Hip replacement is a surgery in which a specialist doctor surgically removes an agonizing hip joint afflicted with arthritis and replaces it with a man-made joint usually produced using metal and plastic elements. It is usually done when all other treatment choices have been tried and have proven unsuccessful in providing satisfactory pain alleviation. The technique is to mitigate the pain in ahip joint, in order to make walking and other physical exercises easier.

The surgical procedure is as follows:

Hip replacement surgery can be performed generally or by utilizing what is called a non-obtrusive method. The primary difference between the two methodologies is the number of entry points needed for the surgery.
During standard hip replacement surgery, you are given general anesthesia to relax your muscles; this will keep you from feeling any pain during the surgery or being awake during the surgery. A spinal sedative might be given to counteract pain as an add-on option.
The specialist will then make a cut at the edge of the hip and move the muscles connected to the highest point of the thighbone to uncover the hip joint.
Next, the ball part of the joint is taken out by cutting the thighbone with a saw. At this point a fake joint is attached to the thighbone using a material that allows them to stay intact.
The specialist then readies the surface of the hipbone - evacuating any harmed ligament - and joins the substituting attachment to the hipbone.
The new ball part of the thighbone is then embedded into the new joint part of the hip. The specialist then reattaches the muscles and shuts the entry point.
There are some things you need to keep in mind and be attentive about, post the surgery. These are as follows:

You will probably remain in the healing facility for four to six days and may need to remain in bed with a pad between your legs to keep the new hip joint set up.
A seepage tube will be set in your bladder to help you urinate without having to walk to the bathroom.
Non-intrusive treatment usually starts the day after surgery and within the days you can go around with a walker or a walking stick.
You will continue with the non-intrusive treatment for quite a long time which could be a number of months post the surgery.
For anywhere in the range of six to twelve months after hip replacement surgery, rotating or putting pressure on the operated leg needs to be limited to a great extent. You need to likewise not cross the operated leg past the midline of the body nor turn it inwards.
You cannot twist the hip past ninety degrees. This includes both twisting forward at the abdomen and crouching.
Your physical advisor will tell you the methods and equipment that will help you comply with the above rules and precautionary measures while performing every day exercises.

Hip Replacement - Things You Must Keep In Mind!

Why does PAIN occur? Understand the Mechanism of Pain

Pain is an unpleasant and distressing physical sensation caused by disease or injury, which induces hurt and anxiety in those suffering from it.
There are many different manifestations of pain, ranging from short term (acute pain) to long term (chronic pain). Other classifications include pain in the internal organs (visceral pain), injured tissue (inflammatory pain), nerves (neuropathic pain), etc.

The reason for the occurrence of pain depends on the cause and kind of pain being experienced. In most cases, pain acts as a warning sign that the body has been afflicted by a disorder of some sort, which may have arisen due to internal sickness or external wounding. Acute pains are generally cured on their own through rest or simple medication. Chronic pains, on the other hand, are more complicated in nature and the treatment requires more elaborate diagnosis.

The mechanism of pain

Pain is an extremely personal and subjective experience and affects each individual to varying degrees. The pain signals, which can arise in any part of the body, travel through the spinal cord to the brain along thousands of specialized nerves and nerve fibres. In the brain, it is processed in the centres associated with anxiety, emotions, memory, appetite, etc. Signals and pain inputs are then returned from the brain to the spinal cord, which may heighten or diminish pain.

In some cases, pain may also be induced by damage to the brain and spinal cord, which happens after a stroke.
A constant barrage of pain signals may cause the cells at the end of nerve fibres to become over-sensitized. This is known as 'wind-up' and is one of the most common causes of chronic pain that occurs even though the root of the problem has been identified and treated.

The causes and effects of pain differ from case to case depending on the signals received by the brain and its interpretation. It affects the individual's day to day activities and if persistent, can also have a harmful impact on mental health and psychosis. Pain is always handled, diagnosed and treated differently in all patients by drawing out the best possible solution to the problem.





Why does PAIN occur? Understand the Mechanism of Pain

Sciatica pain can be mild to intense. Many with lumbar herniated disc and sciatica often wonder whether or not they require a surgery. Needless to say, it is never an easy decision. But the good news is that micro discectomy surgery has a higher rate of success when it comes to relieving sciatica pain. When compared to many other options, this one is relatively minimally invasive. It doesn t alter the structure of the spine permanently since it works by removing a small portion of the disc, which has herniated or extruded out of the disc.

