Joint Replacement Surgery in Ahmedabad

While wintertime can be an occasion to celebrate- what with all the festivities of Diwali and Christmas, not to mention the relaxing weeks off of work with New years around the corner- for some people, it can be a harrowing time. Many complain that as the days get shorter, the nights get longer and a chill fills the air, join paint increases.

There exists an undeniable connection between winter and joint pain worsening. It is no stretch to say ‘Winter is Coming and so is the pain’. This article aims to bring those reasons to light and tell you what you can do to prevent or minimize your pain during these cold times.

Kind of weather that brings pain

Several studies have attempted to determine the kind of weather changes that impact joint pain, but the results have been mixed.

Researchers discovered that every 10-degree reduction in temperature, as well as low barometric pressure, is linked to an increase in arthritis pain in a study of 200 persons with knee osteoarthritis. However, a recent Dutch research of 222 persons with hip osteoarthritis discovered that increased barometric pressure and humidity made people’s discomfort and stiffness worse during a 2-year period.

Another set of researchers examined the medical data of almost 11 million Medicare visits and compared the dates to local weather reports. They found no correlation between weather variations and joint discomfort. Two recent Australian investigations, one on knee pain and one on lower back pain, revealed no link between weather change and pain.

Even though the science isn’t clear, flare-ups as the weather changes are a reality for many people who suffer from joint discomfort. Some people’s bodies may just be more sensitive to weather changes. Many people claim that warmer climates provide relief, although there is no scientific evidence that this is the case.

Reasons for winter joint pain

There is no definitive explanation for why cold weather affects your joints. Let us go over all the widely accepted theories for it.

  1. Lower Temperatures

Cold, low temperatures are the leading cause of joint discomfort in the winter. Low temperatures produce muscular spasms in the body, which can worsen joints and cause stiffness. Vitamin D levels can also drop throughout the winter owing to reduced sun exposure, resulting in weakening joints and bones. When there is a risk of frostbite in cold temperatures, blood circulation to our toes and fingers might also be reduced.

  1. Barometric drops

Barometric pressure, often known as atmospheric pressure, is the weight of the air that varies according to the weather. In warm weather, barometric pressure is high, and in cold weather, barometric pressure falls. When the barometric pressure falls, the tissues in your joints expand somewhat, causing joint discomfort. According to one hypothesis, drops in barometric pressure cause tendons, muscles, and surrounding tissues to expand. Because of the limited space within the body, this can cause pain, particularly in arthritis-affected joints.

  1. Joint Fluid Thickening

The shock-absorbing fluid inside the joint is called synovial fluid. Synovial fluid is often the consistency of an egg white, allowing for free and easy joint mobility. In cooler temperatures, however, synovial fluid hardens, impairing its ability to move freely. As a result, the joints might stiffen or become “creaky.”

  1. Sharper Nerve Sensitivity

During the winter, the human body’s pain receptors become more sensitive, resulting in excruciating agony. An increased nerve sensitivity is especially frequent in those who have had recent or previous joint injuries. Scarring, inflammation, or adhesions can also produce nerve hypersensitivity in cold conditions. As a result, when the temperature lowers, winter joint pain begins.

  1. High relative humidity

When chilly weather is combined with high humidity levels, joint discomfort might intensify. Although the specific cause is uncertain, some researchers believe that excessive humidity is detrimental to bone and cartilage cells.

  1. Absence of Activity

People are often less active during the winter months. Because many joint disorders react effectively to frequent exercise or stretching, prolonged inactivity can exacerbate joint discomfort.


It is important to remember that some people are more vulnerable than others.

Everyone’s body reacts to changes in barometric pressure, but persons with arthritis and chronic pain are especially susceptible to discomfort. Bad weather may also have an effect on people’s moods; if you are unhappy or depressed, the feeling of pain might be amplified.

Consult one of our expert doctors at Radiance Hospitals if you notice any odd or new symptoms with your joints, such as persistent swelling, redness, or trouble placing pressure on or utilizing the joint. Seek medical attention immediately away if you are experiencing persistent or severe pain that is causing you to become disabled.

Cures and Treatments

While the simplest suggestion may be to move to a warmer climate, that isn’t always a feasible solution for obvious reasons. There are more than enough things you can do at home to ensure that your joints are less likely to hurt and experience maximum comfort during these colder days.

