When to Visit an Orthopaedic Specialist

 

Orthopaedic conditions can significantly affect your daily life. Recognizing when to see a specialist can help prevent further damage and improve your quality of life. Here are some key signs to help you decide when it’s time to consult an orthopaedic surgeon in Dwarka.

Chronic Pain in Joints or Bones

If you experience persistent pain in your joints or bones lasting for more than a few weeks, it may be a sign of an underlying condition. Acute injuries often heal with rest, but if discomfort continues, an orthopaedic in Dwarka can diagnose the cause and recommend treatment.

Limited Range of Motion

A decreased ability to move your joints fully is another clear indication to visit an orthopaedic in Dwarka. Limited range of motion can result from injuries, arthritis, or other degenerative conditions. Early intervention can help restore mobility and prevent the issue from worsening.

Injuries from Sports or Accidents

Sports-related injuries, car accidents, or slips and falls often lead to sprains, fractures, or dislocations. If you’ve sustained an injury that hasn’t healed properly or you’re unsure of the severity, an orthopaedic consultation is essential for a thorough evaluation and effective recovery plan.

Difficulty in Performing Daily Activities

If everyday tasks like walking, climbing stairs, or lifting objects become challenging due to joint or bone pain, it’s time to seek professional help. An orthopaedic doctor in Dwarka can identify the cause and provide solutions such as physical therapy, medications, or even surgery if necessary.

Swelling and Inflammation

Unexplained swelling, redness, or inflammation in the joints or around the bones is a warning sign that something may be wrong. These symptoms could indicate an infection, injury, or inflammatory disease like arthritis. An orthopaedic doctor in Dwarka can help pinpoint the cause and recommend appropriate treatments.

Bone Deformities or Abnormal Growths

Visible deformities or abnormal growths in the bones, whether from injury or a congenital condition, should be evaluated by an orthopaedic doctor in Delhi. These issues can impact your physical appearance and functionality, making early diagnosis critical for managing symptoms effectively.

Back Pain That Persists

Chronic back pain is one of the most common reasons people visit orthopaedic doctor in Delhi. If over-the-counter pain relievers and rest haven’t alleviated the issue, it’s a good idea to consult a specialist. They can assess whether the pain is due to a muscle strain, spinal issue, or something more serious.

Numbness, Tingling, or Weakness in Limbs

Experiencing numbness, tingling, or weakness in your arms or legs could be related to nerve compression or a spine issue. These symptoms should not be ignored as they can worsen over time, leading to permanent damage if left untreated.

Previous Surgeries with Lingering Symptoms

If you’ve had surgery on your bones or joints but still experience lingering symptoms, it’s worth a visit to the orthopaedic surgeon in Dwarka for a follow-up. They can assess whether the initial procedure was successful or if further treatment is necessary to fully address the problem.

Conclusion

Orthopaedic issues can affect anyone at any age. If you experience any of the symptoms mentioned, don’t hesitate to consult a specialist. Early detection and treatment can make a significant difference in your recovery and long-term health.

The Revolution of Robotic Knee Replacement Surgery

Introduction

Robotic knee replacement surgery has emerged as a groundbreaking advancement in the field of medical science. This innovative procedure combines the precision of robotics with the expertise of orthopedic surgeons to provide patients with improved outcomes and faster recovery times. In this article, we will explore the benefits of robotic knee replacement surgery and how it is revolutionizing the field of orthopedics.

What is Robotic Knee Replacement Surgery?

Robotic knee replacement surgery, also known as robotic-assisted knee surgery, is a minimally invasive procedure that utilizes advanced robotic technology to assist orthopedic surgeons during knee replacement surgeries. This procedure involves the use of a robotic arm, which is controlled by the surgeon, to perform the surgery with enhanced precision and accuracy.

The Benefits of Robotic Knee Replacement Surgery

1. Enhanced Precision

One of the key advantages of robotic knee replacement surgery is the enhanced precision it offers. The robotic arm used in this procedure allows for more accurate placement and alignment of the knee implant. This precision helps to optimize the function and stability of the knee joint, leading to improved outcomes for patients.

