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Max Super Speciality Hospital, Saket
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Date: 
October, 2015 :15
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Orthopaedics and Joint Replacement

Home >> Taxonomy >> Orthopaedics and Joint Replacement

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

At Max Institute of Orthopaedics & Joint Replacement Surgery, our primary objective is "early mobilisation, minimal discomfort". This state-of-the-art specialised health care facility is designed to provide the highest levels of professional expertise and patient care. Here, every patient is tended to by a multi-disciplinary unit.

Tips for a Healthy Back

June 11, 2015 0 76 2 minutes, 17 seconds read

Back pain problems are endemic in today’s world. Many of these are lifestyle related – sedentary life, obesity, long hours of sitting. Fortunately, these are easily resolved.

How do we prevent back problems and stay healthy? Here are some tips.

POSTURE

  • The normal spine is a balanced construct with a double S curve; the head is supported on top of these curves. When the spine is unbalanced, muscles, ligaments and joints have to work harder. Fatigue and pain are inevitable.
  • Avoid prolonged sitting.
  • Walk around from time to time.
  • Raise and rest one foot on a block about six or eight inches high when standing.
  • If you have been bending forwards, stretch and bend backwards.
  • Crouch periodically to relax your back.

SLEEP

  • Sleep in a comfortable position; a pillow under the knees helps.
  • Mattress should be firm and supportive.
  • Remember mattresses have a limited life span and need replacing periodically.
  • Sleep adequate hours.

DIET

  • Maintain the weight that is ideal for your height.
  • Eat a balanced diet and drink plenty of water.
  • Drink adequate fluids to maintain proper hydration.
  • Take a calcium rich diet.
  • Expose your bare skin to the sun for 20 minutes to manufacture vitamin D.

EXERCISE

  • Start with a daily brisk walk and with basic PT exercises taught in school
  • Specific back exercises for the back are extension and flexion exercises. Extension exercises are done by lying on the tummy and raising one leg and thigh and holding it for six seconds each time. One can also raise the upper body while keeping the pelvis on the couch. Each time the body is put to maximum contraction and held for six seconds to have the best toning of the muscles.
  • Flexion exercises are done by lying on the back and raising the straight leg; this stretches the nerve root and conditions the nerve. In this position, bend the legs fully, raise the pelvis to maximum height, and hold for six seconds. Lastly, in standing position raise the arms in front and half squatting and holding there for six seconds.
  • All exercises should be done in gradual, gentle manner to start and become tougher as the body gets conditioned. It may be wise to take the guidance of a physiotherapist while doing exercises.

WORK

  • Most of the back problems arise as result of unprotected bending forward. This is avoided by working on a workstation at the correct height.
  • Be especially cautious when making beds!
  • When sitting, the spine should be well supported, in the chair; the knees are at the same level as the hips and the feet rest flat on the ground.
  • The table should be at the correct height.

Pain, numbness, weakness, disability, associated fever, unexplained weight loss are reasons to see your doctor.

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Bone Disease in Women : Essential Facts !

June 11, 2015 0 68 4 minutes, 4 seconds read

Bone disease is a silent, disabling condition that develops through a woman’s life as age progresses.

Osteopenia refers to early signs of bone loss that can turn into osteoporosis. With osteopenia, bone mineral density (thickness) is lower than normal. However, it is not yet low enough to be considered osteoporosis.

It is important to remember that not everyone who has osteopenia develops osteoporosis. But osteopenia can turn into osteoporosis. Osteoporosis can result in easily fractured bones and other very serious bone problems. It can also cause disfigurement and lead to loss of mobility and independence.

With ageing, your body absorbs back the minerals from your bones, leading to weaker bones and making them vulnerable to fractures and other damage.

How is Osteopenia Diagnosed?

Bone health is measured in two ways.

The first is bone density. Bone density defines the thickness of your bone.

The second is bone mass. Bone mass means how much bone you have. Bone mass, or the amount of bone you have, usually peaks around age 30. Then bone mass begins to decline. Your body starts to reabsorb bone faster than new bone can be made.

To find bone density, blood tests are done to measure the levels of minerals in your bones like:

  • Calcium
  • Phosphate
  • Vitamin D and its analogues

The denser the content of your bone mineral is, the stronger your bones are.

What are some risk factors for Osteopenia and Osteoporosis?

Risk factors for developing osteopenia are the same as those for developing osteoporosis. They include:
  • Being female
  • Being thin and/or having a small frame
  • Getting too little calcium in the diet
  • Smoking
  • Leading an inactive lifestyle
  • A history of anorexia nervosa
  • A family history of osteoporosis
  • Heavy alcohol consumption
  • Early menopause

Most people with osteopenia don't know they have it. In fact, the first sign may be a broken bone. A broken bone may mean that the condition has already become osteoporosis.

How can my Doctor Test for Osteopenia and Osteoporosis?

The most accurate way to diagnose osteopenia and osteoporosis is through bone mineral density testing. This is usually done with a dual-energy X-ray absorptiometry (DEXA) scan.

DEXA scan results are reported as T-scores:
  • Normal bone: T-score above -1
  • Osteopenia: T-score between -1 and -2.5
  • Osteoporosis: T-score of -2.5 or lower

Other tests can be done to help diagnose osteoporosis and osteopenia. Quantitative ultrasound is one such test. It measures the speed of sound in the bone to assess bone density and strength. However, DEXA scans are usually still needed to confirm results from ultrasound and other tests.

Who should get a Bone Density Test?

It is recommended that that you receive screening bone density scans if:

  • You are a woman 65 or older
  • You are a woman 60 or older with certain risk factors that put you at increased risk of fracture

The Female Athlete Triad and Osteopenia

The female athlete triad is a combination of three medical conditions that are becoming increasingly common in young female athletes. These conditions are eating disorders, amenorrhea -- or lack of menstrual periods, and osteopenia or low bone mass. These issues are of growing concern mainly because of the media's increased pressure on teens to maintain a "perfect" body weight and be thin.

Female athletes who compete in gymnastics, dancing, swimming, skating, and running are at high risk for the female athlete triad as they strive to appear lean and fit.

We know that more female athletes lack a menstrual period than women in the general population.

Not having a period is associated with decreased estrogen levels. Decreased estrogen levels may also be the cause of low bone mass or osteopenia.

Low-calorie diets are usually the first predictor of eating disorders. Excessive exercise or exercise obsession can be another sign of an eating. Each of these three problems must be medically evaluated and treated to ensure a good outcome for the woman.

How can I prevent Osteopenia and Osteoporosis?

Osteopenia is every woman's concern -- no matter what your age or health status. That's because osteopenia is the first step to full-blown osteoporosis or severe bone loss.Moreover, fractures don't wait until you have osteoporosis. The risk of fractures increases as your bone density decreases. Once you have just one fracture, you are at a greater risk for more fractures. The good news is that osteopenia can be prevented or reversed before fractures occur.

Here are some prevention tips:
  • Eat a balanced diet. Include plenty of calcium and vitamin D. You'll find these nutrients in foods like milk, yogurt, cheese, and broccoli.
  • Exercise regularly. Choose weight-bearing exercise like walking or running. Also do strength training using weights or resistance bands.
  • Avoid smoking.
  • If you drink, do so in moderation.
  • If you have gone through menopause, talk to your doctor about the newer osteoporosis.
  • medications. Depending on your individual health and risk factors, he or she might recommend an osteoporosis medication.

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Save yourself from Arthritis

July 1, 2014 0 81 2 minutes, 20 seconds read

Let's save our Generation Next from arthritis pain, says Dr Manuj Wadhwa, Director and Head, Max Elite Institute of Orthopedics and Joint Replacement Surgery. Arthritis affects over 15% approximately 180 million people in India, which is higher than many well-known diseases.

While much has been said about the high incidence of Diabetes, Hypertension, Cancer and HIV in India, recent studies suggest that Osteoarthritis beats them all to claim the no. 1 slot among ailments in the country.

Contrary to the misconception that arthritis only impacts the elderly, this disorder is increasingly found in the younger population. Age is not a factor for arthritis; it can affect young and old alike. Earlier, arthritis patients would be around 65 years or so, but now the younger lot in the age group of 40-45 yrs which is normally considered to be in their golden years are increasingly turning up for surgery. Higher levels of stress coupled with modern day lifestyles are increasing the incidence of Arthritis. The best way to beating Arthritis is by staying active.

The key to arthritis management is finding a balance between activities and rest-exercising, as too much may stress sensitive joints while being too sedentary can cause stiffness and immobility. Stretching and gentle movements such as Yoga are easy on the joints and keep them fluid and supple.

Exercises such as riding a bike, swimming and water aerobics keep the heart healthy and muscles strong while putting too much pressure on the joints. Low impact exercises allow you to work your muscles without stressing your joints.Stretching often increases muscle tone and can help boost the range of motion of your joints. Just make sure you warm up your muscles and joints before stretching before warming up can further aggravate joint pain and even strain your muscles. By varying activities and following a well-rounded exercise routine with variety can help to maintain strength and protect your joints.

