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Appetiser

 

A simple way to begin the session is by letting the patient tell us the natural history of their illness, and by letting them take their time while they describe it.

A few leads in right direction should tell us exactly what we're dealing with.

 

This is followed by a thorough clinical examination, to reach a primary differrential diagnosis.

There's a good chance of treatment being meted out at this stage itself, unless it requires further investigations.

 

Which brings us to our next course...

 

appetiser

Starters

These are done in order to 

support the provisional diagnosis and reach 

a final diagnosis. They are mostly  screening testS 

like X-ray that show us bony abnormality, 

or USG/ MRI/ CT Scan that are slightly more advanced tests,

but beneficial in diagnosing ligament, muscle,

bony and any soft tissue abnormalities.

This evidence based course allows us

to formulate a

treatment plan.

 

Starters

Main Course

This is the time when the definitive treatment is executed. It can be in the form of 

 

Conservative treatment which would comprise of medicines/ diet changes/ lifestyle modifications, or 

 

Less invasive like certain intra-articular injections or physiotherapy modalities, or 

 

Surgical intervention which would require a particular operation being done to cure the illness like Arthroscopy (key hole surgery) or a Total Knee Replacement, or a fracture fixation with plate and screws.

Main course

Desserts

It all concludes with a sweet note and brings us to rehabilitation, the final frontier and the only long term insurance against any further intervention. It's about educating patients about their long term goals and ways of achieving it. The mainstay is emphasis of exercises, healthy lifestyle and diet to achieve adequate bone strength and to prevent further progression of illnesses.

 

 

So if you realise, the goal is not to make the patient dependent on some sort of treatment, but to sufficiently make them aware of their condition, to accept it, and to find out the best progressive step towards their betterment.

 

 

The ones who benefit will continue to remain healthy

For the rest...there's always

The Knee Café !

Desserts
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