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
Knee replacement surgery is a procedure that is used to replace a worn out knee joint with an artificial knee joint. Such a surgery is advised if your knee is causing pain and limiting your daily activities, provided other treatments have failed to cause the desired impact. (Learn more to maintain bone and joint health)
Once the knee replacement surgery is completed, the focus shifts to the recovery phase.
The duration of the recovery depends on the type of surgery and the individual.
After the surgery, painkillers are administered to provide relief from the pain.
In some cases, oxygen is administered through various tubes if required.
A blood transfusion may also be required after a knee replacement surgery.
The surgical wound will require a dressing to allow it to heal faster and prevent infection.
A drain will be attached to the wound to drain out the blood from it and prevent accumulation of blood in the wound.
The dressing of the wound should be changed regularly.
Post- Surgery Care
Post-surgery, you will need assistance to help you walk. If the surgery that you underwent was minimally invasive, then you should be able to walk on the very same day. Your physiotherapist will prescribe and show you some exercises to strengthen the knee. It is important that you follow his/her instructions to avoid complications.
A passive motion machine is sometimes prescribed as it helps to restore the movement of the knee. It helps in reducing the swelling by keeping your leg elevated and moving the knee when you are lying down.
Here are some knee replacement recovery tips:
Avoid doing any work that puts pressure on the knees.
Eat nutritious meals so that the body receives proper nourishment, thus allowing your leg to heal faster.
Avoid heavy exercises which can strain your knees.
Perform all the exercises prescribed by your physiotherapist to speed up the recovery process.
- Do not sit with your legs crossed for a few months after the surgery.
If you wish to discuss about any specific problem, you can consult an orthopedist.
Osteopenia is a medical condition that gradually causes thinning of bone mass. While the thinning mass is not considered as severe, the real danger looms when osteopenia aggravates to osteoporosis, resulting in a bone fracture. Osteopenia is mostly witnessed in people above the age of 50. The difference between the diagnosis of osteopenia and osteoporosis lies in the measure of bone density.
Osteoporosis, on the other hand, is the loss of bone mass due to the deficiency of calcium, magnesium, vitamin D and other minerals and vitamins. Osteoporosis can lead to broken bones, height loss, acute pain and humpback. It is estimated that over 54 million people in the US suffer from osteoporosis.
Bone mineral density (BMD):
The calcium deposit in the bone is measured by the bone mineral density (BMD) test. This test rightly estimates the chances of bone fracture in a person. Furthermore, it helps a doctor to distinguish between osteopenia and osteoporosis. Being non-invasive in nature, this test can be performed anytime on areas such as hip, shin bone, spine etc. BMD can either be measured by plain radiographs or DEXA. The latter is a form of X-ray that has lesser exposure to radiation. Post the test, a score is given based on the calcium availability of the bones.
How is a BMD comprehended?
Every BMD result is evaluated in the form of T-score. The T-score is derived by comparing the result of the BMD with a normal person in the 30’s having the same race and sex. The difference of score between a healthy individual and a patient affected with osteoporosis or osteopenia is referred to as Standard Deviation. A patient with a T-score in the range of (-1SD) to (-2.5SD) is considered a prime candidate for osteopenia. A patient having a T-score lesser than -2.5SD is diagnosed with osteoporosis.
Risk factor for osteopenia or osteoporosis:
While not everyone runs the risk of getting either osteopenia or osteoporosis, there are certain risk factors attached to it:
- Gender: Women run a higher risk of getting affected with osteopenia or osteoporosis.
- Race: Women who belong from the Caucasian or Asian origin run a higher risk of getting these diseases.
- Age: Most people tend to get these diseases above the age of 50. Humans have a tendency of losing close to 0.5 percent of bone every year after a certain age.
- Family history: A person with a family history of osteopenia or osteoporosis has more than 50% chance of getting either osteopenia or osteoporosis.
- Lifestyle: Poor diet, excessive smoking, alcohol, lack of exercising etc. goes a long way in contributing towards these diseases. If you wish to discuss about any specific problem, you can consult a rheumatologist.
As you age, the cartilage cushioning your joints starts wearing down, causing the bones to rub against each other. This causes osteoarthritis, which is a type of degenerative disease caused. The rubbing of the bones causes inflammation of the joints. The joints of the arms and legs along with the lower back are most commonly affected by this condition.
Here are some common symptoms, which indicate that you are suffering from osteoarthritis:
1. Pain and tenderness: An aching back, knees, neck and hip with severe pain are some of the most common symptoms of osteoarthritis. The pain caused during the early stage of arthritis is classified into tenderness and pain. A sharper pain may be felt while moving the affected joint in a certain way. Tenderness is the discomfort experienced when the joint is pressed along with visible swelling in the affected area.
2. Joint stiffness: Joint stiffness is another early symptom of osteoarthritis. It refers to the wooden feeling, which makes a person feel slow and sluggish. The urge to rest or go to bed should be resisted. Warming up the joints with gentle exercise or moving around cause relief. It also helps in reducing the stiffness and you can continue your regular activities with more ease.
3. Abnormal sensations: When the cartilage wears down, the rubbing of the bones against each other may lead to some abnormal sensations. Grating of the joints is common in people with osteoarthritis. One may feel that their joints are cracking or clicking while moving.
4. Loss of flexibility: People who are in their early stages of osteoarthritis may face difficulty with moving the areas which are affected. This joint stiffness and pain may lead to a loss of flexibility or loss of range of motion. Range of motion refers to the extent up to which one can move his joints normally. In case you are not being able to bend your knee fully or as far as you would have done it normally, you might be experiencing osteoarthritis.
Loss of flexibility occurs slowly and gradually. A person may hurt his back unusually during a football game or may experience a stiff back in the morning after waking up. This gets more intense with time. In the later stages, you may experience joint pain even while resting.
In case you experience any symptoms of osteoarthritis, you must consult a doctor immediately. The doctor will provide you with a plan aimed at managing and getting a quicker relief from the pain caused due to osteoarthritis. Several over-the-counter medicines, braces for supporting affected joints and range of motion exercises are also effective ways of managing osteoarthritis.
My both leg knee (between knee and tip of the leg bone) was painful when I'm running are playing. How to get relief from that pain.
What is Osteoporosis?
Osteoporosis is a medical condition wherein the bone becomes fragile and breaks easily even with a minor fall. The bones of spine, wrists and hips get affected the most. These fractured bones lead to severe pain and can force a person to become immobile. A spine fracture can even lead to a loss of height.
What is parathyroid hormone?
Parathyroid is a naturally occurring hormone that regulates the amount of calcium present in the body. They mitigate the risk of bone breakage in the body for a patient suffering with osteoporosis. These hormones are injected into the body on a daily basis to maintain the normal flow of calcium in the body.
How does the treatment work?
Treatments are available in the form of drugs and injections. A doctor can prescribe drugs, if the patient is at an increased rate of bone breakage. The parathyroid hormone helps to protect the bone from breaking, but have no role when the bone actually breaks. The body has a natural process of breaking a bone and rebuilding it by itself. Osteoporosis sets in motion when this process of bone formation is disturbed.
When does a doctor prescribe hormonal treatment?
If a patient has undergone a number of vertebral compression fractures and the condition has not improved, a doctor might suggest to undergo parathyroid hormone treatment. The treatment requires nursing support due to a patient’s delicate bone condition. A maximum dosage of 20 micro grams of parathyroid can be injected for a time duration not exceeding 2 years.
Things to know about the treatment:
- Be informed: It is good to be well informed about the course of the treatment, treatment duration, plausible problems etc. This will help a patient to be on top of the decision making process. The helpline of the 'National Osteoporosis Society' can be reached to understand the preparation required for a patient to undergo the treatment.
- Take the right dosage at the right time: Parathyroid injections should be injected on a daily basis for a maximum time period of 2 years. These injections are taken daily at the same time. It should be ensured that none of the injections are skipped without the prior approval of a doctor. The injection, which lasts for 28 days, needs to be stored in a refrigerator. In case a patient is travelling, special bags are available that has space for storing gel packs.
- Side effects: Most patients do not report any side effects, but they do exist. Possible side effects include dizziness, arthralgia, depression and headache. These symptoms often suggest that your body is reacting to the parathyroid hormone treatment. A doctor may or may not prescribe any further drugs to address these symptoms.
