logo
National Bone and Joint Day 2025: Orthopaedic surgeon warns of rising joint issues in young adults, shares precautions

National Bone and Joint Day 2025: Orthopaedic surgeon warns of rising joint issues in young adults, shares precautions

Hindustan Times3 days ago
National Bone and Joint Day: August 4th is celebrated as National Bone and Joint Day in India. This day promotes awareness about musculoskeletal and joint disorders, along with their prevention, diagnosis, and management. Joint pain is very common in the youth these days.(Shutterstock)
ALSO READ: National Bone and Joint Day 2025: Doctor shares 7 mistakes employees in desk-bound jobs make that damage knee joints
In observance of the day, let's understand why joint issues are no longer the concern of older adults, as the youth today also increasingly seem to have joint problems.
Dr Amyn Rajani, Consultant Knee, Shoulder and Hip Surgeon, Breach Candy PD Hinduja and Saifee, shared with HT Lifestyle that the age range of 30 to 50 has seen a rise in degenerative joint conditions."
Elaborating more on this, the doctor said, " Today, we're seeing younger adults – particularly in the 30–50 age range –with degenerative joint conditions, a steep rise in sports and gym-related injuries, more cases of postural syndromes as well as repetitive stress injuries due to incorrect fitness routines, gadget overuse and work-from-home setups. Conditions like early-onset osteoarthritis and femoro-acetabular impingement (FAI) in the hip are becoming more visible in urban outpatient clinics. These weren't on our radar 15 years ago.'
Alarmingly, musculoskeletal disorders are becoming increasingly common, affecting a concerning portion of the population. Dr Rajani spoke, "Nearly 1 in 5 Indians suffers from some form of musculoskeletal disorders such as osteoarthritis, rheumatoid arthritis, osteoporosis, ligament and meniscus injuries, frozen shoulder, low back pain, and slipped discs.'
To protect your joints from long-term damage, especially given how common these issues are among Indians, you may need a multifaceted approach that includes awareness, recognising early warning signs, and adopting the right preventive measures.
Dr Amyn Rajani shared a guide, outlining three key essentials, which include reasons, symptoms, and prevention:
Reasons for musculoskeletal disorders
Obesity increases risk of poor joint health.(Photo: Adobe Stock)
Prolonged sitting and lack of core strength can lead to mechanical back pain and disc issues. Obesity and improper exercise, such as excessive squats or running on hard surfaces, can result in knee pain and early cartilage wear. Shoulder impingement and rotator cuff issues are related to gym injuries and poor posture. Sports injuries like ACL and meniscus tears arise from recreational or competitive activity without proper conditioning.
5 early signs of joint trouble
1. A grinding or cracking sound when moving your joints
2. Stiffness in the morning that lasts more than 15–20 minutes
3. A feeling of discomfort after activity or long rest
4. Mild swelling or puffiness around the joint
5. A sensation that your joint is unstable or might give way, especially in the knees
3 Lifestyle changes for better joint health
Regular strength training helps to keep your joints healthy.(Freepik)
1. Include strength training with low-impact cardio
Include strength training about 2 to 3 times a week.
This helps build the muscles that support your joints, especially around your knees, hips, and shoulders.
Pair that with low-impact cardio like swimming, cycling, or brisk walking about 4 to 5 times a week to keep your joints moving and your weight in check.
2. Run with proper preparation
Running on hard surfaces like concrete isn't the best for your knees.
Over time, the repeated impact can cause wear and tear, especially if you're not using proper footwear or running form.
Try alternating with softer surfaces like grass, trails, or a treadmill, and consider mixing in other activities.
3. Dietary adjustments
To support joint health, make sure you're getting enough calcium and vitamin D.
Calcium-rich foods: Calcium-rich foods include dairy like milk, cheese, and yoghurt, leafy greens such as spinach and kale, almonds, tofu, and fortified cereals.
Calcium-rich foods include dairy like milk, cheese, and yoghurt, leafy greens such as spinach and kale, almonds, tofu, and fortified cereals. Vitamin D-rich foods: Vitamin D helps your body absorb calcium. You'll find it in fatty fish like salmon and mackerel, egg yolks, fortified milk and orange juice, and with about 10 to 15 minutes of sunlight each day.
Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

New to breastfeeding? Gynac shares 10 tips every new mother should know
New to breastfeeding? Gynac shares 10 tips every new mother should know

