Blogs Archives - Germanten Hospital

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24 Sep 2022
ACL Injuries

Five Ways To Prevent Anterior Cruciate Ligament (ACL) Injuries

Anterior Cruciate Ligament (ACL) injuries usually happen due to a quick twist of body parts. For example, it usually occurs when a person is running fast and stops suddenly while running to take a sharp turn on the slopes to catch a football.

Around 25,000 people go through an ACL injury. In this injury, among the four ligaments, one of them that connected the femur to the tibia got tested, leading to ACL ligament injury. The role of the ACL in the knee is to stabilise it and allow the knee to do the twisting movements. It is one of the prevalent injuries in athletes playing high-intensity sports like cricket, athletics, football, basketball, rugby, etc. The athlete will require surgery to return to these sports.

ACL Ligament Injury Reason 

When the sportsman plants his foot one way and turns his knee in the opposite direction, the knee twist leads to a tear of the knee ligament, and an injury happens to the sportsman. Other than twisting activities like jumping, sudden change in direction during any sports activity also leads to an ACL injury, which is more painful for women and people over 40.

How to prevent ACL injuries?

The sports health experts know some fantastic tips on preventing ACL injury for athletes. Preventing ACL injuries during sports activity is essential.

The tips for avoiding ACL injuries are mentioned below;


  • Exercise to prevent ACL injuriesOne of the vital tips for avoiding ACL injuries is that everyone should exercise regularly. Exercise makes the muscles strong and flexible by giving the body a good shape, balance and fitness. Therefore, proper exercise to prevent ACL injuries is the best tip for all sportspeople.
  • Pay attention to all the movements of your body for preventing ACL injuries.The sudden movement of the body is the reason behind all injuries, so everyone needs to be careful about how they move. Sudden jumps and twists lead to the tearing of the ligament, which elevates the risk of injury in the knee. The experts suggest that sportspeople should bend and land with stability and maintain a proper balance rather than land with force to avoid ACL injuries.


  • Avoid exercise when you are overly tired.One of the most important and necessary tips for preventing ACL injuries is to avoid doing exercise when you are tired. Recreation and complete sleep are essential for the human body, so when you are tired, do not force your muscles to exercise because the excess force on body muscles leads to injuries.
  • Strengthen your Hamstring and QuadricepsThe hamstring is a muscle located at the back of the thigh that works along the quadriceps at the front. The role of these muscles is to bend and straighten the legs. So to prevent ACL injuries, it is vital to strengthen thigh muscles to protect the knee.The Roman deadlift is one of the best exercises recommended by sports health experts to prevent ACL injuries by strengthening the hamstring and quadriceps.
  • Do not forget the core of your bodyTo avoid ACL injury or any other type of injury, it is crucial for the sportsman and people who carry out heavy physical activities to stick to their core and strengthen their body muscles and glutes. Muscle exercise for the hamstring and quadriceps reduces the risk of ACL injury is very important. So exercise and maintaining a heavy core is essential. Exercising regularly and having a rich body core helps the sportspeople to maintain the balance of the body and also helps to control the moves of the body while carrying out physical activities.


Knowing how to prevent ACL injuries is vital to ensure there is no severe damage to your ligaments and muscles. If you are facing any issue or a sportsperson, it becomes important to know ways to avoid the injuries. 


Visit Germanten Hospital to know how to prevent ACL injuries. The Hospital has the top facility of doctors, medical tools, and technology to provide effective results. The medical staff is skilled as well as experienced. Avoiding ACL injuries can be easy when the right doctor provides you with preventative measures. So book an appointment with Germanten Hospital now!

17 Sep 2022
Types of knee surgery for Arthiritis

Types of Knee Surgery for Arthritis Treatment

Types Of Knee Surgery 

In the medical field, various types of knee surgery are available to treat knee arthritis. Suppose you are experiencing this health condition, then you might be recommended by a doctor or surgeon for some surgery. Your age, anatomy, lifestyle, health, and personal preference determine which knee surgery types suit you. 


Total Arthritis Knee Replacement Surgery (Total Knee Arthroplasty)

Replacing the entire knee can be an option for patients with moderate to severe knee arthritis and for whom non-surgical treatment does not work. In these knee surgery types, the ends of the tibia (shin bone) and femur (thigh bone) are cut and then capped with prostheses. 

The two prosthetic pieces are made of metal or, in some cases, polyethene. The two pieces move smoothly against one another, thus making the knee functional again. The knee will recover partially in 4 to 6 weeks; for a full recovery, it might take around an entire month. 

