Monday, January 20, 2014

Knee Replacement Rest and Recovery


Knee replacement rest and recovery involves making sure you have set yourself up for success by not only having the right equipment available to help the rehabilitation process but, understanding that you need to have the ability to find time to rest and to make sure you allow sufficient time to stay off your knees or knee and give your body a rest.

For instance I advocate my patients to complete their knee replacement exercises approximately two times a day. If you truly do your exercises as instructed twice a day while putting a full effort into them that will get you the results you need to have a successful recovery. After your exercise routine, you want to immediately ice down your knee with a cold pack that fully encompasses your entire knee. I find that a majority of patients I treat really do not have an adequate ice pack to do the job. This is where they fall short in having the proper equipment to do the job.

I advise my patients to be sure that their affected leg is elevated for 20-30 minutes with the ice pack applied. Resting your knee replacement after exercise will be vitally important to avoid the unnecessary pain and swelling that will arise if you are not doing so. This is very important for the first two to three weeks out from surgery. As time goes on into week four and after, your ability to recover after exercise is not as acute.

You as a patient also want to strongly consider your activities in conjunction with the exercises you are completing to avoid added pain and swelling. All activity has a cumulative effect on your knee which will add up at the end of the day.

I will from time to time have patients that will call me regarding the excessive amount of pain that they are experiencing with their knee replacement.This can arise for several different reasons. Two of the more commons reasons I come across is either not taking their pain medication as prescribed and, staying up on their feet to long, in other words getting involved in doing activities around the house that should be left for someone else.

I have advised many patient to take the day off when they are experiencing chronic pain and excessive swelling. By taking the day off and allowing their knee to rest, they will find that they totally recover by the following day. Everyone learns sooner or later that their knee is much more temperamental than they realize and pushing their recovery to fast results in many a sleepless night.

Learn to complete your exercises twice a day once in the morning and again by no later than mid-afternoon. Ice down your knee after each rehabilitation session and elevate it as well, preferably higher than your heart to help with controlling edema.

When all else fails and you cannot get comfortable do nothing. Rest and relaxation for a day will not harm your rehab progress.

Sunday, January 19, 2014

Knee Liposuction Recovery Time - How Quick Can a Person's Body Heal?


Numerous individuals get liposuction while not actually recognizing what they are getting themselves into. For some individuals, liposuction is akin to some type of fad diet that they need to get so they can rid themselves of some unwanted fat.

Unfortunately, liposuction is a lot more complex than that. As a matter of fact, knee liposuction recovery time might take roughly a month. For other individuals, knee liposuction recovery time might even be longer than that. You need to realize that liposuction is an invasive type of procedure that taxes a persons body.

Because a persons body suffers due to the physical stress when the procedure is happening, it requires time to recover. Luckily, you might already notice some decent results form the this type of procedure even prior to the end of a standard knee liposuction recovery time. The swelling as well as the bruising in the section of the incision typically lessens within roughly 7-10 days so you will already have a little idea on what your legs will appear like when they are totally healed up from the procedure.

Recovering from Knee Liposuction

Knee liposuction recovery time might change depending on the person. It is significant to note that some individuals heal at a much faster rate compared to others. Additionally, with the right type of post treatment, knee liposuction recovery time might be cut down to a minimum. To assist the body in healing quicker after liposuction, physicians firmly wrap the area that is treated to lessen the pain, swelling and bruising.

In the case of knee liposuction, the physician might advise total bed rest for a few days to help the healing process. It is important to note that the knees bear the brunt of a persons weight so it is crucial that you need to remain in bed to stay away from stressing your knees.

You do not actually want to prolong your knee liposuction recovery time by subjugating your knees to any unnecessary stress. If you want to move around in the first few days after a procedure like knee liposuction, it is best to utilize a wheelchair or a cane. To the greatest extent possible, try and keep the weight off of your knees to help facilitate the healing process.

If you have had a tumescent liposuction on one of your knees, fluid might persist in draining from the point of incision for a few days. A situation like this might be pretty uncomfortable. In addition, the fluid might draw in bacteria that can result in an infection to the area of incision.

To make sure that your knee liposuction recovery time doesn't go over the normal healing time; make sure to keep the area of incision sterile and clean at all times. If you utilize some special type of bandage to wrap your legs, on a regular basis make sure you change the dressing. You should not allow the bandage to become soaked in your own fluids since this might trigger an infection. You might also want to discuss with your physician in regards to taking antibiotics to lessen the chance of infection. Discuss any care and treatments with your doctor first.

Combined Knee Instability - Symptoms, Treatment and Pain Relief Options For Bad Knees


What are combined knee ligament injuries?

What does the phrase, "combined instabilities" mean?

1.) Introduction To This Article

The knee is considered as the largest joint in the body and it is believed to be the most complex. The knee ligaments connect the thighbone to the lower leg bones. There are four primary ligaments in your knee that need to be protected. They are like strong bands of tissue that hold the bones together and keep the knee stable. When you injure one or more of these ligaments it can be a costly experience for your knees stability.

We will talk about symptoms, treatment options and pain relief strategies in the coming sections.

2.) Ligament Injuries

Knee ligament sprains or tears are caused by common sports injuries, and this may be treated by surgery or medication depending on the extent of its damage. They can also be conservatively treated with the use of a knee support to help secure an unstable knee while it is healing.

If there is a need for a surgical procedure, some complications may be expected, including bleeding or blood clotting. If the combined knee ligament injuries is severe and there is no other alternative than to undergo surgery, the person has to be ready for the possibility of pain, limited range of motion in the knee joint, and occasional swelling in the knee after surgical ligament repair. Some people still suffer from knee troubles later on even after surgery.

The worst thing that a severe ligament injury makes is to stop someone from continuing his daily activities and any sports he might be involved in. However, because of the advanced technology in the medical field nowadays, surgery has become very successful in treating this injury.

3.) Conservative Treatment Options

Many physicians will request that you use a low profile, light weight knee support if you have also sustained an injury that involves one or more ligaments. The use of a knee support can be a great aid to help stop any excessive movements that can further your knee injury or instability problems.

If you have a combined knee instability issue it is important to deal with a brace specialist so they can help you get the best support for your knees needs. Not every brace for your knee is made equally and these individuals can help you save time and money.

*This is health information. We believe in the benefits of knee bracing, but you should talk with your physician about medical advice regarding your particular situation.

Full Knee Replacement Surgery - Basic Facts for Prospective Recipients


Full knee replacement surgery is done when the disease has completely worn away the cartilage between the bones of the knee, leaving them to scrape together painfully with no cushion. The main culprit is arthritis. When conservative treatments that include NSAID medications, corticosteroid injections, Viscosupplementation, and other management techniques fail, surgery is the only viable option left. This major operation will require making several changes to the knee and its make up as well as up to a year recovery time, depending on various factors including age, weight, overall health, and more. Surgery last, in total, about two hours, and your hospital stay will be between 3 and 7 days, depending on how well you do.

During a full knee replacement surgery, the ends of both the femur and lower leg bones, and the kneecap are fit with artificial hardware lined with plastic and metal. Surgeons will usually replace the entire surface at the ends of the thigh and lower leg bones and secure the new hardware into place with bone cement. Strides are being made towards being able to replace only the damaged or diseased parts of the knee joint. As of now, this is called a partial joint replacement. Surgeons may or may not remove all ligaments associated with the knee joints, depending upon the type of surgery being done and the condition of the ligaments.

While your knee is exposed during a full knee replacement surgery, your surgeon will remove any bone spurs that are present as well as correct any defects that may be causing either bowleggedness or knocked knees. The surgery is relatively short, about two hours total from the time you are wheeled into the surgery room until you arrive in recovery. In most cases, you will be put under general anesthesia; however, a spinal, epidural, or nerve block may be used, as well. Long before surgery begins, your doctor would have talked to you about which type of knee replacement was most appropriate for your condition.

Immediately after surgery you will begin your rehabilitation. Before leaving the hospital, usually a stay of three to five days, you will have already learned to fully extend your leg, bend it to a 90 degree angle, and even learned how to walk up and down one or two stairs with the aid of a walker or cane. And, of course, they will have you up and about, walking a slow, measured, pace. Walking will be your number one physical therapy work out and is completely healthy and safe. Your knee will need the gentle workout to stay in prime working condition and should remain a major part of your recovery effort during the year following surgery.

Causes of Housemaids Knee (Bursitis) And Treatment by Pharmaceuticals and Natural Remedies


This article gives the reader a basic knowledge of the knee structure. Points covered will be different ligaments and cartilage that interact to enable correct function of the knee. The treatment and causes of housemaids knee (bursitis) will also be described. Pharmaceuticals can be used to reduce pain and inflammation. These can range from the fairly mild paracetamol to the strong opoids such as morphine. Herbal remedies tend to work on inflammation. The reduction of inflammation itself can often reduce pain levels. This article aims to help the reader suffering knee problems to be able to make considered choices in their treatment.

Basic Structure Of The Knee.

The knee consists of four bones, namely the femur, tibia, the fibula and the patella. The knee joint is located between the femur and tibia and is traditionally classed as a hinge joint, having movement in only plane. This means that the knee only bends or straightens. However, it is also classed as a ellipsoid joint because it does allow a small amount rotation of the lower leg. The patella (kneecap) is situated at the front of the knee. The femur has two ellipsoid surfaces and joins the fibia with the menisci (commonly known as cartilage) between. The fibula does not directly move with the femur but works on the lateral (outer) side of the tibia. There thirteen ligaments attached around the knee. These are patellar, patellar retinaculum, oblique popiliteal, arcuate popiteal, medial collateral, lateral collateral, anterior cruciate, posterior cruciate, coronary (2), transverse, and meniscofemoral (2). It is not in the remit of this article to describe in detail the function of all of these ligaments.

Housemaids Knee', A Common Cause Of Knee Pain.

Housemaids knee is a common name given to Bursitis. This occurs in the subcutaneous prepatellar bursa. This can, as the common name suggests, be caused by prolonged work performed on the knees. This type of bursitis can affect roofers, carpet layers, miners, plumbers amongst other groups who kneel for long periods. Bursitis may also cause another condition of slow accumulation of fluid in the knee commonly called 'water on the knee'.

Another cause of a swollen knee can be caused following an injury. If the swelling appears immediately after the injury the swelling is often an accumulation of blood within the joint called 'hemarthrosis'.

Treatment For Housemaids Knee Using Pharmaceutical Drugs.

There are many pain relief and anti-inflammatory medicines readily available. In this article some general ones will be described.

Paracetamol: Also called Acetaminophen. Paracetamol relieves pain and fever in adults and children. Its pain relief (analgesic) and fever relief (antipyretic) effects are similar to those of aspirin and it works in a similar way. Unlike aspirin, however, increasing the dose does not result in clinically useful anti-inflammatory activity. Paracetamol is therefore not of value for reducing inflammation in the treatment of bursitis (housemaids knee). The recommended adult single dose of paracetamol is two standard 500 mg tablets. Although paracetamol is widely available it should be treated with respect. An overdose to a healthy person of taking 30 tablets at once will result in liver damage and possible death.

Co-Codamol. Co-codamol contains a combination of two pain-killing ingredients paracetamol and codeine. It is used to stop pain. The amount of codeine in the combination determines the strength of the preparation. There are three different strengths of co-codamol available. Codeine/Paracetamol 8/500mg, 12.8/500mg, and 30/500mg. Common side effects are feeling sick, dry mouth and constipation amongst others.

Codeine Phosphate. Codeine phosphate is a pain killer. It comes in 3 tablet sizes, 15mg, 30mg, and 60mg. Common side effects include skin rash or itchy skin, difficulty breathing, increased sweating, redness or flushed face, constipation, feeling or being sick, dry mouth, a slow or fast heart rate, palpitations, low blood pressure, low blood pressure on standing, pain and difficulty in passing urine and a less frequent need to do so, dizziness, and blurred vision amongst others.

Ibuprofen. Ibuprofen is in the group of drugs known as non-steroidal anti-inflammatory drugs (NSAIDs). It works by reducing hormones that cause inflammation and pain in the body. Ibuprofen is used to reduce fever and treat pain or inflammation caused by many conditions such as bursitis (housemaids knee). Common side effects are an increase in asthma symptoms, increased risk of stomach ulcers, and damage to the intestines amongst others.

NaproxenNaproxen is a NSAID. It is used to reduce pain and inflammation in many conditions including knee pain. Common side effects include ringing in the ears, headaches, dizziness, drowsiness, heartburn, and constipation amongst others.

Voltarol. Also called Diclofenac Sodium is a NSAID. Voltarol is available in tablet form and a gel that is rubbed into the affected area. Voltarol is used in the treatment of many conditions including acute musculo-skeletal disorders such as periarthritis (for example frozen shoulder), tendinitis, tenosynovitis, bursitis. Some common side effects include nausea, constipation, vomiting, indigestion, loss of appetite, headache, dizziness, skin rashes, drowsiness, depression, insomnia, fluid retention and ringing in the ears amongst others.

Treatment Of Housemaids Knee using Natural Methods.

Chondroitin Sulfate: Chondroitin Sulfate is also naturally found in the body. It prevents other body enzymes from degrading the building blocks of joint cartilage.

Devils Claw: Devils claw has been shown to be effective in reducing inflammation and pain in such problems of arthritis and bursitis, during clinical trials. This should not be taken by people with stomach ulcers.

Glucosamine: Glucosamine is a form of amino sugar that our bodies naturally manufacture. It is considered one of the major building blocks for joint protection. It is usually found in conjunction with Chondroitin Sulfate, and is widely used to relieve pain and inflammation in such health problems of back ache, tennis elbow, and housemaids knee.

MSM: Is the shortened form of methylsulfonylmethane. MSM provides sulfur, which is a vital building block of joints, cartilage, skin, hair and nails. It also supports the production of energy. It helps normal re-building of connective tissue.

Turmeric: Turmeric has been shown in clinical studies to be as effective as some NSAIDs, without the unpleasant side effects. High doses of turmeric should not be taken if the user suffers intestinal problems.

White Willow Bark: The active ingredient in willow bark is salicin. Records show people have been using willow bark since the time of Hippocrates in 400 B.C. It is used to ease discomfort.

It appears that for mild bursitis natural remedies are well worth giving consideration. Pharmaceutical drugs are preferred for more severe pain but have many more unpleasant side effects.

Know Your Options For a Meniscus Tear


Are you suffering from knee swelling and pain? Do you find it hard to move your knees or do you feel like it may suddenly give way? You may be suffering from a common knee problem known as meniscus tear. Although this condition is more common to athletes and sportsperson, especially those who are into playing contact sports, anyone can suffer from meniscus tear as it also comes with age.

What Causes the Tear?

A meniscus tear happens when you make a wrong twist or turn that may accidentally occur when you lift something that is heavy. Playing contact sports such as boxing, foot ball, basketball, or hockey increases the risk of the tear. Another risk factor is old age. As one you grow older with age, your meniscus worn out and can get easily torn.

How Will You Know that You Have a Torn Meniscus?

You will know that you have a torn meniscus when you experience the following symptoms:

• Pain and swelling of the knee joint from mild to severe and may usually last until two to three weeks;
• You can hardly move your knee
• You either hear pops or clicks when you move your knee
• Your knee joint is tender when pressed

It is important you get an accurate diagnosis from your physician when you experience the symptoms mentioned above. Usually, your physician will recommend laboratory tests such as X-rays or MRIs to determine if you are indeed suffering from a torn meniscus. An appropriate treatment will be recommended thereafter.

What Are Your Options for Treatment?

You must become aware that meniscus tear comes in three types: (1) mild, (2) moderate, and (3) severe. The types of the tear will usually tell you the kind of option that is appropriate for your condition.

There are basically two options you can choose from in treating your torn meniscus. These are the following:

• Non-surgical and natural options that are usually the safest and should be considered first prior to the second option which is

• Surgical treatment of the torn meniscus which involves the following: (1) repair of the torn meniscus usually by sewing; (2) removal of the affected part; and (3) removal of the entire meniscus.

Each of your options has their own pros and cons. But it is usually recommended to explore the non-surgical options such as wearing knee brace to aid in healing and repairing of the torn meniscus, resting of the knee, applying ice and compression, elevating the knee, exercising, or undergoing therapeutic sessions.

The advantage of exploring non-surgical options first is greater than the benefits you can get from immediate surgery. With non-surgical options as your first line of remedy, you'll be able to experience relief from the signs and symptoms of meniscus tear as you undergo the process of returning the functions of your normal knee. You'll also be able to avoid the cost and adverse effects of surgical treatment that you'll realize you may not need after all. In the event your meniscus tear does not heal with non-surgical methods, you can always opt for surgery later on.

How to Save Your Knee Cartilage


It may feel uncomfortable but a good workout can strengthen the muscles that surround your joints and those stronger muscles will protect your knees.

First, make sure you receive the OK from your doctor before you begin any exercise program. Secondly, if you are hiring a personal trainer work with someone who knows what she is doing. That sounds reasonable but it is surprising at the number of people who work out with personal trainers who know next to nothing about arthritis and anatomy. It may be true that the fees of those trainers are less costly but in the end they may cost you dearly because of the potential harm they can cause. My advice, check out the exercise programs approved by the Arthritis Foundation or by your physician.

Third and finally retool your brain so that you no longer believe the myth that if you have arthritis you cannot exercise. The fact is exercise will not only reduce your joint pain and stiffness, it will improve your overall health.

Each of your joints is surrounded by ligaments, the primary stabilizers that hold together the joint and cartilage. Muscles, which cross that joint are the secondary stabilizers. They all work together.

For example, when you walk up the stairs, your knees absorb six to eight times your body weight. If your muscles are strong, they will absorb more of that stress which means less stress on the joint itself. If your muscles are weak and not in good condition, there will be more stress on your knee.

Strengthening the muscles also helps protect the joint from injury because there is less stress on the joint and the muscles around the joint are more flexible because they are conditioned to move. The more flexible the muscles the more active you can be without being in pain.

After understanding why exercise works so well even with arthritis you may not need much motivation to stay with a program. On the other hand, some may find that maintaining the challenge may be a little daunting. If that is the case team up with a friend or write your progress down so no matter how small, the progress itself will inspire you.

You can also save your knee cartilage by making a few simple lifestyle changes. None of these suggestions are costly, they do not take up much time, and they are certainly worth doing. Keep in mind that when you are planning to start a strength training exercise program or any other exercise program, start slowly. You need to prepare your body to move in new ways to avoid injury.

Consider doing range of motion exercises to relieve stiffness in the joints and keep you flexible. You can look to the Arthritis Foundation for those resources. You may also want to include aerobic and endurance exercises such as walking and swimming to prevent weight gain and improve your cardiovascular health.

Your exercises will not do you much good if you are not using good posture when you sit, walk, or go about doing your daily activities. Consider wearing a brace or a knee sleeve to help stabilize your knee and reduce the pain. You also want to make sure you alternate periods of rest with your exercise since repetitive stress over a period of time can speed up the wear and tear on your joints.