rehabilitation

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.

Sports Injuries Treatment

Sports Injuries- What are the Types, Prevention and Treatment

January 14, 2020March 30, 2024
by Eva Hospital

Are you the weekend warrior, a regular sportsman, or a gym freak? If you are either of them, you would understand what adrenaline gush means while you are playing your game or even merely talking about it. The only grim part of games and sports is getting a minor or a major sports injury.

What are the Types of Sports Injuries?

Sports injuries can happen at any time while exercising or while at the game. Sports injuries can happen to anyone-children or adults. You shall be more prone to sports injuries in the following cases:

If you have a sedentary lifestyle
If you avoid proper warm-up before the game
If you play contact sports
If you are not active

Different types of sports injuries have different protocols to follow. Here are the most common types of sports injuries:

Sprains

The injury to ligaments caused due to tearing of ligaments is called a sprain. This is the most common sports injury. The tissues connecting two bones to one another in a joint are ruptured.

Strains

Strains are the over-stretched muscles or the ‘pulled muscles’ which cause tears in the muscle fibers or tendons. Tendons are thick, fibrous cords of tissue that connect bone to the muscle.

Knee Injury

The knee is the most commonly twisted or bent body part while playing. Overstretching, tear in the tissues, ACL tear or the injury resulting from repetitive movement of the knee cap called Patellofemoral Syndrome are all types of knee injuries.

Tennis Elbow

Tennis elbow or Epicondylitis is the pain related to the muscles and tendons of your forearm. There may be a tear in the tendon due to repetitive stress and overuse of the muscles around the elbow. This is also called ‘golfer’s elbow.’

Fractures and Dislocations

Most commonly heard and most prolonged maybe this type of injury-fractures or dislocations. Bone fractures or when a bone is dislocated in the body are both painful injuries and may take a while to heal.

Groin Pull

The side-to-side motion may trigger a push off causing strain of inner thigh muscles or groin. This may sometimes cause significant swelling.

What are the Ways to Prevent Sports Injuries?

Dr. Tanveer Bhutani, a leading orthopedic of Punjab, is a strong advocator of ‘warm-up’ before any workout or game. He says that injuries are likely to happen when your body isn’t conditioned to a particular movement or angle per se.

Every movement or activity must begin with a proper warm-up and you must make sure to be properly dressed and geared up according to the activity you indulge in.

Read through the following pointers and you can prevent the majority of sports injuries:

Learn the proper technique of the game and movements. Different games require different postures and focus on different angles.
Wear proper shoes and equip yourself with proper pads and preventive gear.
Never push yourself beyond the limits suddenly.
Cooldown post the activity is equally important as a warm-up is. Rolling out the muscles using a foam roller is also recommended.

In case you feel pain or overstretch in any of the muscles, do not rush to the activity and give the body a chance to heal.

Dr. Tanveer advocates adequate Rest (R), Ice packs (I), Compression (C), and Elevation (E) as the foremost treatment of any sports injury. If the swelling or the pain or discomfort prolong, you must not delay in contacting an orthopedic immediately.

What are the Treatments of Sports Injuries?

“Some sports injuries will heal with RICE (Rest-Ice-Compression-Elevation) methodology,” says Dr. Tanveer, “however for the severe sprain or strain or a ligament tear, surgery may be recommended”.

Here are some common treatment protocols in the most frequent sports injuries:

In the case of Ankle Sprain or Strain:

Complete healing of a hamstring strain may take about one year. It is advised to exercise and revive flexibility so that the chances of re-injury are zilch. The doctor will examine a high ankle sprain to make sure that the bones in the lower leg are intact and not separated.

In the case of Groin Pull:

RICE can help heal a groin pull. However you should not be in a haste to resume the activity, else the problem can be permanent. For persistent swelling, your orthopedic must be consulted immediately.

In case of Knee Injury:

An anterior cruciate ligament (ACL) holds the leg bone to the knee and in case of suspected ACL, an orthopedic may recommend surgery as this is the most common type of injury.

While in games like running, volleyball or basketball repetitive movements of the knee cap against the thigh bone may damage the tissue under the kneecap. This is called Patellofemoral syndrome which may take up to six weeks to recover. The doctor may advise continuing low-impact exercise particularly working out quadriceps for relieving the pain.

In the case of Tennis Elbow:

Epicondylitis or tennis elbow causes irritation and tears in the elbow tendons. You may be advised against playing the game till the pain recovers.

Final Words

Sports injuries can be prevented with precaution and warm-up. Worst cases of sports injuries may not heal with RICE and expert advice of the orthopedics may be needed. Dr. Tanveer Bhutani, at EVA Hospital, is a sports injury specialist and has treated the gravest of sports injuries with precision and care. Stay fit, stay healthy and take care of injuries carefully.

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!

Tag: <span>rehabilitation</span>

rehabilitation

How do you decide the time of Knee Replacement…

When Can You Avoid Surgery?

When is it time for Surgery?

Final Words

Sports Injuries- What are the Types, Prevention and Treatment

What are the Types of Sports Injuries?

What are the Ways to Prevent Sports Injuries?

What are the Treatments of Sports Injuries?

In the case of Ankle Sprain or Strain:

Final Words

How to Treat the Recurrent Shoulder Dislocation

Causes and Effects of Shoulder Instability

Last words