Hip Injury

The hip is one of the body's largest weight-bearing joints. It consists of two main parts: a ball (femoral head) at the top of your thighbone (femur) that fits into a rounded socket (acetabulum) in your pelvis. Bands of tissue called ligaments (hip capsule) connect the ball to the socket and provide stability to the joint.

The bone surfaces of the ball and socket have a smooth durable cover of articular cartilage that cushions the ends of the bones and enables them to move easily.

A thin, smooth tissue called synovial membrane covers all remaining surfaces of the hip joint. In a healthy hip, this membrane makes a small amount of fluid that lubricates and almost eliminates friction in your hip joint.

Common Causes of Hip Pain and Loss of Hip Mobility

The most common cause of hip pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of this disease.

Osteoarthritis usually occurs in people 50 years of age and older and often individuals with a family history of arthritis. It may be caused or accelerated by subtle irregularities in how the hip developed. In this form of the disease, the articular cartilage cushioning the bones of the hip wears away. The bones then rub against each other, causing hip pain and stiffness.

Rheumatoid arthritis is an autoimmune disease in which the synovial membrane becomes inflamed, produces too much synovial fluid, and damages the articular cartilage, leading to pain and stiffness.

Traumatic arthritis can follow a serious hip injury or fracture. A hip fracture can cause a condition known as osteonecrosis. The articular cartilage becomes damaged and, over time, causes hip pain and stiffness.

Whether to have hip replacement surgery should be a cooperative decision made by you, your family,& your orthopaedic surgeon at A+ clinic.

Although many patients who undergo hip replacement surgery are 60 to 80 years of age, orthopaedic surgeons evaluate patients individually. Recommendations for surgery are based on the extent of your pain, disability, and general health status-not solely on age.

Hip replacement surgery may benefit you if: if:

Hip pain limits your everyday activities such as walking or bending.

Hip pain continues while resting, either day or night.

Stiffness in a hip limits your ability to move or lift your leg.

You have little pain relief from anti-inflammatory drugs or glucosamine sulfate.

Other treatments such as physical therapy or the use of a gait aid such as a cane do not relieve hip pain.

The Orthopaedic Evaluation

Your orthopaedic surgeon at A+ clinic ask you about your general health the extent of your hip pain and how it affects your ability to perform every day activities.

A physical examination to assess hip mobility, strength, and alignment.

X-rays (radiographs) to determine the extent of damage or deformity in your hip.

Occasionally, blood tests or other tests such as MRI (magnetic resonance imaging or bone scanning may be needed to determine the condition of the bone and soft tissues of your hip.

What to Expect From Hip Replacement Surgery
· An important factor in deciding whether to have hip replacement surgery is understanding what the procedure can and cannot do.

· Most people who undergo hip replacement surgery experience a dramatic reduction of hip pain and a significant improvement in their ability to perform the common activities of daily living. However, hip replacement surgery will not enable you to do more than you could before your hip problem developed.

· Following surgery, you will be advised to avoid certain activities, including jogging and high-impact sports, for the rest of your life. You may be asked to avoid specific positions of the joint that could lead to dislocation.

· Even with normal use and activities, an artificial joint (prosthesis) develops some wear over time. If you participate in high-impact activities or are overweight, this wear may accelerate and cause the prosthesis to loosen and become painful.

Surgery



The surgical procedure takes a few hours. The orthopaedic surgeon will remove the damaged cartilage and bone and then position new metal, plastic, or ceramic joint surfaces to restore the alignment and function of your hip.



Many different types of designs and materials are currently used in artificial hip joints. All of them consist of two basic components: the ball component (made of a highly polished strong metal or ceramic material) and the socket component (a durable cup made of plastic, ceramic or metal, which may have an outer metal shell).

Special surgical cement may be used to fill the gap between the prosthesis and remaining natural bone to secure the artificial joint.

A noncemented prosthesis has also been developed and is used most often in younger, more active patients with strong bone. The prosthesis may be coated with textured metal or a special bone-like substance, which allows bone to grow into the prosthesis.

You will usually stay in the hospital for a few days. After surgery, you will feel pain in your hip. Pain medication will be given to make you as comfortable as possible.

To avoid lung congestion after surgery, you will be asked to breathe deeply and cough frequently.

To protect your hip during early recovery, a positioning splint, or a pillow is placed between your legs.

Walking and light activity are important to your recovery and will begin a day after your surgery. Most patients who undergo total hip replacement begin standing and walking with the help of a walking support and a physical therapist the day after surgery. The physical therapist will teach you specific exercises to strengthen your hip and restore movement for walking and other normal daily activities.

Recovery

The success of your surgery will depend in large measure on how well you follow your orthopaedic surgeon's instructions regarding home care during the first few weeks after surgery.

Wound Care

You will have stitches or staples running along your wound or a suture beneath your skin. The stitches or staples will be removed approximately 2 weeks after surgery.

Avoid getting the wound wet until it has thoroughly sealed and dried. A bandage may be placed over the wound.

Diet

A balanced diet, often with an iron supplement, is important to promote proper tissue healing and restore muscle strength. Drink plenty of fluids.

Activity

Exercise is a critical component of home care, particularly during the first few weeks after surgery. You should be able to resume most normal light activities of daily living within 3 to 6 weeks following surgery. Some discomfort with activity and at night is common for several weeks.

Your activity program should include:

A graduated walking program, initially in your home and later outside

A walking program to slowly increase your mobility and endurance

Resuming other normal household activities

Resuming sitting, standing, and walking up and down stairs

Specific exercises several times a day to restore movement

Specific exercises several times a day to strengthen your hip joint

You may wish to have a physical therapist help you at home.

Other precautionary measures

Avoiding Falls

· A fall during the first few weeks after surgery can damage your new hip and may result in a need for more surgery. Stairs climbing is avoided until your hip is strong and mobile. You should use a cane, crutches, a walker, or handrails or have someone help you until you improve your balance, flexibility, and strength.

