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 Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking.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!

We have for ages seen our parents and our grandparents reach out for a piece of jaggery at the end of every meal. Jaggery is healthier compared to refined sugar because of its deposition of phytochemicals and other important minerals. While many people do not choose jaggery because of its no-so-good-appearance, it is perhaps more sensible to consume it considering the host of health benefits it offers.

Here is a list of benefits that can be extracted from the consumption of jaggery.

Skin benefits: Jaggery nourishes the skin in the true sense of the word. Owing to the numerous amount of mineral and vitamin, it can eliminate common skin problems such as pimples and acne. It can negate dark spots, wrinkles delay the common signs of aging.
Digestive benefits: Jaggery plays a huge role in ensuring smooth digestion. It stimulates secretion of digestive enzyme. It, therefore, makes it easy for the body to quicken the process of digestion. It can also help to stabilize the bowl movement by keeping common digestion related disorders such as constipation, intestinal worms, indigestion at bay.
Blood: Jaggery does a great job in purifying the blood. It acts as a cleansing agent by filtering the blood from the toxic agents. It also keeps the hemoglobin count normal and help the body refrain from blood-related disorders such as anemia. Since the quantity of iron content in jaggery is plentiful, it successfully helps the body to stay healthy and negate deadly diseases. Furthermore, jaggery can help women to stay away from complicated menstrual related disorders, beat weakness and fatigue.
Weight loss: Jaggery s rich potassium content helps the body balance the electrolyte, build muscles and improve the metabolism of the body. Potassium also helps in managing water retention in the body. Both the factors coupled together helps in weight loss and beat fatigue, obese etc.
Blood pressure: The sodium and potassium content of jaggery helps the body maintain an effective adequate acidic level. This ensures that the blood pressure remains in the balance and the body refrains from undue blood pressure related disorders.
Antioxidants: Jaggery contains selenium, the latter is a rich source of antioxidants which can help the body to fight the free radicals and keep it at bay. The antioxidants also help the body to stay away from other ailments.
Respiratory health: Jaggery is a great source of food that can effectively fight various respiratory problems of the body. It can fight diseases such as bronchitis and asthma.
Body temperature: Jaggery helps to keep a normal body temperature. This is extremely beneficial for patients suffering from asthma since maintaining a steady body temperature is sacrosanct for patients suffering from this disease.

Jaggery (Gur) - 8 Amazing Reasons Why You Must Eat It!

Osteoporosis is a condition of porous bones that makes your bones weak and fragile. There are 3 thing you can do to avoid falling prey to Osteoporosis:
*Consult your doctor to figure what's the optimum amount of Calcium you should be taking. Pregnant women, for instance, need more calcium than normal people.
*Take Sun-bath daily to ensure adequate amount of Vitamin D for your body. There are other sources of Vitamin D too. Consult your doctor to find out what are those sources and what's the right amount.
*Regular exercise is extremely necessary for good bone health. Make a plan and stick to it

3 Important Things to do to Avoid Osteoporosis

If you suffer from persistent backaches and neck pain, you may be diagnosed with spondylitis. Spondylitis refers to degenerative changes of the spine, such as the formation of bone spurs and degeneration of spinal discs. This condition can affect the neck, upper or mid back and lower back. Of these, spondylitis of the neck- cervical spondylitis and lower back- lumbar spondylitis are most common.

Spondylitis is considered to be triggered by age. As a person grows older, the wear and tear of the bones and ligaments of the spinal column can lead to the development of bone spurs and osteoarthritis. Age can also cause the discs between vertebrae to weaken and degenerate leading to bulging discs and herniating spinal discs. Most people experience the first symptoms of spondylitis between the age of 20 and 50. A family history of spondylitis and being prone to injuries also increases a person s risk of suffering from spondylitis.

Since spondylitis is a degenerative disease, there is no cure for this condition. However, the pain associated with it can be managed. Thus, treatment for spondylitis is very similar to treatment for neck or back pain. This treatment can be in the form of pain medication, exercise, physical therapy and minimally invasive surgery. Depending on the extent of spinal damage the doctor may prescribe steroids that need to be injected directly into the intervertebral spaces. This is also known as epidural injections.

Spondylitis patients are often advised to follow their normal schedule and refrain from bed rest as this can prolong recovery. However, at the same time, you should not undertake any activity that puts additional pressure or stress on the spinal column. Alternating between warm and cold compresses can help relieve the pain associated with spondylitis. Additionally, try sleeping with a pillow between your legs to relieve low back pain. 

Special pillows that offer cervical support can help relieve spondylitis of the neck.

Surgery may be considered in cases where this condition causes or worsens nerve damage. Spinal decompression surgery involves relieving pressure on the nerves in the spinal column that may be caused by a herniated disc, spinal stenosis or foraminal stenosis. This surgery can be performed through a laminectomy, discectomy or foraminotomy. Bone spurs in the spinal column or a vertebral disc can also be removed surgically. However, these surgeries are rarely performed as most patients respond well to non-surgical treatments.

