Category: Blogs

28 May 2023

If you have low back pain try these steps first

Lower back pain is a lifestyle disease affecting millions of people across the globe. The causes of low back pain can be an injury, overuse of the spine, improper sitting posture or chronic conditions such as arthritis or spinal stenosis. No matter the causes of low back pain, it causes immense pain and uneasiness affecting the quality of life. 

If you are suffering from pain and looking for some back pain management tips, we are here to help you:

  • Exercises: Regular physical activity is one of the best ways to treat lower back pain treatment. General cardio, such as running, walking, and swimming, would deliver significant results and reduce the load on your lower back. Stretches for lower back pain in pilates and yoga which focuses on strengthening the muscles, would help to improve the posture and build stronger back muscles to support you. Have a chat with your doctor about the kind of lower back pain exercises best suited for you. Start slowly and build strength gradually.
  • Over-the-counter medicines: Over-the-counter medications can give you some momentary back pain relief. Consult your doctor about medicines you take for back pain relief and follow all their instructions.


  • Heat or cold compress: Heat and a cold compress for low back pain treatment are effective methods. The hot pad or shower would help relax the muscles, whereas the cold shower or compress would reduce swelling and decrease blood flow in that area. Use both for back pain relief, and find out which works best for you. Also, do not apply direct heat or ice onto your skin. 


  • Massage therapy: Lower back pain massage can help better blood circulation and aid in the relaxation of the muscles. While looking for lower back pain exercises and massage, choose a certified therapist who has treated others with low back pain. Discuss your condition beforehand with the therapist and what you expect from the therapy. 


  • Chiropractic care: Chiropractic therapy is focused on reaching musculoskeletal problems through lower back pain exercises, manual therapy and other modes to give back pain relief. It is done by physically moving the spine and related joints to reduce pain and improve motion. Search for an experienced chiropractor who will assess your conditions and develop a customised plan accordingly. Usually, lower back pain exercises include spinal manipulation done by the chiropractor with their hands. They choose a specific part of the spine and apply pressure to align them correctly. Other techniques, such as soft tissue therapy and manual lower back pain therapy, reduce the pain and enhance movement.


  • Medications: If the prescription lower back pain medications are not working well, the doctor will give you stronger medications such as opioids and muscle relaxers. Make sure to thoroughly discuss their impact and follow all the instructions to avoid any side effects. 


  • Lifestyle changes: Having an active lifestyle with the ideal body weight reduces the extra pressure on the back. It is one of the most effective natural remedies for low back pain. Smoking is one of the causes of low back pain. It causes constriction of the blood vessels and can lead to spinal disc degeneration. Quitting smoking can show improvement in many aspects of health. 


  • Physical therapy: Physical therapy steps work on musculoskeletal problems. It includes stretches for lower back pain and therapy to reduce back pain. A customised plan would be designed for you to get relief from your pain and increase mobility. They would also give you lessons on how to maintain the right posture. Always ensure the physical therapist is certified and trained to get the best results.

A good posture is an effective low back pain treatment. Using the phone continuously in a hunched position can increase the stress on the lower back. Always look for a chair which supports the natural curve of your spine. Position your screen, so you don’t have to bend to look at it. 

Also, avoid activities which cause higher stress on your lower back. For instance, while lifting heavy objects, ensure the correct posture to avoid strain on your lower back.

Consult with a specialist about effective lower back pain treatment. Book your appointment now at Germanten Hospital for one of the best treatments. 


20 May 2023
what does pulmonologist do

What Does a Pulmonologist Do?

Your usual healthcare practitioner could advise seeing a pulmonologist or a respiratory system specialist if you have a persistent cough or breathing difficulties. This expert has years of experience in identifying and managing lung-related illnesses. It is crucial, especially if long-term treatment is required for the condition. Bronchoscopy procedures and Asthma management are taken care of by them.

What is a pulmonologist? 

A physician who focuses on diseases of the lungs is called a pulmonologist. These medical professionals may be called respiratory system specialists, lung specialists, or lung doctors. They do the pulmonary disease treatment from the very basics. Your respiratory system, in addition to your lungs, consists of your nose, throat, trachea, airways, muscles, and blood vessels. Pulmonary disease treatment by a respiratory system specialist also covers them.

How does a cardiologist differ from a pulmonologist?

The area of specialization is what makes a difference. The specialist in the heart is a cardiologist, while the specialist in the lungs is a pulmonologist. But because they are interconnected, your heart and lungs function best when they are both in good shape. As both the heart and the lungs are affected by diseases like pulmonary hypertension, you should see both types of medical professionals. Pulmonary disease treatment becomes easier when you consult them earlier. 

