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НИЗКАЯ СТОИМОСТЬ операции по замене плеча в Индии
Планирование медицинской поездки в Индию — очень простой процесс с Больницей хирургии замены суставов в Индии.
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Что такое операция по замене плеча?
Замена плеча — это хирургическая процедура, при которой весь или часть плечевого сустава заменяется протезным имплантатом. Такая операция по замене сустава обычно проводится для облегчения боли при артрите или устранения серьезных физических повреждений суставов.
Операция по замене плечевого сустава – вариант лечения тяжелого артрита плечевого сустава. Артрит – это заболевание, поражающее хрящи суставов. По мере изнашивания хрящевой оболочки защитная оболочка между костями теряется. Когда это происходит, развивается болезненный артрит костей на костях. Тяжелый артрит плеча весьма болезнен и может привести к ограничению движений. Хотя с некоторыми это можно терпеть
лекарств и корректировки образа жизни, может наступить момент, когда потребуется хирургическое лечение.
Симптомы-
Пациенты с артритом обычно описывают глубокую боль в плечевом суставе. Первоначально боль усиливается при движении и активности и ослабевает в состоянии покоя. По мере прогрессирования артрита боль может возникать даже во время отдыха. К тому времени, когда пациент обращается к врачу по поводу боли в плече, он или она часто испытывает боль по ночам. Эта боль может быть достаточно сильной, чтобы помешать хорошему ночному сну. Плечо пациента при движении может издавать скрежет или скрип. Или плечо может зацепиться, схватиться, щелкнуть или заблокироваться. Со временем пациент может заметить потерю подвижности и/или слабость в пораженном плече. Простые повседневные действия, такие как залезть в шкаф, одеваться, ходить в туалет и мыть противоположную подмышку, могут становиться все более трудными.
Общие симптомы артрита плечевого сустава включают:
- Боль при занятиях
- Ограниченный диапазон движений.
- Жесткость плеча.
- Отек сустава.
- Болезненность вокруг сустава.
- Ощущение скрежетания или защемления в суставе.
ВИДЕО – ОПЕРАЦИЯ ПО ЗАМЕНЕ ПЛЕЧА В ИНДИИ
Отзывы пациентов – истории успеха африканских пациентов
недорогой операции по замене плеча в Индии
Здравствуйте, я Андре Джейкобс из Южной Африки. Мне сделали операцию по замене плеча в Индии через Больницу замены суставов в Индии. Я почувствовал боль в левом плече, когда поднимал тяжести и работал во дворе. Со временем этот дискомфорт перерос в боль и начал мешать моей повседневной деятельности. Хоть я и проходил физиотерапию и принимал лекарства, но ничего не помогало. Именно тогда друг моего родственника-врача посоветовал мне посетить вашу хирургическую группу в Индии. Я зашел в Интернет в поисках дополнительной информации и, впечатленный ею, отправил свой запрос. Мне перезвонили и ответили на все мои вопросы. Они хорошо объяснили мне об операции и о том, чего мне следует от нее ожидать. Они также попросили меня предоставить мои медицинские заключения, и, получив лучшие варианты лечения, я договорился с ними о операции. Во время моего путешествия по Индии я пережил одно из удивительных событий. Хирург нашел время, развеяв все мои сомнения и успокоив меня. Весь персонал был дружелюбным. Спасибо вам за прекрасную заботу и качество обслуживания, которое вы оказывали на протяжении всего моего пребывания в Индии.
Варианты лечения плеча —
Нехирургическое лечение-
Лечение артрита плеча начинается с отдыха, физических упражнений и приема лекарств от артрита. Отдых плечу и применение влажного тепла могут облегчить легкую боль. После напряженной деятельности пакет со льдом может быть более эффективным средством уменьшения боли и отека.
Физическая терапия может быть полезна, когда артрит находится на ранних стадиях. Это помогает поддерживать подвижность суставов и укреплять мышцы плеч. Физиотерапия менее эффективна, когда артрит достиг такой степени, что кость трется о кость. В этом случае физиотерапия может усилить боль в плече.
Лекарства от артрита, называемые нестероидными противовоспалительными средствами (НПВП), могут контролировать боль при артрите. Некоторые НПВП можно приобрести без рецепта, другие требуют рецепта. Периодические инъекции кортизона в плечевой сустав могут временно облегчить боль. Однако чрезмерное введение кортизона может иметь побочные эффекты.
Хирургическое лечение-
При консервативном лечении может потребоваться операция по замене плечевого сустава. Замену плеча обычно проводят для облегчения боли.
Существует несколько различных типов замены плеча. Обычная полная замена плечевого сустава включает замену пораженных артритом поверхностей сустава полированным металлическим шариком, прикрепленным к ножке, и пластиковым гнездом. Компоненты бывают разных размеров. Если кость хорошего качества, ваш хирург может выбрать использование нецементированного или прессованного плечевого компонента. Если кость мягкая, плечевой компонент можно имплантировать с помощью костного цемента. В большинстве случаев полностью пластиковый гленоидный компонент имплантируется костным цементом. Имплантация гленоидного компонента не рекомендуется, если:
- Гленоид имеет хороший хрящ.
- Гленоидная кость сильно повреждена.
- Сухожилия вращательной манжеты непоправимо разорваны.
Пациенты с остеоартритом кость-к-кости и неповрежденными сухожилиями вращательной манжеты, как правило, являются хорошими кандидатами на традиционное тотальное эндопротезирование плечевого сустава. В зависимости от состояния плеча хирург может заменить только мяч. Иногда это решение принимается в операционной во время операции. Некоторые хирурги заменяют шар, если он сильно сломан и лунка в норме.
Подготовка-
Некоторые серьезные дегенеративные проблемы плеча могут потребовать замены болезненного плеча искусственным плечевым суставом. Решение о проведении операции вы и ваш хирург должны принять вместе. Вам необходимо знать как можно больше о процедуре. Если у вас есть опасения или вопросы, вам следует поговорить со своим хирургом.
После того как вы решились на операцию, вам необходимо сделать несколько шагов. Ваш хирург может предложить пройти полное медицинское обследование у вашего обычного врача. Этот осмотр поможет убедиться, что вы находитесь в наилучшем состоянии для операции.
Вам также может потребоваться провести время с физиотерапевтом или эрготерапевтом, который будет руководить вашей реабилитацией после операции. Это позволит вам ускорить процесс выздоровления. Одной из целей этого предоперационного визита является запись исходной информации. Ваш терапевт проверит ваш текущий уровень боли, способность выполнять свою деятельность, а также движение и силу каждого плеча.
Вторая цель предоперационного визита — подготовить вас к операции. Вы начнете изучать некоторые упражнения, которые будете использовать во время восстановления. А ваш терапевт может помочь вам предвидеть любые особые потребности или проблемы, которые могут возникнуть у вас дома после выписки из больницы.
В день операции вас, вероятно, положат в больницу рано утром. Не следует ничего есть и пить после полуночи накануне вечером. Приходите готовыми остаться в больнице на несколько ночей. Продолжительность пребывания в больнице во многом зависит от вас.
Какова стоимость операции по замене плеча в Индии?
Стоимость операции по замене плеча в Индии может варьироваться примерно от рупий. 4,00,000 ($5,000) to Rs. 5,60,000 ($7,000).
Стоимость будет зависеть от стадии артрита, типа необходимой операции, требуемого исследования и оценки, специальности хирурга, стоимости госпитализации и категории палаты.
10 лучших больниц по замене плечевого сустава в Индии
- Больница Фортис, Дели
- Больница Макс, Дели
- Больница Артемида, Дели
- Больница BLK, Дели
- Больница Нанвати, Мумбаи
- Глобальная больница, Мумбаи
- Больница Манипал, Бангалор
- Больница Кокилабен, Мумбаи
- Больница Сайфи, Мумбаи
- Больница Меданта, Гургаон
Бесплатная консультация с лучшими хирургами по замене плечевого сустава в Индии
- Доктор. Каушал Малхан
- Доктор. Хареш Мангалани
- Доктор. Ашок Раджгопал
- Доктор. Адитья Менон
- Доктор. Санджай Саруп
- Доктор. Сачин Бхонсле
- Доктор. Харшвардхан Хегде
- Доктор. Прадип Б. Бхосале
- Доктор. Анил Р. Карханис
- Доктор. ИПС Оберио
Планирование доступной операции по замене плеча в Индии — простой процесс.
Наша сеть больниц и хирургическая группа доступны для наших пациентов в 15 городах Индии. Пожалуйста, заполните форму, чтобы получить бесплатное мнение нашей команды экспертов. Вам предоставят анализ и рекомендации по поводу операции. Сборы не взимаются.
Специальные ВСЕ УСЛУГИ ВКЛЮЧЕНЫ Пакеты доступны для МЕЖДУНАРОДНЫХ ПАЦИЕНТОВ
Операция-
Операцию по замене плеча можно провести одним из двух способов. При изнашивании хряща головки плечевой кости (шарика) и суставной впадины (гнезда) обе части сустава подлежат замене. Эта операция называется артропластикой, то есть реконструкцией суставов.
Если в гленоиде все еще есть суставной хрящ, ваш хирург может заменить только головку плечевой кости. Эта процедура известна как гемиартропластика. (Хеми означает половину.) Гемиартропластика чаще всего используется после перелома плеча, когда нарушается кровоснабжение шаровой части (головки плечевой кости) плечевой кости. Исследования показали, что при замене плечевого сустава при артрите полное эндопротезирование плечевого сустава дает лучшие результаты. Пациенты испытывают меньше боли сразу после операции, и в долгосрочной перспективе плечо функционирует лучше, с меньшим количеством осложнений и с меньшей вероятностью потребуется повторная операция.
Для операции по замене плеча, скорее всего, вам понадобится общая анестезия. Общая анестезия усыпляет. Трудно обезболить только плечо и руку, чтобы сделать такую серьезную операцию возможной.
Операция по замене плеча проводится через разрез на передней части плеча. Это называется передним доступом. Хирург прорезает кожу, затем изолирует нервы и кровеносные сосуды и перемещает их в сторону. Мышцы также сдвинуты в стороны.
Хирург проникает в сам плечевой сустав, разрезая капсулу сустава. Это позволяет хирургу увидеть сустав.
На этом этапе хирург может подготовить кость для прикрепления запасных частей. Шаровидную часть головки плечевой кости удаляют костной пилой. Полость внутри верхней плечевой кости препарируется с помощью рашпиля. Это позволит вашему хирургу сформировать пространство для фиксации металлического стержня плечевого компонента внутри кости.
Если гленоид будет заменен, его подготавливают путем шлифования остатков хряща на поверхности. Это делается с помощью инструмента, называемого бором. Хирург обычно использует фрезу, чтобы просверлить отверстия в кости лопатки. Здесь крепится ножка гленоидного компонента.
Наконец, плечевой компонент и гленоидный компонент вставляются и прикрепляется плечевой шарик.
После фиксации сустава хирург проверяет правильность прилегания. Когда хирург удовлетворен посадкой, капсула сустава сшивается. Затем мышцы возвращают в правильное положение, а также зашивают кожу.
Ваш разрез будет закрыт повязкой, а ваша рука будет перевязана. Затем вас разбудят и отвезут в послеоперационную палату.
После операции-
После операции вас перевезут в послеоперационную палату. На плечо вам наденут повязку, которую вам придется часто менять в течение следующих нескольких дней. Ваш хирург, возможно, вставил небольшую дренажную трубку в плечевой сустав, чтобы предотвратить скопление лишней крови и жидкости внутри сустава. Вам в руку поставят внутривенный катетер (IV) для введения необходимых антибиотиков и лекарств.
Ваше плечо можно поместить в аппарат непрерывного пассивного движения (CPM) сразу после операции. CPM помогает плечу начать двигаться и снижает скованность суставов. Машина крепится к плечу и непрерывно сгибает и выпрямляет сустав. Считается, что это движение уменьшает скованность, облегчает боль и предотвращает образование лишней рубцовой ткани внутри сустава. Вы будете использовать плечевой ремень для поддержки руки, когда не используете тренажер CPM.
Реабилитация-
На следующий день после операции вас примет физиотерапевт или эрготерапевт, чтобы начать программу реабилитации. Терапевтические процедуры постепенно улучшат подвижность плеча. Если вы используете CPM, ваш терапевт проверит выравнивание и настройки. Ваш терапевт проконтролирует ваши упражнения и позаботится о том, чтобы вы могли безопасно вставать и вставать с постели, а также передвигаться по комнате.
Когда вы вернетесь домой, вас могут посетить домашние терапевты. Посещая ваш дом, ваш терапевт может проверить, безопасно ли вы передвигаетесь по дому. Также будут проводиться процедуры, которые помогут улучшить диапазон движений и силу. В некоторых случаях вам может потребоваться до трех посещений дома, прежде чем начать амбулаторное лечение.
Первые несколько амбулаторных процедур будут направлены на устранение боли и отека. Могут помочь ледяные и электростимуляционные процедуры. Ваш терапевт может также использовать массаж и другие виды ручных процедур, чтобы облегчить мышечный спазм и боль. Продолжайте использовать плечевой ремень, как предписано.
По мере развития программы реабилитации выбираются более сложные упражнения для безопасного развития силы и функции плеча.
Наконец, определенную группу упражнений можно использовать для имитации повседневных действий, например причесывания или одевания. Также можно выбрать специальные упражнения, имитирующие работу или хобби.
Когда диапазон движений и сила ваших плеч значительно улучшится, вы сможете постепенно вернуться к нормальной деятельности. В идеале вы сможете делать почти все, что делали раньше. Однако вам, возможно, придется избегать тяжелых или повторяющихся движений плечами.
Вы можете участвовать в программе прогрессивной реабилитации в течение двух-четырех месяцев после операции, чтобы обеспечить наилучшие результаты от использования искусственного сустава. В первые шесть недель после операции вам следует посещать своего терапевта два-три раза в неделю. В это время, если все пойдет по плану, вы сможете перейти к домашней программе. Тогда вы будете посещать своего терапевта только раз в несколько недель.
Почему выбирают Индию для операции по замене плеча?
Больница хирургии замены суставов в Индии предлагает высококачественную медицинскую помощь костям и суставам с вниманием, заботой и состраданием для удовлетворения потребностей пациентов и их близких. В состав медицинской команды входят сертифицированные хирурги-ортопеды, знакомые со всеми аспектами опорно-двигательного аппарата. В нашей больнице используются самые передовые технологии, доступные для ортопедических процедур, и уровень осложнений ниже.
Поскольку операция по замене плечевого сустава является сложной операцией, у нас есть опытная хирургическая команда и полностью оборудованный операционный зал с отличной инфраструктурой для послеоперационного ухода и реабилитации. Операция по перелому плеча, выполняемая высококвалифицированным хирургом в условиях крупной больницы, дает лучший результат.
Вы ищете доступную стоимость операции по замене плеча в лучших больницах Индии?
Пожалуйста, свяжитесь с нами. Получите Ценовое предложение без каких-либо обязательств.”
Если вы действительно ищете операцию по замене плеча, заполните форму для бесплатной консультации с нашими хирургами. Вам будет предоставлен тщательный анализ и предложения относительно операции по замене плеча, которую вы ищете.
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Arthritis. Arthritis is the result of the cartilage in a joint being worn out over time. I often describe the arthritis in the shoulder as having a “rusty hinge”. The cartilage in your joint is supposed to be a smooth surface that allows things to move easily; however, when the cartilage wears out as a result of arthritis it becomes a rough surface, or “rusty”.
If you have pain in your shoulder, limited function and difficulty sleeping it is important to try arthritis medications and cortisone injections. If the medication and injections do not relieve your shoulder pain, then it is time to discuss a shoulder replacement.
The typical age group for a shoulder replacement patient is 60-80 years old. I have performed shoulder replacements on patients as old as 88 and as young as the mid-40s. Every patient’s situation is uniquely different and I take that into consideration when discussing a shoulder replacement.
For the most part it is not valuable to do therapy or exercise before a shoulder replacement surgery. Unfortunately the movement further aggravates the shoulder and causes more pain. My preparation advice for shoulder replacement surgery is more focused on the practical things in life… you have to prepare for the fact that you aren’t going to have use of your arm for a matter of weeks, which means you might need some help at home (cooking, showering, driving, etc.). I don’t recommend you drive for at least a couple of weeks following surgery. It is important for patients to plan ahead and understand what the nuts/bolts are regarding their recovery.
Certain foods, more related to nutritional supplements, can cause your blood to be thinned, a similar effect as aspirin or blood thinners. I will go over a list of supplements that could have this effect… I will have you stop taking those items a week prior to your shoulder replacement surgery.
There is some immediate change in regard to the movement of the shoulder being much smoother; however, for a few weeks after surgery it is more painful than before surgery. At about two weeks post-surgery people start to get over the “hump” and it is less painful than prior to surgery. The pain will continue to gradually decrease. At two months the average patient is very happy they had their shoulder replaced.
Most people require, to some degree, oxycodone or hydrocodone. In addition, I supplement anti-inflammatory medications. Each patient is very unique and their pain levels vary, naturally I make those adjustments accordingly.
The first couple of days the pain will be significant, but it can also be controlled with the appropriate medications. Regaining range of motion takes time, patience and persistence it only improves at a certain rate each month.
Yes. The typical stay is somewhere between 24-48 hours: 50% stay one day while 50% stay two days. Rarely do patients stay longer than two days.
Yes, we will prescribe physical therapy. Typically, therapy will last two months following the operation; however, sometimes patients require more.
Most people who develop arthritis on one side develop it on the other side as well. Most often one side hurts worse than the other and so many patients opt for both shoulders to be replaced, but it is usually a couple years between the two operations.
The estimate is around 15 years, but that estimate is variable and we see them last longer in some patients. It is difficult to predict how long each patient’s shoulder replacement will last, specifically because the materials we use now are improved from those 7-8 years ago.
Typically, if you need a shoulder redone, you redo the whole thing (not just parts), but it is rare that we have to do that. For most people, their shoulder will last for as long as they need it; however, that depends on the age that the patient received their replacement.
Infection is always the number one concern. We take a lot of precaution to prevent an infection when it comes to the surgery technique and antibiotics (you get antibiotics around the time of surgery). There is a possibility I can injure a very important nerve in the shoulder that is close to where I am working. If that nerve is injured it can have an impact on your ability to raise your arm above your head. I am very mindful of that nerve during the surgery. From a practical standpoint, wear and tear of the parts over time can cause complications.
Construction worker: 3 months
Desk worker: 2 weeks
Almost everyone has a thorough physical exam with their primary care physician to make sure they are healthy enough to handle the stress of replacement surgery. In addition, the biggest thing to plan for is to have help at home. We also don’t recommend you drive for at least a couple of weeks following surgery.
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ভারতে কম খরচে শোল্ডার রিপ্লেসমেন্ট সার্জারি
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শোল্ডার রিপ্লেসমেন্ট সার্জারি কি?
