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dr tanveer bhutani

Total Knee Replacement Surgery: The Procedure

March 7, 2022November 16, 2023
by Eva Hospital

What is Knee Replacement Surgery?

Total Knee replacement surgery or knee arthroplasty is a surgical procedure that helps to relieve pain and restore function in knee joints, that are damaged by arthritis, and cannot be controlled by other treatments.

The total knee replacement procedure includes cutting away damaged bone and cartilage from the thigh bone, shinbone and kneecap to replace it with an artificial joint called a prosthesis which is made of metal alloys, high-grade plastics, and polymers.

A surgeon can best assess the knee’s range of motion, stability, and strength through physical examination and with help of X-rays to determine whether Knee Replacement is a viable option for you.

Reasons for the Knee Replacement Procedure

Various types of arthritis can affect the knee joint:

Osteoarthritis
Rheumatoid arthritis
Traumatic arthritis

Osteoarthritis causes the breakdown of joint cartilage, leading to damage of the cartilage and bones limiting the movement and causing pain.

Acute degenerative joint disease can cause pain and swelling, making it difficult for people to do normal activities that include bending the knee like walking or climbing stairs.

Knee replacement surgery is generally done as a treatment to relieve pain and disability in the knee. The most common cause of knee replacement surgery is osteoarthritis.

In some cases, a knee injury can cause rheumatoid arthritis and arthritis leading to a degeneration of the knee joint. Moreover, fractures, torn cartilage, and torn ligaments may sometimes lead to irreversible damage to the knee joint.

Knee replacement surgery can prove to be an effective treatment when other treatment options like anti-inflammatory medication, physical therapy, and cortisone injections into the knee joint fail to alleviate the pain.

Anatomy of the Knee Replacement

Before we try to understand the Knee replacement procedure, it is important to understand the anatomy of the knee.

The knee consists of:

Tibia, the shin bone or larger bone of the lower leg.
The femur, the thigh bone, or the upper leg bone.
Patella, also known as the kneecap.
Cartilage, a type of tissue covering the surface of a bone at a joint, helps to absorb shock and protect the knee and reduce movement within a joint.
The synovial membrane is a tissue lining the joint and sealing it into a joint capsule. It also secretes synovial fluid which is a clear, sticky fluid found around the joint to lubricate it.
Ligaments are a type of strong, elastic bands of connective tissue that surround the joint to give assistance to the knee and to help limit the joint’s movement. It connects bone to the bone.
Tendon, the tough cords of connective tissue that connect muscles to bones and help to control the movement of the joint.
The meniscus is a curved part of cartilage in the knees and other joints that act as a shock absorber, increasing contact area. They help to deepen the knee joint.

Knee Replacement procedure

Before the Procedure:

A complete physical examination is done to ensure the patient is in good health before undergoing the procedure. Blood tests or other diagnostic tests are also performed.
Patients should inform the doctor if they are sensitive or allergic to any medications, latex, tape, and anesthetic agents.
All regular medications being taken by the patient and medical conditions if any should also be conveyed to the doctor.
The patient is asked to fast for eight hours before the procedure.
A sedative is given before the procedure to help the patient relax.
One should also make arrangements before the surgery itself, for someone to help around the house for a week or two after being discharged from the hospital.
The decision about the type of anesthesia to be used is also made after a discussion between the anesthesiologist and the patient.
Intravenous antibiotics are given before, during, and after the procedure to help prevent post-surgical infections.

During the Procedure knee Replacement

Knee replacement surgery is usually performed under general anesthesia. However, all options are discussed with the patient in advance by the anesthesiologist.

The anesthesiologist continuously monitors the heart rate, blood pressure, breathing, and blood oxygen level during the surgery.

The actual procedure of the surgery is as follow:

Step 1: Making the knee incision

An incision of about 8 to 10 inches long is made by the surgeon across the front of the knee to gain access to the patella or kneecap.

Step 2: Rotating the patella (kneecap)

Once the knee is open, the patella is rotated outside the knee area, allowing the surgeon to view the area needed to perform the surgical procedure.

Step 3: Preparing the femur (thighbone)

The femur known as the thighbone is the first bone to be surfaced. Bones are carefully measured by the surgeon and precise cuts are made using special instruments.

The damaged joint surfaces are cut away. The surgeon then cuts and resurfaces the end of the femur to fit the first part of the artificial knee, the femoral component.

The prosthesis is normally composed of 3 components: the tibial component, the femoral component, and the patellar component

Step 4: Implanting the femoral component

The metal femoral component or artificial joint is then attached to the end of the femur and bone cement is used to seal it into place.

Step 5: Preparing the tibia (shinbone)

The next bone to be resurfaced is the tibia or shinbone. The damaged bone and cartilage are removed from the top of the tibia and then the bone is shaped to fit the metal and plastic tibial components.

Step 6: Implanting the tibial component

The tibial tray, which is the bottom portion of the implant, is fitted to the tibia and secured into place using bone cement.

Once it is in place, the surgeon snaps in a polyethylene insert made of medical-grade plastic to sit between the tibial tray and the femoral component, which acts as a kind of buffer.

This insert will eventually provide support for the body as one bends and flexes the knee.

Step 7: Re-adjusting the patella

The surgeon sometimes needs to flatten the patella before returning it to its normal position and fit it with an additional plastic component to ensure a proper fit with the rest of the implant. The plastic piece is sometimes cemented to the underlying bone if the surgeon feels the need.

Step 8: Finalizing the procedure

The knee is bent and flexed to ensure that the implant is working correctly and to check if the alignment, sizing, and positioning are suitable.

The procedure is completed by closing the incision with stitches or staples, and then bandaging it, and preparing the patient for recovery.

One might leave the operating room with the leg in a CPM (continuous passive motion) machine that gently bends and flexes the new knee while the patient is lying down.

The Total Surgery lasts about two hours.

After the procedure Knee Replacement

The patient is taken to the recovery room for observation after the surgery. The patient is shifted to the hospital room once the blood pressure, pulse, and breathing are stable and the patient is alert. There is a hospital stay of a few days after the surgery.

Starting to move the new joint after surgery is very important. A physical therapist plans an exercise program after the surgery.

The pain is controlled with adequate medication so that the patient is comfortable and can exercise. An exercise plan to follow both in the hospital and after discharge is provided by the physical therapist until one regains muscle strength and a good range of motion.

Home Care

All kinds of falls must be avoided after the knee replacement surgery, as it can result in damage to the new joint. A cane or walker is recommended until the strength and balance improve.

Certain modifications around the home can help one during the recovery. Some of these include:

Handrails along all stairs
Safety bars or handrails in the shower or bath
Using a bench or chair in the shower
Toilet seat riser with arms
Reaching stick to pick objects
Removing all kinds of loose carpets and electrical cords that may cause one to trip or fall

Also Read:- What Not To Do After Knee Replacement?

Doctor’s Note

Dr. Tanveer Bhutani at Eva Hospital who specializes in the best Joint Replacement surgeon in Ludhiana says that total knee replacement surgery provides pain relief and helps in improving mobility, providing a better quality of life.

He adds that when done by a competent surgeon and through a correct procedure, most knee replacements can be expected to last for more than 15 years.

One can usually resume most of the daily activities, 3 to 6 weeks after the surgery and Driving is also feasible at around three weeks if one can bend the knee far enough to sit in a car, and has sufficient muscle control to operate the brakes and accelerator.

One can engage in many low-impact activities, like walking, swimming, or biking, after complete recovery. However, higher impact activities such as jogging, skiing, tennis, and sports that involve contact or jumping should be avoided.

So if you have let the knee pain hinder your normal activities for too long, it is time to consider Total Knee Replacement surgery which can help give you a painful life, allowing you to engage in activities that give you joy, pleasure, and happiness.

Dr. Tanveer Bhutani Orthopedic Specialist has have been helping people lead pain-free and happy lives for several years now. Contact to book an appointment to get your condition accessed and about a discussion of your treatment options.

Eva Hospital

Is Outpatient Surgery a Safe Option?

January 13, 2022March 29, 2024
by Eva Hospital

Joint Replacement Surgery- An Introduction

Arthritis and routine wear and tear can cause hip, knee, and other joint pains. However when these pains and stiffness begin to impede the quality of life and the patient is not responding to other more conservative treatment methods, it may be time to consider a joint replacement surgery.

Newer surgical developments and minimally invasive techniques have made total joint replacement a great treatment option that can help restore quality of life & allow people to return to a normal and active lifestyle.

Outpatient Joint Replacement Surgery

Lately, for some patients who meet the specific requirements, the procedure can be done on an outpatient basis for example younger patients in their 40s, 50s, and 60s whose work, activity level, and lifestyle do not allow them to slow down.

Outpatient surgery or same-day surgery implies a surgery that does not require hospitalization. The patient is most likely discharged on the same day or in some instances, one may spend an overnight in the hospital, without being officially admitted to a hospital.

Opting for an outpatient joint replacement is an ortho doctor near me and the patient make together after considering the pros and cons to decide if it is a safe and preferable choice for the particular patient.

However, even if one chooses same-day surgery, the doctor may decide that one needs extra time at the hospital, after reviewing the condition of the patient post the surgical procedure.

The surgical procedure is the same for both conventional & outpatient joint replacements.

Benefits of Outpatient Surgery

Outpatient joint replacement is usually done if the doctor believes the patient will have the same or better outcome as with inpatient admission to a hospital.

Recovering in the comfort of a patient’s own home is one of the greatest advantages of outpatient surgery.

The recovery of patients in Outpatient joint replacement recovery is usually healthier, quicker, and much more effective than after inpatient surgery.

It has several other benefits for patients like:

Quick return to regular activities
Lower risk of hospital-acquired infections
Cost-saving when compared to an inpatient procedure/recovery
Cleaner, better-controlled environment
Lesser chances of post-surgery falls

Disadvantages of Outpatient Hip Replacement

One of the biggest disadvantages of outpatient surgery is lesser direct medical supervision in the first day or two after surgery.

There are some general issues faced by the patients after joint replacement surgery, which are common for both inpatient and outpatient surgeries.

These issues can be:

Pain and Nausea: Though improved anesthesia methods have cut down severe pain and nausea issues to a great measure, still there is a certain amount of post-surgery pain involved in all kinds of surgeries. The patient and the caregiver should learn about post-surgical medications, including how and when to take them.

Help is required: After the patient returns home from joint replacement surgery, assistance from a family member, friend, or hired helper is needed. However, this becomes especially important if one has had an outpatient joint replacement.

Limited Movement: The patients usually have restricted movement during the first few days of the surgery. Activities like going to the bathroom and moving about the house may pose a challenge.

Post-Surgical complications: A proper examination is done by Surgeons, nurses, and anesthesiologists before discharge to make sure that it is safe to send the patient home.

However despite all precautions complications can arise, which are rare but can be serious. It is advisable to be fully aware of what is to be done in case of any emergency.

Outpatient Joint Replacement & Safety

The safety of joint replacement surgery depends on the health of the patient. Everyone cannot be a candidate for outpatient joint replacement surgery. Besides considering the patient’s personal choice & comfort level, many other criteria need to be fulfilled before a patient can be approved for an outpatient joint replacement procedure.