Hindustan Times

time9 hours ago

  • Hindustan Times

New to breastfeeding? Gynac shares 10 tips every new mother should know

In the early days of new motherhood, breastfeeding can be little challenging. 'While it is a natural process, it often requires patience, practice, and the right guidance,' said Dr. Krishnaveni Nayini, senior consultant obstetrician and gynaecologist, Yashoda Hospitals, Hyderabad, in an interview with HT Lifestyle. Also read | 11 most common breastfeeding myths in Indian families busted: 'First milk is dirty and small breasts give little milk' Breastfeeding can be hard if a baby doesn't latch or enough milk is not produced. (Freepik) The gynaecologist further suggested 10 tips for new mothers that can help them address the initial challenges of breastfeeding. 1. Keep your baby close to you after birth Rooming-in promotes hormonal responses that enhance milk production and bonding. Even after a C-section, skin-to-skin contact is usually possible and highly beneficial. 2. Begin within the golden hour Feeding within the first hour after birth stimulates milk supply and fosters early attachment. This is one of the most important steps to ensure breastfeeding success. 3. Feed on demand Allow your baby to feed whenever they show hunger cues rather than sticking to a strict schedule. Newborns may nurse 8–12 times in 24 hours, which helps establish supply. 4. Focus on a good latch A correct latch minimises soreness and ensures effective milk transfer. Your baby's mouth should cover more of the areola with the chin touching the breast. Tips to address the initial challenges of breastfeeding.(Shutterstock) 5. Watch for signs of effective feeding Adequate wet nappies, regular stools, steady weight gain, and audible swallowing during feeds are reassuring indicators of good feeding. Also read | Lactation expert says stress and anxiety can affect breastfeeding, shares why emotional support from family, friends mat 6. Stay hydrated and nourished Breastfeeding increases fluid and calorie needs. Drink water regularly and eat balanced meals to support milk production and recovery. 7. Avoid teats, dummies, and early supplementation of solid food and other liquids Introducing artificial nipples too soon can confuse your baby's feeding pattern and reduce your milk supply. Exclusively breastfeeding in the early weeks ensures optimal supply. 8. Seek help early Midwives, lactation consultants, and support groups can resolve small issues before they escalate. 9. Be patient and kind to yourself Breastfeeding is a skill for both mother and baby. If frustration sets in, relax, set back and try again. Expressing milk for one feed and resuming at the next is perfectly fine. Also read | Breastfeeding 101: Best practices, benefits and overcoming challenges Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

India's dementia prevalence could double in a decade – are we ready for it?
India's dementia prevalence could double in a decade – are we ready for it?

Scroll.in

time9 hours ago

  • Scroll.in

India's dementia prevalence could double in a decade – are we ready for it?