· Your orthopaedic surgeon and physical therapist at A+ clinic will decide which assistive aides will be required following surgery, and when those aides can safely be discontinued.

Special Precautions:

Do not cross your legs.

Do not bend your hips more than a right angle (90°).

Do not turn your feet excessively inward or outward.

Use a pillow between your legs at night when sleeping until you are advised by your orthopaedic surgeon that you can remove it.

What changes at home will help a patient with THR

The following is a list of home modifications that will make your return home easier during your recovery:

Securely fastened safety bars or handrails in your shower or bath

Secure handrails along all stairways

A stable chair for your early recovery with a firm seat cushion (that allows your knees to remain lower than your hips), a firm back, and two arms

A raised toilet seat

A stable shower bench or chair for bathing

A long-handled sponge and shower hose

A dressing stick, a sock aid, and a long-handled shoe horn for putting on and taking off shoes and socks without excessively bending your new hip

A reacher that will allow you to grab objects without excessive bending of your hips

Firm pillows for your chairs, sofas, and car that enable you to sit with your knees lower than your hips

Removal of all loose carpets and electrical cords from the areas where you walk in your home


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Hip Injury

The hip is one of the body's largest weight-bearing joints. It consists of two main parts: a ball (femoral head) at the top of your thighbone (femur) that fits into a rounded socket (acetabulum) in your pelvis. Bands of tissue called ligaments (hip capsule) connect the ball to the socket and provide stability to the joint.

The bone surfaces of the ball and socket have a smooth durable cover of articular cartilage that cushions the ends of the bones and enables them to move easily.

A thin, smooth tissue called synovial membrane covers all remaining surfaces of the hip joint. In a healthy hip, this membrane makes a small amount of fluid that lubricates and almost eliminates friction in your hip joint.

Common Causes of Hip Pain and Loss of Hip Mobility

The most common cause of hip pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of this disease.

Osteoarthritis usually occurs in people 50 years of age and older and often individuals with a family history of arthritis. It may be caused or accelerated by subtle irregularities in how the hip developed. In this form of the disease, the articular cartilage cushioning the bones of the hip wears away. The bones then rub against each other, causing hip pain and stiffness.

Rheumatoid arthritis is an autoimmune disease in which the synovial membrane becomes inflamed, produces too much synovial fluid, and damages the articular cartilage, leading to pain and stiffness.

Traumatic arthritis can follow a serious hip injury or fracture. A hip fracture can cause a condition known as osteonecrosis. The articular cartilage becomes damaged and, over time, causes hip pain and stiffness.

Whether to have hip replacement surgery should be a cooperative decision made by you, your family,& your orthopaedic surgeon at A+ clinic.

Although many patients who undergo hip replacement surgery are 60 to 80 years of age, orthopaedic surgeons evaluate patients individually. Recommendations for surgery are based on the extent of your pain, disability, and general health status-not solely on age.

Hip replacement surgery may benefit you if: if:

Hip pain limits your everyday activities such as walking or bending.

Hip pain continues while resting, either day or night.

Stiffness in a hip limits your ability to move or lift your leg.

You have little pain relief from anti-inflammatory drugs or glucosamine sulfate.

Other treatments such as physical therapy or the use of a gait aid such as a cane do not relieve hip pain.

The Orthopaedic Evaluation

Your orthopaedic surgeon at A+ clinic ask you about your general health the extent of your hip pain and how it affects your ability to perform every day activities.

A physical examination to assess hip mobility, strength, and alignment.

X-rays (radiographs) to determine the extent of damage or deformity in your hip.

Occasionally, blood tests or other tests such as MRI (magnetic resonance imaging or bone scanning may be needed to determine the condition of the bone and soft tissues of your hip.

What to Expect From Hip Replacement Surgery
· An important factor in deciding whether to have hip replacement surgery is understanding what the procedure can and cannot do.

· Most people who undergo hip replacement surgery experience a dramatic reduction of hip pain and a significant improvement in their ability to perform the common activities of daily living. However, hip replacement surgery will not enable you to do more than you could before your hip problem developed.

· Following surgery, you will be advised to avoid certain activities, including jogging and high-impact sports, for the rest of your life. You may be asked to avoid specific positions of the joint that could lead to dislocation.

· Even with normal use and activities, an artificial joint (prosthesis) develops some wear over time. If you participate in high-impact activities or are overweight, this wear may accelerate and cause the prosthesis to loosen and become painful.

Surgery



The surgical procedure takes a few hours. The orthopaedic surgeon will remove the damaged cartilage and bone and then position new metal, plastic, or ceramic joint surfaces to restore the alignment and function of your hip.



Many different types of designs and materials are currently used in artificial hip joints. All of them consist of two basic components: the ball component (made of a highly polished strong metal or ceramic material) and the socket component (a durable cup made of plastic, ceramic or metal, which may have an outer metal shell).

Special surgical cement may be used to fill the gap between the prosthesis and remaining natural bone to secure the artificial joint.

A noncemented prosthesis has also been developed and is used most often in younger, more active patients with strong bone. The prosthesis may be coated with textured metal or a special bone-like substance, which allows bone to grow into the prosthesis.

You will usually stay in the hospital for a few days. After surgery, you will feel pain in your hip. Pain medication will be given to make you as comfortable as possible.

To avoid lung congestion after surgery, you will be asked to breathe deeply and cough frequently.

To protect your hip during early recovery, a positioning splint, or a pillow is placed between your legs.

Walking and light activity are important to your recovery and will begin a day after your surgery. Most patients who undergo total hip replacement begin standing and walking with the help of a walking support and a physical therapist the day after surgery. The physical therapist will teach you specific exercises to strengthen your hip and restore movement for walking and other normal daily activities.

