Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.

When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery

    Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
    Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
    Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
    Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
    Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.

Joint Replacement Surgery - When Should You Go for  it

The shoulders are the most mobile joints in your body. Shoulder joints undergo wear and a tear over time and hence become unstable. Shoulder arthritis is one of the painful conditions affecting the shoulder joints. Arthritis not only takes a toll on the tendons and muscles, but also affects the ligaments and joints too. They usually cause symptoms such as joint pain, resulting in limited mobility.

Treatment:

Nonsurgical or Lifestyle treatments:

Take rest or avoid the activities that provoke pain or change the way of your arm movements.
Physical therapy boosts shoulder mobility.
Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin alleviate pain and inflammation.
Corticosteroid injections in the shoulders can also help to ease the pain and inflammation, although temporarily.
Applying moist heat or ice packs over the shoulders for about half an hour at least thrice a day brings relief.
Drugs such as methotrexate can be administered in case one is suffering from rheumatoid arthritis (a chronic disease attacking multiple joints of the body).
Dietary supplements such as chondroitin and glucosamine may help reduce pain.
Surgical treatments (if your pain results in disability and does not lessen with nonsurgical options)

Join replacement surgery or arthroplasty involves replacing the damaged parts of the shoulder with a prosthetic (artificial) joint.
Few mild forms of arthritis may be treated using the Arthroscopic procedure (minimally invasive surgery). It requires a surgeon to ease the joint pain by making small incisions to  clean out  the joint. A tiny camera fitted into the joint guides the surgeon through the surgery.
Resection arthroplasty is a method that involves the surgical removal of the bone from the collar bone and substituting it with a scar tissue to treat arthritis of particular joints.

Everything You Need To Know About Shoulder Arthritis Treatment

What are the Different Kinds of Arthritis and How to Treat Them?

Arthritis is a very common medical condition that affects a lot of adults as they age. It occurs due to inflammation of the joints, which can be caused by a number of factors such as aging, injury or infection.

There are over a hundred different kinds of arthritis that cause various sorts of problems to those affected. However this condition can be broadly classified into two major types, which include the following:

1.Osteoarthritis

Also known as degenerative joint disease, osteoarthritis is the most common kind of chronic condition to affect the joints. This occurs when the cartilage that surrounds the joint wears away and allows the ends of bones to rub against each other causing immense pain and is often accompanied by inflammation and swelling. The primary cause of osteoarthritis is aging and occurs mainly due to pressure on the joints from lifting heavy weights.

2.Rheumatoid Arthritis

This is the most common type of arthritis that occurs due to joint inflammation. It is an autoimmune condition, which means that it is caused by a dysfunction of the immune system that leads to inflammation of the joints. Chronic inflammation causes joint deformities and even the development of rheumatoid nodules on the skin around the joint. Two-thirds of patients affected by rheumatoid arthritis are women.

Depending on the nature of the condition and the age and medical history of the patient, diagnosis, and treatment of arthritis varies. Although there is no permanent cure for arthritis, especially the type caused by aging, a number of remedies exist that provide relief from pain.

Some of the common methods of treatment for arthritis are:

Medication

Some medicines provide relief from the pain of arthritis if it is not too severe. These include painkillers, anti-inflammatory pills, sprays, and ointments, etc. In case of high-intensity pain, codeine is often prescribed.

Stem Cell Therapy

This method involves drawing platelets from the patient's own blood and injecting it into the inflamed parts of the joint in order to repair damaged muscles and alleviate pain.

Injections

A number of anti-inflammatory substances and lubricants can be injected into the affected joints to decrease pain. Ozone gas injections are an example of this.

Surgery

In extreme cases, surgical procedures are resorted to for treating arthritis. However, successful surgery cannot always be guaranteed and it comes with its own set of risks.



All You Need to Know about Arthritis - Types and Treatment

Osteoarthritis is a common disorder that affects the joints in the body. It is characterized by wear and tear of the cartilage present in the bones which lead to pain and mobility issues. The disorder mostly affects the joints in the hips, spine, knees and the hands. This disorder can t be cured; the symptoms, however, can be managed.

Symptoms

The symptoms of osteoarthritis are progressive in nature and tend to worsen with time. You will experience pain in the affected joint, leading to limited mobility. Joint stiffness occurs when you wake up in the morning or when you have been inactive for a long period. You will also experience a grating-like sensation when the respective joint is being used.  

Causes

This condition occurs when the protective cartilage around the bones tend to deteriorate. The function of the cartilage is to allow the joints to move without friction. In this disorder, the surface of the affected cartilage turns rough, ultimately resulting in complete damage. This leads to loss of the protective cushion of the bone, making the bone rub on other bones. There are certain factors that make you prone to osteoarthritis, some of them are:

Aging increases the risks of this disorder.

Women are more prone to this disorder as compared to men.

Obesity puts added stress on the joints.

It might be hereditary as well.

Ayurvedic Treatment

Ayurveda is a holistic system of medicine that balances the different energies in the body to keep you healthy. Ayurveda believes in the fact that a disorder in the body occurs when there is an imbalance in the respective doshas   Vata, Pitta and Kapha. The idea is to get the doshas in order in order to get relief from the symptoms of this disorder. Osteoarthritis, or for that matter any disorder occurs due to the imbalance of the  Vata dosha . The Ayurvedic treatments for this condition is Pachkarma therapy.

Panchakarma is the elimination of doshas from the body. It is one of the peculiarities of Ayurveda. Since according to Ayurveda, disease is the result of imbalance of doshas, when the increase of dosha is in a large quantity the best way to get cured faster is expelling the doshas out. These procedures (Karmas) are five (Pancha) and hence they are described as Panchakarma i.e. five procedures. These are to be performed not only by the patient for getting them cured but even by healthy persons for maintaining the health. 

Vamana: This is the elimination of doshas by the process of emesis. This is particularly useful for diseases arising from kapha and also from pitta. Diseases like chr. bronchitis, asthma, skin diseases, allergies, herpes, diabetes, sinusitis, osteoarthritis, hyperacidity are best dealt with this procedure. The best season for doing this procedure is   Spring  or even  Autumn .
Virechana: In this procedure, loose motions are produced to eliminate the doshas. This is very useful in diseases caused by pitta dosha e.g. Hyperacidity, herpes, gulma (Type of tumor) jaundice, osteoarthritis, anemia, skin diseases etc. The best season for this procedure is  autumn .
Basti: The procedure is important for the Vata dosha mainly, but can be used for Kapha and pitta and for all sorts of diseases also. In this procedure enema with herbal decoction, oil, honey and salt is given. Since it has a direct action over the large intestine, which is the main site of Vata dosha, it acts instantaneously. The procedure is especially useful for all kinds of diseases caused by Vata Dosha e.g. back ache, arthritis, osteoarthritis, dystrophies, multiple scherosis, muscle waisting etc. The best season for this procedure is the rainy season.

Ayurveda For Osteoarthritis

Osteoarthritis (oa) is a degenerative disease that affects the various bone joints, leading to painful movement and thereby limiting the patient's mobility. Knees, hips, joints of hands and legs are affected.

Symptoms of oa

The symptoms revolve around the bones and joints including:

 Pain and stiffness of the joints
 Swelling of the joints
 Inability to form a clench
 Difficulty holding things 
 Stooped posture 
 Weakness of legs and hands
 Reduced height over time

Treatment options in allopathy are limited to nonsteroidal analgesics to control pain and in severe cases, surgical correction, in case of oa. However, homeopathy takes into account the triggering symptoms, the associated symptoms, and the status of the immune system before deciding on a treatment regimen.

With this holistic approach, homeopathy achieve the following:

 Reduce the pain, swelling and stiffness
 Slows the pace of further degeneration
 Improves mobility of the affected joint (s)
 Improves the body's overall immune system, thereby allow the body to promote healing on its own
 Homeopathic intervention in the early phases is particularly helpful, as it will arrest disease progression
 It also enable better absorption of minerals and nutrients essential for bone health. This allows healing of existing bone fractures and avoids further bone damage by strengthening the bones
 Homeopathic treatment also enables the body's chemical state to withstand stress and illnesses better
 It vitalizes the body's natural healing and ability to repair itself, to create a better state of health and well-being

Some of the popular homeopathic medications based on areas and associated symptoms are listed below:

Knee joints:

 Bryonia alba: pain worsened with movement, relieved with rest; associated with swelling and stiffness of the joints; difficulty in climbing stairs.
 Calcarea carbonica: swelling and pain that is worsened when getting up from a seated position. The joints feel cold and painful.
 Sulphur: worse with climbing stairs, prolonged standing, feeling of warmth in the knees. 

Hip joints:

 Colcynthis: cramping pain improved by pressure.
 Rhus toxicodendron: pain when getting up from a seated position.
 Pulsatilla nigricans: associated with muscle stiffness and cramping.

Finger joints:

 Antimonium crudum: the pain pain gets worse in cold weather, improved by applying something warm) 
 Benzoic acid: there is an associated crackling sound when the fingers are moved or if there are nodes in the area of joints. The urine is highly offensive in these people. 
 Calcara fluorica: there are stony hard nodes formed in the joint area, greatly reducing the mobility.

These medications are safe, completely natural, do not induce habit formation, and are approved by fda. They don't just treat the symptoms but help manage the patient as a whole. This justifies why homeopathy is definitely a good option in treating osteoarthritis.

Homeopathy for Osteoarthritis: Why is it a Good Option?

Natural Ways To Manage Arthritis

You might be aware that there is no way that you can prevent arthritis to happen except for being car. But what you can do is delay and reduce the risk of its potential onset. If your joints are healthy now, there is no guarantee that they will always be, unless, you take good care. 

Do you know a few kinds of arthritis can be modified. They are:

1. Gout - Have a healthy, balanced diet which is low in cholesterol, alcohol and sugar. This will help you fight against the onset of gout.

2. Osteoarthritis - To modify the risk factor of osteoarthritis, it is important to maintain a healthy weight.

How to defeat arthritis?

1. Keep a check on your weight: If you are obese, you are putting more pressure on your joints and as a result, they wear out soon. By losing weight, you can make a lot of difference in your joint health.

2. Ensure good water intake: Our body is 70% water. And water is one of those things which is the most important for us. Staying hydrated is very important, even for your joints. Because when the body is dehydrated, and the body needs water, it uses the water stored in our bodies, incl the water in the cartilage.

3. Try to avoid any injury: No one really wants to get injured but it is important to be careful and cautious against injuries of any kind. The more injured your joints are, the more susceptible they are to wear and tear now, and arthritis later in life.

4. Don’t stress with physical tasks: There is a way and correct posture to do them, but many people ignore those and perform the tasks clumsily. This puts additional pressure on your joints.

5. Get Your share of Vitamin D: Vitamin D is very important for us. If your body has adequate amount of vitamin D, then you are less susceptible to arthritis. It is wise to get the levels tested and if low, a doctor consulted for proper medication.

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

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