কাঁধ প্রতিস্থাপনএকটি অস্ত্রোপচার পদ্ধতি যেখানে গ্লেনোহুমেরাল জয়েন্টের সমস্ত বা অংশ একটি কৃত্রিম ইমপ্লান্ট দ্বারা প্রতিস্থাপিত হয়। এই ধরনের জয়েন্ট রিপ্লেসমেন্ট সার্জারি সাধারণত বাতের ব্যথা উপশম করতে বা জয়েন্টের গুরুতর শারীরিক ক্ষতি ঠিক করার জন্য করা হয়।
কাঁধ প্রতিস্থাপন সার্জারি কাঁধের জয়েন্টের গুরুতর আর্থ্রাইটিসের চিকিত্সার জন্য একটি বিকল্প। আর্থ্রাইটিস এমন একটি অবস্থা যা জয়েন্টের তরুণাস্থিকে প্রভাবিত করে। তরুণাস্থি আস্তরণটি নষ্ট হয়ে যাওয়ায়, হাড়ের মধ্যে প্রতিরক্ষামূলক আস্তরণ নষ্ট হয়ে যায়। যখন এটি ঘটে, তখন হাড়ের উপর-হাড়ের আর্থ্রাইটিস বিকশিত হয়। গুরুতর কাঁধের বাত বেশ বেদনাদায়ক, এবং গতির সীমাবদ্ধতার কারণ হতে পারে। যদিও এই কিছু সহ্য করা যেতে পারে
ওষুধ এবং জীবনযাত্রার সামঞ্জস্য, এমন একটি সময় আসতে পারে যখন অস্ত্রোপচারের চিকিত্সার প্রয়োজন হয়৷
লক্ষণ-
আর্থ্রাইটিসের রোগীরা সাধারণত কাঁধের জয়েন্টের মধ্যে গভীর ব্যথা বর্ণনা করে। প্রাথমিকভাবে, নড়াচড়া এবং কার্যকলাপের সাথে ব্যথা আরও খারাপ অনুভূত হয় এবং বিশ্রামের সাথে সহজ হয়। আর্থ্রাইটিস বাড়ার সাথে সাথে আপনি বিশ্রাম করলেও ব্যথা হতে পারে। একজন রোগী যখন কাঁধের ব্যথার জন্য একজন চিকিত্সককে দেখেন, তখন তার প্রায়ই রাতে ব্যথা হয়। এই ব্যথা একটি ভাল রাতের ঘুম রোধ করতে যথেষ্ট গুরুতর হতে পারে। রোগীর কাঁধ সরানোর সময় নাকাল বা ঝাঁঝরির শব্দ করতে পারে। অথবা কাঁধ ধরতে পারে, ধরতে পারে, আটকাতে পারে বা লক আপ করতে পারে। সময়ের সাথে সাথে, রোগীর গতি হ্রাস এবং/অথবা প্রভাবিত কাঁধে দুর্বলতা লক্ষ্য করতে পারে। সাধারণ দৈনন্দিন ক্রিয়াকলাপ যেমন আলমারিতে পৌঁছানো, পোশাক পরা, টয়লেট করা এবং বিপরীত বগল ধোয়া ক্রমশ কঠিন হয়ে উঠতে পারে।
কাঁধের আর্থ্রাইটিসের সাধারণ লক্ষণগুলির মধ্যে রয়েছে:
- ক্রিয়াকলাপ সহ ব্যথা
- গতির সীমিত পরিসর
- কাঁধের শক্ততা
- জয়েন্ট ফুলে যাওয়া
- জয়েন্টের চারপাশে কোমলতা
- জয়েন্টের মধ্যে নাকাল বা ধরার অনুভূতি
ভিডিও – ভারতে শোল্ডার রিপ্লেসমেন্ট সার্জারি
রোগীর পর্যালোচনা – আফ্রিকান রোগী সাফল্যের গল্প শেয়ার করে
ভারতে কম খরচে কাঁধ প্রতিস্থাপন সার্জারির
হ্যালো, আমি দক্ষিণ আফ্রিকার আন্দ্রে জ্যাকবস। জয়েন্ট রিপ্লেসমেন্ট হসপিটাল ইন্ডিয়ার মাধ্যমে আমি ভারতে আমার কাঁধ প্রতিস্থাপন সার্জারি করি। ওজন উত্তোলন এবং আমার উঠানে কাজ করার সময় আমি আমার বাম কাঁধে ব্যথা অনুভব করেছি। সময়ের সাথে সাথে, এই অস্বস্তি ব্যথায় পরিণত হয় এবং আমার দৈনন্দিন কাজকর্মে হস্তক্ষেপ করতে থাকে। যদিও আমি শারীরিক থেরাপি করেছি এবং ওষুধ গ্রহণ করেছি, কিন্তু কিছুই কাজ করে বলে মনে হচ্ছে না। তখনই, আমার আত্মীয়ের একজন বন্ধু যিনি ডাক্তার, আমাকে ভারতে আপনার সার্জারি গ্রুপ সম্পর্কে পরামর্শ দিয়েছিলেন। আমি আরও তথ্যের জন্য অনলাইনে গিয়েছিলাম এবং এতে মুগ্ধ হয়ে আমি আমার তদন্ত পাঠাই। তারা আমাকে ফিরে ডেকেছিল এবং আমার সমস্ত প্রশ্নের উত্তর দিয়েছে। তারা আমাকে অস্ত্রোপচার সম্পর্কে ভালভাবে ব্যাখ্যা করেছে এবং এর সাথে আমার কী আশা করা উচিত। তারা আমার মেডিকেল রিপোর্টের জন্য আমাকে জিজ্ঞাসা করেছিল এবং সর্বোত্তম চিকিত্সার বিকল্পগুলি পাওয়ার পরে, আমি তাদের সাথে আমার অস্ত্রোপচারটি ঠিক করেছি। ভারতে আমার ভ্রমণের সময় আমার একটি আশ্চর্যজনক অভিজ্ঞতা ছিল। শল্যচিকিৎসক আমার সমস্ত সন্দেহ দূর করে এবং আমাকে স্বাচ্ছন্দ্য দান করার জন্য তার সময় নিয়েছিলেন। পুরো স্টাফ বন্ধুত্বপূর্ণ ছিল। আমার ভারতে থাকার সময় আপনি যে চমৎকার যত্ন এবং পরিষেবার গুণমান প্রদান করেছেন তার জন্য আপনাকে ধন্যবাদ।
কাঁধের চিকিৎসার বিকল্প-
ননসার্জিক্যাল চিকিৎসা-
আর্থরাইটিস কাঁধের চিকিৎসা বিশ্রাম, ব্যায়াম এবং বাতের ওষুধ গ্রহণের মাধ্যমে শুরু হয়। কাঁধে বিশ্রাম নেওয়া এবং আর্দ্র তাপ প্রয়োগ করা হালকা ব্যথা কমাতে পারে। কঠোর কার্যকলাপের পরে, একটি আইস প্যাক ব্যথা এবং ফোলা কমাতে আরও কার্যকর হতে পারে।
আর্থ্রাইটিস প্রাথমিক পর্যায়ে থাকলে শারীরিক থেরাপি সহায়ক হতে পারে। এটি জয়েন্টের গতি বজায় রাখতে এবং কাঁধের পেশীকে শক্তিশালী করতে সহায়তা করে। শারীরিক থেরাপি কম কার্যকর হয় যখন আর্থ্রাইটিস এমন পর্যায়ে চলে যায় যে হাড়ের উপর হাড় ঘষে। যখন এটি হয়, তখন শারীরিক থেরাপি কাঁধে আরও ব্যথা করতে পারে।
বাতের ওষুধ, ননস্টেরয়েডাল অ্যান্টি-ইনফ্ল্যামেটরিস (এনএসএআইডি) নামে পরিচিত, বাতের ব্যথা নিয়ন্ত্রণ করতে পারে। কিছু NSAIDs ওভার-দ্য-কাউন্টার কেনা হতে পারে, অন্যদের একটি প্রেসক্রিপশন প্রয়োজন। কাঁধের জয়েন্টে পর্যায়ক্রমিক কর্টিসোন ইনজেকশনগুলি অস্থায়ী ব্যথা উপশম প্রদান করতে পারে। অত্যধিক কর্টিসোন শট বিরূপ প্রভাব ফেলতে পারে, যাইহোক।
সার্জিক্যাল চিকিৎসা-
অপারেটিভ চিকিৎসা না হলে, কাঁধ প্রতিস্থাপনের অস্ত্রোপচারের প্রয়োজন হতে পারে। কাঁধ প্রতিস্থাপন সাধারণত ব্যথা উপশমের জন্য করা হয়।
কাঁধ প্রতিস্থাপনের বিভিন্ন প্রকার রয়েছে। সাধারণ মোট কাঁধের প্রতিস্থাপনের সাথে বাতের জয়েন্টের উপরিভাগগুলিকে একটি স্টেমের সাথে সংযুক্ত একটি উচ্চ পালিশ করা ধাতব বল এবং একটি প্লাস্টিকের সকেট দিয়ে প্রতিস্থাপন করা জড়িত। উপাদানগুলি বিভিন্ন আকারে আসে। হাড় ভালো মানের হলে, আপনার সার্জন একটি নন-সিমেন্টেড বা প্রেস-ফিট হিউমারাল উপাদান ব্যবহার করতে পারেন। হাড় নরম হলে, হিউমারাল উপাদান হাড়ের সিমেন্ট দিয়ে রোপণ করা যেতে পারে। বেশিরভাগ ক্ষেত্রে, একটি অল-প্লাস্টিকের গ্লেনয়েড উপাদান হাড়ের সিমেন্টের সাথে রোপণ করা হয়। একটি গ্লেনয়েড উপাদান রোপনের পরামর্শ দেওয়া হয় না যদি:
- গ্লেনয়েডের ভাল তরুণাস্থি আছে।
- গ্লেনয়েড হাড়ের মারাত্মক ঘাটতি।
- রোটেটর কাফ টেন্ডন অপূরণীয়ভাবে ছিঁড়ে গেছে।
হাড়ের উপর-হাড়ের অস্টিওআর্থারাইটিস এবং অক্ষত রোটেটর কাফ টেন্ডন সহ রোগীরা সাধারণত প্রচলিত মোট কাঁধ প্রতিস্থাপনের জন্য ভাল প্রার্থী। কাঁধের অবস্থার উপর নির্ভর করে, আপনার সার্জন শুধুমাত্র বল প্রতিস্থাপন করতে পারে। কখনও কখনও, অস্ত্রোপচারের সময় অপারেটিং রুমে এই সিদ্ধান্ত নেওয়া হয়। কিছু সার্জন বলটি প্রতিস্থাপন করেন যখন এটি মারাত্মকভাবে ফ্র্যাকচার হয় এবং সকেট স্বাভাবিক থাকে।
প্রস্তুতি-
কাঁধের কিছু গুরুতর অবক্ষয়জনিত সমস্যার জন্য একটি কৃত্রিম কাঁধের জয়েন্ট দিয়ে বেদনাদায়ক কাঁধ প্রতিস্থাপনের প্রয়োজন হতে পারে। আপনার এবং আপনার সার্জনের একসাথে অস্ত্রোপচারের সাথে এগিয়ে যাওয়ার সিদ্ধান্ত নেওয়া উচিত। আপনাকে যতটা সম্ভব পদ্ধতি সম্পর্কে বুঝতে হবে। আপনার উদ্বেগ বা প্রশ্ন থাকলে, আপনার সার্জনের সাথে কথা বলা উচিত।
আপনি একবার অস্ত্রোপচারের সিদ্ধান্ত নিলে, আপনাকে বেশ কিছু পদক্ষেপ নিতে হবে। আপনার সার্জন আপনার নিয়মিত ডাক্তার দ্বারা সম্পূর্ণ শারীরিক পরীক্ষার পরামর্শ দিতে পারেন। এই পরীক্ষাটি নিশ্চিত করতে সাহায্য করে যে আপনি অপারেশন করার জন্য সম্ভাব্য সর্বোত্তম অবস্থায় আছেন।
আপনাকে শারীরিক বা পেশাগত থেরাপিস্টের সাথেও সময় কাটাতে হতে পারে যিনি অস্ত্রোপচারের পরে আপনার পুনর্বাসন পরিচালনা করবেন। এটি আপনাকে আপনার পুনরুদ্ধারের শুরু করতে দেয়। এই প্রি-অপারেটিভ ভিজিটের একটি উদ্দেশ্য হল তথ্যের একটি বেসলাইন রেকর্ড করা। আপনার থেরাপিস্ট আপনার বর্তমান ব্যথার মাত্রা, আপনার কার্যকলাপ করার ক্ষমতা এবং প্রতিটি কাঁধের নড়াচড়া এবং শক্তি পরীক্ষা করবেন।
প্রি-অপারেটিভ ভিজিটের দ্বিতীয় উদ্দেশ্য হল আপনাকে অস্ত্রোপচারের জন্য প্রস্তুত করা। আপনি আপনার পুনরুদ্ধারের সময় ব্যবহার করবেন এমন কিছু ব্যায়াম শিখতে শুরু করবেন। এবং আপনার থেরাপিস্ট আপনাকে হাসপাতাল থেকে ছাড়া পাওয়ার পরে বাড়িতে আপনার যে কোনো বিশেষ প্রয়োজন বা সমস্যা হতে পারে তা অনুমান করতে সাহায্য করতে পারে৷
আপনার অস্ত্রোপচারের দিন, আপনাকে সম্ভবত খুব সকালে হাসপাতালে ভর্তি করা হবে। আগের রাতে মধ্যরাতের পর কিছু খাওয়া বা পান করা উচিত নয়। বেশ কয়েক রাত হাসপাতালে থাকার জন্য প্রস্তুত হয়ে আসুন। আপনি হাসপাতালে কতটা সময় কাটাবেন তা অনেকটাই আপনার উপর নির্ভর করে।
ভারতে কাঁধ প্রতিস্থাপন সার্জারি খরচ কি?
ভারতে শোল্ডার রিপ্লেসমেন্ট সার্জারির খরচ আনুমানিক Rs থেকে শুরু করে হতে পারে। 4,00,000 ($5,000) to Rs. 5,60,000 ($7,000).
আর্থ্রাইটিসের পর্যায়, অস্ত্রোপচারের ধরন, প্রয়োজনীয় তদন্ত ও মূল্যায়ন, সার্জনের বিশেষত্ব, হাসপাতালের ফি এবং রুম ক্যাটাগরির উপর নির্ভর করে খরচ হবে।
ভারতে শীর্ষ 10টি কাঁধ প্রতিস্থাপন সার্জারি হাসপাতাল
- ফর্টিস হাসপাতাল, দিল্লি
- ম্যাক্স হাসপাতাল, দিল্লি
- আর্টেমিস হাসপাতাল, দিল্লি
- BLK হাসপাতাল, দিল্লি
- নানবতী হাসপাতাল, মুম্বাই
- গ্লোবাল হাসপাতাল, মুম্বাই
- মনিপাল হাসপাতাল, ব্যাঙ্গালোর
- কোকিলাবেন হাসপাতাল, মুম্বাই
- সাইফি হাসপাতাল, মুম্বাই
- মেদান্ত হাসপাতাল, গুরগাঁও
ভারতের সেরা কাঁধ প্রতিস্থাপন সার্জনদের সাথে বিনামূল্যে পরামর্শ করুন
- ড. কৌশল মালহান
- ড. হরেশ মঙ্গলানি
- ড. অশোক রাজগোপাল
- ড. আদিত্য মেনন
- ড. সঞ্জয় সরুপ
- ড. শচীন ভোঁসলে
- ড. হর্ষবর্ধন হেগড়ে
- ড. প্রদীপ বি. ভোসলে
- ড. অনিল আর কারখানিস
- ড. আইপিএস ওবেরিও
ভারতে আপনার সাশ্রয়ী মূল্যের কাঁধ প্রতিস্থাপন সার্জারির পরিকল্পনা করা একটি সহজ প্রক্রিয়া।
আমাদের হাসপাতাল নেটওয়ার্ক এবং সার্জারি গ্রুপ ভারতের 15টি শহরে আমাদের রোগীদের অ্যাক্সেসের জন্য উপলব্ধ। আমাদের বিশেষজ্ঞ দল থেকে একটি বিনামূল্যে মতামতের জন্য দয়া করে ফর্ম পূরণ করুন. আপনার অস্ত্রোপচারের জন্য আপনাকে একটি বিশ্লেষণ এবং সুপারিশ প্রদান করা হবে। কোন চার্জ আরোপ করা হয়নি।
বিশেষ সমস্ত পরিষেবা অন্তর্ভুক্ত আন্তর্জাতিক রোগীদের জন্য উপলব্ধ প্যাকেজ
অপারেশন-
কাঁধ প্রতিস্থাপন সার্জারি দুটি উপায়ের মধ্যে একটিতে করা যেতে পারে। হিউমেরাল হেড (বল) এবং গ্লেনয়েড (সকেট) উভয়ের তরুণাস্থি যখন জীর্ণ হয়ে যায়, তখন জয়েন্টের উভয় অংশই প্রতিস্থাপন করতে হবে। এই অস্ত্রোপচারকে আর্থ্রোপ্লাস্টি বলা হয়, যা জয়েন্ট পুনর্গঠনের জন্য ব্যবহৃত শব্দ।
যদি গ্লেনয়েডের এখনও কিছু আর্টিকুলার কার্টিলেজ থাকে, আপনার সার্জন শুধুমাত্র হিউমারাল হেড প্রতিস্থাপন করতে পারেন। এই পদ্ধতিটি হেমিয়ারথ্রোপ্লাস্টি নামে পরিচিত। (হেমি মানে অর্ধেক।) হেমি-আর্থোপ্লাস্টি সবচেয়ে বেশি ব্যবহৃত হয় কাঁধের ফ্র্যাকচারের পরে যেখানে হিউমারাসের বলের অংশে (হিউমারাল হেড) রক্ত সরবরাহ ক্ষতিগ্রস্ত হয়। গবেষণায় দেখা গেছে যে আর্থ্রাইটিসের জন্য যখন কাঁধ প্রতিস্থাপন করা হয়, তখন সম্পূর্ণ কাঁধের আর্থ্রোপ্লাস্টি ভালো করে। অস্ত্রোপচারের পরপরই রোগীদের ব্যথা কম হয় এবং দীর্ঘমেয়াদে কম জটিলতা সহ কাঁধ ভালোভাবে কাজ করে এবং দ্বিতীয় অপারেশনের প্রয়োজন হওয়ার সম্ভাবনা কম থাকে।
কাঁধ প্রতিস্থাপনের অস্ত্রোপচারের জন্য আপনার সম্ভবত সাধারণ অ্যানেস্থেশিয়ার প্রয়োজন হবে। সাধারণ এনেস্থেশিয়া আপনাকে ঘুমাতে দেয়। শুধুমাত্র কাঁধ এবং বাহু এমনভাবে অসাড় করা কঠিন যে এই ধরনের একটি বড় অস্ত্রোপচার সম্ভব করে তোলে।
আপনার কাঁধের সামনের অংশে একটি ছেদের মাধ্যমে কাঁধ প্রতিস্থাপনের অস্ত্রোপচার করা হয়। এটি একটি অগ্রবর্তী পদ্ধতি বলা হয়। সার্জন ত্বকের মাধ্যমে কেটে ফেলে এবং তারপর স্নায়ু এবং রক্তনালীগুলিকে বিচ্ছিন্ন করে এবং তাদের পাশে নিয়ে যায়। পেশীগুলিও পাশে সরানো হয়।
সার্জন জয়েন্ট ক্যাপসুল কেটে নিজেই কাঁধের জয়েন্টে প্রবেশ করেন। এটি সার্জনকে জয়েন্ট দেখতে দেয়।
এই মুহুর্তে, সার্জন প্রতিস্থাপন অংশ সংযুক্ত করার জন্য হাড় প্রস্তুত করতে পারেন। হিউমেরাল মাথার বল অংশ একটি হাড় করাত দিয়ে সরানো হয়। উপরের হিউমারাসের ভিতরের ফাঁপা একটি রাস্প ব্যবহার করে প্রস্তুত করা হয়। এটি আপনার সার্জনকে হাড়ের অভ্যন্তরে হিউমারাল উপাদানের ধাতব স্টেমকে নোঙ্গর করার জন্য স্থানটি ছাঁচ করতে দেয়।
যদি গ্লেনয়েড প্রতিস্থাপন করা হয়, তবে এটি পৃষ্ঠের অবশিষ্ট তরুণাস্থিগুলিকে পিষে প্রস্তুত করা হয়। এটি একটি burr নামক একটি যন্ত্র দিয়ে করা হয়। সার্জন সাধারণত স্ক্যাপুলার হাড়ের মধ্যে গর্ত ড্রিল করার জন্য বুর ব্যবহার করে। এখানে গ্লেনয়েড উপাদানের স্টেম নোঙর করা হয়।
অবশেষে, হিউমেরাল কম্পোনেন্ট এবং গ্লেনয়েড কম্পোনেন্ট ঢোকানো হয় এবং হিউমারাল বল সংযুক্ত করা হয়।
জয়েন্টটি নোঙর করার পরে, সার্জন সঠিক ফিটের জন্য পরীক্ষা করে। সার্জন ফিট করে সন্তুষ্ট হলে, জয়েন্ট ক্যাপসুল একসাথে সেলাই করা হয়। পেশীগুলি তারপরে তাদের সঠিক অবস্থানে ফিরে আসে এবং ত্বকটিও সেলাই করা হয়।
আপনার ছেদটি একটি ব্যান্ডেজ দিয়ে ঢেকে দেওয়া হবে এবং আপনার বাহুটি একটি স্লিংয়ে রাখা হবে। তারপর আপনাকে ঘুম থেকে উঠিয়ে পুনরুদ্ধার কক্ষে নিয়ে যাওয়া হবে।
সার্জারির পরে-
অস্ত্রোপচারের পর, আপনাকে পুনরুদ্ধার কক্ষে নিয়ে যাওয়া হবে। আপনার কাঁধে একটি ড্রেসিং আবৃত থাকবে যা পরবর্তী কয়েকদিনে ঘন ঘন পরিবর্তন করতে হবে। আপনার সার্জন কাঁধের জয়েন্টে একটি ছোট ড্রেনেজ টিউব ঢোকিয়ে থাকতে পারে যাতে জয়েন্টের ভিতরে অতিরিক্ত রক্ত এবং তরল জমা হতে না পারে। আপনাকে প্রয়োজনীয় অ্যান্টিবায়োটিক এবং ওষুধ দেওয়ার জন্য আপনার বাহুতে একটি ইন্ট্রাভেনাস লাইন (IV) স্থাপন করা হবে।
অস্ত্রোপচারের পরপরই আপনার কাঁধ একটি ক্রমাগত প্যাসিভ মোশন (সিপিএম) মেশিনে রাখা হতে পারে। সিপিএম কাঁধকে নড়াচড়া শুরু করতে সাহায্য করে এবং জয়েন্টের শক্ততা দূর করে। মেশিনটি কাঁধে স্ট্র্যাপ করে এবং জয়েন্টটিকে ক্রমাগত বাঁকিয়ে সোজা করে। এই গতি দৃঢ়তা কমাতে, ব্যথা কমাতে এবং জয়েন্টের অভ্যন্তরে অতিরিক্ত দাগের টিস্যু তৈরি করা থেকে বিরত রাখে বলে মনে করা হয়। আপনি যখন CPM মেশিন ব্যবহার করছেন না তখন আপনার হাতকে সমর্থন করার জন্য আপনি একটি কাঁধের স্লিং ব্যবহার করবেন৷
পুনর্বাসন-
আপনার পুনর্বাসন প্রোগ্রাম শুরু করার জন্য অস্ত্রোপচারের পরের দিন একজন শারীরিক বা পেশাগত থেরাপিস্ট আপনাকে দেখতে পাবেন। থেরাপি চিকিত্সা ধীরে ধীরে আপনার কাঁধের নড়াচড়া উন্নত করবে। আপনি যদি CPM ব্যবহার করেন, আপনার থেরাপিস্ট সারিবদ্ধকরণ এবং সেটিংস পরীক্ষা করবেন। আপনার থেরাপিস্ট আপনার ব্যায়ামগুলি দেখবেন এবং নিশ্চিত করবেন যে আপনি বিছানায় ওঠা এবং আপনার ঘরে চলাফেরা করা নিরাপদ৷
যখন আপনি বাড়িতে যান, আপনি হোম থেরাপি ভিজিট পেতে পারেন। আপনার বাড়িতে গিয়ে, আপনার থেরাপিস্ট পরীক্ষা করে দেখতে পারেন যে আপনি আপনার বাড়িতে নিরাপদে আছেন। আপনার গতি এবং শক্তির পরিসর উন্নত করতে সাহায্য করার জন্য চিকিত্সাগুলিও করা হবে। কিছু ক্ষেত্রে, বহির্বিভাগের রোগীদের থেরাপি শুরু করার আগে আপনার বাড়িতে তিনবার পর্যন্ত পরিদর্শনের প্রয়োজন হতে পারে।
প্রথম কয়েকটি বহিরাগত রোগীর চিকিত্সা ব্যথা এবং ফোলা নিয়ন্ত্রণে ফোকাস করবে। বরফ এবং বৈদ্যুতিক উদ্দীপনা চিকিত্সা সাহায্য করতে পারে। আপনার থেরাপিস্ট পেশীর খিঁচুনি এবং ব্যথা কমাতে ম্যাসেজ এবং অন্যান্য ধরণের হ্যান্ডস-অন চিকিত্সাও ব্যবহার করতে পারেন। নির্ধারিত হিসাবে আপনার কাঁধের স্লিং ব্যবহার করা চালিয়ে যান।
পুনর্বাসন কর্মসূচির বিকাশের সাথে সাথে কাঁধের শক্তি এবং কার্যকারিতাকে নিরাপদে এগিয়ে নিতে আরও চ্যালেঞ্জিং ব্যায়াম বেছে নেওয়া হয়।
অবশেষে, আপনার চুল সাজানো বা পোশাক পরার মতো প্রতিদিনের ক্রিয়াকলাপগুলিকে অনুকরণ করতে ব্যায়ামের একটি নির্বাচিত গ্রুপ ব্যবহার করা যেতে পারে। কাজ বা শখের চাহিদা অনুকরণ করার জন্য নির্দিষ্ট ব্যায়ামও বেছে নেওয়া যেতে পারে।
যখন আপনার কাঁধের গতি এবং শক্তি যথেষ্ট উন্নত হবে, আপনি ধীরে ধীরে স্বাভাবিক কার্যকলাপে ফিরে যেতে সক্ষম হবেন। আদর্শভাবে, আপনি প্রায় সবকিছুই করতে সক্ষম হবেন যা আপনি আগে করেছিলেন। যাইহোক, আপনাকে ভারী বা বারবার কাঁধের কাজ এড়াতে হতে পারে।
আপনার কৃত্রিম জয়েন্ট থেকে সর্বোত্তম ফলাফল নিশ্চিত করতে আপনি অস্ত্রোপচারের পর দুই থেকে চার মাসের জন্য একটি প্রগতিশীল পুনর্বাসন কর্মসূচিতে জড়িত থাকতে পারেন। অস্ত্রোপচারের পর প্রথম ছয় সপ্তাহে, আপনার থেরাপিস্টকে সপ্তাহে দুই থেকে তিনবার দেখার আশা করা উচিত। সেই সময়ে, যদি সবকিছু এখনও পরিকল্পনা অনুযায়ী চলতে থাকে, তাহলে আপনি একটি হোম প্রোগ্রামে অগ্রসর হতে পারবেন। তারপর আপনি প্রতি কয়েক সপ্তাহে আপনার থেরাপিস্টের সাথে চেক ইন করবেন।
কেন কাঁধ প্রতিস্থাপন সার্জারির জন্য ভারত বেছে নিবেন?
