Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
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
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Our knee is supported by several ligaments which help in movement. But what happens if you tear a crucial knee ligament? Tears or 'ruptures' in ligaments of the knee are common in sportsmen and/or accident victims, especially of the anterior cruciate ligament (ACL).
Though the ACL is not the only ligament of the knee, it is one of the most crucial to maintain stability of the knee joint. Any tear of this ligament frequently leads to chronic knee instability. When a tear in this ligament happens, patients know it immediately as they report feeling or hearing a “pop” along with pain and a feeling of an unstable knee.
Types of ACL injuries
ACL injuries can be classified by the amount of damage to the ligament. They can be partial or complete tears.
- Grade I Sprain: In this there is some stretching and micro-tearing of the ACL, but it is otherwise intact. This does not require surgery.
- Grade II Sprain or partial disruption: In this there is some tearing and separation of the ligament fibres and the ligament is partially disrupted. Usually, the knee joint is also moderately unstable. Arthroscopy surgery may be required.
- Grade III Sprain or complete disruption: In this, there is total rupture of the ligament and the ligament is completely disrupted and the joint is unstable. Surgery is usually recommended for the young and active.
There are many different ways that this ligament can be reconstructed depending on the age, activity level, and gender of the patient. ACL tears can be treated using arthroscopy and minimally invasive surgical techniques.
Though non-surgical methods are available, like rehabilitation and physical therapy, they don’t help much with complete ACL tears.
1. Exercises- this helps to increase the range of motion of the injured knee, decrease the amount of swelling, and maintain muscle control.
2. Arthroscopic surgery for reconstruction of the ACL
It can be of 2 types- Repair and reconstruction of the ACL.
- A repair means that the injured ligament is left in place and the doctor tries to fix it back to the tibia or femur bones of the leg from which it has torn. This is a half-baked option as it does not restore full knee function.
- A reconstruction, on the other hand, means that the ACL is substituted by a new ligament. The surgeon creates a soft tissue “graft” and uses it to reestablish knee stability. The body populates the graft with living cells and permanently attaches it in place. And, it usually takes about 4 to 6 months for the graft to start functional like the real ACL. Reconstruction surgeries help patients to get back to the same or higher degree of activity without pain or instability. The ‘graft’ usually comes from 2 sources
- Taken from elsewhere in the patient’s body, called an autograft
- Donated by donors, called an allograft
Knee arthroscopic surgery is a minimally invasive surgery which is done using pin hole cameras and under general or local anesthesia. The torn ligament is removed and the graft is introduced in its place and secured.
Post surgery outlook
- Immediately after the surgery, the patient is placed in a brace. He or she can leave the hospital the same day if he/she wants.
- The patient has to use crutches for preventing putting weight on the operated leg.
- After-care is crucial for full functioning of the operated knee. The early postoperative period is devoted to restoring motion and decreasing swelling. After this the focus shifts to strengthening the knee joint.
- The recovery of function following an arthroscopic ACL reconstruction continues over a few months and it usually takes 2-3 months for the patient to feel normal.
As long as the operated knee is cared for properly and other injuries are avoided, the benefits of the surgery are usually permanent.
Rheumatoid arthritis is an autoimmune disorder. It affects the joints as well as the skin, lungs, heart, eyes and blood vessels. This condition is most notorious for the pain and discomfort it causes in the joints. Unlike osteoarthritis, it does not attack the cartilage but affects the lining of the joints.
This results in erosion of the bone tissue and can even cause deformities. There is no known cure for this condition and treatment is mostly focused on relieving the pain caused. Some of the ways to manage your pain are:
- Medication: Medication can help control the inflammation and pain caused by rheumatoid arthritis. Disease-modifying antirheumatic drugs or DMARDs are usually the first course of treatment. These may be accompanied by steroids and help reduce inflammation. The best medication to relieve pain is non-steroidal anti-inflammatory drugs or NSAIDs. In some cases, stronger pain relievers may be prescribed but these should be used cautiously. Excessive dependence on pain relievers can cause addiction.
- Change Your Diet: A diet rich in Omega 3 fatty acids can help control inflammation. In turn, this can help relieve discomfort and slow the progression of the disease. Cold water fish and fish oil supplements are rich sources of omega 3 fatty acids. In addition, it is important to have a well-balanced diet and to avoid excessive carbs and sugars that can lead to weight gain. It is important to note that heavier people suffer from more pain as their weight puts pressure on the joints.
- Exercise Regularly: Rheumatoid arthritis makes movements difficult and hence exercising may seem counterintuitive but this can help in the long run. Avoid high-intensity workouts and pick low-intensity activities like walking, cycling, swimming etc. Water aerobics is one of the best forms of exercise for rheumatoid arthritis. Yoga can also be very beneficial. Regular exercise is important but it is also important not to overdo it. Put exercising on hold during acute flare-ups and avoid doing anything that increases your pain. It is a good idea to consult a physical therapist to know what the best type of activity is for you.
