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21 Jan 2023
What is spinal fusion surgery

What Is Spinal Fusion Surgery and How Long Does It Take?

What is spinal fusion surgery?

Before understanding the question, it is important to know about the structure of the spinal cord.

The spinal cord is composed of nerves that carry impulses from the body to the brain. Vertebrae are the bones we call the backbone that protects the spinal nerves.

In some cases, the spine and vertebrae column might get affected due to natural reasons or accidents resulting in spinal cord instability.

How will spinal fusion surgery improve my condition?

 Lower back surgery can reduce pain caused by:

  • Degenerative disk disease or bad back: In between our vertebrae discs are cushions which prevent friction. With age, these cushions wear out, resulting in severe pain. It might need lower back surgery.

  • Spondolyolethesis: Commonly known as spondylolysis, Spondlysis is the fracture of the vertebrae. It is caused due to sports injury or continuous stress on the lower back due to poor posture or continuous sitting. It causes weakening and shifting vertebrae. The stage where the vertebrae start shifting is known as spondylolisthesis. 


  • Spinal stenosis occurs due to the narrowing of the spinal column and causes severe pain. 


  • Scoliosis: It is the curving of the side of spines from side to side, usually found in children.


  • Fracture in vertebrae: The broken vertebrae would cause immense pain due to trauma or osteoporosis.


  • Herniated disc: The vertebrae are covered with cartilaginous cushions at the back. The slipping and displacement of these cushions can result in the bulging or rupturing of the disc, causing severe pain.


  • Tumours in the spinal cord would also need lower back surgery.


The doctor can provide a treatment plan after diagnosing the condition.


How long would spinal fusion surgery take?

The time taken for spinal fusion surgery depends on the number of fused vertebrae and the extent of the damage. It also depends on the type of disease behind the vertebrae condition.

The Spinal fusion surgery may take anywhere between three to seven hours.

What to expect after spinal fusion surgery?

After the surgery, you would have to stay in the hospital for one to three days. The pain is controlled through medications. If you are facing any of these procedures after your spinal fusion surgery, contact your doctor immediately:

  • Drainage oozing out of the wound
  • Redness at the operated site
  • Tenderness and inflammation
  • Chills and shivering
  •  Fever with a temperature of 100.4 degrees or more


Also, it is important to understand that the surgery is a time taking procedure. l4 l5 surgery recovery time might take months, and you would need to wear a brace for proper alignment and posture of the spine. 

Physical therapy during the l4 l5 surgery recovery time has shown benefits.

Tips to follow for faster recovery from spinal fusion surgery

It is necessary to take good care of your spine after the surgery. You should rest completely to allow the body to heal and recover completely. The doctor and the paramedic teams would provide instructions and follow these tips too:

  • Align with the treatment plan and pace slowly. Do not enforce anything.
  • Wear your brace from time to time and other assistive materials. If the physical therapist has given you braces, make sure to wear them. It would help reduce the pressure and help the spine get strength and stability.
  • Do light physical activities. Take a walk, and do light stretches while following your physical therapy to help your body recover.
  • Restrain from smoking. Smoking interferes with the body’s healing, so avoid smoking before and after the surgery.
  • Consume a balanced diet. Give your body all kinds of macros and micros by consuming a balanced diet.
  • Use a hot and cold compress. Hot showers, heating pads and cold compress can be a soothing experience during recovery.
  • Sleep in a comfortable posture. Sleep on your upper back with your head and shoulder in a slightly elevated position with the help of pillows or a blanket under your knees. It would help in reducing pain and help you in resting properly.
  • Sleep well. Sleep is an important part of the healing process, so avoid late nights while l4 l5 surgery recovery time.

To make the recovery period quick and easier after the spinal fusion surgery, it is best to consult your doctor and follow their advice. 

If you are looking for spine  surgery, the experts at Germanten Hospital might be able to help you with little to no complications. So book an appointment at Germanten today!


08 Jan 2023
6 Do’s and Don’ts After Knee Surgery

6 Do’s and Don’ts After Knee Surgery

The recovery period after the acl surgery swelling can be challenging and painful. It is important to remember that phase during recovery is just as crucial as during the surgery. 

To make your recovery period easier, here are some do’s and don’ts that you should follow after ACL surgery swelling


  1. Take rehabilitation seriouslyFollowing your doctor’s prescription carefully after the acl surgery swelling is vital. One should perform all the exercises they have been asked to do, no matter how uncomfortable. It is common to experience pain initially. Doctors say the positive result after knee surgery depends 50% on the patient’s willingness. Take medications on time and get proper sleep for quick healing.
  2. Use ice and heat therapy.Swelling tends to last for 3 to 6 months after knee surgery. Thus, using ice packs is recommended as they can reduce inflammation. For the first few days, using the packs for 10-20 minutes, three to four times daily, is best to reduce swelling in the knee quickly. Once the swelling reduces, alternate ice and heat therapy is recommended to ease the stiffness and relax the muscles.
  3. Follow healthy routineA healthy routine and lifestyle are required for quicker healing. Smoking slows down the recovery process as it shrinks the blood vessels. Therefore if you smoke, try to quit after the surgery. Moreover, it is also recommended to quit alcohol if you are taking painkillers or blood thinner medications. Keep your weight balanced, as the extra weight will put more pressure on your knee. It is also best to strengthen leg muscles to enhance blood flow. Ask your doctor about the low-impact activities you can indulge in after the acl surgery swelling.
  4. Don’t put stress on the knee.Gaining weight or lifting heavy objects will put pressure on your knee; hence avoid it. While turning, turn your entire body, do not just twist your knee. Take care of your posture while sitting, bending or kneeling to reduce swelling in the knee quickly. It is best to consult your physical therapist to avoid any mishappening by disproportionate posture.
  5. Don’t undergo any surgical procedure while recovering.Surgical procedures while you are in the recovery period can lead to infection. Therefore it is advised to avoid consulting your doctor before any dental work or surgery, especially on the bladder or intestine.
  6. Keep going!It is important to remember that every surgery is different, and people react towards it differently. For some, the rate of recovery is faster and for some slower. It usually depends on the body type of a person. Hence try to be patient during the recovery after the knee surgery.


If you experience any problem after knee surgery, consult your doctor immediately. They can help you by providing effective treatment or precautionary steps to reduce swelling in the knee quickly


What not to do after ACL surgery? 

Taking precautions after knee replacement surgery is very important. It helps in quicker and easier recovery. Here are some of the things that are recommended not to do after ACL surgery.  


Firstly in the hospital, try not to escape the bed alone. Ask for assistance, and immediately trying walking is the first thing not to do after ACL surgery. 


At home, try not to: 


  • Do not skip any of your exercises
  • Do not walk on the slippery floor without socks or skids
  • Do not sit on soft coaches
  • Do not walk without a suggested walker or cane
  • Do not walk at night without a nightlight
  • Do not indulge in activities while on medications for pain
  • Do not drive until told by your doctors
  • Do not give up
  • Do not put pressure on your knee
  • Do not dismiss the pain. 


Following these steps and taking necessary precautions after knee replacement surgery helps with better recovery. Also, during the recovery phase, it is best to have someone with you who can aid you with all the day-to-day activities and avoid putting strain on your knee. 


 If you want to undergo knee surgery or look for an experienced surgeon to understand all about knee surgery recovery, visit Germanten Hospital. It has all the required amenities from experienced doctors, dedicated medical staff and advanced medical technology. Book your appointment now to get effective and safe treatment. 


31 Dec 2022
Does stifness in fingers mean arthiritis

Does Stiffness In Fingers Mean Arthritis?

Stiffness In The Fingers In The Morning

Having stiff and swollen fingers in the morning is quite familiar to people of all ages. It can even be a cause of loss of mobility in your fingers in your daily routine. Although most people think that it is primarily due to arthritis, there can be other reasons. Therefore, a doctor will be able to provide you with treatment only after a thorough diagnosis. Here are a few symptoms of stiff and sore fingers in the morning: swelling, warmth in the area, mild to excruciating pain, redness, bruising, etc. 


Here are a few causes of stiff finger joints in the morning:

  • Arthritis: One of the most common orthopedic problems is arthritis, and it is considered a prevalent cause of stiff fingers. If the stiffness is due to this condition, it might get worse gradually. There are five forms of arthritis. The doctor will provide you with a suitable treatment based on a thorough diagnosis for the type. Then, there’s rheumatoid arthritis, an autoimmune disorder in which the body’s immune system attacks its healthy cells. As this condition gets worse with age, an early diagnosis is key to treatment. When it comes to arthritis, along with stiff hands in the morning, you might feel swelling, excruciating pain and lack of mobility in your knees and other load-bearing joints. 


  • Dupuytren’s Contracture: It is a medical condition in which the collagen tissues under the skin of your palm gradually get thick and tight. It is also known as palmar fibromatosis. A cord-like structure might form due to the knots in the collagen tissues, which might pull your finger, causing a bend, resulting in stiffness. Although the most frequently affected fingers are your ring finger and pinkie, they might slowly spread around if not treated in time. Symptoms other than stiff fingers include the formation of lumps of tissues in your palms and having dimples or marks on the skin of your palms. 


  • Stenosing Tenosynovitis: It is a medical condition that causes inflammation in the protective sheath over the tendons in your fingers. Another name for this condition is trigger finger. Your finger might lock in a particular position instead of free motion. It tends to cause excruciating pain when you try to bend or move your fingers. 


Your fingers may feel stiff in the morning due to several reasons. But the true cause will be known only after a thorough diagnosis by a doctor. 




The first step in diagnosing a particular condition is usually a session of physical exam or consultation. In this session, the doctor might ask you a few questions about your symptoms, their extent, activity level, any accident you might have been involved in, etc. They will also check your fingers and see the range of motion to examine the symptoms firsthand. 

After that, they might recommend some diagnostic tests to pinpoint the exact cause of your afflictions. Firstly, there will be a regular X-ray to check for any damages or irregularities in your bone structure. Then, in rare cases, the diagnosis might go further with tests like CT scans and MRIs.

Then, the doctor will avail you of a treatment based on the diagnosis. 

So you might want to have an early consultation to ensure that the treatment is provided as soon as possible. 




The treatment of your stiff fingers will depend upon the cause to a great extent. But here are a few common treatments for this affliction:

  • Home remedies: You could try heat packs and ice packs to soothe the pain in your fingers. Then there are anti-inflammatory medications you can buy OTC to have some relief from the pain. 
  • Cast: The doctor might wrap a cast in case of a fracture. 
  • Surgery: Surgery might be the answer in severe cases. 

Having stiff fingers is quite common but can be pretty painful, and as mentioned earlier, it can be due to several reasons. So have a proper diagnosis to ensure a suitable treatment. If you have any more queries like “Why are my fingers stiff in the morning?” you might want to have a consultation with the doctors at Germanten Hospitals. So book your appointment today!




Germanten Hospital has been one of India’s leading facilities for various medical treatments. Under insightful leadership, we have acquired excellence when it comes to treatments in neurology, plastic or cosmetic surgery, orthopaedics and reconstructive surgery. 


Dr. Mir Jawad Zar Khan has led our hospital to the forefront of the medical industry. He has experience of 22 years in orthopaedics. His alma mater is Osmania University, where Dr. Jawad achieved a gold medal for his excellence in education. He then completed advanced training in the USA and Germany. 


Dr.Mir Jawad Zar Khan was awarded the Times of India Award of “Iconic Joint Replacement Surgeon Of Telangana” by the State Hon’ble Governor Dr. Tamilisai Soundararajan and Germanten hospital has been ranked by “All India Lifestyle Hospital & Clinic Ranking Survey 2022” among the top orthopedic hospitals India. 


We have gained access to state-of-the-art medical technology and the latest advanced equipment, which has proven to be quite beneficial for our patients. 


24 Dec 2022
what is the latest knee replacement surgery

What is the latest technology in knee replacement

In the past 20 years, knee replacement techniques have witnessed significant advancements in terms of patient outcomes as well as cost-effectiveness. Techniques like Total Knee Replacement surgery have made many advancements, but technological advances are going forward.

In this article, we’ll look at the new knee replacement technology in 2020, along with other developments. In addition, the article will discuss the latest advancements in total knee replacement surgery and the latest robotic total knee replacement procedures.

New Knee Replacement Technology in 2020


  • Minimally Invasive Surgery (MIS)

It also includes one of the most advanced advancements regarding knee surgery. Experts agree that MIS is a significant advancement in care for patients in the hospital. MIS has transformed orthopaedic surgery, and the patient benefits are indisputable.

Many general surgeons are hesitant about the method of minimal surgical intervention. It involves using micro-incisions as well as the use of small tools that make it much easier to perform the process of joint resurfacing.

In addition, surgeons who use techniques may be accountable for less blood loss. As a result, there is no need for drains or sponges, and a shorter hospital stay with less pain, a faster recovery, less scarring, lower risk of infection, a faster return to work, lower rates of readmission, a better quality of life, and a better appearance.


  • Total Knee Arthroplasty (TKA)

It is a highly effective treatment for severe osteoarthritis. The most recent advancements in TKA can result in successful outcomes in return to daily activities, high survival rates and complete functional improvement. In addition, the most recent developments focus on improving patient satisfaction following TKA and Total Knee Arthroscopy.

The latest technologies are being integrated into instruments specific to patients, such as advanced surgical tools, computer-assisted surgeries and navigation. To personalise the surgery and increase the precision of the process. New knee replacement technology in 2020 involves surgical plan-of-action in 3D and enhances alignment stability. 

  • New Robotic Knee Replacement Surgery

The new robotic replacement uses the same procedure as the total knee replacement procedure we have all learned. The difference is that it’s performed using a modern robot arm which performs the total knee replacement procedure with great precision. As a result, the latest robot type of knee replacement offers superior results, greater accuracy and faster time for recovery.

This surgery creates excellent stability within the soft tissues around the knee joint and improves joint alignment.

Different type of knee replacement robotic surgery


  • Mako Robotic Assisted Knee Surgery

It could help surgeons see their pins when the pins are placed. A fluoro intra-operative system is included in the procedure. It permits the direct placement of staples in a virtual 3D-CT model. It makes Mako robotic surgery possible. The device has 6 joints, 2 pulleys and four motors powered by electricity. In contrast, the average Mako arm has only 5 degrees of flexibility.

A prototype kinematics system designed to work with the conventional Mako arm. It comprises two driven pulleys with servo motors and two active belts. Lead screw with position sensors permits the precise location of pins by measuring their position about kinematic reference points on the Mako’s arms. Pins can be precise without depending on precise information about the original surgical cut or template.

  • Navio Cori Surgical Systems

Navio Cori can be described as a computer-controlled robot explicitly designed to perform orthopaedic surgery. It’s built using open-source software and hardware components that provide benefits for surgery. For example, the human body concentrates on particular soft tissue anatomy, such as the Medial Femoral Condyle. This robotic system allows precision robotic drills for bony preparation to millimetre precision. As a result, it ensures more effective treatments and improved clinical outcomes. These benefits weren’t available with any medical equipment. This type of knee replacement is recommended for patients with the following:

  1. Complex degeneration
  2. Femur deformities after injury
  3. The hardware from the previous surgery

Patients who opt for total knee replacement surgery that is traditional could also choose the robotic replacement of knees. This type of surgery is perfect for patients with complex joint problems.

New knee replacement technology in 2020 is undergoing rapid advances in the coming years. All surgical procedures will be performed using robotic technology that can provide superior outcomes. And shorter recovery times. 

18 Dec 2022
6 Natural Home Remedies for Knee Pain

6 Natural Home Remedies for Knee Pain

You can manage knee pain treatment at home if you suffer from minor to moderate knee discomfort. It could be due to a strain or arthritis issue; there are various ways to deal with it.

Inflammation or arthritis, or even a minor injury, can usually heal without medical intervention. However, the knee pain home remedies you can use can boost your quality of life and assist in managing the symptoms. Here are six solutions for knee pain treatment at home.

  • Use RICE to help with strains and sprains.

If you’ve bent your leg, suffered a fall or otherwise strained or injured your knee, it’s helpful to keep in mind “RICE”, which is one of the effective home remedies for knee pain:

  • Rest
  • Ice
  • Compression
  • Elevation

Take your feet off and apply an icy compress or bag of ice on your knee. Frozen vegetables, like peas, can also be used even if there is no ice in your fridge.

Apply an elastic bandage to reduce inflammation; however, not to that it blocks circulation. When you’re sitting down, keep your feet in a position that is elevated.

  • Tai Chi

Tai chi is a traditional Chinese exercise for the mind and body that helps improve balance and flexibility.

In a study from 2009, the researchers discovered that Tai Chi is particularly beneficial for those suffering from osteoarthritis (OA). Tai Chi can alleviate pain and improve the range of motion. It also requires deep breathing and relaxation. These practices can help to reduce stress and assist you in managing knee pain treatment at home.

  • Exercise

Regular exercise is a great way to strengthen your muscles and keep them mobile. In addition, it’s an essential tool in managing OA and other reasons for knee pain.

The rest of your leg or restricting movement can help prevent discomfort, but it may cause stiffness in the joint and make it harder to recover. In addition, insufficient exercise could increase the likelihood of joint damage if you suffer from OA.

Low-impact activities are a great choice for knee pain treatment at home, including:

  • cycling
  • walking
  • exercising in the water or swimming
  • Tai Chi or yoga

But you might need to take a break from exercising if you suffer from the following:

  • A sprain, for example, an injury such as a sprain or strain
  • extreme knee pain
  • an increase in symptoms

If you can resume your activity after an injury, pick the more gentle approach you usually employ. Consult your physician or physical therapist to assist you in creating a plan that is suitable for joint knee pain remedies. You can then modify it as your conditions alter.

  • Weight Management

Obesity and weight gain can cause extra pressure on your knee joints. As per the Arthritis Foundation, an additional 10 pounds of excess weight can create between 15 to 50 pounds of pressure on the joint.

If you have a chronic health issue that causes knee pain, weight management is one of the best home remedies for knee pain.

If you are suffering from knee pain and have an elevated BMI, your physician can assist you in setting a weight goal and creating a strategy to help you achieve your target. It could include diet adjustments and physical exercise.

  • Heat & Cold Therapy

Heating pads can ease discomfort while you rest your knee. In addition, cold treatment can help reduce inflammation and is good joint knee pain remedies. Alternate between warmth and cold. You can apply heat for between 20 and 30 minutes in a stretch. Avoid using the therapy of heat if your joint is hot in the course of a flare. Ointments containing capsaicin and paraffin are two other methods of cold and heat.

