Doctor in Twin city Arthritis & Orthopaedic clinic
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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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.
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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended world-wide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.
Modern technological advances have made computer assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through small incision and it eliminates the chances of human error. A perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.
There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.
In knee replacement surgery, the worn out surfaces of joints of knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicate knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.
In case you have a concern or query you can always consult an expert & get answers to your questions!
In the technologically advanced era one lives in, it is pretty much easy to use up one’s entire day glued to the digital screens; right from checking the social media updates while commuting to sitting before the computer for everyday work. Yet nobody is aware of the fact that apart from creating a social gap, these electronic gadgets can take a toll on their postures too.
- You lean against your desks with your neck leaned forward in an attempt to grasp what is on the computer screen and your hand on your mouse scrunched up on one side. Sadly, human body was never designed to pose in such a consorted way resulting in adverse side effects.
- The head usually weighs 10 to 12 pounds on an average when it is balanced evenly over the shoulders. However, with each extra tilt forward, the weight on your spine might escalate up to 60 pounds and even beyond that. Excessive weight on the spine can lead to its subsequent collapse.
- Too much use of tablets and smart phones for swiping or texting can cause inflamed index fingers, thumb joints and tendons. You tend to suffer from wrist pain, enfeebled grip or popping sound while moving the fingers. Typing with one thumb without giving considerable breaks in between can also exert stress on the fingers.
- Hunched over, shoulders slumped and necks bent down are the ways majority of the people use their electronic gadgets. This can trigger misalignment of the spine aggravating your health. Spine protects the nervous system, coordinating and controlling various functions of the body. Any sort of disruption might render a drastic consequence.
- Poor posture impacts the ligaments and muscles in a negative way giving way to a series of complications such as gastrointestinal problems, back or neck pain or severe curvature of the spine, heightening the risk of arterial or pulmonary problems. If you wish to discuss about any specific problem, you can consult an Orthopedist.
If you are experiencing joint stiffness in your hip along with pain and tenderness, you could be suffering from hip arthritis or osteoarthritis. Osteoarthritis accounts for being the most common form of arthritis. It is referred to as degenerative joint disease and old-age arthritis and usually, occurs because of age-related issues. The condition occurs when injury and inflammation of a joint lead to the breakdown of the cartilage tissue, causing pain, swelling, and deformity.
How hip arthritis affects the hip joint?
People who are affected by osteoarthritis of the hip may have difficulty in walking properly. Diagnosis in the early stage is difficult as pain may occur in various locations such as the thigh, groin, knee or buttocks.
The underlying causes
The factors responsible for osteoarthritis include increasing age, joint injury and excess body weight. Some other factors may also be responsible. They are as follows:
- When the joints have formed improperly.
- In case of inherited defects in the cartilage.
- When a person puts excess stress on the hip joint because of being overweight or due to certain activities and motions.
How it can be detected?
The different symptoms of hip arthritis or osteoarthritis are as follows:
- Joint stiffness, especially after waking up in the morning.
- Joint stiffness after sitting for a long period.
- Swelling, pain, and tenderness in the hip joint.
- A crunching feeling or sound of bones rubbing against one another.
- The inability to move the hip for carrying out daily activities.
The aim of osteoarthritis treatment is to improve the patient’s ability to move about so that his regular life is less affected. The function of the hip and pain management are other targets of treatment for this condition. The different treatment plans are as follows:
- Proper joint care and rest
- Using a cane while walking for taking weight off your hip
- Losing excessive weight
- Non-drug pain relief measures for controlling pain
- Regular exercise
- Several medicines, including NSAIDS and other prescribed pain medication
- Alternative therapies
Hip replacement surgery
This is a surgical procedure used for osteoarthritis treatment when all other treatment plans fail. The damaged ball of the hip joint is replaced with a metal ball in this surgical procedure. The hip socket is resurfaced by using a plastic liner and metal shell. Apart from the mentioned treatment procedures, hip resurfacing is another surgical option for osteoarthritis treatment, which helps in giving relief when a hip replacement surgery is delayed. In this procedure, the affected hip joint surfaces are surgically removed and are replaced with metal. If you wish to discuss about any specific problem, you can consult an Orthopedist.
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:
- Relieve pain
- 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:
- Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)
- 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
- Physical therapy
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. If you wish to discuss about any specific problem, you can consult an Orthopedist.
The knee is the largest joint of the body and is made up of upper and lower bones that are separated by two discs known as menisci. While minor knee pain may be experienced by many people, it should be handled with medical intervention when it becomes a serious and debilitating problem. Sudden injury or injury due to overuse as well as myriad conditions that affect the joints and muscles can bring about knee pain. Underlying conditions like osteoporosis or arthritis, which affect the bones and joints, can also cause knee pain. The symptoms include painful swelling and stiffness as well as severe discomfort. Let us learn more about the causes of knee pain and the ways in which it can be managed-
Injury: Exercise and sports injuries are one of the most common causes that can be the start of acute knee pain, as well as chronic condition. These kinds of injuries can affect the ligaments and cartilage which leads to severe pain. The pain can even affect the way one functions in one's daily life. Knee ligament injuries can also cause this kind of pain. These ligaments are bands of tissues that connect the thigh bone with the lower leg bones. Sprains and tears in the ACL or PCL are common in sports injuries, and may even require surgery in many cases. Knee Cartilage Tears can also take place in the hard yet flexible cartilage of the knee which can affect the meniscus around the knee. This condition may also require surgery.