Recovery

The success of your surgery will depend in large measure on how well you follow your orthopaedic surgeon's instructions regarding home care during the first few weeks after surgery.

Wound Care

You will have stitches or staples running along your wound or a suture beneath your skin. The stitches or staples will be removed approximately 2 weeks after surgery.

Avoid getting the wound wet until it has thoroughly sealed and dried. A bandage may be placed over the wound.

Diet

A balanced diet, often with an iron supplement, is important to promote proper tissue healing and restore muscle strength. Drink plenty of fluids.

Activity

Exercise is a critical component of home care, particularly during the first few weeks after surgery. You should be able to resume most normal light activities of daily living within 3 to 6 weeks following surgery. Some discomfort with activity and at night is common for several weeks.

Your activity program should include:

A graduated walking program, initially in your home and later outside

A walking program to slowly increase your mobility and endurance

Resuming other normal household activities

Resuming sitting, standing, and walking up and down stairs

Specific exercises several times a day to restore movement

Specific exercises several times a day to strengthen your hip joint

You may wish to have a physical therapist help you at home.

Other precautionary measures

Avoiding Falls

· A fall during the first few weeks after surgery can damage your new hip and may result in a need for more surgery. Stairs climbing is avoided until your hip is strong and mobile. You should use a cane, crutches, a walker, or handrails or have someone help you until you improve your balance, flexibility, and strength.

· Your orthopaedic surgeon and physical therapist at A+ clinic will decide which assistive aides will be required following surgery, and when those aides can safely be discontinued.

Special Precautions:

Do not cross your legs.

Do not bend your hips more than a right angle (90°).

Do not turn your feet excessively inward or outward.

Use a pillow between your legs at night when sleeping until you are advised by your orthopaedic surgeon that you can remove it.

What changes at home will help a patient with THR

The following is a list of home modifications that will make your return home easier during your recovery:

Securely fastened safety bars or handrails in your shower or bath

Secure handrails along all stairways

A stable chair for your early recovery with a firm seat cushion (that allows your knees to remain lower than your hips), a firm back, and two arms

A raised toilet seat

A stable shower bench or chair for bathing

A long-handled sponge and shower hose

A dressing stick, a sock aid, and a long-handled shoe horn for putting on and taking off shoes and socks without excessively bending your new hip

A reacher that will allow you to grab objects without excessive bending of your hips

Firm pillows for your chairs, sofas, and car that enable you to sit with your knees lower than your hips

Removal of all loose carpets and electrical cords from the areas where you walk in your home


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Meniscus Injury

Tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee, called menisci. When doctors refer to "torn cartilage" in the knee, they are actually referring to an injury to a meniscus at the top of one of the tibiae. Menisci can be torn during activities such as walking. They can also be torn by traumatic force encountered in forms of physical exertion. The traumatic action is most often a twisting movement at the knee while the leg is bent. In adults, the meniscus can be damaged following prolonged 'wear and tear'. This is called a degenerative tear.
Tears can lead to pain and/or swelling of the knee joint. A tear of the medial meniscus can occur as part of the unhappy triad, together with a tear of the anterior cruciate ligament and medial collateral ligament.


Symptoms

Most complaints from patients are usually knee pain and swelling. These are worse when the knee bears more weight. Another typical complaint is joint locking. This can be accompanied by a clicking feeling. Sometimes, a meniscal tear also causes a sensation that the knee gives way.
A tear of the meniscus commonly follows rotation of the knee while it was slightly bent. These also excite the pain after the injury; for example, getting out of a car is often reported as painful.
A physician performs clinical tests to determine if the pain is caused by compression and impingement of a torn meniscus. The knee is examined for swelling. In meniscal tears, pressing on the joint line on the affected side typically produces tenderness.

Diagnosis

X-ray images can be obtained to rule out other conditions or to see if the patient also has osteoarthritis. The menisci themselves cannot be visualized with plain radiographs. If the diagnosis is not clear from the history and examination, the menisci can be imaged with MRI scan (Magnetic Resonance Imaging).This technique has replaced previous arthrography, which involved injecting contrast medium into the joint space. Recent survey shows that MRI and clinical testing are comparable in sensitivity and specificity when looking for a meniscal tear.

Surgery

If this does not resolve cases of a locked knee, then surgical intervention may be required. Depending on the location of the tear, a repair may be possible. In the outer third of the meniscus, required blood supply exists and a repair will likely heal.
The meniscus has fewer vessels and blood flow towards the unattached, thin interior edge. In most of the cases, the tear is far away from the meniscus' blood supply, and a repair is unlikely to heal. In these cases arthroscopic surgery allows for a partial meniscectomy, removing the torn tissue and allowing the knee to function with some of the meniscus missing. In situations where the meniscus is damaged beyond repair or partial removal, a total menisectomy is performed.
For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Meniscus Injury

Tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee, called menisci. When doctors refer to "torn cartilage" in the knee, they are actually referring to an injury to a meniscus at the top of one of the tibiae. Menisci can be torn during activities such as walking. They can also be torn by traumatic force encountered in forms of physical exertion. The traumatic action is most often a twisting movement at the knee while the leg is bent. In adults, the meniscus can be damaged following prolonged 'wear and tear'. This is called a degenerative tear.
Tears can lead to pain and/or swelling of the knee joint. A tear of the medial meniscus can occur as part of the unhappy triad, together with a tear of the anterior cruciate ligament and medial collateral ligament.


Symptoms

Most complaints from patients are usually knee pain and swelling. These are worse when the knee bears more weight. Another typical complaint is joint locking. This can be accompanied by a clicking feeling. Sometimes, a meniscal tear also causes a sensation that the knee gives way.
A tear of the meniscus commonly follows rotation of the knee while it was slightly bent. These also excite the pain after the injury; for example, getting out of a car is often reported as painful.
A physician performs clinical tests to determine if the pain is caused by compression and impingement of a torn meniscus. The knee is examined for swelling. In meniscal tears, pressing on the joint line on the affected side typically produces tenderness.

