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 Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking.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

There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.

Some of the most common conditions that cause hand pain are:

De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.

Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.

Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.

Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.

Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition.

Pain And Tenderness In Bones Of The Hand - Factors That May Cause it!

Dandruff is a condition where flakes of dead skin appear on the scalp, accompanied with itching. There are different types of dandruff you can suffer from. It be can yellow and sticky or white and flaky. It is a very common condition, which is often the result of exposure to styling products, chronic constipation, stress, fatigue or pollution. A chemical treatment can surely cure the condition but it can also harm your hair as well as have its fair share of side effects. 

Here are a few ayurvedic treatments which you could try to treat dandruff:

1. Coconut oil and camphor: Mix a small portion of camphor with some coconut. Store it in a container and apply it to your scalp every night. The camphor will help cool your scalp, which will help reduce the dandruff.

2. Coconut and lemon: Lemon is a particular ingredient, which is used for many hair care remedies. Warm up the coconut oil, mix some lemon juice in it and apply it on your scalp. Leave it on for at least half an hour and then wash your hair with shampoo. Perform this remedy at least for two to three weeks.

3. Curd and gram flour: Take a small bowl of curd and mix two to three teaspoons of gram flour. Add half a spoon of lemon juice in the mixture before applying it on your scalp and leave it for half an hour. Curd and gram flour are considered to be the best cleansers to clean the scalp and one of the best remedies for dandruff.

4. Lemon and neem leaves: Take a few neem leaves and make a paste. Add only half of a lemon to the paste and apply the mixture to your scalp. Leave it on for half an hour before washing your hair with shampoo. Follow this for at least two to three weeks.

5. Hot oil massage: A hot oil massage not only gives you relaxation, but also helps a lot with dandruff. Heat up a small amount of oil and massage your scalp with it. The hot oil seeps deeper into the roots of hair.
These remedies not only clear your scalp of the dandruff, but they also make your hair soft, smooth and healthy. So go and try them out.

How to Treat Dandruff With Ayurveda

Stroke is a condition known to all for its deadly impact. Even if the affected person survives, the after-effects can be immensely debilitating right from affecting movement to speech. Being informed, you can protect yourself and your loved ones from both ischemic and hemorrhagic stroke. Here are the common signs of stroke that you should be aware of:

Numbing of arms and legs: Many people wake up and find that their arms and legs are numb and they tend to assume that it is due to compression of the nerve. But the actual reality is that the flow of blood through the arteries running up to the spine is reduced, and it has led to weakness or numbness on either side of the body.
Double vision and blurriness: Vision problems can also be a strong indicator of stroke even though most people think it is due to long hours of work or aging. When you see two images of the same object, it doesn t have to mean that you are reading too much. It could mean that the blood vessel in charge of supplying oxygen to the eyes has been disrupted or blocked.
Slurred speech: Some medicines, particular painkillers can cause speech issues. But this is not the case always; if it is not a side effect that you typically experience after taking painkillers, you should consult a healthcare expert without any delay. 
Confusion and trouble over thinking and articulating: When you find yourself in a state where you cannot recall the right word to explain the right thing, you may rest assured that it is an issue stemming from the stroke. If you find yourself to struggle thinking or finding a word very commonly, then you are heading for big trouble.
Balance problems: Some people have balance issues, and they think it is due to the dose of alcohol, but experts say it is crucial to identify whether this assumption is correct. You will never have delayed balance problems, and therefore, you cannot blame a drink that you had last day. So, if you have balance issues without any identifiable reason, it is advisable to call a doctor.
A headache that becomes intolerable at times: Headaches can be a sign of a migraine but in case you are not prone to this ailment, then the debilitating headache could indicate a stroke. Migraine headaches can also mean stroke since both of them have similar signs and symptoms.
Fatigue that won t let you stay upright: If you are not doing any physically strenuous job but still feel tired most of the time, it could be a warning sign of stroke. If it continues for over a week, it is recommended that you consult an expert immediately.
Equipped with this knowledge, stay aware and pay attention to the indications your body gives to take care of yourself.


7 Signs You Are Having A Stroke!

Pericardial effusion is the excess fluid between the heart and sac surrounding the heart. The fluid keeps the heart moving in the sac. The excess fluid can cause a problem in the workings of the heart and may lead to death. The space between two layers of sac usually contain 2-3 tablespoons of clear liquid. But pericardial effusion can affect the heart beats and make it weaker.

Causes 

The leading cause of the pericardial effusion is pericarditis. In this condition, the layered sac of the heart is inflamed due to some viral infection. This inflamed sac produces more fluid.

Some of the most common infections that cause pericarditis are: 

  Viral infection 

  Cytomegalovirus 

  Coxsackieviruses 

  Echoviruses 

  HIV 

The other causes of pericarditis and pericardial effusion are: 

  Injury in the heart or the sac 

  Cancer 

  Kidney failure 

  Tuberculosis 

  Lupus 

Symptoms 

Generally, when there is minimal or no inflammation in the sac, there are no symptoms. However, chest pain and short-breathing are the most common symptoms for pericardial effusion. 

The large pericardial effusion in the heart sac can show symptoms like: 

  Shortness of breath 

  Passing out occasionally 

  Fast heart pounding 

  Fatigue 

  Clammy skin 

In some cases, where the condition is not worse, patients may experience: 

  Fever 

  Fatigue 

  Vomiting 

  Muscle aches 

  Viral illness

Diagnosis 

The person experiencing the above-mentioned symptoms should visit a cardiologist for a checkup. The doctor may ask for following tests and checkups for determining the condition: 

  Physical Checkup: In the physical checkup, the doctor listens to the heartbeat of the patient and assess the heart beat rate. He will also ask about the family history and medication records. 

  EKG: With EKG, doctors determine the heart rate with the help of electronic devices. Electrodes are placed on the chest, and heart activity is tested. However, the presence of pericardial effusion is difficult with EKG. 

  Chest X-Ray: X-Ray is an excellent way to detect the presence of pericardial effusion in the patient. The enlarged portion is detected in the image. Once an enlarged sac is detected, doctors order the echocardiogram test. It is an Ultrasound for the heart and gives a clear picture of the patient&#39;s heart condition. Once it is determined that the patient has pericardial effusion, the doctor determines the size of the enlarged sac and quantity of liquid in it. Most of the time, pericardial effusion is small and not severe. But if the size and quantity of the liquid are high, the doctor determines the condition of the heart and the ability to pump the blood. The doctor may also take a sample of the fluid from the sac to determine the exact cause for inflammation. 

Take Away 

Pericardial Effusion is a condition in which fluid is accumulated between the heart and sac surrounding the heart. Though the problem is not severe, it is advisable to consult a doctor.

Pericarditis / Pericardial Effusion - Know More About It!

It is important for you to know about inflammatory bowel disease or IBD, it is a group of intestinal disorders, which leads to prolonged inflammation of your digestive tract. The digestive tract is made of the mouth, stomach, oesophagus, small intestine and large intestine. It performs the task of breaking down food, removing unusable materials and waste products, and for breaking down nutrients from food. Inflammation along with the digestive tract causes disruption in this process. IBD is a fatal condition which can be life threatening in some cases.

Major types of inflammatory bowel disease
The term inflammatory bowel disease is an umbrella term under which many diseases are included. The two major and most common diseases under IBD are ulcerative colitis and Crohn s disease. Crohn s disease (a chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae) can lead to inflammation in any part of your digestive tract. It commonly affects the small intestine s tail end. In case of ulcerative colitis, inflammation takes place in the large intestine.

Causes of IBD
Although the exact cause of IBD is not known, several factors may lead to this condition. They are as follows:

Genetics: You are more likely to develop IBD if someone in your family has the disease. This is because of the genetic component of IBD.
The immune system: The body s immune system plays a role in IBD. Usually, your immune system defends your body from pathogens. A bacterial or viral infection in the digestive tract may lead to an immune response. The digestive tract becomes inflamed as the body fights against the bacteria or viruses. The inflammation goes away when the infection is gone.
However, in the case of IBD, the digestive tract inflammation may occur without any infection. Your immune system attacks your body s cells. This is called an autoimmune response. IBD can also occur when the infection is cured, but the inflammation remains.

Symptoms
The various symptoms of IBD depend on the severity and location of the inflammation. They are as follows:

Diarrhoea which occurs when the bowel cannot reabsorb water.
Bleeding ulcers which cause blood to show up in your stool.
Stomach pain, bloating and cramping because of bowel obstruction.
Weight loss and anaemia, which leads to delayed development and growth in children.
In patients with Crohn s disease, canker sores may develop in the mouth.
Ulcers and fissures may appear on the anus or genital area.
IBD may also be associated with problems such as eye inflammation, arthritis and skin disorders.
The major complications which may arise from IBD include colon cancer, malnutrition with weight loss, fistulas, intestinal rapture and bowel obstruction. It is important for you to consult a doctor on noticing any of the IBD symptoms.

Inflammatory Bowel Disease - Know the Types!

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