Lakshmi (name changed), a school headmistress, was well-known for her warmth, boundless energy and legendary parties. A few years after retirement, she began to wane with mild signs of cognitive decline, which quickly deteriorated into dementia after the loss of her husband. Struggling with loneliness, the once vibrant woman was reduced to a hollow shell, losing her identity and sense of self. She could no longer remember words or names, and became occasionally aggressive. Unable to handle her behaviour changes, her relatives admitted her into an eldercare and dementia care facility, where she spent her last days in the midst of strangers. Around 8.8 million Indians over the age of 60 – that is 7.4% of India's elderly – currently live with dementia. This number is projected to rise as India ages – one in every five Indians will be a senior citizen by 2050, when the number of elderly Indians is expected to reach 340 million. It's not just a burgeoning health crisis but also a societal challenge with immense implications for families, healthcare systems and the nation's future productivity. The World Health Organization defines dementia as 'a term for several diseases that affect memory, thinking and the ability to perform daily activities'. It can be caused by conditions which over time destroy nerve cells and damage the brain. The symptoms of dementia begin with forgetting things or events from the immediate or recent past. These episodes gradually increase in frequency and may be accompanied with mood or behaviour changes, all of which affect everyday functioning. 'Changes in behaviour can be challenging and can include aggression, agitation, hallucinations, delusions, and suspiciousness,' explained Soumya Hegde, a geriatric psychiatrist based in Bengaluru. 'For example, they may have hidden their keys in a drawer or under the bed to keep it safe, and forget, so they accuse someone else of taking it.' Why prevalence is rising Based on the Longitudinal Aging Study in India conducted between 2018 and 2020, researchers from institutions in India and the United States found that dementia prevalence among women was almost double that of men, and higher in rural areas compared to the cities and towns. The study also found considerable variation across the country, with lowest prevalence in Delhi at 4.5% and highest in Jammu and Kashmir at 11.0%. Using population projections and data from the Longitudinal Aging Study in India, researchers estimate that India's dementia prevalence among the elderly will double from 8.8 million in 2016 to 16.9 million in 2036. 'There has been a noticeable increase in dementia cases in India over the past five to 10 years,' Nilanjana Maulik, Secretary General of Alzheimer's and Related Disorders Society of India Kolkata, said. 'This can be attributed to several factors such as aging population, sedentary lifestyles, poor diets, social isolation, reduced family support, and mental health issues among older adults and increased prevalence of lifestyle diseases such as diabetes, hypertension and obesity – key risk factors for dementia.' In 2017, the World Health Organization put out a Global Action Plan (2017 to 2025) on the Public Health response to dementia, and urged countries to come out with their own action plans. The WHO initiative outlines seven action areas: awareness and friendliness; risk reduction; diagnosis, treatment, care and support; information systems; research and innovation; support for carers; and dementia as a public health priority. Aligning with the WHO's action plan to promote research and innovation, the Indian Institute of Science's Centre for Brain Research is conducting long-term studies on brain ageing, focused on capacity-building and risk reduction efforts. The research is specifically tailored to the Indian context. This is important as most existing research in this area is from Western populations and there is a dearth of longitudinal population-based data from low- and middle-income countries, researchers say. The vast differences in lifestyle factors, diet, literacy, environmental stressors, and genetics render the findings from high-income settings ungeneralisable to low- and middle-income countries populations. The research could help generate context-specific evidence that could inform global frameworks for brain health that are more diverse, equitable, and inclusive of low- and middle-income countries. For example, the researchers explained that exploring how factors such as undernutrition, cardiovascular risks, multilingualism, and intergenerational living (which are far more prevalent in India than in many Western countries) impact cognitive processes can significantly strengthen the understanding of dementia risk across different populations. Additionally, biomarker profiling and genomic characterisation from underrepresented populations would help build globally relevant risk prediction models, diagnostic tools, prevention approaches, and precision medicine. The team is running two parallel urban and rural community-based long-term studies that aim to evaluate risk factors as well as protective factors of dementia and other related disorders among cognitively healthy individuals over the age of 45. The Tata Longitudinal Study of Aging includes participants from urban Bengaluru and the Srinivaspura Aging, Neuro Senescence and COGnition study cohort includes individuals from the villages of Srinivaspura Taluk in Karnataka's Kolar district. The findings are still in the preliminary stage, but there is an indication of a high prevalence of non-communicable diseases such as hypertension, impaired blood sugars, dyslipidaemia, and obesity in both the urban and rural cohorts. Proportions of these NCDs were around 46% and 55% in rural and urban participants, respectively. 'This implies that roughly one in two older adults had metabolic syndrome, urban significantly more than rural,' the researchers wrote in a 2022 article in eClinicalMedicine, a journal part of The Lancet Discovery Science. 'The high prevalence of undiagnosed co-morbidities among rural adults is concerning, calling for urgent public health measures in this marginalised and health-disparate population.' In a March 2025 article in the journal Acta Diabetologica, the team revealed that insulin resistance is associated with poorer cognitive performance related to auditory attention. Then, in an April 2025 article in Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring, the researchers showed that those with hearing loss are more likely to experience cognitive impairment compared to those without hearing loss. These early findings are in line with the modifiable risk factors outlined by the 2024 Lancet Commission on Dementia, which include hypertension, traumatic brain injury, obesity, depression, social isolation, physical inactivity, diabetes, low literacy, hearing loss, among others. Managing comorbidities like diabetes and vascular conditions is crucial, as they increase dementia risk, said Asha Dsouza, senior project manager and dementia care lead at Nightingales Medical Trust in Bengaluru. 'Additionally, hearing impairment can exacerbate behavioural issues due to communication difficulties, while addressing hearing loss can improve cognitive function and quality of life.' Awareness of the disease is key to developing interventions and managing the disease. Dsouza added that awareness about dementia is growing in cities like Bengaluru, leading to more families seeking diagnosis and care. Why seeking help isn't easy Despite this growing awareness, there are multiple challenges when it comes to diagnosis. Misconceptions about normal aging versus dementia lead to delayed diagnosis, said Dsouza. 'People with dementia often exhibit distinct memory patterns, such as vividly recalling childhood memories but struggling with recent events, often without insight into their memory loss.' 