Delay/Avoid Knee Replacement TKR surgery in early age| घर पर घुटने के दर्द /आर्थ्राइटिस का इलाज।
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- เผยแพร่เมื่อ 15 เม.ย. 2020
- How to delay TKR, TKA, (Total Knee replacement / arthroplasty) Surgery?
However, studies have found out that osteoarthritis, per se, does not cause pain. Then, what is it that is the culprit of this excessive pain that one leads to go for total knee replacement surgery.
Osteoarthritis is like a collection of conditions, which includes fat pad irritation, muscle imbalance, patellar maltracking and joint malposition. It has been found out that fat pad irritation is one of the major causes that leads to pain. Fat pad is like a pad/cushion that contains many nerves which makes it susceptible to pain and discomfort.
Whenever there is pain, there are huge chances that it is due to fat pad irritation. So, fat pad irritation can be treated by manual therapy, i.e. by proper, specific and guided tibiofemoral and patellofemoral joint mobilisations along with muscle strengthening and stretching exercises. And in some cases, it may need taping techniques which gives magical and instant results in reducing the fat pad irritation.
Another reason that causes pain and improper gait pattern is muscle imbalance in and around the knee joint. Muscle imbalance is common in the knee joint, where inside structures tend to weaken, and outside structures tend to tighten. Therefore, it is important to stretch outside structures and strengthen inside structures, thereby improving balance of muscles around the knee joint. Strengthening and stretching specific muscle groups can improve muscle alignment and thus, can reduce musculoskeletal pain.
If muscle imbalance is not treated or dealt with properly, it causes patellar maltracking. That is, the patella, which is the most anterior oval shaped bone of knee joint shifts towards the outside of the knee joint, that means laterally. Why does lateral tracking of patella occurs? This occurs because, as already discussed, the outside structures become tighter and inside structures become weaker; so, the muscles present laterally tend to exert a pulling force on the outside of the patella causing it to shift, tilt or rotate externally or laterally. This condition cause pain in the lateral retinaculum as it becomes tight, in addition to pain and tenderness along the iliotibial tract. This also causes pain in the inside of the knee joint, i.e. at the medial aspect of the knee, due to weakness of vastusmedialis oblique. Thus, strengthening the VMO and stretching the ITB and lateral retinaculum pays a substantial role in decreasing pain, stiffness, thus reducing the severity of osteoarthritis, thereby helping to delay TKR surgery.
Concludingly, what all are the factors that play a key role in delaying.
First, leading a healthy lifestyle which includes regular walks/ jogs are crucial. Secondly, proper strengthening and stretching
exercises play a vital role in decreasing the symptoms of pain, stiffness, thereby delaying osteoarthritis. And, thus, ultimately delaying TKR. Osteoarthritis is a condition in which the knee joint loses its cartilage and there is excessive wear and tear of joint, leading to reduced or no joint spaces in the knees. It is believed that this causes excessive pain. TKR is mainly done when there are severe limitations and pain in knees while walking, standing, moving, etc. When the knee doesn’t respond to any conventional methods of treatment like painkillers, steroids, physiotherapy etc. These limitations are mainly caused due to severe stage of osteoarthritis.
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Stretching Exercise Video: • 7 Best Stretching Exer...
Strengthening Exercise Video: • 15 Best Knee Strengthe...
Cause Video: • Pain not better even a...
Do's and Don'ts
English: • Self-Treatment Guide f...
Hindi: • घर बैठें अपनी फिजियोथे...
Online Consultation : www.caprispine.com/online-phy...
In this video we have discussed
1. Internal rotation glide for knee
2. Anterior Glide to Gin Knee Joint Extension
3. Release of Lateral Retinaculum of Patella
4. Patellar Mobilisation
5. Glute Squeeze in Standing
6. VMO training
7. Clamshells
8. Hamstring Stretch
9. Calf Stretch
10. TFL Stretch
We have also discussed about the various dos and donts one should follow in order to have a better and pain free life.
Dr. Capri thank you very much for the great exercises, stay blessed 🙏
Dear Kamal Singh
You're most welcome.
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tks dr. sahab very nice
Thanks you so much Docter
Thank you Sir 🙏
Nice excercises Dr. However it will be quite helpful if you show excercises which can be performed alone without anybody help.
Thanks sir thanq so much
Thank you so much for good information
Dear Qamar Fatima Ji
Glad to know that it was much useful for you.
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Team Capri
www.caprispine.com
Ph: 9063121212/ 8130319333
धन्यवाद
Thank you.
Thank u doctor
most welcome :)
Thanku dr.
Dear Anju Gupta Ji
You're most welcome!
Thankyou
Regards
good
Thanks
After four month of knee replacement which exercise is to be done specially when knee become stiff
Dear Sarita Ji
Kindly give / mention your complete medical condition related to your problem by filing the form (as link given below). So that we can help / reply in best way.
Thanks
www.caprispine.com/online-physiotherapy-consultation
After filling the form, we will you which exercises to be done for stiff knee.
Thanks
Regards
Shows the execise patient's own hand.
Dear Sibabrata Saha
Didnt understand your question. Kindly comment again and explain. Thanks. For queries, advice, suggestions, you can contact Capri Spine at 9063121212, 8130319333, incase you have any doubts about physiotherapy exercises.
Regards
Capri Spine
www.caprispine.com
Sir frozen shoulder ke liye Spencer technique PR ek video bnaye for physio's...plz sir
Okay sure.
Sir I am having lot of stiffness slightly above my knees and below could you please guide me what can I do
We can help you. We are also available for online consultation now.
www.caprispine.com/online-physiotherapy-consultation
Please fill the form. So we know more about your problem and our doctors can help you online. Our clinics are in Delhi and Gurgaon. You can also visit us to our clinic.
You can call us on +91 9063 12 12 12 for any queries or can visit us at www.caprispine.com
Sir aapka hospital kha hai
Sir mere ghutne mai kt kt ki aabaj aati hai or mujhe gthiya hai plese ilaj btao
Sir TKR ma ACL. PCL MCL. Ko Hata deya jata h keya
Dear Devi singh Rawat Ji
Not necessarily. Depends on surgeon and your condition..
For further queries, please feel free to contact us on 8130319333/9063121212
Regards
@@DEEPAKCAPRI thx sir
Sir the first exercise u suggest in the VDO karne ke liye kisi dusre ka help lenaa hoga kya.
khud nahi kar sakte kya
Dear Sanjay Khaitan
Khud bhi kar sakte hain
Thanks
sir can we perform anterior glide in patient having ffd for many years ?
Age of patient?
Dear sir, exercises you are showing are not possible to do one's own self. Are therapists available from your side?
Sir meri age seventeen year h meri knee me gap km h to ye tablte se thik hogi ya exercise se ya fir opartion se sir reply plz...????
Need to see you physically. We can help you.
You can call us on +91 9063 12 12 12 for any queries or can visit us at www.caprispine.com
Namaste sir ji good afternoon. I am very much suffering from knee pain and I am doing my exercises but it won't work. I have taken medicines also from 2015 but it is useless. I saw your video zust now. My left knee is not straight so due to this I can't walk perperly and straight. Now recently I am having pain on my right knee also. I can't walk perperly so please give me better suggestions. At present I am not talking any types of medicines. I am getting very dishearted and depressed day by day my knees are not giving me a support to walk. Please let me know sir what will be the better way for me.
Please try to do the exercises that we have given in this video, if you still dont have any relief from these exercises, please contact us on whatsapp by sending message on +919063121212, so that we may be able to help you further
Gvhrment hosptlme सर्जरी करना ठीक होगा या प्रायव्हेट मे
Can we do gliding exercises after TKR?
It depend, for what ROM you wish to do. For gaining end range extension, yes you can, but always talk to treating surgeon before doing it aggressively
Sir I am 70 year old mere ghutno me gap hai kya karna chahiye please tell me
Hi Sir my calf muscles n between thice n knee side muscle r so stiffnes any suggestions like exsecice
I can't get up with out support when I seat
Please send us your no. Or contact us at 9063121212. We will guide you to help you get rid of this stiffness.
Muscles could be weak. Please contact us at 9063121212. We will help you definitely
Hi Sir mere knee ke sath anckel ME bhi pain hai Kay karu
Could be inter-related. Since when are you having this pain? and what all aggravates it?
If you have XRAY, please send it to 9063121212, so that we can help you
This all excercise we can do only with the help of someone
Informative vdo,,,Thanks sir,,, Dr, Deepak Bhatt, Vadodara,, Gujarat,,
Dear Deepak Bhatt Ji
Thankyou so much. Glad you liked it.
Regards
Sir mera acl grade 2 tear h 20years ho gay mari age 44 year h ma kya koi ilaj ha without opration exercise ma daily karta hu xray ma gap thik h lakin sidiya chdta waqt pain hota h kya karu please muja btay
Dear Pawan Kumar
Sorry, we missed your comment somehow. Probably, your problem might have been resolved by now. Incase, it hasnt got resolved, please post it as a fresh comment. Dont post it in this reply. We will be able help you. You can also contact us or message us on 8130319333/9063121212.
Sir can u suggesst xs. For over pronated foot
foot intrinsic exercises
strengthening intrinsics will help
Meri right knee m gap h...doc ne surgery kavne ke liye kaha h ....please advise me
Dear Sangeera Saini
Please send your knee xray pictures to 9063121212/8130319333 via whatsapp.
We need to see your knee imaging to be able to help you. You can also contact us on the above numbers.
Regards
Dr. Deepak Capri
Sir Je Jam Gutna Kese Mudega
Dear Sadakat Ullah
Kindly send your knee xrays via whatsapp on 8130319333, 9063121212.
We will be able to help after seeing your condition.
Thanks
Regards
Dr. Deepak
www.caprispine.com
Can I do exercises when I have my swollen knee?
Dear Namita Ji
Kindly send the picture of your swollen knee via whatsapp on 9063121212/8130319333.
Thanks.
Regards
We need to see the amount of swelling present. Then only we will be able to tell you exercises to be done or not and which all.
Thanks
शुगर और बी पी का patient TKR करवा सकता है। उसके लिए risk factor कितने percent अधिक है।
Sir mere gutno se kat kat ki aavaj aati hai to ab kya karu
Dear Mr. RS
Is there any pain also in the knee? If there is no pain, then just relax. Those sounds are normal.
Best wishes.
Please give your website for knee pain exercises
It’s available on my TH-cam channel only.
Dear Celina Ji
Exercises are available on TH-cam only. If you want particular exercises for your specific condition, you can drop us a message on 9063121212. We will send you after examining you thoroughly.
Dear dr. Knee band ho gai hai
1
लेफ्ट नी मे सूजन ओर दर्द रहता है उम्र है 56
Please send picture of your knees and good quality photo of your x Ray films. We will see how we can help you.
Please let me know your Mobile no. & address . I hv severe knee problems. I am 78 yrs old. I can't walk properly. While walking I feel severe pain in knee and back pain. I can bend my knee easily but after sitting when I stand up I feel severe pain and sound like cut-cut. Pl suggest.
Meri knee m gap kam ho gya h meri age under 30 hai replecment ka kha h
Please send good quality photo of your x Ray films. Are you having any other medical problem also ? Rheumatoid Arthritis?
@@DEEPAKCAPRI yes sir .. RA hai
X-ray kha pr send kare??
@@akkibhargav2459 Please send it on 9063121212
@@akkibhargav2459 please whatsapp it on 9063121212
मेरे घुटनों में गैप है बिना ऑपरेशन के अच्छी हो जाऊं
Dear Ayesha Ji
Aap bilkul acchi ho sakti hai..
Apne knee x-rays ki photo hume 8130319333/9063121212 par whatsapp kardein. Hum aapki madad kar payenge.
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@@DEEPAKCAPRI ok subhah bhej ti hun
Aap ka fhone number chahiye
Thank you sir 🙏
Dear Hemlata Sharma Ji
So Glad that this was beneficial for you. Kindly subscribe the channel if you'd like to get updates of such informative videos.
Stay Safe and healthy!
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