Shoulder Arthroscopy Treatment and Recovery

SHOULDER ARTHROSCOPY

What is shoulder arthroscopy

Shoulder arthroscopy like knee arthroscopy is an operative procedure wherein the interior shoulder joint is inspected with a 4 mm camera and using one or two similar sized cuts, a variety of surgical procedure can be done.

Why shoulder arthroscopy?

With advances in orthopaedic technology, modern shoulder arthroscopy allows as a patient to get a full, fast and almost painless recovery after surgical procedure. Surgeries that previously required 6 inches long incision, prolonged hospitalization and blood loss can now be managed with small 4mm cuts, day care admission and minimum blood loss. That translates in to a smooth recovery and minimum interference with your daily routine.

Do you require a shoulder arthroscopy?

Yes you do, if you have any one of the following conditions.

• Multiple shoulder dislocations
• Major tears of important shoulder muscles (rotator cuff tears) causing pain, especilaly in the night.
• Extra bone growth in the shoulder pressing on rotator cuff and causing pain & weakness (impingement syndrome)
• Frozen shoulder which has not responded to steroid injections and physiotherapy.

Are there any risks or complications that I must be aware of?

Shoulder arthroscopy is a very safe procedure, but like most surgical procedures, it has its own set of known complications:

• Swelling over the shoulder accommpanies nearly every surgery. This is because we need to pump in saline in to the joint under high pressure to see it properly and some of the saline gets collected around the joint. This will resolve over a week's time.
• Stiffness of the shoulder will be experienced by most patients initial 2-3 months after the surgery, especially if a pair has been done. Gradual physiotherapy will help you regain strength in 3-6 months after the surgery.
• Apart from these, the risks of anaesthesia, infection, bleeding, etc. Are best discussed face-to-face with your treating surgeon.

How long does it take to recover fully?

For the first 6 weeks after the surgery, your shoulder will be kept immobilized in a sling. Gentle exercises called pendulum exercises are allowed in this time period. After 6 weeks the sling is taken off, and gradual movements and strengthening are begun. Its generally takes you till 3 months after the surgery to get back to normally (the above does not apply for frozen shoulder release, where full recovery is expected in 1-2 weeks time).

RECURRENT SHOULDER DISLOCATIONS

Why surgery?

Shoulder arthroscopy in India is most commonly done for multiple shoulder dislocations. The shoulder is the most mobile joint of the human body and this mobility comes at the cost of poor stability. There is a tissue in the shoulder called the glenoid labrum, which acts like a speed breaker and prevents shoulder dislocations. Once the shoulder dislocates in any directions due to trauma (ususlly the front) this speed breaker is torn. That is the reason that once dislocated, the shoulder keeps on redislocating to the tune of 90%, if the first dislocation is sustained below 30 years of age. The patient lives in a continuous fear of his/her shoulder dislocating all the time.

What is done in surgery?

When we operate shoulder dislocations, we aim to reattach the torn portion of the labrum back to the bone (glenoid). This can be done with tiny 4mm punctures, using specialized screws called anchors (generally 2-3), which go deep inside the bone and allow us to stitch the torn tissue properly.

ROTATOR CUFF TEARS

Why surgery?

The rotator cuff is the deep muscle of the shoulder. It is responsible for the smooth movements of the shoulder joints. Patients in whom it is torn are suddenly unable to lift their shoulders, or are only able to do so with considerable pain. The arm becomes weak, and in longstanding cases stiffness and arthritis sets in. There is continuous pain especially in the night, while lying down on the affected side. It generally happens in patients who are more than 40 years old, though young people can also sustain it following an injury due to roadside accidents or sports.

What is done in surgery?

Surgery for rotator cuff tears involves removing a little bit of bone from the undersurface of the shoulder, to create room for the muscle to move smoothly. Anchors are used (generally 2-4) to reattach the torn muscle back to where it belongs.

Health Tips for Computer Users

It is very important to keep a good posture while your working with a computer. Understand about the concept of neutral body positioning will help you to set up your computer work station in a best way. This concept will help you to maintain a good and comfortable working posture, this makes your joints in to natural and proper alignment. Neutral positioning will reduce the stress and strain on your muscles, tendons and skeletal system, also reduces the risk of developing a musculoskeletal disorder (MSD). In some situations you might need the help of an orthopedic specialist. Here we have listed some important key points when trying to maintain neutral body postures while working with computer.

• Keep your hands, wrists and forearms straight, inline and roughly parallel to the floor.
• Your head position should be above screen level or bent slightly forward, forward facing, and balanced. Generally it is in-line with the torso.
• Shoulders should be relaxed and hang upper arms normally at the sides of body.
• Keep elbows close to the body and bent between 90 and 120 degrees.
• Give a complete support to the feet by the floor or foot rest.
• Use chairs with a good back support with appropriate lumbar support when sitting vertical or leaning back slightly.
• Thighs and hips are supported by a well-padded seat and generally parallel to the floor.
• Knees are about the same height as the hips with the feet slightly forward.

working in the same posture or sitting still for a long interval of time may cause health disorders, so change your working posture frequently throughout the day in the following ways.

• Make some adjustments to your chair or backrest.
• Stretch your arms, hands, fingers and torso.
• Stand up and walk around for a few minutes periodically

To know about joint pain and other orthopedic treatments consult our orthopedic doctor in New Delhi

website : www.drraju.in

email : drrajueswaran@gmail.com

Knee Pain - Treatments, Tips and Remedies

Knee pain can be arise due to different conditions such as sudden injury or underlying conditions like arthritis. The treatment method may vary according to the  situation. Some symptoms of knee injury involves pain swelling and stiffness.

Dr. Raju Easwaran is one of the Best Knee specialist in New Delhi, providing various treatments like arthritis treatments, knee joint replacement to relieve from knee pain.

If you give more attention in your daily activities you can reduce knee pain. Here are  some tips for you.

• Losing body weight as little as 5 percent of your weight will help to reduce stress on your knees. So keep a healthy diet and do regular exercise in a right way.
• Good exercises are walking and swimming for a person who experiences knee pain.
• Be sure to warm up and cool down after exercising
• Physical and occupational therapies are good choices for knee pain
• Resting and relaxation have the same importance as the physical activities. Learn stress relieving techniques like deep breathing and meditation to reduce pain.
• If you're not getting enough sleep that may be because of arthritis pain, consult your doctor and get a proper pain management to have a healthy sleep.
• Using ice pack in a safe manner can help to relive pain and stiffness. Also heat can help stiffness.
• Taking hot shower in morning and warm bath before bed at night also help in pain relief

If you are experiencing severe osteoarthritis symptoms, then please dont continue with conservative treatments, surgery may be the best option, consult an orthopedic specialist and ask about arthroscopic procedure or total knee replacement.

Knee Replacement Treatment in Delhi

Services : Knee Replacement Treatment
Arthroscopic Surgeon : Dr.Raju Easwaran

If you need any expert advice for your knee pain  send your Problem through Our Website www.drraju.in

Visit our website at www.drraju.in

When to See a Sports Medicine Doctor?

Injuries that happened during sports activities can affect various body parts some of the common sports injuries are listed here they are knee injuries, strains & sprains, fractures, dislocations, shin splints and compartment syndrome.

Depending upon the injury, the treatment strategies may vary, some kind of injuries can be self treated, if it is more complicated issue then you must go for orthopedic treatments, if you leave it untreated that can make severe orthopedic problems in future.

Shree Meenakshi Orthopedics & Sports Medicine Clinic, a Sports Medicine Clinic in New Delhi with the expertise of Dr. Raju Easwaran (Sports medicine Doctor New Delhi) focuses on treatment of sports injuries and also prevention.

When to See aSports Medicine Doctor?

Sports injuries can be categorized in to two they are chronic and acute injuries.

If you met with a fracture or injury at the time of a sports activity that is belonging to acute injury. The symptoms are,

• sudden severe pain
• incapability to place a weight
• swelling, redness & weakness
• extreme tenderness
• throbbing sensation
• a visible dislocation or break
• limited range of motion

If you can find any of these signs during a sports injury, then you should consult a sports medicine doctor immediately. otherwise start self-treatment as soon as possible.

Chronic injuries can happen as the after effects of overusing certain body parts during a sports activity over a long interval of time.

Signs of chronic injury involves

• pain when resting
• constant swelling
• stiffness of certain area of body that becomes better with movement
• pain during exercise

In such situations, you may need continued treatment until the problem get resolved completely. The procedure includes chiropractic care, physical therapy, alternative treatments etc.

If you have any problems related with sports injuries, you can make an online appointment with our orthopedic specialist.

Visit our site to take an appointment and for more details regarding orthopedic treatments

www.drraju.in

Send your queries to drrajueswaran@gmail.com  

What is Frozen Shoulder? How can Treat Frozen Shoulder?

Frozen shoulder

One of the most common problem people facing in their middle age is shoulder pain. This is because the shoulder is a complex structure in our body that does a lot for us.

The frozen shoulder medically termed as capsulitis leads to pain and stiffness in your shoulder, Over time your shoulder beacomes very hard to move.

What are the reasons behind frozen shoulder?

The causes of frozen shoulder are not completely understood. Anyway these are some causes behind frozen shoulder.

Over the time the shoulder capsule thickens and leads to formation of adhesions (stiff bands of tissue)

A few elements that may put you at risk for developing frozen shoulder.

• Age : People between 40 to 60 years old have more chances to happen frozen shoulder.
• Immobilization : If your shoulder has been immobilized for an intrval of time whether from surgery or injury, you may be at risk.
• Diabetes : People who have diabetes are more likely to develop frozen shoulder
• Other diseases : Some diseases associated with frozen shoulder are – hypothyrodism, hyperthyrodism, parkinson's disease and cardiac disease.

What can I do to help my frozen shoulder?

Taking pain killers can definitely reduce your pain, but it doesn't have the capability to resolve the issue completely. However here are some remedies to reduce frozen shoulder and shoulder pain.

1. Gentle movement is a key to improve the symptoms of frozen shoulder, so you need to make sure       that you are stretching and moving regularly.

2. Applying a warm compress to the affected area can help relieving pain also this will increase blood     flow to the area.

3. If you're in the early stages of frozen shoulder bad posture can make it worse.

When you are working on a desk or reading or while watching TV on the sofa, make sure that you     are sitting in a good position

Frozen shoulder usually gets better on its own. But if symptoms persists more than two weeks, see your doctor. 

Dr. Raju Eashwaran is leading orthopedic doctor in Delhi, he provides variety of treatments that may improve your shoulder's flexibility and recover from shoulder pain.

If you Still have any questions you can mail us about your queries to drrajueswaran@gmail.com

You can visit our website at www.drraju.in

Prevention & Management of Sports Injuries

For most of you who are avid runners or sports personnel, injuries can be frustrating and at times prove devastating for your career. Returning back to the sport too soon after an injury can also prove to be destructive.

This is where Sports Medicine also known as Sports and Exercise Medicine comes to play. It is only very recently that this field of medicine has got so much importance. It refers to the field of medicine concerned with injuries sustained in sports and exercise, including their prevention,

diagnosis, and treatment.

Some of the common Sports Injuries are listed below

Concussion- caused by severe head trauma much like a seizure

Muscle Cramps- a sudden tight, intense pain caused by a muscle locked in spasm.

ACL Sprains- The anterior cruciate ligament (ACL) helps in comfortable knee movement. It can rupture when the foot is planted and the knee twists to change direction.

ACL Tears- This causes major pain and causes the knee to "give out". It can cause the knee to never be the same.

Ankle Sprain- Stretching of ligaments that hold the ankle bones in place.

Shin Splints- Pulling away or inflammation of the tissue that attaches the muscles of your lower leg to the shin bone

Muscle Strains- Cause pain and loss of function

The treatment options include analysis of patient’s mobility, exercise testing, and administering exercises that can improve the range of motion as well as the general health.

Shree Meenakshi Orthopedics & Sports Medicine Clinic, a Sports Medicine Clinic in New Delhi with the expertise of Dr. Raju Easwaran (Sports medicine Doctor New Delhi) focuses on management of sports injuries and also preventing them. The importance of Sports Medicine lies in not only being curative and rehabilitative, but also being preventative, which may actually be the most important one of all.

Visit our website for more information www.drraju.in

Send your queries to our email drrajueswaran@gmail.com

Sports Injuries Live Chat

Sports Injuries Facebook Live Chat

Join us at 2-4 pm on Friday, May 1st to chat with Dr. Raju Easwaran about sports injuries 

Dr Raju Easwaran as part of the MAX Hospital will take care of the Delhi Dare Devils players during their IPL matches. Be online on Facebook to share your questions and doubts with Doctor

For More Details Contact: drrajueswaran@gmail.com

Website: http://drraju.in