Osteoarthritis (part 3)
Read MoreWhat is this thing called ‘Inflammation’? Inflammation is like a ‘hurt’, an injury in the body. It may be anywhere. E.g. if you fall and hurt yourself on the hand, your hand will pain, may become swollen and red – that is inflammation – It is flamed up, on fire! Just like when you have…
Read MoreMorning Stiffness This is one of the most significant symptoms associated with inflammatory disease. Here’s how to detect it: Q1: How do you feel in the morning? (An open question which if answered by the patient in any negative connotation should prompt a physician to delve deeper) Q2: Is your morning worse than your…
Read MoreOsteoporosis How can we improve our skeletal health? This is in response to a question recently asked. Bones are made of mineral – calcium hydroxyapatite crystals – and matrix proteins – which are deposited by cells called osteoblasts. Other cells called osteoclasts dig out and remove bone. This process of building and excavating are…
Read MoreMysterious Pain This is the common story of many of my patients, which I have summarized as a cartoon album. It has a sad Beginning but a Happy Ending! It is important to note the passing of time and the misery of pain – its physical, emotional and social impact. It is possible to…
Read MoreRheumatoid Arthritis – Inflammation on MSKUS Aggressive inflammation visualized on ultrasound in the wrist of a patient. Due to prolonged inflammation tiny vessels (capillaries) grow in the areas of severe inflammation. These are picked up as red flickering ‘flames’ on power Doppler ultrasound. If this persists the joint is damaged and the bones erode…
Read MoreFibromyalgia Fibromyalgia – a common cause of generalized pain. But be careful of underlying more sinister diagnoses. These are my slides from my recent presentation in the “Pain Symposium” at Marriot, Karachi.
Read MoreGout and Soft drinks Though this and several other well-conducted studies were published several years ago, patients here are still unaware of the huge negative effects of soft drinks on health. I’ve seen gout crystals floating in joints of young men on MSKUS. I don’t even recommend diet soft drinks (await further data). http://onlinelibrary.wiley.com/doi/10.1002/art.23245/full
Read MoreSecukinumab Secukinumab: a major advance for Spondyloarthropathy including Ankylosing Spondylitis (AS) and Psoriatic Arthritis. Blog Link
Read MoreChronic disease is chronic stress Chronic disease is chronic stress. Three strategies to counter stress: 1. Family and friends support system (see the heritable role of mothers’ love and support in particular) 2. Meditation (time to heal inside out) 3. Exercise (just long walks in a scenic locality would do, or combined with meditation…
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