Launching a brand new website

Welcome to the brand new website of Dr. Amol Kadu, who is a trained joint replacement specialist in Nagpur. He has experience of personally performing more than 200 joint replacement surgeries in his practice in Central India.

In this new website setup, Dr. Amol Kadu will be connecting with you all more with various new features and services online. He will publishing regular blog posts as well as interacting with queries and questions personally, as far and as quickly as possible. There will be a fresh new way to book appointments with him. He will be adding a huge cache of information one article at a time about his specialisation – Join Replacement Surgeries.

7 Ways to Avoid Knee Pain

What is arthritis?

Arthritis (संधिवात) is a condition where one or more of your joints have swelling, tenderness and severe pain. The common symptoms of arthritis are joint pain, stiffness, difficulty in movement and grating sound in joints, which typically worsen with age. Arthritis starts in when the cartilage (The rubbery soft cushion in the joints which absorbs shock for the bones and makes them glide smoothly, while we move) is damaged and slowly gets thinner and the completely wears away. When most of the cartilage has lost in the joint, it cannot protect the bones from damaging each other; we feel the friction happening inside it.

The commonest types of arthritis are:

1.    Osteoarthritis

 2.    Rheumatoid Arthritis

7 ways to Prevent Osteoarthritis

1.  Maintain good body weight

losing 1 pound of body weight reduces 4 pound of load on knee

Obesity is one of the most common and most important risk factors for arthritis. The extra weight puts more pressure you put on your joints, this results in more damage in your joints. Every extra pound of weight you have on is 4 pounds of pressure on the weight-bearing joints, like your knees and hips. If you lose weight it helps in decreasing load on your weight-bearing joints. Shifting on a low carb diet and adding adequate proteins in your diet will always help in losing that extra fat and preventing muscle loss. Change your diet and lifestyle will help you in getting that lean look, and making your knees better. So focus on losing those extra pounds and improve the biomechanics of your joints. To learn more about losing weight, visit www.dramolkadu.com

2. Avoid Muscle loss

The human body starts losing muscle as it ages. Everyone loses around 1% of muscle mass every year and it peaks at 40 years of age. So, once you are nearing your 50s, you have already lost a significant amount of muscle loss. 

WEAK muscles put a lot of stress on your joints and especially on your back and knees. So, one should always focus on preserving and rather, gaining muscle mass while aging. Adequate proteins in diet and strength training will be of utmost importance in achieving that goal.

3. Do non-impact exercises

knee strengthening exercises will help in keeping knee healthy

As per literature, some sporting activities may actually aggravate osteoarthritis and arthritis pain. High-impact exercises like long-distance running and contact sports put a lot of stress on the joints and worsen your arthritis. Walking, running, or jogging should be strictly avoided by patients who have knee pain or symptoms of arthritis. They must focus on strengthening their knee joints by doing some resistance training under expert supervision and focus to stay active and practice arthritis prevention.

4. Use better body mechanics

When performing routine chores at home or office, like lifting objects, how you bend your body, and how you use your joint matters. People with bad body postures can have a high risk of developing arthritis. Good ergonomic body postures take much of the stress of the joints. This helps with arthritis prevention by preserving cartilage.

 5. Avoid injuries

While getting involved in any kind of sports or similar activities, injuries always lurking dangers for everyone.  While no one wants to be sidelined by an injury, taking preventive steps helps safeguard your health today and may serve as arthritis prevention in the future. Avoiding injury will decrease the risk of developing arthritis later in life. So, it’s always advisable to focus on sports and exercises, which will be challenging, but safe. It’s also equally important to know your body’s limits.

It’s wise to start any new exercise program gradually and overdoing it is always dangerous and there is a high probability of getting hurt. Proper warm-up before starting any sporting activity is very crucial to avoid injuries to the joint and it helps in preparing your body for the rigorous stress during playing. Similarly, stretching after playing a sport is of paramount importance to relax your muscles and avoid stiff joints. Stiff joints are more likely to undergo degeneration in the future and cause arthritis.

6. Check your vitamin D3 /Calcium

According to one statistic, more than 60 percent of Indians are deficient in vitamin D and which indirectly causes weak bones. It’s always advisable to keep a tab on your vitamin D levels is a smart move for arthritis prevention. Patients who have adequate levels of vitamin D have less progression of osteoarthritis. The exact mechanism is not known because of limited research. So, taking calcium supplements and Vitamin D3 supplements, as advised by your doctor, is a good step in preventing osteoarthritis. 

7. Stay hydrated

water keeps your body healthy and thats true for joints also.

The cartilage of joints consists of mostly of water that makes it a great cushion for the joints. Due to dehydration, water is sucked out of the cartilage making it slightly stiffer, so it is more easily damaged by wear and tear. So, better keep your cartilage supple and healthy by drinking water throughout the day. A daily 3-4 liter of water a day is very important for overall health. And now you have one more reason to drink lots of water.  

क्या होता है आंशिक घुटने रिप्लेसमेंट ?

घुटने के आंशिकप्रत्यारोपन (UKA) घुटने के दो हिस्सों में से एक में वात से राहत देने के लिए प्रयोग की जानेवाली एक शल्य प्रक्रिया है जिसमें घुटने के क्षतिग्रस्त हिस्सों को बदल दिया जाताहै। यूकेए (UNI knee)सर्जरी से पोस्ट-ऑपरेटिव दर्द कम हो सकता है और घुटने को पुर्ववत होने कीमें अवधि कम हो सकती है!

