Myths about Total Knee Replacement

Myth#1 - Knee replacement is a surgery for old people. “I’m too young for a knee replacement.”
Fact - Candidacy for a knee replacement is not based on age, but on the person’s level of pain and immobility. Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking. Age is not necessarily a limiting factor. Often times, a patient is actually fearful about the uncertainty of surgery. Once they are able to resume many of the activities they enjoyed before the surgery, with increased mobility and with less pain, they are very happy they had the surgery. The quality of life one achieves by living without knee pain is priceless.

Myth#2 - “I should wait as long as possible to undergo knee replacement surgery” 
Fact - You don't need to suffer by waiting until the pain is intolerable. The longer life of joint replacements enables people to consider surgery earlier and at a younger age. Osteoarthritis is a degenerative disease that continues to damage the joint and delaying surgery makes both surgery and return to activity more difficult. Delaying surgery lowers a patients’ quality of life not only before the operation, but even for up to two years following surgery.

Myth#3 - “I should continue with medications as long as possible”
Fact - Medicines including painkillers just give symptomatic relief for a temporary duration and prolonged usage is riddled with serious side effects such as renal failure, peptic ulceration  etc. All these medicines are NOT curable.

Myth#4 - Alternative therapies such as acupressure, ozone treatment, massage beds, oils, laser therapy, magnetic therapy; braces will cure my advanced arthritis and knee pain.
Fact - Till date there is NO cure for advanced knee arthritis and these alternate therapies are not backed by established scientific data. All these modalities give temporary pain relief in early to moderate arthritis for some duration only and are NOT curative. Often times, a patient who is actually fearful about the uncertainty of surgery lands up trying these in order to avoid surgery. 

Myth#5 - After a knee replacement, it takes months to recover.
Fact - Depending on the activity, most patients who undergo knee replacement are able to perform routine tasks within a few weeks. A return to rigorous activity takes only a few months. One becomes independent for himself before discharge from hospital. There’s no prolonged best rest required after the surgery.


Myth#6 - After knee replacement, I’ll have to give up some activities and sports.
Fact - You have a high probability of getting back to activities like brisk walking or cycling in 6 to 12 weeks. It will take a bit longer to return to more rigorous activities and contact sports. Squatting and sitting cross legged though possible but at best should be kept to minimal.

Myth#7 - Knee replacement surgery leaves a large scar that is noticeable.
Fact - Scarring is minimal compared to traditional surgery. In fact, the scar is typically only 3 to 5 inches long. As time passes, the scar will fade and become less noticeable.

Myth#8 - Knee replacement is a very painful surgery. There is lots of pain in post operative period.
Fact - With modern day pain management such as in a multimodal approach, ensures that the patient does not feel any pain in post op period and has a smooth recovery.

Myth#9 - Knee replacement is done one at a time.
Fact - Both the knees can be operated at the same time if the patient does not have significant co morbidities and is deemed fit to undergo the procedure by the doctor.

Myth#10 - The new knee lasts for 5-6 yrs. only.
Fact - With modern day precision including computer assisted knee replacement and advancement in biomaterials, the survivorship has increased considerably. Today's joint replacements last 25 years or longer and, for most people, will last a lifetime.

Myth#11 - Knee replacement cannot be done a second time.
Fact - Knee replacement can be done multiple times what is called as a revision joint replacement surgery with good survivorship.

Myth#12 - “I am obese, I cannot undergo Knee replacement surgery.”
Fact - Knee replacement can be successfully done in an obese patient though the recovery is somewhat prolonged and might require additional implants. However, patients who are morbidly obese and have restricted mobility primarily due to obesity are better off after a bariatric procedure.

Myth#13 “I have diabetes or hypertension or heart ailment, so  I cannot undergo Knee replacement surgery.”
Fact  - diabetes hypertension or heart.



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 13 Myths About Total Knee Replacement (TKR), Busted!

Persistent fatigue can be a symptom of an underlying disease. Fatigue refers to the feeling of weakness, tiredness and constant lack of energy. Fatigue can be an underlying symptom of weight loss, diarrhea, vomiting, chest pain, muscle weakness and depression.

