Dr. AmanDua, Senior Consultant in Joint Replacement Unit, Sri Balaji Action Medical Institute
We all need some quality time for ourselves, some quality moments we want to spend with our families. We love to play around with our kids, go trekking with friends or enjoy long walks with our partners. We enjoy running around like never to be stopped; thank god we don’t have wings. But have you ever thought that what happens if something stops us from doing all these things. Yes there are people who are missing these small joys of life and not because they don’t want to enjoy them but because they can’t. They suffer with pain, not only of joints but also of some special moment they have to miss.
In today’s mechanical world, we tend to put ourselves in tremendous mental and physical pressure. Our ambitions make us see every possible extremity; we want to achieve everything and nothing can stop us. Long working hours, extended travels, quick or skipped meals and extreme mental pressure are part of our daily routine. While we walk on swords edge with such things, falling for sedentary lifestyle makes it more dangerous. Our body starts wearing out and we start suffering from various ailments. Joint stiffness & pains is one such ailment which is becoming very common amongst people.
The baby boomer generation is getting older and heavier which means that over the coming decades a lot of person in the young age are developing knee and hip problem. A huge number of young people are either Obese or overweight, which causes more wear and tear (than normal weighing people) of bones making them osteoporotic; this can be attributed largely to today’s sedentary lifestyle. Another big reason behind bone and joint disorders largely seen in India is Indoor lifestyle; a large number of Indians are vegetarians which limit their Vitamin D intake, less exposure to sunlight further reduces Vitamin D in the body hindering proper calcium deposition and making us Indian more vulnerable to bone related ailments
According to DrGaurav P. Bhardwaj, Chief – Arhtroscopy& Knee and Hip Replacement PSRI Hospital said,’’Knee pain usually occurs due to activities which are done often and it can also occur regardless of activity level, and is part of aging process; on the other hand problem related to hip, usually caused due to irregular activities. Severity becomes many folds because of unusual posture or sitting in one single position for long in office. There are several medicinal management processes available for joints related problems, which doctors prescribe; one has to take these pills regularly to subside pain and to support movements. Once the joint is damaged and the cartilage is lost the only way to recreate a painless situation is a joint replacement surgery. Medicines, physiotherapy, intra articular injections and arthroscopic debridement can be of limited assistance.
Joint replacement surgery is removing a damaged joint and putting in a new one. The doctor usually suggests a joint replacement to improve how you live as replacing a joint can relieve pain and help you move and feel better. Hips and knees are replaced most often while other joints that can be replaced include the shoulders, fingers, ankles, and elbows. These replacements are performed in different formats usually known as partial and total replacement, depending on the condition of the patient. Apart from osteoarthritis, natural wearing out, rheumatoid arthritis, tumors involving or around joints and trauma with joint destructions due to road accidents, sports injury and injury of other forms leads to such processes.
Conventionally the joint replacement is carried out in the elderly. Earlier it was preferred only in patients past sixty years of age because the average life span of the prosthesis was ten to fifteen years. With more people wanting to live for the present rather than suffer with the hope for a better tomorrow younger age groups are now opting for joint replacement surgeries. These replacements are performed in different formats usually known as partial and total replacement, depending on the condition of the patient.
Technology today has provided us with multiple options enhancing both quality as well as life of the implants. Technology has enabled us today with implants which are sturdy and flexible, recent advancement has increased the life of implant up to three times. The earlier implants use to last up to ten years and now there are implants available which last for around thirty years.
With knee or hip surgery, a patient probably needs to stay in the hospital for a few days. If the person is elderly or have additional disabilities, he or she may then need to spend several weeks in an intermediate-care facility before going home. In most knee cases good amount of bending is seen on the first day itself and patients are able to walk with support within a day or two; with an approximate period of recovery being 4-6 weeks. One is mobilised with support after surgery within 24 hours. A walker or crutches are used for two to three weeks. Following this a cane is advised for a month.
Dr. AmitNathMishra_HODOrthopaedics, DharamshilaNarayanaSuperspeciality Hospital added,’’People usually are scared of such surgeries and it makes sense as joint replacement is counted amongst the major surgeries. Elaborating on the seriousness of the surgery. Any short coming can lead to serious problems like joint infection. It is therefore suggested that these surgeries should be performed by experts with a lot of experience. Patients have all the right to check the details like experience, training, education of any doctor they are getting treated with. Hospitals environment, upkeep and equipments also play a major role in such surgeries’’.
People usually ask me, how successful these surgeries are, It’s a doubt I have seen in every patient and nothing is better to address such doubts than live examples. Rakesh, chauffer by profession lost his job and happiness because of severe arthritis. He was very depressed when he came to me. With god’s grace I was able to give him back both, his happiness and job. We performed total knee replacement for his both knees and he is perfectly fit to do anything he wants; and now drives me to work every day. Similarly, we came across a cycling enthusiast couple, they loved the sport but as wife was suffering from severe Joint disorder, they were restricted not to pursue their interest. We operated her for knee replacement and since then they have been breaking many records and setting new milestones riding their cycles.”
Most of these surgeries are available in India now, along with the international quality implants and that too in a reasonable cost. “India is a hub of such surgeries now, we are in the age of internet and technology is not confined to any boundaries anymore. All the technology and implants are now available in India and such surgeries are performed with high standard here