What is the training for a pulmonologist?

To become a pulmonologist, you must first earn a bachelor’s degree and then be accepted into a medical school by passing the Medical College Admissions Test. A medical degree typically takes four years to complete.

To become a pulmonologist, you must complete an entire three-year internal medicine residency programme and a two-year fellowship in pulmonary illness. A healthcare provider specialising in this field must be completely knowledgeable about the diseases they treat, the medical devices used to treat them, estimating the prognosis (outlook) of the disease, and end-of-life decisions.

What diseases are treated by pulmonologists?

Specifically, the lungs and pulmonologists address diseases of the respiratory system. Inflammation, tissue expansion, and infections are a few possible causes of these diseases. Many of these conditions would need a lifetime, or even protracted, treatment regimens. Your primary care physician, your pulmonologist, and possibly other experts will collaborate on your treatment options. COPD treatment, Sleep Apnea therapy, etc., are some of the processes pulmonologists prefer for patients. 

What is the role of a pulmonologist?

A pulmonologist is qualified to identify and manage respiratory illnesses. They may be experts in particular fields, such as critical care, asthma, or sleep medicine. They might also focus on treating elderly patients or youngsters (a paediatric pulmonologist, for example) (a senior pulmonologist). Bronchoscopy procedures can be followed by them, as per requirement. 

Why would you require a pulmonologist’s services?

Your normal doctor may recommend seeing a pulmonologist if you have symptoms they can’t treat or believe you might benefit from a specialist. These can be a few of the warning signs and symptoms:

  • Cough that doesn’t get better with time (chronic cough).
  • Breathing difficulty (dyspnea).
  • Tightness or soreness in the chest.
  • Wheezing.
  • Symptoms of sleep apnea, such as loud snoring or excessive exhaustion.
  • Dizziness.

If you already have a respiratory disease, you can keep going to your scheduled checkups to take care of yourself.

What to expect from an appointment with a pulmonologist?

When you visit a pulmonologist for the first time, you should be prepared to complete a medical history form and undergo a physical examination. Bring paper and a pen to take notes of any questions your healthcare practitioner wants to address and record information like how long your symptoms have been present. Accordingly, you might be asked to undergo processes like Asthma management, COPD treatment, or other Bronchoscopy procedures. 

Your healthcare physician could conduct a few tests to aid diagnosis and therapy. They could consist of the following:

  • Blood testing
  • Computed tomography (CT) scans or chest X-rays.
  • Testing for pulmonary function
  • Spirometry
  • Bronchoscopy
  • Sleep research

You’ll want to keep attending your visits on time and according to advice if you have a condition requiring long-term management. These tests might need to be repeated in the future so your doctor can assess how well your treatment is working. If problems persist, go for a pulmonary disease treatment that assures better results. 


13 May 2023
Urologists: Who Are They and What Can They Do for Me?

Urologists: Who Are They and What Can They Do for Me?

The medical speciality of urology focuses on male and female urinary tract diseases. The urinary system in both men and women is the focus of the urologist specialist. In the past, physicians would look for signs of a patient’s disease in their urine, which would help them detect Urinary Tract Infections. 

What kind of training does a urologist have? 

Urologist specialists complete a residency in a urology facility after graduating from medical school. The student is required to pass a specialist board exam after five years. Urologists can open their practices or serve in hospitals after completing their residency and board exams.

What is the Urinary Tract? 

The main organs of the urinary tract are the kidneys, ureters, and bladder. Your body removes urine through a drainage system called the urinary tract. The most prevalent disease, urinary tract infection (UTI), is mostly brought on by bacteria that enter the urethra and infect the urinary tract. 

What do Urologists do? 

A urologist is qualified to identify and address urinary tract issues. Urologist specialists treat both sexes equally. A urologist only deals with urinary tract issues in female patients.

Female urologists and oncologists treat a range of disorders known as female urology, including overactive bladder, urine incontinence, and pelvic organ prolapse. Urinary incontinence is a major thing that brings patients to urologists. 

Yet, the urologist can also identify and treat conditions affecting the penis and testicles in men. They also handle sexual problems, including male infertility.

What organs are treated by a Urologist? 

  • Adrenal glands
  • Kidneys
  • Ureter
  • Bladder
  • Urethra.

The urology treatments require the diagnosis of these parts. 

Another area of care provided by a urologist is for the following areas of the male reproductive system:

  • Prostate: This gland behind the bladder gives sperms more fluid to create semen. The two oval organs inside the Scrotum, which resemble a sac, are the testicles. They produce the hormone testosterone and aid in the development of sperm.
  • Penis: The penis transports sperm and excretes urine. 

