Category: Blogs

22 Feb 2023
knee replacement revision surgery

What Is Knee Replacement Revision Surgery?

What is knee revision surgery?

 

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

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

What makes revision knee replacement more complicated than initial surgery? 

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

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

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

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

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

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

 

Reasons for a Revision Knee Replacement 

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

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

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

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

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

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

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

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

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

 

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

 

13 Feb 2023

5 Tips for a Successful Total Hip Replacement Recovery

Hip replacement surgery recovery tips

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

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

  • Prepare your home in advance

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

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

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

  • Take some time off from work.

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

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

  • Rest, recovery and gentle exercise

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

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

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

 

  • Nutrition plays a major role.

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

  • Think about your holidays and travel plans

 

  • Lying

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

 

  • Driving

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

 

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

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

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

 

06 Feb 2023
best exercises for golfer elbow

Best Exercises and Home Remedies for Treating and Preventing Golfer’s Elbow

Exercise for golfers elbow

These golfer elbow exercises should be followed twice daily to build strength, boost flexibility, and eliminate pain. It should be done gently and gradually over time. Perform the exercise for golfers elbow before and after the activity that leads to strain or stress. Move gently; do not force any. 

Moreover, it is common to experience slight pain, discomfort, and sensation. However, if it becomes severe, discontinue the golfer elbow exercises. Give your body some rest and consult your doctor if you don’t see any improvement. 

  • Isometric wrist strengthening (extension)

    Sit and relax your whole body. Keep your affected forearm on the table or arm of the chair with your palm facing downwards. Place the opposite hand on the affected one and press it to create resistance. Do it for 10 seconds by slowly increasing the resistance and releasing it. Remember to keep your body still during these golfer elbow exercises. You can repeat it 15 times. 

 

  • Isometric wrist strengthening (flexion)

    Sit and relax your whole body. Keep your affected forearm on the table or arm of the chair with your palm facing up. Place the opposite hand on the affected one and press it to create resistance. Do it for 10 seconds by slowly increasing the resistance and releasing it. Remember to keep your body still during this golfer elbow exercise. You can repeat it 15 times.

 

  • Resisted wrist extension

    Sit down and hold a weight with your resisted arm. Place your forearm on the table or arm of the chair with your palm facing down and your hand hanging. Start slowly lowering your hand and returning it to the initial position. Do 15 reps of this exercise of 1-3 sets.

 

  • Resisted wrist flexion

    Sit down and hold a weight with your resisted arm. Place your forearm on the table or arm of the chair with your palm facing down and your hand hanging. Start slowly lowering your hand and returning it to the initial position. Do 15 reps of this exercise of 1-3 sets.

 

  • Golfer’s elbow stretch

    Extend your arm in front of you and keep your fingers and palms facing up. Then gently use your opposite hand to pull your fingers and wrist down towards your body. Hold the position for 30 seconds. Repeat it 2 to 5 times. While performing this exercise, you will feel a stretch in the underside of your forearm.

 

Preventing golfer’s elbow

There are various things to prevent and act as golfers elbow treatment, including:

  • Strengthen the forearm muscles with light weightlifting. You can also squeeze the ball for five minutes at a time. 
  • Change your technique and slowly lower your golf swing to allow your arm to absorb less shock. 
  • Keep the form proper to overload your muscles. 
  • Use lighter graphite clubs instead of heavier golfing irons.
  • Keep yourself hydrated during, before and after the golf game. 

 

In case you are already experiencing pain, wearing a counterforce brace and splint can greatly help. They distribute the tension throughout the tendons and muscles rather than impacting only the injured site. 

 

Home remedies for golfers elbow

Some of the simple home remedies for golfers elbow that can ease the symptoms and prevent the condition from getting worse are: 

 

  • Take rest

    Resting for a few days is one of the treatment of golfers elbow. Do not indulge in activities that cause pain. If it is for your job, try to modify them and adjust your movements as much as possible. To avoid swelling, raise your elbow above your heart. 

 

  • Heat and ice treatment of golfers elbow

    Use heat and ice packs on the affected area. It is best to wrap it in a towel to avoid touching your skin directly. Doing it for 10 to 15 minutes a day helps to relieve the pain.

 

  • Pain relief

    Taking pain relief drugs can help ease the pain. It should be taken before the condition becomes too intense or severe. Take the limited dosages and do not use it for more than ten days as golfers elbow treatments. The natural pain relievers are turmeric, willow bark and cloves. 

 

These are some of the best home remedies for golfers elbow. Visit Germanten Hospital to learn about the best exercise for golfers elbow

 

30 Jan 2023
exercises for a herniated disc

Neck Exercises and Stretches for a Herniated Disc

What is a herniated disc?

A herniated disc, also known as a slipped, or bulging disc, is extremely painful. It is a common condition in early to middle-aged people. It is caused when too much pressure is put on the spine.  

The human spinal cord is composed of bony vertebrates separated by a disc. These discs are:

  • Act as a cushion of joints at the time of impact
  • Allow spine movement
  • Keep vertebrae in place 

When the soft inside of the disc, the nucleus, leaks through the rigid outer portion, it leads to a herniated disc. It tends to irritate the surrounding area. 

Movements that lead to herniated discs are:

  • Lifting
  • Bending
  • Pulling
  • Twisting
  • Bad posture and poor ergonomics. 

Herniated discs can lead to pain and weakness in the area whose nerves are impacted. However, it can be relieved with exercises for herniated discs.  

Cervical Radiculopathy

 The herniated disc in the upper part of the spine can cause pain in:

  • Shoulder
  • Arm
  • Hand

This pain is called cervical radiculopathy, also known as a pinched nerve. 

 

Treatment

There are various treatment options available for herniated discs; doctors recommend trying medications, rest and physical therapy before deciding on surgery. Several herniated disc exercises can improve your condition faster. The aim is to push the disc back away from the nerve root. 

However, it is best to have your doctor evaluate the exercises for herniated discs before you attempt them. 

Herniated disc exercises to relieve neck pain

Some of the most effective herniated disc exercises to get rid of neck pain are:

  • Neck extension
    Lie on the table with your neck inlined with the edge. Slowly lower the head backwards and let it hang. If this makes your pain severe or transfers the pain to the arm, discontinue this slip disc exercise. Hold the position for 1 minute and then take the rest for 1 minute. Repeat this exercise for cervical pain 5 to 15 times.
  • Neck extension with head liftLie on your bed or table with your head hanging off and arms by your side. Start lifting your head slowly and gently, extending the neck. Just hold in this position for 5 to 10 seconds. Repeat this 5 to 15 times.
  • Neck retractionLie on your bed on your back and keep your hands by your side. Tuck your chin in your chest, making a double chin. Hold the position for 5 to 10 seconds. Repeat this 15 to 20 times a day.

 

  • Shoulder retractionStand against a wall, or you can even sit. Keep your arms by your side and bend your elbows to 90 degrees. Keep your shoulder down and back and push the arm towards the wall, squeezing the blades together.

 

  • Isometric holdSit tall, relax your shoulder and put your hand on your forehead. Without moving your head, press your hands into your head. Hold the position for 5 to 15 seconds and repeat this herniated disc exercise 15 times.

 

Neck stretches to relieve pain.

Stretching is effective for herniated discs. However, it tends to increase the pain and immediately stop stretching if it does too much. 

 

  • Lateral bendSit tall, relax your shoulder and tilt your head to one side as you touch your shoulder with your ear. Stay in the position for 30 seconds and repeat this slip disc exercise 3 to 5 times throughout the day.

 

  • Scalene stretchSit tall and relax your shoulders. Hold the chair you’re sitting with your left hand and let your blade move down. Slowly move your right ear to your right shoulder and push it slightly backwards. Hold this position for 30 seconds, rest and repeat it 3 to 5 times a day.

 

  • Neck rotationSit up tall and relax your shoulders. Gently turn your head to the right, do not over-twist your neck. Then repeat it to your other side. Hold this position for 30 seconds, and keep repeating it 3 to 5 times a day.

 

These are some of the most effective exercises for herniated discs to eliminate pain. However, one should always consult their doctor before attempting any slipped disc exercise. They can help you understand which exercise for cervical neck pain would be most effective. 

 

21 Jan 2023
What is spinal fusion surgery

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

What is spinal fusion surgery?

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

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

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

How will spinal fusion surgery improve my condition?

 Lower back surgery can reduce pain caused by:

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

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

 

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

 

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

 

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

 

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

 

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

 

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

 

How long would spinal fusion surgery take?

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

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

What to expect after spinal fusion surgery?

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

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

 

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

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

Tips to follow for faster recovery from spinal fusion surgery

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

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

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

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

 

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

6 Do’s and Don’ts After Knee Surgery

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

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

 

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

 

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

 

What not to do after ACL surgery? 

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

 

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

 

At home, try not to: 

 

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

 

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

 

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

 

31 Dec 2022
Does stifness in fingers mean arthiritis

Does Stiffness In Fingers Mean Arthritis?

Stiffness In The Fingers In The Morning

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

Causes

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

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

 

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

 

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

 

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

 

DIAGNOSIS

 

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

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

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

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

 

TREATMENT

 

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

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

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

 

WHY CHOOSE US?

 

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

 

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

 

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

 

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

 

24 Dec 2022
what is the latest knee replacement surgery

What is the latest technology in knee replacement

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

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

New Knee Replacement Technology in 2020

 

  • Minimally Invasive Surgery (MIS)

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

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

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

 

  • Total Knee Arthroplasty (TKA)

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

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

  • New Robotic Knee Replacement Surgery

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

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

Different type of knee replacement robotic surgery

 

  • Mako Robotic Assisted Knee Surgery

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

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

  • Navio Cori Surgical Systems

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

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

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

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

18 Dec 2022
6 Natural Home Remedies for Knee Pain

6 Natural Home Remedies for Knee Pain

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

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

  • Use RICE to help with strains and sprains.

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

  • Rest
  • Ice
  • Compression
  • Elevation

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

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

  • Tai Chi

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

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

  • Exercise

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

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

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

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

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

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

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

  • Weight Management

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

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

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

  • Heat & Cold Therapy

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

  • Herbal Ointment

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

  • cinnamon
  • ginger
  • Mastic
  • Sesame oil

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

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

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

 

11 Dec 2022
How to sleep with herinated disc and sciatica

How to sleep with herniated disc and sciatica

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

Best sleeping position for sciatica

  • Keep your eyes on yourself.

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

How to set up:

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

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

How to set up a sleeping position for sciatica:

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

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

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

How to set up sleep for herniated disc:

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

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

How to set it up:

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

How to set up a sleeping position for a slipped disc:

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

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

How to sit and sleep with a herniated disc

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

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

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