Trochanteric Bursitis: Causes and Treatment Options

The bursae are small sacs filled with fluid that are found near the joints. The bursae help the joints to move easily, allowing the muscles and tendons to slide over the bones and other structures. The human body has over 150 bursae in its composition.

Trochanteric bursitis occurs when the bursae in the hip become inflamed. Trochanteric bursitis is one of the most common causes of hip pain, explains the orthopaedic in Delhi.

The name of this condition comes from the fact that it affects a bony area called the trochanter. The trochanter is the upper part of the femur and is located at the hip joint.

Signs and Symptoms

Trochanteric bursitis is a common cause of hip pain in active, middle-aged women. This condition can cause significant hip pain, especially if the person is putting pressure on the hip.

People with this condition may also experience the following symptoms:

• Pain that usually occurs on the outside of the hip;
• Pain that worsens during physical activity;
• Pain when climbing stairs;
• Pain when sitting on the affected side;
• Pain on touch and pressure.

The pain associated with trochanteric bursitis is usually more severe at night, especially when a person sleeps on the affected side. If the tendons in the hip are inflamed, the symptoms may be more aggressive.

Trochanteric bursitis may have symptoms similar to those caused by rupture of the gluteus medius muscle, which is a muscle that attaches to the same area.

If symptoms persist and muscle rupture is suspected, an orthopaedic doctor in Delhi should be consulted as soon as possible, as this injury may require surgery.

Causes

Some of the causes associated with trochanteric bursitis include:

Trauma - a history of repeated or severe falls or blows to the hip can cause trochanteric bursitis;

Overuse - people who engage in repetitive physical activities, such as running or cycling, can cause inflammation of the bursae at the hip;

Vicious positions - positions that can put extra pressure on the hips can cause trochanteric bursitis. Posture-related conditions, such as scoliosis, can also cause trochanteric bursitis;

Calcium deposits or bone spurs - sometimes a person can develop additional bone growth on the trochanter. They can rub against the bursae, leading to their irritation and inflammation;

History of chronic diseases - people with chronic diseases, such as gout, thyroid disease, psoriasis and rheumatoid arthritis, may be at increased risk of developing trochanteric bursitis;

Background Surgery - A person is more likely to develop trochanteric bursitis if he or she has had hip surgery in the past.

Between 3-17% of people with hip prostheses have developed trochanteric bursitis. Sometimes, hip replacement surgery in Delhi can result in a slight difference in leg length, which can also contribute to the appearance of trochanteric bursitis;

Overweight - overweight or obesity are factors that can contribute to the development of trochanteric bursitis. This is due to the fact that being overweight puts more pressure on the hip and the area around it.

Establishing the Diagnosis

The orthopaedic in Dwarka will begin diagnosing trochanteric bursitis by first examining a person's medical history, along with the associated clinical picture.

Also, for diagnosis it is necessary to physically examine the balance, detecting delicate areas near the place where the bursae are located. In some cases, the doctor may feel areas of bulging tissue in the affected hip.

In addition to the physical exam, your orthopaedic in Delhi may recommend additional medical imaging tests to check for abnormalities associated with the condition. These investigations include:

• Radiography;
• Bone density tests;
• Magnetic resonance imaging (MRI).

The orthopaedic doctor in Dwarka will consider not only the symptoms that indicate trochanteric bursitis, but will also try to rule out other similar conditions. These include:

• Osteoarthritis;
• Fibromyalgia;
• Bone fracture in the upper femur;
• Hip dislocation.

Treatment Options

Treatment options used for trochanteric bursitis include:

Rest - to give time to inflamed bursae to heal. Sometimes a person with trochanteric bursitis may need special devices to move, such as crutches. Avoiding activities that have caused trochanteric bursitis is indicated in most cases.

Non-steroidal anti-inflammatory drugs - they help reduce pain and inflammation. Because these drugs can cause side effects, such as stomach pain and bleeding, it is recommended to use them in the short term.

Applying ice - ice can reduce inflammation and help manage pain.

Physical therapy - engaging in various physical exercises recommended by therapists can help improve range of motion and strengthen the muscles around the hip.

The physical therapist may use other treatments, such as massage and ultrasound.

Corticosteroid injection - your orthopaedic in Delhi may recommend these injections to reduce pain and inflammation.

Weight loss - weight loss is indicated for overweight people. Excess weight puts your hips under extra pressure, resulting in severe pain.

If these methods of treatment are not effective, as the patient is still in pain, the doctor may recommend surgery. Surgery is performed by the orthopaedic surgeon in Delhi only if symptoms have not improved after 12 months of medical treatment.

In extreme cases, a person can remove their bursae by minimally invasive techniques. The procedure can be performed laparoscopically, through very small incisions, using a small chamber to guide the surgeon.

Removal surgery does not usually involve hospitalizing the patient, and recovery takes only a few days.

Perspective

Trochanteric bursitis can be a difficult and painful condition. Usually, drug treatments with nonsteroidal anti-inflammatory drugs can help improve the clinical picture. Surgery is the last recommended treatment method for those with persistent painful symptoms, says the orthopaedic in Delhi.

A person is more likely to develop trochanteric bursitis as they get older, and women are at higher risk than men. The outlook is generally favorable, but it depends on how quickly the treatment is installed.

KNEE OSTEOARTHRITIS

Knee prosthesis is the best alternative to improve quality of life in those who suffer from severe pain and have mobility problems. Knee osteoarthritis is one of the most prevalent pathologies that has the most impact on the well-being of adults over the age of 50.

They find it difficult to climb or down stairs, walk or play a sport. The older the symptoms are more severe; pain, creaks and swelling in the knee. Because of this, they lose the ability - to varying degrees - to move freely. On average, at age 65 is when knee braces increase.

For young people, those who play high-impact, rebound sports have increased joint damage, they are also candidates for joint replacement surgery in Delhi due to joint cartilage wear or osteoarthritis.

What is osteoarthritis?

Osteoarthritis is a disease caused by changes in the structure of cartilage, in which their basic components are lost and this leads to dehydration and thinning of joint cartilage. It can affect all joints, although it is most common in hands, spine, hip, knee and ankle.

It is a disease of unknown cause, associated with genetic factors.

There are other less common causes called secondary osteoarthritis, where there is a common basis origin: overweight, prior trauma, metabolic diseases or rheumatism, such as arthritis. In the case of knee osteoarthritis, this joint is part of the mechanical body weight loading system and, for this reason, is more exposed to cartilage wear.

Cartilage is a layer of tissue, softer than bone, that lines the surface of the joints.

Over time, when worn wear, bone ends deform, leading to bone overgrowth and osteophyte formation (so-called "parrot peaks"), bone bumps that cause the joints to rub, causing pain, swelling and loss of mobility.

Symptoms

"Difficulties putting on socks or shoes, sitting on low furniture, knee pain when climbing stairs or slopes are among the most common complaints of initial osteoarthritis. They also tend to have discomfort at night, at rest, when they move during sleep," says orthopaedic in Delhi Dr. Ashoo Consul, expert on hip and knee.

In the face of any pain that tends to repeat itself, even if it is not constant, an evaluation is recommended, because when it is permanent and more intense it can be late for solutions.

Tests and diagnosis

For the diagnosis of knee osteoarthritis, clinical examination or evaluation by the best knee surgeon in Delhi is critical. Depending on this one, the exams are complementary and range from a simple X-ray to an MRI with contrast.

"Diagnosis involves certain treatments, which depend on the stage of osteoarthritis.

If it's initial, you may have conservative medical management. However, if patients have an important degree of joint destruction, with variable degree disability due to pain and deformity, surgery is recommended, to improve their quality of life", notes the orthopaedic surgeon in Delhi.

Treatment

Before knee replacement in Delhi, there are several medical treatment alternatives. However, osteoarthritis is a progressive chronic disease, which has no cure with medication and is irreversible. Conservative measures: Prior to the prosthesis, treatments for moderate osteoarthritis are as follows:

• Anti-inflammatory Drugs: These medications help relieve knee pain and decrease inflammation associated with osteoarthritis.
• Glucosamine and Chondroitin Sulfate: are medicines that act by trying to regenerate the cartilage worn by osteoarthritis
• Templates: The use of silicone gel damping insoles is recommended
• Orthosis: It is a special knee brace that is indicated when the knee is deviated, either very close knees or arched. The treatment that is most accommodating varies on a case-by-case basis, so it is advisable to consult the orthopaedic doctor in Delhi.
• Weight management: Overweight and obesity aggravate osteoarthritis symptoms. This is why it is advisable to visit an orthopaedic in Dwarka, nutritionist or nutritionist, who will evaluate the patient's condition to indicate a balanced diet and achieve their ideal weight.
• Kinesiotherapy: The recommended exercises are of flexibility of low or no impact, which improve muscle tone and mobility of the joint; done three times a week and with professional supervision, can improve a person's quality of life by increasing their abilities. Water activities also increase cardiovascular capacity. Improving quality of life is the best way to slow down the needs of a prosthesis.
• Biological surgery: When the damage is not extensive and the patients are younger. Biological surgery is used in areas that have lost cartilage with mechanical and biological stimuli, such as hyaluronic acid, platelet concentrate, and stem cells. "Biological surgery is generally designed for a single opportunity. Try to restore knee function for more vigorous activities. It's for less serious focal injuries and younger patients," explains surgeon at orthopaedic clinic in Delhi.

Surgery

Once the damage to the knee is more advanced and diffuse, especially in older patients, surgery is indicated as treatment. Arthroplasty or prosthetic surgery is aimed at both calming pain and returning the patient's joint mobility and muscle activity.

Thus, prostheses are indicated when the triggering disease has been aggressive enough, when there is a large pain or alteration of the function of this joint.

A prosthesis is an artificial part designed to replace a natural joint that is damaged and cannot be repaired.

This procedure replaces all damaged cartilage with a new artificial surface. "These new surfaces are usually a combination of noble metals and high-strength plastics. There are different types of surgeries: unicompartmental (partial prostheses) and total prostheses," explains orthopaedic in West Delhi.  

Recovery

"Knee replacement in West Delhi is for more advanced and diffuse damage in older patients. It is a major surgery, so the hospital stay is between three and five days, but patients go home autovalent, walking with the help of a cane and oral analgesia," says orthopedic in Delhi. Recovery from knee replacement surgery is slow and painful and, in most patients, it takes about two months, improving up to a year after surgery.

Meanwhile, unicompartmental or partial prosthetic surgery has the advantage of being a less invasive intervention and with a much faster functional recovery, than the total. Prosthetic knee surgery is endorsed as one of the most beneficial medical procedures in recovering patients' quality of life.

HIP PROSTHESIS: SYMPTOMS, SURGERY AND RECOVERY

Hip pain can limit your daily activities, even affecting daily movements such as walking, climbing the stairs, sitting or standing.

What is a hip prosthesis?

The hip prosthesis corresponds to a prosthesis that is usually recommended for patients with osteoarthritis, or with symptoms of hip dysplasia, osteonecrosis, inflammatory joint diseases, among others. In some cases, it is recommended for people with a hip fracture. Most of the time hip discomfort and pain is due to a significant joint deterioration between the femur and the pelvis. For the patient diagnosed with osteoarthritis of the hip - suffering from painful stiffness, severe cartilage damage or hip fracture - the only solution is a total hip replacement in Delhi.

In India, around 75,000 surgeries are performed annually hip prosthesis. This is due to the increase in life expectancy and, with this, the prevalence of osteoarticular diseases that cause inflammation in the joint, which include pathologies such as osteoarthritis, arthritis, and osteoporosis.

Symptoms: pain when walking 

Symptoms begin with discomfort and pain when walking or straining the joint, however, discomfort ceases after taking rest. With time it increases and manages to limit the activities of daily life, in movement or at rest, since it intensifies and becomes progressive. It is not uncommon for pain to be felt in the mid-thigh or groin.

In order to make a diagnosis of joint deterioration or hip fracture, orthopaedic in Delhi indicates that a simple radiograph of the pelvis and hip is usually sufficient to confirm the diagnosis of hip arthroplasty, and it is not necessary, in most cases, perform other more expensive exams.

To be a candidate for hip replacement surgery in Delhi, the most frequent cause of prosthetic indication is osteoarthritis, which can be primary or secondary to symptoms such as hip dysplasia, osteonecrosis, inflammatory joint diseases, among others. However, it may also be necessary to place a prosthesis in patients who present some specific types of hip fracture, the orthopaedic doctor in Delhi clarifies.

Hip surgery and treatment 

In the first phase, analgesic and anti-inflammatory drugs are indicated for episodes of painful crisis, always under medical supervision and indication.

