Tag: <span>sportsmedicine</span>

sportsmedicine

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.

Hip Replacement surgery

Total Hip Replacement Surgery- Procedure, Types and Recovery

June 3, 2020March 30, 2024
by Eva Hospital

Are you finding wearing socks and shoes difficult? If you have been finding the process of walking difficult without support, or if any past fracture or arthritis has damaged the hip, you must consider a total or partial hip replacement.

First performed in the 1960s, hip replacement surgery has come a long way in helping patients get out of the pain in the hip and any immobility that arises because of hip pain.

What is Hip Replacement Surgery?

Hip replacement is the procedure in which the parts of the hip joints are replaced by artificial implants called a prosthesis. You may be advised for total hip replacement surgery or even a partial hip replacement surgery. The portions of the femur (thigh bone) and pelvis that form the hip joint are removed and replaced.

Most people between the age of 60 and 80 years must consider the process of minimally invasive hip replacement. The surgeon makes an incision in the hip after giving you anesthesia and then removes the damaged hip to replace it with the artificial joint or implant.

Hip Replacement surgery is a process of almost two hours and is known to cure pain and immobility caused by arthritis or improperly growing hip. It is a complex surgery and the success involves dexterity in the hands of the surgeon.

Dr. Tanveer Bhutani, an acclaimed orthopedic in North India, is the best at hip replacement surgery. He has performed many hip replacement surgeries successfully with complete precision and perfection.

Should you consider Hip Replacement Surgery?

If arthritis has been a cause of worry and has caused severe hip pain that is not relieved by medications and physiotherapy, the hip replacement must be considered to relieve the debilitating pain.

If you feel the pain in the hip has been interfering with the regular movement and making walking or motion difficult, you are the right candidate for hip replacement surgery.

“Osteoarthritis is the main cause of hip immobility in many patients. It is the single most important cause of over 60% of hip replacement surgeries,” says Dr. Bhutani. If you have been ailing from osteoarthritis, rheumatoid arthritis, hip fracture, or septic arthritis, your surgeon may consider hip replacement surgery after monitoring and examining you physically.

Also, read- How to make your bones stronger with increasing age.

What is Better- Cemented or Uncemented Hip Replacement Procedure?

In the process of the surgery of hip replacement, the orthopedic surgeon will replace the existing hip joints with artificial prosthesis. The prosthetic element has to adhere to the patient’s natural bone. This can be achieved in either of the following two ways:

Cemented Joint Prosthesis

This procedure uses fast-drying bone cement to help the prosthesis adhere to the bone.

Uncemented Joint Prosthesis

This is called the cementless or the press-fit prosthesis. In this process, the cementless prosthesis is textured in a way that allows the bone to grow onto it and adhere to the prosthesis over a span of time.

The orthopedic surgeon may use cemented or cementless prosthesis or a combination of the two after talking to the patient.

The choice of the component is contingent on the following:

The type of hip replacement surgery done
The psychology of the patient
The requirement is according to the acumen of the surgeon.

Weigh the Pros and Cons of the Type of Prosthesis

The cemented prosthesis is majorly a layer of cement called acrylic polymer and this forms a layer between the patient’s natural bone and the prosthetic component.

This allows the bones which have become porous from osteoporosis to heal and affix to the prosthetic joint. The application of bone cement is a process of not more than a couple of minutes and this gives the orthopedic a surety of the positioning of the prosthetic joint component.

Another advantage of the cemented joint is that it comes with an antibiotic material that helps in the quick healing of any post-surgical infection.

However, Dr. Tanveer warns that the application of the cemented joint prosthesis has to be done by a proficient orthopedic.

There are chances that the artificial joint comes loose and the whole surgical process is rendered futile; there may be a chance that cement can enter the bloodstream and be detrimental to the lungs.

Seeing the negative impact of the cemented prosthesis, Dr. Tanveer advocates cementless or press-fit prosthesis.

The expertise of the orthopedic is in fitting the prosthesis in a way that the natural bone grows in the shape and direction of the prosthesis.

A cementless prosthesis holds the prosthesis and bone in a better way and rules out the risk of any loose cement entering the bloodstream. The orthopedic will observe the bone density according to the severity of osteoporosis and accordingly administer precautions.

What is the Recovery Time of Hip Replacement Surgery?

Hip Replacement is a procedure of four to six days to stay in the hospital. The orthopedic will start the physiotherapy within a day of the surgery and you will be advised to walk with support within one or two days of the surgery.

You will be able to resume your routine activities within 3 to 6 weeks of total hip replacement surgery. There may be surgical pain for the initial one or two days but you will be relieved from the excruciating arthritis pain right away after the surgery.

Dr. Tanveer says a hip replacement is a procedure more than 50 years old and has evolved ever since. It is a safe surgery to undergo if you want to alleviate the pain and suffering in the hips and enhance your mobility.

Conclusion

Nearly 30,000 total hip replacements take place in the U.S. each year. If the pain in the hip or arthritis has been affecting your daily life and movement, hip replacement is the cure. For the most effective surgery and the genuine diagnosis and check-up, rush to the best orthopedic in Punjab, Dr. Tanveer Bhutani, EVA Hospital, and get back to the normal pain-free routine. Check out our patient testimonial for hip replacement.

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.

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।