Q 1). What is the difference between shoulder Arthritis and frozen shoulder?
Ans). One of the commonest problems which we see in the shoulder in FROZEN SHOULDER. Frozen shoulder is usually seen in persons between 40 to 60 years of age. If the joint is ok but the capsule around the joint becomes infringed, the shoulder becomes stiff and the movement causes pain.
Most of the time the problem starts spontaneously on its own without any reason. It is a self-limiting disease. If you don’t give any treatment then it also heals itself but that takes a long time (around 1 ½ -2 years). But if treated properly with exercises, physiotherapy and medication that it can be treated within 2 – 3 months.
Whereas SHOULDER ARTHRITIS is degeneration of the shoulder joint. The cartilage around the shoulder joint gets degenerated and the joint is damaged because of wear and tear. Shoulder Arthritis is seen in elderly people around 60 to 80 years of age. In this case the joint becomes permanently damaged. It may recover with exercises, medication and if that doesn’t help it may require KNEE REPLACEMENT
Q 2.) Why is rotator cuff surgery so painful?
Ans.) Rotator cuff surgery is usually seen in elderly people and it is of degenerative nature. Because of poor vascular supply, the rotator cuff becomes inflamed, gets torn and most of the time it gets degenerated without any injury. In young persons, the rotator cuff is torn when there is an injury. In elderly persons, Rotator cuff injury happens because of degeneration. Rotator cuff surgery is usually arthroscopic surgery wherein we make 3-4 small keyhole incisions and through our camera we repair the rotator cuff. Here the results are very good but the biological healing takes around 2-3 months. So till that time there is some pain and stiffness. When done with proper technique, it’s not that painful and usually gives very good results.
Q 3.) What are the other treatments for rotator cuff tear other than surgery?
Ans.) The rotator cuff tear can be of various grades. It can be a small tear, medium tear or a large great tear. A medium or a large tear requires surgery as it won’t heal on its own and will gradually progress . The torn rotator cuff retracts back and it becomes difficult to bring it back. So that definitely requires surgery. But small tears can be managed conservatively with physiotherapy, strengthening of muscles around the shoulder or pain medications. In fact, there are many patients who have tears but no symptoms. That doesn’t mean that all tears require surgery. Only those tears which are causing pain and problems to the patient require surgery.
Q 4.) What is the best way to recover fast from ‘ Rotator cuff surgery ’ ?
Ans.) When we do rotator cuff surgery, we put the torn rotator back to its footprints and we try to restore the anatomy. we can only fix the tear and not heal it. Healing is a natural process. It normally takes two to three months and we cannot fast forward it.Everything depends on how well you fix the tear . If the tear is fixed properly , the healing is better. I always tell my patients that I will fix it but god will heal it.That will take around three months .
Q 5.) What muscles make up the rotator cuff ?
Ans .) The rotator cuff is a group of muscles that surround the shoulder joint. It is made up of four muscles – Subscapularis (in the front) , Supraspinatus (in the top ) , Infraspinatus and Teres minor (behind ). These four muscles surround the shoulder joint and are responsible for its movement and stability.
The term “Arthritis” refers to inflammation of the joints. The primary symptoms of arthritis are pain, swelling, and stiffness. Any joint of the body may be affected but the primary affected part is the knee.
Many people affected by Arthritis have opted for knee replacement surgery. Knee Replacement surgery is nowadays very effective and convenient because of new technologies that play a key role in the surgery. The latest advanced technology is Robotics Knee Replacement surgery in which the surgery is done using a robot.
The longevity of the implant depends on its precise placement- it has to be placed in the perfect mechanical alignment so that forces are balanced and the implants can last longer.
In the traditional method, previously, there are some jigs, which we used which helps in taking cuts for the placement of the Implants - but there can be human errors in placing Jigs and taking cuts. All of these things can be avoided with Robotic Knee Replacement.
Benefits of Robotic Knee Replacement Surgery
The cuts are very precise
The positioning is 100% Accurate
Implants are perfectly placed
Implants Lasts longer
There is Less Bone Loss
Less Blood loss
Fast recovery
To book an Appointment for Robotics Knee Replacement, call us or book online at 7070424242 or visit: https://delhiarthroscopy.com/
As the Medical field is successively growing, we are trying to adopt new technologies for Our patients to improve the outcomes. Traditional Knee Surgery implies a direct surgery from an orthopedic with the use of a prosthesis that includes the replacement of a damaged knee by accessing and seeing the joint through a large vertical incision. Robotic Knee Surgery implies the term in which doctors employ a robotic surgical arm to perform parts of the treatment, and assist the areas in which the doctor’s hand cannot navigate the small places.
ROBOTIC KNEE REPLACEMENT V/S TRADITIONAL KNEE REPLACEMENT
If we Compare Robotic Knee Surgery is better than Traditional Knee Surgery. With Robotic Knee Replacement Surgery, we are getting good results but the Challenges are increasing day by day. As we are getting Younger Patients, they want to get better quickly and implants to last longer. So here is the role of Robotic Knee Replacement. It helps in the longevity of the implants and in its perfect placement between the bony cuts. When we use Traditional Knee Replacement surgery for implanting the alignment with the help of special Jigs in the bony cuts, it may have human errors but in the case of Robotic Knee Replacement Surgery, human errors can be eradicated.
In Robotic Knee Replacement, Firstly, we take a CT Scan of the patient’s limb and calculate the accurate placement of the implant. So it helps in planning & perfect execution of the plan to increase the longevity if the Placement of implants fits Perfectly. Secondly, it may cause less bone loss, Soft Tissue will be less damaged and recovery will be faster and reduce the pain.
Knee replacement it is a very rewarding surgery in terms of pain relief and improving the functional ability of the patient suffering from knee arthritis. It can correct the deformities in the knees, Increase the walking ability of the patient an in turn helps in improving the overall health of the patient. Despite the obvious benefits of knee replacement there is still reluctance in patients mind to undergo knee surgery because of the perceived pain following surgery. There is a belief in general population that the knee replacement surgery is a very painful procedure and this prevents many patients to take the benefit of this surgery. This may have been true in the past but with the advent of newer techniques and better pain management drugs this does not hold true in today’s times.
The technique of knee replacement has undergone significant changes. Minimally invasive techniques have decreased the size of incision and also causes less tissue trauma which decrease is the pain. Previously the bulky instrumentation required for knee replacement necessitated putting big incisions on the knee joint. But now with smart instrumentation, Navigation or Robotic techniques the incisions have become much smaller. Newer pain relieving drugs are also available which are much more effective without causing any side effects. PCA ( Patient control analgesia) is technique where the patient can control the amount of drug needed according to his need Without causing overdose. Proper physiotherapy exercises and modalities helps in ambulating the patient early and also decreasing the pain. All this technological advancement and newer drugs has made knee replacement surgery very comfortable and almost painless for the patient.
HTO ( High Tibial Osteotomy), – this is an excellent technique for deformity correction and medial compartment. This pic shows 2 months result after HTO. The patient knee has become straight & painless. #kneesurgery #kneearthritis #kneereplacement #drshekharsrivastav #santparmanand #delhiarthroscopy