Articles on joint replacement

Facts and Fallacies-Knee Joint Replacement Surgery

Dr. Purushottam Reddy Padala, Orthopedist
Knee Replacement Surgery- Who Needs It?Generally, but not always, joint replacement is done after the age of 50 yrs.  Having said that, no age should be exempted or delayed from surgery for want of a way out of the misery of pain from arthritis.Anybody who has end stage arthritis due to a variety of diseases-osteoarthritis, rheumatoid arthritis, joint damage due to injury etc should have joint replacement surgery.WHEN QUALITY OF LIFE IS AFFECTED TO AN EXTENT WHERE THE PATIENT IS DEPENDENT ON CRUTCHES, WHEELCHAIR OR IS UNABLE TO MOBILIZE AND ALMOST HOUSE-BOUND DUE TO PAIN, STIFFNESS AND DEFORMITY, THEN PERHAPS, JOINT REPLACEMENT IS MANDATED.What Is Available?Unless you need to squat due to religion or a job requirement, you require the usual knee- the one used for 80 % of people. The extra cost for marked knee bending provided by new knees( which is more expensive also) is possibly not required for you.Always ask your doctor to go for a reputed company. The money spent on quality is worth while in the long run.General Questions1. How long does it take after the surgery to be able to walk?Generally 2 days 2. How long before I get back to normal outdoor life?By 6 weeks you will be able to do most things like shopping, travelling etc.3. Period of stay in hospital?4-5 days.4. Do I need to do exercise?Physio is an integral part of joint surgery, to strengthen the muscles, so that normal balancing can take place. Physio for upto a month might be required.5. Can my father have surgery at the age of  seventy? No age is too old for surgery. As long as patient is fit for anaesthesia, which will be done by our anaesthetist, no age is bar from surgery.Where should I get it done?Some centres with no training are claiming 100% guarantee. Remember there is no 100 % in medical specialties. Out of the thousands that are done, a few are likely to get infected, loosen and become painful after surgery. It is recommended that you go to someone who has received advanced training abroad and practiced in Europe or the States, so that all or any eventualities are covered by that surgeon.Replace fear with confidence as joint replacement is now a well entrenched surgery, with very few complications and high success rate.Wish you all the best!Dr Purushotta Reddy 

Knee Injection - Synovial Fluid Replacement Therapy

Dr. A Mohan Krishna, Orthopedist
In patients suffering with Osteoarthritis of knee joint, the cartilage lining  protecting the ends of bones gradually wears off, reduction in quantity of joint fluid (Synovial fluid), and bone ends rub against each other – all of which can cause the pain.The usual complaints are pain,stiffness, grinding sensation, swelling in and around the knee. Sometimes there is difficulty in walking for short distances and locking symptoms.Osteoarthritis of knee can be graded / staged based amount of damage to cartilage lining. An X- ray can be useful in staging osteoarthritis of knee. It’s not only the grade but level of pain had to considered before starting a treatment.What is Hyaluronic acid?Hyaluronic acid is a visco-supplementation injection that lubricates and cushions your joint. It can provide pain relief in Osteoarthritic knee up to nine months to two years with just one injection. Patients with knee Osteoarthritis who have tried diet,exercise but still have pain can get benefit from this injection. The main aim of giving Hyaluronic acid injections is to decrease pain and improve functions in patients with joint pain. Hyaluronic acid injections have been shown to have the following beneficial effects on joints:They replace some of the normal ingredients found in the synovial fluid improving the lubricating ability.They help to stimulate the joint lining (the synovium) manufacture more normal synovial fluid.The Hyaluronic acid coats the lining of damaged joint surfaces, covering pain nerve endings. This reduces pain and protects the joint surfaces from joint inflammation.Hyaluronic acid also acts directly to reduce inflammation in a joint, like steroid.How is Hyaluronic acid given?It comes as a single injection as sterile pack from the manufactures. It is administered by intra-articluar route (directly into the knee joint). It’s a simple out- patient procedure that only takes a few minutes. You can continue with day to day normal activities after the injection. Try to avoid strenuous activities for about 48 hours.Procedure:-  It is done in outpatient department in clean dressing room or sometimes in minor operation theater.-  Doctor prepares the knee by cleaning it with Iodine solution.-  Give local anesthesia.-  Sometimes doctor may aspirate excess fluid inside the joint.-  He then injection into the joint directly-  You can walk out immediately after the procedure.Frequently asked questions?1. What you can expect following a hyaluronic acid injection?Hyaluronic acid can provide pain relief upto nine months to two years. 2. Will the injection be painful?Since the injection is given through small needle and directly into the joint there wouldn’t be severe pain. Sometimes doctor can give local anaesthesia to numb the area before giving injection.You may feel mild pain and swelling of knee after injection which is normal.  Place an ice pack on your knee for 10 min at regular intervals.3. What happens after the injection?During the first couple of days- Return to normal day to day activities.Avoid strenuous activities such as jogging lifting weights for first 48 hours.During following months –The intensity of osteoarthritic pain comes down and pain relief varies from patient to patient. The benefits of injection can last for 9 months to 2 years depending on stage of osteoarthritis, vary with patients. These injections can be repeated safely.4. What are the side effects of injection?Before taking the injection you should inform your doctor about any allergic reactions to Hyaluronan products or avian proteins (Chicken).  Some side effects are mild and temporary likeAllergic reactions, pain, swelling, stiffness.There are chances of getting knee joint infection in rare cases.

8 Ways To Avoid Knee Replacement

Dr. Brijbhushan Mahajan, Orthopedist
Undergoing a knee replacement for knee arthritis can be a very effective quality-of-life decision. Patients are able to get back to recreational activities and a severely reduced painful lifestyle.  Methods of avoiding the replacement with the arthritis.Weight loss – Over 65% of Americans & over 30% of Indians are either overweight or obese. The problem with this is that a lot of stress goes through the joint during ambulation. This excess weight can lead to increased pain and/or increased arthritis. Losing weight allows the patient to decrease joint pain by decreasing stress over joint, and an increased ability to perform activities of daily living, along with other substantial health benefits such as lower blood sugars and lowered blood pressure.Benign neglect – The patient is able to do most of the things that he or she wants to do, the most appropriate answer at that point may be to simply ignore the problem. One additional aspect to consider may be to modify one’s activities. This may include switching from jogging to fast walking, or shifting from skiing to an activity that is less stressful on the joints such as swimming. Physical therapy – Physical  therapy may have significant benefits. Therapy can strengthen up the muscles around the knee joint, which has  beneficial effect of unloading the pressure from the knee joint and dissipating it into the surrounding musculature. This can reduce pain.Acetaminophen and NSAIDS – These medications are predominantly available without prescription and they can be extremely beneficial for alleviating the pain. They have a low risk profile, as long as patients stick to the manufacturers dosing on the box, and don’t combine those medications that can have an additive effect and lead to a bleeding ulcer.Knee injections – Injections into arthritic knee can help substantially relieve the pain. Presently the bulk of these injections consist of cortisone, which is a hefty anti-inflammatory substance, but not one that is going to alter the course of the disease. There are some newer medications consisting of regenerative substances, which contain components such as stem cells, hyaluronic acid, and cytokines. These may in fact alter the course of the arthritis.Bracing  – Off-loading braces take pressure off of the arthritic area of the knee joint and promote pain relief. These braces are typically custom fit after seeing your doctor, and should be worn whenever the patient is up and about when the pain would typically be felt. Narcotic medications – These should not be used on a chronic basis. They should be utilized only for an acute type of situation where patients are having an exacerbation of their arthritis pain. Narcotic medication on a chronic basis has the risk of tolerance, addiction, constipation, etc. So it should be avoided. Utilizing them for exacerbations can however be very effective.Non-narcotic medications – Medications that are non-addictive such as Tramadol can be very effective for knee pain. In addition there are modulating medications such as gabapentin that can help a lot with decreasing the pain that is coming into the arthritic knee joint from the surrounding nerve endings.