This arthritis knee surgery helps patients to get relief from knee pain and, at the same time, improve knee functionality. It is vital to take care of a replacement knee as it may not be as strong as a healthy knee. Arthritis knee replacement is recommended for patients who have recently undergone total replacement surgery to avoid high-impact activities such as jogging.

Partial Arthritis Knee Replacement Surgery (Uni-compartmental Knee Arthroplasty)

Partial replacement surgery is often referred to as unicompartmental knee arthroplasty. In this procedure, only one of the knee’s three compartments is replaced. 

The three compartments of the knee are:

  • The medial compartment refers to the inner knee. It is the part where a person’s knees touch when their legs are together. 
  • The lateral compartment is the outer knee.
  • The patellofemoral compartment is found at the front of the knee, where the patella meets the femur. 

In this surgery, the focus is to treat the arthritically damaged compartment of the knee joint and, at the same time, preserve healthy areas. Therefore, the surgery is suitable for a smaller section of patients. However, if your knee is not aligned correctly or you have severe arthritis, stiffness, ligament damage, or inflammatory arthritis, you may not be eligible for these knee surgery types

Knee Osteotomy (Tibial Osteotomy or Femoral Osteotomy)

For those physically active people below 60 years whose poor knee alignment has led to wear and tear on just one side of the knee, knee osteotomy will be best. The condition is also referred to as unilateral knee arthritis or asymmetrical knee arthritis. 

During this arthritis knee surgery, the surgeon marks a cut into the femur, tibia, or both. Then a small wedge of bone is removed, and in that place, a small wedge of natural graft or artificial bone material is inserted.  

The knee osteotomy re-aligns the joint to push the pressure to the good side of the knee. It helps reduce wear and tear on the wrong side. The surgery aims to reduce the pain and slow down the progression. If the knee osteotomy is successful, then you delay the need for total knee replacement for about ten years. 

After the surgery, the patient can participate in high-impact sports. However, it is major surgery with potential risk factors and complications. For anisotropic arthritis knee surgery, full recovery can take around a complete one or even a year. 

Knee Arthroscopy 

For Arthroscopic surgery, only a small incision is needed. Your surgeon will insert a small video camera and surgical tools. During the procedure, they can also assess joint degeneration. 

Knee debridement and lavage can also be performed. It includes the following process:

  • The loose pieces of cartilage or bone that irritate are removed. 
  • Trim and smooth out the irregular or bumpy cartilage
  • Remove inflamed synovial tissue.
  • Lavage the joint that is to flush it with saline solution to clean out material that leads to irritation or swelling

Opinions differ on whether these types of ACL surgery or normal knee surgery are best suited or not. Moreover, if you are looking for different types of ACL surgery, come to Germanten Hospital. With the latest facilities and advanced technologies, our experts can help you with some of the best knee surgery types with little to no risks and complications.

09 Sep 2022
extracorporeal shock wave therapy

Extracorporeal Shock Wave Therapy (ESWT)

History of Extracorporeal Shockwave Therapy (ESWT)

Also referred to as shockwave therapy, extracorporeal shockwave therapy first came into medical practice in 1982 to treat urological conditions. The success of the treatment of urinary stones by this technology immediately made it a non-invasive and effective procedure. 

Though electric shock wave therapy for plantar fasciitis is proven beneficial for fracture healing, orthopaedics research focuses on upper and lower tendinopathies, fasciopathesis, and soft tissue conditions. 

In this medical procedure, a shockwave is delivered to injured soft tissues to reduce the pain and promote healing. Patients who present with chronic tendinopathy that do haven’t got healed from other non-conservative treatments. Tendinopathy is generally difficult to treat and is associated with pain and pathological changes to tendons. It can affect athletes as well as non-athletes in a similar way. 

Who can undergo ESWT? 

Shockwave Therapy for plantar fasciitis can be performed. Many high-quality randomised clinical trials have proved that ESWT is a safe, non-invasive option for treating tendinopathy throughout the musculoskeletal system. 

Extracorporeal Shockwave Therapy is currently used to treat chronic recalcitrant tendinopathy. It can treat the following areas of tendinopathy: 

  • Rotator cuff
  • Medial epicondyle
  • Lateral epicondyle
  • Greater trochanter
  • Rectus femoris
  • Proximal hamstring origin 
  • Distal quadricep
  • Posterior tibial
  • Patellar tendon
  • Peroneal
  • Plantar fascia
  • Achilles

So if you have issues associated with the parts mentioned above of your body, ESWT may be an option. Come over to Germanten Hospital if you want an effective ESWT treatment for plantar fasciitis.

