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acl

ACL: ACL Tear Symptoms, Causes, Recovery and Treatment

June 14, 2022March 28, 2024
by Eva Hospital

ACL tear is an extremely common knee injury, particularly known to affect sports persons involved in football, basketball, volleyball, and skiing. In the majority of cases, an ACL injury is a result of making a wrong movement on part of the patient.

However, to have a better understanding of what ACL tear is, understanding the anatomical relevance of the ACL is highly relevant.

What is ACL?

Your knee is basically a hinge joint, formed by the femur, the tibia and the patella. It is made of bones, cartilage, ligaments, and tendons. The ACL, the acronym for anterior cruciate ligament, is one of the 4 ligaments that hold your knee together, and connect your thighbone (the femur) to your shinbone (the tibia). Running diagonally in the middle of the knee, ACL controls how far ahead the tibia can slide relative to the femur while also providing rotational stability to the knee.

Ligaments that hold the knee together

Medial collateral ligament or MCL
Lateral collateral ligament or LCL
Anterior cruciate ligament or ACL
Posterior cruciate ligament or PCL

What is an ACL injury?

An ACL injury is a tear or sprain of the anterior cruciate ligament, caused often by suddenly made the wrong movement.

For instance, in sporting events like football, baseball, volleyball, and skiing, in which sudden maneuvering of the knee is involved, there is a high probability of an ACL injury.

ACL Tear: Types

An ACL injury can either be a partial tear of the ligament or a complete tear. It is categorized in the following 3 types:

Grade-I: Fibers of the ligament are stretched without any tear

Grade-II: Fibers of the ligament are partially torn

Grade-III: Fibers of the ligament are completely torn

Causes of an ACL Tear

Jumping and landing
Swift stops while running
Pivoting with your foot firmly planted
Sudden directional changes
Sudden pivoting maneuver during sports football and basketball
Collusion
Work injuries
Automobile accidents

ACL tear: Symptoms

Popping or snapping sound at the time of injury
Immediate swelling of the knee area
Immobility
Instability
Severe pain

ACL tear: A risk factor

While people of all ages and sexes and physical conditions are equally vulnerable, women are more prone to having their ACL torn because they tend to put more pressure on their knee because of their biomechanics. ACL injury is also common among young children.

People prone to having an ACL tear

Footballers
Basketball players
Gymnasts
Volleyball players
Downhill skiers
Workers involved in Physical jobs
Women
Children

Factors leading to ACL injury

Faulty conditioning
Faulty movement techniques
Ill-fitting footwear
Playing on an unfamiliar ground
ACL tear: Treatment

As soon as you discover any symptoms of an ACL tear, consult your doctor immediately to determine the extent of the injury and seek proper medical treatment. Based on your symptoms, a specialist would recommend the following ACL tear treatments:

Nonsurgical treatments

Icing
Immobilization
Bracing
Physiotherapy

Surgical treatments

An orthopedic surgeon would perform an ACL reconstruction surgery to replace a torn ACL. In the surgery, a small incision will be made to allow access to a video camera and surgical instruments to the joint space.

Post-surgery precautions

It is pertinent to mention here that those with a history of ACL injury are at higher risk of developing long-term degenerative changes such as arthritis, osteoarthritis and meniscal damage in future. To avoid this, plan an expert-adviced work-out progamme to help strengthen leg muscles.

FAQs

Can ACL injury heal on its own?

No, an ACL injury can’t heal on its own because of the fact that there is no blood supply to this ligament.

Can you walk with an ACL injury?

Immobility is one of the symptoms of an ACL tear. But, immobility may or may not occur despite an ACL tear.

How long does an ACL injury heal?

Recovery from an ACL injury can last between 6 to 9 months.

Is an ACL injury serious?

Since an ACL tear can leave you immobile, it is recommended that you immediately consult a doctor in case any injury to your knee shows symptoms of an ACL tear.

Eva Hospital

How do you decide the time of Knee Replacement…

July 28, 2020March 30, 2024
by Eva Hospital

Has climbing the stairs become a menace? Have you been facing difficulty walking a long-distance? Do you find yourself complaining about your worn-out knees too often? It may be time for knee replacement surgery

You may wonder and panic hearing the word ‘surgery’. However, if your knees are troubling and can’t support the daily motion, you need to step out and consider surgery as your orthopedic recommends.

The process of knee replacement surgery is over two hours, but you need to prepare and make arrangements for recovery when you get back home. Hence to prepare for adequate arrangements and decide when to get the surgery done is important and a few factors must be considered before taking any decision.

“A detailed assessment is crucial before making any decisions for a surgical procedure. You can resume your daily chores and start driving within three months of the surgery,” says Dr. Tanveer Bhutani, the best orthopedic of Punjab at EVA Hospital.

When Can You Avoid Surgery?

Total knee replacement (TKR) surgery has yielded successful results over the past 20 years and more than 90% of patients resume their daily chores within three months. Dr. Bhutani advises his patients regarding the surgery keeping in mind the past history and the present of the patient. He suggests that in the following cases, undergoing knee surgery can be postponed for a while:

Alternate Treatments

If you have bearable pain and you want to try alternative sources of treatment like ice, painkilling medicines, heat, or physiotherapy, you may wait and see if the pain subsides. Regular muscle strengthening exercises can also help you alleviate the pain.

Bearable Pain

The orthopedic usually suggests if the pain is bearable and doesn’t bother you in the routine chores, you may postpone the surgery for a while. The level of pain is what determines the urgency of the surgery.

Overweight

If you have massive weight, the newly replaced knee joint will not be able to survive the weight and may disturb the placement of the knee joints. This may aggravate pain after the surgery. So the orthopedic usually suggests reducing the body weight before undergoing a knee replacement surgery.

Routine Activities Unhampered

Dr. Bhutani says if you are able to carry out daily chores uninterrupted, you may wait for the surgery and get the routine chores going.

Weak Thigh Muscles

Weak thigh muscles will not be able to provide support to new joints. They are also more susceptible to infections and open wounds.

When is it time for Surgery?

Dr. Tanveer Bhutani says Total Knee Replacement (TKR) is the most effective surgery in case the pain in the knee or the condition of the knee is overwhelming. The surgery has minimum risks if done at the hands of an expert orthopedic surgeon. With proper medications and exercises, you can resume your daily activities in a short span of time.

Following are some scenarios that make the knee replacement quintessential:

Medications are Ineffective

Strong pain killers or anti-inflammatory medications are ineffective in helping cure excruciating pain. Such is the case when the orthopedic will recommend getting the knee joint replaced with the help of minimally invasive surgery.

It is an alarming scenario when alternate medication systems like steroids, injections, and physiotherapy are not able to heal the pain. The best knee replacement surgeon of Punjab, Dr. Bhutani says that if the pain in the knee is unbearable, you must consult the orthopedic and book surgery.

Inability to do Routine Chores

When you are unable to do routine chores like climbing out of bed, climbing the stairs, walk for grocery shopping, or even dress up or bathe without wincing in pain, you must seek the suggestion of the orthopedic and consider knee replacement surgery to live a pain-free life.

Dr. Bhutani adds that this is the case when patients are in deep pain and feel their normal life is also messed up.

Evident Deformity in the Knee

Injury or arthritis may sometimes cause a deformity in the knee and make your knee bowed in or bowed in. The orthopedic consider this knee deformed from the body midline with acute pain as the time for surgery. You must make arrangements for the surgery sooner than later to avoid further deformity or pain.

Age and severity of the Pain

Dr. Bhutani says age isn’t the foremost criterion for considering knee replacement surgery. TKR can be performed for patients of all age groups. However, if you are 50 years and above and facing debilitating knee pain, you must understand it is time for replacing the knee.

The severity of the pain is a key indicator for the time to undergo the surgery. If the pain is beyond the control of medicines, and if you experience pain day in and out, and are compelled to walk with a walker or crane, Dr. Bhutani suggests there is no reason to wait or postpone the surgery.

Final Words

Why live with pain when modern-day surgery is the quick fix for a healthy life full of joy! With a small minimally invasive incision, you will add years to your life and lead a pain-free life. Seek help from the orthopedic regarding the right time of the surgery.

Delayed action can worsen the condition of the knee. Do not let the suffering or pain overpower your happiness and seek the opinion of the best orthopedic in Ludhiana, Dr. Tanveer Bhutani, EVA Hospital, and live a pain-free life.

Eva Hospital

What is ACL injury and Does it Require Surgery

June 22, 2020
by Eva Hospital

If you are a soccer player, basketball champion, or football player you are probably familiar with the term ACL.

While playing the game if you hear a popping sound and suddenly your knee is giving out under your body weight, you have most likely incurred an ACL injury.

This will lead to immense pain and swelling in the knee and aches or tenderness in the joint within the next 24 hours.

What is the ACL?

ACL is the acronym for anterior cruciate ligament (ACL). This ligament is positioned in the middle of the knee and connects the thighbone (femur) with the shinbone. It helps stabilize knee joints in the connections.

Basically, ACL provides rotational stability to the knee and prevents the tibia (shinbone) from sliding out in front of the thighbone.

While playing, if you pivot your firmly planted foot, or suddenly change direction, there are chances that you face ACL tear and this may cause damage to the surrounding ligaments and cartilage as well.

According to the best orthopedic and sports injury specialist in Punjab, Dr. Tanveer Bhutani, ACL injuries occur during the game when the player suddenly changes direction or speed or improperly lands while in the game. ACL can be painful and needs immediate medical supervision under an expert.

What are the Causes of an ACL injury?

While playing the game if any one of the following happens and you hear a popping or cracking sound in the knee, you have succumbed to ACL injury:

Direct collision with a jerk with another player during the game can cause an ACL injury.
If you suddenly stop with a thrust, you are likely to sprain the ligaments in the knee.
You may be required to change direction suddenly to accustom to the direction of the ball, and this rapid directional change can cause havoc to the ACL in the knee.
A direct blow in the knee from the force of the ball can be devastating for the knee.
You may land in an odd position from a high jump in the game and this can cause a sprain in the knee.

Dr. Bhutani adds that apart from positioning or speed changes in the game, a few other factors can add to the vulnerability of the ACL tissue.

If you are a woman, relatively weak muscle strength or any hormonal imbalance can add to the tenacity of the damage. Dr. Bhutani checks for arthritis or any other medical conditions that can aggravate the pain or delay the treatment response.

An ACL injury can aggravate the risk of developing osteoarthritis also. The severity of the injury, the positioning of the tissues and ligaments affected and the movement protocol post-surgery can affect the quality of motion and lead to the development of arthritis at later stages. Hence Dr. Bhutani recommends following precautions at all stages of the game.

How can you Prevent ACL Injury?

Dr. Tanveer Bhutani advises the age-old adage to all his patients (of all age brackets)- ‘prevention is better than cure. Sprains or ACL injury affects over 1,50,000 athletes annually and prevention can help mitigate these injuries.

An ACL injury can cause disruption in the range of movement, feeling of instability, and inability to walk without support along with incessant excruciating pain. Dr. Bhutani recommends the sports player abide by the following precautions to avoid ACL injury trap:

Warm-up and Stretches

A physical therapist or a sports medicine practitioner always emphasizes the importance of adequate warm-up and stretches before practices to avoid any type of sports injury.

The relevance of warm-up techniques should not be undermined under any circumstances. Athlete trainers teach and advocate a set of specific warm-up exercises pertaining to the game.

Targeted Strength Training

Athletes or players must focus on strengthening the core muscles. Exercises that help the hips, pelvis, and lower abdomen to gain strength must be done regularly under the supervision of a trained mentor.

You must be adept at knee positioning at all times and focus on exercises that help you gain balance when jumping and landing from jumps.

Proper Footwear and Sports Gear

Proper footwear and padding relevant to the game are quintessential to preventing sports injuries.

Also read: How to prevent sports injuries.

Balance Training

You must focus on exercises that strengthen leg muscles and in particular the hamstring muscles so that the knee can handle the overall body in proper balance.

Is Surgery Required for ACL injury Treatment?

Dr. Tanveer recommends physical examination, X-ray, or maybe an MRI to analyze the extent of the damage. For inactive athletes, the orthopedic may recommend physical therapy or braces to avoid pain and this may lead to slow partial recovery.

However, for young and active athletes and players, arthroscopy or minimally invasive knee surgery is mandatory to be able to resume the game.

During the surgery, a small incision or portal is made in the affected joint. With the help of a camera and fiber optics, the orthopedic can light the internal space, and then the surgery is conducted.

ACL is reconstructed in the procedure using autograft (grafts from the patient’s own knee) or allograft (donated tissue graft).

Dr. Bhutani advocates arthroscopy for ACL injury as it offers the view and complete insight into the extent of damage that no X-ray or MRI can give.

ACL reconstruction surgery gives the player an undisputed chance to revive the game and part away with the instability or pain in the knee. Surgery also delays or mitigates the chances of occurrence of degenerative arthritis at later stages.

Dr. Bhutani is the most experienced sports injury specialist and has conducted innumerable ACL reconstruction surgeries.

Over to You

ACL cannot heal on its own because of the lack of blood supply to this ligament. If you are a sportsman who is active in the sport or if you have twisted your knee and damaged your ACL, get in touch with the best sports orthopedic in Punjab,

Dr. Tanveer Bhutani at EVA Hospital. Let not the untreated ACL weaken the ligament further and cause instability. Adhere to the precautions and prevent the agonizing ACL injury.

knee replacement surgery

What are the Benefits of Knee Replacement Surgery

May 29, 2020March 30, 2024
by Eva Hospital

If you are facing constant pain in the knee or if your daily movement is affected by the immobility in the knee, you must read on.

This blog will help people who have faced sports injuries or are in turmoil because of immobility in the knee. The secret to staying fit is out. It is the Knee Replacement Surgery.

Knee Replacement Surgery is the new age modern surgical process that helps patients get rid of the pain and damaged knee because of arthritis.

The best orthopedic of Punjab, Dr. Tanveer Bhutani says osteoarthritis is the most common reason for patients to undergo knee replacement surgery.

He recommends that patients whose knee joints have been damaged by arthritis or any trauma must consider the surgical procedure and get relief from constant pain.

What are the Types of Knee Replacement Surgeries?

Knee Replacement or Knee Arthroscopy or sometimes called ‘knee resurfacing’, this surgery has helped many people live a pain-free life. In this surgery, the damaged bone and cartilage from the surface of the knee joint is replaced with an artificial component.

Knee replacement surgery is successful in people of all age groups- right from old age people with damaged knees to adults or sportsmen who have damaged knees because of injury.

Following are the types of most commonly performed knee replacement surgeries:

Partial Knee Replacement

PKR or partial knee replacement is the surgery that replaces only one side of the joint. This surgery is done when arthritis is present only in part of the knee.

Total Knee Replacement

In this surgery, the entire knee joint is replaced. The joint surface at the end of the thigh bone (femur) and the joint surface at the top of the shin (tibia) is replaced with a metal shell. The artificial components used in the surgery are called a prosthesis.

What are the Benefits of Total Knee Replacement Surgery?

If your knee gives you pain, stiffness, loss of function, and instability, your orthopedic will surely recommend a total knee replacement.

Dr. Tanveer says it’s not necessary that all patients who have arthritis need a knee replacement. But if the knee is damaged and made dysfunctional by arthritis, knee replacement surgery will be a boon to the body.

Following are the benefits of knee replacement surgery:

Relief from Pain

Total knee replacement gives relief from the excruciating knee pain which had made you immobile and dependent. EVA hospital is the best hospital for knee replacement surgeries and the testimonials from patients tell you that TKR has helped them to live a pain-free life.

Gain Stability and Mobility

Debilitating knee pain can make you handicapped to move about, climb the stairs, or even stand or walk for a longer duration. This can prevent you from living a normal life and can hamper your family life.

Knee replacement can help you lead an active life. Post-surgery recovery will help you walk without any support and move freely for your household chores.

High Success Rate and Recovery Rate

The best orthopedic in Punjab, Dr. Tanveer Bhutani, assures a high success rate with knee replacement surgery. Dr. Bhutani says if prolonged medications, injections, and other treatments do not help in combating pain, knee replacement is a sure treatment for pain and recovery.

After the surgery, you will be relieved of taking so many medicines and lead a free life.

Knee replacement is a highly successful surgery and it has a quick recovery rate. There is no age restriction for the surgery and more than 95% of the patients are satisfied with the results of knee replacement surgery.

Last Words

The quality of life of the patients after knee surgery is definitely better. To choose the best orthopedic, you must see the qualifications experience, and past records of the doctor along with the facilities of the hospital.

Dr. Tanveer Bhutani from EVA Hospital has a record of successful knee replacement surgeries and provides the best pre and post-surgery care.

EVA Hospital is equipped with modern equipment and facilities and a caring, skilled, and concerned staff. For knee check-up, consultancy or any advice get in touch with Dr. Bhutani.

Orthopaedic

How to Treat the Recurrent Shoulder Dislocation

November 12, 2019March 30, 2024
by Eva Hospital

The shoulder is the most mobile joint of the body which is responsible for movement in the arm, swinging the arm, lifting weights, moving the arm to and fro as well as up and down. This greater range of movement may be a cause of instability, especially in the case of a sportsman.

Causes and Effects of Shoulder Instability

Due to shoulder instability, the upper arm bone comes out of the cup-shaped socket that is a part of the shoulder blade and this causes a shoulder dislocation. Following may be the symptoms of shoulder dislocation:

A deformed or misplaced shoulder
Swelling or bruising in the shoulder
Intense recurring pain
Immobile joint

With the movement of the shoulder in just any direction to swing the arm, dislocations are more likely to happen if there is instability in the joint. A strong jerk or a sudden blow may pop the arm ball out of the shoulder socket.

The reasons for shoulder dislocation can be either of the following:

Sports and Work Injuries

In sports like hockey, cricket, soccer, or sports involving falls like gymnastics, skiing, volleyball, etc. Shoulder dislocation can happen frequently. Repetitive strain can cause the shoulder to become unstable. Even some jobs require repetitive work which can traumatize the shoulder.

Sudden Fall

A fall from a certain height, fall from a ladder or stairs, or even tripping from a lopsided carpet or rug may be the cause of severe shoulder pain and shoulder dislocation.

Sudden Jerk

A sudden jerk while exercising or a sudden brake while driving may cause the shoulder to dislocate. Shoulder dislocation or recurrent shoulder dislocation may cause tearing of muscles, ligaments, and tendons that reinforce the shoulder joint. It may lead to shoulder instability which makes shoulder dislocation recurrent.

What are the Treatments for Shoulder Dislocation?

In some cases, non-surgical treatment by just reducing and immobilizing the shoulder may work. This is usually done by your orthopedic surgeon in anesthesia. Post-procedure, applying ice, rest and physical therapy may help.

However, if the tissues that hold the shoulder are ruptured or strained, or if you experience recurrent shoulder dislocations, Dr. Tanveer Bhutani, at Eva Hospital suggests and strongly recommends Shoulder Arthroscopy surgery. If you are a young athlete majorly in sports involving arm movements like throwing or collisions, shoulder arthroscopy is mandatory to resume the game.

What is Shoulder Arthroscopy?

Shoulder arthroscopy is a minimally invasive surgery where the surgeon accesses the shoulder using small incisions and minimal damage to the surrounding tissues.

A slim, pencil-sized instrument called an arthroscope is inserted into the joints through a small incision. With a keyhole light and a keyhole video camera, on the other hand, the details of bones, tendons, ligaments, and labrum are highlighted and magnified.

The torn ligament or labrum is repositioned, the ring of cartilage that surrounds the shoulder socket is repaired and the humerus is stabilized.

It is usually outpatient surgery and you can leave the hospital within a couple of hours post the surgery. This may, however, be contingent on the patient’s health status and age.

Dr. Tanveer Bhutani, the best orthopedic surgeon in North India describes this surgery for shoulder dislocation as very effective and says that with proper follow-up and medications, and physical therapy, the patient will be able to resume sports activities within 8-14 weeks.

Last words

Why suffer from pain and discomfort of recurrent shoulder dislocations when shoulder arthroscopy can heal the dislocated shoulder! The surgeon’s level of experience and knowledge is vital for a genuine diagnosis.

For any kind of pain in the shoulder and neck or any visible signs of lumps in the back, contact Dr. Tanveer Bhutani. He is a specialist in shoulder arthroscopy in Punjab. Resume your sports and games and live your life pain-free!