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Knee replacement is a procedure where the weight-carrying surfaces of knee joint are 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
Procedure: 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 anaesthesia, an incision of 8-12 inches is made in the front part of the knee. 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 even after 15 years of surgery. Hence, knee problem is no problem at all! If you wish to discuss about any specific problem, you can consult an Orthopedist.
I am not able to gain weight no matter what I do, I eat a lot, I exercised, I ate fatty foods but nothing seem to be absorbed by my body, I know its hereditary but I want to get fat, not like slim family members.
I am 20 years old. I have been suffering from lower back pain since 4 years. And I do not use any pain killers. So please advice me what to do.
My sister is suffering from antral gastritis since last 7 month but no recovery has been found there is problem after eating food burping get started continuously what I do to stop these burping she's weight is 35 now.
Mouth oil holding mainly using Gingly oil, not only oil, but many types of liquids can be used for this purpose based on desired benefits. Let us look into these liquids, procedure of oil pulling, its different benefits, etc in a detailed way. Ayurveda explains two types of similar procedures.
Gandusha ? let us call this as oil pulling. (Though other liquids than oils are also used). Here, there is no gargling. The liquid is filled to the capacity of mouth and it is held inside the mouth for specific amount of time. Later, it is spit out.
Kavala ? It is actually mouth gargling. Here, lesser quantity of liquid is used to rinse mouth for specific amount of time. Later, it is spit out.
Types of Oil pulling -
Lubricating: with oils and fats ? for Vata imbalance disorder. It is done by the use of oil processed with herbs of sweet, sour and salt tastes.
Palliative: for Pitta imbalance disorder. It is done by herbs of bitter, astringent and sweet tastes.
Cleansing / purifying: for Kapha imbalance disorder. It is with herbs of bitter, pungent, sour, salt tastes and possessing hot property.
Healing ? It is done with herbs of astringent and bitter taste.
Different liquids used in oil pulling -
Fats ? oil, ghee milk, Honey with water, Fermented gruel, Wine, juice of meat / meat soup, urine of animals such as cow urine, Dhanyamla ? Fermented grain liquid
The liquids may be mixed with a kalka (herbal paste), The liquids may be cooked or raw
The liquids should be comfortable to touch and smell to hold in the mouth.
A few practical examples -
Sesame seed paste with water ? A tablespoon of sesame seed is made into paste. Add this to a cup of Luke warm water. Use this mix to gargle. It is useful in relieving tingling sensation in teeth, tooth weakness, disease of the mouth caused by Vata (which involves pain as a symptom).
For daily oil pulling, sesame oil, coconut oil is advised.
Ghee and milk is very useful for oil pulling liquids When there is local or general burning sensation, ulceration and wounds caused by foreign bodies, poison wounds, alkalis (Kshara) and burns by fire, it is best to hold either ghee or milk.
Honey - Holding honey in the mouth removes the sliminess of the mouth, heals the ulcers quickly, relieves burning sensation and thirst. It is also useful in quick healing of oral ulcers.
Dhanyamla ? Holding of fermented grain liquid in the mouth removes distaste, dirt (of teeth and tongue) and bad smell from the mouth.
Dhanyamla without salt, used cold, is best to remove dryness of the mouth.
Ksharambu Holding ? water containing alkalis (like Yavakshara) in the mouth quickly breaks up the accumulation of Kapha-mucus.
Warm water - Holding is comfortable brings about lightness and cleansing of the mouth.
How to do oil pulling methodically -
The person should sit in a place devoid of breeze but in mild sunlight.
His shoulders and neck should be massaged with plain sesame oil / Maha Narayana Taila / Bala Ashwagandhadi Taila / Ksheerabala taila. Massage can be given for 5 ? 10 minutes.
After gentle massage, fomentation is given for 2 ? 3 minutes. It can be just washing face and neck with hot water, or mopping face with towel dipped in hot water or exposing the face to steam. Eyes should be covered with cold cloth, during fomentation.
After fomentation, oil pulling is done.
Keeping his face slightly lifted up, he should hold the liquid in his mouth till the mouth gets filled with Kapha (sputum / slimy liquid) or till the nose and eyes start secreting liquid.
Then the contents of the mouth are spitted out.
After this usually, herbal smoking is done but always not necessary.
Kavala ? mouth gargles -
It is used in treating, Diseases of the neck, head, ears, mouth and eyes,
Praseka ? excess salivation, diseases of the throat, dryness of the mouth, nausea, Tandra ? stupor Aruchi ? anorexia and Peenasa ? rhinitis are curable by Kavala ? mouth gargles
I m 21year old. Sir mere mouth m infection means chhale hote rhte h Ek saal se bahut doctors se treatment liya h but jb tk treatment chalta h sahi rhte h Usk bad fir ho jate h Sir koi treatment btaiye jisse ye sahi ho jaye.
I had one of my tooth filled after it decayed in 2008. As of now, there is no tooth and no filling left and there is a gap. What should I do?
I am having very high fever, my whole body is very warm how to take care of me? Please tell me this?
I am suffering from snoring and it is very high in the night. I am very shameful for me. Please provide details what can I do to get of this. Thank you.
Is root canal treatment painful and is there any other alternate instead of getting injection before root canal?
My mother is 60 years old and she has a back pain and legs pain problem. According to recent consultation with the doctor in surat, the MRI report says the lower back pain is due to (manka ) has weakened and need to do the operation for that. I am little scared that if the operation doesn't go well than my mother will have more problem and she will not be able to move also. Please guide me doctors if there is some other option other than operation. Because there are many cases I saw that after operation the patient condition went more worse for this problem. Please help me out with a solution so that I can show the reports also if some better option is suggested.
Drink around 8 to 10 glasses of water per day especially in the dry summer season. Keep a bottle of clean water with you at work or study. Fruit juices will also provide you with the best vitamins and extra minerals to keep your health and body in good shape. Drinking enough fluids protects you from many health problems including colds, urinary stones and urinary infections.
An easy way to add more health - squeeze in a bit of fresh lemon which is very rich in Vitamin C. The result of this simple yet important habit? You get clear skin, better immunity, more stamina and good bowels, for sure.
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My skin got dark due to change of water and due to proper diet so kindly prescribed some tube for increased my fairness.
I am suffering from fever since last night also headache, body pain, cold. Feeling too much weakness. Can you help me?
I have white patches on skin is it due to virus or something else. Sometimes its itching. Please tell me.
I suffered from depression one month ago but with the help of my family and my psychiatrist I came out of the depression now I am OK but I am fearing about my self that I am going to depression again. So please give me a good suggestion to prevent my depression. Really depression is dangerous I don't want to feel that again and again 5 years back also I suffered from depression and I tried to kill myself. My age is 19 years.
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!
Indigestion is a term used to describe a feeling of fullness or discomfort during or after a meal. It can be accompanied by burning or pain in the upper stomach.
Home remedies for indigestion
1. Mix equal part of ginger juice (adrak ka rass) with lemon juice (nimbu ka rass) and add some rock salt (sendha namak, khanij namak) and take it before meals.
2. Take 2-3 gm of dried ginger powder with lukewarm water.
3. Take carrot juice.
4. Take 1 tsp. Of peppermint oil three times a day between meals.
5. Chew and swallow a spoonful of fennel or caraway seeds stop indigestion.
6. Roast, grind and sieve fennel seeds. Take half a teaspoon of this powder along with water twice daily.
7. Take 10 gm of old jaggery (gudha) with a pinch of long pepper (piplamul, lindi pepper, piplamool) powder
8. Mix 3 gm of ajowan (ajwain) powder with 3 gm of dried ginger powder and take it one hour before meals.