Tag Archives: orthopedic in Delhi

Knee Arthroscopy – What You Need To Know

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Arthroscopy in Delhi is a common surgical procedure in which a joint is visualized using a small camera. Arthroscopy gives doctors a clear view of the inside of the knee. This helps them diagnose and treat knee problems.

Technical advances have led to high-definition monitors and high-resolution cameras. These and other improvements have made arthroscopy a very effective tool for treating knee problems. According to Orthopaedic in Delhi, more than 4 million knee arthroscopies are performed worldwide each year.

Description

Arthroscopy is done through small incisions. During the procedure, your orthopaedic surgeon in Delhi inserts the arthroscope (an instrument with a small, pencil-sized camera) into your knee joint. The arthroscope sends the image to a television monitor. On the monitor, your surgeon can see the knee structures in great detail.

Your surgeon can use arthroscopy to feel, repair, or remove injured tissue. To do this, small surgical instruments are inserted through other incisions around your knee.

Preparation for surgery

If you decide to have knee arthroscopy in Delhi, you may need a complete physical exam with your family doctor before surgery. Your doctor will evaluate your health and identify any problems that may interfere with your surgery.

Before surgery, tell your orthopaedic surgeon in West Delhi about any medications or supplements that you take. The doctor will tell you which medications you should stop taking before surgery.

To help plan the procedure, your orthopaedic surgeon in Dwarka may order preoperative exams. These may include blood cell counts or an EKG (electrocardiogram).

Surgery

Almost all arthroscopic knee surgery is performed in outpatient care.

Process

The best knee surgeon in Delhi will make small incisions in your knee. A sterile solution will be used to fill the knee joint and remove any cloudy fluid. This helps your orthopaedic surgeon see your knee clearly and in full detail.

Your surgeon’s first task is to properly diagnose your problem. He or she will insert the arthroscope and use the image projected on the screen to guide you. If surgical treatment is necessary, your best knee surgeon in West Delhi will insert tiny instruments through another small incision. These instruments can be scissors, razors, or lasers.

This part of the procedure generally lasts from 30 minutes to just over an hour. How long it lasts depends on the findings and the treatment needed.

Knee arthroscopy in Delhi is most commonly used to:

  • Remove or repair broken meniscus cartilage
  • Reconstruct a torn anterior cruciate ligament
  • Trim broken pieces of articular cartilage
  • Remove loose pieces of bone or cartilage
  • Remove inflamed synovial tissue

Your surgeon can close the incisions with a suture or steri-strips (small adhesive strips) and cover them with a soft bandage.

You will be transferred to the recovery room and could go home in 1 to 2 hours. Make sure someone is with you to drive you home.

Recovery

Recovery from knee arthroscopy is much faster than traditional open knee surgery. Still, it is important to follow your orthopaedic surgeon’s instructions carefully after you return home. You should ask someone to accompany you the first night at your home.

Inflammation

Keep your leg elevated as much as possible for the first few days after surgery. Apply ice according to the recommendations of orthopaedic in West Delhi to relieve inflammation and pain.

Care of compresses

You will leave the hospital with a bandage that will cover your knee. Keep the incisions clean and dry. Your orthopaedic in Dwarka will tell you when you can shower or bathe, and when you should change the dressing.

Your surgeon will see you in the office a few days after surgery to monitor your progress, review the results of the surgery, and begin your postoperative treatment program.

Bear weight

Most patients need crutches or other assistance after arthroscopic surgery. Your orthopaedic doctor in Delhi will tell you when it is safe to support weight on your foot and leg. If you have any questions about bearing weight, call your surgeon.

Driving vehicles

Your orthopaedic doctor in West Delhi will discuss with you when you will be able to drive. This decision is based on several factors, including:

  • The involved knee
  • If you drive an automatic or manual transmission vehicle
  • The nature of the procedure
  • Your level of pain
  • If you are using narcotic pain medicine
  • How much can you control your knee?

Typically, patients can drive 1 to 3 weeks after the procedure.

Medicines

Your orthopaedic doctor in Dwarka will prescribe pain medication to help ease the discomfort after surgery. Your doctor may also recommend medications such as aspirin to decrease the risk of blood clots.

You should exercise your knee regularly for several weeks after surgery. This will restore movement and strengthen your leg and knee muscles.

Therapeutic exercise will play an important role in your recovery. A formal physical therapy program can improve the bottom line.

Final Result

Unless you have a ligament reconstruction, you should be able to return to most of your physical activities after 6 to 8 weeks, or sometimes much earlier. Higher impact activities should be avoided for a longer time. You will need to speak to your doctor before resuming intense physical activities.

If your job involves heavy tasks, it may take longer before you can get back to work. Discuss with your orthopedic in Delhi when it is reasonable and safe for you to return to work.

The result of your surgery will likely be determined by the degree of damage to your knee. For example, if the articular cartilage in your knee has worn down completely, then full recovery may not be possible. You may need to change your lifestyle. This may mean limiting your activities and looking for low-impact exercise alternatives.

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Everything You Need To Know About Shoulder Subluxation

Everything You Need To Know About Shoulder Subluxation

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Shoulder subluxation refers to the partial dislocation of the shoulder joint. This happens when the upper part of the humerus (humeral head) partially exits the glenoid cavity of the shoulder blade. In a complete dislocation, the humerus is completely removed from the joint cavity.

The shoulder is the most mobile joint of the human body. This joint contains a series of bones, ligaments, and muscles that work together to maintain a stable shoulder. However, due to the high mobility, the shoulder is very susceptible to dislocation.

Thus, a subluxation is often the result of trauma or injury. Also, another cause can be the stroke, because it can weaken the muscles in that area.

Clinical picture

A subluxation may be more difficult to identify than a complete dislocation. However, in some cases, the partially dislocated humerus may be visible under the skin.

Also, the bone can easily feel palpable and can cause discomfort and pain. The most common symptoms of subluxation include:

The possibility to observe the deformation of the shoulder;

  • Pain;
  • Inflation;
  • Sensation of numbness or tingling in the arm (paresthesia);
  • Functional impotence;
  • Sensation of shaking or interrupting movements during the activity.

Shoulder Subluxation

Causes

Because the shoulder can move in several directions, it can move forward, backward or downward. This is also true for subluxations.

When the dislocation is partial, the joint capsule may be affected, including rupture, which can lead to different complications.

Typically, strong hits or falls can cause a shoulder dislocation. Also, the extreme rotation of the arm can cause the humerus to be pulled out of the glenoid cavity.

Once a shoulder has been dislocated, the joint may become unstable and prone to future dislocations or subluxations.

Shoulder subluxation is mostly caused by:

  • Trauma – subluxation can result from accidents or injuries that affect the joints or other structures that provide stability to the shoulder. The most common examples are falls and road accidents.
  • Sports accidents – contact sports, but not only these, can often cause shoulder subluxation. Gymnastics and skiing are other sports with a high degree of risk, due to frequent falls.
  • Stroke – this neurological condition can cause muscle weakness. Thus, the destabilization of the shoulder joint can be complicated by a subluxation.

A small study reported that 80% of stroke participants also suffered a shoulder subluxation.

Young men, as well as groups of extremely physically active people, have the highest risk of shoulder subluxation.

Treatment options

Proper diagnosis is essential for adopting the best treatment option. Thus, very good diagnostic methods consist of ultrasonography of the shoulder joint or radiography.

The treatment aims to reposition the humerus back to the original place and ensure that it stays in position. Treatment options include:

Closed reduction – this intervention involves easy handling of the bone back into position. In most cases, severe pain disappears almost immediately after reducing maneuvers.

Surgical intervention – it is recommended by orthopaedic in Delhi especially when the dislocations are repeated. This is also the preferred treatment when the nerves, blood vessels or ligaments of the shoulder have been damaged.

Orthosis – some people may need to wear orthotics for a few days or weeks to prevent the shoulder bones from moving. The length of time this device should be worn depends on the severity of the trauma.

Medicines – after surgery, but before, the orthopaedic surgeon in Delhi may recommend a muscle relaxant and an anti-inflammatory drug. In this way, pain and swelling can be reduced.

Rehabilitation – After surgery, the orthopaedic in Dwarka may indicate rehabilitation programs. Their purpose is to restore the range of motion, endurance, and shoulder joint.

The physiotherapist in Delhi may recommend certain exercises that can help you recover faster. These should be done correctly and under supervision, as in certain circumstances, they may aggravate the symptoms. Also, massage and ice applications may be required.

Recovery and potential complications

When an injured person has a subluxation without major injury to the nerves and tissues, the simple repositioning of the humerus should rapidly improve the patient’s condition.

However, if a rest period is not respected and normal activities returned, it is possible to dislocate the shoulder later.

After surgery for a subluxated shoulder, the orthopaedic in West Delhi will recommend, most of the time, that the person in question should wear shoulder support for several weeks.

The gradual introduction of physiotherapy can help a person regain his or her power and movements. However, it is not indicated the intense movements of the shoulder and the activities not recommended by the orthopaedic in Janakpuri. Thus, subsequent complications can be prevented.

The shoulder contains strong tissues, muscles, and ligaments, all helping to maintain the humerus in its place. However, these structures can be injured, complicating subluxation.

Thus, the most common complications of a shoulder subluxation include:

– Affecting blood vessels and shoulder nerves;
– Temporary or permanent loss of movement and flexibility;
– Instability at the shoulder level, followed by recurrent subluxations;
– Other lesions in the tissues of the affected shoulder.

Differential diagnosis

Shoulder subluxation presents some common symptoms with other similar lesions. For this reason, there may be errors in the diagnosis. A subluxation can be confused with:

  • Biceps tendonitis – the condition refers to inflammation of the biceps tendon. Due to the position of this tendon, its damage can usually lead to shoulder pain.
  • Clavicular injuries – fractures or traumas of the clavicle can cause pain in the shoulder, but also in the hindrance of movements at this level.
  • Rotator cuff injuries – this structure covers much of the shoulder joint capsule. His injuries can cause symptoms like those of the shoulder subluxation. Also, minor injuries can heal on their own, while severe injuries may require surgery.
  • Shoulder dislocation – dislocation involves the complete separation of the humerus from the joint cavity. The symptoms are like those of subluxation, and the correct differentiation of these conditions can only be made by an orthopedic in Delhi.
  • “Swimmer’s Shoulder” – Shoulder pain in professional swimmers is often referred to as this.

Because swimming requires a high level of shoulder flexibility and a wide range of movements, swimmers are often likely to have an increased risk of a shoulder injury.

Perspective

When a person requests medical attention quickly and receives a correct diagnosis, shoulder subluxation is completely treatable.

However, when no surgery is required, it may take several months for the person to resume normal activity.

The recovery time varies depending on the extent of the subluxation and whether or not the affected person has undergone surgery.

Also, following a subluxation, the person concerned must avoid intense activity, to prevent relapse and to speed up recovery.

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