Diagnosis

X-ray images can be obtained to rule out other conditions or to see if the patient also has osteoarthritis. The menisci themselves cannot be visualized with plain radiographs. If the diagnosis is not clear from the history and examination, the menisci can be imaged with MRI scan (Magnetic Resonance Imaging).This technique has replaced previous arthrography, which involved injecting contrast medium into the joint space. Recent survey shows that MRI and clinical testing are comparable in sensitivity and specificity when looking for a meniscal tear.

Surgery

If this does not resolve cases of a locked knee, then surgical intervention may be required. Depending on the location of the tear, a repair may be possible. In the outer third of the meniscus, required blood supply exists and a repair will likely heal.
The meniscus has fewer vessels and blood flow towards the unattached, thin interior edge. In most of the cases, the tear is far away from the meniscus' blood supply, and a repair is unlikely to heal. In these cases arthroscopic surgery allows for a partial meniscectomy, removing the torn tissue and allowing the knee to function with some of the meniscus missing. In situations where the meniscus is damaged beyond repair or partial removal, a total menisectomy is performed.
For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Shoulder Replacement Surgery

When arthritis gets worse that the “non-operative" or "conservative" measures work to relieve the pain, your surgeon may recommend you to have shoulder replacement surgery.
This can either be a "hemiarthroplasty"(only the humerus is replaced), or a "total shoulder arthroplasty"(both the humerus and glenoid socket) are replaced.

While surgery should relieve pain, but it may not necessarily improve your motion. Also, any mechanical device, like a shoulder replacement, will wear out with time (generally 20-25 years, or so, in the shoulder, and varying on whether the replacement was a total or hemi shoulder arthroplasty). For this reason, surgeons usually recommend delaying surgery as long as tolerable.
Shoulder replacement is done in the hospital. Usually patients need to stay in the hospital around 3 days after surgery for their recovery. Unlike knee or hip replacements, usually there is no need for blood transfusions after surgery, except for unusually complicated cases.

After surgery, the following products will be useful:
 Cryotherapy unit. Cold therapy is an ice machine that can decrease your pain after surgery. Hospitals used to provide them to patients all the time; but, because insurance companies stopped reimbursing for them, the hospitals have stopped this practice. We offer state-of-the art equipment, such as the DonJoy Iceman and the PolarCare Cub so you do not have to be in pain. Place your order before surgery, so you can bring the device to the hospital with you. Believe it or not, the nurses will actually appreciate this, as these units are far easier to maintain and much less messy than the ice bags they typically would place on you. Take the unit home with you to help decrease pain and swelling for the weeks after surgery.
Rehabilitation of the shoulder will be necessary. It is very important to follow your surgeon's exact directions. You will find that doing your exercises routinely at home, under your surgeon's or physical therapist's guidance, will get you the best results possible after your joint replacement.


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Shoulder Replacement Surgery

When arthritis gets worse that the “non-operative" or "conservative" measures work to relieve the pain, your surgeon may recommend you to have shoulder replacement surgery.
This can either be a "hemiarthroplasty"(only the humerus is replaced), or a "total shoulder arthroplasty"(both the humerus and glenoid socket) are replaced.

While surgery should relieve pain, but it may not necessarily improve your motion. Also, any mechanical device, like a shoulder replacement, will wear out with time (generally 20-25 years, or so, in the shoulder, and varying on whether the replacement was a total or hemi shoulder arthroplasty). For this reason, surgeons usually recommend delaying surgery as long as tolerable.
Shoulder replacement is done in the hospital. Usually patients need to stay in the hospital around 3 days after surgery for their recovery. Unlike knee or hip replacements, usually there is no need for blood transfusions after surgery, except for unusually complicated cases.

After surgery, the following products will be useful:
 Cryotherapy unit. Cold therapy is an ice machine that can decrease your pain after surgery. Hospitals used to provide them to patients all the time; but, because insurance companies stopped reimbursing for them, the hospitals have stopped this practice. We offer state-of-the art equipment, such as the DonJoy Iceman and the PolarCare Cub so you do not have to be in pain. Place your order before surgery, so you can bring the device to the hospital with you. Believe it or not, the nurses will actually appreciate this, as these units are far easier to maintain and much less messy than the ice bags they typically would place on you. Take the unit home with you to help decrease pain and swelling for the weeks after surgery.
Rehabilitation of the shoulder will be necessary. It is very important to follow your surgeon's exact directions. You will find that doing your exercises routinely at home, under your surgeon's or physical therapist's guidance, will get you the best results possible after your joint replacement.


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Cartilage Transfer

Cartilage Transfer

This procedure uses healthy cartilage from an area of the knee, and moves it to a damaged area of the knee. There are two types of cartilage transfer procedures:

1. Mosaicplasty



It moves round the 'plugs' of cartilage and underlying bone to damaged areas. The plugs are few millimeters in diameter, and when multiple plugs are moved into a damaged area the result is a mosaic appearance (the multiple small plugs of cartilage look like mosaic tiles).
2. OATS

OATS stands for 'osteochondral autograft transfer system,' and the technique is very similar to mosaicplasty. In the OATS procedure the plugs are usually larger, and therefore only one or two plugs are needed to fill the area of cartilage damage. Because of this it does not take on the mosaic appearance, but the principle is the same .


