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Knee problems can be quite annoying but if this problem becomes regular, it brings life to a standstill. The movement becomes restricted. Many associated problems slowly crop up. Thus, it is best to nip the problem in the bud. While some people might experience a problem in the full knee, in some people, only a single compartment (tissue or cartilage) of the knee may be affected. For such patients, Unicondylar Knee Replacement comes as a blessing.
The Unicondylar knee replacement, also known as the Unicompartmental Knee Replacement or Partial Knee Replacement is the most sought-after knee replacement surgery. The surgery involves replacing only the worn out or affected part (cartilage) of the knee, thereby preserving the healthier cartilages and tissues of the knee.
In the last few years, incidences of osteoarthritis have been on the rise. The unicondylar knee replacement surgery has made life a lot easier for people suffering from osteoarthritis (a condition where the articular cartilage or the connective tissue present within the knee joint begins to wear out).
The unicondylar knee replacement is ideal for people with:
- Severe osteoarthritis (Median or Lateral) that results in painful, swollen and stiffened knee.
- Only a small portion of the knee is affected.
- A person experiences great difficulty in movement.
- People over 48 years of age are mostly advised to undergo this surgery. Many young people with osteoarthritis opt for this surgery.
However, the surgery may not be a wise idea for
- A person with Rheumatoid Arthritis and Angular Deformity (acute).
- A person whose larger portion of the knee is affected.
- A person who had undergone osteotomy (surgical excision followed by reshaping of bones).
- People with an unstable or weak knee should avoid this surgery.
Pre- surgery, a person should
- Avoid taking any anti-inflammatory and herbal medicines (minimum 10 days before the surgery).
- Get yourself medically examined for any health complications (that might interfere with surgery).
- Follow a healthy lifestyle. Avoid smoking and drinking.
- For the surgery, the patient is either given a general anesthesia or a spinal (or epidural) one.
- Next, a compressing device (tourniquet) is put around the upper part of the thigh. This is done to avoid excessive blood loss during the surgery.
- A 7cm incision is made over the knee.
- The damaged parts (bones and cartilages) of the knee are then carefully removed.
- The surgeon next replaces the excised parts with metallic implants. Once the metallic part fits into the knee, it is adhered to the bone with (or without) bone cement.
- The surgeon then stitches the incised area, followed by dressing and bandage.
- The surgery is less invasive with a quick recovery time.
- The surgery replaces only the affected knee part.
- Blood transfusions are seldom required.
- A person gets back to normal life faster.
- The surgery requires less time (~ 1-2 hours).
You need to be careful about:
- Infection at the incision site, though it is very rare.
- Injury in blood vessel, ligaments, or nerves.
- Fracture in the bone
Am unable to sit on chair even for a second. I have discomfort which I can't explain which makes me to get up. I have pain while standing in legs thighs foot. I stand and move like elephant lifting legs left and right. I can't stand still without moving which makes me afraid. I have pain in hips. I don't know the exact problem why I am having this pls help with this problem.
I am suffering from plantar fasciitis for last 2 months. Can you please suggest me how to cure it fast?
The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain.
Let us get to know the six most common ones.
- Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects.
- Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work.
- Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain.
- Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
- Bursitis: This condition is known to affect the fluid-filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints.
- Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.
Rotator cuff tendinosis, Frozen shoulder and Tendon sheath inflammation are more common in Diabetic patients. Essential part of treatment of these conditions include diabetes control and physiotherapy. However in chronic and refractory cases Arthroscopy may be required. Many times chronic rotator cuff tendinosis ends up in rotator cuff tear as a result of minor trauma.
A Tennis elbow is a painful condition that affects the tendons due to a condition known as tendinitis, which causes inflammation. This condition will end up restricting the free movement of the elbow and the arm due to the pain and stiffness that it causes. This is due to the fact that these tendons are the tough band of connective tissues that hold the muscles and the lower arm with the bone. Repeated gripping motions and continued tugging as well as activities like weight lifting, tennis, squash and other like carpentry, painting writing and typing, can lead to this condition.
Here are a few methods of treatment and the questions that revolve around them.