Dr. Tanveer Bhutani at Eva Hospital says he recommends outpatient joint replacement surgery if the patient wants to have same-day surgery

Enjoys good health without serious medical issues that may require monitoring in a hospital setting.
Wants a simple and traditional total joint replacement that involves no special surgical circumstances
Has sufficient in-home help and a home layout that is conducive for an early discharge
Has the potential to be actively involved in his or her own care plan and is motivated to contribute to a rapid recovery protocol at home and diligent post-surgical physical therapy.
The Patient and the caretakers are adept enough to be able to satisfactorily manage the pain at home.
The patient is a non-smoker
Have an optimal body mass index (BMI)

One needs to keep in mind that only those patients for whom the use of minimally invasive surgical techniques is possible can be eligible to recover at home post joint replacement surgery.

Bottomline

If you are suffering from any kind of joint pain that is hindering your normal routine but you cannot afford to spend a long time in hospital due to personal or professional reasons, outpatient joint replacement surgery might be an option for you.

But before you decide to go in for this option, there are a few factors that might need to be considered after a careful assessment by a competent surgeon.

You can book an appointment and consult Dr. Tanvir Bhutani about making a decision about this option of Outpatient Joint Replacement Surgery.

Eva Hospital

What Not to Do After Knee Replacement?

December 22, 2021March 29, 2024
by Eva Hospital

The knee joints take a lot of battering all our lives, which can ultimately lead to osteoarthritis and various other knee injuries. Designed to rebuild and restore knee function and reduce pain by replacing the knee joint with an artificial one, Knee replacement surgery (knee arthroplasty) is very popular these days, and is helping people resume normal lifestyles.

An important part of recovery following knee replacement surgery is stretching and strengthening of the muscles. But one needs to keep in mind that some types of movements and exercises may be more harmful than beneficial.

It is vital to learn what types of movements should be avoided after a knee replacement surgery.

Exercises and Movements to avoid after a knee replacement

The knee replacement surgery aims at enabling one to return to everyday activities without pain. As tempting as it is to return to a normal routine as soon as possible, there are some exercises and movements one should avoid during recuperation and healing.

Activities with a high risk of falling

Loss of strength, range of motion, and balance lead to an increased risk of falling lost knee replacement surgery. A fall can be damaging to the prosthesis and can deter the healing process.

A few lifestyle changes that can reduce the risk of falling include:

Use the handrail when climbing up and down the stairs
Use a rubber mat or shower chair when taking a bath
Always sit down to put on shorts or pants
Keep the floor clear of toys, slippery mats & rugs, and other items that may present a risk of tripping.
Avoid slippery terrains like mud, ice, or wet grass

Prolonged sitting

The risk of developing a blood clot, especially in the first 2 weeks after surgery is increased due to long duration of sitting, post a knee replacement surgery. It can also hinder the drainage of fluid in the lower leg, making the swelling worse.

It is advisable not to sit continuously for more than 40 to 45 minutes. In case prolonged sitting is unavoidable, prop the legs up on a chair or something similar to minimize swelling.

Excess weight-bearing

Most people use a walker, crutches, or other assistive devices after knee replacement surgery. Early weight-bearing and moving around as soon as possible after surgery is recommended by most surgeons. However, for the initial days, this will need the help of a nurse, a family member, or a physical therapist.

A should be avoided until one is allowed to do so by the surgeon or physical therapist. While climbing up the stairs, lead with the leg that has not had surgery and while climbing down, step first with the leg that has had surgery.

Kneeling: Difficulty in kneeling or an inability to kneel after a total knee replacement is reported by many people. Though there is not much evidence to such that kneeling shortens the life of the prosthesis, if one is uncomfortable, it should be avoided.

Running and Jumping

The knee joint bears three times the normal force while running than when walking. And jumping involves an even higher amount of force at work. One must totally avoid activities that involve running and jumping while recovering from a knee replacement surgery. These activities may not only delay healing but also cause damage to the prosthesis.

In fact, such high-intensity activities should be avoided even when fully healed.

Sports with high impact or quickly changing directions

Here are some sports to avoid after the knee replacement:

Weight training: Heavy weight lifting, particularly during squats or similar exercises, which exert pressure on the joints should be totally avoided. Ask your doctor or physical therapist for suggestions or techniques which are suitable for the new knee.

Hiking: Even while being low impact, routes with uneven ground and erupting roots or rocks can cause falls and be hazardous to the knee. So avoid hiking in rough terrain after knee replacement.

Skateboarding and Rollerblading: Holding a substantial risk of twisted knees and possible fall on hard surfaces these sports can lengthen the recovery process.

High-impact Sports or Aerobics: The negative impact of running with the risk of hitting other players in the process of damaging the knee is combined in some sports. One must avoid taking part in contact sports or sports that lead to a sudden twisting or jerking of the knee like soccer, football, rugby, basketball, skiing, hockey, gymnastics, etc.

Some great options to stay active after the knee replacement surgery are low-intensity sports like cycling, golf, and swimming.

Bottomline

Knee replacement surgery is a highly successful method of getting rid of knee pain which can hamper your life and normal activity.

Dr. Tanveer Bhutani at Eva Hospital has been helping people lead a pain-free life by very competently treating Knee replacement

EVA Hospital Practo Review

However, one may have to make a few adjustments to their lifestyle while the knee heals. Some of these changes might seem apparent, but they do a long way to make a difference in the long-term use of the knee.

Eva Hospital

6 Tips To Prevent Shoulder Pain

July 22, 2021March 8, 2024
by Eva Hospital

While performing simple everyday activities, your shoulders assist you in almost everything. Shoulder muscles work when you lift, grab or reach out for something on a high shelf, drive a car, or brush your hair.

Pain, stiffness, or weakness can make it difficult to do all that. Shoulders are one of the most used joints with an immensely wide range of motion.

They are also the parts most prone to injury, requiring time to rehabilitate. Once injured, they are more likely to get hurt again. Common reasons are repetitive movements and too many arm actions above the head.

If you are not sure about the reason for your shoulder pain, make an appointment with Dr. Tanveer Bhutani. It will be diagnosed what the origin and underlying issue for the pain is, and it can be treated.
However, you can take certain precautions that help strengthen the shoulder muscles and safeguard you from pain and injury.

1. Warm-up Stretches: Preventing Shoulder Pain

Always do stretching exercises before your workout or game. This is especially essential when you have had an injury before. Do light exercises such as brisk walking, jogging, and arm rotations.

Common stretching & warming-up exercises include the pendulum, rotation, running, and arm stretches, etc.

2. Rest

Just think it over. If there is an activity that might have caused the shoulder pain, modify or stop that activity. Rest your joint till you feel strong enough to return to that activity, game, or task.

Meanwhile, you can switch to other activities like jogging or riding a stationary bicycle. You must move your shoulders gently, allowing them to heal. Resting the shoulder muscles makes them rehabilitate.

3. Listen to your Body

Your body always gives you signals that you are overdoing something or a certain action is just not right. However, we choose to ignore them. Listen to your body.

It talks. If your shoulder is getting sore after any activity, do not ignore it. If there is stiffness, discomfort, or pain, slow down.

Not stopping will cost you a lot of time in the future. There is no new to rough it out and make things worse.

4. Build up the Shoulder Strength & Endurance

It is important to increase the strength and endurance of the shoulder to keep it healthy and pain-free. There is nothing better than pumping strength into your muscles for preventing future injury. Take the help of your orthopedic surgeon and physiotherapist to make your shoulder joint strong and safe from pain. Regular exercise can keep it strong & flexible. However,

1. Do not exercise if you get pain.
2. Stop when you feel it is enough.
3. Watch your posture while performing the exercise lest you make it worse.
4. Do not forget to warm up before starting.
5. Poor technique can cause additional damage, so consult a professional

5. Increase the Range of Motion

a) The Pendulum Stretch

Stand & bend at the waist.
Let your arm hang down perpendicular to the floor
Keep the neck relaxed.
Move your arm in a circle up to 20 times
Do it twice or thrice a day.

b) Overhead Shoulder Stretch

Stand Straight.
Interlock your fingers and keep them in front of you.
Now bend the elbows, raise your arms and place your hands behind your head.
Gently squeeze your shoulders together & move the elbows back.
Repeat 20 times approx.
You may do it four to five times a day.

6. Avoid Repetitively Stress

If your job or work involves performing similar actions repeatedly, make your way around it. Take rest every 20 minutes, watch your posture(do not slouch all the time), keep your spine erect while standing or sitting.

If you work on a computer, your desk height should be such that your mouse is at a slightly lower level than the elbow. Keep walking and stretching off and on. Do not perform too many actions above the head or far away from where you have to reach out with difficulty.

At work, you can ask your boss for alternative tasks when you feel like your shoulder needs a rest.

The Takeaway Shoulder Pain
Shoulder pain is pretty common among people. The unique anatomy of this ball and socket joint gives a tremendous range of motion but also makes it prone to stress, injury and pain, especially for sports persons if they are not careful.

However, with the above precautionary measures and tips, you can have healthy shoulders for life. If there is any discomfort or pain you can seek immediate care. You must make an appointment with a sports and bones specialist right away if there is a deformity, sudden swelling, inability to move, weakness, or unbearable pain.

Sports Injuries Treatment

Sports Injuries – Types, Treatment & Prevention

June 26, 2021December 12, 2023
by Eva Hospital

Sports professionals often get injured in a practice session or during a match. They are prone to different types of musculoskeletal injuries commonly referred to as sports injuries. Most athletic injuries can be broadly divided into three main categories- Acute, Overuse, and Chronic.

Acute injuries are usually the result of direct trauma to the site in the last 4-5 days. Overuse injuries are caused by repetitive stress to a set of muscles or ligaments & occur over time. Chronic are those that have been nagging for a long time, like a few months.

Common Types of Sports Injuries

Various sports injuries present varied symptoms & complications. The most common types of sports injuries include:

Knee injuries: While practicing stretching, the tissues near the knee may tear pull. It can cause a knee injury.

Sprains: Sprain occurs due to overstretching or tearing of ligaments. Ligaments are bits of tissue that connect two bones to each other in a joint.

Strains: Sportsmen often suffer from strained muscles. These are similar to sprains in that they are also caused by tearing – of tendons or muscles. tendons are thick, fibrous strings of tissue that connect bone to muscle. They are often mistaken for sprains.

Fractures: Sports personalities might suffer from small to severe fractures or broken bones.

Achilles tendon rupture: Achilles tendon rupture is pretty common as well. The Achilles tendon is the biggest tendon above the ankle(at the back). It may rupture while playing a game, resulting in severe pain in the foot and difficulty in walking.

Rotator cuff injury: The rotator cuff is the set of muscles that keep the shoulder moving in all directions. External trauma, as well as overuse, can cause inflammation or tears in these muscles and weaken the rotator cuff.

Tennis/Golf Elbow: Also known as lateral epicondylitis, it is a common injury for golfers, cricketers & tennis players.

