AFVOA Newsletters of Year 2012

practical difficulties in implementing these orders. So, there has been protracted exchange of views between AG and DGAFMS. In the absence of instructions from DGAFMS, the MHs are not extending treatment to these officers. That has caused the major cascading effect of denial of reimbursement by KSBs as well, to the SSCOs and ECOs. After waiting for more than ten years, two affected officers (EC-55507 Ex Capt AN Chopra and SS-22600 Ex-Capt RK Bhardwaj ) filed a case in AFT Chandigarh and won the same. The Govt has gone in for appeal. The case is still pending in the court. Those who wish to keep track of the case may go throughMajNavdeep's blog under ' Policy and Benefits ' or mail him directly at <navdeepsingh.india@gmail.com> Editors Note One of the most common problems amongst veterans is “knee pain”, leading to curtailed movement and great discomfort. The veteran members will find the article practically useful. LISTEN TO YOUR KNEES DR. YOGISH VIJAYA KUMAR Consultant Orthopaedic and Joint replacement Surgeon, Bengaluru. Importance of Knee Joint. The knee is the largest and the most complex joint in the human body. The marvel of this weight-bearing joint is best realised when one is in pain. Being a weight-bearing joint it participates in almost all movements of daily activities. This increased motion puts your knee at risk of overuse and injury frequently. While walking upstairs, the pressure on one's knee is up to four times their body weight ; and while running upstairs it can be up to eight times Knee problems in young. Causes of knee pain in the young include injury, degeneration, arthritis, infrequently infection, and rarely bone tumors. The common causes of knee pain in the young are: ---- Chondromalaciapatellae refers to the softening of the cartilage under the kneecap. It is a common cause of deep knee pain and stiffness in young men and women and can be associated with pain and stiffness after prolonged sitting and climbing of stairs. Bursitis is caused by inflammation of various bursa around the knee joint. Sometimes these can be related to posture and overuse. Early osteoarthritis is a common cause of knee pain. Historically osteoarthritis was a disease of the elderly. Obesity, sedentary lifestyle and lack of awareness among other risk factors have resulted in early onset of osteoarthritis lately. The risk, though, steadily increases with age. Osteoarthritis is a form of arthritis involving degeneration of the cartilage. Ligament and meniscal injuries are often caused by twisting the knee or falling. Sports that involve running and jumping and sudden stopping and turning, such as soccer, basketball, volleyball, tennis, and baseball, as well as contact sports such as football, wrestling, and hockey increase the risk of an acute knee injury. Tears of cruciate ligaments, collateral ligaments and menisci are common either in isolation or in combination. Page 13 of 80

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