Author Archives: jointsurgery

For a one or two level procedure, most patients go home the same or next day. If you are having three or more levels operated on, you will be in the hospital for approximately 2 – 3 days. If your pain level is tolerable and you are doing well medically, you can expect to be discharged.

No, our orthopedic surgeons normally does not prescribe a brace after a Laminectomy, unless you are also having a fusion performed.

While everyone’s pain tolerances and conditions differ, most recover from this type of surgery with a 4 to 6 week time period.

This depends on the type of work you perform and the duties involved. Our doctors will discuss this with you during your first post-operative follow-up visit. In general, most patients can return to a sit down type job with no lifting required within 2-3 weeks after surgery. Those patients who have heavier duty occupations requiring lifting, pushing, pulling, and overhead activity can expect to be out 4- 6 weeks.

Most patients can return to driving 10 – 14 days after a laminectomy.

Your incision may be closed with dissolving sutures or staples. We are now utilizing a very effective dressing called Silverlon. Please do not remove or change this dressing.  You may shower with it.  Just pat it dry.  It is designed to get wet.  We will remove the dressing in the office and instruct further wound care after inspection.  Most of the time,  the wound will be healed by the first office visit.

As a normal part of the post-operative period, we encourage you to get up and walk the morning after your surgery. You may walk as much as you can tolerate.

Some patients do use an assistive device such as a cane or walker after surgery. This is determined on an individual basis.

A therapist may come to your home upon your discharge from the hospital to instruct you on basic fundamentals. Doctors will determine if you require outpatient therapy at the time of your first office visit. Some patients will not require any therapy.

If you have staples, they will be removed approximately 14 days after surgery. If you have a smaller incision with dissolving sutures, there will be nothing to remove.

Yes, you may resume sexual activities as soon as you feel up to it. This may be a few days or even a week after you come home from the hospital. You should avoid positions which cause increased back discomfort.

Most patients are free to travel after their initial post-operative visit 10 –14 days after surgery. Patients who may have been experiencing any problems during this time may be encourage to wait a little longer before traveling. Keep in mind, you will not be able to carry any luggage greater than approximately 10 –15 pounds for the first 4 weeks after surgery.

You will need to avoid taking a bath or submerging in water for approximately 3 weeks after surgery.

As stated above, we are now using the Silverlon dressing. It is designed to get wet.  Just pat dry after a shower.  But, please do not remove the dressing.  It will be removed in the office on the first post-op visit.

A stool softener will be ordered for you while in the hospital. You may discontinue this after your first bowel movement or at your discretion.

We encourage you to sleep on at least a semi-firm surface following surgery. Some water mattresses may be too soft immediately after surgery.

Most patients will be able to walk up stairs after surgery. You should limit the amount of times you go up and down the stairs during your first few days home. We encourage you to use a handrail if one is available.

Yes, in approximately 3 weeks after surgery.

Everyone’s pain tolerances and conditions do vary. In general, many patients experience some relief of their leg symptoms immediately after surgery. It is not uncommon to have back soreness, stiffness, and incisional discomfort for several weeks beyond surgery. For some patients, the pain level may decline slowly over weeks or even months after surgery.

Several reasons for this. First, you were given medications to help relax you and your pain during the surgery along with the anesthesia. This combination of medications may stay in your system for a day or two after surgery. Secondly, as you start feeling better, most patients become a bit more active, this can lead to increased discomfort initially.

A sore throat can result from anesthesia in some cases. You received an endo-tracheal intubation (“tube”) into you throat to help you breath during the procedure. This may have irritated the lining of your throat. This soreness and even some difficulty swallowing tends to resolve within a few weeks after surgery.

If you experience any fevers over 101.5 degrees, any wound drainage, swelling or redness around your surgical incision, increasing pain, tingling or numbness that you did not have before surgery, difficulty swallowing, difficulty walking, severe headaches or weakness, call your doctor.

You can lift up to 10 lbs after surgery until your first post-operative visit. After 10 – 14 days you will be able to lift more. Heavy lifting is usually not recommended before 6 weeks after surgery.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

It is possible that after surgery, your hammertoe may come back. If this happens and you have discomfort in the toe, an additional surgery may be needed to address the pain.

Depending on the specific surgery used, you may or may not be able to bend your toe once it has healed. Ask your orthopaedic surgeon what type of surgery is needed for your hammertoe.

Before you leave the hospital, your toes will be wrapped in bandages to hold them in place and you will receive instructions on maintaining those dressings and on wearing a special post-surgical shoe to protect your foot. You may need to use a cane or crutches for the first several days and to be careful about putting weight on your foot. You should try to keep your foot elevated and treated with ice as directed for several days. While your stitches may be removed in a couple of weeks, you will continue to need to utilize the bandages and shoe for as long as eight weeks. You should plan on wearing athletic shoes or soft leather shoes — and no high heels — for several months once your bandages have been removed. Your doctor may prescribe exercises to improve the range-of-motion of your toes, such as stretching them and picking up objects such as marbles and handkerchiefs with them.

Wear roomier shoes

• Seek out shoes that conform to the shape of your feet as much as possible and provide plenty of room in the toe box, ensuring that your toes are not pinched or squeezed.
• Make sure that, while standing, there is a half inch of space for your longest toe at the end of each shoe.
• Make sure the ball of your foot fits comfortably in the widest part of the shoe.
• Since feet normally swell during the course of the day, shop for shoes at the end of the day, when your feet are at their largest.
• Don’t be vain about your shoe size — sizes vary by brand, so concentrate on making certain your shoes are comfortable.
• Remember that your two feet are very likely to be different sizes and fit your shoe size to the larger foot.

Don’t wear high-heel shoes

• Avoid high heels, which shift all your body weight onto your toes, increasing the pressure on your toes and their joints tremendously.
• Wear shoes with low (less than two inches) or flat heels that fit your foot comfortably.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

“Hallux” mean big toe and “Rigidus” mean stiff. It is a medical term, describing degeneration of the joint at the base of the big toe – called metatarsophalangeal, or MTP joint. It is the most common site of arthritis in the foot region. It is an important joint, as it has to bend every time you walk and propelling your body forward. Walking can be painful or limited as it is degenerated and stiffened. Most of the time, a bony overgrow (osteophyte) can cause a painful bump over the dorsal base of the big toe, resulted in painful impinging shoe-wear.

Hallux rigidus usually develops in adults at the ages between 30 and 60 years. No exact cause is agreed so far. It can be secondary to previous trauma, or due to the underlying abnormal foot anatomy, abnormal joint surface, surrounding soft tissue imbalance that increases stress on the joint. It is more common in distant runner or dancer who have repeatedly exert hyperextension of the big toe.

The patient may experience pain in the joint when you walk, especially as you push-off on the toes when walking up/ down stair.   There is swelling around the base of the big toe, especially over the dorsum (top) of the big toe with an associated bony bump. The joint will be stiff at a late stage due to the degeneration and the dorsal bony bump.

History: pain, stiff, dorsal bunion

Examination: Limited big toe bending, especially on upward movement, bump over the top of the base of the big toe. The physician will try to differentiate if the symptom is arising from the bony bump, or the joint so as to decide the type of surgery if indicated.

X-ray: Narrowing of the MTP joint due to wear of joint cartilage, bony spurs (osteophyte). They are clinically graded into early stage (with the joint still preserved) and late stage (with the joint being obliterated).

Non-surgical treatment

• Non-steriodal anti-inflammatory drug (NSAID) such as ibuprofen may help reduce the active swelling and pain relief.
• Ice packs or taking contrast baths may help for a short period of time.
• Shoe modification with a widen toe box to accommodate the bump, stiff-soled shoe with a rocker bottom design may help to prevent bending force on the joint. Orthotic with a steel shank or metal brace in the sole can be measured with similar action. These are not effective to stop the condition from progressing but just symptomatic relief.
• Injections – a. Steroid, b. hyaluronic acid.

Surgical treatment: Different types of surgical treatment are commonly practiced depending on the clinical examination and radiological grading of degeneration.

• Cheilectomy operation: This is a simple operation to remove the osteophytes that limit the range of motion. It improves range of motion for wearing higher heel shoes or for running, and, though it often reduces pain, this is not guaranteed. It takes 3 months to recover 80% and 6 months to fully recover. Naturally, this does not alter the natural history of the underlying problem of arthritis; it merely reduces the pain from impingement of the osteophytes, which are caused by the arthritis. The potential problem is risk of further joint degeneration and require further surgical procedure, it is however a buy-time procedure.

• Autologous interposition arthroplasty: It is using a free ipsilateral gracilis tendon graft is for patients with severe hallux rigidus with moderate to high activity levels and who do not wish to undergo fusion.

• Fusion operation. This is a procedure to remove the joint and join the bones of the foot and toe together. This reliably removes pain and allows one to return to running.This is a procedure indicated for those with pain due to both bony spur and the joint. It is a more assuring procedure as the diseased joint is converted to a stable one-piece bone. The trade-off is the big toe become stiff, but we usually fused it in a physiological position for walking. A plate and screws are used to stabilize the fixation for the bone surface to heal by 6-8weeks.

