Contact Us

Germanten Hospital

Tag: Orthopedic

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.  

 

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

 

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.