Doctors in GD Hospital
Visited many hospitals in Mandsaur Neemuch to Ratlam area and finally I decided knee joint replacement for my grandmother in GD Hospital, doctor and staff was so polite and Hospital premises is very neat and clean really a wonderful hospital of area.
I consulted many orthopaedic surgeons of Ratlam Baroda and Indore for knee joint replacement of my mother, finally I found gd hospital Ratlam the best option and today my mother's knees pain free and she is walking almost normal
I had extreme knee pain. I had a great experience going through the whole treatment. Dr Patidar was available all the time for smallest of doubt. I am now able to walk like a young person again.
Dr.lekhraj patidar sir is a great joint replacement surgeon
Well known doctor and great joint replacement surgeon
Best joint replacement hospital in malwa area
great doctor nice behavior And caring Staff
Best hospital for joint replacement
well known doctor and nice staff
sabse sasta sabse acha hospital
Great orthopedic surgeon
Nowadays, total knee joint replacement is a very common surgery for old age persons. As we all know, with the ageing process, our bone and joint degenerate which leads to pain. With increasing age, this degeneration of joint keeps on increasing and so the pain. We Indians, generally have the tendency of ignoring joint pain unless the pain adversely prevents them from carrying out their day to day activity.
A patient should consult a knee surgeon way before his/her knee gets damaged to a great extent so that a total knee joint replacement could be avoided by carrying out knee preserving surgeries. There are many knee preserving surgeries like high tibial osteotomy and unicondylar knee surgery which can be done in early osteoarthritis. If these procedures are done at a suitable time total knee joint replacement can be delayed as well as avoided.
Here are the 5 critical symptoms or signs that should never be ignored and immediately get addressed by a joint replacement surgeon.
1. Recurrent Severe Knee Pain: Not all knee pains validate the need for a knee surgery. But if the knee pain becomes sever even by doing basic activities like -
Standing up after sitting for a long time
Standing for more than 10-15 minutes
Climbing up/down even a few stairs
Pain due to movements in bed while sleeping
Stepping in/out of a car or bus
And the pain does not go away even after taking painkillers and icing, it is very much possible that your knee joint bones have suffered irreparable damage and might require surgical intervention. An x-ray might show the extent of damage, based on which a knee surgeon can suggest the treatment protocol.
2. Stiffness or Limited range of Motion: Stiffness in joints is normal as human body ages. As the body ages, the ligaments and cartilages tend to wear out. They keep the joints lubricated and avoid friction between the bones. As they deteriorate, the friction between joints and stiffness increases while the range of motion gradually reduces. If this increased stuffiness is preventing a person from walking, sitting cross-legged, accompanied by aggravating pain, chances are you might need to consult an orthopedic surgeon.
3. Deformity: In osteoarthritis of knee joint, there is in bowing or out bowing of the knee joint which is very obvious when we stand in front of a mirror with our exposed knee joint. This deformity causes point loading on cartilage which further aggravates the disease.
4. Gait change: Change in the alignment of the knee joint causes typical changes in person gait (walking style).
5. Instability: The weakening of ligaments and stiffness in joints generally leads to instability of the knee. It’s a bit difficult to identify & explain. However, if you get the feeling that your knee might give away and you might fall while trying to do basic activities, you should immediately get consultation from a doctor. If untreated, the feeling can turn into actual fall. This cannot only affect the knee but cause other problems like fracture of other bones as well.
What if one continues to live with these signs: The beauty of the human body is that it tries to adapt itself based on the changes in the body. If the signs highlighted above are only present in one leg and if it is left untreated, the body will try to shift its weight to the better leg. Needless to say, this will make matter worse for the second leg and the problem which could have been treated by knee preserving surgeries like high tibial osteotomy and unilateral total knee replacement (single leg), might now need a bilateral total knee joint replacement. This is very important to notice that even if total knee joint replacement is done at a proper stage of disease (means with fewer deformities and less bony defects) the results of this joint replacement is far better than one which is done in advanced diseases with severe deformities and lots of Bony defectst.
Why consult for Knee replacement?