They also handle cases of urinary incontinence. 

Common symptoms

Indicators in men are:

  • the testicles hurt
  • frequent and painful urination
  • urethral blood
  • erection problems
  • prostate growth

Signs in women are:

  • the back or sides hurt
  • crimson urine
  • a burning feeling when urinating
  • Urge to urinate frequently

What kind of diseases do urologists treat?

In males:

    • Cancers in the kidney, bladder, penis, prostate, and testicular.
    • Erectile dysfunction
    • Kidney diseases
  • Urinary tract infections
  • Prostatitis or enlarged prostate glands

In females:

  • Urinary incontinence
  • Urinary tract infections (UTIs)
  • Bladder prolapse
  • Cancers of the bladder, kidney and adrenal gland

In children:

  • Urinary tract infections (UTIs)
  • Disorders of sex development
  • Kidney stones
  • Tumours and malignancies of the kidney, bladder and testis
  • Pre-birth urological diseases

What treatment procedure does a urologist perform?

  • Cystoscopy: It detects the urological diseases associated with prostate and bladder. 
  • Ureteroscopy: A ureteroscope is guided to the kidney stone by the urethra, bladder, and ureter. Bigger stones need to be broken apart.
  • Testicular biopsy: Uncertain tissue samples are taken from the prostate during a prostate biopsy.
  • Nephrectomy: A kidney can be removed entirely or partially by a surgical procedure called a nephrectomy.
  • Vasectomy: The vas deferens are sealed by the physician during the procedure.

The urologist might perform a urodynamic testing to get things clear. 

When to see a urologist?

Suppose you experience symptoms of a urinary tract infection (UTI) or trouble passing pee, blood in the urine, incontinence (urinary leakage), or erectile dysfunction. In that case, your doctor may suggest you see a urologist for effective urology treatments. 

What to expect from a urologist?

Urologists can locate the issue with imaging tests like an ultrasound, CT scan, cystoscopy, or MRI scan. A urine test may also check for bacteria and other disease symptoms. They also emphasise the significance of abstaining from smoking and eating foods low in salt. These straightforward guidelines can help you avoid a variety of urological issues. The urology treatments also include any kidney, prostate, penis, urinary bladder, or testis tumours or cancer. Furthermore, most urologist specialists perform kidney transplants as well.


29 Apr 2023
Are you suffering from chronic back pain this blog is for you

Are You Suffering from Chronic Back Pain? This Blog is for You.

Many people around the world are suffering from chronic back pain. It is a persistent condition that weakens a person and affects their lifestyle. Acute back pain comes and goes in a few days or weeks, but chronic back pain lasts for months and sometimes years. Living with chronic pain impacts daily activities, causes trouble sleeping, and decreases quality of life.

If you are suffering from chronic back pain, you can find various non-invasive and invasive treatment options for back pain management. However, you must consult your doctor or physical therapist about developing the most suitable treatment option for your condition. The type of treatment varies from person to person. However, with the right determination and patience, one can find relief from chronic back pain and enhance their quality of life. 

  • Physical Therapy
    Exercises and stretches relax stiff veins and help to relieve pain, and improve mobility. It would help if you worked with your physical therapist to plan suitable exercises for managing chronic back pain. They can help you provide manual therapy and educate you on correct posture and body mechanics. Physical therapy is a non-invasive option and hence a great option for patients. Performing the therapy regularly can reduce the need for pain medication.
  • Chiropractic Care
    In Chiropractic care, the spinal cord is adjusted to help relieve pain and improve mobility. It can also include manual therapy, soft tissue therapy, and therapeutic exercises. Chiropractic care improves flexibility and motion and reduces inflammation. It is a safe and effective way for managing chronic pain.
  • Pain Medications
    Pain medications are known to reduce pain and inflammation. If your condition becomes too severe, you must take prescription pain medications. Before taking any medications, you should consult your doctor about their possible side effects and associated risks. These chronic pain remedies can lead to tolerance and dependence on the medicine, so use them responsibly and under the supervision of a doctor.
  • Heat and Cold Therapy
    Heat or cold therapy tends to relieve pain and reduce inflammation. Heat therapy relaxes muscles which improve blood circulation. On the other hand, cold therapy reduces swelling and numb pain. However, some medical conditions do not allow certain kinds of therapy. So it is recommended to consult your doctor about the right therapy.
  • Massage Therapy
    Massage therapy is an incredible option to relieve tension and improve circulation. It helps to improve mobility and reduce pain. Various techniques can be used, such as deep tissue massage, Swedish massage, or trigger point therapy. Massage therapy provides chronic pain relief from muscle tension and improves the range of motion. It is one of the most effective ways for treating chronic back pain
  • Acupuncture
    The traditional Chinese medicine technique, Acupuncture, is one of the effective treatments for managing chronic pain. It involves inserting fine needles at particular points on the body that helps to reduce the pain. The process stimulates the release of natural pain-relieving chemicals, improving circulation. It is a safe and natural way for treating chronic back pain and helps with chronic pain management. 
  • Mind-Body Techniques
    Mindfulness, meditation, and visualisation are some techniques that help with chronic pain management. These exercises help to minimise stress and improve relaxation. With meditation, you can get your mind focused, which reduces pain perception. On the other hand, visualisation allows imagining pain-free movements that tend to eliminate the fear of future injury. Mind-body techniques are an excellent option to treat chronic back pain by improving mood and reducing stress. 
  • Surgery
    Sometimes, for managing chronic pain, certain surgery is performed. It usually happens when all the other options have failed to treat the underlying issue. Some common surgical procedures include spinal fusion, laminectomy, and discectomy. However, one must thoroughly understand the risks and benefits of the surgery with their doctor.

