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Precautions and Exercises After ACL Reconstruction Request an Appointment Overview Overview Precautions and Exercises After ACL Reconstruction Anterior cruciate ligament (ACL) reconstruction is a common surgery, especially for athletes and active individuals who experience ACL tears. Recovery is critical to regaining knee function, stability, and strength. Following your surgery, it’s essential to adhere to a specific rehabilitation program to ensure proper healing and return to your regular activities safely. This blog will outline some important precautions and exercises to follow post-surgery. Request an appointment Precautions After ACL Reconstruction Follow Your Doctor’s Advice After surgery, your surgeon will provide specific guidelines based on the severity of your injury, type of graft used, and individual healing process. It’s crucial to follow these instructions carefully. Avoid Putting Excess Weight on Your Knee In the initial weeks after surgery, you will likely use crutches to keep weight off the affected leg. Ensure that you don’t rush into full weight-bearing too early as this can compromise the graft. Be Careful with Range of Motion While it’s important to restore movement, forcing your knee into positions beyond what is recommended can cause complications. Your physical therapist will guide you on appropriate range-of-motion exercises that promote healing without risking further injury.  Don’t Rush Into Sports One of the biggest mistakes people make is returning to sports or high-impact activities before their knee is ready. It can take 6-12 months for the ACL graft to fully integrate into your knee, and engaging in sports too early can result in a re-tear. Watch Out for Swelling Swelling is a normal part of the recovery process, but excessive swelling may indicate that you’re doing too much too soon. Keep your knee elevated and use ice packs regularly to reduce swelling, especially after exercises. Use a Knee Brace if Prescribed If your doctor or physical therapist recommends a knee brace, wear it as instructed. Braces can help protect the knee during the early stages of healing and during exercises.  Avoid Pivoting or Twisting Movements Pivoting or twisting your knee can stress the ACL graft. Until you’ve regained strength and stability through rehabilitation, avoid these motions to prevent reinjury. Request an appointment

Hopscotch Exercise Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Hopscotch Exercise Hopscotch can be a fun and effective balance training exercise, especially for children and adolescents, but also beneficial for adults. It involves jumping and landing on one foot or two, which helps improve coordination, balance, and leg strength. Here’s how you can incorporate hopscotch into balance training Setting Up: Hopscotch Grid: Draw a hopscotch grid on the ground using chalk or use a pre-made mat. The grid typically consists of single and double squares numbered sequentially. Marker: Use a small object like a stone or beanbag as a marker. Request an appointment Basic Hopscotch Exercise: 1. Starting Position: Stand at the start of the grid with the marker in hand.2. Throw the Marker : Toss the marker onto square one.3. Hopping Sequence:– Single Leg Hop: Hop on one foot into the first single square, avoiding the square with the marker.– Double Leg Hop: Hop with both feet in double squares.– Continue: Follow the sequence of single and double squares, maintaining balance.4. Pick Up the Marker: On the way back, stop on the square before the marker, lean down (while balancing on one foot), and pick up the marker.5. Return to Start: Hop back to the start, maintaining proper balance. Advanced Variations: 1. Single Leg Hop: Perform the entire sequence hopping on one leg to increase difficulty.2. Backward Hopscotch: Hop through the grid backward, which challenges balance and coordination further.3. Timed Hopscotch: Use a timer to add a speed element, focusing on maintaining balance while performing the exercise quickly.4. Obstacle Hopscotch: Add small obstacles or varied surfaces within the grid to enhance proprioception and balance.5. Dynamic Hopscotch: Incorporate dynamic movements such as lateral hops, diagonal hops, or incorporating arm movements to increase complexity. Benefits: 1.Improves Balance: Hopping on one foot requires maintaining balance, which strengthens stabilizing muscles.2.Enhances Coordination: The sequence of movements helps improve overall coordination.3.Strengthens Lower Limbs: Regular hopping strengthens muscles in the legs and feet.4.Increases Agility: Quick and precise movements enhance agility and proprioception.5.Fun and Engaging: Hopscotch is a playful exercise that can keep participants motivated and engaged. Safety Tips: 1.Warm-Up: Always start with a warm-up to prepare the muscles and joints.2.Proper Footwear: Wear supportive shoes to prevent injury.3.Soft Surface: Perform hopscotch on a soft or cushioned surface to reduce impact on joints.4.Monitor Fatigue: Avoid overdoing it, especially for those new to the exercise or with pre-existing conditions. Incorporating hopscotch into a balance training routine can be an enjoyable and effective way to improve balance, coordination, and lower limb strength. Request an appointment

IT Band Syndrome Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview IT Band Syndrome Iliotibial Band Syndrome (ITBS) is an overuse injury commonly affecting athletes, particularly runners and cyclists. It involves inflammation and irritation of the iliotibial band (ITB), a thick band of tissue that runs from the hip to the shin along the outer thigh. This condition is caused by repetitive friction of the ITB against the lateral femoral epicondyle, a bony prominence on the outer knee. Causes: Faulty biomechanics Unbalanced, repetitive exercise Excessive training Muscle tightness or lack of flexibility Request an appointment Symptoms: Pain on the outer side of the knee, which can radiate up the thigh or down the leg. Tenderness and possible swelling over the lateral femoral epicondyle. Pain that worsens with activities like running, especially downhill, or cycling. Diagnosis: Clinical examination focusing on pain location and movement-related symptoms.  Patient history, particularly physical activity and training routines.  Imaging studies (such as MRI) may be used to rule out other conditions if necessary. Treatment: Rest: Avoid activities that exacerbate the pain. Ice: Apply ice to reduce inflammation. Medication: Use NSAIDs (e.g., ibuprofen) for pain relief and inflammation reduction. Physical Therapy:– Stretching exercises for the ITB, hip abductors, and core muscles.– Strengthening exercises for the hip and thigh muscles.  Foam Rolling: To alleviate tightness in the ITB. Biomechanical Adjustments: Proper footwear and orthotics to correct gait abnormalities if necessary. Prevention: Gradual increase in activity levels to prevent overuse. Incorporation of cross-training to minimize repetitive stress on the ITB. Regular stretching and strengthening exercises for the hip and thigh muscles. Ensuring proper technique in running and cycling. If conservative treatments do not alleviate symptoms, further interventions like corticosteroid injections or, in rare cases, surgical release of the ITB may be considered. Consult with a healthcare professional for a personalized treatment plan. Request an appointment

Meniscus Tear Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Meniscus Tear A meniscus tear is a common knee injury involving the menisci, which are two C-shaped pieces of cartilage that act as shock absorbers between the femur (thigh bone) and tibia (shin bone). Here are the key aspects of a meniscus tear Causes: Trauma: Often occurs during activities that involve twisting, pivoting, or sudden stops, common in sports like football, basketball, and soccer. Degeneration: In older adults, the meniscus can weaken and become more susceptible to tears from minor movements. Request an appointment Symptoms: Pain: Usually localized to the knee joint line and can vary in intensity. Swelling: May develop within the first 24 hours after injury. Stiffness: Limited range of motion in the knee. Locking or Catching: The knee may lock or catch during movement. Instability: Feeling of the knee giving way. Difficulty Squatting: Pain or inability to fully bend the knee. Diagnosis: Clinical Examination: Includes history taking and specific physical tests like the McMurray test and Apley’s grind test. Imaging: MRI is the gold standard for visualizing meniscal tears. X-rays may be used to rule out other conditions like fractures. Treatment: 1.Conservative Management: Rest: Avoid activities that exacerbate symptoms. Ice: Apply ice packs to reduce swelling and pain.  Compression: Use an elastic bandage or knee brace. Elevation: Elevate the leg to reduce swelling. Medications: NSAIDs to alleviate pain and inflammation. Physical Therapy: Exercises to strengthen surrounding muscles and improve range of motion. 2.Surgical Options Arthroscopy: Minimally invasive surgery to repair or remove the torn portion of the meniscus. Meniscectomy: Removal of the damaged meniscal tissue if repair is not feasible. Meniscal Repair: Stitching the torn edges together, usually recommended for younger patients or those with tears in the outer third of the meniscus where blood supply is better. Rehabilitation: Post-surgical rehabilitation is crucial and includes physical therapy to restore strength, flexibility, and function. Recovery times vary depending on the extent of the tear and the type of treatment. Prognosis: With appropriate treatment, many individuals can return to their regular activities. However, untreated or improperly managed meniscal tears can lead to complications such as persistent pain, knee instability, and an increased risk of developing osteoarthritis. When to see a doctor If you experience persistent knee pain, swelling, or instability, or if you have difficulty moving the knee or performing daily activities, it is important to seek medical evaluation. Early diagnosis and treatment can improve outcomes and prevent complications. Request an appointment

ACL Tear Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview ACL Tear An anterior cruciate ligament (ACL) tear is a common and significant knee injury, particularly among athletes. The ACL is one of the key ligaments that help stabilize the knee joint. Here are the key aspects of an ACL tear Causes: Sports Injuries: Commonly occurs in sports that involve sudden stops, changes in direction, jumping, or landing improperly (e.g., soccer, basketball, and skiing). Trauma: Direct impact to the knee can also cause an ACL tear. Request an appointment Symptoms: A “Pop” Sound: Many people report hearing or feeling a pop in the knee at the time of injury. Severe Pain: Immediate and intense pain following the injury. Swelling: Rapid swelling within a few hours due to bleeding within the joint. Instability: Feeling of the knee giving way or being unstable, especially during weight-bearing activities. Limited Range of Motion: Difficulty fully bending or straightening the knee. Diagnosis: Clinical Examination: Includes history taking and specific physical tests such as the Lachman test, anterior drawer test, and pivot shift test. Imaging MRI: The gold standard for confirming an ACL tear and assessing associated injuries (e.g., meniscus tears, bone bruises). X-rays: Used to rule out fractures but do not show ligament injuries. Treatment: 1.Non-Surgical Management: Rest, Ice, Compression, Elevation (RICE): Initial management to reduce pain and swelling. Bracing: Knee braces can provide stability. Physical Therapy: Focuses on strengthening the muscles around the knee and improving range of motion. Activity Modification: Avoiding activities that exacerbate symptoms. 2.Surgical Options: ACL Reconstruction: The definitive treatment for active individuals, particularly athletes. The torn ligament is replaced with a graft (commonly using patellar tendon, hamstring tendon, or cadaveric tissue). Timing of Surgery: Often delayed until swelling decreases and range of motion improves. Rehabilitation: Prehabilitation: Physical therapy before surgery to strengthen the knee and improve range of motion. Postoperative Rehabilitation: A structured physical therapy program is crucial for recovery, focusing on gradual weight-bearing, range of motion exercises, strength training, and eventually, sports-specific drills. Recovery Time: Typically, return to sports can take 6-12 months, depending on the individual’s progress and adherence to the rehabilitation protocol. Prognosis: -With appropriate surgical and rehabilitative treatment, many individuals can return to their previous levels of activity. However, there is a risk of re-injury, and some may develop long-term issues such as knee instability or osteoarthritis. When to see a doctor If you experience severe knee pain, swelling, a feeling of instability, or difficulty moving the knee, it is important to seek medical evaluation promptly. Early diagnosis and treatment can improve outcomes and prevent complications. Request an appointment

Knee Osteoarthritis Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Knee Osteoarthritis Knee osteoarthritis (OA) is a degenerative joint disease characterized by the breakdown of cartilage, leading to pain, stiffness, and decreased function. It is a common condition, particularly in older adults. Here are key aspects of knee osteoarthritis Causes and Risk Factors: Age: The risk increases with age. Gender: Women are more likely to develop OA than men. Obesity: Excess weight puts additional stress on knee joints. Genetics: Family history can play a role. Joint Injuries: Previous knee injuries can increase the risk. Repetitive Stress: Occupations or activities that place repeated stress on the knees. Request an appointment Symptoms: Pain: Typically worsens with activity and improves with rest. Stiffness: Especially after periods of inactivity or in the morning. Swelling: Due to inflammation in the joint. Decreased Range of Motion: Difficulty in fully bending or straightening the knee. Crepitus: A grating sensation or sound during joint movement. Diagnosis: Clinical Evaluation: Includes medical history and physical examination. Imaging: X-rays can show joint space narrowing, bone spurs, and other changes. MRI may be used to assess cartilage and soft tissues. Laboratory Tests: Blood tests and joint fluid analysis can help rule out other conditions like rheumatoid arthritis. Treatment: 1.Conservative Management: Weight Management: Reducing weight can decrease joint stress. Exercise: Strengthening the muscles around the knee, improving flexibility and range of motion. Physical Therapy: Tailored exercises and modalities to reduce pain and improve function. Medications: NSAIDs, acetaminophen, and topical analgesics. Injections: Corticosteroids or hyaluronic acid injections can provide temporary relief. 2.Surgical Options: Arthroscopy: Minimally invasive surgery to clean out the joint. Osteotomy: Realignment of bones to offload the affected part of the knee. Partial or Total Knee Replacement: Replacing damaged parts of the knee with artificial components. Lifestyle Modifications: Activity Modification: Avoiding activities that exacerbate symptoms. Supportive Devices: Braces, orthotics, or canes can help reduce stress on the knee. Diet: A balanced diet rich in anti-inflammatory foods may help manage symptoms. Prognosis: Knee osteoarthritis is a chronic condition, but with appropriate management, many patients can maintain good function and quality of life. Early intervention and a comprehensive treatment plan can help slow disease progression and alleviate symptoms. When to see a doctor You should see a doctor for knee osteoarthritis if you experience any of the following:  Persistent Pain: If you have ongoing knee pain that doesn’t improve with over-the-counter pain medications, rest, or self-care measures.  Swelling: Noticeable swelling in the knee that doesn’t subside or frequently recurs.  Stiffness: severe stiffness, especially in the morning or after periods of inactivity, that limits your range of motion. Decreased Function: Difficulty performing daily activities, such as walking, climbing stairs, or getting up from a chair.  Instability: Sensation of the knee giving way or feeling unstable.  Visible Deformity: Any noticeable changes in the shape or alignment of your knee. No Improvement with Self-Care: If lifestyle modifications, such as weight loss, exercise, and home remedies, do not relieve symptoms.  Interference with Sleep: Pain or discomfort that affects your ability to sleep. Other Symptoms: Signs of infection (e.g., redness, warmth, and fever) or other unusual symptoms. Early consultation with an orthopedic specialist can help in the accurate diagnosis and formulation of a comprehensive treatment plan to manage symptoms and improve quality of life. Request an appointment