Not all patients need to undergo Total Knee Replacement Surgery. If the knee damage is caught early on, only the realignment surgeries (that is high tibial osteotomy) will work and sometimes only the damaged part of the knee can be replaced (Unicondyler knee), and the person can have a more comfortable life. Partial knee replacement surgery gives freedom to a patient to perform all activities which he was doing earlier. There are absolutely no restrictions of movements after partial knee replacement surgery. A feeling of natural knee and movement is an advantage of partial over total replacement.
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
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 8-12inches 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!
Artificial replacement parts are made of strong plastic, metal, or ceramic. All knee replacements, partial or total, will have parts made of a few different materials (likely metals and plastic). In most cases, each component is built from titanium, cobalt-chromium alloys, or a titanium and cobalt mixed metal. The chosen materials must be durable, allow for some flexibility with movement and be biocompatible (meaning it will not be rejected, corrode nor react with the body).
1. Cobalt-Chromium Alloys— Chromium alloys are one of the most commonly used materials in implant components. For those with nickel allergies, some particles from this metal can get into the bloodstream and cause a reaction.
2. Titanium and Titanium Cobalt—Titanium cobalt is used as frequently as cobalt-chromium alloys in joint replacement components. Since this metal is softer, it tends to make up the tibial part of the replacement where the plastic inserts lock-in. In the tibial component, the metal choice is less important since there is little traction or rubbing during movement.
3. Polyethylene— This is a type of strong plastic found in the tibial patellar (kneecap) component and the plastic spacer. The plastic components allow the metal pieces to glide smoothly throughout the movement. This material is metal-free.
If you have a history of skin reactions to metal jewelry or are unsure if you may be allergic, it might be worth getting formally tested by an allergist. In general, the femoral component is the only artificial component that those with a nickel allergy need to be conscious of when selecting a material and manufacturer. Majority of the femoral parts are made from cobalt-chromium since it is a very tough metal. The tibial component (the other component made of metal) is usually made of softer, titanium alloy, which has very low (almost untraceable) amounts of nickel.
The golden knee replacement surgery is a blessing for the people who have a metal allergy. These knee implants have enhanced surface coating of Titanium Niobium Nitride (TiNiN). This coating gives the implant a golden colored look (hence named golden knee) and improves the longevity and performance of knee replacement surgery. This coating also makes the implant allergy-proof.
The gold knee is one of the best implants available today and the most successful too. It not only increases the life of the implant but also prevents any allergic reactions in the patient. Regular knee implants made of chromium cobalt alloy tend to release metal ions in the body. In patients who have a metal allergy, these metal ions can cause inflammation in the knee area and eventually cause complications like infection, loosening, and persistent knee pain. Golden Knee implants do not induce allergic reaction with human tissue. Its wear and tear are very low. Hence a Golden Knee replacement surgery is generally suggested for such patients. Due to its improved longevity of up to 40 years, this implant is preferred for knee replacements in patients younger than 60 years.
However, any patient can undergo Golden knee Replacement surgery but it is preferably advisable for patients who have a metal allergy and Patients younger than 60 years.
Benefits of Golden Knee Replacement-
Improved longevity of up to 40 years
Improved durability of the implant
Better surgical results
Osteoporosis refers to the condition where the bones become fragile and porous, resulting in compression fractures and severe back pain. Over the course of time, due to their fragility, the bones tend to break. Osteoporosis is a leading cause of bone fractures and back pain. in nearly 29% of women between the ages of 40-60 years.
Symptoms to look out for!
- Brittle nails
- Inability to lift heavy objects
- Loss of grip
- Receding gums
Common risk factors for osteoporosis may include-
- Family history
- Poor nutrition
- Physical inactivity
- Body weight
How is the condition diagnosed?
Often a person having osteoporosis is not aware of the condition until it is diagnosed.
- To check for osteoporosis, the doctor will go through your medical history and perform a physical examination.
- Bone density test is the ideal choice of diagnosing osteoporosis. Its uses x-rays to measure bone density of the spine, wrist and hips. These areas are mostly prone to osteoporosis.
Treatment of osteoporosis-
Osteoporosis can be treated using the following medications and supplements.
- Bisphosphonates- These prevent loss of bone mass. You can either take them orally or your doctor may prescribe an injection. Examples of bisphosphonate include- alendronate, ibandronate etc.
- Vitamins- Calcium helps build strong bones. Vitamin-D helps your body absorb the calcium, thereby strengthening your bones. Calcium nitrate supplements work better for older adults as it easily gets absorbed in the body.
- Hormonal Therapy- Hormone replacement therapy is a preferred choice of treatment for women suffering from osteoporosis during menopause. It involves the use of estrogen hormone. These are taken in the form of oral tablets or injections.
- Teriparatide- This helps increase bone formation and promotes bone density. These self-administered drugs are taken through injections. Teriparatides are prescribed to patients with severe osteoporosis or those who have low tolerance for other medications.
Apart from these, making certain lifestyle changes such as eating healthy, exercising etc. are also crucial for long-term results. This improves mobility and bone health. Consult a doctor and get yourself checked for osteoporosis early in life.
Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.
Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:
- Sore or stiff joints – after inactivity or overuse
- Limited range of motion or stiffness that goes away after movement
- Clicking or cracking sound when joint bends
- Mild swelling around a joint
- Pain that is worse after activity or toward the end of the day
Treatment Options For Osteoarthritis
Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:
- Managing symptoms, such as pain, stiffness and swelling
- Improving joint mobility and flexibility
- Maintaining a healthy weight
- Getting enough of exercise
Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.
Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.
Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.
Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.
Management Using Medications
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.
For Pain Management
- Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
- Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year
Knee pain or functional status has failed to improve with non-operative management
Types of Surgery
- Arthroscopic Irrigation
- Arthroscopic Debridement
- High Tibial Osteotomy
- Partial Knee Arthroplasty
- Total Knee Arthroplasty
Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.
Joint Replacement Surgery: Joint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.
Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.
Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.
- People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
- In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
- X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
- Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
- A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Meniscus refers to the soft ligament in your knee joint, which cushions your bones and protects it from wear and tear. It is vital for the fulfillment of regular activities and the health of your bones. Thus, a damage to the meniscus can be extremely painful. Meniscuses are exposed to injuries and shocks in case of rigorous activities and this is a fairly common syndrome faced by athletes and sports persons. It can cause a substantial amount of hurt and generally impairs movement to a large extent. It potentially gets worse as the inflammation sets in and the swelling grows. The risk of a meniscus tear increases with age. The treatment for a torn meniscus depends upon the degree of tear. While minor tears repair on their own, for grave injuries, the following therapies may prove effective.
Symptoms of a torn meniscus
- You might be able to experience a popping sensation in your knee joint
- Stiffness and swelling
- You will experience pain, especially while you are trying to twist your knee
- You might not be able to straighten your knee completely
The treatment for a torn meniscus depends upon the degree of tear. While minor tears repair on their own, for grave injuries, the following therapies may prove effective:
- Light exercises: For slightly serious meniscus tears, there are certain knee exercises which are recommended to abort any further damage as well as to repair the wound. Limiting the activities which might exert pressure on the knees, getting adequate rest, using ice packs and wearing neoprene sleeves always aid in recovery.
- Anti-inflammatory medications: Often, meniscus tears are cured with the help of anti-inflammatory drugs like Ibuprofen. They not only reduce pain but also enable the mending of the injured tissue. However, one needs to be aware of a few side effects which often become natural repercussions of such drugs. The possibility of ulcers and bleeding get increased by leaps and bounds on the intake of such drugs.
- Surgery: For all other forms of meniscus tears, if healing is not obtained through non-surgical methods, the only option available is that of surgery. Such a situation arises when the pain becomes unbearable and the meniscus tear does not respond favorably to superficial treatments. These surgeries are less complicated than replacement surgeries. They usually do not involve any life-threatening hazard and cautious and efficiently conducted surgeries release all pains and handicaps.
Are you aware of the health conditions - osteoporosis and gout? Both these conditions are associated with your joints and bones. They are both difficult diseases and require proper treatment. Osteoporosis concerns the bones, in which the bones are at a risk of breaking due to decreased strength. This condition is quite common in elderly people with brittle bones. Gout is a very painful form of arthritis and is featured by joint inflammation. The pain and inflammation occur due to the deposition of urate crystals in a joint when uric acid is present in excess in the body.
The symptoms of osteoporosis include pain and stiffening in a joint and swelling in the joints, especially in the thumbs, neck, knees and lower back. A patient’s skin may turn red and he may feel unusually hot.
Combined treatments are prescribed for osteoarthritis. Treatment aims at improving joint function, maintaining a healthy body weight, reducing pain and achieving a healthy lifestyle. Regular exercise is important for reducing pain, increasing flexibility and for improving blood circulation. You should take measures to lose weight in order to reduce the stress on the joints which bear weight. You should take sufficient amount of rest along with proper sleep. There are other alternative therapies for osteoarthritis treatment without the use of prescribed drugs. Hot and cold therapy is ideal for easing pain and increasing blood flow. Some forms of massage therapies are also ideal for giving relief to osteoarthritis pain.
There are several symptoms of gout, which occur all of a sudden. Intense joint pain is indicated and the large joint of the big toe is especially affected. It may also occur in the feet, ankles, knees, hands and wrists. The joint discomfort may last even after the intense pain subsides. The affected joints get swollen, arm, red and tender.
The treatment for gout aims at relieving severe pain and preventing future gout attacks along with long-term complications. The treatment methods include medicines and several home cure methods. Specific treatment is also prescribed based on the intensity of attacks and for preventing complications. As a part of long-term prevention methods, you should keep on taking your prescribed medicines, manage your body weight, exercise regularly and limit your intake of meat, seafood and alcohol.
Osteoarthritis and gout require timely diagnosis and treatment if you want to prevent them from worsening. In case you have a concern or query you can always consult an expert & get answers to your questions!
The problem of morning back and neck pain may be due to the position of sleeping or it may be related to inflammatory arthritis which can be familial. Morning back pain is largely related to wrong sleeping posture and less commonly due to arthritic conditions like Ankylosing Spondylitis or Rheumatoid Arthritis. Whatever be the cause- this condition requires attention by an Orthopedic doctor as it may worsen in due course of time and should not be taken lightly.
Some common factors causing this are:
- Mattress: Too soft or too hard a mattress might induce back ache after sleep. For people with waist and hips of equal proportion, a firmer mattress would do well. For those with narrower waist than their hips, a flexible and softer mattress that can move with the pelvic weight would be a perfect choice. Refrain from using old hardened mattresses.
- Pillow: The pillow you use must be able to render support to your neck naturally. Instead of using excessively firm or soft pillow, try substituting it with memory foam pillows, refillable water pillows or cervical support pillows.
- Posture: Not changing your position while sleeping or sleeping on the belly exerts strain on the back muscles, causing pain. On the other hand, sleeping on the back or on the sides causes comparatively less strain on the spine.
- Other causes such as strenuous workouts or physical activities or sitting at a stretch during the day might cause pain while sleeping or after getting up from bed.
Remedies for Morning Back Pain:
Fortunately, there are some home remedies to cure the morning back pain.
- Switching your mattress is a more expensive remedy for back pain, but may often be the ultimate cure. Most people sleep the best on medium-firm mattresses. Be sure to try out the mattress before you buy it.
- For occasional back pain after sleeping, apply heat to your back to relax your muscles before you go to bed and when you get up in the morning.
- Massage your back with pain relieving creams and apply heat on it with a heating pad for quick relief.
- Specific spinal stretching exercises and Planks (a type of exercise) can greatly help in easing back pain, if done on a regular basis.
- It is always recommended to CONSULT an Orthopaedic doctor if you suffer from morning back pain.
If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.
Types of arthritis
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.
- Arthritis pain may occur all of a sudden but develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
- Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:
- Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
- Corticosteroids are used for reducing inflammation.
- Certain DMARDs or disease-modifying antirheumatic drugs are used.
Certain injections that are used for helping with knee arthritis. They include:
- Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
- Corticosteroid injections also soothe inflammation and pain.
You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:
- Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
- Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
- Arthroscopy, where an incision is made in the knee for removing damaged parts.
In case you have a concern or query you can always consult an expert & get answers to your questions!