Fight fatigue in the following ways:
1. Consistent physical activity can actually help by enhancing well-being, balance, endurance and weight loss. Exercises help release  endorphins  in the brain that help reduce stress.
2. A nap in the afternoon can help you fight the day long stress.
3. Be careful with your medications: While few medicines such as aspirin can help with the management of fatigue, it is best to avoid fatigue fighting drugs. Review their side effects properly, lest they might add to your fatigue.
4. People bowed down with fatigue may experience more exhaustion in scorching climatic conditions. These methods would really help you to calm down. For instance turning on the air conditioning during the summer months, putting on light cotton clothes or a cooling vest, consuming cold beverages, swimming or taking a cold shower may rejuvenate you for the day.
5. You can also opt for physical or occupational therapies to help combat stress and fatigue. In occupational therapy, a trained professional helps you to simplify work, at home or even at the office, so that you can manage all work and yet stay do not feel bogged down by stress. In physical therapy, an expert aids you in performing the routine physical chores more effectively.
6. One of the most vital ways to manage stress and fight fatigue is to get sufficient sleep every day. Clocking 8 hours of sleep will give your body and mind the required energy to function optimally the next day.
7. A balanced diet with all the necessary nutrients can go a long way in managing stress and fatigue. Also, a cup of coffee will also give you your daily nicotine fix that can help you stay alert and rejuvenated.

Tired of Feeling Tired? 7 Ways You Can Fight it 

Get rid of suntan: 6 effective home remedies

Sun tan is a common issue this time of the year. A severe sun tan not only robs the skin of its natural glow, but also makes it itchy, lifeless and unhealthy. Here are six simple remedies you can easily follow to remove your tan and get your glowing skin back:

1. Turmeric face pack
Turmeric is commonly known as the best home medication and it indeed has several beneficial effects. Mix a spoonful of turmeric in a bowl of milk and apply the mixture to your face. Keep for 15 minutes and remove.

2. Lemon juice
Cut a lemon and rub the sliced portion on the tanned areas of the body. Wash off after keeping for 5-10 minutes and follow this procedure on a daily basis.

3. Honey and papaya face pack
Honey helps keep the skin soft and supple whereas papaya contains enzymes that enable whitening of skin and effective exfoliation. Blend the mixture of papaya and honey and apply on your face for at least half an hour to experience effective tan removal.

4. Sandalwood paste
Sandalwood has the capability to soothe the skin and rejuvenate it to return its natural glow. Sandalwood paste should be applied right before bedtime on a daily basis to help reduce the effect of sun tan.

5. Yogurt
Yogurt is the best natural anti-tanning agent. Applying it on the tanned areas of your skin not only cools it off but also helps retain the natural complexion of the skin.

6. Aloe vera gel
Whether you extract it directly from the plant or use a product containing aloe vera, it greatly helps in moisturizing the skin and keeping it hydrated. Regular use of aloe vera gel can remove your tan in a short span of time.

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Get Rid Of SunTan : 6 Effective Home Remedies

Most indian dishes use onions as an ingredient in preparations. It is also used in salads. Learn about the following health benefits that eating onions gets.

1. Rich source of vitamin A - onions are rich in vitamin a which aids good vision, helps boost immune system and cell growth.
2. Relieves pain and inflammation - rubbing onion juice on the area if bitten by a honeybee is known to provide immediate relief from the burning sensation and the pain.
3. Increases good cholesterol - raw onions are known to boost the production of hdl (good cholesterol) in the body.
4. Cures infection - it is used as an age old cure for infections and inflammations.
5. Is mineral & vitamin rich - onions contain natural sugar, minerals like sodium, potassium, iron and dietary fibers, vitamins a, b6, c &amp; e, and are also a rich source of folic acid.
6. Provides fiber - per 100 grams of serving contains only 44 calories along with a good 1.4 grams of fiber.
7. Prevents hair loss - onion mixed with salt and pepper is rubbed on the scalp to stop hair loss, in the arab countries. Onion juice is used to make hair mask which aides thickening and growth of hair.
8. Works on fever - a small piece of onion, if kept on the forehead, works against fever.
9. Controls sugar levels - onions are known to help control sugar levels in the blood by increasing the insulin level.
10. Purifies skin - applying onion and turmeric juice is said to remove dark patches and pigmentation problems in the skin. It also aids in treatment of acne, anti-aging, getting rid of dark spots and pigmentations, and many more.
11. Clears eyesight - onion juice is used to cure eye problems. The juice is used as drops for infants, so that they have clear eyesight.


Why It Is Good To Have Onion Everyday?