In fact, sometimes, the best solution is Joint Replacement Surgery But before that, let us look at the tips for winter joining pain comfort.

  1. Wear Warm Clothes

The temperature may drop outside but there are several things you can do to ensure that you give yourself maximum comfort. The first thing you need to do is always ensure you are as warm as you can be. Invest in some high-quality thermals and warm winter wear. Woolen thigh-high socks are a wonderful idea. Thick and multiple layers are your friend. Never leave the house in clothes that don’t keep you warm. Thick coats that go to your knees, warm scarves and monkey caps are a great idea. Make sure these clothes aren’t tight. The air between layers acts as a great insulator as well.

Don’t forget, we do mean at all times. No matter how inconvenient it is to put on a jacket, gloves, a cap, and socks just to go outside for a few minutes or to a friend or relative’s house, it’s critical to protect yourself. Sweaters, sweatpants, jackets, coats, mittens, beanies, gloves, socks, and waterproof boots must be included in your winter outfit. It is critical to always keep your hands and feet warm to avoid winter joint pain.

  1. Stay Toasty Indoors

Keep yourself warm and comfy when you’re indoors. This will not only help your mindset, but it will also keep you active. Make sure your home is a safe haven for all your needs. If there are draughts and drafts in your house, repair them. As much as possible, make your hair airproof. Keep the windows and doors closed to keep the chilly winter air out. Maintain a pleasant temperature in your heating system. A heating pad or hot water bottle may also help to relieve painful joints.

One word of warning, especially if you have diabetes or other health issues: avoid using heating pads and hot water bottles for an extended period of time. Always follow your doctor’s advice and use these hot objects according to the manufacturer’s instructions.

  1. Exercise Regularly

Regular exercise is essential. Winter makes us sluggish. On a cold winter morning, most of us don’t even want to get out of bed. It is, nonetheless, critical to keep your body moving! It would be beneficial if you exercised on a regular basis to strengthen your bones and muscles since this minimizes strain on joints and the likelihood of discomfort. Exercising also helps to maintain body weight, which relieves strain on our knees. Stretch and move about to keep your joints flexible during the winter.

Even in the dead of winter, it’s critical to keep your body moving. While you should seek medical attention if you are experiencing severe joint pain, stiff or achy joints should not be a reason to keep sitting or sleeping.

  1. Avoid Gaining Weight

Sometimes the only ‘gains’ you have in winter are the fat deposits in your belly. This can prove to be a dangerous thing. Healthy habits tend to slip around the holidays, with many gaining weight. Although the typical weight gain is just about a kilo, even a tiny amount of extra weight can cause problems with your knees and other joints.

If you need to cut back after the holidays, the New Year is a perfect time to start. Although the gym may be packed, there are several deals available to help you achieve your healthy New Year’s objectives. The greatest weight-loss rule is to understand “calories in vs. calories out”—create a 500-calorie deficit every day to lose around half a kilo per week which is a healthy, maintainable rate.

  1. Take Vitamin D supplements.

Maintain adequate vitamin D levels since a shortfall might raise the risk of osteoporosis. It also causes weariness and muscular problems, as well as frequent mood swings. To alleviate joint pain, ask our doctors if you need a prescription of vitamin D tablets.

  1. Increase Your Consumption of Omega-3 Fatty Acids

Omega-3 fatty acids have been shown to lessen joint inflammation. Including them in your diet might help keep your joints from becoming tight. To avoid joint discomfort throughout the winter, eat Omega-3-rich foods such as salmon, walnuts, flaxseeds, and avocados.

  1. Eat A Balanced, Healthy Diet

While a nutritious diet is vital all year, a well-balanced diet will keep your body healthy during the winter months, preventing illness and associated aches and pains. While science is still deciding whether certain foods directly affect joint pain, the importance of a healthy diet remains.

  1. Book an appointment

Better than any advice we can give you on the internet, a customized chart that our team of doctors can prepare for you will be a much more helpful thing. If your pain is severe, you may need a knee replacement.

Don’t worry, knee replacement is a perfectly safe procedure. Joint replacement surgery is a low-risk, high-reward knee surgery that will make sure you can use the knee just as well as you used to.

We, at Radiance Hospitals, specialize in delivering effective winter treatment alternatives for patients suffering from back pain, arthritis or osteoporosis, and joint discomfort. Visit our website to schedule an appointment with our specialist team.

Remember, you are never alone in this. You have a whole team working tirelessly to ensure that you never have to worry about winter joint pain again- in fact, if luck has it, you will never have to worry about any kind of joint pain again.

For comfortable and pain-free living, call us now. With us, you will always be in the safest hands.

Read More-  How to deal with knee pain? Do’s and Don’ts 

Written By : Radiance Hospital

Stiff Joints: Why Do They Affect You and How Do You Treat Them?

Joint pain is one of the aches that are common to everyone. Studies show that everyone will suffer from joint pain and stiffness  at some point in their life. Joint pain commonly occurs in the hands, feet, hips, knees, or spine. There can be many types of joint pain like then stiffening, aching, swelling or feeling sore. Moreover, these pains may be chronic or temporary. In both cases, it may be constant or can fade in and out or come out of nowhere and be felt sharply and then dissipate.

The first step to solving this problem is to take a look at it.


Understanding Joint Pain

Joint Pain can come in a variety of shapes, sizes and forms and can be different for different people. The most common types of joint pains can affect a multitude of individuals such as some who:

  1. Has sustained an injury
  2. Repeatedly overuse a muscle group
  3. Repeatedly underuse a muscle group
  4. Have arthritis
  5. Suffer from mental illnesses like depression, anxiety or stress
  6. Suffer from obesity or other weight issues
  7. Have poor health
  8. Are older than 35

That said, let us get into some kinds of joint pains.


Stiff joints: causes

Some of the most common causes of joint pain and stiffness that occurs chronically include:

  1. Osteoarthritis

It happens as the protective cartilage that supports the ends of the bones deteriorates over a period. While osteoarthritis may affect any joint, it most usually affects the hands, knees, hips, and spine.

  1. Rheumatoid arthritis

Rheumatoid arthritis, or RA, is an autoimmune and inflammatory disease in which your immune system mistakenly assaults healthy cells in your body, producing inflammation (painful swelling) in the afflicted areas. RA primarily affects the joints, often attacking multiple joints at once. The hands, wrists, and knees are the most typically affected joints by RA. The lining of the joint becomes inflamed in RA joints, causing joint tissue destruction. This tissue damage can result in persistent or long-term discomfort, unsteadiness (loss of balance), and deformity (misshapenness). RA can also affect other tissues and organs, including the lungs, heart, and eyes.

  1. Gout

Gout is a frequent and complicated kind of arthritis that can afflict anyone at any age. It is distinguished by abrupt, acute episodes of pain, swelling, redness, and tenderness in one or more joints, most often the big toe. Gout attacks can be severe, waking you up in the middle of the night with the sensation that your big toe is on fire. The injured joint is heated, swollen, and so sensitive that even the weight of the bedsheet may feel unbearable. Gout symptoms might come and go, but there are strategies to control them and avoid flare-ups.

  1. Bursitis

Bursitis is a painful disorder that affects the bursae (bur-SEE), which are tiny, fluid-filled sacs that cushion the bones, tendons, and muscles around your joints. Bursitis develops when the bursae become inflamed. Bursitis is most commonly found in the shoulder, elbow, and hip. Bursitis can also affect your knee, heel, and the base of your big toe. Bursitis is frequently found around joints that undergo regular repetitive action.

  1. Viral infections

Infections can often lead to the joints being severely affected, especially if it is highly inflamed, swollen or bruised.

  1. Rashes

Rashes usually are a reaction to foreign matter that the body did not accept. It could lead to you breaking out in hives and is indicative of an oncoming allergic reaction. They can occur anywhere and may be due to clothes, environment, skin contact or even food.

  1. High fever

The body runs a high fever when it detects dangerous elements but sometimes it can also cause joints to ache more and fatigue can make the situation all the more painful.

  1. Injuries

Any injury to the joint can cause permanent or temporary problems. Broken bones and sprains are the leading cause of joint pain and stiffness today and can happen at any age to any gender.

  1. Tendinitis

Tendinitis is an inflammation or irritation of a tendon, which is one of the thick fibrous cords that connect muscle to bone. Pain and tenderness are felt right outside a joint as a result of the disorder. Tendinitis can affect any of your tendons, although it is most frequent in your shoulders, elbows, wrists, knees, and heels.

  1. Ageing

As in all other things, ageing brings about wear and tear with time which leads to joint pain and stiffness as the tissues of cartilage and bones suffer damage.


Now that we understand the causes, let us move on to the solutions.


How to Relieve Joint Stiffness

There are several remedies for joint pain and stiffness, depending on how bad the pain is or how severe the damage is. Joint pain and stiffness treatment can take just as many forms are the problems including:

  1. Home remedies

Home remedies are often quick, and simple and they work wonders as joint stiffness treatment. Some home remedies we would recommend that you try include:

  • Heating pads or hot water bottles
  • Ice packs
  • Soaking in a warm bath
  • Applying heating oils like ginger oil, eucalyptus oil, yarrow oil, arnica oil and lemongrass oil
  • Getting a massage
  1. Excercise

When joints are not exercised, they start to lose function. Regularly exercising all your joints will cause them to be much healthier and last much longer. Ensure that you don’t overdo it because that is bad too. Consult our experts to solve any question you may have about what the right amount of exercise is for you. Both joint and muscle pain can be avoided with good exercise, so this is a good joint stiffness treatment.

  1. Weight Loss

Usually, obesity or being overweight is the cause for joints to deteriorate because of the extra weight. In such cases, losing that extra weight is good for the joint because it does not have to work harder to accomplish the same task ad it causes lesser wear on the joint. Joint and muscle pain become less with weight loss.

  1. Acetaminophen, (Tylenol®) or anti-inflammatory drugs (ibuprofen)

Over-the-counter painkillers are usually strong enough to work. However, if you have a medical history of stomach ulcers, kidney disease, or liver disease, please ask a physician if this is a good option for you.

  1. Ointments and gels

Many ointments and gels available over the counter like Iodex and Move- are good at their job. They will help relieve a lot of the pain in a short time. Do not forget to massage the joint while applying it. These are especially good for joint and muscle pain.

  1. Dietary Supplements

Some supplements like glucosamine may help when added to your diet. However, you must ALWAYS consult a doctor before you start including it in the diet.

  1. Doctor’s prescriptions for joint stiffness treatment may include:
    • Supportive aids like braces, cane, shoes etc
    • Physical or Occupational Therapy,
    • Antidepressants
    • Steroids
    • Painkillers
  1. Surgery

Finally, surgery. One of the more permanent joint stiffness treatments is surgery. You could go for Arthroscopy- a minimally invasive surgery- or Joint Replacement surgery. Our experts will be happy to investigate and find out which is the best option for you.


When to see your doctor

Thus it is clear that joint pain and stiffness all over the body have many facets and actors that make it difficult to categorise it into narrow fields. Home remedies are not bad, and sometimes they can be a good, unharmful option. Anything scientifically viable which has some medical standing is okay to try. It is, however, essential to keep in mind that while some of them can be categorised broadly, everyone’s body works differently and your pain may not be the same as others. Always consult a medical professional if joint pain and stiffness all over the body become worse, or increases or changes from how it used to be, especially if it is so bad that it impairs your ability to perform everyday tasks. There may be many underlying conditions that can be harmful in the long run.

Here are some symptoms that may indicate the need for a visit to the doctor:

  1. More swelling than normal, or that is different
  2. Stiff or enlarged joints
  3. Numbness
  4. Noisy joints- including, but not limited to, clicking, grinding or snapping sounds when moving the joint
  5. Pain while moving the joint
  6. Difficulty bending or straightening the joint
  7. Loss of motion
  8. A red and hot and swollen joint. This one can be especially concerning because it may indicate the beginning of an infection that should be treated as early as possible to ensure it does not spread anymore or cause further, possibly permanent damage.


Joint paint can be an incredibly difficult thing to live with. We at Radiance Hospitals understand how trying it can be, so we have experts trained in helping you go through this journey. This is your fight, but please remember that there are people out there who want to ensure that you are never fighting alone.




Written By : Radiance Hospital

How to Deal With Knee Pain?  Dos And Don’ts

Do you find that your knee pain prevents you from carrying out your everyday tasks? Knee pain is one of the most chronic pains a person can experience. It can get better or worse, depending on a lot of factors. Surprisingly enough, studies suggest that people who live with pain usually tend to have a high tolerance for that pain. The worst days are when the pain changes; when it feels like a stabbing sensation as opposed to an ache or if it suddenly occurs in your opposite knee than it usually does; when it wakes you up at night rather than hurting in the afternoon.

Knee pain is one of the aches that most people suffer from but also one of the pains that can cause the most suffering. With bad knees, your entire lifestyle may be in trouble. From difficult physically challenging activities like mountain climbing to something as simple as catching a bus at a bus station is made harder if you have chronic knee pain and don’t opt for knee joint pain treatments. Pain may be quite distracting, and if it isn’t managed appropriately, it can have an impact on your professional and personal life. This is why treatment for knee joint pain is so important- so you don’t have to live every day with pain making it harder to do everything from sitting to sleeping to enjoying a movie.

The good news is that it is not a very difficult thing to manage. Here are the ways that can help you deal with knee pain.


Here are 5 things to do to deal with knee pain:

1. A Little Exercise for Your Joints

Exercise is one of the most important things for your knees. In order to keep all your joints in good working conditions, it is important that you move them frequently. Knee physical therapy exercises help keep the blood flowing well to the joints. Cardio like walking, swimming, water aerobics, stationary cycling, and working out with elliptical machines bring strength to the muscles that are necessary for knee support. Weight training, stretching, Tai chi and yoga are other good alternatives.

2. R.I.C.E: Remember, it causes ease

While knee physical therapy exercises are important, don’t forget RICE: Rest. Ice. Compression. Elevation. These four help deal with knee pain. Remember: Rest your knees, apply Ice when swollen or aching, wear a Compressive bandage and Elevate (raise) your knee. Doing all these four things regularly will help you manage knee pain.

3. Walking Aids help with balance

You can relieve knee pressure with crutches or sticks. Knee braces and splints also help keep you sturdy.

4. Shoes for knee Pain are essential

Shoes can turn into one of the things that will make your knee pain better or far worse. Shoes that are carelessly designed may not support your weight properly. On top of that, they can unbalance you, meaning one knee will have to take more weight than the other, which will make the pain there worse. Shoes for knee pain have padded insoles that can help reduce stress on the knees. For knee osteoarthritis, doctors may recommend special insoles and shoes for knee pain. Talk to your doctor or physiotherapist to find the right shoe for knee pain with the right cushioning so that your knees can be better rested throughout the day, even at work.

5. Knee Joint Pain Treatment makes life easier

Sometimes, despite following all the instructions, the knee pain still stays. If the pain stays for a longer duration or if you feel that it has been getting worse over time, please consult a doctor. Our trained professionals can tell you how to do your knee joint pain treatment if it comes back or prescribes medicines to make sure that your pain doesn’t grow over time or stop you from doing important or even routine activities like going for a nice walk.



Here are 5 things you should avoid in order to more easily deal with knee pain:

  1. Too much rest is bad too

While resting your knee is very important, make sure that you do not rest it too much. Your knee should not be overworked but if you don’t do enough exercise, it will slowly start to lose function. The good news is that you don’t have to work too hard or follow intense training regimens. A few minutes every day makes a huge difference.

2. Weight matters when it comes to joint ache

Being overweight is not the end-all for knee pain, but you should not forget about it either. The more weight you carry, the worse it is on a joint that is already hurt. Remember to talk to a doctor and make sure you are taking the right breaks and doing the right exercises so that you don’t hurt your knees.

3. Bad Exercise is worse than no exercise

“The only bad workout is the one you did not do” does not apply when you suffer from knee pain. If you are undergoing Knee joint pain treatment, anything that can shock the knee is bad for you. Jumping, dancing, running too fast are all terrible for the knee and may even lead to torn ligaments or pulled muscles.

4. Assuming it will “Go Away on its Own” does more harm

Knee Joint pain is one of the few pains that only get worse over time. The more you ignore it and hope that it will go away on its own, the worse damage you may cause your knees. If your knee pain persists for more than a day, consult one of our experts and make sure you are not making it worse.

5. Skipping Knee Physical Therapy may lead to slower healing

Knee joint physical therapy is the most important exercise for you. Ask one of our experts which exercise is the best for you and let us guide you to a better, less painful future.


Please note that this article is simply a guide to the most common Dos and Don’ts and cannot replace a medical consultation. The best way to know which treatments will work for your knee pain is to consult a doctor.

