Tamil Blog

Wednesday, 20 March 2019

What Are The Different Types Of Shoulder Fractures?

Shoulder fractures are common for athletes and sports people. Also sudden accidents while exercising, weight lifting or any other mishap can lead to shoulder fracture. The shoulder joint is one of the most mobile and delicate joints of the body. There are several bones in shoulder that can break or fracture. To analyse the type of fracture, X-ray & diagnostic image test are conducted. The diagnostic images can provide additional information about the fracture condition. Sometimes along with fractures, the ligaments or internal tissues can also get damaged or torn. It is through these images the condition is assessed.

Types of fractures

The shoulder has a ball and socket joint and is highly mobile. It consists 3 bones- clavicle or the collarbone, scapula or the shoulder blade and proximal humerus. The bones are interlinked.

  • Clavicle or collarbone fracture- It is one of the common kind of fracture. You will feel like your shoulder is sagging down if your collarbone is fractured. Common symptoms are swelling and sharp pain.
  • Scapula or shoulder blade fracture- it is a flat and triangular bone that connects the collar, clavicle and humerus. It is one of the strongest bones so doesn't break easily. A direct hit can cause this bone to break down into pieces.
  • Proximal humerus fracture- this fracture can be a result of shoulder dislocation. The humerus gets popped out of the socket. 

Shoulder fracture treatment in Chennai


Before you go for a shoulder fracture treatment in Chennai, this is how you can know that your shoulder is fractured:

  • Stiffness and redness.
  • Inability to move the shoulder.
  • Shrill pain in the shoulder area.
  • A sagged down feeling.
  • Deformed shoulder.

Where should you go for a treatment?

Shoulder fracture treatment in Chennai

Chennai Orthopaedics headed by Dr Bharani Kumar Dayanandam is one such orthopaedic centre which provides class service to the patients. Starting from advanced diagnosis to after surgery care, everything is conducted by the team. The team makes the best use of technology and has successfully operated more than a thousand patients. So if you are searching for a reliable clinic for shoulder injury treatment in India, contact or email us. We will be happy to help you to lead a better life!

Visit Us: chennaiorthopaedics.com
Mail Us : info.chennaiortho.com@gmail.com
Book Your Appointment Here : chennaiorthopaedics.com/book-appointment

Saturday, 19 January 2019

Repairing shoulder instability: arthroscopic or open?

Shoulder instability is a common pathology encountered in the orthopaedic and sports medicine. There are differences between a high school baseball player who feels like his shoulder is loose when throwing and a 40 year old who fell on stairs onto an outstretched arm and dislocated his shoulder? Obviously, they’re both “shoulder instability,” but there are differences, right?

There exists a wide range of symptomatic shoulder instabilities from traumatic dislocations to subtle recurrent subluxations. In general, shoulder instability develops in two different ways: traumatic (injury related) onset or atraumatic onset.  Understanding the pathology of how the instability has evolved is essential in choosing the best course of treatment.

Common ways that a shoulder can become unstable:

Traumatic onset instability begins when an injury causes a shoulder to develop recurrent (repeated) dislocations, Subluxation and labral tear (the labrum is torn or peeled off of the glenoid). Meanwhile, the patient with atraumatic instability has general laxity (looseness or spacious capsule) in the joint as a part of their normal anatomy and the shoulder can become unstable without a history of injury or repetitive strain.

The most common dislocation that leads to traumatic onset is in the anterior (forward) and posterior (downward) direction. A fall on an outstretched arm that is forced overhead, a direct blow on the shoulder, or a forced external rotation force to the arm elevated near the coronal plane are frequent causes of this type of dislocation.

An inferior or posterior(backward) dislocation is not as common as anterior traumatic instability, which is usually related to a electrocution or seizure disorder, events in which the muscular forces of the shoulder cause the dislocation.

Treatment for shoulder instability:

Recurrent or chronic Shoulder instability is often first treated with nonsurgical options. If physical therapy and activity modification do not relieve the pain and instability, surgery may be needed. In certain instances, such as in contact athletes who plan on continuing to participate in sports that put their shoulders at risk and in young persons who have a higher risk of re-dislocation, surgery may be performed after the first dislocation.

Surgical treatment is also considered in patients in whom instability occurs during routine daily activities (dressing, sleeping, etc.). There are basically two methods used in shoulder instability surgery - open and arthroscopic repairs.  A detailed discussion with the surgeon of the treatment options is essential. The rehabilitation following surgery is the same, irrespective of the technique used in the surgery.

Shoulder instability open surgery: Open surgery is often required to correct severe instability. A larger incision is made above the shoulder and the muscles are moved to gain access to the joint capsule, labrum and ligaments under direct visualization.Patients who are contact athletes with a bone defect fail with arthroscopy are better candidates for open procedures.

Arthroscopic Techniques

Although the medical literature has indicated through years of results and analyses that the open procedure is the gold standard, Instability surgery has evolved to the point where many surgeons suggest that the minimally invasive arthroscopic repair is a very viable option.

Recently, arthroscopic procedures are used in capsular shift surgery - when there is a need to tighten up the joint capsule and Bankart repair to repair the torn labrum and reduce capsular laxity. Arthroscopic surgery for Shoulder Instability are performed with visualization through a small fiberoptic scope. Through two or three small incisions, Instruments are inserted into the joint to repair the labrum and the surgical technique is similar to the one used in an open repair. A loose or spacious capsule is harder to address arthroscopically. Procedures using laser or radiofrequency energy to shrink the loose capsule have been developed (Thermal capsulorrhaphy), and are still being evaluated.

Best candidates for arthroscopic stabilization include first-time dislocators, recurrent dislocators and recurrent subluxators. Contraindications include those with large osteochondral humeral defects or significant glenoid bone loss. The results for arthroscopic surgery, in general, are equivalent to the open surgery.  

Arthroscopic vs. Open Surgery

Patients often contemplate - arthroscopic or 'open' surgery which is better? The debate about open or arthroscopic repairs for shoulder instability has been in progress for at least two decades. Open surgery, a procedure using larger incisions and enabling the surgeon to look inside the joint, may be better under certain circumstances for certain procedures. Arthroscopic surgery has also some advantages--smaller incisions, less tissue damage— short- and mid-term results of this technique have been very satisfactory. Several reports recently suggests that long-term results (>5 years follow-up) also remain quite satisfactory, particularly in the absence of significant glenoid bone loss.

The truth is that the choice to have an open or arthroscopic repair depends on patient-specific factors and surgeon specific factors such as the onset of the instability, causes, the total number of dislocations, the surgeon’s experience and preference are important considerations. Depending on these factors (or combination of factors), one surgery may be best for your particular situation. You may also discuss with your surgeon if a particular procedure can be done arthroscopically.

Chennai Orthopaedics at Vanagaram, chennai is a world class healthcare institute for Orthopaedic Treatment in Chennai and provides comprehensive healthcare services with care and dedication. The center is managed by Dr Bharani Kumar Dayanandam, a prominent Orthopaedic Surgeon and Trauma Consultant currently serving as the Consultant Trauma & Orthopaedic Surgeon at Apollo Hospitals, Ayanambakkam, Chennai. The institute has state-of-the-art technology and delivers top-notch healthcare to facilitate the best and shortest road to recovery for every patient. The center offers the entire spectrum of services in trauma and orthopaedics, and also includes shoulder arthritis treatment chennai, trauma surgery, hand surgery, paediatric orthopaedics, arthroscopic surgery and Shoulder Joint Dislocation Treatment Chennai. With world class facility at affordable cost in all orthopedic Sub-specialties, the hospital is committed to provide good quality orthopedic and trauma care to patients from simple fracture treatment to sophisticated joint replacement and arthroscopic procedures.

Visit Us : chennaiorthopaedics.com
Mail Us : info.chennaiortho.com@gmail.com
Book Your Appointment Here : chennaiorthopaedics.com/book-appointment

Tuesday, 13 November 2018

Regenerative Therapy for Arthritis

Everybody knows that all surgeries irrespective of types - carry some inherent risks, like post-op infections, blood clots, adverse reactions to anesthesia, your body not adjusting to the implants, etc. And everyone understands that the recuperation time for a total knee replacement is long and needs your commitment.

There have been many innovations in the use of stem cells for arthritis and knee injuries. Regenerative medicine provides the promising potential of developing alternatives to total joint replacement for treating arthritis. Many arthritic patients fear that a surgery or joint replacement is their only choice. Regenerative medicine, such as stem cell therapy and Platelet-Rich Plasma injections for arthritis, has shown great potential for arthritis treatment as an alternative to surgery. Traditionally, injections only lubricated the joint, but now these innovative procedures can dynamically change the environment within tissue injury or an arthritic joint, helping the body to reduce inflammation and to heal the cartilage itself on a long-term basis. Stem cell therapy, especially, has confirmed to have a great impact in resolving pain symptoms from arthritis.

What is Regenerative Medicine?

Regenerative medicine is a rather new field of study that treats diseases and injuries by harnessing the body’s own regenerative capabilities. Regenerative medicine encompasses a broad range of scientific disciplines and focuses on promoting the restore, re-growth, or replacement of injured/damaged tissues or cells in the body. This is achieved with advanced methods such as platelet-rich plasma therapy, stem cell therapy and prolotherapy, all of which have shown great efficiency against various forms of arthritis.

Regenerative treatment can surely increase your chances of avoiding surgery for arthritis.

1. Stem Cell Therapy

A stem cell is a “blank” cell that hasn’t yet become ‘specialized’, or developed into a specific type of cell — such as muscle cells or nerve cells. Stem cells are capable of dividing and propagating more cells. Stem cells present a life-changing treatment option for those suffering from severe degenerative arthritis.

How do Adult (One’s Own) Stem Cells Work?

When humans are conceived and grown in utero, they start out primarily as stem cells, then as we grow and develop, those “blank” cells become skin cells, liver cells, nerve cells, etc. As we continue to grow up, our bodies keep on producing stem cells to treat and maintain our bodily systems. This means that these cells can be used to treat compatible tissues all over the body, including stem cell knee repair.

Stem cell therapy involves extracting unspecialized stem cells from bone marrow or the fat (adipose) cells from the patient’s body, or placental derived from a donor. These cells are then grafted by injection into the affected area with the intent of helping your body to regenerate new tissue. For instance, when injected into the knee, they can create and regenerate new cartilage and tissue combat the effects of osteoarthritis.

Stem cell treatment may be accompanied by growth factors (such as PRP) to accelerate their growth and development. The result is that new, healthy cells are formed, the painful symptoms of arthritic tissue damage are eased, and quality of life improves radically.

2. Platelet-Rich Plasma Therapy (PRP)

Platelet-rich plasma (PRP) therapy, sometimes called autologous conditioned plasma (ACP) therapy, attempts to take advantage of the blood's natural healing properties to repair damaged tendons, cartilage, muscles, ligaments or even bones.

When the tissue damage in arthritic patients have advanced beyond the body’s capacity to heal itself, In these cases, PRP can be used to reduce pain, improve joint function and possibly slow or even repair damage to cartilage

What is PRP Therapy?

PRP (Platelet-Rich Plasma) Therapy is a regenerative medicine treatment method that encourages natural regrowth of damaged or destroyed tissue.

Here’s a brief breakdown of how the PRP treatment works:
  • A small sample of blood from the patient arm is drawn.
  • That blood sample is placed in a centrifuge that separate fluids of different densities and this concentrates the platelets.
  • The platelet-rich plasma solution is then re-injected into the patient’s body at the affected area.
  • These blood platelets which are rich in growth factors, enhances body’s healing ability and rapidly accelerates the process, repair damaged tissue and stimulate regrowth in the area, providing relief from arthritic pain and joint degeneration.
More high-quality, large-scale clinical studies are performed now to make sure how exactly PRP therapy may alleviate symptoms for certain orthopedic conditions. Orthopaedists who use PRP therapy to treat osteoarthritis hypothesize that the PRP therapy has the potential to:
  • Contain proteins that modify a patient's pain receptors and decrease pain sensation
  • Slow down inflammation and delay the progression of osteoarthritis
  • Stimulate the formation of new cartilage
  • Enhance the production of natural lubricating fluid in the joint, thus easing painful joint friction
Chennai Orthopaedic Center at Vanagaram, Chennai is a world class healthcare institute that provide comprehensive healthcare services with care and dedication. We are the best Orthopaedic Specialist in Chennai and we prove the best septic arthritis treatment in India. The center is managed by Dr Bharani Kumar Dayanandam, a prominent Orthopaedic Surgeon and Trauma Consultant currently serving as the Consultant Trauma & Orthopaedic Surgeon at Apollo Hospitals, Ayanambakkam, Chennai. The institute have state-of-the-art technology and delivers top-notch healthcare to facilitate the best and shortest road to recovery for every patient.

Mail Us : info.chennaiortho.com@gmail.com
Visit Us : chennaiorthopaedics.com
Book Your Appointment Here : chennaiorthopaedics.com/book-appointment

Saturday, 28 July 2018

You Should Not Shed Any Tears For Knee Buckling Hereafter

Are you finding it extremely difficult to stand straight or walk properly? Do you get immense pain around the knees and lose the strength of your knees whenever some weight is being placed on them? Have you been experiencing inflammation on your knees often? If you are familiar with any of these, you should understand the fact that you are under the health condition of locking or buckling of knees. Of course, you would be able to withstand it if you are willing to come to Chennai Orthopaedics Center run by Dr Bharani  Kumar Dayanandam. His team comprising of expert medical professionals offer the knee instability treatment in Tamilnadu.   


What is Knee Buckling?

Knee joint is a stable joint aiding to perform many physical activities of varying degrees. It could be jogging, marathon race and even household chores. Unfortunately, some disturbances occur that might end up with the damage of patellar ligament. This may, in turn, affect the overall functioning of knee joints and knee becomes unstable. It is sometimes, considered as a response to put a full stop to further damage as well.


What are the Possible Causes to Knee Buckling?

  • The common injury that may affect the knee includes ACL Tears and Meniscus Tears.
  • Knee arthritis
  • Constant and severe kneecap dislocation
  • Patellofemoral pain syndrome
  • Aging
  • Traumatic causes such as moving the joints in the opposite direction


What are the Signs and Symptoms?

  • Unusual knee swelling
  • Severe pain around the knee
  • Loss of knee strength
  • Popping sound at the time of movement of knees
  • Inability to stand and walk
  • Bulging of the knee



Medication such as NSAIDS could be taken for pain relief.
Knee braces are also used so that the movement can be facilitated easily as your tissues are healing.
If medication and supportive devices do not help treat the condition, surgery has to be done for the restoration of fluid motion of the knee.
Certain exercises can also be followed in addition to the medication taken. Yoga, aerobics, balance and agility training ought to be practiced in order to control the weight and keep the joints and muscles flexible.
Knee buckling is not a very serious health issue. Knowing the causes and seeking knee pain treatment in Chennai from reputed hospitals like Chennai Orthopaedic Center will take away the concern in no time.
Now, are you willing to believe that knee bucking treatment in Chennai is not a misery?   

Mail Us : info.chennaiortho.com@gmail.com
Visit Us : chennaiorthopaedics.com
Book Your Appointment Here : chennaiorthopaedics.com/book-appointment

Friday, 1 June 2018

Now, You May Effortlessly Overcome Shoulder Pain

Do you find it difficult to lift your hand and take that box from the kitchen cabinet? Are your shoulders restricting yourself from throwing a ball into the air? If yes, it is high time you understand the fact that you have been suffering from severe shoulder pain. Diagnosing the cause of the ailment and seeking medical advice from an expert Orthopedic Consultant is a must for speedy recovery. Chennai Orthopaedic Center, led by Dr. Bharani Kumar Dayanandam, offers world-class healthcare facilities coupled with latest medical technology for rendering the best shoulder pain treatment in Chennai. The team of highly skilled and professionally qualified doctors renders their service day and night in helping out every patient who approaches them. 


Shoulder consists of acromion, glenoid, clavicle, humerus and soft tissues etc. Ligaments, rotator cuff muscles and tendons support the shoulder and position it on the body in a right place. The shoulder joints such as the glenohumeral joint, the sternoclavicular joint and the acromioclavicular joints play a significant role in the movement of arms. To be precise, if there is an issue with the shoulder, your daily activities are affected, undoubtedly.


Causes of Shoulder Ailments

  • Tears in the rotator cuff muscles
  • Arthritis and Biceps Tendonitis
  •  Infection caused
  • Lung cancers
  • Much strain on shoulders due to manual labor
  • Severe neck pain
  • Previous medical history

At once you find out there is excessive shoulder pain; swelling, stiffing and weakness in the shoulder joints; and popping sound whenever the hand is lifted, a proper diagnosis ought to be done. The diagnosis tests range from X-ray to Arthroscopy.


Shoulder Pain Treatments

The shoulder pain at the initial stage is better removed through medication in order to put an end to the pain and swelling. Nonsteroidal Anti-inflammatory Drugs (NSAID) is the oral medicine commonly suggested by most of the physicians.

Physiotherapy is also carried out for making the shoulder flexible. Compression Bandages aid to cease the mobilization of the shoulder joints for a reason that the healing takes place very easily.
Corticosteroid Injection is a wise solution if the pain is not too severe.


If all these do not work well with the patient, he/she must opt for surgery. A few surgeries often done are:


Fracture Repair

The fractured bone is repaired by using hardware in such a way that all the broken bones are put and hold together.


Shoulder Replacement Surgery

In Conventional Shoulder Replacement surgery, an artificial socket and metal ball is used to replace the ball and socket joint. And, in Reverse Shoulder Replacement, the metal ball is attached to the shoulder bone, unlike the conventional method.

Chennai Orthopedic Center helps the patient to retain and restore the physical fitness. It also possesses almost all high quality technological equipments as one gets to have for shoulder injury treatments in India


Mail Us @ info.chennaiortho.com@gmail.com
Visit Us @ chennaiorthopaedics.com

Friday, 23 March 2018

Pain Free Hands For A Pain Free Life

The human hands are used for doing almost all activities, which has complex and delicate structure, and it contains 27 bones. The muscles and joints in the hand allow strong and precise movements. Hand pain makes it difficult for a person to perform their daily activities. Hand pain can originate from different parts, including bones, joints, connective tissues, tendons, nerves.



Causes of hand pain

  • Arthritis including osteoarthritis, rheumatoid arthritis, gout
  • Tendonitis
  • Repetitive motion injuries
  • Overuse of hand
  • Awkward positioning to hold the baby new mothers
  • carpel tunnel syndrome
  • wrist fractures

Symptoms of hand pain

The main symptoms of hand pain include pain on any side or whole of the hand, swelling of the wrist, loss of movement, deformity of hand, general discomfort in the hand, numbness or tingling sensation in hand, stiffness in the hand, and weakness in the hand.



Diagnosis and treatment options for hand pain

Hand pain can be diagnosed by thorough physical examination of the patient. Sometimes in addition to this diagnostic tests, like x-rays, CT or MRI scan, Electromyography, Blood test, and bone scan are needed. After the diagnosis treatment starts. Most of the hand pain cases can solve by changing the lifestyle and proper rest. If these do not help, other treatment options are considered. It includes:

Medication - Some medicines like painkillers, nonsteroidal anti-inflammatory drug, narcotics or tricyclic antidepressants may be used for hand pain.

Physiotherapy - Muscle relaxing techniques like ultrasound and electrical stimulation are used for reducing the pain. It also includes application of heat and ice.

Splints for the fingers or wrist - Resting splints immobilize the wrist to allow healing.

Transcutaneous electrical nerve stimulation - Some electric pulses are delivered to the body and it encourages the production of endorphins, and it blocks pain signals to the brain.

Surgery - If all other methods fail, then surgery is considered as the last option.

Dr. Bharani Kumar along with his expert team of doctors provides the best orthopaedic treatment Chennai. They work harder for the patients to give them an improved wellness and fitness. Best hand pain treatment in Chennai is provided by Dr. Bharani Kumar and he is well known as the best hand surgeon Chennai among his patients.


Mail Us @ info.chennaiortho.com@gmail.com
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Wednesday, 31 January 2018

Don't Let Neck pain Stops You

Do you often feel pain when you turn your neck? Neck pain is common by the stress generated by desk and computer work. What isn’t inspiriting is when pain interferes with your daily life. How often does this happen to you? Neck pain is very common in our modern world. Sharp Neck pain can affect the motion of your head and will also affect your daily activities.

neck pain

Main causes of Neck pain?

Neck pain or stiffness can happen due to various reasons. Neck pain is commonly associated with dull aching. Sometimes pain in the neck is worsened with movement of the neck or turning the head. Other Causes associated with neck pain include poor posture, working at the desk for too long without changing the position, sleeping in a bad position straining the neck, jerking the neck during exercise and Rheumatoid arthritis.

When to consult a doctor?

* Severe neck pain without an apparent cause.
* A lump in the neck.
* Swollen glands.
* Weakness
* Numbness in the neck region.
* Tingling.
* Pain that radiates down to the arms or legs.
* Difficulty moving the arms or hands.
* Difficulty to touch the chin to the chest.

neck pain treatment

Treatment for Neck Pain

Treatment for neck pain depends on the diagnosis. Most of the neck pain cases can be resolved with rest, change in lifestyle or OTC (over-the-counter, no prescription required) painkillers. If these do not help, following treatment options may be required depending on the cause and severity of the pain:
* Medication
* Physical Therapy (Physiotherapy)
* TENS (transcutaneous electrical nerve stimulation)
* Surgery

Dr. Bharani Kumar, best orthopedic surgeon Chennai offers effective and affordable Neck Pain treatment in Chennai with well-advanced technologies. Dr. Bharani Kumar is well known for his excellent orthopaedic treatment in Chennai
contact us
Mail us @ info.chennaiortho.com@gmail.com
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What Are The Different Types Of Shoulder Fractures?

Shoulder fractures are common for athletes and sports people. Also sudden accidents while exercising, weight lifting or any other mishap ca...