ARTICLES ON Injury

World Haemophilia Day is recognized worldwide to increase awareness of haemophilia and other inherited bleeding disorders. This is a critical effort since with increased awareness comes better diagnosis and access to care for the millions who remain without treatment. Hemostasis is the process by which bleeding is arrested after injury to blood vessels. In bleeding disorders, the blood clotting mechanism is deficient and after an injury or wound it can result in heavy or prolonged bleeding. What bleeding disorders have in common that they make it hard for bleeding to stop, which can cause problems during emergencies and surgeries. Bleeding disorders are passed down (genetic predisposition) from parents to child, but can in some cases show up without any other family members having it. Two most common condition is Haemophilia is likely the most known bleeding disorder and Von Willebrand disease (VWD) . The signs and symptoms are very typical. Don’t ignore these signs and symptoms below which are associated with bleeding disorders: • Bleeding lasts longer than usual• Nose bleeds may happen for no reason• Bleeding may stop and re-start unexpectedly• Bruises and may occur frequently. Bruises may be large. Bruises may be unexplained.• Blood may be present in the urine or stool• Dental bleeding may take longer to stop• Bleeding in joints with swelling• For women, menstrual periods may be very heavy or last a long time.• Joint and/or muscle pain or swelling after minor accident or injury• Small red spots on the skin (petechiae); may sometimes look like a rash• Small purplish spots on the skin (purpura) or large purplish lesions (ecchymosis) caused by bleeding under the skin• Blood in the stool; bleeding from the digestive tract• Arthritic-type symptoms from damage from bleeding into joints• Loss of vision with bleeding in the eyes• Chronic anemia (often iron deficiency anemia) Some indicative Pathological tests that determine bleeding disorder include:• Complete blood count show decreased platelets may indicate a platelet disorder and anemia (low Hb) may indicate due to excessive bleeding.• Coagulative factors show the Decreased activity of one or more factors may indicate factor deficiency or specific factor inhibitor. Prothrombin time (PT) and partial prothrombin time (PPT) are low as well as other blood clotting and coagulative intrinsic factors parameters. General Treatment of these conditions: Bleeding disorders generally need specialized consultation and advice as there are chronic conditions. Apart from iron supplements, blood transfusions, and clotting factors, it is better to consult a haematologist for a proper treatment plan. Haematology is the branch of medicine concerned with the study, diagnosis, treatment, and prevention of diseases related to the blood. It involves diagnosing and further management of diseases that affect the production of blood and its components, such as blood cells, haemoglobin, blood proteins, bone marrow, platelets, blood vessels, spleen, and the mechanism of coagulation.A few of these different types of blood conditions that are looked at include anaemia, thalassemia, haemophilia, general blood clots, bleeding disorders, blood cancers etc. are also treated by a haematologist. At Wockhardt Hospitals, we have essentially a team of highly trained haematologist, haemat-oncologist nurse clinicians, physical and occupational therapists who are all equipped to provide patients with care in the field of Haematology. To know more about bleeding disorders and if you are experiencing any of these signs and symptoms please consult our hematologist at Wockhardt Hospitals, Nagpur.

A 25-year-old man got a new lease of life after a bullet stuck in his rib cage leading to a fracture and severe wound was successfully removed in a surgery performed at Wockhardt Hospitals, Nagpur. The man, hailing from Madhya Pradesh, was shot by a rival in a property dispute. An immediate surgery was suggested which was not possible in his hometown. The surgery was performed by Dr Sameet Pathak, cardiovascular and thoracic surgeon, Dr Manoj Pahukar, orthopaedic surgeon, and Dr Swanand Melag, anesthetist. “I was shot on my left shoulder and a high-end surgery was advised,” the victim said, adding, “I recovered in five days.”

Most common injury and accident during Diwali season mostly seen whilst lighting fire crackers. Burns is damage to the skin caused by contact with dry heat. It may be caused by fire, flames, steam, hot liquids, hot metal, sunlight, electricity or chemicals. The degree of burn varies:    (I) First Degree (Superficial) – Involves only top layer of the skin and is red and dry and the burn is generally painful. The area may swell. Most burns are first degree burns.    (II) Second degree (Partial – Thickness) – Involves both the epidermis and dermis. The area is red and blisters may open and weep fluid, making the skin appear wet. These types of burns are usually painful and the area often swells.    (III) Third Degree (Full Thickness) – Destroys both the layers of the skin with muscles, bones, blood vessels and nerves. These burns may look brown or charred with tissues underneath sometimes appearing white. DOS: Don’ts

Physiotherapy helped Keith go back to playing Sports. Keith, a 25 year old professional football club player twisted his knee joint while playing football a year ago. He complained of pain and instability in left knee. The patient couldn’t walk fast or neither run. Due to this unfortunate event Keith had to discontinue playing football post injury. He was at his peak performance and understood that if he does not seek necessary treatment he would not be able to get back to his game. He then consulted Dr. Nikhil Agrawal, Consultant- Orthopedics & Sports Surgeon at Wockhardt Hospitals, Mira Road. Dr. Agarwal diagnosed him with complete Anterior Cruciate Ligament tear, a common ligament injury seen in footballers and was advised Arthroscopy ACL reconstruction surgery for his knee. Post-surgery, Keith underwent vigorous physiotherapy rehabilitation and at the end of 1 year he rejoined sports. The role of physiotherapy benefited him and aided his recovery quickly. Keith went back on the football ground with new vigor and enthusiasm. He recently contributed to his team winning the All Mumbai JP Morgan Football Tournament. Wockhardt hospitals would like to congratulate him on his performance. With increasing interest in sports and exercise in India, sports injuries have become very common. Injuries sustained during sports or exercise can limit performance of sports person and prevent him from achieving full potential. Today the specialty of sports medicine, also known as sport and exercise medicine is a branch that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. At Wockhardt Hospitals the sports medicine comprises of service for physical testing/screening, physical training, nutrition and mental training, surgical intervention and re-habitation program to treat injuries, enhance performance and maintain a desired fitness level. One of the integral departments working alongside with the rehabilitation of sport injury patients is the Physiotherapy department. Physiotherapy is a rehabilitation science which aims to restore movement and function of an individual who is affected by injury, illness or disability. The Physiotherapy department at Wockhardt hospitals plays a crucial role when it comes to sports injury recovery. Most athletes are recommended a physiotherapy program after their injuries to aid in their recovery. The role of the physiotherapist also provides education and advice for health promotion, disease and injury prevention There are several sports injuries that are known to benefit from physiotherapy. From ligament sprains to muscle sprains, fractures and dislocations – it is all about treating the injury professionally and being guided in every step of the way. Post surgeries hospitals devise a physiotherapy regimen to all their patients. The main goals of physiotherapy and rehabilitation in sports injury cases include: The goal of the center is to improve your daily comfort with rehabilitation, preventative care and non-invasive treatments by the following modalities: For further queries regarding sport injuries treatment or physiotherapy procedures please contact Wockhardt hospitals.