Author: Amandeep Hospital

Sports and Exercise after Joint and Hip Replacement

A hip replacement or a joint replacement might be the ticket to a relative healthier and more active lifestyle. Dr. Avtar Singh, the best joint replacement surgeon in Amritsar, advocates that people can resume to most of the sports and activities that they found painful and complicated to do before the surgery. However in most cases, one can return to his/her normal activities after about 12 weeks of time. But the word of caution here is, you should consult your doctor or joint replacement surgeon before embarking upon any new sport or physical activity.

Besides this as the best hip replacement surgeon in Amritsar, Dr. Avtar Singh has gained immense experience in this medical field by performing quite a number of surgeries. Therefore, as per his experience for successful and complete healing, one needs to put efforts to regain the strength, but under the supervision of your respective surgeon. Subsequently, below given are a few instances of low-impact sports and activities that you should be able to perform, once you have recovered from your surgery.

3 exercises that help you feel better after hip replacement or joint replacement

Just after your joint replacement or hip replacement surgery, while you are recovering, Dr. Avtar recommends performing some of the simplest exercises. You can also do these, even when you are still in the hospital. Post the hip or joint replacement surgery, contraction of the leg muscles might seem like a habit. These exercises will aid your body in getting back to its normal functionality.

The main reason behind these exercises is to amplify the blood flow throughout the legs, which further reduces the swelling and helps you recover faster. Some of the easiest and effective post-operative surgeries are laid down which can be performed after both hip replacement surgery and joint replacement surgery.

Arc- Quad Exercise

Just lie flat on your back on the floor and place a rolled cloth or towel beneath your ankle. Now press the ankle downwards against the towel. You will observe your knee getting straightened and then you can slightly raise off the surface on which you are lying. Now prevent the bouncing motion and try to hold the erected position for at least 5 seconds. Following that you can relax your leg. Try to repeat this exercise at least 10 times.

Hamstring Contraction

In this exercise, you are supposed to lie on your back and curve your knee at an angle of 10-15 degrees with your feet placed on the floor. Now let your legs stay still and then press your heels into the floor. This movement will make your hamstring muscles contract. Now hold this position for at least 5 seconds. And then relax and repeat this movement 10 times.

Ankle Pumps

Again lie on your back on the floor. Then bend your foot back and forth with your toes pointing downwards. This exercise will enhance the flow of blood through the legs which again helps in reducing the swelling and accelerate the healing process.

Post Surgery Sports

With proficiency in surgeries and being the best joint replacement surgeon in Punjab, Dr. Avtar Singh does not recommend high-stress sports to be pursued after the joint or hip replacement surgery. On the contrary, those who engage in high-intensity sports such as hockey, jogging, mogul skiing, soccer, gymnastics and rock climbing are most prone to wearing out, breaking or loosening of the artificial joints.

As per the experience of Dr. Avtar Singh, those who are below 50 years and have undergone a replacement surgery, exhibits that 95% of them stay intact even after 10 years of the operation. Subsequently, there are certain low-intensity sports that one can pursue after the surgery. These are:

Golf

It is considered to be a great way to walk and exercise most of the muscles both in the upper and lower part of the body. One should prevent from wearing spikes that have the risk of getting caught in the ground. Also while playing golf one should also ensure to maintain a good balance while striking the ball.

Moreover, sufficient warming up session should also be performed at the driving range before playing golf. And once you get on the course do not forget to use the golf cart. But you should always remember to consult your doctor if you experience any issue while playing this sport.

Rowing

Yet another sport to get your upper body and heart in good shape is rowing. It places really minimalistic stress on your joints and hips. Just ensure that you have set your seat on the machine appropriately to make your knees bent at 90 degrees or more.

Bowling

Although bowling is a safe sport to play after the surgery, you should always make a point to use a lightweight ball to lower the stress on the joints and hips. Also make sure, that if you feel any pain, just stop bowling right away and seek the doctor’s advice.

Double Tennis

This is a kind of sport that needs very less movement than that in singles. Therefore it is a great exercise without undue stressing on the joints or hips. In most of the cases, one can start playing tennis after 6 months of the surgery. Just ensure to abstain from running and playing your games low-impact.

Dr. Avtar Singh’s Piece of Advice

His experience in this medical stream professes that more than 90% of his patients who had undergone joint replacement surgery or hip replacement surgery experience very little or almost no pain with a feeling of overall improved quality of life. A consistent and prescribed workout and sports can help the patients monitor their weight and also reduce the wear and tear of the artificial parts implanted.

But as a word of caution Dr. Avtar Singh also advocates that rushing into activities even before the complete recovery might lead to an array of complications. Therefore it is highly important to adapt to your routine slowly and gradually to create your way to an extensive workout routine.

How Does Weather Affect Arthritis and Knee Injury

Have you ever felt pain in the knee injury that you have ever had in your joints with the changes in the outside weather conditions? Weather conditions are one of the common reasons to blame for arthritis and knee injury pain, and many doctors also believe that people do feel the pangs of pain during the cold or rainy season.

According to Dr Avtar Singh, one of the best doctors for joint pain treatment in Amritsar states that barometric pressure or the pressure of the air can be one of the factors that impact the joints. Perhaps, other conditions such as humidity, precipitation, and temperature are also to be blamed sometimes. Therefore it becomes quite complicated to identify exactly what is with the weather that makes people encounter the pain when it is cold, rainy or humid outside.

How Weather May Affect Arthritis?

Although scientists have toiled hard to arrive at a substantial connection between the joint pain and the weather, to date there has been no exact reason to state. This could be because of the inadequacy of the information received that cannot be relied upon to estimate the link. But with substantial experience in joint pain treatment, Dr Avtar Singh believes there is a connection to a certain extent. This is because he has witnessed people suffering from arthritis facing joint pains as they might be sensitive to the modifications in barometric pressure.

Now the question is How? It could be due to wearing out of the cartilage that pads the bones present inside the joint. It is then that the nerves are left unsheltered that further reacts to the changes in the pressure. Moving further, the other reason could be the expansion and contraction of tendons, muscles and any scarred tissue due to the alterations in the barometric pressure. This further gain leads to pain in the joints that are affected by arthritis. Moreover, low temperature is another factor that thickens the fluid in the joints that makes the joints even stiffer. According to the orthopaedics doctor, people also encounter more pain when the weather does not let them move around as much as they do in a regular routine. However, people prefer staying indoors and loaf around when it is too cold or raining outside, which further stiffens their inactive joints which further leads to pain.

How Weather May Affect the Knee Injury?

Since Dr Avtar is a celebrated name among the doctors who provide the best knee pain treatment in Amritsar, he has been consulted for a lot of knee injury and replacements. Therefore his experience in this medical stream has helped him establish an idea that it is the atmospheric pressure that can be a reason for old knee injury pains during the modulations in the weather conditions.

There are a number of patients who seek his advice for knee pain treatment for their old knee injuries that ache. However, a number of researches have showcased that the atmospheric pressure can be a reason as it might travel to the gap within the joints. Therefore, it is a possibility that people with damaged cartilages due to any previous knee injury, have some gap left which allows the pressure to travel to the bones beneath the cartilage which further leads to pain in the affected area, as it contains pressure receptors and pain receptors.

Knee Injury/Arthritis Pain and Weather: What Can be Done?

So far we have learned the possible reasons for weather flaring up the knee injury and arthritis pain. However, if you believe that some big front is coming up, you consult your doctor and get on medications as prescribed, well in advance. But the fact is the scientific ability to forecast the climatic conditions, enables you to treat and manage your pain well in advance to keep you in a comfortable state. Although the science is not able to establish a concrete relationship between weather and joint pain, the experience of many orthopaedics doctors state that the connection is valid to a certain extent.

Consult Dr Avtar Singh For Best Joint Pain Treatment in Amritsar

It is a fact that medical myths die hard. In truth, some appear to be immortal. However, one can argue upon what they state. This is because the medical myth of yesterday is only a discovery away from evolving as the future’s medical fact. Still, when the patients turn up to Dr Avtar Singh for their joint pain treatment, he believes to better let go off what has been disproven and give more weight to the evidence than a myth, and stay open-minded – in case the evidence alters.

When his patients seek his medical advice by reporting him that they can predict the weather by how their joints feel, he believes them. It is hard to discourage it when most of the people observe a connection. Therefore, it is the evidence that makes Dr Avtar Singh stay sceptical about the weather and arthritis condition before prescribing any treatment or medication to his patients. This is the unique diagnosing feature of Dr Avtar that makes him the best orthopaedics doctor in Amritsar.

Hip Arthritis Treatment – How to Relieve Hip Pain

One of the most common reasons why people encounter hip pain is arthritis. It is a dynamic issue, which implies that it normally begins gradually and deteriorates with time. The term arthritis in the real sense means inflammation of the joints.

There are various sorts of arthritis that can impact your hips adversely. Therefore, the treatment also differs for different types of hip arthritis.

