Exercising and sports activities are necessary evils in your life. While they keep your body fit, you are also exposed to injuries at the same time. Of all the injuries, muscle strains are the most common ones. These might look very ordinary or minor, but remember there is an intense pain attached to it. So much so that you might even feel suicidal at times. Poor conditioning, over exertion and a faulty warm up session, can lead to muscle sprain. Strains are very common in certain regions like lower back, neck, shoulder and hamstring muscle (at the back of the thigh).

Don t need medical treatment
In most cases, muscle strains don t need medical treatment. But it is important to provide the right supplies and rest to the victim. For treating a muscle sprain, you will need ice, plastic bag, towel, compression bandage, pillows and over-the-counter painkillers. You may also need certain devices to assist you, depending upon the area that has been affected. These devices include crutches, slings, braces and wheelchairs. These devices help in stabilising the affected area (especially the muscle there.)

RICE Method
As per the data by American Academy of Orthopaedic Surgeons (AAOS), the most effective way to treat muscle sprains is by following the Rice method. The word rice stands for- rest, ice, compression, and elevation. The patient must take adequate amount of rest and not undertake physical activities. He or she must give proper time for healing of the injury or wound, prior to resuming back regular activities. If the sprain is chronic, take total bed rest. It is often advised to apply ice compression to the affected area for about 8 to 10 times a day. Try to compress your muscle by putting mild pressure to avoid swelling or any kind of inflammation. For this, it is best to tie up a bandage around the affected part. It is generally advised to elevate the injured part above the heart to avoid or reduce the swelling of the area. Sometimes, physical therapy is also needed to treat the sprains.

Risks of strain treatment
There are certain risk factors associated with muscle strain treatment. It is bad to take too many painkillers as they can affect other organs like kidneys, gut and heart. You should also avoid applying the ice pack directly on the skin for a prolonged period. Also, if you undertake a surgery to fix muscle strain, you are at the risk of suffering bleeding, developing blood clots, infection, pain and stiffness.

Muscle Sprain - How It Can Be Treated?

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended world-wide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through small incision and it eliminates the chances of human error. A perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicate knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.

Knee Replacement

Myths about and treatments for arthritis

Arthritis is a medical condition which causes stiffness and inflammation in the joints. It can be extremely painful and should be cared for on daily basis.
 
However there are many myths surrounding arthritis that need to be busted.

1. Myth: every knee pain is arthritis.
Truth: the condition in which joints pain a lot, it is assumed that every type of knee pain is arthritis and there is only one type of arthritis. From gout to virus caused arthritis, to autoimmune arthritis, there are numerous different types of arthritis.

2. Myth: stop exercising to avoid straining your knee.
Truth: with the joints paining a lot, a lot of patients believe that they cannot exercise any more. The truth is that there are specific low-impact workouts designed for people with arthritis so that staying fit is never a problem.

3. Myth: arthritis makes you immobile.
Truth: arthritis does change your life since it affects your joints. But remember, it doesn't make you a handicap. It is false to believe that nothing can be done about the disease.

4. Myth: diet has no impact on the disease.
Truth: since it is a joints related problem, many people believe that dietary changes are not required if you are suffering from arthritis. It is in fact crucial since those suffering from arthritis are at higher risk of being obese, and in turn getting heart diseases and type2 diabetes.

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


Busting The Myths Surrounding Arthritis

Gone are the days when bone ailments and damages were detected based on the experience and superficial conversations made by the physicians. These days with the advent of radio waves, medical science has made significant progress that has enabled a detailed overview of what exactly is going on inside your body and what should be the most relevant treatment in that regard. Magnetic Resonance Imaging or more commonly known as MRIs are a boon when it comes to diagnosing orthopedic and musculoskeletal complaints.

Common Uses of the Procedure:

MR imaging is usually the best choice for examining the:

body s major joints.
spine for back pain
soft tissues (muscles, tendons and ligaments) and bones of the extremities.
MR imaging is typically performed to diagnose or evaluate:

degenerative joint disorders such as arthritis.
tears of the menisci, ligaments and tendons (knee) or rotator cuff and labrum (shoulder and hip).
fractures (in selected patients).
spinal disk abnormalities (such as a herniated disk).
the integrity of the spinal cord after trauma.
sports-related injuries and work-related disorders caused by repeated strain, vibration or forceful impact.
infections (such as osteomyelitis).
tumors (primary tumors and metastases) involving soft tissues around the joints and extremities (such as muscles, bones and joints).
pain, swelling or bleeding in the tissues in and around the joints and extremities.
congenital malformations of the extremities in children and infants.
developmental abnormalities of the extremities in children and infants.
congenital and idiopathic (developing during adolescence) scoliosis prior to surgery.
tethered spinal cord (abnormal stretching in the spinal cord) in infants and children.
The Process:

In this process, X-rays and radio waves are subjected upon the affected region to examine the conditions of the bones, tissues, muscles and also detect the presence of tumours. This is majorly a non-invasive test and is painless. It does not use ionizing rays and therefore does not harm the body in any which way. The MRIs capture a detailed picture of the organs and the internal body structures and then transmit them onto a computer screen for the physician to monitor the inside story.

