Hip arthroscopy is a minimally invasive surgical procedure in which doctors view the joint problem without making any cuts through the skin and other soft tissues. Hip Arthroscopy is performed to treat several hip problems.

In Hip Arthroscopy, the doctors insert an arthroscope (a small camera) into the hip joint. The pictures are displayed on a video monitor with the help of an arthroscope. The surgeons will use these images to guide the surgical instrument.

As the surgical instrument and arthroscope are very thin, the surgeons make a very small incision compared to the one that is done in open surgery. As a result, patients feel less pain and stiffness in joints. This type of surgery also takes less time to recover and one can return to their normal life within a short period of time.

Hip Anatomy:

The hip is a socket and ball joint. The socket is formed by a part of a large pelvis bone called acetabulum. The ball joint is on the upper end of the femur (thighbone). Articular cartilage is a slippery tissue that covers the surface of the socket and ball. It creates a frictionless and smooth surface that helps the bones to glide across each other easily. Strong fibrocartilage is ringed on the acetabulum called labrum. It creates a gasket around the socket.

The joint is surrounded by a ligament, which creates a capsule to hold the joint together. The inner surface of the capsule is lined by a membrane called synovium. It produces a synovial fluid that helps in lubricating the joints.

When to Recommend Hip Arthroscopy?

If a person is suffering from chronic pain and does not respond to any other nonsurgical treatment, including physical therapy and medication, doctors may recommend a person opt for hip arthroscopy.

Hip arthroscopy helps a person to get relief from many problems that cause painful symptoms including damaged articular cartilage, labrum, or other soft tissues. The damage can be the result of any form of injury. However, there are other orthopedic conditions that can also lead to damage. The orthopedic conditions include:

Femoroacetabular Impingement (FAI):

In this type of disorder, an extra bone is developed on the femoral head (cam impingement) or along the acetabulum (pincer impingement). The overgrowth of the bone is known as spurs that damage the soft tissues surrounding the hip joint. In most cases, the bone spurs develop in either part. However, there are cases in which the bone spurs develop in both femoral head and acetabulum.

Dysplasia:

In this condition, the hip socket is abnormally shallow. Due to this problem, more stress is put on the labrum in order to keep the femoral head within the socket. This may raise the condition of the labral tear.

Snapping Hip Syndrome:

In this condition, the tendon rubs across the hip joint repeatedly. This type of popping or snapping is generally harmless and can be repaired without any treatment. However, the tendon may be fully damaged due to continuous rubbing in some cases.

Other conditions where hip arthroscopy is recommended include synovitis, hip joint infection, and labral tear.

Arthroscopic Femoroacetabular Surgery:

If the diagnosis results show that damage is caused by femoroacetabular impingement and a patient is not getting relieved from pain by any nonsurgical method, doctors recommend going for Arthroscopic Femoroacetabular Surgery.

In this type of surgery, the doctor repair and clear out the damage of the articular cartilage and labrum. He may also trim the rim of the acetabulum bone and shave the bump of the femoral head.

Arthroscopic Labral Repair:

If patients are not getting relief from conservative treatment, doctors recommend Arthroscopic Labral Repair. In this type of surgery, surgeons cut out and remove the damaged or torn part of the labrum. He further repairs the torn part by sewing it.

Take Away:

Both treatment methods are minimal incision processes and require fewer hospital stays. However, it is always advisable to consult a doctor before opting for any treatment.

Know More About Hip Arthroscopic Surgery!

Being away or oblivious to social media is synonymous to not following the herd. Social media probably is no more the latest fad; it is the given code to take a deeper look into the present age. The rewarding fact about social networking sites is their ability to transport us to people and places millions of miles away from us. This epoch with its dictates of overproduction and maximum utilization of labor, snatches away the boon of communication.

Social media gifts us with easy communication and wider access:

 Social media creates peer pressure: coming in continuous contact with occurrences in other people's life can lead to mental setback. You may feel low on comparing your achievements with that of others. Consciously or unconsciously you are struggling throughout to be at par with them who are seemingly jubilant. Virtual peer pressure is realized by many. 
 It can bring us at close quarters with penitence: persistent grief or regret can take a toll on your mental health. It can make you depressive. Depression is again not a healthy thing for personal growth and development. It usually results in lack of motivation.
 You tend to panic more through continued use of social media: if you have not been in touch with social media for a couple of days you are instilled with the fear of losing out on incidents. You panic regarding what has been happening all over the world that in reality will in most cases bear no effect on you.
 It accustoms you to the glamorous appeal of drugs- social media tends to showcase the ills of society as glamorous contributing factors of life. It celebrates the vices of drugs and other addictive agents as virtues. Young adults are therefore easily incited to give in to addiction.

Positive effects of social media on your mental health:
1. Social media will let you take a break from hovering tasks and responsibilities. 
2. Helps you connect with long lost friends. Social networking sites will bring you close to new and old friends alike. 
3. Real society is overly judgemental. It prohibits you from coming across as your true self. Virtual media allows you to come out of your cocoon and helps you feel comfortable about yourself.


How Is Social Media Affecting Your Mental Health?