- Hot and cold packs: Heat and cold therapy can help relieve pain immensely. A hot pack will help relax the muscles while the cold pack will numb the pain. Heat packs and cold packs can be used alternatively. Alternatively, you could soak the affected joint in hot water and cold water.
My sister aged 20 years has been molested and groped by house owner 18 days back. Since then she is having nightmare every night with some horrific scene which depicts that something more dangerous going to happen with her. She is frightened and not able to concentrate on her studies and personal life. She is completely shattered and lost her control. This moment she becomes normal and the next moment she starts crying or becomes angry. She also feel some kind of pain in the head and the body temperature gets increase suddenly. We are completely confused about her recent behavior. Can you please suggest some ways to overcome this nightmare situation?
My mother is 49 years, is suffering from OA and currently she is having pain in both Knees and in calf region and ligament cramp. Doctors advised for knee replacement. But we are somehow unable to do it. She is taking Cartigen Duo 1 tab OD. May it is better to take Adesam 400 mg BD?
I am 61 years old. Suffering with knee pain since 2 yrs. Using "ayurved medcin. Nucart-oa 2 tabs 3 times daily since 10 days. Is this useful? As I tried many allopathy medicines and failed.
I am having knee pain from last 3 months. It started out in the left knee only. Now the left knee is okay and my right knee is having the pain. Have done the x-ray and blood test. No major problem seen in them. My doctor said that it might be the onset of arthritis. But I am only 24 years old and arthritis seems hard to believe. I am an active guy and play sports. I do work in corporate office so most of my time is sound in sitting. Does anyone have any opinion about why the pain is there. The pain started 3 months back after playing football. nothing showed up in x-ray mri or blood test. Have problem while sitting cross legged and pain while walking. Also I would like to ask, whether I can continue my gymming or gymming would severe the pain. Thanks in advance.
Few days back I hav back pain so I decided to checkup and after my blood test and urine test I found out that there is a something wrong in my urine. I, e calcium oxalate crystals so to know more about disorder I went for sonography but it was normal according to the report. And doctor advice me to only drink more water. So my question: Ll it be ok if I only drink water What causes dis disorder Does it increase in future.
I am 83 male have left knee arthritis, the cartilage totally gone. I couldn't be operated for knee replacement, as I have left aortic aneurysm. I use jiva oil in the morning for a light massage take osteobioflex tablet green lipped mollusca extract and alternate days brufen 400 mg wear knee braces and complete all walking within the house. Carrying on like that. Don't go out much, except for walks inside the complex corridor. Any advice?
I have problem that my left hand palm near thumb is paining and blink internally what I can do and I have constipation problem.
I am suffering from back pain last more than 2 months, now a days also felling knee veins are tight at morning time taking treatment from homeopath medicine ,last month kindly suggest me what are the suggestion from your side.
4 days back I had severe pain on my inner part of my thighs. It was the nerve which was paining. Even touching or rubbing the nerve did hurt. I didn't take any scanning or X rays. Now it is all right. What would be the cause. Is there any chances it would happen again.
Hi, doctors, greetings. My age 32. I am facing a knee pain since 15 days. I experiences when I sit it's jamming. When I am standing there is no pain. Actually I was jumped from 1 meter height. Last 20 days back. I usually stands 6-9 hours per day on my job. Please help me what to do. There is no swelling only jam. Pls suggest.
Lateral epicondylitis, which is the medical name for tennis elbow, is a condition wherein the tendon in the upper arm develops a tear due to repeated motions. This is a very painful condition and can make your daily life difficult. It usually tends to affect your dominant arm i.e. the arm that you use the most.
Who does it affect and why does it happen?
As mentioned earlier, tennis elbow occurs due to repetitive similar movements of the elbows, forearms and wrists over a prolonged period. The common name for this condition came due to repeated occurrences with tennis players although it can happen to players of other sports as well as people in other profession too. Some of the people who are most susceptible to this could be from the following fields:
- Sporting activities such as squash, tennis, fencing, cricket and many other sports where repeated arms movements are required.
- Musicians playing certain instruments
- Knitting work
- Chefs and waiters
- Road and construction workers
- A slow exacerbation of pain over a period and gradual worsening can be a major symptom.
- In certain cases, the pain may manifest suddenly which will make any movement very difficult.
- Moving your arm may become very difficult, especially during any up or down movement of the arm.
- In some cases, the pain may be experienced only when shaking objects or actions wherein squeezing or hard gripping is required.
- Performing daily activities such as a tooth brush, trying to open jars or even trying to use a knife or fork can get extremely difficult.
How it can be treated?
