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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Patient Review Highlights
Debilitating inflammation in the joints and its surrounding tissue usually characterize arthritis. This ailment can greatly weaken the body. At the point when joints are seriously influenced by joint pain, there are a number of treatment methods that may be available for the patient. Pain relievers, physiotherapy and other forms of treatment can help in offering relief. Yet, when these methods fail, one can go in for replacement surgery of the affected joint. This may not just lessen or eliminate the pain experienced but it can also it can reestablish better strength in the joint. Hip, knee, and shoulder joint substitutions are a portion of the more normal surgeries suggested when managing joint pain.
Joint Replacement Surgery for Various Joints: Arthritis can affect a variety of joints in various ways. In the shoulder, this can be found in the humerus (the upper arm bone) and a bit of the scapula (the shoulder bone). In the knee, it includes the finishes of the femur and tibia (the thigh bone and shin bone, separately) and the patella (the knee top). In the hip, the influenced zones are the femur and the attachment in the pelvic bones in which it rests (the hip bone socket). In simple words, an aggregate joint trade or replacement for joint pain includes replacing the harmed joint surfaces with simulated segments artificially.
Ideal Candidate: In the event that your joint pain is progressed yet you are generally healthy, joint substitution might be a choice. Notwithstanding, you should take the advice of an accomplished orthopedic pro who can give you moderate treatment choices and other negligibly intrusive ways to deal with the condition before resorting surgery.
As a rule, you may not be a decent candidate of the replacement if:
- You have inadequately controlled diabetes
- You are a chain smoker
- You are extremely chubby
- You have encountered contaminations in the influenced ligament joint before
- The best contender for a ligament joint replacement surgery includes patients who:
- Have joint pain that is extreme
- Are encountering a debilitating effect in their personal life due to the painful symptoms
- Have discovered moderate medicines, for example, mitigating drugs and non-intrusive treatment to be ineffectual
- Are willing to effectively and regularly participate in a recovery program after surgery
The accomplishment of a joint substitution surgery relies on upon the stability of the remaining parts of the joint. In the event that the joint has endured a few diseases, or in the event that it has experienced a few surgeries, it may not be sufficiently solid to withstand a joint replacement procedure. What's more, if you there are immune system disorders or long ailments like diabetes at play, then there may be little chance of aligning with the new joint.
Human bones are continuously being removed and formed which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips which may become worn due to age or other problems within the body.
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.
Benefits of hip replacement surgery :
1) Lessening hip pain - This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.
2) Correction of bone deformity - When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.
3) Return to normal activities and resumption of normal activities - This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain free life.
4) Ability to have painless sleep - Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.
5) Leg strength increase - Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.
As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again.
Osteoarthritis is a form of arthritis, where the bones in a joint are affected. Arthritis is an inflammatory condition affecting the bones and joints that causes the joints to become swollen and painful. Knee is most commonly affected by arthritis. It is most commonly seen in the ageing population, with females being affected twice more than the males. Knees can majorly be affected by either osteoarthritis or rheumatoid arthritis. Among the two, osteoarthritis has a greater prevalence.
Since the people affected with osteoarthritis are at a greater risk of damage to the bones, it is necessary to consult a physician before beginning any exercise routine. When the physician approves the bone condition for exercises, a physical therapist can be consulted to learn specific exercises from. The exercise routine should be initiated at a slower pace. If any discomfort is observed while performing the exercise, it should be immediately stopped.
While it is necessary to not exert oneself with too many movements due to the risk of pain, incorporation or movements in routine life is necessary. Staying inactive due to the fear of pain while moving does more harm to the knees. Exercises for osteoarthritis-affected individuals are targeted to build strength, improve the flexibility and stamina levels of a person. Routine exercise helps to reduce pain in the knees caused by osteoarthritis.
With the regular practice of exercises, knee pain can be reduced, stiffness of the joint can be decreased and the flexibility of joint can be improved as well. While practicing the exercises, it is necessary to pay attention to the body signals too. If a particular exercise causes pain, then it can be changed in accordance with the patient’s comfort.
Knee arthritis pain can be controlled by a routine exercise regime and a healthy diet.
1. Standing leg lifts –this exercise helps to improve the balance of the body. It also improves the strength of knees and maintains stability. Overall impact on the knees is reduced by practicing this exercise. This exercise is performed by lifting a leg to the side and then lowering it down. Repeat for around 20 times on each side.
2. Sit and stand exercise – this exercise targets the quadriceps muscles and helps to strengthen the knee joint. The range of knee movement is improved and overall strength of the length increases. The important benefit of this exercise is that it makes it easier for a person to stand up for a longer period of time without any pain.
3. Standing kick back – this exercise helps to improve the strength of the leg muscles and also reduce the stiffness of the knee joint. In this exercise, a person should stand straight and lift a foot off the floor and bend the knee. Heel of the foot should be brought towards the buttocks. This position should be held for a few seconds and then lowered down. Repeat the exercise 20 times.
4. Stretch of the quadriceps – this exercise helps to increase the strength of the quadriceps muscle and also improves the range of motion for the knee joint. To perform this exercise, a person has to lie down on the stomach, bend one knee and grab it with hands. Slightly lift the knee off the floor until a stretch is felt and hold for 10-15 seconds. Repeat on both sides.
5. Stretch of the hamstrings – this exercise improves the flexibility of the hamstring muscles and improves the range of motion. In this exercise, one should lie down on the back with legs outstretched. The right knee should be bent and the back of the thigh should be grabbed with both hands. Slightly pull the leg towards the chest. Straighten the leg upwards and repeat the exercise for 10 times each on both legs.
Practicing these exercises routinely can help to ease the pain of osteoarthritis and also improve the range of motion of the knees. Regular practice ensures an increase in stability, stamina and flexibility of the body.
Mobility for a person is very important, and when you look through, the hip is a very important component to this. It connects the upper and lower parts of the body and helps in movement. It is a ball and socket joint, where the hip bone provides a socket, into which the upper part of the thighbone (femur) sits into, allowing for free movement.
Like any other human organ, the hip also is prone to damage. Be it natural ageing, infection, injury, or diseases, hip movement can be affected, leading to limited movement and increased pain and stiffness. For these people, being able to get back a hip which will allow them to be back on their feet is a boon for sure. It helps in relieving pain and improving mobility, almost giving people a second lease of life.
Reasons for hip replacement:
- With natural ageing, the hip joint can lose its ability to move, due to normal wear and tear of the hip and thigh bones
- Diseases of the hips (infectious or autoimmune) can also lead to hip replacement
- Injury or trauma is another major cause that requires hip replacement
- Joint problems, leading to repeated dislocations
- Tumours of the relevant bones
Understanding the procedure in detail
- The affected bones (whether diseases or worn out) are replaced with a prosthesis which is compatible with the normal body tissue.
- While some materials fuse to the natural bone, others do not and are simply placed as a separate unit
- This is a surgery which requires hospitalisation and stays for up to 5 days depending on patient’s overall health condition
- The entire procedure may take a couple of hours and is usually done under general anaesthesia
- An incision is made through the side of the hip
- Both the hip and the thigh joints are prepared, diseased tissue removed, re-shaped, etc. to make way for the prosthesis
- The prosthesis is introduced through the same incision and positioned into place
- As noted earlier, there are two types. The ones which fuse to the bone have pores in them into which normal bone eventually grows.
- The other variety is the cemented version, and a glue is used to keep it in place
- Most doctors now use a combination, that is cement a porous prosthesis, into which bone will grow, and the incisions are closed
- The patient stays in the hospital for 1 to 4 days depending on overall health
- Once discharged, infection and pain control are continued
- Exercise and physiotherapy play a major role in restoring normal function
- Weight management is also very important
A herniated disc also known as a slip disc or prolapsed disc refers to the problem where one of the discs located in between the bones of the vertebrae(backbone) gets damaged and stacks itself upon the nerves. The tender inner portion of the disc gets protruded over the outer ring. Herniated disc causes severe neck pain and back pain. It occurs when the outer ring gets weak and tears down. The most common symptoms include pain and numbness, especially on one side of the body. The pain extends down to the arms and legs. It worsens during nighttime. The muscles become weak. Overweight people are likely to have this disease, as the discs carry extra weight. Old people are vulnerable to a slip disc.
Effects of Herinated Disc:
- An untreated case of herniated disc may cause permanent damage to the nerves.
- In certain cases, a herniated disc is capable of cutting off nerve impulses to the "caudal equine"nerves, present in the lower back and legs. This leads to loss of bladder control or bowel control.
- Saddle anaesthesia is another long-term effect. Nerves are compressed by the slip disc, causing loss of sensation in the inner portions of your thighs, the back of your legs and surrounding the rectum region.
- Symptoms may improve or worsen.
Diagnosis of Herinated Disc:
Treatment or diagnosis of herniated disc or slip disc can be either conservative or surgical in nature. The nature of treatment is determined according to your discomfort level and the kind of pain you are experiencing, or how much the disc has slipped out.
- The pain caused by herniated disc can be relieved by undertaking an exercise schedule which includes stretching and strengthening the spine and its surrounding muscles.
- A physiotherapist should be appointed for recommending the types of exercises.
- Taking pain relievers also soothes the pain.
- Stronger medicines prescribed by doctors include-muscle relaxers, narcotics to deal with the pain, medicines for nerve pain such as "gabapentin" or "duloxetine".
- In case of the symptoms not subsiding within a span of six weeks, a surgery may be recommended by your doctor. The surgeon may have to remove the damaged part of the disc. This surgery is called a microdiskectomy.
Hip replacement is a surgery in which a specialist doctor surgically removes an agonizing hip joint afflicted with arthritis and replaces it with a man-made joint usually produced using metal and plastic elements. It is usually done when all other treatment choices have been tried and have proven unsuccessful in providing satisfactory pain alleviation. The technique is to mitigate the pain in ahip joint, in order to make walking and other physical exercises easier.
The surgical procedure is as follows:
- Hip replacement surgery can be performed generally or by utilizing what is called a non-obtrusive method. The primary difference between the two methodologies is the number of entry points needed for the surgery.
- During standard hip replacement surgery, you are given general anesthesiato relax your muscles; this will keep you from feeling any pain during the surgery or being awake during the surgery. A spinal sedative might be given to counteract pain as an add-on option.
- The specialist will then make a cut at the edge of the hip and move the muscles connected to the highest point of the thighbone to uncover the hip joint.
- Next, the ball part of the joint is taken out by cutting the thighbone with a saw. At this point a fake joint is attached to the thighbone using a material that allows them to stay intact.
- The specialist then readies the surface of the hipbone - evacuating any harmed ligament - and joins the substituting attachment to the hipbone.
- The new ball part of the thighbone is then embedded into the new joint part of the hip. The specialist then reattaches the muscles and shuts the entry point.
There are some things you need to keep in mind and be attentive about, post the surgery. These are as follows:
- You will probably remain in the healing facility for four to six days and may need to remain in bed with a pad between your legs to keep the new hip joint set up.
- A seepage tube will be set in your bladder to help you urinate without having to walk to the bathroom.
- Non-intrusive treatment usually starts the day after surgery and within the days you can go around with a walker or a walking stick.
- You will continue with the non-intrusive treatment for quite a long time which could be a number of months post the surgery.
- For anywhere in the range of six to twelve months after hip replacement surgery, rotating or putting pressure on the operated leg needs to be limited to a great extent. You need to likewise not cross the operated leg past the midline of the body nor turn it inwards.
- You cannot twist the hip past ninety degrees. This includes both twisting forward at the abdomen and crouching.
- Your physical advisor will tell you the methods and equipment that will help you comply with the above rules and precautionary measures while performing every day exercises.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.
My mother is suffering from arthritis and she is having swelling on hands and feet and it increases with almost everything she eats. Can you please suggest the doctor for the treatment.
Joint replacement surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced by artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.
When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade iv osteoarthritic knees of people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.
Aim of the surgery
Correct the deformity: relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
Anaesthesia: usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
Recovery: stand up and walk a few steps with a walker the day after the procedure i. E. In 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking. Progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
Activities: normal walks of 3 to 5 km per day climbing stairs, cycling, swimming, and driving can be performed with the new implant (s) now.
Avoid: squatting/kneeling prohibited: contact sports like football, cricket, tennis; jumping; adventure sports longevity of joints: 15-35 years depending on the materials used.