Everyone’s experience of chronic back pain management varies. The treatment options can work for some and fail for others. It would help if you worked with your doctor to plan the best chronic back pain solutions. The most important thing is never to give up and to continue seeking treatments until you are thorough with chronic pain management. If you are experiencing chronic back pain, visit Germanaten Hospital now and get effective treatment for your condition. 

15 Apr 2023
What is nephrology do

What Is Nephrology and What Does a Nephrologist Do?

Who is a Nephrologist?

A nephrologist is a doctor who specialises in kidney and hemodialysis treatment disorders. The kidney is a vital part of the excretory system as it is the centre for filtration and removes excess salts, electrolytes and water from the body through urine. 

Who is a paediatric Nephrologist?

A paediatric nephrology specialist is a doctor who has specialised training in kidney treatment of infants, children and adolescents.

What is the work of a Nephrologist?

A nephrologist would examine and treat kidney problems. Also, they would explain the effects of kidney disorders on other parts of the body, such as:

  • Autoimmune disorder
  • Cardiovascular system
  • High blood pressure 

What training does a nephrologist undergo?

Nephrology specialist undergoes the following training to become a professional:

  • Four years of medical college
  • One year of internship
  • Three years of residency ( specialised training in nephrology)
  • Two or three years of fellowship. There can be one more year of fellowship to get more training in transplant treatment or interventional nephrology for kidney disease specialists.
  • The nephrology specialist should also have board certification in internal medicine and nephrology from the medical council of India. 

What is transplant nephrology?

Transplant nephrology is a technique which covers both kidney transplant surgery and pancreas transplant, as well as taking care of the patients after the procedure. 

What is interventional nephrology?

Interventional nephrology ensures proper blood supply to the blood vessels for dialysis. The interventional kidney disease specialist performs a kidney biopsy. They have specialised training in removing or playing catheters, blood clot removal, and placing stents and fistulograms.

What other disorders can be treated by Nephrologists? 

Some of the common problems that nephrology specialists treat include:

  • Diabetes 
  • High blood pressure 
  • Kidney failure 
  • Cystic kidney diseases 
  • Kidney stones
  • Nephrotic syndrome 
  • End-stage renal disease
  • Hemolytic uremic syndrome 
  • Urinary tract infections
  • Kidney infections
  • Hyponatremia and electrolyte imbalances
  • Toxins accumulations which require hemodialysis treatment 
  • Glomerulonephritis 

What are the tests and procedures done by the nephrologist?

Some of the common tests performed by kidney disease specialist include:

  • Imaging tests: Kidney imaging tests include X-rays, CT scans and ultrasounds. 
  • Kidney function tests: It is done to determine the glomerular filtration rate. It includes blood tests and urine tests. 
  • Dialysis: If the kidneys are not functioning as required, dialysis is done, which purifies the blood and removes the waste products. 
  • Kidney biopsy: To better understand your condition, the nephrologist would take a small sample of the kidney to perform a biopsy. 
  • Kidney transplant care: In kidney transplant surgery, the surgeon would replace your damaged kidney with a healthy one from a donor. A lot of post Kidney transplant surgery care is necessary; hence, the nephrologist and transplant surgeon would work together to help you recover. 

What is the difference between a nephrologist and a urologist?

Both of these specialisations are closely related. Nephrologists work on kidney disorders, whereas urologists work on disorders related to the urinary tract. Urologists also treat problems in the reproductive system. 

Urologists have specialised training in surgical training and intervene in kidney disorders which require surgery, such as kidney stones or kidney cancer. Nephrologists do not perform surgeries. 

