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!

One part of the human body is essential for the efficient functioning of another. The hip joint provides support to your overall body weight while you are at ease or in motion. Suffering from medical problems pertaining to the hip can impede free movement; walking, running, stooping, sitting or even lying down will cause immense pain and discomfort in such a situation. While certain bodily disabilities come with old age and are in most cases unavoidable; some others can actually be controlled through physical exercise.

Take a look at a few stretches to improve your hip mobility:-

Stretch like a pigeon- this yoga loosens up muscle tension in and around a person's hip. Your right leg must be stretched behind while the upper part of your body bends over a folded left leg in front. Your head rests on your coupled hands. This stretch improves the shape of your hip as well.
Try to be an eagle for hip firmness- to align your body in the perfect eagle pose; you probably need to be a conjurer; that is the kind of flexibility the posture requires. Be a half chair making your hands intersect above your head while your left leg crosses the right one. The pressure is on your hip making it strong. Your body has to be in one single line.
Sit in the chair pose- crouching on your haunches with your torso inclined to the front is a good way to better hip mobility. This exercise also relieves you of back pain. It adds potency to the muscles of your upper thighs thus giving a well- rounded hip extra support.
Stoop in the downward doggy pose- the downward doggy pose helps you concentrate on the fullness of your hips. The back muscles are stretched and the problem of a small, rickety hip is dealt with through this yoga. Your legs should be erect at the knees and should be stretched apart depending upon the width of your hip. The rest of your body should bend in a forward arch while your spread hands touch the ground.
Try out the benefits of world's greatest stretch- world's greatest stretch involves a series of stretches that not only accentuates your hipline making your hip muscles adaptable to stress but also tones muscles in other parts of your body. It is a three- fold exercise. The second step is the most difficult where your body is balanced on a half folded right leg and you're required to touch the ground with your right elbow.

Tips to Improve Hip Mobility

The spinal cord houses the most important nerves in the body. Therefore, any disease or disorder affecting the area can be difficult to manage and live with. A spinal cord tumour is a common occurrence and makes life difficult for patients. However, the treatment for tumours on the spinal cord differs based on the region that it affects and other factors.

Types of spinal cord tumours:

Tumours near the spine region can be classified into three types, based on the area that it grows.

  Inside the spinal cord - When a tumour grows inside the spinal cord, it is known as intramedullary. These types of tumours are the rarest. If a tumour affects your cervical spinal cord, it is likely to be intramedullary.

  Outside the spinal cord - A tumour may also grow outside the spinal cord, but still be inside the sac protecting the cord. This kind of spinal tumours is known as intradural/extramedullary.

  Outside the protective sac of the spinal cord - Lastly, the tumour may grow just outside the protective sac of the spinal cord. This is the most common type of a spinal tumour and is known as extradural. A tumour in this region can be malignant or benign.

Symptoms of spinal tumours:

Spine tumours may be difficult to diagnose because the associated symptoms are easily mistaken as other minor disorders or conditions. Here are some common symptoms of a spinal tumour-

  Extreme back pain is common for spinal tumours. This pain grows worse at night. Patients are unable to find relief from the pain even after rest.
  Numbness in the legs and arms
  Inability to walk or severe difficulty in certain movements
  Reduced sensitivity to stimuli, such as pain, heat and cold
  Loss of bowel and bladder control

Treatment for spinal tumours:

Treatment for a tumour depends on the kind of a tumour that affects the patient along with the region of growth. Some tumours may not cause any major difficulty in your quality of life. Doctors will recommend monitoring the growth in such a case. Treatment may not be needed.

In the case of benign tumours, surgery is recommended.

  Surgery - This is the most common form of treatment for benign tumours. If the doctor feels that a tumour is at a location where he/she can perform a safe surgical procedure to remove it, surgery is the best treatment option. However, such surgery can lead to minimal nerve damage.

In the case of cancerous tumours, the treatment is different.

  Radiation therapy - Radiation therapy is necessary to destroy the cancer cells in a tumour. Generally, radiation therapy is useful in cases, where surgery is impossible, due to the location of a tumour.

