Contact Us

Germanten Hospital

Tag: Orthopedic

12 Sep 2024
Managing Joint Pain During the Rainy Season- Tips and Exercises

Managing Joint Pain During the Rainy Season: Tips and Exercises

The arrival of the rainy season causes many people with joint pain to experience additional discomfort. It is important to adopt strategies that help manage and relieve joint problems, as the damp and cold circumstances may worsen them. With helpful suggestions and exercises that can preserve joint health, this article offers a thorough guide on how to manage joint pain during the rainy season.

Joint pains types

Source: National Rheumatoid Arthritis Society

Joint Pain in the Rainy Season

Joint pain, often associated with conditions like arthritis, is a common complaint during the rainy season. The changes in barometric pressure, humidity, and temperature can affect the joints, leading to stiffness, swelling, and increased pain. 

While the exact reason for this phenomenon is not entirely understood, it is believed that the drop in barometric pressure causes the tissues around the joints to expand, resulting in discomfort. Additionally, cold temperatures can lead to reduced blood circulation, which may further contribute to joint stiffness.

Tips for Managing Joint Pain During the Rainy Season

Managing joint pain during the rainy season requires a combination of lifestyle adjustments, preventive measures, and self-care practices. Here are some tips to help alleviate joint discomfort:

 Stay Warm and Dry

Cold and damp weather can worsen joint pain, so it’s important to keep your body warm and dry. Dress in layers and wear warm clothing, especially around the joints. Use heating pads or warm compresses to soothe aching joints. If you get wet, change into dry clothes as soon as possible to prevent the cold from affecting your joints.

Maintain a Healthy Diet

A balanced diet rich in anti-inflammatory foods can help reduce joint pain. Include foods high in omega-3 fatty acids, such as salmon, walnuts, and flaxseeds, which have anti-inflammatory properties. Incorporate plenty of fruits and vegetables, especially those rich in antioxidants like berries, leafy greens, and citrus fruits. Limit the intake of processed foods, sugar, and refined carbohydrates, which can increase inflammation.

Stay Hydrated

Proper hydration is crucial for maintaining joint health. Dehydration can lead to reduced joint lubrication, making the joints more susceptible to pain and stiffness. Drink plenty of water throughout the day, and consider herbal teas that have anti-inflammatory properties, such as ginger or turmeric tea.

Regular Exercise

Regular physical activity is essential for keeping the joints flexible and reducing stiffness. Low-impact exercises, such as walking, swimming, and cycling, are ideal for maintaining joint mobility without putting too much strain on them. Exercise also helps in maintaining a healthy weight, which reduces the pressure on the joints.

Maintain a Healthy Weight

Excess weight puts additional stress on the joints, particularly in weight-bearing areas like the knees and hips. Losing weight can significantly reduce joint pain and improve mobility. Focus on a balanced diet and regular exercise to achieve and maintain a healthy weight.

Use Supportive Footwear

Wearing proper footwear is crucial for joint health, especially during the rainy season when surfaces can be slippery. Choose shoes that provide good support and cushioning to reduce the impact on your joints. Avoid high heels or poorly fitted shoes that can strain your joints.

Get Adequate Rest

Rest is essential for joint health, particularly when experiencing pain. Ensure you get enough sleep each night to allow your body to repair and rejuvenate. Consider using a supportive mattress and pillows to keep your joints in a comfortable position while you sleep.

Exercises to Relieve Joint Pain

Incorporating specific exercises into your routine can help alleviate joint pain and improve flexibility. Here are some exercises that are particularly beneficial during the rainy season:

Range of Motion Exercises

Range of motion exercises help maintain joint flexibility and prevent stiffness. These exercises involve gently moving your joints through their full range of motion. For example, shoulder rolls, ankle circles, and wrist bends can help keep these joints flexible.

  • Shoulder Rolls: Stand or sit with your back straight. Gently roll your shoulders forward in a circular motion 10 times, then reverse the direction and roll them backward.
  • Ankle Circles: Sit on a chair with your legs extended. Rotate your ankles in a circular motion, 10 times in each direction.

Strengthening Exercises

Strengthening the muscles around your joints provides better support and reduces the risk of pain. Focus on low-impact strength training exercises that target the muscles surrounding the joints.

  • Leg Lifts: Lie on your back with one leg bent and the other straight. Slowly lift the straight leg to about 45 degrees, hold for a few seconds, and then lower it. Repeat 10-15 times on each side.
  • Wall Push-Ups: Stand facing a wall with your arms extended at shoulder height. Place your palms on the wall and perform a push-up by bending your elbows and bringing your chest toward the wall. Repeat 10-15 times.

Stretching Exercises

Stretching helps improve flexibility and relieve tension in the muscles and joints. Regular stretching can prevent stiffness and improve joint mobility.

  • Hamstring Stretch: Sit on the edge of a chair with one leg extended straight out and the other foot flat on the floor. Lean forward from your hips, keeping your back straight, and reach toward the toes of your extended leg. Hold for 20-30 seconds and switch legs.
  • Quadriceps Stretch: Stand near a wall for balance. Bend one knee and bring your heel toward your buttocks. Hold your ankle with your hand and gently pull it closer to your body. Hold for 20-30 seconds and switch legs.

Low-Impact Aerobic Exercises

Aerobic exercises improve cardiovascular health and help maintain joint mobility without putting too much stress on the joints. Activities like walking, swimming, and cycling are excellent options.

  • Swimming: Swimming is an excellent full-body workout that is gentle on the joints. The buoyancy of the water reduces the impact on your joints while providing resistance for strengthening muscles.
  • Stationary Cycling: Cycling on a stationary bike is a low-impact way to keep your joints moving and improve cardiovascular health. Adjust the seat height to ensure proper alignment of your knees and hips.

Yoga and Tai Chi

Yoga and Tai Chi are mind-body practices that combine gentle movements with deep breathing and relaxation. These exercises help improve flexibility, balance, and joint health.

  • Cat-Cow Pose (Yoga): Start on your hands and knees in a tabletop position. Inhale as you arch your back (Cow Pose) and exhale as you round your spine (Cat Pose). Repeat 10-15 times.
  • Tai Chi Flow: Practice a simple Tai Chi flow by standing with your feet shoulder-width apart and gently shifting your weight from one leg to the other while moving your arms in a flowing motion. Focus on slow, controlled movements.

Conclusion

Managing joint pain during the rainy season requires a proactive approach that includes staying warm, maintaining a healthy diet, staying hydrated, and engaging in regular exercise. By incorporating these tips and exercises into your daily routine, you can reduce joint discomfort and improve your overall quality of life. Remember to consult with a healthcare professional before starting any new exercise regimen, especially if you have an existing joint condition. With the right strategies, you can enjoy the rainy season without letting joint pain hold you back.

01 Aug 2024
Understanding Plantar Fasciitis- Causes and Treatment Options

Understanding Plantar Fasciitis: causes and treatment options

Plantar fasciitis is one of the most frequent disorders that cause heel discomfort. It causes inflammation of the plantar fascia, a thick, fibrous band of tissue that runs down the sole of the foot. The plantar fascia connects to the heel bone (calcaneus) and the base of the toes. It supports the arch of the foot and plays a vital function in appropriate foot mechanics when walking.

When you apply weight on your foot, such as by standing, tension or stress in the plantar fascia increases. When you push off with the ball of your foot and toes, the tension rises. Both of these movements occur during typical walking or running. 


plantar fascitisSource: SemanticScholar

Plantar fasciitis is a common foot condition that affects millions of individuals worldwide. It is distinguished by pain and inflammation in the plantar fascia, a thick band of tissue that runs across the sole of your foot and links your heel bone to your toes. Understanding the causes and treatment options for plantar fasciitis is critical for controlling the disease and increasing overall quality of life.

Causes of Plantar Fasciitis

Plantar fasciitis is often caused by overuse or strain on the plantar fascia. This syndrome can be caused by a variety of situations, including:

  1. Overuse and High-impact Activities: Activities that put too much strain on the foot, such as long-distance jogging, ballet dancing, or aerobic dance, can cause plantar fasciitis. Repetitive impact can develop small tears in the plantar fascia, resulting in inflammation and pain.
  2. Foot Structure: Certain foot structures, such as flat feet or high arches, might increase the possibility of plantar fasciitis. Abnormal foot mechanics can change how weight is transferred across the foot, putting more strain on the plantar fascia.
  3. Age: Plantar fasciitis is most common in those aged 40 to 60. As we age, the plantar fascia loses elasticity and becomes more vulnerable to damage.
  4. Obesity: Excess body weight puts additional strain on the plantar fascia, raising the possibility of inflammation and discomfort. Maintaining a healthy weight can lower the risk of getting plantar fasciitis.
  5. Occupational Risks: Jobs that demand extended standing or walking on hard surfaces might lead to plantar fasciitis. Occupations such as teaching, manufacturing, and retail might raise the chance of acquiring this illness.
  6. Improper Footwear: Wearing shoes with inadequate support or cushioning can increase stress on the plantar fascia. High heels, flip-flops, and worn-out shoes are typical causes.

Symptoms of Plantar fasciitis

The primary symptom of plantar fasciitis is a sharp, stabbing pain on the sole of the foot around the heel. The pain is often most intense while taking the first steps in the morning or after a period of rest. As the day continues and the foot warms up, the discomfort may go away, but it may return after longer periods of standing or walking.

  • Additional symptoms include: Stiffness: The foot may feel stiff and tight, particularly after prolonged inactivity.
  • Tenderness: The bottom of the heel or the arch of the foot may be sensitive to the touch.
  • Swelling: Mild swelling may develop in the affected region.

