The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where the end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur.read more
Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 42 years of experience on Lybrate.com. Find the best Orthopedists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Shaival Chauhan
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Pain in Ribs
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
Submit a review for Dr. Shaival ChauhanYour feedback matters!
The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where the end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur.
Knee replacement is a procedure in which artificial implants are inserted into the knee to replace the parts involved in carrying weight. A knee replacement surgery can be required for a number of reasons. Several forms of arthritis may be responsible. Psoriatic and rheumatoid arthritis are among the common causes, especially in people above certain age bracket. Moreover, injuries sustained and trauma received in the cartilages and ligaments may be a major reason why you have to avail knee replacement surgery.
A lot of care has to be taken after surgery to restore the health and walking abilities of the patient. In most cases, walking aids like crutches are preferred. By about 6 weeks after surgery, the patient returns to normalcy.
Implants in knee replacement:
Implants are used in surgical procedures to replace several parts of an injured knee. There are different types of implants, and the one that will be your best fit depends on:
• Your age and weight
• Your medical history
• The amount of physical activity you get every day, and whether you have physical stress in your daily routine.
• Your gender
Types of implants:
The different types of implants used when total replacement of the human knee is required are:
1. Posterior stabilized designs: these designs are used as a replacement for the posterior cruciate ligament (PCL) of the knee. These implants do not let the bone of the thigh slide forward too much on the bone of the shin when your knee is bent.
2. Cruciate-retaining designs: this variety is also used in support of the posterior cruciate ligament. However, there is a key difference between the use of this one and other implants that are used when the PCL is completely debilitated. In this case, the PCL of the receiving patient must be in solid enough shape to offer support to the knee joint.
3. Bi-cruciate retaining designs: in these implants, neither of the anterior or posterior cruciate ligaments of the knee is disposed of. Both of them are retained, along with the implant that is new and artificially introduced. The major difference it has with respect to the other implants is that it gives a natural feel to the knee.
4. Uni-compartmental implants: this is the substitution of just one side or part of the knee by implants, instead of the whole knee. It is a partial procedure, used surgically on people who do not have total and extensive knee damage.
The knees are indispensable to the human body because they work to bear its entire weight and make walking possible. However, sometimes the knee is impaired enough to warrant a total replacement, due to a number of reasons like disease or injury. Varied sorts of implants are used in such cases, tailored to meet the specific needs of the patient body.
Minimally invasive spinal surgery is a quicker and safer alternative to open surgery. The spinal discs, vertebrae and nerves are present deep inside the body. A small incision is made and the surgical instruments and a camera is inserted which push aside the muscles and reach the problem area.
Which medical conditions can be addressed with minimally invasive spine surgery?
1. Degenerative Disc Disease (osteoarthritis of the spine)
2. Herniated Disc (the disc protrudes from its right place)
3. Spinal Tumours
4. Vertebral compression fractures (collapse of the vertebra)
5. Lumbar spinal stenosis (narrowing of the space near the spinal cord)
6. Scoliosis (the spine curves sideways)
7. Spinal infections
8. Spinal instability
What are the goals of minimally invasive spine surgery?
1. Decompression: this procedure eases the pressure being exerted on the spinal cord or the nerve roots. This pressure can be the cause of pinched nerves.
2. Stabilization: sometimes, a segment of the spinal cord that has come loose can be the source of pain. A stabilizations surgery fuses the segment to the rest of the structure.
The three most common methods of minimally invasive spine surgery are-
1. Tubular: it is also called ‘muscle splitting’ surgery. A tubular retractor passes through the muscles of the back and reaches the spine.
2. Mini-open: it is a lot like open surgery but with fewer risks and blood loss. The possibility of post-operation infection goes down significantly.
3. Endoscopic: it is also called a keyhole surgery. A small camera is introduced through a small incision and guided to the spine. The camera gives an internal view of the spine to the doctors.
The three types of Minimally Invasive Spinal Surgery are-
1. Microdiscectomy: involves the removal of the intervertebral disc that is putting pressure on the spinal cord.
2. Foraminotomy: spinal conditions can lead to narrowed foramen (the area where the spinal nerve exits the spine). The aim of the surgery is to expand the foramen.
3. Microlaminectomy: this is yet another type of decompression surgery. The aim is to relieve pain caused pinched nerves or a segment of the bone pressing down on the nerves.
What are the benefits of minimally invasive spine surgery?
• Speedy and pain-free recovery after surgery
• A patient is discharged the same day
• Very little loss of blood
• Reduced chances of infection
• Less scarring because the operation is done through small incisions
• Less muscle damage
Are there any risks attached to minimally invasive spine surgery?
No surgery is free of risks or side effects. Some common problems in the aftermath of minimally invasive spine surgery are-
Minimally invasive spinal surgery incorporates the latest advances in the world of technology. It is the relatively hassle-free procedure and convenient for both doctors and patients.
Patients with joint problems find it difficult to perform daily activities effectively, such as Walking or Climbing stairs. They may also feel pain while sitting or lying down. For such patients, Knee Replacement can be a helpful option.
Knee Replacement Surgery is one of the safest and most effective methods for people with knee problems to provide relief from pain, correct leg deformity, and perform normal activities effectively. A Knee Replacement Surgery is also beneficial for patients with severely damaged Knee because of Arthritis or an injury.
What is Knee Replacement Surgery?
Knee Replacement is medically termed as Knee Arthroplasty. Knee Replacement Surgery is a process of restoring the weight-bearing facade of a damaged, worn, or diseased knee joint. In this surgery, a damaged part of the knee is replaced with a metal or plastic part that duplicates the function of the knee. It aims to provide relief from pain and inflammation.
Situations in Which Knee Replacement Surgery Could be Recommended -
Problem in performing normal physical activities due to Acute Pain in Knee or Stiff Knee. Tasks like walking, getting off chair, stair climbing, and going in and out of car is troublesome.
Chronic knee inflammation and swelling that does not improve after taking medications or resting.
Moderate but continuous knee pain that continues while sleeping or resting.
Depression, resulting from an inability to carry out daily or social activities.
Knee deformity, where there is a noticeable arch on the inside or outside of the knee area.
Above symptoms are normally observed in patients suffering from one or more of the following:
Bone Dysplasias in which there is unusual bone growth
Knee deformity with pain and loss of Cartilage
Avascular Necrosis that cause the death of bone in knee joints
Benefits Of Knee Replacement Surgery
1. Long-Term Relief
Knee Replacement Surgery is one of the most successful ways to treat knee problems. For most patients, Knee Replacement Surgery may be helpful in providing pain relief, improved mobility, and a better quality of life. Most of the Knee Replacements can benefit for more than 15 years.
2. Quick Recovery
After three to six weeks of Knee Replacement Surgery, one can efficiently perform their normal activities such as Walking, Shopping, Light Housekeeping. Within a few weeks, some patients may also resume Driving after the surgery.
3. No More Pain
Knee Replacement Surgery strengthens the muscles and provides relief from pain and inflammation.
Some other advantages of Knee Replacement Surgery are:
Immediate relief from chronic and debilitating knee pain
Relatively short recovery period
Full range of motion regained
Renewed ability to perform routine tasks
Renewed ability to exercise and thereby enhance overall health
Every year, over 6 million Knee Replacement surgeries are carried out in the United States. Most of the patients are aged between 50- 80 years. Over 90 percent of patients experience pain relief and mobility after Knee Replacement Surgery.
The benefits of this surgery outweigh the temporary discomfort that lasts for initial few weeks.
A set of cartilage discs present between the vertebrae, ensures that the spinal column can withstand the weight of the upper body. If these discs tear or get injured, the condition is commonly known as slipped disc. In medical terms the same condition is known as prolapsed intervertebral disc. Here is a look at the causes, symptoms and treatment for this painful condition.
Causes for Prolapsed Disc
Intervertebral cartilage discs undergo normal wear and tear with age. However, there are other underlying causes for a slipped disc.
- Sitting for prolonged period of time may lead to the disorder
- Repeatedly lifting weight in such a manner that all the pressure is exerted on the vertebrae may also lead to a prolapsed intervertebral disc. Example – Exercising with incorrect posture
- Alcohol consumption and smoking
- Sedentary lifestyle and lack of exercise
- Accidental trauma to the spinal region
- Diet not consisting of all the essential nutrition
- Family history of the same condition
Tweaking one’s lifestyle is generally enough to ensure that people are not affected by the condition.
Symptoms of prolapsed intervertebral disc
- Patients claim to feel pain radiating from their spinal region to the calves of their feet. This sciatic nerve may get compressed due to the disorder, leading to such a pain.
- Tingling sensation in the lower and upper back regions. This sensation may also spread to the arms and legs.
- Patients complain of a weakness or numbness in the buttock area, feet and legs.
Treatment for prolapsed intervertebral disc
- Limited activity is advised after diagnosis, but complete bed rest is not recommended.
- Ice packs should be applied at first. After the pain resides, heat should be applied on the region.
- Physical therapy and certain exercises are prescribed by the physician
- Anti inflammatory drugs can help control the condition and relieve some of the pain.
- Surgery is considered only if the condition does not subside after 4-6 weeks. However, such a surgery is risky and may cause permanent nerve damage.
If you feel that you are at risk of prolapsed intervertebral disc, consult a physician immediately. Follow the recommendations of the doctor, so that you do not have to go through the pain associated with the condition.