Скачать или смотреть From Sprains to Strength: Podcast on Sports Injuries & Bone Health

___________________________________________________________________________________
Healthy You – Unlocking Wellness
Episode: Bone Health
Host: Sapna Golecha, CK Birla Hospital, Jaipur
Guest: Dr. Ekshit Agarwal, Consultant – Orthopaedics & Joint Replacement

00:00 Intro
01:21 Q1: Common Sports Injuries
Sapna:
We’re seeing more and more people embracing a healthy lifestyle—women doing Zumba, kids playing all kinds of sports. With this, sports injuries are also on the rise. What are the most common injuries you encounter?
Dr. Agarwal:
We usually see two main categories of sports injuries:

Sprains, which are ligament injuries—ligaments connect bone to bone.
Strains, which involve tendons or muscles that link muscle to bone.

These two, especially sprains like ankle, neck, or lower back sprains, are the most common in active individuals.

03:27 Q2: What to Do Immediately After Injury
Sapna:
If someone suddenly experiences a sprain or strain, what should their first steps be before seeing a doctor? What should they never ignore?
Dr. Agarwal:
Our body quickly shows signs—swelling and pain during movement are clear warning signals. The immediate first step is to follow the R.I.C.E. method:
Rest the injured area.
Ice it to reduce swelling.
Apply Compression to limit swelling.
Elevate it above heart level to reduce fluid buildup.

If needed, you can immobilize the area at home using a stick and bandage to prevent further movement until professional care is available.

05:37 Q3: When to Use Ice vs. Heat
Sapna:
A lot of people are confused about when to use ice packs and when to use heat packs. Can you clarify?
Dr. Agarwal:
Certainly. Use ice immediately after an acute injury—within the first 24 to 48 hours. It helps calm inflammation and swelling, like soothing a fire with cold.
Heat, on the other hand, is more useful in chronic cases—like long-term back pain—because it helps relax tight muscles and improve circulation over time.

06:47 Q4: Advances in Fracture Treatment
Sapna:
In the past, fractures meant months in bed and worries about returning to normal life. What advancements have changed this for sports injuries?
Dr. Agarwal:
Huge progress. Ten years ago, a hip fracture might mean six months of bed rest, leading to bedsores, lung issues, and more. Now, with advanced surgical techniques and high-quality implants, patients can often walk the next day—even after hip replacements. Mobility is the key in orthopaedic care today.

08:41 Q5: Frozen Shoulder vs. Cervical Radiculopathy
Sapna:
Joint issues and shoulder pain are common. People often confuse frozen shoulder with cervical pain. How do you distinguish between the two?
Dr. Agarwal:
Great question. It’s a common dilemma. We consider symptoms:
Frozen shoulder often presents with significant night pain and difficulty lifting the arm above the elbow, but no neck involvement.

Cervical radiculopathy involves pain radiating from the neck down the arm, sometimes with numbness or tingling. Frozen shoulder doesn’t limit neck movement.

10:41 Q6: Hip Pain in Young Adults
Sapna:
We hear a lot about knee and back pain, but not much about hip pain. When should someone worry and consider hip replacement?
Dr. Agarwal:
In young adults, one common cause is avascular necrosis (AVN)—especially after long-term steroid use, like post-COVID treatment. It cuts off blood supply to the femoral head, leading to bone death. This often begins 2–3 years after steroid use. Early detection is vital—if caught early, we can preserve the hip with conservative treatment. If left too late, hip replacement may be necessary.

12:43 Q7: Importance of Rehabilitation
Sapna:
What about rehabilitation? How important is it after joint injuries or surgery?
Dr. Agarwal:
Rehabilitation plays a crucial role. Surgery itself is a form of trauma—skin, muscles, tendons are cut. Physiotherapy helps restore movement, muscle strength, and joint function. It prevents stiffness and significantly improves outcomes.

14:00 Q8: Joint Preservation vs. Replacement
Sapna:
I’ve heard a lot about joint preservation. How does it differ from joint replacement, and when is it applicable?
Dr. Agarwal:
We assess the stage of arthritis via weight-bearing X-rays.
If joint space and cartilage are preserved (early to moderate arthritis), we can opt for joint preservation techniques—like cartilage cleanup, growth factor injections, or joint lubrication.

Once it’s bone-on-bone (advanced stage), the only option is joint replacement. Early intervention is key.

16:19 Q9: Tips for Lifelong Bone Health
Sapna:
Finally, what advice do you have—whether for children or seniors—on maintaining bone health?
Dr. Agarwal:
A few key tips:
Balanced diet: Include legumes, paneer, dairy, eggs, and lean meats. Avoid junk food to reduce obesity and joint stress.
Regular exercise: Daily walking (1–2 km) is sufficient—no need for intense workouts.

19:00 Outro

🎧 End of Episode
Healthy You: Unlocking Wellness | CK Birla Hospital, Jaipur