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Achilles tendon rupture

Achilles tendon rupture – treatment, surgery

What is Achilles tendon rupture?

An Achilles tendon rupture or rupture occurs when the tendon “ruptures or tears” leading to separation or discontinuity in the tissues that make up the tendon.

In terms of anatomy, the Achilles tendon, a sort of fibrous “ribbon” or “cord” that connects muscle to bone, is the largest and strongest tendon in the body that connects the calcaneus (heel bone) to the medial gastrocnemius muscles., lateral gastrocnemius and soleus muscles (popularly known as calf muscles or “leg belly” muscles). When the muscle contracts, it “pulls” the tendon, which in turn moves the foot.

The rupture often reflects the previous existence of tendinosis phenomena caused by sports microtraumas or degeneration (aging) of the tendon. In most cases, the tear occurs at the bottom of the tendon (just above the heel), but it can occur anywhere along the tendon. In the presence of a healthy tendon, the lesion can appear in the bone or muscle.

Total ruptures, partial ruptures

We can generically classify Achilles tendon ruptures into:

  • Total rupture – in the total rupture of the Achilles tendon, the tissues break completely, that is, the tendon is completely “separated”.
  • Partial rupture – in a partial rupture of the Achilles tendon, the tendon does not completely rupture, only an incomplete rupture occurs. Partial tears can vary greatly in severity according to the extent of the injury.

A total rupture is more frequent than a partial rupture. As a rule, a total rupture is a more serious injury when compared to a partial rupture and with more exacerbated symptoms. A partial tear can also present with pain that can range from moderate to severe and, if not recognized, it can quickly progress to a total tear.

See more information on treatments to better understand the different therapeutic approaches according to the extent of the lesion.

Achilles tendon rupture – causes

The Achilles tendon can lose elasticity and become “weak and thin” with age and lack of use. Then, it becomes prone to injury or breakage.

Rupture is more common in people with pre-existing Achilles tendonitis (tendon inflammation). Repetitive tendinitis and the consequent calcifications are a risk factor for tendon rupture.

Certain diseases (such as arthritis and diabetes) and medications (such as corticosteroids, for example) can also increase the risk of rupture.

Rupture occurs most often in the middle-aged male athlete. The injury usually occurs during recreational sports that require impacts with the ground, running, jumping, etc. Most of the time, these are football, athletics, tennis, basketball, among others. Injury can happen in these situations as a result of traumatic dorsiflexion when the muscle is strongly contracted causing it to tear.

Breaks can, however, also occur in everyday activities. For example, when falling from a significant height, when entering a pothole abruptly, traffic accidents, etc.

Achilles tendon rupture – symptoms

The signs and symptoms of Achilles tendon rupture are:

  • Sudden, severe pain may be felt in the “back” of the ankle or the “tummy of the leg”, often described as “being hit by a rock or shot” or “like someone stepping on the back of the ankle”;
  • A loud clicking sound can be heard;
  • A discontinuity (“gap”) or depression (void) can be felt and seen in the tendon above the calcaneus (heel bone);
  • Inability to stand on tiptoe on the affected side;
  • Initial pain, swelling (swelling) and stiffness may be followed by bruising and weakness (not being able to land on the foot, walking).

Achilles tendon rupture – diagnosis

The diagnosis is made by the orthopaedic doctor in Delhi after collecting the clinical history, performing the physical examination and some complementary means of diagnosis (MCDT).Bottom of Form

A simple test is to “stretch” the “calf or calf muscles” while lying on your stomach (Thompson test). In the impossibility of being able to elevate the foot, there is, most likely, a rupture in the tendon. This test isolates the connection between the “calf muscles” and the tendon and eliminates other tendons that may still allow poor movement.

The orthopaedic doctor in Dwarka may order the following tests to confirm the diagnosis and to know in greater detail the location and degree of severity of the lesion:

  • Plain radiography (XR) – not being a very useful exam, it can identify a bone fragment avulsion of the calcaneus;
  • Ultrasound or ultrasound – Ultrasound of the leg and thigh can help assess the possibility of deep vein thrombosis and can also be used to rule out a Baker’s cyst (or cyst). Ultrasound can identify Achilles tendon rupture or signs of inflammation (tendinitis or tendinosis);
  • Magnetic Resonance Imaging (MRI) – MRI is extremely sensitive for diagnosis and allows you to determine if there is still a tendon in continuity. It allows other diagnoses such as tendinitis, tendinosis and bursitis.

Pain in the “back of the heel” is not always due to an Achilles tendon rupture. In the differential diagnosis, tendinitis (inflammation of the Achilles) and bursitis (inflammation of the bursae) should be considered, among the most frequent pathologies that cause pain in the Achilles region.

Achilles tendon rupture – treatment

The objective of the treatment is to restore the function of the tendon, for this, it is necessary that the tissues that make up the tendon heal “united” with each other. In this way, it will be possible for the patient to return to the same level of activity before the injury. Regaining Achilles tendon function after an injury is critical to making walking possible.

Treatment reflects a balance between tendon protection and initial movement. Protection is necessary to allow time for healing and to prevent further injury. Moving the foot and ankle is necessary to prevent stiffness and loss of muscle strength.

We can divide treatment options into surgical and non-surgical. Conservative (non-surgical) treatment consists of a set of therapeutic attitudes aimed at healing the tendon and restoring its function without resorting to any type of surgical intervention.

The choice between surgical and non-surgical treatment can be controversial in some cases. Both surgical and non-surgical treatment will require an initial period of approximately six weeks of immobilization. For most patients, both treatment options have good functional results.

NON-SURGICAL TREATMENT

Nonsurgical treatment is often used for non-athletes or for people with a low general level of physical activity who will not benefit from surgery. In the elderly and people with clinical complications, conservative (non-surgical) treatment should also be considered as a first option.

Initially, a cast below the knee is performed with the foot in equinus (foot in marked plantar flexion, “down”). Although it is not routine, it is possible to perform an MRI to verify that the tops of the tendon are in contact. The cast is changed, at intervals of two to four weeks, to slowly stretch the tendon back to its normal length. This treatment usually takes 8 to 12 weeks. During this period, global strengthening and flexibility exercises are taught.

SURGERY (SURGICAL TREATMENT)

Surgery on Achilles tendon rupture is often indicated in healthy and active people who want to resume activities such as walking, running, cycling, etc. Even those who are less active may be candidates for surgical repair of the tendon. The decision to operate should be discussed with your orthopaedic surgeon in Delhi.

Surgery should not be performed if there is an active infection or damaged skin at or around the Achilles tendon rupture site. In addition, some diseases or lifestyle habits, such as diabetes, smoking habits, sedentary lifestyle, steroid use and inability to follow instructions after the operation, may be a contraindication for surgery.

Surgical intervention for an Achilles tendon rupture is usually performed on an outpatient basis. This means that the patient is operated on and goes home the same day.

We can identify two distinct surgical approaches:

The first is to perform the intervention percutaneously, allowing to perform a minimally invasive surgery, through small incisions. A kind of needles with attached sutures are passed, allowing the Achilles tendon to be sutured.

The second approach is the open approach (traditional method, where the surgeon makes an open incision to access the tendon). This starts with an incision made in the back of the leg, just above the calcaneus (heel bone). After the best orthopaedic in Dwarka finds the two ends of the torn tendon, these ends are sutured. The incision is subsequently closed.

The surgical technique will be previously determined by the orthopaedic in West Delhi, depending on the type and location of the rupture, among other factors. In the postoperative period, regardless of the surgical technique chosen, the patient is immobilized with an equinus foot.

Despite being a safe surgery, some complications can arise, such as risks associated with anesthesia, infection, damage to nerves and blood vessels and bleeding or blood clots, among others. A new rupture can also occur (recurrence).

Recovery after surgery

After the surgery, the patient is placed with a splint or a “plaster boot” from the foot to the knee. Usually, the patient cannot walk or put weight on the involved leg. Crutches, a walker or a wheelchair are used to allow the patient to remain mobile for the first few times. Patients are encouraged to keep the operated leg elevated above the level of the heart to decrease swelling (swelling) and pain.

Patients are usually seen in the office two weeks after surgery. The splint or cast is removed, and the surgical incision is evaluated. Stitches are usually removed at this point if necessary. After two to six weeks, depending on postoperative protocol and orthopedic in Dwarka preference, patients may be allowed to begin performing some force. For this, a “hiking boot” can be used. Ankle movement is often allowed and encouraged.

After six weeks, full-body strength is generally allowed. Physiotherapy in Dwarka will need to be started and is intended to restore ankle range of motion. Strengthening of the “calf muscles” and Achilles is gradually allowed as the tendon heals. It is usually possible to resume full activity after six months. Recovery time after surgery can extend up to a year, until the patient can achieve full rehabilitation.

Even in cases where surgery is performed, the above-mentioned therapeutic attitudes are included in the rehabilitation plan.

partial knee replacement

UNICOMPARTMENTAL KNEE PROSTHESIS

During knee replacement surgery in Delhi, the damaged bone and cartilage are covered with metal and plastic components. In a unicompartmental knee replacement (also called a “partial” knee replacement), only part of the knee is covered. This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of ​​the knee.

Because partial knee replacement is done through a smaller incision, patients generally spend less time in the hospital and return to normal activities sooner than patients undergoing total knee replacement.

ADVANTAGES OF PARTIAL KNEE REPLACEMENT

Several studies show that most patients who are suitable candidates for the procedure have good results with unicompartmental knee replacement in Delhi.
The advantages of partial knee replacement over total knee replacement include:

  • Faster recovery;
  • Less pain after surgery;
  • Less blood loss;

DISADVANTAGES OF PARTIAL KNEE REPLACEMENT

The disadvantages of partial knee replacement compared to total knee replacement include:

  • Slightly less predictable pain relief;
  • Potential need for more surgery. For example, a total knee replacement in Delhi may be necessary in the future if arthritis develops in the parts of the knee that were not replaced;

SURGERY CANDIDATES

If your osteoarthritis has advanced and non-surgical treatment options are no longer relieving your symptoms, orthopaedic in Dwarka may recommend knee replacement surgery in West Delhi. In order to be a candidate for unicompartmental knee replacement, your arthritis must be limited to one compartment of your knee. In addition, if you have any of the following characteristics, you may not be eligible for the procedure:

  • Inflammatory arthritis;
  • Significant knee stiffness;
  • ligament damage;

With proper patient selection, modern unicompartmental knee replacements have demonstrated excellent mid- and long-term results in younger and older patients.

YOUR SURGERY

A partial knee replacement operation typically lasts between 1 and 2 hours.

Partial knee replacement. There are three basic steps in the procedure:

  • Prepare the bone. Your orthopaedic surgeon in Dwarka will use special saws to remove cartilage from the damaged compartment of your knee;
  • Position the metal implants. The removed cartilage and bone are replaced with metallic coatings that recreate the joint’s surface. These metal pieces are typically held in the bone with cement;
  • Insert a spacer. A plastic insert is placed between the two metal components to create a smooth gliding surface;

COMPLICATIONS

As with any surgical procedure, there are risks involved with a partial knee replacement. Your orthopaedic surgeon in West Delhi will discuss each of the risks with you and take specific steps to help prevent potential complications.

Although rare, the most common risks include:

  • Blood clots. Blood clots in the leg veins are a common complication of knee replacement surgery. Blood clots can form in the deep veins of the legs or pelvis after surgery. Blood anticoagulants such as low molecular weight heparin and aspirin can help prevent this problem. Newer medications, such as rivaroxaban (Xarelto), may also be prescribed by your orthopaedic doctor in Dwarka, depending on your needs;
  • Infection. After surgery, an infection may occur in the skin over the wound or deep into the wound. An infection can happen while you are in the hospital or after you go home. You will be given antibiotics before the start of your surgery and these will be continued for about 24 hours afterwards to prevent infection;
  • Nerve or vessel damage. Although it rarely happens, nerves or blood vessels can be injured or stretched during the procedure;
  • continued pain;
  • Risks of anesthesia;
  • Need for additional surgery;

RECOVERY

Hospital discharge. Patients with partial knee replacement generally experience less postoperative pain, less swelling, and have easier rehabilitation than patients undergoing total knee replacement. In most cases, patients go home 1 to 3 days after the operation. Some patients go home on the day of surgery.

Weight support. You will begin putting weight on your knee immediately after surgery. You may need a walker, or crutches for the first few days or weeks until you feel comfortable enough to walk without assistance.

Rehabilitation exercise. A physiotherapist in Dwarka will give you exercises to help maintain your range of motion and restore your strength.

best orthopaedic in Dwarka

What are the symptoms of hip bursitis?

Bursitis in the hip is an inflammation in a hip pouch, called a “bursa”. It is a relatively common problem and is known to cause pain and generate various discomforts for the patient. It is part of the great trochanter pain syndrome and is associated with hip tendinitis as well. Being treated by the best orthopaedic in Dwarka, this disease unfortunately leaves many patients with their movements reduced, as well as prevents the hip from being flexed, for example. It can be caused by several factors, bursitis is uncomfortable, but with the correct diagnosis can be easily treated.

Hip expert: knowing what bursitis is important to fight it!

Bursitis is a problem that can appear in both sedentary people and sportsmen and happens because of repetitive movements and overloads in the hip joint. Knowing your symptoms, causes and treatment is essential to get rid of these limiting pains and avoid the causes of bursitis. With the correct follow-up with the orthopaedic in Dwarka, this nightmare can have your days numbered. Learn more about bursitis and stay tuned for symptoms.

Pain

This is the main symptom of bursitis and is present in almost all cases. The most common complaint of patients with this problem is pain in the lateral face of the hip. This pain worsens when sleeping on the inflamed hip. The sensation is burning pain and usually worsens if the patient does not change position.

Discomfort for movement and pain to walk, get up and sit are also quite common, not to mention that staying for long periods of time in the same position can cause worsening of the pain as well. The pain of bursitis is characterized by radiating to the thighs, often confusing the patient, who thinks that the problem may be in another location.

Limitation

Slow movements, not being able to walk as before, having pain when tying shoes and cannot squat are the main signs of the limitation of bursitis. Because it is an inflammation of the bursas that are located on the lateral face of the joint, bursitis can actually cause problems in movements and in turn limit the daily activities of the patient.

Swelling

Bursitis can cause local swelling, which in turn can be felt manually by the patient. The location besides being palpable, may also be with increased temperature.

Pain to the touch

Touch pain also happens in bursitis. Often when touching the swollen region, the patient may feel pain. This happens because of the whole inflammatory process and also by the daily activities of the patient.

Hip bursitis is usually very painful and limiting. The patient is usually very concerned about the symptoms, but as a correct treatment, the resolution prognosis is usually excellent.

Causes of hip bursitis

The causes of the appearance of hip bursitis are varied:

  • Repetitive overload injury. Running, climbing stairs, cycling, or standing for long periods of time.
  • hip injury
  • Spine diseases.
  • Differences in the length of the legs.
  • Rheumatoid arthritis.
  • Hip surgeries or hip replacement in Delhi that can irritate the bursa and cause bursitis.
  • Bone spurs or calcium deposits that can develop in the tendons and irritate the bursa.

How long does hip bursitis last?

The duration of trochanteric bursitis cannot be determined in advance. In some cases, such as trauma, it can last for a short period of time, but sometimes if one is neglected it can become chronic.

When the pain subsides, begin to move slowly back to normal movement. At this time, it is important to have the support of a physiotherapist in Dwarka who will indicate the exercises to be performed to improve movement in the area.

With these simple actions, the bursitis will subside. But if it doesn’t, corticosteroid injections can be used, growth factors can be introduced to repair damaged tissues, or even combined with ozone therapy. The last option is surgery, if the previous methods are not effective.

How to treat hip bursitis?

In the treatment of hip bursitis, rest is essential, at least while the pain remains in its acute phase. Let your hip rest as long as possible. To do this, it may be convenient to use a cushion with an anatomical design and memory.

This cushion distributes the weight, avoiding excessive pressure and achieving adequate pelvic stability. With it you will be able to rest the hip and relieve the pain. And when you sleep, it is best to do it on your back or on the opposite side of the affected area, placing some pillows between your knees.

In addition, it is convenient to apply cold to the hip to reduce pain and inflammation. The orthopaedic in West Delhi will also recommend taking non-steroidal anti-inflammatory drugs.

Without a doubt, the best treatment for hip bursitis is prevention. It is necessary to avoid that it appears for the first time or that new episodes arise. That’s why it’s important:

  • Avoid activities that overload the hip, such as being on your feet for a long time.
  • Lose weight if you are overweight or obese, to take pressure off the area.
  • Sit on cushions, to avoid excessive pressure in the area.
  • Do warm-up and stretching exercises before and after doing any physical exercise.
  • Avoid muscle atrophy with the performance of specific exercises.
  • Wear a comfortable shoe.
  • Correct bad posture and do not do activities that can cause pain in the area.

And above all, follow the advice of orthopaedic doctor in Dwarka to try to prevent hip bursitis from becoming chronic. Thus, you will avoid pain and the muscles in the area from atrophying.

Also Visit:

https://neoorthopaedics.wordpress.com/2022/05/05/what-are-the-symptoms-of-hip-bursitis/
https://neoorthopaedics.blogspot.com/2022/05/what-are-symptoms-of-hip-bursitis.html
https://neoorthopaedics.tumblr.com/post/683399151602581504/what-are-the-symptoms-of-hip-bursitis
https://www.pearltrees.com/neoorthopaedics/blogs/id33250214/item442669775
https://diigo.com/0og43m
https://www.reddit.com/user/neoorthopaedics/comments/uit0nb/what_are_the_symptoms_of_hip_bursitis/
https://sites.google.com/view/orthopaedic-in-delhi/blogs/what-are-the-symptoms-of-hip-bursitis
http://publish.lycos.com/neoorthopaedicclinic/2022/05/05/what-are-the-symptoms-of-hip-bursitis/
https://www.evernote.com/shard/s518/sh/be457205-13a1-92c8-f70c-37feaf4a00a8/e6957e070463254f57e9ed0af02b01db
https://theneoorthoclinic.wixsite.com/drashu/single-post/what-are-the-symptoms-of-hip-bursitis
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https://shortkro.com/what-are-the-symptoms-of-hip-bursitis/
https://www.atoallinks.com/2022/what-are-the-symptoms-of-hip-bursitis/
https://www.debwan.com/blogs/403431/What-are-the-symptoms-of-hip-bursitis
https://telegra.ph/What-are-the-symptoms-of-hip-bursitis-05-05
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https://orthopedicindelhi.joomla.com/index.php?view=article&id=8:what-are-the-symptoms-of-hip-bursitis&catid=8
https://neoorthopaedics.bcz.com/2022/05/05/what-are-the-symptoms-of-hip-bursitis/
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Hip Joint Wear

10 Common Signs and Symptoms of Hip Wear

Hip wear (hip arthrosis) is a very frequent and limiting problem. It is the aging of articular cartilage that is responsible for free joint movement and pain-free. When the cartilage is worn out, the hip joint can no longer move freely and bear load, causing pain and movement restriction.

About 10% of the population over 45 years has hip wear with painful symptoms and almost 30% of the population has changes in hip wear on imaging tests such as radiography or MRI, says the orthopaedic in Delhi.

Common Symptoms

If you have a suspected hip wear, these are 10 most common Signs and Symptoms, which may indicate an evaluation with the hip surgery specialist.

1. Pain in the groin area.

Pain in the groin region, or anterior region of the hip is perhaps the most common feature of the hip that is worn. This occurs by the characteristic of innervation of the joint that occurs by the same nerve roots that inners the groin region and anterior face of the thigh.

Pain in the groin area can occur because of other diseases, but it is very characteristic of the hip that has its cartilage worn out, states the orthopaedic in Delhi.

2. Stiffness of the hip joint. Loss of mobility.

One of the signs that a joint is worn is the loss of its function, which is precisely the ability to move the joint without pain.

When a joint is worn out, it ignites, and movement begins to cause pain. The result of this is that the patient himself begins to move the joint less as a way to protect himself from pain.

Thus, soft tissue structures such as capsule, muscles and tendons are retracted further reducing joint mobility, explains the orthopaedic doctor in Delhi.

3. Pain for lifting from low chairs or toilet.

Another striking feature of patients with hip arthrosis is the difficulty of getting up from low chairs and from the toilet.

This occurs because at the time of elevation, there is a sudden increase in load and pressure in the hip joint, which if worn out, will lead to a worsening of the pain, says the orthopaedic doctor in Delhi.

4. Claud gait, or “limp” gait.

The perfect functioning of the hip joint is essential for a balanced and pain-safe gait. When the hip is worn out, movement and change of loads on damaged cartilage can cause pain.

An immediate reflex is the decrease in the range of motion of the joint during gait and shortening of the pitch during the gait step on the worn hip.

All this gait movement in order to reduce the pain, ends up causing the “limp gait” or clauaudicante gait, explains the orthopaedic in Dwarka.

5. Pain to crouch and put on the shoes.

As much as it sounds like a simple activity, putting on simple shoes gets harder and harder for those who have hip arthrosis.

This occurs because the movement of putting on the shoes implies a large flexion of the hip and increased load on the joint, even if the patient is still.