300 Calories is the average calorific value of our daily sugar intake. It's no wonder then that dietician and weight loss gurus across the world will advise you to quit added sugar as the first step of a weight loss program. Added sugar refers to processed sugar in the form of cubes, sugar crystals or powdered sugar and does not include natural sugars found in fruits, vegetables etc. Apart from cakes and sweets, we eat added sugar in a number of ways including a number of packaged foods like sauce and salad dressings.
If you consume a lot of sugar on a daily basis, quitting added sugar could leave you with withdrawal symptoms. Quitting added sugar is not easy, but here are a few reasons it is well worth the effort.
1. You'll have fewer pimples
Sugar has inflammatory properties. This can trigger systemic inflammation leading to the acne. Thus quitting sugar can instantly reduce the number of pimples on your face and give you clearer skin.
2. It improves the health of your heart
Added sugar can raise insulin levels. This activates the sympathetic nervous system and increases blood pressure and heart rate. Stopping your consumption of added sugar can lower cholesterol levels and decrease the amount of triglycerides in the body. This lowers blood pressure and boosts cardiovascular health.
3. A friendly weight scale
Replacing toffees with dry fruits will considerably reduce your calorific intake. Similarly switching packaged salad dressing for fresh homemade dressing can also make your salad healthier. Given that we eat added sugar in so many forms, making a conscious decision to quit added sugar can have a big impact on your daily calorie intake. Studies show that this simple step can lead to a weight loss of up to 10 pounds in six months.
4. It'll make remembering names easier
Added sugar can hinder learning and memory. Over time, it can also damage communication between brain cells. Quitting sugar can boost both your short term as well as long term memory. You will also find it easier to focus on will be able to be attentive to something for longer periods of time.
5. A good night's sleep
You don't just need 8 hours of sleep a day; you need 8 hours of restful sleep at the right time. Sugar makes blood sugar fluctuate and the crash that follows a sugar high can make you feel sluggish around mid-day. Many people find that if they have an afternoon nap, it becomes more difficult for them to fall asleep at night. Sugar also releases cortisol that interferes with sleep. Thus quitting added sugar can keep you alert through the day and help you fall asleep easier at the end of the day.

See What Really Happens to Your Body When You Stop Eating Added Sugar

Hot and Cold therapy is one of the most popular home remedies for any kind of joint pain or muscle sprain. In some cases applying heat therapy and cold therapy alternatively, can help relieve the pain while for others only one form of therapy is necessary. To understand what to use when, one should first understand the effect of heat and cooling on the body.

Applying a heat pack or immersing the affected limb in hot water improves blood circulation and makes the muscles more flexible. Thus, it can help relax a muscle and fasten the healing of damaged tissues. On the other hand, cold therapy or cryotherapy reduces blood flow to the affected site. This helps relieve inflammation and pain caused by it. It can also make the area feel numb by reducing nerve activity temporarily.

Types of Heat Therapy
Heat therapy can be categorized as dry heat and moist heat. Dry heat involves using saunas or dry heating packs to relieve pain. This is also known as conducted heat therapy. As the name suggests, moist heat involves the use of steamed towels, hot baths and moist heating packs. This is also known as convection heat therapy. Moist heat is usually considered more effective than dry heat.

Types of Cold Therapy
Cold therapy may be applied to a part of the body or to the entire body. This includes ice packs, coolant sprays, ice baths, ice massages and whole body, cold therapy chambers.

How to use heat and cold therapy?
The sooner heat and cold therapy is given to a person, the faster they will recover from their pains. Heat therapy can be given to a person for extended periods of time but when giving cold therapy, a person should not be exposed to a cold pack or ice bath for more than 10-15 minutes. Care should also be taken no to apply ice or a frozen pack directly on the skin as it can damage the skin and nerves.

When not to use Heat Therapy?
If the injury site is swollen or bruised, cold therapy is better than heat therapy. Heat therapy should also not be applied to an open wound. People suffering from conditions such as diabetes, dermatitis, deep vein thrombosis, vascular diseases and multiple sclerosis should also avoid heat therapy as these conditions can increase the risk of burns and other such complications. Pregnant women should also consult a doctor before using a hot tub or sauna.

When not to use Cold Therapy?
Cold therapy is avoidable for treating stiff joints and muscles. People suffering from poor circulation and sensory disorders should also avoid using cold therapy without a doctor s supervision. 

Hot & Cold Therapy - How It Can Treat Pain?

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