2. Customized Treatment

Every patient is unique, and their knee replacement surgery should reflect that. Robotic knee replacement surgery enables surgeons to create a personalized treatment plan based on the patient's specific anatomy. By using advanced imaging technology, the surgeon can develop a 3D model of the patient's knee, which helps in determining the optimal size and placement of the implant. This customized approach ensures a better fit and alignment, leading to improved patient satisfaction.

3. Minimally Invasive Procedure

Robotic knee replacement surgery is a minimally invasive procedure, meaning it requires smaller incisions compared to traditional open surgery. The smaller incisions result in less trauma to the surrounding tissues, reduced blood loss, and a faster recovery time for the patient. Additionally, the use of robotics allows for a more precise and targeted approach, minimizing the risk of damage to healthy tissues.

4. Faster Recovery

Due to the minimally invasive nature of robotic knee replacement surgery, patients typically experience a faster recovery compared to traditional surgery. The smaller incisions result in less pain and scarring, allowing patients to regain mobility and return to their normal activities sooner. This accelerated recovery time is particularly beneficial for individuals who lead active lifestyles or have demanding physical jobs.

Is Robotic Knee Replacement Surgery Right for You?

Robotic knee replacement surgery is a highly advanced procedure that offers numerous benefits. However, it may not be suitable for everyone. Your orthopedic surgeon in Delhi will evaluate your specific condition and determine if you are a good candidate for robotic-assisted knee surgery. Factors such as the severity of your knee condition, your overall health, and any previous surgeries will be taken into consideration.

Conclusion

Robotic knee replacement surgery in Delhi is a revolutionary advancement in the field of medical science. By combining the precision of robotics with the expertise of orthopedic surgeons, this procedure offers enhanced precision, customized treatment, and faster recovery times for patients. While not suitable for everyone, robotic knee replacement surgery provides a promising option for individuals seeking improved outcomes and a quicker return to their active lifestyles. Consult with your orthopedic in Dwarka to determine if robotic-assisted knee surgery is right for you. 

The Role of Orthopedic Specialists

 Orthopedic specialists are medical professionals who specialize in diagnosing, treating, and preventing conditions related to the musculoskeletal system. This system includes bones, joints, muscles, ligaments, tendons, and other connective tissues. Orthopedic specialists play a vital role in helping individuals of all ages maintain and regain their mobility, reduce pain, and improve their overall quality of life.

1. Diagnosis

Orthopedic doctors in Delhi are experts in identifying the root causes of musculoskeletal problems. They use a combination of physical examinations, medical history assessments, imaging techniques (like X-rays and MRIs), and sometimes laboratory tests to make accurate diagnoses. Whether it's a sports injury, chronic joint pain, or a complex condition, they have the knowledge and tools to pinpoint the issue.

2. Treatment Planning

Once a diagnosis is made, orthopedic specialists develop personalized treatment plans tailored to each patient's unique needs. They consider factors like age, activity level, and overall health to determine the most effective approach. Treatment options may include physical therapy, medications, lifestyle modifications, or surgical interventions.

3. Non-Surgical Interventions

Orthopedic specialists explore non-surgical treatments whenever possible. They may recommend physiotherapy in Dwarka to improve strength and flexibility, prescribe pain-relieving medications, or suggest the use of braces or splints to support injured areas. These approaches aim to alleviate pain and enhance function without the need for surgery.

4. Surgical Expertise

In cases where conservative methods prove ineffective or when surgery is the best option, orthopedic surgeons in Delhi are skilled in a wide range of surgical procedures. This includes joint replacements, arthroscopy in Delhi, and complex reconstructive surgeries. They use advanced techniques and technologies to ensure the best possible outcomes for their patients.

5. Rehabilitation

Recovery doesn't end in the operating room. Orthopedic specialists oversee the rehabilitation process, working closely with physiotherapist in Dwarka to help patients regain strength, mobility, and function. They provide guidance and support throughout the recovery journey, ensuring a smooth transition from treatment to everyday life.

6. Preventive Care

Orthopedic in Delhi isn't just about treating existing conditions; they also emphasize preventive care. They offer advice on injury prevention, lifestyle modifications, and exercise routines to maintain musculoskeletal health. This proactive approach helps individuals reduce the risk of future orthopedic issues.

7. Pediatric Orthopedics

Some orthopedic specialists specialize in pediatric orthopedics, addressing musculoskeletal conditions in children. They are trained to diagnose and treat conditions that affect a child's growth and development, such as scoliosis or congenital limb deformities.

8. Collaboration

Orthopedic in Dwarka often collaborate with other healthcare professionals, including primary care physicians, physical therapists, and radiologists. This interdisciplinary approach ensures that patients receive comprehensive care that addresses both their orthopedic and overall health needs.

In summary, orthopedic doctors in Delhi are indispensable in the field of medicine, playing a crucial role in diagnosing, treating, and preventing musculoskeletal conditions. Their expertise and dedication help individuals of all ages lead healthier, more active lives while minimizing pain and discomfort associated with orthopedic issues. If you're experiencing musculoskeletal problems, consulting with an orthopedic specialist can be a vital step toward improving your well-being and mobility.

Pelvic Floor Fracture in Males: Symptoms, Problems, and Treatment

Introduction:

Pelvic floor fractures in males are relatively uncommon but can result from severe trauma to the pelvic region. The pelvic floor is a complex network of muscles, ligaments, and connective tissues that provide support to the pelvic organs, including the bladder, rectum, and prostate. Fractures in this area can lead to a range of symptoms, complications, and challenges. In this article, Dr Ashu Consul, Orthopaedic in Dwarka, explains the symptoms, problems, and treatment options for pelvic floor fractures in males.

 

I. Causes and Risk Factors:

Pelvic floor fractures typically occur due to high-impact accidents, such as motor vehicle collisions, falls from heights, or sports-related injuries. The most common risk factors include:

1. Motor Vehicle Accidents: Collisions involving cars, motorcycles, or bicycles can exert immense force on the pelvic region during the impact.
2. Falls: A fall from a significant height can lead to a fracture of the pelvic floor.
3. Sports Injuries: Participating in contact sports or activities with a high risk of falling can increase the likelihood of sustaining a pelvic fracture.
4. Industrial Accidents: Workers in construction, mining, and other hazardous professions may be at increased risk due to potential workplace accidents.

II. Symptoms of Pelvic Floor Fracture:

A. Acute Symptoms:

1. Severe Pain: Immediate and intense pain in the pelvic region is a common symptom of a pelvic floor fracture.
2. Difficulty Walking: The pain and instability may make it challenging to bear weight on the affected leg or walk.
3. Bruising and Swelling: Swelling and bruising around the pelvic area may be evident, particularly in the groin or hip region.
4. Inability to Stand or Sit Comfortably: The fracture can make it uncomfortable to assume certain positions, such as sitting or standing.

B. Delayed-Onset Symptoms:

1. Urinary Problems: Fractures may cause damage to the bladder, leading to difficulty urinating or blood in the urine.
2. Bowel Issues: In some cases, fractures can affect the rectum, causing constipation, pain during bowel movements, or rectal bleeding.
3. Sexual Dysfunction: Pelvic floor fractures may impact sexual function and lead to erectile dysfunction or pain during intercourse, says sexologist in Delhi.
4. Nerve Damage: Nerves in the pelvic region may sustain injury, resulting in sensations of tingling, numbness, or weakness in the legs.

III. Complications and Problems:

A. Chronic Pain: Some individuals may experience persistent pain in the pelvic area even after the fracture has healed.

B. Urinary and Bowel Incontinence: In severe cases, damage to the pelvic floor muscles can result in involuntary leakage of urine or feces.

C. Erectile Dysfunction: Nerve damage or disruption of blood flow to the penis can lead to difficulties in achieving or maintaining an erection.

D. Infections: Fractures that penetrate the skin may create an open wound, increasing the risk of infection.

IV. Diagnosis:

1. Physical Examination: An orthopaedic in Delhi will assess the patient's symptoms, perform a physical examination, and check for tenderness or bruising in the pelvic region.
2. Imaging Studies: X-rays, CT scans, or MRI scans can confirm the presence and extent of the fracture.
3. Urinalysis: A urine test can help identify any signs of kidney or bladder injury.

V. Treatment Options:

A. Conservative Treatment:

1. Rest: Adequate rest is crucial to allow the fracture to heal properly.
2. Pain Management: Pain medications may be prescribed by orthopaedic doctor in Delhi to alleviate discomfort.
3. Assistive Devices: Crutches or a walker can help reduce pressure on the pelvic area while walking.

B. Surgical Treatment:

1. Internal Fixation: In severe fractures, surgical intervention may be necessary to realign and stabilize the pelvic bones using metal plates, screws, or rods.
2. Nerve Repair: Surgery may be required to repair damaged nerves if there is evidence of neurological deficits.

VI. Rehabilitation:

Physical therapy is essential for pelvic floor fracture recovery. Physiotherapist in Dwarka guides patient to focus on strengthening the pelvic floor muscles, improving mobility, and preventing complications like urinary incontinence or erectile dysfunction.

Conclusion:

Pelvic floor fractures in males can result from high-impact accidents and may cause a range of symptoms, complications, and challenges. Early diagnosis and appropriate treatment, including conservative management or surgery, can promote effective healing and reduce long-term problems. Rehabilitation plays a crucial role in restoring function and quality of life for those recovering from pelvic floor fractures. Understanding the symptoms, problems, and treatment options associated with these fractures is essential for both patients and the best orthopaedic in Dwarka to facilitate better outcomes.

HIP INJURIES: TYPES, SYMPTOMS, PREVENTION AND SURGERY

 

The hip is one of the joints most affected by injuries and degeneration of bones and cartilage. For this reason, adequate treatment carried out by an orthopaedic surgeon in Dwarka is important, to help avoid chronic injuries that affect the patient’s quality of life.

What are the most frequent hip pathologies?

The hip is the joint that serves as a union for the femur and the pelvis, it is one of the joints of the human body most affected by age. In many cases, hip pathologies are due to degeneration of the bones and tendons.

Depending on the causes and symptoms, numerous hip injuries can be differentiated. One of the most common is hip bursitis, which is caused by inflammation of the synovial bag of the trochanter. The bursa protects the hip from impact and contributes to the mobility of the joint.

Trochanteritis is characterized by inflammation of the trochanter, which is the protruding femur located in the upper part of the leg. In these cases, the patient often experiences radiating pain down the leg.

Another of the most common hip injuries, especially among athletes, is hip groin pain. This pathology is produced by an affectation to the muscles of the inguinal area, caused by repetitive movements of the joint. Finally, hip osteoarthritis is one of the most common pathologies, which is characterized by the wear and degeneration of the hip bones, which can cause hip breaks or fractures.

Causes of hip injuries

Hip injuries do not have a specific cause, however, there are common causes observable in most patients with hip pathologies. First of all, muscular imbalances, that is, a progressive loss of strength in the hip muscles that increases the risk of injury. In these cases, it is common for the patient to also have a lack of flexibility in the area.

In addition, as has been mentioned, one of the most frequent causes of hip pathologies is age , which accelerates the degeneration of bones and cartilage, increasing the chances of suffering a joint injury.

Finally, overtraining or overexertion of the joint can be the cause of different injuries, since it causes muscle fatigue in the area.

Symptoms of hip pathologies

Usually, hip pathologies are manifested by acute pain in the joint that, on many occasions, radiates along the legs. It is common for this pain to appear accompanied by inflammation and immobility in the area, so the patient will experience difficulty in performing certain movements.

Sometimes, the patient may have a sensation of heat in the area, especially in those cases in which inflammation appears. As well as weakness and immobility in the hip and legs.

Diagnosis of hip injuries

When the patient goes to the best orthopaedic in Dwarka manifesting symptoms of a hip injury, in the first place, he will undergo a physical examination, in which the possible existing inflammation will be studied, as well as those points in which there is greater pain.