Cartilage plugs:

The cartilage plugs are taken from areas of the knee that are non-weight-bearing areas. The hope is that the body will not miss this cartilage and it can be used where it is needed. Over time the holes left from where the plugs are taken will fill with bone and scar tissue.
Cartilage transfer procedure:

This procedure usually begins with an arthroscopic inspection of the knee. If there is a cartilage damage that is suitable for cartilage transfer, then the arthroscope is removed and an incision is made.
1st step:
Prepare the area of damaged cartilage. A coring tool is used to make a perfectly round hole in the bone in the area of damage. This hole is sized to fit the plug.
2nd Step:
'Harvest' the plug of normal cartilage. The plug is taken with the underlying bone to fit into the hole that was prepared in the area of damage. The plug is just slightly larger than the hole so it will fit snugly into position.
The 3rd and final step:
Implant the harvested plugs into the hole. Over time, the hope is that the implanted bone and cartilage will incorporate into its new environment.

For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Cartilage Transfer

Cartilage Transfer

This procedure uses healthy cartilage from an area of the knee, and moves it to a damaged area of the knee. There are two types of cartilage transfer procedures:

1. Mosaicplasty



It moves round the 'plugs' of cartilage and underlying bone to damaged areas. The plugs are few millimeters in diameter, and when multiple plugs are moved into a damaged area the result is a mosaic appearance (the multiple small plugs of cartilage look like mosaic tiles).
2. OATS

OATS stands for 'osteochondral autograft transfer system,' and the technique is very similar to mosaicplasty. In the OATS procedure the plugs are usually larger, and therefore only one or two plugs are needed to fill the area of cartilage damage. Because of this it does not take on the mosaic appearance, but the principle is the same .


Cartilage plugs:

The cartilage plugs are taken from areas of the knee that are non-weight-bearing areas. The hope is that the body will not miss this cartilage and it can be used where it is needed. Over time the holes left from where the plugs are taken will fill with bone and scar tissue.
Cartilage transfer procedure:

This procedure usually begins with an arthroscopic inspection of the knee. If there is a cartilage damage that is suitable for cartilage transfer, then the arthroscope is removed and an incision is made.
1st step:
Prepare the area of damaged cartilage. A coring tool is used to make a perfectly round hole in the bone in the area of damage. This hole is sized to fit the plug.
2nd Step:
'Harvest' the plug of normal cartilage. The plug is taken with the underlying bone to fit into the hole that was prepared in the area of damage. The plug is just slightly larger than the hole so it will fit snugly into position.
The 3rd and final step:
Implant the harvested plugs into the hole. Over time, the hope is that the implanted bone and cartilage will incorporate into its new environment.

For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Arthroscopic Double Bundle Double Tunnel ACL Reconstruction Surgery

http://sportsmedicineclinicdelhi.com/ "Arthroscopic Double Bundle Double Tunnel ACL Reconstruction Surgery" performed by Senior Orthopaedic and Sports Medicine Surgeon Dr. Prateek Gupta along with Dr. Christel Pascal from France at Sir Ganga Ram Hospital.New Delhi -- 6th Oct. 2009, A Rare Arthroscopic Double Bundle Double Tunnel ACL Reconstruction Surgery was performed by Senior Orthopaedic, Sports Medicine & Arthroscopic Surgeon Dr. Prateek Gupta along with Dr. Christel Pascal from France at Sir Ganga Ram Hospital. The Surgery was successfully completed by both the Doctors over a span of two hours.




This rare procedure was done so as to reproduce the original load distribution and kinematics of the knee of the patient complaining over severe instability in the knee. The arthroscopic double-bundle double-tunnel ACL reconstruction technique using autogenous hamstring tendon with 2 split grafts. The anteromedial bundle and posterolateral bundle of the ACL were replicated with each split graft of hamstring tendon and fixed with biodegradable interference screws on the 2 tibial tunnels and endo-button on the two femoral tunnels. This restored the full stability power and function in the knee which in time will allow the patient to do all his activities including sports of any kind. This procedure has advantage over single bundle as this restores not only antero-posterior stability but also regains full rotational stability.

Advantages of using Double-Bundle over Single-Bundle ACL Reconstruction Surgery

There is a significant amount of scientific evidence supporting double bundle surgery:

The ACL is composed of two functional bundles, the anteromedial (AM) bundle and the posterolateral (PL) bundle, not just one.

Between 10% and 30% of patients complain of pain and residual instability following Single-Bundle ACL reconstruction.

Arthritis has been observed on x-rays in up to 90% of patients at long-term follow-up after Single-Bundle ACL reconstruction.

Single-Bundle ACL reconstruction does not adequately restore normal knee stability, particularly tibial rotation

Anatomic Double-Bundle reconstruction better restores knee stability compared to Single-Bundle reconstruction.

To better understand how "Double-Bundle" ACL reconstruction has evolved from "Single-Bundle" surgery, one should consider a door hinge. A door with one hinge is like a Single-Bundle reconstruction—it will open and close, but the hinge is required to work excessively. Over time the hinge will loosen and the door will wobble. In comparison, a Double-Bundle reconstruction is like a door with two or three hinges. The work is shared between the hinges, and the door can open and close smoothly for long periods of time without falling apart. One hinge doors were used in log cabins, while in medieval times two hinges were used. Today's doors have three hinges, representing an evolution in design.
For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website:http://www.sportsmedicineclinicdelhi.com
http://www.arthroscopysurgeryindia.com

Arthroscopic Double Bundle Double Tunnel ACL Reconstruction Surgery

http://sportsmedicineclinicdelhi.com/ "Arthroscopic Double Bundle Double Tunnel ACL Reconstruction Surgery" performed by Senior Orthopaedic and Sports Medicine Surgeon Dr. Prateek Gupta along with Dr. Christel Pascal from France at Sir Ganga Ram Hospital.New Delhi -- 6th Oct. 2009, A Rare Arthroscopic Double Bundle Double Tunnel ACL Reconstruction Surgery was performed by Senior Orthopaedic, Sports Medicine & Arthroscopic Surgeon Dr. Prateek Gupta along with Dr. Christel Pascal from France at Sir Ganga Ram Hospital. The Surgery was successfully completed by both the Doctors over a span of two hours.




