Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.

When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery

    Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
    Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
    Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
    Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
    Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.

Joint Replacement Surgery - When Should You Go for  it

Cervical osteoarthritis is also known as cervical spondylosis. It is a medical condition which involves changes in the joints of neck, bones and discs. This is generally caused due to the deterioration of the muscles owing to old age. With age, the cervical spine breaks down and loses all its fluids. This leads to stiffness in the spine. It occurs usually in middle aged and old aged people. This causes stiffness and severe neck pain. Corrective surgery is helpful to cure Cervical Osteoarthritis.

Symptoms of Cervical Osteoarthritis:

Pain and stiffness in the neck.
Headache which usually emerges from the neck.
Severe pain in the arms and shoulder.
Not being able to turn the head or neck fully while driving.
Muscle spasm and abnormal reflexes.
Grinding sensation or noise caused while bending the neck.
Cervical Osteoarthritis can be cured by physiotherapy in the following ways:

Heat modalities- In this method the pain and stiffness is reduced by putting heat on the affected area. This type of therapy is called heat therapy.
Neck exercise- Regular stretching and bending exercises for the neck can reduce pain and stiffness
Manipulating therapy- This form of therapy is used by massage therapists. They massage and manipulate the joints so that the muscles can function smoothly.
Hydrotherapy- This therapy involves exercising in a pool. Hydrotherapy is extremely beneficial for people having severe joint pain and stiffness.
Cervical traction- This is a common non-surgical treatment which cures pain in the neck by opening the cervical foramen (hole or passage).
Physiotherapy is the most natural and safe way of curing cervical osteoarthritis. If you are diagnosed with cervical spondylosis, you should start physiotherapy as soon as possible.

Cervical Osteoarthritis - Physiotherapy Treatment For It!!

Arthritis is a common musculoskeletal condition that affects elderly men and women. Joint pain, stiffness and inflammation are the most common symptoms of this condition. This pain can get so bad as to affect your movement and leave you unable to do simple things like walking up stairs or even simply turning a doorknob. 

Arthritis cannot be reversed but with medication and a few lifestyle changes, your quality of life can be improved.

Exercise and weight loss: Though it is difficult to do, losing weight can help relieve the pain of arthritis. This takes the pressure off your joints and increases the range of possible motions. Though exercising may be the last thing you want to do, it can help increase your flexibility and help strengthen your muscles. Aerobics, stretching and strength training are ideal for arthritic patients.
Assistive devices: Arthritis can make a person knock kneed or bow legged. Wearing unloading braces, shoe inserts or walking with a cane or shoe inserts can help redistribute your weight and take the pressure of your joints. It can also help relieve pain and prevent arthritis from worsening.
Eating right: Some types of food can worsen arthritic symptoms. This includes processed foods like white flour and sugar, yeast, chemical additives, gluten, hydrogenated and trans fats, milk products, caffeine, alcohol and tobacco. Hence, avoid consuming these foods and instead have a diet rich in fruits, vegetables, nuts and whole grain. You could also try alkaline foods like green leafy vegetables, wheatgrass and aloe vera.
Massage therapy: A massage not only de-stresses the body, but can also relieve muscle and joint pain by improving blood circulation. Massages also help break up muscular waste deposits and increase the amount of oxygen circulated in the body. This helps transport nutrients to tissues and carries toxins away. Ideally, an arthritic patient should have a massage 2-3 times a week in the beginning and at least twice a month once the condition has stabilised.
Supplements: Along with eating healthy, including a few supplements in your daily diet can also help alleviate arthritic symptoms. When it comes to rheumatic arthritis; the anti-inflammatory properties of vitamin C help fight arthritis by promoting bone and cartilage growth and reducing infection. Fish oil is rich in Omega-3 fatty acids that help reduce inflammation, Vitamin D is another supplement that helps relieve arthritic pain by helping the bones absorb calcium faster and preventing further loss of cartilage.

Arthritis - 5 Easy Ways You Can Ease Your Suffering

If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

Types of arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.

Major symptoms

Arthritis pain may occur all of a sudden but develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.
Treatment
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:

Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
Corticosteroids are used for reducing inflammation.
Certain DMARDs or disease-modifying antirheumatic drugs are used.
Certain injections that are used for helping with knee arthritis. They include:

Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
Corticosteroid injections also soothe inflammation and pain.
You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:

Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
Arthroscopy, where an incision is made in the knee for removing damaged parts.
It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

Know if You Have Arthritis in the Knee

Osteoarthritis is a common disorder that affects the joints in the body. It is characterized by wear and tear of the cartilage present in the bones which lead to pain and mobility issues. The disorder mostly affects the joints in the hips, spine, knees and the hands. This disorder can t be cured; the symptoms, however, can be managed.

