(Anterior Cruciate Ligament) ACL Reconstruction Surgery is to reinstate the torn ligament that is present in the center of the knee. Any act of twisting or an injury can result in the same. It’s one of the considerably injured ligaments of the knees. This surgery is performed by arthroscopy which is minimally invasive surgery. It’s generally required for people who experience recurrent cycles of knee instability because of anterior cruciate ligament deformity.

The timeline of recovery post-surgery varies from person to person. A person is quite curious to know when he will be able to get back to a normal schedule and can regularly perform his chores. The recovery process takes place in multiple phases and the person with each passing phase tends to feel better.

The initial 2 weeks post-surgery are considered to be very essential as during this time the body is most vulnerable. One may encounter pain, swelling, and the building of excess fluid around the knee joint. So it’s important that the patient understands the recovery tips and follows them for getting a good start. So let’s get a detailed note about the various recovery tips after ACL RECONSTRUCTION SURGERY one should abide by after their anterior cruciate ligament surgery for an affluent and faster recovery.

Recovery Tips after ACL Reconstruction Surgery

1- Follow the Strategies Explained by the Doctor

The ultimate goal of every doctor is the long-term recovery of his patient and for this; he explains the strategies that should be followed. Managing symptoms and regaining pain-free strength and function should be the goal of every patient. The therapist teaches exercises that are helpful in stabilizing knees and strengthening too. And this could help in returning to day-to-day activities soon.

2- Regular Intake of Painkillers in the Initial days

Pain levels are quite high in the beginning or for the few days after surgery and doing exercise is also necessary. Most of the times doctor prescribe medicines that can help in controlling pain, so that patients can focus on physical therapy, which helps in complete rehabilitation.

3- Icing for Reducing Swelling

Swelling is part of the inflammatory response, which stops muscles from working and is quite common after surgery. So its important to reduce swelling by treating with compression, rest, and icing. Doctors recommend three to four 15 minutes sessions of icing in the early stages for desirable results.

4- Crutches or Brace are good options too

In case of any feeling of instability in the knees uses crutches or wear a brace after surgery for a few weeks. Range of motion exercises performed during therapy is all to keep the kneecap mobile. So these options can help in achieving recovery goals.

5- Proper Care of Incision is necessary

After ACL Reconstruction surgery at least 15 days are required for wound healing. But for this all instructions should be followed like dressing at the proper time, keeping the wound area dry and covered, showering, etc. Bathtubs, swimming pools and hot tub activities should be avoided till the doctor doesn’t allow them.

6- In case of Any Unexpected Symptoms Call Doctor

A number of times patient hesitates to call the doctor for small queries and either takes medicine on their own or waits. But in case of any unexpected symptoms like swelling or mild fever, one should consult the doctor.

Hope the above tips will help you in recovering soon!

Read Also:- ACL TEAR RECONSTRUCTION SURGERY

Also Watch:- ACL Injury Tear Surgery Recovery

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The post Recovery Tips after ACL RECONSTRUCTION SURGERY first appeared on My Shoulder & Knee Expert Blog.

The Shoulder Joint

The shoulder complex is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). The shoulder joint is a ball-and-socket type of joint: The ball, or head, of your upper arm bone, fits into a shallow socket in your shoulder blade made of scapula bone.

The Head of the Humerus (Arm Bone) is kept in your shoulder socket by your rotator cuff. The rotator cuff of the shoulder joint is a group of four muscles that come together as tendons to form a covering around the head of the humerus. The rotator cuff attaches the humerus to the shoulder blade and helps to lift and rotate your arm around the joint.

There is a sac called a bursa between the rotator cuff and the bone on top of your shoulder (acromion) that provide lubrication in the joint. The bursa is the Subacromial bursa, which allows the rotator cuff tendons to glide freely when you move your arm. When the rotator cuff tendons are injured or torn, this bursa can also become inflamed and painful.

Advantages of arthroscopic shoulder surgery

The four muscles rotator cuff tendons are:

• Supraspinatus: It is there at the top of the shoulder.  Initiates abduction i.e. moving the arm out sideways, and stabilises the shoulder during this movement.  Most commonly injured tendon.
• Infraspinatus: It is at the back of the shoulder.  It rotates the arm outwards.
• Teres Minor: It is at the back of the shoulder below the infraspinatus. It also turns it outwards.
• Subscapularis: This runs across to the front of the shoulder.  It medially rotates the arm i.e. turns it inwards

Rotator cuff tears

Most tears occur in the supraspinatus tendon, but other parts of the rotator cuff may also be damaged.

In most cases, tears in tendons begin by fraying. As the injury progresses, the tendon can completely tear.

There are different types of tears.

• Partial tear. this is also called an incomplete tear. It damages the tendon but does not completely damage it.
• Full-thickness tear. also called a complete tear. It separates all of the tendons completely from the bone.

Cause of Rotator cuff tears
There are two main causes of rotator cuff tears: injury and degeneration.

• Acute Tear
  If fall down on your outstretched arm at home or road traffic accident or lift something too heavy with a jerking motion, your rotator cuff might be torn.
• Degenerative Tear
  These types of tears are the result of age-related wearing down of the tendon that occurs slowly over time. These are more common in the dominant shoulder. If you are having a degenerative tear in one of the shoulders, there is a more chance of a rotator cuff tear in the opposite shoulder — even if you do not have pain in that shoulder.

These are factors that contribute to degenerative, or chronic, tears.

• Repetitive stress. Repeating the same shoulder motions, again and again, lead to stress on your rotator cuff muscles and tendons. Example Baseball, tennis, rowing, and weightlifting. These sports activities can put you at risk for overuse tears.
• Lack of blood supply. With increasing age, the blood supply in our rotator cuff tendons lessens. This can ultimately lead to a rotator cuff tendon tear.
• Bone spurs. With ageing bone overgrowth often develop on the underside of the acromion bone. When you lift your shoulder, this bony outgrowth rub on the rotator cuff tendon.

Risk Factors

Most rotator cuff tears are caused by the normal wear and tear that goes with ageing, people over 45 are at greater risk.

People who do repetitive overhead activities or lifting are also at risk for tears. Overhead Athletes are likely to overuse tears, particularly tennis players and baseball pitchers.

Most tears in young adults are caused by a traumatic injury, like a fall.

SHOULDER PAIN TREATMENT IN JAIPUR INDIA

Torn Rotator Cuff Symptoms

Degenerative torn rotator cuff tear symptoms at the start are fairly mild and get progressively increase over time.

Acute rotator cuff tears more typically cause instant, intense pain.

Torn rotator cuff symptoms commonly are:

• Pain: around the shoulder, often is as a dull ache deep inside. Pain tends to get worse when lifting or rotating your arm, with activities such as brushing your hair. Pain is worse when lying on that side in bed, which often leads to disturbed sleep at night.  As the condition gets worse, you may experience pain even on rest.
• Weakness: Difficulty lifting or twisting the arm is common which can lead to decreased range of active movement.

Symptoms will depend on the severity of the injury. Three grades for tendon strains are:

• Grade 1 Strain:  No fibres are torn,  but overstretching of the tendon
• Grade 2 Strain: a partial rotator cuff tear – only some of the fibres are torn
• Grade 3 Strain: a complete/full-thickness rotator cuff tear – the tendon completely detaches from the bone itself. Due to this, you may not be able to lift your arm.

Diagnosing Rotator Cuff Tears

After taking your history doctor will examine you for your problems. It is always advisable to visit a shoulder specialist arthroscopy orthopedic surgeon.

Depending on your symptoms, he may send you for further investigations, like x-rays, to look for any bone spurs or arthritis or an MRI or ultrasound scan to look at the soft tissues as rotator cuff and identify the presence, location and size of a tear.

CAUSES OF SHOULDER PAIN

Rotator Cuff Tear Treatment
Treatment will depend on the severity of the injury, as well as the age and activity level of that patient.  Treatment should be directed not just to your symptoms, but also the underlying cause of the problem, such as any areas of weakness or postural issues.

INJECTION STEROID FOR SHOULDER PAIN YES OR NO!

In most cases, conservative treatment that is non-surgical is sufficient, but in more severe cases such as grade 3 tears, or if symptoms have failed to settle, surgery may be advocated.

Surgical Repair Options

Advancements in surgical techniques for rotator cuff repair include minimally invasive procedures. While every method available has its own advantages and disadvantages, all have the same goal: getting the tendon to heal.

The type of repair performed depends on your surgeon’s experience and familiarity with a particular procedure, the size of your tear, your anatomy, and the quality of the tendon tissue and bone.

FULL RECOVERY AFTER ARTHROSCOPIC ROTATOR CUFF REPAIR SURGERY

Your orthopedic surgeon will discuss with you the best procedure to meet your individual health needs and demand.

In addition to a rotator cuff tear, other problems might be there such as biceps tendon tears, osteoarthritis, bone spurs, or other soft tissue tears. During the surgery, your surgeon may be able to take care of these problems, as well.

Three techniques most commonly used are –

• Open Repair
  An open surgical incision (several centimetres long) is often required if the tear is large or complex. During an open repair, the surgeon removes bone spurs from the underside of the acromion (this procedure is called an acromioplasty). This was the first technique used for torn rotator cuffs. Over the years, new technology and improved surgeon experience and skills have led to the least invasive procedures.
• All-Arthroscopic Repair
  During shoulder arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays inside pictures of your joint on a television screen, and your surgeon uses these images to guide miniature surgical instruments in the joint to do the surgery.

Because the arthroscope and surgical instruments are very thin that is 5 to 6 mm, your surgeon can use very small incisions (cuts), rather than the larger incision needed for open surgery.

RECOVERY AFTER MASSIVE ROTATOR CUFF REPAIR

• Mini-Open Repair
  The mini-open repair uses newer technology and instruments to perform a repair through a small incision around the shoulder. The incision is typically 4 to 5 cm long.

This technique uses arthroscopy to assess and treat damage to other structures within the shoulder joint as bone spurs. Once the arthroscopic portion of the procedure is done, the surgeon repairs the rotator cuff through the mini-open incision. In this technique of tendon repair, the surgeon views the shoulder structures directly, rather than through the video monitor.

After rotator cuff repair surgery, physical therapy is vital to regaining the strength and movement in the shoulder. Recovery from rotator cuff tear surgery usually takes 8 to 12 weeks.

MOST COMMON MISTAKES AFTER ROTATOR CUFF REPAIR SURGERY

The author is a reputed shoulder surgeon in Jaipur India with expertise in shoulder arthroscopy and joint replacement surgeries.

Also read:- Frozen Shoulder – Treatment options

Must Watch:- SHOULDER & KNEE SPORTS INJURY treatment in Jaipur

The post Rotator Cuff Tear: Common cause of Shoulder Pain in Elderly first appeared on My Shoulder & Knee Expert Blog.

Planning for Extra Help

If you live alone or have special needs, then plan for extra help after knee replacement surgery. Arrange for someone to take you to hospital and pick you up when you back. You will be able to walk with the assistance of aids like walker after surgery but you will need someone to look after you during the first 2-6 weeks. You will need someone to help with showering, cooking, laundry and shopping.

Preparations at your home

• Have clear pathways and remove any clutter around your home.
• Make a walking path that a walking aid like a walker will fit through your home.
• Pick up all throw rugs in your walking and standing path. Consider using double-sided tape to secure carpet edges.
• Check stair railings to make sure they are well secure.
• If you have extra low furniture, you can increase their height with extra cushions or furniture risers.
• Do you have access to portable commode?
• Make your phone accessible to your main living area and bed.

Recovery after Knee replacement Surgery: Expectations vs reality are you looking one of the for best knee replacement doctor in jaipur !

Preparations of bathroom

• You may need a raised toilet seat and toilet safety frame.
• Consider putting up grab bars in the bathtub, shower or both. Also consider other key areas for grab bars such as by your toilet.
• Have access to a shower, tub transfer bench or both for showering.
• Apply adhesive slip strips or a bath mat to the tub and shower floor.
• Consider a hand-held shower head to take bath

Knee replacement surgery in Jaipur are you looking one of the for best knee replacement doctor in jaipur !

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Anatomy

Your hip is a ball and socket type joint. The socket is made by the acetabulum, which is part of the large pelvic bone. The ball of joint is the femoral head, which is the upper end of your thighbone.

The surface of the ball and socket is covered with cartilage, a smooth, slippery substance that protects the bones and enables them to glide smoothly across each other.

Causes of AVN [Hip Replacement]

• Steroids intake
• Traumatic injury or accident to hip joint
• Alcohol
• Smoking
• Chemotherapy for cancer

Idiopathic- most common type where exact cause can not be established

Symptoms of AVN Hip 

• Pain and Stiffness around  the hip joint.
• Limited range of motion
• Difficulty in walking or climbing stairs due to the pain
• Pain while sleeping and getting up from bed.
• Inability to bend forward or tie shoelaces.

Doctor Examination [Hip Replacement]

You need to tell  your symptoms and medical history to doctor.

Your doctor will examine your hip to discover which specific movement cause your pain.

Patients with AVN often have severe pain in the hip joint but relatively good range of motion. This happens because only the femoral head is involved in the earlier stages of the disease. Later, as the surface of the femoral head collapses, the entire hip joint becomes arthritic. Loss of movement and stiffness can then develop.

Investigations 

Imaging studies will help to confirm the diagnosis.

X-rays

X-rays provide images of dense structures, such as bone. They are used to determine whether the bone in the femoral head has collapsed and to what degree.

(Left) An X-ray of a healthy hip joint. (Right)  In this X-ray, AVN has progressed to collapse of the femoral head.

MRI SCAN

Early changes in the bone that may not show up on an X-ray can be detected with an MRI scan.

This is used to evaluate how much of the bone is affected by the disease.

An MRI may also show early AVN that has yet to cause symptoms (for example — AVN that may be developing in the opposite hip joint).

MRI scan shows  AVN in a patient’s right hip (white arrow). The dark line (red arrows) denotes the border between dead bone and live bone. The patient’s left hip is normal.

Available Treatment Options

• Non-surgical treatments like medicines including non-approved one step procedures relieve the pain but don’t cease the disease progressio.
• Core Decompression removes the dead bone but does not help in new bone formation.
• Disease progression leads to Total Hip Replacement Surgery which severely restrics from daily activities.
• Implanted Hip have a short shelf life & needs to be replaced again after 20 to 25 years.

Permanent Treatment of AVN

• Progression of AVN can be stopped if diagnosed and treatment starts at an early stage.
• Stem Cell therapy stops disease progression & cures AVN permanently.
• In this procedure dead bone is removed and bone cells are injected which develops healthy bone again.
• Osteoblast Cells for these treatments are developed at the FDA approved R&D Lab of Regrow® in india.

Benefits of Osteoblast Stem cellls OSSGROW®

• Cure AVN permanently.
• Targeted & personalized bone regrowth therapy.
• Blood supply supports growth of new bone.
• Patient returns to active normal life with restored mobility.
• Eliminates need of Total Hip Replacement Surgery.
• Covered under ESIC, CGHS and Private Health Insurance.

The post Stem Cell therapy for “AVN Hip” first appeared on My Shoulder & Knee Expert Blog.

The knee joint is formed by the lower end of femur, upper end of tibia (leg bone) and patella (knee cap). The ligaments of the knee play a crucial role as they are the most important element in providing stability to the knee.

Ligaments of the Knee

The knee is stabilized by four main ligaments – two ligaments in the center of the joint (cruciate) and two ligaments on either side of the knee (collateral ligaments).The Anterior Cruciate Ligament (ACL) is in the front of the knee joint and it prevents the tibia from slipping forward. The Posterior Cruciate Ligament (PCL) is at the back of the knee and it prevents the tibia from slipping backwards.

The collateral ligaments prevent abnormal sideward movements of the tibia. The Medial Collateral Ligament (MCL) stabilizes the inner side of the knee and the Lateral Collateral Ligament (LCL) along with a few more ligaments stabilizes the outer aspect of the knee.

How ACL is damaged

Body contact sports, road traffic accidents and awkward fall are common causes of ACL injury.

