Doctor in Fortis Suchirayu Hospital
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Our knee is supported by several ligaments which help in movement. But what happens if you tear a crucial knee ligament? Tears or 'ruptures' in ligaments of the knee are common in sportsmen and/or accident victims, especially of the anterior cruciate ligament (ACL).
Though the ACL is not the only ligament of the knee, it is one of the most crucial to maintain stability of the knee joint. Any tear of this ligament frequently leads to chronic knee instability. When a tear in this ligament happens, patients know it immediately as they report feeling or hearing a “pop” along with pain and a feeling of an unstable knee.
Types of ACL injuries
ACL injuries can be classified by the amount of damage to the ligament. They can be partial or complete tears.
- Grade I Sprain: In this there is some stretching and micro-tearing of the ACL, but it is otherwise intact. This does not require surgery.
- Grade II Sprain or partial disruption: In this there is some tearing and separation of the ligament fibres and the ligament is partially disrupted. Usually, the knee joint is also moderately unstable. Arthroscopy surgery may be required.
- Grade III Sprain or complete disruption: In this, there is total rupture of the ligament and the ligament is completely disrupted and the joint is unstable. Surgery is usually recommended for the young and active.
There are many different ways that this ligament can be reconstructed depending on the age, activity level, and gender of the patient. ACL tears can be treated using arthroscopy and minimally invasive surgical techniques.
Though non-surgical methods are available, like rehabilitation and physical therapy, they don’t help much with complete ACL tears.
1. Exercises- this helps to increase the range of motion of the injured knee, decrease the amount of swelling, and maintain muscle control.
2. Arthroscopic surgery for reconstruction of the ACL
It can be of 2 types- Repair and reconstruction of the ACL.
- A repair means that the injured ligament is left in place and the doctor tries to fix it back to the tibia or femur bones of the leg from which it has torn. This is a half-baked option as it does not restore full knee function.
- A reconstruction, on the other hand, means that the ACL is substituted by a new ligament. The surgeon creates a soft tissue “graft” and uses it to reestablish knee stability. The body populates the graft with living cells and permanently attaches it in place. And, it usually takes about 4 to 6 months for the graft to start functional like the real ACL. Reconstruction surgeries help patients to get back to the same or higher degree of activity without pain or instability. The ‘graft’ usually comes from 2 sources
- Taken from elsewhere in the patient’s body, called an autograft
- Donated by donors, called an allograft
Knee arthroscopic surgery is a minimally invasive surgery which is done using pin hole cameras and under general or local anesthesia. The torn ligament is removed and the graft is introduced in its place and secured.
Post surgery outlook
- Immediately after the surgery, the patient is placed in a brace. He or she can leave the hospital the same day if he/she wants.
- The patient has to use crutches for preventing putting weight on the operated leg.
- After-care is crucial for full functioning of the operated knee. The early postoperative period is devoted to restoring motion and decreasing swelling. After this the focus shifts to strengthening the knee joint.
- The recovery of function following an arthroscopic ACL reconstruction continues over a few months and it usually takes 2-3 months for the patient to feel normal.
As long as the operated knee is cared for properly and other injuries are avoided, the benefits of the surgery are usually permanent.
The anterior cruciate ligament is one of the most delicate yet vital ligaments that holds the knee bones in place and stabilizes the movement. Injury to the ligament, on account of a sprain, can prove to be a cause of severe distress. This may lead to a partial or a complete destabilization of the knee joints and impair the normal movements to a great extent.
Some of the most common causes of this sort of a ligament tear are accidental injuries during a sporting activity, unexpected collision or incorrect body postures. This is a fairly common occurrence among the athletes. However, the physiological and neuromuscular controls make women more susceptible to damage to the Anterior Cruciate Ligament than men.
There are two cruciate ligaments in our body, i.e. the anterior and the posterior cruciate ligaments. They run in crosses to connect the insides of the knee joints. They regulate the back and forth movement of your knees. They therefore, may incur substantial damage through sudden movements like jerks or an abrupt change of direction; the degree of tear may vary from minor strains to complete detachment. Accordingly, treatments are available to cure the distress. The treatments may either be surgical or nonsurgical, depending about the extent of the injury as well as the age of the patient. A complete tear in the ligament necessitates surgery for recovery. However, one may choose to opt for other non - surgical methods to minimize the damage.
Some of the most effective treatments for a tear in the anterior cruciate ligament have been enlisted below:
1. Bracing: Wearing a brace or using a crutch for the purpose of movement can accord the knees with some stability. It also keeps the joints intact and alleviates pain.
2. Physiotherapy: Once the inflammation reduces, you may opt for physiotherapy to restore movement and reduce the pain. Heat and Ice therapies work as ideal adjuvants to physiotherapy in such cases.
