Doctor in Vasanthi Orthopedic Hospital
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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Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.
Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.
If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.
Some of the common reasons why you may opt for this particular surgery are:
- Gout, where, small crystals are formed inside the joint.
- Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
- Hemophilia, wherein, the blood ceases to clot normally.
- Injuries to the knee.
- Disorders that cause unusual bone growth (bone dysplasias).
- Death of bone in the knee joint following blood supply problems (avascular necrosis).
- Knee deformity with pain and loss of cartilage.
- Unusual growth of bones in the knee joint.
Knee replacement surgery is classified into:
- Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
- Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.
The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to It takes 3 weeks to start performing activities of home. It may take three months to recover completely from a knee replacement surgery.
You might be an elite athlete or just a commoner. There is always a possibility for you to develop lower back pain while carrying out your daily activities. You might not be aware but regular activities like sitting at the computer, running on the treadmill or simply crawling into your bed for a good night's sleep can affect the health of your spine. You are always at the risk of damaging your spine. These damages lead to back pain. It has been found that faulty postures can cause back pain by causing straining of the back muscles, injuring the tendons and damaging the vertebrae or ligaments.
Back pain can be caused due to the overuse of a particular activity or for undertaking a new activity. However, it is often very difficult to pinpoint the exact reason behind the occurrence of back pain. Here are the common causes of lower back pain:
- The screen trouble: You are likely to develop back pain, if you spend long hours sitting in front of the computer. Researchers believe that spending nine hours or more a day by texting on smartphones or tablets or typing on the computer is dangerous. You must take a break at regular intervals while working on the gadgets to avoid back pain. Your monitor of the computer should be placed at the level of your eye.
- You skip the core exercises: The health of your spine depends on the core regions of your body as well. The core region includes your back, side, pelvic, and buttock muscles. It is important that you practise the core exercises like lunges, squats, and planks. They help in strengthening the muscles around your core region and keep your spine healthy.
- Improper sleep pattern: Your sleeping pattern is as much important as your walking or sitting pattern when it comes to the health of your spine. If you sleep on your stomach, pressure is placed on joints and muscles. This may cause straining of the muscles or ligaments in the spine region.
- Smoking: Cigarettes are not just unhealthy for your lungs or heart, they are equally bad for the spine. Cigarettes contain nicotine. Researchers have found that nicotine hampers the flow of blood to the vertebrae and disks in between the spine. Insufficient supply of blood to the spine region results in low absorption of calcium by the bones in this region. Therefore, you end up developing back pain.
- Blame it on your emotions: Back pain adds to your emotional stress. But believe it or not, the reverse is equally true. Depression and emotional stress, increases or sometimes even initiates back pain. When an individual is depressed, his or her glands release stress hormones known as cortisol. This hormone causes the muscles in the back region to tense up.
Ways to get rid of lower back pain
- You must lie on your back.
- It is then advisable to lift your left leg, as high as you can
- Thereafter, keep the legs straight in a raised position.
- You are then supposed to hold your lower thigh with both hands.
- You can then pull the leg toward your upper half of the body
- Hold this position for some 10 to 15 seconds.
- Position yourself back in the starting position.
- Repeat the same with the right leg.
- Do this 2-3 times with each leg to get rid of the lower back pain.
- Apply hot or cold compression on the affected part
- Eat a balanced diet
- Don’t smoke or drink
- Exercise in a proper posture
- Don’t spend too many hours sitting before laptops or tv
When your daily activities are limited due to severe pain or joint damage, it is when a joint replacement may be the best option. Joint replacements are done to restore movement and reduce pain. The most commonly replaced joints are the hips and knees. With advances in medical technology and operational expertise, these procedures have undergone major changes in the way they are done. The success rates have also proportionately gone up.
Hip replacement: The hip is a bone and socket joint, wherein the hip joint sits in the femur, which is the thigh bone. This could require replacement either due to a severe injury or due to regular wear and tear with aging. Replacement is considered when non-medical therapies like exercise and painkillers fail to improve the quality of life. In advanced joint replacement, both the ball and socket portions are completely replaced with artificial components (could be metal, plastic, or ceramic).