  • Herbal Ointment

In a research study, scientists looked into the effects of pain relief the salve composed of:

  • cinnamon
  • ginger
  • Mastic
  • Sesame oil

The study found that salve is exactly as effective as prescription creams for arthritis that contain salicylate. An application for pain relief.

A few people believe these types of knee pain home remedies are effective, but there’s no evidence to establish that any herb-based therapy can significantly affect knee pain.

It is recommended to consult your doctor or pharmacist before making any other alternative knee pain home remedies.


11 Dec 2022
How to sleep with herinated disc and sciatica

How to sleep with herniated disc and sciatica

Sciatica is caused due to impingement on your sciatica nerve. It’s typically due to an injured disc in the lower back of your body. The most common sign of sciatica is intense pain in the nerve. The pain usually ranges from moderate to severe and usually is felt on one side.

Best sleeping position for sciatica

  • Keep your eyes on yourself.

Sleeping on your back can ease discomfort by relieving pressure off your nerves that are irritated.

How to set up:

  1. Lay on your bed on your side with the injured part placed on the top for the sleeping position for sciatica.
  2. If there’s a gap between the waist and the mattress, place it on a pillow to help reduce the side bend.
  • Put a pillow between your knees.

A pillow between your knees can help keep your spine and pelvis in a neutral posture. It also stops your legs of yours from pivoting throughout the night. Hence it is an accurate sleeping position for sciatica

How to set up a sleeping position for sciatica:

  1. Begin by placing your shoulder on the mattress, then place your entire body on your mattress.
  2. Relax your knees and place them on a thin pillow between them.
  3. You could also place a small pillow under your waist if there’s space.
  • Fetal position

The fetal position can open up the space between your vertebrae. It can help relieve back pain that is caused by herniated discs. But, some experience pain that is worsened by it.

If you feel uncomfortable in the fetal posture, consider one of the alternatives on this list.

How to set up sleep for herniated disc:

  1. Relax on your side and raise your knees towards your chest until your body forms a “C.”
  2. You could also put pillows between your knees or beneath your waist.
  • You can lie on your back by having a pillow between your knees

Laying back on your back can help to distribute your weight evenly over your back and hence is a good position to sleep with lower back pain and sciatica. In addition, placing a pillow of a suitable thickness between your knees can assist in maintaining the curvature of your spine by stretching your hips.

How to set it up:

  1. Relax on your back with an extra pillow on your head for assistance.
  2. Place one or two pillows beneath your knees. Then, place your legs comfortably against your mattress.
  • You can sleep on the floor.

How to set up a sleeping position for slipped disc:

  1. Set up a thin mat, like a yoga mat or a camping mat, on the ground where you plan to lay.
  2. Lay down in any of the above positions or wherever you feel comfortable.

The softness of the surface could cause the spine to move out of alignment. However, sleeping on the floor can help you maintain your spine in a straight line

How to sit and sleep with a herniated disc

A herniated disc may occur at any point along the spine from the neck down to the lower back. It is typically the result of age or something as easy as a strong sneeze, lifting heavy objects, or sleeping in a slouchy place.

Better options are sleeping on your back or side to sleep with lower back pain and sciatica. Side sleepers can put a cushion between the knees to relieve any strain on the hips or lift their legs with a pillow. You could also put an unrolled towel between the waist of your body and the mattress while lying on your back. Always lie on your side so that it doesn’t cause any discomfort.

The ideal sleep with a herniated disc would be lying on your back. The position of lying on your back will keep the spine and vertebrae in an even posture and reduces the risk of squeezing the nerve. To increase comfort, place the pillow or towel between your knees and lower back to sleep with lower back pain and sciatica. A wedge-shaped pillow that elevates your ankles and legs can reduce the burden on your herniated disc and is an ideal position to sleep with a herniated disc

06 Dec 2022
What helps with hip replacement recovery

What Helps with Hip Replacement Recovery?

One of the most commonly performed elective surgeries is total joint replacement, including hip replacement. 

Total hip replacement surgery or arthroplasty is the surgical procedure in which the damaged ball-and-socket hip joint is replaced by an artificial joint made of metal or synthetic material. 

The surgery is performed to provide relief from arthritis, osteoarthritis, rheumatoid arthritis, and from various other hip-related issues. It helps to restore the range of motion in the joint. The surgery is only performed after conservative measures have failed to treat the underlying pain or mobility. Some of the conservative hip treatments are: 

  • Pain medication
  • Physical therapy
  • Therapeutic exercise 
  • Stretching
  • Weight Management

Total Hip replacement surgery recovery time varies from one person to another. However, knowing what to expect from the recovery will help you plan effective outcomes. 

How to prepare for recovery?

During hip replacement surgery recovery time, one needs to be patient. There are various instructions that one needs to follow after the surgery. However, preparing before the surgery will help you to make the hip replacement surgery recovery time smooth. 

Before the Surgery

Steps to take before the surgery that helps to make total hip replacement surgery recovery time easier are: 

  • Undergo a physical therapy program to strengthen the muscles around the hip. 
  • Arrange a help who can assist you after the surgery. 
  • Make changes in your home arrangements to make sure that you carry on with your daily activities after the surgery safely and efficiently. Start with putting a seat in the shower or bathtub. Install a hand-held shower. Apart from that, remove things that you can trip on and fall. 
  • Consult your surgeon about what to expect and what issues to look for after the surgery. 
  • If you are overweight or obese, then lose weight before undergoing surgery. 

After Surgery 

Following your healthcare provider’s instructions after the surgery is one of the most vital things. The more you follow their instructions, the easier the recovery will be. 

  • Wound Care
    Always keep the wound area dry and clean for at least 3 weeks after the surgery. After that, you can either change the dressing or ask your caregiver.
  • Exercises
    Physical therapy starts right after the surgery. Being consistent with the exercises after hip replacement is key to leading a safe, effective, and quick recovery phase. Your physical therapist will put together the most effective exercise routine for you. You will need to perform the exercises after hip replacement 3 to 4 times a day for various months.  

The simple exercises you do can be particularly beneficial following surgery to prevent blood clots and improve your recovery.

Ankle pumps: When sitting on the back, slowly move your foot upwards and downwards repeatedly. Repeat this exercise for one foot, and repeat it with the second. Repeat the exercise as many times as possible every 5-10 minutes.

Ankle rotations: When lying back on your back, rotate the ankle towards your body and then back towards your other foot. Perform this exercise on one foot and, afterwards, the other. Repeat five times, three or 4 times per day.

Knees bend: When lying back, bend your knee while keeping your heel on the mattress. Move your foot towards your buttocks while keeping your knee straight. Keep your knee bent for 5-10 seconds before resetting it. Repeat this exercise for one knee, and then repeat it for the other. Do this 10 times. Repeat 3-4 times a day for both legs.

Make sure you work closely with your physical trainer to keep up with the number of exercises after hip replacement you’re performing.

Take a walk frequently

One of the most effective methods to increase your fitness is to walk. In the beginning, you’ll use the walker and, later, aid for stability. As per the American Academy of Orthopaedic Surgeons, it is possible to begin walking for 5-10 minutes at a stretch three or four times per day. When your strength grows, you can increase the duration from 20-30 minutes per session to 2-3 times per day.


After recovering from your injury, you can begin a routine maintenance regimen that will require walking for 20-30 minutes at a time, three or four times per week.

Visit Germanten Hospital to know more. 


29 Nov 2022
How long does it take spinal surgery

How long does it take to walk after spinal surgery?

The recovery time required after a lumbral depression surgery depends on your fitness level. Hence, it is recommended that the patients have a physiotherapy session before undergoing surgery.

On the day of surgery, after the procedure is done, it is recommended for the patient to walk and move around. You would be discharged around 1 to 4 days after the surgery.

Spinal cord surgery recovery time is anywhere between 4 to 6 weeks. After that, you will have a relaxed level of mobility. The spinal surgery recovery time mainly depends on the severity of the injury and symptoms before the surgery.

After you wake up from the lumbar decompression surgery, you will feel soreness in your back and will have one or more tubes attached to the body. It would include the following:

  • Intravenous drip would ensure hydration levels in the body.
  • Drain to remove any excess fluid from the body.
  • A thin, flexible tube ( catheter) is inserted in the urethra if you face micturition issues.
  • Pump to inject painkillers directly into the veins.

These tubes remain attached to the body for a short time after surgery.

Immediately after the surgery, you would experience some extent of pain in the area. Pain relief medicines would be given during the spine surgery recovery time. You would notice an immediate improvement in the original leg pain, but if you don’t see so, inform the doctor.

Usually, very few people face problems in their postoperative period. It is mostly temporary, but in rare cases, if nerve damage occurs, it can interfere with bladder and leg movements. During the spinal surgery recovery time, make sure to inform each detail to the doctor.

The pain would decrease in around 6 weeks of the spine surgery recovery time to disappear completely.



Doctors might do stitches or staples to close the cuts and incisions on the surgical site. Stitches done in deep layers of the skin would dissolve themselves and don’t need to be removed. Instead, the non-dissolvable stitches would be removed 5 to 10 days after the surgery.

The stitches are covered by simple adhesive dressing like plaster. Make sure to keep it dry. After the stitches are removed, you can usually take a bath.



After the surgery, the doctor would want you to move around and walk for a smooth and shorter spinal surgery recovery time. Inactivity can cause blood clot development in the leg (DVT). 

After the surgery, a physiotherapist would help you regain strength and movement after the surgery. In addition, they would train you with some exercises and activities, which would help in faster spinal surgery recovery time.