3. Surgery: Regrowth of the anterior cruciate ligament may be possible through a surgical process of grafting. This enables the tissues to repair themselves. Knee caps and adequate rest accord better rehabilitation. The recovery is faster and steadier in this process.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A shoulder dislocation occurs when the bones of the upper arm snap out of your shoulder blade, generally after suffering a major injury. The joints of the shoulder are the most flexible body joints, thereby, making them more prone to dislocation. In most of the cases, a dislocated shoulder can be fixed within a few weeks’ time with the help of proper diagnosis. There is a high chance of suffering from dislocations over and over again. A dislocated shoulder, if not treated immediately, can lead to further complications such as damage to the blood vessels and nerve around the affected area or tearing of the associated muscles or ligaments.
What can cause a shoulder dislocation
You can experience a dislocation in your shoulder joints due to the following reasons:
- Shoulder dislocation can occur if you play any kind of contact sports such as football or hockey. You are more susceptible to a dislocated shoulder if the sports or physical activities you engage in regularly involve the risk of suffering from falls such as gymnastics or volleyball.
- A dislocated shoulder is a common occurrence if you have suffered a major motor vehicle accident that might have affected your shoulder.
- You can also suffer from a dislocated shoulder if you have survived a fall in the recent past such as tripping from a ladder or similar injuries.
Symptoms of a dislocated shoulder
You are suffering from a dislocated shoulder if you exhibit the following signs and symptoms:
- Abnormal enlargement of the affected area or bruising
- Severe pain around the shoulder area due to a recurrent muscle spasm in the shoulder joints
- Extreme pain while moving the joint
- A sense of numbness or a tingling sensation near the affected area, for example, in areas around the neck or the arm
- Visibly deformed shoulder joints
Treatment for shoulder dislocation
The treatment for shoulder dislocation depends on the severity of the injury. The following treatments can be implemented with suggestion from the doctors:
- If you had recurrent instances of dislocated shoulders, your doctor might suggest a surgery to remedy the damaged blood vessels and nerves around the area.
- Depending upon the intensity of the pain, the doctor might implement a general manoeuvre procedure to relocate your shoulder bones. After the procedure is conducted, you will feel your pain significantly reducing.
- Your doctor can also recommend you to wear a sling around your shoulder area to regulate the movement of the shoulder joints for the first few days to about 3 weeks, depending upon the intensity of the pain. Consult an expert & get answers to your questions!
Most of us may not be aware, but the knee is the largest joint in the human body and contributes the maximum to a person’s physical movement from one place to another. The knees play a significant role in a variety of movements including squatting, supporting the weight, running, kneeling, sitting, etc.
Whether it is a severe accident, osteoarthritis that set in with age, or other reasons, the result could be stiff, painful knees. The first line of treatment would be exercise, physiotherapy, and medications. However, if these do not work, then surgical treatment is the choice. Though usually it is reserved for people over the age of 50, there could be exceptions.
Given the number of functions it is involved in, when a serious procedure like knee replacement is being considered, the pain that the person would go through and the recovery time are two important parameters to address. It is best that the patient has a detailed discussion with the doctor and gets all doubts clarified. This will help both the patient and the doctor have realistic and practical expectations about what to expect after the surgery.
So, when pain and stiffness make knee replacement inevitable, prepare for it. The following sequence outlines what happens right from surgery to recovery.
Under general anesthesia, the damaged portion of the knee is removed, and a prosthesis (metal or plastic) is used to replace the removed portion.
Hospital stay can range from 3 to 5 days.
In about a month, the patient will have remarkable recovery, with almost no pain.
Though not advisable, most patients would be able to stand and do basic movement on the day of surgery.
Begin walking with the support of parallel bars and continue using cane/walker/crutches for the first few days to avoid overload on the knees.
With proper support, walking is possible in 3 to 5 days. Continue using a cane for the next few weeks to strengthen the knee.
Schedule a postoperative visit in the 4th to 6th week after surgery.
Draw up an exercise routine with your physiotherapist.
Ice pack can be applied to control swelling.
Driving should be possible, once you are off pain medications, as these can make you drowsy.
Blood clot in the surgical site causing a bruise will disappear in a couple of weeks.
Knee replacement is almost magical as in the long run (10 years postoperatively), there is a good 98% chances of success.
Having said this, it is important to remember each person responds differently to the procedure and therefore treatment/rehabilitation is completely personalized.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:
Help the hip joint work better
Improve walking and other movements.
Who Should Have Hip Replacement Surgery?
The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:
Osteonecrosis (a disease that causes the bone in joints to die)
Injury of the hip joint
Bone tumors that break down the hip joint.
Your doctor will likely suggest other treatments first, including:
Walking aids, such as a cane
An exercise program
These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.
Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.
An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.
An equipment is then used to remove the ball socket of the joint by cutting the thighbone.
The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.
Once the joint is fixed, the ball of the thighbone is then put in the hip socket.
The fluids from the incision area are then allowed to drain.
The hip muscles are then put in place and the incision is closed.
After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.
It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.