Different Treatment For Severe Shoulder Dislocation

Injuries are quite common in our day to day life. It might occur when we are riding our bike, playing a sport or if we lose balance and fall. Depending on the severity of the impact, injuries often lead to broken or dislocated bones, blood clots or flesh wounds. However, in this article, we are going to discuss and illuminate your minds with a dislocated shoulder and the various types of treatment. You will be an expert yourself about shoulder dislocation and the various treatments available for it by the end of this article.

A shoulder dislocation usually occurs when your upper arm bone pop’s out of the cup-shaped socket which is a part of your shoulder blade. The shoulder is the body’s most portable and used joint, which makes it very vulnerable to dislocation. Once your shoulder is dislocated your upper arm motion becomes restricted and painful. However, most people regain normal shoulder function within a few weeks. But, once your shoulder is dislocated your body might be prone to repeated dislocations if proper care is not taken.    

 Interesting facts about shoulder dislocation: 

• Most people with dislocated shoulders regain normal function within 12-16 weeks by natural healing processes or with the help of rehabilitation treatments.
• Nearly 25% of shoulder dislocations are associated with fractures of bones.
• The most commonly dislocated joints in the body are shoulder joints

Types Of Treatment:

There is an assortment of techniques that might be utilized to accomplish this objective. The choice of the treatment relies on the patient, the circumstance, the injury and its effects, and the experience of the clinician playing out the treatment. Regardless of the method utilized, the expectation is to effectively reduce the dislocation with minimum anesthesia. Most endeavors at closed reduction are effective; that is, no entry point or cut is made into the joint to help with restoring the bones to their normal position. However, in some cases “open reduction” might be required to fix the dislocation which involves the doctor to perform a surgery. The different types of treatments are mentioned below: 

• Arthroscopy: Delicate tissues in the shoulder can be fixed utilizing micro instruments and little incisions. This is a single day procedure. Arthroscopy is a minimally intrusive medical procedure. Your specialist will examine inside the shoulder with a small camera and play out the medical procedure with exceptional pencil-flimsy instruments. 
• Immobilization: With the help of a special sling or splint for a few days or weeks, your shoulder movement is restricted and kept in a position without movement. This will slowly help the shoulder to recover and fall back into its original position. The duration of immobilization depends on the intensity of your injury.
• Open surgery: If the injury is serious and the shoulder dislocation is accompanied by harmed nerves or veins, surgery is required. In this case, a doctor makes a large incision over the shoulder to perform the surgery under direct visualization.

If one has a shoulder dislocation, he/she must visit an orthopedic to immediately fix the dislocated shoulder. Kasturi Hospitals in Telangana offer the best treatment for shoulder dislocation with state-of-art equipment and highly qualified doctors. The hospital is located centrally making it easily accessible. The hospital has doctors who are the best in the country and works together to ensure complete recovery and quality care.

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Know About Arthroscopic ACL Reconstruction

The anterior cruciate ligament (ACL) sprain or tear is one of the most common knee injuries.  ACL injuries account for almost 35 - 40% of all sporting injuries and can lead to long-term pain and instability.  The ACL is the most intriguing structure within the knee which connects tibia (shin bone) to the femur (thigh bone). ACL manages the anterior movement of the tibia and restrains extreme ranges of tibial rotation. ACL also contributes firmness to other movements at the joint including the angulation and rotation at the knee joint. Athletes, who participate in high demand sports like soccer, rugby, basketball etc., are more likely to injure their ACL. The injured persons may require surgery to regain full function of the knee.  

The incidence of ACL injury remains high in young athletes’ particularly female athletes while participating in competitive sports. The incidence of ACL tear in female athletes has been found to be 2 to 5 times higher than in male counterparts. Several theories about why women tear their ACL more commonly than men have been proposed. It has been proposed that this is due to differences in Anatomic Differences, Hormonal Differences and neuromuscular control. Other suggested causes include differences in the pelvis and lower extremity (leg) alignment and the effects of estrogen on ligament properties. The most recent research points out the differences in the biomechanics of male and female athletes.

Types of ACL Injuries

Anterior cruciate ligament (ACL) instability is caused by several conditions. These include: sprains, avulsion fractures, ACL deficiencies etc More than half of all injuries to the anterior cruciate ligament occur along with damage to other structures in the knee, such as articular cartilage (bone lining), or meniscus(cushion pad) or other ligaments.