When your sciatica pain stems from lumbar disc herniation, a small open surgery with the help of magnification is the prevalently opted surgical approach. On the other hand, a laminectomy is done when the bone or disc pinching the nerve root is required to be removed.

When should you consider undergoing surgery for sciatica?
Typically, neurosurgeons recommend considering surgery for sciatica in a host of situations which include the following:

Severe pain in the leg lingering for more than six weeks, which mainly affects one side of the leg or buttock
Intense pain in the low back and buttock, which continues through the course of the sciatic nerve andextends to the lower leg and even foot. This pain can be described as sharp and searing rather than a dull thud.
When pain has not alleviated even after non-surgical treatments that may include non-steroidal anti-inflammatory drugs (NSAIDs),oral steroids, injections, manual manipulations, and physical therapy
When the patient is not able to take part in the day to day activities due to intense lower back pain and the symptoms tend to become severe during movements like sneeze and cough.
When the symptoms are continuing to worsen, thereby indicating nerve damage, particularly when the progressive signs have their root in neurological issues
It is important to note here that surgical intervention may only be needed when the patient experiences progressive weakness in the lower portion of the body or sudden loss of bladder or bowel movement, which may stem from cauda equina syndrome. Two surgeries, namely lumbar laminectomy and microdiscectomy are performed on the basis of the cause as well as the duration of the sciatica pain.
In some cases, the symptoms are unique on the basis of the underlying causes of sciatica. For instance, trying to bend the body backward or walking a longer distance than normal may trigger unbearable symptoms. On the other hand, when the affected individual tries to bend the body forward, it can lead to symptoms stemming from the lumbar herniated disc.
In case sciatica occurs after an accident, injury or trauma, or if it happens in tandem with other symptoms, then it requires an immediate medical attention.
Thus, choosing to go for a surgery depends on several factors that only your doctor can assess and decide upon.

Sciatica - When Do You Have To Go For Surgery?

Cervical spondylosis a special type of arthritis. The region of its occurrence is in the cervical vertebrae and the problem is more prevalent in men who belong to the middle age groups. In the language of Ayurveda, this problem is known as Greeva graham. The condition falls under the category of Vata condition.

What are the causes of cervical spondylosis?
The several factors that cause cervical spondylosis are as follows:

When the Vata Dosha increases in magnitude, the tissues start degenerating even in the neck joints.
Intake of food that leads to the formation of gas in the body is also one of the reasons of cervical spondylosis.
When people take too many gaps during two consecutive meals, then it leads to the formation of gas as well which causes cervical spondylosis.
Those who have night shifts frequently have a tendency to develop cervical spondylosis.
Overindulgence in activities of mental, physical and sexual nature can also cause cervical spondylosis.
What are the symptoms of cervical spondylosis?
The main symptoms of cervical spondylosis are listed below.

A persistent headache is one of the most common symptoms.
People often complain of feeling a stiffness in the neck region in case of cervical spondylosis.
A numbness or tingling feeling in arms is also one of the symptoms of this condition.
The posterior region of your back and shoulders will also pain in case you develop cervical spondylosis.
People also find it difficult to walk at times and face a lack of coordination as well.
What are the Ayurvedic treatment measures for cervical spondylosis?
The main treatment measures in Ayurveda for cervical spondylosis are:

Mridu Shodhana   This procedure is also known as mild purgation. In this procedure, a mixture is made with milk or the fruit pulp of Cassia fistula and castor oil.
Greeva Basti   A black gram paste is applied to the back of the neck and this will aid in retaining the medicaments in that region. Several medicated oils like Ksheerbala oil are heated and then the compound helps in retaining this oil within it for a time. The reason for this is that when the heated oil is applied to that area, it helps in giving relief from disc herniation. The disc cartilage nourishment is improved and thus, the degeneration process of the tissues is reversed.
Secondary Ayurvedic procedures are also effective against cervical spondylosis. Some of these procedures are Patrapinda Sweda, Shirodhara, Abhyanga, and Pizhichil.
Pacifying Herbs   Some of the Ayurvedic herbs act as a pacifier in cervical spondylosis. These are Bala or Sida cordifolia, castor root or Ricinus communis, Amalaki or Emblica officinalis, Shunthi or ginger and Gambhari or Gmelina arborea.
Medicines   Some of the effective Ayurvedic medicines include Rasnairandadi kashaya, Yogaraja Guggulu and Sahacharadi Kashaya.
Above ayurvedic treatments not only give you relief from cervical spondylosis but also stop further degeneration of the affected tissues.