Most treatment methods include keeping the elbow in a resting position and giving it time to heal automatically. However, some medication may also be given to relieve pain and quicken healing. Some of these are mentioned below.
- Elbow straps: These fix the elbow in a comfortable position and don’t allow it to move helping it heal on its own.
- Ice treatment : This is the most common home treatment prescribed to relieve pain. You can use homemade icepacks or even buy gel pack, which can then be held against the area to relieve pain.
- Painkillers: Ibuprofen and aspirin can be used to lessen the pain, although it is advisable to consult your doctors first.
- Various physical therapies: Physiotherapy, acupuncture or specific doctor recommended exercises could be done to not only relieve pain but also quicken healing and to strengthen the tendons and the muscles of that area.
Rheumatoid arthritis is an inflammatory disease, which destroys the cartilages of the body, thereby rendering a weak joint structure throughout the body. This causes the bone density to reduce, which in turn reduces the original strength of the bones. This is usually manifested in people – men and women both - from their late middle ages. Terrible pain is sometimes accompanied with such form of arthritis. Though arthritis can be treated, this treatment is only provided to boost bone density, make the bones stronger, provide vitamins and minerals to the body and slow the process of bone degeneration. Once arthritis affects you, you can never be completely cured of it, but you can definitely try to lessen the degradation rate and frequency.
There are several factors, which lead to the development of rheumatoid arthritis in a human body. One such factor is the immune system. Over the years, the immune system becomes weaker. The body is attacked by many infections, bacteria and other foreign particles, which the immune system fights effectively. But as one starts growing and reaches almost middle age, it is found that the immune system no longer remains as vigilant and quick to be able to cope up with the disease causing germs, and fight them effectively. A reduced immune system can be caused by consumption of excessive medicines, vaccines and other medicinal drugs over the years. This makes it difficult for the immune system to cope with arthritis at this age. Hence, the development of rheumatoid arthritis is very much related to a weak immune system in the body.
However, this does not mean that it cannot be treated. There are various natural and organic ways to boost your immunity. You must try to follow some of them so that your immune system becomes stronger and better or at least shows signs of improvement. That apart, you need to consult your medical practitioner when signs of arthritis are manifested by your body. There are simple exercises, natural methods to keep fit and certain other medicines, which need to be consumed to make your bones stronger. If you follow these rules then your arthritis would not be very fatal and you will be able to cope with it.
This highlights how the immune system is an integral part in the formation of arthritis in a human body. If you see signs and symptoms of arthritis developing in your body, then you must consult the medical practitioner immediately so that you can start with an appropriate treatment as soon as possible. Arthritis should never be neglected as it can give rise to chronic pains and adverse health problems in the future.
It is considered as the medical speciality, which caters to injuries and various diseases in the musculoskeletal system of the human body. This constitutes the joints, bones, tendons, nerves and muscles that enables a human being to move, be active and work. Orthopaedic surgeons perform special problems like diagnosis of the injury or disorder, treatment with right medication, rehabilitation that is by prescribing exercises and physical therapy in order to restore back movement, function and strength and finally prevention by providing information and plans of treatment to prevent the injury or reduce the progression of the disease.
Platelet Rich Plasma Therapy (PRP)
PRP is the next generation injection method which is used commonly for conditions like knee, hip, shoulder and spine osteoarthritis, cuff tears, ACL injuries, pelvic instability, tennis elbow, back and neck injuries, ankle sprains, ligament sprains and tendinitis. It includes higher blood rate platelet concentrations and the patient experiences fewer chances of inflammatory side effects due to its pure PRP mixture.
How does it heal the body?
- The human body at first responds to the soft tissues injury which is to have the platelet cells.
- They are packed with healing factors that initiate repair and also attract critical assistance of the stem cells.
- The process intensifies the human body’s efforts which directly delivers a higher platelet concentration into the area of need.
- To create the PRP, a small section of the patient’s blood is drawn and it is placed into centrifuge which spins blood at a higher speed and separates the platelets from the components.
- It is injected into and at around the mark of injury and it significantly strengthens the process of healing.
- Just because the patient’s own blood is used in the process there is no risk of transmissible infection and also has less chance of allergic reaction.
- The procedure takes a couple of hours inclusive of the recovery and preparation time. It offers instant recovery as well avoids a long stay in the hospitals and application of anesthesia.
Outcome of PRP?
As the goal of PRP therapy is just to resolve pain by healing, it can prove to have long-lasting results. Initially, improvements are seen within few weeks eventually increases with the healing progress. The research studies have shown that PRP therapy is safe and effective and enables the patient to get back to their normal daily routine.
The PRP is very rich in platelets and it is a very old therapy that is adopted. It is a simple process and has multiple injections lasting 60-90 minutes and above all, it has natural end results, for example, PRP therapy is applied in hair restoration that provides natural appearing end results. It is a reliable process and therapy.