"Sprains" are graded on a severity scale.

Grade 1 Sprains: these are the mildest of the different types of ACL injuries. The ligament is been slightly stretched and no tear exist so it is still able to help keep the knee joint stable. They can usually be treated without surgery.

Grade 2 Sprains: These are the partial tear of the ligament. Some fibers of the ligament are actually tattered, and the joint may feel unstable. In other cases, the joint will feel stable, so not all Grade 2 sprains will need surgery. 

Grade 3 Sprains: This type of sprain is the most common types of ACL injuries among athletes. This is referred to as a complete tear of the ligament and the knee joint will be unstable.   Grade 3 sprain symptoms are frequently more severe. Most ACL injuries are complete or close to complete tears. Reconstructive surgery is usually recommended for this particular grade of injury, once a full extension is achieved and the swelling decreases

ACL Avulsion Fracture: ACL avulsion fracture is rarer than an ACL sprain, and occurs when the ACL tears by breaking a piece of bone off from where the ligament attaches to the leg or thigh. In most cases, it’s the tibia (leg bone) that is affected (tibial eminence avulsion fracture). This is usually muscular contraction and the result of overuse during sports.  ACL avulsion fractures are more common in kids than in adults. These are quite common in skiers. This type of injury is caused by direct trauma through a blunt force or hit.

ACL Deficient Knee: Knees that do not have an anterior cruciate ligament are unstable and instability results in unwanted, ongoing symptoms for patients.  While patients can live with ACL deficiency by decreasing activity, this can lead to anterior laxity, rotatory instabilities, and meniscal tears. Ultimately, this can lead to the onset and progression of osteoarthritis. Consequently, surgery is usually recommended for younger persons, active patients, or patients who live in regions or have occupations which require walking uphill or on uneven ground or even climbing.

Symptoms

When you injure your anterior cruciate ligament, you might hear a   loud "pop" or a "popping" sensation in the knee and you may have a feeling of instability or "giving way" with weight bearing.  Other typical symptoms include:

• Knee swelling: Within 6 hours, your knee will swell with pain.  Your knee will be unstable and there is the risk of causing further damage to the meniscus (cushioning cartilage) of your knee.
• Knee hyperextension: Some people feel a brief hyperextension of the knee joint which occurs when the knee is bent backward.
• Loss of full range of motion
• Tenderness along the joint line 

ACL reconstruction - when it is needed? 

Most cases of ACL reconstruction surgery are performed arthroscopically these days.  ACL repair surgery typically is used only in the case of an avulsion fracture.

Orthopaedists are more likely to recommend arthroscopic ACL reconstruction when:

• Young patients or athletes who are at considerable risk for disability or further knee injury (if normal knee mechanics are not restored).
• The patient has exhausted non-surgical treatments, such as physical therapy, and is still having frequent problems with instability.  
• The episodes of instability are a significant problem for the patient and inhibit their ability to perform daily activities or job-specific requirements without assistive devices (such as a cane, crutch or walker).
• There are injuries to other knee structures

Arthroscopic ACL reconstruction 

Most people have general anesthesia right before surgery.  Local anesthesia or a block may also be used for this surgery. Some orthopaedists believe that surgery should be done after the swelling goes down and when patients have regained a range of motion in the knee.  

• Tissue transplanted from your own body is called an autograft. The two most common places to take tissue from are the hamstring tendon or knee cap tendon (patellar tendon).  Tissue graft taken from a donor is called an allograft.
• There is not one ideal graft that works for every patient. Graft selection are individualized for each patient based on the merits and demerits of the graft type, as well as the patient’s age,  activity level, lifestyle and any other associated injuries.
• The ACL reconstruction is usually performed with the help of knee arthroscopy. Through a small surgical cut, a tiny camera is inserted into the knee. The video monitor in the operating room will receive the feed from the camera. Your surgeon will utilize the camera to check the ligaments and other tissues of your knee.
• Your surgeon will make other small cuts around your knee and insert other medical instruments (such as scissors or lasers). He will fix any other damage found.
• The torn ligament will be removed. The surgeon drills sockets or tunnels for the new ACL into the tibia (shinbone) and femur (thigh bone) through which the graft will be anchored.
• If your own tissue is being used to make your new ACL, your surgeon will make another incision in the knee and take the graft (replacement tissue).
• The graft is pulled through the tunnels that were drilled and your surgeon will attach the new ligament to the bone with screws or other devices to hold it in place. As it heals, the bone tunnels fill in and this holds the new ligament in place.
• At the end of the surgery, your surgeon will close your incisions with stitches, tape, or staples. The new graft becomes a living ligament in your knee after some time.
• Arthroscopic ACL reconstruction cannot be used as a quick fix.  The surgery will be followed by months of rehab and physical therapy to build up the strength and stability of the knee and retrain proprioceptive function.

Advantages of Arthroscopic ACL reconstruction

Since it is minimally invasive, arthroscopic ACL surgery offers many benefits to the patient over traditional surgery. These include:

• It can be done together with diagnostic arthroscopy (using arthroscopy to find out about the injury or damage to the knee).
• Less bleeding during surgery
• Less scarring
• Smaller incisions than open surgery
• Faster recovery and more comfortable rehabilitation 

Kasturi Multispeciality Hospital located in Secunderabad is a multi-specialty hospital offering a wide spectrum of advanced medical treatments to its patients. Kasturi Multispeciality Hospital has state-of-the-art infrastructure and a great team of qualified doctors available around the clock and for emergency services.  The Hospital also has specialties such as Gynaecology, Obstetrics, Orthopaedics, Paediatrics, Cardiology, Diabetology, Endocrinology, Medical gastroenterology, Nephrology, Dermatology & Physiotherapy. Kasturi Multispeciality Hospital offers effective and well advanced orthopedic treatments in Hyderabad which includes ACL reconstructions surgery in India, under the guidance of Dr. M.V. Sushanth. The Expert Orthopaedic specialist Hyderabad in telangana provides treatment for all types of joint pains and Knee ligament injury treatment.  

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Does Meniscal Tear Give You A Blow Every Time?

Do you get severe pain in your knees ankles whenever you make a movement with your legs? Is it impossible for you to fully straighten your leg while you are sitting or sleeping? Have you got swelling and inflammation on your knees due to a sports injury? Please consult a Surgeon immediately in case you have already succumbed to any of these issues. The symptoms may be because of a meniscal tear. A meniscal repair surgery carried out by an expert doctor is mandatory to get rid of the situation. Kasturi Multispeciality Hospital run by Dr. Sushanth MV provides the best quality treatment and surgical care for patients who look forward to meniscal repair in Hyderabad, India. The well-experienced staff, in addition to, world-class laboratory and equipments are there to render customized services for its patients. 

What is a Meniscal Tear?

This mainly happens due to a sudden twisting that results in the wear and tear of knee tissues. Meniscal tear is often seen in adults above the age of 30. However, younger people get very few injuries because their meniscus is comparatively tougher than elderly. So the chances of weakening of meniscus is too less. On the contrary, older people are prone to injuries and even simple irregular movements like squatting and even osteoarthritis may result in meniscal tear.

 

Symptoms of Meniscal Tear

• Wear and tear on bones
• Locking and popping of the knees
• Tenderness of skin on the knee  
• Inflammation and swelling around the ankle.

Non-Surgical Treatment

Initially, proper rest, ice packs and pain relievers are used to reduce the pain and swelling in the knee. And if the knee is locked or the meniscus is torn, the only viable solution is to move for a surgery at the earliest. Patients with degenerative tears are likely to settle with right treatments such as anti-inflammatory medication.  

Surgical Treatment

Arthroscopic surgery for meniscal tear in India is too common nowadays. A few incisions are made in such a way that a small camera/arthroscope can be inserted into the joint. And another incision is made for inserting other surgical instruments to remove or repair the torn portion of the meniscus as well. Metal implants may use to support the repaired joint. Bandages are used to cover the area where the incisions are made.

Meniscal repair treatment in Secunderabad offered by Kasturi Multispeciality Hospital is one of a kind and delivers holistic care at affordable cost. The best Arthroscopic surgery for meniscal tear in Hyderabad is provided by them.

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How To Control Osteoarthritis?

Joint related issues like osteoarthritis keep increasing day by day in India. Here is a brief description about the different treatments for osteoarthritis.

What is osteoarthritis?

 

Osteoarthritis results in the inflammation of the joint due to the cartilage degeneration. It is a long-term disease that doesn't have an exact cure but can be controlled by various treatments. The management of this disease on a long-term basis will depend on certain factors:

• Improving joint movement and flexibility.
• Controlling the symptoms like pain and stiffness
• Maintaining your weight by a healthy diet
• Proper exercise

 

What are the popular treatments for osteoarthritis?

Over-the-counter medication and prescriptions:

These kinds of medications can help in relieving pain and stiffness to an extent.

Acetaminophen (Tylenol): It is an OTC medication that can be used by those having mild to a moderate condition of osteoarthritis.

Hyaluronic acid: Your doctor might prescribe the medication in case of severe osteoarthritis. The acid can act as a joint replacement fluid, and in turn acts as a lubricant and shock absorber.

Viscosupplements: Viscosupplements are injected to the knee to act as a lubricant by replacing the diseased knee fluid. Similar to the fluid found in the joints. Viscosupplements are gel-like substances making the joint movement easier and more flexible.

Surgeries for osteoarthritis:

Surgery is the ultimate option to find relief if you are suffering from severe condition of osteoarthritis.The different types of surgeries of osteoarthritis:  

Arthroscopic surgery:  Arthroscopic surgery is a minimally invasive technique used to cure knee-joint issues. People under 40 are the candidates apt for this kind of surgery.

                     
Osteotomy: In order to reduce the pressure in the injured or affected part of the joint, and correct the alignment of bones, the procedure involves cutting of bone.

Joint replacement: Joint replacement surgery is a complex surgical treatment where the injured or affected part of the joint is replaced with an artificial part.

Are you suffering from osteoarthritis? Why not get treated by the best doctors in the country?

Searching for the best arthritis doctor in Hyderabad? Visit Kasturi Multispeciality Hospital, Hyderabad, one of the best orthopedic hospitals in India. The hospital has a team of proficient orthopaedic surgeons who are well experienced in the field. So, what are you waiting for? Book an appointment today itself with the best hospital for osteoarthritis treatment in India.

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Get Back To Motion With Endoscopic Spine Surgery

Herniated discs are becoming a common issue among masses. Studies show that there are 10 million cases of herniated discs per year in India only! A herniated disc refers to a certain condition which results in the rupture of the central portion of the disc. Discs are basically pads that serve as cushions between the vertebral bodies that minimize the impact of movement on the spinal column. This condition is treated via various surgical methods but endoscopic spine surgery has become popular over the years.

What is endoscopic spine surgery?

Endoscopic spine surgery has brought in a revolution in the field of spine surgeries. It is a minimally invasive surgical procedure. Unlike the traditional spine surgery, where the patient's back is cut open before operating on the spine, the endoscopic method demands no such thing. In this procedure, the surgeon inserts an advanced surgical instrument through a small incision made on the skin and the surgery is performed with the assistance of an advanced endoscope instrument and x-ray guidance. The x-ray termed as fluoroscope is used to ensure that the exact path is taken to reach the affected disc. A tubular retractor is placed on the bone surface and procedure is performed with the help of the instrument. A nerve retractor is also used to separate nerve from the damaged disc. The surgeon then removes the herniated portion of the disc, cleanses it and the nerve is returned to the normal position.

At the end of the procedure, the retractors are removed which in turn allows the tissues to enclose the surgery area.

What are the advantages?

Compared to traditional surgical methods, endoscopic spine surgery offers a lot of advantages.

•  Only a small bandage is needed to cover the incision area.
•  Minimally invasive surgical procedure.
•  Minimal damage to the tissues
•  Almost no blood loss.
•  Higher efficiency, lesser complications, and quick recovery.
•  Can be done in an outpatient setting, hospital stays not required.

Are you looking for an effective treatment for your herniated discs? Do visit Kasthuri Hospital, for we have a team of experienced surgeons who perform the best endoscopic spine surgery in Telangana.

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Feel Free With Total Shoulder Replacement In Hyderabad

The shoulder has a wide and adaptable scope of movement. At the point when something turns out badly with your shoulder, it hampers your ability to move freely and can bring about a lot of pain and inconvenience. Shoulder pain may begin in the joint itself, or from any of the many surrounding ligaments, muscles or tendons.

Causes of Shoulder pain

Various factors and conditions can add to shoulder pain. The most pervasive cause is rotator cuff tendinitis. This is a condition described by inflamed tendons. Some of the time shoulder pain is the result of damage to another location in your body, usually the bicep or neck. This is known as Referred Pain. Referred pain for the most part doesn’t deteriorate when you move your shoulder.
Other reasons for shoulder pain can be torn cartilage, or a torn rotator cuff. Swelling of the bursa sacs or tendons can likewise bring about pain. Some individuals create bone spurs, which are hard projections that generate along the edges of bones. Total Shoulder Replacement is the best option for all theses cases.

Total Shoulder Replacement

Total Shoulder Replacement Surgery, also called Total Shoulder Arthroplasty (TSA), is a successful strategy for treating serious shoulder pain and stiffness that regularly come towards the end phase of different types of joint inflammation or degenerative joint disease of the shoulder joint. The main objective of Shoulder Replacement surgery is faster pain relief, with a secondary advantage of restoring movement, strength, function and helping with returning patients to an activity level as close to normal as possible.

Candidates for Shoulder Replacement Surgery

* Patients with severely fractured or broken shoulder
* Rheumatoid Arthritis
* Patients with bone-on-bone osteoarthritis
* Intact rotator cuff tendons
* Patients with shoulder discomfort, joint dysfunction and minimum ability to perform daily activities
* Wear and tear of shoulder joint over time
* Badly damaged or torn tissues in the shoulder
* Failed physical therapy and analgesics treatment
* Tumor in or around the shoulder

Best place for Shoulder Replacement Surgery

Kasturi Multi speciality Hospital in Secunderabad provides effective treatment for Total Shoulder Replacemnt surgery in Hyderabad with the best orthopedic Specialist in telangana at affordable cost with well advanced technology.

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Rotator Cuff Banner The moment you tear it is the moment to repair it

Decreased range of motion? Unable to move shoulder joint? The shoulder joint a stumbling block in your career? You can choose the right method whether it is a surgical or non-surgical depending on the severity of the pain.  

A Rotator cuff is a common injury often happens in sports like baseball or tennis or jobs like painting or cleaning windows.  It usually happens with wear and tear or repeats the same arm motion over and over. There are two types of rotator cuffs tears a partial and a complete.  The rotator cuff is made up of four muscles namely supraspinatus, infraspinatus, subscapularis and teres minor.These muscles help move and stabilize the shoulder joint so damage to any of these muscles and the ligaments that attach these muscles to the bones can occur because of acute injury, chronic overuse or gradual aging. 

Symptoms of rotator cuff tear

• Deep ache in the shoulder
• Disturb sleep when lying on the affected shoulder
• Arm weakness 
• Difficulty to reach behind the back
• Severe pain while resting, lifting or lowering arms especially at night
• Limited movement
• Swelling
• Stiffness and crepitus sensation in the shoulder.    
• Catching
• Locking 

Causes of rotator cuff tear

Acute tear –It is due to fall down on outstretched arm or lift something too heavy with a jerking motion 

De-generative tear-Age, repetitive stress, lack of blood supply and bone spurs are the causes of degenerative tear

Diagnosis of rotator cuff tear

The diagnosis is done with a history of the injury, physical examination, MRI, ultrasound, and x-rays

Factors Affected

1. Age
2. Certain sports
3. Family History
4. Construction jobs

How to prevent rotator cuff tear?

Shoulder stretches and strengthening exercises will help

Strengthen the muscles in the back of the shoulder and around the shoulder blade to optimize shoulder muscle balance.

Treatment 

Non-surgical treatment includes rest, activity modification, non-steroidal anti-inflammatory medication, strengthening exercises, physical therapy and steroid injection.

Surgical Treatment 

If the pain and symptoms persist then doctor suggests for surgery. The surgery includes reattaching the tendon to the head of the humerus (upper arm bone).  Some other non-invasive surgical methods are also available; they are open repair, arthroscopic repair, and mini-open repair.  

Pain Management and Rehabilitation

Medications are prescribed to reduce pain.  Rehabilitation program plays a crucial role in regaining shoulder strength and motion.  Immobilization, passive and active exercises are coming under rehab program.

The best quality treatment is provided by Kasturi Multispeciality Hospital according to patient needs.  Dr. Sushanth is the orthocare physician known for his skill and experience.  All treatments including diagnostic and laboratory facilities are under one roof according to the convenience of patients.  The hospital is known for rotator cuff treatment.

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