Arthritis: This condition can affect the knees specifically and is one of the most common types of arthritis. This is a chronic condition which gets progressively worse over time and may even require surgery. Stiffness and inflammation are common symptoms. Rheumatoid arthritis is also a degenerative auto-immune disease that can affect the knees and cause knee pain. Furthermore, post traumatic arthritis can also be experienced after an injury. Osteoarthritis is another common condition that leads to knee pain. It basically occurs due to wear and tear of the knees over a prolonged period and is usually experienced by patients over the age of 50.
Managing Knee Pain--
While pain medication and anti-inflammatory drugs may be prescribed for most cases, along with the surgery in long run, it is also possible to manage knee pain with the help of better lifestyle choices like regular knee and muscle strengthening exercises as well as REST - rest, ice, compression and elevation. These methods can help in relieving inflammation and pain. But very severe cases will require medical intervention, so it is imperative to get in touch with your doctor if the condition does not improve.
Lower back pain is a very common issue and can take place due to numerous reasons. However, one of its main causes is a ligament strain or back muscle strain. Microscopic tear or excessive stretching of ligaments can take place due to lifting very heavy objects, doing enormously strenuous task or due to a sudden twisted movement. These conditions are most likely to be experienced by individuals ranging between the ages of 30 and 60. Other causes of lower back pain include back injury, arthritis of back bone joints, infections in the lower back area, and in very rare cases, tumours.
In case of acute back pain, these are a few important things that should be definitely kept in mind.
- It is absolutely essential to take rest for a couple of days and avoid any sort of stressful activity. Although back pain is self-limiting, if you take proper care, it can be cured in a few days. However, if proper rest is not taken, the situation may become worse.
- Using the black belt, also known as lumbo sacral corset, is a good idea. This can actually be of enormous help to individuals who have been suffering from lower back pain for a long period of time.
- As already mentioned, one of the main causes of these kinds of mishaps are sudden jerky movements, twisted movements, heavy weight lifting etc. So, it is necessary to avoid such circumstances, or else, a more acute back pain situation may arise due to slipping of one of the discs from the spinal cord.
- As much as you like long drives and bike rides, these are a strict no. Any prolonged sitting or standing activity needs to be avoided. It is important that the tear caused in the muscles due to what-so-ever reason heals properly and prolonged stay in a tensed muscle position would definitely not help the cause.
- Although these back pains can be handled at home by following the discussed steps, using simple analgesics or muscle relaxants prescribed by the doctor can be a way to speed up the process of recovering the strained ligament.
Apart from these important steps, regular exercise to strengthen the core body muscles is a great way to avoid such ligament strains in the future. However, if you feel that even after following the precautionary measures, you problem doesn’t subside, consult an experienced doctor for his advice.
When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged.
If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts.
What can lead to a dislocated shoulder injury?
- Sharp or a very fast twist of your arm.
- Falling down on a hard surface.
- A sudden hurt or hit.
- It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place.
In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation.
What is the treatment or therapy of a dislocated shoulder?
The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should consult to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury.
After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan.
The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.
The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.
Importance of ACL-
The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.
What leads to an injury to the ACL?
Here are a few actions that may result in a ligament tear.
Sudden stopping while running or slowing down from a fast speed
Sudden change in direction
Uncontrolled jumping from a height
Direct hitting with an object or person
What happens when the ACL is torn?
If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.
Treatment of ACL Injury-
Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.
Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.
- Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery. If you wish to discuss about any specific problem, you can consult a orthopedist and ask a free question.
Bones are similar to a porous framework which is filled with minerals that make it hard and strong. With age, there is gradual degradation and the mineralized portion is lost, thereby leading to thinning of the bone. The word osteoporosis literally translates to porous bones, which is due to the gradual demineralisation. In addition to the natural ageing process, there are other diseases that can accelerate the demineralization process.
Women are more prone to demineralisation, and after the age of 40, they should take extra precaution to slow down the onset of the condition. The following are some ways to improve bone health and halt osteoporosis in the long run-
Diet: Ensure that your diet has sufficient amounts of vitamin D and calcium. Though calcium is the essential mineral for bone formation, vitamin D is required for the absorption of calcium, and therefore both these elements play a vital role in maintaining the quality of the bones in our body. Most people require about 1,000 mg of calcium and about 500 units of vitamin D for optimal bone health. This requirement goes up slightly in postmenopausal women.
Sun Exposure: In most people, exposure to the sun allows the body to make vitamin D, but careful sun protection prevents this from happening. Also, with age, the body’s ability to form intrinsic vitamin D also declines. The body, therefore, relies on supplements. Most dairy products are good sources of calcium. In addition, spinach, salmon, turnips, and broccoli are some calcium-rich foods. Supplements of calcium carbonate or calcium citrate can be taken if your diet is lacking in calcium. Vitamin D also should be included in the supplementation. The treatment for osteoporosis is incomplete without these two supplements.
Exercise With Weights: The constructive tension that exercise puts on the body helps in bone building, whatever the age may be, which prevents the onset of osteoporosis. Any exercise which improves muscle mass strengthens the bones, and puts stress on the bones is advisable. Since the fractured area due to osteoporosis mainly includes the spine, lower back exercises, yoga, tai chi, and abdominal exercises all work wonders. Pick any of these and do them for 30 minutes three times a week.
Quit Smoking: Continuing to smoke while taking osteoporosis medications is completely useless. Nicotine negates all the effects which defeat the purpose of taking the medication and is as good as taking no medication at all. So if you want the bone thinning to stop, stop smoking.
Alcohol Consumption: While a drink or two per week is permissible, more than this can harm the bones significantly.
Constant Health Watch: Talk to a doctor about how other routine medications (if any) can affect your bone health. Also, identify how frequently you should check your bone mineral density and stick to the schedule.
Bone health and osteoporosis can be managed with some conscious efforts. If you wish to discuss about any specific problem, you can consult an Orthopaedics.