Tag Archives: orthopaedic surgeon in Delhi

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.

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Hip Osteoarthritis

Understand how to treat osteoarthritis and live without pain

Pain located in the hip, which appears mainly during the day or after getting up from a long period of sitting, may be caused by osteoarthritis of the hip, explains the orthopaedic in Delhi.

It is a problem that generates pain and decreases the patient’s movements, directly affecting the routine and the performance of simple activities, such as crossing the legs, getting into the car, tying shoes, standing, walking and performing physical activities, says the orthopaedic in Delhi.

Many people live with this type of pain for a long time and wonder if hip osteoarthritis is curable. In this article you will understand how to treat and control this problem.

Is hip osteoarthritis curable? Understand how it happens

Osteoarthritis in the hip is a problem caused by the loss of cartilage in the joint, which ends up causing the pain generated by the friction of bones where cartilage should be.

This is because the cartilage present between the bones of all joints in the body does not have the ability to hurt. Thus, we can move all our joints, without noticing anything wrong.

The problem begins when a cartilage injury begins that causes the bones to come into contact with each other in the joint. As said, cartilage doesn’t hurt, but bones do. From this initial injury, a path of pain and wear begins, explains the orthopaedic in west Delhi.

In practice, the hip is formed by the junction of two bone structures:

  • Femur Head – It is the round part of the hip joint, formed by the femur bone, which is the thigh bone.
  • Acetabulum – It is the part of the pelvis cavity formed by the bones of the pelvis.

These joints fit perfectly and tightly, allowing for correct and completely pain-free movement of the hip. The problem is when this joint is affected by diseases that cause cartilage loss – as is the case with osteoarthritis., states the orthopaedic in west Delhi.

Know the symptoms of osteoarthritis in the hip

The symptoms of osteoarthritis of the hip tend to evolve over time and tend to start with mild, localized pain in the hip, says the orthopaedic doctor in Delhi.

As wear and tear on cartilage progresses slowly, initial symptoms are usually mild and worsen over time.

The pain tends to worsen with the effort used in simple activities such as standing and physical activities, improving only when the patient is at rest.

Faced with worsening and worsening of symptoms, the joint starts to block movement, preventing the patient from performing activities such as putting on shoes, crossing the legs or cutting nails.

In more advanced stages, there may be pain even at rest, says the orthopaedic doctor in Delhi.

After all, is osteoarthritis in the hip curable?

Osteoarthritis in the hip is a problem that, in and of itself, has no cure.

However, no desperation. There are treatments that can and should be performed in order to reduce pain and improve symptoms caused by cartilage damage.

The first step for anyone who wants to improve from hip pain is to correctly diagnose the cause of the pain. This will help determine the best treatment approach and, of course, the best outcome. The evaluation and trust in qualified professionals can make a patient stagnant in treatment, live again, says the orthopaedic in Dwarka.

Learn about the main ways to treat hip arthrosis:

  1. Medicines

Patients who have severe, sharp pain may benefit from using anti-inflammatory drugs or corticosteroids in order to reduce inflammation quickly.

  1. Changing habits

It is recommended that those who have joint problems develop some habits such as:

  • Avoid consumption of sugar, alcohol and saturated fats, as these types of food can increase inflammation and increase pain.
  • Reduce the physical activity that causes hip pain.
  • Keeping the body moving with physical activity that does not generate pain and has a controlled impact.
  • Reducing body weight helps not only to lessen the weight on the injured joint, but also to control the process of widespread inflammation caused by fat in the body.
  1. Physiotherapy

Physiotherapy is done as part of treatment to reduce pain and reorganize body structures damaged by osteoarthritis.

It should be done with the guidance of a specialist physiotherapist, through analgesic and anti-inflammatory therapies, exercises that aim to improve joint lubrication, work on hip amplitude and function, as well as balance and body compensation techniques.

  1. Exercises

It is recommended to practice physical activities that help to strengthen the thigh muscles and work on stretching the region.

Activities such as pilates, water aerobics and cycling should be part of the routine of people who suffer from osteoarthritis in the hip, in order to preserve movements and improve the frame.

But beware, each person must be evaluated individually. An activity that can do a lot of good for one type of person can accelerate hip wear and tear in another.

  1. Hip Injection

Hip Injection is a technique that can be applied to the structures around or directly inside the joint, and it can have the function of reducing inflammation or improving the joint situation.

According to the objective, substances such as corticosteroids (to reduce inflammation) and hyaluronic acid (to improve joint lubrication and environment) are injected.

The type of injection must be done according to the medical advice of the specialist orthopaedic doctor in West Delhi, according to previous analysis and treatment objective for each patient.

  1. Hip Replacement Surgery

Surgery for osteoarthritis in the hip should only be performed under the guidance of a specialist orthopaedic surgeon in Delhi. It is recommended when other treatments do not help to control pain or when there is a well-defined intrinsic benefit.

The hip replacement surgery in Delhi consists of removing the two parts of the diseased bone and placing components of hip prostheses. In these cases, after recovering from anesthesia, while still under observation, the patient begins to walk with a walker, continuing the treatment with a physical therapist.

Osteoarthritis in the hip is treatable

Osteoarthritis in the hip has no cure, but it has treatment that should be used to reduce and control pain, regain joint mobility and return the patient’s quality of life, says the orthopaedic in Delhi.

With medical guidance, it is possible to control symptoms and identify the best way to lead a pain-free life without limitations due to osteoarthritis in the hip.

Living with pain is not normal. Look for a specialist orthopaedic doctor in Delhi to treat hip arthrosis and resume your routine activities.

Also visit:

https://neoorthopaedics.wordpress.com/2022/04/03/understand-how-to-treat-osteoarthritis-and-live-without-pain/
https://neoorthopaedics.blogspot.com/2022/04/understand-how-to-treat-osteoarthritis.html
https://neoorthopaedics.tumblr.com/post/680506153795534848/understand-how-to-treat-osteoarthritis-and-live
https://www.pearltrees.com/neoorthopaedics/blogs/id33250214/item437456458
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https://www.reddit.com/user/neoorthopaedics/comments/tv669f/understand_how_to_treat_osteoarthritis_and_live/
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Types of knee prosthesis

Types of knee prosthesis

Knee osteoarthritis is not the same for everyone. Therefore, the prosthesis cannot be the same for everyone. For each type of arthrosis, orthopaedic in Dwarka indicate a different prosthesis.

Unicompartmental or partial prosthesis

This prosthesis replaces only 1 part of the knee. We can divide the knee into three parts, the medial tibiofemoral, lateral tibiofemoral and patellofemoral.

When the person has osteoarthritis of only 1 of these parts, we can make a unicompartmental prosthesis. As it is not of the whole knee, we also call it a partial prosthesis.

bi-unicompartmental prosthesis

It is the union of 2 unicompartmental prostheses in the same knee, for example the patellofemoral unicompartmental and medial tibiofemoral. This type of prosthesis is made when the person has already made a unicompartmental prosthesis and has started to give problems in another part of the knee.

The bi-unicompartmental prosthesis can also be performed in the first knee replacement surgery in Delhi, when the person already has 2 parts of the knee with arthrosis (wear).

Total surface prosthesis

It is a prosthesis that takes the entire knee. There are several types of complete prosthesiss and one of them is the surface. This is the most performed when performing the first prosthesis surgery in the individual.

The total surface prosthesis has different types of models, such as some that maintain the posterior cruciate ligament, others that remove it, and others that have a rotating platform to better simulate the natural movement of the knee.

constricted complete prosthesis

This type of prosthesis is most used in cases of prosthesis revision, that is, in those people who have already made a prosthesis (of any of the types that I have already mentioned) and need to exchange it for a new one.

The constricted complete prosthesis can also be used in the first surgery, when the arthrosis is very severe. In addition, there are several levels of constriction of the prosthesis, ie, how much the prosthesis is able to “firm” the knee.

There are prostheses that we can call semi-constricted (also called non-connected), which are those that place rods (a kind of metal tube), shims (these are pieces to fill holes in the bone), tantalum cones, and have a special design to make the knee firmer, but not so firm as to greatly reduce knee mobility.

On the other hand, constricted prostheses, in addition to allowing the placement of rods, shims and cones, have the differential of restricting even more the movement of the knee and, therefore, are performed in even more severe cases.

We call these constricted prostheses hinged (or connected) prostheses because they function like a hinge on a door. And they are called connected because the femur component (piece that is on the thigh bone) is attached to the tibia component (leg bone).

Megaprosthesis or endoprosthesis

This type of prosthesis is also constricted, with the differential of having modules, which are metal bars that replace large pieces of bone.

