February 8, 2022 | praharsha

Bursitis of the Knee

Is Your Knee Pain Due to Bursitis of the Knee?

Bursitis of the Knee: People who are in professions that requires repeated bending of the knees are at risk of developing a condition known as bursitis of the knee. Workers such as electricians, roofers, floor installers, plumbers, coal miners, gardeners, house maids and others who require kneeling have this problem. When they develop this condition due to repetitive bending of their knees, they develop severe knee pain. This condition is also common in people who perform muscle strengthening, boosting and muscle building and other high-stress and high-intensity exercises.

The symptoms associated with Bursitis of the knee becomes severe and progressively get worse over a period of time. Gradual worsening of the symptoms makes the person literally worrisome. The symptoms develop when the person who has this issue repeatedly kneels on hard surfaces owing to which the bursal sacs around the knee joints get inflamed. The typical symptoms of bursitis include severe pain, redness, warmth, swelling, increase in intensity of the pain with bending of the knee – and, in some case, infection and fever as well.

Knee Pain becomes severe with bending

If you have severe knee pain and inflammation and if this type of pain increases with bending and other activities such as cycling and running, then it could be due to bursitis of the knee. Similarly, if you experience knee pain when walking and if the pain becomes severe with movement of the knee or weight bearing or when pain becomes worse climbing upstairs or downstairs, then this type of knee pain could be due to Osteoarthritis of the knee.

Bursitis of the knee can also be rarely due to an injury. If you experience any of these symptoms along with severe knee pain, then immediately consult a Knee pain specialist in Hyderabad.

Risk factors that increase knee pain

Knee pain can become worse owing to some risk factors such as lack of activity and knee movement, obesity, osteoarthritis, osteoporosis, sitting for long at desk and also due to some sports and occupations.

Loss of muscle mass, muscle strength and endurance due to lack of activity, obesity and other muscles disorders can put an individual at risk of knee issues and knee pain.

Overweight (excess) body weight or obesity can make your knees work under pressure putting addition burden and stress on your knee joints. Excess body weight can also make you at risk of arthritis.

Certain sports or occupations – people who play sports like basketball, volleyball, football can have an increased risk of knee injury. 

If you have had a knee injury a few months or years ago, then you could be at risk of knee pain.

Other medical conditions such as osteoarthritis and osteoporosis can make knee pain worse in many different ways.

Knee pain treatment

Many people tend to neglect knee pain assuming that it is not a very serious issue to be worried about. In reality, one should never do like that. though some types of knee pains are mild and can be well managed at home with simple home remedies, other types are severe and progressive. If you have progressive and debilitating knee pain which could be due to damage to your knee joint, you must never leave it untreated. Furthermore, a minor knee injury can become worse over time if left unattended.

Knee pain treatment without surgery in Hyderabad – Is It Possible?

One question that comes to the minds of people when they get knee pain is this – Is there any medicine that can instantly give relief from knee pain? They look out for over-the-counter knee pain tablets or medicines. If it is a severe knee pain, they seek consultation with a physician and take pain relieving injections. Some doctors even recommend pain-relieving injections.

If you have mild to moderate knee pain then you can go for some over the counter medicines to get some relief. However, if you don’t get any benefits even after trying such measures for some time, then consult a specialist doctor – an Orthopedic surgeon. The doctor will comprehensively examine your case by doing a thorough physical examination and evaluating your symptoms and make a proper diagnosis. In some cases, severe knee pain due to a serious underlying cause can go unnoticed for months due to our negligence. Resorting to self-therapy can cause more harm than good. Therefore, it is always better to consult an Orthopedic doctor who specializes in knee pain treatment and follow his advice. The benefit of approaching a knee specialist in time benefits you in two ways – first of all – it prevents the damage from becoming worse and you may possibly get knee pain treatment without surgery.

If you are unsure of whether your knee pain is due to bursitis of the knee or due to any other reason, then consult a specialist doctor immediately.

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How to keep your joints healthy
February 2, 2022 | praharsha

When Is Surgery Required for Joint Pain?

Surgery for joint pain: Millions of people in India and across the globe undergo joint replacement surgeries (knee replacement and hip replacement) owing to severe destructive damage caused to their joints. The number one reason for this is osteoarthritis of the joints which is a progressive, painful and destructive condition of the joints. If you are wondering whether your painful joint condition is due to osteoarthritis of the knee joint, let us try to understand when is surgery required for your joint pain and how effective are other treatment options.

Why You should not delay seeking an appointment with a joint specialist doctor if your joint hurts?

This is important because if your severe joint pain (knee or hip pain) impacts mobility – owing to which your movement becomes restricted and you may start getting confined to your couch, sofa, chair, or bed. Once your life becomes sedentary, your condition may worsen. In these circumstances, many people may gain weight which further augments the pain and increases the risk of diabetes, high blood pressure, and heart disease.

Why You Should Never Ignore Your Joint Pain?

In the beginning, the joint disease causes pain and stiffness and then progress slowly causing mild to moderate pain. The intensity of pain increases gradually with inflammation in the joint and pain becomes severe. The disease progresses to the point where getting out of chair and bed becomes difficult, walking upstairs and downstairs become painful, and getting dressed up becomes problematic. The life then becomes sedentary with an increased risk of falls and injuries.

Treatment options before surgery for joint pain

Physical therapy – Physical treatment to strengthen and extend the muscles around your knee may be recommended by your orthopedic doctor.

Oral Medications – Anti-inflammatory medicines or supplements, whether over-the-counter or prescribed, maybe the initial step toward pain alleviation. However, they haven’t proven to be very useful in curing osteoarthritis. Anti-inflammatory medicines may have negative side effects such as stomach aches, heartburn, and liver problems.

Topicals – As per the Arthritis Foundation, anti-inflammatory gels and lotions are available over the counter and by prescription, and they can help alleviate joint discomfort in some individuals.

Injections – Corticosteroid injections, which the doctor explains as particularly successful at decreasing pain and swelling, are often the second step. However, the advantage is only temporary. Corticosteroid injections, if given repeatedly, might cause damage. Another approach for treating knee osteoarthritis pain is to inject hyaluronic acid into the joint.

When Is It Time to Consider Surgery?

Osteoarthritis is a progressive condition as it gets worse over time. If you don’t treat it in time, the condition may progress to a stage where alternative treatments no longer work.

The progression of arthritis may cause the formation of bone spurs wherein small cartilage and bone pieces may break off and cause inflammation in the knee joint making the cartilage deteriorate further. This condition may lead to severe inflammation and joint pain.

If your X-ray shows a bone-on-bone condition (bones rub against each other) with substantial tissue damage, your joint replacement surgeon may recommend knee replacement surgery.

Your doctor keeps the following questions in mind when he considers surgery

Is the pain progressive?

Is the pain getting worse day by day?

Is the pain unbearable?

Are you finding it difficult to work and perform your job?

Are your joint pain-causing problems with sleep?

Are you finding it difficult to walk, move and bend your joints?

Has your knee become unstable?

Surgery for joint pain: Another factor your doctor may consider before recommending joint replacement surgery is your age. It is better to talk about the outcome of the replacement and your expectations if you are in your forties and fifties. Middle-aged and older people should also know the outcomes of the procedure especially if they want to remain more active after the recovery period.

Recovery

After you have chosen to have surgery, your doctor will discuss the surgical outcome and recovery period – which is usually set down to around 8 to 10 weeks. However, with Robotic Joint Replacement Surgery for joint pain, you can expect a shorter recovery period. Complete recovery most often depends on whether you follow all the instructions given by your joint replacement surgeon. However, you may get issues if you return to work even before you are fit or don’t take proper rest and don’t do the exercises recommended by your physiotherapist.

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Total knee replacement in Hyderabad
January 22, 2022 | praharsha

Total Knee Replacement is for Whom?

