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aclrecovery

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.

Knee Surgery

Hip Replacement- Tips for Effective Recovery

October 31, 2019March 30, 2024
by Eva Hospital

Have you been experiencing hip pain that interferes with your sleep or pain that is worsening with walking even with the help of a cane or walker? Has the hip pain affected your ability to climb up or down the stairs? Have you been facing an acute problem in rising up from a sitting position? It may be arthritis of the hip

The reason for hip damage could be any- Osteoarthritis or Rheumatoid Arthritis or it could even be Osteonecrosis (inadequate blood supply). Irrespective of the reason you need to contact the best orthopedic surgeon of your area and discuss your deteriorating health.

Technically called Total Hip Arthroplasty or Hip Replacement surgery, this has been performed successfully for years. This is the procedure when the doctor surgically removes a painful hip joint (due to acute arthritis) and replaces it with an artificial joint made from either metal or plastic components. The hip replacement surgery makes walking easier and facilitates mobility.

The hip replacement surgery may be performed using the standard procedure (where the incision is 5-8 inches long) or the latest minimally invasive technique.

The surgery definitely makes movement much easier. But there are certain dos and don’ts to be followed to make it a complete success. Dr. Tanveer Bhutani is the best orthopedic surgeon in Punjab and recommends that physical therapy should be continued for a couple of months to enable better recovery and mobility. Certain activities like pivoting or twisting the leg should strictly be avoided. Even bending forward at the waist and squatting must be avoided.

Dr. Tanveer Bhutani has curated a list of activities that can be done easily at home and you will recover quickly post hip replacement surgery.

Certain rearrangements at home can go a long way in helping you recover.

Place the utility items like remote controls, phone, glasses pitcher, and medicines on a high table within your reach. This will prevent unnecessary bending forward.
Stay away from enthusiastic and active pets till you fully recover.
Get all the carpets and rugs removed so that the chances of tripping over are minimized.
The bathroom should have a shower chair, gripping bar, anti-slip mat, and a raised toilet seat.

Take the medication prescription from the surgeon and understand the directions.
Discuss with your surgeon about over-the-counter drugs, supplements, and vitamins.
Make sure you take antibiotics before any dental work (after consulting your orthopedic surgeon). This will prevent any bacterial infection from creeping in.
Keep your medical card handy so that in case of any medical emergency it is easily known to the doctor that you have an artificial hip.

To reduce the swelling, keep your leg elevated and prefer applying ice packs.
Wear compression stockings to reduce swelling.
The wound has to be kept clean and dry, so the surgeon will tell you at length about the bathe and shower protocol.
Watch for any signs of redness or drain from the wound.

Any kind of blood-thinning medicines vitamin K supplements or foods rich in Vitamin K like spinach, beans, lentils, etc. have to be avoided for a while.
The surgeon will recommend iron and vitamin supplements along with a normal diet.

After the hip replacement surgery your life would be much more active than before. Adhere to the list of instructions given by the surgeon and you will lead a hassle-free life. Dr. Tanveer is the most renowned surgeon in Ludhiana and gives a customized recovery module to each patient depending on their age, weight, and health status. Contact Dr. Bhutani and get free from the hip pain forever.

Knee Surgery

घुटने की सर्जरी-मिथक एवं सच्चाई

October 4, 2019December 12, 2023
by Eva Hospital

घुटनों की सर्जरी आज बहुत ही सामान्य सर्जरी बन गई है। घुटनों के दम पर ही आपका चलना-फिरना, उठना-बैठना एवं जीवन की ज्यादातर प्रक्रिया निर्भर हैं। इस शल्य चिकित्सा को आर्थोप्लास्टी (arthoplasty) भी कहा जाता है। जिन लोगों के घुटने गठिया (arthritis) के रहते क्षतिग्रस्त हो गए अथवा कोई घुटनों की चोट के कारण घुटने क्षतिग्रस्त है, उन्हे घुटने (Knee Replacement Surgery) सर्जरी से नया जीवन मिलता है।

इस सर्जरी से लाखों लोगों ने घुटनों की पीड़ा से राहत पा कर अपना सामान्य जीवन दर्दरहित व्यतीत करना आरंभ किया है। हाँलाकि कुछ लोगों का मानना है कि छोटी उम्र में घुटनों को बदलने से वह उम्रभर चलने की मोहताज हो जाएँगे या फिर कुछ लोग भ्रमित है ज्यादा उम्र में घुटने की सर्जरी के बाद वह पूरी उम्र निर्भर हो जाएँगे।

डा. तनवीर भुटानी, पंजाब के हड्डी रोग विशेषज्ञ, कुछ भ्रमों और मिथकों एवं उन से जुड़ी वैज्ञानिक सच्चाई के बारे में बताते हैं। ईवा अस्पताल के मुख्य हड्डी रोग चिकित्सक-डा. तनवीर नीचे दिए गए मिथकों की सच्चाई बता रहे हैंः-

सर्जरी के बाद पूरी तरह से ठीक होने में लंबा समय लगेगा। डा. तनवीर अपने मरीजों को ज्यादातर दूसरे दिन ही चलने की अनुमति दे देतें हैं। सच यह है कि पूरी तरह से ठीक होने में किसी भी सर्जरी के उपरांत लगभग दो-तीन महीने का समय लगता है। उसी तरह घुटनों की सर्जरी में भी तीन महीनों में आप पूर्णतया ठीक होकर सामान्य दिनचर्या में जुट सकते हैं। ध्यान इस बात का रखना ज़रूरी है कि सर्जरी में विलंब करने से घुटनों को ज्यादा क्षतिग्रस्त (Damaged) हालत में न पहुँचने दें।

कुल घुटने प्रतिस्थापन सर्जरी (Total Knee Replacement Surgery) एवं आंशिक घुटने प्रतिस्थापन सर्जरी (Partial Knee Replacement Surgery) आपका जीवन अगले 15 वर्षों के लिए सुखमय कर देते हैं आपको लगभग 15 सालों के लिए दर्द से राहत मिल जाएगी। केवल कुछ मात्र प्रतिशत लोगों की स्थिति बिगड़ जाने या फिर हड्डियों की खराब शिकायत आने की संभावना है। पर अधिकतर यह सर्जरी आपका लंबे समय तक जीवन सुधार देती है।

डा. तनवीर अपने मरीज़ों को हमेशा यह शिक्षा देते हैं दर्द के साथ जीने पर मजबूर ना हों। कुछ मरीज बहुत दर्द सहन कर, जब दर्द असहनीय हो जाता है तो सर्जरी के बारे मे सोचते हैं। इससे केवल घुटनों की स्थिति बद से बदतर हो जाती है। आज के इस तकनीकी युग में दर्द को जीवन का हिस्सा बनाने की आवश्यकता नहीं। घुटने की सर्जरी चिकित्सक के परामर्श से तुरंत करवानी चाहिए। जिससे पुनः अच्छी स्थिति में आने में विलंब न हो।

डा. तनवीर सभी मरीज़ों को इस सच्चाई का आगाह करवाते हैं कि जितनी जल्दी आप घुटनों की दर्द से राहत चाहते हैं, उतनी ही जल्दी ज्वाइंट रिपलेसमेंट (Joint Replacement) करवाना उचित है। आपने आने वाले 15 से 20 साल हँसते-कूदते दर्द रहित व्यतीत करेंगे। घुटने की सर्जरी और उम्र का कोई संबंध नहीं। घुटने की सर्जरी का सीधा संबंध है आपकी असहाय दर्द और घुटनों की क्षतिग्रस्त हालत।

सच्चाई यह है कि घुटना सर्जरी के उपरान्त आपने अपनी उम्र में दर्द रहित कुछ वर्ष जोड़ लिए हैं। यह सर्जरी कामयाब एवं सुरक्षित है। आधुनिक प्रक्रिया से दर्द रहित एवं चिकित्सक की दक्षता से सुरक्षित है घुटना सर्जरी। बुढ़ापे में आप अपने बल पर चलना-फिरना कर सकेंगे अपने नए एवं काबिल घुुटनों के साथ।

सन् 1970 से शुरू हुई घुटनों की सर्जरी आज एक दर्दरहित प्रक्रिया बन गई है। अगर आप अपने जीवन में 20 वर्ष साल खुशियों के जोडना चाहते है और घुटनो की दर्द से मुक्ति चाहते हैं और घुटनों की दर्द से मुक्ति चाहते हैं, तो डा. तनवीर भुटानी ईवा अस्पताल से मिलें और जानकारी प्राप्त करें। धीरे-धीरे अपनी गतिविधियाँ बढ़ाएँ और अपने आप को गोल्फ, टेनिस एवं तैराकी करने में सक्षम पाएँ।