জয়েন্ট রিপ্লেসমেন্ট সার্জারি হসপিটাল ইন্ডিয়া রোগীদের এবং তাদের প্রিয়জনদের চাহিদা মেটাতে মনোযোগ, যত্ন এবং সহানুভূতি সহ সর্বোচ্চ মানের হাড় এবং জয়েন্ট স্বাস্থ্যসেবা প্রদান করে। মেডিকেল টিমে বোর্ড-প্রত্যয়িত অর্থোপেডিক সার্জন রয়েছে যারা পেশীবহুল সিস্টেমের সমস্ত দিকগুলির সাথে পরিচিত। আমাদের হাসপাতাল অর্থোপেডিক পদ্ধতির জন্য উপলব্ধ সবচেয়ে উন্নত প্রযুক্তি ব্যবহার করে এবং জটিলতার হার কম।
যেহেতু কাঁধ প্রতিস্থাপনের অস্ত্রোপচার একটি জটিল অপারেশন, তাই আমাদের কাছে একটি অভিজ্ঞ অস্ত্রোপচার দল রয়েছে এবং অপারেশন থিয়েটার-পরবর্তী যত্ন এবং পুনর্বাসনের জন্য চমৎকার পরিকাঠামো সহ সম্পূর্ণ সজ্জিত অপারেশন থিয়েটার সুবিধা রয়েছে। একটি উচ্চ-ভলিউম হাসপাতালের অধীনে একটি উচ্চ-ভলিউম সার্জন দ্বারা সঞ্চালিত কাঁধের ফ্র্যাকচার সার্জারি আপনাকে একটি ভাল ফলাফল প্রদান করে।
আপনি কি ভারতের শীর্ষ হাসপাতালে কাঁধ প্রতিস্থাপন সার্জারির সাশ্রয়ী মূল্যের ব্যয় খুঁজছেন?
অনুগ্রহ করে আমাদের সাথে অনুসন্ধান করুন একটি “কোন বাধ্যবাধকতা নেই”
আপনি যদি সত্যিই কাঁধ প্রতিস্থাপন সার্জারির জন্য খুঁজছেন, দয়া করে আমাদের সার্জনদের সাথে বিনামূল্যে পরামর্শের জন্য ফর্মটি পূরণ করুন৷ আপনি যে কাঁধ প্রতিস্থাপন সার্জারি চাইছেন সেই বিষয়ে আপনাকে পুঙ্খানুপুঙ্খ বিশ্লেষণ এবং পরামর্শ প্রদান করা হবে।
আমাদের সুখী রোগীদের কণ্ঠস্বর শুনুন
আমাদের সমস্ত রোগীর ভিডিও দেখুন
FAQ’s
Arthritis. Arthritis is the result of the cartilage in a joint being worn out over time. I often describe the arthritis in the shoulder as having a “rusty hinge”. The cartilage in your joint is supposed to be a smooth surface that allows things to move easily; however, when the cartilage wears out as a result of arthritis it becomes a rough surface, or “rusty”.
If you have pain in your shoulder, limited function and difficulty sleeping it is important to try arthritis medications and cortisone injections. If the medication and injections do not relieve your shoulder pain, then it is time to discuss a shoulder replacement.
The typical age group for a shoulder replacement patient is 60-80 years old. I have performed shoulder replacements on patients as old as 88 and as young as the mid-40s. Every patient’s situation is uniquely different and I take that into consideration when discussing a shoulder replacement.
For the most part it is not valuable to do therapy or exercise before a shoulder replacement surgery. Unfortunately the movement further aggravates the shoulder and causes more pain. My preparation advice for shoulder replacement surgery is more focused on the practical things in life… you have to prepare for the fact that you aren’t going to have use of your arm for a matter of weeks, which means you might need some help at home (cooking, showering, driving, etc.). I don’t recommend you drive for at least a couple of weeks following surgery. It is important for patients to plan ahead and understand what the nuts/bolts are regarding their recovery.
Certain foods, more related to nutritional supplements, can cause your blood to be thinned, a similar effect as aspirin or blood thinners. I will go over a list of supplements that could have this effect… I will have you stop taking those items a week prior to your shoulder replacement surgery.
There is some immediate change in regard to the movement of the shoulder being much smoother; however, for a few weeks after surgery it is more painful than before surgery. At about two weeks post-surgery people start to get over the “hump” and it is less painful than prior to surgery. The pain will continue to gradually decrease. At two months the average patient is very happy they had their shoulder replaced.
Most people require, to some degree, oxycodone or hydrocodone. In addition, I supplement anti-inflammatory medications. Each patient is very unique and their pain levels vary, naturally I make those adjustments accordingly.
The first couple of days the pain will be significant, but it can also be controlled with the appropriate medications. Regaining range of motion takes time, patience and persistence it only improves at a certain rate each month.
Yes. The typical stay is somewhere between 24-48 hours: 50% stay one day while 50% stay two days. Rarely do patients stay longer than two days.
Yes, we will prescribe physical therapy. Typically, therapy will last two months following the operation; however, sometimes patients require more.
Most people who develop arthritis on one side develop it on the other side as well. Most often one side hurts worse than the other and so many patients opt for both shoulders to be replaced, but it is usually a couple years between the two operations.
The estimate is around 15 years, but that estimate is variable and we see them last longer in some patients. It is difficult to predict how long each patient’s shoulder replacement will last, specifically because the materials we use now are improved from those 7-8 years ago.
Typically, if you need a shoulder redone, you redo the whole thing (not just parts), but it is rare that we have to do that. For most people, their shoulder will last for as long as they need it; however, that depends on the age that the patient received their replacement.
Infection is always the number one concern. We take a lot of precaution to prevent an infection when it comes to the surgery technique and antibiotics (you get antibiotics around the time of surgery). There is a possibility I can injure a very important nerve in the shoulder that is close to where I am working. If that nerve is injured it can have an impact on your ability to raise your arm above your head. I am very mindful of that nerve during the surgery. From a practical standpoint, wear and tear of the parts over time can cause complications.
Construction worker: 3 months
Desk worker: 2 weeks
Almost everyone has a thorough physical exam with their primary care physician to make sure they are healthy enough to handle the stress of replacement surgery. In addition, the biggest thing to plan for is to have help at home. We also don’t recommend you drive for at least a couple of weeks following surgery.
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Chirurgie de remplacement de l’épaule à faible coût en Inde
Planifier votre voyage médical en Inde est un processus très simple avec l’hôpital de chirurgie de remplacement articulaire en Inde
- Il vous suffit de remplir notre formulaire de demande et l’un de nos responsables vous contactera bientôt.
- +91-9860432255 Appelez-nous au numéro de contact indiqué pour toute assistance.
- Des informations complètes concernant la chirurgie sont fournies sur notre site Web.
Qu’est-ce que la chirurgie de remplacement de l’épaule ?
Le remplacement de l’épaule est une intervention chirurgicale dans laquelle tout ou partie de l’articulation glénohumérale est remplacée par un implant prothétique. Une telle chirurgie de remplacement articulaire est généralement effectuée pour soulager les douleurs arthritiques ou réparer de graves lésions articulaires physiques.
La chirurgie de remplacement de l’épaule est une option pour le traitement de l’arthrite grave de l’articulation de l’épaule. L’arthrite est une maladie qui affecte le cartilage des articulations. À mesure que la muqueuse cartilagineuse s’use, la couche protectrice entre les os disparaît. Lorsque cela se produit, une arthrite douloureuse os sur os se développe. L’arthrite sévère de l’épaule est très douloureuse et peut entraîner une restriction des mouvements. Bien que cela puisse être toléré avec certains médicaments et ajustements du mode de vie, il peut arriver un moment où un traitement chirurgical soit nécessaire.
Symptômes-
Les patients souffrant d’arthrite décrivent généralement une douleur profonde au niveau de l’articulation de l’épaule. Au début, la douleur s’aggrave avec le mouvement et l’activité, et s’atténue avec le repos. À mesure que l’arthrite progresse, la douleur peut survenir même lorsque vous vous reposez. Lorsqu’un patient consulte un médecin pour une douleur à l’épaule, il ressent souvent des douleurs la nuit. Cette douleur peut être suffisamment intense pour empêcher une bonne nuit de sommeil. L’épaule du patient peut émettre des bruits de grincement ou de grincement lorsqu’elle est déplacée. Ou bien l’épaule peut s’accrocher, s’agripper, claquer ou se bloquer. Au fil du temps, le patient peut remarquer une perte de mouvement et/ou une faiblesse de l’épaule affectée. Des activités quotidiennes simples comme fouiller dans un placard, s’habiller, aller aux toilettes et laver l’aisselle opposée peuvent devenir de plus en plus difficiles.
Les symptômes courants de l’arthrite de l’épaule comprennent :
- Douleur lors des activités
- Amplitude de mouvement limitée
- Raideur de l’épaule
- Gonflement de l’articulation
- Tendresse autour de l’articulation
- Une sensation de grincement ou d’accrochage dans l’articulation
VIDÉO – CHIRURGIE DE REMPLACEMENT DE L’ÉPAULE EN INDE
Examen des patients – Des patients africains partagent des histoires de réussite de la chirurgie de remplacement de l’épaule à faible coût en Inde
Bonjour, je suis Andre Jacobs d’Afrique du Sud. J’ai subi une arthroplastie de l’épaule en Inde par l’intermédiaire du Joint Remplacement Hospital India. J’avais ressenti des douleurs à l’épaule gauche en soulevant des poids et en travaillant dans mon jardin. Au fil du temps, cet inconfort s’est transformé en douleur et a commencé à interférer avec mes activités quotidiennes. Même si j’ai suivi une thérapie physique et pris des médicaments, rien ne semblait fonctionner. C’est alors qu’un ami de mon parent qui est médecin m’a suggéré votre groupe de chirurgie en Inde. Je suis allé en ligne pour chercher plus d’informations et impressionné, j’envoie ma demande. Ils m’ont rappelé et ont répondu à toutes mes questions. Ils m’ont bien expliqué l’opération et ce à quoi je devais m’attendre. Ils m’ont également demandé mes rapports médicaux et après avoir obtenu les meilleures options de traitement, j’ai fait réparer mon opération chirurgicale avec eux. J’ai vécu l’une des expériences incroyables lors de mon voyage en Inde. Le chirurgien a pris son temps pour dissiper tous mes doutes et me mettre à l’aise. L’ensemble du personnel était sympathique. Merci pour les merveilleux soins et la qualité du service que vous avez rendus tout au long de mon séjour en Inde.
Options de traitement de l’épaule-
Traitement non chirurgical-
Le traitement d’une épaule arthritique commence par du repos, de l’exercice et la prise de médicaments contre l’arthrite. Reposer l’épaule et appliquer de la chaleur humide peut soulager une légère douleur. Après une activité intense, un sac de glace peut être plus efficace pour réduire la douleur et l’enflure.
La thérapie physique peut être utile lorsque l’arthrite en est à ses débuts. Il aide à maintenir le mouvement des articulations et à renforcer les muscles des épaules. La physiothérapie est moins efficace lorsque l’arthrite a progressé au point que les os frottent sur les os. Lorsque tel est le cas, la thérapie physique peut rendre l’épaule encore plus douloureuse.
Les médicaments contre l’arthrite, appelés anti-inflammatoires non stéroïdiens (AINS), peuvent contrôler la douleur arthritique. Certains AINS peuvent être achetés en vente libre, tandis que d’autres nécessitent une ordonnance. Des injections périodiques de cortisone dans l’articulation de l’épaule peuvent procurer un soulagement temporaire de la douleur. Des injections excessives de cortisone peuvent cependant avoir des effets indésirables.
Surgical Treatment-
En cas de traitement non opératoire, une arthroplastie de l’épaule peut être nécessaire. Les remplacements d’épaule sont généralement effectués pour soulager la douleur.
Il existe plusieurs types différents d’arthroplasties de l’épaule. Le remplacement total habituel de l’épaule consiste à remplacer les surfaces articulaires arthritiques par une bille métallique hautement polie fixée à une tige et une douille en plastique. Les composants sont disponibles en différentes tailles. Si l’os est de bonne qualité, votre chirurgien peut choisir d’utiliser un composant huméral non cimenté ou pressé. Si l’os est mou, le composant huméral peut être implanté avec du ciment osseux. Dans la plupart des cas, un composant glénoïde entièrement plastique est implanté avec du ciment osseux. L’implantation d’un composant glénoïde est déconseillée si :
- La glène a un bon cartilage.
- L’os glénoïde est gravement déficient.
- Les tendons de la coiffe des rotateurs sont irrémédiablement déchirés.
Les patients souffrant d’arthrose os sur os et de tendons de la coiffe des rotateurs intacts sont généralement de bons candidats pour une arthroplastie totale conventionnelle de l’épaule. Selon l’état de l’épaule, votre chirurgien pourra remplacer uniquement la balle. Parfois, cette décision est prise en salle d’opération au moment de l’intervention chirurgicale. Certains chirurgiens remplacent la boule lorsqu’elle est gravement fracturée et que l’emboîture est normale.
Préparation-
Certains problèmes dégénératifs graves de l’épaule peuvent nécessiter le remplacement de l’épaule douloureuse par une articulation artificielle de l’épaule. Vous et votre chirurgien devez prendre la décision de procéder ensemble à l’intervention chirurgicale. Vous devez en comprendre le plus possible sur la procédure. Si vous avez des inquiétudes ou des questions, vous devriez en parler à votre chirurgien.
Une fois que vous avez décidé de recourir à la chirurgie, vous devez suivre plusieurs étapes. Votre chirurgien peut suggérer un examen physique complet par votre médecin habituel. Cet examen permet de garantir que vous êtes dans les meilleures conditions possibles pour subir l’opération.
Vous devrez peut-être également passer du temps avec le physiothérapeute ou l’ergothérapeute qui gérera votre rééducation après la chirurgie. Cela vous permet de prendre une longueur d’avance sur votre rétablissement. L’un des objectifs de cette visite préopératoire est d’enregistrer une base d’informations. Votre thérapeute vérifiera votre niveau de douleur actuel, votre capacité à faire vos activités, ainsi que le mouvement et la force de chaque épaule.
Un deuxième objectif de la visite préopératoire est de vous préparer à l’intervention chirurgicale. Vous commencerez à apprendre certains des exercices que vous utiliserez pendant votre récupération. Et votre thérapeute peut vous aider à anticiper tout besoin particulier ou problème que vous pourriez avoir à la maison, une fois que vous aurez quitté l’hôpital.
Le jour de votre opération, vous serez probablement admis à l’hôpital tôt le matin. Vous ne devriez rien manger ni boire après minuit la veille. Préparez-vous à rester plusieurs nuits à l’hôpital. La durée que vous passerez à l’hôpital dépend beaucoup de vous.
Quel est le coût d’une chirurgie de remplacement de l’épaule en Inde ?
Le coût de la chirurgie de remplacement de l’épaule en Inde peut varier d’environ Rs. 4 000 000.4,00,000 ($5,000) to Rs. 5,60,000 ($7,000).
Le coût dépendra du stade de l’arthrite, du type de chirurgie requis, de l’enquête et de l’évaluation requises, de la spécialité du chirurgien, des frais d’hôpital et de la catégorie de chambre.
Top 10 des hôpitaux de chirurgie de remplacement de l’épaule en Inde
- Hôpital Fortis, Delhi
- Hôpital Max, Delhi
- Hôpital Artemis, Delhi
- Hôpital BLK, Delhi
- Hôpital Nanvati, Mumbai
- Hôpital mondial de Mumbai
- Hôpital Manipal, Bangalore
- Hôpital Kokilaben, Mumbai
- Hôpital Saifee, Mumbai
- Hôpital Medanta, Gurgaon
Consultation gratuite avec les meilleurs chirurgiens de remplacement de l’épaule en Inde
- Dr. Kaushal Malhan
- Dr. Haresh Mangalani
- Dr. Ashok Rajgopal
- Dr. Aditya Menon
- Dr. Sanjay Sarup
- Dr. Sachin Bhonsle
- Dr. Harshwardhan Hegde
- Dr. Pradeep B. Bhosale
- Dr. Anil R. Karkhanis
- Dr. IPS Oberio
Planifier votre chirurgie de remplacement de l’épaule abordable en Inde est un processus simple.
