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Doctors I have flat feet and I want to fix this. Because of this I can't run faster it doesn't pains so how can I fix this and get a arch in my feet.
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.
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!
Hi,My mother is a slipdiscs patient from 1an half month. We are searching for best physio therapist but here at siliguri treatments are not that good. So we are planing for the treatments in vellore but we have no idea about how much money will be needs. So, please give some suggestions, it will help us. Alot.
I am having a serious pain in my leg. It is paining in yhe middle side of my right leg. It usulayy happened in one or twice in a month. I am suffering this problem from 7-8 years. Please suggest some things.
Me and my wife is plan for a baby but from last one year we can't complete our plan, here I want to confirm one thing that my wife have always some issue with his health like period is always delay always she ask for pain in his legs and the most important is she face a issue of vaginal infection. So Pls advise me what we will do.
I am last 10 year not very well sleeping and I daily two time tablet zapiz. 25 last ten years so any solution my confident level very poor and not consternation nay work and cholesterol problem bp problem.
I didn't get sleep early at night up to 3 or 4 am what should I do for getting sleep early as possible.
Hi. I work in a US shift. My shift timings are 6: 30 pm- 3: 30 am IST. I used to sleep around 4: 30 am and wake up for lunch. But I am not able to sleep these days. Please suggest.
Are there any tonics for increasing brain functioning and reducing hours of sleep? They must not have any side effects.
Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.
Things you should know?
- Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
- The person who is sleepwalking is usually not aware of it.
- Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
- Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
- The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
- They may not respond when they are actually sleepwalking, or respond very slowly
- They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
- Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
- There could be chances of small injury like tripping or fall during the sleepwalking episode
- Sleepwalkers may be more restless compared to other children during their waking hours
- Bedwetting is also quite common in children who sleepwalk
- Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
- Excessive drinking
- Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
- Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking
- For a parent to see their child walking around in their sleep can be quite disturbing.
- Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
- Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
- Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects. If you wish to discuss about any specific problem, you can consult a psychiatrist.