre of excellence in the field of orthopaedics & related disciplines including spine, paediatric orthopaedic, sports medicine, pain management & sports injuries, etc.

Reach Us

Kolkata Address:
DD-35, Sec-1, saltlake city,
(Seva Hospital Building)
Near city centre 1


MOU and tie up between JBCH and BALAJI HEALTH CARE

Agartala Address:
Balaji Healthcare Surya Road,
Adjacent to SBI, Agartala,
Tripura - 799001

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