Damaged hips can cause great distress in carrying out daily activities, such as walking, getting dressed and many more. If you have damaged one or both of your hips, and it causes you great pain, you may require a hip replacement. It is a common form of surgery in which a damaged hip joint gets replaced with an artificial one. This is known as prosthesis.

Conditions which lead to hip replacement

Osteoporosis where the cartilage inside a hip joint gets worn out, and the bones rub with each other as a result
Rheumatoid arthritis, which is caused when the immune system attacks the hip joint lining by mistake
If the hip joint gets damaged severely during an accident or fall
The purpose of a replaced hip joint is to provide pain relief, improve the hip s function, improve your ability to carry out day-to-day activities and improve your overall quality of life.

Procedure
A hip replacement is usually carried out under general anesthesia. An incision is made in the hip by the surgeon and the damaged hip joint is removed through it. It is replaced with an artificial metal alloy or a ceramic joint. The surgery takes approximately 60 to 90 minutes for completion.

Recovery
After the surgery, a walking aid such as crutches is required for up to four to six weeks. You may enroll for an exercise program, which aims at regaining and improving the new hip joint functions. Regular activities can be restored within two to three months. A year is required for utilizing the new hip joint normally.

Risks of hip replacement
There may be several complications as a result of a hip replacement. They include:

Dislocation of the hips
Infection at the surgery wound
Injury to nerves and blood vessels
Difference between the lengths of two legs
Fractures
Alternative
Hip replacement surgery has an alternative type of surgery, which is called hip resurfacing. During this surgery, the damaged surfaces of the bones within the hip joint are removed and replaced with a metal surface. Less bone is removed in this surgery. However, the metal surface may cause complications and health hazards.

Hip replacement is being improved upon with the advent of technology. Stronger and newer materials are being developed for prosthetics, which will allow enhanced joint mobility and a longer wear. New cement-less implants are also being developed. Also surgery assisted by computer is being used for generating an image of the hip joint.

 Hip Replacement - An Overview!

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

Relieve pain

Help the hip joint work better

Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

Osteonecrosis (a disease that causes the bone in joints to die)

Injury of the hip joint

Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

Walking aids, such as a cane

An exercise program

Physical therapy

Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

The fluids from the incision area are then allowed to drain.

The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.

Know Everything About Hip Replacement Surgery

Shankhpushpi is a perennial herb. It is considered to be one of the most wonderful gifts of nature to mankind. It is a type of morning glory that belongs to the Convolvulaceae plant family. Its scientific name is Convolvulus Pluricaulis. The flowers are blue, pink or white in color, and are about 2mm   5mm in size. They grow in rocky and sandy areas under xerophytic conditions and is mostly found in areas of Bihar and Punjab in India. It is also seen in the deserts of the Sahara.

Importance: Shankhpushpi is a very important herb of Ayurveda due to its therapeutic benefits. It mainly takes care of the nerves by supporting and promoting healthy brain and mind. It enhances brain power, improves memory and concentration and the ability to recall. When combined with other herbs, the formulation created is used for treating conditions, such as schizophrenia, depression, epilepsy and aggressive behavior disorders.

Parts Used: Shankhpushpi is often used as a paste, powder and tonic for different formulations. The parts that are used for these formulations are the leaves, flowers, stem, roots, seeds and ashes.

The Shankhpushpi plant has lots of health benefits 

Shankhpushpi syrup is very good for brain development of children. It is effective if children take it regularly for three months. It improves their memory, learning, grasping power and intelligence. It should be given to them along with Bramhi, Sharkara, Nimbu Satva and water
It rejuvenates the nervous function by promoting memory and concentration
It helps in relieving stress and has the ability to calm a mind
It supports the flow of blood in the brain
It treats fatigue, nervous debility and low energy level
A tonic made from Shankhpushpi works as a psychostimulant and tranquilizer
Shankhpushpi tonic is often used to treat hypotensive syndromes
It improves the balance and vitiation in kapha-vata-pitta doshas
It works as antioxidant and antacid
The herbal extract possesses spermatogenic properties, so it is used to treat cases of sperm debility
It can treat urinary system ailments
It is important to keep in mind that to get the best results, one has to use the best quality herbs in the right quantity. Shankhpushpi is a wonderful remedy for a number of problems, however, no herb should be taken without consulting an Ayurveda practitioner. In case of a concern or query consult an expert & get answers!

Shankhpushpi - 11 Most Important Reasons To Consume It!

Total Hip Replacement is also known as Total Hip Arthroplasty, in which the damaged cartilage and bones in the hip area are removed and replaced with prosthetic components. On the other hand, Total Knee Replacement, also known as Total Knee Arthroplasty or resurfacing, involves replacing the bone surface of the knee area. 

Causes of Hip and Knee Pain 

Arthritis is the most common cause of chronic hip and knee pain or disability. Other causes include: 

  Avascular necrosis or Osteonecrosis is a condition where there is an inadequate supply of blood to the femoral head due to a hip injury. The inadequate supply of blood may cause the bone surface to collapse and this can result in arthritis. 

  Rheumatoid Arthritis is the most common inflammatory Arthritis. In this condition, the synovial membrane surrounding the joint begins to thicken and become inflamed. This results in cartilage loss, stiffness, and pain. 

