JOHN EBNEZAR'S RESEARCH BASED TREATMENT FOR COMMON ORTHOPEDIC DISORDERS
ON HIS INNOVATIVE METHOD OF TREATMENT.
"WHOLISTIC ORTHOPEDICS"

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  1. WHOLISTIC TOTAL KNEE RESTORATION TECHNIQUE
    1. WHAT IS WHOLISTIC TOTAL KNEE RESTORATION?
    2. INDICATIONS FOR THIS TREATMENT
    3. ADVANTAGES
    4. MODALITIES
    5. EXAMPLES
  2. WHOLISTIC LOW BACKACHE REHABILITATION PROGRAM
    1. WHAT IS IT?
    2. WHEN IS IT INDICATED
    3. WHAT ARE THE MODALITIES
    4. WHO WILL BENEFIT FROM THIS PROGRAM
    5. WHAT ARE THE ADVANTAGES
  3. WHOLISTIC NECK PAIN REHABILITATION PROGRAM
    1. What is it?
    2. When is it indicated
    3. Who will benefit from this program?
    4. What are its advantages?
    5. How is it different from the current treatment for Neck pain?

    6. WHOLISTIC TOTAL KNEE RESTORATION TECHNIQUE

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      1.1.1WHOLISTIC TOTAL KNEE RESTORATION TECHNIQUE

      This therapeutic module is based on original research conducted by Dr. John Ebnezar with excellent results and is an Integrated Non-Pharmacological Therapy.
      This work has been presented at various International, National and State level scientific forums.
      The work has been published in International Indexed journals and is a scientific form of Evidence Based Treatment for Chronic Orthopedic Problems like Osteoarthritis of the Knee Joint.
      He is the recipient of the BEST RESEARCH AWARD FOR OSTEOARTHRITIS OF THE KNEE BY THE YOGA UNIVERSITY OF BANGALORE FOR THE YEAR 2011-12.
      He holds a PhD degree for OA knees, the first and only orthopedic surgeon to do so.
      His concept of TKR-M is based on the recommendations of the universally accepted American college of Rheumatology guidelines (ACR).

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      1.1.2WHAT IS WHOLISTIC TOTAL KNEE RESTORATION?


      IT IS A NON DRUG AND NON SURGICAL TREATMENT
      IT IS A MULTI-MODALITY TREATMENT
      IT INVOLVES THE BEST POSSIBLE COMBINATIONS OF THE WESTERN AND EASTERN TREATMENT CHOICES
      IT IS A CUSTOMISED AND NOT GENERALISED TREATMENT OPTIONS FOR EACH PATIENT

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      1.1.3INDICATIONS

      IF YOU ARE SUFFERING FROM OA KNEES MILD AND MODERATE AND IF YOU FIND YOURSELF IN ANY OF THESE SITUATIONS:
      FAILED MEDICAL LINE OF TREATMENT
      DO NOT WANT TO TAKE MEDICINES
      ALLERGIC TO MEDICINES
      HAVE DEVELOPED SIDE EFFECTS TO DRUGS
      IF YOU HAVE ASSOCIATED CO-MORBID CONDITIONS AND YOU ARE ALREADY ON MEDICINES FOR THE SAME
      IF YOU ARE SUFFERING FROM OA KNEE AND HAVE BEEN ADVISED SURGERY AND IF YOU ARE IN A SITUATION WHEREIN
      YOU DO NOT WANT SURGERY
      YOU CANNOT AFFORD SURGERY
      YOU ARE NOT MEDICALLY FIT FOR SURGERY
      YOU ARE AN ANAESTHETIC RISK FOR SURGERY
      YOU HAVE ASSOCIATED SEVERE CO-MORBID CONDITIONS LIKE DIABETES,HYPERTENSION,OBESITY,IHD,OSTEOPOROSIS.DEPRESSION AND ANXIETY
      YOU ARE TOO OLD AND FRAGILE UNABLE TO WITHSTAND THE RIGORS OF MAJOR SURGICAL PROCEDURES
      YOU HAVE OA SEVERE OA KNEE AND HAVE UNDERGONE MAJOR SURGICAL PROCEDURES LIKE OPEN HEART,KIDNEY RELATED SURGERIES ETC