यह सर्जरी तब की जा सकती है जब क्षति घुटने के एक विशेष हिस्से तक ही सीमित हो। काफ़ी साल पहले तक , आंशिक घुटनों के प्रत्यारोपण को सिर्फ़ वृद्ध रुग्णो के लिए आरक्षित किया गया था, जिनकी दैनिक गतिविधियाँ  कम होती है।लेकिन अब, युवा आबादी में आंशिक घुटने के प्रतिस्थापन को प्राथमिकता दी जाती है क्योंकि इससे आप काम पर जल्दी लौट सकते हैं  और अक्सर बहुत कम दर्द होता है। 

गठिया के घुटनों वाले लगभग 5% से 6% रोगियों को आंशिक घुटने के प्रतिस्थापन के लिए योग्य माना जाता है। माना जाता है कि 30% तक लोगों को घुटने का वात , याने  ऑस्टियोआर्थराइटिस हैं। 50 वर्ष की आयु तक, घुटने के वात का असर  (ऑस्टियोआर्थराइटिस) पुरुषों और महिलाओं में समान रूप से हैं। 50 वर्ष की आयु के बाद, अधिक महिलाएं प्रभावित होती हैं। 

यदि आपके घुटने का दर्द आपके विरोधी भड़काऊ दवाओं को लेने और स्वस्थ वजन बनाए रखने के बावजूद बना रहता है तो  आप घुटने के प्रत्यारोपण पर विचार कर सकते हैं।आपके डॉक्टर आपको अपने घुटने में दर्द के लिए परीक्षण करके संधीवात का निदान निश्चित करेंगे। घुटने का एक एक्स-रे आंशिक रूप से घुटने के प्रत्यारोपण के लिए आपकी पात्रता निर्धारित करेगा। 

uni condylar knee only replaces damaged portion of the knee and preserves almost 80% of original knee and ligaments.

अतीत में, एक आंशिक घुटने के प्रत्यारोपण को केवल 60 वर्ष से अधिक आयु के रोगियों में एक आँप्शन माना जाता था लेकिन अब इस उपाय का कम उम्र के रोगियों में विचार किया जा रहा है।क्योंकि एक आंशिक घुटना प्रत्यारोपण एक छोटी सर्जरी है, यह अक्सर एक आसान, तेज, जल्दी पुर्ववत करने वाली और टोटल नि रीप्लेसमेंट की तुलना में अधिक कारगर उपाय पाया गया है।आंशिक घुटने के प्रतिस्थापन में आमतौर पर न्यूनतम रक्त हानि होती है और ऑपरेशन के बाद जटिलताओं की कम दर के साथ जुड़ा है। 

अधिकांश रोगी तीन से छह सप्ताह के भीतर अपनी दैनिक गतिविधियों में वापस आने की उम्मीद कर सकते हैं।इस कारण की वजह से आंशिक घुटनों के प्रत्यारोपण की लोकप्रियता बढ़ रही है और ज़्यादातर मरीज़ इस तरीक़े की माँग कर रहे है। कम तकनीक, कम रक्तस्राव, कम आराम , कम फीजीयोथेरपी और जल्द से जल्द काम पर लौटने के वजह से यह ऑपरेशन काफ़ी लोकप्रियता हासिल कर रहा है। यह ज़रूरी नहीं है की हर पेशंट में यह ऑपरेशन शक्य हो। आपके डॉक्टर पुरी जॉंच के बाद ही इस विषय में जानकारी दे सकते है।

पीठ दर्द – एक आम समस्या

पीठ दर्द एक आम समस्या है,  जो आपके दिन-प्रतिदिन के कामकाज को प्रभावित कर सकती है। लॉकडाउन के कारण घर से काम करते समय कई लोग लगातार पीठ दर्द का सामना कर रहे हैं। पीठ दर्द आपके लिए कुशलतापूर्वक काम करना और भारी असुविधा में योगदान करना मुश्किल बना सकता है।घर से काम करते समय आप कई गलतियां कर रहे हैं जो पीठ दर्द में योगदान दे रहे हैं। यहां गलतियों की एक सूची हैजिसके आपको पीठ दर्द हो सकता है। इन्हीं गलतियों से आपको पीठ दर्द से बचने के लिए बचना चाहि, घर से काम करते समय, खराब एर्गोनॉमिक्स और कम्फर्ट ज़ोन लंबे समय में रीढ़ की हड्डी और पीठ से संबंधित बीमारियों का कारण होते हैं।ऐसे ही कुछ प्रमुख उप-कारकों के बारे में बताया

 1. आसीन जीवन शैली:

शारीरिक निष्क्रियता घर से काम के दौरान पीठ दर्द के लिए सबसे अधिक मांग का कारण है। किसीभी शारीरिक व्यायाम या काम के बिना बैठने या लेटने से भविष्य में रीढ़ की हड्डी में तकलीफ होसकती है।

2. खराब बैठे आसन:

लेटते समय लैपटॉप पर काम करना और ग़लत तरीक़ों से घर मे काम करने वाले लोगों में रीढ़ कीहड्डी की समस्याओं को विकसित करने के प्रमुख कारण हैं। यह पीठ की मांसपेशियों और रीढ़ की हड्डी की डिस्क में भारी मात्रा में दबाव जोड़ता है।

3. कम्फर्ट जोन –

slouching posture while sitting कुर्सी पर ग़लत तरीक़े से बैठने की हरकत स्पाइनल लिगामेंट्स को ओवर-स्ट्रेच कर सकती है और स्पाइनलडिस्क को गंभीर दर्द का कारण बना सकती है.