Symptoms

The symptoms of osteoarthritis are progressive in nature and tend to worsen with time. You will experience pain in the affected joint, leading to limited mobility. Joint stiffness occurs when you wake up in the morning or when you have been inactive for a long period. You will also experience a grating-like sensation when the respective joint is being used.  

Causes

This condition occurs when the protective cartilage around the bones tend to deteriorate. The function of the cartilage is to allow the joints to move without friction. In this disorder, the surface of the affected cartilage turns rough, ultimately resulting in complete damage. This leads to loss of the protective cushion of the bone, making the bone rub on other bones. There are certain factors that make you prone to osteoarthritis, some of them are:

Aging increases the risks of this disorder.

Women are more prone to this disorder as compared to men.

Obesity puts added stress on the joints.

It might be hereditary as well.

Ayurvedic Treatment

Ayurveda is a holistic system of medicine that balances the different energies in the body to keep you healthy. Ayurveda believes in the fact that a disorder in the body occurs when there is an imbalance in the respective doshas   Vata, Pitta and Kapha. The idea is to get the doshas in order in order to get relief from the symptoms of this disorder. Osteoarthritis, or for that matter any disorder occurs due to the imbalance of the  Vata dosha . The Ayurvedic treatments for this condition is Pachkarma therapy.

Panchakarma is the elimination of doshas from the body. It is one of the peculiarities of Ayurveda. Since according to Ayurveda, disease is the result of imbalance of doshas, when the increase of dosha is in a large quantity the best way to get cured faster is expelling the doshas out. These procedures (Karmas) are five (Pancha) and hence they are described as Panchakarma i.e. five procedures. These are to be performed not only by the patient for getting them cured but even by healthy persons for maintaining the health. 

Vamana: This is the elimination of doshas by the process of emesis. This is particularly useful for diseases arising from kapha and also from pitta. Diseases like chr. bronchitis, asthma, skin diseases, allergies, herpes, diabetes, sinusitis, osteoarthritis, hyperacidity are best dealt with this procedure. The best season for doing this procedure is   Spring  or even  Autumn .
Virechana: In this procedure, loose motions are produced to eliminate the doshas. This is very useful in diseases caused by pitta dosha e.g. Hyperacidity, herpes, gulma (Type of tumor) jaundice, osteoarthritis, anemia, skin diseases etc. The best season for this procedure is  autumn .
Basti: The procedure is important for the Vata dosha mainly, but can be used for Kapha and pitta and for all sorts of diseases also. In this procedure enema with herbal decoction, oil, honey and salt is given. Since it has a direct action over the large intestine, which is the main site of Vata dosha, it acts instantaneously. The procedure is especially useful for all kinds of diseases caused by Vata Dosha e.g. back ache, arthritis, osteoarthritis, dystrophies, multiple scherosis, muscle waisting etc. The best season for this procedure is the rainy season.

Ayurveda For Osteoarthritis

Natural Ways To Manage Arthritis

You might be aware that there is no way that you can prevent arthritis to happen except for being car. But what you can do is delay and reduce the risk of its potential onset. If your joints are healthy now, there is no guarantee that they will always be, unless, you take good care. 

Do you know a few kinds of arthritis can be modified. They are:

1. Gout - Have a healthy, balanced diet which is low in cholesterol, alcohol and sugar. This will help you fight against the onset of gout.

2. Osteoarthritis - To modify the risk factor of osteoarthritis, it is important to maintain a healthy weight.

How to defeat arthritis?

1. Keep a check on your weight: If you are obese, you are putting more pressure on your joints and as a result, they wear out soon. By losing weight, you can make a lot of difference in your joint health.

2. Ensure good water intake: Our body is 70% water. And water is one of those things which is the most important for us. Staying hydrated is very important, even for your joints. Because when the body is dehydrated, and the body needs water, it uses the water stored in our bodies, incl the water in the cartilage.

3. Try to avoid any injury: No one really wants to get injured but it is important to be careful and cautious against injuries of any kind. The more injured your joints are, the more susceptible they are to wear and tear now, and arthritis later in life.

4. Don’t stress with physical tasks: There is a way and correct posture to do them, but many people ignore those and perform the tasks clumsily. This puts additional pressure on your joints.

5. Get Your share of Vitamin D: Vitamin D is very important for us. If your body has adequate amount of vitamin D, then you are less susceptible to arthritis. It is wise to get the levels tested and if low, a doctor consulted for proper medication.

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

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