Doctor in Sri Ramadevi Orthopaedic 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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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
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.
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?
I have a severe pain in my lower back on the left side of my tailbone. The pain is mostly felt during movement such as while walking or while getting up or sitting down. What should I do?
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.
Along with curing anger and stress, yoga is also beneficial in treating osteoporosis, either by itself or in combination with different medicines. Osteoporosis is an illness described by weak and diminishing bones that can result in cracks and fractures in the bones. Some of the postures that can be helpful in treating osteoporosis are as follows:
- Utthita trikonasana: Uttihita trikonasana is an expanded triangle posture which is helpful in curing many diseases. Along with diminishing the side effects of osteoporosis, it additionally avoids soreness, increases strength and gets rid of spinal pain. Begin this posture by standing straight with your legs separated by four feet. Then, extend the arms to the ground with the palm facing downwards. Slide the left leg across the right side of your body. You need to slide it behind the left leg. Now extend your right leg towards the left side of your body. This will leave you in a sitting position. Where your right leg is placed on top of your left leg, make sure both your knees are on top of each other. Now straighten your body to an upright position.
- Ardha chandrasana: This asana is also called as the half-moon posture. This posture comes under hatha yoga and is beneficial for various medical issues, for example, osteoporosis, menstrual issues, exhaustion, sciatica and stomach-related cramps. You can practice this pose to get rid of osteoporosis and appreciate a sound body.
- Padangusthasana: This stance delicately stretches and strengthens persistently tight hamstrings.
- Adho mukha svanasana: It is one of yoga's most commonly practiced postures. Adho mukha svanasana offers a definitive wholesome, reviving stretch.
- Utthita hasta padangustasana: In this pose, keeping up the balance while standing on one foot strengthens your endurance capabilities.
- Utthita parsvakonasana: Discover the flexibility in your sides of the body from your heel to your fingertips with an extended side angle pose.
- Utthita trikonasana: It is a broadened triangle posture and is important as a standing posture in many styles of yoga.
- Ardha chandrasana: Make proper balance with your leg and the lower part of your leg as you look for strength and flexibility into this adjusting posture.
- Parivrtta parsvakonasana: This revolved side angle pose, a variation of utthita parsvakonasana requires a considerable measure of adaptability to bend flexibly and balance on the back heel.
- Uttanasana: Uttanasana will awaken your hamstrings and will help you to calm your brain.
- Urdhva dhanurasana: Urdhva dhanurasana can help in strengthening your arms, legs, abdomen and spine all at once.
- Virabhadrasana: Named after a wild warrior, an incarnation of Shiva, this adaptation of a warrior pose increases the stamina.
Yoga is one of the most secure measures and medicines for osteoporosis. It is something that anyone of any age can do at any place. The advantages are numerous and dangers are few if done properly.