Orthopaedic Services
Joint replacement
Joint replacement, commonly known as arthroplasty, is a surgical technique that involves the replacement of a damaged or diseased joint with an artificial joint (prosthesis). Joint replacement surgery is intended to relieve pain, restore joint function, and enhance overall quality of life in those who have severe joint disorders. The hip and knee are the most commonly replaced joints, although additional joints such as the shoulder, elbow, and ankle can also be replaced if necessary.
Indications: Joint replacement surgery is usually advised for those who have severe joint pain, stiffness, and loss of function as a result of illnesses such osteoarthritis, rheumatoid arthritis, avascular necrosis, or post-traumatic arthritis.
Joint replacement, commonly known as arthroplasty, is a surgical technique that involves the replacement of a damaged or diseased joint with an artificial joint (prosthesis). Joint replacement surgery is intended to relieve pain, restore joint function, and enhance overall quality of life in those who have severe joint disorders. The hip and knee are the most commonly replaced joints, although additional joints such as the shoulder, elbow, and ankle can also be replaced if necessary.
Indications: Joint replacement surgery is usually advised for those who have severe joint pain, stiffness, and loss of function as a result of illnesses such osteoarthritis, rheumatoid arthritis, avascular necrosis, or post-traumatic arthritis.
Knee & Hip Replacement
Joint replacement surgery is conducted under either general or regional anaesthesia. The damaged joint surfaces are removed by the surgeon and replaced with the suitable prosthesis. Physical therapy and rehabilitation following surgery are critical for a good recovery and regaining joint function and strength. hazards and Complications: Infection, blood clots, implant loosening, and nerve or blood vessel injury are all hazards associated with joint replacement surgery. The hazards, however, are quite modest thanks to contemporary surgical procedures and postoperative car
Prosthetic lifetime varies based on factors such as the patient’s age, activity level, and the type of prosthesis utilised. Joint replacements can endure for 15-20 years or more in most cases, but they may require revision surgery if they wear out or become loose over time.
Physical therapy is an important aspect of the rehabilitation process. It aids in the improvement of joint flexibility, strength, and mobility, allowing the patient to resume everyday activities and lead a more active lifestyle.
Geriatric Trauma
Certain illnesses or predispositions to musculoskeletal disorders can be influenced by genetic factors. Some orthopaedic problems may have a hereditary component, which means they are impacted by an individual’s genetic composition or family history. Conditions such as osteogenesis imperfecta (brittle bone disease) and Ehlers-Danlos syndrome (a set of connective tissue illnesses), for example, have strong hereditary roots.
When diagnosing and managing orthopaedic diseases, it is critical to examine a patient’s family history and genetic factors. In some circumstances, genetic testing and counselling may be beneficial, particularly if there is a suspicion of an underlying genetic issue compromising orthopaedic health.
Patellofemoral Pain Syndrome (Runner's Knee)
This condition produces pain around the kneecap and is common in runners, cyclists, and other sports who do a lot of knee bending.
Physical tests, imaging studies (such as X-rays, MRI, or CT scans), and sometimes arthroscopy are used by orthopaedic specialists to precisely diagnose the extent of the injury. Rest, physical therapy, bracing, medicines, and, in certain situations, surgical intervention may be used to treat sports injuries. The goal is to give proper care to aid healing and maximise the athlete’s safe return to sports. Preventive measures, such as proper warm-ups, conditioning, and protective equipment, are also important in lowering the risk of sports-related injuries.
Physiotherapy
Physiotherapy in orthopaedics is critical in the management and treatment of a wide range of musculoskeletal diseases and accidents. Orthopaedic physiotherapy includes targeted exercises, manual therapy, and other treatments to assist patients improve their mobility, function, and quality of life. It is frequently used to aid in rehabilitation and healing as a non-surgical or post-surgical intervention.
Assessment: The physiotherapist will do a complete evaluation of the patient’s condition, which will include a medical history, physical examination, and any relevant imaging or diagnostic testing. This examination aids in the comprehension of the individual problem and the development of a personalised treatment strategy.
Prescription for Exercise: Exercise is an essential component of orthopaedic physiotherapy. Specific exercises will be prescribed by the physiotherapist to increase strength, flexibility, balance, and coordination. These exercises are customised to the individual’s needs and condition, and they aid in the restoration of function and the reduction of discomfort.
- Manual Therapy: The physiotherapist uses hands-on techniques to manipulate soft tissues and joints. Manual therapy can aid with pain relief, joint mobility, and tissue function.
Modalities: To supplement the treatment plan, physiotherapists may utilise modalities such as heat, ice, ultrasound, electrical stimulation, and laser therapy. These treatments can help with pain alleviation, inflammation reduction, and healing
Gait Training: Gait training is vital for people who have difficulty walking or balancing. To improve functional mobility, the physiotherapist will work on addressing gait irregularities and improving walking patterns.
Post-surgical Rehabilitation: Physiotherapy is essential for a healthy recovery after orthopaedic procedures such as joint replacements or ligament repairs. The physiotherapist will lead the patient through a systematic rehabilitation programme to help him or her restore strength and mobility while avoiding problems.
Home Exercise Programmes and Education: Physiotherapists teach patients about their disease, self-management measures, and injury prevention techniques. They frequently offer home exercise programmes to patients, allowing them to continue their recovery outside of the clinic.Pain Management: Physiotherapists utilise a variety of pain management approaches, including therapeutic exercises, manual therapy, and relaxation techniques.
Common orthopedic conditions treated with physiotherapy include:
Osteoarthritis
- Sprains and strains
- Tendonitis
- Fractures
- Rotator cuff injuries
- Spinal conditions (e.g., herniated discs, sciatica)
- Joint replacements
- Sports injuries
Rehabilitation
In orthopaedics, rehabilitation refers to the process of recovering function, mobility, and independence in people who have had musculoskeletal injuries, had orthopaedic surgery, or are managing chronic orthopaedic disorders. Orthopaedic rehabilitation’s primary purpose is to assist patients in regaining their optimal physical, functional, and psychological well-being. Rehabilitation programmes are often created and overseen by a group of healthcare professionals, including physiotherapists, occupational therapists, and, in certain cases, other specialists such as sports therapists or chiropractors.
Assessment: A thorough examination is performed to determine the patient’s medical history, the extent of the injury or ailment, and the individual’s functional limitations. This assessment aids in adapting the rehabilitation strategy to the patient’s individual demands.
Goal setting:- These objectives may include increasing strength, flexibility, balance, coordination, and functional ability.
Physiotherapy: Physiotherapy activities and techniques play an important part in orthopaedic rehabilitation. These exercises are meant to improve strength, range of motion, and general functional capacity by targeting specific muscle groups and joints.
Occupational Therapy: Occupational Therapists help patients restore the ability to do daily activities and duties necessary for self-care, job, and enjoyment. Activities such as dressing, cooking, and utilising adaptive gadgets may be incorporated into the rehabilitation programme.
Manual Therapy: Physiotherapists may use manual therapy techniques such as joint mobilisation and soft tissue manipulation to increase joint mobility and pain relief.
Modalities: To relieve pain and inflammation and improve tissue healing, several modalities such as heat, ice, ultrasound, electrical stimulation, and laser therapy may be employed.
Gait Training: Gait training is an important aspect of rehabilitation for people who have difficulty walking or balancing. This assists folks in resuming a normal walking rhythm and avoiding falls.
Patient Education: Patients are informed about their ailment, the rehabilitation process, and prevention efforts. Education enables patients to actively participate in their rehabilitation and make educated health decisions.
Progress Monitoring: It is critical to evaluate the patient’s progress on a regular basis in order to change the rehabilitation plan as needed and guarantee that rehabilitation goals are met.
Return to Sport/Activity: For athletes or active people healing from orthopaedic injuries, the rehabilitation programme may include particular training to allow them to safely resume sports or physical activity.
Orthopedic rehabilitation can benefit individuals with a wide range of conditions, including:
- Fractures
- Ligament and tendon injuries
- Joint replacements
- Osteoarthritis
- Spinal conditions (e.g., herniated discs)
- Sports injuries
- Amputations