However, if osteoarthritis has already developed, the only solution is a prosthetic joint replacement in Delhi.

Due to the large number of hip replacement surgery in West Delhi, it depends on multiple factors which will be ideal for the patient. This is why the orthopaedic doctor in Dwarka analyzes the characteristics of the patient such as age, bone quality, presence of anatomical alterations or sequelae of previous diseases.

Meanwhile, when the diagnosis is for the treatment of a hip fracture, there is no alternative to non-surgical treatment.

The total prosthesis or total hip arthroplasty -also known as joint replacement surgery- consists of replacing the damaged joint with a prosthetic joint that allows the patient to resume his daily activities, without pain or discomfort.

Important advances have been made in recent years: minimally invasive techniques, new prosthetic designs, and new friction pairs. This allows younger patients to access a prosthesis or joint replacement, by improving the results and their survival.

"New coating prostheses have been developed they sacrifice less bone, they are more durable, more resistant and less worn, which is especially important in patients under 50 years of age. Computational navigation techniques are also being developed to carry out the implantation of the prostheses with greater precision,” says orthopaedic surgeon in Delhi.

Usually, primary total hip replacement in West Delhi is indicated for patients over 60 years with osteoarthritis, but nowadays it is increasingly presented in younger patients, where other causes such as rheumatoid arthritis, avascular necrosis, post-traumatic sequelae and pinching hip.

In women, osteoarthritis occurs more frequently than men, because they have a higher incidence of hip dysplasia, which makes them more exposed to the wear of the joint.

The total primary hip prosthesis, with an adequate surgical technique, has a low risk of global complications of less than 5%, as well as a high survival rate in the long term: about 90% at 10 years and about 80% at 20 years. of follow up.

As an example, a hip prosthesis placed today on 100 patients, should continue to work on around 80 of these in 20 more years.

Recovery

In general, the rehabilitation of a total hip prosthesis seeks to try to regain movement early. The patient usually gets up for a walk the day after surgery, with the help of two canes, a walker or burrito. Adequate kinetic rehabilitation is essential during the first weeks, progressively achieving the removal of canes, the recovery of muscle strength and the safety and independence of the patient.

This makes recovery very fast, the patient's post-operative takes place at home, to return to normal activity in 20 to 30 days, says orthopedic in Delhi.

Causes of Hip Pain

The hip represents a very complex part of the body, which allows movements of the lower extremities, standing, sitting, and supports the pelvic organs. However, the hip joint is very fragile and susceptible to developmental and traumatic deformations. Therefore, when patients complain of hip pain, the cause of the problem is usually found in the hip joint, says the orthopaedic in Delhi.

The hip joint is made up of two joint surfaces, one of which is called the acetabulum and belongs to the hip bone (coxal bone), while the other represents the upper end of the femur (thigh bone). Between these surfaces, there is a fine cartilage cushion that reduces friction. In addition, the joint is secured with the ligaments and tendons of the muscles, which completely surround it.

Degenerative changes

Friction is the worst enemy of the hip joint.

Although the cartilage of the hip joint is replaced, aging causes a gradual loss of its elasticity and consistency. Cartilage loss causes joint surfaces to get closer and eventually damage each other during movements, causing hip pain. In response to increased friction, bone surfaces undergo changes such as hypertrophy and deformation, which makes friction and degeneration even more pronounced. These degenerative changes can lead to a disability if it is not treated properly before it is too late. Overuse of the hip joints in some sports can increase susceptibility to degenerative changes, caused by faster cartilage loss, explains the orthopaedic doctor in Delhi.

Arthritis

The arthritis and osteoarthritis are inflammatory conditions that can affect the hip joint, and are more common in the elderly. The inflammation causes the loss of cartilage from the hip and the vicious cycle that leads to degeneration begins. The most important medications for this condition are non-steroidal anti-inflammatory steroid drugs (NSAIDs), which can ease the inflammatory process and ease pain, recommends the orthopaedic doctor in Delhi.

Hip fracture

Hip fractures are a very common problem in older people, due to loss of bone density (osteoporosis), weak tendons, and ligaments of the hip joint. Depending on the type of fracture, this problem may be manageable by surgical interventions, but it often leaves permanent sequelae, due to lack of blood supply and poor regeneration of fractured bones in the elderly, says the orthopaedic surgeon in Delhi.

Ligament and tendon strain

Some exercises require excessive extension of the ligaments and tendons of the hip joint, which can cause strain and subsequent inflammation, resulting in pain and discomfort in the hip area. This usually happens if the exercises are carried out before the necessary warm-up, or if the intensity of the exercise is inadequate. These medications can help decrease pain in these cases, along with resting for a couple of days, which is crucial for complete recovery. Excessive exercise can also cause bursitis, an inflammation of the small fibrous sacs (bursa) placed around the joints and tendons, warns the orthopaedic surgeon in Delhi.

Tumors

Primary and secondary tumors (metastases) affecting the bones of the femur and pain in the hip area cause the first sign.

New and persistent hip pain should be reported to your orthopaedic doctor in Delhi for further examination. It is very important for the diagnosis of diseases of the hip joints, before they are progressive and intractable. Mild or moderate physical activity and optimal cartilage replacement body weight is beneficial, while overuse of the hip joint and obesity cause degeneration, says the orthopaedic in Delhi.

Knee Arthroscopy - What You Need To Know

Arthroscopy in Delhi is a common surgical procedure in which a joint is visualized using a small camera. Arthroscopy gives doctors a clear view of the inside of the knee. This helps them diagnose and treat knee problems.

Technical advances have led to high-definition monitors and high-resolution cameras. These and other improvements have made arthroscopy a very effective tool for treating knee problems. According to Orthopaedic in Delhi, more than 4 million knee arthroscopies are performed worldwide each year.

Description

Arthroscopy is done through small incisions. During the procedure, your orthopaedic surgeon in Delhi inserts the arthroscope (an instrument with a small, pencil-sized camera) into your knee joint. The arthroscope sends the image to a television monitor. On the monitor, your surgeon can see the knee structures in great detail.

Your surgeon can use arthroscopy to feel, repair, or remove injured tissue. To do this, small surgical instruments are inserted through other incisions around your knee.

Preparation for surgery

If you decide to have knee arthroscopy in Delhi, you may need a complete physical exam with your family doctor before surgery. Your doctor will evaluate your health and identify any problems that may interfere with your surgery.

Before surgery, tell your orthopaedic surgeon in West Delhi about any medications or supplements that you take. The doctor will tell you which medications you should stop taking before surgery.

To help plan the procedure, your orthopaedic surgeon in Dwarka may order preoperative exams. These may include blood cell counts or an EKG (electrocardiogram).

Surgery

Almost all arthroscopic knee surgery is performed in outpatient care.

Process

The best knee surgeon in Delhi will make small incisions in your knee. A sterile solution will be used to fill the knee joint and remove any cloudy fluid. This helps your orthopaedic surgeon see your knee clearly and in full detail.

Your surgeon's first task is to properly diagnose your problem. He or she will insert the arthroscope and use the image projected on the screen to guide you. If surgical treatment is necessary, your best knee surgeon in West Delhi will insert tiny instruments through another small incision. These instruments can be scissors, razors, or lasers.

This part of the procedure generally lasts from 30 minutes to just over an hour. How long it lasts depends on the findings and the treatment needed.

Knee arthroscopy in Delhi is most commonly used to:

• Remove or repair broken meniscus cartilage
• Reconstruct a torn anterior cruciate ligament
• Trim broken pieces of articular cartilage
• Remove loose pieces of bone or cartilage
• Remove inflamed synovial tissue

Your surgeon can close the incisions with a suture or steri-strips (small adhesive strips) and cover them with a soft bandage.

You will be transferred to the recovery room and could go home in 1 to 2 hours. Make sure someone is with you to drive you home.

Recovery

Recovery from knee arthroscopy is much faster than traditional open knee surgery. Still, it is important to follow your orthopaedic surgeon's instructions carefully after you return home. You should ask someone to accompany you the first night at your home.

Inflammation

Keep your leg elevated as much as possible for the first few days after surgery. Apply ice according to the recommendations of orthopaedic in West Delhi to relieve inflammation and pain.

Care of compresses

You will leave the hospital with a bandage that will cover your knee. Keep the incisions clean and dry. Your orthopaedic in Dwarka will tell you when you can shower or bathe, and when you should change the dressing.

Your surgeon will see you in the office a few days after surgery to monitor your progress, review the results of the surgery, and begin your postoperative treatment program.

Bear weight

Most patients need crutches or other assistance after arthroscopic surgery. Your orthopaedic doctor in Delhi will tell you when it is safe to support weight on your foot and leg. If you have any questions about bearing weight, call your surgeon.

Driving vehicles

Your orthopaedic doctor in West Delhi will discuss with you when you will be able to drive. This decision is based on several factors, including:

• The involved knee
• If you drive an automatic or manual transmission vehicle
• The nature of the procedure
• Your level of pain
• If you are using narcotic pain medicine
• How much can you control your knee?

Typically, patients can drive 1 to 3 weeks after the procedure.

Medicines

Your orthopaedic doctor in Dwarka will prescribe pain medication to help ease the discomfort after surgery. Your doctor may also recommend medications such as aspirin to decrease the risk of blood clots.

You should exercise your knee regularly for several weeks after surgery. This will restore movement and strengthen your leg and knee muscles.

Therapeutic exercise will play an important role in your recovery. A formal physical therapy program can improve the bottom line.

Final Result

Unless you have a ligament reconstruction, you should be able to return to most of your physical activities after 6 to 8 weeks, or sometimes much earlier. Higher impact activities should be avoided for a longer time. You will need to speak to your doctor before resuming intense physical activities.

If your job involves heavy tasks, it may take longer before you can get back to work. Discuss with your orthopedic in Delhi when it is reasonable and safe for you to return to work.

The result of your surgery will likely be determined by the degree of damage to your knee. For example, if the articular cartilage in your knee has worn down completely, then full recovery may not be possible. You may need to change your lifestyle. This may mean limiting your activities and looking for low-impact exercise alternatives.

Orthopaedic Implants - Pros and Cons

Orthopaedic Implants - Pros and Cons

It is now easy to treat serious bone problems with the start of technological developments and this was made possible with modern orthopaedic implants.

Although some time ago, diseases and bone fractures were not as common and were often seen in adults today, the situation has changed. These problems are now problematic for young players and dancers as well. But thanks to today's advancements, very sophisticated orthopaedic equipment, such as bone plates and orthopaedic bone screws, exists today with manufacturers of implants and orthopaedic instruments that can treat people with multiple bone fractures.

Orthopaedic surgeon in Delhi is performing fruitful surgeries and placing orthopaedic implants in their patients' bodies, thus relieving them of various bone disorders. In the case of severe fractures, these implants have proven to be very useful, as they have the ability to hold the fractured bones in place.

But if you are having this surgery for a bone plate and bone screw implantation, please read the following instructions to help you fully.

Precautions before opting for surgical implants: -

• Consult your orthopaedic in Delhi before the operation and request tests before the surgery so that you do not develop sensitivity to the metal in your bones after the surgery. This test will decide if the screws and orthopaedic plates are appropriate for your skin and body or not. As some cases of severe skin reactions and wound infections have been reported by patients.
• Next, be sure to opt for good-quality, non-toxic orthopaedic implants to protect yourself from any kind of inflammation after implantation.
• Talk to your orthopaedic surgeon in West Delhi so that after surgery, you will have no difficulty making normal body movements, or you will have more problems than before.
• If available, one can opt for biodegradable implants that possess properties and qualities almost similar to those of the original bone, to avoid the trauma of undergoing a second surgery to remove bone screws.
• Since the bone plates and screws are made of metals such as titanium and its alloys, the risk of corrosion cannot be totally eliminated. So, the best way to handle these kinds of problems is to use the same screws and metal plates on one bone.
• Orthopedic in Delhi suggest to don't strain after surgery and rest well because broken bones or ankles take long enough, sometimes many months, to heal and rehabilitate that joint.
• You may experience severe pain due to bone screws and bone plates, while these ortho-surgical implants take you through the healing process. In that case, consult your orthopaedic in Dwarka directly and request pain medication instead of getting rid of these ortho implants.

The risks and precautions detailed above are not to dissuade anyone from enjoying the advantage of this miracle kit. It is just a tip that can help you really minimize the pain and suffering that comes from bone-related problems. Recovery from your infected part, joints and ankles can be quick when these orthopaedic implants are adjusted by taking essential safety measures and you get the most out of them.