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Knee Injury Tips

ACL Injury - Know The Causes Behind It!

ACL Injury - Know The Causes Behind It!

A tear in the anterior cruciate ligament or ACL is a common injury in people involved in sports. Any activity that involves sudden stops, jumping or sudden changes in direction have a chance of causing a tear in the ACL. Here is a look at some of the causes, symptoms, and treatment for the ACL injury.

Causes of the ACL injury:

While the ACL injury is common in sportspersons, it can occur in others as well, due to sudden or excessive stain on the knee region. Common causes include-

  1. Suddenly slowing your pace and changing directions.
  2. Improper landing after a jump
  3. Suddenly stopping movement
  4. A direct and forceful blow to the knees, which is common in some sports, such as football, rugby, etc.

In some cases, the injury is mild enough to simply strain the ligament. However, a tear results when the force of impact on the ligament is high intensity.

Symptoms of the ACL injury:

  1. A click or popping sensation in the knees during movement
  2. Extreme pain, which forces the patient to stop the strenuous activity
  3. Limited range of motion
  4. Swelling in the knee region
  5. Loss of balance when weight is put on the injured leg

Treatment for ACL injury:

  1. Minor injuries can be treated with an ice pack. Rest can also alleviate the pain associated with such an injury.
  2. Anti-inflammatory drugs may be prescribed if there is considerable swelling and pain
  3. A knee brace is often required for people who intend to play sports despite an injury to the ACL.
  4. Physical therapy and exercises devised to strengthen the knee may also be effective in curing the condition.
  5. A severely torn ACL needs to be replaced using surgical procedure. People undergoing this surgery can often return to sports in a year or so.

In case of ACL injuries, prevention is often better than the cure. If you are into sports, make sure you exercise your knees and legs regularly, so that they are able to withstand the intense pressure put on them.

Symptoms & Treatment Of Torn Meniscus!

Symptoms & Treatment Of Torn Meniscus!

Your knee is guarded and cushioned by a cartilage known as meniscus. A meniscus tear, therefore, is an extremely painful and discomforting situation. It occurs very frequently and has emerged as one of the most commonly occurring cartilage injuries. What makes a meniscus tear an extremely common phenomenon is the way it can tear-all it takes is a twist of the knee for it to happen.

People involved in sports mostly face the brunt of this form of injury. The risk of getting meniscus torn increases with age and tends to occur at the slightest change of direction of movement. Some of the symptoms of a torn meniscus are:

1. Pain and inflammation

It goes without saying that an internal injury of the cartilage or tearing away of it would inevitably result in extreme pain and inflammation near the knee.

2. Immobility

The extreme pain and inflammation, which follows will inevitably make it difficult to move. Since the pain occurs in the joint, you will have difficulty in walking and any forceful movement will only aggravate the pain.

3. Locking of the knee

Locking of the knee refers to a situation when you are unable to move your knee. This occurs most commonly after you have your meniscus torn.

Notwithstanding its frequency of occurrence, there are several ways, by which you can treat a torn meniscus. Some of the ways are:

1. Apply ice

In order to get some relief, applying ice is a suitable option. If you apply ice everyday for some time, it wonders in reducing swelling and the consequent pain.

2. Use a bandage

In order to control the swelling, it is important that you cover your knee with an elastic bandage.

3. Change the posture

It is important that you keep the affected knee in an elevated plane, in order to ensure an efficient blood supply and a consequent relief from pain.

Some Medical Treatments:

There are many things to consider when deciding how to treat your torn meniscus, including the extent and location of the tear, your pain level, your age and activity level, your doctor's preference, and when the injury occurred. Your medical treatment choices are:

1. Nonsurgical treatment with compression, elevation, and physical therapy. This may include wearing a temporary knee brace.
2. Surgical repair to sew the tear together.
3. Partial meniscectomy, which is surgery to remove the torn section.
4. Total meniscectomy, which is surgery to remove the entire meniscus. This is generally avoided, because this option increases the risk for osteoarthritis in the knee.
5. Whenever possible, meniscus surgery is done using arthroscopy, rather than through a large cut in the knee.

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Knee Arthroscopy Surgeries - What Should You Know?

Knee Arthroscopy Surgeries  - What Should You Know?

Arthroscopic Surgery is the most common orthopedic process, which helps in diagnosing and treating joint problems such as in the knee, ankle, shoulder, hip, and elbow.  The term "arthroscopy" is a combination of two Greek terms - 'arthro' means joint and ‘scope’ means look. Arthroscopic surgery helps examine the inside of a joint. During the surgery, a small camera and optical fiber are inserted inside the affected joint through incisions. Obtained images are then projected onto a display screen.

ACL Surgery:

A healthy ACL holds the knee bones together and keeps it stable. ACL and Anterior Cruciate Ligament damages are common among athletes. ACL gets injured when it is stretched or shredded with sudden movement during the activities. An injured ACL can affect one’s daily life as the knee becomes weak to tolerate the pressure making it difficult for a person to play sports or to even walk. Minor injuries to ACL heal over time with some medications and somatic therapies. However, serious injury needs a replacement for the ACL, especially for athletes and young people who are more active. Elderly people are suggested treatments instead of surgery as they are less active. During the surgery, the torn or injured ligament is replaced with a new tissue to stabilize the injured knee. Arthroscopic surgery is typically used by the surgeons for the treatment of one’s ACL.

PCL Surgery:

The toughest ligament that exists in the knee is the PCL or Posterior Cruciate Ligament. Around 20% of the knee injuries are of injured PCL. It is placed in the back or rear of the knee. An injured PCL makes it difficult for the patient to perform the most basic activities like descending stairs, walking (they walk really slowly), turning or bending activities, swollen knee, and unstable knee. PCL injuries are classified as per their severity. There are in general three grades: first-grade injuries are categorized as minor tear of PCL, second-grade injuries have substantially torn PCL, and third grade PCL injuries have non-functional or completely torn PCL. The surgery is usually given when the patient has a third-grade injury to the PCL. The first two grade injuries can be treated with fewer medications and therapies.

Meniscus Surgery:

Menisci is the cartilage responsible for absorbing shock from the bones and stabilizing the knee. This cartilage is prone to injuries in most athletes who participate in contact sports (sports which involve direct physical contact between players). But it can also get injured while lifting heavy weights, squatting or kneeling. An injured meniscus makes it difficult to twist the knee or straighten the legs. A minor injury (grade one or two) of the meniscus is usually treated with medications and physical therapies but severity (grade three) and the location of the injury decides if the patient needs surgery or not. One might go through some lab tests before the doctor recommends for the surgery. There are three types of surgeries available for Meniscus depending upon the severity of the injury:

  1. Arthroscopic surgery

  2. Arthroscopic partial or fractional meniscectomy

  3. Arthroscopic complete or total meniscectomy

Benefits of Knee Arthroscopy Surgeries:

  1. Arthroscopic Surgery involves less introduction of instruments into the body than open surgeries. Hence, it is less invasive.

  2. It heals much faster.

  3. The post-surgical phase is less painful in Arthroscopic Surgeries than in any other form.

  4. Decreases the risk of infection and there are fewer sutures as there are minor cuts/ incisions made for the surgery.

Less damage to the skin and tissue.

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Sports Injuries - How To Avert Pain?

Sports Injuries - How To Avert Pain?

How should you approach pain caused due to sports injuries?

Sports injuries can happen to any person who engages in sporting activities. These affect full-time athletes as well as those who partake in sports and exercising on an occasional basis. Most sports injuries are acute and affect the muscles and skeletal system. Usually, they are not chronic unless caused by a grave accident or left untreated.

The most common types of injuries caused due to sports are as follows:

Treatment of sports injuries depends on a number of factors such as the type of injury, part of the body affected, the intensity of the pain, and the patient's age and medical history.

Accordingly, the most common ways of approaching the pain caused by sports injuries are:

  1. Immediate remedies: Several quick aid, home remedies are used to treat pain that is caused by minor injuries to muscles, such as sprains and strains. It involves alleviation of pain through rest, using ice packs and hot water bags, wearing supports and elastic compression bandages.
  2. Medication: Many medicines such as painkillers and anti-inflammatory pills, creams and sprays effectively reduce pain caused by sports injuries. In extreme cases, morphine and codeine are also prescribed.
  3. Physical therapy: A number of injuries can be treated and cured through certain exercise and workout routines. These aim at stretching and strengthening the affected area to provide pain relief through increased flexibility and muscle activity.
  4. Injections: Various substances and chemical compounds can be injected into the injured area which works on the affected ligaments, tendons, and cartilage to reduce inflammation and relieve pain.
  5. Surgical procedures: This is generally resorted to in case of damage to the skeleton in the form of broken bones and cracked ribs.
  6. Interventional Pain relieving procedures: These include regenerative or stem cell therapy, and neuromodulation techniques using radio frequency current. They may result in the best results without any tissue cutting or damage. A pain specialist may be able to help you best in that case.

Devising the exact treatment method requires a thorough examination of the injury. Diagnosis can only be provided after taking into consideration the many factors that affect treatment. The method of treatment varies from case to case and consequently, the recovery time also differs.

Knee Replacement - Are You Eligible?

Knee Replacement - Are You Eligible?

Knee injuries are the most complex injuries of bone and cartilages. A direct hit can lead to this situation. You may get this injury while doing your daily activities. An activity as simple as walking or a deadly accident can lead to this injury. You never know, when you are left with a damaged knee. In critical cases, you are advised to undertake a joint replacement surgery conducted by experienced Orthopedic.

According to the latest studies, doctors replace more than a million knees or hips in a year in the United States. It is a life-changing procedure. But you need to know whether you are the right candidate or not? Follow the below-mentioned points to get a clear picture:

Reasons to replace your knee:

  1. Pain and stiffness: If it hurts you a lot while you are walking or trying to climb stairs, it may be an indication of having a new joint. It has to be also noted that whether the pain is long-term. You know that you need a new joint when there is a pain for at least 6 months.
  2. Your injured knee hampers your daily life: It is not the only pain that might be a cause of worry. Your injured knee can hurt your entire life. It will limit your daily activities, hampering your office work and personal life. It will upset you and drive you towards depression. To get rid of all these issues, you can opt for knee replacement surgery.
  3. Bone damage: Before taking up the surgery, you must consult your doctor. He or she will ask you to conduct X-rays and other imaging tests first. The reports will clarify whether or not you require surgery. The reports will show whether you are suffering from osteoarthritis or other conditions.
  4. Deformity: The surgery is needed when your knee gets severely swollen and looks deformed.
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Everything You Must Know About ACL!

Everything You Must Know About ACL!

ACL Injury (meniscal injury) means torn in one of the important ligament of knee joint, joining the upper leg bone and the lower leg bone, eventually tearing and trapping the cushion pads supporting the knee joints. These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc.

An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain. In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms-

Signs and symptoms of the anterior cruciate ligament may include:
1. You are unable to move properly.
2. You experience immense pain while walking up and down stairs.
3. You are unable to engage much in physical activities.
4. Your knee begins to swell gradually.
5. You can sense a loud popping sensation when moving your knee.
6. You experience feelings of instability in running, climbing stairs, waking fast or walking on uneven surface (feel like sudden unlocking of knee joint).

Causes-
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:
1. Sudden arrest in motion
2. An unsteady landing from a jump
3. Direct blows to the knee from tackles
4. Sudden shifts in direction

Treatment-
Treatment of ACL injuries normally involves the following:

1. Immediate medical attention along with intense first aid care

2. Sincere adherence to the R.I.C.E model of self-care -

  • Rest: proper rest for a couple of weeks or months depending upon the severity of the injury
  • Ice: using ice packs to help cool the nerves
  • Compression: ice treatment further helps in compression
  • Elevation: when lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions

3. Success rehabilitative therapy for several weeks

4. Anterior cruciate ligament surgery or reconstruction - In case of complete ACL tear or tear involving more then 50 of ACL fibres and also showing major laxity in knee joint on clinical examination, this procedure is followed.

4234 people found this helpful

Knees Replacement - When To Opt It?

Knees Replacement - When To Opt It?

Knee injuries are the most complex injuries of bone and cartilages. A direct hit can lead to this situation. You may get this injury while doing your daily activities. An activity as simple as walking or a deadly accident can lead to this injury. You never know, when you are left with a damaged knee. In critical cases, you are advised to undertake a joint replacement surgery. According to the latest studies, doctors replace more than a million knees or hips in a year in the United States. It is a life-changing procedure. But you need to know whether you are the right candidate or not? Follow the below-mentioned points to get a clear picture:

Reasons to replace your knee-

  1. Pain and stiffness: If it hurts you a lot while you are walking or trying to climb stairs, it may be an indication of having a new joint. It has to be also noted that whether the pain is long-term. You know that you need a new joint when there is a pain for at least 6 months.
  2. Your injured knee hampers your daily life: It is not the only pain that might be a cause of worry. Your injured knee can hurt your entire life. It will limit your daily activities, hampering your office work and personal life. It will upset you and drive you towards depression. To get rid of all these issues, you can opt for knee replacement surgery.
  3. Bone damage: Before taking up the surgery, you must consult your doctor. He or she will ask you to conduct X-rays and other imaging tests first. The reports will clarify whether or not you require surgery. The reports will show whether you are suffering from osteoarthritis or other conditions.
  4. Deformity: The surgery is needed when your knee gets severely swollen and looks deformed.

When joint replacement may not help?
There are a number of situations when the joint replacement may not help. These are as follows:

  1. If there is an infection in the body, you cannot take up this surgery. 
  2. It is always advised to get rid of the extra kilos, in order to get the best results of the surgery.
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Sports Injury - Its Surgical And Non-Surgical Treatment!

Sports Injury - Its Surgical And Non-Surgical Treatment!

Knee is a complex structure of your body made up of bones, ligaments, tendons, articular cartilage, muscles and meniscus. Knee is a very important joint as it plays a crucial role in human movement and is also very much prone to injuries. Your shoulder like your knee is also composed of bones, ligaments, tendons and muscles. It is the most flexible joint of your body and because of its frequent movement is also vulnerable to injuries. Knee and shoulder injuries can happen due to various reasons such as while playing sports, carelessly falling down or accidents. Your knee is made up of many important structures, any of which can be injured.

Pain and swelling are the most common signs of knee injury. In addition, your knee may catch or lock up. Many knee injuries cause instability, the feeling that your knee is giving way.

The most common knee injuries are as follows-

  1. Fracture- In case of a fracture usually the patella gets affected. But sometimes the ends of femur or tibia can also get fractured.
  2. Sprains and StrainsThis is the most common injury that can happen while playing sports. Sprains and strains refer to the injury of the ACL or MCL.
  3. Dislocation- Sometimes bones like femur or tibia gets displaced from their usual alignment.
  4. Ligament Injuries- Your ligaments may get injured if the position of your knee is in a bent condition during the injury. Ligament injuries are common to sportspersons and can also happen if you encounter an accident.
  5. Meniscal Tear and Tendon Tear- These are very common knee injuries which can happen while playing sports or falling down carelessly.

Treatment of Knee Injuries- 

When you are first injured, the RICE method — rest, ice, gentle compression and elevation – can help speed your recovery. The type of treatment your doctor recommends will depend on several factors, such as the severity of your injury, your age, general health, and activity level.

Nonsurgical Treatment-

Many knee injuries can be treated with simple measures, such as:

  1. Immobilization: Your doctor may recommend a brace to prevent your knee from moving.
  2. Physical Therapy: Specific exercises will restore function to your knee and strengthen the leg muscles that support it.
  3. Non-steroidal anti-inflammatory medicines: Drugs like aspirin and ibuprofen reduce pain and swelling.

Surgical Treatment-

Many fractures and injuries around the knee require surgery to fully restore function to your leg. In some cases – such as ACL, PCL, Meniscal tears, surgery can be done arthroscopically using small incisions and minimally Invasive techniques.

The most common shoulder injuries are stated below-

  • Dislocation- Sometimes joints may get dislocated from their usual alignment
  • Fractures- Fractures of the collar bone, humerus and scapular fracture
  • Frozen ShoulderIt occurs due to the stiffness of the shoulder joint
  • AC Joint Injury- The ligaments may get injured in this type of an injury. It is common in sportsperson or may also happen due to falling down
  • Shoulder ImpingementIn this case the muscles gets injured
  • Rotator Cuff Disease (Tendinitis and Bursitis)- In tendinitis of the shoulder, tendons become inflamed (red, sore, and swollen) from being pinched by parts around the shoulder. However, Bursitis occurs when the bursa, a small fluid-filled sac that helps protect the shoulder joint is inflamed.
  • Rotator Cuff Tear- Rotator cuff tendons can become inflamed from frequent use or aging. Sometimes they are injured from a fall on an outstretched hand.

Treatment of Shoulder Injuries-

  1. Early detection is the key to preventing serious shoulder injuries.
  2. Shoulder Exercises
  3. Anti-inflammatory medication also may be prescribed to reduce pain and swelling.
  4. Shoulder injuries can be treated by exercises and physiotherapy
  5. Shoulder arthroscopy surgery is a small key hole, Day care surgery done for various problems like Periarthritis, Recurrent Shoulder Dislocation, Rotator Cuff Tear
4535 people found this helpful

Anterior Cruciate Ligament Tear - How Can It Be Managed?

Anterior Cruciate Ligament Tear - How Can It Be Managed?

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL 

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

  • Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery.
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Torn Meniscus - All You Need To Know!

Torn Meniscus - All You Need To Know!

Your knees are one of the most vulnerable parts of your bodies. In case of strenuous or vigorous activities, knees are more prone to damage and injury than the other parts. Several of the knee tissues are fairly delicate and often are easily impaired. Among the other knee tissue injuries, meniscus tears are perhaps the most frequent. Meniscus is essentially a cartilage that protects and stabilizes the knee joints. However, an untoward twist or a strain can lead to a tear in the meniscus. Meniscus tears are a common phenomenon among athletes and sportsmen. They have been noted to be more recurrent in older individuals. 

Some of the early symptoms that indicate the onset of a meniscus tear are swelling and difficulty in bending or straightening of the leg. Sometimes a "locking sensation" in the knees also forebodes a torn meniscus. The inflammation potentially causes a lot of pain and irritation. While, it is fairly easy to ignore a meniscus tear for a normal knee injury, prolonged overlooking may only aggravate the pain and worsen the condition. The process of diagnosing a meniscus tear usually involves an MRI scan and an X-ray examination, over and above a detailed evaluation of the wound.

Treating meniscus tears vary according to the extent of the injury. Depending upon the location and the depth of the tear, various cures can be tried. The healing process, however, depends upon other allied factors such as age, level of physical activities and one's medical history. An external and minor injury is easily mendable. Whereas, graver injuries are resolved through surgical means. The other non-operative means include certain prescribed medicines and specific exercises. Some of the recommended ways of battling a meniscus tear can be enlisted as:

  1. Resting the knee by limiting the activities that involve excessive use of the legs or they may potentially strain the leg muscles.
  2. Applying ice pack can significantly bring relief to the swelling and the pain in the injured knee. Doctors advice regular use for a duration of at least 15 days.
  3. Compressing the knee using an elastic bandage or neoprene sleeve reduces the swelling in the knee.
  4. Prescribed medicines in the likes of non-steroidal anti-inflammatory drugs can be effective remedies for a meniscus tear.
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