• Arthroplasty (excision of the whole joint +/- replacing with a spacer or an artificial prosthesis) is a joint replacement, which significantly reduces pain and allows good function. It may have a limited life of approximately 10 years and require revision or a fusion operation later. This is an alternative procedure to arthrodesis for those older people who place few functional demands on the feet. It is not well accepted as the potential risk of prosthesis complications eg. wear, dislocation, loosening, etc.

Surgery is usually done under general / spinal / regional anaesthesia. This includes a general risk of anaesthetic drug and specific risks which our anaesthetist will explain to you before the operation accordingly. General surgical risk includes infection, nerve injury, tourniquet risk, swelling and stiffness

• Specific risk for Cheilectomy: recurrence / progression of symptom
• Specific risk for Arthrodesis: stiff joint, implant loosening, impingement, non-union, delayed union. Shortening of big toe.
• Specific risk for Arthroplasty: prosthesis dislocation / loosening

Steriod injection is done by some GP / Surgeon, but it is only a temporary effect and potential risk of infection, bony necrosis. Minimal invasive with percutaneous screw fixation is advocated but only short-term and small series report.

Cheilectomy: Since there is no joint procedure done, but only bone spur excision, immediate return to normal walking is allowed. The wound will usually take 10-14 days to heal. Early passive big toe movement is advised to prevent the joint stiffness is the main physiotherapy recommended. Takes months to settle.

Arthrodesis: This requires longer rehabilitation as it involves timing for stable bone growth, which usually takes 6-8 weeks. Patient will be protected with cast immediate post-operation and educated for non-weight bearing walking during initial 6 weeks. Radiological check will make at around 6 weeks to confirm if full weight bearing walking is advisable. Patient will be unable to wear high-heeled shoes due to the stiffened big toe (or we sometimes modify the position of fusion so as to tailor the patient’s reasonable need in terms of shoewear).

Arthroplasty: The rehabilitation is similar as arthrodesis, but early mobilization is essential to keep with the surgical benefit. Weight bearing is avoided for soft tissue stabilization, which usually takes 4-6 weeks.

It depends on the type of procedure as well as the occupation requirement of the individual. 2 – 6 weeks as mentioned under different procedures.

Yes with both cheilectomy and arthrodesis, but with limited big toe flexibility in the later case.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Chronic Fatigue Syndrome is a condition in which you feel so tired (mentally & physically) that you won’t be able to perform your normal daily activities. The tiredness will be for at least 6 months or more. The fatigue is different from normal tiredness.

The fatigue:

• does not have any underlying medical cause,
• worsen with physical or mental activity,
• doesn’t improve with rest

There are many other disease conditions that present with fatigue. Following are few conditions that may be one of the reasons causing fatigue:

• Over intake of caffeine or alcohol
• Excessive physical activity
• Lack of sleep
• Unhealthy eating habits
• Stress
• Anxiety
• Depression
• Grief
• Hypothyroidism
• Chronic anaemia
• Heart or Kidney disease
• Obesity
• Diabetes

An in-detail study of your symptoms by your doctor will confirm the diagnosis of the disease.

The exact causes of Chronic Fatigue Syndrome are not known. It is believed to be caused by a combination of internal as well as external factors. Some individuals are:

• believed to be born with a predisposition for CFS.
• a viral infection
• problems with the immune system
• an imbalance of hormones
• psychiatric problems, such as stress and emotional trauma

Currently, there is no single test to diagnose CFS. Doctor makes a diagnosis by excluding all other illnesses after a person has had symptoms continually for six months. To meet the diagnostic criteria of chronic fatigue syndrome, you must have unexplained, persistent fatigue for six months or more, along with at least four of the following signs and symptoms:

• Loss of memory or concentration
• Frequent sore throat
• Enlarged lymph nodes in your neck or armpits
• Unexplained muscle pain
• Pain that moves from one joint to another without swelling or redness
• Headache of a new type, pattern or severity
• Sleep that is not refreshing
• Extreme exhaustion lasting more than 24 hours after physical or mental exercise.

The treatment is primarily based on relieving/managing the most distressing or disruptive symptoms such as:

• Sleep Problems: Sleep medications can be prescribed to help get better sleep at night.
• Pain: Medications to control the pain if it is severe or hampering routine activities.
• Depression and anxiety: Anti-depressant and anti-anxiety medications are prescribed to treat the associated depression or anxiety wherever required.
• An optimal exercise regime can be developed which is neither too stressful nor too easy for the patient. However, care must be taken to avoid extremes.
• Professional counseling is also very helpful to accept the problem and find ways to work around the limitations imposed by the CFS.
• Lifestyle changes such as taking steps to reduce emotional stress, practicing relaxation techniques, improving sleep habits and pacing activities as per the level of distress.

