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  • What to eat after Knee Surgery

    What to eat after Knee Surgery

    Recovering from knee surgery demands more than rest and physical therapy; it also requires careful attention to nutrition, and many patients don’t know what to eat after Knee Surgery. The foods you consume can significantly impact your healing process, manage inflammation, and help you rebuild strength.

    This guide will help you plan your meals effectively to support a smooth recovery.

     

    Include Anti-inflammatory Foods after knee surgery

    Fruits and Vegetables: Incorporate a wide variety of colourful fruits and vegetables into your diet. These foods are rich in antioxidants and vitamins, which can help reduce inflammation and promote healing. Particularly beneficial options include berries, leafy greens, and citrus fruits. Blueberries, strawberries, and oranges are packed with vitamin C, essential for collagen production, while spinach and kale are excellent sources of vitamins A and K, which support overall health.

    Prioritise Protein for Healing

    Lean Protein Sources: Protein is vital for tissue repair and muscle strength. Focus on incorporating lean protein sources such as chicken, fish, tofu, beans, dalia, milk, nuts, almonds, sprouts, eggs, and lentils. These foods provide essential amino acids for repairing tissues and maintaining muscle mass. For instance, Boiled chicken or boiled egg can be a great addition to your lunch or dinner, while lentils and beans can be used in soups, stews, or salads.

    Choose Whole Grains and Fiber

    Complex Carbohydrates: Whole grains like oats, millet, and brown rice provide sustained energy and help maintain bowel regularity, which can be particularly important if pain medications cause constipation. These grains are also rich in fibre, which supports digestive health.

    Fibre-Rich Foods: Oats, porridge (dalia), fruits like cucumber, peach, avocado, banana, and green leafy vegetables.

    Ensure Adequate Calcium and Vitamin D

    Dairy or Alternatives: Calcium is crucial for bone health, and dairy products like milk, curds, and cheese are excellent sources. If you are lactose intolerant or prefer plant-based options, choose fortified milk and curds.

    Sunlight and Supplements: Vitamin D aids calcium absorption. Aim to get some sunlight exposure daily, but if this isn’t feasible, consider taking a vitamin D supplement. This is especially important if you live in an area with limited sunlight during certain seasons.

    Stay Hydrated

    Water: Adequate hydration is essential for joint lubrication, digestion, and overall bodily functions. Make sure to drink plenty of water throughout the day. Herbal teas and clear broths can also contribute to your fluid intake. Aim for at least eight glasses of water daily, and more if you are physically active or live in a hot climate.

    Limit or Avoid Certain Foods after knee surgery

    Processed Foods: Foods high in unhealthy fats, sugars, and sodium can exacerbate inflammation and hinder healing. Avoid processed snacks, sugary drinks, and fast food. Instead, opt for whole, unprocessed, nutrient-dense foods that support your body’s recovery.

    Consult with Your Healthcare Provider

    Individual nutritional needs vary based on age, weight, and surgical procedure. Always consult with your healthcare provider or a registered dietitian for personalised advice. They can help tailor your diet to meet your unique needs and ensure you get the right balance of nutrients to support your recovery.

    Practice Patience and Consistency

    Recovery from knee surgery takes time and effort. Be patient with yourself and maintain a consistent, balanced diet to support your healing journey. Combine good nutrition with adequate rest and physical therapy for the best outcomes.

    By focusing on nutrient-dense foods that promote healing and reduce inflammation, you can effectively support your recovery from knee surgery. Remember, a well-rounded diet, along with proper medical care and physical therapy, forms the cornerstone of a successful rehabilitation process.

  • When Is Hip Replacement Surgery Required?

    When Is Hip Replacement Surgery Required?

    When Is Hip Replacement Surgery Required?

    Hip replacement surgery may be necessary when medications, physiotherapy, and other conservative treatments fail to relieve hip problems. If you experience long-standing hip pain, a limited range of motion, a limp while walking, or hip joint stiffness that makes walking or bending difficult, surgery might be required.

    Doctor will likely recommend X-rays to assess the condition of your hip joint. If the X-rays or MRI show severe osteoarthritis, hip replacement surgery becomes a viable option.

    How is Hip Replacement Done?

    Hip replacement is a specialized surgery where the damaged parts of the hip joint are replaced with an artificial implant made from high-quality materials like imported polyethylene and metal alloys. Hip replacement surgery can be performed at any age, depending on the patient’s specific condition.

    Recovery Time After Hip Replacement

    Recovery from hip replacement surgery typically takes around 2 to 4 weeks. However, post-operative recovery depends on several factors, including:

    • Activity Level Before Surgery: The more active you were, the quicker your recovery might be.
    • Age and Nutrition: Younger patients and those with good nutrition tend to recover faster.
    • Pre-existing Conditions: Conditions like diabetes or heart disease can slow recovery.
    • Lifestyle Factors: Smoking or a sedentary lifestyle can negatively impact recovery.

    Walking After Hip Replacement

    Most patients can walk the same day or the day after surgery. Within 3 to 6 weeks, many resume normal activities. Proper exercises and rehabilitation programs are essential for early recovery.

    Why Choose My Ortho Centre?

    At My Ortho Centre, we provide comprehensive care for hip replacement patients. Our team of expert orthopedic surgeons is dedicated to ensuring you receive the best possible treatment. Moreover if you have any questions or would like to schedule a consultation with one of our specialists, please fill out the form below. We’re here to help you regain your mobility and improve your quality of life.

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    What to Avoid After Hip Replacement

    After total hip replacement, most activities can be resumed, but there are certain postures and movements to avoid in the first few weeks, also these precautions depend on the surgical approach taken and the type of implants used.

    First Week After Hip Replacement

    During the first week after surgery, patients can usually walk and start resuming daily activities like showering and moving around the home. Physiotherapists will provide a list of basic exercises to help with recovery.

    Longevity of Hip Replacement Implants

    The lifespan of a hip replacement implant typically ranges from 15 to 20 years, depending on the type of implant and the patient’s age. Some implants may last even longer.

    Discharge After Hip Replacement

    Most patients are discharged within 3 to 5 days after surgery, depending on their healing progress. If you’re generally fit and well, the surgeon may suggest an enhanced recovery program where you begin walking with a walker on the first day and are discharged on the third day.

    Sleeping After Hip Replacement

    For the first 6 weeks after surgery, it’s advised to sleep on your back with a pillow between your legs to prevent rolling. Avoid sleeping in a recliner or on a low sofa to prevent stiffness in your hip. After 6 weeks, you can sleep on your unaffected leg.

    Climbing Stairs After Hip Replacement

    Immediately after surgery, patients will learn to climb stairs with the help of a physiotherapist. During early recovery, some form of support, such as handrails or a cane, will be needed.

    Cost of Hip Replacement in India

    The average cost of hip replacement surgery in India ranges from ₹3 to ₹3.5 lakhs. However, the cost may vary depending on the hospital and the type of implants used. But at My Ortho Centre we offer Hip Replacement at very Reasonable Price.

    Permanent Restrictions After Hip Replacement

    There are generally no permanent restrictions after hip replacement. Gradually, you can resume all your activities.

    Walking After Two Weeks

    You should walk around the house every 1 to 2 hours for 20 to 30 minutes each time. With proper rehabilitation and exercises, you’ll be able to walk and stand for more than 10 minutes without support within a few weeks.

    Raised Toilet Seat After Hip Replacement

    In the early phase of recovery, a raised toilet seat is recommended to ensure your knees aren’t higher than your hips when sitting.

    Tying Shoes After Hip Replacement

    It may take 6 to 8 weeks for tissues to heal, during which time you should avoid bending. As a result, it might take up to 6 weeks before you can tie your shoes.

    Best Hip Replacement Method

    The posterior approach for total hip replacement is commonly used. Not only it offers excellent joint visibility and allows for more precise implant placement but also this method is minimally invasive.

    Walking Without Support

    With early rehabilitation and guided exercises, most patients can walk without a walker or support in a few weeks.

    Driving After Hip Replacement Surgery

    Most patients can return to driving 4 to 6 weeks after hip replacement surgery however it depending on their recovery progress.

    Duration of Hip Replacement Surgery

    Hip replacement surgery usually takes around 2 hours, although the time may vary based on the severity of the condition and whether a full or partial replacement is performed.

    Best Hip Replacement Surgeon in Delhi NCR

    Looking for the best hip replacement surgeon in Delhi NCR? My Ortho Centre offers top-notch hip replacement surgery in Vaishali, Mohan Nagar, Noida, Anand Vihar, and Ghaziabad. Contact us today to schedule a consultation with our experienced surgeons and get the care you deserve.

  • Do I need Joint Replacement Surgery?

    Do I need Joint Replacement Surgery?

    An Overview

    Arthroplasty, or Joint Replacement, is a procedure that involves replacing a damaged joint with an artificial joint made of metal, ceramic, or plastic. In joint replacement surgery, only the damaged portion of the joint is replaced with artificial surfaces. It is similar to a joint resurfacing procedure where the worn out or the irregular surfaces of the joints are replaced by artificial surfaces that match the normal joint surface. The commonly performed Joint Replacement Surgeries are Knee replacement, hip replacement, and shoulder replacement, while the less commonly done wrist, ankle, metacarpal phalangeal joints, interphalangeal joints, metatarsal phalangeal joint replacements.

    Why patients might need Joint Replacement Surgery?

    When medical treatments fail to relieve joint pain and impairment, arthroplasty may be needed.

    The following are some medical therapies for osteoarthritis that could be utilized before arthroplasty:

    • Pain medicines
    • Anti-inflammatory medicines.
    • Limiting painful activities.
    • Assistive walking devices like a cane.
    • Cortisone injections into a knee joi
    • Visco-supplementation injections for better lubrication in the joint to make the movement of the joint less painful.
    • PRP injections or stencils injections.
    • Exercise and conditioning.
    • Weight loss for obese people

     

    Which patients require arthroplasty or joint replacement surgery?

    If a patient has the following symptoms, a surgeon may propose arthroplasty or joint replacement surgery:

    • Long-standing joint pain swelling with or without associated deformity.
    • Joint pain which is recurring and not relieved by physiotherapy, oral medication, walking assistive, rest, racing and injections.
    • Patients with joint stiffness and reduced mobility find it difficult or impossible to carry out their daily duties.
    • Persistent or long-standing Inflammation or swelling of joint that does not respond to drugs or lifestyle modifications.

    Several of the following health conditions can cause the above-mentioned symptoms:

    • Avascular necrosis i.e. absence of blood supply to the bone.
    • Joint abnormalities like hip dysplasia,bow knee, knock knee
    • Age-related arthritis, specifically osteoarthritis.
    • Severe deforming Rheumatoid arthritis
    • Post fractures or injury leading to joint pain and swelling

    Benefits of Arthroplasty or Joint Replacement Surgery

    The following are some of the most sought-after advantages of joint replacement surgery:

    • Freedom from Pain: The primary objective of this sort of surgery is to alleviate chronic and agonizing pain.
    • Lowers the risk of chronic age-related or sedentary lifestyle-related health problems: Disability due to long-standing joint pain and swelling compels one to a sedentary lifestyle. Lack of mobility, movement, and physical activity is associated with higher chances of the development of hypertension, diabetes, hypothyroidism, heart failure, weakening of cardio-respiratory functions, and weakening of muscles bones, and joints.
    • Restores back patient’s movement and activity: Joint replacement allows patients to continue sports and hobbies they formerly enjoyed, such as riding, hiking, swimming, and golfing, before pain prevented them from doing so. As a result, the general quality of life improves.
    • Safer than ever: Joint replacement surgery is now both safer and more successful than it was previously. While there are still hazards connected with this surgery, technological developments have often resulted in excellent postoperative function than in the past.

    Joint pain hampers the capacity to perform daily activities and makes the individual dependent on others. Individuals who choose arthroplasty, experience significantly improved quality of life. The healthcare professional may propose arthroplasty for various reasons. For more information, see the surgical methods for hip replacement and knee replacement.

    At My Ortho Centre, patients are prepared for Joint Replacement Surgery or Arthroplasty as stated below:

    Our doctor explains the operation step-by-step to the patients and discusses all their concerns or questions about it. We also make sure that patients are aware of the joint replacement surgery cost and are well-informed about it.

