Doctors Talk: 30 ఏళ్లకే మోకాళ్ల నొప్పులా? Pain Management Specialist Dr G Ram Mohan Interview |MicTV

Doctors Talk: 30 ఏళ్లకే మోకాళ్ల నొప్పులా? Pain Management Specialist Dr G Ram Mohan Interview |MicTV

Author Name:Mic Tv Health

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Youtube Video URL:https://www.youtube.com/watch?v=DDtvapQgb-I



Transcript:
(00:05) [Music] Namaste welcome to do [Music]
(00:51) 15 years back 15 20 years back 20as okay four five risk factors s lifestyle okay most of the jobs desktop job whether you reading
(01:35) intermediate MBS Engine account whatever because of competition continu 10 12 hourss preparation 18 hours diet very poor nutritional content fast food junk food third thingl lack of
(02:25) sunlight vamin damin useless okay that is enough for all calcium supplements qu am so bone density obviously bone pain start and Bone B
(03:51) yes strong bones are important strong muscles are important important any joint at least ligaments front of
(04:34) the weakness hamstrings yes nid okay okay okay correct
(05:28) okay and Joint okay muscl overall joint okay so nutrition inactive life lack oflight Reas stag and experience even 40 patients stage three stage four okay stage stage 15 to patients monop
(06:28) work obesity overweight overweight is also one of the reasons for joint something has to be done a patient side weight loss 4 5 kilos okay fastet 15 K but the moment you start and second without so
(07:21) max okay and 40 years let say 35 40 even 45 years arthritis inflammatory arthritis um um osteoarthritis they'll say Rehabilitation okay physiotherapist it is not that they cannot operate maybe 10 15 years with a very good implant okay maybe 20 years but againe second surgery on the joint is more difficult than the first one okay so they basically patients weight L okay
(08:13) so very disappointed F joint inflammation okay reaction
(08:57) problem okayo 33 year old patient okay fact okay but younger patient sports injuries Adventure injuries young patients vitamin deficiency okay
(09:41) vitamin deficien Pati early patients either legs okay okay overweight is another cause Okay pandemic youngest patient with arthritis arthritis can very young patients okay young people 10 11 years
(10:37) old normal bone is not taking the weight the joint is unable to take the weight okay you just ask them to reduce the weight and that is what we have done and it has reduced But ultimately weight has a bearing on the knee joint arthritis Artis repl but pain medicine low pain man yeah first of all even surgery
(11:38) last stage of arthritis one first stage four last stage stage best option still surgery okay longterm it is not treatment it is only to reduce pain orthopedic doctor Artis first will sayu cartilage supplements yog hydrotherapy latest treatment it's new term for an old treatment swimming pool exercise underwater waste you can do walking exercises you'll develop your lower body
(12:26) muscles okay that is another option so okay then he will say okay maybe we'll need surgery okay so many factors a surgeon will think a good surgeon will not operate just like that options that's a very good surgeons principle okay most of the surgeons are like that in fact everybody that I so they had to
(13:22) suffer management has got excellent techniques okay okay management will be the best option best option okay in fact examp I was always very active in sports I do every day two hours okay so I'm very active because of that I also develop injuries sports injuries shoulder injury when I was 41 almost 50 so 41 years though I was a pain specialist okay so
(14:07) ultimately I was my first patient eight seasons of cricket and profession okay almost like okay and then every two months which puts a lot of strain injection after three months n years no pain at all absolutely no
(14:50) pain willage okay okay so I my living example okay and so if you treat it recognize first early treatment then you can postpone everything we can control it with proper treatment
(15:51) yes exactly it is to convince the doctors that this treatment is whether it was sarcasm or just like fun or pulling my leg but okay but slowly slowly the same doctors are sending patients to me okay okay so that is how I started convincing some of the doctors okay and they keep sending patients where they cannot operate or they don't want to operate at that stage so most of the patients are good when I say most of the patients success is is 95% now
(16:38) fa but that was because of poor selection 2 years experience okay okay over the perod of time okay yes mistakes happen with everyone okay [Laughter] experiment exactly exactly
(17:39) so that I have to convince myself that it works okay second thing is I'm able to do it wherever possible avoid surgery even a surgeon says that surgery they try to explain to the patient okay try all options be
(18:27) long diabetics heart related issues any kind of other complications yes op experience and opinion okay and I can call myself an expert in years
(19:15) experience 30 okay so up to about 55 years okay up to grade two or maybe grade three platet rich plasma therapy plas along with exercise okay dietary modification exercise activity okay it works like magic okay stage four patients whatever you do platelet any Advanced Techniques temporizing effect 6 months one year maybe one and a half year PCH okay but again you'll get back simple reason stage for low it is not just the cartilage which is the problem okay bones low
(20:00) of thees okay that means yes it will [Music] work they came and they have gone simply because a consistent no chance no
(20:45) chance liver is the only structure in our body organ in our body which can regenerate regenerate Maybe only provided you do also exercises only injection okay
(21:31) strength muscle strength important okay 9 that's because exactly that's because their joints are so flexible so only inside is not important what is this
(22:27) IDE is not important vition okay so it is the frame also which is very very important okay exactly soat okay this is something which I do personally joint concate platelet treatment I'll Target the areas of weakness also outside the joint prery or pry okay so
(23:19) joint that will improve that has improved my success rates the only comparison is with newer techniques okay keep myself abess with knowledge so conferen because I was from as different parts of the so either point out patient okay whatever it is I'm a very honest doctor