If you notice the above list and go by the conventional medicines you will be taking a minimum of 4 different tablets every single day for each symptom! And you may also have to bear the extra burden of their individual side effects. Homeopathy believes in gentle cure through the use of natural medicines that have been prepared so as to avoid any side effects and yet, bring about a positive change in your health! Live the Happiest Healthiest Life Style & Get a widest range of TOP Rated physicians at your fingertips by sending us your query.

CFS can have a major impact on your relationships with loved ones/family/friends. You may get frustrated due to the exhaustion that reduces your working ability. You may show improvement within a few months or years with proper treatment. Some continue to suffer for longer time. You may have to opt for part time work. It will avoid the over-exertion and worsening of the disease. Memory loss and difficulty in concentration may be troublesome for you. The outlook in children and young people is usually better. The main goal in improvement of symptoms is to adopt certain lifestyle changes, optimal exercise regime, coping techniques such as talking with persons affected/recovered from CFS, etc.

You may not be sick forever. Most patients recover within five years of the beginning of the illness. CFS is a complicated disease which has to be managed with medications by healthcare professional, proper exercise regime by physiotherapist, professional counselling to accept the problem and find ways to work around the limitations. Homeopathy provides a long-term reduction in symptoms and ensures improvement in the general well-being. Homeopathic treatment is a much safer and better mode of treatment without any unwanted side effects and resolves the problem in a harmonious way. Homeopathic medicines help your body’s natural defence system to fight against the disease and alleviate the symptoms. Our experienced physicians assess all of the factors- your physical, emotional, and psychological makeup and administers the most appropriate remedy. Normally, most of the Health Portals have one or two physicians unless it is a hospital or a very big organization. Here you will get the widest range of experienced physicians, with most subtle experiences, at your fingertips, in your comfort zone.

It is wrong to call CSF a psychological condition as researchers have found causative factors associated with the disease. Viral infection, problems with the immune system, an imbalance of hormones can lead to CFS. The World Health Organization has categorised chronic fatigue syndrome as a neurological condition. The sustained exhaustion and reduced working ability sets depression in the individual. Psychological treatment such as cognitive behaviour therapy may be helpful for the depressed/anxiety state.

It is difficult to diagnose fibromyalgia and CFS since there are no confirmatory tests. Your doctor can identify the two disease conditions based on peculiar symptoms. People with fibromyalgia have multiple areas of their body that are painful to touch (tender points). Tenderness or pain in at least 11 of 18 specific tender points when pressure is applied is a criterion for diagnosis of fibromyalgia.

CFS occurs four times more frequently in women than in men, although people of either sex can develop the disease. Most often people in their 40s and 50s, but people of all ages can get CFS. CFS is less common in children than in adults & more common in adolescents than in younger children.

CFS affects the quality of a persons’ life mentally as well as physically. It may start with less severe to severe symptoms of CFS. She may be able to care for herself, but would rest for days. She may have disturbed sleep patterns, reduced mobility. If not treated well or managed appropriately, she might find it difficult to maintain relationships with partners, family members and friends; difficult to concentrate; the loss of independence, economic security and livelihood; the worries about taking care of and raising children. Give your loved one the best care and treatment from our panel of expert Homeopaths. People say “Homeopathy is placebo”. We have many evidence based cases which are available on the portal on multiple clinical conditions right now!!! You are just one click away from restoring your family’s health!

CFS has started to affect your quality of life. If you continue to ignore the disease, some of the following complications can occur:

• Depression and Anxiety. CFS also predispose one to increased suicide risk.
• Obstructive Sleep Apnea: Difficulty in sleeping
• Social isolation due to avoidance of social contact and social interactions as a result of easy fatigue, low stamina and associated depressed mood
• Lifestyle restrictions due to inability to exert oneself physically or mentally, which significantly influences the person’s lifestyle choices
• Increased work absences, especially due to sleep difficulties and low stamina leading to problems with employment and career issues
• You must seek medical advice of a well experienced physician.

There are no known preventive measures. However, some measures that might be helpful are:

• Having a balanced diet
• Having reasonable levels of physical activities
• Managing stress
• Having adequate sleep

CFS is sometimes seen in members of the same family, but that does not indicate that it is contagious. However, there may be a familial or genetic link.

There is no specific lab test or biomarker for CFS. One has to rely on the detailed history and clinical examination by an experienced doctor.

Homeopathy targets the roots of CFS, NOT JUST the fatigue or other superficial symptoms which are merely the outward reflections of the internal illness. Homeopathy significantly reduces the intensity, frequency and duration of the associated symptoms and helps the person lead a fairly normal day-to-day life. Homeopathy literature shows that there are nearly 100 highly effective remedies to successfully conquer this exhausting ailment. The combined skills of our Experts and the modern science of Homeopathy help you reclaim your health and life!