Benefits of Extracorporeal Shockwave Therapy

The therapy is excellent for athletes whose injuries do not respond to RICE, therapeutic exercise, bracing and orthotics. If they do not want to consider invasive or surgical options, ESWT can help them. 

For instance, if a basketball player is experiencing a jumper’s knee that hinders their performance, shock therapy for plantar fasciitis can be an option. Usually, patients have to be told that they can’t play anymore, or they need to consider more invasive surgical procedures associated with longer recovery periods, increased risk, and high costs. Thus, ESWT for plantar fasciitis offers better options to athletes. 

The general use of ESWT for lithotripsy is the treatment of kidney stones and biliary calculi. It makes use of an acoustic pulse. Moreover, the therapy is also used for salivary stones and pancreatic stones.

The therapy is used as a second-line measure to cure tennis elbow, shoulder rotator cuff pain, Achilles tendinitis, and greater trochanteric pain syndrome. In addition, shockwave therapy for plantar fasciitis is also performed. 

Physiotherapy can be used along with electric shock wave therapy for plantar fasciitis. It reduces pain, increases metabolism and revascularisation, and recovers normal muscle tone after any disorder. 

Treatment Progression 

Some patients have to undergo a series of treatments that lasts for less than 30 minutes. The shockwave therapy for plantar fasciitis lasts three weeks, one each week. The treatment is stopped if the patient does not respond to the first two sessions. 

If the patient has shown improvement within three sessions but hasn’t had the desired result, the treatment is continued. Athletes who undergo ESWT for plantar fasciitis are asked to increase the level of their activities gradually.  

Most patients prefer to take a day or two off from their activities for recovery. However, no prolonged recovery is required for shock therapy for plantar fasciitis. 

Side Effects of ESWT

Plantar fasciitis shock wave therapy side effects are mild bruising, swelling, pain, numbness or tingling in the treated area. 

Depending on the diagnosis, you can experience temporary discomfort as the treatment seeks out painful regions to desensitise them. In rare cases, the ESWT plantar fasciitis treatment can also cause rashes or redness. However, it is temporary, and they recover on their own. 

Clinical experience and patient outcomes have revealed that when experienced practitioners perform electric shock wave therapy for plantar fasciitis, its side effects can be mitigated. In addition, it provides a non-invasive option to athletes with quicker recovery.

For shockwave therapy for plantar fasciitis near me, Germanten Hospital would be the best option for you. The Hospital has availability of experienced doctors with great expertise. The medical staff is skilled. Moreover, you can find the use of advanced medical technology and techniques for treatment. So book your appointment now for effective ESWT treatment for plantar fasciitis.

For appointments call :9000909073


03 Sep 2022
avoid knee pain and injuries

9 Ways to Avoid Knee Pain and Injuries

One of the common questions asked to the doctor or searched on the internet is “Why is my knee paining?”. Knee pain is generally caused by some injury or repetitive motion that causes stress on the knee joint over time. There are various ways to prevent knee pain and injuries. 

Knee pain can make you really uncomfortable. However, in most cases, people tend to accept it and live with it. But in some cases, it becomes important to seek medical help so you can know how to avoid knee pain. 

Runner’s stretch is among the most common reasons for knee pain at a young age. When you bend your knee up to the butt, it can lead to knee pain; by doing so, the knee cap is jammed into the bones below it. 

Runner’s stretch can lead to chondromalacia patella (the medical term for knee pain), a condition in which the cartilage below the knee cap softens and breaks down. When the kneecap is repeatedly jammed, it leads to profound chondromalacia. 

If you want to know how to prevent knee pain in old age, you must be familiar with your own body. It is important to understand what knee pain exercises to avoid. If your knees are prone to arthritis, impact-oriented exercise is not for you. An elliptical machine will be better than a treadmill. 

Want to know how to reduce knee pain while walking? Then visit Germanten Hospital. The hospital has the availability of all the required tools and technologies to diagnose various health conditions. In addition, experienced doctors and physicians can help you know the reason for knee pain at a young age and how you can prevent it. So, hurry up and book your appointment now! 

How to avoid knee pain and injuries? 

Want to know how to prevent knee pain? Then there are a few ways and tips to treat your knee paining due to several reasons: 

  • Maintain Weight: One of the common reasons for knee pain at a young age is obesity. Extra weight tends to increase the chance of developing osteoarthritis. The best way to know how to reduce knee pain while walking is to maintain your weight. Excess weight puts stress on the knee. 
  • Wear comfortable shoes: When you wear sensible shoes that fit you perfectly, it helps to keep your legs in proper alignment. It helps to avoid knee pain and injuries. 
  • Warm-up: Want to know how to avoid knee pain? Then before doing any exercise, it is best to warm up and do stretches. By stretching your thigh muscles back and forth, you can reduce the tension on your tendons and thus relieve pressure on the knees. 
  • Do low-impact exercise: High-impact knee pain exercises to avoid if you have a complaint of knee pain. Go for a rowing machine or cross country skiing machines at the gym. They offer a good workout without putting much impact on your knees. 
  • Swim or walk: Swimming and walking are excellent exercises and can help you avoid knee pain. 
  • Be active: If you decrease your activity, it will lead to weakness in your knee. Thus, your knee will become prone to injuries and pain. But don’t suddenly jump from low-impact exercises to intense ones as it will result in knee pain.
  • Weight training: Try to work out weights to strengthen your legs. It gives better support to your knees and avoids any injury. But it is always recommended to consult an expert before doing any exercise or lifting weights because if done wrong, it could lead to a knee injury. 
  • Physical Therapy: The best way to prevent knee pain in old age is to visit a physiotherapist. They can help you with a proper exercise regime that can help you avoid any knee pain and injury.


It is found that some people with knee problems tend to fold their knees. It makes them feel good. Though it won’t hurt your knee, it won’t avoid the injury either. Do not wrap too tightly as it can result in a knee injury. 


If you want to understand how to prevent knee pain, book an appointment at Germanten Hospital. Our experts can also tell you about which knee pain exercises you should avoid. So visit Germanten hospital now!


21 Aug 2022
ways to ease hip pain

Ways to Ease Hip Pain

How to reduce hip pain

If you are experiencing hip pain, then there is nothing to worry about as we have some of the best ways for hip pain treatment without surgery. Let us look at some of the most effective ways to reduce hip pain:

  • Lose weight
    Your body weight puts pressure on your hips. For every 10 pounds of weight gain, your hips and knees experience 50 pounds of pressure. In addition, the pain in joints indicates that your weight is increasing more than needed. Visit your doctor’s clinic and know your body’s ideal weight and ways to reach that.
  • Take load off
    When we talk about hip pain, we are not only about your body fat. Anything you carry on your back or in your hand also puts pressure on your hip. To reduce the pain, you will need to take that load off your body, making them natural remedies for hip pain. Using a handcart with wheels to carry groceries and luggage is best. If you need to carry a purse, choose one that evenly distributes the load.
  • Move it
    Of course, your hips need adequate rest to ease the pain. Once your hip is at ease, do hip pain exercises daily. It helps to build muscles stronger and avoid joint stiffness. Walking, swimming, and yoga are the best hip pain exercises to reduce it. It can help ease the pain to a great extent.
  • Say no to high-impact exercises.
    Want to know how to reduce hip pain? The movement will help your hip but just know the right time to do it. Start slow, do not go on downhill running or kickboxing. Instead, take it slow and spend a few minutes on a stationary bike or elliptical. Gradually you can bump up the impact of your exercises.
  • Water workouts
    To do the best low-impact exercise, use a pool or spa. They are natural remedies for hip pain. Water helps to take off stress and strain from your joints. Above all, it ensures smoother and more unrestrained movement by providing good resistance to make muscles stronger. To know which hip pain exercises would be best for you, consult your doctor or physiotherapist.
  • Stretch, strengthen and stabilise:
    Stretching helps in supporting and building joints, including cores and legs. However, one vital thing to remember while working out is never to push yourself too hard. For an exercise routine, consult a professional therapist and do it under their guidance to avoid any injury. Moreover, it is also important to choose the best sitting position for hip pain.
  • Heat and cold therapy:
    Heat and cold therapy have proven to be natural remedies for hip pain. Wrap ice or a bag of frozen veggies into a towel and press it gently to ease the pain. Moreover, you can go for a warm shower to loosen up your muscles.
  • Avoid heels:
    Heels are one of the prime factors of hip pains. To know how to relieve hip pain while walking is right under your toes. Avoid heels as much as possible. Heels disrupt your body’s alignment by putting your heels at an abrupt angle. Instead, go for flat shoes with good arch support and cushioning. Do not stand for too long on the stretch. Moreover, it is also important to know how to relieve hip pain while sleeping by choosing the correct posture.
  • Over-the-counter medicines
    Non-steroidal anti-inflammatory drugs are mostly consumed to get relief from hip pain. If you cannot take it because of some health condition, then let your doctor know. Always consult your doctor for a dosage plan and which medicine to take to avoid any side effects.
  • Alternate therapy
    If traditional therapies do not work, you know it is time to shift towards a mind-body approach. Acupuncture, massage, and chiropractic adjustments are some of the alternative therapies.


