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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
Submit a review for Dr. Alfiya CutlerywalaYour feedback matters!
I am 31 years old male. I had a paralytic attack four days ago. My MRI report says that: Cerebral parenchymal: subtle T2& FLAIR hyperintensities are seen in the right frontal, occipital and parietal regions. These show diffusion restrictions with low ADC values. Multiple areas of SWI blooming are seen within it. S/O acute infarct with hemorrhagic transformation.
My father have a pain on lower back spine. All report done related that. Alkaline phosphates value so high. It find out to M. R. I. Pain is continued increase. So please rply how to pain release ?
Mere papa ke jodo me dare rhta best medicine in a jod dard and best doctor and best hospital to advice send.
As I mentioned above I am an overweighted person. I was very anxious about it. Some times I felt uncomfortable & heavy when I was just sitting on a chair like I am not fit for the situation. So due to my chubbiness I decided to go for a jog in the evening. 4-5 days it was awesome but now when I complete half of the course my legs starts to pain a lot and when I come to home n rest for a night it becomes normal. Its like somebody is stopping me to do the workout. At the moment of the exercise it pains a lot but when I am just laying one the bed it is fine. Why is this happening to me?
I am 36year old and working as an architect. I am suffering from cervical spondylitis. Now going through Ayurvedic treatment. But no relief. What should I do now. Whom I should consult.
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.