    • Our Joint replacement surgeon takes a complete medical history and performs a comprehensive physical study to confirm the suitability of the patient before undergoing the procedure. Patients may be subjected to blood testing and other diagnostic procedures.
    • Any medicine, anaesthetic agents (local and general), latex, tape, and other substances that the patient is sensitive to or allergic to must be known ahead of time.
    • All prescribed medications, as well as over-the-counter and herbal supplements, must be disclosed to the healthcare practitioner.
    • If individuals have a history of bleeding issues or are using aspirin, anticoagulant or blood-thinning medications, or other blood-clotting medications, the doctor should be fully informed. Patients may need to stop taking these medications before the operation.
    • The patient should inform the knee replacement doctor if she is pregnant or suspects she is.
    • Before the procedure, the patient may be given a sedative to assist them to relax.
    • After the patient is discharged from the hospital, he/she may require help around the house for a week or two.

    A Note from My Ortho Centre:

    The patients who have had joint replacement surgery have regained their normal active lifestyle. At My Ortho Centre, detailed discussions with patients are encouraged in order to provide them with the greatest quality therapy and patient care for orthopedic ailments and procedures and thus making us one of the Best Hospital for Joint Replacement Surgery. We also use the most cutting-edge technologies and modern solutions for the newest joint replacement surgery to provide patients with a pain-free option.

    The Best Joint Replacement Surgeon may require additional preparation depending on the medical condition. Prior to surgery, the patient may consult with a physical therapist to explore rehabilitation options and allow the patients to believe that they are undergoing the most affordable joint replacement surgery.

  • Carpal Tunnel Syndrome – Treatment and Diagnosis

    Carpal Tunnel Syndrome – Treatment and Diagnosis

    If you are suffering from wrist and hand pain with or without numbness, tingling, or weakness of your hands and fingers, the carpal tunnel could be one of the causes.

    What is Carpal Tunnel Syndrome?

    Carpal tunnel syndrome can be is caused due to pressure on the median nerve over the wrist region. A Carpal tunnel is a narrow tunnel or path formed by small carpal (Wrist) bones and ligaments on the palmar aspect of the wrist. The median nerve compressed develops pain that is mild to moderate. Lasting for some time, eventually, the pain becomes severe, associated with numbness, tingling, and weakness in the hand and fingers.

    What are the causes of carpal tunnel syndrome?

    Many factors can cause carpal tunnel syndrome like injury of the wrist, for example, sprain, dislocation, fracture, or infection.

    • Like a job that needs a frequent or repetitive movement of the wrist.

    • In cases of arthritis, for instance, osteoarthritis or rheumatoid arthritis

    • Patients with hormonal imbalances or metabolic disorders like menopause, pregnancy, or thyroid dysfunction.

    • Patients suffering from sugar disorders like diabetes mellitus.

    What are the symptoms of carpal tunnel syndrome?

    Pain is the most common and one of the initial symptoms of carpal tunnel syndrome. It is usually associated with numbness in the fingers and part of the hand. Some patients have the feeling of “pins and needles” in the fingers. Few also feel burning and tingling sensations with varying severity and intensity. At a later stage patient also develop weakness and atrophy of muscle. Symptoms of patients vary according to the severity and duration of nerve compression. 

    How is carpal tunnel syndrome diagnosed?

    Your doctor will diagnose carpal tunnel depending upon your clinical history and examination. There are certain tests like electrodiagnostic studies and MRI neurography which helps in confirming the diagnosis of carpal tunnel syndrome. Other tests may be required to know the contributory factors for carpal tunnel syndrome. 

    Treatment of carpal tunnel syndrome:

    Your doctor will guide you about the treatment which is best for you depending upon your age, work profile, and severity of diseases.

    • Splints: Splint is a device that is wrapped around the wrist. It keeps the wrist in one position and prevents movements that can lead to nerve compression.  

    • Medication. These are certain medicines that help in relieving the symptoms of carpal tunnel syndrome.

    • Injections: There are some injections that your doctor injects around the compressed nerve, these injections help in relieving the pressure onto the nerve by decreasing soft tissue swelling.

    • Physiotherapy and Exercise: Making ergonomic changes at your workplace will retard the progression of the disease and ease symptoms. Stretching and strengthening exercises are helpful in people. These exercises are supervised by a physiotherapist.

