02 Mar 2021

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Most Advanced and Safest Knee Replacement for Your Loved Ones

Knee replacement or knee arthroplasty is a surgical procedure used for resurfacing a knee that is damaged by arthritis. Plastic or metal parts are used for capping the ends forming the joint and the kneecap. It is the best procedure for someone who has severe knee injury or severe arthritis and hasn’t gotten any relief from any other form of treatment.

There are different forms of arthritis that might affect the knee joint. In middle-aged and older adults, the most common form of arthritis is osteoarthritis, a degenerative joint disease that breaks down the adjacent bone and joint cartilage in the knees. Another form of arthritis is rheumatoid arthritis that causes synovial membrane inflammation resulting in an excessive amount of synovial fluid that leads to stiffness and pain. The aim of the knee replacement surgery is to resurface the parts of the joint that have been affected and relieve the pain that is unmanageable by other treatments. Here are some other medical treatments that can be used for treating a degenerative joint disease:

● Anti-inflammatory medications
● Assistive devices for walking
● Cortisone injections into the knee joint
● Glucosamine and chondroitin sulfate
● Limiting painful activities
● Pain medications
● Physical therapy
● Viscosupplementation injections
● Weight loss

There are two types of spine surgeries – open or conventional and keyhole or minimal access
surgery. Some spinal conditions like tumours and disc problems can be treated using minimally
invasive spine surgery or spine keyhole surgery.

If none of the above-mentioned treatments work, the doctor will recommend a knee replacement surgery.

Before the procedure, the doctor will perform a physical examination to make sure that you are in proper health before the procedure. These might also include diagnostic tests like X-rays and blood tests. Make sure that you ask all questions that you have regarding the procedure. Also, notify the doctor about any allergy or sensitivity to certain medications, anesthetic agents, or latex tape. You need to inform your doctor if you are taking any blood-thinning medications, prescribed or over-the-counter medications, herbal supplements, etc. Based on your specific medical condition, the doctor might request some specific preparation.

The knee replacement procedure requires you to stay in the hospital, depending on your condition and the procedure. Here are the steps that will be involved in your procedure:

● The nurse will ask you to remove your clothing and give you a gown to change.
● Next, an intravenous (IV) line will be placed in your hand or arm and you will be
asked to lay down on the operating table.
● The doctor will insert the urinary catheter. The excessive hair present at the
surgical site will be clipped off.
● An anesthesiologist will monitor your blood pressure, blood oxygen, and heart rate
during the procedure.
● An antiseptic solution will be used for cleaning the skin over the site of surgery.
● The doctor will make a small incision in the knee area and remove the knee joint’s
damaged surfaces.
● The damaged surfaces will be resurfaced with the prosthesis. This prosthesis will
be made up of plastic and metal. A cemented prosthesis is the most common kind
of artificial knee prosthesis. Uncemented prosthesis are not usually used anymore.
When the doctor uses a cemented prosthesis, it is attached to the bone using
surgical cement whereas an uncemented prosthesis is attached to the bone through
a porous surface. Sometimes, the 2 types are combined for replacing the knee.
There are three components of a prosthesis. The first one is the tibial component
that is used for resurfacing the top of the shin bone or tibia. The second one is the
femoral or thigh bone components that resurface the thigh bone’s end. The last one
is the patellar component used for resurfacing the kneecap’s bottom rubbing
against the thigh bone.
● Once the prosthesis is in position, the doctor will close the incision using surgical
staples of stitches. A drain will also be placed at the incision site for removing
fluid.
● Lastly, a sterile dressing or bandage will be applied at the incision site.

Once the surgery is completed, you will be kept under observation until your breathing, pulse, and blood pressure are stable. After that, you will be shifted to your hospital room. You will have to stay at the hospital for a couple of days after your knee replacement procedure.

It is important that you start moving your new joint after the procedure. You have to consult a physiotherapist soon after the surgery and have them create an exercise program for you. Physical therapy can be started by using a Continuous Passive Motion (CPM) machine that moves the new joint through its range of motion. You will be given some pain medications to help you with pain so that you can start exercising. After you have been discharged, you need to continue physical therapy until you have a good range of motion and regain muscle strength.

At Germanten Hospital, we ensure that our patients have access to the safest and most advanced knee replacement procedure. Germanten is the largest hospital in Hyderabad that focuses on orthopedics trauma, joint replacements, sports injuries, and spine surgeries. We offer a wide range of operative and nonoperative treatment options. In 2019, Times of India graded it as the Best Emerging Orthopedic Hospital. It also was named the Best Orthopedic Hospital in South India by Economic Times 2021.

Germanten Hospital is a 200+ bedded NABH-accredited hospital and is equipped with German Precision Technology. We follow strict protocols to ensure that you and your loved ones have access to the highest quality healthcare facilities in the country. An example of this includes our high advanced Laminar flow Operation Theatres that ensure zero infection. Special anesthesia will be used during the procedure so that you remain free of pain. We also have special DVT pumps for preventing blood stasis-related complications. All patients undergoing the knee replacement procedure will have access to our expert physiotherapy team that will help them get early mobility. Through our stringent protocols and German standards, we assure that our patients have a successful and safe knee replacement procedure the results of which lasts for life.

The orthopedic team at the hospital is led by Dr. Mir Jawad Khan who has more than 20 years of experience in the field. He was awarded the title of Best Doctor by Shri Roshaiah Garu (Ex-CM of Joint Andhra Pradesh & Former Governor Tamilnadu) in 2018. In 2019, he was honoured with the Vaida Ratna Award by the Honourable Health Minister of Telangana, Shree Etala Rajendra.

So, if you have chronic knee pain and haven’t gotten any relief from nonsurgical treatments, you need to book a consultation appointment at Germanten Hospital to know if the knee replacement procedure is the right option for you or not.

02 Mar 2021

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Radiofrequency (RF) Ablation: Procedure, Effectiveness, and Recovery

Radiofrequency (RF) ablation, a minimally invasive procedure, is used for destroying the nerve fibers that carry the pain signals to the brain. By doing so, it can provide long-lasting relief for people suffering from chronic pain, specifically for people with neck, lower back, and arthritic joints issues. If you have recurrent pain and have good experience with a nerve block injection, RF Ablation might be the treatment for you.

Also known as rhizotomy, RF ablation is a minimally invasive and non-surgical procedure that uses heat for reducing or stopping the pain transmission. The RF waves “burn” or ablate the nerve responsible for the pain which eliminates the possibility of pain signals transmitted to the brain. It is usually used for treating chronic pain and conditions like spondylosis (arthritis of the spine), and sacroiliitis. However, it can also be used for treating back, neck, knee, peripheral, and pelvic nerve pain. There are several other benefits to this procedure as well, such as immediate pain relief, avoiding surgery, improved function, minimal recovery time, quicker return to the normal routine, and decreased dependency on pain medications.

This treatment is the perfect option for someone who has experienced pain relief after a pain receptor/diagnostic nerve block injection. It is performed using X-ray (fluoroscopic) guidance and must not be performed on people with infection, bleeding problems, or ones who are pregnant.

The treatment will begin with the doctor reviewing the medical history and imaging studies to determine the best location for the procedure. If you are taking a blood-thinning medication, you will have to stop taking it before the procedure. Make sure that you tell your doctor about all the medications that you have been taking. This is an outpatient procedure that lasts for about 15 to 45 minutes.

During the procedure, you will need to lay down on an X-ray table. The doctor will use local anesthesia for numbing the treatment area. Then, they will use a special X-ray called a fluoroscope for directing a thin hollow needle into the area that is responsible for pain. Through the fluoroscope, the doctor will be able to see the needle in real-time and ensure that it goes to the right location. There will be some discomfort, but you will feel less pain and more pressure.

Once the needle is put in place, you will receive a numbing medication. After that, an RF current will be passed through the needle for creating a small, precise burn known as a lesion. This current will destroy the nerve or a portion of it that is transmitting the pain and disrupt the signal that is producing it. Each site will take about 90 seconds to get burned. Doctors can burn multiple nerves at the same time.

Most of the patients are able to walk immediately after the procedure. There might be some pain because of muscle spasms or residual effects of nerve ablation, but it will only last for about two weeks. The pain relief from this procedure can last somewhere between 9 months to 2 years. In some cases, the nerve regrows through the burned lesion. If needed, the procedure can be repeated.

If you think that this procedure might be right for you, then you need to get help from the best. Germanten Hospital is the largest hospital in Hyderabad dedicated to Orthopaedics Trauma, Joint Replacements, Spine Surgeries, and Sports injuries. Germanten offers advanced treatments that cover operative as well as nonoperative management. In 2019, Times of India graded it as the Best Emerging Orthopedic Hospital. It was also named as the Best Orthopedic Hospital in South India by Economic Times 2021.

Germanten is a 250 bedded NABH-accredited hospital with HEPA suite laminar operation theatres for total infection control. You can get diagnostic facilities like imaging, radiology, pathology, and laboratory services in the hospital itself. Apart from critical care facilities and highly-advanced ICU, we also offer post-operative rehabilitation services as well.

The reason behind the success of Germanten hospital is Dr. Mir Jawad Khan, who leads the orthopedic team at the hospital. He has been committed to providing the highest quality of medical services to the people for more than 20 years. To celebrate his achievements and effort, he was awarded the title of Best Doctor by Shri Roshaiah Garu (Ex-CM of Joint Andhra Pradesh & Former Governor Tamilnadu) in 2018. In 2019, he was honoured with the Vaida Ratna Award by the Honourable Health Minister of Telangana, Shree Etala Rajendra.

So, if you have been suffering from chronic pain for quite some time and haven’t had any luck with other nonsurgical treatments, the RF Ablation procedure from Germanten Hospital is your best bet. To know more about the procedure, book an appointment at Germanten Hospital.

02 Mar 2021

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How to Prevent Back Pain and Neck Pain?

Most of us in our lives have experienced falling asleep in a weird position and then waking up with the most annoying stiff neck. If you try to move your neck, it hurts so bad! Sometimes, other events such as injuries to the neck can also result in neck pain.

Similarly, at times we think of ourselves as superheroes and end up lifting something too heavy or we take a fall. There comes in our back pain. It can be short-term or chronic, depending upon various factors such as a sprain, a fracture, a medical condition such as spinal stenosis or arthritis and excess body weight. A sedentary lifestyle is also a great contributor to back pain. Nowadays, even younger people complain of back pain, which is a result of longer screen hours and incorrect posture.
What can we do in our daily lives to prevent pain in our necks and backs?

Here are a few tips to avoid neck pain –

1.A new pillow – Most of the time, our pillows are the reason behind our stiff necks. You may not even realise that you’re using the incorrect pillow. The pillow that supports your natural neck curve and keeps it aligned throughout the night is the best. With some trial and error, you’ll find the pillow that is best for you.
2.Correct sleeping position – We all love to sleep in varying positions that we find comfortable, but the best sleeping position is the one where your head, neck and body is in alignment. Try sleeping on your back and to take the strain off of your neck, place some pillows under your arms. You can also elevate your thighs by placing pillows under them. This position helps relieve neck pain, as well as prevent it.
3.Computer screen at eye level – To prevent neck pain, try to adjust the computer monitor’s height in such a way that you don’t have to look down. With laptops, this is difficult, so you can use a book to place beneath it, to raise the height to your eye level.
4.Use earphones or headphones – Everyone loves to multitask. Oftentimes, we’re busy cooking, using both our hands and talking on the phone simultaneously. Putting your phone between your ears and shoulders and tilting your head sideways can cause extreme neck pain, over time. Instead, use headphones or put your phone on speaker.
5.Correct posture while texting – All of us look down on our phones each day, every day and that strains our necks too much. Try to raise the phone to your eye level and ultimately, minimize screen time. It is beneficial, not just for the neck but also the wrists, spine and eyes.
6.Regular exercise and stretching – Exercising regularly is beneficial for the whole body, even the neck! It helps maintain a good posture and ultimately relieve the tension from our neck. Exercises such as the chin tuck help strengthen the neck muscles tremendously.

To prevent back pain, follow these tips –

1.Maintain your weight – When you gain excess weight, your centre of gravity shifts and that strains your lower back. Hence, it is very important to maintain your ideal weight.
2.Sleeping position – The correct sleeping position is not only beneficial for the neck but also for the back. Sleeping on your stomach is one of the worst positions and can cause a lot of back pain.
3.Avoid lifting heavy objects – We tend to lift objects by bending over the waist, which is an invitation for back pain and injuries. Instead, bend your knees and sit in a squatting position whenever you want to lift something.
4.Maintaining the correct posture – While standing up, keep your abdomen tucked in and your head should be held up. Try to pull your shoulders down from your ears. This posture is essential in avoiding back pain.
5.Strengthen your back – Doing back as well as abdominal exercises can help strengthen the muscles and minimise the chances of any back injuries and pain.
6.Improving bone health – Weaker bones lead to osteoporosis later in life, which causes back pain, especially for women. So, increase your intake of vitamin D and calcium by consuming items such as milk, cheese, yoghurt and green leafy vegetables for strengthening your spinal bones.
7.Stop smoking – People who smoke are more prone to back pain as compared to non-smokers. Blood flow to the spinal disks is restricted due to the consumption of nicotine. Smoking also weakens the back muscles, making it prone to injuries. Thus, to avoid back pain, one should stop smoking.

When all these remedies fail, consulting a doctor might be necessary. At Germanten Hospital, Hyderabad, various back and neck conditions such as sciatica, spinal stenosis, vertigo and spondylosis are treated non-surgically.

The team of doctors at Germanten Hospital consists of the finest neurosurgeons, orthopaedic spine surgeons, physical therapists as well as neuro physicians. Spinal surgeries and procedures are performed in a minimally invasive way here, to make it less painful for our patients. Our NABH-accredited hospital has over 200+ beds and the most advanced medical technology available. Germanten Hospital has been awarded the title of the Best Emerging Orthopaedic Hospital in India, by the Times of India in 2019. It has also been named as the Best Orthopaedic Hospital in South India by the Economic Times in 2021.

The spinal surgery team at Germanten hospital is led by Dr Mir Jawad Khan, a well-known orthopaedic surgeon. He has over two decades of experience in the field. To celebrate his achievements and effort, he has been felicitated with the title of Best Doctor by the ex-CM of Joint Andhra Pradesh & Former Governor Tamilnadu, Shri Roshaiah Garu in 2018. In 2019, he was honoured with the Vaida Ratna Award by the Honourable Health Minister of Telangana, Shree Etala Rajendra. Germanten Hospital, Hyderabad is your go-to place for all spine-related problems!

19 Feb 2021

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Non-surgical Treatments for Neck and Back Pain

Living with back and neck pain can be miserable, making it hard to enjoy those little moments in your life. Whether it is the sedentary lifestyle or a normal aging process, there can be many reasons for your back and neck pain. This type of pain can usually be treated through exercises and medications. However, what are you supposed to do if this doesn’t work?

If this is the case for you, you need some highly effective nonsurgical treatments that can help you get rid of the prolonged and severe back and neck pain. At Germanten Hospital, we can treat the following conditions non-operatively:

● Sciatica
● Spondylosis/Hiscs
● Lumbago
● Cervical & Lumbar Spondylosis
● Cervical & Lumbar Disc Prolapsed
● Vertigo
● Facet Arthropathy
● Degenerative Disc Disease
● Spinal Stenosis

Thanks to Germanten’s Research Collaboration with German Hospitals, we are able to be ahead of the other hospitals in the country. Through this partnership, we have access to German-based precision technology that facilitates the use of robotics and computer navigation for performing painless procedures. We have state-of-the-art equipment that ensures that our patients get the highest quality medical standards. Our team is highly trained and experienced in providing you with the best non-surgical treatments for back and neck pain. Here are a few of the Fluoroscopic, Ultrasound, Endoscopic, and CT Guided procedures that are used for back pain and sciatica:

● Balloon Neuroplasty, Selective Nerve Root Blocks & PRF of DRG
● Carpal Tunnel/Suprascapular/Lat. Cut N of Thigh/Inguinal Nerves Blocks
● Celiac Plexus/Splanchnic/Superior Hypogastric/Impar Blocks (RF/Chemical)
● Cervical & Lumbar Discography with Intradiscal Decompression (Hydrocision &
Endoscopic, Stryker Drill Dekompressor Arthrocare coblation, Biacuplasty)
● Facet (Cervical/Thoracic/Lumbar) RF Denervation, Facet Joint Blocks
● Intrathecal/Epidural Catheter & Pumps, SCS & Lead Placement
● Lumbar/Cervical/Caudal/Transforaminal Decompression Neuroplasty with
Epidural Adhesiolysis
● Lumbar/Thoracic/T2, T3 Sympathectomy (RF/Chemical)
● Ozonucleolysis (Cervical/Thoracic/Lumbar)
● Paravertebral & Psoas Compartment Block
● Piriformis & other Somatic Musculoskeletal Injections & other procedures of your
choice/interest
● SI Joint Block & RF Denervation
● Shoulder, Knee & Joint Blocks
● Stellate Ganglion Sympathectomy (RF/Chemical)
● Trigeminal/ Sphenopalatine/Glossopharyngeal RF/Chemical Blocks
● Vertebroplasty, Balloon Kyphoplasty, Sacroplasty

All the high-quality medical services and a dedicated team of surgeons has made Germanten Hospital a well-known name in the field. In 2019, Times of India graded it as the Best Emerging Orthopedic Hospital. It was also named as the Best Orthopedic Hospital in South India by Economic Times 2021. We also have specialized diagnostic facilities that offer laboratory, pathology, radiology, and imaging services. All the operation theatres have a high-advanced laminar airflow for total infection control.

Germanten also offers the highest quality services in terms of postoperative rehabilitation. There are 200+ beds, high advanced ICU and critical care facilities that have a 24 hours anesthesia and critical care team. Here are some other facilities offered at Germanten Hospital that sets it apart from other hospitals:

● BrainLab Navigation system to ensure the precise surgical result
● Intraoperative Nerve Monitoring systems for disc lesion and sciatica surgery
● Microsurgery and fusion procedure under 3D Image intensifier with flat-panel
technology
● Minimally Invasive Spine Surgery using Lasers
● Percutaneous Endoscopic Lumbar Discectomy (PELD)
● Spinal Endoscopy under local anesthesia

The brilliant orthopedic team at the Germanten Hospital is led by one of the most acclaimed orthopedic surgeons in the country, Dr. Mir Jawad Khan. He does an amazing job in leading the top medical professionals of the orthopedic field at Germanten. His commitment to delivering the best and 20+ years of working experience have earned him quite a reputation in the field. To celebrate his achievements and effort, he was awarded the title of Best Doctor by the ex-CM of Joint Andhra Pradesh & Former Governor Tamilnadu, Shri Roshaiah Garu in 2018. In 2019, he was honoured with the Vaida Ratna Award by the Honourable Health Minister of Telangana, Shree Etala Rajendra.

It’s because of Dr. Jawad’s efforts that Germanten has managed to advance the field of nonsurgical treatments for neck and back pain. Through the combined efforts of the team at the Germanten, patients are able to have a better and happier life. Also, it has helped Germanten become the top specialist hospital in Hyderabad for treating neck and back pain through non-surgical procedures. It offers a wide range of options that ensures that you get the best treatment at an affordable price.

Germanten aims to provide the highest quality of medical treatment for its patients. So, if you are experiencing back and neck pain and want a more substantial treatment than medications and exercise, you can contact the specialists at the Germanten Hospitals.

08 Feb 2021

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Spine Key Hole Surgery- Explained!

Your spine or backbone is one of the most important parts of your body as it provides support
and helps you stand, move, sit, bend, or twist. Shaped like an ‘S’, it extends from the extreme
lower back to the base of the skull and protects the spinal cord injuries. However, sometimes,
because of injuries, infections, tumors, craniovertebral dislocation, or age-related issues, spinal
problems can occur. Some of the most common symptoms of a spine problem are persistent
upper and lower back pain, numbness in the hands and legs, difficulty to stand, sit, or walk, and
pain in the neck.Your spine or backbone is one of the most important parts of your body as it provides
support and helps you stand, move, sit, bend, or twist. Shaped like an ‘S’, it extends from the extreme
lower back to the base of the skull and protects the spinal cord injuries. However, sometimes,
because of injuries, infections, tumors, craniovertebral dislocation, or age-related issues, spinal
problems can occur. Some of the most common symptoms of a spine problem are persistent
upper and lower back pain, numbness in the hands and legs, difficulty to stand, sit, or walk, and
pain in the neck.

Scoliosis or congenital deformity of a spine is a condition in which the spine is abnormally
curved that leads to a physical deformity. The affected person has a curved or bent back and is
unable to stand straight. However, even the most severe case of scoliosis can be corrected
surgically. Some of the conditions that can be treated by Spine Surgeries include:
● Slipped disc/herniated disc
● Spinal stenosis
● Scoliosis/kyphosis
● Sciatica
● Spondylolisthesis
● Degenerative disc disease
● Traumatic disorders
● Phylogenic infections or Tuberculosis (most common) or any other
● Tumors affecting the spine, Benign/Malignant
● Previously operated/failed back surgery

Germanten’s Research Collaboration in Orthopedics and Joint Replacement with
Germany allows them to exchange synergies and get a medical consultation. It helps
them stay ahead of other hospitals in terms of sophisticated equipment and the latest
developments in medical technology. This ensures that Germanten is able to provide the
highest quality standards of healthcare in the country. The team at the hospital is
experienced in delivering the best orthopedic treatment for a wide range of complex
ailments.

What is Spine Keyhole surgery?

This is a highly advanced spine surgery in which small incisions are made that leads to minimal
damage to the tissues and faster post-surgery recovery. In order to perform this minimally
invasive surgery, the doctor uses special operative tools known as Tubular Retractors that can be
inserted through the small incisions to reach the spinal column. It leads to the creation of a
tunnel-like opening, leading to the area that has to be operated on. The doctor will use the tubular
retractor for holding the muscles open throughout the procedure to ensure less blood loss and
damage to the bones, ligaments, and muscles, as compared to the open surgery. Here are some
other advantages of Spine Keyhole surgery:

● Small surgical incisions
● Minimal blood loss
● Lesser muscle/tissue damage
● Lesser pain
● Fewer complications after the surgery including infection
● Minimal pain killers
● Quicker recovery
● Minimal hospital stays (just 1 or 2 days after the surgery)
● Lower incidence of post-surgery back pain
● Faster return to the normal routine

Spine Keyhole surgery is extremely helpful, especially for elderly patients as it lessens the
associated problems significantly. Also, it is the optimal solution for overweight or obese
patients as it has lesser healing time and they can start walking the next day.

One of the most common applications of Spine Keyhole surgery is the management of herniated
lumbar disc that is causing sciatic pain. In such cases, patients are discharged on the same day or
the next day after the procedure. However, performing a procedure like this requires specialized
training, advanced surgical skills and state-of-the-art technology. Germanten hospital can help
you with this.

Dr. Mir Jawad Zar Khan, one of the top orthopedic surgeons in the country leads an orthopedic
team at Germanten Hospitals. They ensure that the Spine Keyhole surgery is performed using the
best technology that ensures quick mobility and faster recovery. But, before they decide what
surgery is the best for the patient, a lot of factors must be considered. This includes the physical
and mental health of the patient and their needs. Before the procedure, the patient will be
informed about the aspects of the procedure, cost, expected recovery time, possible
complications, etc.

However, with the experience and specialization of Dr. Jawad, you don’t have to worry about
this. Dr. Jawad has extensive experience of 20+ years in the field of orthopedics, which makes
him the best surgeon for spine keyhole surgery in Hyderabad. He has trained in Germany and has
successfully completed thousands of operations. He was honored as Best Doctor by Shri
Roshaiah Garu (Ex-CM of Joint Andhra Pradesh & Former Governor Tamilnadu) in 2018 and
Vaidya Ratna Award by Shree Etala Rajendra, Honorable Health Minister of Telangana in 2019.
The team will ensure that your case is handled with the utmost commitment.

Intraoperative Neuromonitoring (IONM) at Germanten- Making surgeries safer!

hospital is known for its specialized diagnostic facilities for radiology, pathology, imaging, and
laboratory. A highly-advanced laminar airflow is in every operation theatre to provide total
infection control. Also, it offers the best postoperative rehabilitation for the patients. The
German-based technology allows the doctors to use robotics and computer navigation for
performing painless procedures. With its highly advanced critical care facilities, 24 hours critical
care, and anesthesia team in the ICU, Germanten Hospital is the to-go facility for healthcare in
the country that offers Advanced Surgical and non Surgical Treatments for back pain.

Intraoperative Neuromonitoring (IONM) at Germanten- Making surgeries safer!

Intraoperative neurophysiological monitoring (IONM) is utilized for the continuous surveillance
of a patient’s nervous system (nerves, spinal cord and parts of the brain) during surgery. The goal
of neurophysiological monitoring is to reduce the risk of iatrogenic damage to the nervous
system, and/or to provide functional guidance to the surgeon and anesthesiologist. It provides an
extra layer of assurance for both the surgeon and the patient.

Back pain in India is alarming with nearly 60% of the people in India have suffered from low
back pain at some time, especially the elderly. It requires surgical intervention when the pain
does not decrease through conservative treatment or drugs and limits your daily activities. If you
are facing such issues, you can consult the specialists at the Germanten Hospital, the center of
excellence for vertebral surgery and live your life pain-free.

04 Feb 2021

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Thinking of Knee Replacement? Visit Germanten today!

If your knee is severely damaged by an injury or arthritis, performing simple activities
like walking and climbing stairs can become hard. Even sitting or lying down will make
you feel a lot of pain. In some cases, medications, using walking supports, and changing
activity levels might help relieve some of the pain. But, if it doesn’t work, the last
remaining option is Total Knee Replacement surgery. It can resurface the worn and
damaged surfaces of the knee, providing relief from pain, correct leg deformity, and the
ability to resume normal activities.

Accredited with NABH (National Accreditation Board for Hospitals & Healthcare
Providers, Germanten Hospital is known for its knee replacement procedures, especially
for its safety and same-day walk-in facility. With state-of-the-art infrastructure, 200+
beds, and experienced surgeons who have trained in Germany, it is definitely one of the
best Ortho and Superspeciality hospitals in Hyderabad for surgical procedures. That is
why Germanten was honored with Times Award For Excellence in Joint Replacement
Surgery.
Knee Replacement is a procedure in which the knee bones with worn surfaces are
replaced with a prosthesis. A specialist builds the prosthesis to replicate the movement of
the joint and places them on the knee bones. There are three types of replacement
procedures for the knee:
● Total Knee Replacement – In this procedure, the complete surface of the knee is
replaced with a prosthesis. This includes the kneecap, shin bone’s upper end, and
thigh bone’s lower end.
● Partial Knee Replacement – This procedure involves replacing only the damaged
parts of the knee. The surgeon will remove the damaged tissues and replace them
with man-made implants, known as prostheses. The targeted area can be the inner
side, or outside side, or kneecap.
● Revision Knee Surgery – In this procedure, the old prostheses are removed and
replaced with a new one.

Germanten Hospital is an institute that offers high-quality multispecialty services,
including advanced orthopedics. Knee replacement is just one of the many advanced
orthopedic procedures available at Germanten. Robotics and Navigation Surgeries at
Germanten Hospitals help preserve bone and make accurate implant positioning.
Thanks to its state-of-the-art facilities and world-class expertise, it has become number
one in treating orthopedic conditions and performing joint replacement procedures.

The orthopedic team at Germanten Hospital is led by Dr. Mir Jawad Zar Khan, one of the
most acclaimed orthopedic surgeons in India. Their motto in performing knee
replacement procedures is to make the procedure successful while ensuring early
mobility and the fastest recovery. In order to do this, there are a lot of things that must be
taken into consideration including the needs of the patient, their physical as well as
mental health. Before the procedure, the patient is informed regarding all the aspects of
surgery, cost, prognosis, used implants, etc. With the reputation, 20+ years of experience,
and commitment to deliver the best, Dr. Jawad does an excellent job in leading the
orthopedics department of Germanten Hospitals. Dr. Khan was also honored as Best
Doctor by Shri Roshaiah Garu (Ex-CM of Joint Andhra Pradesh & Former Governor
Tamilnadu), in 2018.

He is making rapid strides in the orthopedics and joint replacement field to ensure that he
can provide happiness, hope, and a better life to his patients. Because of his efforts,
Germanten has become the most renowned specialist hospital in Hyderabad for
diagnosing and treating orthopedic conditions. It is known for providing the widest range
of knee replacement procedures in Hyderabad, having an advanced orthopedic unit, and
providing high-quality neuromusculoskeletal healthcare.

The hospital has specialized diagnostic facilities for laboratory, radiology, pathology, and
imaging. The operation theatres have highly-advanced laminar airflow that provides total
infection control. The hospital has the best environment for the patient’s postoperative
rehabilitation. There are highly advanced critical care facilities and ICU with a 24 hours
critical care and anesthesia team. The German-based precision technology allows them to
use computer navigation and robotics for performing painless procedures. The surgery
can be completed in only 25 minutes and the patient can start to walk just 4 hours after
the procedure.

The aim of Germanten Hospital is to provide world-class treatment for orthopedic
conditions to the people of the country at an affordable price. So, the next time you find
yourself having difficulty performing daily activities because of knee pain, book an
appointment with the specialists at the Germanten Hospitals.

29 Jul 2020

best doctor for rheumatoid arthritis in hyderabad

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Rheumatoid Arthritis (RA): Causes, Symptoms & Complications

Rheumatoid arthritis is a chronic inflammatory disease of the joints and other parts of the body. As the
disease progresses, the inflammation spreads to the tendons, ligaments, cartilage and bones of the
joints. Rheumatoid arthritis can also affect other areas of the body, such as the lungs or blood vessels.
The premier treatment facility for RA is at Germanten Hospital in Hyderabad under the supervision of

Dr.Mir Jawad Zar Khan. The latest diagnosing equipment and treatment options are available at this super
specialty clinic for treatment of RA.

About 1% of the population of India suffers from rheumatoid arthritis. The risk of developing this
disease is almost three times higher in women than in men. Although the disease can occur at any age,
it mainly affects people less than 50 years old.

Rheumatoid arthritis is a serious and life-threatening disease that can cause severe disability that can
affect not only the quality of life but also life expectancy. Fortunately, the new medical strategies
developed in the last two decades have significantly improved the life, longevity, and condition of many
people with rheumatoid arthritis. Currently, there is no way to cure rheumatoid arthritis.

Causes

Rheumatoid arthritis is an autoimmune disease. The immune system no longer recognizes its own tissue
and reacts as if it were in the presence of a foreign body. This misidentification causes the immune
system to attack tissues and joints and cause long-term damage.

Currently, no one can predict if a person will suffer from rheumatoid arthritis. It is thought that
rheumatoid arthritis is caused by several factors, some of which are genetic and other environmental
factors (for example, a viral or bacterial infection). Dr. Mir Jawad Zar Khan provides the finest treatment
of this ailment and has researched into it at length during his years of work in India and abroad.

Symptoms and complications

Rheumatoid arthritis can be sudden and painful gradually or without warning. The first signs of the
disease are often similar to flu symptoms, including pain in all muscles and joints. Pain and stiffness tend
to be more intense in the morning at dawn or after a period of inactivity. These stiffnesses may last less
than an hour, but over time, the symptoms may last for several hours.

In general, rheumatoid arthritis first affects the hands, wrists, and feet and then extends to the elbows,
shoulders, hips, knees, and ankles, and to the neck and jaw. Due to chronic inflammation, the joints
deform as their internal tissue is destroyed. In almost 30% of people, the disease is associated with
subcutaneous nodules or dents in bony regions such as the elbows and knees. Tears and salivary glands
can also be affected, resulting in dry eyes and mouth. Rheumatoid arthritis is a disease of the whole
body and can affect the heart, lungs, and eyes.

What distinguishes rheumatoid arthritis from other types of arthritis is the usual symmetry of its
distribution. Most other forms of arthritis do not have this characteristic. Symmetry means that when a

joint on one side of the body has it, the corresponding joint on the other side of the body is affected in a
relatively short time -a few days, a few weeks, a month or two. In addition, rheumatoid arthritis
accelerates and aggravates arteriosclerosis. Therefore, the doctor could monitor risk factors such as high
blood pressure, high cholesterol, and diabetes. In addition, the doctor can advise you not to smoke. It is
very important to treat arteriosclerosis as quickly as possible.

The prevention of spread of RA is possible with early diagnosis. However, it is only the latest medical
facilities such as Germanten Hospital founded by Dr. Mir Jawad Zar Khan which can provide this type of
advanced care at an affordable cost.

29 Jul 2020

cervical spondylosis treatment in hyderabad

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Know About Cervical Spondylosis

Cervical spondylosis is an annoying condition that occurs when the vertebrae and the discs of the neck
may wear out. Sometimes the disease is asymptomatic, but in most cases, there is a pain of variable
proportion, from mild to more extensive, and can also affect the arms and legs. But what is cervical
spondylosis caused by? And what can be done to try to solve this situation? At Germanten Hospital of
Hyderabad, Dr. Mir Jawad Zar Khan provides best surgical and non-surgical interventions for cervical
spondylosis.

Cervical Spondylosis Causes

The cervical spondylosis can be from a long series of factors. Among the main ones are the previous
lesions, fractures, dislocations of the neck joints. However, a bad posture of the neck, the physical effort
concentrated on the head and shoulders can play an unfavorable role for the wellbeing of that area.

Symptoms

Usually, people suffering from cervical spondylosis experience more or less severe pain in the neck area.
However, it is not at all said that cervical spondylosis must necessarily accompany a sensation of pain.
For example, it is possible that cervical spondylosis may also involve headaches, which usually start at
the back of the head then spread to the forehead.

Care

Usually to treat cervical spondylosis surgery is not used, with such interventions that are therefore
reserved only for hypotheses in which the spondylosis can degenerate into a more severe pathology,
such as cervical radiculopathy or progressive myelopathy. Even in the case of cervical myelopathy
surgery is not always necessary, because if the symptoms are mild and the pain does not progress, you
can try just to keep everything under control. Any surgical intervention is therefore shared with your
doctor based on the amount of pain and any damage to the nervous system.

In the event that surgery is necessary, the techniques used are the anterior cervical discectomy, the
cervical laminectomy, the prosthetic replacement of the intervertebral disc as prescribed by Dr. Mir
Jawad Zar Khan.

Therapy

Beyond the surgery that, as we have seen, is a sort of last way to solve their problems, there are
numerous therapies to find the right relief. For example, an effective treatment is that of physiotherapy,
with gentle movements in the neck, in order to keep the neck in motion as much as possible, avoiding
the feeling of stiffness. These exercises can be performed several times a day, with movements in every
direction. In addition, your doctor may prescribe painkillers to counteract the pain: usually, paracetamol
is enough to keep the discomfort at bay.

Other suggestions to adequately cope with cervical spondylosis from Germanten Hospital are the search
for a good posture to be used in the workplace, avoid using more than one pillow during sleep and,
among others, even the use of a specific vegetable-based diet raw, lots of fruit and few fats, spicy foods,
fried foods, sugar, condiments, tea, coffee.

As you can see, if you want to know more about cervical spondylosis and the conditions associated with
it, it is advisable to discuss it with Dr. Mir Jawad Zar Khan of Germanten Hospital. He has vast
experience in the field of orthopedics and is a leading surgeon in India. Having earned advanced degrees
abroad, he has devoted his life to providing affordable and world-class care to patients in India.

29 Jul 2020

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Pioneering World-Class Joint Replacement Technology

Orthopaedic is an important branch of medicine that is crucial for performing our normal chores and activities. Any disruption of joints or bones in our body has an immediate impact on our regular bodily functions and movement. It is a specialized ﬁeld that requires the highest level of expertise, experience, and cutting-edge technology during diagnosis of any ailments and treatment.
The 100-bedded Germanten Hospital, located in Attapur, Hyderabad is one of the largest hospitals in the city exclusively dedicated to Orthopedics that epitomizes the German ethos of perfection and precision. It was established by Dr Mir Jawad Zar Khan, a senior orthopedist, a well-known orthopaedic, joint replacement surgeon with a proliﬁc experience of 20 years and a mission to provide the best in orthopaedics & trauma care with all the latest equipment.

About Dr Mir Jawad Zar Khan

Consisting of a team of highly experienced orthopaedic surgeons led by Dr Mir Jawad Zar Khan, Germanten Hospital is a pioneer in joint replacements. Dr Mir Jawad Zar Khan-is a senior Orthopaedic Surgeon trained in Germany and an expert in trauma, knee & joint replacements. He has completed his Masters of Science (M.S) in Orthopaedics from Osmania University with highest marks in Telangana State. He did his M.Ch. Orthopaedics from USAIMS, Seychelles and Fellowship in Arthroplasty.

from Germany. He has a record-breaking 20 years of experience in handling various complex trauma surgeries & a great number of joint replacements. Dr Jawad and his team are key in bringing the world’s best treatments in orthopaedics and joint replacements to India.

Dr Jawad has many awards to his credit and is also an active member in many national and international medical associations. He has presented research papers and articles and also participated in numerous conferences within India and internationally. Dr Jawad has treated numerous patients with complicated trauma. He has treated many elderly patients with fractures, taking care of all their medical needs and also treated many sportsmen of state & national ranking who visit him frequently for sports injuries.
Best Emerging Orthopaedics Hospital in Hyderabad
Germanten Hospitals have been recognized by The Times of India group in the All India Multispecialty Hospitals Ranking Survey-2019 as “Best Emerging Multispecialty Hospital in Hyderabad-2019″. The hospital was ranked as the ‘Best Emerging Multispecialty Hospital’ earlier too. Dr Jawad’s team comprises of dedicated doctors, operation theatre staﬀ, physiotherapists and other staﬀ who leave no stone unturned for the total recovery and satisfaction of the patients. World-class treatment is provided for patients here in the ﬁelds of

Knee Joint Replacement
Partial Knee Replacement
Hip Replacement
Trauma & Fracture
Arthroscopy & Sports Injuries
Spine Surgery
Non-Surgical Treatment
Surgical Treatment
Multispecialty Services

What makes Germanten Hospital the Best for Orthopedics?

Institute for Advanced Orthopaedics with high-quality multispecialty services.
Advanced hospital for Joint replacement, Knee replacement and other advanced orthopaedic procedures.
No.1 in joint replacement surgeries and treatment.
World-class expertise and state-of-the-art facilities.
Providing the highest standards in quality of healthcare in the country.
A team that delivers the best orthopaedic treatment across a broad range of complex ailments.
Collaboration with German-based hospitals to exchange synergies for medical consultation and also to stay abreast of the latest developments in the ﬁeld of medical technology and sophisticated equipment.
Strive to provide world-class treatment in advanced orthopaedic procedures, at aﬀordable costs.
Highly advanced laminar airﬂow operation theatres for total infection control.
Painless knee replacement with the advanced and latest technologies and facilities, providing the best environment for postoperative rehabilitation
Specialized diagnostic facilities for imaging, pathology, radiology and laboratory.
24hours Anesthesia and Critical Care team consisting of Senior Anaesthetists
Highly advanced ICU and Critical care facilities

Giving More Life to Your Joints
The number of Indians suﬀering from Knee and Hip joint problem has increased in the last few years. The problem brings immense pain to their body and refrains them from performing their daily activities. The Joint Replacement Surgeries performed here include Hip Replacement, Knee Replacement, Partial Knee Replacement, Shoulder Replacement and Elbow Replacement, etc. Germanten has a group of best and well-trained orthopaedic surgeons who provide highly specialized care to patients with both invasive and non-invasive joint replacement surgery in Hyderabad.

German Technology for Best Robotic Knee Replacement in Hyderabad.

Germanten is Hyderabad’s most renowned specialist hospital for diagnosing and treating critical orthopaedic conditions. The hospital is known to provide the most comprehensive range of Knee Replacement Surgery in Hyderabad, neuromusculoskeletal healthcare and for having the most advanced orthopaedic unit in the city and the country. The German-based precision technology enables the use of robotic & computer navigation with painless surgery that is performed only in 25 minutes, while the patient can start walking 4 hours after the surgery.
Dr Jawad and his Teams’ motto in performing joint replacement is to make it a successful surgery with the fastest recovery and early mobility by taking into account all aspects of patients needs, as well as their physical and mental health. They discuss in detail with each patient all aspects of the surgery, implants used, costs and prognosis etc. With its expertise, reputation and a commitment to deliver nothing but the best, Germanten Hospitals, Hyderabad under the impressive guidance of Dr Jawad is making rapid strides in the ﬁeld of Orthopedics and Joint replacement, providing a new lease of life, hope and happiness to patients.

Web: www.germantenhospitals.com
Email: info@germantenhospitals.com
Mobile: +91 9000900937,+91 9989635555

29 Jul 2020

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KNOW ABOUT ACL INJURIES IN WOMEN

Dr Mir Jawad Zar Khan Sir educated Most of his joint pain patients and Athletes, Saying that “ The slightest mention of an ACL tear strikes fear in the hearts of even the toughest athletes, and for a good reason. The career-ending injury occurs in 1 of every 3,000 individuals each year, and it has been reported to occur upwards of 9 times more often in women than men. “

Further, he said that “ ACL injuries are more common in females than males, but why exactly is that the case?

Anatomy :

Not surprisingly, female anatomy has been called into question as the culprit of increased rates of knee injuries. Women have a wider pelvis, which causes the femur to descend at a much sharper angle inwardly than men. Medically, the angle of the femur is called the “Q- angle”, and a greater Q-angle can give what is often known as a knock-knee appearance. This alignment of the female femur puts more pressure on the inside part of the knee, which is thought to contribute to ACL tears.

Besides the width of the pelvis, another contributing factor is an imbalance in the strength of female leg muscles. Women tend to have stronger quadriceps muscles (located in the front of the thigh), and relatively weaker hamstring muscles (located in the back of the thigh). This imbalance causes additional stress to be placed on the ACL, leading to an increased risk of tear.

The construct of the ACL itself may be a cause of increased tears in women. Females generally have smaller ligaments compared to men, which makes even the smallest tears detrimental to their physicality. On top of that, women have more lax ligaments, meaning they have more give. This increased laxity allows for more joint mobility, which predisposes women to ACL tears.

Conditioning :

More recently the contribution of neuromuscular control and biomechanics as predisposing factors has been studied. To explain, researchers have looked at the way females jump, cut, land, and rotate during sporting events. Compared to men it was found that women tend to bend their knees less upon landing, meaning they allow their joints to take on most of the force of impact. Women also buckle their knees inward when landing and making cuts, which puts even more stress on the inside part of their knees. Furthermore, women’s feet flatten out upon impact which adds to the mounting stress on their ACLs.

Is surgery always necessary after an ACL tear?

Dr Mir Jawad Zar Khan Sir Said at GERMANTEN HOSPITAL as Not necessarily. The decision to repair an ACL tear with surgery should factor in age, current activity level and desired activity level. Women who are older and/or don’t participate in many high-intensity sport or leisure activities might get good results from physical therapy alone. Meanwhile, women who play sports or have knee-straining jobs or hobbies, such as dancing, may benefit from surgery to recover as much function as possible and continue their active lifestyle. A sports medicine specialist can help decide which option is best.

What can female athletes do to prevent ACL tears?

Sports injuries are always a possibility, even if you do everything right. But there are steps you can take to minimize risk factors related to your technique, training and lifestyle. The following recommendations are all equally important in preventing ACL tears and other sports injuries:

✔ Practice good technique.
While not a guarantee, proper technique when training and playing a sport can help ward off sports injuries. Work with your coach and/or your sports physical therapist to identify improper form and correct it.

✔ Avoid working out while overly fatigued.
When you’re tired, it’s easier to make mistakes or forget about good technique. Getting enough sleep and stopping a workout before exhaustion sets in help to prevent injury.

✔ Work to develop muscle groups evenly.
Core and extremity strength are equally important. Focusing on one while ignoring the other increases your risk of injury.

✔ Create a balance between strength and flexibility.
Both tight and overstretched muscles are more prone to injury. Working on strength and flexibility in moderation is key.

✔ Eat a balanced diet.
Poor nutrition leads to decreased strength, endurance, and attention. Eating well can help improve your focus and performance.

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Know About Cervical Spondylosis

Pioneering World-Class Joint Replacement Technology

KNOW ABOUT ACL INJURIES IN WOMEN

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