A good alternative for patients who have hip arthrosis and pain to put on shoes, is to replace shoes with shoelaces with sneakers or shoes of the type “moccasin” that do not need to be tied, suggests the orthopaedic in Dwarka.

6. Pain to go up and down stairs and to get in and out of the car.

This complaint is very common in patients with advanced hip arthrosis. With the progression of wear, pain is worse in activities with hip flexion with load and rotational movements, says the orthopaedic doctor in Dwarka.

Everyday activities such as going up and down stairs and getting in and out of the car get more difficult, requiring the support of the hands and the other member to be executed.

7. Feeling of locking, clicking, or crackling of the hip.

In many cases of hip wear, there may be detachments of cartilage fragments and inflammatory process in the joint (synovite).

These factors cause noises called clicking, or the famous “crek crek”, explains the orthopaedic doctor in Dwarka.

8. Decreased ability to walk and use supports

The hip is fundamental for a correct efficient and pain-free gait movement. Hip wear in a load area prevents perfect joint slippage and causes pain at the time of limb support.

This leads to a decrease in the patient’s ability to walk who needs to stop after a few steps for pain relief or the need to use supports such as crutches or walking, explains the orthopaedic in west Delhi.

9. Decrease in sexual activity.

Hip wear can reach many patients with active sex life. This can be a big problem because pain and limitation of movements can decrease the willingness to have sex (libido) or impair the sexual act due to the accentuated symptoms, says the orthopaedic in west Delhi.

10. Discouragement to carry out daily activities.

Hip wear is a progressive and limiting problem. It is very difficult to assimilate the loss of function and quality of life that it causes.

The constant pain and limitation for small daily activities greatly affects the psychological of patients. It’s very difficult to live with that.

When the pain is strong and the discouragement is very strong, it is good to remember that there is always the solution of the surgery. Look for a reliable specialist orthopaedic doctor in west Delhi!

How many of these symptoms do I need to have to have surgery?

There is no specific number of symptoms that define the exact time of performing hip prosthesis surgery.

The higher the number of symptoms and the higher the intensity of them, the greater the chance of a hip replacement surgery in Delhi by a synthetic prosthesis.

Also Visit:

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https://www.pearltrees.com/neoorthopaedics/blogs/id33250214/item441998840
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Tendonitis

Signs of tendonitis and how to cure it

Repetitive strain or motion is often the cause of tendonitis. We explain how this injury alerts you to be taken seriously because it could become chronic.

Muscles are attached to bones by long, fibrous structures called tendons, which are responsible for transmitting the necessary force from the muscle to the bone to generate movement.

When a tendon becomes inflamed, we speak of tendinitis. However, although it is painful, it is usually not given too much importance and we do not “take care” of the injury as we should. An error because it can be repeated and cause a degeneration of the tendon or tendinosis (chronic tendinitis) or even its rupture, explains the orthopaedic in Delhi.

THE SIGNS OF TENDONITIS

The symptoms that warn us that we suffer an injury of this type are the following:

  • Pain is the main symptom, either near the joint or along the course of the tendon.
  • The discomfort worsens with movement and is more intense at night.
  • Palpation or rubbing also hurts.
  • Sometimes the area is red, hot, and swollen.

When we go to the orthopaedic doctor in Delhi after suffering an injury of this type, in principle, it is enough for the specialist to carry out a physical examination to detect it. If there are doubts, then you can send complementary tests. An imaging test (X-ray, ultrasound, MRI or CT) is usually performed to make the diagnosis.

The pain is close to the joint and increases with movement

Tendinitis must be differentiated from a sprain, which would be an injury to the ligaments that support the joint. Of course, a badly healed sprain can end up in tendinitis, explains the orthopaedic in Dwarka.

WHO HAS MORE RISK OF SUFFERING IT?

Any tendon in the body can become inflamed, but the most common tendinitis affects the heel, shoulder, wrist, and elbow.

  • The most common that originates in athletes and young people due to repetitive efforts on an area of ​​the body, especially when exercising, or due to overload due to repeated use of a tendon, for example if the computer mouse is used for hours with a position wrong hand, says the orthopaedic in Dwarka.
  • An overly sedentary lifestyle also favors tendonitis: the muscles are not in shape and can suffer at the slightest effort.
  • It can also appear in older adults, due to aging and natural wear of the tissues.

A repetitive stress or overload on the tendon causes it

  • Shoes that squeeze and materials that are not suitable for the foot or misuse of these (for example, running without sports shoes), can aggravate or cause Achilles tendinitis to appear.
  • On the other hand, certain systemic diseases, such as diabetes or rheumatoid arthritis, are capable of causing its appearance. It’s not common, but cholesterol drugs like statins can also cause it, says the orthopaedic in west Delhi.

5 TYPES OF TENDINITIS

Depending on the tendon that is injured, tendinitis adopts one name or another:

  1. Achilles tendonitis occurs when the Achilles tendon is injured.
  2. “Tennis elbow” or lateral epicondylitis appears due to inflammation of the tendons that are inserted into the lateral aspect of the elbow.
  3. Golfer’s elbow or medial epicondylitis occurs when the tendons of the elbow inserted on the inside of the elbow are irritated.
  4. Rotator cuff tendinitis is caused by inflammation of the tendons in the shoulder.
  5. Lastly, “De Quervain’s tendinitis” is caused by inflammation of the tendons of the thumb.

PREVENTION AND TREATMENT

In reality, it is quite easy to prevent it: it is enough to avoid repetitive movements and joint overloads, maintaining adequate muscle tone and warming up before starting to exercise or work if we are going to carry out tasks that involve physical effort of any muscle group, suggests the orthopaedic doctor in West Delhi.

How is such an injury treated?

  • During the acute condition: rest, combined with anti-inflammatories and analgesics, is the main treatment, which is why the area is usually immobilized with plaster splints or prostheses.
  • Combining cold and heat also relieves. Thus, ice helps reduce inflammation in the first 48 hours after the onset of pain. Apply it to the area 3 or 4 times a day for 15 minutes. After that time, you will notice relief if you follow the same routine but applying heat.
  • In the most “stubborn” cases that are not resolved with rest and anti-inflammatories, it is advisable to do rehabilitation in a center or with the help of a physiotherapist.
  • And if the pain persists, it may be necessary to apply other techniques (such as local infiltration of corticosteroids) or even operate.

Muscles and joint flexibility should be exercised

There may be a greater predisposition to re-suffer tendinitis if the injury has not been properly healed, as the ligament is distended, making it more unstable. To prevent relapses, it is important to maintain and train joint mobility and flexibility, and strengthen the muscles that support the joint, says the orthopaedic doctor in Dwarka.

Also Visit:

https://urologistinnoida.wordpress.com/2022/04/27/signs-of-tendonitis-and-how-to-cure-it/
https://urologistinnoida.blogspot.com/2022/04/signs-of-tendonitis-and-how-to-cure-it.html
https://urologistinnoida.tumblr.com/post/682657407992758272/signs-of-tendonitis-and-how-to-cure-it
https://www.pearltrees.com/urologistinnoida/blogs/id33495087/item441345395
https://diigo.com/0occ3m
https://www.reddit.com/user/urologistinnoida/comments/ucuzak/signs_of_tendonitis_and_how_to_cure_it/
https://sites.google.com/view/urologist-in-noida/blogs/signs-of-tendonitis-and-how-to-cure-it
http://publish.lycos.com/drshailendragoel/2022/04/27/signs-of-tendonitis-and-how-to-cure-it/
https://www.evernote.com/shard/s330/sh/dcb5f1f0-da70-e860-f787-010e4ae28f5d/5ca4cecba2acac4eff6ab8c175d55c69
https://drshailendragoelur.wixsite.com/urologist/post/signs-of-tendonitis-and-how-to-cure-it
http://urologistinnoida.weebly.com/blog/signs-of-tendonitis-and-how-to-cure-it
https://site-6698501-378-2066.mystrikingly.com/blog/signs-of-tendonitis-and-how-to-cure-it
https://shortkro.com/signs-of-tendonitis-and-how-to-cure-it/
https://www.atoallinks.com/2022/signs-of-tendonitis-and-how-to-cure-it/
https://www.debwan.com/blogs/392226/Signs-of-tendonitis-and-how-to-cure-it
https://telegra.ph/signs-of-tendonitis-and-how-to-cure-it-04-27
https://picgiraffe.com/signs-of-tendonitis-and-how-to-cure-it/?snax_post_submission=success
https://picgiraffe.com/signs-of-tendonitis-and-how-to-cure-it/?snax_post_submission=success
https://drshailendragoel.bcz.com/2022/04/27/signs-of-tendonitis-and-how-to-cure-it/
https://www.hiidoc.com/signs-of-tendonitis-and-how-to-cure-it/
https://mydigitalcrown.com/blog/signs-of-tendonitis-and-how-to-cure-it/
Patellar Tendinitis

Patellar Tendinitis

What is patellar tendinitis?

One of the most common knee tendinitis or knee tendinopathies are those that result from inflammation of the patellar tendon.

The patellar tendon attaches proximally to the lower pole of the kneecap (or patella). This sesamoid bone transmits the pulling force of the quadriceps muscle, allowing mobilization of the knee joint. Distally, the tendon insertion zone is located in the region of the anterior tuberosity of the tibia.

Both insertions can be the site of inflammation and pain in the anterior (or rarely lateral) region of the knee, explains the orthopaedic in Delhi.

Causes of patellar tendinitis

Knee tendinitis is an injury that is very often associated with high-intensity sports training, especially one that requires repeated pushing movements (“jumper’s knee”).

Therefore, knee tendinitis of this type occurs mainly in sports that involve jumping (volleyball, handball, basketball, etc.).

However, knee tendinitis can also develop in occasional exercisers or in patients who do not exercise at all, says the orthopaedic in west Delhi.

Symptoms of Knee Tendonitis

The main signs and symptoms are pain in the anterior region of the knee, which worsens when jumping or running and which is sometimes accompanied by edema (swelling).

Knee pain is sometimes so intense that it can cause lameness and difficulty walking, states the orthopaedic in Dwarka.

Diagnosis of patellar tendinitis

The diagnosis of patellar tendinitis is made clinically, namely the type and location of pain, the clinical history of practice of certain modalities, as well as the analysis of auxiliary diagnostic tests such as: Knee X-Ray, Knee Ultrasound and the Magnetic Resonance Imaging (MRI) of the knee.

In case of doubt about the diagnosis or difficulties in overcoming the symptoms, you should consult your orthopaedic doctor in Delhi.

Complications in patellar tendinitis

In more severe cases of patellar tendinitis, namely those with a longer duration, the chronic inflammation can lead to progressive weakening of the tendon, with the appearance of micro-tears and eventual evolution to a complete and total tear of the patella.

Is patellar tendinitis curable?

Yes, there is a cure, the prognosis depending on a series of factors such as the time of evolution and intensity of symptoms, athlete’s biotype / weight, knee morphology, type and intensity of the sport practiced, explains the orthopaedic in Dwarka.

Age also decisively affects recovery time, being obviously shorter in younger athletes.

Find out below how to treat patellar tendinitis.

Treatment of knee tendonitis (patellar)

The treatment of all knee tendinitis in general always involves conservative measures, such as resting, applying local ice, systemic or topical anti-inflammatory drugs (or remedies).

Physiotherapy is always an essential part of this treatment, allowing to speed up recovery and rapid return to sport.

Infiltration with PRP ‘s is considered in the literature as having a local analgesic effect and improving the regeneration process.

In cases that are very resistant to these treatments and that cause great functional disability, infiltration with corticosteroids should be carried out with consideration given the increased risks of tendon rupture, especially when applied multiple times.

SURGERY FOR TENDONITIS OF THE KNEE (PATELLAR)

Surgery (or operation) for the treatment of these types of pathologies is always a last resort, says the best knee surgeon in west Delhi.

The surgical procedure consists of debridement of the degenerated tissues, opening the lower pole of the patella and, if necessary, reinserting any areas of tendon rupture, explains the best knee surgeon in west Delhi.

Due to the risks of possible complications, namely the complete rupture of the tendon, postoperative recovery must always be very cautious, respecting the healing timings of the tissues involved and under the supervision of specialist orthopaedic surgeon in Delhi and Physiatry.

Also Visit:

https://neoorthopaedics.wordpress.com/2022/04/09/patellar-tendinitis/
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https://sites.google.com/view/orthopaedic-in-delhi/blogs/patellar-tendinitis
http://publish.lycos.com/neoorthopaedicclinic/2022/04/09/patellar-tendinitis/
https://www.evernote.com/shard/s518/sh/51487653-f467-b48c-c188-46b04313bf0b/a7c40159a417c412f95ea85e7f3b92f3
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https://www.atoallinks.com/2022/patellar-tendinitis/
https://www.debwan.com/blogs/369535/Patellar-Tendinitis
https://telegra.ph/Patellar-Tendinitis-04-09
https://picgiraffe.com/patellar-tendinitis/
https://orthopedicindelhi.joomla.com/index.php?view=article&id=2:patellar-tendinitis&catid=8
https://www.hiidoc.com/patellar-tendinitis/
http://health.thevirallines.net/patellar-tendinitis-406973
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orthopedic

Orthopedics: know all about

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Orthopedics is one of several possible specialties within medicine. The orthopaedic in Delhi is responsible for taking care of deformities of bones, ligaments, joints, muscles, elements related to the locomotor system as well as diseases.

What does the orthopedic do?

The orthopedic can work in surgeries, studies, treatment of problems related to human locomotion, prevention, and in diseases that affect tendons, ligaments, muscles, joints and bones. On a day-to-day basis, your tasks are:

Make inquiries

This professional can see patients in their office, in an orthopedic or specialty clinic, or even in a hospital. He evaluates his patients’ complaints, as well as the symptoms, to detect possible problems, injuries or traumas that may have been suffered.

Request exams

The exams are essential for the orthopaedic in Dwarka to analyze the patient’s clinical condition more deeply. For this reason, he may request these procedures according to his suspicions or according to the needs of each case.

Provide diagnostics

There are orthopedic problems that can be diagnosed on the patient’s first visit, however, there are others where it may be necessary to read the exams to obtain a more accurate diagnosis or to clarify doubts.

Prescribe medication

The orthopedic also has the function of prescribing medication, which can be both for the relief of symptoms, and anti-inflammatory drugs, which have a more complete approach. The prescription will depend on each case, as well as the need of each patient.

Indicate treatments

The use of medication is only one of the therapy options for lesions treated by orthopedics. The orthopedic can also indicate to his patient other types of treatment, according to the presented picture.

It is normal for patients seen by an orthopedic to need:

  • Physiotherapy;
  • Physical exercises;
  • Targeted and specific physical activities.

The orthopedic has the ability to advise the patient on tasks or activities that he can or cannot perform.

This is the reason why people with back problems or limitations in the joints and in certain parts of the body need the authorization of this doctor to practice sports, attend gyms or other actions that demand physical effort.

Carry out follow-ups

Not always patients who consult with the orthopedic have a problem that requires treatment. There are cases where the monitoring of the clinical picture is enough to guarantee the health and quality of life of the patient.

This makes this specialist also carry out the follow-up of people who have some propensity to develop orthopedic problems.

Main diseases treated by an orthopedic

Some orthopedics specialize in body parts, such as those who care for the hands and wrist, treat conditions such as tendonitis, trigger finger, carpal tunnel syndrome, osteoarthritis, buttonhole finger, and fractures.

There are also those who treat congenital problems, such as malformations, dysfunctions and patients who develop lifelong complications or sequelae from trauma and accidents. Generally, the orthopedic treats:

  • Arthrosis;
  • growth problems;
  • Low back pain;
  • Meniscus injuries;
  • Sprains;
  • herniated disc;
  • Joanete;
  • Bursite;
  • Claw finger;
  • Rupture of ligaments;
  • Femoral neck fracture;
  • Diabetic foot;
  • Plantar fasciitis.

It is very common for the orthopedic professional to work together with the physical therapist, ensuring better results and a more complete treatment.

When should I see an orthopedic?

Feeling pain is not normal and in the same way that we look for a doctor when we don’t feel well, whether due to fever, gastric discomfort, dizziness or skin sores, it is also necessary to look for an orthopaedic doctor in Delhi when there is pain in the bones, muscles or joints.

These pains or discomfort can be symptoms of an orthopedic disease that is manifesting itself, or that has already set in. That’s why it’s important to see an orthopedic if you have:

  • Constant back pain;
  • Excessive tiredness;
  • Tingling;
  • morning stiffness;
  • Heat in the joints.

It is also important to pay attention to swelling that may appear in your joints, as well as changes in your body structure. You should look for the orthopedic if you have suffered an injury or feel pain after performing some physical effort, or if you have suffered trauma, such as a blow.

As the problem does not always manifest itself in a superficial way, orthopedics takes care of the parts of the body that are more hidden, which cannot be seen with the naked eye.

So that annoying little pain after football or that came when carrying a very heavy box may not just be nonsense, but an indication that some more serious problem requires attention.

The orthopedic is a very important professional, and that is why he should be consulted whenever there is discomfort, limitations of movement, there is an accident, trauma or the propensity for the development of orthopedic diseases.

Seek the help of the orthopedic so that small problems do not turn into major complications.

Difference between orthopedic and rheumatology

Orthopedics deals with mechanical problems that are related to the musculoskeletal system, such as dislocations, fractures, ligament injuries and others, while rheumatology is responsible for inflammatory processes that affect joints and tissues, such as fibromyalgia, osteoporosis, rheumatoid arthritis, tendinitis and others.

If there are doubts about when to look for an orthopedic or a rheumatologist in Delhi, look for a general practitioner first, he will indicate the appropriate professional.

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Hip Fracture Treatment

HIP FRACTURES: ALL YOU NEED TO KNOW

The femur is the longest and strongest bone in the human body. For its fracture to occur, the effect of a sufficiently high force is necessary. One of these reasons could be, for example, a car accident.

The long, straight part of the femur is called the diaphysis. The fracture can occur at any part of it. Such fractures almost always require surgical treatment.

TYPES OF HIP FRACTURES

Depending on the energy of the injury, the nature of femoral fractures can vary greatly. Fragments may remain in their normal position (stable fractures) or significantly displaced (displaced fractures). The skin in the area of ​​the fracture may be intact (closed fracture) or it may be damaged, and the fracture may communicate with the external environment (open fracture).

Fractures are referred to by orthopaedic doctor in Delhi according to various classification systems. Hip fractures are classified according to:

  • Fracture localization (femur diaphysis is divided into thirds – distal, middle and proximal)
  • The nature of the fracture (the fracture line can be located in different ways: transversely, obliquely, etc.)
  • Damage to the skin and soft tissues in the area of ​​the fracture.

The most common types of hip shaft fractures are:

Transverse fracture. In this fracture, the line runs horizontally across the long axis of the thigh.

Oblique fracture. The fracture line is located at an angle to the axis of the thigh.

Spiral fracture. The fracture line is located in a spiral, as if surrounding the diaphysis of the thigh. The mechanism of such fractures is twisting along the long axis of the thigh.

Comminuted fracture. With such fractures, three or more bone fragments are formed. In most cases, the number of bone fragments is proportional to the severity of the traumatic effect that caused the fracture.

Open fracture. In such cases, the bone fragment can perforate the skin, or there is an open wound in the fracture area that communicates with the fracture zone. Open fractures are often characterized by greater damage to the surrounding muscles, tendons, and ligaments. These fractures have the highest risk of complications, especially infections, and usually take longer to heal.

CAUSES OF HIP FRACTURES

Fractures of the femur in young people are often the result of some kind of high-energy impact. The most common cause of hip shaft fractures is car accidents. Other common causes are pedestrian collisions with a moving vehicle and falls from a height.

Low-energy injuries, such as falls from their own height, can cause hip shaft fractures in older people with poor bone quality.

SYMPTOMS AND DIAGNOSIS OF FRACTURES

A hip shaft fracture usually immediately results in severe pain in the affected area. The victim loses the ability to lean on the injured leg, the hip may look deformed – it may be shorter and take an uncharacteristic position.

HISTORY AND PHYSICAL EXAMINATION

The orthopaedic in Delhi must know the circumstances of your injury. This information will help the orthopaedic surgeon in Delhi assess the energy of the injury and the presence of possible collateral damage.

It is important that the orthopaedic in Dwarka knows about any comorbidities you have – hypertension, diabetes, asthma, or allergies. The doctor will also ask you if you smoke or take any medications.

After discussing with you the nature of the injury and history, the orthopaedic in Janakpuri will perform a thorough physical examination. In doing so, the doctor will assess your general condition and then the condition of the injured limb. In this case, the orthopaedic in West Delhi will pay attention to details such as:

  • Visible limb deformity (unusual angle, rotation, or shortening of the limb)
  • Damage to the skin
  • Hemorrhage
  • Perforation with bone fragments of the skin

After a visual examination, the best orthopaedic in Delhi palpates the thigh, lower leg and foot, not the subject of possible pathological changes, tension of the skin and muscles in the fracture area. Also, the doctor will assess the nature of the pulse on the foot. If you are awake, your doctor will evaluate sensitivity and movement in your lower leg and foot.

RADIATION RESEARCH METHODS

Radiation testing allows the doctor to obtain more detailed information about your injury.

Radiography. It is the most commonly used method for diagnosing bone fractures. It allows not only to see the fracture, but also to characterize its type and localization.

Computed tomography. If the doctor needs more information about the nature of the fracture than is shown on the x-ray, the doctor may prescribe a CT scan. Sometimes the fracture line is very thin and almost invisible on radiographs. CT can help visualize these fractures more clearly.

TREATMENT OF HIP FRACTURES

CONSERVATIVE TREATMENT

Most hip shaft fracture treatment in Delhi require surgical intervention and rarely can be treated conservatively. So, the method of plaster immobilization is sometimes used to treat hip fractures in young children.

SURGERY

The timing of the operation. Most hip fractures are best operated within the first 24 to 48 hours after injury. Sometimes the operation is postponed due to the presence of life-threatening conditions or the need to stabilize the patient’s condition. To reduce the risk of infection in open fractures, patients are given antibiotics right after hospitalization. During the operation, open wounds, tissues and bone fragments are treated from contamination.

During the waiting period between admission to the hospital and surgery, the orthopaedic surgeon in Dwarka may temporarily fix your leg with a cast or skeletal traction. This allows you to maintain a more or less optimal position of the fragments and the length of the limb.

Skeletal traction is a system of blocks and weights with which bone fragments are held in one position. It allows not only to achieve the correct position of the fragments, but also to stop the pain syndrome.

External fixation. During such an operation, metal wires or rods are inserted into the femur above and below the fracture site, which are fixed to an external fixation device. This allows you to keep the fragments in the correct position.

External fixation is most often used as a method of temporary stabilization of a fracture in patients with multiple injuries, whose condition does not allow performing a more traumatic operation of internal fixation of the fracture. The second stage in such cases is performed after the patient’s condition has stabilized. In some cases, the external fixator is left on until the fracture is completely healed, but this is not common.

Intramedullary osteosynthesis. Today it is the most commonly used method of internal fixation of hip shaft fractures. In this case, special metal rods are used, which are inserted into the medullary canal of the femur. The rod passes through the fracture zone and holds the fragments in the correct position.

An intramedullary nail is inserted into the medullary canal from the side of the hip or knee joint. Above and below the fracture site, the rod is locked with screws to exclude mobility in the fracture area.

Intramedullary rods are usually made of titanium. They come in various lengths and diameters to fit most of the thigh bones.

Plates and screws. In such operations, the bone fragments are repositioned first, i.e. returning them to their normal position, after which the fragments are fixed from the side of the outer surface of the bone with a metal plate and screws.

This method is used when intramedullary osteosynthesis is not possible, for example, when the fracture line extends to the hip or knee joint.

RECOVERY AND REHABILITATION

Most fractures of the femoral shaft will heal within 3-6 months. Sometimes, for example, with open or comminuted fractures, as well as in smokers, it takes longer.

PAIN RELIEF

Pain after injury or surgery is a natural component of the healing process. Your doctor and nurses will do whatever is necessary to reduce pain and make your recovery more comfortable.

Various medications are usually used to relieve pain after an injury or surgery. These are paracetamol, non-steroidal anti-inflammatory drugs, muscle relaxants, opioids and topical drugs. In order to optimize the analgesic effect and reduce the patient’s need for narcotic analgesics, these drugs are often used in combination with each other. Some of these drugs can have side effects that affect your ability to drive or engage in other activities. The doctor will definitely tell you about the possible side effects of the drugs prescribed to you.

LOAD

Many doctors recommend starting movements in the joints of the operated limb as early as possible, but you need to load the leg when walking only in this way and only when and as your doctor permits.

In some cases, almost full loading is allowed immediately after the operation, but sometimes this is possible only after the first signs of fracture union appear. Therefore, we recommend that you strictly follow all the instructions of your orthopaedic surgeon in West Delhi.

You will need to use crutches or walkers when walking.

PHYSIOTHERAPY

After surgery, the muscles in the area of ​​the fracture are likely to be significantly weakened, so exercises to help restore muscle strength are very important during the rehabilitation process. Physiotherapy in Dwarka will restore normal muscle strength and joint mobility. It can also help you cope with postoperative pain.

A physiotherapist in Dwarka will likely start working with you while you are still in the hospital. He will also teach you how to use crutches or walkers correctly.

Contact Best Orthopaedic in Delhi for all Orthopaedic Treatments.

Knee Arthroscopy in Delhi

All About Knee Arthroscopy

What is knee arthroscopy?

Arthroscopy in Delhi is a surgical technique that allows you to directly see the inside of the knee joint and work inside it, without having to open it. Only two small incisions or cuts are made in the skin, about one centimetre each (which is why it is called a mini-invasive technique).

Arthroscopy in Delhi is considered the best current technique for meniscal injuries, adhesions, plica, loose bodies, cartilage injuries (chondroplasty) and reconstruction of cruciate ligaments, explains the orthopaedic in Delhi.

How is knee arthroscopy done?

The orthopaedic surgeon in Delhi, in order to see the inside of the joint well and avoid tissue injury with his manoeuvres, fills it with sterile pressure serum, which has the effect of inflating a balloon; and at the same time, it allows continuous joint washing, eliminating blood residues, excised tissue fragments, etc.

The patient lies on his back on the operating table. No system is necessary to pull the joint. You only need to lock the position of the thigh and the surgeon or assistant mobilizes the leg, opening the joint space.

Through an incision, a micro camera is introduced that illuminates and amplifies the interior of the joint, viewing the image on a television monitor. On the other hand, work instruments are introduced, such as probes, hand grippers and motorized smoothing devices.

The anaesthesia used is spinal anaesthesia (patient conscious but asleep from the waist down). Some sedation may be associated with this procedure to be calmer during the surgical act. General anaesthesia is reserved for special cases.

A tourniquet is used on the thigh to prevent bleeding from the knee during the operation, thus promoting vision through the camera.

Although it is a surgical act and requires the same aseptic conditions (cleanliness and sterility to avoid infection) as any other operation, the hospital stay is usually very short. In most cases, the patient can be discharged on the same day, when the anaesthetic effect has worn off. These operations can therefore be included in the program of major outpatient surgery, explains the orthopaedic surgeon in Delhi.

What does knee arthroscopy in Delhi show?

  • The appearance of synovialfluid (viscous fluid that lubricates the joint), which may be cloudy, contain blood or loose bodies, usually cartilage. Synovial fluid can be analysed to determine its composition in special cases.
    • The synovial membrane(the sac that lines the joint inside and produces synovial fluid). In certain cases, a sample (biopsy) is taken for analysis under a microscope.
    • The cartilage that lines the articular surfaces of the femur, tibia, and patella. It is palpated with a special hook to see the consistency and it is observed if it has injuries: wear (osteoarthritis), fissures, chondromalacia …
    • The menisci (internal and external): observed and palpated with the probe hook. Breaks, tearing, wear are detected …
  • The cruciate ligaments(anterior and posterior): they are seen and touched to determine partial or total tears, laxity, function … The collateral ligaments are not seen with this technique.
    • The way the patellamoves when the knee is bent and stretched, as well as the friction surfaces.

In which cases should an arthroscopy in Dwarka be performed?

Less and less to diagnose, as advances in ultrasound, CT (scanner) and nuclear magnetic resonance resolve it more and more frequently, although they are not infallible.

However, in cases of doubt or when a major intervention on the knee is planned, an arthroscopy can be performed beforehand, which will make it possible to confirm the diagnosis, rule out other injuries and decide the best possible treatment, which is also sometimes arthroscopic. Thus, in the same surgical act it is diagnosed and treated. In addition, there are patients who have contraindicated MRI (due to claustrophobia, or prosthetic heart valves), in those cases, diagnostic and therapeutic arthroscopy would be indicated by the orthopaedic doctor in Delhi.

Another diagnostic utility is to allow a synovial biopsy in certain diseases.

Currently, the main indications for performing a knee arthroscopy in Dwarka are:

  • Meniscal injuries: remove broken fragments, suture certain tears, regeneration techniques and meniscal reimplantation
  • cruciate ligament reconstruction: avoid opening the knee as before
  • cartilage injuries: cleaning, regenerative techniques (platelet growth factors, mosaicplasty)
  • removal of intra-articular loose bodies: fragments of detached cartilage or meniscus
  • removal of synovial plica or synovitis (synovial membrane hypergrowth)
  • cleaning on knees with osteoarthritis (wear) before reaching the total knee replacement

Recommendations at hospital discharge:
They are usually quite simple since it is a mini-invasive technique.

A compression bandage is placed, which the patient will remove at home after 48 hours. Then the first treatment is carried out, which consists of painting the two small wounds with Betadine and covering them with two adhesive dressings.

From there, the treatment will be repeated every day until the stitches fall out (about 2 to 4 weeks). It can be made to coincide with the shower as long as two rules are met:

  • quick shower: the less time the wounds are wet the better
  • WITH the dressings on: so that soap, shampoo, dirty water do not get into the wounds

After showering, the wet dressings are removed, the wounds are thoroughly dried with sterile gauze, painted with Betadine, and new dressings are placed.

From the moment the mobility of the legs recovers after anaesthesia, it is advisable to start walking. At first helped with crutches and following the indications of your orthopaedic surgeon in Dwarka regarding load (partial or complete). Usually, the patient leaves the hospital the same day walking with the help of two crutches.

An anti-inflammatory treatment is usually recommended at discharge for the first days.

It is advisable to apply ice locally for 10-15 minutes about 3-4 times a day to help reduce inflammation.

Depending on the diagnosis and treatment carried out, a specific physiotherapy may or may not be prescribed, with the recovery times greatly varying. The time in which you can return to sports or hard work depends on the injury: from 1 month to several months.

In the event of residual effusion (usually due to the persistence of the arthroscopic lavage fluid and more rarely due to bleeding into the joint, which is the hemarthros), an evacuating puncture may be necessary: ​​the area is punctured, and the excess fluid is extracted with a syringe. This procedure should only be performed by an orthopaedic surgeon in Delhi.

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Total Hip Replacement in Delhi

TOTAL HIP REPLACEMENT: WHAT TO DO?

Total hip replacement (arthroplasty) is a surgical procedure consisting in replacing the hip joint with artificial parts. Most often, it is people whose degenerative disease destroys the hip joint and causes chronic pain.

The World Health Organization (WHO) has said that approximately 28% of people over 60 years of age have osteoarthritis and, of this group, 80% have limitation in their movements of ordinary life. In India, as we continue to age, the possibility of this reality is becoming more and more frequent.

According to the orthopaedic in Delhi, Osteoarthritis of the hip, in musculoskeletal diseases, is perhaps the one that generates the greatest disability; the functionality of the patient decreases due to loss of movement and disabling pain. But let’s review what osteoarthritis really is to understand its treatment.

Articular cartilage is a specialized tissue that covers every joint, allowing mobility and ideal adaptation in these areas to favour arches of motion.

But how is cartilage formed? They are highly specialized cells called chondrocytes, which differ from the embryonic stage and, when located in the joints, have biomechanical properties; They are capable of supporting the necessary loads associated with movement, walking, etc.

These cells produce collagen, which makes it possible to better support the physiological loads of movement and determine the characteristics of structure and differentiation according to the stimulus. These cells accompany us throughout life in our joints.

The downside is that these cells are not capable of reproducing in vitro and if there is injury or local damage they do not regenerate.

There is still no proven drug that can stimulate the reproduction of new chondrocytes that have the same properties as the original cells. When the cartilage erodes, a cartilage with regular characteristics called fibrocartilage is produced, which is not capable of imitating the original functions of the original articular cartilage. If the injury is considerable, it will inevitably end in osteoarthritis, says the orthopaedic surgeon in Delhi.

Osteoarthritis has different origins. It can be presented by a degenerative process, such as collagen diseases and the best known is rheumatoid arthritis; due to mechanical alteration, as is the case of angular or rotational alterations of the extremities, which wear irregularly the articular surface, for example, untreated hip dysplasia in children will surely end in osteoarthritis at some point in life. Osteoarthritis, too, can occur due to intra-articular fracture, which destroys cartilage and ends in post-traumatic osteoarthritis.

Finally, patients who have been apparently healthy, for genetic reasons and individually end up developing osteoarthritis in a primary way.

The treatment of osteoarthritis is aimed at protecting the function of the joint; This implies controlling the patient’s weight, performing activities of daily living that reduce excessive loads on the compromised joints, maintaining an adequate balance of the muscles around the joints, and understanding that the progression of osteoarthritis will possibly end in a greater compromise, explains the orthopaedic doctor in Delhi.

Each case is different and therefore the approach must be individualized.

On the market they offer different drugs that promise to “improve” osteoarthritis; unfortunately, studies show that the vast majority either do not work or barely achieve a feeling of pain control and a placebo effect. But none have succeeded in making the destroyed cartilage regenerate hyaline cartilage. Caution should be exercised with the use of these options, some of which are expensive and do not guarantee substantial changes.

When osteoarthritis has compromised the hip and the pain becomes disabling, the patient should go to the orthopaedist in Delhi, who will assess the age, work activity, sports and family expectations of the patient. Generally, total hip replacement in Delhi will be the option, to control pain and regain mobility.

We owe the development of hip prostheses to the British orthopaedist Sir John Charnley, who through experiments on animals and then on humans in the 1940s managed to design and develop hip replacement using bone cement. (methyl methacrylate) to better adapt it to the bone.

This design allowed the hip joint replacement technique to be perfected in the following years, being today one of the most frequent surgeries in the world of orthopaedic surgery.

This managed to change the prognosis of the disease and allowed the patients to have an ordinary life, without pain, and with the functionality necessary according to their condition.

For this reason, when this procedure is defined, one must have the peace of mind of traceability over time, the high performance of prosthetic materials, refined techniques and in-hospital processes that favour a rapid recovery of the patient.

Of course, this total hip replacement surgery in Delhi embodies inherent risks such as infection associated with any procedure, thromboembolic disease and other entities that are generally associated with the condition of each patient.

They are risks that are tried to be minimized with guides and protocols that help to give patients an excellent post-operative period and that increasingly show us success stories.

So, when you have hip pain, lameness and functional limitation, go to an orthopaedic doctor in Delhi specialized in traumatology to guide you and improve your style and quality of life.