    • Surgery: Surgery is done in cases of chronic carpal tunnel with no response from medications and physiotherapy protocols. In surgery, the tight band which is constricting the carpal tunnel is incised thus making room for the nerve. This eases compression on the nerves in the carpal tunnel.

    • Surgery of carpal tunnel syndrome evolved over the period. Earlier surgery was done with an open approach but now with advances in the medical field by endoscopic technique.

    Open Carpal Tunnel Release: This surgery is done under general or regional anesthesia. Here surgeon cut open the wrist over the palmer aspect. The band of tissue that is compressing the nerve is cut in thus relieving pressure over the nerve.

    Endoscopic Carpal Tunnel Release: This is a minimally invasive surgery involving specialized small instruments and an endoscopic system. After local or general anesthesia surgeon puts in a small thin rod-like instrument inside the wrist which has a small camera at the end connecting to the outside big screen. With the help of this endoscope, the surgeon visualizes the tight constricting band. Using specialized endoscopic instruments surgeon relieves pressure over the nerve.

    Endoscopic CTS release is better than open CTS release because it utilizes smaller incisions, thus involving smaller stitch scars and lesser post-operative pain. Moreover, endoscopic CTS release is a daycare procedure where the patient gets discharged the same day of surgery.

    After surgery small dressing and wrist splint are applied for a few days. After a week and two one can move the wrist. Initially, there may be some pain that can be relieved by oral medications.

    Recovery from the symptoms of carpal tunnel depends upon the duration of the problem and changes that have developed in the nerve due to longstanding compression. Pain gets relieved in days and other symptoms like numbness, tingling and weakness may take time to go.

    To know more about endoscopic carpal tunnel surgery: youtube/carpal-tunnel-syndrome

  • Joint Preservation: Articular Cartilage Restoration Technique

    Joint Preservation: Articular Cartilage Restoration Technique

    Cartilage damage is the most common cause of pain and disability inside the knee joint. 12% of individuals above 25 years of age have signs and symptoms of cartilage damage. Damage to cartilage could be due to either wear and tear or any disease. Natural healing process of the damaged cartilage leads to formation of fibrous cartilage which is inferior in quality and resilient compared to original hyaline cartilage. This leads to persistent pain and disability in patients even after prolonged rest, physiotherapy and medication. Cartilage Restoration is a boon to such patients. Cartilage Restoration bridges the gap between medical treatment and joint replacement surgery. It helps in delaying the onset of severe osteoarthritis and need of early joint replacement surgery. Cartilage Restoration procedures involve repairing the localized defect or damage of cartilage similar to filling the pothole on the road.

    We at ‘My Ortho Centre’ use various Cartilage Restorative Techniques to alleviate long standing joint pain and associated disability of patients.

    Some of the techniques which are utilized to treat cartilage damage are –

    Arthroscopic Osteochondral Autograft Transfer System (OATS) – This procedure is performed for small to moderately large area of full thickness surface cartilage loss. In this technique cylinder shaped dowel of bone which is devoid of surface cartilage is removed and replaced with a dowel or cylinder of bone with intact surface articulate cartilage.

    Fig 1 (Before Surgery) Full thickness cartilage defect

    Fig 2 ( After Surgery) After osteochondral plug transfer

    Arthroscopic Assisted Autologous Chondrocyte Implantation (ACI) – In this technique, grown cartilage is placed in the damaged area. ACI is a two-stage procedure, beginning with arthroscopic assessment of the chondral injury and biopsy to harvest cartilage, followed by a commercial enzymatic digestion and cell expansion in monolayer culture with cryopreservation of the cells. The cryopreserved cells are thawed and expanded to the cell population needed for the second-stage open ACI technique. During this second stage, a biological reconstruction is performed to repair the articular cartilage defect.

    Cellular “stem-cell”/ Tissue Engineered Construct — Bone marrow, Synovium and fat contains Mesenchymal Stem Cells that capable of forming new tissue, such as bone or cartilage. Here harvested mesenchymal cells are utilized for reconstruction of damaged cartilage.

