Upper limb lymphedema is a chronic medical disorder characterized by the expansion of lymphatic fluid in the arm, hand, or upper extremities. It commonly arises when the lymphatic system, liable for dehydrating extra fluid and maintaining the immune process, is unsatisfactory or harmed.  This situation can result from various reasons, including surgery, radiation therapy, infection, trauma, or congenital factors. Upper limb lymphedema can lead to swelling, discomfort, reduced mobility, and an increased risk of infections. Management strategies include compression therapy, exercise, skincare, and sometimes surgical interventions. In this summary, we will talk about upper limb Lymphedema: Definition: Upper limb lymphedema is a situation where there is swelling and fluid retention in the arms and hands due to impaired lymphatic drainage. Causes: Common Uses include surgical disposal of lymph nodes, radiation treatment, infections (e.g., cellulitis), and hereditary aspects. Cancer treatments, especially for breast cancer are a significant trigger. Symptoms: Patients constantly experience swelling, discomfort, heaviness, and a lower range of gestures in the affected limb. Skin modifications, such as thickening or hardening, can also happen. Diagnosis: Doctors diagnose upper limb lymphedema through clinical evaluation,medical history, and imaging examinations like lymphoscintigraphy. Management: Management strategies focus on decreasing swelling and enhancingquality of life. This includes: Compression Therapy: Wearing compression habiliment to help lymphatic discharge.Physical Therapy: Exercises and manual lymphatic drainage techniques to facilitate circulation. Medications: Some medications may be specified to organize signs and decrease inflammation. Surgery: Surgical interventions like Lympho Venous Bypass and Vascularized Lymph node transfer can be planned in collaboration with conservative methods to prevent further progression and yield a better quality of life. Lifestyle Modifications: Patients are encouraged to retain a healthy weight, bypass injury, and practice good skin care to prevent disease. Complications: If left untreated, upper limb lymphedema can lead to recurrent diseases, reduced limb procedures, and a lower quality of life. Prevention: Reducing the risk of upper limb lymphedema implicates reasonable post-surgical care, before the distinction of signs, and diligent administration. Support: Patients are frequently satisfied with support groups and counseling to manage the expressive and psychological characteristics of residents with lymphedema. In conclusion, upper limb lymphedema is an established situation that can enormously affect a person’s life. Early diagnosis, reasonable management, and lifestyle adjustments are critical for minimizing its consequences and improving the patient’s overall well-being. We strive to provide compassionate, comprehensive care for individuals with lymphedema, helping them optimize their health, function, and quality of life, by combining clinical expertise, innovative therapies, and patient education. Connect with our experts @ Namaste Health to get customized advice tailored to your requirements. REGISTER YOURSELF @ NAMASTE HEALTH AND MAXIMIZE ON BENEFITS & PRIVILEGES.

Gallstones are one of the most common diseases worldwide and India has a large burden of individuals harbouring gallstones.Gallstones form due to imbalance between bile, its components and cholesterol.37 – 86% of gallstones are cholesterol-rich. These are attributed to obesity, rapid weight loss, low calorie diets and diets containing high proportion of refined carbohydrates and fat.This disease increases with age. Women have higher prevalence than men, which is attributed to exposure to oestrogen and progesterone.The most common symptoms of gallstones are pain in central or right upper abdomen, jaundice, fever.90%of gallstones remain asymptomatic.Of those, around 1 to 4% develop symptoms annually.Liver function tests and abdominal ultrasound aretools of diagnostics. Also to be considered in patientswith chronic abdominal or GI symptoms. In patientswith acute pancreatitis due to gallstones, endoscopicretrograde cholangio-pancreatography isrecommended.With the advent of laparoscopic cholecystectomy, treatment has moved from medical management.Routine laparoscopic cholecystectomy is not indicated for the vast majority of subjects with asymptomatic gallstones. Although it has become much safer,though there remains associated morbidity and mortality.The risks of the operation outweigh the complications if stones are left in-situ.Open surgery is used when laparoscopic techniques are dangerous, unsuitable or impossible.There is no evidence for prophylactic cholecystectomy to prevent gallstone formation.Laparoscopic cholecystectomy is the preferred treatment for symptomatic gallstones