10 Myths About Knee Replacement Surgery

Dr. Shreedhar Archik, Orthopedist
10 myths about knee replacement surgeryI see almost3 to 4 patients a day that desperately needs a knee replacement surgery. All these patients are grossly disabled but are reluctant to get operated. I haverealized that most of them refuse surgery because they have been scared bytheir relatives. Relatives and friends talk about the surgery very loosely i.ewithout much knowledge and most of it is hearsay. Unfortunately because ofclear cut information these patients get confused. Youngsters now days will goon the net and find out the facts but elderly generation is mostly not that techsavvy.Here are the10 0common myths I have discovered while talking to my patientsMyth 1: Iwill be in bed for a long time after the surgeryTruth: Dueto the new rapid recovery protocols the patient walks on the same day of hissurgery!Myth 2: Iwill not be able to bend my knee after the surgeryTruth: Onecan bend the knee fully after the surgery. Most of the new implants allownormal range of movement at the knee jointMyth 3:It is a foreign body inserted in my body, it will get rejected.Truth: Theseartificial joints are made up of a special metal which is compatible with ourbody and it can stay in the body forever without causing any side effects.Myth 4: Iwill need lots of physiotherapy after the surgery and recovery is very slowTruth: 99%patients do not need a physiotherapist at home. We teach patients all theexercises while they are in the hospital and all the patient needs to do ispractice the same exercises at home. 98% patients are walking without an aidafter 4 weeks.Myth 5: Doing2 knees in one sitting is very dangerousIt is theother way around. Two knees in one go has lot of advantages. You visit thehospital only once. The recovery is faster because both knees are pain freeafter the surgery. The stay is only one day extra i.e. after one knee thepatient goes home on 4th day whereas here he goes home on the 5thday. It also saves 30 to 40,000 rupees on the total cost which is another hugeadvantage.Myth 6: Iwon’t be able to sit on the floor ever again after the surgeryTruth: Mostof the patient scan squat or sit on the floor after surgery. However the kneegets extra loading while getting up and it is recommended that one sits on thefloor only in case of an emergency.Myth 7:Only joints form “A” company are good.Truth: Mostof the big companies have joints which are very similar in nature and thechoice of the company should be left to the surgeon. Every surgeon is familiarwith one a particular product which works well in his hands. Forcing a surgeonto use a certain product based on the knowledge gathered from the internet isthe worst thing to do.Myth 8:This surgery has high risk and fails most of the times.Truth: Theonly risk in the entire surgery is the risk of infection. This risk is around 2%. This risk is universally same in any center which is well equipped.Myth 9: Iam above 65 years and hence won’t be able to tolerate such a majo surgery90% ofpatients undergoing a knee replacement are above the age of 65 because this isan age related wear and tear issue. It is therefore safe surgery and all patientsare screened before they are taken up for a surgery.Myth 10:These artificial knees last only ofr 10 to 15 years therefore at age 60 I shouldnot get operated.Though it istrue that the artificial knees have a life, it is worth noting that the surgeryis offered to improve the “quality of life”. At age 60 if one cannot enjoy thedaily routine then it is not worth living that kind of painful miserable life.

Do I Need a Knee Replacement?

Dr. Mohan Puttaswamy, Orthopedist
Many patients have this question regarding their knee arthritis and ask us during their consultation. What is the right time to undergo a joint replacement surgery? The answer to this is determined by a couple of factors- age of the patient, severity of symptoms and most important how this has affected the quality of life.Each of the points mentioned have a bearing on the outcome of surgery. Total knee replacement is an excellent and cost effective way in managing knee arthritis. The satisfaction rates after knee replacement is around 80% and age at surgery has a bearing on the outcome. Generally, knee replacement in younger patients has been found to be less satisfying and has more complications. Even if though there is no cut-off age, generally knee replacement should be opted after the age of 55-60 years. In younger patients if all the options have been exhausted,then one can opt for a knee replacement. Some patients will have severe arthritis on the X-rays but clinically they are able to do their ADL (Activities of Daily Living) without much hindrance. When such a situation arises it is always the patient’s symptoms that dictate the timing of replacement and can be postponed till pain becomes severe. The pain in the knee should be continuous and not well controlled, pain should be limiting simple normal activities like stair climbing, walking or using the toilet. I am diabetic, is it OK to have a knee replacement?          The other factor to be considered during a joint replacement is the general health of the patient. If a patient has multiple medical problems-then those problems should be well controlled before undertaking a joint replacement surgery. Common medical problems like Diabetes, Hypertension, Thyroid problems, Anaemia all have a bearing on the ultimate outcome of a knee replacement. Many of our patients are obese and that can have serious repercussion regarding outcome after a replacement surgery. Weight reduction is generally difficult because patients are unable to exercise before knee replacement but when an individual’s BMI is more than 35 then the complications after a replacement increases. So, it is advisable to consult a dietician and reduce weight by dieting before going forward with a knee replacement.What pain medications are safe to treat mild arthritis?Medications like Paracetamol and Tramadol have a higher safety profile than Diclofenac or other NSAID’s (traditional pain killers). The problem with long term pain medication intake is the higher chance of kidney failure and stomach ulcer formation.  The duration of treatment necessary makes it important to take safer medications and opt for surgical treatment if pain management is not adequate.What injections are safe and effective in knee arthritis?Basically, there are 3 types of injections that are currently available in the treatment of OA knee. They are corticosteroids, Visco supplements and Platelet Rich Plasma (PRP). Corticosteroids are cheap and give good pain relief the problem with steroid injections is that they worsen the degeneration.  Visco supplements are expensive and need to be repeated and cost is a significant factor to consider when opting for Visco supplements. Visco supplements basically work by increasing the joint lubrication. Lastly, PRP is an exciting new option which is less expensive than visco supplements in some centers and is more effective than the visco supplements according to some studies. PRP reduces the inflammation in the knee joint and is patients own blood product injected into the knee joint. Please talk in detail with your surgeon regarding which is the best injection option for your knee arthritis.

7 Basic Queries About Total Knee Replacement

Dr Dewangan Ssunil Kumar
 Total Knee Replacement: The knee comprises the joint between the femur and the tibia but also the joint between the patella and the front of the femur. Either or all of these parts of the knee may be affected by arthritis to various degrees. The procedure of joint replacement includes removing the affected joint surfaces and replacing them with metal components with a high-density polyethylene-bearing surface between the metal components What is Total Knee Replacement? A total knee replacement involves replacing the damaged bone and cartilage of the knee joint, which provides articulating surfaces.The total procedure takes approximately an hour to hour and a half to perform and recovery time varies between patients which ranges from 2-3 weeks to 2-3 months. Correct rehabilitation following surgery significantly improves outcomes.In the total knee replacement procedure, each prosthesis is made up of four parts. The tibial component has two elements and replaces the top of the shin bone (tibia). This prosthesis is made up of a metal tray attached directly to the bone and a plastic spacer that provides the bearing surface. The femoral component replaces the bottom of the thigh bone (femur). This component also replaces the groove where the patella (kneecap) sits. The patellar component replaces the surface of the kneecap, which rubs against the femur. The kneecap protects the joint, and the resurfaced patellar button slides smoothly on the front of the joint. This may or may not be replaced depending on the condition of the patient.Advantages of Total Knee ReplacementThe most important advantage is that this operation produces very effective and long lasting relief from joint pain. It also gives a joint which functions normally. The recovery period from the operation is very short and the patient is able to walk from the second or the third day after the operation. Walking support that is needed can often be discarded by around 2-3 weeks or a month's time. The patient regains a normal lifestyle and mobility with significant improvement in quality of life.Frequently Asked Questions about Knee Replacement SurgeryWho is the candidate for a total Knee replacement? What are the risks of Total Knee Replacement? Should I have a total knee replacement? Who develops a more severe or an earlier arthritis? When can I return home? What measures should be taken after the surgery/operation (post operative instruction)? What activities should I avoid after knee replacement?Q 1 who is a candidate for a total replacement?Total knee replacements are usually performed on people suffering from severe arthritic conditions. Most patients who have artificial knees are over age 55, but the procedure can be performed in younger people if joint is already damaged. So criteria for surgery based on age is non dependent. The circumstances vary somewhat, but generally you would be considered for a total knee replacement if:You have daily pain which affects your ADL (Activities of Daily Living).Your pain is severe enough to restrict not only work and recreation but also the ordinary activities of daily living.You have significant stiffness of your knee.You have significant instability (constant giving way) of your knee.You have significant deformity (knock-knees or bowlegs).Q 2 what are the risks of total knee replacement?Total knee replacement is a major operation. The most common complications are not directly related to the knee and usually do not affect the result of the operations. These complications include urinary tract infection, blood clots in a leg, or blood clots in a lung. Complications affecting the knee are less common, but in these cases the operation may not be as successful. These complications include:some residual knee painloosening of the prosthesisstiffnessinfection in the knee jointA few complications such as infection, loosening of prosthesis, and stiffness may require reoperation. Infected artificial knees sometimes have to be removed. This would leave a stiff leg about one to three inches shorter than normal. However, your leg would usually be reasonably comfortable, and you would be able to walk with the aid of a cane or crutches, and a shoe lift. After a course of antibiotics the surgery can often be repeated to give a normal knee.Q 3 Should I have a total knee replacement?Total knee replacement is an elective operation. The decision to have the operation is not made by the doctor, it is made by you the (Patient). All your questions should be answered before you decide to have the operation. If you have any questions, please feel free to write to us.Q 4 who develops a more severe or an earlier arthritis?One who has family history (this having a strong hereditary influence), who has history of injury in the joint (e.g. a fracture or a ligament/meniscal injury in the knee), who has deformity of knees and the one who is overweight. Medicines are not the treatment for this form of arthritis. Weight reduction, regular exercises, and local heat therapy help in early stages. Physiotherapy is the mainstay of the treatment. Painkillers should be used only occasionally as they adversely affect our kidneys, cause intestinal ulcers and bleeding. Another form of Arthritis is inflammatory arthritis (Rheumatoid or its variants). This does need medical treatment (DMARD's), which changes the course of the disease and prevents further damage to joints. Surgical treatment is needed when structural joint changes have taken place. Before and after the surgery, the patient should remain under care of a Physician/Rheumatologist. Post Traumatic Arthritis can follow a serious knee injury. A knee fracture or severe tears of the knee's ligaments may damage the articular cartilage over time, causing knee pain and limiting knee function.Q 5 When can I return home?You will be discharged when you can get out of bed on your own and walk with a walker or crutches, walk up and down three steps, bend your knee 90 degrees, and straighten your knee.Q 6 What measures should be taken after the surgery/operation (Post operative instruction)The success of your surgery also will depend on how well you follow your orthopaedic surgeon's instructions at home during the first few weeks after surgery. Wound Care you will have stitches or staples running along your wound or a suture beneath your skin on the front of your knee. The stitches or staples will be removed several weeks after surgery. A suture beneath your skin will not require removal. Avoid soaking the wound in water until the wound has thoroughly sealed and dried. A bandage may be placed over the wound to prevent irritation from clothing or support stockings. Diet some loss of appetite is common for few days after surgery. A balanced diet, often with an iron supplement, is important to promote proper tissue healing and restore muscle strength. Activity Exercise is a critical component of home care, particularly during the first few weeks after surgery. You should be able to resume most normal activities of daily living within three to six weeks following surgery. Some Pain with activity and at night is common for several weeks after surgery. Your activity program should include:A graduated walking program to slowly increase your mobility, initially in your home and later outside.Resuming other normal household activities, such as sitting and standing and walking up and down stairs.Specific exercises several times a day to restore movement and strengthen your knee. You probably will be able to perform the exercises without help, but you may have a physical therapist help you at home or in a therapy center the first few weeks after surgery.Driving usually begins when your knee bends sufficiently so you can enter and sit comfortably in your car and when your muscle control provides adequate reaction time for braking and acceleration. Most individuals resume driving about two to four weeks after surgery.Q 7 What activities should I Avoid after Knee Replacement?Even though you may increase your activity level after a knee replacement, you should avoid high-demand or high-impact activities. You should definitely avoid running or jogging, contact sports, jumping sports, and high impact aerobics. You should also try to avoid vigorous walking or hiking, skiing, tennis, repetitive lifting exceeding 50 pounds, and repetitive aerobic stair climbing. The safest aerobic exercise is biking (stationary or traditional) because it places very little stress on the knee joint.