At Radiance Hospitals, we take our knee pain seriously. We have experts in the field who will help you understand what kind of pain you are facing, what the root cause of the pain is and which method will work best for you to help reduce or remove your pain. If you have persistent or painful knee pain, book an appointment with us as early as possible.

With us, you will never be hurting alone.

Written By : Radiance Hospital

Are You Suffering from Winter Joint Pain? (Tips to Recover)

Do the chilly mornings of winter make your joints ache? If yes, you’re not alone. Cold weather and joint pain have a complicated relationship. When the temperature drops, your joints start to feel sore. The joint pain is not limited to the knees. Knee pain in cold weather will be more. But hips and ankles also feel stiff and painful. This is a very common problem among people, especially elderly people. The good news is you can relieve the pain and discomfort caused by the cold. But for that, you need to understand why cold causes achy joints. If you understand that, you can also find your own ways to cope with it.

Cold temperature makes muscles tight. The tension in the muscles causes lower mobility and flexibility. Winters make people feel stiffer than usual. Cold weather also reduces blood circulation to fingers and toes. This also leads to stiffness in fingers and toes. One more reason can be vitamin d deficiency as people tend to stay indoors in winters. Here’s how you can stay safe during winters and relieve your winter joint pain.

#Tip 1 – Stay physically active all-day

When winter comes, you’ll want to stay indoors. You’ll want to stay under the blanket to feel cozy. That’s the first mistake that everyone makes. You should never halt your body like that. You stop moving your body and it’ll start to get stiff. It is important to keep it moving. It doesn’t have to be heavy weight lifting or cardio. Some light exercises would suffice as they would keep the joints active. Resist the comfort of your bed. If you start being active, you can stop the pain from even starting. The activities can be yoga, brisk walk or weight training.

#Tip 2 – Keep your weight in control

It is understandable to gain weight during winters. Winter comes and brings weight gain with it. Couple that with the low physical activity and you’ll have a substantial weight gain in a very short period of time. That weight will stay with you for the rest of the year. And on top of that, it’ll cause your joints more stress than they’re used to. It is hard to resist the food during winters but you need to do it. Fill yourself with healthy food like fresh fruits and leafy vegetable salad. This will keep the weight at the proper level and the joints will not have additional weight to carry wherever you go.

#Tip 3 – Layer up to keep the cold out

The majority of us wear winter clothing to keep warm. But many of us start out late. They think it’s not that cold yet. They don’t feel cold. Whether you do or don’t, the cold will never forget to do its job. It will make your fingers numb. That’s the first step to sore joints. It is simple enough to avoid. Start wearing winter clothing right from the start of the winter season. Don’t think you don’t need it because you do. Keep a jacket in your bag or vehicle. Start wearing socks every day and keep gloves with you for chilly bike rides. 

#Tip 4 – Keep warm when you’re indoors

It is important that your home stays warm during the winter season. Repair any broken windows and faulty faucets. Keep yourself warm with warm foods like soups. If needed, install a heater in your bedroom. Winter nights tend to get chillier suddenly. If anyone in your home suffers from any disease like diabetes, you need to take even more precautions to stay warm. Keep the temperature of the home at a comfortable level and stay safe from winter sores.

#Tip 5 – Stay adequately hydrated

It is true that you won’t be as thirsty in winters as you are in summers. The perspiration is less. Loss of water is lower compared to hot summers. This makes you drink less water than usual. This has to be avoided at all costs. It is very important to stay hydrated in winter. Additionally, you can have warm water which is better for the throat as well. Set a target of water intake and achieve it every day. The target can be less than summer. But 2-3 liters should be the minimum intake per day.

#Tip 6 – Have a wholesome diet 

This goes without saying. Having proper food can always make you feel better. It helps fight off diseases by keeping your immunity level up. It helps you keep sound mental health. It is important to not overeat and gain weight. But it is also important that you eat as much as your body needs. Starving yourself is the last thing you can do during winters. A well-balanced diet will keep you energized and keep the diseases away. 

These are some of the tips to keep cold-weather joint pain away during winters. You can do many other things to stay healthy as per your needs. If the pain still persists, you need an expert. Radiance Hospitals have an excellent team of specialists who help in joint pain and find different ways to do it. Put your trust in the experienced specialists of Radiance Hospitals. Contact us.

Written By : Radiance Hospital