Category Archives: Shoulder & Elbow Shoulder

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.

Ask your doctor the following questions before undergoing this surgery:

• What guidelines should I follow prior to my procedure? Will I need other tests or evaluations before the procedure?
• Which type of repair will you perform and why is it the appropriate procedure for my condition?
• What will happen if I don’t undergo the procedure now?
• How long will the procedure last and will I be under anesthesia?
• Will I have dressings, bandages, or stitches after surgery? When should they be removed?
• Will I be given medication after surgery? What tips do you have for me to ease discomfort?
• How long of a recovery period can I expect, and what kind of help will I need during my recovery? Are there special instructions for eating, sleeping, or bathing?
• When can I return to work, resume normal activity, drive, and exercise?
• Are the results permanent?
• Will I need physical therapy?

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

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

Success is difficult to assess. The most important factor relates to your expectation of success. Total joint replacement is one of the most successful operations when performed in the right patient. While total joints have seen great advancement they are still not better, than your native joint prior to arthritis. 98% of patients will answer yes to the following three questions 1 year after surgery:

• Are you glad you had the surgery?
• Did it fulfil your expectations?
• Would you do it again?

There will be individual variations in recovery time. Most will be able to walk without an assist device (crutches, cane, walker) in a few weeks and return to normal function by 3 months. Wearing in and improvement may occur over the first year.

While some centers are attempting to make joint replacement an outpatient procedure (I do offer outpatient arthroplasty procedure in appropriate candidates), I feel most patients will require 1-2 days of hospitalization. Pre-existing medical conditions (heart problems, diabetes, hypertension, kidney problems, pulmonary problems) may lengthen your hospital stay. Patients will be discharged home when their pain is well controlled on oral medications and they have been cleared by physical therapy.

Most will be discharged home and participate in an outpatient physical therapy program. Most insurance programs do not recognize total joint replacement as criteria for admission to a rehabilitation facility unless extenuating medical conditions exist. If social or health issues prevent discharge home, you may be transferred to a skilled nursing facility with therapy. Please note that if you are considering a rehabilitation unit after surgery, it would be advisable to visit prior to surgery.

For surgery on the right leg it is recommended that you not drive for 4 weeks. You may drive thereafter if you feel comfortable applying enough force to brake suddenly and you are no longer taking narcotics for pain control. For left leg surgery, you may drive as soon as you feel comfortable and are no longer taking narcotics.

As soon as you feel comfortable. It is recommended that you stretch and walk each hour during long trips to prevent blood clots in your legs (deep venous thrombosis).

For a sedentary job (ex. Deskwork) you may return in 2-4 weeks. For more labor intensive work you should plan on at least 3 months. Average time to return to work across all jobs is just under 9 weeks.

You may return to all low-impact activities when you feel comfortable (walking, golf, swimming, bicycling, skiing). You should avoid high impact activities such as running and jumping.

The literature reports a 0.5-1% chance of requiring additional surgery each year. So at 10 years, 90-95% are functioning normally and at 20 years 80-85% remain normal. After 20 years the success declines more rapidly. There is promising data that the newer components may exceed these expectations.

Knee replacements rarely notice any real or functional differences. For hip replacements a leg length discrepancy may occur requiring the use of a shoe lift. The chance of this occurring is increased by a prior leg length difference, severe hip arthritis, and/or severe back issues. For hip replacements, achieving stability of the hip joint super-cedes exact equalization of leg lengths.

I feel it is very beneficial to see or at a minimum notify your primary physician to ensure that your health status is optimized prior to surgery. If you do not have a primary physician then we will assist you in obtaining one for evaluation.

Ordinarily no. If however you suspect you have a dental infection, have poor dental hygiene, or have not had a dental check up in 12 months then it would be advisable to proceed with a formal dental examination.

Complication rates vary. The most important risk of complications is related to the health status of the patient. Patients with health issues are at greater risk of complications. Some of the most important include, but are not limited to; diabetes, heart disease, pulmonary disease, kidney disease, rheumatoid arthritis, vascular disease and obesity. Diabetics should have optimum blood glucose control and those whose HbA1c are elevated will likely be postponed. A patient who is found to have active infections or illnesses should delay surgery until the issue is resolved. The risk of infection at our facility is below the national average. A national average being between 1-2%.

Ultimately that decision is made between you and the anesthesiologist. I however, strongly recommend you consider a spinal anesthetic. Spinal anesthesia is associated with less blood loss, lower risk of blood clots, lower risk of stroke, less post-operative nausea, less pain, and faster recovery (many of these claims are debated).

Most patients receive a Foley catheter that remains in place until the day after surgery. There are some rare exceptions.

Having IV access for the first day is important for the rapid administration of medications. The patient will receive IV antibiotics 1 hour prior to surgery and usually no longer than 24 hours after surgery.

National statistics are 12% need for transfusion for knee replacements and 19% for hip replacements. Our facility employs tactics to decrease the need for blood transfusion. Our transfusion rate is well below 5%. We can usually identify who might require a transfusion before surgery (persons who are anemic prior to surgery or who have more complicated medical or surgical issues).

I prefer starting out with narcotics and then decreasing their use based on patient comfort. I have had patients not use narcotics, but it is very important that the patients pain be well controlled so that they may participate and progress with therapy. Playing “catch up” on pain control is not ideal. Some patients do react poorly to narcotics and final pain medication treatment will be tailored post-operatively. Patients who have been on narcotics leading up to surgery may experience increased difficulties with pain control.

Once a waterproof dressing is applied you may shower. Typically the day after surgery. You should keep a dressing on the incision for at least 1 week.

Typically 3-4 weeks after surgery. I favor closer to 4 weeks just to be on the safe side.

Often I use an absorbable suture placed below the skin and Dermabond (super glue for the skin) on top and therefore there are no sutures/staples to remove. If, however, your skin condition required sutures/staples they are typically removed by 10-14 days.

It is common to require pain medication for up to 2-3 months. Initially you will be taking a narcotic. You may choose to switch to an over-the-counter medication such as ibuprofen or acetaminophen as soon as you are comfortable. Most discontinue narcotic by 4-6 weeks. Requiring narcotics beyond 3 months is unusual.

For knee surgery the duration is 10-14 days. For hip surgery the duration is 21-35 days. I typically use Xarelto which is an oral pill. It is easy to monitor and administer and has a very high safety margin. The medication is expensive, but it is necessary. An alternative is an injectable anti-coagulant but it too is expensive.

Coumadin (Warfarin) is a much cheaper option but is difficult to manage and requires regular blood draws to monitor its effectiveness. I typically reserve its use for persons who are on it for another reason. Recently the AAOS has demonstrated that Aspirin therapy may be safe in select individuals, but I feel our elevation precludes its routine use. I do recommend patients consider Aspirin 325mg daily after completing the Xarelto or other chosen agent for 60 days unless you have a contraindication to its use. Your specific anti-coagulant and duration of use will be based on your risk of developing clots against your risk of having a bleeding event.

If you are taking coumadin you should avoid alcohol. Only very modest consumption should occur if you are taking narcotics (I do allow for a glass of alcohol when in the hospital). Beyond this, you may consume in moderation at your own discretion.

I no longer recommend iron post-operatively as its benefit has been called into question and it can contribute to constipation, which is common after surgery and while taking narcotics.

Initially, ice is most effective at reducing swelling. After 2 weeks you may use whichever makes you most comfortable.

I prefer the use of the compressive stockings (TED hose) until the first postoperative visit (2 weeks). After discontinuing, if your ankles swell, then you should use them until this normalizes. For long trips they are recommended for 3 months following surgery.

I recommend going upstairs leading with your non-operative leg and going down stairs lead with your operative leg. “Good leg up, bad leg down.” This will be taught to you by our therapy team.

As a matter of habit I use formal therapy, but in select situations you may not need therapy. Initially they may need to come to you until you are able to present to an outpatient program. Therapy can be essential to short and long term improvement. Typical duration 6-8 weeks.

For knee replacement and anterior hip replacement as soon as you are comfortable. For posterior hip replacement you should wait for at least 6 weeks and focus on your hip precautions.

It is not uncommon. Factors such as pain, narcotic usage, increased dependency on others, and limitations in mobility can contribute to mild depression. These feelings usually subside as you recover. If these feelings are pervasive or persistent please bring them up to me or your primary physician.

This is a very common complaint. Over-the-counter Benadryl or Melatonin may be effective. If not you may require a prescription medication.

It is very common. A stool softener (Colace over-the-counter) is recommended. Drink plenty of water. Our hospital provides a post-operative plan to assist with constipation. It is very important that if you have painful constipation that you cease all narcotic consumption and notify us or present to an emergency department. If a long acting narcotic is prescribed it is the first agent that should be stopped until constipation is improved.

Wallet cards indicating surgical implants are no longer recognized. You will have to inform the security officer of your surgery and may be asked to demonstrate the incision so wear appropriate apparel. Over 1 million total joint replacements are performed each year, so you are not alone.

Avoid any invasive procedures for 6 weeks after surgery. For simple dental cleaning, antibiotics are not required. For invasive procedures it has been recommended to take antibiotics prior to the procedure for 2 years after surgery. The most recent update states antibiotics are not required unless the patients immune status is compromised. I recommend antibiotics for dentistry of any form for the first two years and then at patient discretion. If your dentist has a recommendation, then you should take that into consideration as well.

Simple “nicks” do not require antibiotics, but if you have an injury that is obviously infected or requires medical assistance then you should seek medical attention and notify the provider that you have a joint replacement. Viral conditions do not require antibiotic coverage. If you have a bacterial infection you should consult your primary physician.

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

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

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

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

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

A wrist fusion can be a very effective operation for controlling pain in an arthritic wrist. Arthritis can arise as a consequence of a number of conditions, including trauma, generalised wear and tear arthritis, inflammatory arthritis, such as those caused by rheumatoid arthritis or psoriasis.

Arthritis is a term that is defined as inflammation of a joint and used to describe over 100 different conditions that can affect the human body. Arthritis affects millions of Americans each year with symptoms including pain, stiffness, swelling, and loss of motion in affected joints.

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Arthritis can occur in a wrist as a consequence of a fracture that may have gone into the joint and healed with a step, causing localised wear and tear. Arthritis can occur as a generalised wear and tear process, with increasing age. Arthritis can occur as a consequence of inflammatory joint disease such as rheumatoid arthritis or psoriatic arthritis.

Patients often complain of pain and a decreased range of movement in the wrist. Painful actions include lifting and bending the wrist. These can be quite painful. Restricted range of movements can affect patients, with inability to perform common day-to-day tasks.

Generally speaking the arthritic wrist is swollen and has a restricted range of movement.

There are two main types of fixation for wrist fusions. The first is a contoured plate that is held across the back of the wrist joint, with screws into the bone to secure fixation. The surgeon will carefully remove the remaining articular cartilage from the wrist joint to allow the bone to completely solidify underneath the plate. The second type of fixation is a pin that is passed across the wrist joint (usually down through the middle knuckle joint). This second type of fixation is often performed for patients with rheumatoid arthritis.

If a plate fixation is used and the fixation is solid often no post-operative immobilisation is required, and patients are advised to move their fingers as soon as possible. Swelling is common after such a surgery and it is highly advisable to elevate the hand for the first few weeks after surgery. If a pin fixation has been used, then often this is supplemented with plaster of Paris for four to six weeks until the underlying bones have solidly united.

These, generally speaking, can be well tolerated with a plate fixation within the first two to three weeks. Heavy loading activities should be avoided until the bone has completely solidified.

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.

Symptoms include:

• difficulty moving wrist
• pain in area of inflammation
• swelling of surrounding soft tissue

Wrist tendonitis is most often diagnosed by looking for the characteristic symptoms. Symptoms are universal, but a more specific analysis is required to determine the precise location of the inflammation. A trained physician can perform stretch tests to determine exactly which tendon is the source of discomfort. One form of wrist tendonitis, called ‘DeQuervain’s tenosynovitis’, is the inflammation of the tendon at the base of the thumb. This form of tendonitis most commonly afflicts new mothers and is diagnosed using a specific test called ‘Finkelstein’s’ test’. This is just one example of the many forms of wrist tendonitis.

Depending on the specific source of pain, there are a number of different treatment options available.

• Immobilization: Splinting the wrist is the first step towards treating wrist tendonitis. By restricting the tendon and allowing it to rest, inflammation and pain should decrease.
• Anti-inflammatory Medications: Anti-inflammatory medications are effective at decreasing inflammation and swelling in the soft tissue, which is the primary cause of the pain. This treatment, however effective, is not a permanent solution to an ongoing problem.
• Cortisone Injection: Cortisone is a powerful anti-inflammatory that is administered through injection directly at the source of pain. Again, this treatment may be only temporary and can weaken the tendons over time.
• Surgery: If the previously listed methods of treatment were deemed ineffective and the problem is recurring a doctor might recommend a surgical procedure. Through surgery, areas of the tendon and inflammatory tissue can be removed, allowing the tendon to move freely.

If you are experiencing wrist pain it is highly recommended that you visit an orthopedic surgeon immediately. They can correctly diagnose your condition and recommend the correct treatment plan for your specific issue. For the most respected orthopedic surgeons in India contact us to get your individualized treatment plan.

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.

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

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

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

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Total elbow replacement involves removing the diseased bone and cartilage and resurfacing it with orthopedic implants. The implants are designed to create a new, smoothly functioning joint that prevents painful bone-on-bone contact.

A total joint implant’s longevity will vary from patient to patient. All implants have a limited life expectancy depending on an individual’s age, weight, activity level, and medical condition. It is important to remember that an implant is a medical device that is subject to wear, which may lead to mechanical failure. Following all of your surgeon’s recommendations after surgery may enhance longevity, there is no guarantee that your particular implant will last for any specific length of time.

Since implants are mechanical devices, they are subject to conditions that can lead to mechanical failure. The most common reason for implant failure in elbow replacements is implant loosening or implant wear that leads to loosening. Implant wear particles can react with the bone, causing thinning of the bone that can lead to implant loosening. In most cases, failed implants can be revised successfully to provide good results.

Exercise or physical therapy can strengthen the muscles around the affected joint(s), possibly providing relief from pain while improving mobility and function. Medical management, including nonsteroidal anti-inflammatory medications or steroid injections may assist in reducing painful joint inflammation and restoring function.

Your surgeon will evaluate your health history, perform a physical examination, and take x-rays to decide if you are a candidate for this surgery. You must then decide if your discomfort, pain or stiffness, and overall loss of quality of life justify undergoing surgery. Generally, there is no harm in waiting to have surgery if conservative, non-surgical treatments are effective.

Age is not a problem if you are in reasonably good health and have the desire to continue living a productive, active life. You may ask to see your personal physician for an opinion about your general health and readiness for surgery.

Operation- approximately 1 to 2 hours. Hospitalization- usually 1 to 3 days. Rehabilitation-usually 3 to 4 months of regular exercise at home. This will vary with each patient and with each surgeon.

After surgery, patients usually gain additional range of motion previously lost to the diseased joint. It is important to remember that the soft tissues play an important role in elbow movement. Damaged or unrepairable soft tissues in the elbow will have an effect on unrestricted movement of the elbow after surgery. Proper preoperative and postoperative physical therapy will also affect the desired surgical outcome. It is important to talk with your physician prior to surgery so he or she can evaluate your condition and give you a better understanding of what you can expect after the surgical experience.

The incision is approximately 5 to 7 inches long, across the back or side of the elbow to gain access to the joint.

Yes, you may have some numbness on the outside of the scar. The area around the scar may feel warm. You may also notice some clicking when you move your elbow as a result of the artificial surfaces coming together.

While uncommon, complications can occur during and after surgery. Some complications include infection, blood clots, implant breakage, malalignment, and premature wear. Although implant surgery is extremely successful in most cases, some patients still experience stiffness and pain. No implant will last forever and factors such as the patient’s post-surgical activities and weight can affect longevity. Be sure to discuss these and other risks with your surgeon. There are many things that your surgeon may do to minimize the potential for complications. Your surgeon may have you see a medical physician before surgery to obtain tests. You may also need to have your dental work up to date and may be shown how to prepare your home to avoid falls.

Proper preparation and a great attitude are the best ways to accomplish a rapid recovery from joint replacement. With the help of a physical therapist, get yourself as physically fit as you can before surgery. Proper nutrition and optimal medical condition can help avoid complications. See your physician prior to surgery to ensure your blood pressure, heart, and lungs are in good shape. Be prepared to continue with your exercise program after surgery.

Exercise is necessary for proper healing. The arm is typically immobilized for comfort in a long-arm dressing and a protective splint for the first 3 to 5 days. Range of motion exercises may be started after the dressing and splint are removed, allowing for some return to light activities of daily living. At 10 to 14 days, the sutures are removed. Strengthening usually begins 6 weeks after surgery. A regular exercise program at home to promote strengthening and mobility will continue up to 12 months following surgery. It is important to follow your surgeon’s prescribed recovery outline. Do not attempt exercises that are not prescribed by your surgeon, and do not attempt to alter your exercise schedule without contacting your surgeon.

Although elbow replacement is designed to restore motion and decrease pain, it does not return your elbow to “normal.” Like any mechanical device, it can wear out with use. Activities like heavy lifting or manual labor can cause early wear and failure of the elbow implant. Many activities should not begin until the soft tissues around the elbow heal, which can take 3 to 6 weeks. All postoperative activities should be cleared with your surgeon.

Patients with total elbow replacement typically require several weeks before returning to any type of lifting or repetitive movement activities. Driving can normally be resumed in 4 to 6 weeks after surgery, but only if your doctor indicates and you are not taking any pain medication. Talk to your doctor before participating in an activity that may place excess stress or movement on your elbow. Consult with your surgeon or therapist for advice on acceptable activities.

The surgeon will set a follow-up schedule for the first year after surgery to evaluate your progress. Usually these follow-ups occur three, six and nine months after the surgery. Annual visits may be required thereafter. Complications can occur with implants, so seeing the surgeon when you notice a change in symptoms can assist in evaluating any changes that may occur with your new joint.

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

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

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Wrist replacement surgery, also called arthroplasty, removes the damaged bone and cartilage in a joint. The bone is resurfaced with implants made from metal alloy and polyethylene (plastic) to re-create the smooth gliding surface that were once intact. The purpose of the procedure is to restore movement and decrease or eliminate pain.

A total joint implant’s longevity will vary from patient to patient. All implants have a limited life expectancy depending on an individual’s age, weight, activity level, and medical condition. It is important to remember that an implant is a medical device that is subject to wear, which may lead to mechanical failure. Following all of your surgeon’s recommendations after surgery may enhance longevity, there is no guarantee that your particular implant will last for any specific length of time.

Since implants are mechanical devices, they are subject to conditions that can lead to mechanical failure. The most common reason for implant failure in wrist replacements is implant loosening or implant wear that leads to loosening. Implant wear particles can react with the bone, causing thinning of the bone that can lead to implant loosening. In most cases, failed implants can be revised successfully to provide good results.

Your surgeon will evaluate your health history, perform a physical examination, and take x-rays to decide if you are a candidate for this surgery. You must then decide if your discomfort, pain or stiffness, and overall loss of quality of life justify undergoing surgery. Generally, there is no harm in waiting to have surgery if conservative, non-surgical treatments are effective.

Age is not a problem if you are in reasonably good health and have the desire to continue living a productive, active life. You may ask to see your personal physician for an opinion about your general health and readiness for surgery.

• Operation- approximately 1 1/2 to 2 hours
• Outpatient surgery
• Rehabilitation-usually 3 to 4 months of regular exercise at home. This will vary with each patient and with each surgeon.

The incision is usually made of the on the back of the wrist to gain access to the joint.

Yes, you may have some numbness on the outside of the scar. The area around the scar may feel warm. You may also notice some clicking when you move your wrist as a result of the artificial surfaces coming together

While uncommon, complications can occur during and after surgery. Some complications include infection, blood clots, implant breakage, malalignment, and premature wear. Although implant surgery is extremely successful in most cases, some patients still experience stiffness and pain. No implant will last forever and factors such as the patient’s post-surgical activities and weight can affect longevity. Be sure to discuss these and other risks with your surgeon. There are many things that your surgeon may do to minimize the potential for complications. Your surgeon may have you see a medical physician before surgery to obtain tests. You may also need to have your dental work up to date and may be shown how to prepare your home to avoid falls.

Proper preparation and a great attitude are the best ways to accomplish a rapid recovery from joint replacement. With the help of a physical therapist, get yourself as physically fit as you can before surgery. Proper nutrition and optimal medical condition can help avoid complications. See your physician prior to surgery to ensure your blood pressure, heart, and lungs are in good shape. Be prepared to continue with your exercise program after surgery.

Exercise is necessary for proper healing. Early movement is important to prevent the muscles in the wrist from becoming tight. The types of exercises you may perform are gentle, range of motion exercises designed to help restore motion to the muscles in the shoulder. As your rehabilitation continues, you may begin strengthening exercises that are designed to restore strength to your shoulder. A regular exercise program at home to promote strengthening and mobility will continue up to 12 months following surgery. It is important to follow your surgeon’s prescribed recovery outline. Do not attempt exercises that are not prescribed by your surgeon, and do not attempt to alter your exercise schedule without contacting your surgeon.

Although wrist replacement is designed to restore motion and decrease pain, it does not return your wrist to “normal.” Like any mechanical device, it can wear out with use. Activities like heavy lifting or manual labor can cause early wear and failure of the wrist implant. Many activities should not begin until the soft tissues around the wrist heal, which can take 3 to 6 weeks. All postoperative activities should be cleared with your surgeon.

Patients with total wrist replacement typically require several weeks before returning to any type of lifting or repetitive movement activities. Talk to your doctor before participating in an activity that may place excess stress or movement on your shoulder. Consult with your surgeon or therapist for advice on acceptable activities.

Returning to work depends on your type of work and can be as early as 2 to 6 weeks for sedentary jobs. Returning to a job that requires significant use of the arm will usually take at least 3 months. Office workers often return in 2 to 3 weeks, while patients with more strenuous jobs may require more time away from work. The timing of your return to work depends considerably upon your commitment to recovery.

The surgeon will set a follow-up schedule for the first year after surgery to evaluate your progress. Usually these follow-ups occur three, six and nine months after the surgery. Annual visits may be required thereafter. Complications can occur with implants, so seeing the surgeon when you notice a change in symptoms can assist in evaluating any changes that may occur with your new joint.

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

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

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

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

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

Trigger finger surgery is a surgical procedure to treat the frequent sticking of one or more finger. An incision is made in the palm to cut open the A1 pulley. The A2 pulley is strong enough to take the burden and the procedure does not impact any physical or functional trait of the area. The release of the A1 pulley ensures smooth gliding of the flexor tendon without getting stuck.

There are two types of techniques used to perform trigger finger surgery.

• Open surgery or an incision on the palm to reach tendon pulley and cut the ligament.

• Percutaneous trigger finger release, where a needle is used back and forth multiple times to cut the pulley and free the flexor tendon.

A patient is considered for trigger finger surgery if there is no relief despite using nonsurgical treatment for long severe symptoms, including pain and swelling, cause disability over an extended period patient is unable to stretch affected fingers fingers remain fixed too often help of the other hand is needed to unlock the locked finger.

Trigger finger surgery is performed in an outpatient setting. The procedure depends on the type of surgery.

Open Surgery: An incision is made to access tissues at the flexor tendon sheath. The sheath is cut to reach the flexor tendons. The finger is flexed to assess the cause of sticking and how it catches at the A1 pulley. The pulley is cut and released after nearby tissues are pulled away. As the pulley is released, flexor tendons are pulled back and forth to confirm that they are gliding smoothly without facing any obstacle. Once confirmed, the incision is closed and bandage is applied. The entire procedure is performed under local anesthesia.

Percutaneous Trigger Finger Surgery: This surgical procedure is minimally invasive and performed through the skin without an open incision. Surgeons use a needle as a scalpel. The needle is inserted at the A1 pulley position. It is moved back and forth to cut the ligament. Once the surgery is done, it is taken out and the area is bandaged. The percutaneous trigger finger surgery is usually done under local anesthesia. It does create any incision and there is no need for healing. However, the procedure has its limitations. Its use is restricted to less serious conditions, as it may not be able to cut the more stiffened sheath and successfully release the pulley. The procedure may also cause damage to tendons or nerves.

The procedure takes about 15 to 30 minutes.

The surgery is an outpatient procedure and patients are discharged within an hour.

Patients require rest for one or two days after surgery to avoid any infection. Pain, swelling, and soreness return after the anesthesia wears off. Medication and therapy helps overcome these temporary surgical effects.

• Keep the bandage clean and dry.
• No driving for a week.
• Avoid grasping or pinching for 2 weeks.
• Keep your hand in a elevated position for 3 to 5 days to reduce swelling.
• Limit activities with the hand for 6 weeks
• No heavy lifting or repeated finger movements for 2 weeks.

• Trigger finger surgery does not require lengthy rehabilitation. You can start finger movements from day one to overcome stiffness and also do soft massaging. Limit the finger and hand exercises to your tolerance level and avoid repeated finger movements for 2 weeks. Press softball and open and close your hand several times a day for 3 weeks.

The finger and palm recover significantly in a week and gets better gradually. However, patients have to wait for 2 to 3 months to regain full finger strength. They can return to sedentary jobs after 3-4 days. But it is advised to have a 6-week break for jobs requiring repeated finger use, high-strength grasping, or hand vibration. Patients can start using keyboards or drive without pain after a week and play racquet sports in 3 weeks. They can join manual labor after 3-4 weeks. All stiffness goes in 6 months assuring complete recovery.

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

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

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

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

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

If you or someone you love have the symptoms of this condition but are not a tennis player, that is not necessarily a reason to dismiss the possibility of tennis elbow. The condition gets its name because the muscle group involved, the wrist extensors, are at work during the common tennis motions of cocking the wrist back and stabilizing it while gripping a racquet. However, other sports or even jobs which require repetitive motions in the wrist and arm may lead to this condition. Common careers affected by this condition include plumbers, painters, carpenters, and butchers.

There are specific areas and instances of pain which are most commonly associated with tennis elbow. The pain will often radiate from the outside of the elbow, into the forearm and wrist. The pain and weakness resulting from this condition may make it difficult to shake hands, turn a doorknob, or even hold a full cup of coffee. If you continue to experience pain and tenderness matching this condition, and it is not resolved with rest or ice, it may be time to contact a doctor.

When you visit your doctor, she or he will typically begin with a physical exam, asking you to move your arm and wrist in various ways. Your doctor will also ask questions about your medical and activity history. In many cases, this combination is enough to offer a diagnosis of tennis elbow. However, in certain cases, an X-ray may be used to rule out other conditions with similar symptoms.

For over 90% of patients, non-operative treatment is successful to address the pain and weakness of tennis elbow. These options typically include a combination of the following:

• Lifestyle modification (including technique adjustments and rest)
• Changing Stroke Mechanics and Racquet (in cases of regular tennis players)
• Anti-Inflammatory Medications (these can be used to control pain and inflammation)
• Cortisone Injections (these can reduce pain in the case that more conservative methods fail)
• Elbow Braces (these can help to reduce the use of the injured muscles during healing)
• Exercise (strengthening the related muscles can help to prevent re-injury)

In most cases, some combination of the above treatment options, guided by a sports medicine physician, can be effective to treat tennis elbow.

In very rare cases, however, a surgical treatment approach may be necessary. Lateral epicondylitis surgery involves the removal of the damaged tendon and repair of the remaining tendon to the bone. This surgical procedure is usually successful, although it is rarely needed.

If you or someone you love is suffering from this condition, turn to the elbow specialists and sports medicine physicians at Joint Replacement Surgery Hospital India. Our team of orthopaedic experts has the experience, as well as the access to the latest techniques and technology, to provide you with the highest level of care.

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

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

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

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

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

The signs of this disease are shown by what looks like scarring on the palms of your hands and the fingers. Fingers curling towards the palms happens when the fibrous connective tissue in the palms has thickened. This condition is known as Dupuytren’s Contracture.

Surgery not only straightens the fingers but also makes using your hand easier.

This procedure may be performed to different degrees: cutting the fibrous band in your palm or taking away the scarred skin and covering the area with skin grafts. The are a number of anaesthetic procedures available for this operation.

Any risks or complications will be discussed in advance of your treatment with your expert consultant.

• No overnight stay.
• Regular exercise of your hand and fingers will help recovery and get your hand back to normal more quickly, however, all exercise should be approved by your doctor first.
• Your hand may take a little time to feel normal after surgery.

• Symptoms of the disease start slowly. The first symptoms include firm nodules or bumps that form on the palm of the hand. Here’s what else you should know:
• Nodules may be tender at first, but they can become less painful as the disease progresses.
• Over time, thick bands of tissue form beneath the skin of the palm.
• In more severe cases, the fingers, especially the last two fingers, curl down into the palm and can’t be straightened.
• Symptoms can involve one or both hands and can range from just nodules to complete contraction of all the fingers.

Doctors do not know why the fascia in the palm of the hand becomes abnormal in people with Dupuytren’s contracture, but it tends to run in families. Here’s what else you should know:

• The disease rarely starts before age 40, but becomes more common with increasing age.
• People whose ancestors are from Scandinavia or other areas in northern Europe are at the highest risk. Two-thirds of men who are related to people with Depuytren’s contracture develop the condition. Having diabetes is another risk factor.
• Men may be at as much as 15 times greater risk than women. However, because women tend to get a milder form of the disease, they may simply not be diagnosed as often as men.
• Although drinking alcohol and cigarettes have both been linked to Dupuytren’s in a few studies, altering habits does not appear to modify the disease.

One factor that does not seem to increase your risk is working with your hands or having a hand injury.

Dupuytren’s contracture is not a life-threatening disease. Those with a milder form of the disease experience few limitations. For some people, the disease never progresses beyond the nodule stage. The disease comes on slowly, but if symptoms start at an early age, it may progress more quickly. The progressive form may end with one or both of hands frozen in a claw-like deformity, making it hard to grip or grasp, wear gloves, or even put your hand in your pocket.

Unfortunately, there is no cure for the disease and there is nothing you can do to stop its progression. Hand exercises may be helpful if you have a mild form of the disease or if you are recovering from surgery. However, in some cases, trying to stretch your hands or exercise your fingers may actually make the disease progress more quickly. Because every person is unique, check with your doctor to see what can help you manage this disease. If you have a milder form, you may experience few limitations. If the disease progresses to cause your hand to become deformed, you may need to see a hand specialist for treatment.

Treatment can slow down Dupuytren’s and may relieve some of the deformity that has already set in. Treatment options include:

• Steroid injections into the hand to relieve painful nodules
• Enzyme injections into the palm to break up thickened fascia
• Needle aponeurotomy where a needle is inserted through the palm of the hand to break up the fascia during this in-office procedure (recurrences are common)
• A reconstructive type of open hand surgery called fasciectomy/fasciotomy to remove or split the thickened fascia (recurrence rate is variable and based on multiple factors)

Surgical procedures help most people regain some movement in their fingers, but the contracture comes back in about 20% of people. After treatment, a splint may be used to keep the hand in the best position to heal. Physical therapy may be started with massage and strengthening exercises.

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

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

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

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

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

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

When non-operative treatments have failed to control the pain and the pain is:

• Moderate to severe
• Constant/ all the time
• Affecting sleep
• Stopping you from carrying out activities of daily living

Trapeziectomy’s are normally performed as day case surgery under a general anaesthetic or a regional block (where the arm is made numb using an injection). You will be sent home with dressings or a POP on and be seen by the consultant in 2/52 to remove the dressings. At this point you may be seen by a hand therapist who will:

• Provide a splint to be worn as protection as your thumb heals
• Give exercises to help you re-gain movement in your thumb
• Give advice on what kind of activity you should/shouldn’t be performing
• Give advice on strengthening your thumb

Things to consider before having a Trapeziectomy:

• Risk of infection through surgery
• Risk of nerve injury/ neuroma. A small nerve running through the region of where the surgeon is operating can be damaged during surgery. It may form a painful spot on / near the scar (a neuroma)
• Rehabilitation can take between 4-12 months
• Results from trapeziectomy vary depending on may different factors i.e. the individual, other health problems, severity of arthritis, etc.
• 80% of patients experience decrease in pain following surgery, 15% experience little or no change in pain and function and 5% are worse than before they had surgery
• Risk of problematic scar tissue. After the operation there is a risk that you may have problems with scarring, including tender/ sensitive scarring. Thick/ hard scarring causing reduced movement
• Risk of problematic scar tissue. After the operation there is a risk that you may have problems with scarring, including tender/ sensitive scarring. Thick/ hard scarring causing reduced movement

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.