Total Knee Replacement in Hyderabad at Sunshine Hospitals | Dr. Praharsha Mulpur

Are you feeling pain, stiffness in your knees while moving downstairs or climbing upstairs? Is your activity getting limited due to walking difficulty? Is your knee pain becoming severe with every passing day and with movement?

Are you the one who is taking support of a cane or walker and finding it difficult to move even a few steps without support?

In general, if severe pain in the knee joint is making your life miserable and not allowing you to get in and out of your chair comfortably and walk normally, then it is time for you to see your orthopedic doctor.

Some people may have knee deformity and a few others report moderate to severe pain while resting as well.

If you have any of the above symptoms, your orthopedic doctor will evaluate your case to see whether you need a knee replacement

A knee damaged by arthritis is resurfaced by a surgical procedure called total knee replacement or knee arthroplasty or knee replacement. Let us try to understand when one needs a total knee replacement.

Total Knee Replacement

Total Knee Replacement or Knee Arthroplasty is a surgical procedure to resurface the damaged portion of the knee joint. The knee joint is a hinge joint as it helps in motion. Thighbone (femur) adjoins (tibia – the lower leg bone) at the knee joint. The knee joint also has a knee cap.

The Knee Joint

The cartilage and bones that form the knee joint function normally as long as they are healthy. However, when these bones, cartilage, and knee cap get damaged, their damaged parts or portions are removed and replaced with artificial components. During a typical knee replacement procedure, the damaged part of the thigh bone (femur) is cut away and replaced with a shell (metal surface), shin bone’s damaged part is replaced with a spacer and a metal stem. In other words, the knee joint is replaced with a prosthesis (an artificial joint). It is made of alloys, metals, high-grade plastics, and polymers (the artificial components of the knee joint).

Kee Replacement is for Whom?

Total knee replacement is considered for the following cases: severe arthritis, severe knee injuries, rheumatoid arthritis, post-traumatic arthritis, trauma, and also to treat progressive knee pain and the destructive diseases of the knee joint. People with knee stiffness, swelling, inflammation, chronic pain, decreased knee function impaired knee movement and progressively increasing knee pain are the candidates for total knee replacement surgery.

Planning a Total Knee Replacement in Hyderabad

Your orthopedic surgeon who specializes in knee replacement surgery performs a complete physical examination. He also assesses the strength, flexibility, and stability of your knee point. He uses bone scans, and X-rays to completely evaluate your case and to see whether you are a candidate for total knee replacement. In a nutshell, the final decision to have a total knee replacement is a cooperative approach – wherein you, your family, and your surgeon are involved.

Results of a Total Knee Replacement in Hyderabad at Sunshine Hospitals

Knee replacement relieves severe knee pain, increases mobility (knee function), and ensures a higher quality of life for the majority of people. It is a safe, effective, and gold standard surgical procedure for the treatment of diseased and severely damaged knee joints. In addition, most knee replacements are predicted to last for at least 15 years or more. Most everyday activities, such as shopping and minor housekeeping, can be resumed three to four weeks after surgery. 

After you’ve recovered, you can do low-impact activities like walking, swimming, golfing, or riding. Higher-impact activities, such as running, tennis, and sports that require contact or jumping, should be avoided. Discuss your limitations with your doctor.

Patients after undergoing total knee surgery must follow all the instructions given by their orthopedic surgeons, nurses, and physical therapists. Physical therapy is an essential part of rehabilitation after total knee replacement.

Bottom line

When you have chronic knee discomfort or osteoarthritis, you may need a knee replacement. Furthermore, you must understand when a knee replacement is required for you.

It is a normal human tendency to avoid surgery and to go for less invasive means of relieving pain and other symptoms. Therefore, many people try medications, cortisone injections, anti-inflammatory medications, and physical therapy – without even consulting a specialist doctor. This is not the solution to their problems. You must see your doctor to know whether total knee replacement is the best and most effective procedure.

Hope this article helps you to acknowledge when surgery is actually required for you. However, you must consult your orthopedic surgeon.