'In the beginning, most people are able to manage their daily functioning independently and the frequency of forgetting events/ names or conversations is sporadic,' said Hegde. "If a diagnosis of dementia is delayed, symptoms can become more severe.' Early detection and diagnosis is important as interventions can delay rapid deterioration. Some underlying medical issues such as a metabolic deficiency, thyroid abnormalities, tumours, autoimmune conditions, or even depression can mimic dementia. Hegde explained, 'These need to be ruled out and appropriate treatment initiated. We don't have a cure for dementia yet, but it is possible to manage the symptoms better, understand strategies to slow down the progression and help the person with dementia have a better quality of life.' Caring for a family member with dementia can be challenging because of the behavioural challenges and loss of memory. Both patients and their families need support to manage the disease. Centres like Nightingales and Alzheimer's and Related Disorders Society of India provide services such as patient and caregiver counselling, training for family and professional caregivers and conduct memory screening and awareness programmes in local communities. Apart from memory loss, 81-year-old Anand Mehta (name changed) had hallucinations, wandered out of his home occasionally, had trouble sleeping and would not let his wife sleep. 'He refused to acknowledge his difficulties, and blamed others," his wife said. "It was very difficult to deal with him.' Harrowed by his behaviour, she sought help from a geriatric psychiatrist. Through counselling and therapy, she learned practical strategies to dementia-proof their home. This included placing bells on the main door to alert her if he wandered out, and creating flashcards with words and names he struggled to recall. These interventions improved their ability to manage Mehta's condition, bringing some much-needed relief to his wife. However, Maulik of the Alzheimer's and Related Disorders Society of India said, specialised clinics are scarce, especially in rural and semi-urban areas. Private neurological consultations and scans can be expensive. 'Further, there is a strong social stigma attached to memory loss or mental illness, often leading to delayed help-seeking, isolation of the person, or even neglect. The gap between demand and supply is vast and growing. A national network of dementia care services – anchored in the public health system and supported by public-private partnerships – is urgently required.' Health systems need to improve India has fewer than 50 full-fledged dementia care centres across the country, and they are unevenly distributed, with most located in major cities, run by private hospitals, or nonprofits, Maulik explained. 'The Kerala state government under the Vayomithram project runs mobile clinics including dementia screening and community support. ICCONS, a government‑linked neuroscience institute, provides cognitive disorder care, including dementia.' She added that full-scale dementia care in India's public health system remains limited, especially outside major cities. 'There is no dedicated national policy for dementia and government health spending is low (~1% of GDP, with only 1%-2% of that on mental health), though there's a pledge to increase this to 2.5% of GDP by 2025. But there are encouraging signs – integration into Ayushman Bharat, National Program for Health Care for Elderly, and National Mental Health Program is being advocated, but implementation is still in early stages.' IndiaSpend reached out to the Secretary, Ministry for Health and Family Welfare on July 15 regarding the current state of, and plans to enhance dementia care in government hospitals and centres. We will update this story when we receive a response. 'Current solutions, though few, are built for urban areas. There is a dire need for solutions for rural areas – because non-communicable diseases are not diagnosed or managed well, it is possible that dementia prevalence is more,' said Ramani Sundaram, executive director of Dementia India Alliance, a non-profit supporting dementia patients and their families. 'But it is likely underreported due to poor awareness, limited diagnostic infrastructure and appropriate screening tools. If people in semi-urban and rural areas are to be reached, the government has to get involved.' To address this gap in Karnataka to start with, Dementia India Alliance and National Institute for Mental Health And Neuro Sciences promoted advocacy with the Government of Karnataka and in 2023, the state government declared dementia as a public health priority. 'In continuation with this, a draft action plan for the state has been submitted by experts from NIMHANS, Dementia India Alliance and the Department of Health and Family Welfare, Government of Karnataka,' Prathima Murthy, director and professor of psychiatry at National Institute for Mental Health And Neuro Sciences said. 'The implementation of the provisions in the action plan requires multi-sectoral intervention with the role of government, health professionals and non-governmental organisations.' There are several other initiatives planned through National Institute for Mental Health And Neuro Sciences, Dementia India Alliance, Government of Karnataka, the Karnataka Brain Health Initiative and other stakeholders towards the implementation of the action plan, which is still an ongoing process, she explained. 'Some of these initiatives include training primary and community health centre staff and ASHA workers for initial screening and establishing pathways including memory clinics to reach as many people as possible,' Sundaram elaborated. 'The memory clinics work with patients and their families, help adhere to treatment plans, do meticulous follow-ups, provide family support and train caregivers to dementia proof their homes.' Aligning with the WHO action plan, the focus is also on creating awareness, promoting research, enhanced diagnosis, and capacity development. The science shaping dementia care The Centre for Brain Research is also working to address these focus areas. As the team continues to gather data on risk factors and protective factors, the findings could potentially shape age-specific cognitive screening protocols that could be incorporated into the state's primary healthcare systems. The researchers say substantial data on potential modifiable risk factors such as hypertension, diabetes, low-quality sleep, and lack of education could play a pivotal role in informing/designing targeted strategies such as state-level health promotion campaigns and lifestyle interventions for risk reduction. Based on learnings thus far from its cohort studies, the Centre for Brain Research is planning to conduct a lifestyle-based non-pharmacological intervention study for dementia risk reduction (inspired by the World-Wide FINGERS trial). The Centre for Brain Research's collaboration with UK Dementia Research Institute on blood-based biomarkers that is just taking off, could pave the way for minimally invasive, scalable, and cost-effective methods for early diagnosis of dementia and other related neurodegenerative conditions. In this domain, efforts will also focus on developing scalable tests that move from conventional venous blood draws to simpler, at-home 'finger-prick' methods. Through national and international collaborations, the scientists aim to build AI infrastructure that may make cognitive testing and follow-up feasible in low-resource settings. They plan to team up with existing health programmes across the country. By combining their data, they hope to create a national source of information that can guide public health strategies, policy decisions, and scalable interventions for dementia prevention and healthy brain aging. The researchers from the Centre for Brain Research say that in the long run, they aspire to extend the cohort studies to other regions of India, representing different linguistic, socio-cultural, and genetic groups in order to enhance the generalisability of the findings. The work of the Centre for Brain Research has implications not only for improved brain health outcomes in Karnataka and across India, but also for equity-centric global dementia prevention strategies. Dementia is a life-altering disease. D'Souza of Nightingales said, 'Public awareness, timely screening, and comprehensive care are essential for early detection, effective management, and creating a comprehensive care ecosystem for individuals with dementia and their families.'

Want to boost your child's gut health? Pediatrician shares 6 simple food swaps
Want to boost your child's gut health? Pediatrician shares 6 simple food swaps

Hindustan Times

time10 hours ago

  • Hindustan Times

Want to boost your child's gut health? Pediatrician shares 6 simple food swaps

A child needs proper nutrition in the early years for healthy development, and it starts with the right kind of diet. In an interview with HT Lifestyle, Dr Ravi Malik, pediatrician, MAMC, founder and medical director, Malik Radix Healthcare said, "A healthy gut does more than aid digestion, It supports immunity, brain development, and even emotional well-being. The secret? Feeding the good bacteria that live in your child's gut. And it doesn't require a complete diet overhaul; just a few mindful swaps can make a big difference.' Also read | Is your kid a picky eater? Here are 7 tips to add healthy foods to your child's diet Follow these tips to reduce sugary foods in your child's diet.(Shutterstock) 1. Swap sugary cereals for fibre-rich breakfasts Most breakfast cereals are loaded with sugar and offer little nutritional value. Instead, opt for high-fibre choices like dry oats, millet porridge, or whole grain toast. Fibre acts as food for good gut bacteria, helping them thrive while keeping digestion smooth and reducing long-term risks like constipation and even chronic diseases. 2. Swap ice creams and sweets for yoghurt with fruits Instead of sugar-heavy desserts, try plain yoghurt topped with fruits. Yoghurt is rich in probiotics, the good bacteria that support gut health. You can also blend curd with fruits into smoothies or mix in chopped vegetables for a savoury twist. Just be sure to skip added sugars. 3. Swap fried snacks for roasted chickpeas and nuts Chips and fried items offer empty calories and harm gut balance. Try giving roasted makhana, peanuts, or chickpeas instead. These snacks are high in protein, contain fibre, and help support a healthy microbe. Also read | Is your child's diet putting their heart at risk? Essential guide for parents Pay attention to your child's gut health.(Shutterstock) 4. Swap sugary drinks for natural fluids Packaged juices and sodas often contain added sugar and preservatives that disrupt gut flora. Replace them with coconut water, unsweetened lassi, fruit-infused water, or buttermilk. These drinks hydrate and, in the case of fermented ones, add beneficial bacteria to the gut. 5. Avoid harmful white foods Cut down on white bread, maida (refined flour), white rice, sugary biscuits, table salt, and extra sugar. Replace them with multigrain breads, whole rice, and flours like ragi, bajra, jowar, or suji. Whole grains are rich in fibre and help nourish gut microbes. 6. Add fermented foods and high-fibre fruits Add fermented foods like idli, dosa, and kimchi to meals. Encourage high-fibre fruits like apples, papaya, guava, and pears. Garlic and onions also support gut health. And limit junk food and antibiotics, which can disrupt your child's gut flora. Also read | Power of Indian superfoods: Nutritionist recommends 5 foods to add to your child's diet Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store