Get insight about Rotator Cuff and Surgery?

What is the rotator cuff?

A rotator cuff is a group of four small muscles in the shoulder area that is responsible for the control, movement, and stability of the shoulder joint in an individual. These include subscapularis, supraspinatus, infraspinatus, and teres muscles which are collectively called as the rotator cuff. They are known as rotator cuff because these muscles exhibit rotational motion at the shoulder joint.

What is rotator cuff injury?

Rotator cuff injury is a tearing of the rotator cuff tendons in the shoulders part of the body. A rotator cuff injury can appear in two ways

• Trauma
• Repeated microtrauma

Traumatic rotator cuff injury can tear the rotator cuff tendons in the shoulder area when lifting a heavyweight or fall on the rough surface. The rotator cuff injury mostly occurs due to repeated microtrauma which can persist over many weeks, months, or years.

Actually, repeated rotator cuff injury will injure the soft tissues present in the shoulder area and develop swelling and bruising. This swelling further develops impingement, squeezing, or catching of the rotator cuff tendons by separating them from the bony hood. This is a painful situation and needs surgery. Knee and Shoulder India provide excellent services for the surgery of rotator cuff injury in Chennai.

What are the symptoms of rotator cuff injury?

Rotator cuff injury generally shows the signs of shoulder pain and weakness in the shoulder area. It also reduces the shoulder functionality. It can be partial or full thickness tears. Partial rotator cuff injury shows mild shoulder pain when lifting the shoulder whereas full rotator cuff injury shows severe shoulder pain and low functionality when lifting the shoulder above. This is a highly painful situation and needs immediate treatment.

How is a rotator cuff injury diagnosed?

A sports doctor or a physiotherapist can diagnose a rotator cuff injury by analyzing an individual clinical history and by performing certain tests.  An ultrasound scan is a perfect method to diagnose the location and size of the rotator cuff injury.  MRI and X-rays also have a diagnostic ability.

What is the advantage of rotator cuff surgery?

Rotator cuff surgery is considered when physiotherapy is not enough to treat partial or full thick tearing in the shoulder area. In the surgery, torn tendons are sewed back together. The surgery is highly effective on fresh tear rather than old tear. The surgery took around 6-8 months to regain full motion, strength, and functionality of the shoulder. Knee and shoulder India has an expert and qualified team of doctors to perform surgery.

Knee and shoulder India in Chennai has a good hold on the knee and shoulder related surgeries.  The clinic has all the modern equipment and facilities for rotator cuff injury surgery.

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Don't avoid Ligament Injuries

The LCL (lateral collateral ligament) and MCL (medial collateral ligament) are two of the four ligaments that provide stability to the knee joint with the help of ACL (anterior cruciate ligament) and PCL (posterior cruciate ligament). The LCL is situated on the outer side of the knee and MCL is situated on the inner side of the knee. These two ligaments control the side to side stability of the knee joint. The injury in LCL or MCL can resulted in a partial tear, sprain, or full tear which depends on the severity level of the injury.

LCL and MCL tears and sprains mostly occur from direct effect to the side of the knee. Generally, sports persons are more prone to these kinds of injuries. LCL injuries are result of trauma to the inner side of the knee and MCL injuries are occurred due to impact to the outer side of the knee. LCL injuries are less common then MCL injuries. MCL injuries are mostly happened with the meniscus tears as it is connected to the lateral meniscus. LCL injuries mostly occur with ACL or PCL tears.
Symptoms of LCL and MCL injuries will depend on its severity.

• A mild swelling near the ligament
• Bruising
• Tenderness
• Occurring of a “popping sound”
• Difficulty in bend knee

The first line treatment for most LCL/MCL injuries is to provide rest to the affected area and apply ice on it. Anti-inflammatory medication also helps in reducing the swelling and pain. Major or severe injuries require manual therapy, massage, laser treatments, ultrasound and physical therapy exercises.  LCL injuries are generally required surgery then MCL injuries. LCL injuries needed rehabilitation after surgery to increase strength and flexibility in the patients. Some cases needed to wear brace to keep knee joint stable and to prevent any kind of damage.
Knee and Shoulder India, Chennai has all the modern equipments and techniques to treat LCL/MCL injuries. The clinic is good in treating LCL/MCL injuries and provides best treatment for Ligament Injuries in Tamilnadu

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Shoulder Impingement syndrome

Shoulder impingement syndrome also known as swimmer's shoulder is a common cause for shoulder pain. It occurs when there is an impingement of the tendons of the rotator cuff as they pass through the shoulder joint.

Causes and Risk factors of Impingement Syndrome

• Overhead use of the shoulder joint may cause impingement syndrome. The following are some of causes and risk factors of Impingement syndrome:
• Partial tear of a rotator cuff tendon
• Repeated activity using shoulder like tennis, swimming and other overhead sports
• Joint Abnormality

Symptoms of Impingement Syndrome

• The common symptoms of Impingement syndrome includes:
• Weakness of the shoulder muscles
• Pain in the shoulder that extends from the top of the shoulder to the elbow
• Pain when lying on sore shoulder
• Pain while using arm
• Difficulty in reaching up behind the back
• Muscle pain or weakness when lifting or attempting to reach
• Sharp pain when trying to reach the back pocket
• Diagnosis and Treatment of Impingement Syndrome

Impingement Syndrome can be diagnosed by an ultrasound scan which helps to visualize the dynamic impingement and detect associated injuries. An ultrasound can visualize what is happening as the shoulder moves through the impingement zone.
Usually, the doctor may suggest a non surgical treatment such as anti inflammatory drugs or cortisone injections while starting the treatment for Impingement syndrome. If the patient have problem after trying non surgical treatments, the doctor may suggest a surgery. The following are the surgical methods for treating Impingement syndrome:

• Acromioplasty: Surgery to increase the space between the acromion and the rotator cuff.

• Resection Arthroplasty: In this procedure if there is a arthritic AC joint, the end of the clavicle will be removed

• Arthroscopic Procedure: In this procedure the surgeon look in to the joint using an arthroscope and treat the problems inside the joints

Dr Bharani Kumar Dayanandam is a one of the best and experienced orthopedic surgeon in Chennai, In his health care institute Knee and Shoulder India he provides advanced and latest correction surgeries for Impingement syndrome at cost affective rates.

Knee Replacement Surgery in Chennai

Knee Replacement Surgery also known as Arthroplasty is a bone surgery that helps to ease the pain caused by severe arthritis and helps you to move more freely.

The Procedure

During the surgery, the orthopedic surgeon replaces the damaged part of the knee with an artificial joint made of metal or plastic. Then the artificial joint is attached to the thigh bone, kneecap and shin with a special material such as acrylic cement.

Good candidate for Knee Replacement Surgery

The main reason why people go for Knee Replacement Surgery is Osteoarthritis (the condition occurs when the cushion between the knee and bone joints break down). Knee Replacement Surgery benefits the following conditions also:

• Rheumatoid Arthritis: Rheumatoid Arthritis is a condition when the body's immune system attacks and destroys the lining of the knee.
• Deformities: People with deformities like bowed legs or "known-knees" often get surgery to restore the position of the knee.
• Knee Injuries: Broken bone or ligaments around the knee result in arthritis that causes pain and limits movement of the knee.
• Loss of blood Flow: Doctors will recommend surgery for condition called either osteonecrosis or avascular necrosis (the condition causes when blood stops flowing to the bones).

Different types of Knee Replacement Surgery

The following are the four main types of knee replacement surgery:

• Total Replacement Surgery: In this replacement surgery the surgeon replaces the surfaces of the thigh bone and shin bone that connects to the knee.
• Partial Replacement Surgery: This surgery is done when arthritis affects only one side of the knee. For Partial replacement surgery the patient should have strong knee ligaments. It can be performed through a smaller cut than is needed in Total Replacement Surgery.
• Knee Replacement Cap: This replacement surgery is done only on the surface of the kneecap.
• Complex( or Revision) Knee Replacement: This procedure is needed if you have very severe arthritis or you have already done knee replacement surgeries.

Dr.Bharani Kumar Dayanandam is a leading orthopedic surgeon in Chennai. The doctor offers the best Knee Replacement treatment in his health care institution Knee and Shoulder India. They provide advanced remedial treatment to improve movement and fitness.

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Dealing with Cuff Tear Injuries

Pain or disruption in free mobility can often be frustrating. Cuff tear is one such orthopaedic condition which hinder with free movement of arms. A rotator cuff is a group of four tendons and muscles that help in the stabilisation of shoulder while helping in rotating and lifting of arms.

Cuff tear injuries that occur in the rotator cuffs are common in sports persons, due to repeated wear and tear. Rotator cuff tear can also occur while lifting heavy things or falling on the side. They can be painful and interfere with our daily activities.