In most cases, especially those in which there is suspicion of hip rupture or fracture, it will be necessary for the patient to undergo diagnostic imaging tests, such as X-rays or magnetic resonance imaging, which will allow the available information to be expanded.

Best treatments for hip injuries

Once a complete diagnosis of the lesion has been made, the most appropriate treatment for each patient will be prescribed by orthopaedic in West Delhi. First of all, it is usually advisable to carry out a period of rest, which is accompanied by the application of cold in the area. The patient is usually prescribed an anti-inflammatory treatment, which helps to alleviate existing pain.

In cases of inflammatory and muscular injuries of the hip, treatment with physiotherapy can offer good results, since it contributes to the strengthening of the area and, therefore, reduces the risk of future injuries.

Surgery for hip injuries

In cases of advanced osteoarthritis, or hip breaks and fractures, the most common treatment is surgery. There are different types of hip surgery, one of the most common is hip replacement in Delhi the implantation of a prosthesis made of synthetic material, which can assume the function of the joint.

In other cases, it is decided to carry out a bone repair, through the implantation of screws and surgical material, which allows the joint to recover mobility.

Tips to prevent hip injuries

In those cases, in which hip injuries are caused by a degeneration of the joint, it is difficult to establish guidelines to avoid them. However, there are certain recommendations, which can be useful to protect the hip joint from injuries in the short and long term.

First of all, it is important to control body weight, since the higher the BMI, the pressure on the joint will be greater and, therefore, the risk of degeneration of bones and tendons, too. In addition, it is important to treat the injuries correctly and applying a treatment prescribed by an orthopaedic doctor in Delhi. In this way, the relapse of injuries will be avoided, as well as the appearance of new pathologies.

It is advisable to carry out exercises that help strengthen the hip musculature, as well as to avoid sports practices that suppose an excessive impact on the joint.

As explained, the treatment of hip injuries is essential to avoid the chronification of pathologies. By following certain guidelines, the chances of developing the lesion can be significantly reduced.

Disc Herniation

What is

Disc herniation occurs when an intervertebral disc degenerates and deteriorates, causing the inner nucleus to leak into a weakened area on the outside of the disc.

The weak point in the outer nucleus of the intervertebral disc is directly below the spinal nerve root, so a herniation in this area can put direct pressure on nearby nerves or the spinal cord.

Therefore, herniated discs are sometimes a cause of radiculopathy, which encompasses any disease that affects the nerve roots of the spine.

Dr Ashu Consul, best orthopaedic in Dwarka, consultant at Venkateshwara Hospital, adds that, initially, herniated discs can be confused with the following pathologies: “piriformis syndrome, facet arthropathies, deep gluteal syndrome, peripheral neuropathies, muscle trigger points and, in more severe cases, tumors”.

Causes

The vertebrae of the spine are separated by discs that cushion movement and leave space between the vertebrae. In the same way, they allow their movement, which makes it possible to bend down or stretch out.

In addition, the vertebrae of the spine protect the spinal cord that comes from the brain and runs down the back to the lower back. The discs fulfill a very important function of cushioning and distribution of loads and any damage to them can be serious if not treated quickly.

The disc can move out of place, that is, herniate, or rupture due to injury or stress. This can cause excess pressure on the spinal nerves resulting in pain, numbness or weakness in the patient.

Normally, herniated discs are located in the lumbar region, with the second most affected area being the cervical discs (the neck).

Symptoms

A cervical disc herniation can cause pain in the neck, which in turn can radiate to the arm, shoulder, or can cause numbness or tingling in the arm or hand. Sometimes the pain can be dull, constant, and difficult to locate.

In addition to this pain, the symptoms of herniated discs are the following:

• The first sign that the patient has a herniated disc is pain in the arms and neck. If numbness or tingling occurs it may indicate that the problem is more serious.
• Typically, the patient complains of sharp, cutting pain, and in some cases, there may be a prior history of episodes of localized pain, present in the back and radiating down the leg.
• The episode of pain may come on suddenly or be heralded by a tearing or snapping sensation in the spine.
• When the pain starts slowly, it can worsen after the patient spends a long time sitting, standing, at night, when sneezing, coughing or laughing.
• Weakness is also a common symptom that affects the leg or arm and may require excessive effort to move them.
• Usually, the numbness or weakness goes away over a period of several weeks or months. 

Prevention

According to Orthopaedic in Dwarka, “exercising regularly and appropriately is important. Also avoiding leading a sedentary lifestyle, being overweight and smoking helps prevent this type of back pathology. Finally, avoid unnecessary risks such as lifting heavy objects, improperly bending or twisting the lower back, or sitting or standing in the same position for many hours and in an unergonomic way.

Types

There are three degrees:

• Disc protrusion: when the nucleus pulposus has not yet come out of the annulus fibrosus, it is therefore weaker and gives way in its structure. This is the first stage of a herniated disc.
• Disc herniation: the material of the nucleus pulposus is ejected from the limits of the annulus fibrosus.
• Disc extrusion: the exit of the disc material is violent and breaks the posterior common vertebral ligament, leaving free fragments in the vertebral canal. 

Diagnosis

To diagnose a herniated disc, the orthopaedic doctor in Delhi will carry out a medical examination of the spine, arms and lower extremities. Depending on the region where the patient's symptoms are located, the orthopaedic in Delhi will look for possible numbness or loss of sensitivity.

In addition, he will test your muscle reflexes, which may have been affected and slowed down or even disappeared. He will also study the patient's muscle strength and the shape of the curvature of the spine. 

On the other hand, the patient may also be asked to sit, stand or walk, bend forward, backward or sideways and move the neck, shoulders or hands.

Diagnostic tests that can verify the existence of a herniated disc are:

• An electromyography that will determine which nerve root is affected and where it is compressed.
• A myelography to specify the size and location of the hernia.
• An MRI that will show if there is pressure on the spinal cord.
• Finally, an X- ray of the spine may also be performed to rule out other injuries that cause cervical or back pain.

Treatments

The first treatment given to patients with this condition is short rest and pain medication, followed by a period of physiotherapy session with physiotherapist in Dwarka. In most cases, almost immediate recovery occurs, but in other cases medication or injections may be required.

In the case of corticosteroids, they are usually administered, above all, non-steroidal anti -inflammatory drugs to control pain and also muscle relaxants. 

Injections into the area of ​​your back where the herniated disc is located can help control pain for a few months. In addition, these injections greatly reduce the swelling of the disc.

The last option is microdiscectomy, considered as the surgery that is used to relieve pressure on the nerve root and allow the nerve to recover more effectively. This type of intervention does not entail great difficulty, since it is usually enough with a small incision and one night of admission. 

Regarding the therapeutic approach to herniated discs, Orthopaedic in West Delhi states that "one of the most important advances has occurred in the increased precision of diagnostic tools, which has made treatment much more effective and specific, both in management conservative as in the surgical. From the surgical point of view, the trend is towards minimally invasive, what we commonly know as microsurgery, so that the tissues suffer the least negative impact after the surgical intervention”.

At what age do herniated discs usually appear?

“Disc herniation can appear at any age, since its causes are multifactorial. Although, it begins to be more frequent in the range of 30 to 50 years of age. And they are more prevalent after the age of 50, where it is estimated that more than 80% of the population begins to show disc degeneration”, says orthopedic in Delhi.

Achilles tendon rupture - treatment, surgery

 

What is Achilles tendon rupture?

An Achilles tendon rupture or rupture occurs when the tendon “ruptures or tears” leading to separation or discontinuity in the tissues that make up the tendon.

In terms of anatomy, the Achilles tendon, a sort of fibrous “ribbon” or “cord” that connects muscle to bone, is the largest and strongest tendon in the body that connects the calcaneus (heel bone) to the medial gastrocnemius muscles., lateral gastrocnemius and soleus muscles (popularly known as calf muscles or “leg belly” muscles). When the muscle contracts, it “pulls” the tendon, which in turn moves the foot.

The rupture often reflects the previous existence of tendinosis phenomena caused by sports microtraumas or degeneration (aging) of the tendon. In most cases, the tear occurs at the bottom of the tendon (just above the heel), but it can occur anywhere along the tendon. In the presence of a healthy tendon, the lesion can appear in the bone or muscle.

Total ruptures, partial ruptures

We can generically classify Achilles tendon ruptures into:

• Total rupture – in the total rupture of the Achilles tendon, the tissues break completely, that is, the tendon is completely “separated”.
• Partial rupture – in a partial rupture of the Achilles tendon, the tendon does not completely rupture, only an incomplete rupture occurs. Partial tears can vary greatly in severity according to the extent of the injury.

A total rupture is more frequent than a partial rupture. As a rule, a total rupture is a more serious injury when compared to a partial rupture and with more exacerbated symptoms. A partial tear can also present with pain that can range from moderate to severe and, if not recognized, it can quickly progress to a total tear.

See more information on treatments to better understand the different therapeutic approaches according to the extent of the lesion.

Achilles tendon rupture – causes

The Achilles tendon can lose elasticity and become “weak and thin” with age and lack of use. Then, it becomes prone to injury or breakage.

Rupture is more common in people with pre-existing Achilles tendonitis (tendon inflammation). Repetitive tendinitis and the consequent calcifications are a risk factor for tendon rupture.

Certain diseases (such as arthritis and diabetes) and medications (such as corticosteroids, for example) can also increase the risk of rupture.

Rupture occurs most often in the middle-aged male athlete. The injury usually occurs during recreational sports that require impacts with the ground, running, jumping, etc. Most of the time, these are football, athletics, tennis, basketball, among others. Injury can happen in these situations as a result of traumatic dorsiflexion when the muscle is strongly contracted causing it to tear.

Breaks can, however, also occur in everyday activities. For example, when falling from a significant height, when entering a pothole abruptly, traffic accidents, etc.

Achilles tendon rupture – symptoms

The signs and symptoms of Achilles tendon rupture are:

• Sudden, severe pain may be felt in the “back” of the ankle or the “tummy of the leg”, often described as “being hit by a rock or shot” or “like someone stepping on the back of the ankle”;
• A loud clicking sound can be heard;
• A discontinuity (“gap”) or depression (void) can be felt and seen in the tendon above the calcaneus (heel bone);
• Inability to stand on tiptoe on the affected side;
• Initial pain, swelling (swelling) and stiffness may be followed by bruising and weakness (not being able to land on the foot, walking).

Achilles tendon rupture – diagnosis

The diagnosis is made by the orthopaedic doctor in Delhi after collecting the clinical history, performing the physical examination and some complementary means of diagnosis (MCDT).Bottom of Form

A simple test is to “stretch” the “calf or calf muscles” while lying on your stomach (Thompson test). In the impossibility of being able to elevate the foot, there is, most likely, a rupture in the tendon. This test isolates the connection between the “calf muscles” and the tendon and eliminates other tendons that may still allow poor movement.

The orthopaedic doctor in Dwarka may order the following tests to confirm the diagnosis and to know in greater detail the location and degree of severity of the lesion:

• Plain radiography (XR) – not being a very useful exam, it can identify a bone fragment avulsion of the calcaneus;
• Ultrasound or ultrasound – Ultrasound of the leg and thigh can help assess the possibility of deep vein thrombosis and can also be used to rule out a Baker’s cyst (or cyst). Ultrasound can identify Achilles tendon rupture or signs of inflammation (tendinitis or tendinosis);
• Magnetic Resonance Imaging (MRI) – MRI is extremely sensitive for diagnosis and allows you to determine if there is still a tendon in continuity. It allows other diagnoses such as tendinitis, tendinosis and bursitis.

Pain in the “back of the heel” is not always due to an Achilles tendon rupture. In the differential diagnosis, tendinitis (inflammation of the Achilles) and bursitis (inflammation of the bursae) should be considered, among the most frequent pathologies that cause pain in the Achilles region.

Achilles tendon rupture – treatment

The objective of the treatment is to restore the function of the tendon, for this, it is necessary that the tissues that make up the tendon heal “united” with each other. In this way, it will be possible for the patient to return to the same level of activity before the injury. Regaining Achilles tendon function after an injury is critical to making walking possible.