Dislocations: When a bone gets forced out of its socket, especially in a joint, it is called dislocation. It is seen very commonly in active sports. It can be painful and cause inflammation & weakness.

Also Read: Achilles Tendon Injuries- Symptoms, Causes & Recovery

Treatment

While some sports injuries may be mild, others may require immediate treatment or emergency care. Indications of such conditions are:-

Excessive inflammation at the injury site and extreme distress.
Observable lumps or similar abnormalities.
Clicking the joint while moving.
Inability to put weight on the joint.

Strains are sprains are treated first with the RICE method- Rest, Ice, compression, and elevation for the first day and a half.

This is okay for all mild sports and provides relief from pain. Tears also require medical care and sometimes surgery as well.

A fracture in the bone is treated by setting the bone in a plaster.

Sports Injury Specialists are more qualified to treat injuries for sportsmen based on the intensity of the game, projected time of recovery, and personal choices.

A compound fracture may require resetting the bone back to its proper placement in the body.

In complete fractures, the bone breaks in pieces and may penetrate the skin. Both the cases require immediate action.

Commonly the athletes tend to break the bones in ankles, wrists, ribs, hips, or feet. The most crucial part is casting and restricting movement.

Sports Injuries Prevention

Although some injuries cannot be prevented as they are part of playing a sport, there are many ways to prevent severe injuries and tears.

Warm-up & Stretching: warm muscles are flexible and more immune to injury. A proper and long warm-up and stretching exercises go a long way in preventing mishaps on the field.
Follow the proper techniques: Always follow the instructions of your coach. Learn the right way to move during the sport or training.
Cooldown: Cooling down is as important as warming up. Do the same stretches that you did, in the beginning, to cool down.
Use Proper Equipment: using unsuitable, wrong sized or substandard sporting equipment will make you prone to injury and away from your favorite game.
Use the Right Gear: Especially it applies to footwear. Wear the right shoes. You must possess the proper athletic protection. Tennis, football and jogging shoes are all different, for example. Also, take care of the size.
Go Slow and Steady: do not overdo things in enthusiasm. The shortcut might land you in a cast or a bandage when you have to take a forced rest.
Heal completely: after an injury do not be in a rush to start training. Wait till you heal completely. Also, build up the previous level gradually after an injury.

Dr. Tanveer Singh Bhutani, sports injury specialist and an orthopedic surgeon in Ludhiana with very high expertise. If you or your friend is having any of the above symptoms or sporting injury, consult the superspecialist at Eva Hospital. Book your appointment now.

Eva Hospital

The Young Adult Knee and Early Arthritis – what…

April 12, 2021March 30, 2024
by Eva Hospital

Although arthritis is a condition mostly attributed to the senior population, athletes and young adults are also susceptible.

Knee arthritis is defined as a group of conditions caused by defective articular cartilage and alterations in bone morphology.

It is considered the most prevalent type of arthritis, and the most notable health issue that permeates modern society.

Juvenile joint problems are found to be the result of injuries, occupational activities, sports, obesity or genetic factors.

Diagnosis of Young Adult’s Knee Arthritis

Diagnosing arthritis in young people is pretty challenging because they have a higher threshold of pain.

Before treating the condition, orthopedic surgeons make a definite diagnosis with the help of clinical examination, tests, X-rays, radiographs, and study of history. Thereafter a line of treatment is suggested.

Know about Risk factors

Sporting Activity

Ironically, the major risk factor for early knee arthritis is surplus activity and playing sports.

Studies have found that sportspersons are more susceptible to joint injuries than normal people.

They simply use their joints more, causing faster wear and tear of cartilage, thereby increasing the risk. It does not mean that they should stop being active or playing sports, but they must be aware of the risks involved.

Obesity

Being overweight or obese makes the young population invite knee arthritis at an early age. Maintaining a healthy weight is one of the best routes to prevent the condition.

Dr. Tanveer Bhutani says,” Extra kilos put more pressure on the joints as they have to support the body weight.

This wears down the cartilage much sooner than it would have. Adults in their late 20s or early 30s are increasingly experiencing an early onset of joint problems due to being overweight.

Injury

Injuries can damage the cartilage inside the joints and inflict OA in young adults, especially those who indulge in sports.

Athletes are naturally more prone to injury than others. Additionally, they are more predisposed to joint trauma in the lower limbs.

But they must realize that injuries can also lead to arthritis maybe 20 years before then it would have happened otherwise.

Joint injuries can cause joint instability and degeneration of the articular cartilage, even for non-athletes.

Know about treatments

Exercise is the Best Treatment for Youngsters

For young knees, the best treatment for arthritis is exercise. Though it does not cure the disease completely, they are highly effective.

Exercises or physical therapy aimed to increase strength, flexibility, and aerobic capacity work wonders for OA. The specific exercises have to be designed based on individual aspects of the disease process.

Active athletes recover better with muscle-strengthening exercises, and they can resume their sport sooner.

Aerobic workout shows results slowly, so may not be good for athletes but for other less active individuals. It is apparent that each physical program has to be custom-made. Cortisone injections

This is yet another treatment option that is beneficial for athletes who require short-term relief to participate in sports.

Cortisone injections with HA are intra-articular injections for temporary relief from pain and inflammation in the knees. However, they must be taken after consultation with an experienced sports injury specialist.

Surgery

For severe cases, minimally invasive Arthroscopy is the first surgical option considered in OA. Although it has short-term benefits, it may be very important for young adults wanting to delay joint replacement for a good number of years.

The second option is joint replacement surgery.

Know about Prevention

Rectify and transform your exercise routine

Going the extra mile sounds wonderful but you may have to change the way you work out. Always listen to the body and not the mind.

If your knee is already triggered, avoid high-impact training and running. It would inflame your joint and aggravate the symptoms.

Bid adieu to flexion strength exercises such as squats, lunges, and leg presses), says Dr. Bhutani. “They put an excess of pressure on the front of the knee joint.”

However, keep working out. For young persons exercising is vital for protecting joint health. It strengthens the muscles surrounding the knee and improves the range of motion.

Also, it keeps the weight in check. Just do not do high-intensity regimes. Focus more on your heart rate and low-impact activities such as swimming, cycling, & circuit training.

Lastly

Mostly young adults who are athletic, obese, or have a history of trauma or injury are likely to get arthritis at early stages in life. Prevention is better than cure in this case.

Eva Hospital

Office and Work – Understanding Repetitive Stress Injuries (RSIs)

February 25, 2021March 30, 2024
by Eva Hospital

You might think that office work is more of a mental job rather than a physical one. However, desk work strains muscles and joints that keep working in the same fashion throughout the day.

Occupational tasks tend to be monotonous and routine and involve the same set of movements repeatedly. It not only strains the concerned muscles and their related joints but is also capable of causing serious damage over a period of time.

Consequences can be an inability to continue with the same job and developing a serious disability.

What is RSI or Repetitive Stress Injury?

RSI is an injury or damage to muscles, tendons, and nerves resulting from repeated movements. Work-related repetitive stress injuries may be caused by a variety of continuous activities such as:

Operating a computer mouse
Typing on a keyboard or typewriter
Writing
Lifting or gripping items

Occupational muscle stress is also faced by musicians, cleaners, cooks, craftsmen, and drivers, etc

What Causes RSI?

RSI is caused by overuse as the name suggests. It is a by-product of repeating the same movements for hours on end. The overused muscles that face the brunt are those that are not strong enough and the postures are faulty. So what exactly are the risk factors?

Some activities that can increase the potential risk of injury are:

You remain in the same posture for hours
You use the same limb or hand all the time. For example, if your job requires you to make phone calls most of the time, you would be holding a phone constantly in one hand.
Your posture or positioning is wrong. For example, you are keeping the mouse at a higher level than your elbows.

Common Types of RSIs and Their Symptoms

The body parts that are most affected by office-related RSI include wrists, hands, elbows, forearms, shoulders, and neck. This may cause orthopedic conditions such as,

Bursitis

Tennis Elbow

Rotator Cuff Tendonitis

Carpal Tunnel Syndrome

Symptoms develop gradually and become persistent and more intense with time.

It is very important to recognize the symptoms and adopt preventive and primary measures to ensure that the condition does not become chronic and serious.

Here are the common symptoms that you will experience in the muscles that you are using repeatedly:

Pain
Stiffness
Weakness
Throbbing
Tenderness
Tingling or numbness
Throbbing
Heat or cold sensitivity

The pain and weakness become gradually severe, preventing you from performing routine tasks. You may find it difficult to type, handle the computer mouse or even write.

Treatment For RSI

Office-related RSI is fairly mild in the beginning and if addressed early, it can be controlled effectively at the onset.

The treatment is conservative and initially, doctors prescribe conventional medication and physical therapy.

Dr. Tanveer Bhutani, sports injury specialist and orthopedic surgeon at Eva Hospital says,” Maintaining a workout regime is vital. Office goers tend to ignore joint health while pursuing ambitious careers.

As a result, repetitive movements cause overuse injuries and damage all-around health. It is similar to sporting injuries. Relieving pain and strengthening the muscles is

the prime concern in RSI treatment.” Primary care consists of :

RICE treatment- rest, ice, compression, and elevation
Pain-relieving nonsteroidal anti-inflammatory drugs or NSAIDs
Exercise
Use of braces, bandages, or supporting devices to rest the muscles.
Steroid injections in severe cases
Physiotherapy
Workstation adjustments, e.g. your desk, chair, or other equipment.

Serious cases may require surgery to protect the joints from severe damage.

Tips for Preventing RSI

Do these standard adjustments in your way of working to make a world of difference:

Do not slouch. Maintain an erect posture. Back straight, shoulders squared and neck centered. It is the best way to protect your muscles from undue stress.

Adjust your workstation. The level and type of equipment at work should be supportive and comfortable. Align the elbow with the keyboard.

Refrain from sitting continually. Keep taking those breaks from sitting. Stand, walk and move about, at regular intervals.

Keep the monitor at eye level. You should not be looking down or up all the time. Keep the screen at an arm’s length away. If you make calls all the time, wear a headset.

Taking small breaks. Take frequent breaks throughout the day to stretch and flex your fingers and wrists. Take a walk, and do shoulder stretches. It is very important.

Conclusion

Little changes make a large difference in the prevention and recurrence of work-related repetitive stress injuries.

Eva Hospital

How can you Prevent 4 Most Common Shoulder Injuries?

July 31, 2020
by Eva Hospital

Do you think shoulder injuries can happen only among athletes?

Have you been thinking that only the older population can face chronic shoulder pain?

If yes, continue reading the blog to tell you how shoulder injury can happen anytime to anyone while doing simple activities. The worst is that the anatomical structure of the shoulder is intertwined to other parts of the body and pain in the shoulder can adversely affect multiple muscles, cartilages, tendons, ligaments, and bones. Shoulder injury- minor or chronic, can render you incapacitated to perform the daily chores and may keep you off from the game for an indefinite period of time.

What are the Most Shoulder Injuries?

There are many types of shoulder injuries but the following are the four most common shoulder injuries:

Frozen Shoulder

Frozen shoulder, also known as Adhesive Capsulitis, is a condition where the socket joint wears off and the ball lining begins to scar down. This leads to tightness in the joint and this affects the ability of the arm to move to and fro. This leads to a limited range of motion while performing simple tasks like combing hair or even dressing up.

Diabetes, old age, or just suddenly; frozen shoulder has no specific causes and can catch you unaware.

The best orthopedic of Punjab, Dr. Tanveer Bhutani says, “Most of the shoulder pains are common and treatable. You must watch out for signs of tiredness and fatigue at an early stage.”

Rotator Cuff Tears

If you are a person with an active lifestyle or you are in sports or construction industry, you may have come across a person with this common shoulder injury – rotator cuff injury. Acute fall, repeated overhead motion, or normal wear and tear can exacerbate in rotator cuff tear. An older person can get a rotator cuff injury without any external stimulation suddenly. This tear may take time to heal or may require surgery to cure. “It is advisable to always listen to the body while doing your work. If you feel pain, dullness, or aches in your shoulder and upper arm, you are probably becoming a victim to rotator cuff tear,” advises Dr. Bhutani.

Shoulder Impingement

When one or more rotator cuff tendons get trapped between the shoulder bones during the arm movement, you are likely to experience excruciating pain, swelling, or inflammation in the shoulder joint. This causes acute pain that worsens with movement, pinching sensation during the movement of shoulder, and difficulty in the up and down motion of the arm.

“In order to avoid steroidal injections or invasive surgery, you must modify or stop the activity that makes the shoulder vulnerable or susceptible to intense pain,” guides the best orthopedic of Punjab. “This problem is also called ‘swimmer’s shoulder’ and is characteristic of people who work with their arms overhead like painters and swimmers. Repeated movements over a long period of time can cause this kind of pain.”

Labral Tear

Are you facing instability in your shoulder? A catching, locking, or grinding feeling in the shoulder implies a tear in the tissue that connects the socket of the scapula and the head of the humerus. While playing games like tennis or pitching a baseball, a sudden, quick, and repetitive movement can cause tears in the labral tissue leading to severe pain and instability in the shoulder.

Dr. Bhutani advocates that prevention is better than cure. Hence the players must work on strengthening and stretching the shoulder and other joints before entering a game with quick, repetitive movements.

Also, read- Modern-day gadgets- are they boon or neck pain.

How can you Prevent Common Shoulder Injuries?

The tissues between the shoulder blade, chest wall, arm, and shoulder are interlinked and any disruption in one can cause pain in the other related parts. The first and foremost troubleshooting center is to identify the activity that causes mild discomfort and to avoid the quick, repetitive movements.

Rotator cuff and shoulder impingement are the most common shoulder injuries. The common causes of shoulder pain are osteoarthritis, fracture, tendonitis, and instability in the shoulder. Sudden falls, accidents, twists in the game while pitching or catching the ball can cause immense pain and damage. Sometimes even disturbed sleep or wrong posture or lack of rest can be a troubleshooter.

Dr. Tanveer Bhutani is an experienced orthopedic surgeon and an expert sports injury specialist. ‘Stay strong and stay fit,’ is his fitness mantra. He suggests all his patient’s practice exercises with the right technique. A vulnerable shoulder can be put to risk with wrong postures and wrong techniques. Exercises with resistance bands are the most effective for shoulder strengthening workouts.

In case you are suffering from acute shoulder pain coupled with osteoarthritis, which can worsen the pain further, you must consult the best orthopedic and seek an opinion regarding shoulder joint replacement surgery. The expertise and experience of the surgeon can help you recover faster and resume your daily activities.

Over to You

Losing your agility or slowing down the motion due to acute shoulder pain can be stressful. There are ways to prevent shoulder injuries or traumas. Stiffness in the shoulder or pain while combing or drying the hair can be a cause of worry.

For best consultancy to prevent the pain or to avoid any shoulder injury or to seek help regarding the shoulder joint replacement, contact Dr. Tanveer Bhutani, EVA Hospital, Ludhiana. With expertise in sports injury and surgery, Dr. Bhutani is a Board-certified orthopedic, expert in suggesting a range of motions and strength exercises to prevent shoulder injuries. Do not delay your journey toward a healthy and strong shoulder.

Orthopaedic

What is Oxinium Knee Replacement?

December 12, 2019March 30, 2024
by Eva Hospital

The fast-paced world has extended the total knee replacement to the younger generation as well. With sports injuries and other mishaps, knee surgeries or knee replacements have extended to the old and the young alike.

The choice of the type of knee replacement is contingent on several factors- the age of the patient, the level of motion, the budget of the patient, and the current state of the knee.

Usually, an elderly patient who has less physical activity may not need a high flexion implant relative to the younger athlete who has to be physically gung-ho all the time.

The Evolution of New Technology – Oxinium Knee Replacement

Post the traditional knee surgery there were potential risks of loosening, wear out, an infection that could call for repair surgery.

The impact of high physical activity like running or sprinting could further damage the knee and cause the knee replacement to fail earlier than anticipated.

With the use of cobalt-chromium alloys as the prosthesis for knee replacement, it came to light that the chromium gradually wears out, the surface gets rough and some lumps or debris started forming in the knee leading to quick wear out of the metal. The metal does not stay resilient to the cyclical load and stress of daily routine.

The risks of the knee replacement or the allergy to some patients due to metals like cobalt, chromium led to a phenomenal discovery of a new metal composition for the knee, femoral, or the thigh bone area.

The OXINIUM Oxidized Zirconium is a path-breaking, award-winning, and patented ceramic-metal alloy beneficial for younger patients who have an active lifestyle and a high level of physical activities.

What is OXINIUM Oxidized Zirconium Knee Replacement?

Oxidized Zirconium is a metal alloy comprising 97.5% zirconium and 2.5% niobium. The resulting alloy is the most biocompatible metal known to date. The Oxinium has a ceramic-like surface and structure like metal.

During the process of manufacture of the alloy, the implant’s surface is made into a hard and ceramic metal with the body structure and durability of the metal inside.

With the ceramic surface, the metal implant becomes twice as hard and twice as resistant to wear-out and abrasions compared to cobalt-chromium alloy.

How is Oxinium better than Cobalt-Chrome Knee Replacement?

There are various aspects that need to be considered in order to compare the two alloys of knee replacement:

Strength and Hard Surface

As it is evident by now, the surface hardness of oxidized zirconium is twice that of cobalt-chromium alloy.

Brittleness

Oxinium is less brittle compared to cobalt-chromium alloy and reduces the risk of brittle fractures.

Wear-out Rate

It is proven that prosthesis made from an Oxinium has lesser wear out rate by nearly 50% compared to cobalt-chromium knee replacement. It is abrasion-resistant and resistant to wear-out due to strenuous or continuous physical activity.

Nickel Content

Oxinium scores on this point as well because there is minimal nickel content and this lowers the chances of metal sensitivity or infection in patients.

What are the Advantages of Oxinium Knee Replacement?

The features of oxidized zirconium make it superior for femoral and knee replacement. Dr. Tanveer Bhutani, the best orthopedic surgeon in Punjab, says that the following people have highly benefitted from Oxinium knee replacement:

Young, Energetic Patients

Patients who have their whole life and do not wish to undergo a revision knee surgery any time before 20 years have chosen Oxinium Knee replacement. Oxidized zirconium is harder and scratch-resistant, abrasion-resistant, and has a very low wear-out tendency.

Prosthesis from Oxinium is expected to last almost 35 years, according to Dr. Bhutani. Hence this is more suitable for younger patients who have fitness and sports as a priority.

Patients with an Active Lifestyle

If you have a high activity level, there are chances that abrasion and wear out can lead to breakage and damage to the traditional cobalt-chromium alloy. This could call for a revision knee surgery very soon. Dr. Bhutani emphasizes that Oxinium knee replacement will endure the stress and high movement, abrasion for a longer time than the cobalt-chromium knee replacement.

Patients who are Allergic to Metals

There have been patients who are allergic to nickel content and cannot endure the cobalt-chromium aggregate knee replacement. Without the fear of any allergies, Dr. Bhutani strongly recommends the Oxinium knee replacement as the nickel content in it is barely minimal and it is the most bio-compatible element invented to date.

Conclusion

Total Knee Replacement should be a once-in-a-lifetime process and this is possible if you use the best metal for the knee replacement.

The orthopedics vouch for Oxinium oxidized zirconium alloy as the safest and strongest knee replacement element. For any queries and long-term vision, get in touch with Punjab’s best orthopedic surgeon, Dr. Tanveer Bhutani at EVA Hospital, Ludhiana.

Knee Surgery

Post Care Tips – Arthoscopic Knee Surgery by Dr.…

September 13, 2019March 30, 2024
by Eva Hospital

Knee Surgery is synonymous with a new lease of life and renewed energy to resume work. For marking the surgery a complete success, the post-surgery instructions have to be adhered to carefully.

For relief from constant pain and stiffness due to bone damage or any deformity, the choice of knee surgery is the right option.

Coming back to the usual routine with full gusto may take about 4-6 weeks. For quick healing and recovery, the patient has to follow the discharge instructions coupled with the medicine instructions judiciously.

The health care experts and the surgeon will guide you on the exercise, rest, discharge equipment, and follow-up appointment.

A list of handy tips will help you recover without much struggle. The following list has been curated under the able aegis of Dr. Tanveer Bhutani, Punjab’s best ortho-surgeon

Exercise

Regular exercise regime must be carried on pre and post the surgery. The level of activity and exercise will be contingent on the age and status of the patient. The walk is usually the best exercise and the surgeon will guide you about the pace and distance of the walk. Gradually the patient can increase the momentum as the healing gets better. ‘Exercise is thy medicine. Muscle-strengthening exercises work in healing a patient faster.

Medications

The initial wounds must be thoroughly cleaned so that the chances of infection are decreased. To maintain suppleness, coconut oil can be externally applied. The patient will be administered antibiotics for some time so that no bacterial infection seeps in.

Pain killers and other medications will be discussed at length by the medical practitioner so that the chances of inflammation are minimized.

Body Posture

The regular walk must be carried on.

Also, strenuous workouts or fitness activities like swimming, cycling, badminton, golf, or any other activity which requires movement of the lower limbs is gradually started after 6-8 weeks.

Role of footwear

For successful knee surgery, the patient must wear comfortable, supportive, well-cushioned shoes outdoors. Heels or other fancy shoes are not advisable in the beginning.

Word of Caution

It is advisable to take care of a rugged surface so as to avoid any twisting or sudden jerk to the knee. Do not keep a pillow or any other object underneath the knee so as to avoid a permanent knee-bend. Stiffness and inflammation may take longer to settle in some patients than the others.

Make sure you are regular on the follow-ups so that the pace of healing can be monitored. Also, any untoward changes can be gauged when the patient is regular in the follow-up visits.

Dr. Tanveer Bhutani is the best knee surgeon in Punjab and he has won many accolades to his name in the recent past. His patient testimonials are a blend of his polite demeanor and professional acumen. The innumerable successful knee surgeries are a testimony to his proficiency and expertise.