 Hi, I'm Dr. Yogish Kamath and I'm going to talk to you briefly about preventing joint replacement. I am a hip and knee specialist surgeon. Now arthritis and joint replacement are common entities and most of you must have already heard about this in relatives or friends. There is enough information on the internet which is more than necessary and often confusing. Now preventing joint replacement is not about peering an operation because of a cultural negativity towards it. It is about realizing what the problem is, picking it up at an early stage, being aware about it and trying to rectify it. Therefore we have developed a comprehensive center for knee and hip care. Now in that treatments for an individual problem need to be personalized. We can cure arthritis in the early stages without having to sacrifice the joint and replace it with metal. The techniques are varying. In the younger patient with very early arthritis, we are trying to develop a new concept which my colleague physiotherapist will talk to you about. Hello, Myself Dr. Biswaran Jandas, basically a physiotherapist, proprioception is a sense of joint poisoning and self-movement. People with bad posture often lose this sensation and that leads to early arthritis. We are in a process of developing a new concept exercises where we can rectify arthritis at an early stage. Now there are conditions which may not always be treated just with exercises. These might require a little augmentation with some injections which rejuvenate cartilage or help lubricate the joint more effectively. If people have gone through injuries and have injured ligaments that can be reconstructed with absolutely minimal access surgery which renders patient mobile and back to work literally within a week. For a large percentage of these procedures one need not even get admitted to hospital. These can be done as walk-in, walk-out, day surgery. Now before any of these procedures is undertaken a person needs to be carefully evaluated which is why developing a whole comprehensive team with good investigations proper counseling of the patient to understand his work and life environment and then catering treatment is important. If a person has cartilage damage with malalign bones these bones can be realigned. If a part of a joint is damaged badly we can get away by replacing just a part of a joint which actually affords a full activity as much as may not be given with a total joint replacement. So it is all about careful evaluation and customizing in a comprehensive center which makes best for early arthritis.