हालांकि, एक सक्रिय जीवन शैली को बनाए रखने जैसे कि नियमित व्यायाम करने और बैठने और झुकने केदौरान सुरक्षित प्रथाओं का पालन करने से, रीढ़ की अधिकांश समस्याओं को रोका जा सकता है। अनपेक्षित परिणाम करते है। अपने आप को सक्रिय रखना कमरदर्द की शिकायतों से बचने कासबसे अच्छा तरीका है और लंबे समय में समग्र स्वस्थ रीढ़ के लिएस्ट्रेचिंग अभ्यास भी कमरदर्द को रोकसकता है।

the Silent Killer -oSTEOPOROSIS.

Bone is living tissue that is constantly being broken down and replaced. Osteoporosis occurs when the creation of new bone doesn’t keep up with the loss of old bone.

Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses such as bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.

Osteoporosis affects men and women of all races. But white and Asian women — especially older women who are past menopause — are at highest risk.

Symptoms

There typically are no symptoms in the early stages of bone loss. But once your bones have been weakened by osteoporosis, you can have signs and symptoms that include:

  • Back pain, caused by a fractured or collapsed vertebra.
  • Generalised body ache due to weak bones
  • Swelling in lower body.
  • Loss of height over time
  • A stooped posture
  • A bone that breaks much more easily than expected.

Causes

Your bones are in a constant state of renewal — new bone is made and old bone is broken down. When you’re young, your body makes new bone faster than it breaks down old bone and your bone mass increases. 

After the early 20s this process slows and most people reach their peak bone mass by age 30. As people age, bone mass is lost faster than it’s created.

How likely you are to develop osteoporosis depends partly on how much bone mass you attained in your youth

The higher your peak bone mass, the more bone you have “in the bank” and the less likely you are to develop osteoporosis as you age.

Risk factors

A number of factors can increase the likelihood that you’ll develop osteoporosis — including your age, race, lifestyle choices, and medical conditions and treatments.

Unchangeable risks

Some risk factors for osteoporosis are out of your control, including:

  • Your sex. Women are much more likely to develop osteoporosis than are men.
  • Age. The older you get, the greater your risk of osteoporosis.
  • Race. You’re at greatest risk of osteoporosis if you’re white or of Asian descent.
  • Family history. Having a parent or sibling with osteoporosis puts you at greater risk, especially if your mother or father fractured a hip.
  • Body frame size. Men and women who have small body frames tend to have a higher risk because they might have less bone mass to draw from as they age.

Hormone levels

Osteoporosis is more common in people who have too much or too little of certain hormones in their bodies. Examples include:

  • Sex hormones. Lowered sex hormone levels tend to weaken bone. The reduction of estrogen levels in women at menopause is one of the strongest risk factors for developing osteoporosis.
    Men have a gradual reduction in testosterone levels as they age. Treatments for prostate cancer that reduce testosterone levels in men and treatments for breast cancer that reduce estrogen levels in women are likely to accelerate bone loss.
  • Thyroid problems. Too much thyroid hormone can cause bone loss. This can occur if your thyroid is overactive or if you take too much thyroid hormone medication to treat an underactive thyroid.
  • Other glands. Osteoporosis has also been associated with overactive parathyroid and adrenal glands.

Dietary factors

Osteoporosis is more likely to occur in people who have:

  • Low calcium intake. A lifelong lack of calcium plays a role in the development of osteoporosis. Low calcium intake contributes to diminished bone density, early bone loss and an increased risk of fractures.
  • Eating disorders. Severely restricting food intake and being underweight weakens bone in both men and women.
  • Gastrointestinal surgery. Surgery to reduce the size of your stomach or to remove part of the intestine limits the amount of surface area available to absorb nutrients, including calcium. These surgeries include those to help you lose weight and for other gastrointestinal disorders.

Steroids and other medications

Long-term use of oral or injected corticosteroid medications, such as prednisone and cortisone, interferes with the bone-rebuilding process. Osteoporosis has also been associated with medications used to combat or prevent:

  • Seizures
  • Gastric reflux
  • Cancer
  • Transplant rejection

Lifestyle choices

Some bad habits can increase your risk of osteoporosis. Examples include:

  • Sedentary lifestyle. People who spend a lot of time sitting have a higher risk of osteoporosis than do those who are more active.
  • Any weight-bearing exercise and activities that promote balance and good posture are beneficial for your bones, weightlifting seem particularly helpful.
  • Excessive alcohol consumption. Regular consumption of more than two alcoholic drinks a day increases your risk of osteoporosis.
  • Tobacco use. The exact role tobacco plays in osteoporosis isn’t clear, but it has been shown that tobacco use contributes to weak bones.

Complications

Bone fractures, particularly in the spine or hip, are the most serious complications of osteoporosis.

 Hip fractures often are caused by a fall and can result in disability and even an increased risk of death within the first year after the injury.

In some cases, spinal fractures can occur even if you haven’t fallen. The bones that make up your spine (vertebrae) can weaken to the point of crumpling, which can result in back pain, lost height and a hunched forward posture.

Prevention

Good nutrition and regular exercise are essential for keeping your bones healthy throughout your life.

Protein

Protein is one of the building blocks of bone. However, there’s conflicting evidence about the impact of protein intake on bone density.