Dilip D Shah, Department of Orthopaedics, University of Bombay, India. It has been quite a historical event that India makes headway to the moon, similarly Orthopaedics has reached to that soaring height and is progressing by leaps and bounds. Traumatology: Anatomy specific implants are in vogue with specificity and low profile implants and also Locked Compression Plating along with variable angles make the life of the surgeon quite easy. Alas in the race of newer implants the young surgeons are using the fancy implants without employing the principles and using the discrimination of choosing the correct implant. Hence there are implant failures. Robotic surgery is making headway but there is a big learning curve and cost benefit ratio is to be observed. Lowintensity pulsed ultrasound healing in fastidious and delayed and non – union of fractures is nowadays not preferred for the cost benefit ratio and inability to prove its efficacy. Biodegradable implants especially for Intra-articular fractures are being studied and will find a definite place in limited indications. Arthroplasty: Robotic surgery and Computer assisted surgeries are giving specific outcomes to the surgery thereby giving perfect results. Newer dimensions are for moderate arthritis involving mainly medial joint compartment where uni compartmental replacements are gaining popularity where a newer surgery of enhancing the shock absorber effect. The Calypso is designed to provide support outside of the knee joint without altering the anatomy or removing any tissue from the knee itself. In cartilage replacement surgery MACI is newer method compared to old generations of ACI such as Carticel, which had been on the market for two decades. MACI received FDA approval for it in December 2016 and was launched it in early 2017. Cultured cartilage cell membrane if trans plated in the areas of worn-out or cartilage depleted areas in two stages. Spinal surgery “Never before in history has innovation offered promise of so much to so many in so short a time”. Bill Gates’ wise words ring true for the innovative technologies being developed in spine surgery. So far in metallurgy for spinal surgery implants has been Cobalt chromium, Titanium or Stainless Steel. There is influx of new alloys, such as molybdenum-rhenium that provides strong and more durable constructs, while allowing for smaller sized implants. 3 D printed implants are again a newer technology so is the Endoscopic spinal surgery which is slowly replacing traditional open and also Microsurgery. All the newer technologies with steep learning curves & cost-benefit ratio will meet the new challenges the patient’s outcome will definitely improve, whether or not we reach the moon but moon

Diabetic foot is one of the most common and severe complications of diabetes, especially those who have poorly controlled sugar levels over an extended period.  The condition arises due to a combination of factors such as neuropathy (nerve damage) and peripheral arterial disease (reduced flow to the extremities). Here’s how these factors contribute to the development of diabetic foot: Neuropathy: High blood sugar levels can damage the nerves in the body, especially those in the hand and feet. This condition is known as Diabetic Neuropathy.  Neuropathy can lead to a loss of sensation in the feet, making it difficult for individuals to detect injuries, infections or wounds. Peripheral Arterial Disease: Diabetes can also cause narrowing and hardening of the blood vessels, which causes poor circulation to the extremities, thereby, impairing the body’s ability to deliver oxygen, and nutrients to the feet, making it difficult for wounds to heal properly. When the 2 factors combine, it can result in the following complications associated with diabetic foot: Foot ulcers: Due to the reduced sensation people with diabetic feet may develop wounds or ulcers on their feet without noticing, which can become infected and difficult to heal due to the compromised blood flow. Infections: This is very common due to the presence of open wounds and weakened immunity, which is also a complication of diabetes. Gangrene: Untreated foot ulcers and infections can progress to gangrene, a condition where the body tissues die due to lack of blood flow and infection. Charcot foot: This is a condition where the bones in the foot weaken and collapse leading to significant deformities and instability. Management of diabetic foot involves a multidisciplinary approach, including regular foot examinations by health care professionals, strict blood sugar control, foot care education, proper footwear, wound care, and in severe cases, surgical interventions to remove dead tissues or correct deformities. Prevention is crucial in diabetic foot management.  Foot care in Diabetics should include: Inspecting their feet daily for any signs of injury, blisters, cuts, or infections. Keeping their feet clean and dry. Moisturizing their feet to prevent cracking. Wearing well-fitting and comfortable footwear. Avoid walking barefoot. Managing blood sugar levels through a balanced diet, exercise, and medication as their health care provider prescribes.   If you or someone you know has diabetes and is experiencing foot problems, seek prompt medical attention and encourage them to STEP AHEAD, GUARD THEIR FEET. We at Namaste Health believe that every step counts, you matter! Nurture wellness each day…