Are You Planning a Total Knee Replacement in Hyderabad at Sunshine Hospitals?

The best option for you to consider if you are planning complete knee replacement is Robotic Knee Replacement Surgery. Consult me by fixing an appointment or call now to clear all your concerns about robotic knee replacement.

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Types of back pain
January 13, 2022 | praharsha

What Are the Different Types of Back Pain?

Types of Back pain depend on the cause. Back pain is one of the most common reasons why individuals visit the doctor or miss work. Moreover, when it comes to diagnosis and treatment, it varies depending on the many forms of back pain you may encounter at any particular time. Recognizing how your back pain is affecting your life might help you explain your symptoms to your doctor more effectively.

Symptoms

Back pain can be anything from a dull ache in the muscles to a shooting, searing, or piercing pain. Furthermore, pain may travel down your leg or worsen when you bend, twist, lift, raise, or walk. The symptoms of back pain thus vary.

Types of Back Pain

Acute back pain

It is described as pain that lasts less than 3 months and usually goes away with conventional therapies.  Acute back pain can range in intensity, but it’s usually severe and abrupt. This type of back pain that usually lasts only a few weeks, is frequently caused by:

  1. Muscle strains or cramps
  2. Disc herniation
  3. Curvatures of the spine
  4. Pregnancy

Chronic back pain

The more acute back pain persists, the more probable it is to develop into chronic pain. It is described as pain that lasts four to six weeks or more. Nerve compression worsened by motion or progressive disease are the common causes of chronic back pain.

Lower back pain

The lumbar and pelvic regions make up the lower back. The strain on the vertebrae and discs causes lower back discomfort. Additionally, lower back pain is frequently caused by poor lifting technique and sitting on the tailbone. Lower back pain, regardless of its cause, has a tendency to progress. Variations in motion to prevent the twinge of pain frequently result in more damage or staining further up the spinal column.

Sciatica: Lower back pain may also be due to the tiny gel-filled discs that protect the space between the vertebrae. If one of these disks swells or bursts, it can put pressure on the nerve. If the nerve is sciatic, the pain spreads from the hip to one leg. It is known as sciatica.

Middle back pain

The rib cage’s mass is supported by the middle back, which also joins the lowest parts of the shoulder blades. Axial pain with dull pains and acute twinges characterizes middle back pain. The many motions of joints connecting the lower and upper back cause microtears in the muscles, leading to pain. Torsion and direct injury are the most common causes of middle back discomfort. Moreover, back injuries involving the ribs or spine are more visible than other types of back injuries.

Upper back pain

The shoulders, neck, and thoracic spine are all connected by the upper back. Recurrent pain is a common symptom of upper back discomfort.

Upper back pain causes

This type of pain is caused by arm and shoulder pain. Headaches, particularly sinus pressure, cause neck, and shoulder stress. This type of pain is stiff and gets worse with poor sleeping and sitting positions.

Causes of back pain in women

In general back pain is common in women compared to men. It is mostly related to their lifestyle factors – such as obesity, sedentary lifestyle, wearing high heels, activities that involve abrupt, unstable, and abnormal body movements. In women back pain is associated with a wide range of gynecological conditions ranging from premenstrual syndrome, hormonal changes, uterine issues to ovarian cancer.

Types of Back Pain – How to Prevent

Back pain exercises

Low-impact aerobic exercises, or those that don’t stress or jolt your back, can help you build back strength and flexibility, as well as improve the function of your muscles. Swimming and jogging are both terrific options. 

Read more: Top 5 exercises for back pain

Strengthen and stretch your muscles – Workouts that build your core, such as abdominal and back muscle strengthening, assist these muscles to operate together like a natural corset for your back.

  • Maintain a healthy body mass index (BMI) – Obesity puts a burden on the back muscles. If you’re obese, losing weight can help you avoid back pain.
  • Stop smoking. Smoking raises your chances of developing low back discomfort – Because the risk rises with the quantity of cigarettes smoked each day, stopping should help lower it.

Bottom line

Knowing the different types of back pain will help you figure out where in your life you’re having problems. Symptoms should not be disregarded, irrespective of the type of back pain you’re encountering. Pain that doesn’t respond to simple home remedies like rest, the use of a heating pad or cold compress, or over-the-counter pain relievers should be assessed as soon as possible by your orthopedic doctor. You should consult a doctor if you don’t feel better within 3 to 4 days. Similarly, if you encounter back pain after injury, you must see a specialist doctor immediately.

Remember! Back pain associated with numbness and weakness in the legs, change in bowel habits or associated with bladder control issues (urinary incontinence), pain while coughing and urination, and fever warrants a visit to a specialist doctor immediately.

Read more: Joint Pain Treatment

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benefits of robotic joint replacement
January 3, 2022 | praharsha

Benefits of Robotic-assisted Joint Replacement Surgery

Benefits of robotic joint replacement: Don’t you want your implant to be accurate, precisely aligned, and placed perfectly with up to 99.9% precision? Who doesn’t want less post-surgical pain, noticeably quicker healing and recovery; less post-surgical complications; shorter stay, and faster discharge from the hospital – Mako robotic arm assist your surgeon chart your procedure almost down to each movement?

Why Robotic-assisted surgery is always better than the traditional approach?

The robotic arm allows your surgeon to better protect the tissues surrounding your surgical site. The implant or components that replace your old joints are typically made from metal, ceramic, or plastic. Robotic assistance allows your surgeon to place your implant more efficiently. And robotic surgery leaves much smaller and less invasive scars than does traditional surgery.

Benefits of Robotic Joint Replacement – Accuracy

Your surgeon dexterously performs the procedure with cent percent precision that helps protect the surrounding tissues of the surgical site. Your surgeon typically replaces the old damaged joint components with the implant or components made from plastic, ceramic, or metal. Mako Robotic assistance helps your surgeon to place your implant more efficiently – thus leaving a much smaller margin of error. In addition, when compared to traditional joint replacement surgery, robotic surgery leaves much smaller and less invasive scars.

Improved Lifespan of the Implant

The bonus – robotically replaced hip joints and knee joints have a longer lifespan the conventionally replaced joints. They have even lower failure rates as well.

This is, in fact, the most important feature (aspect) of Robotic-assisted joint replacement surgery – Mako robotic system has been designed keeping in mind that no two persons have similar structures of their joints. This means, for better visualization, the operating surgeon can get a crystal clear 3 D virtual model of the knee or hip joint. This model serves as a user-customized foundation for the entire surgical process.

Top 5 benefits of Robotic-Assisted Joint Replacement

  1. More accurate pre-surgical planning: The surgery is more precise and accurate. Mako plasty uses 3D Imaging for accuracy. The surgeon can plan the surgery around a person’s unique anatomy. This helps in correct size and positioning of the implant.
  • The far superior results of robotic-assisted joint replacement have been tested and proven clinically due to superior precision. The robotic arm doesn’t let surgeon to deviate from specified dimensions thus inducing less harm to the surrounding healthy tissues and bone. This means only the damaged portion is removed and healthy portion is preserved. The knee implant placement is perfect with less friction and fewer complications.
  • The procedure is flexible. The surgeon does it with full confidence as the surgery is computer assisted. Robotic-assisted surgical arms enable access through smaller incisions.
  • Patients can resume their normal activities much sooner as they experience less postoperative pain and heal faster.
  • Higher patient satisfaction levels. In addition, there are many more benefits of robotic joint replacement.

Bottom Line

If you are determined to get on fast track very soon by defeating pain, healing time, and recovery – with rejuvenated ability to move as fast as you can – and also if you would like to enjoy your favorite activities once again that you had to give up in the recent past – then think of robotic-assisted joint replacement sooner rather than later.

Call this number to book an appointment online and to know whether you are a candidate for this marvelous joint replacement option.

Learn More About – Robotic Knee Replacement

Robotic Hip Replacement

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