Blogs



Knock Out Knee Pain at SUNWAY | October 04, 2017

Knee pain Sunway knee clinic is a super specialty centre offering medical and surgical management for all knee problems. This unit of Sunway medical centre was inaugurated 2 years ago by the then Governor of Tamil Nadu, Dr. K. Rosaiah
The clinic has introduced evidence based practice as a formidable tool to decide on treatment strategies. Sunway knee clinic is a one stop centre catering to all needs of patients with knee pain and offers various world class treatments including fast track knee replacement and stem cell therapy to treat them.

FAST TRACK KNEE REPLACMENT

Over the last 30 years advancements in technology, surgical technique and understanding of biomechanics of the knee joint has led to Knee Replacement emerging as one of the most successful Orthopaedic procedures
Fast track knee replacement is a procedure that is less painful and offers faster recovery, no painful physio and trusted results. It follows a multi-modal approach with less surgical time, early mobilization, discharge and recovery.
Investigations and pre anaesthetic check-up is done as an outpatient and patient gets admitted into hospital the night before surgery. A single shot spinal anaesthesia without any additives is used to ensure the patient regains his leg power within 2 to 3 hours. A minimally invasive surgery is performed with a small skin incision, minimal tissue dissection and less blood loss. This decreases post-operative pain and in turn helps in early mobilization and recovery. As a part of fast track knee replacement no surgical wound drain and no urinary catheter is used. This decreases the chance of post-operative infection.
The patient is made to walk with support 3 hours after the surgery. The next day the patient is able to walk independently to the washroom. Ten days after the surgery they can walk without any support.
All knee replacement surgeries are protocol driven. Post-operative pain management and painless self-physiotherapy has made lot of difference in recovery.

HIGHLIGHTS OF FAST TRACK KNEE REPLACEME

  • Faster recovery
  • Minimal (or) no pain
  • Trusted results
  • Zero infection rate
  • No painful physiotherapy
  • Early discharge from hospital
  • Patient can resume social and recreational activates sooner
  • Cost effective

STEM CELL THERAPY FOR KNEE PAI

Platelet-rich plasma (PRP) therapy and autologous conditioned plasma (ACP) therapy, attempt to take advantage of the blood’s natural healing properties to repair damaged cartilage, tendons, ligaments, muscles and bone. Patients are increasingly using PRP directly in the affected joints to reduce pain, improve joint function and possibly slow, halt or even repair damage to cartilage.
Platelet-rich plasma is derived from a sample of the patient’s own blood. The therapeutic injections contain plasma with a higher concentration of platelets than in normal blood.
The platelet-rich plasma injections are an outpatient procedure. Because the patient’s blood must be drawn and prepared for injection, it could take anywhere between 45 to 90 minutes. The blood is drawn from a vein in the patient’s arm into a vial and then processed using a centrifuge machine. The centrifuged platelet-rich plasma injection is prepared by a doctor or technician.
The affected joint area is cleansed with disinfectant and the patient is asked to relax, to facilitate the injection and make it less painful. Using a syringe and needle, the doctor injects a small amount (often just 3 to 6 ml) of platelet-rich plasma into the joint capsule. The injection area is cleansed and bandaged.
After a successful PRP injection, the patient is likely to be prescribed physical therapy. Doing simple exercises to build and maintain strength around the affected joint serves to decrease osteoarthritis symptoms and slow down or halt further joint degeneration.

HOW DOES PRP THERAPY HELP?

  • Inhibits inflammation and progression of Osteoarthritis
  • Stimulates formation of new cartilage
  • Increases lubricant production in the joint
  • Contains proteins that reduce pain by altering pain receptors


67 Year Old Resumes Walking Post a Fractured Knee – A Success Story by Dr. Madan Mohan Reddy | March 20, 2017

Knee pain At Sunway Medical Center, we have a very meticulous, compassionate and empathetic approach towards our patients. While there are challenging situations that come before us when we study patient conditions, but it is unfortunate to learn that many of them happen be due to an uncounseled diagnosis followed by a not the most apt treatment approach.
Here’s a case where a 67 year old female patient consulted Dr. Reddy with severe knee pain and difficulty in normal walking. 16 years earlier, she had a case of trauma which was treated with cast and immobilization at the time. After an evaluation of the X-Ray and relevant blood tests, her standing Knee X-Ray showed malunited fracture distal femur with severe case of osteoarthritis.
The female patient chose to opt for a Total Knee Replacement. The implant installation had to be strategized since a fractured knee is very complicated to replace. Intra-operatively, a non-union fracture distal femur was observed. The knee replacement surgery was optimized in accordance with the patient’s condition, post which the fracture was fixed and the knee implant was successfully installed. The female patient was able to walk (with support) from the very next day. It took her only 3 weeks to completely heal, and start walking without any support at all.

Reference Reports

Knee pain

Pre-Operative Knee X-Ray AP Lateral

Knee pain

Pre-Operative Knee X-Ray

Knee pain

Post-Operative Knee X-Ray AP Lateral

Knee pain

Post-Operative Knee




The Indian HealthCare Canvas – Promising Enough? | February 07, 2017

Knee pain India is a diverse country; with a quick developing population and even more dynamic a developing economy. It has been has been on the rise as to create a new benchmark for itself on the global map of developing nations. This means our expansion is not only skin deep but also promises access to a vast array of technological marvels that were earlier simply out of reach for the typical Indian.
The ongoing digi-banking saga is an eye opener wave where every span of our population is amidst a digital boom. Amidst all other tech rushes is the healthcare sector as well. Patient outreach, awareness & enhanced diagnosis, care and treatment have become the mission anthems for the professionals today. There are several citations to share how technology etc. has changed the scenarios as far healthcare is concerned but here are some facts around osteoarthritis to laud over.
For instance, in India, around 15 per cent people are affected by osteoarthritis which totals to about 18 crore people! And this number is growing by a staggering 1.5 crore annually. Medical innovations from around the world has made medical practices much easier for doctors, more accurate for professionals, affordable and less painful for patients and most of all, reliable for everyone. Prejudices held in the past are no longer valid, thanks to modern procedures. About 85 percent of artificial knees still work after 20 years, and this statistic is for knee implants done in 1996! 20 years later, technology has only improved.
With only 1.9% of patients required to return to hospitals after surgery, the risks have almost diminished and so should the attached apprehensions. There is no longer any fear of loosening of implants, since the modern implants with 7 coatings gel up smoothly between the human bone and tissue. As of 2014, only 10% of patients required attention to their implants after 10 years of surgery. Let’s look forward to a healthier India in 2017! Possible?


Shaily Chowdhary Walks Again after 7 Months of Struggle - A Success Story by Dr. MM Reddy | January 20, 2017

Knee pain Shaily Chowdhary Walks Again after 7 Months of Struggle - A Success Story by Dr. MM Reddy Ms. Shaily Chowdhary, aged 15 years approached Sunway Medical Center enduring excruciating pain and swelling in her right hip. She was unable to walk and had been bedridden since 7 months. Ms.Chowdhary was diagnosed with giant cell tumor of right proximal femur, for which she had undergone tumor excision and iliac crest bone grafting seven months back from a hospital she was getting treatment from. Although the surgery had been successful, she still felt the same unrelenting pain which rendered her unable to walk.

After a few days, swelling started to happen, where after she consulted her local doctor and was again diagnosed with a recurrent locally aggressive giant cell tumor. Eventually for further treatment, she was referred to Dr. MM Reddy. Immediately after an extensive clinical and radiological examination, Dr. Reddy diagnosed it as a recurrent locally aggressive giant cell tumor. Repeat procedures helped identify the measurements for a customized prosthesis.

Ms.Chowdhary underwent surgery on the 4th of October 2016, wherein complete tumor was excised with normal tissue margin and confirmed with an intra-operative frozen biopsy was sent; and a cemented mega prosthesis was implanted. Intra operative period was uneventful. Postoperative pain management was done with femoral nerve block and adequate analgesics. Ms.Chowdhary was able to walk from the very next day, supported by full weight bearing and a walker.

Today, she is able to walk, climb stairs and sit comfortably without any support. Her pain has completely disappeared, and to her delight she continues to enjoy a normal lifestyle. This is just one of the many instances where Dr. Reddy and the dedicated team at Sunway Medical Center has worked through challenging situations, and contributed towards improving the quality of life of the patients.

Reference Reports

Knee pain

PREOPERATIVE X RAY

Knee pain

POST OPERATIVE X RAY



Ageing and Joint Pain | December 26, 2016

Knee pain In our country, back and joint pains are considered to be a part of normal ageing process. Thus, instead of proper treatment, they prefer to go for quick remedies such as pain relieving balms. Neglecting your health can worsen the condition and may lead to serious problems of bones and joints. In addition, our sedentary lifestyle which includes insufficient exercise, improper nutrition may affect the construction of bone mass in the body.

Ageing makes joint movement less flexible and stiffer, as the amount of lubricating fluid inside the joints drop, and cartilages become thinner. Being inactive causes the cartilage to furthermore shrink and congeal, reducing joint mobility. Joint pain may lead to pain, inflammation, stiffness and deformity, which increases with ageing. Joint pain can be unbearable, if left untreated. So if you are experiencing first prickles of joint pain, consult an orthopedic professional for long-term joint health.

Exercise can avoid many age-related changes to bones, muscles and joints, which can reverse these changes as well. Some researches show that exercise can make bones and joints stronger and slow down the rate of bone loss. Routine physical workout can be added to your lifestyle like brisk walking, stretching, jogging, yoga, meditation and aerobics. While ageing cannot be slowed or stopped, there are ways in which the development of joint pain or its side effects can be deliberately reduced by medical intervention.

Some common ailments related to joint pain with ageing are neck pain, lower back pain, knee pain, sciatica nerve pain, bone spurs, frozen shoulders, arthritis, nerve pain which can be treated if diagnosed at the right time.

If bone and joint pain are persistent, one can be educated regarding amending some lifestyle changes with diet control and counseling from an orthopedic doctor.