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

When you experience shortness of breath for no reason, you might wonder if there is something to worry. Breathing difficulty (dyspnea) affects around 1 in every 10 adults. The causes are varied, and just like other health problems like dizziness, fatigue, and abdominal pain, shortness of breath too has several causes. While a few are harmless, a few may be the signs of a possible complication. Though a common complaint in adults, it is a tough diagnostic challenge. Being aware of the symptoms will take you a step further in deciding whether or not the breathing difficulty is a cause of concern.

Causes

In older people: If you are an older person, then your breathing problems will most likely be associated with a heart or lung disease such as COPD, pneumonia, and heart failure. Other causes include a stroke and cancer. It is advised to consult a doctor if you are experiencing serious breathing problems since the past few days and more so if you see other symptoms. Symptoms to worry about are pain or trouble staying upright.
In the young: The common causes of shortness of breath in younger people are usually minor and partially treatable. Shortness of breath may occur due to myofascial pain syndrome. This is a condition in which trigger points or muscle knots occur in the respiratory muscles. Other causes are pneumonia and bad respiratory habits and/or weak breathing muscles.
Stress can be the cause: Another common cause of shortness of breath in teenagers and working professionals is anxiety. This is a very significant cause and should be taken seriously because this may not necessarily be a minor problem. Its diagnosis is still reassuring when compared to other medical problems since this can be worked upon with a few techniques.
Should you worry or not?

When the breathing difficulty is caused due to an acute condition like pneumonia or a chronic condition like asthma, treating the cause is imperative. Because, when the cause is treated, the episodes of shortness of breath is reduced.
Any patient suffering from any one or more of the problems mentioned above can still take a sigh of relief as remedies are available. Various pressure point massages can be performed with proper technique to ease out the trigger points when you are suffering from muscle knots.
When it comes to bad breathing habits, old habits die hard. Although changing your bad breathing habits may seem frustrating at first, it is relatively easier to achieve this if taken up with the mentality of achieving a goal. If regular breathing exercises are performed, respiratory strength can be increased. Moreover, breathing correctly has many long-term benefits as well.
Anxiety is more of a mind over body kind of thing. Although it may seem tough to overcome, determined and head strong people can find relief if they try.
Ensuring safety first
If you are wondering about whether your condition is serious or not, it is advised to tell your doctor about any persisting symptom. If you have developed any new symptoms such as a chronic wheeze or a cough, fatigue and pale appearance, dry, painful cough and shortness of breath during physical activity, then these are slow and sneaky indicators of an onset of some serious medical problem. 

Thus, breathing difficulty occurring often is a reason to worry, and you must seek medical advice at the earliest.


Shortness of Breath Reasons - Should I Be Worried?

On a normal, run-of-the-mill day, most people go about their daily chores in a mundane manner and then one day they get a splitting headache, and everything comes to a standstill, because even thinking about it seems like a chore. That s because headaches that refuse to go away could be migraines.

It is good to know that the field of homeopathy has some solutions which go a long way in improving the abilities of the body to resist migraines. However, there is a lot of ambiguity in the minds of many people with respect to what a migraine is, and how it differs from a normal headache.

What is a migraine?
A migraine usually forms on one side of the head. Also, the cause which is most directly attributable is that the blood vessels begin to dilate. It may be surprising for many people to know that allopathy looks to only reduce the ill effects of the migraine instead of curing the root cause. As a result, a lot of people are steering towards homeopathy as the solution when they have run out of options with other ways to treat migraines. In fact, they turn to homeopathy when they have spent way too much time and money suffering without addressing the main problem.

How homeopathy helps?
There are about seven different medicines or medicinal compounds in homeopathy which can be made use of to treat migraines. Considering the fact that homeopathy is a much customised field of medicine, the course of treatment may also include a combination of various medicines if the situation demands this.

Homeopathy is also great when it comes to migraines as it can seek to treat the main or core issue while also reducing the havoc which is wrecked by the symptoms of a migraine. The fact of the matter is that a migraine can be caused by a large variety of things or triggers. Only homeopathy has a way to address these in the most comprehensive manner possible.