Different types of Arthritis

There are in total of 5 types of arthritis that may affect your hip joints. These are:

• Osteoarthritis
• Rheumatoid arthritis
• Ankylosing spondylitis
• Systemic lupus erythematosus
• Psoriatic arthritis

However, Dr Avtar Singh, the best orthopaedics doctor in Amritsar states that there is no cure for these types of arthritis, yet there are ways to treat the pain and other relevant symptoms.

Osteoarthritis

Osteoarthritis signifies “arthritis of the bone” and is the most widely recognized type of arthritis. It is regularly portrayed as the aftereffect of wear and tear of the joints, which clarifies why it is more typical older people as compared to the younger people.

The hip joint comprises of the ball like the end of the thigh bone which fits into the hip socket. The ball-and-socket joint is lined with a smooth ligament that helps in the flexibility of the joints. In case the smooth ligament disappears, the rest of the hard surfaces of the ball and the socket grind against each other leading to pain. After some time, osteoarthritis may either decline or damage the joint permanently.

Rheumatoid Arthritis

Rheumatoid arthritis not only affects your hip joints but the complete body. The aggravation is identified with an immune system’s reaction instead of wear and tear.

Similar to other body joints, the hip joint is completely secured with a specific capsule. This capsule exceptionally lines and is includes a joint liquid that helps in the easy movement of the joints.

This arthritis also leads to a specific swelling of the synovial lining. This further leads to pain and swelling, yet in the long run, rheumatoid can cause the decaying of the joint’s bone and ligament.

This type of arthritis can happen in individuals of all ages and is more typical in ladies than men. In contrast to osteoarthritis of the hip, which may happen just in one hip, arthritis normally happens in both the hips simultaneously (and potentially different joints). It is additionally connected to drowsiness and weakness.

Ankylosing spondylitis

Inflammation of the spine and the joint where the pelvis and the spine meet is known as Ankylosing spondylitis. This further leads to hip joint inflammation. This can attack people from any age group, including children. Men are more prone to this type of arthritis than ladies.

Systematic Lupus Erythematosus

Systematic lupus erythematosus is yet another kind of arthritis that is caused by the disorder of the immune system and affects the body parts, including the hip joint. In case arthritis hits the hip, inflammation, and damage to the joint are possible. Lupus can hit the people of any age and is however most normal in ladies who are of 15 to 35 years of age.

Psoriatic Arthritis

As the name sounds, this sort of arthritis is identified with the skin condition psoriasis. It leads to pain in the joints, swelling, and inflexibility, and other body parts including the hip. Many people with psoriatic arthritis initially have a skin problem (red patches on the skin) however it is possible to develop arthritis even before they encounter skin problems.

Treatment For Hip Arthritis

Dr. Avtar Singh, the best hip replacement surgeon in Amritsar recommends the treatment considering the specific kind of arthritis the patient is suffering with.
Non-surgical treatments for hip arthritis include:

• Anti-inflammatory medicines
• Specific injections to curb the joint inflammation.
• Exercises and physiotherapy to improve flexibility, develop strength, and keep up muscle tone. For example, swimming is an amazing exercise for people with hip arthritis.
• Different devices such as sticks or walkers to make it simpler and more secure for you to walk.

Modifications in the lifestyle can help lessen the side effects of hip arthritis. These include:

• • Keeping up a healthy weight
  • Suitable management of the pain
  • Changing exercises to limit stress on the hip
  • Exercising to establish strength

Numerous people with hip arthritis are for hip surgery. The best hip replacement surgeon in Amritsar, Dr. Avtar Singh assures reduction in pain, up-gradation of quality of life, and improve your capacity to perform regular activities with less or no confinements.

• • • However, Dr. Avtar Singh being the best robotic joint replacement surgeon in Amritsar recommends total hip replacement surgery only when the hip joints are seriously damaged.
    • Osteotomy surgery is considerable in less serious cases. In this surgery the joint surfaces are relocated to allow the solid part of the hip joint to bear the maximum weight of the body.

Where to get the best hip treatment in Amritsar?

As a matter of fact, hip arthritis is not completely curable. It starts gradually and deteriorates with time. In the due course of time, every type of arthritis damages the hip joints permanently.

Therefore, if you too are encountering any such inflammations or pain in the hip you should definitely seek the medical advice from Dr. Avtar Singh, the best hip treatment doctor in Amritsar.

Top Symptoms that Identifies you Need a Joint Replacement

An ailing knee or hip can make life miserable. Even if your surgeon or doctor recommends it be replaced, you need to carefully consider the complications and benefits before agreeing to this major surgery and understand that it will require accurate rehabilitation to get back on your feet. The most essential point in choosing to have a knee or hip replaced is how much it hurts and how much it is affecting your daily activities. Here are some signals that it’s time to have a knee or hip replaced. These signs may indicate hip arthritis or be symptoms of other problems. The best way to accurately diagnose the condition of your knee or hip is to speak to a specialist and have an x-ray.

Hip Or Knee Pain

Pain during exercise

Soreness during or after exercise or pain that disturbs your daily activities could be a sign of hip arthritis. The pain is normally localized between your hip and knee. If the pain is lower down towards the ankle then it can be a back problem. While suffering from pain, some people rely on a walking stick or compensate with a limp. Others regularly take some medications to deal with the pain. You should not become fully dependent on these things.

Pain at night

If hip or knee pain makes difficulty in sleeping or you wake up because of pain caused by your night movements – consult with someone about it. There are a number of hip or knee-related problems that can affect your precious sleep.

Stiffness

Difficulty putting your shoes or socks on is a common signal of stiffness in your hip or knee, especially if one foot is more difficult than the other. If you are facing this problem continuously, you should consult a specialist.

Pain while walking

If severe hip or knee pain stops you from walking normal distances for you, then speak to a specialist. For some, being able to walk comfortably to some distance is sufficient. If you are not able to complete a five-mile walk is unthinkable. It all depends on your lifestyle. In an injured hip, the ends of the bones rub against each other without any form of cushioning. This causes severe pain for the patient. It’s essential to consult a specialist to find out if you’re a candidate for hip or knee replacement surgery. If you’re facing the following problems, you will probably be recommended for surgery:

• Pain that stops your walking or bending the joint
• Stiffness in the hip or knee that prevents your movement
• Pain while sleeping or taking rest.
• No benefit from non-surgical treatment methods.

Difficulty in standing on a single leg

If you find difficulty in standing on your problem leg for longer than a minute – even with the support of something for balance, then you can have a problem with your hip or knee. There are some other physical activities you can try at home to see if you could benefit from knee pain treatment.

Other diseases or conditions

There are many diseases and problems that can cause a hip injury severe enough to warrant a hip replacement surgery. If you’ve experienced any of the following conditions, you may require a hip or knee replacement surgery:

• Arthritis can cause the problem of inflammation and results in cartilage wearing away. Without the cartilage, the ends of the bones rub together without cushioning and they start to wear down. Surgery is required in advanced cases of arthritis where the bones are critically worn down.
• Avascular necrosis happens when the blood supply to the femoral head is restricted due to an injury like a dislocation or fracture.

Choose the Right Treatment

There are Finding the right doctor or consultant and hospital can make a big difference to the success of your surgery. In general, you’re likely to have better outcomes and fewer risks if your joint replacement surgeon performs the operation at least 100 times a year and operates in an organization where surgeries are done regularly. If it’s clear that joint replacement is a nice option, the following questions can help you decide whether a particular doctor or surgeon is right for you:

• Are you board-certified in orthopaedic surgery?
• Are you fellowship-trained?
• How often do you perform this operation?
• What kind of outcomes would you expect for someone in my condition?
• May I consult any of your patients who have had this surgery?
• What complications arise, and how do you deal with them?
• Do you usually work with a particular physiotherapist or rehabilitation centre?

Consult Dr. Avtar Singh – the best knee replacement surgeon in India

If you are unable to bend or straighten your knees could be a sign that it’s time to consider joint replacement. Dr. Avtar Singh, the best hip & knee replacement surgeon, is dedicated towards the diagnosis and treatment of joints, bones, ligaments, muscles, and whatnot. Without any doubt, he is the most respected and renowned surgeon in India The doctor and his team always take complete responsibility for patients’ care, health, and prosperity. Don’t live a painful life, consult the most experienced team of specialists and get your joint-related problems expertly solved.

Why Bones Don’t Heal: Risk Factors for Nonunion of Fractures

Even by getting the best surgical or nonsurgical treatment, sometimes broken bones do not heal. The bones need adequate stability, blood supply, and proper nutrition for healing, and in cases when requirements do not fulfill, it leads to the imperfect healing process.

There is one basic rule for the treatment of broken bones for which you should manage the right position without moving out of place until broken pieces of fracture heal. Depending upon fractures, you can maintain the stability of your surgical area by the cast, or sometimes it requires devices like plates, rods, screws, and frames. But if anyone does not pass on stability factors, this can interrupt the healing of bones.

Further, blood delivers the components like oxygen, healing cells, and the body’s chemicals required for healing to the fracture site. If blood supply is not suitable for the injured bone, then it can slow down the healing process.

Thirdly, broken bones need adequate nutrition to heal. If someone is having a deficiency of a well-balanced diet that includes vitamin C, vitamin D, protein, and calcium, then it can affect the healing process.

When bones fail to heal due to certain risk factors, it is called nonunion of fractures, and fracture that takes longer than usual to heal is known as “delayed union.”

Various Other Risk Factors For Nonunion Of Bones

Nonunion of a fracture can be a result of various factors such as malnutrition, osteoporosis, diabetes, and nicotine usage. Besides, risk can also be due to biomechanical instability, infection, vascularity, and reduced bone contact.

Malnutrition and vitamin deficiency

Protein malnutrition leads to the nonunion of bones by affecting callus composition to create a problem in the process of fracture healing. Similarly, deficiency of Vitamin B6 causes changes in bone to create an imbalance in the coupling between osteoblasts and osteoclasts, eventually delaying the process of healing.

Diabetes

According to a study by Perlman and Thordarson: 28 percent of diabetes patients shown nonunion state from 88 patients with ankle fusions. The implication of a possible cause of nonunion was sensory neuropathy.

Moreover, according to the report of Morgan et al. .5, patients having neuropathy before operation accounted for a 95% arthrodesis rate and failed to obtain fusion. The study of Frey et al.6 also blamed diabetes for the nonunion of ankle fusions. As such, we can conclude that diabetes is a risk factor for the nonunion of bones.

Osteoporosis

Osteoporosis disease reduces the density and quality of bone. Change in metabolism in osteoporosis causes a delay in callus maturation and fracture healing.

Cigarette smoking

Although studies do not reveal any clear association between smoking and bone mass, it is still evident that smoking contributes to osteoporosis and osteoporotic fractures. Patients who were Smokers are having a 5–10% bone density deficit than non-smoking patients.

Bone infections

Bone infection can result in puss and gap in bones to cause fracture of nonunion. Even devices implanted can loosen due to reduced bone quality by inflammation and difference in bones, eventually causing nonunion.

Inadequate vascularity

Vascular damage can render the failure of skeletal repair. The inadequate blood supply in open fractures due to loss of soft tissue causes damage to nutrient vessels. Diminished vascularity may prevent fracture union during the first three weeks after fracture.

Biomechanical instability

Fracture repair can influence due to the biomechanical instability at the site of fracture fixation. If fixation is less rigid, then it can increase the healing time of fractures. Alternatively, Initial mechanical stability to the bone fracture is necessary for early callus formation, increased vascularity, and tissue differentiation to result in faster fracture union.

Poor contact of bones

Undoubtedly, bone-to-bone contact is a vital requirement for healing fractures. Poor bone-to-bone connection leads to high strain and creates severe defects to be bridged by a fracture repair process.

Poor bone-to-bone contact at the fracture site can be due to factors like malalignment of fracture fragments, soft tissue interposition, the distraction of the fracture fragments, and bone loss. With the increase in defect size, there is a reduction in the chances of fracture union.

Factors during treatment

Some factors during treatment or orthopedic surgery can lead to nonunion of bones:

• Excessive stripping of the periosteum
• Damage to the soft tissue, blood supply during implant or fixation device insertion
• Damage to the bone

About Dr. Avtar Singh

• Dr. Avtar Singh is a chief orthopaedic and joint replacement surgeon practising at the Amandeep group of hospitals.
• Currently, heading the largest team of orthopaedic surgeons in the region, he has the experience of over 1.25 lac orthopaedic surgeries.
• He is the first doctor in North India to perform Robotic knee replacement surgery and is also the world’s first Punjabi surgeon to perform robotic knee surgery.
• Under his command, the largest team of orthopaedics in North India works that is substantial to provide appropriate treatment for nonunion of fractures.
• Having all the facilities of a trauma center, Dr. Avtar Singh also has amenities like an X-ray lab, ultrasound with a high-resolution, laboratory for investigation, and a CT scan.
• Our departments for Sports injuries, pediatric orthopaedics, foot and ankle injuries & rheumatoid Arthritis provide specific and comprehensive treatment to the patients and help them recover faster.
• We know that prevention is better than cure, so our proficient orthopaedic doctors are always available for counselling to help you with your bone fractures.
• By fusing the benefits of advanced technology with the clinical awareness of our leading specialists, we are serving the community for health services.
• If you are having any bone fracture, give us a call, we are the number one orthopaedic hospital that takes the onus to cure people suffering from nonunion of fractures.