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Most of us may not be aware, but the knee is the largest joint in the human body and contributes the maximum to a person’s physical movement from one place to another. The knees play a significant role in a variety of movements including squatting, supporting the weight, running, kneeling, sitting, etc.
Whether it is a severe accident, osteoarthritis that set in with age, or other reasons, the result could be stiff, painful knees. The first line of treatment would be exercise, physiotherapy, and medications. However, if these do not work, then surgical treatment is the choice. Though usually it is reserved for people over the age of 50, there could be exceptions.
Given the number of functions it is involved in, when a serious procedure like knee replacement is being considered, the pain that the person would go through and the recovery time are two important parameters to address. It is best that the patient has a detailed discussion with the doctor and gets all doubts clarified. This will help both the patient and the doctor have realistic and practical expectations about what to expect after the surgery.
So, when pain and stiffness make knee replacement inevitable, prepare for it. The following sequence outlines what happens right from surgery to recovery.
- Under general anesthesia, the damaged portion of the knee is removed, and a prosthesis (metal or plastic) is used to replace the removed portion.
- Hospital stay can range from 3 to 5 days.
- In about a month, the patient will have remarkable recovery, with almost no pain.
- Though not advisable, most patients would be able to stand and do basic movement on the day of surgery.
- Begin walking with the support of parallel bars and continue using cane/walker/crutches for the first few days to avoid overload on the knees.
- With proper support, walking is possible in 3 to 5 days. Continue using a cane for the next few weeks to strengthen the knee.
- Schedule a postoperative visit in the 4th to 6th week after surgery.
- Draw up an exercise routine with your physiotherapist.
- Ice pack can be applied to control swelling.
- Driving should be possible, once you are off pain medications, as these can make you drowsy.
- Blood clot in the surgical site causing a bruise will disappear in a couple of weeks.
- Knee replacement is almost magical as in the long run (10 years postoperatively), there is a good 98% chances of success.
Having said this, it is important to remember each person responds differently to the procedure and therefore treatment/rehabilitation is completely personalized. In case you have a concern or query you can always consult an expert & get answers to your questions!
There is a general belief that homeopathy is a line of medicine that takes a holistic look at the human body and not in a localized manner. Every condition is diagnosed based on its history and the underlying cause and the other parts of the body the disease or disorder may be connected to. The case of joint pains and arthritis is no exception. If you feel pain in your joints and approach a homeopathic practitioner, the process will be to make a diagnosis in this way only.
It’s Not Always About Medicines
There is this misconception that homeopathy is all about medicines and concoctions that are prescribed for treatment of diseases. It is usually more than that. As mentioned above, the practitioner will consider several aspects. These will include the style or the way the pain is experienced by the patient. For example, a person who feels pain in the knee joints may feel severe pain when waking up in the morning, but the pain will reduce in intensity and relief will be experienced as he or she moves around. This may repeat alternately while resting and when being active. This kind of pain will be treated with a different remedy than the direct localized application of a gel or other preparations. Alternately, when the pain shoots up as the person moves, the treatment needs to be of a different kind.
A Large Volume of Research is Undertaken
Practitioners of homeopathy themselves and others who are keen to know if it is really that effective as a form of medicine undertake a lot of research on the way homeopathy approaches its methods of treatment. In these experiments, the researchers from 2 groups with similar conditions, such as rheumatoid arthritis and offer them treatment, one following homeopathy and the other a different method. And the results have always proven that homeopathy has evolved better ways to address the condition and offer longer lasting remedies.
Lifestyle Choices Reviewed and Corrected
Another additional form of the remedy suggested within homeopathy for the treatment of joint pains and arthritis or any other form for that matter relates to the changes being suggested in the lifestyle of the patients.
These are besides the medicines prescribed for the remedy and will cover the food intake; things that should be avoided or taken in larger amounts, dropping certain habits and inculcating others and so on. Consumption of alcohol, for instance, is generally discouraged because it interferes with the internal medicine being taken. This is true for most allopathic drugs also, but it is not given the same emphasis there as it is done in homeopathy.
There are other similar suggestions made during the treatment of joint pains through the homeopathic route which comprises medicines and counselling. The medicines will also have the external components and the internal ones. In case you have a concern or query you can always consult an expert & get answers to your questions!
Hi, I got MRI of left knee done and this is what came in the report: Please help me understand: acl is edematous and its course is replaced by ill defined hyperintensities. Fluid is seen in supra patella bursa extending to the knee joint Recesses. Impression: changes of synovitis? High grade. Partial acl tear/?Complete acl tear Please help me explain the terms specifically related to synovitis and fluid/edematous.