Treatment reflects a balance between tendon protection and initial movement. Protection is necessary to allow time for healing and to prevent further injury. Moving the foot and ankle is necessary to prevent stiffness and loss of muscle strength.

We can divide treatment options into surgical and non-surgical. Conservative (non-surgical) treatment consists of a set of therapeutic attitudes aimed at healing the tendon and restoring its function without resorting to any type of surgical intervention.

The choice between surgical and non-surgical treatment can be controversial in some cases. Both surgical and non-surgical treatment will require an initial period of approximately six weeks of immobilization. For most patients, both treatment options have good functional results.

NON-SURGICAL TREATMENT

Nonsurgical treatment is often used for non-athletes or for people with a low general level of physical activity who will not benefit from surgery. In the elderly and people with clinical complications, conservative (non-surgical) treatment should also be considered as a first option.

Initially, a cast below the knee is performed with the foot in equinus (foot in marked plantar flexion, “down”). Although it is not routine, it is possible to perform an MRI to verify that the tops of the tendon are in contact. The cast is changed, at intervals of two to four weeks, to slowly stretch the tendon back to its normal length. This treatment usually takes 8 to 12 weeks. During this period, global strengthening and flexibility exercises are taught.

SURGERY (SURGICAL TREATMENT)

Surgery on Achilles tendon rupture is often indicated in healthy and active people who want to resume activities such as walking, running, cycling, etc. Even those who are less active may be candidates for surgical repair of the tendon. The decision to operate should be discussed with your orthopaedic surgeon in Delhi.

Surgery should not be performed if there is an active infection or damaged skin at or around the Achilles tendon rupture site. In addition, some diseases or lifestyle habits, such as diabetes, smoking habits, sedentary lifestyle, steroid use and inability to follow instructions after the operation, may be a contraindication for surgery.

Surgical intervention for an Achilles tendon rupture is usually performed on an outpatient basis. This means that the patient is operated on and goes home the same day.

We can identify two distinct surgical approaches:

The first is to perform the intervention percutaneously, allowing to perform a minimally invasive surgery, through small incisions. A kind of needles with attached sutures are passed, allowing the Achilles tendon to be sutured.

The second approach is the open approach (traditional method, where the surgeon makes an open incision to access the tendon). This starts with an incision made in the back of the leg, just above the calcaneus (heel bone). After the best orthopaedic in Dwarka finds the two ends of the torn tendon, these ends are sutured. The incision is subsequently closed.

The surgical technique will be previously determined by the orthopaedic in West Delhi, depending on the type and location of the rupture, among other factors. In the postoperative period, regardless of the surgical technique chosen, the patient is immobilized with an equinus foot.

Despite being a safe surgery, some complications can arise, such as risks associated with anesthesia, infection, damage to nerves and blood vessels and bleeding or blood clots, among others. A new rupture can also occur (recurrence).

Recovery after surgery

After the surgery, the patient is placed with a splint or a “plaster boot” from the foot to the knee. Usually, the patient cannot walk or put weight on the involved leg. Crutches, a walker or a wheelchair are used to allow the patient to remain mobile for the first few times. Patients are encouraged to keep the operated leg elevated above the level of the heart to decrease swelling (swelling) and pain.

Patients are usually seen in the office two weeks after surgery. The splint or cast is removed, and the surgical incision is evaluated. Stitches are usually removed at this point if necessary. After two to six weeks, depending on postoperative protocol and orthopedic in Dwarka preference, patients may be allowed to begin performing some force. For this, a “hiking boot” can be used. Ankle movement is often allowed and encouraged.

After six weeks, full-body strength is generally allowed. Physiotherapy in Dwarka will need to be started and is intended to restore ankle range of motion. Strengthening of the “calf muscles” and Achilles is gradually allowed as the tendon heals. It is usually possible to resume full activity after six months. Recovery time after surgery can extend up to a year, until the patient can achieve full rehabilitation.

Even in cases where surgery is performed, the above-mentioned therapeutic attitudes are included in the rehabilitation plan. See more information on conservative treatment.