  Osteoarthritis is the type of arthritis, usually related to old age but can occur among young people too. The cartilage cushioning the hip and knee bones becomes soft and gradually wears off. The bones eventually start rubbing against each other which causes stiffness and pain in the knee and hip area. 

  Post-Traumatic Arthritis can follow a severe hip and knee fracture or injury. 

  Some children with hip disease or problem, even after treatment, can develop into arthritis later. This may be caused by uneven or unusual growth of hip which affects the joint surfaces. 

Knee Replacement Procedure 

  Bone Preparation: The surface of impaired cartilage at the end of the tibia and femur are separated besides a small extent of the underlying bone. 

  Locating the Metal Implants: The removed bone and cartilage are substituted by metal implants creating the joint surface. These metal pieces may either be press-fit or cemented into the bone. 

  Resurfacing the Patella: The undersurface of the kneecap or Patella is cropped and reformed with a plastic button. This process is variable depending upon the condition. 

  Inserting a Spacer: To form a smooth gliding surface, a plastic spacer of medical-grade is positioned between the metal components. 

Hip Replacement Procedure 

  Metal stem replaces the damaged femoral head and positioned into the femur s hollow center. 

  On the upper portion of the stem, a ceramic or metal ball is planted. This ball acts as a substitute for the damaged/detached femoral head. 

  The damaged Acetabulum or cartilage surface of the socket is discarded and supplanted by a metal socket. Cement or screws are used to sustain the socket in place. 

  A spacer, either metallic, plastic or ceramic is placed between the socket and the new ball for a smooth gliding surface. 

Take Away 

Knee and Hip Replacement are taken as the last option for the patient. The surgery and its outcome vary depending upon various factors. One should consult the doctor before undergoing for the Hip and Knee Replacement Surgery.

Primary Knee & Hip Replacement - Know More About Them!

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!

For years I have been practicing as a psychotherapist in different parts of the world and what I have noticed is that no matter what kind of relationship or marriage a couple are in, when they end up in my office it's always for the same reason: they want to be happier, healthier and more-connected even though the issues can vary - money, sex, infidelity, in-laws, children etc.

Despite this each relationship is completely subjective and no clear cut rules can be executed on it, yet following certain guidelines may help proceeding happily in a relationship.

If you are struggling in your relationship (and if you are reading this article there is a big chance you are unless you are one of my friends..or both) you might find it helpful to follow some of these ideas:

1. Love yourself

You must love yourself before you can love another. By accepting yourself and fully being what you are, your simple presence can make others happy. Accepting yourself fully as you are and showing yourself this same unconditional love will provide protection, healing, and confidence to work on your shortcomings.

2. Adopt a positive lifestyle

There are many different ways in which you can embrace a more positive lifestyle - practice affirmations, express gratitude, meditation, exercise... just find something that helps you unwind and enjoy life. And most importantly - keep doing these things repeatedly.

3. Empathize with your partner

The ability to empathize is what inhibits us from just going through life doing whatever we want, without any regard for others. It is what makes compromise in a relationship possible. If I realize that something I've done has hurt you (because I can empathize with your pain or unhappiness) I will hesitate to do that again.

4. Take responsibility: Don't try to figure out who's right

When couples come for therapy, one or both tend to think that the primary problem is their partner. Both people co-create the climate of the relationship. And both need to do some things differently to create the marriage or relationship they both really want. If your intention is to create a more positive world for yourself and those around you, it's up to you to have the thoughts, moods, and actions that will create that world.

5. Stay connected

When there is distress in the marriage or relationship, one or both usually feel some emotional disconnection. Frequently, sexual passion diminishes as well. (However, sometimes one partner will try to increase frequency of sex in an effort to feel connected.). And often, people will busy themselves with work or kids instead, or do other things to either try to feel connected or to avoid being alone with the person with whom they feel the pain of disconnection

6. Express thoughts, feelings, and wishes 

Resentment can build when couples sweep things under the rug, so be vulnerable and don't bury negative feelings, but try to express them in a respectful way.

Opening up to your partner can make you feel vulnerable and exposed, but it is the most important part of an intimate relationship. In Daring Greatly, Dr. Brene Brown defines vulnerability as uncertainty, risk, and emotional exposure. Given this definition, the act of loving someone and allowing them to love you may be the ultimate risk. Love is uncertain. It's risky because there are no guarantees and your partner could stop loving you. Exposing your true feelings may mean that you are at a greater risk for being hurt or criticized.

7. Try new things together

Boredom can be a major obstacle to lasting romantic or companionate love.

Psychological research has suggested that couples who experience the most intense love are the ones who enjoy participating in new or challenging 'self-expanding' activities together.

8. Preserve your independence

Dr Perel, in her popular TED talk explains that neediness and caretaking in long-term partnerships - which can easily result from looking to the partnership for safety, security and stability - damper the erotic spark. But if couples can maintain independence and witness each other participating in individual activities at which they're skilled, they can continue to see their partner in an ever-new light.

If after trying the above you are still struggling with your relationship, make sure you go and see a couple therapist.

Two couples talking in one couple's living room...

One says to the other, 'The work being done on your marriage.. are you having it done or are you doing it yourselves?'



8 Tips To Rev Up Your Relationship With Your Partner

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