The methods of hip pain reduction usually depend on the root cause of it. If you want to understand how to reduce hip pain, come to Germanten Hospital. Our doctors and physiotherapy experts can help you with hip pain treatments without surgery and understand the best sitting positions for hip pain. These positions will help you avoid the pain altogether. So book your appointment with our experts today!

13 Aug 2022
Non Surgical treatment for backpain

Non Surgical Treatment For Back Pain And Knee Pain

Causes of Back Pain

Chronic back pain is generally an age-related issue. However, it can also be caused by some prior injury. Some causes of back pain are: 

  • Spinal stenosis is a condition that arises when the spinal canal becomes narrow. 
  • Arthritis of the spine is the gradual thinning of cartilage inside the spine.
  • Myofascial pain syndrome is unexplained pain and tenderness in muscles. 
  • Disc problems such as herniated and bulging discs. 

It is often difficult to know the exact causes of back pain. If all the diagnostic options have failed, your doctor might recommend you to a back pain specialist. However, one should not make any hasty decisions and undergo extensive medical procedures without knowing the causes of the back pain

If the source of your pain is unknown, the suitable option is to choose non-surgical methods and reduce the pain. So come over to Germanten Hospital to understand the causes of your back pain and get a suitable treatment accordingly. So visit now to get rid of frustrating pain. 

Non-surgical Treatment of Chronic Back Pain

There are various non-surgical treatments that your doctor might prescribe to treat back pain. Some of them are mentioned below:

  • Physical Therapy

It is a therapy that includes chronic back pain treatments. Exercise is one of the first things you should do to treat common pain in the back. Always take guidance from your physician or spinal therapist. It is to be remembered that the effectiveness of the exercise varies from person to person. The exercise needs to be structured to treat specific symptoms and conditions. You should also do exercise at your home.

Physical therapy that includes chronic back pain treatments are: 

  1. Retraining posture
  2. Testing pain tolerance
  3. Stretching and flexibility exercise
  4. Aerobic exercises
  5. Core strengthening
  6. Mindfulness and meditation

Chronic back pain can affect physical and emotional well-being. For example, it can lead to frustration, irritability, depression and other psychological conditions. To treat them, you may be recommended meditation, yoga, tai chi, and other cognitive and relaxation therapies. 

  • Diet

A diet high in trans, sugar, or processed food can be highly inflammatory. Therefore, they can contribute to your back pain. So it would be best to consult your doctor or dietician to know whether they are responsible for your pain. A healthy diet can help you maintain an optimum weight putting less pressure on the spine and reducing back pain. 

  • Lifestyle Modification

Having back pain can be an alert sign of your body to bring some changes in your lifestyle. It becomes important to accept some limitations and adapt to modifications. For example, do not bend for a long time, like while mowing the lawn or carrying a grocery. Make a note of all the activities that can worsen your common pain in the back. It will prevent the issue from advancing and becoming worse. Another change that must be made is to quit smoking. Nicotine is known to accentuate pain and reduce healing.

  • Injection-based Treatment

Various injection-based solutions are available to treat back pain. Nerve blocks, nerve ablation and epidural steroid injections are a few of them. They are beneficial for treating pain when its cause is known. In addition, injections can help stop or lessen the pain for a certain time. However, they should not be used as a long-term solution, and above all, it is important to consult your doctor before using any kind of injection. 

  • Alternative Treatment

Alternative therapy includes chronic back pain treatments. Some of them are acupuncture, massage, electric nerve stimulation, biofeedback, and laser therapy. They help to relax the muscle and thus provide relief from the pain. It is best to talk with your spine specialist and know which alternative therapy will work best for your chronic back pain

  • Pharmacological Treatment 

Analgesics, muscle relaxants, and anti-inflammatory drugs are some medications that can help provide relief from back pain. However, these drugs generally have side effects and are thus not recommended for prolonged use. 

If you have a common pain in your back, there are several non-surgical treatments that you can go for. These treatments can help bring some positive changes to your lifestyle. Our experts use the latest facilities and advanced techniques to help provide high-quality treatment. So for an excellent consultation and back pain treatment, come to Germanten Hospital. 

06 Aug 2022
spinal injury

The Best Spinal Cord Injury Physiotherapy Treatments

Over the past years, there have been quite significant advancements in medical technology and practises of spinal physiotherapy. As a result, there are several new treatments for spinal cord injury or physical therapy.

According to the World Physiotherapy (the official confederation for Physical Therapy), a physiotherapist or a physical therapist can be defined as a person who is an expert in the field of human activity and movement. 