Diagnosis

Plantar fasciitis can be diagnosed by a healthcare professional after reviewing your medical history and doing a physical examination. They may push on the heel to determine the specific area of the discomfort and check for sensitivity or swelling. Imaging studies, such as X-rays or an MRI, may be required to rule out other medical conditions, such as stress fractures or arthritis.

Treatment Options

The purpose of treating plantar fasciitis is to reduce inflammation, relieve discomfort, and promote recovery. Several therapy approaches are viable, ranging from conservative measures to more complex procedures.

  1. Rest and Activity Modification: Avoiding activities that worsen the condition is important. Resting the injured foot and avoiding high-impact workouts will assist to reduce further strain on the plantar fascia.
  2. Ice Therapy: Applying ice to the afflicted region for 15-20 minutes many times a day will help decrease inflammation and relieve discomfort.
  3. Stretching and Strengthening Exercises: Exercises that target the calf muscles and plantar fascia can help increase flexibility and reduce strain. Strengthening exercises for the foot and ankle muscles can also help with support and stability.
  4. Footwear and Orthotics: Wearing shoes with sufficient arch support and cushioning might help relieve strain on the plantar fascia. Custom orthotic inserts can help give extra support and rectify aberrant foot mechanics.
  5. Medications: Nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen and naproxen, can help alleviate pain and inflammation.
  6. Physical Therapy: A physical therapist can create a tailored treatment plan for plantar fasciitis that includes stretching, strengthening, and manual therapy techniques.
  7. Night Splints: Wearing a night splint can assist keep the foot in a dorsiflexed position, stretching the plantar fascia and encouraging healing while sleeping. 
  8. Corticosteroid Injections: When conservative therapy fail to relieve severe pain, corticosteroid injections may be tried. These injections may give brief comfort by lowering inflammation.
  9. Extracorporeal Shock Wave Therapy (ESWT): It uses sound waves to induce healing in the plantar fascia. This non-invasive technique may be useful for persistent plantar fasciitis.
  10. Surgery: Surgery is often used as a last option when other therapies have failed. Plantar fascia release and gastrocnemius recession are two procedures that may help with stress and pain relief.

Prevention

To prevent plantar fasciitis, maintain healthy behaviors and take actions to lessen tension on the feet:

  • Maintaining a healthy weight might help reduce stress on the plantar fascia.
  • Choose shoes with strong arch support and cushioning, especially if you spend a lot of time on your feet.
  • Stretching your calf muscles and plantar fascia on a regular basis will help you stay flexible and avoid stiffness.
  • When beginning a new workout regimen, gradually increase the intensity and duration to avoid overuse injuries.
  • If your profession needs you to stand for lengthy periods of time, take regular breaks and redistribute your weight.

Plantar fasciitis may be a painful medical condition, but with the right understanding and therapy, it is possible to relieve pain and encourage recovery. Individuals may take proactive actions to manage plantar fasciitis and preserve foot health by addressing the underlying causes, implementing preventative measures, and researching various treatment choices. If you believe you have plantar fasciitis, see a doctor for an accurate diagnosis and a customized treatment plan.

31 May 2024
Recovering from Arthroscopy surgery

Recovering from Arthroscopy Surgery: What to Expect and How to Prepare

Introduction

Arthroscopy is a minimally invasive type of surgical procedure that is used by the doctor to view, diagnose, and treat joint problems. The procedure is generally recommended for people who may have an inflamed joint, injured joint, or suspected joint damage with aging.

Arthroscopy can be performed on any joint but is most commonly done on the knee, ankle, elbow, shoulder, wrist, or hip joint. The procedure involves the insertion of a thin, long tube with a light and video camera on one end, known as an arthroscope, into the joint through several small incisions made by the doctor to check the condition of the joint and even repair some types of joint damage.

Arthroscopy surgery is considered to be a minor surgery that is usually performed on an outpatient basis, which means that the patient can generally go home on the same day of the procedure.

In this article, we will be discussing the recovery of a patient following an arthroscopy surgery and how to prepare for the same.

Preparation for Arthroscopy Surgery

The general health of the patient will be assessed by the orthopedic surgeon before an arthroscopy surgery. This helps in ensuring that the patient does not have any underlying medical conditions that could interfere with the procedure.

The doctor will also suggest undergoing certain diagnostic tests before the procedure, such as blood tests and imaging tests to check the health of the patient and view the joint on which the surgery will be performed.

The exact preparation needed for an arthroscopy surgery will depend on which joint the surgery is being performed. The general instructions given to a patient to prepare for an arthroscopy surgery include the following:

  • The doctor may ask the patient to avoid taking certain medications, like blood thinners and nonsteroidal anti-inflammatory drugs (NSAIDs), or supplements that could increase the risk of bleeding during or after the surgery.
  • The patient should let the surgeon know about any current medications or supplements that he or she may be taking.
  • If the patient has any known allergies, the same needs to be reported to the doctor before surgery.
  • Depending on the type of anesthesia that will be administered during the procedure, the doctor may recommend to avoid eating or drinking anything eight hours before the surgery.
  • The patient needs to ensure that the area that he or she will be operated on is kept clean and free from any injury, sunburn, or infection.
  • The patient needs to arrange for someone to drive him or her home after the surgery.
  • On the day of the surgery, the patient should wear loose and comfortable clothes on the area being operated upon.

Arthroscopy Surgery Procedure

The patient will first be administered with local anesthesia (which numbs the area of the procedure), regional anesthesia (which numbs the body from the waist downwards), or general anesthesia (which makes the patient unconscious). The type of anesthesia given will depend on the type of arthroscopy being performed and the health of the patient.

The surgeon will then make two or three small cuts or incisions in the area of treatment. The arthroscope and other tiny surgical instruments are then inserted through these incisions.

The images sent from the arthroscope are viewed on a monitor screen by the doctor to examine the joints, tendons, ligaments, and cartilage in that area. These images help the doctor to diagnose the problem or in some cases, treat the problem using the surgical instruments inserted inside.

The arthroscope and instruments are removed after the completion of the procedure and the incisions are closed using stitches and a bandage.

Most arthroscopy surgeries can be completed in an hour, although some complex arthroscopies may take a little longer to complete.

Recovery After Arthroscopy Surgery

After the completion of the arthroscopy surgery, the patient is moved into a recovery room to monitor the vital parameters of the patient. An ice pack application may be done on the surgical site to help reduce the swelling and pain after surgery. The medical staff present will also help the patient to keep the operated area in an elevated position.

Most patients can go home a couple of hours after the surgery. Once the patient goes home, the following instructions need to be followed for a quick and smooth recovery:

  • The surgical area needs to be kept clean and dry for the next twenty-four hours after the surgery.
  • A protective dressing should be placed on the surgical site while taking a shower.
  • Soaking the treatment area in water should be avoided.
  • The patient should avoid putting any pressure or weight on the surgical area.
  • If the surgery has been performed on the foot or knee area, the patient may need to use crutches or another type of assistive device for walking. If the surgery has been done in the shoulder or hand area, the patient may need to wear a sling or brace.
  • The doctor will prescribe certain medications to reduce pain and inflammation after surgery.
  • The patient is recommended to put on an ice pack and keep the surgical area in an elevated position to reduce swelling and pain.
  • The doctor will recommend undergoing certain physical therapy exercises that need to be done to improve the function of the operated joint and strengthen the muscles.

The incisions generally take several days to heal. Complete recovery or healing may take several weeks, depending on the health of the patient and the type of surgery the patient has undergone

The recovery following an arthroscopy is generally quicker compared to the recovery following an open surgery. Additionally, the procedure is less painful and causes minimal scarring and bleeding compared to an open surgery.

Conclusion

Arthroscopy is a safe, minimally invasive type of surgery performed to examine the joints, tendons, ligaments, and muscles. The surgery helps diagnose and treat many joint and ligament problems using small incisions for a quicker recovery with less scarring and pain compared to other surgeries.

Complete recovery following an arthroscopy surgery may take several weeks to months, depending on the type of surgery performed. It is important to follow the doctor’s instructions carefully to help in a smooth and rapid recovery.

 

09 May 2024
Exploring the Effectiveness of Platelet-Rich Plasma Therapy for Orthopedic Conditions

Exploring the Effectiveness of Platelet-Rich Plasma Therapy for Orthopedic Conditions

Introduction

Platelet-rich plasma or PRP therapy is a new, advanced type of treatment that is changing the field of orthopedic medicine. PRP is a concentrated solution obtained from the patient’s own blood that contains a higher concentration of platelets compared to the concentration found in normal blood. Platelets play an important role in the natural healing process of the body by the release of growth factors that can help in stimulating tissue repair and regeneration.

PRP helps in orthopedics by promoting tissue healing, alleviating pain, and reducing inflammation. It helps in faster healing and has a much lower risk compared to other treatment methods.

In this article, we will be discussing in detail how PRP treatment can help people suffering from musculoskeletal or orthopedic problems.

How Does Platelet-Rich Plasma Therapy Work? 

The platelets present in blood consist of proteins and growth factors. These elements help in stimulating healing, supporting the growth of the cells, and the formation of new tissues. The first response of the body to any soft tissue injury is delivering several platelets to the injury site to start the process of repairing.

PRP therapy is a type of regenerative medicine that takes advantage of the natural healing process of the body. The procedure involves the extraction and isolation of platelets and plasma from a sample of the patient’s own blood, which is then concentrated by the doctor into a healing solution. This solution is then injected back into the body by the doctor near the pain or injury area.

The growth factors then interact with the local cells and trigger them to heal the injury. This helps in tissue formation and a reduction in inflammation. The PRP solution can also act as a lubricating factor.

Common Orthopedic Conditions Treated by PRP Therapy

PRP therapy is beneficial to many athletes and active individuals suffering from orthopedic problems to recover rapidly and even avoid surgery in some cases. Research shows that PRP therapy has been successful in treating many orthopedic cases when conventional treatment methods like anti-inflammatory medications, cortisone injections, physiotherapy, and even surgery have failed to work.

PRP therapy may be used to treat the following different types of orthopedic conditions:

  • Ligament injuries: Ligaments connect the bones to each other and are prone to tears and sprains. The regenerative properties of PRP therapy help contribute to improved healing and a decrease in recovery times.
  • Tendon injuries: The tendons connect the muscles to bones and are prone to injuries like tendon tears and tendinitis, especially in people engaged in repetitive activities and athletes. The growth factors released in PRP therapy by the platelets help in the regeneration of the damaged tendon tissue.
  • Muscle injuries: Muscle injuries like tears and strains can be treated using PRP therapy. Athletes are particularly benefited by the rapid healing provided by PRP injections so that they can resume their sporting activities sooner.
  • Healing of fractures: Although PRP therapy is mainly used for soft tissue injuries, it is also known to help in the healing of fractures. Since PRP therapy helps in promoting new blood vessel formation and transferring the essential cells to the fracture site, PRP therapy can help in bone healing.
  • Osteoarthritis: This is a degenerative joint disease that is characterized by cartilage breakdown. PRP injections given into the affected joint can help stimulate new cartilage production and reduce inflammation. Although osteoarthritis cannot be treated using PRP therapy, it offers relief from the symptoms associated with the condition and improves joint function.
  • Spine conditions: Although research is still ongoing, some early studies state that PRP injections have an important role in disc regeneration and decreasing the pain associated with spinal conditions like disc degeneration.

Benefits of PRP Therapy in Orthopedic Treatment

PRP therapy has several advantages in the treatment of orthopedic conditions. The key advantages of PRP therapy are as follows:

  • Rapid healing: PRP injections help in delivering concentrated growth factors to promote rapid healing and regeneration of tissue.
  • Decreased recovery time: Since PRP therapy can improve tissue repair, it helps in reducing recovery time compared to conventional orthopedic treatments.
  • Minimally-invasive procedure: Unlike surgical procedures, PRP therapy does not require any incisions or cuts and also decreases the risk of developing complications that are associated with invasive procedures.
  • Autologous approach: Since the blood used in PRP therapy is that of the patient himself or herself a natural healing process takes place without the introduction of foreign bodies into the body.
  • Reduced risk of allergy or infection: Since the PRP therapy is minimally invasive and makes use of the patient’s own blood, there is almost no risk of allergy or infection with it.
  • Less cost: The cost of PRP therapy is much less compared to the cost of surgical interventions.
  • Versatile: PRP therapy has shown to have promising results in various types of orthopedic conditions like muscle strains, ligament sprains, tendonitis, and osteoarthritis.
  • Useful when surgery is contraindicated: Patients having comorbidities of patients who do not want to undergo surgery can opt for PRP therapy to treat their orthopedic condition.

Conclusion

PRP therapy has slowly emerged as an advanced tool that is effective in treating various orthopedic conditions, like tendon and ligament injuries, muscle injuries, osteoarthritis, spinal problems, and rapid healing of fractures. PRP therapy is a minimally-invasive procedure that offers several benefits like rapid and accelerated healing, lesser cost compared to surgery, reduced risk of complications, natural or autologous approach, and is a good treatment option for patients who cannot undergo surgery.

If you suffer from musculoskeletal problems, you can contact a good orthopedic surgeon to discuss your various treatment options and inquire if PRP therapy can help treat your condition.

29 Feb 2024
Advances in minimally invasive orthopedic

Advances in Minimally Invasive Orthopedic Surgeries

Introduction

Advances in medical technology and equipment have completely changed the way orthopedic surgeries are now performed. Minimally invasive surgeries have now replaced the traditional open surgeries that were performed earlier using larger incisions and having prolonged recovery periods.

In recent years, minimally invasive surgeries have helped orthopedic surgeons to perform difficult procedures using smaller incisions with reduced complications and quicker recovery times.

In this article, we will be discussing in detail the different advances made in minimally invasive orthopedic surgeries and the benefits of these procedures.

What is Minimally Invasive Orthopedic Surgery?

A minimally invasive orthopedic surgery is a type of surgical procedure involving the use of small incisions, specialized tools, and a camera to perform surgery for correcting or treating a bone or joint deformity such that there is minimal or no damage to the surrounding tissues.

Advances in Minimally Invasive Orthopedic Surgeries

Orthopedic surgery has shown many advancements over the last few years, with minimally invasive surgery being the most important advancement that has helped in improving treatment results, decreasing recovery period, and reducing surgical risks. The most common advancements in orthopedic surgeries are as follows: 

  • Arthroscopic surgery: This is a minimally invasive type of surgery that involves the insertion of cameras and instruments through small incisions made by the surgeon to view and treat joint problems with precision. It is used to diagnose and treat conditions like arthritis, loose foreign bodies, and torn cartilage. Further advancements in this arthroscopy surgery include the following:
  • Computer-assisted surgery: This procedure involves the use of a computer to create a three-dimensional model of the patient’s treatment area and using a computer-guided device to carry out the procedure accurately.
  • Robotic-assisted surgery: This type of surgery is performed using a robotic arm that is operated by the orthopedic surgeon through a joystick by viewing the operation site through the video screen that is attached to the camera inserted inside the patient. The use of a robotic arm makes the procedure more accurate and can help in treating complex cases like joint replacement surgeries and spine surgeries. 
  • 3D printing: Orthopedic surgeons can now make customized surgical guides and joint implants ensuring the perfect alignment and fit for a particular patient. This advanced technology helps in many types of complex cases like limb or pelvic reconstructions, where standardized implants may not work. 
  • Improved anesthesia techniques: Advanced anesthesia techniques like epidurals and nerve blocks (regional anesthesia methods) help in pain control with minimal side effects. This ensures a shorter hospital stay and quicker mobilization following surgery. 
  • Navigation systems: Computer-assisted navigation helps in improving the placement and alignment of implants in case of hip, knee, or spine surgery. This decreases the risk of developing complications and the need to undergo revision surgery. 
  • Bone augmentation: Certain biological methods like stem cell therapy, platelet-rich plasma (PRP), and the use of growth factors used in orthopedic surgeries help in stimulating tissue regeneration and improving the natural healing process and recovery. 
  • Injectable bone cement: Bone cement helps in securing joint implants or stabilization of bone fractures. Injectable bone cements are now available with improved properties like better adhesion, quick setting, improved stability, improved long-term results, and decreased risk of loosening of implants. 
  • Patient rehabilitation: Each patient is prepared mentally and physically before undergoing orthopedic surgery. This involves patient-specific exercises and education to improve the patient’s health and fitness, leading to improved treatment results and a quicker recovery. 
  • Remote monitoring: Post-surgery care by follow-up appointments and consultations via telehealth or video calling from the comfort of the patient’s home helps in checking the recovery process without the need for in-person doctor visits.

Benefits of Minimally Invasive Orthopedic Surgeries

Minimally invasive orthopedic surgeries offer several benefits to the patient compared to traditional open surgery. The advantages of a minimally invasive surgery are as follows:

  • Reduced postoperative pain: Since a minimally invasive surgery involves making smaller incisions and less damage to the surrounding healthy tissues, patients usually have less pain during, as well as after the surgery.
  • Smaller incisions and less scarring: The procedure requires only tiny incisions. This ensures a quicker recovery and less scarring.
  • Quicker recovery time: Since a minimally invasive surgery causes less tissue damage, patients can usually resume their daily activities quickly compared to patients undergoing open surgery.
  • Reduced hospital stay: Patients who undergo a minimally invasive surgery usually need a shorter hospital stay compared to patients who undergo traditional open surgery.
  • Decreased risk of complications: There is a lesser chance of developing complications like excessive bleeding, infection, or damage to the surrounding tissues when undergoing a minimally invasive surgery.

Conclusion

Minimally invasive orthopedic surgeries are continuously undergoing advancements with regard to technologies and equipment being used for the procedures. These advances help in improving the patient’s treatment experience and also make orthopedic surgeries more effective and safer with good long-term results. As medical technologies continue to see growth, we can expect more breakthroughs in the years to come for patients suffering from bone and joint problems.

 

13 Jan 2024
Healthy bones for a healthy life

Healthy Bones For A Healthy Life

Maintaining healthy bones is essential for overall well-being and plays a vital role in supporting our bodies, protecting organs, and enabling mobility.  This article provides an overview of key considerations for promoting and maintaining healthy bones

The Importance of Bone Health

Bone health is crucial for several reasons:

  • Structural support: Strong and healthy bones are essential for maintaining posture, stability, and overall physical function.
  • Protection of vital organs: Bones serve as a protective shield for the brain, heart, lungs, and spinal cord. Healthy bones help prevent injuries and fractures that could potentially harm these organs.
  • Calcium storage: Bones act as a reservoir for calcium. When calcium levels in the blood are low, the body draws upon the calcium stored in bones to maintain proper calcium balance. Having adequate calcium levels, therefore, prevents bone depletion.
  • Red blood cell production: The bone marrow produces red and white blood cells. Healthy bones support optimal bone marrow function, ensuring an adequate supply of oxygen-carrying red blood cells and a strong immune system.
  • Prevention of osteoporosis: Maintaining good bone health throughout life helps reduce the risk of osteoporosis, a condition characterized by weakened and fragile bones. Osteoporosis increases the possibilities of fractures and can significantly impact mobility and overall quality of life, particularly in older individuals

Factors Affecting Bone Health: Understanding the Key Influences for Strong and Resilient Bones

Here are the major factors that play a role in determining the health and strength of bones:

Hormonal Factors

Hormones play a significant role in bone health. Estrogen, in particular, plays a protective role in women’s bone health. Reduced estrogen levels during menopause can lead to accelerated bone loss and increase the risk of osteoporosis. Similarly, low testosterone levels in men can also affect bone health. 

Age

As individuals age, their bone density tends to decrease naturally. The rate of bone loss varies among individuals but typically accelerates in women after menopause. Age-related bone loss can increase the risk of fractures and osteoporosis.

Genetics

Genetic factors can influence bone health. Some individuals may have a genetic predisposition to conditions like osteoporosis, which can affect the strength and density of their bones.

Medical Conditions and Medications

Certain medical conditions can impact bone health. These include:

  • Hormonal Disorders
  • Gastrointestinal Disorders
  • Autoimmune Diseases

Additionally, long-term use of medications like corticosteroids and some anticonvulsants can contribute to bone loss and decrease bone density.

Nutritional Factors

Poor nutrition can compromise bone health. Likewise, your bones can get adversely affected significantly if you are deficient in essential nutrients like:

  • Calcium
  • Vitamin D
  • Vitamin K
  • Magnesium

Additionally, excessive consumption of alcohol, caffeine, and soda may negatively affect bone density.

6 Essential Tips for Building Strong Bones

Here is a list of dietary and lifestyle changes that you can adopt for getting healthier and stronger bones: 

1. Calcium Intake

Calcium is a vital mineral for bone health. So, consume more calcium-rich foods like:

  • Dairy products 
  • Leafy green vegetables
  • Fortified plant-based milk
  • Fish with edible bones 

2. Vitamin D

Vitamin D aids in calcium absorption and helps maintain proper bone density. It can be obtained through: 

  • Sun Exposure
  • Fatty Fish 
  • Egg Yolks
  • Fortified Foods 

3. Regular Exercise

Weight-bearing exercises can also help promote bone health. These include:

  • Walking
  • Jogging
  • Dancing
  • Weightlifting

They stimulate the bones to grow stronger and denser. Engage in weight-bearing activities for at least 150 minutes per week.

4. Balanced Diet

A well-balanced diet provides essential vitamins and minerals required for bone health.

Make sure you consume enough: 

  • Fruits
  • Vegetables
  • Lean Proteins
  • Whole Grains
  • Healthy Fats

5. Limit Alcohol And Tobacco

Excessive alcohol consumption and tobacco use have adverse effects on bone health. Limiting your alcohol intake and quitting smoking keeps your bones healthy in the long run. 

6. Regular Check-Ups

Regular check-ups and bone density tests especially for individuals who are at higher risk of osteoporosis or bone-related conditions can help in the early diagnosis and faster elimination of any underlying bone disease. 

Conclusion 

By promoting bone health, individuals can reduce the risk of fractures, maintain mobility, and support overall well-being. It is particularly important to focus on bone health during childhood and adolescence when bone density is increasing, as well as during adulthood and older age to prevent bone loss and maintain bone strength.

FAQs

Q1. What causes weak bones?

Ans. A diet that’s low in calcium and vitamin D is the major cause of weak bones.

Q2. Which protein is good for bones?

Ans. Lean proteins commonly found in foods like salmon, tuna, skinless chicken and other lean meat is great for bones.

 

10 Jun 2023
How long does it take to replacement

How Long Does It Take To Recover From A Hip Replacement?

The recovery time after hip replacement surgery varies depending on factors like the patient’s overall health, age, surgical technique, etc. This article will give you an overview of the things you need to take care of during hip surgery recovery. 

Hip Surgery Recovery:  What to Expect  

The typical recovery time after hip replacement is several months to a year. Generally, bed rest for a few days is followed by immediate physical rehabilitation. Progress is gradual, with decreasing pain, improved balance, and increased mobility each week. A study showed that 46.7% of people experienced significant improvement, while 15.5% had worsened outcomes. 

 Types Of Hip Replacement Surgeries 

There are 3 types—

  1. Total Hip Replacement (Total Hip Arthroplasty): In the case of total hip replacement, the entire hip joint is replaced. It is the most common type. 
  2. Partial Hip Replacement: It is less common and involves replacing only part of the hip. These are usually performed in case of hip fractures or to remove any kind of tumors. 
  3. Hip resurfacing: It is usually performed in young and active patients. 

 Recovery Time After Hip Replacement  

 The typical recovery time for anyone who has undergone a total hip replacement surgery is anywhere between six months to one year. However, patients aged above 50 years [4] might take longer to recover. Here is a general timeline that may give you an idea of what to expect:

After Surgery

Your hip surgery recovery begins within 24 hours after the procedure. 

Hospital Stay: Typically, patients stay in the hospital for 3 to 5 days after the surgery. During this time, they receive pain medication, undergo physical therapy, and are monitored for any complications.

Post-operative period: It involves waking up from anesthesia and monitoring for any complications. In most cases, hip replacements are performed as outpatient surgeries. Thus, allowing patients to go home on the same day. 

1 Week After 

  • After the 5th day, physical therapy continues with a focus on independence in daily activities. 
  • Pain management and medication adjustments continue.
  • Patients engage in physical therapy exercises to improve their range of motion, balance, and strength
  • Walking without assistive devices may be encouraged.
  • Throughout the first week, patients receive guidance on post-surgery care, wound management, pain management, and activity restrictions. 
  • It’s important to note that individual recovery experiences may vary, and it’s best to consult with healthcare professionals for personalized advice. 

10 to 14 Days

  •  During the first 1-2 weeks after a hip replacement surgery, certain milestones can be expected:
  • Stitches that haven’t yet dissolved are removed, and it is generally advised to avoid getting the wound site wet for a few more days.
  • Pain should have significantly decreased, and pain medication may no longer be necessary. 
  • Surgery staples will be removed, allowing for showers, baths, and walking without assistance.
  • Mobility improves, and patients can move more easily without assistance.
  • Some individuals who previously relied on a cane or walker may still need it during this early recovery period. 

3-6 Weeks

  • Within 3-6 weeks, light activities of daily living can be resumed, without the need for crutches or a walker. 
  • Some discomfort or soreness may persist, particularly towards the end of the day.
  • Approximately six weeks after surgery, driving should be possible again. 
  •  Physical therapy should continue as recommended, along with regular walking and avoiding prolonged sitting. 

6-12 weeks

  •  Most pain should be gone, and swelling further reduced.
  •  Patients can resume regular day-to-day activities, such as climbing stairs or bending.
  •  Increased strength and ability to put weight on the leg.
  •  Continued physical therapy and regular appointments are necessary.
  •  Walking regularly is highly recommended to maintain mobility. 

Beyond three months

  • Daily activities, including low-impact sports, can be fully resumed.
  • Physical therapy exercises should be continued to improve strength, flexibility, joint motion, and balance.
  • Exercises emphasizing weight-bearing and the correct body mechanics are beneficial.
  • Regular follow-up examinations are advised.

Taking Care of Your New Hip: Essential Tips for Hip Surgery Recovery

Tips for caring for your new hip:

  • Don’t bend your hip beyond 90°
  • Stay away from twisting motions (of your hip joint)
  • Take small steps when you turn.
  • Avoid pressure on the wound
  • Don’t cross your legs
  • Be cautious with your hip and avoid discomfort
  • Use raised toilet seats and avoid low chairs. 

Risks or complications of a hip replacement

Here are the possible risks and complications of hip replacement surgery:

  •       Infection
  •       Dislocation
  •       Fracture
  •       The difference in leg length
  •       Nerve or blood vessel damage
  •       Allergic reactions
  •       Loosening
  •       When to Call The Doctor 

 When to Call The Doctor

 It is advisable to call your surgeon or healthcare provider when you experience any of the following symptoms—

  •       Pain in the hips that don’t go away with medications or keeps on getting worse
  •       Shaking chills
  •       The outflow of fluid or any kind of bad smell from the site of the incision. 
  •       Redness/swelling at the incision area (especially if it gets worse with time)
  •       Fever higher than 38°C
  •       Pain or swelling or redness in the calf or legs 

 Conclusion 

 It’s important to note that the recovery process can vary from person to person. Some individuals may recover more quickly, while others may take longer. Patients need to follow their doctor’s instructions, attend scheduled physical therapy sessions, and report any concerns or complications promptly.

 

20 Mar 2023
knee replacement surgeries drastically

Knee replacement surgeries have gone up drastically in India

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

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

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

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

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

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

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

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

 

05 Mar 2023
10 massges and streches

10 Massages and Stretches for a Frozen Shoulder

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

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

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

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

Massages for frozen shoulder

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

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

Foam roller underarm massage:

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

Place a foam roller under the underarm of the affected shoulder

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

Foam roller shoulder massage:

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

Simple self-massage:

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

Stretches for frozen shoulder

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

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

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

Pendulum swing:

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

Cross-body stretch:

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

Umbrella push:

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

Advantages of stretching exercises

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

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

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

 

22 Feb 2023
knee replacement revision surgery

What Is Knee Replacement Revision Surgery?

What is knee revision surgery?

 

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

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

What makes revision knee replacement more complicated than initial surgery? 

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

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

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

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

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

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

 

Reasons for a Revision Knee Replacement 

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

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

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

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

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

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

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

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

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

 

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