Maintaining a healthy weight can reduce stress on your joints, especially weight-bearing joints like your hips and knees. In addition, this can slow down the wear on your joints during daily activities such as walking.

When you have experienced a joint injury, protecting that joint will lower the chances of developing arthritis later. By taking care not to injure the joint again, you may also decrease the intensity of symptoms should arthritis develop later. Remember always listen to your body, Stop exercising if you experience sharp pain and don't try to work through joint discomfort.

Find activities that are gentle on the body and take them at a comfortable pace. Lastly but not the least, Drinking enough water keeps the cartilage in joints lubricated so bones don't rub up against each other. By eating foods rich in vitamin C and E and calcium, you'll help build a musculoskeletal system that can outlast degenerative conditions.

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Dr. Balvinder Rana

Dr. Balvinder Rana
Associate Director
Dr. Balvinder Rana
Memberships: 
  • President,Indian Foot and Ankle Society year 2015-2016
  • International member, American Orthopedic Foot and Ankle Society (AOFAS)
  • Member, Education Committee AOFAS, 2015-2017
  • Member, International task force, AOFAS
  • International Travelling Fellow, AOFAS for the year 2014
  • AO Trauma
  • Life Member of Indian Orthopedic Association
Share This: 

PROFESSIONAL JOURNEY

Work Experience: 
  • Director, Department of Orthopedics, Fortis Bone and Joint Institute, Fortis Hospitals Gurgaon and Escorts, Okhla, New Delhi
  • Senior Consultant, Orthopedics, Max Hospitals Gurgaon and Saket, New Delhi
  • Associate Director, Department of Orthopedics, Medanta- The Medicity, Gurgaon, Haryana, India
  • Consultant Orthopedic Surgeon and Deputy Medical Superintendent, Kailash Hospital, Behror, Rajasthan, India
  • Orthopedic Surgeon-Department of Orthopedics Sheetla Hospital and Research Center Gurgaon, Haryana, India
Education & Training: 
  • MS Orthopedics:   MGIMS, Sevagram, Wardha, India Nagpur University, Sep 1995-Nov 1998 
  • MBBS: MGIMS, Sevagram, Wardha, India Nagpur University, Aug 1987 to Dec 1991
     
Speciality Interest: 
  • Ankle and Foot Arthroscopy
  • Ankle ligament reconstruction
  • Ankle and foot deformity correction
  • Bunion and claw/hammer toe surgery
  • Management of heel pain and tendon problems in foot & ankle
  • Flat foot reconstruction surgery
  • Arthritis of foot and ankle
  • Neuromuscular disorders of foot and ankle
  • Complex trauma to foot and ankle
  • Management of diabetic and Charcot’s foot
Duration Of OPD: 

   Max Hospital, Gurgaon

  • Wednesday, Friday- 9 pm to 2 pm

Dr. Ashish Taneja

Dr. Ashish Taneja
Senior Consultant - Orthopedics and Joint Replacement
Dr. Ashish Taneja
Memberships: 
  • Member of Indian Society of Hip and Knee Surgeons (ISHKS)
  • Indian Arthroplasty Association (IAA)
  • International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty (ISKSAA)
  • Delhi Orthopaedic Association (DOA)
  • Delhi Medical Council (DMC)
  • SICOT (International Society of Orthopaedic Surgery and Traumatology)
  • AADO (Asian Association for Dynamic Osteosynthesis)
  • World Orthopaedic Concern
     
Share This: 

PROFESSIONAL JOURNEY

Work Experience: 
  • Consultant- Orthopedics- Aakash Healthcare
  • Consultant- Orthopedics and Joint Replacement- Sarvodaya Hospital.
  • Associate Consultant- Department of Orthopedics – Fortis Flt. Lt. Rajan Dhall Hospital
  • Junior Consultant- Orthopedic Surgery-Rockland Hospital
  • Junior Consultant- Orthopedic Surgery- Bensups Hospital.
Education & Training: 
  • MBBS
  • MS
  • Fellowship in Joint Replacement
  • Fellowship in Joint Preservation
     
Awards Information: 
  • Best Research Paper Award - University of Calgary, May 2016
  • CUHK-AADO Scholarship April 2010, Hong Kong.
Speciality Interest: 
  • Primary and Revision Joint Replacement
  • Unicompartmental Knee Arthroplasty
  • Computer Navigated Knee Replacement
  • Arthroscopic knee surgery
  • Orthopedic Trauma
     
Duration Of OPD: 

   Max Hospital, Gurgaon

  • Mon, Thur, - 2 pm to 8 pm.
  • Sat: 9 am to 2 pm

   Max Smart Super Speciality Hospital, Saket

  • Sat : 12 pm - 2 pm
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