At home


It takes 1 to 4 days for the patient to return to their home. The time duration of hospital stay depends on the extent of the surgery, your health conditions and the rate of spinal cord surgery recovery time.

Remember to keep your activity level as instructed when you are at home and then gradually increase it. You would require help in the first week after the surgery. Having an active routine would facilitate the spine surgery recovery time. Follow all the instructions of the doctor and physiotherapist. Avoid sitting or standing in the same posture or position for more than 15 to 20 minutes, as it can make your muscles stiff and sore. 

Walking is an easy way of maintaining an active routine. Avoid getting into heavy weight lifting, sudden twists and jerks to the muscle when performing daily activities. Instead, increase your limits and the extent of work at a slow pace.

After the surgery, you would have to go for follow-up appointments during your spinal cord surgery recovery time. It is done to check the progress of the operated area and look for any symptoms or infections in the wound area.



You can resume your work after your doctor has allowed you. It depends on the rate of your recovery as well as the kind of job you do. For low-activity level jobs, you can resume your usual routine 4 to 8 weeks after the surgery and 3 to 6 months for high-level physical activity jobs.


If you follow these tips, you can speed up the recovery time. Contact your doctor for any queries. 


19 Nov 2022
How to release frozen shoulder

How to release a frozen shoulder

Whether fastening a bra or taking a book off a shelf, even the simplest activities seem impossible when you have a frozen shoulder. Let’s know what exactly frozen shoulder is.

Frozen shoulder (adhesive capsulitis) is a disorder that causes stiffness and pain and hinders the range of motion in the shoulder. This disability can be hazardous and tends to worsen if not treated early. Women aged 40 to 60 are more prone to have frozen shoulders than men.

The cause of frozen shoulder is not understood completely, but an inflammatory process is probably involved. Due to the immobility of the shoulder for a long duration by injury or illness, freezing occurs in the shoulders. Fortunately, the affected shoulders can be unfrozen though it costs time and a lot of self-help.

The shoulder is a part that has a maximum range of motion. It pivots mainly on a ball-and-socket joint called a glenohumeral joint. It joins the top of the humerus to a scooped-out part of the scapula called the glenoid cavity. 

Anatomy of a frozen shoulder

Anotomy of frozen shoulder

Usually, the head of the humerus moves smoothly in the glenoid cavity, a depression in the scapula. The frozen shoulder occurs when the capsule that protects the glenohumeral joint contracts and stiffens. Adhesions may also form between the head of the humerus and the joint capsule. 


How does a frozen shoulder happen?


After an injury or inflammation of the soft tissues, primarily because of bursitis or tendonitis of the rotator cuff, the process of a frozen shoulder begins. The inflammation causes pain, which worsens with the disability of shoulder motion.

When the shoulder gets immobilised, the connective tissue surrounding the glenohumeral joint thickens and contracts, thus losing its capacity to stretch. If it is tried to avoid the pain due to shoulder movement, it further leads to capsule contraction. There is a space constraint in the humerus to move in, and the joint may lose synovial fluid, which is the reason behind its lubrication.

It may take two to nine months for a frozen shoulder to develop. Though the pain can gradually increase, stiffness continues, and the range of motion is limited unless pain relief for a frozen shoulder is utilised. 

In the next paragraph, let us know how to cure frozen shoulders quickly and regard pain relief for frozen shoulders.

Frozen shoulder treatment


If you are looking for how to cure a frozen shoulder quickly or remedy a frozen shoulder, read below.

If you feel you have a frozen shoulder or you are developing one, visit your clinician for a physical exam for the frozen shoulder treatment. The clinician will ask you to perform a set of activities involving shoulder movement, such as touching the opposite shoulder by reaching across the chest. Next, they may take an x-ray scan to ensure no problem, such as arthritic changes. Finally, an MRI is ordered to check for a rotator cuff tear.

Relieving pain and restoring the normal range of motion are the main focus areas of frozen shoulder treatment. In addition, the clinician may advise an anti-inflammatory medication. Applying an ice pack or frozen bag to the shoulder for 10 to 15 minutes many times a day is pain relief for a frozen shoulder. You may also be given the corticosteroid injection into the soft tissues or shoulder. Ultimately, it is physical therapy, concentrating on stretching the joint capsule and strengthening it for an effective frozen shoulder treatment. A physical therapist will guide you regarding exercises. Once you learn them, you can practice them on your own.

Once you begin to work out to stretch the shoulder capsule, you should abstain from any activities that need overhead reaching, lifting, or anything similar. If you regularly exercise as per the physical therapist’s guidance, you will soon be able to resume your activity. Getting recovered from frozen shoulders takes time – maybe two to three years. If you see no progress, get back to your clinician or consult a shoulder expert to cure a frozen shoulder quickly. Rarely it requires surgery. It is how a frozen shoulder treatment is done.

Contact Germanten Hospitals for solutions to your frozen shoulder-related problems.


13 Nov 2022
Diet plan after knee replacement

Diet plan after knee replacement Surgery

Now that we are getting into things needed after knee surgery, Also known as arthroplasty, knee replacement is a surgical procedure meant to replace a knee joint’s weight-bearing surface. All of it happens to relieve disability and pain.

After Knee Replacement Surgery:

Healing is the first post-surgery priority. Proper diets plans after knee replacement are necessary. A careful post-surgery diet and adequate nutrition aid can be of much help.

Eat Clear Fluids

Clear fluids are needed among items needed after knee replacement surgery. For the doctor to be sure of your digestive system’s functioning before solid diet intake, your immediate post-surgery diet must consist of clear fluids:

  • Water
  • Apple Juice
  • Coconut Water
  • Cranberry Juice
  • Tea Broth
  • Ice
  • Gelatin
  • Grape
  • Electrolyte drinks & popsicles

Don’t guzzle liquid; go slowly at first. Adequate fluid intake will prevent dehydration

Avoid Cheese

Post-surgery constipation is common. Here comes another element for a diet plan after knee replacement. One should avoid high-fat food like cheese as it can cause nausea.

Eat Yogurt

During and after surgery, most people receive antibiotics to prevent and treat the infection. However, they can disturb the gut’s balance. Yogurt has healthy bacteria making it unlikely to cause post-surgery nausea. Make sure to include it in your diet plan after knee replacement. For healing, it has zinc and protein. Probiotics are needed for digestion, providing mental balance and combating germs & infections after hospital stays or procedures.

Some common foods rich in probiotics are:

  • Sauerkraut
  • Yogurt
  • Kimchi
  • Kefir

The gut’s balance is incredibly delicate. Painkillers, antibiotics and anesthetics tend to upset that balance and cause digestive upsets, constipation and nausea. So you know some more things needed after knee surgery.

Avoid fatty or fried food.

Opting for fatty food is not a good nutritional choice. Instead, One must include the undermentioned nutrients in your diet plan after knee replacement.

  • Vitamin C
  • Vitamin D
  • Vitamin E and zinc
  • Protein

Additionally, nausea or vomiting can be caused by fried and fatty food. Thus, it is vital to include protein and vitamin-containing food in the things needed after knee surgery

Eat Lean Meats And Seafood

They are necessary for healing promotion. Fatty fish like white caught salmon and tuna decrease inflammation and prevent infection as they contain omega-3 fatty acids.

Avoid Alcohol

Avoiding alcohol is also one of the things to do after knee replacement surgery. For healing, healthy fluids are necessary. So as alcohol dehydrates, make sure to avoid it.

Eat Berries

Berries’ antioxidants help with the immune system’s functioning and help to avoid post-surgery infection. So for vitamin C, it is good to include blackberries and raspberries in diets plans after knee replacement

Eat Whole Grain

Whole grain containing plenty of fiber helps avoid post-surgical constipation. A whole grain includes:

  • Bulgur
  • Barley
  • Quinoa
  • Millet’s contain zinc, protein, magnesium and B vitamins.


Dark, leafy green foods also help digestion and support the immune system as they have fibre and antioxidants.

Avoid Vitamin K After Surgery

While taking blood thinners in post-surgical circumstances, one must be careful with foods rich in Vitamin K. These foods include:

  • Brussels sprouts
  • Soybeans
  • Onions
  • Kale
  • Green beans
  • Cabbage
  • Cauliflower
  • Liver
  • Broccoli
  • Lentils
  • Garbanzo beans

Eat These Foods To Speed Up Post-surgical Recovery

Diets plans after knee replacement determine the recovery speed and the surgery’s effectiveness. Surgery doesn’t only lead to more calorie demands for recovery but also increases the metabolism pace.

Brightly Colored Fruits Are Good After Knee Replacement

For a significant intake of vitamin A, vitamin C, fiber, antioxidants, carbohydrates and calories that can lead to a fast recovery, bright and colorful fruits and veggies need to be consumed.

For vitamins and energy-boosting carbs, fruits and veggies like the undermentioned are required.

  • Melon
  • Apricots
  • Oranges
  • Mango
  • Apples
  • Grapefruit
  • Berries
  • Tomatoes
  • Papayas

Fruits benefit one during the process of healing. But there is another advantage that they bring. The fruits are light and suitable for small and regular portions. Therefore, having a nutritious diet for recovery is one of the things to do after knee replacement surgery.

Make sure to have an ideal diet plan after knee replacement. Of course, one must include nutritious foods in the items needed after knee replacement surgery. So stay aware and have diet plans after knee replacement that benefits you.

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