Symptoms of rotator cuff tear
A rotator cuff tear needs to be treated early to restore complete mobility and prevent conditions like frozen shoulder. Some of the signs and symptoms which denote cuff tear are as below: -

• Discomfort while raising the arms
• Pain while moving arms in certain ways
• Weakness of shoulder
• Popping or clicking while moving the arms
• Inability to lift weights

Causes of rotator cuff tear
Rotator cuff tear can occur due to poor sync between the shoulder blades and shoulder, poor postures, bone spurs, repetitive stress to shoulders, lack of adequate blood supply, keeping the arms in same position while sleeping and so on.
Diagnosis
Cuff tear can be diagnosed through physical examination of the shoulder or through diagnostic techniques like ultrasound, X-rays or MRI.
Treatment for rotator cuff tear
Moderate cases of rotator cuff tears can be treated with a combination of medications and physical therapy. The medications include anti-inflammatory drugs to control pain and swellings in the shoulder. The physical therapy procedures help in strengthening the shoulder muscles.
In cases where the cuff tear cannot be cured with medications alone, surgeries are done. Arthroscopy is the commonly preferred surgery done for treating cuff tear. The procedure is done by inserting an arthroscope through small incisions created at the site of injury. An arthroscope consists of a tiny tube affixed with a camera and other instruments required for the conduct of the surgery. A minimally invasive procedure, arthroscopy ensures best results with a short recovery period.

Dr Bharani  Kumar Dayanandam is a leading orthopaedic surgeon who provides best shoulder Pain Treatment in Chennai with the help of a dedicated team.

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Knee Replacement – A Permanent Relief from Pain

Pain and diseases affects the overall quality of life, not just yours but the family’s as well. Knee disorders has crossed the boundaries of middle and old age and is now found in the young population, making them a candidate for knee replacement as well. Knee disorders can be caused due to injuries by accident, diseases of knee, obesity and lack of physical activity, wear and tear due to age and so on.

A knee replacement surgery is usually suggested when other modes of treatment do not work to cure pain and stiffness in the knee that interfere with daily  activities of the person. They are done in cases of diseases like osteoarthritis and the sort.
Knee Replacement Procedure

The process of knee replacement surgery is done after the administration of anaesthesia. The area or parts of the knee joint which are damaged are then removed and the area is shaped to hold a prosthesis in its place.

The prosthesis used in knee replacement surgery are made of quality inert metals that do not react or cause harm to the adjoining tissues or bone. In older people, the prosthesis is joined cemented to the adjoining parts with a special substance. In younger people, they are not cemented, the bones are allowed to grow into them, holding them in place.

With the minimally invasive surgery being popular nowadays, knee replacement procedure has been simplified to a large extent. The knee surgery should be followed by physical therapy to ease the joints and to help them function properly. People can return to normal activity in a period of about 4 to 6 weeks, depending on the health of the patient.

Benefits of knee replacement surgery
The main advantages of getting a knee replacement surgery are as stated below

• Relief from pain and stiffness
• Increased mobility
• The prosthesis can last for more than 20 years
• Considerably short recovery period

Knee and Shoulder India is an advanced orthopaedic clinic, that deals with all issues of knee and shoulder joints and latest correction surgeries and treatment options.

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Treatment For Frozen Shoulder

Frozen shoulder, also called adhesive capsulitis, occurs when tissues around the joint, scar and stiffen, restricting movement or making it painful and stiff. This condition occurs due to overuse, injury or because of diseases like diabetes or stroke. Frozen shoulder treatment includes both surgical and non-surgical procedures.

Frozen shoulders can develop after surgeries as well, due to limited movement of shoulder. Found commonly in middle aged people, it is more prominently seen in women than in men. Women are susceptible to this disorder around the menopausal period.

Symptoms
The symptoms of frozen shoulder occur in three steps: -
Freezing stage – the range of shoulder motion becomes limited and increased movement causes pain.
Frozen stage – though pain decreases, the stiffness of shoulder increases.
Thawing stage – the pain and stiffness starts easing.
Diagnosis
The diagnosis for frozen treatment can be done through a physical examination and X-ray. During physical examination, the doctor can detect limitations in the range of motion of shoulder. X-ray can help in confirming that the issues are due to frozen shoulder and not arthritis or any such disorders.
Frozen Shoulder Treatment

• Medication: The medications for frozen shoulder includes corticosteroid injections to reduce pain and stiffness in the shoulder joints. It helps with improving mobility of the shoulders at the initial stages of the disease.
• Joint distension: This method of frozen shoulder treatment involves injecting the shoulder joint capsule with sterile water. This helps in loosening of tissues and thereby, ease movement.
• Shoulder manipulation: Performed under general anaesthesia to reduce pain due to movement, this treatment involves moving the stiff joints continuously to ease stiffness and tightened tissue.
• Surgery: This is an extreme measure performed in cases when other treatments do not work. Surgery is performed to remove the adhesions or scar tissues from shoulder joint. This surgery is usually performed as arthroscopy.

Knee and Shoulder India is an orthopaedic treatment centre dealing with knee and shoulder disorders. They provide advanced remedial treatment to improve movement and fitness.

For more details,
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Easy Relief from Knee Osteoarthritis

Osteoarthritis is commonly known as the wear-and-tear arthritis. It is a condition in which cartilage, the natural cushioning between joints, wears away. Due to this, the bones of the joints rub more closely against each other with less of the shock absorbing benefits of the cartilage. The rubbing results in pain, swelling, stiffness, decreased ability to move and sometimes the formation of bone spurs.

Osteoarthritis is one of the most common types of arthritis. It can occur even in young people, the chance of developing osteoarthritis rises after the age of 45, with the knee being one of the most commonly affected areas. Women are more likely to be affected with osteoarthritis than men.

What Causes Knee Osteoarthritis?

One of the most common causes of osteoarthritis of the knee is age. Almost everyone will some time or the other develops some degree of osteoarthritis. However, several other factors also increase the risk of developing significant arthritis at an earlier age.

• Age
• Weight
• Heredity
• Repetitive stress injuries
• Athletics

What Are the Symptoms of Knee Osteoarthritis?
Symptoms of osteoarthritis of the knee will include:

• Pain which increases when active, but gets a little better with rest
• Swelling
• Feeling of warmth in the joint
• Stiffness of the knee
• Decrease in mobility of the knee
• Creaking, crackly sound that is heard when the knee moves

How is knee osteoarthritis treated?
The surgical options to treat osteoarthritis in the knee with surgery are:

• Arthroscopy uses a small telescope and other small instruments. The surgery is performed through small incisions. The surgeon removes damaged cartilage or loose particles, clean the bone surface and repair other types of tissue which are damaged. The procedure is often used on younger patients in order to delay more serious surgery.

• Osteotomy is a procedure which aims to make the knee alignment better by changing the shape of the bones. An osteotomy is not permanent, and further surgery may be necessary.

• Joint replacement surgery or arthroplasty is a surgical procedure in which the knee joints are replaced with artificial parts made from metals or plastic. The replacement will involve either one side of the knee or the entire knee. Joint replacement surgery is usually reserved for people over age 50 with severe osteoarthritis.

Dr. Bharani Kumar is one of the most recommended orthopedician in Chennai, India. His treatment commences only after the complete diagnosis of the problem and also offers right care at the right time.

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How to Get Relief from Shoulder Pain ?

Shoulder Instability is a problem that occurs when the bony structures that surround the shoulder joint do not work properly. Shoulder instability is caused either if the joint is too loose causing slide partially out of place or if the joint comes completely out of place.  The bony structure of the joint surfaces, the ligaments, capsule and muscles are all responsible for maintaining a stable shoulder joint.

Causes of Shoulder Instability

Shoulder Dislocation

Severe injuries or trauma is often the cause of an initial shoulder dislocation. When the head of the humerus dislocates, the socket bone and the ligaments in the front of the shoulder are often injured. A severe first dislocation will lead to continued dislocations, giving out a feeling of instability.

Repetitive Strain

Some people without dislocation may have shoulder instability. Most of these patients have looser ligaments in their shoulders. This increased looseness is sometimes just their normal anatomy or due to the repetitive overhead motion.

Multidirectional Instability

In few patients, the shoulder can become unstable without a history of injury or repetitive strain. In such patients, the shoulder may feel loose or dislocate in multiple directions, i.e. the ball may dislocate out the front, out the back, or out the bottom of the shoulder. This is called multidirectional instability.

Symptoms of Shoulder Instability

Symptoms can include extreme pain in shoulder areas, pain while moving arms up or so, lack of proper movements (can’t move hand more than a limit)etc.

Diagnose

First doctor will examine you physically. In the physical exam, your doctor will feel and move your shoulder, checking it for mobility and strength. Then doctor may order an X-ray or MRI scan which will help to confirm that your shoulder was dislocated or injured in the past.

Treatment for Shoulder Instability

After the diagnose depending on your condition doctor may advice nonsurgical or surgical treatment. In nonsurgical treatment, Hands-on treatments and various types of exercises are used to improve shoulder movements. Various surgeries such as Labral repair (Bankart repair), Latarjet procedure, Capsular Shift etc are done if pain becomes severe. 

Knee and shoulder India is a health care institution particularly dedicated to knee and shoulder disorders. We provide best Treatment for Shoulder Joint Pain in Chennai with the help of a dedicated team.

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