Treatment Options For Joint Pains From Arthritis

Dr. G K Sudhakar Reddy, Orthopedist
Life style changesIf one is overweight, try to lose weight by doing more physical activity and eating a healthier diet. Regular exercise keeps you active and mobile and builds up muscle, thereby strengthening the joints and can improve symptoms. Pain Killers Painkillers help with pain and stiffness but they don’t affect the arthritis itself and won’t repair the damage to your joint. Creams and gels can be applied directly onto painful joints . They are well tolerated because very little is absorbed into your bloodstream. Nutritional Supplements Glucosamine and chondroitin are nutritional supplements. Studies in animals have found that glucosamine can both delay the breakdown of and repair damaged cartilage. However there is insufficient evidence to support the use of glucosamine in humans and one can expect only a mild-to-moderate reduction in painJoint injectionsIf pain from osteoarthritis is severe joint steroid injections are injected into the joints that can reduces swelling and pain. The injections can start working within a day or so and may improve pain for several weeks or months. Hyaluronic acid injections, which help to lubricate your knee joint, are sometimes given but recent evidence that it works isn’t convincing.Surgery May be recommended if you have severe pain and/or mobility problems.ArthroscopyIf one has frequent painful locking/stiffening episodes especially in the knee joint,an operation to wash out loose fragments of bone and other tissue as joint can be performed by a minimally invasive key hole procedure called Arthroscopy. Joint replacement surgeryJoint replacement therapy is most commonly carried out to replace hip and knee joints. It involves involves replacing a damaged, worn or diseased joint withan artificial joint made of special plastics and metal.For most people, a replacement knee will last for at least 15 to 20 years, especially if the new knee is cared for properly and not put under too much strain.There are two main types of surgery, depending on the severity of arthritis:• total knee / hip replacement – both sides of your knee / hip joint are replaced• partial (half) knee replacement (PKR) – only one side of your knee joints replaced in a smaller operation where more of the undamaged knee is preserved with a shorter hospital stay and recovery period.Other surgical options for arthritisArthrodesis or Joint fusionIf hip or knee replacement is not suitable, especially in young people who do heavy manual work, one can consider an operation known as an arthrodesis, which fuses your joint in a permanent position. This means that your joint will be stronger and much less painful, although you will no longer be able to move it.OsteotomyIn young, active people in whom a knee joint replacement would fail due to excessive use one can consider an operation called an osteotomy. This involves adding or removing a small section of bone either above or below your knee joint.  This helps realign your knee so your weight is no longer focused on the damaged part of your knee. An osteotomy can relieve your symptoms of osteoarthritis, although you may still need knee replacement surgery eventually as you grow old.

Bad Bites and Temporomandibular Joint

Dr. N Srinivas, Dentist
The teeth and bone structure form the foundation of the mouth and its surrounding tissues.W hen the framework isn't aligned,a malocclusion(bad bite) results.On the surface,this often appears as little more than an aesthetic problem,but the ramifications of improperly aligned teeth are more far-reaching.Bad bites can cause problems ranging from headaches to faulty hearing.They also can cause digestive problems that affect overall health.Many adults,as well as children,suffer from bite disorders that affect their physical and social well-being. Fortunately,modern dentistry offers a variety of ways to treat improperly aligned bites many of which are imperceptible to others.What causes bad bite?A bad bite is typically caused by genetics.For example,the teeth may not fit in the jaws properly,or the teeth may not be in a correct relationship with the rest of the face.Destructive habits,such as lip or nail biting or clenching and grinding teeth,also can cause bad bites.Finally,loss of teeth without proper replacement can cause the bite and the face to collapse,resulting in an aged and unattractive appearance.Bad bites and Temporomandibular joint:When the teeth are out of alignment,the facial muscles may spasm,creating misalignment of the jaw.This can lead to temporomandibular joint disorders(TMD).Symptoms can include headaches,neck pain,back pain, and earaches.Treatment of  TMDs depends on the severity of the disorder and ranges from muscle relaxation therapy to orthognathic surgery.No cosmetic procedures should be performed until the TMD is corrected.Is your new bite a bad bite?Occasionally,even properly constructed restorations can contribute to bite problems.This typically occurs when a disharmony already exists in the mouth.In such cases,any irritation or change even as minor as that caused by crowns or orthodontics-can initiate a muscle spasm and TMJ disturbance.Such problems may be unforeseen by dentists.When noted,however,they should be corrected quickly.If allowed to persist,they can be extremely difficult to repair.

