Minimally Invasive Hip Correction Procedure
Minimally Invasive Knee Correction Procedure
Rotator Cuff Injury Treatment
Scoliosis Correction Surgery
Treatment Of Meniscus Injury
Acl Reconstruction Procedure
Column Traumatology Procedure
Treatment of Mckinzie Treatment For Spine
Pelvic Rehabilitation Techniques
Rf Neurotomy Procedure
Treatment of Rheumatic Complaints
Treatment Of Lumbago
Custom Splinting Bracing Procedure
Treatment of Joint Dislocation
Joint Mobilization Procedure
Treatment of Disc Prolapse
Joint Replacement Surgery
Treatment of Limping Child
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Patient Review Highlights
Congenital Orthopedic disorders in Children
Rotator cuff is the name given to four muscles and their tendons, which keep your arms in your shoulder sockets, allowing you to lift your arms and do day-to-day stuff like combing your hair, cutting vegetables etc.
The shoulder joint is a very important joint of the body and this is why any tear that happens in the rotator cuff can be devastating.
Tears can happen in rotator cuff due to a number of factors like injury and degeneration due to age. Tears that happen due to an injury to the shoulder are called acute. Degenerative tears are tears that happen due to degeneration of the tendon over time.
Common causes of degeneration are lack of proper blood circulation, which impedes the rotator cuff’s ability to repair itself. Repetitive stress is another cause where we stress the tendon by repeating the same shoulder motions again and again while playing games like tennis, cricket etc. and doing jobs that require us to extend our arms upwards a lot. Lifting heavy objects can also lead to tears.
Chronic shoulder and arm pain are good reasons for you to see your doctor. If you suffer from pain in your shoulder at rest, while sleeping on the affected shoulder or pain while lifting and lowering your arm, then there is no time to wait.
The doctor will do a physical examination by moving your arm in different directions. He may follow it up with X-rays and MRI to check how big the tear is in your rotator cuff.
Once confirmed that you indeed have a rotator cuff tear, your doctor will start the treatment. The goal of any treatment is to reduce pain and make your shoulder joint work properly again.
Nonsurgical treatments include rest, using of a sling to protect the shoulder and modifying your daily activities. This means you may not be able to do activities that cause shoulder pain. Your doctor can also prescribe pain and anti-inflammatory medicines. Strengthening and physical therapy bring up the rear of this type of treatment.
What you must remember is that nonsurgical treatment relieves pain and improves function in the shoulder, but does not improve shoulder strength. The size of your tear may also increase over time.
Surgery, which attaches the rotator cuff to your bone, is done if you suffer from continuous pain and symptoms over a year or so. If you have a large tear, conservative treatments will not work and surgery will have to be resorted to.
If you have been suffering from chronic shoulder or arm pain, waiting and watching is definitely not an option. You must consult an orthopedic surgeon at the earliest. Remember, if treatment is not started soon enough, your rotator cuff tear will get larger and will require only surgery.
Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is mostly common in the elderly people, especially in women. Mostly, the reason is underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopaedic department.
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule).
What causes the hipbone fracture?
As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile.
Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery.
Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture.
How to prevent hipbone fracture?
- First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age.
- Always remember to maintain a healthy bone.
- Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day.
- Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling.
- Avoid consuming of tobacco and alcohols as it can reduce bone density.
- Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.
- Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors.
- As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up.
If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age.
To soothe stiff and painful joints in your hands, apply mineral oil to your hands, put on rubber dish washing gloves, and place your hands in hot tap water for 5 to 10 minutes.
It is not that very easy to get complete recovery after spinal surgery and for that you have to rely on different caring tips. Your surgeon can help you in this regard and can provide you a checklist containing different essential caring tips. You should follow those tips sincerely so that unwanted side-effects can be easily avoided.
Few caring tips after a spine surgery:
- Consumption of adequate amount of proteins: If the protein content is increased in your diet, then quickest recovery can be definitely expected. Muscle collagen can be strengthened and healed with the regular intake of the necessary amounts of protein. In fact, infectious conditions can be effectively dealt with by protein intake.
- Getting adequate rest: Proper rest is needed and you should have enough sleep for getting complete recovery. If your body needs some more sleep than the standard one, then you should go for the same. Your mood, memory and body will get refreshed and rejuvenated by taking proper sleep at night. In fact, you can also get rid of pains and other side-effects after surgery by taking rest.
- Taking nutritional supplements: There are a few essential nutrients that are needed after the surgical procedure and they are vitamin D, vitamin C, Omega-3 fatty-acids, magnesium and others. These nutritional elements are now available in the form of supplements and are readily available in the stores. Though these supplements are completely organic, but still you should start taking the same when doctors permit you. These supplements help in collagen healing and thus speedy recovery can be gained by taking them in a consistent manner. Muscle heath can be effectively protected by consuming these supplements.
- Acute hydration: Hydration is highly needed especially after spinal surgery so that toxin accumulation can be prevented. If you want to get proper hydration, then nothing can be a better option than drinking lots of water. In fact, spinal surgeons also recommend the same for avoiding surgical complications. Tea, coffee and sodas need to be completely replaced with water. Your system can be thoroughly cleaned by draining out toxins.
- Eliminating refined sugars from diet: Refined flour and sugary products are to be completely curtailed from regular diet; otherwise you might face severe complications. Your blood-sugar level needs to be regulated. If your immunity system gets suppressed, then you will be in great trouble and hence sugar should not be included in your diet at all.
I used to go for jogging everyday for 30 mins. Then after 10 days I found a problem in my right knee so I discontinued jogging and took pain relief medicine and now not continuing jogging now, pls suggest what to do, I want to keep if my bones are not strong and if it is then which medicine to take.
Here are some tips that will help you to manage joint injuries and disabilities
Here is a video tip that'll help you understand how to manage shoulder joint problems
I am a 22 years aged male and suffering from constant pain in my right knee cap. I have consumed few pain killers and have used ointments too but didn't got any relief. What shall I do further?
Causes and symptoms of Rheumatoid Arthritis
Rheumatoid arthritis is an autoimmune disease, which is characterized by the inflammation of the joint lining and gives rise to pain, stiffness, warmth and redness in the joints. The inflammation occurs in the tissue that normally produces lubricating fluids for the joint. This condition is progressive in nature, and can cause the destruction of joints, leading to functional and locomotive disability.
Though rheumatoid arthritis is a disease that can last for years, patients may not experience any symptoms for a long time. In some cases, the disease may affect other parts of the body like the eyes, lungs, and the heart.
The severity and duration of the symptoms are unpredictable, and the symptoms experienced are:
- At times, people experience increased disease conditions called flare-ups.
- They may also experience alternating periods when the symptoms fade or diminish, which is referred to as remission.
- Some of the common symptoms of the disease include lasting pain and stiffness for more than an hour in the morning, inflammation, fatigue, fever, and a general sense of discomfort.
- Inflammation in the joints close to the hands like wrists and fingers and other parts like neck, shoulders, elbows, knees and hips can also be affected.
- In some cases, both sides of the body are affected at the same time, which is known as inflammation in a symmetric pattern.
Rheumatoid arthritis is usually caused by the body's weakened immune system, which produces antigens to attack itself. The trigger to this reaction is not yet clearly deciphered.
It is diagnosed by clinical examination (American association of Rheumatology criterion) supported by relevant Investigations.
Management for Arthritis includes the following aspects:
1) To control disease activity and control of symptoms of pain, stiffness.
2) Medical treatment to prevent system effects of the disease.
3) Nonmedical treatments comprise of dietary therapy, physiotherapy, immunomodulation therapy.
4) Minimal surgical therapy like arthroscopic synovectomy to confirm the diagnosis as well as reduce disease activity. At times, with the advanced decline of joints, a major surgery like replacement therapy may be required for specific cases.
What's more important is to know that at any stage of the disease patient can adopt and live an active life with appropriate treatment.
Related Tip: 3 Symptoms of Rheumatoid Arthritis to Watch Out for
The secret to avoiding bone and joint related injuries revealed!
An average person experiences two fractures during his or her lifetime and same holds true for joint related injuries. The severity of this condition depends on a number of factors, ranging from the forces responsible for injury and location to the damage done to the nearby tissues and bones.
How age plays a role in your chances of getting a fracture?
Your risk and severity of developing a fracture, depends, to a certain extent on your age.
A very common occurrence during childhood is crippling joint related injuries, the fractures that you tend to have during this time are generally less complex than the broken bone instances that you stand to experience when you enter adulthood.
With time, your bones become fragile and you become prone to broken bones sustained from falls, which you wouldn't when you were young. Furthermore, as you step into your 50th year, you can get struck by the bone condition osteoporosis, a leading cause of bone fractures during this time. For women, menopause makes them more susceptible to osteoporosis (as infrequent periods and hormonal changes at this time lead to loss of bone mass) and subsequently broken bones.
Preventing crippling joint injuries need many steps in younger generation known as prehab especially for sporting population and adult population involved in day to day activities requiring your body getting subjected to physical stress.
Simple steps to get your joints back to normal in case you do get into injuries.
- having a calcium and vitamin d rich diet to strengthen bones
- exercising to strengthen bone and muscle health as well as your balance
- taking relevant medicines to make your bones strong
- going for timely bone mineral density test to determine the health of your bone
- exposing yourself to the sun for about 20 minutes everyday
- having a requisite calcium intake of 1000 mg and 1200 mg for pre- and postmenopausal women respectively
- preventing a fracture by modification in your household furniture, extra clothings, sometimes addition of simple orthotic devices, improving your muscle reaction time etc go in long way to help prevent falls.
Why Osteoporosis and Osteopenia are fast turning into diseases of the young.
Did you know that osteoporosis causes more than 8.9 million fractures worldwide every year? What is frightening is many of these fractures are now taking place among the youth due to deficit diet and poor lifestyle coupled with genetic predisposition. Both osteoporosis and osteopenia are two forms of bone loss conditions, with the latter being a precursor to the former. To distinguish between the two a bone mineral density test is usually performed.
What is difference between Osteoporosis and Osteopenia?
A BMD (bone mineral density) T-score between -1 SD and -2.5 SD indicates osteopenia with a high chance of osteoporosis. On the other hand, a T-score of -2.5 SD and below stands for osteoporosis. A higher bone density (above -1SD) is usually indicative of stronger bones. Fragility index is more accurate way to assess risk of fractures.
In osteoporosis the bone loss or weakening of bones take place over a long period of time, and results in unexpected fractures and severe bone problems. Disfigurement, fractures in the spine, loss of mobility and independence are usual characteristics of this bone disease once it progresses further.
Prevention is better than cure, ALWAYS!
To keep bones strong and healthy, calcium and phosphate is continuously absorbed by the body. But after 30, the body’s ability to absorb calcium slows down and there’s a decrease in the production of new bones. In contrast, bone desorption (the process of transferring calcium from the bone to the blood) continues unabated.
When the body starts absorbing the store of calcium in the bones to meets its needs, it leads to calcium depletion and is one of the causes of weakening of the bone.
At present, the age limit (50-60 years) for osteoporosis has seen a drop with many younger people increasingly suffering from the ailment. Factors like unhealthy lifestyle, late-night shifts, smoking and alcohol consumption have been found to be the culprits behind the rise in osteoporosis cases among the young. Recent studies have identified vitamin D deficiency as a major factor for poor bone health and bone mass density in the young.
How to keep your bones strong and healthy? And manage Osteo - penia/porosis complications:
Bone loss can be prevented by adopting these very simple but effective ways:
- Exercising can help in building strong bones and muscles, while preventing bone loss.
- Maintaining a calcium intake of 1000 mg for pre-menopausal women and 1200 mg for women post menopause.
- Staying out in the sun for 20 minutes to produce requisite amount of Vitamin D for calcium absorption and using supplements of vitamin D.
- there are many safe medicines available to prevent and treat osteoporosis like alendronates, calcitonin, Parathyroid , teriparatide preparation etc.
- In osteoporosis induced /associated fractures we have to to modify implants to negate weak purchase of implants in bone and improve mobility.
We have been using these modifications in established osteopenia/porosis case in fractures treatment/joint replacement/ arthroscopic fixations and MIS spine fracture management.