Ways in which you can get your knee replaced in India

One of the major health problems which are being faced by Indian people is problem related to legs. There is little or no movement due to the changed lifestyle of the people. Knee replacement especially in the old people is one of the most common problems faced in India. There are various types of surgeries that can be done to get the knee replaced.
Some of the ways to get your knee replaced in India are:
  1. Minimally Invasive Knee Replacement (MIS)
This is the type of knee replacement surgery in which knee replacement is done using an incision that is half the length of the standard size of the knee. This technique helps in reducing the pain and blood loss and there is a comparatively speedy recovery observed.
  1. Computer Assisted Surgery (CAS)
This is a type of knee replacement surgery in which computer is used by the surgeon to align the knee components with the bones more precisely. An imagery guided by the computer is used which can help increase the longevity of the replaced joint.
  1. Bilateral Knee Replacement
This type of knee replacement surgery is when both the knees undergo the same type of surgery by any method. It is done when both the knees are suffering from decreased mobility and damaged cartilage.
  1. Custom Fit Total Knee Replacement (CFKR)
This is one of the best types of knee replacement in India in which CT/MRI of the patient’s knee is taken for getting a three dimensional bone model. The images help in understanding the size of the implant needed and they are sent to US through software. Customised surgical instruments are made for this type of knee implant surgery.
  1. Revision Knee Replacement
Revision Knee replacement is a type of knee replacement surgery that can be repeated several times depending on the requirement. When a knee joint which has already been through surgery is damaged, revision knee replacement is done.
  1. Partial Knee Replacement
Partial knee replacement, also known as Uni compartment knee replacement is a type of surgery in which the arthritic portion of the knee including the cartilage and bone are removed. It is done only when just one part of the knee compartment is severely damaged while the other parts are working well.
You can refer to the website www.healthybones.in to get your best joint specialist for the surgery. The team of Dr. Neelabh is doing extremely good to provide one of the best knee replacement surgeries in India.
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Total Hip Replacement surgery in India – Treatment Guide

Total hip replacement surgery is a method that embroils surgical removal of a painful and damaged hip joint and replacing it with a man-made or artificial joint called prosthesis. More often it is made from plastic and metal components which are designed to be accepted by your body. These prostheses are made to degradation, resist corrosion and wear.

The total hip replacement operation in India is generally performed when all conservative treatment options have failed to provide ample pain relief. This process or method helps in relieving painful hip joint thus making walking easier. In India, the patients are stayed for four to six days and advised them for bed rest with a wedge-shaped cushion between your legs to keep the new hip joint in place.

In addition to this, the patients are helped with urination, where a drainage tube will be placed in bladder recondition the strength of the hips physical the therapy will be started after the surgical operation and within a few days the patients will be able to walk with a walker, crutch or cane. This physical therapy treatment will be last for few weeks to months following the surgery to accomplish maximum recovery.

The ones who take this total hip replacement surgical operation can enjoy activities like swimming or golf. Although the high impact activities like running, basketball, playing and skipping is the best to be avoided or neglected. The hip replacement or substitution technique or procedure is evolving. This substitution can be conducted in adults of any age group and is usually performed in patients aged between 60 and 80 with most of them enduring hip injury because of fall or damage due to osteoarthritis.

According to the reports or survey conducted by CDC’s National Centre for Health Statistics (NCHS) of Hip replacement cost in India is just a fraction of what it costs in other western countries including US and UK. The total hi replacement method is now being scheduled on thousands of patients around the world. Actually, the number of hip substitution surgical operation conducted in a year has sky-rocketed from 2000 – 2010.

One of the primary reasons why India has emerged and developed as a hub for orthopaedic surgeries for medical tourists. As an ordinary, medical tourist ends up spending 50% to 70% less amount when they decide to travel to India for Total Hip Replacement or for that matter any other orthopaedic surgery.

If you total the cost of hip substitution in the US is around $39000 whereas the cost of hip replacement in India is just $ 6000. The cost or price rate of total hip replacement may vary on several other factors such as the duration of stay, choice of hospital and choice for treatment or ailment.

Treatment Guide –

In India, before the surgical operation, the patient will meet with the orthopaedic surgeon for an examination however that the surgeon or specialists will

  1. Ask about the medical history or background and current suppository/ prescription.
  2. Will perform a brief general physical examination to ensure you’re healthy enough to meet or undergo the surgical operation.
  3. Scrutinize and observe your hip paying attention of the range of motion in your joint and the strength of the surrounding muscles.
  4. At last will order blood test, an X-ray including MRI.

The preoperative give a good chance & opportunity for you to ask questions about the method. But make sure find out which medications you should avoid or continue to take in the week before surgery.

During the procedure-

In order to perform the surgical operation the surgeon will:

  1. Make a cut over the front or side of your hip through the layers of tissue.
  2. Replaces diseased and broken or damaged bone and cartilage leaving healthy bone intact.
  3. Implantations of the prosthesis socket into your pelvic bone to remove the damaged socket.
  4. Replenishes the round top of your femur with the prosthetic ball which is attached to a stem that fits into the thighbone.

After the Procedure-

After this treatment process, the patient will be moved to a recovery area for a few hours while the anesthesia wears off. In the meantime, the nurse will check the pulse, blood pressure, alertness, pain or comfort level, and the patients need for medications.

The physical therapist will help you some exercise that the patients can do in the hospital and at home to speed recovery.

Hip Replacement Surgery – Recovery and Rehabilitation

Generally, people do not spend more than 3to 5 days in the hospital after a hip substitution surgical operation. The full retrieval from the surgical operation takes about 3 to 6 months varying on the type of surgery complete health of the patient and the successful result of the rehabilitation program. The ache and pain can be treated and cured by medication and rehabilitation, but in actual the pain is unbearable and it becomes even more difficult to walk, in such condition the individual needs to choose for hip replacement surgery.

General precautions

  1. It is recommended to take pain medications.
  2. The surgical area must be kept clean and dry.
  3. Exercising the joint muscles and doing physiotherapy regularly will hasten the recovery.
  4. Avoid falls and watching one’s step
  5. The patients must perform occupational therapy to get rid or overcome the physical disability following surgery.
  6. Do not drive for at least 6 months.

In India, hip replacement hospitals have a group of surgeons and specialist, and health care amenities in the field of orthopaedics. The surgeons have a vast knowledge and they have given the best treatment in all possible deformity and disorder to define the most appropriate course of action. If you are unaware or ignorant about what is the hip replacement/substitution.

In simple word, replacement is the process of replacing the hip joint which may be injured or damaged due to arthritis, injuries, fractures or a bone tumor. A ball and socket mechanism is a hip joint that helps a person to move their legs for daily activities. Specialists or orthopaedic surgeons have their education and training in some of the world class institutes in India and abroad.

Joint Replacement Surgeries High In India

Joint replacement surgery in India is on the verge of becoming a country with the highest number of substitution surgeries performed in the world.  In order to make it more thresholds the orthopaedic surgeons have jagged out that the country needs well  trained and experienced arthoplasty expects in the wake of increase in joint replacement and knee replacement surgeries.
Approximately 1 Lakh joint replacement surgeries have been performed this year with successful outcome and the number is gradually increasing day by day. In the upcoming years India will have the highest number of surgeries in the world. Mostly patients from all around the world prefer to visit India for joint replacement.
India has bowed its name in history for itself and secured the top rank when it comes to the list of most popular nations for high-quality and feasible priced orthopaedic surgery. With well renowned hospitals, high-end technology and talented specialist India has nailed its greatest in the history of science.
Joint replacement surgeries are mostly preferred by the foreign nationals to come to India because of some reasons.
  1. Cheap and affordable cost of treatment
  2. No waiting time quick recovery
  3. Best and high quality treatment
  4. No additional charges
  5. Feasible and attractive packages
  6. Well trained and experienced specialist
  7. Advanced technology
  8. Modified treatment and care
  9. Specialized and internationally accredited hospitals
  10. Caring and sympathetic
India is usually most popular for hip and knee surgery and various effective procedures are performed with best orthopaedic procedures. Spine related surgical operations are being performed spine-related problems such as scoliosis, shoulder arthroscopy, hip resurfacing, slip disc and many others. Various medical tourism agencies guides and assists in choosing the best orthopaedic hospital in India.
With high-end technology India is well known and popular for hip and knee replacement surgery. Outstanding techniques and clinical procedures make the replacement surgeries successful and fruitful. The country India has nailed itself for proffering advanced minimal invasive knee surgery and hip surgery. These surgical operations have been interconnected to pain, instant recovery, and greater confidence among patients.
There has been a continuous rise in joint replacement surgical operation in India said by US surgeons. There is constant increase in the total joint replacement surgery performed each year. 80% increment in the past few years has been seen in these surgeries among men and women between the ages of 45 and 70.
 There is instantaneous progress in the number of patients meeting joint replacement surgical operation because the rate of implants has reduced significantly in the recent past. Wide range and variety of implementation are available. The extension of outstanding hospitals orthopaedic surgeons has made their patients with the surpassing well equipped assistance.
The physically tested medicine and rehabilitation packages have made hip resurfacing surgical operations successful and the chief principal of fuelling growth of joint replacement surgical operations in India are an increasing number of trained joint replacement specialists, sedentary lifestyle, rising health care expenditure, medical tourism, and enhance healthcare infrastructure.
Joint replacement surgical operation allows total relief from ache or pain and enhanced quality of life for patients suffering from painful joints. Joint replacement known as arthoplasty is a surgical option for stage arthritis which is well established and recognized nowadays and has benefited millions of patients throughout the world. India is a place of 1.2 billion people with major knee and hip arthritis patients.
According to the research the arthoplasty market is believed to progress at a compound annual progress rate of 26.7% within upcoming few years. As per this surgery, nearly 70,000 joint replacement surgeries were implemented in India in the year 2011. This demand for arthoplasty is increasing day by day and is rising ahead; therefore, there is a vital requirement for training of surgeons and also observing the implantation.
Surgical methods are the end line of remedy and are conducted when all the other therapy including cure with medicines and physical rehabilitation fail to recover the condition. Arthoplasty is usually the last retreat for recurring an injured or broken joint. Joint replacement surgery or arthoplasty can be done on several joints of the body, like, the ankle, hip, shoulder, knee, wrist and elbow. Hip and knee surgery is the most common among all other joints.
One of the most successful surgery and cost effective involvement and intrusion is the knee replacement. Approximate 95% the success rate has reached its popularity for joint replacement surgical. As the replacement surgery in India is low with international standard of care, best panel of hospitals for hip replacement surgery and with latest medical technology.
The success rate has increased just because of the great significance, excellent healthcare amenities and best hip replacement procedure in India with affordable prices. The results are effective as the pain is relieved pain and feels the increment in the range of motion.
The recently published report gives a thorough study of joint replacement surgeries in 740 hospitals from more than 200 cities. It describes market drivers, limitations, historical practice and forecasting between the years 2007 to 2010, annual reports for sales in respect with value and volume (in dollar and units), market progress, valuing, economical landscape and market share. It provides a contrast for total hip replacement (THR) and total knee replacement (TKR) along with shoulder joint replacement for the past and projected period.
Procedure and recovery
Arthoplasty (joint replacement surgery is usually executed in a hospital and it normally persists for a few hours. The rate of healing and treatment varies from person to person. Exercise plays a significant role in revival (healing) process. Suffering from post-surgery pain in the substituted joint is common because of the varying of the adjoining muscles. This situation gets better day by day as the body adapts to the new joint, supplement by tissue restoration.
There are several leading multi-speciality hospitals in India which are well recognised for joint replacement surgeries. India has qualified team of highly experienced orthopaedic surgeons and physiotherapists as these hospitals aim a delivering the best medication and treatment for a chain of muscular and skeletal problems.

Carpal Tunnel Syndrome: How to Handle it?

Carpal Tunnel Syndrome is a painful one that is born from a strain on the median nerve, which loops through the wrist bone to connect it with the rest of the hand and fingers so as to promote motion. This condition can be a painful and debilitating one that usually starts at night, and affects the various fingers, especially the thumb and index finger. The symptoms include numbness, a tingling sensation, a weak grip, and the inability to do many tasks that involve the thumb and index finger. There are many ways of treating this condition with the help of physiotherapy, steroids and corticosteroids.
There are easier ways of dealing with this issue on an everyday basis, as follows.
* Wrist Splint: It is a good idea to wear a wrist splint at night which will keep the bones and muscles stationery as the pain in this condition usually starts at night. This will also prevent further damage to the median nerve.
* Activity: Keep your activity to a minimum to give your hand and rest, in particular, some much needed rest from the pain, numbness and tingling. Further, you need to avoid activities that cause too much pain and numbness. Also, take care to keep your thumb and wrist straight during other activities so that there is less strain on the median nerve.
* Strength and Flexibility: Many times, the pain from the wrist and fingers can spread towards the arm as well. In order to prevent this and to treat the pain on a more long term basis, it is important to turn to some mild exercise which can make the area more flexible and strong. This can include wrist twists which can be done ten times for each hand. One can also try Yoga to strengthen the joints in the upper body.
* Ice Pack: Use an ice pack or ice compress on your wrist for ten to fifteen minutes each every few hours to help in reliving unbearable pain.
* Anti Inflammation Medication: Patients suffering from this condition can also turn to non steroid medication that will help in bringing down the inflammation. This inflammation is usually responsible to a great extent for symptoms like numbness and pain which can halt various activities. These drugs may include aspirin, ibuprofen, and even naproxen sodium.
* Taking Breaks: One must take regular breaks at work and flex the fingers and the wrist so that the painful bending posture does not make matters worse.
Ensuring that you manage your everyday functioning despite Carpal Tunnel Syndrome is a matter of balancing your activities with rest.

What is Spinal Stenosis?

The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.
Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine
Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.
Treatment of spinal stenosis:
– A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
– Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
– Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
– Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain.
Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

6 Lesser Known Symptoms of Osteopenia

Deficiency or loss of calcium and phosphorus in the bones among other minerals causes the bones to go weak. With passage of time, some people develop a bone condition where the bone mineral density (bmd) goes very low. This condition is called osteopenia and it is now a very common problem. When the bone density goes even below than what it is in osteopenia, then the person develops osteoporosis. Although it is not mandatory that whoever has osteopenia will end up with osteoporosis as well. Fact is, it is very difficult to notice the signs of osteopenia. Just like osteoporosis, it could be present in your body for years, before your find out that you got the problem. Although we call all weakness of bone as osteoporosis, weakness of bone due to deficiency of calcium and vitamin d are clinically called osteomalacia. To label it as osteoporosis, bone should be weak with a normal blood calcium and vitamin d levels.
The symptoms of osteopenia are:
1. Extreme pain when fracture: this condition doesn’t cause any physical pain in normal life. The only time one will experience immense pain is, if there is a fracture in the bone. On the flipside, a lot of fractures occur because of osteoporosis.
2. Receding gums: this symptom is quite a surprise and one we don’t usually imagine it to be. While receding gums could be the symptom for many problems, it is one of the symptoms of osteopenia.
3. Brittle nails: if you have weak and brittle fingernails, this is a direct indication of your bone health.
4. Shrinking with age: as we age, we tend to lose height. This happens to those with vertebral fractures and poor postures. In both the conditions, this could be a symptom of osteopenia.
5. Dehydration: in some very rare cases, extreme dehydration has been a silent cause. So if you are suffering from side effects of dehydration, keep a check on your bones too.
6. Pcos: irregular periods in women is also something that could be a symptom for many irregularities, but pcos can also lead to osteopenia as are eating disorder or over exercising.
Earliest symptoms of osteopenia is generalised tiredness, easy fatiguability and vague body or joint pain.

Cost of Total Hip Replacement surgery & Hip Resurfacing Surgery in India

The hip resurfacing surgery well known as hip resurfacing arthoplasty improves the flexibility and movement and reduces the pain in the hip joints with the help of interchanging only the worn out surfaces of the joint with prosthesis/implantation.
According to the specialists, hip resurfacing is known as bones are to be preserved. In other words, a small part of bones is detached during the surgery, which results in making things easy and simple to repeat this surgery. The main reason to opt this surgery is to point out the disorder like arthritis which is caused due to damaged articular cartilages.
Hip resurfacing arthoplasty in India is the best option for worldwide patients as they get the golden chance to gain best-quality healthcare services and to that too at reasonable cost. The cost of healthcare services including hip resurfacing surgery in India is quite reasonable in comparison with other western countries.
The low cost and best quality services provides the foreign patients an amazing experience, which drives them to India for several for several healthcare benefits. Hence surgeries such as hip resurfacing arthoplasty are not an exception in India.
India offers the best orthopaedic hospitals and centres that are equipped with world class facilities and preserve the hygiene and standard according to the international benchmarks. Global patients prefer India mostly because they can considerably save money even travelling to far to India.
In short, hip resurfacing arthoplasty in India has 99% success rate with best revival solution and outstanding output. Hip resurfacing surgery in India starts at USD 5500 and differs on the medical situation of the patient, type of implantation, facilities, surgeon and city where you have decided to get the surgery done.
The cost of this surgery is very reasonable in comparison with the developed countries such as UK and USA. The comparison between the cost of hip resurfacing surgery in India and other countries can give you a clear idea. A hip resurfacing surgery costs in India is three times less than the other western countries. The core reason why a huge mass prefer India to get hip resurfacing is that they can save a lot of money without compromising on the quality.
Moreover, the top orthopaedic surgeons in India get educated from the best medical colleges in the world and have outstanding skills in handing even the most complicated cases. The top orthopaedic hospitals in India are well kitted with the modern and latest technology equipment’s with world class standards of quality and hygiene.
Hip resurfacing is also known as metal arthoplasty which enhances mobility and decreases pain in the hip joint by interchanging only the worn out surfaces of the joints with implantation or prosthesis. Hip resurfacing is a bone protecting surgery as the maximum portion of the femur bone of the head and neck preserved.
Very minute portion of the bone is replaced during hip resurfacing, making it easier to perform the surgery again or to replace the total hip joint in the later years. The best part of this process is that only the worn out or damaged hip ball is reshaped and covered with a metal prosthesis which is totally different from the traditional method of replacing the whole ball.
Hip resurfacing arthoplasty is mainly recommended to these patients who are below 55 years of age and possess healthy weight. It is the surgery especially for those patients who live an active lifestyle, and are not infected from any disease.
Finest and best packages are offered to patients that comprise verdict or analysis of the injury or the problem Rehabilitation, ailment and deterrence at unconditionally costs. Similar packages are presented to global and national patients as well as sports living. Therefore, India has turned out to be an ideal destination and landing place for medical tourism determinations.
Flawless, feasible and efficient health care services are provided to international patients. Therefore consequently a pool of pre-eminent and dexterous expertise and hospital are there for hip replacement in India. Patients come from different facets of the world for surgical treatment and ailment. The minimum and least amount of surgical operation coupled with a very invasive success rate.
Within massive innovation and development the hip replacement surgery has provided the patients with new salvation who are suffering with this ailment. The effectual cost has evoked people to come to India and have a hip replacement surgical operation. Many places in India have a low rate of expense for knee replacement surgery.
The average age bracket for such patients is normally taken to be below 60. Anyhow, resurfacing is also considered in cases like osteo-arthritis: primary/secondary/post-traumatic, inflammatory- arthritis like RA, breakage or cracks or displacement of the hip bone, avascular necrosis of the femoral head.
Hip resurfacing process takes nearly two to three hours. The cut is made in the thigh so that it can easily approach the hip joint. After that femoral head is dispatched from the socket. Head is then shaped and the metal cap is put over the trimmed head. Indian hospitals recognised the significance of excellent health and well-being of patients and therefore have objectives to provide best hip replacement in India at honest affordable prices.
Hip substitution or replacement surgical operation with best orthopaedic expertise in India. Hospitals in India offer feasible cost and price rates the patient is required to be in the hospital for about 2-3 days after the hip resurfacing procedure in India. The patient might experience the pain and discomfort for few days, which can easily be reduced with proper medications.
The patients might have to breathe deeply and cough repeatedly in order to escape lung blockage and avoid clot formation. The patient will have to walk the same or the next day (as advised by the doctors) with the help of a walker after the surgery is done. Physiotherapy expert physiotherapists will also be started very quickly to reinforce your hip joint and muscles and re-establish movement for walking and other usual day to day activities.