Notre réseau d’hôpitaux et notre groupe de chirurgie sont disponibles dans 15 villes d’Inde pour que nos patients puissent y accéder. Veuillez remplir le formulaire pour obtenir un avis gratuit de notre équipe d’experts. Vous recevrez une analyse et des recommandations pour votre chirurgie. AUCUN FRAIS PRÉLEVÉ.
Forfaits spéciaux TOUS LES SERVICES INCLUS disponibles pour les PATIENTS INTERNATIONAUX
Opération-
L’arthroplastie de l’épaule peut être réalisée de deux manières. Lorsque le cartilage de la tête humérale (la boule) et de la glène (l’alvéole) est usé, les deux parties de l’articulation doivent être remplacées. Cette chirurgie s’appelle arthroplastie, terme utilisé pour désigner la reconstruction articulaire.
Si la glène présente encore du cartilage articulaire, votre chirurgien pourra remplacer uniquement la tête humérale. Cette procédure est connue sous le nom d’hémiarthroplastie. (Hemi signifie moitié.) L’hémi-arthroplastie est le plus souvent utilisée après une fracture de l’épaule où l’apport sanguin à la partie sphérique (la tête humérale) de l’humérus est endommagé. Des recherches ont montré que lorsque l’épaule est remplacée pour cause d’arthrite, l’arthroplastie complète de l’épaule fonctionne mieux. Les patients ressentent moins de douleur immédiatement après la chirurgie et, à long terme, ont une épaule qui fonctionne mieux avec moins de complications et sont moins susceptibles d’avoir besoin d’une deuxième opération.
Vous aurez probablement besoin d’une anesthésie générale pour une arthroplastie de l’épaule. L’anesthésie générale vous endort. Il est difficile d’engourdir uniquement l’épaule et le bras de manière à rendre possible une intervention chirurgicale aussi importante.
La chirurgie de remplacement de l’épaule se fait par une incision sur le devant de votre épaule. C’est ce qu’on appelle une approche antérieure. Le chirurgien incise la peau, puis isole les nerfs et les vaisseaux sanguins et les déplace sur le côté. Les muscles sont également déplacés sur le côté.
Le chirurgien pénètre dans l’articulation de l’épaule elle-même en coupant la capsule articulaire. Cela permet au chirurgien de voir l’articulation.
À ce stade, le chirurgien peut préparer l’os pour la fixation des pièces de remplacement. La partie sphérique de la tête humérale est retirée avec une scie à os. Le creux intérieur de l’humérus supérieur est préparé à l’aide d’une râpe. Cela permet à votre chirurgien de modeler l’espace pour ancrer la tige métallique du composant huméral à l’intérieur de l’os.
Si la glène doit être remplacée, elle est préparée en éliminant tout cartilage restant à la surface. Cela se fait avec un instrument appelé une fraise. Le chirurgien utilise généralement la fraise pour percer des trous dans l’os de l’omoplate. C’est là que la tige du composant glénoïde est ancrée.
Enfin, le composant huméral et le composant glénoïde sont insérés et la boule humérale est fixée.
Une fois l’articulation ancrée, le chirurgien teste son bon ajustement. Lorsque le chirurgien est satisfait de l’ajustement, la capsule articulaire est recousue. Les muscles sont ensuite remis dans leur position correcte et la peau est également recousue.
Votre incision sera recouverte d’un bandage et votre bras sera placé en écharpe. Vous serez ensuite réveillé et conduit à la salle de réveil.
Après l’opération-
Après l’opération, vous serez transporté à la salle de réveil. Vous aurez un pansement enroulé sur votre épaule qui devra être changé fréquemment au cours des prochains jours. Votre chirurgien a peut-être inséré un petit tube de drainage dans l’articulation de l’épaule pour empêcher l’excès de sang et de liquide de s’accumuler à l’intérieur de l’articulation. Une ligne intraveineuse (IV) sera placée dans votre bras pour vous administrer les antibiotiques et les médicaments dont vous avez besoin.
Votre épaule peut être placée dans un appareil à mouvement passif continu (CPM) immédiatement après la chirurgie. Le CPM aide l’épaule à commencer à bouger et soulage la raideur articulaire. La machine s’attache à l’épaule et plie et redresse continuellement l’articulation. On pense que ce mouvement réduit la raideur, soulage la douleur et empêche la formation de tissu cicatriciel supplémentaire à l’intérieur de l’articulation. Vous utiliserez une bandoulière pour soutenir votre bras lorsque vous n’utilisez pas la machine CPM.
Rééducation-
Un physiothérapeute ou un ergothérapeute vous verra le lendemain de l’intervention chirurgicale pour commencer votre programme de réadaptation. Les traitements thérapeutiques amélioreront progressivement le mouvement de votre épaule. Si vous utilisez le CPM, votre thérapeute vérifiera l’alignement et les paramètres. Votre thérapeute passera en revue vos exercices et s’assurera que vous pouvez entrer et sortir du lit et vous déplacer en toute sécurité dans votre chambre.
Lorsque vous rentrerez chez vous, vous pourrez bénéficier de visites de thérapie à domicile. En visitant votre domicile, votre thérapeute peut vérifier que vous vous déplacez en toute sécurité dans votre maison. Des traitements seront également effectués pour vous aider à améliorer votre amplitude de mouvement et votre force. Dans certains cas, vous pouvez avoir besoin de jusqu’à trois visites à domicile avant de commencer un traitement ambulatoire.
Les premiers traitements ambulatoires se concentreront sur le contrôle de la douleur et de l’enflure. Les traitements de glace et de stimulation électrique peuvent aider. Votre thérapeute peut également utiliser des massages et d’autres types de traitements pratiques pour soulager les spasmes et les douleurs musculaires. Continuez à utiliser votre bandoulière comme prescrit.
As the rehabilitation program evolves, more challenging exercises are chosen to safely advance the shoulder’s strength and function.
Enfin, un groupe sélectionné d’exercices peut être utilisé pour simuler des activités quotidiennes, comme se coiffer ou s’habiller. Des exercices spécifiques peuvent également être choisis pour simuler les exigences du travail ou des loisirs.
Lorsque l’amplitude de mouvement et la force de vos épaules se seront suffisamment améliorées, vous pourrez reprendre progressivement vos activités normales. Idéalement, vous serez capable de faire presque tout ce que vous faisiez auparavant. Cependant, vous devrez peut-être éviter les actions d’épaule lourdes ou répétées.
Vous pouvez participer à un programme de rééducation progressive pendant deux à quatre mois après la chirurgie afin de garantir les meilleurs résultats de votre articulation artificielle. Au cours des six premières semaines suivant la chirurgie, vous devez vous attendre à voir votre thérapeute deux à trois fois par semaine. À ce moment-là, si tout se passe comme prévu, vous pourrez peut-être passer à un programme à domicile. Ensuite, vous ne consulterez votre thérapeute que toutes les quelques semaines.
Pourquoi choisir l’Inde pour une chirurgie de remplacement de l’épaule ?
L’hôpital indien de chirurgie de remplacement des articulations offre des soins de santé des os et des articulations de la plus haute qualité avec attention, soin et compassion pour répondre aux besoins des patients et de leurs proches. L’équipe médicale comprend des chirurgiens orthopédistes certifiés qui connaissent tous les aspects du système musculo-squelettique. Notre hôpital utilise les technologies les plus avancées disponibles pour les procédures orthopédiques et a un taux de complications plus faible.
Étant donné que l’arthroplastie de l’épaule est une opération complexe, nous disposons d’une équipe chirurgicale expérimentée et d’une salle d’opération entièrement équipée avec une excellente infrastructure pour les soins postopératoires et la rééducation. L’intervention chirurgicale pour fracture de l’épaule, lorsqu’elle est pratiquée par un chirurgien à grand volume dans un hôpital à grand volume, vous offre de meilleurs résultats.
Recherchez-vous un coût abordable pour une chirurgie de remplacement de l’épaule dans les meilleurs hôpitaux de l’Inde ?
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FAQ’s
Arthritis. Arthritis is the result of the cartilage in a joint being worn out over time. I often describe the arthritis in the shoulder as having a “rusty hinge”. The cartilage in your joint is supposed to be a smooth surface that allows things to move easily; however, when the cartilage wears out as a result of arthritis it becomes a rough surface, or “rusty”.
If you have pain in your shoulder, limited function and difficulty sleeping it is important to try arthritis medications and cortisone injections. If the medication and injections do not relieve your shoulder pain, then it is time to discuss a shoulder replacement.
The typical age group for a shoulder replacement patient is 60-80 years old. I have performed shoulder replacements on patients as old as 88 and as young as the mid-40s. Every patient’s situation is uniquely different and I take that into consideration when discussing a shoulder replacement.
For the most part it is not valuable to do therapy or exercise before a shoulder replacement surgery. Unfortunately the movement further aggravates the shoulder and causes more pain. My preparation advice for shoulder replacement surgery is more focused on the practical things in life… you have to prepare for the fact that you aren’t going to have use of your arm for a matter of weeks, which means you might need some help at home (cooking, showering, driving, etc.). I don’t recommend you drive for at least a couple of weeks following surgery. It is important for patients to plan ahead and understand what the nuts/bolts are regarding their recovery.
Certain foods, more related to nutritional supplements, can cause your blood to be thinned, a similar effect as aspirin or blood thinners. I will go over a list of supplements that could have this effect… I will have you stop taking those items a week prior to your shoulder replacement surgery.
There is some immediate change in regard to the movement of the shoulder being much smoother; however, for a few weeks after surgery it is more painful than before surgery. At about two weeks post-surgery people start to get over the “hump” and it is less painful than prior to surgery. The pain will continue to gradually decrease. At two months the average patient is very happy they had their shoulder replaced.
Most people require, to some degree, oxycodone or hydrocodone. In addition, I supplement anti-inflammatory medications. Each patient is very unique and their pain levels vary, naturally I make those adjustments accordingly.
The first couple of days the pain will be significant, but it can also be controlled with the appropriate medications. Regaining range of motion takes time, patience and persistence it only improves at a certain rate each month.
Yes. The typical stay is somewhere between 24-48 hours: 50% stay one day while 50% stay two days. Rarely do patients stay longer than two days.
Yes, we will prescribe physical therapy. Typically, therapy will last two months following the operation; however, sometimes patients require more.
Most people who develop arthritis on one side develop it on the other side as well. Most often one side hurts worse than the other and so many patients opt for both shoulders to be replaced, but it is usually a couple years between the two operations.
The estimate is around 15 years, but that estimate is variable and we see them last longer in some patients. It is difficult to predict how long each patient’s shoulder replacement will last, specifically because the materials we use now are improved from those 7-8 years ago.
Typically, if you need a shoulder redone, you redo the whole thing (not just parts), but it is rare that we have to do that. For most people, their shoulder will last for as long as they need it; however, that depends on the age that the patient received their replacement.
Infection is always the number one concern. We take a lot of precaution to prevent an infection when it comes to the surgery technique and antibiotics (you get antibiotics around the time of surgery). There is a possibility I can injure a very important nerve in the shoulder that is close to where I am working. If that nerve is injured it can have an impact on your ability to raise your arm above your head. I am very mindful of that nerve during the surgery. From a practical standpoint, wear and tear of the parts over time can cause complications.
Construction worker: 3 months
Desk worker: 2 weeks
Almost everyone has a thorough physical exam with their primary care physician to make sure they are healthy enough to handle the stress of replacement surgery. In addition, the biggest thing to plan for is to have help at home. We also don’t recommend you drive for at least a couple of weeks following surgery.
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Mots clés
جراحة استبدال الكتف منخفضة التكلفة في الهند
يعد التخطيط لرحلتك الطبية إلى الهند عملية بسيطة للغاية مع مستشفى جراحة استبدال المفاصل في الهند
- كل ما عليك فعله هو ملء نموذج الاستفسار الخاص بنا وسيقوم أحد المديرين التنفيذيين لدينا بالاتصال بك قريبًا..
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ما هي جراحة استبدال الكتف?
استبدال الكتفهو إجراء جراحي يتم فيه استبدال المفصل الحقاني العضدي بالكامل أو جزء منه بزراعة صناعية. يتم إجراء جراحة استبدال المفاصل بشكل عام لتخفيف آلام التهاب المفاصل أو إصلاح تلف المفاصل الجسدي الشديد.
جراحة استبدال الكتف هو خيار لعلاج التهاب المفاصل الحاد في مفصل الكتف. التهاب المفاصل هو حالة تؤثر على غضروف المفاصل. ومع تآكل بطانة الغضروف، يتم فقدان البطانة الواقية بين العظام. عندما يحدث هذا، يتطور التهاب المفاصل العظمي المؤلم. التهاب المفاصل الحاد في الكتف مؤلم للغاية، ويمكن أن يسبب تقييد الحركة. في حين أنه يمكن تحمل ذلك مع بعض الأدوية وتعديلات نمط الحياة، فقد يأتي وقت يكون فيه العلاج الجراحي ضروريًا.
أعراض-
عادة ما يصف المرضى المصابون بالتهاب المفاصل ألمًا عميقًا داخل مفصل الكتف. في البداية، يصبح الألم أسوأ مع الحركة والنشاط، ويخف مع الراحة. مع تقدم التهاب المفاصل، قد يحدث الألم حتى عند الراحة. بحلول الوقت الذي يذهب فيه المريض إلى الطبيب لعلاج آلام الكتف، غالبًا ما يعاني من الألم أثناء الليل. قد يكون هذا الألم شديدًا بدرجة كافية لمنع النوم الجيد ليلاً. قد يصدر كتف المريض أصوات طحن أو صرير عند تحريكه. أو قد يمسك الكتف أو يمسك أو ينغلق أو ينغلق. مع مرور الوقت، قد يلاحظ المريض فقدان الحركة و/أو الضعف في الكتف المصاب. قد تصبح الأنشطة اليومية البسيطة مثل الوصول إلى الخزانة وارتداء الملابس واستخدام المرحاض وغسل الإبط الآخر صعبة بشكل متزايد.
تشمل الأعراض الشائعة لالتهاب مفاصل الكتف:
- الألم أثناء الأنشطة
- نطاق محدود من الحركة
- تصلب الكتف
- تورم المفصل
- الألم حول المفصل
- الشعور بالطحن أو الإمساك داخل المفصل
فيديو – جراحة استبدال الكتف في الهند
مراجعة المريض – يشارك المريض الأفريقي قصص نجاح جراحة استبدال الكتف منخفضة التكلفة في الهند
مرحبًا، أنا أندريه جاكوبس من جنوب أفريقيا. لقد حصلت على جراحة استبدال الكتف في الهند من خلال مستشفى الاستبدال المشترك في الهند. لقد شعرت بألم في كتفي الأيسر أثناء رفع الأثقال والعمل في حديقتي. وبمرور الوقت، تطور هذا الانزعاج إلى ألم وبدأ يتداخل مع أنشطتي اليومية. على الرغم من أنني خضعت للعلاج الطبيعي وتناولت الأدوية، إلا أنه لم ينجح أي شيء. في ذلك الوقت، اقترح عليّ صديق قريبي وهو طبيب بشأن مجموعة الجراحة الخاصة بك في الهند. لقد بحثت عبر الإنترنت عن مزيد من المعلومات وأعجبت بها، وأرسلت استفساري. لقد اتصلوا بي مرة أخرى وأجابوا على جميع استفساراتي. لقد شرحوا لي جيدًا عن الجراحة وما يجب أن أتوقعه منها. كما طلبوا مني تقاريري الطبية وبعد حصولي على أفضل الخيارات العلاجية، قمت بإصلاح جراحتي معهم. لقد مررت بواحدة من التجارب المذهلة خلال رحلتي إلى الهند. استغرق الجراح وقته في إزالة كل شكوكي وجعلني أشعر بالارتياح. كان فريق العمل ودودًا. شكرًا لكم على الرعاية الرائعة وجودة الخدمة التي قدمتموها يا رفاق طوال فترة إقامتي في الهند.
خيارات علاج الكتف-
العلاج غير الجراحي-
يبدأ علاج التهاب الكتف المفصلي بالراحة وممارسة الرياضة وتناول أدوية التهاب المفاصل. إن إراحة الكتف وتطبيق الحرارة الرطبة يمكن أن يخفف الألم الخفيف. بعد النشاط المضني، قد تكون الكمادات الثلجية أكثر فعالية في تقليل الألم والتورم.
قد يكون العلاج الطبيعي مفيدًا عندما يكون التهاب المفاصل في مراحله المبكرة. يساعد في الحفاظ على حركة المفاصل وتقوية عضلات الكتف. يكون العلاج الطبيعي أقل فعالية عندما يتقدم التهاب المفاصل إلى درجة احتكاك العظام بالعظام. في هذه الحالة، قد يؤدي العلاج الطبيعي إلى زيادة ألم الكتف.
يمكن لأدوية التهاب المفاصل، والتي تسمى مضادات الالتهاب غير الستيرويدية (NSAIDs)، السيطرة على آلام التهاب المفاصل. يمكن شراء بعض مضادات الالتهاب غير الستيروئيدية بدون وصفة طبية، بينما يتطلب البعض الآخر وصفة طبية. يمكن أن يوفر حقن الكورتيزون الدوري في مفصل الكتف تخفيفًا مؤقتًا للألم. ومع ذلك، فإن الإفراط في تناول جرعات الكورتيزون يمكن أن يكون له آثار ضارة.
العلاج الجراحي-
في حالة العلاج غير الجراحي، قد تكون هناك حاجة لعملية جراحية لاستبدال الكتف. يتم عادةً إجراء عمليات استبدال الكتف لتخفيف الألم.
هناك عدة أنواع مختلفة من بدائل الكتف. يتضمن الاستبدال الكلي للكتف المعتاد استبدال أسطح المفصل المصاب بالتهاب المفاصل بكرة معدنية مصقولة للغاية متصلة بالساق ومقبس بلاستيكي. المكونات تأتي بأحجام مختلفة. إذا كان العظم ذو نوعية جيدة، فقد يختار الجراح استخدام مكون عضدي غير مثبت أو قابل للضغط. إذا كان العظم ناعمًا، فقد يتم زرع الجزء العضدي باستخدام أسمنت العظم. في معظم الحالات، يتم زرع المكون الحقاني البلاستيكي بالكامل باستخدام الأسمنت العظمي. لا ينصح بزرع المكون الحقاني إذا:
- يحتوي الحقاني على غضروف جيد.
- العظم الحقاني يعاني من نقص شديد.
- تمزق أوتار الكفة المدورة بشكل لا يمكن إصلاحه.
المرضى الذين يعانون من هشاشة العظام على العظام وأوتار الكفة المدورة السليمة هم بشكل عام مرشحون جيدون لاستبدال الكتف الكلي التقليدي. اعتمادًا على حالة الكتف، قد يقوم الجراح باستبدال الكرة فقط. في بعض الأحيان، يتم اتخاذ هذا القرار في غرفة العمليات وقت إجراء الجراحة. يقوم بعض الجراحين باستبدال الكرة عندما تكون مكسورة بشدة ويكون التجويف طبيعيًا.
تحضير-
قد تتطلب بعض المشاكل التنكسية الشديدة في الكتف استبدال الكتف المؤلم بمفصل كتف صناعي. يجب عليك أنت وجراحك اتخاذ القرار بإجراء الجراحة معًا. تحتاج إلى فهم أكبر قدر ممكن من الإجراء. إذا كانت لديك مخاوف أو أسئلة، فيجب عليك التحدث مع جراحك.
بمجرد اتخاذ قرار بشأن الجراحة، عليك اتخاذ عدة خطوات. قد يقترح الجراح إجراء فحص بدني كامل بواسطة طبيبك العادي. يساعد هذا الاختبار على التأكد من أنك في أفضل حالة ممكنة لإجراء العملية.
قد تحتاج أيضًا إلى قضاء بعض الوقت مع المعالج الطبيعي أو المهني الذي سيتولى إدارة إعادة تأهيلك بعد الجراحة. يتيح لك هذا البدء في عملية تعافيك. أحد أغراض هذه الزيارة السابقة للعملية هو تسجيل خط الأساس للمعلومات. سيقوم المعالج الخاص بك بفحص مستويات الألم الحالية لديك، والقدرة على القيام بأنشطتك، وحركة وقوة كل كتف.
الغرض الثاني من الزيارة السابقة للعملية هو إعدادك للجراحة. ستبدأ في تعلم بعض التمارين التي ستستخدمها أثناء فترة تعافيك. ويمكن أن يساعدك معالجك على توقع أي احتياجات أو مشكلات خاصة قد تواجهك في المنزل، بمجرد خروجك من المستشفى.
