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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
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
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I am 25 year old male and have a backache for last 3 months. I have used pain relief ointment for many days but there is no relief. Now what should I do?
I am 21 years old. I am going until 4th floor through the steps 2 times at morning, 1 time at evening. Is it affect my heart and knee? Or Is it reduce my Weight?
I am Dr Hardik Ghundiyal, practising orthopaedics surgeon since 7 years in Bombay. I am mainly into minimal Invasive Joint replacement surgeries.
Knee Replacement surgeries have been done all over the globe since last 30 years. And they have been very successful. In the past, if the patients had arthritis, we could only give them pain killers. But as if now when a patient comes with knee stiffness, pain, deformity, we can provide them with the total knee replacement. We always give a non-surgical conservative approach to the patient when the patient comes with arthritis. If that fails and they are not relieved from the pain, then we give them the option of total knee replacement. About 5,000,00 total knee replacement is being done all over the globe every year. Most of the people who have experienced knee replacement they think that they could have done it before because the pain relief is so good.
When we do a total knee replacement, we do not cut 2 inches or 3 inches of bone from the thigh, instead, we do re-surfacing of the knee. In the normal knee, there are smooth surfaces on the both sides which glide easily when the movement of the knees are done. But in the arthritic knee, the surface is pitted and get rough because of which the pain is there when they glide on each other.
In the total knee replacement surgery, we change the rougher surface into a smooth gliding prosthetic material so that they glide on each other without any pain and patient get pain free movements. The material has been improved drastically from last 15-20 years. The process however remains the same but the plastics, the poly ethylene which is used in between the metal surfaces have been improved drastically by durability as well as the strength. The research has improved the longevity and the prosthesis.
During surgery, we use a muscle sparing approach, that means we do not cut-open muscles while doing the surgery. The patient is mobile as early as possible. The patient is able to stand and walk up on the same day of the surgery. If a patient is comfortable, we make them able to walk also. Hence the hospital stay is reduced and it is minimized to 2-3 days only.
The recovery of the patients depends on how active was the patient pre-operative. Some patients need a walker, walking aid, some patients are mobile without any support. Most of the times, you can get back an activity within month time a surgery.
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Knee pain or injuries are very common and have numerous causes. Knee pain can emerge from delicate tissue wounds like ligament sprains and muscle strains. Bone conditions like knee joint pain, Osgood Schlatters, and biomechanical dysfunction can also cause knee pain. Treatment can include basic knee mobilization techniques, taping, massages or knee strengthening exercises completely through a careful recovery method after knee replacement or reconstruction.
Physiotherapy can help you overcome the pain and increase your strength and flexibility. A physiotherapist can suggest you a number of treatments and also help you understand your issue and get you back to your everyday routine. Physiotherapists are said to be successful in getting rid of the source of the knee pain by diagnosing a cause. This includes tightness around the knee and treating it with stretching and exercises.
Following are some of the exercises a physiotherapist might generally recommend for knee pain:
- Hamstring stretch: Stretching keeps you flexible and increases your scope of movement, or how far you can move your joints in different directions. It additionally helps you reduce your chances of injuries and pain. Continuously warm up with a five minute walk first. Lie down when you are prepared to stretch your hamstring. Circle a bed sheet around your right foot, use the sheet to pull the leg up and hold for twenty seconds and then lower the leg. Repeat twice and switch legs.
- Calf stretch: Use a chair for balance. Bend your left leg. Step back with your right leg and gradually straighten it behind you. Press your left heel toward the floor. You should feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice and then switch legs.
- Straight leg raise: It helps build muscle strength to give support to the weak joints. Lie on the floor. Twist your left knee, foot on the floor. Keep the right leg straight, toes pointed up. Tighten your thigh muscles and raise your right leg.
- Quad set: With these, you don't raise your leg. Just tighten the thigh muscles, also called the quadriceps, of one leg at once. Begin by lying on the floor. Keep both legs on the ground, loose. Flex and hold the left leg tense for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Cushion squeeze: This move strengthens your legs from the inside so that they can support the knees. Lie on your back, both knees facing inwards. Place a cushion or a pillow between the knees. Press your knees together, squishing the cushion between them. Hold for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
- Heel raise: Stand tall and hold the back of a seat for support. Lift your heels off the ground and rise on the toes of both feet. Hold for three seconds. Gradually lower both heels to the ground. Do three sets of ten repetitions. If you wish to discuss about any specific problem, you can consult a Physiotherapist.