Most people get plenty of protein in their diets, but some do not. Vegetarians and vegans can get enough protein in the diet if they intentionally seek suitable sources, such as soy, nuts, legumes, seeds for vegans and vegetarians, and dairy and eggs for vegetarians.

Older adults might eat less protein for various reasons. If you think you’re not getting enough protein, ask your doctor if supplementation is an option.

Body weight

Excess weight is now known to increase the risk of fractures in your arm and wrist. As such, maintaining an appropriate body weight is good for bones just as it is for health in general.

Calcium

Men and women between the ages of 18 and 50 need 1,000 milligrams of calcium a day. This daily amount increases to 1,200 milligrams when women turn 50 and men turn 70.

Good sources of calcium include:

  • Low-fat dairy products
  • Dark green leafy vegetables
  • Canned salmon or sardines with bones
  • Soy products, such as tofu
  • Calcium-fortified cereals and orange juice

If you find it difficult to get enough calcium from your diet, consider taking calcium supplements. 

total calcium intake, from supplements and diet combined, should be no more than 2,000 milligrams daily for people older than 50.

Vitamin D

Vitamin D improves your body’s ability to absorb calcium and improves bone health in other ways. People can get some of their vitamin D from sunlight.

To get enough vitamin D to maintain bone health, it’s recommended that adults ages 51 to 70 get 600 international units (IU) and 800 IU a day after age 70 through food or supplements.

People without other sources of vitamin D and especially with limited sun exposure might need a supplement. 

Exercise

Exercise can help you build strong bones and slow bone loss. Exercise will benefit your bones no matter when you start, but you’ll gain the most benefits if you start exercising regularly when you’re young and continue to exercise throughout your life.

Combine strength training exercises with weight-bearing and balance exercises

Strength training helps strengthen muscles and bones in your arms and upper spine. Balance and flexibility exercises such as Yoga can reduce your risk of falling especially as you get older.

Swimming, cycling and exercising on machines such as elliptical trainers can provide a good cardiovascular workout, but they don’t improve bone health.

So, a combined fitness regime will help u maintain your bone health.

Diagnosis

DEXA scan is a gold standard test for diagnosis of osteoporosis.

Your bone density can be measured by a machine that uses low levels of X-rays to determine the proportion of mineral in your bones. During this painless test, you lie on a padded table as a scanner passes over your body. In most cases, only a few bones are checked — usually in the hip and spine.

Treatment

Treatment recommendations are often based on an estimate of your risk of breaking a bone in the next 10 years using information such as the DEXA SCAN.

 If your risk isn’t high, treatment might not include medication and might focus instead on modifying risk factors for bone loss and falls.

Biophosphonates

For both men and women at increased risk of fracture, the most widely prescribed osteoporosis medications are bisphosphonates. Examples include:

  • Alendronate (Binosto, Fosamax)
  • Risedronate (Actonel, Atelvia)
  • Ibandronate (Boniva)
  • Zoledronic acid (Reclast, Zometa)

Monoclonal antibody medications

Compared with bisphosphonates, Denosumab produces similar or better bone density results and reduces the chance of all types of fractures. Denosumab is delivered via a shot under the skin every six months.

Hormone-related therapy

Estrogen, especially when started soon after menopause, can help maintain bone density and is typically used for bone health in younger women or in women whose menopausal symptoms also require treatment.

Raloxifene (Evista) mimics estrogen’s beneficial effects on bone density in postmenopausal women, without some of the risks associated with estrogen. 

In men, osteoporosis might be linked with a gradual age-related decline in testosterone levels.

Bone-building medications

If you can’t tolerate the more common treatments for osteoporosis — or if they don’t work well enough — your doctor might suggest trying:

  • Teriparatide : This powerful drug is similar to parathyroid hormone and stimulates new bone growth. It’s given by daily injection under the skin.

Lifestyle and home remedies

These suggestions might help reduce your risk of developing osteoporosis or breaking bones:

  • Regular exercise ,espcially a combination of weightlifting with Yoga will give immense benefits in improving your bone health.
  • Good nutrition with adequate protiens and adequate calcium and Vit D supplements will give good bone strength.
  • Don’t smoke. Smoking increases rates of bone loss and the chance of fracture.
  • Avoid excessive alcohol. Consuming more than two alcoholic drinks a day might decrease bone formation. Being under the influence of alcohol also can increase your risk of falling.
  • Prevent falls. Wear low-heeled shoes with nonslip soles and check your house for electrical cords, area rugs and slippery surfaces that might cause you to fall. Keep rooms brightly lit, install grab bars just inside and outside your shower door, and make sure you can get into and out of your bed easily.

ARTHRITIS: Care &Cure

At this point we should become concerned about the joints and consider meeting your orthopaedic surgeon for a complete evaluation. 

Usually as age progresses, people start experiencing pain and stiffness in their knee joints. They start having difficulty in sitting and walking. It becomes difficult to climb stairs and sitting on the ground. Some may start having crackling sounds from their knee joints.

Such Patients who are suffering from significant pain and limited mobility in daily life are diagnosed as a case of osteoarthritis. 

Simple knee Xray will give u a diagnosis of osteoarthritis.

Whether the arthritis is an inherited, genetic condition or is brought on by trauma or an inflammatory issue, the end result is always the same. When cartilage wears away, bone on bone interaction in the knee joint can make the simplest of daily tasks extremely difficult.

