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Revitalize Your Knees: Unveiling the Power of Knee Replacement Surgery

Knee replacement surgery, also known as knee arthroplasty, is a medical procedure performed to replace damaged or worn-out parts of the knee joint. The procedure involves removing the damaged or diseased cartilage and bone from the knee joint and replacing it with an artificial joint made of metal or plastic. Knee Replacement Surgery in Chandigarh is generally performed to alleviate pain and restore function in patients suffering from chronic knee pain caused by arthritis, injury, or other degenerative conditions.

The knee joint is a complex hinge joint that allows for the movement of the lower leg bone (tibia) relative to the thigh bone (femur). The ends of these bones are covered with a layer of cartilage, which serves as a cushion and reduces friction during movement. The knee joint is also surrounded by a network of ligaments, tendons, and muscles, which provide stability and support to the joint. However, due to ageing, injury, or other degenerative conditions, the cartilage in the knee joint may wear away, causing the bones to rub against each other, resulting in pain, swelling, and stiffness. In severe cases, this can lead to complete loss of function, making it difficult for patients to perform even simple activities like walking or climbing stairs.

Knee Replacement Surgery in Chandigarh is usually recommended when conservative treatments, such as medication, physical therapy, or assistive devices, are no longer effective in relieving pain or restoring function in patients with knee problems. The surgery is performed in a hospital under general or regional anaesthesia. During the surgery, the surgeon makes an incision in the knee and removes the damaged cartilage and bone from the joint. Then, the artificial joint is placed into the knee and secured with cement or other materials.

There are several types of knee replacement surgery, including partial knee replacement, total knee replacement, and revision knee replacement. Partial knee replacement is a procedure that involves replacing only the damaged part of the knee joint, while preserving the healthy parts. Total knee replacement, on the other hand, involves replacing the entire knee joint. Revision knee replacement is a procedure performed to replace a previously implanted artificial joint that has worn out or failed.

The need for knee replacement surgery varies from person to person and depends on several factors, including age, medical history, and the severity of the knee problem. Generally, knee replacement surgery is recommended for patients with chronic knee pain or other symptoms caused by arthritis, injury, or other degenerative conditions that have not responded to conservative treatments. Common conditions that may require knee replacement surgery include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and avascular necrosis.

Knee replacement surgery is a safe and effective procedure that can provide long-lasting pain relief and improve function in patients with knee problems. According to the American Academy of Orthopaedic Surgeons, more than 600,000 knee replacement surgeries are performed each year in the United States, and the success rate of the procedure is very high. However, like any surgical procedure, knee replacement surgery also carries some risks, including infection, blood clots, and nerve damage. Therefore, it is important for patients to discuss the potential risks and benefits of knee replacement surgery with their doctor and to carefully follow post-operative instructions to ensure a successful recovery.

In conclusion, Knee Replacement Surgery in Chandigarh is a common medical procedure performed to alleviate pain and restore function in patients with knee problems caused by arthritis, injury, or other degenerative conditions. The need for knee replacement surgery varies from person to person and depends on several factors, including age, medical history, and the severity of the knee problem. While the surgery carries some risks, it is generally considered safe and effective and can provide long-lasting pain relief and improve function in patients with chronic knee pain. If you are experiencing knee pain or other symptoms, it is important to talk to your doctor to determine the best course of treatment for your specific condition.

May 18, 2023 / by Manu

Ankylosing Spondylitis (AS): Understanding the Causes, Symptoms, and Treatments

Ankylosing Spondylitis (AS) is a type of arthritis that affects the spine and other joints.

It causes inflammation in certain parts of the spine and can lead to stiffness and pain. Early signs and symptoms include pain and stiffness in the lower back and hips.
The exact cause for ankylosing spondylitis is not known, but gene mutation could be a factor. Other factors that could contribute to ankylosing spondylitis include gender (men are at increased risk than women), age (the disease tends to develop during late adolescence or early adulthood), and family history.

Treatments including medications, therapies, exercise, and surgery help manage the condition.

Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) are used to relieve inflammation, pain, and stiffness.
Disease-modifying antirheumatic drugs (DMARDs) are used to relieve inflammation, pain, and stiffness.
Biologics are used to reduce inflammation, pain, and stiffness.
Joint replacement surgery may be required in cases of severe damage to hip and knee joints.
Physical therapy includes range-of-motion and stretching exercises, proper sleep and waking positions, etc.

Foods that contain omega-3 fatty acids such as flaxseeds, walnut, fishes such as salmon and tuna, kale, spinach; whole grains such as oatmeal, low starch diet such as fruits, vegetables, meat, fish, milk and milk products, eggs are recommended for people with ankylosing spondylitis.

Foods that should be avoided include sugar, sodium, fat; alcohol should be avoided as well.

The primary diagnosis depends on physical examination followed by other imaging tests to rule out any other conditions.

Movement of spine, movement of legs and breathing tests are performed during physical examination.
Magnetic resonance imaging (MRI) scan of sacroiliac joints provides detailed images of bones and surrounding tissues. X-ray of back and pelvis may be performed to assess the severity of the disease.

May 1, 2023 / by Manu

Everything you should know about Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune condition in which your body’s immune system has decided to attack its own joints. It’s likely to cause you pain for the rest of your life, thus making it difficult for you to see the bright side. It is estimated that people suffering from arthritis have much higher rates of depression and anxiety than the general population.

Rheumatoid Arthritis and Fibromyalgia

Fibromyalgia and RA have symptoms that are similar, such as fatigue and pain. RA, however, causes joint pain and inflammation and can be treated with a variety of medications. It can trigger your chance of developing fibromyalgia as well. According to research, 20–30% of people have RA and fibromyalgia together.

Daily tribulations of living with Rheumatoid Arthritis

Living with rheumatoid arthritis (RA) can be a challenging experience. Some common symptoms of RA include:

Joint pain and stiffness
This is often the most prominent symptom of RA, and it can make it difficult to move the affected joints.

Fatigue
Many people with RA experience fatigue, which can make it difficult to carry out daily activities.

Swelling
RA can cause swelling in the joints, which can make them appear red and feel warm to the touch.

Joint deformities
Over time, RA can cause joint deformities, which can lead to permanent disability.

Reduced mobility
The joint pain, stiffness, and swelling associated with RA can make it difficult to perform daily activities, such as dressing, cooking, and cleaning.

Emotional impact
Living with a chronic illness like RA can be emotionally challenging. It can cause feelings of frustration, sadness, and anxiety.

Despite these challenges, you can work towards reducing pain and stiffness, improving mobility, and maintaining your overall health and well-being. Rheumatoid arthritis needs to be managed daily, as it can affect all aspects of your life. Though there are certain treatments that can help you manage RA symptoms, you can adopt some lifestyle changes to help manage your condition.

Regular exercise
Exercise is important for maintaining joint health, reducing stiffness, and improving mobility. It can also help reduce fatigue and improve overall physical and mental health. Talk to your healthcare team about what types of exercises are safe and effective for you.

Healthy diet
A balanced diet that is rich in anti-inflammatory foods, such as fruits, vegetables, whole grains, and omega-3 fatty acids, can help reduce inflammation and improve overall health.

Stress management
Stress can trigger RA flares, so it’s important to manage stress levels. This may involve relaxation techniques, such as deep breathing, meditation, or yoga.

Avoid smoking
Smoking can increase the risk of developing RA and worsen symptoms for people who already have the condition.

Maintain a healthy weight
Excess weight can put additional strain on joints, exacerbating RA symptoms. Maintaining a healthy weight through a balanced diet and regular exercise can help reduce stress on joints.

Adapt daily routines
People with RA may need to adapt their daily routines to minimize stress on their joints. This may involve using assistive devices, such as canes or splints, to support joints, and modifying daily activities to reduce joint strain.

Get enough sleep
Getting enough restful sleep is important for overall health and can help reduce fatigue and improve mental clarity.

In addition to making these lifestyle changes, it is important to work with a healthcare team to develop a personalized treatment plan that incorporates these lifestyle changes and other medical interventions as necessary.

Rheumatoid Arthritis treatment
Get insights into some common treatment options for RA

Medications
There are several types of medications used to treat RA, including nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and biologic agents. These medications work to reduce inflammation and pain, and slow down or halt the progression of the disease.

Physical therapy
Physical therapy can help improve joint function, reduce pain, and increase mobility. A physical therapist can create an exercise regimen that is specific to a person’s needs and abilities.

Occupational therapy
Occupational therapy can help individuals with RA learn new ways to perform daily activities, use assistive devices, and modify their environment to reduce stress on their joints.

Surgery
Joint replacement surgery may be an option for people with severe joint damage. This involves replacing the damaged joint with an artificial one.

Lifestyle modifications
Making lifestyle changes such as regular exercise, maintaining a healthy diet, and managing stress can help manage symptoms and improve overall health.

To Sum Up

Treatment for RA is aimed at reducing pain and inflammation and improving the overall quality of life. Learn as much as you can about rheumatoid arthritis, including the causes, symptoms, and treatments. This will help you make informed decisions about your care and manage your expectations.

April 19, 2023 / by Manu

Frozen Shoulder.

Frozen shoulder, also known as adhesive capsulitis is a disorder that cause stiffness thereby resulting in pain in the shoulder joint. This condition leads to the loss of normal range of motion of the shoulder, leaving the affected individual unable to perform even simple physical activities like reaching for objects placed on an overhead shelf. A frozen shoulder can get significantly worse if left untreated. In most cases, the problem deteriorates, and then goes away over the course of time, usually over a period of 1 to 2.5 years.

Symptoms

Dull, lingering pain in one of the shoulders or in the muscles of the outer shoulder and upper arm region accompanied by stiffness of the shoulder joint are common symptoms of frozen shoulder. The pain may worsen at night in some cases. Most patients will experience pain at the slightest movement of the shoulder.

Who all are at risk?

For reasons yet unclear, women are more likely to develop a frozen shoulder than men. People belonging to the age group of 40-60 years old and those recovering from a stroke, mastectomy and other medical conditions that restrict the movement of arms are most likely to be affected by a frozen shoulder.

Individuals suffering from heart and thyroid related issues (hyperthyroidism/ hypothyroidism), tuberculosis, cardiovascular disorders, Parkinson’s disease and diabetes too have a high susceptibility to developing a frozen shoulder.

In addition, individuals recovering from tendinitis or injuries that cause them to wear a sling for several days are also at the risk of getting a frozen shoulder in absence of regular stretching. An estimated 10 percent of people suffering from rotator cuff disorders are affected by frozen shoulder.

Diagnosis

A physical examination is required for diagnosing a frozen shoulder. This involves active and passive movement tests. In the ‘active’ part, the doctor will have the affected individual move the shoulder on his/her own to get a measure of pain and stiffness. In the ‘passive’ leg of the examination, the doctor will move the affected individual’s shoulder to gauge the differences in discomfort and range of motion.

In some instances, the doctor can administer anesthesia to numb the shoulder in order to carry out the physical examination. In addition, imaging tests such as X-ray, MRI or ultrasound may also be required if the doctor suspects a torn rotator cuff, arthritis or a similar condition to be the underlying cause of shoulder distress.

Treatment

In some cases, non-steroidal anti-inflammatory drugs are prescribed to alleviate the pain, especially if there’s noticeable swelling in the affected shoulder. If there is significant inflammation or pain, the doctor can prescribe different, more potent medications.

Physiotherapy has been found to be effective in improving mobility of the shoulder and is often recommended. In severe cases wherein oral medication fails to bring relief, the doctor can revert to administering a corticosteroid injection into the shoulder joint.

Some rare cases may call for a shoulder surgery. The surgery is an arthroscopic or keyhole procedure.

September 19, 2019 / by Manu

Best Knee Replacement Surgeon In Chandigarh Mohali - Dr. Manu Mengi - Joint Pain Doctor

Knee Pain Treatment – Surgical and Non-Surgical Options

The knees are one of human body’s most utilized joints — they bear approximately 3-4 times the body weight with each step. The staggering amount of work the knees perform means that most people will invariably face knee pain at some point of their lives. This could be short term discomfort, inflammation and dislocations caused by trauma or age and weight related issues like Osteoarthritis.

Treatment of knee pain depends upon the underlying cause and the degree of damage to the joint and surrounding tissue. Inflammation and pain in the knee region can be self-managed by RICE therapy—Resting it to allow proper healing, Icing the swollen area for 20-30 minutes, 4-5 times a day, Compressing the knee using a wrap and Elevating the knee to prevent fluid buildup in the affected region. Joint deformation, puncture wounds, suspected fractures, excessive redness and swelling, fever and lack of relief from RICE therapy are indicative of conditions that require medical attention.

Non-Surgical Knee Pain Treatment: –

Oral medication

Oral medicine of various kinds can be effective against knee pain. Depending on the diagnosis, a physician may prescribe a course of analgesics for pain relief, nonsteroidal anti-inflammatory drugs for pain and inflammation or oral corticosteroids.

Arthrocentesis procedure

This procedure involves the use of a needle to remove joint fluid from the knee, primarily for lab tests. The removal of excess fluid, however, can alleviate pain and reduce inflammation by itself.

Injecting Hyaluronic Acid Supplements

Hyaluronic acid is the substance that helps absorb shocks and lubricates the knee joint, ensuring proper and safe motion. People with Osteoarthritis (a condition that alters the shape or structure of the joints) often suffer from a breakdown of hyaluronic acid. Supplementing by injecting hyaluronic acid directly into the knee joint can significantly ease pain.

Injecting Corticosteroids

Injecting corticosteroids directly into the knee joint can bring immediate relief to swollen, aching knees. The effect of these injections can last from several days to over six months. Continuous knee injections, however, can cause cartilage breakdown so this procedure should not be relied upon for long-term pain management.

Platelet Rich Plasma Injection (Click to read more)

Using patient’s blood PRP is prepared & injected into the knee joint. It is one of the safest procedures available.

Surgical Option: –

Knee surgery is usually a last resort option for when all other procedures have failed to cure knee pain. The degree of invasiveness involved varies with the extent of damage and structural modification required.

Arthroscopy

A minimally invasive surgery performed for removal or repair of torn menisci, trimming pieces of joint cartilage, repairing torn cruciate ligament and removing inflamed joint lining or loose bodies from the knee. The surgery entails making small incisions in the knee to insert a lighted scope and small instruments to carry out the procedure.

Osteotomy – Proximal Fibular Osteotomy (Click to read more)

This surgery entails reshaping and repositioning the bones to take the load off the damaged area of the knee. Performed in cases where the damage in limited to one section of the knee or wherein the patient is unwilling to undergo total knee replacement.

Total knee Replacement

If knee damage is substantial and irreparable by means of other procedures, it requires the removal of the top of the tibia (shin bone) and the damaged part of the bone at the end of femur (thigh bone), and/or of the patella (knee-cap). The surgeon will then replace the removed parts with prosthetic components typically made from metal alloys and high-grade plastic.

July 23, 2019 / by Manu