My mother suffering from rheumatoid arthritis which take many medicine since last 2 years but she was troubling now swelling in veins of hands what type s of this disease.
I have burning sensation under my foot. If I apply few drops of oil on both feet, then only I can sleep. If not, there is some burning sensation. I have knee pain in both knees. I am aged 65, Male, 82 Kg weight, have fbs-150, pps-197, taking medicines for diabetic control. Take Lantus 30 units at Night. Suggest me how to overcome the above?
Arthritis is a disease in which the joints in your body swell. Inflammation or swelling can be caused due to body's natural response to injury or disease. It can cause discomfort in the form of pain, stiffness as well as difficulty in movement. Major types of arthritis are osteoarthritis, rheumatoid arthritis, psoriatic arthritis and gout.
Causes of arthritis
Arthritis is generally caused by a combination of factors. It can happen due to genetic factors in case the disease runs in the family. Sometimes it can be caused due to injuries of the past; it can also be a by-product of your lifestyle. Some of the common causes of arthritis are:
1. Genetic makeup in which arthritis can be a hereditary trait
2. Physically taxing work life or injuries caused in an accident
3. Imbalance in the immunity system
4. Infections in the joint.
Risk Factors associated with arthritis
1. Family history - You can be prone to develop arthritis if it runs in the family. It can occur due to its hereditary trait hence making you more vulnerable to the environmental factors which contribute to developing arthritis.
2. Age - The risk of arthritis can increase with age. Types like osteoarthritis, rheumatoid arthritis and gout are more common in the old age.
3. Gender - Your sex is an important factor as women are more likely to develop rheumatoid arthritis while men are prone to suffer from gout.
4. Joint injury - Joint injury caused due to accidents or due to sports activities can trigger arthritis. People with previous joint injuries can develop arthritis in that joint.
5. Obesity - Excess weight can put a lot of pressure on the joints, on the knees and hips in particular. Hence, obese people have more chances of developing arthritis than fitter people.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My mother aged 65 years has severe arthritis of both knees, should she get both knees replaced in one sitting?
You should do both knees in one sitting if the severity is same in both the knees and the patient is unable to differentiate the painful knee. In case the patient says one knee is more painful than address one knee at a lime. Your own knee is always the best till it lasts.
What are the advantages of doing both the knees in one sitting?
- Exposure to the risk of anaesthesia reduced to only once
- Aids simultaneous rehabilitation especially in severely deformed knees
- Bilateralprocedure reduces cost
- Earlier return to baseline function and convenience for the patient and relatives
- Shorter cumulative hospital stays
What are the risks associated with bilateral Total Knee Replacement (TKR) and are there any studies to support the same?
The risks of cardiac and infection related complications for bilateral TKR are lower than the combined risk of two unilateral TKRs. A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-Bilateral Total Knee Arthroplasty published in The Journal of Bone And Joint Surgery.
Result: Records were available for 11.445 simultaneous-bilateral arthroplasty Procedures and 23.715 staged-bilateral procedures.
Conclusions: Simultaneous-bilateral total knee arthroplasty was associated with clinically important reduction in the incidence of infection and malfunction within one year after arthroplasty.
What is the latest Technology available which could help improve surgical outcomes?
Custom Fit Knee Resurfacing: A knee with your name on it i.e. customized specifically based on your dimensions.
Understanding Custom Fit Knee Resurfacing: You are unique and so is your individual anatomy and thus lack of accuracy leads to discomfort and even further corrective surgeries That is why Custom Fit Knee replacement surgery, which utilizes MRI (Magnetic Resonance Imaging) technology to create personalized positioning guides for total Knee replacement is recommended.
Practical Benefits Of Custom Fit Knee Replacement
- MRI of the affected knee is done based on which we can make a customized jig for better fitting of the implant for the patients
- No intra medullary instruments so minimal chances of fat embolism
- Minimally Invasive (just a 4-5 inch incision)
- Improves the speed of the operation theater time (40% reduced surgical time)
- Increases implant inventory efficiency (know sizing)
- Faster recovery of the patient
- Perfect patient alignment thus better mobilization
What is the role of body exhaust 'space' suits in Bilateral TKR?
- 'Space' suits maintain a more sterile environment and offer more mobility to the surgeons.
- Space suits are used to help reduce contamination from the operating teams from entering the wounds.
- The impure air exhaled by the operating team is pushed down by the rotating fan in the helmet of space suits and absorbed by the laminar air flow in the 0.T.
In case you have a concern or query you can always consult an expert & get answers to your questions!
ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.
Read on to know what you can expect in the recovery phase following an ACL surgery.
- Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
- Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
- Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
- Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
- Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.
Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation. In case you have a concern or query you can always consult an expert & get answers to your questions!