This document provides information about Dr. Shivendra Kr Srivastava, including his medical qualifications and areas of expertise in trauma and joint replacement surgery. It then discusses various types of arthritis like osteoarthritis, rheumatoid arthritis, gouty arthritis, psoriatic arthritis, and juvenile arthritis, outlining their common symptoms. Finally, it provides tips for managing arthritis, including being physically active, managing weight, protecting joints, using heat/ice therapy, adopting a healthy lifestyle, and requesting medication reviews.

1. About the Speaker
DR. SHIVENDRA KR SRIVASTAVA
Dr. Shivendra Kr Srivastava, MBBS, MS, MCh (UK), Fellow in primary and
revision joint replacement from Englewood Hospital, New Jersey, USA, currently
working as Private Trauma and Joint Replacement consultant in Forrd hospital,
Gomti Nagar, Lucknow. Dr did MBBS from KGMC, Lucknow, MS from SN
Medical College. He is Ex- Joint Replacement surgeon AIIMS NEW DELHI.
Dr has expertise in Hip, knee and shoulder Arthroplasty, Arthroscopy of knee and
shoulder joint, All Trauma Surgery of -Pelvis, Femur, tibia, Ankle and foot,
humerus, Radius & ulna.
A-733, NEAR CONVENTION CENTRE , INDIRA NAGAR, 9839330666

3. Disclaimer
 The views and opinions expressed in the following presentation are those of
the individual presenter and should not be attributed or affiliated to Dr.
Reddy’s Foundation for Health Education ( DRFHE)
 The following content in the presentation may be suitable for audience like
beginners, intermediate as well as experts.
The viewers might experience poor audio or video quality because of
webcast from homes.
Thank you for understanding!

4. Arthritis is a condition characterized by inflammation of a joint,
which results in pain, stiffness, and loss of motion in some
cases.
Arthritis is a relatively common condition in India and affects
15% people i.e. over 180 million people in India
https://www.cdc.gov/arthritis/basics/management.htm

6. Osteoarthritis (OA):
The most common form of arthritis. Some people call it
degenerative joint disease or “wear and tear” arthritis. It
occurs most frequently in the hands, hips, and knees.
With OA, the cartilage within a joint begins to break down
and the underlying bone begins to change. These changes
usually develop slowly and get worse over time
The most common symptoms caused by OA include-
 Pain or aching
 Stiffness
 Decreased range of motion (or flexibility)
 Swelling

7. Rheumatoid arthritis (RA):
It is an autoimmune disease (abnormal immune
system) in which the body’s immune system,
accidentally attack the joints.
R.A affects the lining of joints, causing a painful
swelling that can eventually result in bone erosion
and joint deformity.
The most common symptoms caused by RA include-
•Fatigue or lack of energy
•Minor fever
•Joint tenderness
•Painful joints
•Joint stiffness
•Joint warmness and redness
•Joint swelling
•Weight loss
RA is a chronic condition with no cure, however,
physiotherapy and anti-rheumatic drugs can help
slow its progression.

8. Gouty arthritis (RA):
Gout is a common form of inflammatory arthritis that is
very painful. It usually affects one joint at a time (often
the big toe joint). There are times when symptoms get
worse, known as flares, and times when there are no
symptoms, known as remission. Repeated bouts of gout
can lead to gouty arthritis, a worsening form of arthritis..
The most common symptoms caused by Gout
include-
• Pain, usually intense
• Swelling
• Redness
• Heat

9. Psoriatic arthritis (RA):
Psoriatic arthritis is a joint disorder often
accompanied by a skin infection called
psoriasis. Under this condition, the immune
system of the body attacks the healthy
tissue leading to inflammation in the joints.
Some general symptoms of psoriatic
arthritis include-
• Swollen or tender joints
• Swollen fingers and toes
• Morning stiffness
• Painful muscles and tendons
• Scaly skin patches, which may get worse
when joint pain occur

10. Juvenile arthritis (JA):
Juvenile arthritis is a long-lasting, chronic
disease. Juvenile arthritis is a condition
which encompasses’ 100’s of other
autoimmune and inflammatory conditions
such as- Juvenile idiopathic arthritis (JIA),
Juvenile dermatomyositis, Juvenile lupus,
Juvenile scleroderma etc. The symptoms of
JA may vary for each type, however, some
common symptoms include-
• Limping, the child is not able to perform
motor skills efficiently
• Joint stiffness, especially in the morning
• Pain, swelling, and tenderness in the
joints
• Persistent fever
• Irritability
• Weight loss
• Rash
• Fatigue

11. Management Tips for
Arthritis Patients

13. General Tips for Managing Arthritis
Be aware that each person with arthritis is different and
no one strategy is right for everyone.
Strategies that exist may help you to feel better, sleep
better, relieve pain, maintain or increase mobility, delay
disability and continue with daily activities
Take an active role in your own care through self-
management.

14. 1)Learn new self-management skills
•Feel more in control of your health.
•Manage pain and other symptoms.
•Plan and carry out valued activities, like
working and spending time with loved
ones.
•Reduce stress.
•Improve your mood.
•Communicate better with your health care
provider(s) about your care.

15. 2)Be active
•Physical activity is a simple and
effective, drug-free way to relieve
arthritis pain.
• Being physically active can reduce
pain, improve function, mood, and
quality of life for adults with arthritis.
• Regular physical activity can
contribute to improved sleep and
support bone health, brain health,
and weight control.
• Physical activity can also reduce
your risk of developing other chronic
diseases, such as heart disease and
diabetes, and help you manage
these conditions if you already have
them.

16. 3)Talk to your doctor
Talk to your doctor if you have joint pain and
other arthritis symptoms. It’s important to get
an accurate diagnosis as soon as possible so
you can start treatment.
Early and effective treatment is important to
minimize symptoms and prevent the disease
from getting worse, especially for certain
forms of arthritis, like lupus, rheumatoid
arthritis, and gout.
The focus of arthritis treatment is to
• Reduce pain.
• Minimize joint damage.
• Improve or maintain function and quality of
life.

17. 4)Manage Your Weight
• Losing excess weight and staying at a healthy
weight is particularly important for people with
arthritis.
• For people who are overweight or obese, losing
weight reduces stress on joints, particularly weight
bearing joints like the hips and knees. In fact, losing
as little as 10 to 12 pounds can reduce pain
and improve physical function for people with
arthritis.
• At any age, low-impact, arthritis-friendly physical
activity (for example, walking) combined with
healthy dietary changes can help you lose weight.

18. 5) Protect your joints.
Joint injuries can cause or worsen
arthritis. Choose activities that are easy on
the joints like walking, bicycling, and
swimming.
• Low-impact activities have a low risk of
injury and do not twist or put too much
stress on the joints.
• Take steps to prevent or minimize joint
injuries to reduce the risk of developing
or worsening osteoarthritis.
• Actions include wearing protective
equipment, seatbelts, and avoiding
repetitive motion joint damage.

19. Physical Activity for Arthritis

20. Low-impact aerobic activities
Do not put stress on the joints and include brisk walking,
cycling, swimming, water aerobics, light gardening, group
exercise classes, and dancing.
For major health benefits, do at least:
• 150 minutes (2 hours and 30 minutes) of moderate-
intensity aerobic activity, like cycling at less than 10 miles
per hour
• 75 minutes (1 hour and 15 minutes) of vigorous-intensity
aerobic activity, like cycling at 10 mph or faster, each
week.
• Another option is to do a combination of both. A rule of
thumb is that 1 minute of vigorous-intensity activity is
about the same as 2 minutes of moderate-intensity
activity.

21. Muscle-strengthening exercises
• Include lifting weights
• Working with resistance bands
• Yoga.
These can be done at home, in an exercise class, or at a
fitness center

22. Flexibility exercises
• like stretching and yoga are also
important for people with arthritis.
• Many people with arthritis have
joint stiffness that makes daily
tasks difficult. Doing daily flexibility
exercises helps maintain range of
motion so you can keep doing
everyday things like household
tasks, hobbies, and visiting with
friends and family.

23. Balance exercises
• like walking backwards, standing on
one foot, and tai chi are important for
those who are at a risk of falling or
have trouble walking.
• Do balance exercises 3 days per
week if you are at risk of falling.
Balance exercises are included in
many group exercise classes.

24. What do I do if I have pain during or after exercise?
It’s normal to have some pain, stiffness, and swelling after starting a new
physical activity program.
It may take 6 to 8 weeks for your joints to get used to your new activity
level, but sticking with your activity program will result in long-term pain
relief.
Here are some tips to help you manage pain during and after physical
activity so you can keep exercising:
•Until your pain improves, modify your physical activity program by
exercising less frequently (fewer days per week) or for shorter periods of
time (less time each session).
•Try a different type of exercise that puts less pressure on the joints—for
example, switch from walking to water aerobics.
•Do proper warm-up and cool-down before and after exercise.
•Exercise at a comfortable pace—you should be able to carry on a
conversation while exercising.
•Make sure you have good fitting, comfortable shoes.

25. Heat or ice can be soothing and relieve the
discomfort associated with joint pain or muscular
aches.
Patients often ask which is better -- heat or ice.
For the most part, it depends on the type of
arthritis as well as what joints or muscles are
symptomatic (painful, swollen, or inflamed).
Some patients prefer heat to ice or vice versa.
A physical therapist can help individual patients
discover which is more effective
Heat or Ice Can Decrease Pain and Inflammation

26. • Eat a healthy diet
• Stop smoking
• Reduce stress and depression
• Get proper rest
• When seeking information on
complementary therapies, ensure that the
information is reliable and based on good
research.
• You should inform your physician or
pharmacist about any supplements or
complementary therapies that you are
taking
Life style modifications need to be followed

27. When a medication is newly prescribed or after
being discharged from the hospital or
specialist's care. The review should include:
Identifying drugs that have high potential to
cause other serious illness and side effects
Providing specific information about
managing risks presented by these drugs
and polypharmacy (taking multiple drugs at
the same time)
Documenting the rationale for making
changes to your drug regimens
Request a medication review

28. Thank you
FOR ANY QUERY AND APPOINTMENTS
A-733, NEAR CONVENTION CENTRE , INDIRA NAGAR,
0522- 3545321, 9839330666