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      1.1.4 ADVANTAGES

      NON DRUG/NON SURGICAL TREATMENT
      APPLICABLE FOR ALL VARIETIES OF OA KNEES MILD,MODERATE AND SEVERE
      SIMPLE TREATMENT
      PAINLESS TREATMENT
      CHEAP AND COST EFFECTIVE
      ABSOLUTELY NO SIDE EFFECTS
      CAN BE PRACTICED BY ANY ONE AT ANY STAGE OF THE DISEASE
      NO CONTRAINDICATIONS
      IT IS AN UMBRELLA TREATMENT TAKE CARE OF OTHER CO-MORBID AND MS CONDITIONS TOO
      HELPS REDUCE THE DOSE OR TOTALLY Stop DRUGS USED FOR ABOVE CONDITIONS
      SLOWS DOWN THE PROGRESSION OF THE DISEASE
      HELPS IN PREVENTION
      OUTPATIENT THERAPY
      CAN DO ALL THE ACTIVITIES DURING THE COURSE OF THE TREATMENT
      CHEAPER ALTERNATIVE TO TKR
      HELPS GET RID OF PAIN KILLERS DRUGS
      NOT A SINGLE JOINT THERAPY
      IMPROVES MOBILITY AND QUALITYOF LIFE
      IMPROVES WALKING TIME
      REDUCES STIFFNESS OF THE JOINTS

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      1.1.5 MODALITIES

      WESTERN OPTIONS
      EASTERN OPTIONS
      LENGTH OF TREATMENT: 2-4 WEEKS THERAPY
      TIMING 1-2 HOURS/DAY

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      1.1.6 EXAMPLES

      INTEGRATED HEALTH EDUCATION
      INTEGRATED KNEE SPECIFIC THERAPEUTIC EXERCISES
      INTEGRATED YOGA THERAPY
      SUPPORTIVE THERAPY
      MANUAL THERAPY
      STATIC MAGNET THERAPY
      DIETARY ADVICE
      MODIFICATIONS OF THE ADL
      INTEGRATED PHYSIOTHERAPY

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      WHOLISTIC LOW BACKACHE REHABILITATION PROGRAM

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      2.1 WHAT IS COMMON LOWBACKACHE?

      It is the most common public health problem in the world next only to headache and is seen in 80% of the world population

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      2.2 WHAT ARE THE CAUSES FOR COMMON LOWBACKACHE

      Most of the common lowbakcahe is due to
      1. Poor life styles
      2. Sedentary activities
      3. Lack of Exercises
      4. Modern day stress leading to emotional and mental problems
      5. Poor postures
      6. Long travelling hours
      7. Prolonged sitting job like soft ware professionals
      8. Improper diet

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      2.3 What does this lead to?

      All the above causes leads to weakness of the core muscles of the back resulting in abnormal load and pressure over the back bones and discs. This is also knows as POSTURAL BACKACHE OR MECHANICAL BACKACHE.

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      2.4 HOW DOES A PATIENT WITH CLBP PRESENT?

      1. Chronic lower backache
      2. Tenderness over the back
      3. Loss of movements of the back
      4. Coughing and lifting weight increases the pain
      5. Radiating pain over the buttocks and the back of the thigh and legs (Called Sciatica)
      7. In extreme cases numbness and weakenss of the lower limb muscles
      8. Depression and Anxiety

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      2.5 WHAT ARE THE PRESENT DAY TREATMENT METHODS?


      1. Predominantly drug dependant
      2. Physiotherapy
      3. Exercises
      4. In severe cases,surgery involving disc removal,removal of the vertebral body etc

      2.6 WHAT ARE THE LIMITATIONS AND PROBLEMS WITH THE PRESENT DAY TREATMENT METHODS?

      1. Drug Oriented
      2. Side effects of the drugs
      3. Complications of the drugs
      4. Costly
      5. Does not address the problem in its entirety and is only symptomatic.
      6. Will not prevent future recurrences.
      7. May increase the co-morbidities

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      2.7 How is Dr John's Research based WHOLISTIC Therapy different?

      1. Not generalised form of treatment
      2. Each Patient is different and the treatment cannot be the same
      3. Thorough clinical evaluation is done by using the modern parameters like pain score,movements estimation etc
      4. Individual Back Disability is calculated by using the standard Neck Disability Scales
      5. Personal and individualised care
      6. Addresses the disease as a whole

      2.8 WHAT ARE THE MODALITIES OF HIS WHOLISTIC THERAPY?


      HIS TREATMENT IS BASED ON THE CONCEPT THAT COMMON BACK PAIN IS A MULTIFACTORIAL DISEASE AND THE TREATMENT TOO HAS TO BE MULTIMODAL.
      MERELY DEPENDING ON DRUGS OR SOME IMPROPER PHYSIOTHERAPY MAY NOT BE HELPFUL.
      INTEGRATED HEALTH EDUCATION
      INTEGRATED NECK SPECIFIC THERAPEUTIC EXERCISES
      INTEGRATED PHYSIOTHERAPY
      INTEGRATED YOGA THERAPY
      INTEGRATED AYURVEDIC THERAPY
      SUPPORTIVE THERAPY
      MANUAL THERAPY
      STATIC MAGNET THERAPY
      DIETARY ADVICE
      MODIFICATIONS OF THE ADL
      Careful selection of the modalities are done based on the individual patients staging of the Common back pain and is not the same for everybody.

