Lybrate.com has an excellent community of Rheumatologists in India. You will find Rheumatologists with more than 28 years of experience on Lybrate.com. You can find Rheumatologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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Hi Doc, I got slipped on a slippery surface while I was jogging, my knee was stretched but I didn't fall down, after one day my knee joint has been paining when I climb stairs or get down stairs, request to kindly help.
My knees are popping when I sit or stand I don't like the sound so how can I stop them by making popping sound?
My feet are flat and suffering with pain while walking and obese too, I lost 4kgs in past 1 and 1/2 month. Regularly I am doing walking around 5.2km (approx 45min - 1hr time). Can I order for readymade insole for my shoes without consulting a doctor?
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 world-wide to get relief from extreme pain. 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 small incision and it eliminates the chances of human error. A 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.
In knee replacement surgery, the worn out surfaces of joints of knee are replaced with 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 as prosthesis. The design of these highly flexible implants replicate 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. A 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, the patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, the 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. If you wish to discuss about any specific problem, you can consult an orthopedist.
RHEUMATOID ARTHRITIS: THE INFLAMMATORY DISEASE Rheumatoid arthritis usually begins slowly but sometimes comes on suddenly. Symptoms may appear, go away, and return again. While it is a systemic disease of inflammation, the most noticeable symptoms are vaguely or acutely sore joints of the hands and feet. The inflammation also affects the connective tissues throughout the body, which may contribute to a sick all over feeling. Rheumatoid arthritis begins with inflammation in the synovial membrane, a thin tissue that lines the capsule surrounding the joint.Inflammation of the synovial membrane may spread to other parts of the joint.Inflamed tissue may grow into the cartilage surroundings the bone ends, causing it to deteriorate. When the cartilage disintegrates, scar tissue forms between the bone ends. Sometimes the scar tissue solidifies into bones, fusing the joint, making it rigid and difficult to move.
HOW DOES RHEUMATOID ARTHRITIS FEEL?
Different people have different symptoms, but characteristically pain and stiffness occur in the morning and subside during the day. If you have this disease, getting up in the morning may be the hardest part of the day for you. While a few minutes of stiffness in the morning may be normal, people with inflammation due to rheumatoid arthritis are frequently stiff for one or two hours.Usually more than one joint is affected by rheumatoid arthritis. As the joints stiffen, swelling and tenderness become more apparent.Full motion becomes painful and difficult. When rheumatoid arthritis affects the hands, the fingers may become deformed and everyday takes become difficult to perform. The pain may become more severe with strenuous activity.Because rheumatoid arthritis often affects connective tissues throughout the body, there may be fever, poor appetite, weight loss,and anemia. The spleen and lymph glands may become enlarged. Early diagnosis and treatment can reduce the possibilities of dangerous and crippling effects.