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Most commonly general anesthesia is used during ACL reconstruction, so you will be unconscious during the entire procedure. ACL (anterior cruciate ligament) reconstruction is usually done through small incisions- the first incision holds a thin, tube like video camera (arthroscope) and others allow the surgical instrument access to the joint space.

How ACL Reconstruction is done?

In ACL reconstruction, the surgeon will remove the damaged ligament. The damaged ligament is replaced with a segment of tendon, tissue similar to ligament that connects muscle to bone. This is called grafting. The surgeon operating will use a piece of tendon from another part of your knee or a tendon from a deceased donor.  The surgeon will drill socket or tunnel into your thighbone and shinbone to accurately position the graft, which is secured to your bones with screw or other fixation device. The raft will serve as scaffolding on which new ligament tissue can grow.

After the ACL, what precaution to be taken?

Once you have fully recovered from the anesthesia you will be allowed to go home later the same day. Before you o you will be asked to practice walking with crutches, and you may be asked to wear a knee brace to help protect the graft.

Before you leave hospital you will receive instruction on when and how to shower and change the dressing. Also you will be briefed about post surgery care. Like

  • General rest
  • Ice pack application
  • Compression wrap to be wrapped around the wound
  • Elevation while sleeping like laying down with knee propped up
  • Progressive physical therapy to strengthen the muscles
  • Exercising taught by the physical therapist

When to have ACL reconstruction after injury?

People who have any difficulty with twisting, turning or pivoting after the damae should consider having ACL reconstructed. This is because repeated turning and twisting mechanism can damage both cartilage in the joints and menisci.

How long is an ACL Surgery Recovery?

To prevent the retear of the ACL reconstruction patient has to through proper recovery phase after surgery. Sometimes you can get back to your normal activities by 5 or 6 months. But the 9 month period for the full recovery is ideal time. It is important to make sure that an athlete has a full return of strength, agility and endurance to minimize the risk of reinjury, then a person can be fit for all the activities.

 


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The course of rheumatoid arthritis varies from mild disease to severe joint destructive variant that progresses rapidly, eventually leading to lots of pain and joint deformity. In advanced disease total knee arthroplasty or total joint replacement has proven to be the most successful intervention that reduces knee pain and also improves physical function of the people suffering from arthritis.
The knee is one of the most commonly affected joints in patients who are suffering from rheumatoid arthritis (RA). There has been many improvement and treatment modalities in this field but progressive joint destruction continuous to occur in the people who have RA and eventually such patients require joint surgery. It is proven to be the most successful intervention that reduces knee pain and improves physical function.
Study has reveled that RA patience are usually younger then osteoarthritis patience. Also there is one interesting thing that with earlier and better treatment of RA, there are fewer RA patients who needs joint replacement. It is thought that controlling the disease helps prevent joint destruction and resulting surgery.


Some factors to consider


RA usually tends to complicate joint replacement surgery. The drugs that are prescribed by the doctors for patients suffering from RA can lower the immune system which can increase chance of infection, so one need to go off the drugs for a period before and after joint replacement. This can often lead to a flare during the recovery period. Many people have other issues that can complicate surgical procedure and recuperation. This includes not only physical issues but things like depression. Also in case of RA in your neck can make it difficult to insert the breathing tube.
A person who is little mobile even walking with cane will generally find it bitter with knee or hip replacement surgery that someone who has been wheelchair bound for long period of time. Joint replacement is a bi surgery and one must be positive and thinking that the change is for good. One can be relived from intense , constant pain and limited mobility to living a bust productive life.


When is the time to consider joint replacement?


For a person with RA the answer can be more complicated than someone suffering from osteoarthritis. X-rays are pretty good indicator of joint damage. If the patience is reporting more pain than an X-ray might reflect, then it may be that RA treatment isn’t effective and their needs something extra to be done which is joint replacement. Patience with RA can expect to have positive outcomes of surgery.


