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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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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!
Previously I had consulted from a doctor he also prescribed me medicines and the same thing but I was quiet well but after sometime my right portion of my get automatically swelled from my forehead to my leg and it automatically becomes normal. Its of a daily schedule my right gets automatically swelled and pains after sometime it becomes normal.
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.
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.
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?
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?
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
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-
- A sensation of numbness
- A sensation akin to the pain experienced when needles are inserted into the skin
- Pain (mostly at night)
The build- up of pressure can occur due to a number of reasons. They are
- Painful injury
- Tenosynovitis (a condition that affects the tendons along the sides of the thumb)
- 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-
- Phalen’s test (a test that is carried out to determine any pain or numbness in the fingers within one minute of this activity)
- Wrist flexion/median nerve compression test
- Tinel’s test (a test that is used to diagnose irritated nerves)
- 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
- Getting ample rest
- Educating yourself on the various symptoms
- Knowing certain activities or movements that trigger symptoms
- Attending physiotherapy sessions
- Physiotherapy as an important form of treatment for Carpal tunnel syndrome
- Extensibility of muscle as well as soft tissue
- Strengthening the forearms and the ability to grip things and pinch too
- Maintaining posture and performing hand agility exercises can improve the hand movement
- 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
- Gliding training for nerves/ tendons for unrestricted motion
- 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!