Knee joint replacement: The knee is a modified hinge joint formed between three bones – the patella (knee cap), the femur (thigh bone), and the tibia (shin bone). The knee can be affected either due to regular wear and tear or as a part of the trauma. When the knee joint is affected, the patient’s ability to move is greatly diminished, and thus requires treatment. If nonsurgical measures fail, then surgical correction is required.
What happens during the joint replacement?
- These are major operations and are done in the hospital setting, with 1 to 2 days of hospitalization
- The operation takes about 4 to 5 hours
- The damaged cartilage or bone is removed and the part is prepared to receive the prosthesis
- Titanium alloy is often used as it has the unique ability to fuse to the bone
- Sometimes, plastic or ceramic is also used
- These simulate the movement that was previously produced by the natural joint
- Post operation, infection control is extremely important
- Pain control initially could be through injection, and then gradually move to an ad-hoc basis
- With the pain and limitation on movement gotten rid of, the new joint should be gradually accustomed to movement. The surrounding tissue also requires time to heal and support the normal movement.
- Return to movement should be gradual and under a physiotherapist’s guidance. Advance exercise as directed.
- Diet should be modified to ensure the required nutrition is provided for proper healing
- Other equipment like a walking stick, shower bench, handrail, or a walker may be required.
- The first few weeks could require extensive help to move around and get back to normal activities.
Whatever the part replaced, with total joint replacement, these precautions should be adhered to, to ensure complete recovery and successful return to a stage of pre-operative movement.
The spinal cord houses the most important nerves in the body. Therefore, any disease or disorder affecting the area can be difficult to manage and live with. A spinal cord tumour is a common occurrence and makes life difficult for patients. However, the treatment for tumours on the spinal cord differs based on the region that it affects and other factors.
Types of spinal cord tumours:
Tumours near the spine region can be classified into three types, based on the area that it grows.
• Inside the spinal cord - When a tumour grows inside the spinal cord, it is known as intramedullary. These types of tumours are the rarest. If a tumour affects your cervical spinal cord, it is likely to be intramedullary.
• Outside the spinal cord - A tumour may also grow outside the spinal cord, but still be inside the sac protecting the cord. This kind of spinal tumours is known as intradural/extramedullary.
• Outside the protective sac of the spinal cord - Lastly, the tumour may grow just outside the protective sac of the spinal cord. This is the most common type of a spinal tumour and is known as extradural. A tumour in this region can be malignant or benign.
Symptoms of spinal tumours:
Spine tumours may be difficult to diagnose because the associated symptoms are easily mistaken as other minor disorders or conditions. Here are some common symptoms of a spinal tumour-
• Extreme back pain is common for spinal tumours. This pain grows worse at night. Patients are unable to find relief from the pain even after rest.
• Numbness in the legs and arms
• Inability to walk or severe difficulty in certain movements
• Reduced sensitivity to stimuli, such as pain, heat and cold
• Loss of bowel and bladder control
Treatment for a tumour depends on the kind of a tumour that affects the patient along with the region of growth. Some tumours may not cause any major difficulty in your quality of life. Doctors will recommend monitoring the growth in such a case. Treatment may not be needed.
In the case of benign tumours, surgery is recommended.
• Surgery - This is the most common form of treatment for benign tumours. If the doctor feels that a tumour is at a location where he/she can perform a safe surgical procedure to remove it, surgery is the best treatment option. However, such surgery can lead to minimal nerve damage.
In the case of cancerous tumours, the treatment is different.
• Radiation therapy - Radiation therapy is necessary to destroy the cancer cells in a tumour. Generally, radiation therapy is useful in cases, where surgery is impossible, due to the location of a tumour.
• Chemotherapy - Doctors may use medications to limit the growth of cancer. In such a case, the drugs help put your cancer in remission. However, the side effects of chemotherapy are severe.
If you experience back pain, visit your doctor. It may be spinal cord cancer. Early detection greatly helps in the treatment of the disease.
Damaged hips can cause great distress in carrying out daily activities, such as walking, getting dressed and many more. If you have damaged one or both of your hips, and it causes you great pain, you may require a hip replacement. It is a common form of surgery in which a damaged hip joint gets replaced with an artificial one. This is known as a prosthesis.
Conditions which lead to hip replacement
- Osteoporosis where the cartilage inside a hip joint gets worn out and the bones rub with each other as a result
- Rheumatoid arthritis, which is caused when the immune system attacks the hip joint lining by mistake
- If the hip joint gets damaged severely during an accident or fall
The purpose of a replaced hip joint is to provide pain relief, improve the hip’s function, improve your ability to carry out day-to-day activities and improve your overall quality of life.
A hip replacement is usually carried out under general anesthesia. An incision is made in the hip by the surgeon and the damaged hip joint is removed through it. It is replaced with an artificial metal alloy or a ceramic joint. The surgery takes approximately 60 to 90 minutes for completion.
After the surgery, a walking aid such as crutches is required for up to four to six weeks. You may enroll for an exercise program, which aims at regaining and improving the new hip joint functions. Regular activities can be restored within two to three months. A year is required for utilizing the new hip joint normally.
Risks of hip replacement-
There may be several complications as a result of a hip replacement. They include:
- Dislocation of the hips
- Infection at the surgery wound
- Injury to nerves and blood vessels
- Difference between the lengths of two legs
Hip replacement surgery has an alternative type of surgery, which is called hip resurfacing. During this surgery, the damaged surfaces of the bones within the hip joint are removed and replaced with a metal surface. Less bone is removed in this surgery. However, the metal surface may cause complications and health hazards.
Hip replacement is being improved upon with the advent of technology. Stronger and newer materials are being developed for prosthetics, which will allow enhanced joint mobility and longer wear. New cement-less implants are also being developed. Also, surgery assisted by computer is being used for generating an image of the hip joint.
Hi I am facing neck pain since last 3-4 month I go to Dr. he got x-ray of cervical spine and told me nothing happens you do neck pain due to lack of calcium and gives me medication of calcium supplement and vitamin d supplement. To relief from the pain gives 5-6 days does of pain killer and supplement does for 30 days I want to know that is that correct treatment or I can have another something. Or change Dr. or anything you can suggest as the relief not came since last 3-4 month help me in that.
Bones are similar to a porous framework which is filled with minerals that make it hard and strong. With age, there is gradual degradation and the mineralized portion is lost, thereby leading to thinning of the bone. The word osteoporosisliterally translates to porous bones, which is due to the gradual demineralisation. In addition to the natural ageing process, there are other diseases that can accelerate the demineralization process.
Women are more prone to demineralisation, and after the age of 40, they should take extra precaution to slow down the onset of the condition.
Diet: Ensure that your diet has sufficient amounts of vitamin D and calcium. Though calcium is the essential mineral for bone formation, vitamin D is required for the absorption of calcium, and therefore both these elements play a vital role in maintaining the quality of the bones in our body. Most people require about 1,000 mg of calcium and about 500 units of vitamin D for optimal bone health. This requirement goes up slightly in postmenopausal women.
Sun Exposure: In most people, exposure to the sun allows the body to make vitamin D, but careful sun protection prevents this from happening. Also, with age, the body’s ability to form intrinsic vitamin D also declines. The body, therefore, relies on supplements. Most dairy products are good sources of calcium. In addition, spinach, salmon, turnips, and broccoli are some calcium-rich foods. Supplements of calcium carbonate or calcium citrate can be taken if your diet is lacking in calcium. Vitamin D also should be included in the supplementation. The treatment for osteoporosis is incomplete without these two supplements.
Exercise With Weights: The constructive tension that exercise puts on the body helps in bone building, whatever the age may be, which prevents the onset of osteoporosis. Any exercise which improves muscle mass strengthens the bones, and puts stress on the bones is advisable. Since the fractured area due to osteoporosis mainly includes the spine, lower back exercises, yoga, tai chi, and abdominal exercises all work wonders. Pick any of these and do them for 30 minutes three times a week.
Quit Smoking: Continuing to smoke while taking osteoporosis medications is completely useless. Nicotine negates all the effects which defeat the purpose of taking the medication and is as good as taking no medication at all. So if you want the bone thinning to stop, stop smoking.
Alcohol Consumption: While a drink or two per week is permissible, more than this can harm the bones significantly.
Constant Health Watch: Talk to a doctor about how other routine medications (if any) can affect your bone health. Also, identify how frequently you should check your bone mineral density and stick to the schedule.
Bone health and osteoporosis can be managed with some conscious efforts.