Monthly Archives: October 2022

Disc-Herniation

Everything you need to know about Disc Herniation

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Disc herniation means the movement of discs in the spine. As a result of this condition, intense back pain occurs in that area.

Depending on the area of ​​the back where they occur, the most common types of herniated disc are lumbar and cervical.

Lumbar disc herniation occurs when the movement of the intervertebral disc has occurred at the lumbar level. The most affected are the last two lumbar discs, L4 and L5, due to the fact that they support most of the body weight. The most affected nerves are the sciatic and femoral.

Cervical disc herniation occurs when the displacement of the intervertebral disc has occurred in the upper part of the spine.

Causes

Disc herniation is most often the result of gradual wear and tear related to aging, called pulpal nucleus degeneration. As a person gets older, the discs lose some of their fluid content. This makes them less flexible and more prone to cracking or breaking, even in a small movement or twist.

Predisposition to sedentary lifestyle, prolonged sitting, increased exertion after a longer period of rest, lifting weights incorrectly, but also spinal cord injuries are among the causes of disc herniations, explains the orthopaedic in Delhi.

Risk factors

Weight. Excessive weight causes extra stress on the lower back discs.

Occupation. People with high-intensity jobs are at higher risk of developing spinal problems. Lifting, pulling, or pushing weights, repeated movements, or lateral bending and twisting may increase the risk of a herniated disc.

Genetics. Some people inherit a predisposition to the development of a herniated disc.

Symptoms

The symptoms of a herniated disc differ depending on the area in which it occurs.

In the case of lumbar disc herniation, there is pain in the thighs and buttocks, which can radiate to the leg below the knee. Pain may be accompanied by tingling, numbness and tenderness in the limbs and affected areas.

In the case of cervical hernia, the pain manifests itself mainly in the shoulders and arms. There is pain in the neck region, with the impossibility of turning the head or making sudden movements.

The pain may be accompanied by tingling, numbness and a general state of weakness. In both cases, the pain is continuous and not throbbing.

Treatment

Disc herniation treatment should not be delayed because the pain subsided at some point. Lack of treatment can worsen the situation, causing chronic pain or permanent injuries that affect mobility, says the orthopaedic surgeon in Delhi.

Physiotherapy is the most common methods of treating a herniated disc. In severe cases, when the pain persists even after 5-6 weeks of alternative treatment, surgery is resorted to.

The operation consists of removing the fragments of the disc or even the entire herniated disc that compresses the spinal nerves.

hip-replacement in Delhi

FAQ about hip replacement

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Orthopaedic doctor in Delhi has always recommended avoiding joint wear and tear to maintain movement, hopefully throughout life. This need has been so pressing for humanity that more than 100 years ago, surgeries were already performed in which tissues or elements such as metal sheets were interposed to hold the bones in place.

However, the first complete joint change was not made until 1938, when the first hip was replaced in the United States; a procedure that was improving until in 1960 the Englishman John Charnley laid the foundations for doing transplants of this joint in a systematic way.

What is it and what is changed?

Total hip replacement is the exchange of all the components of the joint for an artificial implant called a prosthesis. The hip has two main parts: a cavity in the pelvis called the acetabulum and the head of the femur, and they are the ones that are replaced.

Why do you have to replace a hip?

Because the cartilage wears out and the bones begin to touch each other, which produces pain and deterioration, configuring a condition called osteoarthritis. This is reached by problems in development, some diseases, overweight and the wear and tear of age. The hip also needs to be replaced in cases of traumatic fractures or destruction.

And works?

Of course. By replacing it, the person can lead a normal life and when measuring its results in terms of quality of life, it is one of the most favorable procedures, which earned it the most important surgery of the last century.

How long is the procedure?

About an hour. It is a safe, reproducible and long-lasting procedure.

How is the recovery?

This starts from the first day of surgery with movements in the feet and knees. The next day, the person can already support in the middle of a rehabilitation program and at the following 6 or 8 weeks the person can resume normal activity.

How does a person feel with a different material in the body?

Pain relief from the first day is the first feeling that people refer to and eventually they say they feel something strange, but not annoying in those places.

Do the children have surgery?

No. It is a procedure that requires skeletal maturity. So it can be operated at the end of adolescence.

What complications does it have?

Although it is a very safe procedure, it is not without infections or dislocations that occur in a very low percentage.

What is the future of prosthetics?

Nowadays, it is sought that they be less invasive, that they provide greater mobility and that they be made with more resistant and durable materials, so that the objective of the surgery is to recover all activities, including recreational and sports activities.