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Had a knee injury not to long ago. It recovered, to an extent, but still bugs me from time to time. How can I get my knee back to normal (or at least as best I can) without medications of any kind. I don’t want to be reminded of this when I’m much older and don’t ever want surgery. Has anyone had any luck with this and what should I do?
Often referred to as an arthroplasty, knee substitution surgery is a procedure that removes the arthritic surfaces of the bones nearly the knee and caps the ends of the bones with smooth, polished, durable implants. Depending on what type of knee substitution you may be having, uncommon structures in your knee may or may not have to be removed. For instance, in the case of a total knee substitution, the anterior and posterior cruciate ligaments, smashed joint cartilage, and menisci (shock absorbers) are removed and substituted by the implant. The medial and lateral collateral ligaments and tendons nearly the knee are typically left intact for all knee substitution procedures, except in unusual circumstances. Visit www.phillyknee.com for more.
The knees are the most easily injured part of the body. The largest and most complicated joint, the knee is used for everything from standing up, sitting, to walking, running, etc. It’s a weight-bearing joint that straightens, bends, twists and rotates. All this motion increases your risk of acute or overuse knee injuries.
Knee pain accounts for approximately one third of musculoskeletal problems seen in primary care settings. This complaint is most prevalent in physically active patients, with as many as 54 percent of athletes having some degree of knee pain each year.1 Knee pain can be a source of significant disability, restricting the ability to work or perform activities of daily living.
Knee pain is an extremely common complaint, and here are many causes. It is vital to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the cause. If you have knee pain, some common causes include:
Knee pain is commonly caused by doing too much too soon when you haven’t exercised for a long period of time – primarily high-impact aerobics; walking, running or jumping on hard surfaces or uneven ground; unwarranted running up and down stairs (When you walk upstairs you are putting pressure on your knees that is equivalent to four times your body weight, when running up the stairs it can be eight times your body weight).
Knee osteoarthritis is a common cause of knee pain. The risk increases with age. Osteoarthritis is a form of arthritis involving degeneration of the cartilage. Exercise is vital to maintain strength and flexibility of muscles supporting the knee, which reduces the stress on the knee joint.
Common Knee Symptoms
Popping
Popping and snapping within the knee is quite common, and often not a symptom of any particular problem. When the pops or snaps are painless, here is usually no problem–the larger concern is when these sounds are associated with pain. A pop is often heard or felt when a ligament, such as the ACL, is torn.
Crunching/Grinding
A sense of grinding or crunching is most often associated with bone grinding hostile to bone once the cartilage is worn away.
Knee arthritis typically affects patients over 50 years of age. It is more common in patients who are overweight, and weight loss tends to reduce the symptoms associated with knee arthritis. Here is also a genetic predisposition to this condition, meaning knee arthritis tends to run in families.
Possible Complications of Surgery
Honest complications may occur with any surgical procedure. These include but are not limited to: problems with anesthesia, cardiovascular problems including heart attack, vascular problems including thrombus, bronchopulmonary problems including emboli, genitourinary problems, and gastrointestinal problems. Certain additional complications related to joint substitution surgery in particular may include but are not limited to: flow of blood problems, blood clots in the legs and/or lungs, wound healing problems, hurt to nerves and blood vessels, limb length discrepancy, bone wearing away or abnormal bone formation.
Complications may require medical intervention including additional surgery and, in rare instances, may lead to death. Your doctor should discuss these potential complications with you.
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My mother Has gotten a knee substitution surgery. Now her knee is infected (which happens to 1-2% of people who’ve gotten a total knee substitution surgery), and the doctor is saying that the reason her mobility is very limited is due to her hip condition, and he’s now saying that she also needs to get a HIP substitution surgery done.
I know what youre going to say. She needs a 2nd opinion. Well I’ve lost count of the digit of doctors she’s seen. She also has rheumatoid arthiritis, which is the main reason why her red blood cells are attacking her all over. She also has complete loss of mobility in one of her shoulders. It’s sad to see someone fall to such a sad state, primarily when it’s your own mother. And this all ongoing when I was a teenager when she chose to help shovel the snow, she didn’t wear any gloves and that’s how the arthiritis ongoing. And she doesn’t really exercise and the whole physical therapy business didn’t help either. I don’t know what’s the next step. But it’s looking grim.
Is hip substitution surgery the next step? Or is this a misdiagnosis?
1. Classification of total hip substitution? A surgical procedure where the ball and socket of the hip joint are replaced by the reproduction materials.
2. What are the indications of procedure? The patients who have pain in hip because of below listed diseases are candidates for hip substitution a. Osteoarthiritis (Most common indication) b. Rheumatoid arthiritis c. Avascular necrosis d. Traumatic arthiritis e. Protrusio acetabuli f. Bone tumors g. Ankylosing spondylitis h. Paget’s disease i. Juvenile rheumatoid arthiritis
3. Symptoms that point towards requirement of Hip substitution? As per a study in Annals of Rheumatoid Disease (2006) the major symptoms necessitating Hip replacements are a. Rest pain b. Night pain c. Pain with activity d. Functional Impairment e. Decreased range of movement f. Osteoarthritic X-Ray changes g. Impaired social contact
4. What preparation is required before the procedure? a. Your insurance claims to be verified b. As the surgery may require blood transfusion it is excellent to have arrangement for blood c. You would be required to discontinue medications 2 weeks before the surgery d. You will need to start an exercise program so as to maintain strength of your muscles e. Medical evaluation for any major surgery f. Do not eat or drink before night of the surgery as it would help to reduce vomiting and vomiting.
5. What to expect post surgery? You will be full to post operative room for care and your pulse, BP, temperature, respiratory rate will be monitored regularly. Also the feelings and circulation in your leg would be full care of. You will find the below things on you post surgery a. A tube called foley’s catheter inserted to ease you in urinating b. Dressing on the surgery location c. Compressive stockings on your legs to prevent clotting d. Metal triangle in your bed so as to ease your movements in bed In addition you will be taught breathing exercises that are to be done regularly everyday so as to prevent yourself from pneumonia.
6. When can I start taking food? As soon as you condition permits you can take food orally. The diet will start from liquid food and slowly will movement to solids.
7. Precautions to be full with the procedure? a. Always use arm chair to sit and use arm rests to get up b. Avoid low chairs and sofas c. Do not thwart your legs. Always sit with your legs 3 – 6 inches apart. d. Have a pillow between your legs when turning in bed. e. Avoid low or conventional toilet seats. Use a toilet seat riser for the next 12 weeks to avoid unwarranted bending of the hips. When by a public restroom, you should use the handicapped facilities to ensure passable toilet height. f. Only shower baths no bath tubs g. Avoid bending, stooping, squatting excessively for 6 weeks h. Do not turn your knee, hip, or foot inward when sitting, standing, or insincere down. i. Avoid sitting more than 60 minutes at a time. Driving should be stopped for atleast 3-4 weeks post surgery. A plastic bag on the seat will help you securely slide in/out of the car. j. Sexual activity can be resumed per your physician’s instructions. k. You can usually return to work within three to six months or as instructed by your doctor. l. You need to follow the physician advice regarding the exercise program that would help you regain power early. m. When visiting your physician or dentist it is absolutely vital to inform them regarding the hip substitution as you would need antibiotics for other procedures. (THIS IS TO BE FOLLOWED LIFE LONG).
8. What are the risks associated with the procedure? a. Blood clots in veins b. Infection c. Loosening of the prosthesis d. Wear and tear of the socket e. Dislocation of the hip joint f. Extra bone formation g. Break of the femur h. Residual pain and stiffness i. Injuries to the nerves and vessels j. Allergy to the metallic parts k. Stout embolism
9. Why Hip substitution surgery in India? India has many dyed-in-the-wool orthopedic centres that have performed more than 10,000 hip replacements with brilliant results. The doctors working in these centres have gained years of experience and have performed thousands of substitution surgeries. Most of the doctors have obtained well ahead training in western facilities and have kept themselves abreast of latest developments in field of hip substitution. In addition to experienced manpower these dyed-in-the-wool institutes are equipped with state of the art technology which is at par with the western facilities. The paramedical and nursing staff provide highest quality of care and are fluent in speaking English. The last business that makes the travel to India for hip substitution a medical value travel is the low cost of treatment. In India an international patient can undergo bypass surgery at costs 1/5th to 1/10th of cost in home country. Firstcare Medicare a pioneer in facilitating the treatments of medical tourists in India takes special care of patients coming through it and provides highest quality of comfortable accommodation and treatment services. For more in rank regarding the hip substitution or joint substitution surgery in India log on to http://www.firstcareindia.com or mail at info@firstcareindia.com
Shoulder substitution surgery in India is an option for treatment of severe arthritis of the shoulder joint. Shoulder is a prominent part of our body. Without which hand movements are not possible and without hands we are really handicapped. Medical tourism in India provides low cost shoulder substitution surgery and also the surgeons here are well qualified from US and Europe plus are well experienced. Shoulder substitution surgery hospitals in India are high-tech and having world class treatment facilities. The medical tourists coming from abroad have not to wait for longer time for having treatment dates. They get it very easily while in US and Europe they have to wait very long forgetting dates. As health care costs skyrocket, patients in the developed world are looking overseas for medical treatment. Even with airfare, the cost of going to India for surgery can be markedly cheaper, and the quality of services is often better than that found in the United states and UK.
What is shoulder arthritis?
Arthritis is a condition that affects the cartilage of the joints. As the cartilage lining wears away, the shielding lining between the bones is lost–when this happens, painful bone-on-bone arthritis develops. Risks and benefits associated with shoulder substitution surgery: The most common complications which occur very rarely include shoulder stiffness, instability, infection, nerve hurt, and glenoid loosening
What is the procedure of shoulder substitution surgery?
Total shoulder substitution surgery alleviates pain by replacing the smashed bone and cartilage with a metal and plastic implant. The shoulder joint is a ball-and-socket joint, much like the hip joint. The ball is the top of the arm bone (the humerus), and the socket is within the shoulder blade (scapula). This joint allows people an enormous range of motion at the shoulder. When shoulder substitution surgery is performed, the ball is removed from the top of the humerus and replaced with a metal implant. This is shaped like a half-moon and attached to a stem inserted down the crucial point of the arm bone. The socket part of the joint is shaved clean and replaced with a plastic socket that is cemented into the scapula.
Many countries have developed links for speedy treatments in India for their nationals on account of the fact that in these countries one has to wait for extended periods of time to undergo operations. Even tele-consultancy is available for expert opinion and transmission facilities. Some of the states have already established themselves as destinations for health care and medical tourism. The medical tourism has made possible for many patients to have their surgery done at fractions of cost. The tourists with completion of their shoulder substitution surgery in India visits eye-catching holiday spots which gives them a change from their daily routine. Shoulder substitution surgery in India are available at Delhi, Mumbai, Chennai and Bangalore.
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