Primary Total Hip Replacement Surgery is generally a successful procedure, allowing people to restore their active and painless lifestyle. It involves the replacement of a hip joint with a prosthesis or an implant made of different materials. But, over a period of time, this procedure might fail for a number of reasons. When such a failure happens, revision surgery is employed. The Revision Total Hip Replacement Surgery is hence the second operation that removes parts of the first prosthesis to replace them with a new set.

The ultimate goal of both the procedures, namely Total Hip Replacement Surgery and Revision Total Hip Replacement Surgery is the same that is to improve the quality of life by bettering the functionality and relieving pain. However, these two surgeries are different in their procedure and complexity. Revision Total Hip Replacement Surgery is more complex and takes much longer time. It requires good planning and use of specialized tools and implants for achieving good results. Use of specialized implants compensates for the damage to soft tissue and bone that makes it difficult for the surgeon to use standard Primary Hip Implants.

Revision Total Hip Replacement Surgery can manifest itself into two forms:

There might be the need to remove the entire prosthesis and its replacement. It might also involve rebuilding the bone around the hips with augments or bone graft.

In another case, there is a possibility that only some parts or components of the prosthesis need to be removed and replaced.

When to go for Revision Total Hip Replacement Surgery:

When there is wearing and loosening of Implant, it does not function properly. For proper functioning, the implants can be cemented into place or press- fit allowing the bone to grow onto them. If this does not happen, the components get loose leading to pain. Loosening of implants might be caused by excessive body weight, rigorous physical activity, and wearing of the plastic liner inserted between metal cup and ball. Also, younger patients might also have to go through a Revision Surgery when the implant completes its life expectancy.

If there is a bacterial infection in the Total Hip Replacement, Revision Surgery is employed. This is so because antibiotics cannot alone eliminate bacteria from joints. In such cases, two stages of the operations are required. But sometimes, a single stage operation is also employed. However, it has limited application.

When there is a recurrent hip location in the ball and socket joint, Revision Surgery is opted to properly align the joint and to insert the implant.

In case of a periprosthetic fracture (when bone around the implant breaks), Revision Surgery is required.

When metal used in implant breaks or degrades, it may cause damage to soft surrounding tissue and bone. This would require a corrective Revision Surgery.

Preparation for the Surgery:

The patient undergoes a thorough physical examination. It is to ensure that undergoing surgery would not be harmful in any possible way. X-Rays, MRIs, and CT scans are employed to fully understand the structure of the joint. Laboratory tests are conducted to ascertain the fitness of the patient to undergo the procedure. It should be noted that post- surgery, the patient is not able to function at all and requires help even to perform petty tasks for himself. Thus, suitable arrangements should be made accordingly in advance for the same.

Post-Operative Care:

Post-operative care involves pain management, preventing infection, physical therapy, wound care, and prevention of blood clot. It ensures a healthy recovery.

Primary & Revision Total Hip Replacement Surgeries!

Marriage or any healthy relationship, is a bonding and not a binding. Finding the right person and living happily ever after is only true in fairy tales. In reality, once you find the right partner, maintaining and nurturing the relationship bond itself takes a lifetime and living happily solely depends on how you cultivate relationship with your partner.

Communication is one of the chief ingredients besides trust, understanding, love, care, companionship and empathy in a happy and successful marriage. And, failure to communicate is one of the foremost reasons for the failure of relationships. Do you say I love you and appreciate your partner or do you just criticise and complain about him/her all day long? Do you consider his/her ideas and feelings or always turn them down? To communicate effectively is to express yourself freely to your partner, convey your likes and dislikes, convey what turns you on and what doesn't! Unless and until you are vocal about your thoughts and feelings, how do you expect your partner to understand you? You feel frustrated and upset because things don't happen your way but have you tried to 'express' your way to your partner?

Lack of communication in relationships results in frustration, misunderstandings, unrealistic expectations, guilt and can create personal differences. It is difficult for people who share their lives with each other to coexist for long without having regular and smooth communication for oiling the machinery of the relationship.

Couples who communicate effectively are not always devoid of arguments. Arguments happen because there is a difference of opinion between the partners; which is a very normal thing. Arguments usually end in nasty and bitter manner. However, it is up to us to convert that unhealthy argument into a healthy one! Most of us indulge in these arguments to win; not to resolve the matter! What is important is the 'progress' in the matter at hand, not the victory.

Remember, not to engage in any serious discussion or disclosure when angry as you tend to lose balance and rational reasoning. The same holds true in a situation where your partner is not up to it. Receptivity is of utmost importance. A 'No' from a partner does not mean not now, not ever. It simply means I don't want to do that right now! Feeling free to say no if the request is unappealing at that point in time.