  Chemotherapy - Doctors may use medications to limit the growth of cancer. In such a case, the drugs help put your cancer in remission. However, the side effects of chemotherapy are severe.

If you experience back pain, visit your doctor. It may be spinal cord cancer. Early detection greatly helps in the treatment of the disease.

Spinal Tumours - Types, Symptoms & Treatment!

Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.

Some of the causes and risk factors for creating a frozen shoulder are as follows:

    If you are 40 years or older, your chances of a frozen shoulder are higher than others
    Recovering from a damage or surgery
    Hormonal imbalance
    Ladies are more prone to a frozen shoulder
    Cervical disc infection that influences the nerves around the shoulder
    Not moving your arm because of other pain or wounds
    Having a previous medical condition like diabetes or other heart diseases
    Open-heart surgery or spinal surgeries
    Poor diet and unhealthy lifestyle

The most widely recognized symptoms of a frozen shoulder include:

    Stiffness around the shoulder usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
    Restricted scope of movement
    Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)

Treatment:

    Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
    Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
    Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
    Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfalfa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder.

Best Remedies for a Frozen Shoulder

Lower back pain is one of the most common ailments among adults all across the world. You may wake up in the morning with an energising drink before going out to work. After you arrive at work, you may have to sit there till lunch, which involves further sitting and you are required to sit for more hours for completing the remaining work. Then you come back home by sitting in the car and have the night s meal while again sitting. Did you know sitting through the day is the major culprit behind your back pain? Thankfully, yoga has effective ways of treating back pain to a considerable degree.

You can choose to do the following yoga poses for alleviating your back ache:

Supine hamstring stretch: You will have to lie back on your back and bend the right knee to the chest. Then you will have to place a rolled-up towel around the football and straighten the leg towards the ceiling and press both the heels. In case your lower back feels strained, you can bend your left knee and place the foot right on the ground. Hold the position for about 3 to 5 minutes and practice regularly for soothing back pain.
Two knee twist: You will have to bend your knees to the chest while lying on the back and try to bring out the arms forming a T-shape. Then try to exhale and lower down the knees on the ground towards your right side. Keep both the shoulders pressed down firmly and hold this position for about 2 minutes for best results.
Sphinx: You will have to prop yourself on the forearms while lying on the stomach. You will then have to align the elbows right under the shoulders and press through the tops and palms of the feet. You are likely to feel terrific sensations down your lower back, but it is advised to bear through it as it allows the flow of blood to that region which is required for healing. Practice the position regularly and hold it for at least one minute.
Thread the needle: This is quite an easier pose where you will have to lie flat on your back by bending both the knees with your feet flat on the ground. You will now have to bend the right knee by placing the outer left ankle through the right thigh. You will have to thread the right hand between the leg and interlace the hands behind the left thigh.
These positions would help in soothing your lower back pain, but it is recommended to consult a doctor if the pain still persists. Ayurvedic Tiktaksheer basti, massage therapy and certain oral medicines can help a lot in speedy recovery from spine/back related problems.

Ayurved has a very unique way of drug administration called Basti in which various medicines are given through the anus ( Rectal route)...For Lumbosacral / spine disorders a very specialised form of enema Tiktaksheer Basti (Medicated Bitter Milk enema) is given which shows amazing results. Kindly consult a specialized Ayurvedic practitioner for additional details.

Kati Basti (Vasti) is a traditional Ayurvedic treatment used for lower backache and disorders of lumbosacral region, including slip disc, lumbar spondylosis, sciatica, spinal problems etc. Kati Vasti is a part of external oleation (Snehana) therapy in Ayurveda. It is very safe, non-invasive and green category procedure.

In this procedure, you will get instant relief from backache. After completing a course of 7 to 21 days, you may not need any kind of oral medicines. It is a complete therapy for back pain and lumbosacral disorders.

However, the results vary person to person, but in most of cases, people get quick relief after the procedure.

Lower Back Pain - 4 Yoga Asanas For Treating it

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!

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