The Benefits: 

MRI is an imaging technique that does not require exposure to radiation.
MR images of the soft-tissue structures of the body (particularly muscles, bones and joints) are often clearer and more detailed than with other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many conditions, including tumors.
MRI can distinguish abnormal tissues from normal tissues much more accurately than most other imaging tests (x-ray, CT, etc.).
MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
MR images allow the physician to clearly see even very small tears and injuries to tendons, ligaments and muscles and some fractures that cannot be seen on x-rays and CT.

Orthopedic and Musculoskeletal MRI

Are you suffering from arthritis and looking for effective treatment options? Arthritis is a chronic, systematic inflammatory disease that causes damage to your joints and connective tissues. The knee is primarily affected by this condition and there are three main forms of arthritis which occur in your knees. There are several treatment options and procedures for treating arthritis. They are as follows:

Several medications are used for arthritis treatment. They are:

Analgesics: These medicines help in pain reduction but do not heal inflammation.
NSAIDS: NSAIDS or non-steroidal anti-inflammatory drugs are used for reducing inflammation and pain as a result of arthritis.
Counter-irritants: These include creams and ointments containing capsaicin or menthol. Applying these creams on the skin helps with pain relief.
DMARDS: Disease-modifying antirheumatic drugs are used in case of rheumatoid arthritis. These help in slowing down your immune system from targeting your joints.
Corticosteroids: This form of medicine includes cortisone and prednisone and helps in reducing inflammation and suppressing your immune system. These can be injected into your joint or taken orally.
Therapy
Physical therapy is beneficial for certain types of arthritis. Exercising helps in improving your range of motion, and the strength of your muscles which surrounds the affected joint. Splints and braces are prescribed in some cases.

Surgery
When all other treatment measures fail, a surgery may be required to be carried out.

Joint repair: In some cases, the surface of your joints can be realigned and smoothened in order to improve function and eliminate pain. These surgeries are arthroscopically performed via incisions made on the joint.
Joint replacement: During this surgery, your damaged joint gets removed and replaced with an artificial joint. The hip and knee joints are commonly replaced surgically.
Joint fusion: This surgical procedure is used in case of smaller joints of your body. The ends of the two bones in your joint are removed and the removed ends are locked together till they heal into one unit.
Alternative treatment options
You can also opt for certain alternative remedies for arthritis. Some of them are as follows:

Acupuncture: In this therapy, fine needles are inserted at certain points on your skin for reducing arthritis pain.
Yoga and tai chi: The movements associated with yoga and tai chi are slow and stretching in nature. These help in improving joint flexibility. Your range of motion gets improved as well.
Light massages which involve stroking and kneading of your muscles help in increasing blood flow. This warms up the affected joints, providing temporary relief from arthritis pain.

Arthritis - How to Treat It Effectively?

Exercises for Sciatica
Sciatica is often distinguished not as a medical condition but as a set of symptoms that underlie a more serious medical concern such as a slipped disc, degeneration of the spine or the lumbar region etc.
It is important to note the symptoms of Sciatica, as these are quite distinct -
1.Constant pain in one of the buttocks or leg (rarely are both legs affected)
2.The pain worsens on sitting
3.The pain is often described as a sharp & searing pain similar to a burning sensation
4.The pain is often accompanied by a heaviness or numbness that makes movement difficult
5.Shifting of postures (sitting to standing and back to sitting) becomes painful and laborious
An alternative to surgery would be to supplement the oral medication with certain specific exercises.
Reflexology, Acupuncture and Chiropractic manipulation are all considered effective to alleviate the pain to a large extent.
Patients are often encouraged to partake in daily exercise routine, incorporating strengthening and stretching exercises.
The strengthening exercises target the core or abdominal muscles along with the back muscles to provide more support to the back.
The stretching exercises will help to “loosen up” the surrounding muscle groups such as the hamstrings, which then allow for more blood and oxygen circulation alleviating the pain and giving the immune system a much needed boost.
When patients engage in a regular programme of gentle stretching and strengthening exercises, they can recover quickly (in comparison to those who do not exercise) from the flare ups and over time the painful episodes are known to reduce significantly, both in frequency as well as intensity.
Ancient holistic practices such Yoga and Tai-chi are often considered the best form of exercises for the afflicted because of the balanced and slow but controlled movements that complement the ‘breath’ rather than causing further exertion to the already fragile bone density.
It is recommended that expert advice be sought and the exercises should be undertaken only under trained supervision. Please do not attempt to “experiment” with Yoga or Tai-Chi on your own, as improper or wrong posture could lead to irreparable damage to the spine. 


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

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

 Exercises for Sciatica To Keep It Under Check

Don't wait any longer, manage your Joint Replacement Surgeon online with a Lybrate doctor today

Consult for Joint Replacement Surgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES