Skin is one of the most obvious parts of our body which ages with an increase in the number of candles on our birthday cakes. As you age, joints tend to become stiffer and less flexible. The body does not recover from bumps and bruises as easily as it did before, and it becomes difficult to stand for extended time intervals. This is caused mostly by a breakdown of cartilage and inflammation of the synovium.
What is cartilage?
Cartilage is a flexible connective tissue. It connects the ends of two bones in a joint. It is softer than bone tissue but less flexible than muscle tissue. Cartilage is responsible for the smooth movement of joints.
With age, cartilage begins to degenerate. As the cartilage gets thinner, movement becomes more and more difficult. If left untreated, the cartilage may completely wear off leaving no buffer between the bones. This is one of the leading causes of knee replacement surgery.
What is synovium?
Synovium is a membrane responsible for keeping the cartilage healthy. It produces a thick fluid that keeps the cartilage and joint lubricated. In cases of osteoarthritis, this membrane can swell up and produce excess fluid. This in turn causes the joint to swell as well.
Along with age, factors like being overweight, genetics, gender and lifestyle also play a role in the condition of your joints. Being obese points towards a sedentary lifestyle and puts extra pressure on joints, leading to the thinning of cartilage. While men have higher chances of becoming osteoarthritis patients before 45, women have higher chances of developing this disease after 50. A healthy lifestyle is the easiest way to ensure that your joints work well even when you’re old and grey.
Movement of the joints keeps the fluid in them moving. It also prevents the cartilage from shrinking and stiffening up. Exercise also makes the bones stronger, and slows the rate of bone tissue deterioration. Stretching exercises are also a good way to maintain the flexibility of joints.
Foods that are known as natural anti histamines, antioxidants and foods that fight inflammation promote healthy joints. Some of these are:
Green tea: It prevents the breakdown of collagen and cartilage
Nuts and seeds: These are rich in omega 3 fats that are essential for good bone health
Ginger: It relieves pain and joint swelling
Yogurt: It helps soothe tender joints and fights inflammation
Pomegranate: It protects the cartilage against damage
Hot and cold therapy can also help relieve joint pain and reduce inflammation. As you get older, avoid putting too much pressure on your joints and give them adequate rest. Lastly, avoid smoking, as people who smoke have an increased risk of cartilage loss.
Plantars Fasciitis is an orthopaedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.
Let us look at ways that can help you deal with this pain.
Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
Supportive Footwear: Using pads within your shoes with gel built into them, or using specific foot wear that help in walking without feeling too much of pain is a good way of dealing with Plantars Fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for the feet. These also give your heel and its arch good support, while Orthotics pull at the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and this ligament stretched while you enjoy a good night of sleep.
Exercise: Indulging in mild muscle strengthening exercise that also involves stretches and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
Pain Killers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
Anti Inflammatory Drugs: Your doctor may prescribe anti inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
Surgery: Heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.
Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.
Knee replacement surgery is a dependable way to get rid of the knee or joint pain which is due to various reasons. Just like there are different ways to do the knee replacement surgery, there are different costs for the surgery depending on the condition of the joints. The type of surgery namely partial, total or bilateral knee replacement defines the cost of the knee replacement.
There are a few reasons that you should do your knee replacement surgery in India:
- Cost is very low as compared to the surgery done in other countries like Japan and USA.
- A team of experts or the best orthopaedic doctors are in India who will do the best surgery be it replacement or substitution.
- Some of the best hospitals in India would be better than some general hospitals that you can afford at the same rate abroad which means you can get the replacement done in India at a better cost with better results.
The knee replacement cost in India starts from USD 5000. It is dependent on the expertise, quality of implant, type of process used for implantation, hospital in which the surgery is being done and the city where the hospital is located. The surgical equipments in some type of surgeries are customised according to the patient, which means there is additional cost added to the basic cost.
In INR it is about 3 to 6 lakhs INR which you will have to pay for a knee replacement surgery in average. Some additional cost of about 20,000 to 30,000 INR might be required for the miscellaneous expenses like the medicines and other things required for a good recovery. The cost of Uni-lateral and Bi-lateral surgery also differs as the bi-lateral surgery is double the cost.
One of the best joint specialists in India is Dr Neelabh who provides joint replacement surgery at affordable cost in India. You can check the website of Dr Neelabh which is www.healthybones.in and talk to a specialist for the best knee replacement surgery in India.
Knee replacement techniques used in India have reached a different benchmark in today’s time. There are a lot of techniques which are added today which has replaced the traditional methods which were more painful and used to take much time for recovery. The new methods are used by the doctors in India which have reduced the discomfort and recovery time of the surgery.
The loss of time and the need of CT scan have also been eliminated from the knee replacement surgery. The recovery time has reduced to one to two months now due to the updated technologies that are used these days. Here are some of the types of knee replacement surgery in India:
PSI which stands for Patient Specific Instrument is the instruments which are used depending on the patient. The high alignment and sizing is done with the help of computer-generated images help in the best flexibility and hassle-free surgery.
BCS Knee replacement is the technology which is used to distinctly design the knee which is to be replaced. It helps in increasing the flexibility and natural movement of the knee. The best material is used in the technology for the increased durability. It is said that the material which is made up of zirconium and oxinium which has helped in increasing the durability to 30 years.
Some of the latest technologies used in knee replacement in India are:
- Minimal Invasive Knee Surgery: In this knee replacement surgery, a small scar is made during the surgery and the blood loss is also reduced a lot. An incision of only four to five inches is made and there is lesser pain, faster recovery and many other benefits that this technique holds like less surgical trauma, lesser medication, post-operative pain is lesser and shorter hospital stay.
- High Flex Knee replacement: This is one of the best techniques used for knee replacement in India as this provides a bending up to 155 degree and kneeling, squatting and crossing legs are permitted after the surgery due to the best use of technology in the surgery.
- Attune Rotating Platform Knee replacement: This is a knee replacement surgery in which the patient feels that his knee is normal knee when it comes to mobility, stability and functioning of the knees. The minimally invasive subvastus technique with attune rotating platform knee replacement is done in this surgery. A personalized type of knee is made for the patient for the best results and after effects of the surgery.
- Gender Specific Knee replacement: There are different types of knee replacement techniques which are specifically used for the different anatomy of the human body. The male and female knees are different and the requirements are different which is taken care in this surgical technique.
One of the best joint specialists in India is Dr Neelabh who provides latest knee replacement surgery at affordable cost in India. You can check the website of Dr Neelabh which is www.healthybones.in and talk to a specialist for the best knee replacement surgery in India.
- Minimally Invasive Knee Replacement (MIS)
- Computer Assisted Surgery (CAS)
- Bilateral Knee Replacement
- Custom Fit Total Knee Replacement (CFKR)
- Revision Knee Replacement
- Partial Knee Replacement
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
- Ask about the medical history or background and current suppository/ prescription.
- Will perform a brief general physical examination to ensure you’re healthy enough to meet or undergo the surgical operation.
- Scrutinize and observe your hip paying attention of the range of motion in your joint and the strength of the surrounding muscles.
- 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:
- Make a cut over the front or side of your hip through the layers of tissue.
- Replaces diseased and broken or damaged bone and cartilage leaving healthy bone intact.
- Implantations of the prosthesis socket into your pelvic bone to remove the damaged socket.
- 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.
- It is recommended to take pain medications.
- The surgical area must be kept clean and dry.
- Exercising the joint muscles and doing physiotherapy regularly will hasten the recovery.
- Avoid falls and watching one’s step
- The patients must perform occupational therapy to get rid or overcome the physical disability following surgery.
- 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.