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My mother is suffering from knee pain since 7 months with also reasonable amount of back pain, she also suffers from chronic head pain twice a week and sometimes she says that she is feeling that her head has become heavy (like a stone) her age is 44 years can you please give suggestions for her recovery. She is a bit overweight but can't take steps to reduce weight because of knee pain.
Knee replacement surgery- which is also known as knee arthroplasty, helps to relieve the pain in the knee thereby restoring the knee function. During this procedure, a surgeon cuts the damaged cartilage and bone from the kneecap, thighbone, and shinbone and replaces the same with an artificial joint comprising of high-grade plastics, alloys, and polymers. A patient/surgeon has the liberty to choose the type of knee joint he/she prefers based on factors such as weight, age, overall health etc.
Signs that might indicate a knee replacement surgery -
- The pain in the knee keeps coming back all the time.
- The knee aches after a brisk walk or during an ongoing exercise session.
- The mobility of a person has gradually decreased over time as compared to last few years.
- A supporting cane or medication isn’t delivering the desired support or pain relief.
- The knee tends to stiffen when a person sits for a long time. Example- witting through a movie or sitting in the car for too long proves to be a major hurdle.
- The pain proves to be a major problem that intervenes with sleep.
- The knee motion significantly decreases once a person tries to bend the knee.
- Climbing stairs turns out to be a major hurdle.
- Getting out of bathtubs becomes a major challenge.
- The knee becomes and stays stiff or at least half an hour after getting up from bed in the morning. If the stiffness lasts for more than 60 minutes, it is a sign of inflammatory disease.
How is a knee replacement surgery performed?
- Knee replacement surgery requires overnight stay in the hospital.
- It involves a general or spinal anesthesia.
- Once the skin over the surgical site is cleansed with an antiseptic, the doctor makes an incision and takes out the damaged surface of the knee joint.
- The knee joint is then resurfaced with a prosthesis made up of plastic and metal.
A cemented prosthesis is most commonly used during these days. The prosthesis contains 3 components:
- Tibial component
- Femoral component
- Patellar component
What are the advantages of knee replacement surgery?
- The biggest advantage of this surgery is the freedom from constant and throbbing pain.
- The fact that surgery can increase the mobility also proves to be a blessing for the general condition of the patient.
- Knee replacement also helps a patient to get rid of supporting device such as a cane, wheelchair, pain medications etc.
- The feeling of stiffness also goes away after the surgery.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My fathers has knee problem can't walk properly. X-ray report nil. Please suggest something for that.
My wife is64 yrs old & suffering from osteoarthritis of pelvic region. She is using Dhanvantaram kuzhampu massage oil (Kotekkal) & orally Glucosamine sulphate tablets, daily. But there is little relief. It is very difficult for her to get up from sitting posture, or climb stairs. Is there any permanent cure for this or stop further degeneration of bones. Pls Inform.
The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.
What can cause knee pain:
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.
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
How to deal with it:
- Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
- Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
- Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.
The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.
ACL injury and other ligament injuries can be caused by:
- Twisting your knee with the foot planted
- Getting hit on the knee
- Extending the knee too far
- Jumping and landing on a flexed knee
- Stopping suddenly when running
- Suddenly shifting weight from one leg to the other
These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.
- Rest the knee.
- Ice your knee to reduce pain and swelling.
- Compress your knee.
- Elevate your knee on a pillow when you're sitting or lying down.
- Wear a knee brace to stabilise the knee
- Practise stretching and strengthening exercises if they are recommended.https://docs.google.com/spreadsheets/d/16Y_GBnYm2-tnHKOSVjyKU9CJ0FLTkPu8q8i5tul8nLs/edit?ts=5ae18dcc#gid=0
For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.
A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.
A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.
Treatment may include:
- Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows.
- Physical therapy.
- Surgery to repair the meniscus.
- Surgery to remove part of the meniscus.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.
Importance of ACL-
The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.
What leads to an injury to the ACL?
Here are a few actions that may result in a ligament tear.
Sudden stopping while running or slowing down from a fast speed
Sudden change in direction
Uncontrolled jumping from a height
Direct hitting with an object or person
What happens when the ACL is torn?
If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.
Treatment of ACL Injury-
Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.
Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.
- Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery. If you wish to discuss about any specific problem, you can consult an Orthopedist.