Knee Replacement - What's the Noise About

Dr. Anshu S.R Sachdev, Orthopedist
The days of sitting on the sofa and growing old have vanished. Middle-aged and older adults increasingly demand an active and healthy lifestyle. But dealing with the inevitable aches and pains of aging can prove frustrating, especially when they keep you from doing the activities you love. Knee pain is a prime culprit. As a result, a growing number of individuals are considering knee replacement surgery. Ignorance and myths about joint replacement surgeries, one of the most feasible treatments for OA, leads to a large no patients continuing to live in pain and letting it affect their day to day routine.Total knee replacement (TKR) can free you of pain and give you a second life! A total knee replacement operation removes the damaged areas of bone and replaces them with metal and plastic parts.Most people enjoy an active and pain-free life within 8-10 weeks after surgery. In many cases, they’re able to resume activities like golf and walking that their arthritic pain made them give up years ago. Like you, your knee is unique. The same solution may not necessarily be right for everyone. New age techniques like i-assist computer navigation which is much more precise and the personalized implants match so well with the patient’s own natural anatomy that the patients are much more comfortable and confident. In fact the patient forgets that he has an artificial knee.The goal of surgery is to achieve several decades of a pain-free functioning knee at a reasonable cost and this is clearly achieved in a very high percentage of patients who undergo surgery. About 85 percent of artificial knees still work after 20 years. This is one reason that this procedure is so popular.

Knee Arthritis and How to Avoid It

Dr. Sitaraman Sundaresan, Physiotherapist
Early knee arthritis is a common issue today. People in the prime of their life start experiencing knee pain. There are 3 different types of arthritis that can afflict the knees and age is no an indicator.  We keep hearing of knee surgeries, it does not need to be the first option. One can try alternative treatments which are less invasive on discussion with the doctor to ease the knee pain. If a person has endured or knows someone who has experienced knee replacement surgery, they know that it is not a pleasant thing to go through.We discuss below how knee replacement surgery can be delayed or even totally avoided by some knowledge and awareness. Normally when one starts experiencing knee pain, they tend to take it a little easy with that leg or they apply some pain relief gel and try to forget that the pain exits.Lifestyle changes: Simple lifestyle changes need to be adopted. Avoiding junk food and switching to a balanced diet which provide the much needed key nutrients and living an active life can make a huge difference. Wearing the right kind of footwear can also ease the pain and prevent further damage.Weight Loss and Exercise: Losing weight might help lose the pain. Being just a little overweight can add tremendous pressure on the knee with each step. There is research which shows that loosing even 5 to 6 Kgs of weight could lead to great improvements in the quality of ones’ life. Aerobic, Swimming or Yoga can help one in weight loss, strengthening of muscles and also reduce the pain. Working with a Physical Therapist: It is advisable to seek help from a physiotherapist as soon as the problem shows up. Sometimes a proper course of rehabilitation and rest might provide the much needed relief and avoid further deterioration. Our 360 degree knee rehab program targets all the points in the knee and the areas that surround it to drastically improve overall joint health. The sole purpose of this rehabilitation program is to help one recover from the ailment without the need for surgery. In cases where the patient is elderly and has exhausted all other options of conservative management, the replacement process is justified or even recommended. However even in such cases the 360 degree knee rehab program can help easing the post-operative pain and help in the recovery. The sheer number of knee replacement surgeries in India has grown exponentially and it is a worrying trend. Before you opt in for a replacement surgery consider getting healed with physiotherapy to return to a normal pain free life.