Emotional support and counseling may help you and your loved ones deal with the uncertainties and restrictions of chronic fatigue syndrome.

Perform physical activities at a comfortable pace; avoid overexertion. However, total rest is not advisable as it may make the fatigue worse. Always gradually increase the physical activities.

Maintain healthy social interactions at a comfortable level. Avoid social isolation as it may lead to depression or other illnesses.

Eat a healthy and nutritious diet and try to maintain good health. Take supplements as necessary. Dietary deficiencies can worsen the fatigue and other symptoms.

Resolve emotional stress.

Get adequate sleep.

Learn and practice relaxation techniques such as yoga, vipassana, meditation, etc.

Don’t overexert physically or mentally.

Avoid junk foods loaded with sugar, caffeine, preservatives, colors, etc.

Avoid skipping meals.

Decrease consumption of alcohol and caffeine at night.

Try to find out if you have any food intolerances and then avoid those foods. Eat beans, nuts, seeds that suit you well as they are a good source of protein, healthy fat, fiber and antioxidants. Eat lots of fruits and vegetables to provide enough vitamins, minerals and antioxidants. Eat foods containing omega-3 fatty acids such as mackerels, sardines, salmon, flaxseed, hempseed, walnuts. Omega-3 fatty acids have excellent anti-inflammatory properties and help to ease the pain. Eat adequate amounts of proteins. Drink plenty of water and stay well hydrated. Water helps flush out toxins from the system that cause toxins. Eat whole grains such as wheat, rice, barley, oats, etc.

It is very important that a health care professional to guide you regarding exercises. Since a person with CFS suffers from post-exertion malaise, anaerobic exercises are recommended such as resistance training and stretching. Stop the exercises before you get too tired. Start slow and gradually increase the pace of the activity is the key you must remember. Daily chores such as cleaning, washing should be divided into shorter and less strenuous ones. If you avoid exercises and daily activities with the fear of aggravating your symptoms, it might worsen your disease. Choose a type of exercise/daily activity which works best for you.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Everyone recovers from an injury at a different rate. Return to your activities depends on how soon your injured tendon recovers, not by how many days or weeks it has been since your injury has occurred. In general, the longer you have symptoms before you start treatment, the longer it will take to get better. The goal of rehabilitation is to return you to your normal activities as soon as is safely possible. If you return too soon you may worsen your injury. You may safely return to your activities when, starting from the top of the list and progressing to the end, each of the following is true:

• You have full range of motion in the injured leg and foot compared to the uninjured leg and foot.
• You have full strength of the injured leg and foot compared to the uninjured leg and foot.
• You can walk straight ahead without pain or limping.

Overuse of the posterior tibial tendon is often the cause of PTTD. In fact, the symptoms usually occur after activities that involve the tendon, such as running, walking, hiking, or climbing stairs.

The symptoms may include pain, swelling, a flattening of the arch, and an inward rolling of the ankle. As the condition progresses, the symptoms will change.

Often, the treatment for tibialis posterior dysfunction begins with non-surgical approaches that may include:

• Orthotic devices or bracing: To give your arch the support it needs, your foot and ankle surgeon may provide you with an ankle brace or a custom orthotic device that fits into the shoe.
• Immobilization: Sometimes a short-leg cast or boot is worn to immobilize the foot and allow the tendon to heal, or you may need to completely avoid all weight-bearing for a while.
• Physical therapy: Ultrasound therapy and exercises may help rehabilitate the tendon and muscle following immobilization.
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
• Shoe modifications: Your foot and ankle surgeon may advise changes to make with your shoes and may provide special inserts designed to improve arch support.

In cases of tibialis posterior dysfunction that have progressed substantially or have failed to improve with non-surgical treatment, surgery may be required. For some advanced cases, surgery may be the only option. Your foot and ankle surgeon will determine the best approach for you.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

All you have to do is send us your medical report and be rest assured. We will choose the best suitable surgeon for you, after consulting the experts.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Shoulder resurfacing is much like hip resurfacing. The ball part of the shoulder is smoothed (made back into round) with a shaping tool. A metal shell of the exact natural size is then placed on the bone to recreate a completely smooth new humeral head. A similar shaping and placement of a new surface is performed for the shoulder socket (glenoid). The shoulder is put back together and then it will function typically in a completely normal fashion.

During a shoulder replacement the ball part of the joint is entirely removed and replacement with an artificial ball that is held in place with a spike (stem) inside the shaft of the upper arm bone (humerus).

A resurfacing procedure is a less invasive procedure and it will have more functional capability than a shoulder replacement. Both procedures reliably reduce pain and increase function.

The recovery time of a shoulder resurfacing procedure varies depending on each individual patient. Patients will have to avoid heavy lifting and strenuous exercise after their surgery. Your doctor may also encourage a physical therapy regimen to restore and strengthen the joint after surgery. Shoulder resurfacing in India provides desired shoulder relief at an affordable price.

Advantages of Shoulder Resurfacing

1. Restoration of normal anatomy.
2. Less traumatic surgery
3. No risk of fat embolus
4. Resurfacing can be done even if the bone is deformed.
5. Normal loading of the bone.
6. No stress riser effect
7. No risk of fracture at the tip of the prosthesis.
8. Range of movements better than shoulder replacement.
9. Easy revision surgery if needed.

Indications for shoulder Resurfacing

1.Osteoarthritis

2.Rheumatoid arthritis

3.Avascular necrosis

4.Rotator cuff arthropathy

5.Instability arthropathy

6.Post trauma arthritis

Significant pain and disability is often associated with rotator cuff arthropathy. Individuals often have difficult with simple daily activities such as feeding themselves, getting dressed and combing their hair because of a significant loss of shoulder motion and strength. There is often associated pain, especially at night-time which interferes with normal sleep. Pseudo-paralysis and rotator cuff arthropathy can be seen in older patients with a degenerative massive rotator cuff tear.

Other causes of cuff arthropathy include prior failed rotator cuff repairs,  or individuals with prior failed shoulder replacement surgery. A reverse shoulder replacement  can also be useful in the cases of severe fractures of the proximal humerus (shoulder joint) in older individuals. In individuals with a massive rotator cuff tear that is not repairable, an initial trial of physical therapy may help restore function to an acceptable levels. If, however, significant functional loss and associated pain persist despite a course of conservative therapy, reverse arthroplasty is often the only surgical option.

Patients will work with a physical therapist to resume daily activities and strengthen shoulder muscles. Often the physical therapy is initiated during the hospital stay. The patient is taught a simple set of exercises that they can do on their own at home. Typically, full recovery is achieved by 3-4 months post-operatively. A reverse shoulder replacement can significantly decrease pain and improve function for patients and contribute significantly to an improved quality of life.

The Joint Replacement Surgery Hospital India center for complex shoulder problems and as such, we are specifically equipped to handle this type of complex operation. Patients benefit from our multidisciplinary approach to the treatment of shoulder disorders and have access to a full range of care. Our experienced team of physicians, certified physical therapists, and support staff all work together to help patients achieve success. In addition, our affiliated occupational and physical therapists are specially trained in rehabilitation of the shoulder and elbow prior to and after surgical reconstruction.

The surgical procedure is conducted under general or local anesthesia; and generally takes about 1 to 1½ hours to complete.

For decades, sufferers of severe shoulder arthritis have relied on traditional total shoulder replacement as a proven solution. But for individuals with more complex shoulder issues, such as a torn rotator cuff, this was not the best option. In recent years, a new shoulder replacement option called reverse total shoulder replacement has offered relief from pain and lack of mobility to those with more difficult shoulder problems.

In a traditional shoulder replacement, a plastic socket is placed in the shoulder and a metal ball and stem are inserted into the upper arm bone; the two fit together to form the new artificial joint. This solution still relies on a patient’s rotator cuff to move the arm.

Conversely, in a reverse total should replacement, the plastic socket is fitted into the arm bone and the metal ball is attached to the shoulder bone instead. This configuration is better for people with damaged rotator cuffs because the new joint does not rely on this muscle for movement of the arm. Instead, the deltoid muscle is used to move the arm.

Most patients are able to return to activities within a few months.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

The chance of developing osteoarthritis increases with age. It is estimated that 33.6% (12.4 million) of individuals age 65 and older are affected by the disease.

Osteoarthritis affects different people differently. It may progress quickly, but for most people, joint damage develops gradually over years. In some people, osteoarthritis is relatively mild and interferes little with day-to-day life. In others, it causes significant pain and disability.

Osteoarthritis is one of the most frequent causes of physical disability among older adults. Many people with osteoarthritis find their movements or activities limited to some degree because of stiffness, limited range of motion, and pain.

Here are ways to decrease your chances of developing osteoarthritis.

• Maintain a healthy weight- If you are overweight or obese, you should try to lose weight. Weight loss can reduce stress on weight-bearing joints, limit further injury, increase mobility, and reduce the risk of associated health problems. A dietitian can help you develop healthy eating habits. A healthy diet and regular exercise can help reduce weight.
• Avoid injury- Putting too much stress on a joint that has been repeatedly injured may lead to the development of osteoarthritis.