One of the many great things when it comes to using homeopathy to cure migraines is the fact that there are no side effects. On the other hand, certain medicines from the field of allopathy can be the causes of migraines themselves. These medicines are usually made use of, ironically, to suppress pain.

There is a troubling cocktail of stress, eye strain and loud noise to which a lot of people are exposed today. As a result, there is a much greater incidence of migraines. However, if a person is willing to stay dedicated to homeopathic treatment, there is a lot of respite in sight!

Migraine - Role Of Homeopathy in Treating it!

One of the most revered modes of healing, Ayurveda is entrusted with various beneficial properties that cures a wide range of ailments. Quintessential and indigenous methods of probing into the medicinal virtues of various herbs and other natural condiments, Ayurveda is attributed with remedial qualities for a number of ailments and all this without ushering any side effect whatsoever. 

One of the most frequent use of Ayurveda is found in healing allergies. Ayurveda over the centuries has emerged as a trusted recourse to take while combating an allergy. One needs to dig out the best therapies that Ayurveda has to offer in order to get rid of the stubborn annoyances that most allergies posit.

Inherent allergies
Certain people are born with lesser or nil tolerance towards certain specific particles in their immediate surroundings. On account of certain genetic predisposition, some are prone to react adversely to a few allergens. In the Ayurveda vocabulary, such a condition is designed to be caused by unstable influences. These influences may be in the form of environmental elements like dust and pollens or certain specific kinds of food items. 

While the most obvious solution might be to avoid the source of such allergies, in case where the interaction with the given set of allergens is unavoidable, Ayurveda offers viable solutions. Depending on whether the reaction is mild or chronic, Ayurveda prescribes specific cure Some of the mild symptoms in these cases are sneezing, coughing, conspicuous marks, rashes, watering of nose and eyes among others. For such allergies, one of the most effective Ayurvedic  remedies would be a mixture of beetroot, carrot and cucumber juice. Regular intake builds immunity and resistance power and thus, reduces the effect of such allergic reactions.

Acquired allergies
Unlike the natural allergies, certain allergies develop as the individual ages. These may be seasonal or procured sensitivities and these usually manifest certain stronger reactions. Most of the time, such allergies, known as amanita in Ayurveda terms, are associated with indigestion and imbalance in the digestive juices or dysfunction of the digestive organs. To deal with such anomalies, detoxing the body is essential. The first step to cure would be to detox the body of the allergy causing toxins. 

An easy and natural remedy would blending honey and lemon in lukewarm water and drinking it regularly for a prolonged period of time. This also has additional advantages for the skin and the overall organ system. Alma based drinks or tablets could also prove beneficial to abate such acquired allergies.

Allergies - How Ayurveda Can Help You Treat Them?

A heart attack does not always have obvious symptoms, such as pain in your chest, shortness of breath and cold sweats. In fact, a heart attack can actually happen without a person knowing it. This condition is known as a  silent heart attack , medically known as  silent ischemia , occurring due to the shortage of oxygen supply to the heart muscle.

The causes of a silent heart attack are similar to that of a heart attack. They include-

Obesity or excess weight

Lack of exercise

Disorders such as diabetes

High blood pressure

High cholesterol

Age, usually above 65

Heart diseases

Consumption of tobacco or smoking

A silent cardiac arrest makes one more vulnerable to another heart attack that could be fatal.

Diagnosis:

The only method to diagnose if you had a silent heart attack is through imaging tests, such as echocardiogram, electrocardiogram or others. These tests can show certain changes which might be indicative of a heart attack.

An analysis of one s overall health and the symptoms can aid in deciding whether few more tests are required.

How would you prevent a silent heart attack?

Get your cholesterol and blood pressure count tested regularly.

Refrain from smoking.

Be aware of your body and call on a doctor if you feel there s anything which is bothering you.

Understanding Silent Heart Attacks

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!

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