When to see a Nephrologist?

You should consider visiting a nephrologist if you feel any kidney-related issues. Some of these include: 

  • Family history of kidney disease
  • Diabetic patients 
  • Patients suffering from high blood pressure
  • If you notice any change in your urine colour 
  • If you have noticed that your thinking speed has decreased and you cannot concentrate properly, visit a neurologist. It is termed brain fog which is a symptom of kidney disease. 

What happens in the first consultation with a Nephrologist?

 In the first meeting with your nephrologist, they would do the following things:

  • Look over your medical history.
  • Inquire about your present conditions and the symptoms you are facing.
  • Perform a physical examination.
  • Ask for blood, urine, and imaging tests to understand the glomerular filtration rate and check the extent of the damage. 

Before visiting the nephrologist, prepare a list of questions you want to ask and inform them of all your medical conditions for better diagnosis and treatment. Ask any question which comes to your mind. The nephrologist would answer all your queries and try their best to support you. 


08 Apr 2023
Robotic Knee Replacement vs Traditional Knee Replacement

Robotic Knee Replacement vs Traditional Knee Replacement

Total knee replacement is a procedure for end-stage osteoarthritis patients or those with severe physical damage. It is done by placing implants in place of the original knees; the age category of the patients now includes younger patients looking for some of the best traditional knee replacements. The procedure is also known as total knee arthroplasty.

What is traditional total replacement surgery?

The old style of knee replacement is practised and still preferred by many surgeons in traditional knee replacement surgery. It depends highly on the surgeon’s expertise and keen vision to get an idea through x-rays. Traditional knee replacement surgery involves making an incision of 10 to 12 inches with surgical machines and tools.

Even though the procedure has been fruitful for many in the past years, it is an invasive procedure with a long recovery period. The traditional knee replacement dryer relies on the surgeons’ skills and their judgement ability through which they do bone section and soft tissue balancing. 

Disadvantages of traditional knee replacement surgery

  • The procedure is invasive and hence needs a longer healing period
  • A good amount of soft tissue and skin has to be stretched and involved during the surgery 
  • Higher chances of wear and tear of the knee components due to improper alignment
  • It depends mainly on the experience of the surgeon, who should be an expert in ensuring the success of the surgery

What is robotic knee replacement?

In robotic knee replacement surgery, the medical procedure prepares a virtual mode of the patient’s knee to prepare a plan before the surgery. With a computer, the doctor would guide the robotic arm, which is programmed and successfully replace the damaged knee tissue. 

There are many robotic knee versus traditional knee replacements where the former is the winner. The major difference between robotic vs traditional knee replacement is that only the damaged portion of the knee is removed, and the other healthy intricate parts and tissues are not affected by the surgery. An implant is placed inside, allowing free movement after the knee has healed. 

Benefits of robotic knee replacement surgery

Getting one of the best robotic knee replacements is a safe and informed decision. There are multiple advantages of robotic knee versus traditional knee replacement. Some of these are:

  • The robotic knee replacement involves using smaller incisions, hence quick recovery and gaining back mobility. 
  • A major robotic vs traditional knee replacement advantage is the higher probability of long-term success of the procedure.
  • It is better for those who want a safe and less invasive procedure. There is also laser damage done to the surrounding tissues. 
  • In traditional versus robotic knee replacement, the accuracy of the implant position does not completely rely on the surgeon. Robotic arms have better accuracy and hence give a more natural feeling post-surgery. 
  • Those who want a more customised and dedicated plan should go with robotic surgery. It is a major advantage of robotic knee versus traditional knee replacement.
  • The chances of complications are much less.
  • The robotic method employs the exact pattern of the patient’s joint movement and reduces the risks of damage to nearby cartilages and tendons. 
  • The procedure is mostly a success on the first attempt, and no cases of correction arise. 


Who is an ideal candidate to undergo robotic knee replacement surgery?

If you are suffering from knee pain, you should consider visiting an orthopedician to get a better idea of the cause and available treatment options. The decision of surgery whether you are suitable for the surgery or not depends on several factors such as lifestyle habits, age, diet, the extent of the damaged portion of the knee, etc. 

Those who are suffering from severe osteoarthritis are ideal candidates for the surgery. Those with severe pain and knee stiffness due to which daily activities have become a menace should consider understanding traditional versus robotic knee replacement and choosing the ideal option. It is suggested to the patient only when all forms of physical therapy and medication fail to deliver results. 

Visit Germanten Hospital if you are experiencing pain and stiffness in your knee. The experienced medical team, with the availability of advanced technology, can conduct effective and safe knee replacement surgery. So, book your appointment now!


20 Mar 2023
knee replacement surgeries drastically

Knee replacement surgeries have gone up drastically in India

Knee replacement surgery is a medical procedure to remove the original damaged knees and put them in artificial joints. The number of Knee replacement surgeries in India has arisen. It can be attributed to factors like the increased population in the ageing category, better healthcare facilities and higher amount of physical activity. Knee replacement surgery is also known as knee arthroplasty. 

The prime reason for the increase in demand for Knee replacement surgeries is the increase in the number of people in the ageing category. With age, the chances of knee damage due to osteoarthritis increase. It is a degenerative joint disease that causes stiffness and pain and interferes with daily activities. These have made the demand for the best knee replacement surgery in India grow more than ever. With more people in the elderly category, people are looking for the best knee replacement surgeon to regain their normal lifestyle. People are mostly in search of a hospital providing the best surgery with a high success rate and has some of the best doctors in their team. 

Another reason for the higher demand for knee replacement surgeries is the increase in the level of physical activity. Nowadays, people are more concerned about their health, so activities like exercising, cycling, running, and sports are a part of their routine. The continuous pressure on the knees has led to faster wear and tear and, thus, the need to get the best knee replacement surgery in India. It can also be seen in the younger patients who do not want to be restrained by knee damage in their upcoming years of life. Thus, the trend of being physically active and sports in India has opened an avenue for the growing demand for the best knee replacement surgeons.

The accessibility to better medical facilities is also a crucial reason for the increased demand for Knee replacement surgeries. Earlier, knee replacement surgery was a complex and costly procedure accessible to the higher society people only. With the growth of the medical tourism industry and the facilities being provided, people are more concerned about their health and eager to seek treatment to treat their ailments. The increase in the number of some of the best knee replacement surgeons and specialty hospitals has led to higher awareness among the people about their condition and how to treat it without thinking of the financial aspect.

Yet the higher rates of knee replacement surgery are the prime hindrance for many Indians. Many Indians do not have medical insurance or reside in rural areas. Hence, the procedure still needs to be made available to many of India. The government of India is working on the healthcare facilities and accessibility of the patients to ensure the needy get the required treatment. It is through financial assistance and the setting up hospitals for the rural population. Those who need the treatment are getting assisted through government initiatives. These government schemes and associates have helped many patients and eased their financial burden. 

Thus, we can say that despite the constraints, the demand for knee replacement surgeries in India has increased exponentially due to a combination of a variety of reasons, such as a higher number of people in the senior age category, higher levels of sports and physical activities and better services and medical accessibility. Even though the cost of the knee replacement surgery is a reason behind it not being chosen by many, there are several ways by which you can go forward with the surgery and free your life from the pain.

In case you are experiencing knee pain, consult a doctor and discuss the cause of the pain and the procedure for treatment. With the increasing need for knee replacement surgery in the country, doctors and the government are taking initiatives to make it easier for people to get the procedure for those in need. Thus, no need to surf and live a life of pain and suffering; consult your doctor and go forward with one of the best knee replacement surgery to live life on your terms. 

If you are looking for a hospital for knee replacement surgery, then you should visit Germanten Hospital. It has all the availability for conducting safe and effective surgery. So, book your appointment now!


05 Mar 2023
10 massges and streches

10 Massages and Stretches for a Frozen Shoulder

Frozen shoulder massage treatment is required in case your shoulder has lost mobility to the extent it feels like it is frozen in place. The loss of mobility makes it difficult to continue with daily activities and causes pain during movements.

For frozen shoulder massage treatment, you should begin with complete massage therapy for frozen shoulder. Consult a doctor and a physiotherapist for proper guidance and recovery.

Frozen shoulder is caused due to triggering of myofascial points in the shoulder muscles and surrounding areas. These trigger points are muscle knots or lumps in sensitive regions due to injury, accident, or pain due to another chronic condition. Capsular stretching for frozen shoulders reduces pain and improves motion and muscle strength. These frozen shoulder massage techniques would also work on the trigger points and subsequently improve blood circulation, reduce spasms, and relieve symptoms. 

There are specific trigger points which affect the frozen shoulder. Gaining knowledge about these points and their locations in the arms and shoulders helps to understand how to use capsular stretching for frozen shoulders. 

Massages for frozen shoulder

Before starting any Shoulder stretches for frozen shoulder on your own, consult your doctor. The physical therapist would guide you through the postures and stretches. They will ensure that the frozen shoulder massage is done correctly, as incorrect massages can worsen the situation.

It is better to have a professional therapist to guide you. You can begin with a self massage for frozen shoulder and follow these messages. 

Foam roller underarm massage:

You can start with this stretching exercise for frozen shoulder by following these steps:

Place a foam roller under the underarm of the affected shoulder

  • rest your arm on the floor
  • Lengthen your arm
  • Slowly roll back and forth over the roller
  • Continue for a minute 

Foam roller shoulder massage:

  • Place a foam roller under the underarm of the affected shoulder
  • Lengthen your arm with the hand extended upwards
  • Move over the roller a few times

Simple self-massage:

  • Use your other hand for massage therapy for frozen shoulders
  • Focus on the sensitive regions
  • Try to move about the affected shoulder while massaging the shoulder and arm simultaneously 

Stretches for frozen shoulder

Warm up your shoulder muscles before beginning with shoulder stretches for frozen shoulders. You can do it by taking a warm shower or a bath. You can also use a heating pad. 

Gently start with capsular stretching for frozen shoulders to an extent where you are comfortable. Do not force any movement and gradually progress by repeating the movement multiple times in a day.

You can start with some of these best stretches for frozen shoulder for your recovery.

Pendulum swing:

  • Stand straight and keep your unaffected hand on the edge of a table
  • Lean forward while maintaining balance 
  • Start by swinging your arm back and forth in a circular motion in both directions
  • Repeat at least ten times

Cross-body stretch:

  • Stand and place your affected arm on the other shoulder
  • With the other unaffected arm, press the affected elbow closer to your body 
  • Stay in this position for a few seconds and hold as long as possible
  • Repeat five times 

Umbrella push:

  • Sit in a chair with the elbows resting on the side of the chair
  • Use an overhand grip to hold an umbrella 
  • With the help of the unaffected arm, push the affected arm to the other side
  • Maintain the elbow of the affected arm towards your side
  • Repeat the process and do it at least five times.

Advantages of stretching exercises

Doing stretching exercises for frozen shoulder would prove highly beneficial to improve the condition in the following ways:

  • The massage helps to release tension and tightness of the muscles, thereby relaxing them. You would feel at ease in motion and use. It also enhances the blood flow in the area and increases the speed of healing.
  • Stretching exercises for frozen shoulders also improve flexibility and extent of motion and lengthens muscle fibres.

However, while doing self massage for frozen shoulders, be careful as these movements can also increase pain. With proper guidance, these exercises would improve the equality of your daily life activities. If you are facing a frozen shoulder issue, then visit Germanten Hospital now. 


22 Feb 2023
knee replacement revision surgery

What Is Knee Replacement Revision Surgery?

What is knee revision surgery?


When the knee replacement surgery stops functioning correctly, a revision knee replacement surgery is performed. This surgical procedure involves the replacement of the old device with a new one.

One should take revision surgery seriously. It is supposed to be more complicated than a primary total knee replacement. Moreover, it involves almost the same risks. It is estimated that many total knee revision surgeries occur within two years of the initial knee replacement. 

What makes revision knee replacement more complicated than initial surgery? 

The initial knee replacement provides a lifespan of around 20 years, but the same is not true for revision knee replacement surgery. The performance gets reduced by accumulated trauma, scar tissue, and mechanical breakdown of components. Moreover, the chances of complications are also high. 

The complications arise as the best knee revision surgeons have to remove the original implant, which grows into the existing bone at a given time. Also, with the removal of the prosthesis, only a little bone remains. 

In some instances, a bone graft is required for a new prosthesis. It involves transplanting a piece of bone from another part of the body or a donor.

Bone graft provides support and leads to new bone growth. The procedure requires additional preoperative planning, specialised tools, and exceptional surgical skill. It takes much more time to perform knee replacement revision surgery than a primary initial knee replacement.

You will find some specific symptoms that indicate the need for knee replacement revision surgery. These include:

  • Reduced stability or function in the knee
  • increased pain or an infection 
  • a bone fracture or implant device failure
  • Pieces of the prosthetic device can break off, and the particles can accumulate around the joint.


Reasons for a Revision Knee Replacement 

Short-term revisions: Infection, failed procedure that leads to implant loosening, or a mechanical failure

Infection can start showing itself within days or weeks of surgery. It can also occur many years after surgery. 

Infection after the knee replacement generates severe complications. The bacteria that accumulates around the wound or inside the device is the reason for this Infection. It can also be caused by contaminated instruments or by items in the operating room. However, Infection is rarely caused in the operating room as extreme precautions are taken. Infection buildup fluids, and hence a total or partial knee revision surgery is required.

Unusual swelling, tenderness, or fluid leakage are the signs of Infection, and one should immediately contact the best knee revision surgeons. Your surgeon will examine your knee, which includes X-rays and other imaging tests such as CT or MRI scans. It provides information about bone loss and determines if you are suitable for a knee replacement revision surgery.