Warning signs of osteoarthritis include:

• Joint pain
• Swelling or tenderness in one or more joints
• Stiffness after getting out of bed or sitting for a long time
• A crunching feeling or sound of bone rubbing on bone.

Not everyone with osteoarthritis develops symptoms. In fact, only a third of people with x-ray evidence of osteoarthritis report pain or other symptoms.

Treating arthritis often requires a multidisciplinary or team approach. Many types of health professionals care for people with arthritis. You may choose a few or more of the following professionals to be part of your health care team.

• Primary care physicians – Doctors who treat patients before they are referred to other specialists in the health care system. Often a primary care physician will be the main doctor to treat your arthritis. Primary care physicians also handle other medical problems and coordinate the care you receive from other physicians and health care providers.
• Rheumatologists – Doctors who specialize in treating arthritis and related conditions that affect joints, muscles, and bones.
• Orthopaedists – Surgeons who specialize in the treatment of, and surgery for, bone and joint diseases.
• Physical therapists – Health professionals who work with patients to improve joint function.
• Occupational therapists – Health professionals who teach ways to protect joints, minimize pain, perform activities of daily living, and conserve energy.
• Dietitians – Health professionals who teach ways to use a good diet to improve health and maintain a healthy weight.
• Nurse educators – Nurses who specialize in helping patients understand their overall condition and implement their treatment plans.
• Physiatrists (rehabilitation specialists) – Medical doctors who help patients make the most of their physical potential.
• Licensed acupuncture therapists – Health professionals who reduce pain and improve physical functioning by inserting fine needles into the skin at specific points on the body.
• Psychologists – Health professionals who seek to help patients cope with difficulties in the home and workplace resulting from their medical conditions.
• Social workers – Professionals who assist patients with social challenges caused by disability, unemployment, financial hardships, home health care, and other needs resulting from their medical conditions.
• Chiropractors – Health professionals who focus treatment on the relationship between the body’s structure — mainly the spine — and its functioning.
• Massage therapists – Health professionals who press, rub, and otherwise manipulate the muscles and other soft tissues of the body. They most often use their hands and fingers, but may use their forearms, elbows, or feet.

No single test can diagnose osteoarthritis. When a person feels pain in his or her joints, it may or may not be osteoarthritis.

The doctor will use a combination of tests to try to determine if osteoarthritis is causing the symptoms. These may include a medical history, a physical examination, x-rays, and laboratory tests. A patient’s attitudes, daily activities, and levels of anxiety or depression have a lot to do with how much the symptoms of osteoarthritis affect day-to-day living.

There is no cure for osteoarthritis and no way to reverse the joint damage once it occurs. However, current treatments can relieve symptoms.

Exercise is one of the best treatments. Exercise can improve mood and outlook, decrease pain, and assist in maintaining a healthy weight. Warm towels, hot packs, or a warm bath or shower can provide temporary pain relief. Medications such as non-steroidal anti-inflammatory drugs, or NSAIDs, help reduce pain and inflammation that result from osteoarthritis.

Yes, exercise is one of the best treatments. Exercise can improve mood and outlook, decrease pain, and assist in maintaining a healthy weight. The amount and form of exercise will depend on which joints are involved, how stable the joints are, whether or not the joint is swollen, and whether a joint replacement has already been done. Ask your doctor or physical therapist what exercises are best for you. The following types of exercise are part of a well-rounded arthritis treatment plan.

• Strengthening exercises. These exercises strengthen muscles that support joints affected by arthritis. They can be performed with weights or with exercise bands, inexpensive devices that add resistance.
• Aerobic activities. These are exercises, such as brisk walking or low-impact aerobics, that get your heart pumping and can keep your lungs and circulatory system in shape.
• Range-of-motion activities. These keep your joints limber.
• Balance and agility exercises. These help you maintain your balance and reduce your risk of falling.

Warm towels, hot packs, or a warm bath or shower can provide temporary pain relief. Medications such as non-steroidal anti-inflammatory drugs, or NSAIDs, help reduce pain and inflammation that result from osteoarthritis. A doctor or physical therapist can recommend if heat or cold is the best treatment. For osteoarthritis in the knee, wearing insoles or cushioned shoes may reduce joint stress.

People with osteoarthritis may find many non-drug ways to relieve pain, they include:

• Heat and Cold
• Transcutaneous electrical nerve stimulation (TENS)
• Massage
• Acupuncture

Nutritional supplements such as glucosamine and chondroitin sulfate

Doctors consider a number of factors when choosing medicines for their patients. In particular, they look at the type of pain the patient may be having and any possible side effects from the drugs. For pain relief, doctors usually start with acetaminophen because the side effects are minimal. If acetaminophen does not relieve pain, then non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen may be used. Some NSAIDs are available over the counter, while more than a dozen others, including a subclass called COX-2 inhibitors, are available only with a prescription.