Arthritis is a crippling disorder of the joints which affects you after the age of 50. Nowadays science has developed in the field of joint replacement surgery, advanced implants, and robotic surgery. Still, nothing is better than having your own joint. And the best way for it is to PREVENT ARTHRITIS. Following a few daily lifestyle modifications can bring huge changes in your life. Apart from this weight reduction, a healthy diet, and exercise are the essential parts of the prevention strategy.Visit PRESERVE THE JOINTS. ARTHRITIS AND SPORTS INJURY CENTER, NIBM- WANOWARI for the BEST ORTHOPAEDIC care and treatment. 

Knee Treatment by Yogesh Sisodia. In arthritis, Joints behave like a rusted door hinge Arthritis makes the patient feel old even though they are still in the prime of life making them to curb or to quit the activities they want to enjoy Ligament Injuries There are 4 major ligaments in the knee. Ligaments are elastic bands of tissue that connect bones to each other and provide stability and strength to the joint. The four main ligaments in the knee connect the femur (thighbone) to the tibia (shin bone), and include the following: Anterior cruciate ligament (ACL). The ligament, located in the center of the knee, that controls rotation and forward movement of the tibia (shin bone). Posterior cruciate ligament (PCL). The ligament, located in the back of the knee, that controls backward movement of the tibia (shin bone). Medial collateral ligament (MCL). The ligament that gives stability to the inner knee. Lateral collateral ligament (LCL). The ligament that gives stability to the outer knee. Knee Replacement Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury. The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments.

We are glad to inform you that under the aegis of the PUNE OSTEOPOROSIS PREVENTION PROGRAM, our clinic and Core Imaging and Diagnostic Center are arranging a FREE CAMP FOR VITAMIN D3 AND BONE MINERAL DENSITY TEST on Sunday 22nd October. Also, blood investigations, x-rays, and Physiotherapy will be available at discounted rates over 1 week. Registration (100 INR) is mandatory. Free orthopedic consultation will also be provided to registered patients for 1 week. Kindly take advantage of the opportunity and share it with needy people. Thanks  

Knee Treatment by Yogesh Sisodia. In arthritis, Joints behave like a rusted door hinge Arthritis makes the patient feel old even though they are still in the prime of life making them to curb or to quit the activities they want to enjoy Ligament Injuries There are 4 major ligaments in the knee. Ligaments are elastic bands of tissue that connect bones to each other and provide stability and strength to the joint. The four main ligaments in the knee connect the femur (thighbone) to the tibia (shin bone), and include the following: Anterior cruciate ligament (ACL). The ligament, located in the center of the knee, that controls rotation and forward movement of the tibia (shin bone). Posterior cruciate ligament (PCL). The ligament, located in the back of the knee, that controls backward movement of the tibia (shin bone). Medial collateral ligament (MCL). The ligament that gives stability to the inner knee. Lateral collateral ligament (LCL). The ligament that gives stability to the outer knee. Knee Replacement Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury. The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments.