Aparna Hospital

Have you undergone cartilage damage recently and are seeking ideal treatment measures? Cartilage damage is a common form of injury that involves your knees. Other joints such as the ankles, elbows and hips may also be affected by cartilage damage. Cartilage, the tough and flexible tissues covering the surface of your joints, acts as a shock absorber, allowing the bones to slide over each other. Cartilage damage may occur because of injuries such as a gradual wear, sports injuries and osteoarthritis. While acute cartilage damage may heal on its own, severe damage may need treatment via surgical measures.

Treatment

Physiotherapy

• Physiotherapy is effective when you experience difficulty in moving your affected joint.
• It is also an important part of recovery if you have to undergo surgical procedures for treating cartilage damage.
• A physiotherapist will teach you certain exercises that are effective for strengthening the muscles that surround and support your affected joint.
• This helps in reducing pain and pressure on the joint.

Surgery

• Severe and serious cartilage damage does not heal effectively on its own, and a surgery may be required for treatment.
• Usually, surgery is performed by using Arthroscopy. This is a form of keyhole surgery in which certain instruments are inserted into your affected joint via incisions or small cuts.
• In some cases, larger incisions have to be made.
• Such surgeries are carried out after giving general anesthesia to the patient.

The most common surgeries that are undertaken in cases of cartilage damage include the following:

Lavage and debridement

• In this form of surgery, your joint is cleaned for the removal of any loose tissues.
• The damaged edges are trimmed to be made smooth. Sometimes, the damage may also be repaired during the same time.

Marrow stimulation

• In this procedure, tiny holes are made on the bone beneath your damaged cartilage that releases the bone marrow in it.
• The marrow cells stimulate the production of new cartilage.

Mosaicplasty

• In this procedure, small plugs of healthy cartilage from areas of a joint that are non-weight bearing are removed and used for replacing areas of the affected cartilage.

Osteotomy

• This procedure involves the alteration of the alignment of your leg for reducing pressure on the damaged area.
• It is effective in improving pain.
• A wedge of bone may be removed or added from your thigh bone or shin bone.
• The bone gets fixed with a plate till it gets healed.

In some cases, a joint replacement surgery has to be carried out. In this procedure, the entire affected joint is removed and replaced with an artificial joint. Hip replacement and knee replacement are common examples of this kind of surgery.

Heel pain is a common problem in the body where the affected person experiences pain radiating from the heel bone. Heel pain usually progresses slowly over time, it is recommended to consult a medical professional, if heel pain turns severe. The pain tends to be most severe after one has been inactive for some time such as after waking up in the morning. 

Causes 

Heel pain is usually caused when tissues present in the bottom of the heel (Plantar fascia) is inflammed. These tissues connect the heel bone with the bones of the feet and acts as a shock absorber. Tears form in these tissues when they are damaged or when they get thicker. These tissues are at an increased risk of wear and tear for those who are over 45 years old. The risks also tend to increase if the person is obese or whose occupation requires standing for lengthy periods of time. 

Among other causes of heel pain are heel bone fractures, fat pad atrophy (a condition where a layer of fat present under the heel bone is reduced) and bursitis (inflammation of the fluid filled sacs present around the joints). Peripheral neuropathy is a condition where damage occurs in the peripheral nerves (that transmits signals between the central nervous system and the rest of the body), this can cause pain in the heel. 

Symptoms 

The symptoms of heel pain include: 

1. Experiencing pain while jogging or walking 
2. A feeling of pins pricking the heels after waking up in the morning 
3. Inability to put weight on the heel 
4. Painful swelling 
5. Pain in the heel accompanied by fever 

Heel pain can be prevented by taking certain preventive measures such as restricting usage of high heeled shoes without proper support and stretching the heel regularly. Medications such as painkillers are used to treat symptoms of heel pain. Consult a doctor for accurate medicines !!

Knee pain is something that can affect anyone - irrespective of their age. While sometimes it may be of minor importance - and can easily be handled by self-care, often, lingering pain is a manifestation of some other serious underlying problem, such as arthritis. In this case, it is imperative that you consult a doctor and take appropriate measures to combat it.

Causes :

Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types:

• Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
• Rheumatoid Arthritis, an inflammatory chronic disorder
• Septic Arthritis, causing pain, swelling and redness.
• Gout caused due to the development of uric acid crystals in the joints

Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.
ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.
Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

Symptoms:The major symptoms of knee pain include weakness, redness, instability, stiffness or the inability to properly straighten or move the leg. Often, a deformity is also visible, such as a bone sticking out of the leg - in which case it is advisable to consult a doctor immediately.

• Possible risks: Factors which include the odds of being inflicted by knee pain and cause serious complications include :
• Being overweight: This exponentially increases the stress or pressure that is applied on the knee joints - even in doing mundane tasks like walking up and down stairs.
• Excessive physical activity: Some activities, such as sports apply excess stress on the knees as compared to other tasks.
• Loss of muscle flexibility: Tightness or weakness in muscles causes increasing number of problems in the knees.

Staying healthy involves a wholesome state of being where the mind and body are in perfect sync. A less than properly functioning body can leave you in a state of potential depression after a certain point of time, while a depressive mind can leave you feeling less than stellar where you end up imagining and experiencing pain. The health of your bones and joints is one such area that requires even more care as you start growing older. Wear and tear is just one of the reasons for degeneration while fractures and injuries can lead to a sudden halt of normal functioning of the bones and joints too.

So how can you ensure bone and joint health in the long run? Follow our tips!

1. Eating Right: Pick calcium rich food like dairy products that have a low fat content, including milk and yogurt. Also, have a daily dose of green, leafy vegetables and plenty of citrus fruit and juices for your fill of calcium. Further, food like eggs and soybeans which have lots of vitamin D can also help in retaining good bone and joint health. Vitamin C rich fruit like watermelon, oranges, squash and tomatoes also help in natural tissue and cartilage repair. And finally, get plenty of vitamin K to retain good bone density for a prolonged period with ingredients like leafy green vegetables, eggs and cheese.
2. Exercise: This is the key to good bone and joint health. Much like machinery and tools, the bones and joints of your body can also wither with disuse and prolonged inactivity. Make sure that you indulge in exercises like long walks and muscle strengthening exercises which will give your joints and bones good amount of strength as well. Remember to speak with your doctor before you start a new exercise regime so that you avoid anything that may be harmful in case you have any other ailment. Low impact exercises will strengthen the spine, while fat burning and weight loss exercises will ensure that there is less pressure on the knees and lumbar area. Swimming and resistance building exercises can also be practised for these purposes.
3. Abstinence: A major factor in promoting better bone and joint health is abstinence from all those things that can create problems in the long run, like smoking, drinking excessively and even too much consumption of caffeine and fatty food. All these things can create depletion of the natural bone mass. Also, switching to a lower heel for everyday wear footwear and changing your position during your time at your workstation are a few things that will go a long way.

Take care of your bones and joints the right way today, for a healthier tomorrow. If you wish to discuss about any specific problem, you can consult an Orthopedist.