Causes of Osteoarthritis

Sometimes the trauma of an injury is great enough to impact the condition of cartilage within a joint. Especially, if an injury does not heal properly, osteoarthritis can set in as the joint continually bears extra stress with every movement. In addition, inflammatory conditions such as Rheumatoid arthritis  and similar inflammatory arthritis will also cause the breakdown of cartilage for other, physiological reasons.

But injury and inflammation are not the most common causes for osteoarthritis. 

The primary culprit is Age related degeneration which is also commonly known as “knee osteoarthritis” 

The elderly people experience a slow and gradually wearing down of the protective cushion in the joint. 

Over the years, osteoarthritis (which is frequently called “wear and tear” arthritis) makes a significant impact on a patients ability to live a healthy, active lifestyle. 

It needs attention and if taken care early, many modalities are available to improve the joint health and halt the progression of disease.

If knee pain has compromised the quality of life for the patient, it’s time to consider surgical approaches to care.

Is Surgery the only option ??

Treatment of arthritis starts without surgery

If u approach your orthopaedic surgeon early and get your joint evaluated, then u can be offered many non surgical options to help you.

The pain relievers and anti-inflammatory medication may help in relieving your pain and swelling on the joint.

Activity modifications and exercises can also help in improving your cartilage condition.

But, it totally depends on the stage of the disease , when u approach your doctor.

Arthritis of the hip and knee can affect your life in many ways – including how you feel psychologically.

If the disease is advanced and not responding to medication, only then a surgical option is offered.

The good news is that hip and knee replacements are very successful surgeries. It takes time to heal afterwards, but many people return to an active, pain-free life. 

Less pain usually leads to better walking ability and improvement in your overall health.

Is it worth the expense?

A common way to measure the value of a procedure is to compare the cost to the quality years of life it gives a person. The cost of the surgery itself is high, but the improvement to quality of life is great and sustained; thus, the overall costs in general are considered low. 

Your general health and sense of well-being also gets better. 

Nine out of ten people say they would have the same surgery again to treat their arthritis.

When is the right time to have my joint replaced?

The right time for joint replacement surgery is a common concern. Many factors are important to think about: general health, time away from work, family commitments, and the time it will take you to get better afterwards. 

Most people decide the time is right when their knee or hip pain prevents them from living comfortably. 

As hip and knee arthritis worsens, the stiffness of the arthritic joints also worsens. This can make the replacement surgery more difficult. That may mean a longer recovery and more physical therapy. 

Many cases, arthritis pain will prevent you from doing very simple things. Perhaps you cannot take care of your home or family, or you can no longer do your job. 

By waiting too long, you may not get the full benefits of your knee replacement surgery.

You must make the individual decision about the right time to have surgery.

What are my surgical options?

When non-surgical treatments for knee arthritis fail, you and your doctor may consider surgery

Partial Knee Replacement:

This can be either the knee cap-femur joint (patello-femoral) or more commonly – the femur-shin joint (femoral-tibial).

A surgeon performing a partial knee replacement, also known as  “unicompartmental” knee replacement, replaces only the part of the knee that is worn out

These procedures are appealing because they are generally less invasive, more normal tissue is retained, and recovery is easier.

uni knee /Partial knee replacement

Because a partial knee replacement is less surgery, it has often been reported to have an easier, quicker, more complete recovery and greater satisfaction than a full knee replacement. 

Its a blessing for Indian Population , as it allows near normal knee kinematics due to preservation of ligaments, Indian lifestyle activities become easier after operation.

Complications during surgery like blood loss, transfusion and blood clots tend to be less with a partial replacement.

When a partial knee replacement fails, it can be converted to a full knee replacement with an excellent degree of success. 

The overall outcomes are highly successful.

Total Knee Replacement (TKR) 

It is the gold standard when conservative treatment for arthritis of your knee has failed. 

TOTAL KNEE REPLACMENT

This procedure involves resecting the ends of the bones of the knee and replacing them with a combination of metal and plastic

The procedure is one of the most successful of all surgical procedures. 

On average, TKR provides 90-95% pain relief and has a 1-2% complication rate. Approximately 90% of replaced knees will be satisfactory twenty years after surgery.

Both partial and total knee replacements can be highly successfully for patients who are good candidates. 

It is important to discuss the risks and benefits of each type of surgery with your surgeon so that your expectations are in line with the procedure you elect to have.

 Remember that both of these procedures are replacements, and you should follow the activity restrictions your surgeon provides you. Neither procedure is designed to hold up to the rigors of high-impact sports.

 If you take care of your total or partial knee replacement it will provide you with the greatest longevity possible.

JOINT REPLCEMENT OPTIONS IN KNEE

How long will I stay in the hospital?

You will likely stay in the hospital for one to three  days depending on your rehabilitation protocol and how fast you progress with physical therapy. This is highly dependent upon your condition before surgery, your age, and medical problems which can influence your rehabilitation. A safe discharge plan will be arranged for home versus a rehabilitation center/skilled nursing facility.

What is recovery like in the hospital?

Recovery starts right after surgery. You are helped out of bed on the day of or the day after surgery. A physical therapist will help you to walk. Most patients will have one or two sessions of physical therapy per day. The goal of therapy is to assist with strengthening of the muscles and walking. Therapy will also make sure that you are safe when you go home. That’s important when doing things like dressing, using the bathroom, getting up from a chair, and climbing stairs.

Walking soon after surgery helps you get better. It also helps avoid things like bedsores, pneumonia, and blood clots. While moving around helps prevent blood clots, most doctors will use a more formal program of blood clot prevention like stockings worn on the legs, inflating foot or leg pumps, and blood thinning medications. These medications may be continued after you go home.

Will I be in a lot of pain?

Fear of pain from surgery is one of the biggest reasons why people avoid having a hip or knee replacement. With better pain control, you will have mild to moderate pain. Pain control comes from using several medications that affect both the spinal cord and the brain. Doing so means smaller doses and fewer side effects like nausea. Surgeons may also inject pain medicine into the hip or knee at the time of surgery to numb the area. At many hospitals, pain medications are given even before surgery begins.

Nausea can make recovery harder. It has many causes including stress and pain medications. Using less medication that includes narcotics (like morphine) will help to lessen nausea. There are also medications that help control nausea if it occurs.

When will I be back to normal?

Most people get better from knee replacement by six weeks. The skin incision or cut takes approximately two to three weeks to heal. The time it takes to walk without a cane or drive after surgery is different for everyone. You will need physical therapy after going home. Even though the skin incision or cut will heal in two to three weeks, the process of healing can take up to a year. Scar tissue tends to soften over time, so you will continue to improve even after your physical therapy is over.

A new hip or knee may allow you to return to your favorite pastimes like walking, swimming, gardening and even some low-impact sports.

How long will my new joint last?

For about nine out of every ten people who have had a hip or knee joint replaced, the new joint is still working well after twenty years.

How long the replacement will last depends on a number of things. Younger individuals who are more active tend to wear out their replaced joints quicker. Older, less active individuals find their joint replacements last longer.

Will I need follow-up care after I’m well?

Replacements may fail by the parts becoming loose. The joint surfaces may wear. Bone could break down around the parts, infection could set in, or in rare cases, the parts themselves might break. Many of these problems can be seen by a doctor on x-rays before you feel that anything is wrong. This is why you should see your doctor on a regular basis after surgery even if you feel well. Treatment soon after a problem occurs is usually simple. But if the problem is ignored, it can be much harder to fix.

50 + Successful Partial knee Replacement Surgeries

Partial knee replacement is one of the recent advanced techniques of knee replacement and has shown very good results in patients with osteoarthritis. it has been proven to be blessing for Indian patients , as our lifestyle demands sitting on floor which is made possible with uni knee.

Dr. Amol Kadu is one of the very few surgeons performing this wonderful procedure with great success.

He has done more than 50 uni condylar partial knee replacement surgeries till date with great results and patients are doing well and are raving about their results.

CONTACT to know more about Partial knee replacement.

50 + uni knee surgeries done

Better Workplace : Ergonomics at Work

What is “ergonomics”? Ergonomics means “Fitting the job to the worker.”

Ergonomics… is the science and practice of designing jobs and workplaces to match the capabilities and limitations of the human body. As early as in 18th century doctors noted that workers who required to maintain body positions for long periods of time developed musculoskeletal problems.Within last 20 years, research has clearly established connections between certain job tasks and RSI or MSD. To understand the problem we should know what are the reasons behind these problem. What two elements are at work?

  • Static work: Musculoskeletal effort required to hold a certain position, even a comfortable one.
  • Force: Amount of tension our muscles generate

These forces cause excessive and repetitive stresses on the muscles, joints and tendons and gives rise to various musculoskeletal problems. Hence, it becomes imperative for us to create a working environment which is ergonomically fit for the work.

Benefits of Ergonomics

  • Ergonomics helps to prevent injuries
  • Ergonomics Improves quality of work
  • Improves quality of life & Reduced fatigue and discomfort

What? Overuse injuries, soft tissue injuries which occur gradually also known as Cumulative Trauma Disorders (CTDs) or Repetitive Strain Injuries (RSIs) are Work-related Musculo-Skeletal Disorders(WMSD). Common WMSDs are:

  • Carpal tunnel syndrome
  • Slipped spinal discs
  • Rotator cuff tendinitis
  • De’quervain’s tendinitis
  • Trigger finger
  • Carpet layer’s knee
  • Tennis elbow

Heavy, frequent, or awkward lifting, pushing, pulling or carrying loads, working in awkward postures, intensive hand work, like pinching, gripping, repetitive postures, vibrations are the common causes of WMSDs.

The common symptoms are painful joints like wrist, knees, shoulders, tingling, numbness in fingers, severe nagging pain in both legs and feet, severe back ache or neck pain, reduced range of movements in joints, loss of grip or difficulty in holding objects.

To avoid these problems, dictum “Prevention is better than cure” fits perfectly… So, lets start by knowing how we can avoid these problems. To get started:

    a) Warm up & stretch before activities that are repetitive, static or prolonged
    b) Take frequent breaks from ANY sustained posture every 20-30 minutes
    c) Respect pain – positions or stop painful activity
    d) Recognize early signs of inflammatory process, & report early
    e) Maintain proper postures while sitting and standing
    f) Avoid lifting heavy weights.
    g) Slide objects instead of lifting them
    h) Store heavy items where you won’t have to bend or reach to lift them
    i) Use ladders to get items down from high shelves.
    j) Hold objects closer to your body when lifting

dr amol kadu better workplace ergonomics
dr amol kadu better workplace ergonomics

The key is to Relax yourself at work. Its really important to create ergonomical habits and environment at work place to protect yourself.

  • Take “stretch pauses”: Take frequent breaks from ANY sustained posture every 20-30 minutes.
  • Improve your posture
  • Move around as much as possible
  • Warm up & stretch before activities that are repetitive, static or prolonged
  • Recognize early signs of inflammation
  • Help yourself to avoid such problems.
  • Understand your work and do it right way.
  • Work towards improving your working conditions
  • Be ergonomical at work.
  • Reporting problem early is important.

It’s really important to realise the importance of ergonomics at work and follow it at work. Otherwise, over the months & years the work will take its toll on your body.

So, be fit and keep ur workplace fitter!

Keep Looking for Ways to Avoid Back Pain?

Back pain can be the result of trauma, such as a fall or a car accident. But most often back pain is the result of an Everyday Activity done incorrectly — activities as common as twisting to reach or lift an object, sitting at a computer in the same position for hours, bending over to vacuum, and carrying shopping bags. The good news is that back pain prevention isn’t all that difficult, often requiring just a few adjustments that will soon become second nature.

Here are six simple but effective back pain prevention tips.

  1. Exercise.
    One of the most important things you can do for back pain prevention is to get up and get moving. Why does exercise prevent back pain?
    Muscles are meant to move. If you aren’t in good shape, you’re more likely to hurt your back and feel pain when you do even simple movements, such as lifting your child from his crib. Also, exercise helps keep your joints flexible. Sedentary lifestyle tends to weaken your musculature and hence everyday activities put lots of stress on your joints , especially on back.
    Another reason exercise prevents back pain is that exercise helps you keep your weight down — being overweight, especially around your stomach, can put added strain on your back.
  2. Eat right.
    If you maintain good eating habits, you not only will maintain a healthy weight, but you also will not put unnecessary stress on your body. Conversely, a healthy diet of fresh fruits and vegetables, lean meats, dairy products, and whole grains will keep your digestive tract on track.
  3. Sleep sideways.
    You don’t want to sleep flat on your back. The best position for sleeping is on your side. If you must sleep on your stomach, put a pillow under your lower abdomen to help take stress off your back. Having a supportive mattress and pillow for your head are vital as well. Getting enough, restful sleep is always an important part of maintaining good health, Also, if you exercise during the day, you sleep better at night.
  4. Maintain proper posture.
    People sitting at their computer for seven or eight hours a day tend to have backache. People slouch over their computers and their telephones when they’re texting, and they don’t realize the damage they’re doing to their backs and the pain they could be causing.Be sure to work at an ergonomically correct workstation, both at the office and at home, and break up long periods in front of the computer with stretching exercises. If you practice good posture, you will maintain the natural curves of your back and help keep it strong.
  5. Reduce stress.
    You probably don’t realize how much stress can impact your back health. Stress causes you to tense your muscles, and constant tension of this kind can cause back pain. Any activity that helps you reduce stress will help prevent back pain. Stress reduction activities can include yoga, meditation, biofeedback, deep breathing, tai chi, and guided imagery.
  6. Quit smoking.
    It’s well known that smoking raises your risk for heart disease and cancer, including lung and colon cancers, but most people don’t realize that smoking also can be a cause of persistent back pain. Research also shows smoking can make existing back pain worse. It’s not entirely clear how smoking affects back health, but one possibility is that it narrows blood vessels. Narrowed blood vessels result in less oxygen and nutrients reaching the spine and, in turn, it becomes more susceptible to injury and slower to heal.
    In routine day to day works and schedules we can make small ergonomic changes, to avoid stress on your back. We all tend to sit for longer periods these days, at work, at home and in the car. Our backs are designed for spending the majority of our day on our feet being active, not stuck sitting for most of the day.

Why is sitting so bad for your back?
Backs like movement! It keeps the muscles and spine supple and conditioned, and ensures that excessive compression and poor posture doesn’t build up and cause issues with your spine.

Sitting puts your lower back into a flexed position with adds compression through the spine, tightens your hip flexor muscles and can tighten your back muscles unless your chair setup is perfect ergonomic wise. Sitting for long hours causes spasm of Hamstring muscle ,largest muscle in the body and that results in creating lot of stress on your lower back. to avoid this we should pay proper attention to the postures we should inculcate in our routine.

So what can you do to help your back if you are sitting a lot?

At Work:

  1. Move regularly –every 20 minutes get up and move. Having a sit-stand desk should be considered, they aren’t as expensive as you might think and your back will love it.
  2. Ensure your work chair is ergonomic – it needs to be 3 way adjustable i.e. Height, Back rest tilts, Seat tilts.
  3. The tilts on the chair (both back rest and seat tilt) needs to be just right to be able to support the natural curve of your spine, so your back can rest comfortably into the chairs backrest.
  4. Ensure your desk is the right height and the keyboard/mouse are close to the edge of your desk, and the screen is at or just below eye level

At Home:

  1. Avoid sitting in deep lounge chairs or sofa seats. If you have to sit on them, use a cushion to support your lower back curve. These types of chairs really flex your low back and can be an aggravation.
  2. Use a good computer chair if you are working on the computer or laptop, don’t use the lounge or sofa!
  3. If you are watching TV, why not lie down on the ground or on the lounge instead of always sitting.
  4. Consider buying a recliner chair, they are often better for your back.

In the Car:

  1. Use a cushion/rolled up towel or lumbar support in the arch of your low back for more support
  2. Have the seat up high and forward towards the wheel to help you sit up straighter
  3. If you are doing long drives, stop every hour and get out the car. Walk and stretch your back for a few minutes will help a lot.