Corticosteroids, hyaluronic acid, and topical creams are also used. Most medicines used to treat osteoarthritis have side effects, so it is important for people to learn about the medicines they take. For example, people over age 65 and those with any history of ulcers or stomach bleeding should use non-steroidal anti-inflammatory drugs, or NSAIDs, with caution.

There are measures you can take to help reduce the risk of side effects associated with NSAIDs. These include taking medications with food and avoiding stomach irritants such as alcohol, tobacco, and caffeine. In some cases, it may help to take another medication along with an NSAID to coat the stomach or block stomach acids. Although these measures may help, they are not always completely effective.

Protecting and supporting the affected joint or joints is important. Some people may use splints or braces to provide extra support for joints and/ or keep them in proper position during sleep or activity. Splints should be used only for limited periods of time because joints and muscles need to be exercised to prevent stiffness and weakness. If you need a splint, an occupational therapist or a doctor can help you get a properly fitted one. Some people find relief from special footwear and insoles that can reduce pain and improve walking or from using canes to take pressure off painful joints.

For many people, surgery helps relieve the pain and disability of osteoarthritis. Surgery may be performed to achieve one or more of the following.

• Removal of loose pieces of bone and cartilage from the joint if they are causing symptoms of buckling or locking (arthroscopic debridement).
• Repositioning of bones (osteotomy).
• Resurfacing (smoothing out) bones (joint resurfacing).

The decision to use surgery depends on several factors, including the patient’s age, occupation, level of disability, pain intensity, and the degree to which arthritis interferes with his or her lifestyle. After surgery and rehabilitation, the patient usually feels less pain and swelling and can move more easily.

Surgeons may replace affected joints with artificial joints called prostheses. These joints can be made from metal alloys, high-density plastic, and ceramic material. Some prostheses are joined to bone surfaces with special cements. Others have porous surfaces and rely on the growth of bone into that surface (a process called biologic fixation) to hold them in place. The artificial joints can last 10 to 15 years or longer. Surgeons choose the design and components of prostheses according to their patient’s weight, sex, age, activity level, and other medical conditions. Joint replacement advances in recent years have included the ability, in some cases, to replace only the damaged part of the knee joint, leaving undamaged parts of the joint intact, and the ability to perform hip replacement through much smaller incisions than previously possible.

Whilst the term “Morton’s neuroma” is universally used, it is inaccurate as the pathology is more in keeping with an abnormal fibrous reactive thickening of the nerve, rather than of a true tumour of nerve tissue. The term peri-neural fibroma is generally recognised as being accurate. Morton’s neuroma is an entrapment neuropathy, which typically occurs between the 3rd and 4th toes metatarsals, although it also frequently occurs between the 2nd and 3rd toes. The nerve effectively becomes compressed against the intermetatarsal ligament. The relative incidence of neuroma formation between the 2nd and 3rd and 3rd and 4th interspaces varies, however, some studies have shown a greater incidence between the 3rd and 4th interspace.

Morton’s neuroma is perceived to be a common form of foot pain, frequently encountered in podiatric and orthopaedic clinics. However, no formal studies have been undertaken to establish its prevalence within the general population and this remains unknown.

Diagnosing joint injuries and disease begins with a thorough medical history and physical examination. Sometimes X-rays and laboratory tests are required to help diagnose the problem.

Patients will be provided a discharge instruction sheet provided by the surgeon that instructs patients on how to look after their wounds, what activities they should avoid, and which exercises they should do to aid in their recovery. At a follow-up visit the surgeon will inspect the incisions, remove sutures, and discuss the rehabilitation program.

The amount of surgery required and recovery time will depend on the joint problem. Recovery time varies markedly from patient to patient.

Although uncommon, complications do occur occasionally during or following Mortons Neuroma Surgery. They include infection, phlebitis (inflammation of a vein), excessive swelling or bleeding, blood clots, and damage to blood vessels and nerves. There are also risks associated with the anaesthetic, both during its administration and after correction of toe surgery.

Some swelling is to be expected and it may actually increase gradually for the first two to three days. If the bandage feels tight, you should re-apply it more lightly and elevate the leg to reduce the swelling. Apply ice packs for 20 to 30 minutes every few hours may help to reduce the swelling and act as pain relief as required. If it persists, contact your surgeon if you have any concerns.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

We accept different methods of payment like, cash, plastic cash, via net banking, etc.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.