Persistent pain after TKR

Persistent pain after TKR I see  patients operated elsewhere who have persistent pain after TKR.  They had hoped to get permanent pain relief . However their expectations are belied when pain persists. Pain after the first month is a definite cause of worry. Some  causes are poor rehab, low pain threshold, effusion, poor muscle strength.…

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Osteochondritis dissecans

What is Osteochondritis dissecans? To know more, you need to know the anatomy of the knee. Read on… Anatomical background The ends of three bones inside the knee joint are lined by articular cartilage. This smooth spongy tissue is responsible for the smooth and pain less movement. In this condition, which can occur in children…

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Osgood Schlatter’s disease

This is a condition which affects young boys and girls. It is characterised by the presence of pain and a swelling over the upper part of the shin. Anatomical background- The tendon of the thigh muscle is attached at the top of the legbone (tibia) at the tibial tubercle. This is the bump which is…

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Neoplasms

Neoplasms can occur in the bones, bone marrow, cartilage, synovium(lining) and soft tissues of the knee joint as in any other part and organ of the body. They produce swelling, pain and loss of movement in the advanced stage but earlier on there may be no finding and a limp may be the only complaint…

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Meniscal injuries

Has your orthopedic surgeon told you that you have a meniscus tear in India? If you are young and want to remain active, then it is better to get meniscal injuries treatment in India. Why should you get treatment of meniscal injuries in India? The menisci act like washers in the knee joint. When intact they…

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Lateral collateral ligament injury

The lateral collateral ligament is injured as part of the lateral ligament complex and rarely in isolation. It prevents postero lateral translation and medial rotation of the tibia. Anatomy- It extends from the head of the fibula to the lateral femoral epicondyle. It is a round band. The tendon of the biceps is closely related…

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Knee replacements in the elderly

Do your elderly parents or grand parents need knee replacement in India? Knee replacement in elderly is very successful in my hands. See how this is done. Medical problems in the elderly  Elderly people in India increasingly need a knee replacement as they are liveing longer. It is common to see elderly patients in my…

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Infections

Infectious arthritis or septic arthritis is the invasion of a joint by bacteria. It is a serious condition which if not treated properly and rapidly leads to the destruction of the joint. The cartilage lining of the joint is destroyed rapidly. The most common way in which bacteria enter a joint is via the circulation.…

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Iliotibial band syndrome

Anatomy The ilitoibial band is a long band of tendon extending from the ilium to the knee. It helps to bind the thigh muscle down. It can become inflamed in people who overuse it, say in runners and cyclists. Symptoms A snapping sensation over the knee whenever the knee bends. .Pain over the tendon which…

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