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An Orthopaedic Explains How Prolonged Steroid Use, Bed Rest Can Damage Your Bones

As we attain what appears to be the tip of the lethal second wave of Covid-19 in India, a number of recovering sufferers stare at a protracted haul of coping with persisting signs — now being outlined as ‘long Covid’ by medical doctors. In gentle of the scenario, News18 will run a 15-day sequence ‘Decoding Long Covid‘ the place medical doctors with completely different specialisations will handle considerations, suggest methods to take care of them and recommend when to hunt assist.

In at this time’s column, Dr Debashish Chanda from the division of orthopaedics at Gurgaon’s CK Birla Hospital talks concerning the damaging impression of long-term steroid use and the gradual and troublesome restoration of muscle energy in Covid-19 sufferers who had been hospitalised or have been placed on mattress relaxation.

In an interview with News18 Dr Chanda mentioned, “Prolonged diseases and weeks of obligatory mattress relaxation are inclined to impression all methods of the physique, one among these areas being the musculoskeletal system. Symptoms comparable to fatigue, myalgia (muscle aches and ache), and arthralgia (a number of joint ache with stiffness) are widespread after Covid-19, and their prevalence is now growing.”

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While an prolonged interval of mattress relaxation may cause bones and muscular tissues to weaken, restoration can take a very long time after a extreme sickness like Covid-19. “It takes a minimum of six weeks or extra to regain muscle energy after prolonged durations of immobility,” he defined.

Dr Chanda mentioned that sufferers who’ve been hospitalised due to Covid-19 or who’ve been prescribed mattress relaxation at dwelling would possibly discover it arduous to even stand, stroll, or be energetic. The use of steroids within the remedy of Covid can even trigger issues. “Though a brief course of 10-15 days steroids don’t trigger any points, most of the sufferers have been on long-term steroid remedy could also be at increased danger of osteoporosis and elevated joint arthritis,” mentioned the physician.

Post-Covid bodily rehabilitation remedy can assist individuals who skilled decreased mobility related to extra prolonged mattress relaxation.

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“This can assist folks regain energy, enhance flexibility, and restore independence. As muscle begins to answer the added stress of exercise, it begins to construct extra fibres and use extra oxygen. Simple actions to construct energy, enhance stability, and suppleness might be carried out, comparable to yoga, strolling inside and out of doors the house, strengthening and stamina training-also assist. Regular consumption of nutritional vitamins like D3 & B12 additionally aids in strengthening muscular tissues and bones,” mentioned Dr Chanda.

He urged some dwelling cures too. Turmeric milk, desi ghee, a excessive protein weight-reduction plan and garlic assist joint lubrication and strengthening. “Some over-the-counter drugs like glucosamine, curcumin (turmeric extracts) additionally assist, however it’s suggested to seek the advice of a health care provider about it,” he mentioned.

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