Communication cues that can help improve the quality of argument:

Remember, there is no blaming game! WHAT is Right is more important than WHO is right.
Use I statements instead of You always statements. Example I feel angry vs. You always humiliate me. When you use I statements, you're taking the onus on you.
Attack the issue; not each other!
Refrain from the 4 C's : Caustic (sarcasm), Compare, Condemn and Criticize.
Avoid mind-reading your partner and assuming things; instead express yourself verbally.
Using 'I feel' statements are better over You are ones. When you say I feel, you're taking the onus for your feelings and thoughts and avoiding direct blame on your partner.
Have an open mind. Minds are like parachutes; they work best when open. Be proactive and open to changes, alternatives and work effectively for resolving a conflict.
Stay away from Stereotyping (generalizing - all men are like that...) 'Gunnysacking; (nursing past grievances and bringing them up for review while trying to resolve a present conflict).
No engaging in 'Summarizing self-syndrome' where both partners continue to restate his/her stance and issues without actually listening to other and without understanding other's perspective, feeling frustrated.
Cut back on 'Catastrophizing' i.e. dwelling on the worst possible outcomes of a problem or risk that you face, to the point that even remote, unlikely disasters preoccupy your attention. Often, objectivity becomes clouded, and you may gradually begin to feel or act as though these unlikely events are really going to happen.
Get rid of 'Stereotyping'; (generalizing - all men are like..) and 'Gunnysacking' (cropping up issues from the past having no relevance to current problem).
Don't send double messages- statements which have two conflicting meanings. Keep it as simple and assertive as possible.
A mind is like a parachute, it doesn't work unless it is open. So have a broad perspective, try to understand your partner's perspective and try and arrive at a mutually agreeable decision that caters to well-being as a whole. Matrimony is the high sea for which no compass has yet been invented. What counts in making a happy marriage is not how much compatible you are, but how you deal with incompatibility. Marriage was, is and never will be perfect, Yet it is the happiest wrong we are doing on earth!

Are You Happily (n)Ever After?

Saif and Kareena show you how to bridge the age gap perfectly in relationships

There?s a lot to learn from the love story of the 10th nawab of Pataudi, Saif Ali Khan, and the Bollywood actress, Kareena Kapoor. Despite the 13 year age gap between them, the two have a very strong and mature relationship. So what keeps the two sticking together through thick and thin? here?s how saif and Kareena have bridged the age gap to emerge as a powerful couple.

1. They know that age is just a number

For saif and kareena the 13-year difference is not an issue. They know that what matters, in the end, is not how old you are but the kind of personality you have. Both saif and kareena have a mature personality, and they gel perfectly well with each other. This is the reason why they are able to connect and maintain a strong and healthy relationship.

2. They care about each other?s family

Kareena has a very strong relationship with Sharmila Tagore, Saif?s mother. Not only that, Kareena has also made sure she is on good terms with saif?s children from his previous marriage as well. Accepting each other?s family and past is a very important step in making a relationship work. Not only that, their families act as a support group for them, which helps them going on despite the difference of years between them.

3. They share common interests

Another thing that makes their relationship work is the fact that they share several common interests, which help them in coming closer and making their bond stronger. Saif and Kareena often go on trips together, attend cricket matches together and make it a point to go out for regular romantic dinner dates.

4. They respect each others? views 

Nothing could be more important in a relationship than respecting each other?s decisions. The pataudi family tradition had women changing to Islam after marriage, with even Sharmila Tagore converting after her marriage. However, Kareena did not want to, and Saif fully supported her decision. Even their marriage ceremony was a mishmash of their differing religions. So, if you want your relationship to work, be very open and accepting of each other?s differences and views.


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


Saif and Kareena Show How to Bridge the Age Gap Perfectly in Relationships

Your health is affected by a number of physical, mental and emotional conditions. Falling in love is one of these factors. Being in love with someone does not only put a smile on your face, it can also boost your immunity and lower stress levels. Love can make you feel stronger both mentally and physically. Here are a few reasons why love is beneficial to your health.

You may have a longer life: Love helps fight stress and hence helps reduce the harmful effects of stress. Stress is a direct trigger for many fatal conditions such as heart attack and strokes and thus, being in love reduces your risk of such diseases. Studies have also shown that when in love, a person takes more care of themselves and hence has a lower risk of having an accident, violence etc. thus, being in love can give you a longer lifespan and can reduce chances of an early death.
You may have a lower risk of lifestyle diseases: Along with boosting your immunity love can also improve your lifestyle. Instead of microwaving a TV dinner, a person in love is likely to eat a healthier meal with their partner and be more conscious of their diet. Being in love also makes you want to look good thus, encourages exercising. By following a healthy diet and exercising regularly, you can reduce your chances of suffering from lifestyle diseases such as diabetes and obesity. Living with a person you love can also lower your alcohol and nicotine consumption and hence protect you from their ill effects.
It protects you from depression: Companionship and love are good for a person s mental health. Love can help stabilise emotions and keep you from depression. By living with someone a person does not have the chance to withdraw into themselves and can always rely on having someone to talk to. By sharing your thoughts and emotions with another person, difficult situations can become easier to handle and hence cause less stress and depression.
It can help you look younger: As mentioned earlier, being in love can make you take better care of yourself. It is often said that a person in love  glows . In a nutshell, being in love makes you happy and this releases happy hormones that aid in the removal of toxins and prevent premature ageing. When you re in love, you may also notice your hair looking healthier and shinier.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Why Falling in Love is Good For Your Health?

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