The main theme is, get and keep moving. The above tips to help your back whilst sitting are great, but not sitting as much in the first place, is even better for your back.

You can reduce your risk for back pain with simple lifestyle changes. However, if you should experience back pain, don’t ignore it. It could be a sign of a more serious condition. Talk to your doctor about your symptoms and what you should do to find and treat the cause.

Osteoarthritis and TKR

About Osteoarthritis and Knee Pain

If you are visiting this web site, chances are it’s because you or someone you care about suffers from the arthritis that causes knee pain. You are not alone. More than 20 million have the most common form of it, known as osteoarthritis (OA). In fact, OA is the number one of the most common cause of disability

But there is goodnews for OA patients. More than ever before, people are regaining their active lifestyles and continuing many of their favorite activities, despite theircondition. As you explore the rest of this , keep this in mind: There is hope, and help.

Osteoarthritis is a chronic disease. That means it will never get better, and is likely to get worse over time. Unlike some forms of arthritis that are due to a faulty immune system, osteoarthritis is a “wear-and-tear” disease: the knee pain and immobility are caused by wear-and-tear between the joints. This friction is due to worn out cartilage between the joints.

OA strikes three times as many women as men and most often occurs in people over 50. However,younger people who have been injured in sports or accidents can start having symptoms in their 30s and 40s.

If you have OA,everyday activities may be extremely painful or even impossible. Simple thingslike walking, driving, lifting, standing, and exercising may be causing you extreme pain. It may even hurt when lying down to sleep or rest.

In addition to physical symptoms, osteoarthritis takes an emotional toll. A survey by The National Council on the Aging sheds light on the way OA hampers the lives of people with the disease.OA is a progressive disease. While early treatment can slow things down, affected joints generally continue to get worse.

Remember, though,that while the disease is serious and painful, there is hope and help. lets,Explore for information on coping with knee pain and OA.

About the knee

Your knee has three parts: your thigh bone (femur), shin bone (tibia)and knee cap (patella). Where the bones meet, they are covered with asmooth substance called articular cartilage which helps them slide overeach other easily. The joint is held together with tough bands of tissuecalled ligaments and is lubricated with a special fluid.Arthritis is a process in which the articular cartilage is destroyed: oncecartilage has been damaged or destroyed it is gone for good as it cannotrepair or heal itself. Serious injury, wear and tear and a family history ofarthritis all seem to play a part. Arthritis can develop over many years orfairly rapidly and can follow serious injury.

What is a Total Knee Replacement (TKR)?

Total knee replacement, or TKR, is a surgical procedure in which the knee is resurfaced with artificial parts. Your knee replacement will consist of a metal shell on the end of the femur and a metal and plastic trough on the tibia. A plastic button will be used to resurface the back of the kneecap, if needed.

An artificial knee is not a normal knee but,aims to:

l. Provide pain relief

2. Allow you to walk a good distance again

3. Correct deformityi.e. give you a straight legl

4. Remove symptoms such as giving wayand locking

5. Improve your quality of life.

The consultant will recommend this operation, however it is your choice to have this operation and the outcome is reliant on the amount of work you do.After the operation your deep Osteo-arthritic pain should resolve, however,for a period of time this will be replaced with ‘Surgical pain’ from the trauma of the operation and it is important to take regular analgesia to allow you toperform your exercises.

A total knee replacement(TKR) is a large commitment and you must be motivated and prepared to spend time making the process a success.

How long will my knee replacement (TKR) last?

All knee replacements have a limited life expectancy dependant on an individual’s age, weight and level of activity. Their longevity will vary but all TKR will eventually wear out. Currently 10-20 years is the expected life span but up to 5% of knee replacements will not last 10 years. There is no guarantee that your particular implant will last a specific length of time. It is important to follow your Surgeon’s advice after surgery.

How long will I be in hospital?

The average length of stay for a TKR is 3-5 days, however this is dependant on your previous level of fitness, medical complications and home circumstances. If you are motivated you maybe able to get home sooner. You will only be discharged when the team is happy you can care for yourself at home.

Why do implants fail?

The most common reason for failure in a TKR is loosening or wear of the implant. This can usually be replaced with another one which is called a revision.

Will I have restrictions after surgery?

You will be advised against participating in high impact activities such as running, jumping, squash, singles tennis and contact sports.

Will I notice anything different about my knee?

You will notice some numbness on the outside of the scar. The area around your scar may feel warm for up to six months. In the initial post operative period you will find your knee becomes stiff, this will improve with regular exercises. Initial swelling in your knee should settle in 6 weeks, however your knee can continue to swell following activity for about a year. You may also notice some clicking as you move your knee due to the artificial surfaces coming together, this should improve in time.

When will I be able to return to work?

We recommend that most people will need at least six weeks off from work. Patients with more sedentary jobs may be able to return to work sooner. The timing of your return to work will depend on your progress and commitment.

When will I be able to drive?

Most people would not be fit to drive in the first six weeks. If you have had your right knee replaced you must be able to perform an emergency stop effectively. Driving will depend on your progress,commitment and individual circumstances.Please seek advice from a health professional or at your six week follow up.

You may find that gentle exercise (within your limits of pain) such as cycling,swimming, or walking with periods of rest in between are of more benefit than exercise which will result in excessive weight on your joints i.e. jogging.

Exercising the muscles around the joint will help to maintain or possibly improve the strength of your muscles and also the range of movement of the joint. This will also benefit you after your operation.