    Arthroscopic Microfracture Technique – This procedure is useful for smaller areas of complete cartilage loss inside the joint. Cartilage growth and its effectiveness are variable between patients.

    a) Normal cartilage b) Damaged Cartilage c) Peroperative Microfracture
    Fig: Arthroscopic Microfracture

    Arthroscopic Chondroplasty – In this procedure smoothing of roughened articulate cartilage is done using specialized arthroscopic instrument and machines. This procedure helps in relieving joint pain by decreasing friction inside the joint.

    Arthroscopic Abrasionplasty – Abrasionplasty is helpful in patient of complete cartilage loss where subchondral bone is exposed. Here abrasion of exposed bone is done which stimulates bleeding, allowing the bone to grow cartilage.

    There are many other cartilage procedures which are utilized to provide pain free mobility to patients. In some cases additional joint injections of platelet rich plasma (PRP) and hyaluronic acid are useful. There are certain other additional procedures like Arthroscopic Meniscus Repair and Arthroscopic Ligament Repair which helps in prevention of further cartilage damage. These procedures are indicated in patients with otherwise healthy knee, which because of recent trauma or disease developed knee problems.

  • Computer Assisted Knee Surgery

    Computer Assisted Knee Surgery

    Computer assisted knee surgery utilizes computer systems that assists in the positioning of the surgical instruments utilized in the surgery.A digital image, which simulates normal bony anatomy is created.  Over these images surgical instruments are registered.  The whole system guides surgeon during different steps of surgery. It ensures accuracy of the procedure to the extent of fraction of degree and millimeter. Computer assisted surgery is helpful in varieties of knee surgeries. It has its widely established role in knee replacement surgery. 

    Computer assisted knee replacement surgery –

    Computer Navigation Surgery helps surgeon accurate placement of adequate size artificial knee components. In the arthritic knee joint information provided by computer help in avoiding alignment outliers thus helps in increasing the longevity of knee surgery. The information provided by the computer helps surgeon in executing surgery with minimal soft tissue disruption and lesser bone loss. This helps in less postoperative pain and easy rehabilitation.

    In CAS, a computerized model of individual knee is made depending upon the knee anatomy and ligament condition. Surgeon can take guidance from the computer throughout the surgical steps involved in the procedure. Every surgical step can be rechecked thus minimizes any chance of error. Literature and experiences from surgeons from all over the world proves computer assisted total knee replacement superior to conventional total knee replacement.  Using computer navigation for knee replacement surgery reduces the number of outliers and improves overall alignment, leading to better performance and longer life of the implants.

  • How Can We Avoid Knee Replacement Surgery ?

    How Can We Avoid Knee Replacement Surgery ?

    Joint pain is common nowadays. Most common reason leading to joints pain is cartilage damage. It may be due to any trauma or disease. Cartilage has least potential of healing. Healing process of damage cartilage leads to formation of fibrous cartilage. Fibrous cartilage is inferior in quality and resilience compared to natural hyaline cartilage. Such patients does not get relief even after prolong rest, physiotherapy and medication. This leads to persistent pain and disability. Cartilage restoration therapy is boon to such patients. Cartilage Restoration bridges the gap between medical treatment and joint replacement surgery. It helps in prolonging the onset of severe osteoarthritis and need of early joint replacement surgery. Cartilage restoration procedures involve repairing the localized defect or damage of the cartilage, just like filling the pothole on the road.

    We at My Ortho Centre use various Cartilage Restorative Techniques to alleviate long standing joint pain and associated disability of our patients.

    Some of the techniques which we utilize to treat are –

    • Platelet Rich Plasma (PRP).

    • Hyaluronic Acid Injections.

    • Osteochondral Autograft Transfer System (OATS)

    • Autologous Chondrocyte Auto Implantation (ACI)

    • Micro Fracture

    Other cartilage procedures

    These procedures are indicated in patients with otherwise healthy knee, which because of recent trauma or disease developed knee problem.

    Conditions where cartilage restoration works well is –

    • Injury

    • Congenital anomalies

    • Osteochondritis dissecans (OCD)

    • Caused by overuse of joint

    If you are suffering from knee pain not responding to medication and physiotherapy. You may be a candidate for cartilage restoration procedure. If damaged cartilage is not treated, it worsens overtime and leads to early osteoarthritis. This may require major surgical interventions like total knee replacement.