Total knee arthroplasty(TKA) has revolutionized the care of patients with knee pain. This is one surgery that has given excellent results and has proved to be a boon for the arthritic knee.

Even so, TKA has its problems -

There are many new advances being made in this field. Many of these are truly beneficial, others still to be proved and a few of them are quite useless. Lets review some of these.

If you are not convinced about quiting smoking, read on

1. It increases the risk of lung cancer. The risk of dying from lung cancer is 22times higher in men and 12 times higher in women.
2. It increases the risk of cancers of the lip, oral cavity, larynx, pharynx, esophagus, pancreas, urinary bladder, cervix and kidney.
3. It increases the risk of developing coronary heart disease by 2 to 4 times.
4. It doubles the risk of getting a stroke.
5. It accelerates atherosclerosis. The risk of developing peripheral vascular disease is increased by 10 times.
6. It increases the risk of chronic obstructive lung disease. The risk of dying is increased by ten times.
7. It increases the risk of infertility in women.
8. In pregnancy,
   

At some point all of us have had the temptation to join a gym. A
friend tells you about a cool gym he has joined or you read an add in
the papers. The gym has impressive stuff like sophisticated machines,
training programs, weight loss guarantees, etc. You have not been
exercising of late, so the idea of getting into shape appeals to you.

So
you decide and go and get yourself enrolled. They offer you a program
for a year, convincing you that it is the best deal and will save you a
lot of money. You think to yourself - 'If I enroll for a year, it will
be an incentive to keep going because I've paid so much money! Besides
this is such a good bargain!' The deal is struck and your money is gone.

The sad news is that rheumatologists are still treating RA sub optimally. If this is the scenario with rheumatologists (experts), imagine what orthopaedic surgeons and G.P.'s must be doing ?
Rheumatoid arthritis
is a chronic debilitating condition that causes an inflammation of
multiple joints. It is an autoimmune disorder, i.e. the body's immune
system attacks the joints.

Today RA can
be treated effectively and successfully. By current standards patients
should have high expectation from treatments and most patients should
be doing well. But, in india this is far from true. Literature reveals shocking information. The so called experts are just not delivering the goods.