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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It was wonderful experience visit Dr Arun. Perfect Diagnosis and effective treatment make them a perfect doctor. I would reccomend others to visit him for their treatment and good health.
Dr Arun gives personal attention and tey to understand probem in details . It was completely satisifed. Experience
Best exprience had while comparing with other 4 doctors whom I have visited. Good result with moral support.
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Diagnosis and treatment was superb & very nice person
Wonderfull helping and nice nature, good treatment
Knee replacement is a procedure where the weight carrying surface of knee joint is replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.
Knee replacement is mainly of two main types:
- Total knee replacement where both the sides of knee joints are replaced
- Partial knee replacement where only single side of the joint is replaced
In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage, and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.
In total knee replacement, four steps are performed:
- Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
- Replacement with metal components, which help as a recreated surface of the joint
- Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
- Insertion of a medical-grade plastic spacer amid the metal components. This creates an effortless gliding surface.
After general or spinal anesthesia, an incision of 8-12inches is made in the front part of the knee. The joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin, as well as knee cap, is attached to the artificial joint with either cement or a special material.
After Effects of the Procedure
After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.
There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.
Presently, over 90% of total knee replacements function well for 20 to 22 years of surgery. Hence, knee problem is no problem at all!
The Rehabilitation After Total Knee Replacement:
- Full weight-bearing walking, knee bending, exercise next day after surgery
- Commode use, sitting on chair 2nd day
- 3rd day: Stair climbing, start cross leg sitting
- 2 weeks: Suture removal and walking to outdoors
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. The 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, the patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, the 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. If you wish to discuss about any specific problem, you can consult a Orthopedist.
My aunt kanta choudhary's was diagnosed that the fluid in her knee is dried up and consequently she started complaining about tremendous pain in her knee. She is unable to walk efficiently and stand for a longer time. Meanwhile we read about the stem cell therapy preferred over knee replacement. My question is should we opt for the stem cell therapy? How much assurance can you give about the cure? What is the success percentage?
While playing cricket I got damage to my knee. After MRI scanning it came to know that it was complete cronical ligament injury. But right now I have no pain. But sometimes that unstable feeling will come. So I can't run or jump. It happened exactly 3 years ago. Should I undergo acl reconstruction. Can I apply for police jobs? Please suggest me.
Literally translated into two words – arthro (joint) and scopy (to look), arthroscopy refers to a process used to look into a joint. The doctor uses an instrument known as arthroscope which is used to examine a joint in greater detail. What was initially used mainly in diagnosis has gradually grown to include use of instruments through the arthrocope, thereby allowing for some surgical treatments to be done as well.
- Diagnosis of joint problems like cartilage tears
- Repairing joint problems
- Remove foreign bodies in a joint
- Track response to treatments
- Identify disease progression
- Used during an open surgery to:
- Remove fragments or spurs of tissues
- Shave off sharp edges
- Collect fluid or tissue samples
- Remove swollen tissues
- Take biopsy
- Extract swollen joint fragments
- Remove deposits of calcium or other minerals
- Usually done as an outpatient procedure
- The procedure in terms of what to expect will be explained to the patient
- A sedative is given and the area to be studied is usually shaven and topical antiseptic is applied
- Vital signs are monitored
- Regional or local anethesia is generally used, where only the joint to be studied is injecte with a local anesthetic.
- In cases where the patient is undergoing an open surgery, general anesthesia would be given.
- The patient’s position would depend on the joint being studied, usually, is made to lie on the back.
- A tourniquet is used to restrict blood flow to the particular joint
- A small incision is made in the joint space and the instrument is introduced into the joint space. There is a constant slow flow of saline or another irrigant (to which chlorhexidine might be added) to improve visibility and to remove debris and control infection
- Other joint tools are used as required during the procedure either to cut off small fragments of tissue or to remove debris or foreign body.
- Once all procedures are done, the joint is thoroughly flushed to clear off any debris.
- It is closed with stitches after final inspection
- During recovery, crutches or splints may be used depending on the patient’s overall condition
- Duration of the procedure depends on what actually was done. An inspection could last about 20 minutes while a procedure could take a couple of hours.
After the procedure: