Save Your Knees From Surgery

Joints are present at every point in the body where two bones come together, and are instrumental in providing  flexibility and producing  movement in the body. Different types of joints are involved in various movements, and thus are more or less likely to develop joint pain from arthritis

 

 Osteoarthritis is a chonic degenerative disorder of joints commonly involving weight bearing joints like Hip, Knee but can occur in any joint .The surfaces within the joint are damaged so the joint doesn’t move as smoothly as it should.Some of the cartilage at the ends of bone gradually roughens, synovium may swell and produce extra fluid which causes joint to swell.

Risk Factors For  OSTEOARTHRITIS :

Obesity

Increasing age

Previous joint injury or disorder

Genetic factors

Age : late 40s onwards

Gender : females twice commonly affected

Osteoporosis

High impact sports

Symptoms :

Pain and stiffness in knee joints

Swelling around the joints

Difficulty in squatting and getting up

Difficulty in climbing stairs and getting down

Crackling sounds from joints

Difficulty in doing activities of daily living

Pain :

At the beginning of movement

Pain during movement

Permanent/nocturnal pain

Frequent need for analgesics

Investigations :

Weight bearing radiographs of knee joint AP/Lat (Commonly done of both knees to compare )

To see reduction in joint space

Osteophytes

Cartilage defect

Loose bodies

Cysts

Treatment :

Treatment of knee osteoarthritis starts with a thorough examination with the orthopaedician and physiotherapist. Thorough counseling of the patient about the nature of the disease and the treatment options.

1. Lifestyle modification :

Avoid squatting and sitting cross legged

Confortable footwear

Use western commode for toilet

Minimal use of stairs- use lifts wherever available

2. Dietary modifications :

 Diet should include calcium rich food like dairy products, green leafy vegetables, beans, broccoli etc

Stress should be given to take atleast 2 glasses of milk everyday.

Drink lots of water and healthy fluids to keep the body hydrated

3. Weight reduction

Reduction of body weight helps in reducing load of knee joints which prevents further damage of joints.

For weight reduction use of treadmill and running should be avoided as it causes further damage to weight bearing joints which are already arthritis.

4. Physiotherapy

Physiotherapy for knee osteoarthritis includes exercise therapy as well as physical measures, including the following:-

exercises/walking

ultrasound application (to relieve pain and support endogenous healing process)

electrotherapy

muscle stimulation

application of heat and cold

Wax therapy to reduce stiffness and joint pain.

 5.  Exercises includes:

Stretching : stretching of hamstring muscle

Calf stretch

Straight leg raise

Strengthening of quadriceps muscle

Pillow squeeze- this helps stenghten the inside of your legs to help support your knees

Heel raise

Side leg raise

 6.   Walking

 Please note that swimming and cycling are good exercises for arthritic joints as they increase joint mobility and muscle strength

Medical management :

Analgesics to reduce inflammation and pain for sometime

Ice packs in acute stages helps a lot in reducing inflammation.

Intra articular injections

Local intraarticular steroid injections to reduce inflammation in the joint.

Visscosupplementation- helps in lubricating the joint.

7. Braces : Offloader brace helps in unicompartmental arthritis and prevents damage to joint in early stages.

                                                                                 

Surgical management

1 Arthroscopic debridement:

With the use of arthroscopy loose bodies can be removed, debridement of torn meniscus and cartilageRemoval of loose bodies and debridement reduces inflammation in the joint and makes patient symptomfree for some duration.

2. Partial knee replacement :

Partial knee replacement or unicondylar knee replacement is a surgery in which only the damaged condyle of the affected bones are replaced .

 

Advantages –

Reduced amount of blood loss

Decreased recovery time in the hospital

Quicker return to normal activities

Increased range of motion

Recreating more natural knee motion and feel

Long life with natural feel of the knee

3. Total knee replacement:

Total knee replacement is  a surgery in which arthritic or damaged bone ends are replaced with a prosthesis after correction of alignment.Patient can perform his activity of daily living comfortably.

GNH Hospital has launched "Save Your Knees" programme to treat knee pain without surgery. Team of Orthoapedician, Physician, Physiotherapist and dietician asset the patient and modify the clinical programme as per the requirement. Patient suffering from severe knee pain has remarkably benefited within 3- 6 months of joining the programme.

Dr. Anubhav gulati is an experienced joint and spine surgeon practicing at GNH Hospital Gurgaon India.

 Dr Prince Gupta is especially trained in joint replacement surgeries that involve knee replacement, hip replacement, shoulder replacement and elbow replacement surgeries.

Dr Debashish Chanda  specializes in elective orthopaedic surgeries like fracture fixation, complex fractures and trauma surgeries and experties in joint replacement surgeries also.

Watch the video on "SAVE YOUR KNEES" by click : https://youtu.be/yQ7vfGLcsyk

For more information please call on : 9810333238 , 7042795780

Visit on web site : www.gnhhospitals.com

 

 

 

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