This rare procedure was done so as to reproduce the original load distribution and kinematics of the knee of the patient complaining over severe instability in the knee. The arthroscopic double-bundle double-tunnel ACL reconstruction technique using autogenous hamstring tendon with 2 split grafts. The anteromedial bundle and posterolateral bundle of the ACL were replicated with each split graft of hamstring tendon and fixed with biodegradable interference screws on the 2 tibial tunnels and endo-button on the two femoral tunnels. This restored the full stability power and function in the knee which in time will allow the patient to do all his activities including sports of any kind. This procedure has advantage over single bundle as this restores not only antero-posterior stability but also regains full rotational stability.

Advantages of using Double-Bundle over Single-Bundle ACL Reconstruction Surgery

There is a significant amount of scientific evidence supporting double bundle surgery:

The ACL is composed of two functional bundles, the anteromedial (AM) bundle and the posterolateral (PL) bundle, not just one.

Between 10% and 30% of patients complain of pain and residual instability following Single-Bundle ACL reconstruction.

Arthritis has been observed on x-rays in up to 90% of patients at long-term follow-up after Single-Bundle ACL reconstruction.

Single-Bundle ACL reconstruction does not adequately restore normal knee stability, particularly tibial rotation

Anatomic Double-Bundle reconstruction better restores knee stability compared to Single-Bundle reconstruction.

To better understand how "Double-Bundle" ACL reconstruction has evolved from "Single-Bundle" surgery, one should consider a door hinge. A door with one hinge is like a Single-Bundle reconstruction—it will open and close, but the hinge is required to work excessively. Over time the hinge will loosen and the door will wobble. In comparison, a Double-Bundle reconstruction is like a door with two or three hinges. The work is shared between the hinges, and the door can open and close smoothly for long periods of time without falling apart. One hinge doors were used in log cabins, while in medieval times two hinges were used. Today's doors have three hinges, representing an evolution in design.
For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website:http://www.sportsmedicineclinicdelhi.com
http://www.arthroscopysurgeryindia.com

Gymnastics

As a gymnast, you have to be aware that gymnastics is one of the most demanding and strenuous sports around. Right along with its tough and exacting nature come the injuries. Do you know that gymnasts incur injuries as often as football players do?

While injuries are part and parcel of gymnastics and it will be difficult to steer clear of them completely, there are some ways that you can avert the worse of them. These safety measures take the form of body and mental alertness, adequate muscle strength and resiliency, and above all, clear communication with between the gymnast, coach and child.

Most important of all, it is important that the gymnast knows what he is doing. The gymnast shouldn’t attempt to try moves that he hasn’t practiced yet, just because they look awesome, or because some of the other gymnasts can do it, or even just to impress his coach. Speak to the coach about your apprehensions and make sure he shares your concern. Make sure the coach is cognizant of the risks to the athletes and has implemented safety procedures to minimize them. Find out if he knows what to do in case an emergency happens and check to see if there is a first-aid kit in the gym. It’s also important that there’s a phone to call for medical help.

The coach is responsible for teaching the gymnast the basics of a certain skill, and to understand how to execute it properly. The gymnast should also be taught how to move his body safely to prevent injury in case a trick doesn’t turn out the way it should. See if this is explained and demonstrated to him during practice.

One other thing a gymnast should know is how to be attuned to his body throughout all its motion during the execution of a move. If for instance, he’s in the middle of a twist, she should be able to sense if he’s twisted far enough or too much. If he’s performing a somersault, he should know how far he’s rotated so he’ll be able to land correctly. Being aware of her body orientation at all times is crucial to keeping her safe from potential injuries.

Most times, injuries occur because some of the muscles involved in the execution of a trick are not strong enough to withstand the stress placed on the joints during movement. This often happens to children whose bones are still in the process of growing. The most common of these injuries are sprained or twisted ankles, which occur when the small but vital muscles that run down from the calf to the foot are not tough enough to cushion the joint underneath. To prevent sprained and twisted ankles, the muscles surrounding them should be trained and conditioned regularly. Make sure the coach implements sufficient conditioning exercises that include the ankles.

Finally, it is important to keep the lines of communication and awareness open between the gymnast, his teammates and coach. Make sure it is apparent to everyone what it is exactly the gymnast is being asked to do. If the coach instructs one thing and your gymnast understands him differently, he may end up executing something different and his coach may not be able to spot him properly. The gymnast should also be alert to his surroundings and what his other teammates are doing. Being unaware of what is happening around him can cause collisions, which are also one of the causes of injury.

The following are some safety measures that you should be aware of:


1.) Make sure you are wearing the appropriate attire. Flapping clothes, dangling jewelry and body piercings can get caught in equipment, scratch or cut the gymnast, as well as other people.
2.) Be serious during practice. Be aware that horsing around and other rough and tumble games can cause injuries, especially in areas where people are practicing and it is not safe to goof off.
3.) Youngsters with long hair should tie it back or secure it under a bandanna so it does not get in the eyes or get caught in the equipment.
4.) Gum is a no-no during practice or competition; it can easily become stuck in a gymnasts throat or windpipe during performances.
5.) You should learn to focus and concentrate your attention on what your are doing. If you becomes distracted or distracts somebody else, this can spell disaster. Do not bring a MP3 or IPod during practice, dont tell jokes while another athlete is doing a routine, it might end up badly and injure someone.

These rules are important not only in gymnastics, but also for other sports and in daily life as well. Try to ingrain these rules in you so that you will be able to always keep safe, including everyone else around you..

Determining the Magnitude of Injuries

You’ll need to ascertain what kind of injury you have, whether it be minor or needs immediate medical attention. What are the things you need to consider?

1.) Find the source of the pain – is it concentrated on one area of the body only, or on both sides? If the pain is on both sides of the body, then it is more likely just muscle tenderness. If you complain that both of yout thighs hurt, then your probably sore from practicing take-offs and landings.
2.) Muscle or joint pain – Ask yourself whether the pain is muscular or joint-related. If the whole muscle hurts, it’s probably just sore. If its pinpointing at a certain location, like for instance the bottom of the biceps where it joins the elbow, a tendon may be injured. If the pain is in a joint, just on one side of the body, go to a doctor immediately.
3.) Type of pain – is it sharp and excruciating, or is it a dull throbbing? The latter can be just soreness, the former is a cause to seek medical attention.
4.) Appearance of the injury – look for bruising, swelling or bleeding. Clean any small cuts with antiseptic and apply an antibiotic ointment. Put on bandages as is necessary.

Management of General Injuries

If you have a sharp pain on one side of the body that persists for more than 10 minutes, go to the doctor immediately.

If it is joint pain that lasts for more than a day, even if it occurs on both sides of the body, the best bet is to take your child to see an orthopedic specialist.

If you are bleeding from huge cuts and you are enable to stop the bleeding, summon an ambulance or ask someone to take you to the emergency room as soon as you can.

Apply an icepack if there is any swelling, and keep it on the injured area for no longer than 20 minutes. Any longer than that and the body will think that it has frostbite. Instead of constricting blood vessels and keeping it away from the injury site, it brings the blood back and causes the injury it to swell even more.


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Gymnastics

As a gymnast, you have to be aware that gymnastics is one of the most demanding and strenuous sports around. Right along with its tough and exacting nature come the injuries. Do you know that gymnasts incur injuries as often as football players do?

While injuries are part and parcel of gymnastics and it will be difficult to steer clear of them completely, there are some ways that you can avert the worse of them. These safety measures take the form of body and mental alertness, adequate muscle strength and resiliency, and above all, clear communication with between the gymnast, coach and child.

Most important of all, it is important that the gymnast knows what he is doing. The gymnast shouldn’t attempt to try moves that he hasn’t practiced yet, just because they look awesome, or because some of the other gymnasts can do it, or even just to impress his coach. Speak to the coach about your apprehensions and make sure he shares your concern. Make sure the coach is cognizant of the risks to the athletes and has implemented safety procedures to minimize them. Find out if he knows what to do in case an emergency happens and check to see if there is a first-aid kit in the gym. It’s also important that there’s a phone to call for medical help.

The coach is responsible for teaching the gymnast the basics of a certain skill, and to understand how to execute it properly. The gymnast should also be taught how to move his body safely to prevent injury in case a trick doesn’t turn out the way it should. See if this is explained and demonstrated to him during practice.

One other thing a gymnast should know is how to be attuned to his body throughout all its motion during the execution of a move. If for instance, he’s in the middle of a twist, she should be able to sense if he’s twisted far enough or too much. If he’s performing a somersault, he should know how far he’s rotated so he’ll be able to land correctly. Being aware of her body orientation at all times is crucial to keeping her safe from potential injuries.

Most times, injuries occur because some of the muscles involved in the execution of a trick are not strong enough to withstand the stress placed on the joints during movement. This often happens to children whose bones are still in the process of growing. The most common of these injuries are sprained or twisted ankles, which occur when the small but vital muscles that run down from the calf to the foot are not tough enough to cushion the joint underneath. To prevent sprained and twisted ankles, the muscles surrounding them should be trained and conditioned regularly. Make sure the coach implements sufficient conditioning exercises that include the ankles.

Finally, it is important to keep the lines of communication and awareness open between the gymnast, his teammates and coach. Make sure it is apparent to everyone what it is exactly the gymnast is being asked to do. If the coach instructs one thing and your gymnast understands him differently, he may end up executing something different and his coach may not be able to spot him properly. The gymnast should also be alert to his surroundings and what his other teammates are doing. Being unaware of what is happening around him can cause collisions, which are also one of the causes of injury.

The following are some safety measures that you should be aware of:


1.) Make sure you are wearing the appropriate attire. Flapping clothes, dangling jewelry and body piercings can get caught in equipment, scratch or cut the gymnast, as well as other people.
2.) Be serious during practice. Be aware that horsing around and other rough and tumble games can cause injuries, especially in areas where people are practicing and it is not safe to goof off.
3.) Youngsters with long hair should tie it back or secure it under a bandanna so it does not get in the eyes or get caught in the equipment.
4.) Gum is a no-no during practice or competition; it can easily become stuck in a gymnasts throat or windpipe during performances.
5.) You should learn to focus and concentrate your attention on what your are doing. If you becomes distracted or distracts somebody else, this can spell disaster. Do not bring a MP3 or IPod during practice, dont tell jokes while another athlete is doing a routine, it might end up badly and injure someone.

These rules are important not only in gymnastics, but also for other sports and in daily life as well. Try to ingrain these rules in you so that you will be able to always keep safe, including everyone else around you..

Determining the Magnitude of Injuries

You’ll need to ascertain what kind of injury you have, whether it be minor or needs immediate medical attention. What are the things you need to consider?

1.) Find the source of the pain – is it concentrated on one area of the body only, or on both sides? If the pain is on both sides of the body, then it is more likely just muscle tenderness. If you complain that both of yout thighs hurt, then your probably sore from practicing take-offs and landings.
2.) Muscle or joint pain – Ask yourself whether the pain is muscular or joint-related. If the whole muscle hurts, it’s probably just sore. If its pinpointing at a certain location, like for instance the bottom of the biceps where it joins the elbow, a tendon may be injured. If the pain is in a joint, just on one side of the body, go to a doctor immediately.
3.) Type of pain – is it sharp and excruciating, or is it a dull throbbing? The latter can be just soreness, the former is a cause to seek medical attention.
4.) Appearance of the injury – look for bruising, swelling or bleeding. Clean any small cuts with antiseptic and apply an antibiotic ointment. Put on bandages as is necessary.

Management of General Injuries

If you have a sharp pain on one side of the body that persists for more than 10 minutes, go to the doctor immediately.

If it is joint pain that lasts for more than a day, even if it occurs on both sides of the body, the best bet is to take your child to see an orthopedic specialist.

If you are bleeding from huge cuts and you are enable to stop the bleeding, summon an ambulance or ask someone to take you to the emergency room as soon as you can.

Apply an icepack if there is any swelling, and keep it on the injured area for no longer than 20 minutes. Any longer than that and the body will think that it has frostbite. Instead of constricting blood vessels and keeping it away from the injury site, it brings the blood back and causes the injury it to swell even more.


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Common Hockey Injuries

Before You Put the Band Aid On
Athletes learn early on whether they are “loose-jointed” or “tight-jointed.” For players who are hyperflexible and loose, flexibility isn't a problem. Strength is. They need to concentrate on strength-training exercises, using weights and gym machines. “Tight-jointed” players, on the other hand, have strong, tense muscles, ones that pull and strain. These athletes must stretch every day to gain flexibility.
· Lower back problems. Hockey players are always bending, looking down at the ball, aiming, and hitting. This constant bending motion can create aches and pains in the lower back area.

· Neck injury. The same bending motion that affects the lower back can also strain the upper back and neck as well. Add turning your head to aim while bending and you have the makings of an injury.

· Foot injury. You won't see too many hockey players with flat feet, but, even so, skating for hours at a time can cause havoc to toes, heels, and ankles. The lack of circulation, the unrelenting pressure on the heel, the tight lacings at the ankle—all of these can cause problems.

· Tendonitis. Hockey players are vulnerable to the painful inflammation of the tendon at the back of the leg. Why? All that skating combined with the twisting and turning of the game adds unrelenting pressure to the leg.

· Cuts and bleeding. Ice hockey has the added dimension of skates—with razor sharp blades. Fast, faster, faster still, the other team charges, sliding along on their skates. One player checks you, then another. Another falls—and cuts your arm with the bottom of his blade.

· Spinal cord injury. Sometimes the whole back is involved in a fall. Ice is slippery, and players will fall. Some of them fall backward, right on their backs. If a player injures his spinal cord, he might not be able to move. As in football, head, neck, and back injuries can occur with poor technique. Checking, ice hockey's version of tackling, must be taught and rehearsed over and over again to help reduce injury.

· Broken bones. Even with the use of shoulder pads, shin guards, and other gear, bones can get broken. A player might look like a superpower hero from Star Wars, but one bad check to the boards, and a twist or an awkward fall can bypass protection and cause a break.

Treatment and Cures
Backs can become stronger if players concentrate on strengthening their thighs and posterior muscles. By making these muscles strong and flexible, they can act as a “pedestal” for the bent back, preventing strain.


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com

Common Hockey Injuries

Before You Put the Band Aid On
Athletes learn early on whether they are “loose-jointed” or “tight-jointed.” For players who are hyperflexible and loose, flexibility isn't a problem. Strength is. They need to concentrate on strength-training exercises, using weights and gym machines. “Tight-jointed” players, on the other hand, have strong, tense muscles, ones that pull and strain. These athletes must stretch every day to gain flexibility.
· Lower back problems. Hockey players are always bending, looking down at the ball, aiming, and hitting. This constant bending motion can create aches and pains in the lower back area.

· Neck injury. The same bending motion that affects the lower back can also strain the upper back and neck as well. Add turning your head to aim while bending and you have the makings of an injury.

· Foot injury. You won't see too many hockey players with flat feet, but, even so, skating for hours at a time can cause havoc to toes, heels, and ankles. The lack of circulation, the unrelenting pressure on the heel, the tight lacings at the ankle—all of these can cause problems.

· Tendonitis. Hockey players are vulnerable to the painful inflammation of the tendon at the back of the leg. Why? All that skating combined with the twisting and turning of the game adds unrelenting pressure to the leg.

· Cuts and bleeding. Ice hockey has the added dimension of skates—with razor sharp blades. Fast, faster, faster still, the other team charges, sliding along on their skates. One player checks you, then another. Another falls—and cuts your arm with the bottom of his blade.

· Spinal cord injury. Sometimes the whole back is involved in a fall. Ice is slippery, and players will fall. Some of them fall backward, right on their backs. If a player injures his spinal cord, he might not be able to move. As in football, head, neck, and back injuries can occur with poor technique. Checking, ice hockey's version of tackling, must be taught and rehearsed over and over again to help reduce injury.

· Broken bones. Even with the use of shoulder pads, shin guards, and other gear, bones can get broken. A player might look like a superpower hero from Star Wars, but one bad check to the boards, and a twist or an awkward fall can bypass protection and cause a break.

Treatment and Cures
Backs can become stronger if players concentrate on strengthening their thighs and posterior muscles. By making these muscles strong and flexible, they can act as a “pedestal” for the bent back, preventing strain.


For more details please contact:
Dr. Prateek Gupta (Senior Surgeon)
Arthroscopy Surgery Clinic
C2/5 Safdarjung Development Area (SDA),
Aurobindo Marg, New Delhi - 110016
INDIA
Telephones: +91 9810852876, +91 11 26517776
24 x 7 Helpline & Appointment: +91 9810633876
Email: sportsmedicinedelhi@yahoo.com,
sportsmedicineclinics@gmail.com
Website: http://www.sportsmedicineclinicdelhi.com/arthroscopy.htm,
http://www.sportsmedicineclinicdelhi.com,
http://www.arthroscopysurgeryindia.com