Doctor in Dr Shilpi Rawat Clnic
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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My mother is sugandha jain age 50 years old she is facing pain in her left knee since last six months we have consulted doctor in medanta but after seeing all reports he advised for an operation we want to confirm if the treatment can be done without operating.
The word 'surgery' is often dreaded by most patients. Be it an invasive oral surgery or a keyhole gallbladder surgery, it does not evoke a ready "yes" in most patients. There are too many patients who are ready to be on long-term medications if they could avoid the surgery and its complications. While there could be swelling, bruising, tingling, and many other symptoms, the one feared by most is the postoperative pain. What happens after the effect of the anesthetic wears off can leave many patients in a very anxious and fearful state. The trick is to prepare oneself - not just for the surgery but for the after effects.
Before the surgery, a detailed discussion with the doctor on the following is very important:
- A complete list of medications including supplements so that the medications used during and after surgery to avoid any potential drug interactions
- Type and severity of the pain - This will help you anticipate and be prepared for the pain after the surgery.
- Pain tolerance/threshold - Letting your doctor know your tolerance levels can help them prescribe an appropriate pain killer
After the surgery, the following are some ways to cope with the pain:
- Pain killers - Don't wait for the anesthesia effect to completely wear out. Take the pain killer much before the pain starts so that the onset of pain is delayed or nullified. For severe cases, opioids may be used to manage immediate postoperative pain. However, in most cases, non-steroidal anti-inflammatories like ibuprofen are used. They may also be used up to a few days after surgery to ease the pain and inflammation, depending on the type of surgery.
- Topical creams/lotions - In cases involving skin incisions, this help reduce the pain in the skin along the incision.
- Compression stockings - In addition to reducing blood clot, they also reduce pain in the legs.
- Physiotherapy - If there is a joint involved, doing physiotherapy after surgery is extremely beneficial. In addition to reducing pain, they also help improve mobility.
- Sleep - Sufficient sleep (more than you normally would) promotes healing and helps your ability to cope with the pain.
- Heating pads and ice packs - If these are your regular remedies for pain, feel free to use them even in postsurgical pains.
- Reduce Stress - This will help you cope better with the pain and heal faster.
A given patient and a given surgery are a unique combination. No two patients will react the same way to a particular surgery. Postsurgical pain can be managed very effectively with a little planning.
Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.
Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. Perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.
There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.
In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with an artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred to as prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.
I am suffering from bilateral frozen shoulder, as diagnosed by an orthopaedic doctor. It started all of sudden, early march this year. Actually there was little stiffness one morning n I thought its because of cold. Then I had pulled big fiber sheets with both hands to cover my backyard so I thought there is muscle pull in both shoulders. I took vit. B12, calcium supplement for one month as I was deficient in b12 n d3.(d3 I am still taking as it was weekly fir 12 weeks.). I took physiotherapy for about 20 days. But no relief. Can't take hands up to even comb. Putting on clothes n taking bath has become problem. I can not sleep properly ,it starts paining n the whole arm appears over worked up. When I get up after sleeping, the shoulders n muscles between shoulders n elbow pain as if I have taken tetanus injections. Please advice n help.
I am suffering from bilateral frozen shoulder, as diagnosed by an orthopaedic doctor. It started all of sudden, early march this year. Actually there was little stiffness one morning n I thought its because of cold. Then I had pulled big fiber sheets with both hands to cover my backyard so I thought there is muscle pull in both shoulders. I took vit. B12, calcium supplement for one month as I was deficient in b12 n d3.(d3 I am still taking as it was weekly fir 12 weeks.). I took physiotherapy for about 20 days. But no relief. Can't take hands up to even comb. Putting on clothes n taking bath has become problem. Please advice n help.
I am 85 years 5 months old. Full body scan indicates that kneecaps of the knee joints which were replaced about 9 years ago now needs resurfacing! my left hip has developed osteoarthritis and needs replacing. All this has effected my left left shoulder joint, lower back and left ankle. The orthopedic surgeon has suggested to avoid major surgery due to risk of possible infection and due to advanced age other complications. At the moment taking turmeric 600 mg capsules, anti inflammatory gel and paracetamol 2 tablets per day! I would appreciate meaning full advice!
I am suffering from shoulder pain from last 3 years if I do any work with my hand I got so much pain in my shoulder.
I am always have repetitive thoughts for many days .and it has disturbed my life. I took fluxotine a d clomipramine for many days .but all went in vain.
Excessive and persistent pain in the feet, as well as the ankle joints, could point at the existence of a condition known as flat foot pain. This happens due to the difference between a normal foot and a flat foot. While a normal foot will have an upward arch under the foot, right in the middle, the flat foot does not have such support. This arch is usually formed by the tendons and ligaments that help in rendering support to the foot as well as stabilising the rest of the body. When these tendons and ligaments become weak, the arch begins to diminish before finally disappearing, which leaves the patient with a flat foot.
This can be a painful condition. Let us look at the ways in which it may be cured.
- Foot Wear: When you are suffering from this condition, it is important to wear comfortable and supportive footwear like shoes, sandals and slippers which can support the arch and help in giving stability to the rest of the body. Besides looking for shoes that will provide the right amount of comfort, one can also use additional support like insoles that will help in giving comfort while you are walking, standing or running.
- Orthotics: These are tools that can be recommended by your doctor in order to help in minimising the pressure that one feels in the foot. The orthotics usually distribute this pressure by giving much needed additional support to the arch of the foot. These tools also help in realigning the foot’s ankle with its bones as well as the joints, which can help in successfully treating this condition to a great extent. They are usually customised as per your exact foot shape and size, as well as the problem you are facing so that you have plenty of support when you are using your feet for varied activities.
- Arch inserts and wraps: If your normal shoes are lacking the arch support that you require for flat feet, then you can also invest in arch inserts and wraps which will reduce the pain and prevent it from reoccurring. Also, these will help you to remain standing or walking for longer periods of time, as they add that extra bit of support to your feet for normal functioning.
- Surgery: If the various non-surgical treatments do not help you over a period of a few months, then it may be time to speak with your podiatrist or orthopaedic specialist so that you can go in for a surgery that will fix this problem. This kind of surgery will help in stabilising the feet and ankle bones by applying corrective foot support.