Cervical Spondylosis And Ayurveda - What To Know

Does you back hurt only when you wake up in the morning or is it a chronic problem? If yes, then you need to take immediate steps to treat it. Back pain, being the common physical anomaly for people primarily in the age range of 35-50, is one of the top causes for office absenteeism and mid-life lethargy and fatigue. Usually back pain indicates an underlying problem that involves the nerves, bones and muscles.

Here are some risk factors for back pain:

Pregnancy
Stress related to work
Leading a sedentary lifestyle
Anxiety and depression
Being overweight
Over exercising
Strenuous physical work outs
Smoking
There are varied reasons as to why back pain may occur. Discussing the causes of back pain is beyond the purview of this article; the focus is now going to be on some of the stretches one can practice to get relief from back pain: 

Downward dog: A classic yoga pose, the downward dog stretches the entire back, hamstrings and the whole of the leg. Begin the process in a classic push up pose with the palms and toes on the floor. Keeping your back straight, lift your tailbone up and straighten your legs. Push the heels to the floor and breathe to get the most out of this stretch.
Child s pose: A simple stretch, it begins with you sitting back on your buttocks and then stretching the arms in front of you. Keep your forehead on the floor and breathe slowly.
Cat cow pose: If your common complaint is that of a sore and painful back, then this is one of the best stretches for you. A very simple pose, you begin by sitting on all fours, then transitioning into the cat pose by pushing your spine upwards. Hold the pose for one breath and then go to the cow pose wherein you lift your buttocks and the head while scooping your spine.

Back Pain - 3 Stretch Exercises You Must Follow!

Aches and pains are typical signs of fatigue, but sometimes these aches are constant and can affect your day to day life. Fibromyalgia is not a disease, but a syndrome that affects the muscles and soft tissues of the body leading to chronic pain, tiredness and insomnia among other symptoms. Though this syndrome cannot be cured, it is not life-threatening and can be managed without causing permanent damage. One of the ways to manage fibromyalgia is through massage therapy.

Massage therapy is one of the oldest forms of healthcare. It aims to improve circulation thereby, improving the flow of nutrients through the body and aiding in the elimination of waste material. When it comes to fibromyalgia patients, a massage not only calms tired muscles but also reduces heart rate, improves the range of motions possible in joints and increases the body s production of natural painkillers.
Most fibromyalgia patients benefit from deep tissue massages. During the treatment, a therapist may use his or her elbows, forearms and feet along with their palms and fingers. He or she will typically use long strokes while kneading the muscles in deep circular patterns. Your therapist will also be able to address specific tender points and ease muscle knots.
Massage therapy can be customised as per your requirements and sensitivity. Fibromyalgia patients are very sensitive to touch and hence, to benefit from a massage, it is essential, to be honest with your therapist and tell him or her the level of pressure you can handle.
Massage therapy not only helps deal with fibromyalgia-related pain, but can also help treat insomnia that accompanies it. After a massage, you are more likely to have a restful sleep that does not make you wake up feeling tired. Having a good night s sleep is important for fibromyalgia patients as it is during this time that the body restores and rebuilds itself.
Massage therapy can also help manage the stress and anxiety that results from fibromyalgia pain. As the therapist addresses the various pressure points on the body, stress, anxiety and depression are relieved. Some theories also suggest that a massage blocks pain signals from reaching the brain while others suggest that a massage can stimulate the release of serotonin or endorphins.
Though a massage may feel like a simple procedure, the wrong massage can cause worsen your pain. Hence, it is important to work with a professional masseuse to treat your aches and pains. Following a regular massage schedule can also help manage your discomfort better.

Fibromyalgia Pain - Can Massage Therapy Reduce It?

Don't wait any longer, manage your Clinical Physiotherapist online with a Lybrate doctor today

Consult for Clinical Physiotherapist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES