05 Dec 2021

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What Causes Knee Pain After Running?

Is knee pain because of running a common problem? You have no reason to worry if you suffer from knee pain after running. It is commonly dismissed as a ‘runner’s knee’, but it is vital to understand and treat the cause to avoid long-term injury. Now depending on how severe the pain is, you might need a doctor. With the following information, you can determine the cause of pain and get back on track.

IT Band Syndrome (Side Knee Pain)

Iliotibial band syndrome can lead to sharp and stabbing pain outside your knee. It is a common injury amongst runners and leads to knee pain after running. The iliotibial band tissue stabilises knee and hip when you run.

Causes
The tightening of the tensor fascia shortens it and puts pressure on the IT band. The outside of the knee can become inflamed, or the band might get irritated, leading to pain. Running on a banked surface, insufficient warm-up or cool-down, and physical abnormalities can cause ITBS.

Runner’s Knee (Kneecap Pain)

Runner’s knee refers to the pain in front of the knee or behind the kneecap. It is also known as patellofemoral pain syndrome or anterior knee syndrome. The condition can worsen due to running downhill, squatting, climbing stairs or sitting for an extended period.

Causes
The structural problems with the knee joint can be one of them. Other reasons include weak muscles, tight hamstrings, tight Achilles tendon or IT band, overtraining, poor foot support and misaligned gait patterns. The quadriceps are responsible for holding the knee in place to allow smooth up and down motion. The weakness in quads or thigh muscles, the knee can slightly move left and right.

Jumper’s Knee (Kneecap to Shinbone Pain)

Patellar tendinitis is an injury that causes pain from the top of the kneecap to the shinbone. People with a jumper’s knee can have pain, tenderness and swelling near the area where the shinbone meets the kneecap. In the early stages, you might feel it only while running. However, as it gets worse, you can feel the pain even when you are not exercising.

Causes
The tendon connects the kneecap to the shinbone and helps the extension of lower leg. Initially, it causes weakness in the tendon. However, if left untreated, it can cause tiny tears.

Meniscus Tear (All-over the knee pain)

Two wedge-shaped pieces of cartilage that absorb shocks between the femur and tibia are the meniscus. It can cause knee pain after jogging or running. Changing the direction suddenly while running or a sudden twist in the knee can cause a meniscus tear. Older runners have higher chance of experiencing knee joint pain after running due to the condition.

Causes
The older runners often injure the inside of the knee rather than outside of the knee. General knee pain, swollen knee, popping feeling during the injury, stiffness, feeling as if the knee is locked in a place, and challenges while bending or straightening the leg are commonly seen symptoms.

Bursitis (Inner side knee pain)

Knee bursitis causes pain over the top of your kneecaps or on the inner side of the knee. It is an inflammation of the bursa, which is near the knee joint.

Causes
A bursa is a small, fluid-filled sac that reduces friction and cushions the points between the bones, joints, tendons and muscles. Unfortunately, runner’s can overuse the pes anserine bursa that leads to pain and inflammation.

Swollen bursa usually causes the affected region to feel warm, tender or swollen when pressure is applied. Moving or resting can as well be painful. Climbing the stairs might be challenging.

Baker’s Cyst (Back of the knee)

It is also known as a popliteal synovial cyst, and it is the swelling at the back of the knee. Again, the pain might be there, but more prominently, you feel tightness or stiffness in the area with a sensation of fullness.

Causes
Meniscus tears or osteoarthritis can be the cause of these cysts. Baker’s cysts are not usually related to running. However, the condition results from an underlying issue, so runner’s might develop a cyst.

Therefore, if you are a victim of knee pain while jogging or running, get a doctor’s advice 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 20 years in orthopaedics. His alma mater is Osmania University, where Dr. Khan achieved a gold medal for his excellence in education. He then completed advanced training in the USA and Germany.

Dr. Jawad was awarded the “Best Doctor” by Shri Roshaiah Garu, the Former Gov. of Tamil Nadu and former CM of Andhra Pradesh. He was also felicitated with the Vaida Ratna Award in 2019 by Shri Etala Rajendra, the honourable health minister of Telangana. In addition to that, Germanten Hospital also received an award of “Best Orthopaedic Hospital In South India” from the Economic Times Group in 2021.

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.

31 Oct 2021

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How Do I Know If My Shoulder Is Dislocated?

Shoulder dislocation is an injury of your upper arm bone coming out of the shoulder socket. It is quite a common orthopaedic injury. One of the most common shoulder joint dislocation symptoms is a sharp, sometimes unbearable pain and an immediate loss of movement and flexibility. Your shoulder can dislocate forwards, backwards or downwards. It can be either completely dislocated (upper arm bone entirely out of the shoulder socket) or partially dislocated (the arm bone being partly out of the socket).

Your shoulder is one of the strongest joints in your body, so it will take quite a force to dislocate it. You might endure a shoulder dislocation due to a direct impact in sports, an accident, or even moving it too far beyond the flexibility (like twisting, pulling or swinging your arm too far).

So if there are any signs of your shoulder being dislocated, you might want to visit a hospital immediately. Delaying or not having proper care may result in significant joint damage that may leave you vulnerable to weakness, instability and similar dislocations in the future.

Signs And Symptoms Of Shoulder Dislocation

Dislocation is a serious but one of the most common injuries related to the shoulder. An immediate symptom of almost any orthopaedic injury is pain. Other than pain, the symptoms you may experience are as follows:

Not being able to bear even light weights on the affected shoulder
Bruising, swelling and tenderness
Muscle spasms
Not being able to move the shoulder
Shoulder being visibly out of shape
Weak and numb shoulder with a tingling sensation

If you experience these dislocated shoulder symptoms, you might want to consult the doctor immediately before it causes permanent damage to the surrounding muscles, tendons, ligaments, blood vessels and nerves.

What Are The Next Steps?

Seek immediate medical attention if you have endured a partial or complete dislocation in your shoulder. Try not to move your shoulder joint and fabricate a rudimentary sling or brace out of a cloth or string to hold your arm and keep your shoulder immobile. Remember not to try putting the joint back into the socket, as you may make things even worse. It can induce further damage to your soft tissues. Instead, apply ice on the joint to reduce the swelling and pain until the doctor sees you.

An X-ray may be performed to see the extent of dislocation and damage to your joint. According to that, the doctor will try and relocate the shoulder back in the socket. During the procedure, the doctor may administer local anaesthesia and muscle relaxers to ensure there is no pain and the process is as smooth as possible.

The pain will be reduced (not completely alleviated) as soon as the shoulder is back in the socket. The doctor may consider surgery depending upon the extent of dislocation and damage to the surrounding soft tissues.

Recovery Options

Here are few recovery measures presented to you by the doctor in case of shoulder dislocation:

Brace or sling: To keep it as immobile as possible, you may be prescribed a brace or sling. It will result in a faster recovery, so you will be able to return to your daily activities with a full recovery well in time.
Rehabilitation: After your shoulder has recovered, the doctor may prescribe physiotherapy to get the movement ability and flexibility back.
Rest and ice: You might want to stay off the exercises and other strenuous activities to prevent any additional load on the shoulder. Also, ice will help you alleviate a bit of the pain and swelling.
Medications: OTC painkillers and anti-inflammatory medications may be prescribed after the procedure.

The doctor will recommend the medications and therapies according to the extent of damage endured by your shoulder.

Prevention Of Dislocations

Here are a few preventive techniques:

Wear protective gear while playing sports or riding a motorcycle to prevent any accidents.
Stretch properly before workouts and playing sports.
Take proper rest until you make a full recovery.
Perform strength and conditioning exercises.

If you have any questions or queries regarding shoulder dislocation and its symptoms, you might want to consider consulting with the experts at Germanten hospital. So book your appointment with us today!

WHY CHOOSE US?

Dr. Mir Jawad Zar Khan has led our hospital to the forefront of the medical industry. He has experience of 20 years in orthopaedics. His alma mater is Osmania University, where Dr. Jawadachieved a gold medal for his excellence in education. He then completed advanced training in the USA and Germany.

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.

16 Oct 2021

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What Are The Symptoms & Causes Of Water In The Knee?

Our body joints are filled with fluids that help in swift joint movements. When you hurt your knees, your body produces extra fluid to protect your knees from mishapenings, and the excess fluid is called knee effusion. The water on the knee is caused by excess fluid retention. Ever witnessed ‘water in my knee symptoms’? Follow these tips:

Self-care Tips

The Self-care Tips To Reduce Severe Pain And Relax Your Knees Include:

Do not let your knees overwork. Take adequate support while walking or standing. You can use a cane for this purpose. Rest your knees and use cushions for support.
Massage your knees with pain-relieving gels or ointments. You may also take prescribed drugs to ease the pain. Do not try any over-the-counter painkillers, and take the medicines in the prescribed doses.
If you notice fluid on the knee symptoms, you may start using a hot and cold compress to reduce pain and swelling. Rub ice or use ice packs on the knee region. You can also use a hot water bag to reduce the redness.
Try to avoid vigorous physical activities for few weeks. You can replace high-intensity workouts with light exercises like stretching.
You can take advantage of home remedies. Include ginger in your diet. However, if you are allergic to ginger, consult your doctor for an alternative remedy.
Try light exercises and keep your joints moving to avoid stiffness.

Self-care tips can reduce swelling and pain for some time. However, it is suggested to consult doctor at the earliest to understand and find a remedy to the water on the knee symptoms you are experiencing.

Water On The Knee Or Effusion Knee Causes

The Major Causes Of Fluid Retention In Knees Are:

Gout
Bursitis
Rheumatoid arthritis
Osteoarthritis
Cysts
Septic arthritis
Reactive arthritis

The water in knee reasons mentioned above can be different to different people. Your age and body weight also determine the extent of knee effusion. Moreover, if you are prone to arthritis or have a torn ligament, the possibility of fluid retention rises. Finally, your knee injury might develop an infection leading to knee effusion.

It is essential to take proper treatment to prevent fluid buildup. A delay in treatment can lead to loss of muscles in the thigh. After knowing the causes, make sure to take timely actions to prevent further complications.

Treatment Options For Knee Effusion

The Standard Treatment Options To Reduce Fluid Buildup Include:

Knee Diagnosis
Your doctor may suggest you undergo tests like X-ray, MRI, and Ultrasound. The test results will help them understand the reasons for fluid retention. In addition, these test results rule out possibilities of arthritis, fractures, and other ligament-related issues. Knee diagnosis is the best way to determine Fluid On Knee Causes.
Arthrocentesis
An orthopaedic surgeon extracts the fluid from your knees to check for blood traces in this treatment option. It is a well-known test to check internal injuries and determine water on the knee and the causes. Moreover, it is used to check knee infections and arthritis conditions. The fluid diagnosis determines the treatment options. For example, if you are diagnosed with a bacterial infection or pus, your doctor may advise you to take antibiotics. Moreover, they may recommend you to take over-the-counter pain medication for knee inflammation.
Arthroscopy
Arthroscopy is a treatment option to remove damaged tissues from your knee. It helps in repairing your knees. It is a minor procedure that starts with making a small incision on your knee joints. The incision is used to insert a lighted tube in your joint to have a clear view of the damage.
Surgery
Your doctor may suggest you undergo knee replacement surgery in severe cases. For example, if you cannot put your body weight on your knees or have unbearable knee pain, you may consider knee replacement surgery.

Your doctor studies your symptoms carefully before deciding on a treatment option. They want to know the exact cause of intense pain to your joints and review the knee water symptoms. After reviewing the effusion knee symptoms, they prepare a treatment plan for your knee condition.

If you want to get one of the best treatments for your knee effusion, you may consider Germanten Hospitals.

Why Choose Us?

For several years, 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.

Through our connections with some of the biggest hospitals in Germany, 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.

09 Oct 2021

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How Long Does It Take For Sprained Ankle To Recover?

Sprained Ankle Recovery Time

Having an ankle sprain is quite a common medical affliction around the world. However, when it comes to recovery time, everyone will have a different experience. For example, a twisted ankle can have a healing time of around 2 to 3 weeks if the sprain is mild, and the pain can last up to 4-5 months if the sprain is severe.

Doctors come across several ankle sprain patients every day. It is one of the most common and inevitable structural injuries encountered by people of every age. Everyone gets an ankle sprain at least once, and if you live an active lifestyle, you are bound to experience it multiple times. Healing of every type of sprain requires different intensities of attention and care in different patients. It means that your twisted or rolled ankle recovery time might vary from other people. The time duration for healing will also vary according to the cause of the sprain and its extent.

If the sprain is mild or even moderate, you can treat it right at your home with remedies like the RICE method. First off, if you are looking for a mild ankle sprain recovery time as short as it can be, you should sit down and take the pressure off your ankle. Then, wrap it with compression and elevate it over the position of your heart. Further movement after the sprain will only damage your muscles.

As mentioned earlier, the sprained ankle healing time depends upon the type of sprain you have suffered. Here are the types of ankle sprains:

Grade 1 Sprain: It is a minor type of sprain that occurs when you stretch your muscles while performing the daily routine or light activities like walking or jogging. You will feel a little pain and swelling (in some instances) due to stretching in your muscles, but it will not hinder your physical abilities. The grade 1 sprain due to injuries like twisted ankle will have a recovery time of around two weeks. But it can go for over a month if you don’t take precautions. Home treatment will be enough for a grade 1 sprain. But do not mistake home treatment for “nothing”. Otherwise, the negligible pain can become unbearable in no time. The most important thing you need to remember while in recovery is to stay off your ankle.
Grade 2 Sprain: As the name suggests, the grade 2 sprain is more severe than the grade 1 sprain but is better than the grade 3 sprain. In case of this type of sprain, you will immediately see swelling along with a bruise following soon after. In case of a grade 2 sprain, you will experience moderate pain and swelling in the joint, along with a general instability in your body. Although you might not want to walk or move when you have a sprain, there is a good chance that you will stumble or will be unable to walk if you try to. A grade 2 sprain due to a rolled ankle might have a healing time of between 6 and 8 weeks. A grade 2 sprain might be due to a ligament tear. That’s why the treatment for it should be performed under the observation of a medical professional.
Grade 3 Sprain: Finally, a grade 3 sprain is more severe than both grades 1 and 2. As this kind of sprain is usually due to a ruptured ligament and can lead to permanent damage, having a home treatment is out of the question. The swelling in your ankle joint, in this case, will be quite extensive. Due to pain, you will have quite an instability in your joint, rendering you unable to walk or do several routine activities. A severe ankle sprain can have a recovery time of 3 to 6 months, and you will need to stay off your feet for a considerable amount of time.

If you have any further questions regarding ankle sprain and the recovery time associated with it, you can have a consultation with the experts at Germanten Hospital. We will explain everything about the recovery process and help you on your feet faster. So book your appointment today!

WHY CHOOSE US?

Dr. Mir Jawad Zar Khan has led our hospital to the forefront of the medical industry. He has experience of 20 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 Germany.

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.

06 Oct 2021

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What Is Oxinium Knee Replacement?

Joint pain has become a prevalent issue among all generations. In the younger generation, athletes are more prone to knee injuries. To combat persistent knee pain and get back your range of motion, you may undergo a knee transplant.

If you are young and want a speedy recovery, you may choose oxinium knee replacement. However, the average oxinium knee replacement cost depends on various factors. You can get the overall cost details by contacting Germanten Hospitals.

How Does Oxinium Knee Replacement Change The Process Of Knee Replacement?

Earlier, knee replacement surgeries had various risks, such as infection, wear and tear, and loosening. These risks enhanced the chances of repair surgery. Moreover, activities like running and sprinting put additional pressure on the replaced knee and damage it before the anticipated time.

Later, cobalt-chromium alloys were used in knee replacement, but they wear out quickly. Moreover, they developed rough surfaces after a few years, and in many cases, it was observed that they cause metal allergies.

A new alloy was developed using zirconium and niobium to combat metal allergies, and this new metal composition is known as oxinium oxidised zirconium. The oxinium implant is used in knee and thigh bone transplants. It is most suitable for younger patients who lead an active lifestyle.

The knee replacement material oxinium is highly durable and does not cause any issue while running, jogging, or getting involved in other physical activities. However, oxinium knee implant cost depends on various factors, and you can contact Germanten Hospitals to find out more about the overall implant cost.

What Is Oxinium Oxidised Zirconium Knee Replacement?

Oxidised zirconium contains 97.5% zirconium and 2.5% niobium. The resultant alloy is durable and biocompatible. Moreover, it has a hard ceramic surface and metal structure. The ceramic surface provides strength and durability and prevents normal wear and tear and abrasions. It can be used for a longer period and is superior to its counterparts. The durability makes oxinium implant a preferred choice among knee replacement patients.

How Is Oxinium Knee Transplant Better Than Cobalt-chrome Knee Replacement?

The superiority of oxinium knee transplant over the cobalt-chrome knee can be established by considering the following facts:

Strength
Oxinium knee has twice the strength and surface hardness of the cobalt-chrome knee.
Brittleness
Oxinium is less fragile when compared to a cobalt-chrome knee replacement and reduces the chances of brittle fractures.
Wear-out Rate
Oxinium does not wear out quickly as it is abrasion-resistant. Moreover, the wear-out rate is almost 50% less than cobalt-chrome knee replacement.
Nickel Content
Oxinium knee is low in nickel content, and hence it is a suitable option for metal allergic patients.
Durability
Oxinium is a hard and scratch-resistant metal. When used in knee transplants, it provides a practical and long-lasting result. Oxinium knee implant offers a full range of motion and is suitable for active patients. Moreover, it does not get wear and tear and abrasion.
Biocompatible
Cobalt-chrome knee implants have a high nickel content that may cause allergies. Oxinium is a biocompatible material and is best suited for patients who may develop metal allergies. Oxinium knee implant does not cause allergy, and you can restart your life quickly.

These are some prominent advantages of oxinium knee replacement. First, it lasts longer than other metal knee replacements.

Who Can Get The Benefits Of An Oxinium Knee Replacement?

Oxinium knee replacement can benefit anyone who needs a knee replacement. However, a suitable candidate for this knee replacement procedure is:

Younger Patients
If you are young, then you can opt for oxinium knee joint replacement. These replacements can work well for up to 35 years, whereas a typical cobalt chrome knee replacement lasts 10-15 years. However, knee replacement is a one-time procedure, and therefore, you must invest in good-quality replacements.
Active Patients
With an oxinium knee transplant, you can return to your active lifestyle quickly. In addition, these are durable and hence, support you for a long time.
Metal Allergic Patients
If you are allergic to metals, you can opt for an oxinium knee transplant.

However, the cost of transplant depends upon the implant material. To get an estimate of oxinium knee replacement cost in India, you may contact the experts at Germanten Hospitals.

WHY CHOOSE US?

Dr. Jawd was awarded the “Best Doctor” by Shri Roshaiah Garu, the Former Gov. of Tamil Nadu and former CM of Andhra Pradesh. He was also felicitated with the Vaida Ratna Award in 2019 by Shri Etala Rajendra, the honourable health minister of Telangana. In addition to that, Germanten Hospital also received an award of “Best Orthopaedic Hospital In South India” from the Economic Times Group in 2021.

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

24 Mar 2021

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Common Shoulder Related Issues

Our shoulders are one of the most movable joints in our body. With the help of our shoulder, we can move our arms across the body, reach up and behind. The shoulder joint is mainly made of three bones – the humerus, the clavicle and the scapula. It is anchored by tendons, muscles and ligaments to hold it in a stable position. Since the ball of the upper arm is bigger than the socket holding it, the shoulder can be unstable and is prone to problems and injuries. There can be many reasons behind shoulder pains – strains, falls, blows, accidents, daily wear and tear, repetitive motion and medical conditions.

Some common shoulder injuries are-

1. Dislocations – When the top of the arm bone comes partially or completely out of the shoulder socket, it is called a shoulder dislocation.This can happen if the shoulder is hit hard or if there is a tear or a stretch in the ligaments that keep the shoulder bones stable.
2. Fractures – A crack or break in the bone is called a fracture. It can be along the bone’s length or across the bone. Shoulder fractures can occur from an impact such as a sports injury or an accident, in younger people.For older people, shoulder fractures can occur due to taking a fall. When someone has a shoulder fracture, they can face some difficulty moving their arm. They might also experience swelling or bruising around the shoulder.
3. Arthritis – When the cartilage between bones breaks down, the bones rub together causing wear and tear. This leads to pain and stiffness in the shoulder joint. This condition is called arthritis. The most common form of arthritis is osteoarthritis. Another type of arthritis called rheumatoid arthritis is a condition where the body’s immune system attacks the protective lining in the joints.
4. Strains and sprains – When the ligament gets pulled in the wrong way, it can get torn or stretched causing a sprain in the shoulder.
5. Tendinitis – When the rotator cuff tendons get inflamed and irritated, that condition is called tendinitis. Sometimes, when a certain activity is performed again and again, like golfing or pitching, or due to the usual wear and tear, small tears develop in the tendons. It might hurt when someone with tendinitis tries to lift their arms.
6. Separations – The acromioclavicular joint is the joint where the shoulder blade and collarbone come together. A hard blow to the shoulder or a fall can tear the ligaments that hold the AC joint together. When the collarbone pops out of the place, this injury is called separation.
7. Bursitis – When we move, our tendons slide over our bones. To make this easier, small sacs of fluid called bursae are present in our shoulders.When the shoulder joints are overused, the bursae become inflamed and swollen. This condition is called bursitis. It is painful to use the shoulders even for the most basic tasks.
8. Impingement – When the tendons of the rotator cuff get pinched in the shoulder’s bones, it is called impingement. It is painful and can cause swelling. This happens when the arms are lifted over the head a lot.
9. Cartilage tear – A tear in the cartilage also occurs when a certain motion is performed over and over again. It can also get hurt due to a fall or when the shoulder absorbs a great amount of force. When you feel like your shoulder is locking, catching or grinding, then you can suspect a tear in the cartilage.
10. Frozen shoulder – When adhesions (abnormal tissue bands) form in the joint, they don’t allow the shoulder to move freely. This can happen when due to some reason, you’re not able to move your shoulder. This
condition is called a frozen shoulder. The common symptoms of shoulder problems include swelling, inflammation,pain, stiffness and bruising.

Treatment

Depending upon the type of shoulder problem or injury, your doctor may use a sling, suggest rest, ice or heat and medicine for the pain, or surgery. When the injuries are severe, at-home treatments don’t work. At Germanten Hospital, we have a dedicated team of physicians, orthopaedic surgeons and physiotherapists, led by Dr Mir Jawad Khan, who is an expert in the diagnosis and surgical as well as non-surgical treatment of the shoulder. He has over two decades of experience in the field. To celebrate his achievements and effort, he has been felicitated with the title of Best Doctor by the ex-CM of Joint Andhra Pradesh & Former Governor Tamilnadu, Shri Roshaiah Garu in 2018. In 2019,he was honoured with the Vaida Ratna Award by the Honourable Health Minister of Telangana, Shree Etala Rajendra.

At Germanten Hospital, each operation theatre has a high-advanced laminar airflow for total infection control. With over 200 beds, Germanten Hospital has earned the title of Best Emerging Orthopaedic Hospital in India, awarded by the Times of India in 2019. It has also been named the Best Orthopedic Hospital in South India by the Economic Times 2021. We use our shoulders for the smallest movements, hence it is important to protect them.
● If a large part of your day involves working at a desk, then you need to ensure that your chair offers proper support for the back.
● Maintain a good posture.
● You should also take a break and move and stretch once every hour.
● Whenever you need to lift something heavy, the proper technique should be used. Instead of bending from your waist, you should bend your knees for the power and keep your back straight.
● If you need to reach for something heavy over your head, using a ladder or a stool is a better option to prevent any shoulder injuries.

24 Mar 2021

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Hip Replacement Surgery Anterior Approach

Traditionally, hip replacement surgery is done either with a lateral approach or a posterior approach. In both techniques, the muscles and tendons need to be detached from the hip, for replacing the joint. It can be very painful and the recovery period can last for a few months to a few years. There is also a risk of hip dislocation, which leads to failure of hip replacement. The anterior approach for hip replacement is a newer, minimally invasive technique.

What is the anterior approach for hip replacement surgery?

In this procedure, instead of making an incision behind or on the side of the hip, an
incision is made in front of the hip. Since 1980, this approach has been opted more by surgeons since it is less invasive as compared to the other ones. By using this approach, the damage caused to the surrounding tendons and muscles is less, which contributes to a faster recovery period as well.

Advantages of anterior approach for hip replacement surgery

There are various advantages of an anterior approach for hip replacement surgery,
such as –
● Less damage to surrounding muscles – With an anterior approach, there is no need to cut into major muscles, since there are fewer muscles in the front of the hip. Thus, instead of detaching the muscles from the bone and then repairing it after surgery, the surgeon works between the fewer muscles in the front itself.
● Fewer complications post-surgery – As compared to a posterior approach or a lateral approach, there are very few complications post-hip surgery performed with an anterior approach.
● Faster recovery period – Since an anterior approach is used, the recovery period is faster as no major muscles or tendons have been cut through during surgery.
● Less pain post-surgery – Patients require very less medication for pain relief after hip replacement surgery performed with this approach.

Procedure

A hip replacement surgery, also known as hip arthroplasty is a procedure wherein a patient’s hip joint is completely replaced with an artificial joint. First, the patient is put under general anaesthesia. The surgical site is cleaned and any hair from that area is removed. Next, the surgeon makes an incision in the front of the hip joint and separates the muscles from the hip joint. The damaged bone and cartilage from the pelvis and the upper part of the femur are then removed. The acetabulum as well as the head, neck and part of the shaft of the femur is replaced with an artificial joint. To ensure that the joint has been placed correctly, the surgeon will take an X-ray.

Recovery

After the procedure, the patient is gradually allowed to eat and drink. Mostly, patients can go home a day or two after the surgery. Initially, you may find that you would need canes or crutches to walk. Physical therapy is also suggested for patients.Usually, patients regain their strength and mobility within four to six weeks of the surgery.

Risks

With every surgery, some risks are always associated. Similar to risks of other hip replacement approaches, a few risks of an anterior hip replacement surgery include:
● Complications due to anaesthesia
● Bleeding from the incision
● Deep vein thrombosis
● Pulmonary embolism
● Hip joint infection
● Hip bone infection
● Dislocation of the hip joint
● Loose joint
● The difference in length of legs
● Injury to nearby nerves and muscles

Outlook

Recovery after an anterior hip replacement surgery is quicker, as compared to the posterior and lateral approaches. Patients can regain their strength and range of motion quicker.With any approach, artificial hips need to be replaced after a few years if they get loose or wear out. However, the anterior hip replacement is an effective approach and
the patients quality of life is improved significantly.At Germanten Hospital, we have a team of the best Arthroplasty as well as physiotherapists, led by Dr.Mir Jawad Zar Khan. It is the number one centre for hip replacement surgeries. With more than 200 beds, each operation theatre at Germanten Hospital has high-advanced laminar airflow for total infection control. For its highly advanced technology and minimally invasive surgical procedures, Germanten Hospital has been graded as the Best Emerging Orthopaedic Hospital by the Times of India in 2019. It has also been named the Best Orthopaedic Hospital in South India, by the Economic Times in 2021. Dr.Mir Jawad Zar Khan is at the forefront of Germanten Hospital. A gold medalist from Osmania University, Dr.Mir Jawad Zar Khan has an experience of more than 20 years in the field of orthopaedics. Having received advanced training from Germany and the USA, he has performed more than 10000 surgeries. To celebrate his achievements and efforts, he was awarded the title of Best Doctor by the ex-CM of
Joint Andhra Pradesh & Former Governor Tamilnadu, Shri Roshaiah Garu in 2018. In 2019, he was honoured with the Vaida Ratna Award by the Honourable Health Minister of Telangana, Shree Etala Rajendra.

06 Mar 2021

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ACL Injuries: Causes, Symptoms and Treatments

ACL Injuries: Causes, Symptoms and Treatments
An ACL (anterior cruciate ligament) tear is one of the most common knee injuries. It is more common in athletes who engage in high-demand sports such as basketball, soccer and football.
Anatomy of the knee joint

The knee joint is composed of three bones – the thigh bone, kneecap and shinbone. The kneecap is situated in front of the joint for protection. These bones are connected by four primary ligaments to hold the knee stable. The two types of ligaments that are located in the knee joint are collateral ligaments and cruciate ligaments. The collateral ligaments are located on the sides of the knee. These ligaments are responsible for protecting the knee from unusual movement. On the inside, the ligament is called medial collateral ligament whereas the ligament located on the outside is called a lateral collateral ligament. The sideways motion of the knee is controlled by the collateral ligaments.

The ligaments found inside the knee joint are called cruciate ligaments. These ligaments form an “X” shape. The posterior cruciate ligament is located in the back and the anterior cruciate ligament is located in the front. The back and forth motion of the knee is controlled by the cruciate ligaments. The anterior cruciate ligament provides rotational stability to the knee and prevents the tibia from sliding out in front of the femur.

Injuries in the anterior cruciate ligament are called “sprains” and are graded on a scale of severity of the injury.

Grade 1 Sprains – A mild injury of the ligament is known as Grade 1 sprains.In this type of injury, the ligament has been slightly stretched but it is still able to keep the knee joint stable.
Grade 2 Sprains – Also known as a partial ligament tear, in this type of injury,
the ligament gets stretched to the point where it becomes loose.
Grade 3 Sprains – A complete tear of the ligament where it gets split into two
pieces is called a Grade 3 sprain. With this kind of injury, the knee joint
becomes unstable. This is the most common type of ACL injury.

Causes

There are various reasons behind an ACL tear:

Collision or direct contact, such as a football tackle
Stopping suddenly
Rapidly changing direction
Suddenly slowing down while running
Incorrect landing from a jump

Female athletes are more prone to get ACL injuries, as compared to male athletes while playing certain sports. Studies say that this is due to the differences in muscular strength, neuromuscular control, physical conditioning, increased looseness in ligaments, the effect of estrogen on ligament properties and pelvis and lower leg alignment.
Symptoms of ACL injury

The most evident symptom of an ACL tear is a popping sound. You would feel your knee giving out from under you. A few other symptoms of an ACL injury include:

Pain
Swelling within 24 hours of injury
Loss of mobility
Discomfort while walking
Tenderness along the joint line

If the pain and swelling are ignored, it might resolve on its own. However, if an individual tries to return to sports immediately after an ACL injury, the meniscus of the knee might get damaged.
Diagnosis
treatment. During your first visit to Germanten after an ACL tear, the doctor will first talk to you about your medical history and symptoms. Then, your doctor will perform a physical exam wherein he or she will check all the structures of your injured knee and compare it with your non-injured knee. Most of the time, a physical exam is enough to diagnose a ligament injury. To confirm this diagnosis, the doctors at Germanten might perform imaging tests such as an MRI or an X-ray.

Treatment
Usually, a torn ACL cannot be repaired without surgery however in some cases, nonsurgical treatments might be effective. Nonsurgical treatments include bracing and physical therapy. These methods are suggested for patients who have a very low activity level or are older.

Surgical treatment for an ACL tear includes reconstruction of the ligament, as ACL tears cannot be repaired by suturing the ligament back together. The torn ligament is replaced with a tissue graft, on which the new ligament grows. This tissue graft is generally extracted from the patellar tendon or the hamstring tendons. An arthroscope is used to perform the surgery as it is a minimally invasive technique. At Germanten Hospital, the most advanced and sophisticated medical equipment and technologies are used to perform minimally invasive surgeries. Each operation theatre has a highly advanced laminar airflow for total infection control. Germanten Hospital has been accredited with NABH (National Accreditation Board for Hospitals & Healthcare). With more than 200 beds, we aim to provide excellent care and service to our patients. Germanten Hospital was named the Best Orthopedic Hospital in South India by Economic Times in 2021. In 2019, Times of India graded it as the Best Emerging Orthopedic Hospital. Create a balance between strength and flexibility.
Reconstructive surgery at Germanten Hospital is performed by a team of expert doctors, led by Dr.Mir Jawad Zar Khan. A veteran of more than 20 years in the field of orthopaedics, he has performed more than 10000 surgeries. Dr.Mir Jawad Zar Khan was awarded the title of Best Doctor by the ex-CM of Joint Andhra Pradesh & Former Governor Tamilnadu, Shri Roshaiah Garu in 2018. In 2019, he was honoured with the Vaida Ratna Award by the Honourable Health Minister of Telangana, Shree Etala Rajendra.

04 Feb 2021

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Thinking of Knee Replacement? Visit Germanten today!

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

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

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

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

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

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

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

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

29 Jul 2020

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KNOW ABOUT ACL INJURIES IN WOMEN

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

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

Anatomy :

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

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

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

Conditioning :

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

Is surgery always necessary after an ACL tear?

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

What can female athletes do to prevent ACL tears?

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

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

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

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

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

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

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