Causes of Spondylitis - How Can it Be Treated?

Benefits of eating sprouts early in the morning

Sprouts can be home-made and they make one of the healthiest breakfasts to begin the day with. 

Top 4 reasons to start your day with a bowl of sprouts.

1. Sprouts are high in fiber content and hence beneficial in weight loss because they help in breaking down the fat in our bodies and flushing them out.

2. Most of your required dose of vitamins can be fulfilled by sprouts since they have vitamins a, b-complex, c and d.

3. Sprouts are also known to be rejuvenating foods and add vigor to our bodies.

4. They are easy to digest and can be eaten by the young and the old too.

If you would like to consult with me privately, please click on consult.


Why SPROUTS are world's best breakfast?

A swelling of breast tissues in men due to estrogen and testosterone hormonal imbalance. This swelling in the chest could often resemble a breast. In babies and newborns, gynecomastia is caused by the estrogen from the mother. Breast buds and tissues are common in baby boys. They go away after a few months naturally. However, in some babies, they tend to stay. The result can be the enlarged breasts.

In teenage years, the estrogen-producing hormones naturally tend to get into an overdrive mode and in many instances, if they are hyperactive the swelling in the chest region can occur during puberty. It usually goes away within 6 months to 2 years. In some extreme cases, the swelling can also be as a result of lung or liver cancer. Also, it depends on a little on lifestyle. Drug abuse and excess alcohol can cause gynecomastia. This may also be common in older adults where the skin loses its natural elasticity and tend to sag. Apart from it, their lifestyle also plays a detrimental part in its forming.

Very few people put on weight uniformly all over their body. Some people put on weight around the abdomen and develop bellies while others put on weight on their thighs. For some, fat could also be deposited on the chest, while it may not be much of an issue for a woman but it can make male breasts protrude abnormally. Clinically, this is known as gynecomastia. Gynecomastia is not a serious condition and does not hamper a man s health but it can damage his self-esteem. In the long run, this can also be harmful for his psychological and emotional health. Thankfully dealing with it is easy.



What are the symptoms and diagnoses?
Gynecomastia is associated with enlarged breasts and in addition to that, it could feel rubbery or firm. Sometimes only one of the regions either the left or right side may experience this problem while the other side stays firm. It is diagnosed purely by a physical examination. Also, the lump may be checked for biopsy.

Treatment
90% of the cases in babies go away on its own. There is no treatment required. However in young adults, if the conditions do not go away then surgery is the most treatable option under the circumstances. Getting medications and drugs that can decrease the tissue structure is not advisable as indirectly you might be playing with the hormones and they can tend to get risky after some time. Also, surgeries of the day are not just like taking out the enlargement. They also do concentrate on the features and shape too. You can technically sculpt the region while opting for such breast reduction surgeries.

However, contrary to popular belief, surgery is not the only recourse. In fact, though surgically removing the fat deposits can have faster effects; these fat deposits may develop again over time. Thus, surgery is not a long-term solution. So, let s look at an alternative form of treatment which is Ayurveda as this can be very effective against gynecomastia. This is a holistic form of treatment that not only addresses the symptoms showcased, but attacks the root cause of the problem. In this case, fat deposits are caused usually by weight gain and slow metabolism, which makes it essential for the person to lose weight in order to treat this condition.

Before you start on weight loss regime, starving yourself is no solution for this. Instead, one must eat food according to one s body type and needs. According to Ayurveda, there are three different types of doshas present in the body. An imbalance of these doshas could contribute towards weight gain and in turn gynecomastia. Depending on your body type, an Ayurvedic doctor will be able to advise you on the type of foods to eat and avoid so as to maintain a balance of the doshas.

In addition to this, you must also exercise regularly. The best time to exercise is in the early morning. This raises your metabolism rates and helps your body utilize energy being created through the day instead of simply storing it as fat. Aim for at least half an hour s exercise each day. There are a number of yoga asanas that target the chest muscles and can help treat gynecomastia. These include the Dhanurasana, Gomukhasana and Natrajasana. These asanas burn fat in the chest and tighten chest muscles. When it comes to yoga, it isn t enough to simply perform the asanas, they must be practiced in the right way. Thus, it is always advisable to practice under a teacher s guidance.

One of the biggest advantages of treating gynecomastia with Ayurveda is the absence of side effects. Unlike surgery, there is no hospitalization needed and you may continue your normal lifestyle as you get treatment. Once treated, there is a very low chance of the condition recurring and hence, this is a permanent solution.

Self-care:
While people do opt for weight reducing measures to keep gynecomastia under check it doesn t always work like that. The reason is these are not exactly what causes the enlargement. They are as a direct result of hormones. Hence weight reduction plans and medications may not work out efficiently. Also, experts would suggest going in for a surgery before going for an exercise regime in a gym. Some people do have a misconception that hitting the gym can take care of the swelling. However, it may not be beneficial and it would give out the desired impact.

For complete treatment of your problem, you can Consult the doctor. 

Weight Loss - Can It Help Reduce Male Breast?

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