An aspiration procedure is performed if fluid buildup around the artificial knee. The fluid is examined in the lab to understand the type of Infection and if other treatment steps are in order.

Long-term revisions: pain, loosening due to wear of mechanical components, stiffness, dislocation

Long-term wear and tear of the implant occur over the years. A well-researched statistics on the long-term knee revision surgery rates for knee replacement showed results of 2 per cent for five or more years in 2004. As of 2011, the revision rate is 6 per cent after five years and 12 per cent after ten years. It has also been found that the rate of total and partial knee revision surgery for all age groups within five years of surgery is about 77 per cent. This rate increases to 10 per cent for patients 65 and older.

The long-term total knee revision rates data varies due to several factors, such as age. The chances for revision are lower for younger people. To reduce future problems, try to maintain weight and not indulge in activities such as running, jumping, and high-impact aerobics that cause stress on the joint. 

The aseptic loosening procedure breaks the bond between the bone and the implant as the body attempts to digest the particles. At this time, the body begins to digest bone, known as osteolysis. This causes weakened bone, fracture, or problems with the original implant.


Visit Germanten Hospital now if you are looking for the best knee revision surgeons.  


13 Feb 2023

5 Tips for a Successful Total Hip Replacement Recovery

Hip replacement surgery recovery tips

A hip replacement is one of the common and life-altering operations. It helps patients get back to normal life and improves their quality of life. Suppose you are considering or have undergone hip surgery. In that case, you should know about the important hip replacement tips that can help you understand how to support yourself during the recovery phase.

Here are some of the hip replacement recovery tips recommended by specialists to help with successful recovery from hip surgery:

  • Prepare your home in advance

    Before surgery, one of the basic hip replacement recovery tips is rearranging your home to access all the necessities easily. Most importantly you will have to reorganise your kitchen and bathroom. Keep all the important things at the waist level and within easy reach.

    After coming home from surgery, you will need assistance with household chores like cleaning, cooking and shopping. Talk to your friend or family in advance to help you out for a few weeks after the surgery.

    Another hip replacement surgery recovery tips is to go shopping before surgery to buy a perching stool or chair. You will need it to move around and complete tasks. The perching stool has a seat that slopes and also has armrests. Using this type of stool can make the everyday activity less strenuous. 

  • Take some time off from work.

    The recovery time depends on how you manage the phase and what hip replacement surgery recovery tips you follow. Giving yourself enough time to recover before continuing your regular activities is very important. It is expected to have three months for rehabilitation after the operation. If you have a physically demanding job, your return to work may take longer.

    Moreover, your travel convenience is also a factor to consider while looking for hip surgery recovery tips. It is best to explore a different way of working for a smoother and quicker recovery. Plan this before the surgery to avoid any issues after the operation.

  • Rest, recovery and gentle exercise

    Patients tend to minimise their movement as much as possible after the surgery. Though taking adequate rest for recovery is important, moving is also important. If you stay still for too long, your body can become stiff, impacting your recovery and increasing the time.

    Therefore one should do gentle exercises like short, gentle walks in and around your home. Supervised physiotherapy, like rehabilitation programmes and hydrotherapy, includes hip surgery recovery tips.

    Consult your orthopaedic care team to support you with exercises. It is important not to overdo exercise as it could lead to more pain and loss of confidence. Hence a balance between rest and exercise is vital.


  • Nutrition plays a major role.

    A healthy and balanced diet is a key hip surgery recovery tip. After surgery, the body needs to heal, and for that, it needs a varied diet. It boosts the healing process. Nutrients such as protein, fats, carbohydrates, vitamins and minerals must be present in your diet. Moreover, one should not try to attempt weight loss during recovery.

  • Think about your holidays and travel plans


  • Lying

    For the first six weeks after surgery, you should refrain from flying. You can fly short-haul after some time, but long-haul should completely be avoided for three months. Sitting for too long can increase the chances of developing Deep Vein Thrombosis (DVT) in your legs.


  • Driving

    This is the basic hip replacement recovery tips you should follow if you drive. You should check with your insurance company if your policy covers you driving following a surgical procedure. You might not be insured to drive for some weeks.


You can consult with your surgical team about your after-surgery pain medication and hip replacement tips. It is important not to drive at all on strong painkillers. 

You start driving again after six weeks. In any case, one should be aware that reflexes can get impacted just after surgery. So take a comfortable position in your driving seat where you can perform an emergency stop.

These are some of the important hip replacement recovery tips that you should follow for quicker recovery. To know more about hip replacement tips, consult the doctors at Germanten Hospital. Book your appointment now.  


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