في يوم الجراحة، من المحتمل أن يتم إدخالك إلى المستشفى في الصباح الباكر. يجب ألا تأكل أو تشرب أي شيء بعد منتصف الليل في الليلة السابقة. تعال مستعدًا للبقاء في المستشفى لعدة ليالٍ. يعتمد طول الوقت الذي ستقضيه في المستشفى عليك كثيرًا.
ما هي تكلفة جراحة استبدال الكتف في الهند؟
تكلفة جراحة استبدال الكتف في الهند يمكن أن تتراوح من حوالي روبية. 4,00,000 ($5,000) إلى روبية. 5,60,000 ($7,000).
Tستعتمد التكلفة على مرحلة التهاب المفاصل، ونوع الجراحة المطلوبة، والتحقيق والتقييم المطلوب، وتخصص الجراح، ورسوم المستشفى، وفئة الغرفة.
أفضل 10 مستشفيات لجراحة استبدال الكتف في الهند
- مستشفى فورتيس، دلهي
- مستشفى ماكس، دلهي
- مستشفى أرتميس، دلهي
- مستشفى BLK، دلهي
- مستشفى نانفاتي، مومباي
- المستشفى العالمي، مومباي
- مستشفى مانيبال، بنغالور
- مستشفى كوكيلابين، مومباي
- مستشفى سيفي، مومباي
- مستشفى ميدانتا، جورجاون
استشر مجانًا مع أفضل جراحي استبدال الكتف في الهند
- د. كوشال ملحان
- د. هاريش مانجالاني
- د. أشوك راجوبال
- د. أديتيا مينون
- دكتور سانجاي ساروب
- د. ساشين بونسل
- د. هارشواردان هيغدي
- د. براديب ب. بهوسال
- د. أنيل آر كارخانيس
- دكتور آي بي إس أوبيريو
يعد التخطيط لعملية جراحية لاستبدال الكتف بأسعار معقولة في الهند عملية سهلة.
شبكة المستشفيات ومجموعة الجراحة لدينا متاحة في 15 مدينة في الهند ليتمكن مرضانا من الوصول إليها. يرجى ملء النموذج للحصول على رأي مجاني من فريق الخبراء لدينا. سيتم تزويدك بتحليل وتوصيات لعملية جراحية. لا يتم فرض أي رسوم.
جميع الخدمات الشاملة الحزم الخاصة المتاحة للمرضى الدوليين
عملية-
يمكن إجراء جراحة استبدال الكتف بإحدى طريقتين. عندما يتآكل غضروف كل من رأس العضد (الكرة) والحقاني (التجويف)، يجب استبدال كلا الجزأين من المفصل. تسمى هذه الجراحة رأب المفاصل، وهو المصطلح المستخدم لإعادة بناء المفاصل.
إذا كان الحقاني لا يزال يحتوي على بعض الغضاريف المفصلية، فقد يستبدل الجراح الرأس العضدي فقط. يُعرف هذا الإجراء باسم رأب المفصل النصفي. (هيمي تعني النصف). يتم استخدام رأب المفصل النصفي بشكل شائع بعد حدوث كسر في الكتف حيث يتضرر تدفق الدم إلى الجزء الكروي (رأس العضد) من عظم العضد. أظهرت الأبحاث أنه عندما يتم استبدال الكتف بسبب التهاب المفاصل، فإن عملية تقويم مفاصل الكتف الكاملة تكون أفضل. يشعر المرضى بألم أقل مباشرة بعد الجراحة، وعلى المدى الطويل يكون أداء الكتف أفضل مع مضاعفات أقل ويكونون أقل عرضة للحاجة إلى عملية جراحية ثانية.
ستحتاج على الأرجح إلى تخدير عام لإجراء جراحة استبدال الكتف. التخدير العام يجعلك تنام. من الصعب تخدير الكتف والذراع فقط بطريقة تجعل مثل هذه الجراحة الكبرى ممكنة.
تتم جراحة استبدال الكتف من خلال شق في الجزء الأمامي من كتفك. وهذا ما يسمى النهج الأمامي. يقوم الجراح بقطع الجلد ومن ثم عزل الأعصاب والأوعية الدموية ونقلها إلى الجانب. يتم أيضًا نقل العضلات إلى الجانب.
يقوم الجراح بإدخال مفصل الكتف نفسه عن طريق قطع محفظة المفصل. وهذا يسمح للجراح برؤية المفصل.
في هذه المرحلة، يمكن للجراح تحضير العظم لربط الأجزاء البديلة. تتم إزالة الجزء الكروي من رأس العضد باستخدام منشار العظام. يتم تحضير التجويف الداخلي لعظم العضد العلوي باستخدام عرموش. يتيح ذلك للجراح تشكيل المساحة لتثبيت الجذع المعدني للمكون العضدي داخل العظم.
إذا تم استبدال الحقاني، يتم تحضيره عن طريق طحن أي غضروف متبقي على السطح. ويتم ذلك باستخدام أداة تسمى لدغ. عادة ما يستخدم الجراح الثقب لحفر ثقوب في عظم لوح الكتف. هذا هو المكان الذي يتم فيه تثبيت جذع المكون الحقاني.
وأخيرًا، يتم إدخال المكون العضدي والمكون الحقاني ويتم تثبيت الكرة العضدية.
بمجرد تثبيت المفصل، يقوم الجراح باختبار الملاءمة المناسبة. عندما يقتنع الجراح بالملاءمة، يتم خياطة كبسولة المفصل معًا. يتم بعد ذلك إعادة العضلات إلى وضعها الصحيح، ويتم خياطة الجلد أيضًا.
سيتم تغطية شقك بضمادة، وسيتم وضع ذراعك في حمالة. سيتم بعد ذلك إيقاظك ونقلك إلى غرفة الإنعاش.
بعد الجراحه-
بعد الجراحة، سيتم نقلك إلى غرفة الإنعاش. سيكون لديك ضمادة ملفوفة على كتفك وستحتاج إلى تغييرها بشكل متكرر خلال الأيام القليلة القادمة. ربما يكون الجراح قد أدخل أنبوب تصريف صغيرًا في مفصل الكتف للمساعدة في منع تراكم الدم والسوائل الزائدة داخل المفصل. سيتم وضع خط وريدي (IV) في ذراعك لإعطائك المضادات الحيوية والأدوية اللازمة.
قد يتم وضع كتفك في آلة الحركة السلبية المستمرة (CPM) مباشرة بعد الجراحة. يساعد CPM الكتف على البدء في التحرك ويخفف من تصلب المفاصل. يتم ربط الآلة بالكتف وتقوم بثني المفصل وتقويمه بشكل مستمر. يُعتقد أن هذه الحركة تقلل من التيبس وتخفف الألم وتمنع تشكل أنسجة ندبية إضافية داخل المفصل. ستستخدم حمالة الكتف لدعم ذراعك عندما لا تستخدم جهاز CPM..
إعادة تأهيل-
سوف يقابلك أخصائي العلاج الطبيعي أو المهني في اليوم التالي للجراحة لبدء برنامج إعادة التأهيل الخاص بك. ستعمل العلاجات العلاجية على تحسين حركة كتفك تدريجيًا. إذا كنت تستخدم CPM، فسيقوم المعالج الخاص بك بالتحقق من المحاذاة والإعدادات. سيراجع المعالج الخاص بك تمارينك ويتأكد من أنك آمن عند الدخول والنهوض من السرير والتحرك في غرفتك.
عندما تعود إلى المنزل، قد تحصل على زيارات علاجية منزلية. من خلال زيارة منزلك، يمكن للمعالج الخاص بك التأكد من أنك آمن أثناء التجول في منزلك. سيتم أيضًا إجراء العلاجات للمساعدة في تحسين نطاق حركتك وقوتك. في بعض الحالات، قد تحتاج إلى ما يصل إلى ثلاث زيارات في المنزل قبل بدء العلاج في العيادات الخارجية.
ستركز العلاجات القليلة الأولى للمرضى الخارجيين على السيطرة على الألم والتورم. قد تساعد العلاجات بالثلج والتحفيز الكهربائي. قد يستخدم المعالج الخاص بك أيضًا التدليك وأنواع أخرى من العلاجات العملية لتخفيف تشنج العضلات والألم. استمر في استخدام حمالة كتفك كما هو موصوف.
ومع تطور برنامج إعادة التأهيل، يتم اختيار تمارين أكثر تحديًا لتعزيز قوة الكتف ووظيفته بشكل آمن.
وأخيرًا، يمكن استخدام مجموعة مختارة من التمارين لمحاكاة الأنشطة اليومية، مثل تصفيف شعرك أو ارتداء الملابس. يمكن أيضًا اختيار تمارين محددة لمحاكاة متطلبات العمل أو الهوايات.
عندما يتحسن نطاق حركة كتفك وقوتك بدرجة كافية، ستتمكن من العودة تدريجيًا إلى الأنشطة العادية. ومن الناحية المثالية، ستكون قادرًا على القيام بكل ما فعلته من قبل تقريبًا. ومع ذلك، قد تحتاج إلى تجنب حركات الكتف الثقيلة أو المتكررة.
قد تشارك في برنامج إعادة تأهيل تدريجي لمدة شهرين إلى أربعة أشهر بعد الجراحة لضمان أفضل النتائج من المفصل الاصطناعي. في الأسابيع الستة الأولى بعد الجراحة، يجب أن تتوقع رؤية المعالج الخاص بك مرتين إلى ثلاث مرات في الأسبوع. في ذلك الوقت، إذا كان كل شيء لا يزال يسير كما هو مخطط له، فقد تتمكن من التقدم إلى برنامج منزلي. بعد ذلك سوف تقوم فقط بمراجعة المعالج الخاص بك كل بضعة أسابيع.
لماذا تختار الهند لجراحة استبدال الكتف؟
يقدم مستشفى جراحة استبدال المفاصل في الهند رعاية صحية عالية الجودة للعظام والمفاصل مع الاهتمام والرعاية والرحمة لتلبية احتياجات المرضى وأحبائهم. يضم الفريق الطبي جراحي عظام معتمدين من البورد وعلى دراية بجميع جوانب الجهاز العضلي الهيكلي. يستخدم مستشفانا أحدث التقنيات المتاحة لإجراءات جراحة العظام ولديه معدل مضاعفات أقل.
نظرًا لأن جراحة استبدال الكتف هي عملية معقدة، فلدينا فريق جراحي من ذوي الخبرة وغرفة عمليات مجهزة تجهيزًا كاملاً مع بنية تحتية ممتازة للرعاية اللاحقة للعمليات الجراحية وإعادة التأهيل. توفر لك جراحة كسر الكتف، عندما يجريها جراح كبير الحجم في مستشفى كبير الحجم، نتائج أفضل.
هل تبحث عن تكلفة معقولة لجراحة استبدال الكتف في أفضل المستشفيات في الهند؟
من فضلك استفسر معنا واحصل على “عرض أسعار بدون التزام”
إذا كنت تبحث حقًا عن جراحة استبدال الكتف، فيرجى ملء النموذج للحصول على استشارة مجانية مع جراحينا. سيتم تزويدك بتحليل واقتراحات شاملة فيما يتعلق بجراحة استبدال الكتف التي تبحث عنها.
استمع إلى أصوات مرضانا السعداء
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FAQ’s
Arthritis. Arthritis is the result of the cartilage in a joint being worn out over time. I often describe the arthritis in the shoulder as having a “rusty hinge”. The cartilage in your joint is supposed to be a smooth surface that allows things to move easily; however, when the cartilage wears out as a result of arthritis it becomes a rough surface, or “rusty”.
If you have pain in your shoulder, limited function and difficulty sleeping it is important to try arthritis medications and cortisone injections. If the medication and injections do not relieve your shoulder pain, then it is time to discuss a shoulder replacement.
The typical age group for a shoulder replacement patient is 60-80 years old. I have performed shoulder replacements on patients as old as 88 and as young as the mid-40s. Every patient’s situation is uniquely different and I take that into consideration when discussing a shoulder replacement.
For the most part it is not valuable to do therapy or exercise before a shoulder replacement surgery. Unfortunately the movement further aggravates the shoulder and causes more pain. My preparation advice for shoulder replacement surgery is more focused on the practical things in life… you have to prepare for the fact that you aren’t going to have use of your arm for a matter of weeks, which means you might need some help at home (cooking, showering, driving, etc.). I don’t recommend you drive for at least a couple of weeks following surgery. It is important for patients to plan ahead and understand what the nuts/bolts are regarding their recovery.
Certain foods, more related to nutritional supplements, can cause your blood to be thinned, a similar effect as aspirin or blood thinners. I will go over a list of supplements that could have this effect… I will have you stop taking those items a week prior to your shoulder replacement surgery.
There is some immediate change in regard to the movement of the shoulder being much smoother; however, for a few weeks after surgery it is more painful than before surgery. At about two weeks post-surgery people start to get over the “hump” and it is less painful than prior to surgery. The pain will continue to gradually decrease. At two months the average patient is very happy they had their shoulder replaced.
Most people require, to some degree, oxycodone or hydrocodone. In addition, I supplement anti-inflammatory medications. Each patient is very unique and their pain levels vary, naturally I make those adjustments accordingly.
The first couple of days the pain will be significant, but it can also be controlled with the appropriate medications. Regaining range of motion takes time, patience and persistence it only improves at a certain rate each month.
Yes. The typical stay is somewhere between 24-48 hours: 50% stay one day while 50% stay two days. Rarely do patients stay longer than two days.
Yes, we will prescribe physical therapy. Typically, therapy will last two months following the operation; however, sometimes patients require more.
Most people who develop arthritis on one side develop it on the other side as well. Most often one side hurts worse than the other and so many patients opt for both shoulders to be replaced, but it is usually a couple years between the two operations.
The estimate is around 15 years, but that estimate is variable and we see them last longer in some patients. It is difficult to predict how long each patient’s shoulder replacement will last, specifically because the materials we use now are improved from those 7-8 years ago.
Typically, if you need a shoulder redone, you redo the whole thing (not just parts), but it is rare that we have to do that. For most people, their shoulder will last for as long as they need it; however, that depends on the age that the patient received their replacement.
Infection is always the number one concern. We take a lot of precaution to prevent an infection when it comes to the surgery technique and antibiotics (you get antibiotics around the time of surgery). There is a possibility I can injure a very important nerve in the shoulder that is close to where I am working. If that nerve is injured it can have an impact on your ability to raise your arm above your head. I am very mindful of that nerve during the surgery. From a practical standpoint, wear and tear of the parts over time can cause complications.
Construction worker: 3 months
Desk worker: 2 weeks
Almost everyone has a thorough physical exam with their primary care physician to make sure they are healthy enough to handle the stress of replacement surgery. In addition, the biggest thing to plan for is to have help at home. We also don’t recommend you drive for at least a couple of weeks following surgery.
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تجارب المريض الخاص بك
العلامات
LOW COST Shoulder Replacement Surgery in India
Planning your medical trip to India is a very simple process with Joint Replacement Surgery Hospital India
- You just need to fill in our enquiry form and one of our executives will contact you soon.
- +91-9860432255 Call us at the given contact number for any assistance.
- Complete information regarding surgery is provided on our website.
What is Shoulder replacement Surgery?
Shoulder replacementis a surgical procedure in which all or part of the glenohumeral
joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage.
Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint. Arthritis is a condition that affects the cartilage of the joints. As the cartilage lining wears away, the protective lining between the bones is lost. When this happens, painful bone-on-bone arthritis develops. Severe shoulder arthritis is quite painful, and can cause restriction of motion. While this may be tolerated with some
medications and lifestyle adjustments, there may come a time when surgical treatment is necessary.
Symptoms-
Patients with arthritis typically describe a deep ache within the shoulder joint. Initially, the pain feels worse with movement and activity, and eases with rest. As the arthritis progresses, the pain may occur even when you rest. By the time a patient sees a physician for the shoulder pain, he or she often has pain at night. This pain may be severe enough to prevent a good night’s sleep. The patient’s shoulder may make grinding or grating noises when moved. Or the shoulder may catch, grab, clunk or lock up. Over time, the patient may notice loss of motion and/or weakness in the affected shoulder. Simple daily activities like reaching into a cupboard, dressing, toileting and washing the opposite armpit may become increasingly difficult.
Common Symptoms of Shoulder Arthritis include:
- Pain with activities
- Limited range of motion
- Stiffness of the shoulder
- Swelling of the joint
- Tenderness around the joint
- A feeling of grinding or catching within the joint
VIDEO – SHOULDER REPLACEMENT SURGERY IN INDIA
Patient Review – African Patient share Success Stories
of Low Cost Shoulder Replacement Surgery in India
Hello, I am Andre Jacobs from South Africa. I got my shoulder replacement surgery in India through Joint Replacement Hospital India. I had experienced soreness in my left shoulder while lifting weights and working in my yard. Over time, this discomfort progressed into pain and started interfering with my daily activities. Though I underwent the physical therapy and took medications, but nothing seemed to work out. It was then, that a friend of my relative who is doctor suggested me about your surgery group in India. I went online searching for more information and impressed with it, I send my inquiry. They called me back and replied to all my queries. They explained me well about the surgery and what I should expect with it. They also asked me for my medical reports and after getting the best treatment options, I got my surgery fixed with them. I had one of the amazing experiences during my trip in India. The surgeon took his time clearing all my doubts and putting me at ease. The whole staff was friendly. Thank you for the wonderful care and quality of service you guys rendered throughout my stay in India.
Shoulder Treatment Options-
Nonsurgical Treatment-
Treatment of an arthritic shoulder starts with rest, exercise and taking arthritis medications. Resting the shoulder and applying moist heat can ease mild pain. After strenuous activity, an ice pack may be more effective at decreasing pain and swelling.
Physical therapy may be helpful when arthritis is in early stages. It helps maintain joint motion and strengthen the shoulder muscles. Physical therapy is less effective when the arthritis has advanced to the point that bone rubs on bone. When this is the case, physical therapy may make the shoulder hurt more.
Arthritis medications, called nonsteroidal anti-inflammatories (NSAIDs), can control arthritis pain. Certain NSAIDs may be purchased over-the-counter, while others require a prescription. Periodic cortisone injections into the shoulder joint can provide temporary pain relief. Excessive cortisone shots can have adverse effects, however.
Surgical Treatment-
If nonoperative treatments fail, shoulder replacement surgery may be needed. Shoulder replacements are usually done to relieve pain.
There are several different types of shoulder replacements. The usual total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket. The components come in various sizes. If the bone is of good quality, your surgeon may choose to use a non-cemented or press-fit humeral component. If the bone is soft, the humeral component may be implanted with bone cement. In most cases, an all-plastic glenoid component is implanted with bone cement. Implantation of a glenoid component is not advised if:
- The glenoid has good cartilage.
- The glenoid bone is severely deficient.
- The rotator cuff tendons are irreparably torn.
Patients with bone-on-bone osteoarthritis and intact rotator cuff tendons are generally good candidates for conventional total shoulder replacement. Depending on the condition of the shoulder, your surgeon may replace only the ball. Sometimes, this decision is made in the operating room at the time of the surgery. Some surgeons replace the ball when it is severely fractured and the socket is normal.
Preparation-
Some severe degenerative problems of the shoulder may require replacement of the painful shoulder with an artificial shoulder joint. You and your surgeon should make the decision to proceed with surgery together. You need to understand as much about the procedure as possible. If you have concerns or questions, you should talk to your surgeon.
Once you decide on surgery, you need to take several steps. Your surgeon may suggest a complete physical examination by your regular doctor. This exam helps ensure that you are in the best possible condition to undergo the operation.
You may also need to spend time with the physical or occupational therapist who will be managing your rehabilitation after surgery. This allows you to get a head start on your recovery. One purpose of this pre-operative visit is to record a baseline of information. Your therapist will check your current pain levels, ability to do your activities, and the movement and strength of each shoulder.
A second purpose of the pre-operative visit is to prepare you for surgery. You’ll begin learning some of the exercises you’ll use during your recovery. And your therapist can help you anticipate any special needs or problems you might have at home, once you’re released from the hospital.
On the day of your surgery, you will probably be admitted to the hospital early in the morning. You shouldn’t eat or drink anything after midnight the night before. Come prepared to stay in the hospital for several nights. The length of time you will spend in the hospital depends a lot on you.
What is the Shoulder Replacement Surgery Cost in India?
The Cost of Shoulder Replacement Surgery in India can range from approximately Rs. 4,00,000 ($5,000) to Rs. 5,60,000 ($7,000).
The cost will be depending upon the Stage of Arthritis, Type of Surgery required, Investigation & evaluation required, Specialty of Surgeon, Hospital Fee, and Room Category.