(24:06) okay I'm sorry okay but success rates of mine are so good 95% because one TR okay whether my treatment was successful or not if the patient knows that I've tried the right way okay okay it's just not possible absolutely when coming to older
(24:51) patients radi radio so sensation okay and this is also works for about maybe two years
(25:56) okay okay okay it is something we do when only the patient asks for it options earli the treatment the better exactly go again lack of awareness is the
(26:55) problem okay lack of awareness doity that we deal with non-surgical treatments second thing okay and um advertisement which has to happen the promotion which has to happen from the pain speciality is slowly increasing non-surgical methods which you can try in a safe way benefit okay so opin any patient who has de pain okay can come to us they can go to even orthopedic doctor that's not a problem at all but early well important thep
(27:44) is it needs medical care simple FL first try okay your own way still work quite good the cter Possible
(28:30) Pain that's fine because I don't recommend that better you get it done treatment options finally you are pushing towards surgery which is probably not always the right option not always the right option I'll show you the technique which is available um and I think I do about 5 to 10 procedures in a week cool if radio frequenc
(29:15) plat because patient older patients now personally any patient Beyond 60 years who has knee pain stage three bordering on stage frequenc okay though it has a temporary Effect one and a half two years but it is something which can be repeated regularly and I have patient who have had this technique and they are very very comfortable or very old patients
(30:35) 75 in fact it's an FD approv technique okay not just that it working consistently yes please I'll show you the equipment okay just have a look at frequency no no waves type of radio frequency R frequency machine okay okay
(31:29) frequen exactly stage cancer patial patients pancreatis patients exactly radio frequency Techni
(32:19) okay okay and basically okay just a second so types of needles two okay and even diab neuropathy Pati oh yes yes
(33:26) DIC okay exactly and minutes are where we are burning that area for a
(34:22) longer time a longer time and bigger energy success rat machine okay okay this is the ultrasound machine ultasound machine we can put it on the knee okay this is okay so basically pictures relatedly joint arthritis this is not
(35:26) bad patient this was a patient 68 years old okay
(36:16) frequenc radio radio frequency radio radio we are concentrating all the energy in that so exact yes so our technology us okay okay main
(37:17) conditions Advan shoulder age almost 80 90 years has become normal patients arthritis almost impossible rcti okay and patients that is the biggest
(38:06) satisfaction everybody is happy everybodyy then you understand they are very happy okay they're very happy for whatever time it works two years
(38:56) questions okay separ everything is happens here half half an hour to 45 minutes processing timer PL separate operation the everything
(39:57) 100% Target success rates two Okay so four to so each so let say this will help separate the platelets and white
(40:53) sep two spin two spins okayy sing okay okay
(41:52) so I use a combination of both platelets and growth factors both at the same time okay expence is working combin okay so this is what it is mainly okay okay
(42:50) exctly along with platet factors stage within one month your pain will become zero okay and initial stage is slow grade one two St perfectly normal grade within one one and a half month completely
(43:38) Norm maybe every and it will work for four to five years consistently without any problem experience okay work months to one year I prefer radio frequency for them
(44:24) yes radi frequency rqu up within one week to 10 days maximum effect okay and they'll feel very comfortable okay
(45:09) is okay every 3 to four week inting okay three times injection over a period of time okay that is just to reinforce St provided you do activity exercise only injection
(46:04) changes prevent active good nutrition active exercises okay regular breaks and mental stress because that is the number one reason we age faster yes yes thee joint blel
(46:47) emation okay blood vessels okay inflammat again you are cheating you are not treating anything you just cheating the pain okay even your surgery is cheating the pain bone density growth genicular AR
(47:48) emation experiment four patient but I think being techological it will be very easy it's like Mass talent pool is very good skill base is very good and only thing is research I think will advance in the future management treatments pain treatments neurom modulation so that your brain doesn't feel the pain
(48:54) okay neur signal pain signals okay that is nothing but neur modulation in a very Advanced spinal cord spinal cordal no not necessarily spinal cord any pain okay intractable
(49:42) P will work it is too expensive for it to be used for this any pain neurom modulation will work it is like you are cheating the brain so it is reserved for patients complex pains
(50:42) expensive for rather there are lesser techniques lowest techniques much more cheaper cost effective techniques so I don't think useful out only complex paina okay complex paina modulational correct absolutely good food right time more exercise lot of sunshine and please check Indians Sunshine vamin defici there are many studies which say slightly darker skin people brown skin people
(51:30) okay that's the reason vitamin D is one of the main reasons why all the pain problems start okay generalized pains fatigue okay M joint P joint simply vitamin B12 especially who are vegetarians and vitamin D levels any all sets Indian patients check V you can avoid most of your pain problems okay even during treatment of junk food th probably once in a while is okay time pass but good proper diet
(52:17) weight reduction regular exercise and now personal favorite is Yoga Yoga is very good for joint flexibility spine flexibility okay so I will always recommend that M exercises are modifications of yoga physiotherapy mostly exercises are modifications of our original yog you don't have to be strong to be healthy muscle strong biceps okay your flexibility determines maybe that is all because of
(53:21) yog best option yes of course food okay sir thank you sir thank you