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Hip Replacement Surgery – An Overview

Hip Replacement Surgery is a procedure carried out to replace the painful hip joint due to arthritis or fracture and replace it with an artificial joint made out of plastic and metal. This is usually the last approach after all other treatments fail to provide any relief from hip joint pain.

The surgery was first carried out in 1960 and today is known to be one of the most common and successful surgeries to be carried out. The innovations in area have greatly improved the effectiveness of Surgery in today’s times and even is considered to be a minimally invasive surgery.

Hip Replacement Surgery

The surgery does involves some amount of blood loss so better consider a blood donation before doing the same. The surgery is not a prolonged one but it does require you to stay in the hospital for around less than a week. The surgery is done to remove the damaged bone as well as cartilage and replacing it with prosthetics. The procedure is as follows

The damaged femora head is first taken out from the hollow Femur center and is replaced with a new metal stem, either through cementing or by press fitting it into the bone.

This is followed by placing a ceramic or metal ball in the stem’s upper part. This ball is a replacement for the damaged femoral head.

Further the surgery involves the removal of the damaged cartilage socket surface or acetabulum is removed and a metal socket is used to replace the same using cement or screws if required.

For the surface to remain smooth or gliding, a spacer made from ceramic, plastic or metal is inserted between the socket and the new ball.

While you have to use a bed with a cushion to support your joints post the surgery and a tube in the bladder to help you with the bathroom calls, you need to take adequate rest and avoid doing few things. Even physiotherapy and exercise sessions will follow in order to aid the healing process.

VIMS is one of the best Super Speciality Hospital in Bangalore

*Sourced from the Internet

All You Need to Know Carpal Syndrome in Pregnancy

Carpal syndrome is a very common syndrome that many women experience during pregnancy. Statistics of 2015 say that between 30 to 60 percent women across the world suffer from this condition during their pregnancy. Though no exact reason is known still, experts do believe that this syndrome is a result of swelling due to hormones. Carpal syndrome is a result of swelling similar to that of swelling of ankles and fingers due to fluid retention during pregnancy.

Here’s more on causes, symptoms, treatment and risk factors associated with Carpal Syndrome -

Carpal Syndrome in Pregnancy

CAUSES
Carpal syndrome is caused when the median nerve passing through the carpal tunnel within the wrist becomes compressed. This nerve is responsible for controlling feelings in fingers. The carpal tunnel is made up of tiny carpal bones and ligaments. The pain is caused because due to swelling the tunnel gets narrower thereby compressing the nerve. This in turn causes hand pain as well as numbness or finger burning.

SYMPTOMS

  • Swelling on fingers
  • Thumping sensation across fingers, wrists and hands
  • Tingling and numbness in fingers, hands, wrist that worsens at night
  • Problems holding objects and other motor skill bases routine activities

DIAGNOSIS
The doctor will examine you on the basis of your symptoms and may also ask you to do electro-diagnostic tests for confirmation. This test records and analyzes the signals send and received by the nerves with the help of thin needles or electrodes. In order to check for any nerve damage, tinel’s sign is used. These tests are safe to be done during pregnancy.

TREATMENT
Most doctors while treating CTS take the conservative approach because they have to take into consideration the pregnancy factor. Mostly patients suffering from this condition get relief within weeks or months post-delivery.

  • Avoid Wrist Bending Activities – Activities like throwing the ball or typing on the keyboard need to be reduced or if possible avoided.
  • Cold Therapy – Using ice bags or towel wrapped in ice and massaging it over the wrist for 10-15 minutes at regular intervals can help in decreasing the swelling.
  • Keep Wrists at an elevated position – Using pillows try to keep your wrists elevated.
  • Do Yoga – Yoga is a good idea because it does help to give you relief in terms of pain and help with bettering your grip.
  • Take Pain killers – If you feel pain frequently and is irritable then you may take pain killers on doctor’s advice
  • Take Rest – Take rest whenever you feel pain or fatigued.

Frozen Shoulder – Tips On Dealing With The Painful Shoulder Condition

Medically known as adhesive capsulitis, frozen shoulder usually affects only one shoulder. It is most commonly found in people with diabetic conditions. This condition causes the swelling of the articular shoulder capsule, swelling and stiffening of it and restricting mobility to an extent. Its medical name is derived from the Latin word adhaerens, capsula and it is meaning sticking, little container and inflammation respectively. This condition commonly occurs in the age group of 40 -60 years and most in women more than men.

Frozen Shoulder

A shoulder is made up of a speriodal joint. The other joint has a concave slaught where the round part of one bone fits in. Frozen shoulder is the consequence of thickening of the shoulder joints capsule due to the formation of the scar tissue there. This in turn results in tightening and immobility of the shoulder, even causing pain.

SYMPTOMS
The most common symptom is stiffness in the shoulder join and persistent pain. Frozen shoulder pain is divided into three stages namely painful stage, frozen stage and thawing stage.

Painful stage – This is the first stage of the condition and is very painful. The shoulder stiffens and restricts movement. The pain might aggravates at night.

Frozen stage – This is the second stage of the condition and results in worsening the stiffness of the shoulder. It is restricts the motion to a greater extent compared to the first stage and is painful. The pain thankfully doesn’t worsen.

Thawing Stage – This is the final stage of the condition wherein improvement in the shoulder can be noticed. The pain gradually fades and the shoulder movement improves. But, there are chances of it re-occuring though.

DIAGNOSIS
The diagnosis of frozen shoulder involves the following –
A close physical examination of the shoulders by pressing the pain points and checking the arm movement.
An X-ray to reaffirm the same or an MRI.

RISK FACTORS
The most common risk factors for frozen shoulder include -

Diabetes – It is one of the most common causes of frozen shoulder, though the reason is unknown.

Aging – This condition is common amongst people between age groups of 40 -60 years

Stroke – It also occurs amongst people who have suffered from stroke in the past
Other risk factors include Hypothroidism with overactive or underactive thyroids, Parkinsons disease and Cardiovascular disease.

TREATMENT
Treatment of frozen shoulder aims in increasing the mobility of the shoulder while decreasing the pain. Having said that, you need to accept the fact that the recovery of frozen shoulder takes a long time and can vary from 6 months to a few years as well.

Compression Packs – Use of Hot and cold compression packs on a regular basis can help you decrease the swelling and pain as well. Its better to use the two alternatively rather than using only one of them.

Exercise- Exercising regularly and mildly can help regain shoulder mobility to a good extent.

Pain Killers – Pain killers like ibuprofen and paracetamol or Tylenol can be taken in case of high pain but its important to not make it a habit. As frozen shoulder could last for a few years as well, its advisable to take them only in dire need and also check with your doctor first before taking any of them to confirm the suitability.

Transutaneous electrical nerve stimulation (TENS) - In this treatment procedure, small electric pads are applied to the skin through which small pulses of electricity are passed on with the help of a TENS machine.

Physiotherapy – A physiotherapist helps you through exercises that for lower pain and regaining mobility without straining the shoulder.

Shoulder Arthroscopy – This involves a small surgery wherein an endoscope is inserted through the small incision into the shoulder joint in order to remove the scar tissue.

Shoulder Manipulation – This involves a small surgery wherein the shoulder joint is moved gently and is done in a rather few cases.

Well, Frozen shoulder is a prolonged condition and needs to be tackled smartly with patience. With proper care it might as well fade away in half a year or so, but can rebound as well.

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