- Do I have to restrict my movements: Yes, when you have tennis elbow, the very first thing you must do is to give rest to the tendons by curbing those activities that have caused the condition or those which can aggravate the pain and stiffness. Lifting heavy objects, gripping things for prolong periods, other physical pursuits like tennis and other games and more will need to stop so that you do not stretch, strain or pull the tissue.
- Can I take pain killers: Yes, you can take pain killers like ibuprofen and acetaminophen in case the pain is unbearable? Always ensure that an orthopaedic specialist takes a look at your arm before prescribing the medicines to you.
- Is an ice compress good for this pain: You can use the RICE method for acute pain that is less than 72 hours old. For more persistent pain, you must see a doctor. The RICE method refers to Rest, Ice, Compression and Elevation. In this method, you can keep your arm elevated and give it rest. You can also use an ice compress and keep it tightly wound with an elastic bandage so as to avoid swelling.
- Can I take injections for this condition: Corticosteroid injections may be used for very severe cases. This contains the cortisol hormone and can give good results in the short run.
- Are there any non invasive methods for treatment: You can try non-invasive procedures like shock wave therapy which will help in fixing the pain and promote motion gradually. This procedure is usually conducted with the help of shock waves that are passed to the skin.
- Is exercising a complete no no: In this case, many orthopaedic surgeons and doctors will ask you to go through physiotherapy so that you can get used to movements and motion after prolonged pain. These exercises will also strengthen the muscles of the area.
Talk to your doctor if the pain is particularly debilitating and discuss surgery for the same.
What is FUE Hair transplant?
Follicular Unit Extraction is most widely used and the most reliable method of hair transplant being utilized for the permanent and scar-less restoration of hair. FUE is so effective surgical method that it is impossible to distinguish transplanted hair from natural hair. Results are natural and undetectable.
FUE is the method of extraction donor hair directly from donor site in a follicular unit hair transplant procedure. An instrument is used to make small circular incisions in the skin around a follicular unit while separating it from the surrounding tissue. The follicular unit is directly extracted from the scalp leaving a small open hole.
This process continues until the surgeon accumulates large number of follicular units for the planned hair restoration. For single session, this procedure can take two to three hours whereas for long session, it may be accomplished over two consecutive days. The donor scars are approximately 1mm in size which completely heals within ten days.
Before the grafts are harvested, tiny 'recipient sites'; are made in the balding area of the scalp using a fine needle-point instrument. The follicular units are then placed into the recipient sites where they will grow into healthy hair-producing follicles. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in both FUE and FUT procedures. The difference lies in the appearance of the donor area and in the quality and quantity of grafts obtained with each technique.
How is the healing phase after an FUE?
The donor wounds, approximately 1-mm in size, completely heal over the course of seven to ten days, leaving tiny white scars buried in the hair in the back and sides of the scalp.
When does the hair begin growing?
The transplanted hair generally shed within 2 to 6 weeks after the surgery as roots enter in resting phase. Within three to eight months, transplanted roots start sprouting hair. It takes ten to twelve months to have denser hair as hair continue to mature and thicken gradually. Once transplanted hair begin to grow, it will continue to do so for lifetime.
What is biostimulated FUE?
It comprises of hair transplantation by FUE along with 3 sessions of Platelet rich plasma therapy which simultaneously enhance residual hairs as well as transplanted hairs by presence of high concentration of growth factors directly near the hair roots and stimulation of STEM CELLS.
In this hair follicles to be transplanted are preserved in a special solution enriched with patient's own growth factors and at the end of surgery this concentrated solution of growth factors is injected into the whole affected area.
With biostimulation, a good proportion of transplanted hairs remain in growth phase (ANAGEN) and directly start growing after transplantation.
Hello doctor I have problem while using mobile phone my two fingers has heated my mobile while using Some thing happens in my two fingers. It is type of burn. What to do for this Give me fast relief thanks.
Hi, I am 24 year old girl. I had a head full of strong healthy hair. But now my hair is not as voluminous as it used to be and it is looking very thin, almost like a bald. Although I am not using any product beside coconut and castor oil still it is too thin and I am not getting any better result. But I want my healthy strong and long voluminous hair back. Please suggest me.
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: this 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.)
- 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. Alfaifa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder.