Tag: Joints Pain

Preventing shoulder rotator cuff injuries

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Rotator cuff tears are very common and more than 10 to 15% of population above 50 and more than 25% active population or athlete’s  will suffer one of the rotator cuff tears or damages.

It affects all as shoulder is a highly mobile structure so from sedentary adults to weekend warriors and prime elite athletes everyone gets affected due to rotator cuff injury.

But here are steps that can be taken to reduce the injuries, specific exercises, ergonomic correction, stretches, conditioning and isometric strengthening helps you prevent your shoulder girdle from getting injured.

MOST COMMON REASON FOR SHOULDER INJURY IS OVERHEAD ACTIVITY.

For sports men, cricket player’s tennis players, trying to lift weights overhead without shoulder muscle activations, are the commonest causes of rotator cuff and AC joint injuries and pain.

Teachers writing on black boards, house wife who repeatedly keep reaching out to overhead cabinets while working in kitchen all injure their shoulders one way or other leading to nagging pain in the shoulder which is on the side and makes It difficult for you to sleep on one side and perform basic routine activates like combing hair, to unhooking the clips of the clothing.

EXERCISES HELPS IN PREVENTION OF SHOULDER INJURIES.

A good  shoulder exercise program which does not focus on just weight training or aerobics but should include, isometrics holds, chest and pectoral muscle stretch, with mobility exercises and strength training will help in both preventing and also healing the shoulder injuries.

 

TREATMENT OPITONS FOR ROTATOR CUFF TEARS.

CAN IT HEAL WITHOUT SURGERY?

Yes in a lot many cases non-surgical options are the way to go for mild to moderate tears or even complete tear without retraction of muscle fibres.

Opting out for AXIS ORTHOBIOLOGIC procedure where we use your own blood and cells and implant them on same day under usg and x ray guidance has shown to have a faster recovery from pain and less down time for athletes to get back to active games following our state of art orthobiologic treatment. Rotator cuff tendinitis treatment, rotator cuff bursitis all can be easily be cured with orthobiologic interventions and physical therapy after that, there is not much evidence for surgical decompression or artho scopy repair unless the tear is massive with tendon fibres damaged to an extremely severe level.

 

 

 

                                        AXIS SD OB*PROCEDURES                                                  SURGERY

Return to daily                 a week                                                                         4 to 6 weeks

Routine

 

Return to Sports           2 to 3 months                                                                   6 months plus

 

During recovery                  physiotherapy 6 weeks &                                  PT for months, less

Time post procedure  over counter pain med and brace                             driving and limited rom

 

Done same day                        Yes                                                                          needs IPD admission

 

Rotator cuff intact                  Yes                                                                                   NO

 

SD OB= Same day ortho biologic procedures.

 

We at AXIS always thrive for the best treatment solutions for our general public and elite athletes and DR Madhur Chadha our main lead in regenerative and sports science leads it from the fore front to develop tailored made programs for you to get back to active routine as soon as possible after a shoulder injury.

Osteoarthritis in young adults, why is it happening so soon and how to prevent?

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Osteoarthritis is a progressive disease of the joints in which the cartilage which cushions the bones and absorbs the shock wears down, causing pain, stiffness and swelling around the knee joint, in over period we see a bone on bone phenomenon.

According to Indian data millions of patients are suffering from OA knee with a prevalence rate of 25 to 35% of which women are more common than men(C p PAL IJO 2016, 10.4103/0019-5413.189608)

Making it one of the most common arthritis in India, though it is age relegated but nearly 18to20% of arthritis is from injury to abjoint or posttraumatic arthritis and this is not only restricted to athletes layman and general public are also not spared the trauma of it which happens due to repetitive stress injury, over weight and genetics.

We need to understand that our knee is just not bone and cartilage but a complex structure formed of ligaments, soft tissue, tendons, nerves and fat and any event which can destabilize or injure any one of the structure can lead to early arthritis in the younger age group the main components which trigger these events are.

A. Injury to the ligaments

B. Injury or damage to the cartilage

C. Meniscal tear or tear of the labrum

D. early arthroscopy procedures in the young adults which increases risk of OA manifold.

Recent paper in Journal of Athletics Training highlights how small injures to the joints can get blown up into full arthritis over the period, eg a small rent in cartilage or meniscus can lead to bone swelling and can in turn put more pressure on the spot leading to multiple rents in cartilage and end up damaging the surrounding ligaments and joint structure, the single biggest issue which we can fix and can prevent early arthritis in knee is instability, which is easily diagnosed on dynamic use scanning and education of few points.

The person suffering from popping sensation and cracking in knee sounds but no pain is a potential arthritic patient in long run and should be evaluated by a regenerative and musculoskeletal physician who understands instability of joints better.

We see a lot of patients with these instability issue and opt for stress mask USG to identify the instability and the loose ligaments, if you had some knee injury in recent times and suffering from such issues we opt for PRP for ligaments to strengthen and tighten the ligaments and cartilage to provide better stability to the joint in order to prevent OA later stages.