8 tips for patients with Osteoporosis
8 tips for patients with Osteoporosis Safety tips for individuals with Osteoporosis Hello! And welcome to One Care Medical Center, Coimbatore’s premier orthopedic hospital. I am a full time practicing orthopedic surgeon in Coimbatore In this short article, we are going to discuss 10 safety tips for individuals with osteoporosis. While it is exceedingly important for people to be active, it is equally important that you protect your bones as well, more so when diagnosed with Osteoarthritis Here are some safety tips that you should follow especially when you are diagnosed with osteoporosis Tip 1 : Visit your orthopedic surgeon You must review your exercise options with your orthopedic doctor, more so when you osteoporosis. Finding out the degree and severity of the problem is also important. Understand a bit about the medications you are taking from your healthcare provider. Supervised exercise is usually the best way forward Tip 2 : Work with the experts Work with a physiotherapist who has some experience in dealing with patients who have osteoporosis. Ideally, your orthopedic doctor should help you through this by referring you to the right specialist. Tip 3 : Low impact exercise In patients with osteoporosis, low impact exercises are probably the best. Try using an elliptical stepper. Tip 4 : Balance is important Falls account for over 30 to 40% of fractures in patients with osteoporosis. Building balance and strength is exceedingly important. Join a fitness program that does both Tip 5 : Footwear Improper footwear also results in falls/accidents. Wear footwear that contains rubber soled shoes. These should also be comfortable providing you with adequate grip at the same time. Tip 6 : Before & After Pre-exercise warming up is as essential as post-exercising stretching. Both ward of injury to some extent as per the American College of Sports Medicine Tip 7 : Protect your spine Osteoporosis and vertebral fractures are close friends. Never ever put a sudden twisting motion on your spine. Tip 8 : Ease off You should ease of the exercise routine if you develop joint pain. Remember it’s not worth it. I hope you enjoyed reading these short tips. Know someone with osteoporosis? Do share it with them! Cheers! Reference https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000333/abstract
Natural Home Remedies for Knee Pain
Natural Home Remedies for Knee Pain Hello! And welcome to One Care Medical Center, Coimbatore’s premier orthopedic hospital. My name is Dr. Salam and I am a full time practicing ortho surgeon in Coimbatore In this short article, we are going to discuss about a few natural home remedies for knee pain. Pain assessment: Pain that is mild to moderate can be treated at home quite successfully. Pain can be caused by a simple sprain or arthritis or sometimes it may be serious. While mild pain need not necessarily signify a serious pathology, severe pain is always due to trauma or injury. Never try to self medicate in case of severe pain. Try RICE therapy If you have twisted or injured your leg after a fall, RICE therapy may be your best bet. RICE= Rest Ice Compression Elevation Tai-Chi Tai-Chi is an ancient Chinese mind-body exercise that greatly improves balance and flexibility. The regular practice of Tai-Chi has been found to be very effective in reducing chronic pain that is often associated with long standing arthritis. Heat/ Cold therapy An alternative application of heat/cold often helps tremendously with joint pain. One important point to remember is to use cold therapy at least in the 1st 24 hours after joint pain (especially in case the pain arises from injury). Use warm therapy, at a later of course Ginger root extract Another natural remedy that can be found to relieve pain is extract from ginger root. Ginger root is a rather common spice used in many traditions. Ginger is known to have some pain relieving properties. Glucosamine & Chondroitin Both these 2 molecules have been advertised to aggressively to greatly improve joint pain due to arthritis. However, studies have found only mild-moderate reduction in joint pain. Of course, before taking any medication for pain, you must consult with your ortho doctor. Some patients usually require at least an X-Ray combined with blood work for finding out the cause of pain. Reference https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3011108/
What to expect after hip replacement surgery?
What to expect after hip replacement surgery? Hello ! And welcome to One Care Medical Center, an international orthopaedic hospital in Coimbatore. My name is Dr Salam and I am a full time practicing orthopaedic surgeon in Coimbatore. In this blog post we are going to discuss on how painful an actual hip replacement surgery is going to be and also on what you must expect from the surgery. The truth is when, when the hip joint is affected by arthritis, pain can usually be unbearable. The pain from a worn out joint can affect your day to day activities such as climbing a staircase, getting up from a chair or in general walking. But all said and done, hip replacement surgeries are exceedingly safe. The silver lining in the sky is that, joint replacement procedures are becoming less invasive as well. This is due to the availability of better materials and utilization of newer surgical techniques. The newer techniques, involves placing smaller incisions in the body and also lesser cuts through the muscle and soft tissue, thereby the recovery time is faster. What also more interesting is that, most surgeons have now started using local anaesthesia rather than general anaesthesia allowing safer recoveries for patients. With regional anaesthetics being used more and more frequently, the chances of bleeding are also much lesser. However, in women, the story is slightly different…. Pain management after surgery After undergoing a hip replacement procedure, most likely your pain should have gone. Most individuals report an excellent reduction in pain scores (almost 80%) post surgery. However, the pain of surgery will be there and most patients manage this very well with pain medications that are prescribed. Recovery of course also depends on the presence of other co-existing medical conditions. The presence of Diabetes can slow down recovery significantly. No diabetic patients recover much faster though. Furthermore, if you have not moved your hip for years, the muscles supporting the hip joint also atrophy (they shrink!). This can severely restrict your range of motion. You may never be able to recover your full range of motion if your muscles have not been used for long years before the surgery. All said and done, hip replacement surgeries can positively ease your suffering! While they may not be fun, if you are suffering from hip pain due to arthritis, a hip replacement surgery will definitely help you get back to all your usual activities. Most patients will achieve full recovery with 3 to 6 months post the procedure. Regular physical therapy and sincerely following the advice of your ortho surgeon usually works wonders I hope you enjoyed reading the short blog post!. Please do share this with all your friends and loved ones. This is Dr Abdul Salam, keep watching this space for more interesting reads! Reference https://www.everydayhealth.com/pain-management/hip-pain/what-expect-from-total-hip-replacement-surgery/
Pain after Total Knee Replacement
Pain after Total Knee Replacement Hello ! And welcome to One Care Medical Center, an international orthopaedic hospital in Coimbatore. My name is Dr Salam and I am a full time practicing orthopaedic surgeon in Coimbatore. In this blog post we are going to discuss on pain post a knee replacement procedure. For most patients undergoing a total knee replacement procedure, the pain usually completely subsides by 3 to 6 months after the procedure. However, a small proportion of patients will have persistent bothering pain even after 6 months. Interestingly, as much 10 to 34 percent of all patients seem to complain about persistent pain! The very aim of the knee replacement surgery is pain relief but this objective is sometimes not met. Interestingly in older people, the persistence of pain can affect their social relationships severely leading to social isolation. Not just this, the persistence of pain post procedure can also affect employ-ability for the patient. Research had revealed that there are certain risk factors for developing chronic pain. These include A. The presence of poor mental states like anxiety and depression B. The presence of chronic pain elsewhere in the body C. Lastly pain catastrophizing, believing that anticipated pain will be much more severe than it actually is. One thing is clear though, you never want to undergo a repeat and/or revision surgery for chronic pain especially after total knee replacement!. However, in exceptional cases were the implant is misaligned or loosened a revision surgery is recommended. Revision surgery for unexplained pain is clearly NOT INDICATED! Management of Chronic pain There are host of chronic pain management strategies for patients suffering from intractable pain. However, it’s not just the management of pain that is the issue. Patients in pain frequently need constant support from loved ones. There is a definite risk of isolation, more so with increasing age of the patient. A multidisciplinary team based approach to pain management is exceedingly important. A variety of pain medications do exist and can provide some temporary relief for patients. However, the true challenge lies with older patients who may just accept pain as a normal part of ageing and refuse/deny treatments. A combination of physical therapy, psychological counselling and pain medications can help a large number of patients successfully overcome persistent pain symptoms in the long run I hope you enjoyed reading the short article on pain after knee replacement. If you know anyone suffering from chronic pain after a knee replacement surgery, get in touch with us. We will definitely help! Cheers Reference https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134884/
Can you get both knees replaced at the same time?
Can you get both knees replaced at the same time? Hello! And welcome to One Care Medical Center, an international orthopedic hospital in Coimbatore. My name is Dr. Salam and I am a full time practicing orthopedic surgeon in Coimbatore. In this blog post, we are going to discuss briefly about undergoing a bilateral knee replacement procedure. So here is the thing, arthritis is a painful inflammation of the joints. The truth is the disease process can affect 1 joint or sometimes multiple joints throughout the body. In some instances, the damaging effects may be so severe that knee replacement may be the only option forward. During a typical knee replacement surgery, your orthopedic consultant will replace the broken parts of your knee joint with metallic implants. The implants usually restore lost function to the knee. A knee replacement is usually recommended and done to people in their 60’s, and this is because young people tend to wear out their joints much earlier. A bilateral knee replacement can be done in patients if there is severe arthritis and is recommended specifically to patients who are… A. Fit physicallyB. Who are ready to undergo rehabilitation regularly post the procedure Types of Knee replacement There are two types of double knee replacement. In one type, on the same day, both knees are replaced. In another type, one is replaced followed by another on a different day. The advantage of simultaneous bilateral knee replacement is that, 2 operative procedures are not strictly required and that both procedures can be done in one sitting. However, a caveat is that recovery time are usually longer for such simultaneous knee replacement procedures. Moreover, this type of surgery is not recommended for patients with severe lung or heart disease as such! In a staged bilateral knee replacement, two procedures are done couple of months apart. The advantage, of course, is that overall operative times are less and furthermore, one knee can be allowed to recover before proceeding to operate on the next knee. But the main pitfall is that your overall rehabilitation time with your orthopedic surgeon definitely goes up!. There definitely will be a delay in getting you back to work. Bilateral Knee replacement Recovery With staged knee replacement you will be in the hospital for 3 to 5 days as compared to roughly 2 weeks for double replacement procedure. Pain medications and anti-inflammatory medications will be given to reduce overall pain and discomfort. Your physical therapy will usually begin a couple of hours immediately post the surgery. This is done to speed up your recovery and ensure you get back on your feet. Moreover, physical therapy will usually continue for about 8 to 12 weeks at minimum to speed up movements A variety of exercises are given, ranging from knee strenghtening exercises to exercises to improve flexibility. Your complete recovery should be done by 12 months post which you will be able to resume all your normal activities. What more important to understand is that, your age and overall health will also affect your recovery times. Taking care of your general health along with ensuring a proper diet, avoiding unnessary weight gain often helps tremendously in recovery. I hope you enjoyed reading this short post on bilateral knee replacement procedures. Keep watching this space for more!. Do kindly share this article with all your freinds and loved ones Reference https://www.sciencedirect.com/science/article/pii/S0883540386800110
10 Quick Facts About Hip Replacement
10 Quick Facts About Hip Replacement Hello! And welcome to One Care Medical Center, an international ortho hospital in Coimbatore. My name is Dr. Salam and I am a full time practicing orthopedic surgeon in Coimbatore. In this blog post, I am going to share with you 10 quick facts about undergoing a Hip Replacement procedure Every year on an average close to 300,000 hip replacements is conducted. This is because a deteriorating hip is a constant source of pain and discomfort. Hip arthritis is a very real problem. Here are some quick facts that you should know before undergoing a hip replacement procedure Fact 1 Hip Replacement is often not the first-line treatment for chronic pain. A large number of patients get operated only after conservative medical management has failed. Fact 2 It’s not just hip osteoarthritis, that leads to joint wear and tear, disease conditions like rheumatoid arthritis, osteonecrosis, and developmental dysplasia can also wreak havoc in the joints. Moreover, broken hip from trauma or fracture can also result in the wear and tear of knee joints. Fact 3 Hip replacements are not just for seniors!. A large number of hip replacement procedures are done on very young individuals. This is because rheumatoid arthritis can affect a large number of young people especially in their early 20’s and 30’s. Osteonecrosis is also a disease of the young, which may require a Hip replacement procedure Fact 4 Choosing the right orthopedic surgeon for your hip replacement procedure is paramount. In fact, its probably more important than the actual nitty-gritty of the procedure itself. Fact 5 There are a variety of prosthetic replacements available for patients. The newest ones are not necessarily the best. For example, studies have found that metal on metal implants do not necessarily translate into long term treatment success. Metal on metal implants was found to have a lot of debris. Fact 6 The type of incision matters!. Newer surgical techniques like using the anterior frontal approach for hip replacement procedures are gaining traction. There is definitely less muscle damage and fascia injury. Most importantly, the overall scarring is very low!. Fact 7 Interestingly, in some