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A healthy body state a healthy brain. There might be some of the distinct figures of the different body structure; the body development is basically the development of bones and tissues. With all the essential nutrients is a body is a healthy body. To maintain that body is really hard job to do.

In the daily lifestyle of people has changed their eating standards resulting many diseases and issues. The main concern over here to is to connect you to the nutrient deficiency. This deficiency cause several defects in a body and start losing calcium. To maintain the calcium level in the body the Vitamin D is the best source that helps your body to absorb the calcium to the bones.

Sources for calcium and vitamin D

The body contains 99.65% of calcium, but it’s a waste if vitamin D is not there to absorb. With such essentials nutrients, there is a list of important food items which are rich in calcium and vitamin D.

For Vitamin D

  • Fishes like tuna, salmon and mackerel
  • Liver
  • Cheese
  • Paneer and tofu
  • Egg yolks
  • Orange juice
  • Soya milk

For calcium

  • Okra
  • Spinach
  • White beans
  • Milk
  • Cheese
  • Yoghurt

Requirement for the body

The basic requirement of the body starts from the early age that means birth when the child got birth it feeds on the mother milk which holds all the essential elements. As grow old requirement increases here is the full specification of the intake of both calcium and vitamin D.

Calcium

Age 1-3: 700 mg

Age 4-8: 1,000 mg

Age 9-18:1,300 mg

Adults 19-50: 1000 mg

Women 51-70:1,200 mg

Men 51-70: 1,000 mg

Women and men 71 and above: 1,200 mg

Vitamin D

Age 1-70: 600 IU

Age 71 and above: 800 IU

Vitamin D and its importance

Earlier our ancestors used to work on the field but after the revolving of globe, things changes. Working on the field makes the direct capturing of vitamin D direct from sunlight but after steeping in the factories offices and other this turned off.

Our lifestyle has let us inlet the tablets and the other medication earlier playing under sun and revolving around the sun makes our body to absorb the vitamin D but this has stopped so doctors find the alternative to getting it through from supplements and food.

Vitamin D helps to absorb the calcium true or false?

Vitamin D is really essential for the body with respect to others vitamins. Everything has an important role to play so do Vitamin D too. The person suffering from vitamin D can experience the bone injury, cramps, pain in joints and severe muscle cramps.

The researchers said that the Vitamin D helps in better muscle functioning hence helping calcium to be absorbed by the body. The vitamin D is a vital element for the calcium without it no calcium would sustain. Be healthy and get the stronger bone by consuming it.


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Knee osteoarthritis is considered to be the worst situation of a body where you won’t able to make movement easier. Walking, climbing, swimming, sitting, and doing stairs is not an easy job for people who are suffering from the osteoarthritis.

To obstruct the pain one can go through the physical therapy and if not then knee replacement is for you. Different other forms are also available under the physician one has to consider it before doing it. Creams ointment, injections and medication by mouth are done. But they are not the permanent; they diminish by time to time.

The time for knee replacement

The patient should be aware of the pro and cons. There are many reasons but few are sorted below.

Disruptions are seen in everyday activities

Daily activities can tell us the factors and the response of the knee. With less functioning, it is really advice to perform the knee surgery. The patient should be really aware of the surgery impacts. In daily routine, the activities involved become painful, resulting in less locomotion.

The inability to climbs the stairs, going up or down. The pain that resembles and starts generating in the knee tends you to go for the knee replacement. The patient suffers from the sleeping pain. While lying down on the bed if one feels the pain then it is the time to perform surgery.

Collision or stabbing of bone on bone

The knee replacement is performed on the basis of the previous and the present situation. The previous might come with the new error. To avoid such type of error the patients are advised to perform x-rays, x-ray make it more clearly is there any collision or the colliding of bone to bone.

The bone to bone knocking can be really painful because it daily damages the ligament. This ligament damage can cause thinning of the cartilage. For these type of patients, it is highly advised to not to consider the knee replacement.

Stability and instability

Stability here means the balance of the body with respect to the knee. Considering the fact about the knee arthritis progressive instability with respect to knee could become unstable or looser.

Cases seem to be different with the patient it could be mild and it could be dense. In many cases instability tends the patient to fall. If you are one of the patients that is getting the instability then you are knee replacement is the alternative.

With all these following factors knee replacement is easy can be known. Be safe and be healthy.


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Know all about the Dislocated Shoulder or Separated Shoulder treatment, treatment duration and prevention tips.

How Does a Dislocated Shoulder or Separated Shoulder Feel Like?

 

Dislocated Shoulder or Separated Shoulder : Treatment

 

Dislocated Shoulder or Separated Shoulder : Treatment Duration

 

Dislocated Shoulder or Separated Shoulder : Prevention Tips


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Though few people examined the smash of devour acidic foods, the body must examine it daily. Meat, refined foods, and even calcium-rich dairy foods forge an acidic state of affair that must be changed by the kidneys. Working added, the body signals bones to release calcium and magnesium to recoil the body to its alkaline state. As time goes by, all those calcium-rich, factory foods actually sabotage – rather than help – bones because the calcium is not used to figure up bones.

Alkaline water is the as eventual buffer

The body ever affray for a state of balance or stability, and once given the proper thing, it quickly polish any unevenness. Such is the case of inert loss from piquant foods. To reverse the alkaline default, alkaline water provides a big boost. The kind of sweet-tasting water has an alkaline pH that boost the body’s pH levels without enumerating calories through food. Best of all, alkaline water also consist of minerals – calcium, magnesium and sodium – that boost bone health.

The main foods that can improve bone health are:

  1. Lean Red Meat

Red meat is sound for male body’s happiness because wiry beef cut contains more protein and reduced fat than chicken breast. Red meat is one of the best roots of leucine and other amino acids to frame muscle. It is one of the error free foods due to its low amount of fat and carbohydrate.

  1. Chocolate

Feeding on the right amount of chocolate can help promote our blood spread. Flavanol, a phenomenon contained in black chocolate is agile to lower bad cholesterol levels, civilize blood spread, and keep blood pressure normal. A man with bad blood spread has greater risk to mature erectile dysfunction.

  1. Seashells

Seashells and other indulgent of seafood contains eco-rich amount of zinc that is foremost for heart, muscle, and procreative health. Zinc deficiency can decrease embryo quality, which can cause male infertility. If we are not a fan of seafood, we should try to consume nuts and beans as substitute fount of zinc.

  1. Avocado

Avocado has a good flock of good fats such as monounsaturated fat. Adding to monounsaturated fat can help lower our bad cholesterol levels. Olive oil and nuts are also good sources of good fat.

  1. Ginger

Ginger has anti-inflammation force, which helps mollify pain and sprain after high fury training.

  1. Milk and yogurt

Milk consists of whey protein and yogurt is a good onset of leucine, one of the amino acids crucial for constructing muscle. Over and above to its sufficient amount of good bacteria, yogurt is also secured with potassium.

  1. Brazilian nut

Brazilian nut is a good onset of selenium. This hunk is believed to be able to lift immunity, parity thyroid hormone, and lessen our risk of flourishing prostate cancer.

 


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Take care of strong, healthy bones as they are hanging by thread part of a healthy way of conducting. Most of us know that tolerable calcium consumption and weight demeanour somatic activity is helpful for piling strong bones and may clip the risk of osteoporosis later in life. However, when someone has a bruise to their bones or be at disadvantage from osteoporosis, they are often only groovy of Western Medicine’s drug choice as a way to recall tired bones to their anterior health. As always, this drug-based antidote may pass help for some, but they sadly can lead to harmful side effects while not transmitting the immediate genesis of the problem.
Determinants of bone health

  • While eugenic aspect play a powerful role in defining bone mass, controllable style of living aspects such as diet and concrete activity can mean the inequality between a slim and heavy skeleton.
  • Calcium has been button down out as a chief communal health mission today because it is gravely necessary to bone fettle and the average American depletion amount of calcium that are faraway below the amount praised for peerless bone health.
  • Vitamin D is useful for best bone health because it aids in the retention and usage of calcium. There is a high vogue of vitamin D inability in nursing home lodgers, hospitalized patients, and adults with natty fractures.
  • Somatic activity is significant for bone health for the duration of life. It helps to step up or store bone mass and to depress the risk of abating. All types of somatic activity can proffer to bone health, even if in different ways.

What causes bone loss?

Our body wishes to have the minerals calcium and phosphate to shape and store in fine featherbones. During our high spirits, our body moves ahead to both reabsorbs old bone and actualise new bone. Our full skeleton is repossessed about every 10 years. For the reason that as our body has a sound parity of new and old bone, our bones sojourn full of life and strong. Bone squandering crop up when more old bone is reabsorbed than new bone is forged.

Sometime bone squandering crop up without any known doer. Other times, bone squandering and pole bones run in families and the disease is passed down. In the ballpark, white, senior women are the most expected to have bone squandering. This increases their risk of breaking a bone. Any one thing that makes our body deface too much bone, or keeps our body from generating ample bone can cause weak, crisp bones.


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In such a stressful life, we rarely get time to take care of our health, due to which we all face serious health issues. If you are suffering from any long-term pain and you do not want to go for medication or any kind of surgery, you can try some of the below mentioned alternatives in order to get relief from your chronic pain.

All these below mentioned alternative treatments can be safely used to get rid of pain like osteoarthritis, backache and headaches.

Acupuncture: Several people are taking this treatment to get rid of their long-term pain including osteoarthritis, backache, sports injuries and much more.

Exercise: Regular exercise not only help you to maintain your body weight but can also help you in getting rid of several long-term pains. It also helps you in maintain a healthy life in near future, relaxes your mood and enhance your energy level.

Taking supplements and vitamins: There are several dietary supplements available in the market that helps you in getting relieve from chronic pain. These supplements are generally made from natural and herbal ingredients, which helps you in boosting your energy by lowering down the pain. However, taking these supplements in excess can cause harm to your body so try to take them as per the prescription. Still there are several supplements available in market, which are effective in reducing pain like knee pain and headache.

Special Therapy: if you are suffering from chronic depression, you can visit a therapist instead of taking medications. As depression increases the intensity of pain, so taking special kind of therapy can lower down the depression, which in turn can lower the chronic pain as well.

Yoga Sessions: you can attend yoga sessions to get yourself relieved from several chronic pain like backache, neck pain and knee pain. Yoga is considered as a natural way to get rid of all these pains. You can even try yoga postures at home itself.

Music Therapy: In this kind of therapy, people are allowed to listen good music. According to a research, music is very effecting in getting you relived from severe pain also.

Relaxation Therapy: This therapy helps people in getting calm and relaxed by releasing their tension. This also reduces pain to some extent.

Hypnosis: According to research, this kind of approach is also very helpful in getting rid of pain like strain injuries, knee pain, backache.

If you are really afraid of medication and surgeries, you can try out these alternatives to get rid of your long-term pain.

 

 


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Most people experience knee pain at some point in their lives. Sports, exercise and other activities can cause muscle strains, tendinitis, and more serious injuries to ligaments and cartilage. For some, knee pain can be so severe that it limits daily activities. For others, mild knee pain may be a chronic hindrance to the active lifestyle they desire. In either case, chances are that you’re dealing with a knee problem that shouldn’t be ignored. Read the below article of Dr. Dhananjay Gupta published by Hindustan.

Don't Ignore the knee pain


Dr Dhananjay Gupta

Dr Dhananjay Gupta
Director and Senior Consultant,
Orthopaedics and Joint Reconstruction and Replacement Surgeon
Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, Delhi.