Some megaprosthesis models are similar to those of amputees and, therefore, are called endoprosthesis.

As you may have already noticed, the megaprosthesis is performed in the most serious cases that exist, when the person loses almost the leg or the entire thigh. Therefore, it is also performed in people who suffer from bone cancer.

Before choosing the ideal prosthesis for you, we specialist knee orthopedists need to evaluate your knee through physical examination and imaging tests (radiography and tomography for example). So, if you have osteoarthritis in your knee, be it more or less severe, consult an orthopaedic in Delhi check the best type of prosthesis for you. Take care and prevent yourself!

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Hip Popping

The 3 main causes of hip popping

Many people when they walk, sit or simply move their leg, they hear or feel a popping sound coming from the hip joint. Others feel an audible click every time they bend their hips.

For other people, the pop can be seen with the twitching of the lateral muscles and the strange sensation that the hip has “gone out of place”. Others still feel a snap with the perception of locking accompanied by difficulty in moving.

Almost always, the hip crack does not come with pain. And while it may seem harmless, this condition can sometimes be the first sign that something is wrong with the hip, which can lead to further damage, explains the orthopaedic surgeon in Delhi.

Young women, athletes and dancers often experience this painless sensation harmlessly. So much so that snapping or snapping hip syndrome is also known as dancer’s hip.

What Causes Hip Cracking or Cracking?

There is not just one cause for the hip popping sensation. It can appear by changes in some structures around or even within the joint.

Knowing the cause of the problem makes all the difference not only for treatment, but also for identifying the severity and monitoring the injury, says the orthopaedic in Delhi.

External Hip Snap (on the side of the hip)

This first type of snapping is the most common cause of hip cracking. Often felt as a bump on the side of the hip, which can often be palpable.

It happens through the passage of the tendon from the side of the hip (iliotibial tract) over the most lateral portion of the femur bone (great trochanter).

When we walk or sit, this powerful tendon passes backwards and forwards from the bony ridge of the femur in a smooth motion. In some people, the hip bone can stick out and the tendon can become so tense that it ends up catching on the back of the bone.

If the person forces the movement, the tendon unscrews from the bone and passes quickly forward producing a snap and click.

The click occurs during the movement of bending or straightening the hip, when running or climbing stairs. Physical activities such as golf or efforts such as carrying suitcases or heavy backpacks can trigger rebound more easily.

Women are more affected by this type of snapping, as their hip and femur bones are more lateralized than men. This is because of the adaptation of female pelvis because of the birth canal.

Generally, this condition does not generate pain, only the sensation that it is possible to disengage the hip from its place – which does not really happen. Eventually, inflammation of the bursa, called bursitis, may occur as an associated disease, explains the orthopaedic doctor in Delhi.

Inner Hip Bump (in front of hip)

As with the side of the hip, the innermost part also has a popping or popping shape. The internal snap is caused by the tendon of the iliopsoas muscle, a powerful flexor of the thigh.

The movement of bending the hip with the leg rotated can lock the iliopsoas tendon over the head of the femur or over the edge of the pelvis cavity. When the tendon is too tense or the edge of the socket is too prominent, a movement with resistance is created that produces the click.

This form of clicking is felt as if it were on the inside of the joint, anterior to the hip and radiating to the groin. Because it is deep, it is not visible.

In this type of rebound, the hip pops when running, when rising from a sitting position, or when rotating the leg away from the body.

In some cases, internal snapping can damage the most peripheral cartilage of the hip joint, known as the labrum, and be associated with pain, explains the orthopaedic surgeon in Delhi.

Snapping from problems within the joint

A problem with the hip joint can cause the third type of click. Injuries with detachment or inflammation in the hip cartilage can produce a clicking, locking, and painful sensation.

Snapping due to cartilage damage can happen suddenly after trauma, such as a fall. Or even in people with wear and tear, osteoarthritis in the hip, in which symptoms may be less important and are associated with inflammation in the joint.

Loose pieces of bone or cartilage can lock the hip, causing pain and difficulty moving, explains the orthopaedic surgeon in Delhi.

Hip cracking is treatable

For most people with a cracked hip, without symptoms of pain, joint rehabilitation is enough to avoid injury or disability.

Ideally, you should receive a thorough medical evaluation regarding joint movement and possible risk factors, such as wear and tear. Anyone with a snap or click and pain should see a specialist orthopaedic in Delhi.

Conservative treatment

  • Rest: People with clicking in the hip joint should avoid movements that cause the click and restrict the overload on the joint, bursa and tendons. If the action of dancing, running or climbing stairs generates symptoms, these activities should also be excluded.
  • Medication: the use of anti-inflammatory drugs, for a short period of time, can make the rehabilitation period easier, especially for cases with pain and a lot of inflammation.
  • Physical Therapy: Some physical therapy techniques can help relax the muscles and tendons that cause internal and external snapping. Therapies that accelerate healing and decrease pain may also be employed.
  • Corticosteroid injection: hip injections may be a good option for the treatment of chronic pain conditions or those that do not improve with the above treatment measures. It is worth mentioning that it is not able to cure tendon tension, but it is a strong aid in controlling inflammation.

Surgical treatment

Hip cracking is very common among athletes and women. Even when there are symptoms of pain, he responds very well to non-surgical treatment, such as medication and physical therapy.

Only a minority of cases benefit from surgical treatment. Therefore, the correct type of procedure will depend on the cause of the pop, explains the orthopaedic doctor in Delhi.

Video arthroscopy of the hip is the most suitable method for cases of cartilage injury, with the aim of preventing the progression of the injury to wear.

In cases of tendon shortening, its lengthening or release can be performed by video arthroscopy in Delhi, depending on each particular situation.

Most importantly, whenever possible, determine the cause of the hip snap. Only then will there be a diagnosis of an injury that may eventually worsen in the future.

If you feel a click in your hip, avoid doing any activity that causes pain or reproduces the click.

And remember, keep your life moving.

Also Visit:

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Total Knee Replacement

What is a total knee replacement?

The knee is one of the most important joints in the human body, and it allows you to walk, run and do a multitude of tasks. However, it can be affected by some diseases, being osteoarthritis one of the most limiting, explains the orthopaedic in Delhi.

Severe pain, stiffness, inability to move as before and swelling in the knee are symptoms indicative of osteoarthritis, that is, wear and tear on the knee.

In cases where the patient is very limited and does not improve with non-surgical treatment, also called conservative treatment, knee replacement surgery in Delhi may be necessary to place the total knee prosthesis.

Total knee replacement: understand more about this surgery

The prosthesis is a device that we implant in the diseased knee of people with arthrosis. Most often, the prosthesis is made of a metal alloy composed of chromium and cobalt. These metals are biocompatible, that is, they have a low risk of being rejected by our body. Therefore, they can be deployed safely. The procedure used by the orthopaedic surgeon in Delhi to place the prosthesis in the patient’s knee is called total knee arthroplasty.

After all, what is total knee arthroplasty?

This is a major surgery, characterized by the replacement of the diseased part of the knee with a new material, the prosthesis. When the entire knee is affected by arthrosis, we perform total arthroplasty. When only a small part of the knee is diseased, we can do partial arthroplasty, also called unicompartmental knee arthroplasty, explains the orthopaedic in Delhi.

Who is this surgery recommended for?

Patients with an advanced degree of arthrosis, who have severe movement limitations, severe pain, and who have not had satisfactory results with non-surgical treatment (eg, medications, physical therapy, viscosupplementation, platelet-rich plasma, shock waves, denervation of the geniculars).

Added to this, there are patients with arthrosis so severe that they are already directly indicated to undergo knee replacement in Delhi. Such patients are those with severe ligament instability (absence of ligament function), major bone deformity (varus or valgus greater than 20 degrees), or significant bone loss, explains the orthopaedic surgeon in Delhi.

I’m too young or too old to get a prosthesis. Is this right?

There is no maximum age to undergo surgery. What we assess, in the case of elderly patients, are their clinical conditions, that is, whether they support the procedure.

I have operated on patients over 90 years old with excellent results, without complications. Postoperative mortality is currently low and technology develops daily to make surgery even safer. Therefore, before fearing surgery, seek proper guidance from a trained orthopaedic in Delhi.

As for the younger patient, that is, those under 60 years of age, we prefer to postpone the procedure as much as possible, considering the durability of the prosthesis. After 10 years of the procedure, the number of people whose prosthesis remains functioning properly decreases progressively. As the young have more years to live than the elderly, the chance of the young person needing multiple replacements of the prosthesis is greater, says the orthopaedic doctor in Delhi.

In any case, what we take most into consideration is the patient’s quality of life. If the arthrosis is significantly deteriorating the quality of life, we opt for knee replacement surgery in Delhi. Otherwise, we maintain non-surgical treatment.

How long does a prosthesis last?

Just as your knee wears out, the prosthesis wears out over time. Studies show that the prosthesis lasts well for 10 years in 95% of people. After 20 years, the rate drops to 90%, but there is still a significant amount of people who continue with the prosthesis in good condition.

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Knee pain

Knee Pain – Causes, How to Treat and Relieve Pain

Knee pain is one of the most frequent in the human body. It affects both the elderly, usually having a degenerative origin, and young individuals usually due to traumatic injuries or problems with the alignment of the kneecap (so-called patella syndromes), explains the orthopaedic surgeon in Delhi.

Generally, knee pain (whether mild or severe) has a pathological meaning, that is, there is a pathology or disease that is at the origin of it.

Constant knee pain is an indication (or symptom) that something is not right. In other situations, knee pain can be caused only by a specific situation of overload of effort, such as what occurs on a longer walk, or climbing inclines, or carrying excessive weights or even in more intense sports training. In these cases, a period of rest or sport break may be enough to resolve the situation, advices the orthopaedic in Delhi.

Knee Pain

For a better nosological characterization, there are several classifications of knee pain that systematize its various parameters:

  • Knee pain location (anterior; posterior; medial or lateral interline; collateral ligament insertions; pes anserinus; iliotibial band; inferior pole of kneecap);
  • Intensity of knee pain (mild; moderate; severe);
  • Character of pain (prick; penny);
  • Evolution time (acute or chronic);
  • Laterality (left knee pain or right knee pain);
  • Triggering factor (eg knee pain when squatting; knee pain after walking);
  • Antalgic position (eg, improving pain with a bent knee);
  • Response to anti-inflammatory medication;
  • Accompanying symptoms (eg, crepitus; effusion; knee bounce or failure; blockage).

Causes of knee pain

The causes of knee pain can be numerous. Here are just a few of the most frequent ones.

knee arthrosis

Knee osteoarthritis is one of the most frequent causes of knee pain. Degenerative changes in the knee cartilage cause a “swollen” knee, due to the presence of joint effusion, chronic pain, of a slow evolution in the knee, of a mechanical nature (that is, which worsens with movements) in addition to joint crepitus (which the patients describe as “pain in the knees with popping”), explains the orthopaedic in Delhi.

meniscus injury

A sudden, sharp, internal pain or pain in the back when the knee bends is usually due to a meniscus tear. In this picture of knee pain, other symptoms are present such as edema (“swollen knee or knee swelling”) from intra-articular effusion. A baker’s cyst, which occurs when this fluid accumulates in a pouch behind the knee, can also be a cause of pain and discomfort later on, states the orthopaedic surgeon in Delhi.

knee sprain

Knee sprains can range from a simple strain, partial tear to a complete tear of the collateral ligaments, which result in pain with 2 distinct locations: medial knee pain and lateral knee pain. The cruciate ligaments are intraarticular and can rupture without causing great pain, so their clinical diagnosis is not always easy, says the orthopaedic doctor in Delhi.

Rheumatism

Knee pain due to rheumatism is usually inserted in a condition in which the patient reports polyarthralgia, that is, pain in multiple joints. The most frequent rheumatic pathology usually includes diseases such as rheumatoid arthritis and gout (due to an increase in uric acid).

Currently, with the development of biological therapies, it is possible to control the progression of rheumatic disease, but in advanced cases of rheumatoid knee, for example, arthroplasty surgery (through the placement of a total knee prosthesis by knee replacement surgery in Delhi, similarly to what is done in osteoarthritis of the knee).) allows reducing pain and restoring the patient’s quality of life, says the orthopaedic surgeon in Delhi.

patella syndrome

Patellar syndromes (what patients call a misaligned kneecap or kneecap out of place) are also a cause of knee pain. In extreme situations, patellar instability can result in kneecap dislocation.

Patellar syndromes normally affect young adults, requiring an adequate study of patellofemoral relationships. Strengthening and rebalancing the quadriceps muscles, namely the vastus internus oblique, are decisive in reducing the external hyper pressure of the kneecap, but surgery to realign the extensor apparatus may be necessary to reduce anterior knee pain and prevent progression to kneecap arthrosis, says the orthopaedic in Delhi.

knee tendonitis

Knee tendinitis usually causes pain at the insertion site of the inflamed tendon. They are most often located at the inferior pole of the patella, quadriceps insertion and the tendons of the pes anserinus. They usually force the patient to make ice, anti-inflammatories and rest for very variable periods, but generally have a good prognosis.

knee bursitis

Knee bursitis is caused by inflammation of the bursae or synovial pouches around the knee. They usually result from long periods of placing the knees on the floor, as in certain professions or activities (maids, religious, floor laying, etc…) especially in the pre-patellar area or pre-tibial tuberosity.

Other causes of knee pain

Although we have presented the main causes of knee pain, other pathologies may be at its origin. Consult orthopaedic surgeon in Delhi to get the proper diagnosis and treatment.

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arthroscopy in Delhi

ARTHROSCOPY: DIAGNOSTIC AND THERAPEUTIC PROCEDURE ON THE RISE

What is arthroscopy?

Arthroscopy in Delhi is a minimally invasive procedure used for the diagnosis and treatment of conditions that affect the joints. The doctor can view the internal structures of the ligaments directly by using an instrument called an arthroscope.

Orthopaedic surgeon in Delhi uses the arthroscope to diagnose and treat joint problems. An arthroscope is a small, tube-shaped instrument used to view the inside of a joint.

It consists of a lens system, a small video camera, and a viewing light. The camera is connected to a monitoring system that allows the doctor to view a joint through a very small incision. The arthroscope is often used in conjunction with other instruments that are inserted through another incision.

The joint most often examined by arthroscopy is the knee. However, arthroscopy can be used to examine other joints, including the following:

  • Shoulder
  • Elbow
  • Ankle
  • Hips
  • Wrist

knee anatomy

Joints are the areas where bones meet. Most joints are mobile and allow the bones to move. Basically, the knee is made up of two long leg bones joined by muscles, ligaments, and tendons. Each end of the bone is covered by a layer of cartilage that absorbs shock and protects the knee.

There are two groups of muscles involved in the knee, including the quadriceps muscles (located in the front of the thighs), which straighten the legs, and the hamstring muscles (located in the back of the thighs), They bend the leg at the knee level.

Tendons are tough cords of tissue that connect muscles to bones. Ligaments are elastic bands of tissue that connect bones to each other. Some ligaments in the knee provide stability and protection for the joints, while other ligaments limit the back and forth movement of the tibia (shinbone).

The knee is made up of:

  • Tibia. Shin bone or largest bone of the lower leg.
  • Femur. Thigh bone or upper leg bone.
  • Ball joint. Knee bone.
  • Cartilage. A type of tissue that covers the surface of a bone at the joint. Cartilage helps reduce friction from movement within a joint.
  • synovial membrane. Tissue that lines the joint and seals it into a joint capsule. The synovial membrane secretes synovial fluid (a clear, sticky fluid) around the joint to lubricate it.
  • Ligament. A type of tough, elastic connective tissue that surrounds the joint to provide support and limit movement.
  • Tendon. A type of tough connective tissue that connects muscles and bones and helps control joint movement.
  • Menisci. Curved part of the cartilage of the knees and other joints that acts as a shock absorber.

Reasons to perform the procedure

An arthroscopic procedure may be used by orthopaedic in Delhi to diagnose and help treat the following conditions:

  • Swelling of the knee, shoulder, elbow, wrist, or ankle
  • Injuries, such as rotator cuff tendon tears or shoulder impingement syndrome (compression of the shoulder tendons caused by excessive squeezing and rubbing of the rotator cuff and scapula)
  • Cartilage damage, such as tears, injuries, or wear
  • Ligament tears with knee instability
  • tendon damage
  • Carpal tunnel syndrome in the wrist
  • Loose bones and/or cartilage, particularly in the knee, shoulder, elbow, ankle, wrist, or hip

Corrective surgery or biopsy may be done using arthroscopy. For example, torn ligaments can be repaired or rebuilt. Arthroscopic surgery in Delhi may eliminate the need for an open surgical procedure.

Your orthopaedic doctor in Delhi may recommend an arthroscopy for other reasons.

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Shoulder Dislocation Treatment in Delhi

SHOULDER DISLOCATION: WHAT IT IS AND HOW IT IS PREVENTED

Shoulder dislocation is a very common injury among athletes, caused by forced postures for the shoulder joint. A complete treatment of the injury is important so that the patient can recover the full mobility of the joint, as well as avoid a chronic injury that may affect their quality of life, says the physiotherapist in Janakpuri.

WHAT IS A SHOULDER DISLOCATION?

Shoulder dislocation is understood as that injury in which the head of the humerus comes out of the cavity of the scapula called glenoid, causing pain and instability in the patient’s joint. It is a common injury in sports practice, and as a result of dislocation a tear can occur in the nerves and tendons of the area.

Depending on the characteristics and symptoms presented by the patient’s injury, different types of shoulder dislocation can be differentiated. First of all, dub-coracoid dislocation, is the most common. In this case, the head of the humerus moves below the scapula. It is usually caused by a fall on the elbow when the arm is in extension.

Secondly, sub-glenoid dislocation, in which the head of the humerus does not exceed the humerus. It is usually caused by falls or trauma when the arm is in an internal rotation position. Finally, sub-clavicular shoulder dislocation could be differentiated, in this case, the head of the humerus moves over the ribs. It is usually caused by trauma or falls on the arm, explains the orthopaedic in Delhi.

Causes of shoulder dislocation

As explained above by the orthopaedic in Delhi, the most common causes of shoulder dislocation are related to falls or trauma. Therefore, they are common during sports practice, as well as in sports that involve contact.

In addition, shoulder dislocations can be caused by sudden movements that suppose a forced position for the joint. In these cases, the tearing of muscles and tendons is common.

Symptoms of shoulder dislocation

The symptoms of shoulder dislocation can vary depending on the causes and the patient’s injury. However, the most common symptomatology is based on acute pain in the joint that, in some cases, appears accompanied by inflammation and stiffness. In addition, the patient usually experiences immobility.

In cases where the shoulder dislocation causes damage to the nerves or nerve endings in the area, it is common for the patient to experience nudity, as well as a tingling sensation in the area.

DIAGNOSIS OF SHOULDER DISLOCATION

Once the patient goes to the specialist traumatologist manifesting symptoms of shoulder dislocation, a physical examination of the area will be carried out first by the orthopaedic doctor in Delhi. It will study the points at which the patient experiences the greatest degree of pain, as well as the degree of mobility of the patient’s joint.

In some cases, it will be necessary to subject the patient to diagnostic tests that allow to expand the information available. The most common is usually to perform an X-ray or, in the cases mentioned above, in which it is suspected that there may be nerve involvement, a CT scan will be performed.

Treatments for shoulder dislocation

Once the patient has been diagnosed with a shoulder dislocation, an appropriate treatment should be prescribed to help relieve the pain. First of all, it is advisable to cease sports activity, as well as, minimize the activity of the shoulder joint. In this first phase, an anti-inflammatory treatment is usually prescribed, which relieves pain in the area.

Once the inflammation of the area has been reduced, the patient may be subjected to reduction manoeuvres, carried out by a professional physiotherapist in Dwarka. The objective of these is the relocation of the joint. If these manoeuvres do not provide the expected result, the patient may undergo surgery, says the orthopaedic surgeon in Delhi.

Physiotherapy treatment for shoulder dislocation

Once the first phase of rest is finished, one of the treatments that provides the best results for the treatment of shoulder dislocation is physiotherapy in Dwarka. This treatment should always be applied by a specialized physiotherapist in Janakpuri, and is based on the recovery of the mobility of the joint, as well as on the strengthening of the muscles of the area that helps prevent the injury from occurring again.

In the case of patients who are operated on by microsurgery or microdiscectomy to treat shoulder dislocation, a rehabilitative physiotherapy treatment in Dwarka is usually recommended, which helps to recover mobility after surgery.

GUIDELINES TO PREVENT SHOULDER DISLOCATION

In some cases, shoulder dislocation is inevitable, however, there are certain guidelines and recommendations that can significantly reduce the chances of suffering a shoulder dislocation.

First, the strengthening of the muscles of the shoulder area, through scheduled exercises, which protect the joint and reduce the risk of dislocation. In addition, it should be avoided to make sudden movements that involve forced positions for the joint, as well as avoid heavy loads.

In addition, a good technique acquires special importance when performing sports activities.

As explained, physiotherapy in Delhi is one of the most effective treatments for shoulder dislocation. In addition, following certain guidelines can significantly reduce the chances of suffering from this injury.

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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