Top 10 Shoulder Replacement Surgery Hospitals in India
- Fortis Hospital, Delhi
- Max Hospital, Delhi
- Artemis Hospital, Delhi
- BLK Hospital, Delhi
- Nanvati Hospital, Mumbai
- Global Hospital, Mumbai
- Manipal Hospital, Bangalore
- Kokilaben Hospital, Mumbai
- Saifee Hospital, Mumbai
- Medanta Hospital, Gurgaon
Free Consult with Best Shoulder Replacement Surgeons in India
- Dr. Kaushal Malhan
- Dr. Haresh Mangalani
- Dr. Ashok Rajgopal
- Dr. Aditya Menon
- Dr. Sanjay Sarup
- Dr. Sachin Bhonsle
- Dr. Harshwardhan Hegde
- Dr. Pradeep B. Bhosale
- Dr. Anil R Karkhanis
- Dr. IPS Oberio
Planning Your Affordable Shoulder Replacement Surgery in India is an Easy Process.
Our Hospitals Network and Surgery Group is available in 15 cities of India for our patients to access. Kindly fill up the form for a free opinion from our expert team. You will be provided with an analysis and recommendations for your surgery. NO CHARGES LEVIED.
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Operation-
Shoulder replacement surgery can be done in one of two ways. When the cartilage of both the humeral head (the ball) and the glenoid (the socket) is worn away, both parts of the joint must be replaced. This surgery is called arthroplasty, which is the term used for joint reconstruction.
If the glenoid still has some articular cartilage, your surgeon may replace only the humeral head. This procedure is known as a hemiarthroplasty. (Hemi means half.) The hemi-arthroplasty is most commonly used after a fracture of the shoulder where the blood supply to the ball portion (the humeral head) of the humerus is damaged. Research has shown that when the shoulder is being replaced for arthritis, the complete shoulder arthroplasty performs better. Patients have less pain immediately after surgery and in the long run have a better functioning shoulder with less complication and are less likely to need a second operation.
You will most likely need general anesthesia for shoulder replacement surgery. General anesthesia puts you to sleep. It is difficult to numb only the shoulder and arm in a way that makes such a major surgery possible.
Shoulder replacement surgery is done through an incision on the front of your shoulder. This is called an anterior approach. The surgeon cuts through the skin and then isolates the nerves and blood vessels and moves them to the side. The muscles are also moved to the side.
The surgeon enters the shoulder joint itself by cutting into the joint capsule. This allows the surgeon to see the joint.
At this point, the surgeon can prepare the bone for attaching the replacement parts. The ball portion of the humeral head is removed with a bone saw. The hollow inside of the upper humerus is prepared using a rasp. This lets your surgeon mold the space to anchor the metal stem of the humeral component inside the bone.
If the glenoid will be replaced, it is prepared by grinding away any remaining cartilage on the surface. This is done with an instrument called a burr. The surgeon usually uses the burr to drill holes into the bone of the scapula. This is where the stem of the glenoid component is anchored.
Finally, the humeral component and the glenoid component are inserted and the humeral ball is attached.
Once the joint is anchored, the surgeon tests for proper fit. When the surgeon is satisfied with the fit, the joint capsule is stitched together. The muscles are then returned to their correct positions, and the skin is also stitched up.
Your incision will be covered with a bandage, and your arm will be placed in a sling. You will then be woken up and taken to the recovery room.
After surgery-
After surgery, you’ll be transported to the recovery room. You will have a dressing wrapped over your shoulder that will need to be changed frequently over the next few days. Your surgeon may have inserted a small drainage tube into the shoulder joint to help keep extra blood and fluid from building up inside the joint. An intravenous line (IV) will be placed in your arm to give you needed antibiotics and medication.
Your shoulder may be placed in a continuous passive motion (CPM) machine immediately after surgery. CPM helps the shoulder begin to move and alleviates joint stiffness. The machine straps to the shoulder and continuously bends and straightens the joint. This motion is thought to reduce stiffness, ease pain, and keep extra scar tissue from forming inside the joint. You’ll use a shoulder sling to support your arm when you’re not using the CPM machine.
Rehabilitation-
A physical or occupational therapist will see you the day after surgery to begin your rehabilitation program. Therapy treatments will gradually improve the movement in your shoulder. If you are using CPM, your therapist will check the alignment and settings. Your therapist will go over your exercises and make sure you are safe getting in and out of bed and moving about in your room.
When you go home, you may get home therapy visits. By visiting your home, your therapist can check to see that you are safe getting around in your home. Treatments will also be done to help improve your range of motion and strength. In some cases, you may require up to three visits at home before beginning outpatient therapy.
The first few outpatient treatments will focus on controlling pain and swelling. Ice and electrical stimulation treatments may help. Your therapist may also use massage and other types of hands-on treatments to ease muscle spasm and pain. Continue to use your shoulder sling as prescribed.
As the rehabilitation program evolves, more challenging exercises are chosen to safely advance the shoulder’s strength and function.
Finally, a select group of exercises can be used to simulate day-to-day activities, like grooming your hair or getting dressed. Specific exercises may also be chosen to simulate work or hobby demands.
When your shoulder range of motion and strength has improved enough, you’ll be able to gradually get back to normal activities. Ideally, you’ll be able to do almost everything you did before. However, you may need to avoid heavy or repeated shoulder actions.
You may be involved in a progressive rehabilitation program for two to four months after surgery to ensure the best results from your artificial joint. In the first six weeks after surgery, you should expect to see your therapist two to three times a week. At that time, if everything is still going as planned, you may be able to advance to a home program. Then you will only check in with your therapist every few weeks.
Why Choose India for Shoulder Replacement Surgery?
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 orthopedic procedures and has a lower complication rate.
Since the shoulder replacement surgery is a complex operation, we have an experienced surgical team and fully equipped operation theatre facility with excellent infrastructure for the post-operative care and rehabilitation. The shoulder fracture surgery when performed by a high-volume surgeon under a high-volume hospital provides you a better outcome.
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FAQ’s
Arthritis. Arthritis is the result of the cartilage in a joint being worn out over time. I often describe the arthritis in the shoulder as having a “rusty hinge”. The cartilage in your joint is supposed to be a smooth surface that allows things to move easily; however, when the cartilage wears out as a result of arthritis it becomes a rough surface, or “rusty”.
If you have pain in your shoulder, limited function and difficulty sleeping it is important to try arthritis medications and cortisone injections. If the medication and injections do not relieve your shoulder pain, then it is time to discuss a shoulder replacement.
The typical age group for a shoulder replacement patient is 60-80 years old. I have performed shoulder replacements on patients as old as 88 and as young as the mid-40s. Every patient’s situation is uniquely different and I take that into consideration when discussing a shoulder replacement.
For the most part it is not valuable to do therapy or exercise before a shoulder replacement surgery. Unfortunately the movement further aggravates the shoulder and causes more pain. My preparation advice for shoulder replacement surgery is more focused on the practical things in life… you have to prepare for the fact that you aren’t going to have use of your arm for a matter of weeks, which means you might need some help at home (cooking, showering, driving, etc.). I don’t recommend you drive for at least a couple of weeks following surgery. It is important for patients to plan ahead and understand what the nuts/bolts are regarding their recovery.
Certain foods, more related to nutritional supplements, can cause your blood to be thinned, a similar effect as aspirin or blood thinners. I will go over a list of supplements that could have this effect… I will have you stop taking those items a week prior to your shoulder replacement surgery.
There is some immediate change in regard to the movement of the shoulder being much smoother; however, for a few weeks after surgery it is more painful than before surgery. At about two weeks post-surgery people start to get over the “hump” and it is less painful than prior to surgery. The pain will continue to gradually decrease. At two months the average patient is very happy they had their shoulder replaced.
Most people require, to some degree, oxycodone or hydrocodone. In addition, I supplement anti-inflammatory medications. Each patient is very unique and their pain levels vary, naturally I make those adjustments accordingly.
The first couple of days the pain will be significant, but it can also be controlled with the appropriate medications. Regaining range of motion takes time, patience and persistence it only improves at a certain rate each month.
Yes. The typical stay is somewhere between 24-48 hours: 50% stay one day while 50% stay two days. Rarely do patients stay longer than two days.
Yes, we will prescribe physical therapy. Typically, therapy will last two months following the operation; however, sometimes patients require more.
Most people who develop arthritis on one side develop it on the other side as well. Most often one side hurts worse than the other and so many patients opt for both shoulders to be replaced, but it is usually a couple years between the two operations.
The estimate is around 15 years, but that estimate is variable and we see them last longer in some patients. It is difficult to predict how long each patient’s shoulder replacement will last, specifically because the materials we use now are improved from those 7-8 years ago.
Typically, if you need a shoulder redone, you redo the whole thing (not just parts), but it is rare that we have to do that. For most people, their shoulder will last for as long as they need it; however, that depends on the age that the patient received their replacement.
Infection is always the number one concern. We take a lot of precaution to prevent an infection when it comes to the surgery technique and antibiotics (you get antibiotics around the time of surgery). There is a possibility I can injure a very important nerve in the shoulder that is close to where I am working. If that nerve is injured it can have an impact on your ability to raise your arm above your head. I am very mindful of that nerve during the surgery. From a practical standpoint, wear and tear of the parts over time can cause complications.
Construction worker: 3 months
Desk worker: 2 weeks
Almost everyone has a thorough physical exam with their primary care physician to make sure they are healthy enough to handle the stress of replacement surgery. In addition, the biggest thing to plan for is to have help at home. We also don’t recommend you drive for at least a couple of weeks following surgery.
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Thumb Joint Replacement Surgery in India
Planning your medical trip to India is a very simple process with Joint Replacement Surgery Hospital India
- You just need to fill in our enquiry form and one of our executives will contact you soon.
- +91-9860432255 Call us at the given contact number for any assistance.
- Complete information regarding surgery is provided on our website.
Introduction-
Your doctor may recommend a thumb joint replacement surgery if the non-surgical treatments were not successful to ease the problems of thumb arthritis. In this article, we’ll help you to understand the following:
- Which parts of the thumb are involved?
- How the surgeons perform this surgery?
- What to expect before and after the surgery?
Anatomy-Which parts of the thumb are involved?
The carpometacarpal joint or CMC joint of the thumb is where the metacarpal bone of the thumb attaches to the trapezium bone of the wrist. Sometimes, it is referred as the basal joint of the thumb. The CMC joint allows you to move your thumb into your palm, a motion is called opposition.
Several ligaments hold the joint together to form the joint capsule of the CMC joint. The joint capsule is a watertight sac around the joint. The joint surfaces are covered with a material called as articular cartilage, which is a sticky, spongy material that covers and allows one side of a joint to slide against the other joint surface. When this material wears out, the joint develops osteoarthritis that becomes painful.
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through Joint Replacement Surgery Hospital India.
Hello, my name is Wendy Okonjo from Nigeria. I underwent thumb joint replacement surgery in India with the assistance of your surgery group. Earlier, I suffered with pain due to the arthritic pain in my right hand thumb for about three years. One of my friends had got her knee replacement surgery in India with your surgery group and shared her wonderful experience during her trip. She was impressed with the high quality medical services and care she received at the hospital. I contacted your surgery group and after discussing my medical conditions and sending my reports, I got my surgery fixed with them. The surgeon was well-qualified and knowledgeable. He explained me about the surgery and what I should expect before the surgery. The nurses were so caring and very friendly. My surgery went well and I experienced minimal pain. After about five weeks of surgery, I am still trying to rebuild the strength. I am grateful to your surgery group for the dedicated efforts and wonderful support during this entire journey.
What does the surgeon hope to achieve?
The arthritic joint surfaces can be sources of pain, stiffness and swelling. It is used to replace the damaged joint surfaces so that patients can perform their activities with less pain. Unlike a fusion surgery, which binds the joint together, an arthroplasty can help to take away the pain while allowing the thumb joint to retain the movement.
How should I prepare for the surgery?
The decision to undergo the surgery should be jointly taken by you and your surgeon. You need to understand the procedure and clear your questions and concerns by talking with your surgeon. Once you decide on the surgery, you need to take several steps. You’ll be asked to undergo a complete physical examination by your regular doctor to ensure you are in the best possible condition to undergo the operation.
Secondly, this preoperative visit will prepare you for your surgery. You’ll begin to learn some of the exercises that you’ll use during your recovery. Your therapist will help you anticipate any special needs or problems that you may have at home, once you are discharged from the hospital.
You’ll probably be admitted to the hospital early in the morning on the day of the surgery. You shouldn’t drink or eat anything after midnight, the night before surgery.
What happens during surgery?
Before we describe the procedure, let us look at the artificial thumb joint. The surgeons will have several ways to replace thumb joint surfaces. One method is to attach the ends of a prosthesis implant into the bones of the thumb joint. A newer method uses a small, marble-shaped implant to form the new joint surfaces. The spherical implant works like a ball bearing to give the joint a smooth arc of the movement.
The procedure takes about two hours to complete. The new method using the ball implant takes about 30 to 60 minutes. The surgery may be performed under general anesthesia or local anesthesia. Once you have anesthesia, your surgeon will ensure that the skin of your hand is free of infection by cleaning the skin with a germ-killing solution.
During the prosthesis implant procedure, an incision is made across the base of the thumb while the soft tissues are spread apart with a retractor. Special care is taken not to damage the nearby nerves going to the thumb. The joint capsule is opened, exposing the CMC joint. The ends of the bones forming the CMC joint surfaces are then taken off, forming flat surfaces. A burr is used to make a canal into the bones to form the thumb joint. The surgeon sizes the stem of the prosthesis to ensure a smug fit into the canal and then inserts it. When the new joint is in place, the surgeon then wraps the joint with a strip of the nearby tendon to give the new implants some added stability and protection. Then the skin is stitched together and a splint is applied.
During the Spherical implant method, the thumb joint is used as a spherical implant that looks like a marble. Your surgeon makes a small, one-inch incision at the base of the thumb joint. The ends of the bones form the CMC joint surfaces which to removed to form the flat surfaces. A burr is used to make a small notch or canal at the ends of the two bones. Your surgeon shapes the notch so that the ball-shaped implant will fit smugly in the joint and places between the ends of the shaped bones. The soft tissues are then sewn together and the thumb is splinted and bandaged.
What happens after surgery?
After surgery, your thumb will be bandaged with a well-padded dressing and a splint for support. This splint will keep the thumb in a natural position during healing. Your surgeon will check your hand within five to seven days. The stitches will be removed after 10 to 14 days, though most of the stitches will be absorbed into your body. You will be given pain medication to control discomfort after the surgery. You should keep your hand elevated above the level of your heart for several days to avoid swelling and throbbing. Keep your hand propped up on a stack of pillows while sleeping or sitting up.
What to expect during my rehabilitation?
A physical or occupational therapist will direct your recovery program. The rehabilitation time will depend on the type of procedure used. It may take up to three months after replacement with a prosthesis implant. The patients wear an arm-length cast with the thumb pointing out for about three weeks after this surgery. The patients are able to return back to their normal activity within three to five weeks after the spherical implant surgery. Since the surgery doesn’t require the surgeon to disturb the tendons near the joint so the recovery is faster. You can start the range of motion exercises involving the use of ceramic ball within one week after surgery.
The first few physical therapy treatments will focus on controlling the swelling and pain from the surgery. Your therapist will use a gentle massage and other hands-on treatments to ease the muscle spasm and pain. Strengthening exercises will be used to provide added stability around the thumb joint. You’ll learn to grip and support the items to do your tasks safely and with the least amount of stress on your thumb joint. As with any other surgery, you should refrain doing too much too quickly.
Some of the exercises will be designed to get your hand and thumb working in ways that are similar to your work tasks and daily activities. Your therapist will find better ways to do the tasks that don’t put too much stress on your thumb joint. Before the end of your therapy sessions, your therapist will teach you a number of ways to avoid further problems.
The goal of the therapist is to help you keep the pain under control, regain the fine motor abilities with your hand and thumb and improve the strength and range of motion.
Thumb Joint Replacement Surgery Hospital India
Indian Hospitals are becoming a more important component of medical tourism. India is at the center of this concept. Based in Nagpur, the hospital provides all the amenities and services that one would require to get their health back to normalcy. It is well connected with Mumbai and Pune, two of the travelling behemoths in India, which makes it one of the most accessible hospitals in India.
Thumb joint replacement surgery is one of the most critical surgeries among all, and is mainly required because of arthritis of the thumb joint. There is no medical treatment available for thumb joint arthritis. This arthritis might become painful and decrease the movement of the thumb joint. The only option one has, is cortisone injections, but that too is a limited option, as one cannot take an unlimited amount of cortisone injections. Therefore, one has no other option but to sign up for thumb joint replacement surgery.
We have all the necessary, top of the line machinery and devices that = provide the right kind of support and service to people who sign up with us for medical treatment and medical surgeries. We have some of the most renowned and skilled surgeons and a large number of surgery related resources, which makes it easier to provide all the services that our patients and clients would require. We strive to be a single window service provider for all kinds of surgeries and related services.
Our hospital takes extreme care and concern when it comes to diagnosis of the medical issue that people are facing, to ensure that we, as well as our clients and patients get a clear picture of what they ail from, and how there can be a solution for it. We have a number of experienced and skilled doctors, surgeons and other medical personnel, who have been on our panel for a number of years. These surgeons are well known in the field, and provide only the best kind of service that would be required. With medical tourism, it is becoming a lot easier to travel to India for medical help. It is also the most economical option that is available. We understand the issues that people traveling from foreign countries for medical treatment might face, and therefore provide all the amenities and services – medical as well as non-medical – so that they have a safe and comfortable experience, and strive to be a single window service provider, ensuring that the patients and clients do not face any amount of inconvenience. With our country having diplomatic relations with almost every country, we as a hospital are well equipped to provide you with all the services, amenities and surgeries that you would require for a safe surgery and a healthy and safe future. Contact us today for your medical requirements, and we are sure that we will be able to provide you the best options.
If you are really seeking for Thumb Joint Replacement Surgery, kindly fill up the form for a free consultation with our surgeons. You will be provided with thorough analysis and suggestions regarding the Thumb Joint Replacement Surgery you are seeking.
Listen to the Voices of Our Happy Patients
FAQ’s
That is a decision that is best made between you and your treating physician. Typically, surgery is only considered if conservative treatments fail and the pain from arthritis continues to limit your activity or cause pain that is intolerable.
Most surgeons practice at one or two local hospitals. Find out where your operation will be performed. Have many of the operations you are thinking about having been done in this hospital? Some operations have higher success rates if they are done in hospitals that do many of those procedures. Ask your doctor about the success rate at this hospital. If the hospital has a low success rate for the operation in question, you should ask to have it at another hospital. Until recently, most joint replacement surgery was performed on an inpatient basis and patients stayed in the hospital for 1 or more days. Today, a lot of surgery is done on an outpatient basis in a doctor’s office, a special surgical center, or a day surgery unit of a hospital. Outpatient surgery is less expensive because you do not have to pay for staying in a hospital room. Ask whether your joint replacement surgery will be done in the hospital or in an outpatient setting. If your doctor recommends inpatient surgery for a procedure that is usually done as outpatient surgery, or just the opposite, recommends outpatient surgery that is usually done as inpatient surgery, ask why. You want to be in the right place for your operation.
Anesthesia is used so that surgery can be performed without unnecessary pain. Your surgeon can tell you whether the operation calls for local, regional, or general anesthesia, and why this form of anesthesia is recommended for your procedure.
Local anesthesia numbs only a part of your body for a short period of time, for example, a tooth and the surrounding gum. Not all procedures done with local anesthesia are painless. Regional anesthesia numbs a larger portion of your body, for example, the lower part of your body for a few hours. In most cases, you will be awake with regional anesthesia.
General anesthesia numbs your entire body for the entire time of the surgery. You will be unconscious if you have general anesthesia.
Anesthesia is quite safe for most patients and is usually administered by a specialized physician (anesthesiologist) or nurse anesthetist. Both are highly skilled and have been specially trained to give anesthesia. If you decide to have an operation, ask to meet with the person who will give you anesthesia. Find out what his or her qualifications are. Ask what the side effects and risks of having anesthesia are in your case. Be sure to tell him or her what medical problems you have including allergies and any medications you have been taking, since they may affect your response to the anesthesia.
Your surgeon can tell you how you might feel and what you will be able to do or not do the first few days, weeks, or months after surgery. Ask how long you will be in the hospital. Find out what kind of supplies, equipment, and any other help you will need when you go home. Knowing what to expect can help you cope better with recovery.
Ask when you can start regular exercise again and go back to work. You do not want to do anything that will slow down the recovery process. Lifting a 10 pound bag of potatoes may not seem to be “too much” a week after your operation, but it could be. You should follow your surgeon’s advice to make sure you recover fully as soon as possible.
Health insurance coverage for surgery can vary, and there may be some costs you will have to pay. Before you have the operation, call your insurance company to find out how much of these costs it will pay and how much you will have to pay yourself.
Ask what your surgeon’s fee is and what it covers. Surgical fees often also include several visits after the operation. You also will be billed by the hospital for inpatient or outpatient care and by the anesthesiologist and others providing care related to your operation.
After surgery, there is a significant recovery period. The thumb is casted, with a pin in place for one month, after which physical therapy is essential to regain flexibility and strength.
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.
Yes. Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.
Low Cost Rotator Cuff Repair Surgery in India
Planning your medical trip to India is a very simple process with Joint Replacement Surgery Hospital India
- You just need to fill in our enquiry form and one of our executives will contact you soon.
- +91-9860432255 Call us at the given contact number for any assistance.
- Complete information regarding surgery is provided on our website.
Introduction
The term “rotator cuff”refers to a group of four tendons that attach four shoulder muscles to the upper arm. Tendons are stringy tissues that attach muscle to bone.
A healthy shoulder is the most versatile joint in the human body. It has a wider “range of motion,” which means it can move more freely, and in more directions, than any other joint. The shoulder’s versatility enables us to retrieve soup cans from the cupboard, to hammer nails, swing golf clubs, roll bowling balls, and perform thousands of other activities.
The shoulder’s flexibility is due to its unique structure. Like the hip, the shoulder is a “ball-and-socket” joint – a “ball” at the top of the upper arm bone (the humerus) fits neatly into a “socket” formed by the shoulder blade (scapula).
But unlike hip joints, where the ball sits in a deep, well-protected socket, the shoulder socket is very shallow. As a result, the shoulder is the most frequently dislocated major joint in the body. It’s also prone to a variety of other injuries and chronic problems that can be painful and hinder a person’s ability to perform ordinary tasks.
Why it is done?
Surgery to repair a rotator cuff is done when:
- A rotator cuff tear is caused by a sudden injury. In these cases, it’s best to do surgery soon after the injury.
- A complete rotator cuff tear causes severe shoulder weakness.
- The rotator cuff has failed to improve with 3 to 6 months of conservative nonsurgical treatment alone (such as physical therapy).
- You need full shoulder strength and function for your job or activities, or you are young.
- You are in good enough physical condition to recover from surgery and will commit to completing a program of physical rehabilitation.
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through Joint Replacement Surgery Hospital India.
Hi, my name is Azamat Ibrahim from Kazakhstan. I underwent my rotator cuff repair surgery in India through Joint Replacement Surgery Hospital India. I needed help with pain in both my arms and shoulder. After consulting with my doctor, he recommended me for the surgery. I was apprehensive to get my surgery at such expensive cost. My friend referred me about your surgery group since her relative had got his surgery arranged in India. He had an amazing experience during the entire trip with utmost medical care and professionalism from the surgeon and his staff that too at a pocket friendly cost. I contacted them asking about the surgery and they called me back with the necessary details. They explained me well about the surgery and also the entire process. I followed the process and arrived in India. They escorted me to the hospital, where the staff gave us a warm welcome. The doctor was a kind person and cleared all my queries before the surgery. The nurses took care of me very well. I am thankful to everyone for their immense support and care I got during this trip in India.
What to expect after surgery?
Discomfort after surgery may decrease with taking pain medicines prescribed by your doctor. The arm will be protected in a sling for a defined period of time, especially when at risk of additional injury. Physical therapy after surgery is crucial to a successful recovery. A rehabilitation program may include the following:
- As soon as you awake from anesthesia, you may start doing exercises that flex and extend the elbow, wrist, and hand.
- The day after surgery, if your doctor allows, passive exercises that move your arm may be done about 3 times a day (a machine or physical therapist may help the joint through its range of motion).
- Active exercise (you move your arm yourself) and stretches, with the assistance of a physical therapist, may start 6 to 8 weeks after surgery. This depends on how bad your tear was and how complex the surgical repair was.
- Strengthening exercises, beginning with light weights and progressing to heavier weights, can start a few months after surgery.
Candidates for rotator cuff repair surgery
- Persons who have tears to the rotator cuff tendon that don’t respond to treatment are candidates for surgery.
- Surgery is usually needed if there is a complete tear in the tendon.
- A complete tear results in a person being unable to raise the arm. Surgery may also be needed for a partial tear of the tendon, if the tear causes continued pain and weakness.
- In a complete tear, repair is usually done within 3 months of the injury.
- There are two typical types of people who suffer from a rotator cuff tear.
- Younger, athletic people often have an injury that tears the rotator cuff. Middle-aged or elderly people usually have repeated stress of the shoulder muscles over time that eventually causes the tendon to tear.
Advantages of rotator cuff repair surgery
- When combined with a good rehabilitation effort, rotator cuff surgery allows people to regain much of the lost comfort and function in shoulders with cuff disease.
- If the quantity and quality of the tissue is good, surgery can help repair the tendon back to the bone from which it has been torn. This is most likely to succeed, soon after a cuff tear in otherwise healthy shoulders of non-smokers who have not had multiple cortisone injections.
- Rotator cuff surgery will improve the mechanics of the shoulder.
- When performed by an experienced surgeon, rotator cuff surgery usually leads to improved shoulder comfort and function.
- The greatest improvements are in the ability of the patient to sleep, perform activities of daily living, and engage in non-contact recreational activities.
Symptoms
An acute rotator cuff tear as a result of trauma can occur on its own or in conjunction with another shoulder injury, such as a fracture or dislocation. An acute tear usually causes a sharp pain in the front of the shoulder that radiates down the side of the arm.
Rotator cuff tears caused by repetitive overhead activity or by wear and degeneration of the tendon usually have a more gradual onset of symptoms. In such cases, the pain may at first be mild and only present with overhead activities such as reaching or lifting, but as time passes, pain may result from little or no stressful activity at all, including just lying in bed on the affected side at night. Stiffness and loss of motion are also common, making it difficult to perform simple daily tasks such as combing your hair or twisting your arm behind your back to fasten a button on a blouse, or reaching up to adjust a hat or the hood of a coat.
Some of the signs of a rotator cuff tear include thinning (atrophy) of the shoulder muscles and pain or weakness when you lift your arm or when you lower it from a fully raised position. There may also be a crackling sensation (crepitus) when the shoulder is moved in certain ways.
Why the procedure is performed?
Reasons rotator cuff repair may be done include:
- You have shoulder pain when you rest or at night, and it has not improved with exercises over 6 – 12 months.
- You have a large or a complete rotator cuff tear.
- You are active and use your shoulder for sports or work.
- You have a lot of weakness and are unable to do everyday activities.
Surgery is a good choice in a person whose tear was caused by a recent injury. It is also a good choice when the tendons of the rotator cuff were not already frayed from chronic rotator cuff problems.
Some patients with a partial tear may choose not to have surgery, using rest and exercise instead. The best candidates for this approach are those who have only a partial tear and do not place a lot of demand on their shoulder.
- Shoulder pain will improve with this approach.
- However, any weakness will not improve, the tear become larger over time, and you may be limited in the sports or other act ivies you can do.
Diagnosis
Despite all the clues, diagnosing a rotator cuff tear isn’t always easy, because a number of conditions in the bones and soft tissues of the shoulder can present with similar symptoms, and a number of tests may be required for a conclusive diagnosis. A doctor will begin by taking the medical history, and then perform a physical examination, looking for tender areas, deformity, and restrictions in strength and motion. The physician may also examine the patient’s neck to ensure a “pinched nerve” in the cervical spine isn’t the pain source and to rule out other conditions, such as osteo- or rheumatoid arthritis.
Beyond that, he or she may request imaging tests, usually beginning with x-rays. Other tests may be ordered, including an ultrasound or a CT scan (computerized tomography) or MRI (magnetic resonance imaging), all of which can better visualize soft tissue structures such as the rotator cuff tendon.
An MRI is the gold standard, since it can even distinguish between a complete (full thickness) tear of the tendon and a partial tear, and whether the tear is within the tendon itself, or if the tendon is detached from the bone.
Rotator cuff surgery
During rotator cuff surgery, the patient is put in a half-sitting position, with the head supported. Most operations are performed under general anesthesia, where the patient is asleep. Sometimes a regional (or local) anesthetic is used to block the nerves leading to the arm. In that case, the patient is conscious but cannot feel pain. Usually a sedative is also given, putting the patient in a conscious but dreamy state. Rotator cuff surgery usually takes one to two hours.
Types of procedures include:
- Open Surgical Rotator Cuff Repair: Prior to the development of arthroscopic surgery, all rotator cuff tears were repaired by looking directly at the torn tendon through an incision about 6 to 10 centimeters in length. The advantage of open rotator cuff repairs is the rotator cuff tendons are easily seen by this method. It is straightforward to repair the tendons down to the bone, and many surgeons find this a more secure repair. The downside is that the incision is large, and the recovery can be longer and more painful.
- Mini-Open Rotator Cuff Repair: The mini-open method of repairing a rotator cuff involves an arthroscopic portion of the surgery, and a short incision to get direct access to the torn rotator cuff tendon. By using the arthroscope, the surgeon can also look into the shoulder joint to clean out any damaged tissue or bone spurs. Preparation for the rotator cuff repair can be performed arthroscopically. Once the arthroscopic portion is complete, a shorter incision is made to repair the tendon back to the bone. The incision used in a mini-open rotator cuff repair is about 3 cm, and the recovery may be less painful than the open cuff repair.
- All-Arthroscopic Rotator Cuff Repair: An arthroscopic rotator cuff repair is done through small incisions, and the repair is done with the surgeon looking through a small camera to see the torn rotator cuff tendons and their repair on a television monitor. This is a more recent development in the treatment of rotator cuff tears, and not all types of tears can be treated by this method. Furthermore, arthroscopic rotator cuff repairs can be technically difficult and require experience in this method of repair. Not all surgeons are convinced the repair done arthroscopically is as strong as repair done through an open incision.
- Shoulder Replacement Surgery: In large rotator cuff tears that have been neglected for a number of years, the cartilage of the shoulder joint may eventually wear out. This is a problem called rotator cuff tear arthropathy, and is a dual problem of shoulder arthritis and a large rotator cuff tear. Because the rotator cuff is no longer intact, a standard shoulder replacement is usually not adequate. Special implants help accommodate for the fact that the rotator cuff does not work normally. One of these special implants is called a reverse shoulder replacement.
Rehabilitation
After surgery, the arm is immobilized to allow the tear to heal. The length of immobilization depends upon the severity of the tear. You will be given an exercise program to help regain motion and strength in the shoulder. This begins with passive motion. It advances to active and resistive exercises. Your orthopaedic surgeon may recommend that you work with a physiotherapist. Complete recovery will take at least several months.
After surgery, the patient is taken to a recovery room for an hour or two. The injured arm is kept in a sling, often with a pillow behind the elbow. Patients initially drink only clear liquids before eating regular food. Ice is applied to the shoulder for comfort. Patients are encouraged to get out of bed with the arm in a sling. The sling can usually be released, but not removed, allowing the elbow to straighten without moving the shoulder. Patients who had open surgery usually stay in the hospital for a day or two. Patients who had arthroscopic surgery can often return home on the same day.
A strong commitment to rehabilitation is important to achieve a good surgical outcome. The doctor will advise you when it is safe to return to overhead work and sports activity.
Why Choose Joint Replacement Surgery Hospital India for Rotator Cuff Repair Surgery?
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.
If you are really seeking for Rotator Cuff Repair Surgery, kindly fill up the form for a free consultation with our surgeons. You will be provided with thorough analysis and suggestions regarding the Rotator Cuff Repair Surgery you are seeking.
Listen to the Voices of Our Happy Patients
FAQ’s
You probably have tried most of the alternative solutions for your shoulder pain before considering surgery. Not all these options are appropriate for all people. They include:
- Modifying activity and sport to avoid the pain.
- Taking painkillers and/or anti-inflammatory tablets.
- Cortisone injections.
- Physiotherapy and other allied specialities such as acupuncture and osteopathy.
- Seeking the advice of a sports professional
Be prepared to take your tablets regularly for the first 2 weeks and after this time only as required. If stronger tablets are required or if you know you cannot take Paracetamol or anti-inflammatories talk to your GP. The amount of pain you will experience will vary and each person is different. Therefore take whatever pain relief you need.
Yes, it is extremely important to protect the tendon repair by using a sling day and night following the operation. This also makes your arm more comfortable. You will be shown how to get your arm in and out of the sling by a nurse or physiotherapist. You will wear the sling for up to 6 weeks depending on the size of the repair.
You can go home the same day.
Yes, to begin with, you will be moving the elbow, wrist and hand joints only using the specific exercises which the physiotherapist will show you. You will continue with these exercises at home for between 3 and 6 weeks depending on your particular operation. Outpatient physiotherapy appointments will be organised to start after this. However, if your shoulder is particularly sore or you are having problems with the exercises, you will be seen earlier. You will need to get into the habit of doing regular daily exercises at home for several months. They will enable you go gain maximum benefit from your operation. Some of the early exercises are shown at the back of this booklet.
You will not have any stitches, only small sticking plaster strips over two or three small wounds. Keep the wounds dry until they are healed, which is normally within 5-7 days. You must keep them covered when showering or bathing for the first week.
This is usually arranged for about 2 weeks after your operation to check your wound. You will see the consultant 4 weeks after surgery. Discuss any queries or worries you may have when you are at the clinic. Further clinic appointments are made after this as necessary.
For 3 weeks possibly, or 6 weeks depending on your operation:
- Do not use the arm for everyday activities, especially those taking your elbow away from your body because this July damage the repair. Keep it in the sling, except when you are doing your exercises. Continue with this until you are told otherwise by the consultant or physiotherapist.
- Do not let your elbow move or stretch across the front of your body. This can happen at night when you are lying on your un-operated side. So once you stop using the sling, place your arm on pillows in front of you for 6 weeks.
- Do not lie on your operated side. After this time, be guided by pain. Avoid lifting any weight for 8-12 weeks (e.g. a kettle). This is to avoid stressing the repaired muscle. Heavy lifting (e.g. digging the garden, manual work) should be avoided for 4-6 months.
- There are other movements that are restricted for you and you will be told about them if this is the case. Within these general instructions be guided by pain. It is normal for you to feel discomfort, aching and stretching sensations when you start to use your arm. Intense and lasting pain e.g. 30 minutes is an indication to reduce that particular activity or exercise. In addition, avoid sudden, forceful movements involving weight.
It is important to recognise that improvement is slow and that this is not a quick fix operation. By 3-6 months after the operation, most people have noticed an improvement in their symptoms and are pleased with their progress. Everything continues to improve slowly up to 18 months, although 9-12 months after the operation your shoulder should feel almost back to normal.
It is illegal to drive while wearing a sling. You may start to drive once the sling has been discarded, but not until you can safely control the vehicle. This is normally between 8 and 12 weeks after the operation. It is advisable to start with short journeys.
This will depend on the type of work you do and the extent of the surgery. If you have a job involving arm movements close to your body you may be able to return within 3 weeks. Most people return within 3 months of the operation, but you have a heavy lifting job or one with sustained overhead arm movement you may require 3 to 6 months off. Please discuss this further with the consultant or physiotherapist if you feel unsure.
Your ability to start activities will be dependent on pain, range of movement and strength that you have in your shoulder. It is best to start with short sessions involving little effort and then gradually increase the effort or time for the activity.
Low Cost Arthroscopic Shoulder Surgery in India
Planning your medical trip to India is a very simple process with Joint Replacement Surgery Hospital India
- You just need to fill in our enquiry form and one of our executives will contact you soon.
- +91-9860432255 Call us at the given contact number for any assistance.
- Complete information regarding surgery is provided on our website.
Shoulder Arthroscopy Introduction
Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision (cut) in your skin.
The rotator cuff is a group of muscles and tendons that cover your shoulder joint. These muscles and tendons hold your arm in your ball and socket shoulder joint, and they help you move your shoulder in different directions. The tendons in the rotator cuff can tear when they are overused or injured.
Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia. Your arm and shoulder area will be numbed so that you do not feel any pain in this area. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.
First, your surgeon will examine your shoulder with the arthroscope. Your surgeon will:
- Insert the arthroscope into your shoulder through a small incision. The arthroscope is connected to a video monitor in the operating room.
- Inspect all the tissues of your shoulder joint and the area above the joint — the cartilage, bones, tendons, and ligaments.
- Repair any damaged tissues. To do this, your surgeon will make 1 to 3 smaller incisions and insert other instruments through them. A tear in a muscle, tendon, or cartilage will be fixed. Damaged tissue may need to be removed.
Your surgeon may do one or more of these procedures during your surgery:
- Rotator cuff repair: The edges of the muscles are brought together. The tendon is attached to the bone with sutures. Small rivets (called suture anchors) are often used to help attach the tendon to the bone. The anchors can be made of metal or plastic. They do not need to be removed after surgery.
- Surgery for impingement syndrome: Damaged or inflamed tissue is cleaned out in the area above the shoulder joint itself. Your surgeon may also cut a specific ligament, called the coracoacromial ligament, and shave off the under part of a bone. This under part of the bone is called the acromion. The spur can be a cause of inflammation and pain in your shoulder.
- Surgery for shoulder instability: If you have a torn labrum, the rim of the shoulder joint that is made out of cartilage, your surgeon will repair it. Ligaments that attach to this area will also be repaired. The Bankart lesion is a tear on the labrum in the lower part of the shoulder joint. A SLAP lesion involves the labrum and the ligament on the top part of the shoulder joint.
At the end of the surgery using the arthroscope, your incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.
Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues. Open surgery is a more complicated surgery.
Why the procedure is performed?
Arthroscopy may be recommended for these shoulder problems:
- A torn or damaged cartilage ring (labrum) or ligaments
- Shoulder instability, where the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)
- A torn or damaged biceps tendon
- A torn rotator cuff
- A bone spur or inflammation around the rotator cuff
- Inflammation or damaged lining of the joint. Often this is caused by an illness, such as rheumatoid arthritis.
- Arthritis of the end of the clavicle (collarbone)
- Loose tissue needs to be removed
- Shoulder impingement syndrome, to make more room for the shoulder to move around
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through Joint Replacement Surgery Hospital India.
Hello, my name is Dominic from Nigeria. I got arthroscopic shoulder surgery in India through your surgery group. Initially, I injured my left shoulder, but I tried to continue my daily activities. After a year, my injury became worse and finally, it gave out. I went to my doctor who asked me to undergo some tests and studying the results, recommended me your surgery group in India for my surgery. I contacted your group and send my medical reports to get the best treatment option. After being convinced by them, I gave them my confirmation to get my surgery in India. From the time I started a conversation with them and until the day I returned back to Nigeria, everyone worked hard to ensure that I was comfortable. Thank you so much to the surgeon and his dedicated staff for the terrific surgical experience I had during my journey in India. Its been about three months post surgery, and now I can do most of the things I couldn’t do before the surgery.
Before the procedure
Always tell your health care provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription. During the 2 weeks before your surgery:
- Two weeks before surgery you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other drugs.
- Ask your health care provider which drugs you should still take on the day of your surgery.
- If you have diabetes, heart disease, or other medical conditions, your surgeon will ask you to see your doctor who treats you for these conditions.
- Tell your health care provider if you have been drinking a lot of alcohol, more than 1 or 2 drinks a day.
- If you smoke, try to stop. Ask your health care provider or nurse for help. Smoking can slow down wound and bone healing.
- Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.
On the day of your surgery
- You will usually be asked not to drink or eat anything for 6 to 12 hours before the procedure.
- Take your drugs your health care provider told you to take with a small sip of water.
- Your health care provider will tell you when to arrive at the hospital.
After the procedure
Recovery can take anywhere from 1 to 6 months. You will probably have to wear a sling for the first week. If you had a lot of repair done, you may have to wear the sling longer.
You may take medicine to control your pain.
When you can return to work or play sports will depend on what your surgery involved. It can range from 1 week to several months.
For many procedures, especially if a repair is performed, physical therapy may help you regain motion and strength in your shoulder. The length of therapy will depend on the repair that was done.
Operation
You will have a general anaesthetic, and will be asleep for the whole operation.
The arthroscope is a telescope about as wide as a pen, connected to a television. The operation is called an arthroscopy.
The surgeon will insert the arthroscope through one or two tiny half inch (about 1.2cm) cuts around your shoulder. He will use it to look at the inside of your shoulder and the tendons over the shoulder. The cuts will be closed with stitches, clips, or paper tapes. You will be in hospital for one night or so after the operation.
At home
You cannot drive whilst your arm is in a sling. If you were driving before the arthroscopy, you will be able to drive within a few days of leaving hospital.
How soon you can return to work depends on your job. If you are working now, you should be able to return to work 7 to 10 days after your operation.
Recovery from shoulder arthroscopy
The recovery depends on what type of surgery is performed. One of the problems with shoulder arthroscopy is that the procedure hurts much less than open shoulder surgery, and therefore patients may tend to do too much, too soon. It is very important that you only perform activities that your surgeon recommends following a shoulder arthroscopy. Even though your shoulder may feel fine, you need to allow time for repaired tissues to adequately heal. This is especially important for patients who have rotator cuff repairs and labral repairs.
Why Choose Joint Replacement Surgery Hospital India for Arthroscopic Shoulder Surgery?
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.
Our surgical unit is integrated with an onsite musculoskeltal ultrasnonography facility with very high diagnostic accuracy and it also comprises one of the finest shoulder rehab center. Th rehab compliments our surgical efforts to provide one of the most consistent and impressive results. We offer highly effective arthroscopic shoulder surgery at the most affordable prices. Many international patients have undergone their arthroscopic shoulder surgery in India due to reasonable rates.
If you are really seeking for Arthroscopic Shoulder Surgery, kindly fill up the form for a free consultation with our surgeons. You will be provided with thorough analysis and suggestions regarding the Arthroscopic Shoulder Surgery you are seeking.
Listen to the Voices of Our Happy Patients
FAQ’s
If you have white tape on your shoulder, you may remove the dressing and take a shower. If you have a clear dressing over your incision, you may remove it 2 days after surgery. You may allow the shoulder to get wet, but do not allow the water to hit you directly on the incisions. No immersion in the water is allowed until 21 days post op. This means no soaking in a bathtub, hot tub, whirlpool, or swimming in a pool or ocean!
You are not permitted to drive while you are taking narcotic pain medications. We do not recommend that you drive while the sling is required. Once you have been instructed that the sling is no longer required, you must wait until you have adequate strength and range of motion to drive. We recommend you test your driving ability in an empty parking lot with supervision until you determine whether or not you can drive safely.
If therapy is necessary, it will usually begin sometime after your first post-operative visit. Your surgeon will inform of your physical therapy start date during your first post-operative visit. Therapy can be done anywhere that is convenient and paid for by your insurance. A list of facilities is available.
In most cases, the sling/ immobilizer is used to protect your arm in the early stages after surgery and is required. If your procedure does not require the use of the sling/ immobilizer you will receive specific instructions.
Most patients use narcotic pain medication for several days following surgery, and then change over to Tylenol or Advil/Aleve. It is not unusual to require pain medicine at night for a longer period of time. The use of ice may reduce the need for medication. We recommend that you use ice for no more than 20 minutes with at least one hour between applications. Do NOT take routine anti-inflammatory medicines (Aleve / Advil) if you have had a repair.
The pain is usually worse at night and sleeping is often difficult. It is difficult to find a comfortable position in bed and many people sleep in a recliner for several days or even weeks following surgery. It helps to take pain medication one hour before bedtime.
For the first 2 weeks following surgery, you should remain in the sling at all times except to shower. You may also be out if your sling to do pendulum exercises with your shoulder and range of motion exercises with your elbow. For the elbow exercises, your arm should remain against your body. If you happen to do something that made the shoulder hurt, don’t panic! You probably overdid it. Use ice and rest.
For the first 2 weeks you should not do any active movements with the shoulder. When you begin therapy after your first post-op visit, you will be given instructions as to your progression of activities. Please remember that there is some discomfort involved with therapy! Protect your incisions with sun block from 3 weeks post op until 6 months post op. If you have had a repair, do not lift, carry, push or pull anything greater than 10 lbs until 4 months post op.
Most people’s expectations following shoulder arthroscopy are that they will be back to normal in a few days. This is not what most people experience. Most people notice that they are back to normal around 8-16 weeks. Even though there are only a few small incisions, there was a significant amount of work that was done inside the shoulder. The shoulder can be stiff and sore for several weeks and you can expect some discomfort. Please do not judge the effectiveness of the surgery until after you have given yourself ample time to recover from the surgery!
Routine post op appointments occur at 8-14 days after surgery for stitch removal to evaluate the incisions and remove sutures if present. We will arrange physical therapy, if necessary, during that visit. Your future visits will be discussed with you as well and your next appointment will be scheduled at this time.
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.
Finger Joint Replacement Surgery Hospital India
Planning your medical trip to India is a very simple process with Joint Replacement Surgery Hospital India
- You just need to fill in our enquiry form and one of our executives will contact you soon.
- +91-9860432255 Call us at the given contact number for any assistance.
- Complete information regarding surgery is provided on our website.
Finger Joint Replacement Surgery Hospital India
“Better Prevent and Prepare rather than repent and repair”. In the fast paced life of today pain in the joints and the bones is a common recurrence and the first thing we do is to visit an orthopaedic surgeon. He has to exercise caution as surgery may not be the preferred option always, as depending upon the conditions and symptoms of the disease one could even resort to non surgical methods.
What should I do to prepare for surgery?
You should jointly decide with your surgeon to proceed with the surgery. You should understand the procedure and talk with your surgeon if you have any concerns or questions.
Once you decide on the surgery, your doctor will suggest a complete physical examination to ensure that you are in the best possible condition to undergo an operation. On the day of the surgery, you’ll be admitted to the hospital early in the morning. You shouldn’t eat or drink after midnight, i.e. the night before surgery. The length of time you spend in the hospital depends a lot on your recovery from anesthesia post surgery. Typically, a finger joint replacement surgery can be done on an outpatient basis, that means you can leave the hospital the same day.
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through Joint Replacement Surgery Hospital India.
Hello, I am Mrs. Lydia Okilo from Nigeria. I visited India to get finger joint replacement surgery through Joint Replacement Surgery Hospital India. I used to experience pain and stiffness in my fingers that started interfering my hand movement while doing the daily activities. My doctor referred me to your surgery group as they provide high quality medical treatments and surgery at economical prices. After contacting them, I got a response from them within 48 hours. They explained me about the surgery and the surgeon also cleared my doubts via the tele-conferencing. I was impressed and gave them my consent to travel down to India for my surgery. They helped me with the medical visas and other arrangements during my stay in India. The hospital staff were professionals and took care of all my needs. My surgery went well. I am grateful to the surgeon, staff and the surgery group for the exceptional assistance throughout my medical trip to India.
What happens during the operation?
The surgeons use silicone plastic implants to replace the original joint surfaces. The artificial joint functions similar to a hinge on a door. The procedure takes about two hours to complete. It may be done either using a general anesthesia that puts you to complete sleep or a local anesthesia that only numbs your hand. With the local anesthesia you’ll be awake during the surgery, but you won’t be able to see the surgery.
Once you are given anesthesia, your surgeon will ensure that the skin of your hand is free of infection by cleaning them with a germ-killing solution. An incision is made across the back of the finger joints that are to be replaced. The soft tissues are them spread apart with a retractor. Special care is taken not to damage the nearby nerve that passes by the joint. Then the joint is exposed. The ends of the bones forming the finger joint surfaces are taken off, forming flat surfaces. A burr is used to create a canal into the bones forming the finger joint.
Then the surgeons sizes the stem of the prosthesis to ensure a snug fit into the hollow bone marrow space of the bone. The prosthesis is inserted into the ends of both the finger bones. When the new joint is in place, the surgeon wraps the joint with a strip of the nearby ligament to form a tight sac. This provides some added protection and stability to the new implant. The soft tissues are sewn together, and the finger is then splinted and bandaged.
What happens immediately after surgery?
After surgery, your fingers will be bandaged with a well-padded dressing and a splint for support. The splint will keep the finger in a straightened position during healing. Some patients are placed in an arm-length cast with the finger in a straightened position for about 3 weeks post surgery. Your surgeon will check your hand in five to seven days. Stitches will be removed after 10 to 14 days. You will be given pain medication to control discomfort after surgery. You should keep your hand elevated above the level of your heart for several days to avoid swelling and throbbing. Keep it propped up on a stack of pillows while sitting or sleeping.
What should I expect during my rehabilitation?
A recovery program will be directed by a physician or an occupational therapist. Recovery will take up to three months after a prosthesis is implanted. The first few therapy treatments focus on controlling the pain and swelling from the surgery. Your therapist may use gentle massage and other hands-on treatments to ease the muscle spasm and pain. Then you’ll be asked to begin with gentle range of motion exercise. The strengthening exercises are used to provide added stability around the finger joint. You’ll learn the ways to grip and support items in order to do your tasks safely and with the least amount of stress on your new finger joint. As with any other surgery, you’ll need to avoid doing too much, too quickly.
Some of the exercises are designed to get your hand and fingers working in ways that are similar to your work tasks and daily activities. The goal of the therapist is to help you keep the pain under control, improve your strength and the range of motion as well as regain the fine motor abilities with your fingers and hand. The regular visit to a therapist’s office will end when you are well underway.
Why Choose Joint Replacement Surgery Hospital India for Finger joint replacement surgery?
Since this involves a critical part of our body, choosing a top notch hospital would be the definite way to move forward. This brings us to the fundamental question on what are the advantages of choosing a good hospital. There are quite a few of them, but the expertise of skilled surgeons, superior support staff, state of the art facilities in terms of infrastructure are a few of them. In addition to this, English being the preferred mode of communication eradicates the communication barrier.
So, is there a hospital in the country which has all the above mentioned facilities. They have established their base in the city of Nagpur which belongs to the central portion of India. A visit to the hospital itself says a thing or two about the hospital. Their philosophy is simple and that is to provide quality health care at cost effective solutions to the patients.
All the operation theatres of the hospital are modelled as per the standards prescribed by the WHO and special attention is paid to the welfare and the safety of the patients. On the safety front there is a fire fighting system along with splinkers for the benefits of the patients. All the reputed surgeons in the country are part of their set up and the credentials of them are a testimony to the fact. They have hands on experience in performing several successful surgeries and their expertise is a sort out in various international conferences.
The buzz in the medical world is that any part of a joint can be replaced by an effective implant procedure. Most of the masses are well acquainted with hip, but Finger Joint Replacement Surgery is the newest craze in the medical world. It eradicates discomfort to a larger level and is more suitable for the older age group as compared to the younger lot. For the surgery to be performed the joints of the finger should be stable and have mobility. If these conditions are fulfilled, then only the surgery can be considered.
Though there are zero waiting lists in the hospital, it is recommended that the international patients book their surgery schedule in order to have any hassles in their medical journey. For this they can contact us via email or the phone numbers on the website and schedule their day in advance. In terms of payment, at least 30 % of the cost of surgery should be paid before flying down for the surgery and the outstanding can be cleared after coming down to the country.
If you are really seeking for Finger Joint Replacement Surgery, kindly fill up the form for a free consultation with our surgeons. You will be provided with thorough analysis and suggestions regarding the Finger Joint Replacement Surgery you are seeking.
Listen to the Voices of Our Happy Patients
FAQ’s
To begin, your physician will ask you some background questions regarding your hand history and any injuries you may have incurred. A physical examination will be performed and x-rays will be taken to identify the severity of your situation. In addition, in certain cases your surgeon will order blood tests. At this point, your surgeon will use his/her expertise to diagnose your condition.
The implant or prosthesis acts as a spacer to fill the gap that was created when the arthritic surfaces of the MCP (metacarpal phalangeal joint) or PIP (proximal interphalangeal joint) are removed.
The implant is made of medical grade silicone.
At least one week prior to hospital admission, you will need to visit your family physician or an internist to have a check up. If you are over the age of 40, you will most likely need to have a chest X-ray and an electrocardiogram (EKG) performed, in addition to appropriate blood and urine tests. If you smoke, it is important to stop two weeks prior to surgery and to consider quitting all together.
Your surgeon can replace all diseased joints in one hand during one surgery. When that hand has recovered, the other hand will have the necessary joints replaced. Most of the time, the surgeon will not do both hands at once.
Your arm will be elevated and immobilized in a splint, so you will not be able to move your hand. Blood staining may also be visible through the dressing for the first few hours after surgery.
You will most likely be seen by your surgeon various times after your surgery (i.e. 1 week, 3 weeks, 6 weeks, 3 months and 6 months). X-rays may be taken during these follow up exams if your surgeon feels they are necessary.
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.
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.
Arthroscopic Shoulder
Planning your medical trip to India is a very simple process with Joint Replacement Surgery Hospital India
- You just need to fill in our enquiry form and one of our executives will contact you soon.
- +91-9860432255 Call us at the given contact number for any assistance.
- Complete information regarding surgery is provided on our website.
Shoulder Arthroscopy Introduction
Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision (cut) in your skin.
The rotator cuff is a group of muscles and tendons that cover your shoulder joint. These muscles and tendons hold your arm in your ball and socket shoulder joint, and they help you move your shoulder in different directions. The tendons in the rotator cuff can tear when they are overused or injured.
Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia. Your arm and shoulder area will be numbed so that you do not feel any pain in this area. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.
First, your surgeon will examine your shoulder with the arthroscope. Your surgeon will:
- Insert the arthroscope into your shoulder through a small incision. The arthroscope is connected to a video monitor in the operating room.
- Inspect all the tissues of your shoulder joint and the area above the joint — the cartilage, bones, tendons, and ligaments.
- Repair any damaged tissues. To do this, your surgeon will make 1 to 3 smaller incisions and insert other instruments through them. A tear in a muscle, tendon, or cartilage will be fixed. Damaged tissue may need to be removed.
Your surgeon may do one or more of these procedures during your surgery:
- Rotator cuff repair: The edges of the muscles are brought together. The tendon is attached to the bone with sutures. Small rivets (called suture anchors) are often used to help attach the tendon to the bone. The anchors can be made of metal or plastic. They do not need to be removed after surgery.
- Surgery for impingement syndrome: Damaged or inflamed tissue is cleaned out in the area above the shoulder joint itself. Your surgeon may also cut a specific ligament, called the coracoacromial ligament, and shave off the under part of a bone. This under part of the bone is called the acromion. The spur can be a cause of inflammation and pain in your shoulder.
- Surgery for shoulder instability: If you have a torn labrum, the rim of the shoulder joint that is made out of cartilage, your surgeon will repair it. Ligaments that attach to this area will also be repaired. The Bankart lesion is a tear on the labrum in the lower part of the shoulder joint. A SLAP lesion involves the labrum and the ligament on the top part of the shoulder joint.
At the end of the surgery using the arthroscope, your incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.
Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues. Open surgery is a more complicated surgery.
Why the procedure is performed?
Arthroscopy may be recommended for these shoulder problems:
- A torn or damaged cartilage ring (labrum) or ligaments
- Shoulder instability, where the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)
- A torn or damaged biceps tendon
- A torn rotator cuff
- A bone spur or inflammation around the rotator cuff
- Inflammation or damaged lining of the joint. Often this is caused by an illness, such as rheumatoid arthritis.
- Arthritis of the end of the clavicle (collarbone)
- Loose tissue needs to be removed
- Shoulder impingement syndrome, to make more room for the shoulder to move around
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through Joint Replacement Surgery Hospital India.
Hello, my name is Dominic from Nigeria. I got arthroscopic shoulder surgery in India through your surgery group. Initially, I injured my left shoulder, but I tried to continue my daily activities. After a year, my injury became worse and finally, it gave out. I went to my doctor who asked me to undergo some tests and studying the results, recommended me your surgery group in India for my surgery. I contacted your group and send my medical reports to get the best treatment option. After being convinced by them, I gave them my confirmation to get my surgery in India. From the time I started a conversation with them and until the day I returned back to Nigeria, everyone worked hard to ensure that I was comfortable. Thank you so much to the surgeon and his dedicated staff for the terrific surgical experience I had during my journey in India. Its been about three months post surgery, and now I can do most of the things I couldn’t do before the surgery.
Before the procedure-
Always tell your health care provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription. During the 2 weeks before your surgery:
- Two weeks before surgery you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other drugs.
- Ask your health care provider which drugs you should still take on the day of your surgery.
- If you have diabetes, heart disease, or other medical conditions, your surgeon will ask you to see your doctor who treats you for these conditions.
- Tell your health care provider if you have been drinking a lot of alcohol, more than 1 or 2 drinks a day.
- If you smoke, try to stop. Ask your health care provider or nurse for help. Smoking can slow down wound and bone healing.
- Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.
On the day of your surgery-
- You will usually be asked not to drink or eat anything for 6 to 12 hours before the procedure.
- Take your drugs your health care provider told you to take with a small sip of water.
- Your health care provider will tell you when to arrive at the hospital.
After the procedure-
Recovery can take anywhere from 1 to 6 months. You will probably have to wear a sling for the first week. If you had a lot of repair done, you may have to wear the sling longer.
You may take medicine to control your pain.
When you can return to work or play sports will depend on what your surgery involved. It can range from 1 week to several months.
For many procedures, especially if a repair is performed, physical therapy may help you regain motion and strength in your shoulder. The length of therapy will depend on the repair that was done.
Operation-
You will have a general anaesthetic, and will be asleep for the whole operation.
The arthroscope is a telescope about as wide as a pen, connected to a television. The operation is called an arthroscopy.
The surgeon will insert the arthroscope through one or two tiny half inch (about 1.2cm) cuts around your shoulder. He will use it to look at the inside of your shoulder and the tendons over the shoulder. The cuts will be closed with stitches, clips, or paper tapes. You will be in hospital for one night or so after the operation.
At home-
You cannot drive whilst your arm is in a sling. If you were driving before the arthroscopy, you will be able to drive within a few days of leaving hospital.
How soon you can return to work depends on your job. If you are working now, you should be able to return to work 7 to 10 days after your operation.
Recovery from shoulder arthroscopy-
The recovery depends on what type of surgery is performed. One of the problems with shoulder arthroscopy is that the procedure hurts much less than open shoulder surgery, and therefore patients may tend to do too much, too soon. It is very important that you only perform activities that your surgeon recommends following a shoulder arthroscopy. Even though your shoulder may feel fine, you need to allow time for repaired tissues to adequately heal. This is especially important for patients who have rotator cuff repairs and labral repairs.
Why Choose Joint Replacement Surgery Hospital India for Arthroscopic Shoulder Surgery?
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.
Our surgical unit is integrated with an onsite musculoskeltal ultrasnonography facility with very high diagnostic accuracy and it also comprises one of the finest shoulder rehab center. Th rehab compliments our surgical efforts to provide one of the most consistent and impressive results. We offer highly effective arthroscopic shoulder surgery at the most affordable prices. Many international patients have undergone their arthroscopic shoulder surgery in India due to reasonable rates.
If you are really seeking for Arthroscopic Shoulder Surgery, kindly fill up the form for a free consultation with our surgeons. You will be provided with thorough analysis and suggestions regarding the Arthrosocpic Shoulder Surgery you are seeking.
FAQ’s
If you have white tape on your shoulder, you may remove the dressing and take a shower. If you have a clear dressing over your incision, you may remove it 2 days after surgery. You may allow the shoulder to get wet, but do not allow the water to hit you directly on the incisions. No immersion in the water is allowed until 21 days post op. This means no soaking in a bathtub, hot tub, whirlpool, or swimming in a pool or ocean!
You are not permitted to drive while you are taking narcotic pain medications. We do not recommend that you drive while the sling is required. Once you have been instructed that the sling is no longer required, you must wait until you have adequate strength and range of motion to drive. We recommend you test your driving ability in an empty parking lot with supervision until you determine whether or not you can drive safely.
If therapy is necessary, it will usually begin sometime after your first post-operative visit. Your surgeon will inform of your physical therapy start date during your first post-operative visit. Therapy can be done anywhere that is convenient and paid for by your insurance. A list of facilities is available.
In most cases, the sling/ immobilizer is used to protect your arm in the early stages after surgery and is required. If your procedure does not require the use of the sling/ immobilizer you will receive specific instructions.
Most patients use narcotic pain medication for several days following surgery, and then change over to Tylenol or Advil/Aleve. It is not unusual to require pain medicine at night for a longer period of time. The use of ice may reduce the need for medication. We recommend that you use ice for no more than 20 minutes with at least one hour between applications. Do NOT take routine anti-inflammatory medicines (Aleve / Advil) if you have had a repair.
The pain is usually worse at night and sleeping is often difficult. It is difficult to find a comfortable position in bed and many people sleep in a recliner for several days or even weeks following surgery. It helps to take pain medication one hour before bedtime.
For the first 2 weeks following surgery, you should remain in the sling at all times except to shower. You may also be out if your sling to do pendulum exercises with your shoulder and range of motion exercises with your elbow. For the elbow exercises, your arm should remain against your body. If you happen to do something that made the shoulder hurt, don’t panic! You probably overdid it. Use ice and rest.
For the first 2 weeks you should not do any active movements with the shoulder. When you begin therapy after your first post-op visit, you will be given instructions as to your progression of activities. Please remember that there is some discomfort involved with therapy! Protect your incisions with sun block from 3 weeks post op until 6 months post op. If you have had a repair, do not lift, carry, push or pull anything greater than 10 lbs until 4 months post op.
Most people’s expectations following shoulder arthroscopy are that they will be back to normal in a few days. This is not what most people experience. Most people notice that they are back to normal around 8-16 weeks. Even though there are only a few small incisions, there was a significant amount of work that was done inside the shoulder. The shoulder can be stiff and sore for several weeks and you can expect some discomfort. Please do not judge the effectiveness of the surgery until after you have given yourself ample time to recover from the surgery!
Routine post op appointments occur at 8-14 days after surgery for stitch removal to evaluate the incisions and remove sutures if present. We will arrange physical therapy, if necessary, during that visit. Your future visits will be discussed with you as well and your next appointment will be scheduled at this time.
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.