Book Clinic Appointment with Dr. Krishna Kumar M S
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
Treatment of Ankle Sprain
Submit a review for Dr. Krishna Kumar M SYour feedback matters!
Very good investigation
Lakshan A S
Life is beautiful and exciting, but any impaired movement can take our routine for a toss. Especially, with conditions such as arthritis, it gets tougher. But there are numerous modern-day procedures available to treat such issues, and one such method is the Arthroscopic surgery. It is performed on the joints to diagnose and treat the joint problems and abnormalities.
In this surgical procedure, small incisions of around ¼ inches are made to several parts of a joint area for inserting an Arthroscope which is attached to a small television camera, and it lets the surgeons have a closer look at the interiors of the joints. Whether it's finding out the cause of a joint abnormality or visualizing the issue for treating or repairing it, arthroscopic surgeries can take care of both. Let's take a closer look at some of the most common queries regarding arthroscopic surgeries.
Why are arthroscopy surgeries performed?
When it comes to diagnosing as well treating inflammatory, non-inflammatory and different types of infectious arthritis and injuries in the joints, orthopedics usually recommends arthroscopic surgeries. From treating tears or dislocations in the joints of the shoulder, knee, wrists to issues caused by arthritis, and treating cartilage damages such as in the ankles or elbow, arthroscopic surgeries are performed for a wide variety of reasons.
How long it takes to recover completely?
As the effect of the sedatives and anesthesia, patients tend to feel dizzy and sleepy right after the surgeries. Even, sometimes mild pain can be experienced too which usually goes away in a few days with the help of right medications. The surgical incisions, being tiny, also tend to heal within a few days after the surgeries with proper care. Usually, the patients are likely to resume their daily activity, except the stressful ones, within a few weeks. However, depending on the severity of the joint condition and the condition of the patient, the recovery time can vary.
Are there any risks involved in these surgeries?
Potential complications of any kind are not common in arthroscopic surgeries. However, sometimes, patients may feel pain slight pain in the joint or joint stiffness, severe swelling, and even redness or numbness. Joint infection and bleeding into the joint are two other complications that are also very rare.
Remember, though it is mostly an outpatient procedure, still, a spinal, regional, local, or general anesthesia is required depending on the condition of the patient. These surgeries tend to cause less tissue damage as well as less pain with smallest of cuts compared to other traditional surgical procedures. In case you are facing joint issues, consult with your orthopedic to know whether you are the right candidate for arthroscopic surgeries or not.
A fracture separates a single solid object into two or more pieces due to pressure. In medical terms, a fracture refers to a broken bone due to some kind of external trauma. A crack in the bone, on the other hand, it does not cause a clean break in the bone, there is only a separation or discontinuity in the bone material.
A crack in the bone caused due to repeated stress is often called as 'hairline fracture'. Here are the basic differences between a crack and a fracture in the bone and how to treat them:
- A crack or hairline fracture is rarely caused by a single injury. It is usually the result of bone fatigue, which may be caused due to repeated, concentrated stress over a long period of time and thus, it is also called as 'stress fracture'. Other bone fractures are almost always the result of sudden and severe force on the bones.
- The skeletal system constantly remodels itself. The cells, known as 'osteoblasts' absorb calcium and secrete bone connective tissue. If a particular site is exposed to recurrent bouts of force (which are individually not impactful enough to cause a crack), over time the osteoblasts in that region malfunction and the crack appears. Muscular exhaustion can also cause cracks in the bone. Fractures are caused due to sudden external single force trauma to the bone. Nutritional problems like deficiencies of Calcium, Phosphorus, vitamin D and excessive smoking decrease the bone mineral density and increase the chance of both cracks and fractures.
- Symptoms of a crack are swelling, tenderness and sharp pain in the injured region and the symptoms worsen over time. A fracture has similar symptoms and might also exhibit an external physical distortion and makes it impossible to move that part of the body that where the bone is broken.
- An MRI is often suggested for detecting the crack or crack-prone areas because an X-ray can only detect the crack after it widens somewhat or the bone starts paining because the rays cannot pass through the tiny gap in bone material. A fracture is easily detectable by an X-ray because the rays pass right through the break.
- Complete rest for six to eight weeks is the most effective way of healing a crack. Using a walking boot in case of cracks in the leg bones in also helpful. Healing fractures require extensive medical intervention. Surgical techniques like bone grafting and the insertion of metal plates are used to reposition the broken bone.
Incorrect posture or a sedentary lifestyle will often land you in pain in your lower back region. To control this pain, here are a few exercises which you might try out for a healthier back:
- Bottom to heels stretch: This helps to stretch and mobilize the spine. Keep your knees and hands in line with your hips and shoulders. Do not over arch your back as that will just bring you a negative impact. Move your bottom backwards. Hold the stretch while you breathe in and out once. Repeat this exercise 8 to 10 times.
- Knee Rolls: For this exercise you have to lie down on your back. Support your head with a cushion or a book. Bend your knees and keep them together. Relax your upper body. Then roll your knees, followed by your pelvis, from one side to another. Hold your stretch while you inhale and exhale once.
- Back extensions: For this exercise you need to lie on your stomach. You will have to prop yourself on your elbows. Arch your back while you put your hands on the ground and hold it for 5 to 10 seconds.
- Deep abdominal strengthening: You have to lie on your back. Support your head with a cushion or a book. Keep your knees bent and your feet straight, relax your upper body and breathe in and out while stretching your stomach muscles. Hold it for 5 to 10 breaths.
- Decompression Breathing: Stand with your heels slight apart from each other. Reach out overhead, lift your ribcage away from your hips while inhaling, and tighten your core while exhaling.
For a healthy and strong lower back you may require some other exercises, but to control the pain in your lower back you should absolutely make a point to try these out.
The anterior cruciate ligament is one of the most delicate yet vital ligaments that holds the knee bones in place and stabilizes the movement. Injury to the ligament, on account of a sprain, can prove to be a cause of severe distress. This may lead to a partial or a complete destabilization of the knee joints and impair the normal movements to a great extent.
Some of the most common causes of this sort of a ligament tear are accidental injuries during a sporting activity, unexpected collision or incorrect body postures. This is a fairly common occurrence among the athletes. However, the physiological and neuromuscular controls make women more susceptible to damage to the Anterior Cruciate Ligament than men.
There are two cruciate ligaments in our body, i.e. the anterior and the posterior cruciate ligaments. They run in crosses to connect the insides of the knee joints. They regulate the back and forth movement of your knees. They therefore, may incur substantial damage through sudden movements like jerks or an abrupt change of direction; the degree of tear may vary from minor strains to complete detachment. Accordingly, treatments are available to cure the distress. The treatments may either be surgical or nonsurgical, depending about the extent of the injury as well as the age of the patient. A complete tear in the ligament necessitates surgery for recovery. However, one may choose to opt for other non - surgical methods.......
Some of the most effective treatments for a tear in the anterior cruciate ligament have been enlisted below:
- Bracing: Wearing a brace or using a crutch for the purpose of movement can accord the knees with some stability. It also keeps the joints intact and alleviates pain.
- Physiotherapy: Once the inflammation reduces, you may opt for physiotherapy to restore movement and reduce the pain. Heat and Ice therapies work as ideal adjuvants to physiotherapy in such cases.
- Surgery: Regrowth of the anterior cruciate ligament is not possible and hence reconstruction using tendon graft by surgery is needed. Knee caps and adequate rest accord better rehabilitation. The recovery is faster and steadier in this process.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.
Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.
What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running.
What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks. In case you have a concern or query you can always consult an expert & get answers to your questions!