How do I know

Many people can hear a “CRACK” or “POP” at the time of injury, followed by immediate swelling and pain. Players often have to be carried off the field. Later there will be pain, weakness and a peculiar looseness of knee- giving way- the most disabling problem.

What is the treatment

It depends on your disability and your activities. In brief, if you are engaged in lots of outdoor activities and heavy work and not willing to restrict your activities then you need an operation to make a new ligament. This applies to most young and active people.

What is the operation

Operation is done in general or spinal anesthesia. At first inside of knee is examined by a telescope, which is introduced through small puncture (arthroscopy). Next a new ligament is prepared by taking few fibers from the tendons around knee. Generally the hamstring or patellar tendon is used.

This newly fashioned ligament is then placed inside the knee which grows and matures to take the function of original ligament.

What if I do not get operated

Other then the disabilities like giving way, pain, swelling etc. it is said to be the “Beginning of The End of Knee.” The knee suffers repeated injuries because of its undue laxity and early arthritis sets in.

ACL Injury Tear Surgery Recovery

ACL Surgery Guideline For patients

Preparation before the operation:

1. Arrange for a leave about one month from your work.

2. DO NOT eat or drink anything after Midnight. (NBM)

3. Report to hospital 8 a.m. – Please bring your all X ray and reports with you.

4. The hospital stay is usually 2-3 days – bring your clothes accordingly.

After operation

1. Exercise: Start the static quads exercise the same day. From next day a qualified physiotherapist will take you through a detailed exercise schedule.

2 .Walking:  You can stand up next morning and start walking. You will need the help of a stick or a pair of crutches for the first few weeks. However, walk minimally for first two weeks after operation.  This reduces pain, swelling and helps healing.

3. ICE: Compress: Put some crushed ice in a plastic bag, cover it with dry towel and place it on the knee for 15-30 minutes. Do it four times daily.

4. Dressing: Will be changed in the hospital the after the operation. No further dressing is usually necessary. Keep it dry until stitches are removed.

5. Stitch removal:  Usually done 12-14 day after operation.

6. Shower: Allowed only after 2 weeks, when stitches are removed.

7. Toilet: You should use commode for 2-3 months after operation (If you do not have commode at home arrange for a chair commode)

8. Driving:  You can drive a car after two months and a two wheeler after three months, provided you have good power and control of leg.

9. Activities: During first two weeks you should mostly rest in bed with leg elevated on a pillow, and do exercise as advised. Subsequent movements depend on your muscle strength and type of operation.

Generally, after 4 weeks one can join light office duties.

After 8 weeks one can join gym, ride a bicycle or drive a car.

After 4 months light on field activities are allowed.

After 6 to 9 months games can be played provided good muscle power is achieved.

Also read:- ACL reconstruction surgery कब तक करवानी चाहिए ?

The post ACL TEAR RECONSTRUCTION SURGERY first appeared on My Shoulder & Knee Expert Blog.

In addition to natural, inevitable aging of the knee joints, other factors can make you more susceptible to this wear and tear. Osteoarthritis, trauma, excess body weight and lack of muscle strength and flexibility can all cause or contribute to knee problems.

SAVE YOUR KNEE in Hindi by Dr.RAJAT JANGIR

Osteoarthritis is the most common type of arthritis and other beong rheumatoid arthrtis. With this aging degenerative process, the cartilage that cushions the joints breaks down and can cause pain, immobility, and stiffness.

Whether a previous injury or repetitive stress from high impact activity jumping, running, etc., injury to the knee can also result in acute, dull, recurring or chronic pain. This trauma can eventually develop into osteoarthritis if left untreated.

Putting extra stress on weight-bearing joints like your knees puts you at risk for knee pain, as well.  This excess body weight not only accelerates joint deterioration but also increases your risk of osteoarthritis.

Weak or inflexible muscles also put undue stress on the knee joints. Without good muscular strength and flexibility to safely support your full range of motion, your knees are at a greater risk of injury.

You can help protect the health of your knees by adopting these healthy  lifestyle habits, irrespective of your age. Always consider your doctor  before starting a new exercise regimen.

Exercises for KNEE PAIN OSTEOARTHRITIS in Hindi

Strengthen your upper and lower leg muscles around knee. strenthen your hamstrings, quadriceps, gluteus muscles, hip flexors and psoas muscles.

Stretch those same leg muscles to support your full range of motion. Try incorporating yoga into your stretching routine.

Maintain a recommended weight. Extra pounds add significant stress to the knees. Even a 10-pound weight loss can make significant difference to your knee.

Choose low-impact exercises to protect the cartilage in your knees. Cardiovascular activities like cycling (on a properly fitted bike) and swimming can help keep knee cartilage healthy and prevent future damage.

See a your Doctor  right away if you have a swollen knee with pain or stiffness.

Be cautious when playing sports that require you to abruptly start, stop or direction change, like basketball or football.

Stay active every day. Physical activity everyday helps prevent stiffness and muscle atrophy and can protect your knees from future injury.

Mix up your exercise routine. Activities that put repetitive stress on your knees can increase your risk of developing a knee problem. Its better to mix up your exercises.

Exercise for Frozen Shouder in Hindi

The post Save Your Knee first appeared on My Shoulder & Knee Expert Blog.

1. Reduces stress and improves Mental Health

Cycling can ease out feelings of stress, depression, or anxiety. Focusing on the road while cycling helps develop concentration and awareness of the present moment. This may help take your focus away from the mental chatter of your day.

If you are feeling lethargic, get yourself on your bicycle for at least 10 minutes. Exercise releases endorphins in brain, which in turn help you feel better while lowering emotional stress.

2. Cardiovascular health and Blood Pressure

High blood pressure is a risk factor for cardiovascular disease in some people. Physical activity such as cycling controls your blood pressure and reduces risk of heart diseases. Use of cycling for going to office reduces the rate of heart attacks by 15 percent than with no physical activity.

3. Weight loss

Cycling is low impact exercise and can be done at moderate intensity for extended periods, it is among best exercise for anyone looking for weight loss. While diet is generally an important part of any weight loss plan, studies have shown that even without diet restrictions, individuals who were obese and cycled daily for six months lost 12% of body fat, and cycling was a more effective activity than the walking and swimming groups in the same study.

4 Low impact exercise

It is low impact form of exercise which makes it safe for older adults and people with weak or damaged joints.

Orthopedic surgeons may recommend cycling on level surfaces or indoors after surgeries such as total hip and knee replacement patients. This low impact nature of the exercise can accommodate a variety of injuries and disabilities while still allowing a person to be active.

5. Improves balance, posture, and coordination

While cycling when you try to stabilize your body and keep your bike upright, it improves your overall balance and coordination. Balance tends to decline with age and inactivity, which can be improved with cycling.

Improved balance is beneficial in the prevention of falls and fractures, which can leave you on the sidelines while you take time off from exercise to recover.

6. Boost  your immune system ?

This one is particularly important during the global corona pandemic. There is question mark in the statement. Studies suggest that immediately after intense exercise, such as an interval training session, your immune system is lowered but after adequate recovery such as eating and sleeping well it boosts your immunity.

7. Environmentally friendly

Reduce your carbon emission footprint by riding your cycle whenever possible. Cycling is a great replacement for transport options especially useful when you are going to places that are a bit too far to walk, but you still don’t want to take a car. And you don’t need to fight for a parking space in crowded areas.

Know more about sports injury in Hindi

Author is senior orthopaedic surgeon and sports injury expert at Jaipur, India

Sports Injury doctor in Jaipur

The post Seven benefits to start Cycling in Corona Pandemic first appeared on My Shoulder & Knee Expert Blog.

The shoulder joint is the most mobile joint in your body. Shoulder helps you to lift your arm, to rotate it, and to reach up overhead. It is able to move in many directions. This greater range of motion, however, can cause more chances of instability that is dislocation.

Shoulder dislocation occurs when the head of the upper arm bone comes out of the shoulder socket. This can happen as a result of sports injury or accidental trauma.

Once a shoulder has dislocated, it is more likely to repeat episodes. When the shoulder is loose and slips out of joint repeatedly, it is called reccurent shoulder dislocation.

Read More

SHOULDER JOINT 

The shoulder is made up of three bones: upper arm bone (humerus), shoulder blade (scapula), and collarbone (clavicle).

The head, or ball, of upper arm bone fits into a shallow socket in your shoulder blade (Glenoid). Strong connective soft tissue, called the shoulder joint capsule, is the ligament system of the shoulder and keeps the ball centered in the glenoid socket. 

Strong tendons and muscles around the joint keeps your shoulder joint stable.

Shoulder Dislocation

Sports injury, or accidental trauma, is often the cause of an initial shoulder dislocation. When the head of the humerus dislocates, the socket bone (glenoid) and the ligaments and capsule in the front of the shoulder are often damaged. The labrum — the soft tissue rim around the edge of the glenoid — may also tear. This is commonly called Bankart lesion. A severe first dislocation can lead to continued dislocations, giving out, or a feeling of instability. Young patients are more likely to get repeat dislocations.

Shoulder Dislocation treatment in Jaipur

Doctor Examination

After discussing your symptoms, your doctor will examine your shoulder.

Specific shoulder tests help your doctor assess instability in your shoulder.

Doctor may also check for general looseness in your ligaments. For example, you may be asked to touch your thumb to the underside of your forearm.

Investigations

X-rays. It will show any injuries to the bones that makes your shoulder joint.

MRI.  It may help your doctor identify injuries to the ligaments and tendons surrounding your shoulder joint.

1. BANKART LESION
2. HILL SACH LESION 

Treatment

Shoulder dislocation is often first treated with nonsurgical options. If these options do not relieve the pain and instability, surgery may be needed.

Nonsurgical Treatment

Shoulder Dislocation treatment without surgery

Your doctor will develop a treatment plan to relieve your symptoms. It often takes few months of nonsurgical treatment before you can tell how well it is working. Nonsurgical treatment typically includes:

Activity modification. You need to  change in your lifestyle and avoid activities that aggravate your symptoms.

Physical therapy. Strengthening shoulder muscles and working on shoulder control can increase stability. 

Surgical Treatment

Young patietns are more likely to get repeat dislocations despite physical therapy.

Surgery is often necessary to repair torn or stretched capsule and ligaments, so that they are better able to hold the ball of shoulder joint in the socket.

Shoulder Arthroscopic Bancart Repair 

• Bankart lesions of shoulder dislocation is surgically repaired.
• Sutures and anchors are used to reattach the capsule to the bone.
• Soft tissues in the shoulder joint can be repaired using tiny instruments and small incisions.
• This is Day care procedure.
• Arthroscopy is a minimally invasive surgery.
• Your surgeon will look inside the shoulder with a tiny camera and perform the surgery with special pencil-thin instruments.

Rehabilitation after surgery  

After surgery, your shoulder may be immobilized temporarily with a sling for few weeks.

When the sling is removed, exercises to rehabilitate shoulder will be started. These will improve the range of motion in  shoulder and prevent scarring as the ligaments heal. Exercises to strengthen your shoulder will gradually be added to your rehabilitation.

Be sure to follow your doctor’s treatment plan. Although it is a slow process, your commitment to physical therapy is the most important factor in returning to all the activities you want to enjoy.

The post Shoulder Dislocation Recurrent first appeared on My Shoulder & Knee Expert Blog.

“Shoulder replacement, also known as shoulder arthroplasty, is the removal of portions of the shoulder joint, which are replaced with artificial implants to reduce pain and restore range of rotation and mobility. It is very successful for treating the severe pain and stiffness caused by end-stage arthritis or due to injury.”

Shoulder replacement surgery is less common than knee or hip replacements. But more than 3000 shoulder replacements are done in India every year.

Shoulder Pain Doctor in Jaipur

The Shoulder Joint 

It is ball-and-socket joint type joint. The bone in your upper arm (humerus) has a round end that acts as a ball and  fits into the curved structure (socket) on the outside of your shoulder blade.

Ligaments, tendons and muscles hold it together. A layer of tissue, cartilage keeps the bones apart, so they don’t rub against each other.

The ball and socket type joint lets you move your arm up and down, back and forward, or in a circle.

Shoulder Replacement – Why you need it !

In conditions where you have severe pain and not able to move and use shoulder joint 

• Shoulder Injury – Shattered bone around shoulder 
• Severe osteoarthritis 
• Torn rotator cuff with arthropathy 

If you have not got relief from physical therapy and pain medicine, doctor may advise you surgery.

Injection steroid in Shoulder Pain relief ?? 

What is done in surgery 

Shoulder surgeon will replace the bone in the ball and socket of your shoulder joint with a material that could be metal and plastic. You will need physical therapy the surgery.

There are three types of shoulder replacement surgeries:

Total shoulder replacement: This is the most common type shoulder replacement. Here the surgeon replaces the ball at the top of your humerus with a metal ball, which gets attached to the remaining bone. The socket of the joint gets covered with a new plastic surface.

Hemi shoulder replacement: Only the ball gets replaced at the top of your humerus with a metal ball.

Reverse shoulder replacement:

This is done mostly if they have a torn rotator cuff with arthropathy.

Nowadays due to better results also done in case of fracture around shoulder with shattered bone.  

It’s also done when another shoulder replacement surgery didn’t work.

This is called reverse because here ball get replaced with socket and socket with a ball. Here functions of the shoulder are better despite poor rotator cuff tissue. The metal ball gets attached to your shoulder bones, and a socket is implanted at the top of your arm.

Preparing for Your Surgery

Your Shoulder surgeon will do a full examination of your shoulder. X-rays, CT scan MRI or other imaging tests will be required.

Talk to your doctor about any other  medical conditions you have and any medications you take. You will have to stop taking certain drugs, especially painkillers, several weeks before surgery

The procedure takes about 2 hours.

Shoulder Dislocation doctor in Jaipur 

Recovery

You can expect to spend 2 to 4 days in the hospital after your operation.  You will be given pain medicine to reduce pain. Cold compression can help control the swelling.

At first, your arm will be kept in a brace to give rest. Within a few days your doctor will  start physical therapy to get your arm and your new shoulder started working.

You will do exercises that will gradually improve how your new joint works.

Don’t rush things:

It may take 4 to 6 weeks before you can pick up anything heavier than a glass of water .

Your arm will be in an arm sling for most of your recovery. It may be 8 to 10 weeks or more before you can drive again.

You will go for several follow-up visits with your doctor so they can see how your recovery is going.

Complications

Most people have full motion in their shoulder and return to their daily routine after shoulder replacement surgery. But as with any operation, there is a chance of complications.

Infection or bleeding: You will be given antibiotics after your surgery to lower your chances of infection.

Dislocation: This happens when the ball slips out of the socket.

Nerves around your shoulder may get damaged: They usually recover with time.

After years of use, the replacement joint may become loose or separate from the bone: You may need surgery to fix it.

Shoulder dislocation treatment in Jaipur

Author is senior Shoulder and knee orthopaedic surgeon in Jaipur, India

The post Shoulder Replacement Surgery: Patient must Know first appeared on My Shoulder & Knee Expert Blog.

कुछ वर्ष पहले  तक जहाँ  देश में खेल कूद को सिर्फ मनोरंजन का माधयम माना जाता था, लेकिन वर्तमान समय में स्पोर्ट्स एक पूर्णकालिक करियर हो गया है इसीलिए फिट रहने हेतु तथा स्पोर्ट्स इंजरी से जल्दी रिकवरी भी अत्यधिक महत्वपूर्ण हो जाता है। विश्व के महानतम खिलाडियों जैसे टाइगर वुड्स, सचिन तेंदुलकर, बो जक्सोन सभी को स्पोर्ट्स इंजरी के कारण अपने स्पोर्ट्स करियर में परेशानियों का सामना करना पड़ा है ।

इसीलिए स्पोर्ट्स इंजरी की जल्दी डायग्नोसिस, ट्रीटमेंट (इलाज) और प्रिवेंशन (रोकथाम), के बारे में जानकारी बहुत महत्वपूर्ण हो जाती है । 

ऐसा कहा जाता है कि सभी लोगों की ज़िदगी में खेल का काफी मायने रखता है। इनका असर उनके शरीर के साथ-साथ उसके मस्तिष्क पर भी पड़ता है। इन सभी बातों के बावजूद किसी भी व्यक्ति के लिए किसी भी खेल को खेलने से पहले कुछ बातों का पालन करना काफी जरूरी है, हालांकि वे उन बातों का ध्यान रखते हैं लेकिन फिर भी उन्हें खेल में चोट (Sport Injury) लग जाती हैं।

जहां एक ओर, कुछ खिलाड़ी उन चोटों का इलाज समय रहते कराकर उससे आसानी से उभर जाते हैं और वहीं दूसरी ओर, कुछ ऐसे भी खिलाड़ी हैं, जो चोटों को नज़रअदाज़ करके मुसीबत का शिकार बन जाते हैं।

SPORTS INJURY DOCTOR IN JAIPUR

खेलों में कौन-सी चोट लग सकती हैं? (common Sport injuries)

खेलों के दौरान छोटी-मोटी चोटें लगना साधारण चीज़ है, लेकिन कुछ चोटे ऐसी भी हैं, जो समय के साथ गंभीर रूप ले सकती हैं, उनमें से 5 इस प्रकार हैं-

१. मौच लगना- खेलों के दौरान खिलाड़ियों को मौच का सामना करना पड़ता है।

हालांकि, यह कुछ समय के बाद ठीक हो जाती है, लेकिन कई बार यह गंभीर रूप में ले सकती है।  

२.घुटने में चोट लगना- अक्सर, खिलाड़ियों को खेल के दौरान घुटने में चोट भी लग जाती है।

यदि इसका इलाज समय रहते न किया जाए तो यह घुटने की हड्डी के टुटने का कारण भी बन सकता है।

३.फ्रेक्चर होना- कई बार, कुछ लोगों को खेलों के दौरान फ्रेक्चर भी हो सकता है।    

४.सिर पर चोट लगना- ऐसे बहुत सारे मामले देखने को मिलते हैं, जिनमें कुछ लोगों को खेल के दौरान सिर पर चोट लग जाती है और इसकी वजह से कुछ लोगों की मौत भी हो जाती है।    

५.कंधे पर चोट लगना- खेल के दौरान सभी लोग पूरे जोश में होते हैं, जिसकी वजह से दूसरे लोगों  को चोट भी लग जाती है।

इनमें कंधे पर चोट लगना सबसे आम चीज़ है, जिससे ज्यादार खिलाड़ी पीड़ित रहते हैं।

Sports Injury Doctor in Jaipur

खेलों में चोट लगने के कौन-से कारण हैं? (Causes of Sport injury)

हर कोई व्यक्ति किसी भी खेल को खेलता है, तो उसे निम्नलिखित वजहों से चोट लग सकती हैं-

१.सही तरीके से वार्म अप न करना- किसी भी खेल को खेलने से पहले खिलाड़ियों को वार्म अप करना होता है, जिससे उनका शरीर उस खेल के अनुकूल बन जाता है।

ऐसे में अगर कोई खिलाड़ी सही तरीके से वार्म अप न करे, तो फिर उसके खेल के दौरान चोटिल होने की संभावना काफी बढ़ सकती है।

२.खेलने का तरीका सही न होना– हर एक खेल  को खेलने का तरीका होता है, जिसका पालन उसे खेलने वाले सभी खिलाड़ियों को करना होता है।

लेकिन, अगर कोई खिलाड़ी को खेलने का सही तरीका नहीं पता हो, तो उसे खेल के दौरान चोट लग सकती है।

३.खेल उपकरणों का सही तरीके से इस्तेमाल न करना– ऐसे बहुत सारे खेल होते, जिनमें किसी विशेष उपकरण (Equiment) की जरूरत पड़ती है।

इनमें क्रिकेट, हॉकी इत्यादि नाम शामिल हैं, जिनमें इनके उपकरण को इस्तेमाल के सही तरीके का पता होना आवश्यक है।

यदि कोई खिलाड़ी को खेल के उपकरण (sport equipment) को इस्तेमाल करने का सही तरीका नहीं पता हो तो उसे खेल के दौरान गंभीर चोट लग सकती है।

४.खेल में आवश्यक सुरक्षा न अपनाना– सभी खिलाड़ियों को किसी भी खेल को खेलने से पहले आवश्यक सुरक्षा बरतने की सलाह दी जाती है ताकि उन्हें किसी तरह की चोट न लगे।

लेकिन, अगर कोई खिलाड़ी उन सुरक्षाओं को न अपनाए तो फिर उसके चोटिल होने की संभावना दोगुनी बढ़ जाती है।

Sports Injury Doctor in Jaipur

खेलों में लगी चोट का इलाज कैसे करें? (How to treat Sport Injury)

जैसे खेलों के दौरान चोट लगने के कई कारण हो सकते हैं, वैसे ही उसका इलाज भी कई सारे तरीकों से किया जा सकता है, जिनमें से प्रमुख 5 तरीके इस प्रकार हैं- RICE +SURGERY

१. आराम करना-REST

खेल में लगी चोट को ठीक करने का सबसे आसान तरीका आराम करना है। आराम से वह चोट जल्दी से जल्दी ठीक हो जाती है और फिर व्यक्ति खेल को पहले की तरह से खेल सकता है।

२.बर्फ का इस्तेमाल करना ICE–

अगर किसी व्यक्ति के लिए खेल में लगी चोट के तुरंत के बाद आराम करना संभव नहीं है, तो वह इसके लिए बर्फ के टूकड़े का इस्तेमाल भी कर सकता है।

बर्फ का टुकड़े का इस्तेमाल करने से चोट वाली जगह पर सूजन होने की संभावना, ब्लड फ्लो, थोड़ी-थोड़ी देर में होने वाले दर्द इत्यादि कम हो जाते हैं।

३.चोट वाली जगह को दबाना COMPRESSION-

खेल में लगी चोट का इलाज चोट वाली जगह को दबाकर भी किया जाता है। ऐसा करने से वहां पर दर्द कम होता है और व्यक्ति को थोड़ा आराम भी मिलता है।

४.चोट वाली जगह को उठाना ELEVATION–

अक्सर, किसी खिलाड़ी को शरीर के निचले हिस्से (जैसे-पैर) इत्यादि पर चोट लगती है, तो उसका इलाज चोट वाली जगह को उठाकर किया जा सकता है। ऐसा करने से खिलाड़ी को आराम मिलता है और वह जल्दी ठीक हो जाता है।

सर्जरी कराना SURGERY–

बहुत सारे खिलाड़ियों का लिंग्मेंट खेल के दौरान खराब हो जाता है। इसकी वजह से उन्हें असहनीय दर्द से गुजरना पड़ता है। इस स्थिति में एसीएल सर्जरी को करना बेहतर विकल्प साबित हो सकता है।

National level boxer ( from Jodhpur ) started playing after ACL tear surgery

खेलों में लगी चोट से कैसे बचें? (How to prevent sport injury -Hindi)

अक्सर, ऐसे मामले देखने को मिलते हैं, जिनमें कुछ खिलाड़ियों या लोगों की ज़िदगी खेलों के दौरान लगने वाली चोटों की वजह से बर्बाद हो जाती है।ऐसा मुख्य रूप से उनमें इन चोटों से बचने के तरीकों की जानकारी न होने के कारण होता है। इस प्रकार, यदि कोई व्यक्ति किसी खेल को खेलता है, तो उसे कुछ सुरक्षात्मक तरीकों (safety ways) को अपनाना चाहिए ताकि वे खेलों में लगने वाली चोटों से बच सकें-

१.सेफ्टी उपकरणों (safety Equipment) को पहनाना–

जैसा कि ऊपर स्पष्ट किया गया है कि हर खेल के अपने कुछ सेफ्टी उपकरण होते हैं, जो खिलाड़ी को चोट लगने से बचाते हैं। इसी कारण, सभी खिलाड़ियों को इन उपकरणों को पहनाना चाहिए ताकि वे सुरक्षित रह सकें।

२.वार्म अप करना–

सभी खिलाड़ियों  को किसी भी खेल को खेलने से पहले वार्म अप करना चाहिए ताकि उन्हें खेल के दौरान किसी किस्म की चोट न लगे।

३..शांत रहना-

हालांकि, खेल में अच्छा प्रदर्शन करने लिए थोड़ा जोश दिखाना जरूरी है, लेकिन कुछ खिलाड़ी इस दौरान काफी उत्सुक हो जाते हैं। इसकी वजह से उनकी दूसरे खिलाड़ियों या फिर कोच इत्यादि से बहस भी हो जाती है।

४.खेल के नियमों का पालन करना–

हर खेल के अपने कुछ नियम होते हैं, जिनका पालन उसे खेलने वाले सभी खिलाड़ियों को करना चाहिए। ये नियम उस खेल की प्रतिष्ठा को बनाए रखने के साथ-साथ खिलाड़ियों में खेलने की भावना को जगाने का भी कम करते हैं। अत: यदि कोई व्यक्ति किसी खेल को खेलने जा रहा है, तो उसे उस खेल के सभी नियमों का पालन करना चाहिए ताकि वह उस खेल का आनंद ले सके और इसके साथ में सेफ भी रह सके।

५.चोट लगने पर कोई दूसरा खेल न खेलना–

जैसा कि हम सभी यह जानते हैं कि चोट लगने पर हमें पूरा आराम करना चाहिए ताकि हम जल्दी ठीक हो सके। इसी कारण, अगर किसी व्यक्ति को कोई चोट लगी है, तो उसे  किसी दूसरे खेल को नहीं खेलना चाहिए क्योंकि इससे उसकी सेहत पर बुरा असर पड़ सकता है।

टाइम्स ऑफ इंडिया की वेबसाइट पर प्रकाशित रिपोर्ट के अनुसार भारत में लगभग 64% लोग कोई भी एक्सराइज़ नहीं करते हैं। यह आंकड़े वाकई काफी चौंकाने वाले हैं, जो भारतीय के बिज़ी शेड्यूल की तस्वीर साफ करते हैं।

इसके अलावा, ऐसे भी कुछ लोग हैं, जो किसी-न-किसी खेल से जुड़े हैं, उन्हीं उस खेल की सही तकनीक की जानकारी नहीं है। ऐसे में यह जरूरी है कि उन्हें यह पता हो कि किसी भी खेल को किस तरीके से खेला जाता है ताकि वे उसमें लगनी वाली चोट से उभर सकें।

डॉ.रजत जांगिड़(कंधे घुटने एवं स्पोर्ट्स इंजरी विशेषज्ञ आर्थोपेडिक सर्जन)

Sports Injury Doctor in Jaipur

The post स्पोर्ट्स इंजरी – क्या है, कैसे होती है, कैसे बचें और इलाज ? first appeared on My Shoulder & Knee Expert Blog.