places, bilateral hip replacements are being done. However, this may not be the best strategy as there is a definite risk of infections and joint injury. Getting one hip replaced and then getting the next one sorted out is usually the best way forward. Fact 8 As with all procedures, hip replacement procedures require anesthesia. A few days post the surgery you will experience pain and/or discomfort. You will require a walker and prolonged sitting in the car is a big NO-NO. Fact 9 Hip replacement procedures are not as painful as most patients would imaging. The usual healing time is about 6 to 8 weeks. The pain usually comes down to rapidly post a physical therapy session. Fact 10 The typical hip replacement procedures last anywhere between 15 to 20 weeks on average. There is NO lifetime warranty on these implants usually. However, with newer reasearch into 3d printed devices, longer implant shelf live is a given! I hope you enjoyed reading this short article on 10 quick points about hip replacements!. Keep watching this space for more!. Please do keep sharing this article with all your freinds and loved ones! Cheers! Reference https://health.usnews.com/health-news/patient-advice/slideshows/13-things-to-know-before-your-hip-replacement?slide=12
Recovery after Knee Replacement
Recovery after Knee Replacement Hello, Welcome to One Care Medical Center, an international orthopedic hospital in Coimbatore. My name is Dr. Salam and I am a full time practicing orthopedic surgeon in Coimbatore. In this short article, I am going to tell you briefly about Recovery after Knee Replacement. Now, typically after undergoing a knee replacement surgery or procedure, patients are advised to begin ambulation on the same day of the procedure. After knee replacement surgery, outpatient physical therapy begins. Outpatient physical therapy includes knee exercises that help strengthen the muscles, improve the overall blood flow and reduce scar formation. Some common exercises that your physiotherapist will recommend include Quad Squeezes Ankle Pumps Short Arc Quad Heel Slides Knee Extensions Straight leg raises Of course, there are a dozen of exercises that are available, all aimed at improving range of motion, walking ability et cetera. Your physiotherapist will guide you through the optimal set of exercises that are required to improve joint stability and overall range of joint motion. Timeline Recovery of Knee replacement After a knee replacement, most patients get back to full recovery by 6 weeks. Most people start driving from about 3 to 6 weeks. However, in some instances it may take more than 4 to 6 months to achieve complete recovery. Living with the new knee A small proportion of patients feel their new knee even after 12 months post the surgery. Some of them report feeling their joints as well. Common complaints include feeling a cracking noise, swelling or numbness. However, this in no way means that the surgery was unsuccessful. The life of the new knee Most knee replacements when done right last a very long time. Studies show that a typical knee replacement lasts anywhere between 15 to 20 years on average. An important point to bear in mind is that high impact activities should be restricted or else damage can definitely occur. Revision surgeries In some cases, revision surgery to correct the knee joint may be required. Common reasons for revision surgery include loosening of the replaced components, joint instability and in rare cases joint infections. Patients are best advised to discuss with their doctors on the best possible time for undergoing a revision knee replacement surgery. That about sums up this article. I hope you enjoyed reading this article on recovery after knee replacement. Please do share this article with all your friends and loved ones! Keep watching this space for more! Reference https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-017-1923-4https://www.arthritis-health.com/surgery/knee-surgery/knee-replacement-surgery-rehabilitation-exercises
Recovery after Hip Replacement
Recovery after Hip Replacement Welcome to One Care Medical Center, an international orthopedic hospital in Coimbatore. My name is Dr. Salam and I am a full time practicing orthopedic surgeon in Coimbatore. In this short article, we are going to discuss everything about recovery after hip replacement. Typically after undergoing a hip replacement, you will get asked to start ambulation or walking at the earliest possible time. Your legs and hip joints during this time may be swollen from the procedure, however, it is better to start walking at the earliest. Your physiotherapist will teach you how to walk and sit and also avoid certain positions that can potentially damage your new joint. If you are fit, you will most probably stay in the hospital for a period of 3 to 5 days post which your doctor will discharge you. Once you get back home, you should not be surprised by the general tiredness or sensation of heaviness or discomfort in and around the joint. This is because, you have undergone a major procedure and some discomfort is bound to be there for a few days. Postoperative physiotherapy is a key part of recovery. Remember to follow it through. The pain normally disappears immediately post-surgery, however, in the event, you notice any pain, swelling or redness do call up your ortho doctor immediately. After your surgery, typically a follow-up visit to your ortho doctor will be recommended after about 12 weeks post the actual procedure. Your healing ultimately depends on Your Age Your overall physical health The overall condition of your joints and muscles You should be able to get back to driving after about 6 to 12 weeks post-procedure. Moreover, all other day to day activities should be possible from around this time. Most hip replacements when done right can last the better part of 15 years on average. However, an important point to bear in mind is that revision surgeries are tough!. Not all patients are indicated for revision surgeries. Moreover, revision surgeries are typically affected by severe complication rates. Thus taking care of your joint is of paramount importance!. Some quick points to follow through are… Avoid bending your hips unduly Avoid twisting your hip Take small steps when turning around and avoid sudden movements Don’t cross your legs over Avoid low chairs and toilet seats I hope you enjoyed reading this short article on hip replacement procedures. Do watch this space for more and keep sharing this article with all your friends and loved ones! Reference https://www.nhs.uk/conditions/hip-replacement/recovery/
Signs you may need a hip replacement
Signs you may need a hip replacement welcome to One Care Medical Center, an international orthopedic hospital in Coimbatore. My name is Dr. Salam and I am a full time practicing orthopedic surgeon in Coimbatore. In this short blog post, we are going to discuss some common signs that indicate that you may need a hip replacement. It’s not an uncommon truth, that with increasing age, the hip joint eventually wears out. However, difficult as it may sound, a worn-out hip joint can definitely take a toll on your daily health. Not just that, a hip replacement procedure can and is a life-changing one, more so if done right. The following signs or symptoms suggest the need for a hip replacement procedure. Moreover, sometimes, all you need to do is take a simple X-ray and consult an ortho doctor near you for a proper diagnosis or assessment. Groin Pain If you experience severe pain during or after exercise, and if the pain is so severe that it interferes with your day to day to activities. It could be a sign of a degenerating hip joint. Usually, the pain will be localized between your hip and knee region. Most individuals will try to compensate for the pain, by walking with a stick or taking pain killers. Sometimes, patients end up walking with a limp. Joint Stiffness In some individuals, the pain can be so severe that they may not be able to put on their shoes or socks at all. Speaking to an orthopedic doctor is probably the wisest thing to do, in the event this happens Pain in the hip while walking Hip pain may also impair your normal ability to walk, this is also not uncommon. Sometimes even a normal walk to the nearby supermarket becomes impossibly painful. One Leg Test The one leg test is a simple test that can tell whether your hip joint is functioning optimally or not. If you are unable to stand on one leg even for longer than a minute even with the support of a door frame or table top, then you definitely should get your hip joint assessed by an expert.I hope you enjoyed reading the short article on hip replacement surgeries. It’s important to understand that there are a range of treatments available for fixing a worn-out hip joint. Hip replacement procedures can be life-changing as they drastically improve your quality of life permanently. Reference https://www.nuffieldhealth.com/article/4-signs-you-may-need-a-hip-replacement#about
Signs you may need a knee replacement
Signs you may need a knee replacement Hello! And welcome to One Care Medical Center, an international orthopedic hospital in Coimbatore. My name is Dr. Salam and I am a full time practicing orthopedic surgeon in Coimbatore. In this post, we are going to discuss some common signs that suggest that you may need a knee replacement surgery. So the truth is, knee osteoarthritis develops slowly and can be a seriously debilitating condition. This is because knee osteoarthritis destroys the knee joint severely and permanently. It also destroys the quality of life. Pain with activity Knee pain can manifest in many ways. Pain that manifests with increasing activity is a clear sign of the knee joint wear and tear. Pain that is delayed In some instances, pain can be delayed. Here the pain comes in after a period of aggressive activity. If you develop severe pain after a period of aggressive activity then this should also be a warning sign that the knee joint is not performing optimally Pain that disturbs your sleep Sometimes, knee pain can be so severe that your sleep can be severely disturbed. In these instances talking to your orthopedic doctor is the best thing you can do for yourself Knee looks visually different In some instances, the knee joint can be so swollen that, on visual inspection, the knee joint may appear different.Changes in the appearance of your knee can also be a sign of inflammation. Redness, swelling, and inflammation are all signs of knee degeneration. Limitation in movement In some instances, you may have difficulty sitting and getting up from a car, this happens because your knee joint refuses to bend. This is a common sign of osteoarthritis. Sometimes the joint catches during movement. This is also a sign of advanced bone disease. Restriction of activity The biggest issue with knee osteoarthritis is that you may face limitations in your activity like climbing stairs or tending to the garden.If you find your daily activity to be limited, then may be its time to consider a knee replacement surgery. An important point to bear in mind is that not all knee problems require a joint replacement procedure, simple medications, physiotherapy and exercise can also help in most cases of knee replacement. I hope you enjoyed reading this short article on knee replacement. Do share this with all your loved ones. Reference https://www.nuffieldhealth.com/article/4-signs-you-need-a-knee-replacement#about
