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Book Clinic Appointment with Dr. Ushma Bhojani
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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Hai doctor my shoulders are too weak when I have started hard work something like writings play crickets my shoulder was very pained and 1 hour take rest it everything alright.
I am a fourteen year old boy and I am suffering from severe backpain since last two weeks. I feel like im weak. What should I do? Please help me.
Lately my mum has been experiencing pain in left hand and neck. And she can't lift heavy stuff with her left hand. What could be the reason behind it?
I am 79 years old. My both knees are paining due ortharaitus and walking is done for half an hour daily using knee cap and my legs also some what curved. Here they say knee operation and I am not for that. I want to spend my life with medicines to relieve my pain. Pl advice.
I am Dr Deepak Thakur, senior consultant of joint replacement surgery. My area of specialization includes joint replacements including computer navigations knee replacements.
When should we go for a knee replacement? Is there any particular age?
Well, today’s modern time age is not the criteria for undergoing a knee replacement surgery. Your level of pain, as well as your level of disability, decides when you should go in for a knee replacement. Most of the patients, they are very fearful.
Will there be a lot of pain during the surgery?
Well, with modern pain relieving medications and procedures, nowadays the knee replacement surgery is as pain-free as possible. Even the recovery part, it is a multimodal pain relief which we employ including epidural analgesia’s, patient control analgesia’s, patches and IV medication. Generally, the patient is pain-free, even during the surgery as well as post the recovery. The recovery part starts from the day of the surgery. On the day of the surgery, we make you do some exercises. The next day we make you stand and the second to third, we make you walk with the help of a walker and gradually as the recovery progresses with the help of a stick. We may even allow you to climb and come down from the stairs, depending upon your level of recovery. We generally, advice avoiding contact sports. By contact sports, I mean playing football hockey etc after knee replacement surgery. But most of the activities like swimming, cycling and doing brisk walking you are able to do it very efficiently. You are able to bend your knees after the surgery. Your knee replacement surgery consists of a metal implant which is there implanted in the thigh bone. This is your thigh bone. As well as a metal and a plastic implant
which is implanted on your leg bone. So, this again is your new knee. Of course, you will be able to bend your knees like this, straighten up your knees like this. You will be able to do your normal activities like bending. Your level of bending depends upon how well your leg muscles touch your thigh muscles. This will be the amount of bending that you will be having, which is generally equal to your preoperative status. So yes you will be able to bend and straighten your knees after your knee replacement surgery. You will be able to sit cross legged, but generally, we advise you to not sit cross legged because when you get up it puts a lot of pressure on the knees. But you can sit easily cross legged on the bed because getting up from a bed does not require a lot of pressure on your knees. We employ a computer navigation which is highly accurate even in few degrees. The life and with modern day implants is on an average 15 to 20 years.
For any further queries, you can contact me on lybrate offline or online.
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.