Hi I want to know the exercises to be done post scoliosis correction surgery. I was operated last year. I also do my exercises but I want to know more so that I can have a better posture.
I had an ankle sprain while playing cricket today. I have applied ice all day long in regular intervals .still the pain is there and I am not able to walk too with that leg. Pls suggest how to treat it.
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.
Your knees are one of the most vulnerable parts of your bodies. In case of strenuous or vigorous activities, knees are more prone to damage and injury than the other parts. Several of the knee tissues are fairly delicate and often are easily impaired. Among the other knee tissue injuries, meniscus tears are perhaps the most frequent. Meniscus is essentially a cartilage that protects and stabilizes the knee joints. However, an untoward twist or a strain can lead to a tear in the meniscus. Meniscus tears are a common phenomenon among athletes and sportsmen. They have been noted to be more recurrent in older individuals.
Some of the early symptoms that indicate the onset of a meniscus tear are swelling and difficulty in bending or straightening of the leg. Sometimes a "locking sensation" in the knees also forebodes a torn meniscus. The inflammation potentially causes a lot of pain and irritation. While, it is fairly easy to ignore a meniscus tear for a normal knee injury, prolonged overlooking may only aggravate the pain and worsen the condition. The process of diagnosing a meniscus tear usually involves an MRI scan and an X-ray examination, over and above a detailed evaluation of the wound.
Treating meniscus tears vary according to the extent of the injury. Depending upon the location and the depth of the tear, various cures can be tried. The healing process, however, depends upon other allied factors such as age, level of physical activities and one's medical history. An external and minor injury is easily mendable. Whereas, graver injuries are resolved through surgical means. The other non-operative means include certain prescribed medicines and specific exercises. Some of the recommended ways of battling a meniscus tear can be enlisted as:
- Resting the knee by limiting the activities that involve excessive use of the legs or they may potentially strain the leg muscles.
- Applying ice pack can significantly bring relief to the swelling and the pain in the injured knee. Doctors advice regular use for a duration of at least 15 days.
- Compressing the knee using an elastic bandage or neoprene sleeve reduces the swelling in the knee.
- Prescribed medicines in the likes of non-steroidal anti-inflammatory drugs can be effective remedies for a meniscus tear. However, one must mandatorily consult a doctor before consuming such medicines.
Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.
Let us look at ways that can help you deal with this pain:
- Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
- Supportive footwear: Using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with Plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while Orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.
- Exercise: Indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
- Painkillers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
- Anti-inflammatory drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
- Surgery: Heel spur removal or Plantar fascia release are some of the surgical options for chronic and severe cases.
Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.
Sleep is a natural part of the daily biological functions and we spend some time of the 24 hours sleeping.
Sleep cycles are different for different persons and while 5 to 6 hours of sleep may be enough for some people, others may need up to 8 hours of sleep to feel refreshed. How you sleep is as important as the duration. This is one area which is often neglected by people.
Why sleeping positions are important?
Sleeping positions are very important as you stay in a single position for hours at a time every day, and if these habits are bad, they can contribute to spinal problems. Thus, many of the spinal problems can also be alleviated by sleeping correctly.
Some of the bad sleeping positions that may adversely affect your spine are as follows.
- On your stomach - This position is in overall a bad position as it curls up the spine, especially where the neck meets the spine and can cause spinal deformities over a long period of time. Certain adjustments to this position can lessen the effects, but it is important to try to change habits and sleep in a better position.
- The fetal position - Although this is one of the more natural positions and most babies are crouched up in this form in the mother's womb; as a sleeping position, it has its disadvantages as well. The lower spine is especially put under a lot of stress when someone curls up in this position.
- On your side - Although this is safer compared to the other two, sleeping on your sides straight would cause blood circulation issues and also put a lot of stress on the relevant organs, depending on the side you were sleeping on.
In all of the cases, slight adjustments to these positions will lessen the stress on the spine and also help you sleep better.
Some of the adjustments that you can make are:
1. Sleep with a pillow between your knees to align your hips and cause less strain on the spine.
2. If you don't have sleep apnea, put a pillow under your knees to raise them while lying on you back.
3. If you sleep on your back, try to consciously change your position to sleep on the side.
4. Try and actively change your posture throughout the day to ensure good sleeping position at night.