dr rajan's knee clinic

History   Total knee replacement surgery was first performed in 1968, and has evolved over the years into a reliable and effective way to relieve disabling pain and allow patients to resume their active lives. Improvements in surgical techniques and implant design and construction have helped make this one of the most successful orthopaedic procedures today. As the population has become older and remained more active, the need for total knee replacement continues to increase. Today, approximately 270,000 total knee replacements are done every year in the United States. Many of the advancements in knee replacement surgery have taken place at HSS. Improvements in the surgical technique and the design of new implants are a few of the contributions the surgeons of the Hip and Knee service have made. Decision to have surgery People often wonder when and why they should have their knee replaced. This is an individualized question that depends upon a person's activit...

Depending upon the severity of arthritis and the patient's age, knee arthritis may be managed in a number of different ways. Treatment may consist of operative or non-operative methods, or a combination of both. Non-operative The first line of treatment of knee arthritis includes activity modification, anti-inflammatory medication, and weight loss. Giving up activities that make the pain worse may make this condition bearable for some people. Anti-inflammatory medications such as ibuprofen, naprosyn and newer Cox-2 inhibitors help alleviate the inflammation that may be contributing to the pain. Physical therapy to strengthen the muscles around the knee may help absorb some of the shock imparted to the joint. This is particularly true for knee-cap (patello-femoral) arthritis. Special kinds of braces, designed to place transfer load to a part of the knee that is less arthritic may also help relieve the pain. Injections of medication inside the knee joint may also help all...

He  knee joint can be thought of as a hinge joint with the primary motion of straightening and bending. In reality, it is more complex than a simple hinge, as the surfaces actually glide and roll upon one another. It is composed of the end of the thigh bone (femur), the top of the leg bone (tibia), and the kneecap (patella). The ends of the bone are covered with a smooth, glistening layer called articular cartilage. The articular cartilage is what allows the bones to glide smoothly with less resistance than ice sliding on ice. The articular cartilage can be seen on X-ray as the space in between the bones. The knee can be thought of as having 3 compartments - the medial, the lateral, and the patellofemoral. In addition, there are 2 special cartilages within the knee joint called the lateral and medial meniscus, which act as shock absorbers within the knee joint. There are also 2 ligaments within the knee, called the anterior cruciate ligament and the posterior cru...

When the Non-surgical methods fail to treat Shoulder arthritis, your doctor will suggest you to opt for Shoulder joint replacement surgery. Shoulder replacement surgery is done to remove all the damaged parts and is replaced with artificially made prosthetic parts made of metals or plastics. Shoulder replacement surgery includes relieve from severe pain of arthritis and increases your ease and range of motion.  Different types of Shoulder Replacement surgeries are Total/Traditional shoulder replacement It is the most dependable option for severely damaged shoulder, it is the complete replacement of the shoulder (both ball and socket parts). After the surgery, range of motion is restored and arthritis pain is relieved. This is contraindicated if there is damage to the rotator cuff or rotator cuff tear arthropathy. Reverse Total Shoulder Replacement This is also the total replacement of ball and socket from the joint with the prosthesis but th...

Constipation,  not a thing to be laughed at, it is a serious matter that the one who is suffering can only tell the trouble. Most of the patients gone through the surgery like  knee replacement, hip replacement, ACL reconstruction surgery etc ., complain of having constipation. To know more first we need to understand what constipation is. Constipation is defined as a condition in which there is infrequent bowel movement and hard to pass the stool. The stool become dry and hard and it takes a lot of pressure to pass. When there is three or less bowel movement in a week, it can be called as constipation. Symptoms Abdominal, rectal pain Very few bowel movement Continuous bloated feeling Pebble like very hard Stool Sluggish feeling. Feeling of fullness every time Causes General anaesthesia Opioid or narcotic pain relieving medications Lack of exercise Dietary changes Inflammation or infection Stress, depression or anxiety D...