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Updated: Jan 16, 2020

Of late we have been trying to understand the underlying causes behind orthopedic issues afflicting a large percentage of Indian populace. In this regard we found of particular relevance an article published in The Business Standard on February 20,2017. The issues highlighted in that article hold good even three years down the line. In this blog for you we shall make an attempt to offer its summary.


The article states, “With rising life expectancy, increasingly sedentary lifestyles and surge in incidence of obesity, India is also witnessing a resultant rise in orthopedic problems as a natural corollary.Despite joint pain being highly debilitating, a large number of people continue to live with it and fail to seek timely medical help.” The above statement indicates a sort of chalta hai attitude that we, as Indians, are so accustomed to. So, what needs to be done?


1) We need to realize that preventive mechanisms need to adopted after visiting the doctor. Doctors provide comprehensive advice to visiting patients including prevention, management and surgical treatment.


2) The areas which are particularly vulnerable are knee, shoulder and hip. However, joint pain can affect any part of your body.


3) There can be several causes of joint pain including age-related osteoarthritis, auto-immune rheumatoid arthritis or injury to the ligaments, bursae (lining between the bone and soft tissue), or tendons surrounding the joint.


4) As Indians we are genetically more predisposed to orthopedic problems such as osteoarthritis. At the same time, lack of exercise and sedentary lifestyles are making our bones softer and more prone to deformities causing awkward loading of joints. The other risks of developing osteoarthritis (wearing out of joints) include ageing, obesity, family history of osteoarthritis, misaligned bones & having any other type of arthritis."


5) Our lifestyle, especially ground sitting habits, and use of Indian toilet further exacerbate any existing knee pain. As of today there is no reliable way to regenerate the lining cartilage of the knee. Therefore, prevention strategies have to adequately underlined while also raising awareness about the availability of joint replacement as a viable option.


6) People who have appropriate body weight and those who are active with flexible joints and strong bones have the best chance of avoiding joint pains. The ageing process cannot be stopped but it can definitely be slowed. And the answer is by maintaining a good level of muscle strength so that they can match up with your activity level.


7) People with joint pain need to follow a strict daily routine to keep their condition under control and minimize pain and discomfort. This routine includes a religious devotion to daily exercise, use of physiotherapy and heat therapy to keep the joints mobile and check inflammation as well as using supporting devices such as knee braces and orthotic shoes to ensure comfort. At the same time, it is important to understand that unhealthy habits like smoking and drinking tend to have a further negative effect on arthritic conditions. Most important is to check weight gain as excessive body weight puts greater pressure on the knees and the feet and accelerates damage.


We hope you have found this week’s inputs to be useful. However, just knowing is not good enough unless we actually start adopting healthy lifestyle practices. Sooner the better.


When Porosh decided to launch its services to address the medical and non-medical needs of the elder citizens of Kolkata (and its suburbs) the primary objective was, and still it is so, to offer quality services at affordable rates. Although it may sound a bit incongruous yet we were convinced that a lofty goal pursued with devotion and sincerity can make it happen.


Keeping in line with the Mission statement of Porosh -To offer reliable service within means – the first task was to assess the Team’s strength for delivering a range of services. After a few rounds of brainstorming sessions a clear picture emerged gradually. We could finally zero-on the services that we confident of offering. The next task was deciding on the prices at which the services could be offered. Once decided, the third step was finalization of packages to be offered. A conscious decision was taken to keep it simple. Accordingly, only three packages were designed.


Members enrolling for either Aastha (for couples) at Rs.5000 per month, or Sneho (for single)at Rs.3000 per month can avail

  1. 24*7 Emergency Assistance

  2. Doctor Home Visit once a quarter

  3. Caregiver visit once a quarter

  4. Courtesy Call twelve times a quarter

  5. Health Check-up (bi-annual)

  6. Health Monitoring (BP and Glucose) once a quarter

  7. 360 Degree IP Camera with two-way communication (Excluding Wifi Router, Internet Connection, Installation Charge and Wires)

But then, how about those who do not wish to avail either of the two standard packages? Are they to be left out? Certainly not. For them Parisheba was designed.It offers a bouquet of services for one to choose and pick-up from.


It may be noted that those who wish to avail Aastha/Sneho can also opt for any of the services offered under the umbrella of Parisheba.


Dementia is an overall term for diseases and conditions characterized by a decline in memory, language, problem-solving and other thinking skills that affect a person's ability to perform everyday activities. Memory loss is an example. In other words, it is characterised by a gradual decline of mental faculties which can at best be slowed down (and not arrested) through proper care and love by the family members.


When Porosh is invited for conducting counselling sessions of the clients suffering from dementia we make it a point at first to meet the concerned individual and the family members. It is an important cog in the wheel as one needs to understand the extent of dementia the person is afflicted with. Speaking to the family members is equally important to know about the person and his/ her past. After that we take a conscious call to either accept the responsibility, or to reject it.


Our experience dealing with such cases has been a mixed bag. In some cases, we have been able to make bed-ridden clients hale and hearty and yet there have also been a few where we have fallen short of our own expectations. In course of weekly review we discuss about the progress of all the clients. In course of this exercise we have realized that success, or failure of the counselling sessions to a great extent is also dependent on the family members.


Beyond an iota of doubt if the family members continue to show sympathy and exude warmth in dealing with persons suffering from dementia, after the counsellors set the tone, then does a world of good. On the contrary, if the role of family members is cold apathy and neglect then no matter how effective the counselling sessions are the client’s condition will continue to deteriorate at a faster rate. And that is indeed very frustrating.

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