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Walking and climbing stairs hurting your knees?
Performing simple activities such as sitting or lying down cause pain?
Consider nonsurgical treatments like medicines and walking support, if these are no longer helpful , you should consider knee replacement surgery which safe. This procedure helps in relieving pain, correct leg deformity.
Osteoarthritis is a type of arthritis which is very common to millions of people all over the world.
This happens due to the wear and tear of the protective cartilage.
Rheumatoid arthritisis a continuing and weakens immune system. Joints and other body organs, swells and there is pain around the areas.
This happens after a knee injury. This usually occurs after physical injury to the joint.
If you’re facing any discomfort, call us and book an appointment with Orthopedic surgeon and we will make sure you get the best treatment
DR VENU MADHAV SENIOR JOINT REPLACEMENT SURGEON Bengaluru
@ALL HEALTH INSURANCES ARE ACCEPTED
@COST OF TOTAL KNEE REPLACEMENT IS 1,00,000 ONLY
Hyaluronic acid injection is used to treat knee pain caused by osteoarthritis (OA) in patients who have already been treated with pain relievers (e.g., acetaminophen) and other treatments that did not work well.
Hyaluronic acid is similar to a substance that occurs naturally in the joints. It works by acting like a lubricant and shock absorber in the joints and helps the joints to work properly..
Platelet-rich plasma therapy is a simple, low-cost and minimally invasive intervention which is feasible to deliver in primary care to treat degenerative lesions of articular cartilage of the knee. This therapy appears to have minimal associated adverse events and may have beneficial effects in terms of pain, health utility, patient satisfaction and goal-orientated outcomes.
Injection of STEM cells, especially mesenchymal stem cells, has been shown to be a better strategy to repair degenerative cartilage than implantation of differentiated cells such as articular cartilage. Adult stem cells have a reliable potential to differentiate into cartilage, bone, fat or soft tissue.
They also display the ability to home to areas of inflammation and degeneration, and to modify immune system activity that can favorably influence the surrounding cartilage in areas of damage.
Encouragingly, results of pre-clinical and clinical trials have provided initial evidence of efficacy and safety in the therapeutic use of mesenchymal stem cell therapies for the treatment of knee cartilage damage and osteoarthritis. Cell-based therapy has become a key focus of tissue engineering research focused on functional replacement of cartilage and meniscus regeneration.
It is considered as the alternative to total knee replacement surgery in patients who are not willinig for surgery. Ask your orthopedic surgeon for further details
Mechanical "wear and tear" on a person's knees over a lifetime seems to be an obvious explanation for the increase of arthritis with age, but the answer is not that simple. The current view is that a number of factors act together to cause knee deterioration. Some of these factors include heredity, developmental abnormalities of knee formation, genetic tendency to abnormal cartilage metabolism, major or minor repetitive injuries, and certain occupations. While being overweight does not necessarily cause arthritis, it certainly contributes to early and more rapid development of knee problems.
Orthopedic surgeons examine the patients with painful knee deformities, severe degenerative X-ray changes, or advanced symptoms of arthritis are candidates for total knee replacement surgery. Symptoms of advanced end-stage knee arthritis include:
Degenerative changes or injury can cause damage to some of the structures in the knee, causing pain and discomfort, and limiting normal activities. One of these conditions, called osteoarthritis, causes the cartilage that normally helps to cushion the bones to wear down, making the bones rub together, which causes pain. Other conditions that may lead to total knee replacement surgery are rheumatoid arthritis and post-traumatic arthritis. Your doctor may try to reduce your discomfort with pain medication, weight management and physical therapy, but total knee replacement may be recommended if these remedies are unsuccessful.
Total Knee replacement surgery is designed to replace the damaged articular cartilage or gliding surface and any related loss of bone structure or ligament support. The procedure itself is a resurfacing of the damaged knee, and relies on the patient's muscles and ligaments for support and function. The prostheses (replacement knees) come in several different configurations designed for replacement of specific patterns of advanced arthritis.
Knee replacements are not all the same. There are different types of knee replacements, such as:
These different prostheses can be made of cobalt chrome, titanium, and polyethylene (plastic). They can be fixed to the bone with acrylic cement or can be press-fit, which allows bone to grow into the implant. The use of a particular implant design, material, and fixation method depends on many factors related to each patient. The orthopaedic surgeon selects the type of knee replacement that best suits the patient, based on the amount of arthritis bone loss and the quality of the ligaments supporting the knee.
The surgery involves removing a small portion of the bone in the knee, and covering it with a combination of metal and plastic to form a new surface of the joint and to repair loss of bone structure or ligament support by your orthopedic surgeon
Medicines may be prescribed by your surgeon to help prevent blood clots after surgery. Your surgeon and physical therapist will also discuss movement guidelines for you following surgery.
The vast majority of patients who undergo total knee surgery have dramatic improvement within weeks of the surgery. The pain caused by the damaged knee is relieved when a new gliding surface is constructed. Patients who have knee replacement surgery are standing and moving the joint the day after surgery. After about six weeks, most patients are walking comfortably with only a little support. After muscle strength is restored, patients who have knee replacement surgery can enjoy most activities (except running and jumping).
When knee replacement procedures were first performed in the early 1970s, it was thought that the average total knee implant would last approximately 10 years. We now know that approximately 85 percent of the knee implants will last 20 years. Improvements in surgical technique, prosthetic designs, bearing surfaces, and fixation methods might increase the survival rate of these implants even longer.
Depending on the individual patient and their specific condition and needs, it may take from six months to a year to fully recover from knee replacement surgery. After total knee replacement surgery, patients can lead healthy and active lives. Some activities, such as high-impact sports, should be avoided, and a leg brace is required for any athletic sports.
Rehabilitation begins immediately following surgery and may include a machine to help move your leg in the first few days after surgery. The success of the replacement and recovery is contingent on the patient and their participation in the rehabilitation process. This process requires a lot of time, effort, and a positive attitude to ensure success.
Before you leave the hospital, a physical therapist will provide goals and instructions for you to complete while in the hospital and at home. It is recommended that you follow the instructions for a minimum of two months following surgery. At that time, you should ask your physician when you may resume your previous activities.
There are several basic rules about positioning that you should be aware of following surgery. Make sure that you do not kneel, squat or jump, and do not twist or pivot your operated knee. Do not place weights on top of your knee, and do not allow anyone to push on your knee or ankle while sitting or lying down. Do not use ankle weights, and do not lie in bed with a roll or pillow under your knee for prolonged periods of time. While sitting, make sure that you use a straight back chair with arm rests, and do not sit in chairs or sofas lower than knee height since they require excessive bending at the knees when sitting down and getting up. Also remember not to cross your legs while sitting and place a stool under your feet for support while lifting weights. Since most toilet seats are lower than knee height, patients are recommended to use a toilet seat extension, which are available for purchase in the hospital or a medical supply store. Based on your individual treatment plan, your physical therapist will determine your need for this item.