They help people who have suffered from spinal cord injuries so that they can improve their mobility and prevent any further damage to the spinal cord. They also help the victims of spinal cord injury to improve significantly so that they can function normally in their community. 

There will be more chances of recovery if the spinal physiotherapy starts as soon as possible, apart from proper care and rehabilitation. However, while looking for the best treatment for spinal cord injury, you need to keep certain factors in mind, such as your expectations, the intensity of injury and how much damage the spinal cord has suffered. Always ensure you consult with your doctor regarding which treatment will be the most suitable for you. 

If you want the best treatments for spinal cord injury, have a consultation session with the experts at Germanten Hospitals. They are skilled at helping you get a thorough understanding of which procedure you should go for.

Several spinal cord injury treatments are available that will help you recover properly, just like constant care and rehabilitation. However, if you are looking for spinal cord injury treatment, you must consider your goals, the intensity of the injury and how much the spinal cord has suffered.

Conventional physiotherapy or physical therapy:


Conventional methods of physical therapy includes several hands-on therapies, exercises and stretching activities to promote movement. The main motive of this treatment is to help the patient cope with the pain, improve circulation, and reduce or prevent atrophy, contractures and weakness. It also helps in improving the general health and wellness of the patient. It is done to retrain your brain and body so the patient can move and function again. There are several types of spinal physiotherapy treatments available, such as: 

  • Muscle stretching. 
  • Massage therapy. 
  • Joint manipulation.
  • Acupuncture.
  • Neurodynamic exercises. 


Spinal physiotherapy treatments, like the ones mentioned above, are available in many hospitals, and some spinal cord injury treatments are combined with physical therapy to increase the effectiveness of the process.

Activity-Based Therapy:


ABT is also known as restorative therapy or ABRT. It is a form of therapeutic treatment that helps in the rehabilitation and recovery of the patients who have suffered from nerve problems, spinal cord injuries or traumatic injuries. Activity-Based therapy is one of the most effective spinal cord injury treatments. It includes several repetitive muscle movements that promote neuroplasty, strength training and gait training. 

Functional Electrical Stimulation:


FES or Functional Electrical Stimulation is one of the new treatments for spinal cord injury. It involves the application of short electrical pulses to the paralysed or weakened muscles. It is done with the help of electrodes to improve or restore the functions of the muscles. The procedure is considered quite underrated and is used to boost the functions of the heart and lungs. Apart from that, functional electrical stimulation or FES also helps in improving the bladder and bowel movements and increasing mobility. 

Obvious and hidden costs of a spinal cord injury:

A spinal cord injury can be extremely traumatic and expensive and might require part-time or full-time care. Apart from the expense of hiring a care provider, the overall cost increases because of doctor visits, hospital stays, preparations at home, transportation and several physical therapy treatments. 

If you feel that the expenses of the procedure are getting too much for you, you can always contact a lawyer who can help you if you are injured due to someone else’s negligence or actions. A considerate lawyer can help you receive the compensation you deserve for sustaining the injuries. 

If you are wondering about the best treatment for spinal cord injury, you have a consultation with the doctors at Germaten Hospitals. So book your appointment for a consultation if you want to understand the new treatments for a spinal cord injury.


30 Jul 2022
step by step guide on knee replacement surgery

Step-by-Step Explanation of Knee Replacement Surgery

Total knee replacement surgery is an intricate process which requires high expertise and skill from the surgeon to make exact measurements and precisely remove the affected bone, and shape the remaining portion in a manner to fit the knee implant. Finally, the surgeon would construct an artificial knee joint. Knee replacement surgery has a success rate of around 90%, which shows why it is in demand.

Knee joint replacement surgery is shorter when compared to some of the other joint replacement surgeries. However, even though the knee replacement surgery time is only around 1 to 3 hours, the doctor may ask you to stay back at the clinic for recovery for 2 to 3 days. But it will depend on your condition. Therefore, before deciding to undergo surgery, it is necessary to have a proper knee replacement explanation and other relevant details.

Here is an overview of how the knee joint replacement surgery takes place:


An incision in the knee

Knee joint replacement surgery begins with an incision in the front of the knee to reach the patella, commonly known as the kneecap. In the traditional method, the incision used to be 8-10 inches long. But with a minimally invasive procedure, the incision will only be 4-6 inches long. Either way, knee replacement surgery success rate depends on several factors, including the patient’s condition.

Rotation of kneecap

The kneecap, also known as the patella, is rotated by the surgeon outside the knee region. It helps them directly look into the area which has to be fixed.


Preparing the thigh bone

After the incision, the surgeon would resurface the femur, also known as the thigh bone. All the measurements are taken precisely, and cuts are made with the help of special instruments. The affected portion of bone and cartilage from the femur is removed by cutting it out. The end of the femur bone is shaped to attach perfectly to the femoral component of the artificial knee.  

Insertion of the femoral component 

The surgeon would implant the metallic femoral component in the femur bone. Then, it is sealed with the help of bone cement.

Preparation of the tibia bone

The subsequent bone, the surgeon, would resurface is the tibia, also known as the shinbone. The surgeon would precisely surface and reshape the top of the tibia bone to get under the metal and plastic tibial portion of the artificial knee.

Insertion of the tibial component

The lower portion of the implant, known as the tibial tray, is precisely inserted in the tibia bone and sealed fast with the help of bone cement. Once the tibial tray is placed in position, the surgeon would place it in a polyethene insert (of medical-grade plastic) which is in between the tibial tray and the femoral component. It acts as a buffer. The polyethene insert is essential to provide flexibility to the knee joint as you bend and sit down.

Adjustment of the knee cap

Before putting back the patella in its place, the surgeon would have to flatten it. A plastic component is then attached to the patella such that they fit in perfectly with the artificial knee. The plastic component might also be cemented if required.

Completion of the surgery

After the knee replacement surgery, the orthopaedic surgeon will check the flexibility, alignment, position and size of your knee to see if the implant is working correctly. Then, the surgery is ended by stitching up the incisions and bandaging the area. After the doctor has checked the flexibility and alignment, they shift the patient to the other room for recovery, with the leg in a continuous passive movement (CPM) machine. The purpose of using this machine is to gently keep the knee in a bent position and flex the artificial knee joint while the patient is lying down.

The knee replacement surgery time is usually 1 to 3 hours but varies according to the patient’s condition.

If you want more information about knee replacement surgery time and other relevant procedure details, come to Germanten hospital. Our doctors will explain the knee replacement procedure in great detail to ensure the patient has a complete understanding of what they want. So book your appointment with our experts today!


16 Jul 2022
Hip replacement after excercises

Exercises and Activities To Avoid After Hip Replacement

If you have undergone a total hip replacement procedure, you must take some precautions while recovering. It becomes extremely important to take these precautions, especially when you have undergone surgery through the posterior approach. 

You should take these precautions because they reduce the chances of dislocation of the hips. In this situation, the artificial ball of the upper femur gets dislocated from the artificial hip socket. 

In this article, you will understand the three precautions you need to take after undergoing hip replacement surgery. In addition, this article will also help you if you are looking for how long to recover from hip replacement on the internet. 


You must avoid three movements along with heavy exercises after hip replacement through a posterior incision to ensure the artificial hip does not get dislocated. Until you have completely recovered, all your movements will be closely observed by your orthopedic surgeon. Here are a few things you should not do after hip replacement surgery:

  • Stretching your hips past 90 degrees: 

    If you are looking for hip replacement exercises to avoid, you must not stretch your hips too far or list your knee too high. When you sit on a chair, see to it that your thigh should be parallel to the floor. If you are sitting on a low chair, you might have to bend your knee and hip, making it highly possible for you to dislocate your knee. 

  • Crossing your operated leg over the other one: 

    One of the things not to do after hip replacement surgery is crossing your operated leg over the other one. Apart from that, you should also use a wedge such as an abduction pillow while sleeping. It will help you to keep your legs separated.

  • Walking pigeon-toed:After undergoing a total hip replacement through the posterior approach, you must ensure not to rotate your hip inward. Therefore, you should keep your toes straight ahead or slightly rotated outwards while doing activities such as walking, sitting, standing or lying down.


Sometimes doing exercises after hip replacement can be risky and result in several complications. So you may want to have a consultation with physios at Germanten Hospitals to understand the recovery process of hip replacement and the exercises to avoid during that time.


When to call a healthcare provider?

You must contact your health care provider as soon as you experience signs that you may have dislocated your hip. Some other occasions are:

  • Intense pain around the hip area and groyne. 
  • Occurrence of a popping sound while you are moving. 
  • If you are experiencing difficulty in walking or cannot walk at all. 
  • You are not able to move the hip joint.
  • If you notice that the prosthetic hip appears shorter than the other one. 

If you are confused about exercises after hip replacement, contact Germanten Hospital. Our doctors will help you understand the hip replacement recovery exercises and other details about the procedure. If you need advice regarding this, have a consultation with the doctors at Germanten Hospital. They are experts in their field, and you will get everything you need to know about.

Duration of Precautions And Recovery

After hip replacement surgery, most people follow the precautions for around 90 days. However, some health care providers might instruct you to follow the precautions for about six months. On the other hand, some others may ask you to follow them for 60 days. The duration of precaution generally depends on factors such as your general health, your level of mobility and the complexity of the procedure. It is also determined by rehabilitation and recovery after the surgery. 

Your doctor will instruct you when you can stop following the precautions. You will have to listen to the instructions of your health care provider and avoid some movements in your daily routine. Every person has a different recovery time after the procedure, so you should consult your doctor regarding that. 

If you need advice regarding hip replacement recovery exercises, consult the orthopaedic experts at Germanten Hospital. Our experts will help you understand the hip replacement recovery exercises. They will also provide information about how long you will recover from a hip replacement and which exercises to avoid. So book your appointments now for consultation regarding exercises after hip replacement.

09 Jul 2022
12 foods to avoid Arthritis

12 Foods To Avoid When You Have Arthritis

Arthritis is a medical condition that results in inflammation of the joints causing severe pain and stiffness of the muscles. It refers to all types of arthritis, such as osteoarthritis, gout and rheumatoid arthritis.  

The extent of inflammation depends on the diet, physical activity, water intake, current health condition and habits (smoking, drinking).

Higher intake of sugar, salt, fat and refined carbohydrates can increase inflammation. Here is a list of foods to avoid during arthritis:  

  1. Red meat :
    Red meat has a higher percentage of saturated fat as compared to white meat or plant-based proportion. So it is one of the foods to avoid during arthritis. Unfortunately, red meats can also worsen the swelling and inflammation.
  2. Dairy products with high-fat content :
    Arthritis foods to avoid also include dairy products such as yoghurt, cheese, milk, ice creams and a lot more. Each product is different from the other and has a different nutritional value. In order to prevent arthritis, it would be better to avoid full-fat dairy products with high levels of sugar as it increases the inflammation of joints.
  3. Omega 6 fatty acid :
    The excessive consumption of omega-6-containing food items can deteriorate the inflammation. Thus, make sure to check off items like soybeans, corn, safflower, sunflower, canola oil, nuts and meat in the list of foods to avoid during arthritis. You can use olive oil as a substitute for everyday cooking as it is monounsaturated.
  4. Salt
    Sodium is an essential element required for the normal functioning of the body. However, our regular salt intake is always much more than needed. Thus higher salt levels should be included in the list of arthritis food to avoid.
  5. High sugar beverages
    The beverages available in the market, such as soda, fruit juices, sweet tea and coffee drinks, have tremendous amounts of sugar. Thus, these are some of the worst foods for arthritis. If you suffer from arthritis, try and control your sugar intake by up to 9 spoons per day.
  6.  Fried items
    Fried snacks and food are friends in cooking oils which are high in omega six fatty acids and fatty acids. Thus, if fried snacks are a large portion of your daily life, they can worsen arthritis. Therefore, you should limit fried foods to avoid arthritis or keep it under control.
    Fried food also has a high amount of salt, sugar, and refined carbohydrates, leading to more inflammation. A better alternative for this is to go for air-fried food or baked items.
  7. Canned products
    The amount of salt used in canned food items is very high. It is used as a preservative in canned vegetables, meat, soup, etc. Thus, to manage your symptoms, make sure to exclude canned foods and avoid them in an arthritis diet.
  8. Alcohol
    Alcohol can be a relief to those who have arthritis. Some varieties like red wine have anti-inflammatory properties. Consuming more than 5 ounces of red wine can improve inflammation.
  9. Refined carbohydrates
    White rice and flour is the highly processed form of their respective grains. The fibre and nutrition are lost in the process, making it a simple carbohydrate. Simple carbohydrate is digested much faster and causes a spike in the blood sugar level, thereby increasing inflammation. Thus, try to limit refined carbohydrate intake as it is one of the worst foods for arthritis.
  10. Candy and desserts
    Candy and desserts are loads of sugar without having any nutritional benefits. It is also known as empty calories for this reason. Thus, be sure to limit desserts, candies and added sugar foods to avoid rheumatoid arthritis.
  11. Processed food
    Packaged food items such as frozen packets, baked items, chips, and fast food are loaded with food items which should be avoided in arthritis. The refined grains, high amounts of sugar, and salt make them last longer than the usual fresh food items. It can result in obesity, worsening the condition. So if you are looking for arthritis foods to avoid, make sure to include processed food items on the list.
  12. Gluten
    Grains like wheat and barley contain protein which is known as gluten. Following a gluten-free diet helps in decreasing inflammation.

Want more information about arthritis foods to avoid? Then come over to Germanten Hospital. Our orthopaedic experts and dieticians will help you prepare a nutritious diet chart and manage your symptoms.


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