कलाई में दर्द व सूजन, क्या हैं कलाई की हड्डी का गलना जानिए कारण और इलाज | Keinbock disease (hindi)

In This Video Dr. Amit Mittal Described About कलाई में दर्द व सूजन, क्या हैं कलाई की हड्डी का गलना जानिए कारण और इलाज | Keinbock disease (hindi) Kienböck's disease, also known as avascular necrosis of the lunate, is a rare condition that affects the bones of the wrist, particularly the lunate bone. Avascular necrosis means that the bone tissue dies due to a lack of blood supply. The exact cause of Kienböck's disease is not always clear, but it is believed to result from a disruption of the blood supply to the lunate bone, leading to its gradual deterioration. Some factors that may contribute to this condition include: 1. Trauma: Injury or trauma to the wrist, such as a fracture, can disrupt the blood flow to the lunate bone. 2. Anatomical variations: Certain anatomical variations or abnormalities in the wrist may predispose individuals to Kienböck's disease. 3. Vascular factors: Problems with the blood vessels supplying the wrist may also contribute to the development of avascular necrosis. Symptoms of Kienböck's disease may include wrist pain, swelling, stiffness, and limited range of motion. The symptoms may worsen over time as the bone tissue continues to deteriorate. wrist pain treatment wrist pain relief wrist pain relief exercises wrist pain relief exercises in hindi कलाई में दर्द व सूजन कलाई की हड्डी का गलना lunate kienbock disease कलाई में दर्द होना कलाई की नसों दर्द कलाई की नसों में सूजन कलाई में सुनपन और झनझनात avascular necrosis of lunate Wrist me dard ka ilaaj Kalai me dard hona Kalai ki haddi ka galna कलाई का टेड़ा होना कलाई की हड्डी का मोटा होना अवास्कुलर नेक्रोसिस Treatment options for Kienböck's disease depend on the severity of the condition and may include: 1. Immobilization: Initially, the wrist may be immobilized with a splint or cast to reduce stress on the affected bone and allow it to heal. 2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may help relieve pain and inflammation. 3. Physical therapy: Physical therapy exercises may help improve wrist strength and flexibility. 4. Surgery: In some cases, surgery may be necessary to relieve pain and restore function. Surgical options may include bone grafting, joint leveling procedures, or wrist fusion. The prognosis for individuals with Kienböck's disease depends on various factors, including the stage of the disease, the effectiveness of treatment, and individual factors such as age and overall health. Early diagnosis and treatment may help slow the progression of the disease and improve outcomes. The treatment for Kienböck's disease depends on several factors, including the stage of the disease, the severity of symptoms, and the individual's overall health and lifestyle. Here are some treatment options commonly considered for Kienböck's disease: 1. **Observation and Monitoring**: In the early stages of Kienböck's disease, especially if the symptoms are mild or non-existent, the doctor may recommend observation and periodic monitoring to assess any changes in the condition. 2. **Immobilization**: Immobilization of the wrist using a splint, cast, or brace may help alleviate pain and reduce stress on the affected bone. Immobilization can also help prevent further damage to the lunate bone. 3. **Medications**: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen may be prescribed to relieve pain and reduce inflammation associated with Kienböck's disease. 4. **Physical Therapy**: Physical therapy exercises and rehabilitation programs can help improve wrist strength, flexibility, and range of motion. A physical therapist can design a customized exercise program tailored to the individual's needs. 5. **Activity Modification**: Avoiding activities that exacerbate wrist pain or put stress on the affected wrist joint may help prevent further damage to the lunate bone. Patients may need to modify their activities or switch to alternative forms of exercise to reduce strain on the wrist. 6. **Surgical Interventions**: In cases where conservative treatments fail to provide relief or if the disease progresses to an advanced stage, surgery may be necessary. Surgical options for Kienböck's disease include: **Lunate Reconstruction**: Procedures such as vascularized bone grafting, where healthy bone tissue is transplanted to the lunate bone to improve blood supply, may be performed. **Joint Leveling Procedures**: These procedures involve altering the shape of the surrounding bones to redistribute forces in the wrist joint and reduce pressure on the lunate bone. **Wrist Fusion (Arthrodesis)**: In severe cases where the lunate bone has collapsed or is extensively damaged, fusion of the wrist bones may be considered to stabilize the joint and relieve pain. 7. **Total Wrist Replacement**: In very advanced cases where the wrist joint is severely damaged, total wrist replacement surgery may be an option to restore function and reduce pain.