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      2.9 WHAT ARE THE ADVANTAGES OF WHOLSITIC THERAPY?


      1. Simple
      2. Non Drug therapy
      3. Non Surgical therapy
      4. No side effects
      5. No complications
      6. Cheap and Cost effective
      7. OPD based treatment
      8. Can attend office and work during treatment. No need to take leave for the treatment.
      9. Has a preventive role and prevents future recurrences.
      10. Helps control co-morbid conditions like diabetes,hypertension,IHD etc that are so commonly associated with modern day lowbackache.

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      3 COMMON NECK PAIN WHOLISTIC REHABILITATION PROGRAM

      3.1 WHAT IS COMMON NECK PAIN?

      It is one of the most common public health problem in the world and together with back ache and osteoarthritis of the knee forms the famous three orthopedic triads of public health importance.

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      3.2 What are the causes of Common Neck pain?


      It is the same as for common lowbakcahe and is due to
      1. Poor life styles
      2. Sedentary activities
      3. Lack of Exercises
      4. Modern day stress leading to emotional and mental problems
      5. Poor postures
      6. Long travelling hours
      7. Prolonged sitting job like soft ware professionals
      8. Improper diet

      (Back to top Section)

      3.3 What does this lead to?

      All the above causes leads to weakness of the muscles of the neck and shoulders resulting in abnormal load and pressure over the neck bones and discs.
      It can co-exist with POSTURAL BACKACHE OR MECHANICAL BACKACHE.

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      3.4 HOW DOES A PATIENT WITH COMMON NECK PAIN PRESENT?


      1. Chronic Neck pain 2. Tenderness over the back of the neck 3. Loss of movements of the neck 4. Coughing and lifting weight increases the pain 5. Radiating pain over the shoulder,upper arm and fingers 7. In extreme cases numbness and weakenss of the hand muscles 8. Depression and Anxiety

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      3.5 WHAT ARE THE PRESENT DAY TREATMENT METHODS?


      1. Predominantly drug dependant
      2. Physiotherapy
      3. Exercises
      4. In severe cases,surgery involving disc removal,removal of the vertebral body etc

      3.6 WHAT ARE THE LIMITATIONS AND PROBLEMS WITH THE PRESENT DAY TREATMENT METHODS?

      1. Drug Oriented
      2. Side effects of the drugs
      3. Complications of the drugs
      4. Costly
      5. Does not address the problem in its entierety and is only symptomatic.
      6. Will not prevent future recurrences.
      7. May increase the co-morbidities

      (Back to top Section)

      3.7 WHAT ARE THE MODALITIES OF HIS WHOLISTIC THERAPY


      HIS TREATMENT IS BASED ON THE CONCEPT THAT COMMON NECK PAIN IS A MULTIFACTORIAL DISEASE AND THE TREATMENT TOO HAS TO BE MULTIMODAL.
      MERELY DEPENDING ON DRUGS OR SOME IMPROPER PHYSIOTHERAPY MAY NOT BE HELPFUL.
      INTEGRATED HEALTH EDUCATION
      INTEGRATED NECK SPECIFIC THERAPEUTIC EXERCISES
      INTEGRATED YOGA THERAPY
      SUPPORTIVE THERAPY
      MANUAL THERAPY
      STATIC MAGNET THERAPY
      DIETARY ADVICE
      MODIFICATIONS OF THE ADL
      INTEGRATED PHYSIOTHERAPY
      Careful selection of the modalities are done based on the individual patients staging of the Common Neck pain and is not the same for everybody.

      (Back to top Section)

      3.8 WHAT ARE THE ADVANTAGES of Dr John's WHOLISTIC THERAPY?



      1. Simple
      2. Non Drug therapy
      3. Non Surgical therapy
      4. No side effects
      5. No complications
      6. Cheap and Cost effective
      7. OPD based treatment
      8. Can attend office and work during treatment. No need to take leave for the treatment.
      9. Has a preventive role and prevents future recurrences.
      10. Helps control co-morbid conditions like diabetes,hypertension,IHD etc that are so commonly associated with modern day lowbackache.

      3.9 How is Dr John's Research based WHOLISTIC THERAPY FOR Common Neck Pain different from the present day treatment methods?

      1. Not generalised form of treatment
      2. Each Patient is different and the treatment cannot be the same
      3. Thorough clinical evaluation is done by using the modern parameters like pain score,movements estimation etc
      4. Individual Neck Disability is calculated by using the standard Neck Disability Scales
      5. Personal and individualised care
      6. Addresses the disease as a whole

      (Back to top Section)