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Dr. Manigandan

Physiotherapist, Chennai

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Dr. Manigandan Physiotherapist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Manigandan
Dr. Manigandan is a renowned Physiotherapist in Chintadripet, Chennai. You can visit him/her at Arivu PhysioTherapy Clinic in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Manigandan on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 43 years of experience on Lybrate.com. You can find Physiotherapists 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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Arivu PhysioTherapy Clinic

#104, Arcot Road, ChennaiChennai Get Directions
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Advance Joint Replacements - What To Expect?

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Pune
Advance Joint Replacements - What To Expect?

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 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. In case you have a concern or query you can always consult an expert & get answers to your questions!

4319 people found this helpful

I am a 30 yr old male and I work in it industry. I have backache problem, what should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
It's very common of your occupational strain so do stretch your spine muscles regularly with spinal flexion & extension exercises from your physiotherapist

I have knee pain nd when I sit on my knee a little voice comes out like charrarr.

BPTh/BPT, MPTh/MPT, CDNT, CKTT, Osteopathy, Cupping
Physiotherapist, Gurgaon
I have knee pain nd when I sit on my knee a little voice comes out like charrarr.
There may b some problem in knee joint so get it examined properly and avoid sitting cross legs, squat and on knees. Start strengthening exercises also. Visit to the Physiotherapist.
2 people found this helpful

Hello Dr. I am 23 years old From last two months there is severe pain in my left hip joint. I checked out to my family Dr. who said after looking to my x-ray reports that I have calcium deficiency. What kind of food should I eat, and can I have sex once a week.

MBBS
General Physician, Mumbai
Hello Dr. I am 23 years old From last two months there is severe pain in my left hip joint. I checked out to my famil...
Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong, chana,Dal, rice etc And to apply ghee over chappati and don't apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit and you can have sex as per your comfort.
1 person found this helpful

I have joint effusion, 2 years ago I had injury and I am still suffering from pain. The effusion is less by now but occasional pain is there, I have changed 5 orthopaedic doctor n 2 physiotherapists. They could not lower the level of pain.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have joint effusion, 2 years ago I had injury and I am still suffering from pain. The effusion is less by now but o...
You haven't mentioned which joint effusion you have? there are many different treatment options for joint effusion, including both home care and physician-led care. The exact treatment will depend on the severity of the condition as well as the cause of it. Some treatments specifically look to address the symptoms whereas others look to combat the underlying cause. If your condition is being caused by an infection, then the doctor may prescribe antibiotics to fight the infection. Physiotherapy exercises are also effective in reducing effusion and stiffness of the joint. Some home remedies for joint effusion are: take any medications the doctor prescribes you. Be gentle with your joint. Rest, avoid activities that put pressure on your joint, while it is painful and swollen. Ice can help control pain and swelling. Apply an ice pack, wrapped in a cloth for 15 minutes every two to four hours. Elevation-raise your knee (or elbow, or foot) using pillows above the level of your heart. Manage your weight. If you are overweight, losing weight will help.

Hello, my father is a diabetes and a heart patient and he is suffering from back pain? What can be the reason? What's the solution?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, my father is a diabetes and a heart patient and he is suffering from back pain? What can be the reason?
What's...
Mr. lybrate-user, Thanks for the query. Diabetes and high BP are unlikely to cause back directly. There may be many reasons for that. It is better if he consults a physician and an orthopedic to find out why the probem has arisen. Thanks.

Sir I have a problem in my knees. I don't know why it hurts sometimes in the joints of knees. I am just 17 years old. This happens mostly when I sleep less. Please tell me what to do?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Sir I have a problem in my knees. I don't know why it hurts sometimes in the joints of knees. I am just 17 years old....
Adequate sleep is necessary for growth of body and health. If you do not sleep for adequate time daily, it will hurt you big time. You can't recover by over sleeping on some other day.
1 person found this helpful

Carpal Tunnel Syndrome - Measures That Can Help Treat It!

MS - Orthopaedics, M.Ch - Orthopaedics, MBBS
Orthopedist, Ghaziabad
Carpal Tunnel Syndrome - Measures That Can Help Treat It!

Also known as Median Nerve Compression, Carpal Tunnel Syndrome is characterized by a sensation of tingling and numbness in the hands or the arm caused due to a strained nerve of the wrist. This condition occurs due to stress which affects the functioning of the part of median nerve, situated along the wrist.

Various Causes of Carpal Tunnel Syndrome:
Constant movement of the hands in activities such as typing on the computer
Pregnancy
Arthritis

Various Symptoms of Carpal Tunnel Syndrome:
The symptoms of this syndrome start to show up when there is excessive pressure build up in the median nerve of the wrist. You may experience-

  1. A sensation of numbness
  2. A sensation akin to the pain experienced when needles are inserted into the skin
  3. Pain (mostly at night)

The build- up of pressure can occur due to a number of reasons. They are

  1. Painful injury
  2. Fracture
  3. Tenosynovitis (a condition that affects the tendons along the sides of the thumb)
  4. The compression of the nerve may develop anywhere, and not necessarily the wrist only.

Diagnosis of Carpal Tunnel Syndrome:
Doctors base their diagnosis of the condition on the symptoms and certain tests. These include-

  1. Phalen’s test (a test that is carried out to determine any pain or numbness in the fingers within one minute of this activity)
  2. Wrist flexion/median nerve compression test
  3. Tinel’s test (a test that is used to diagnose irritated nerves)
  4. Few nerve enlargements may be revealed by an ultrasound, X-Ray, MRI scan, CT scans etc. The doctor generally recommends any of the above tests to determine carpal tunnel syndrome.

Important measures that help treat the condition are

  1. Getting ample rest
  2. Educating yourself on the various symptoms
  3. Knowing certain activities or movements that trigger symptoms
  4. Attending physiotherapy sessions
  5. Physiotherapy as an important form of treatment for Carpal tunnel syndrome
  6. Extensibility of muscle as well as soft tissue
  7. Strengthening the forearms and the ability to grip things and pinch too
  8. Maintaining posture and performing hand agility exercises can improve the hand movement
  9. Mobilization of the Carpal bone and stretching of the flexor retinaculum (a fibrous band near one’s wrist) so as to widen the carpal tunnel
  10. Gliding training for nerves/ tendons for unrestricted motion
  11. Endurance training for strengthening the upper limb as well as the wrist

In case you have a concern or query you can always consult an expert & get answers to your questions!

2424 people found this helpful

I am 23 years old am not feeling good from few days due to stomach pain. Even am unable to do work continuously getting backpain. Frequently headache and menses cycle is not coming properly. Could you please provide me suggestions.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am 23 years old am not feeling good from few days due to stomach pain. Even am unable to do work continuously getti...
Menses irregularity is may be due hormonal changes and due to nutritional deficiency. First you take nutritious diet like iron, calcium contain food. And if still problem remain then get ultra sound of lower abdomen and thyroid profile.
2 people found this helpful
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