Qualification

• MBBS
• MS (Orthopaedics)
• DePuy (Johnson & Johnson) Fellow in Arthroplasty with Dr. P.S. Maini, Sir Ganga Ram Hospital, New Delhi
• Attended advance course in Total Joint Replacement (Impaction Bone Grafting) in Netherlands
• Fellowship in Joint Replacement & Arthroscopy in Adelaide at Flinders University under Prof. Jagon Krishnan in Liverpool Hospital and in Fairfield Geriatric Hospital in Sydney (under Prof Jaikar Dave)
• Fellowship with Prof. Thomas Sibal (Designer surgeon of ASR) in Total Hip Replacement in Putlingon University, Germany
• Visiting Fellow in Joint Replacement Surgery, Prince Charles Memorial Hospital with Dr. R. Crawford, Brisbane, Australia
• Fellowship in Revision Total Joint Replacement at Hamburg
• Attended Dr. Ranawat Fellowship programme in New York

• Attended the Arthrex Cadaveric workshop on Arthroscopy for a period of 2 weeks in Munich, Germany
• Visiting Fellow in Joint Replacement Surgery, at Spire Southampton Hospital, Southampton, London (with Prof. David Barett)

Experience

Presently working as a Director – Centre for Joint Replacement in Institute for Bone, Joint Replacement, Orthopedics Spine & Sports Medicine at BLK Super Speciality Hospital, New Delhi

Previous Experience:

• Chief of Joint Replacement – Indian Spinal Injuries Hospital, Vasant Kunj, New Delhi

Speciality Interest

Primary, complex and revision Replacement of Knee and Hip, general trauma surgery to complex revision arthroplasty, knee and hip joints reconstruction surgeries.

Membership

• Indian Orthopaedics Association
• Indian Arthroplasty Association
• Delhi Orthopaedic Association
• Indian Medical Association
• North zone Indian Orthopaedic Association
• Indian Arthroscopy Association

Website: www.bhushankneehipsurgeon.com

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Qualification

• MBBS
• MS
• M.Ch (Ortho.)
• Spine fellow with Mr. Sashin Ahuja, University Hospital of Wales, Cardiff, U.K.
• Clinical & Bioskills training on MITLIF with Dr. Mun Wai Yue, Singapore General Hospital, Singapore
• Articular surface arthroplasty fellow with Dr.Thomas Seibel, Knappschafts Krankenhaus, Puttlingen, Germany
• AO trauma fellowship with Dr. Wade Smith,Denver Health Colorado, USA

Experience

Presently working as a Director – Centre for Orthopedics Spine Surgery in Institute for Bone, Joint Replacement, Orthopedics Spine & Sports Medicine at BLK Super Speciality Hospital, New Delhi

Dr. Puneet Girdhar specializes in the surgical and non-surgical management of spinal disorders involving neck and back utilizing turn of the century minimally invasive techniques. He is also well versed with non –surgical pain relieving techniques such as Nerve root blocks, Facetal injections and Epidural infiltrations.

Speciality Interest

SPINE: Microdiscectomy, Anterior/ Posterior Decompression and Instrumentation, Minimal invasive spinal fusions, Artificial disc replacements and deformity correction in Cervical, thoracic and lumbar spine in a wide array of Congenital, Degenerative, Neoplastic and Traumatic conditions of spine.

Membership

• Indian Orthopedic Association (IOA)
• AO Alumni, Switzerland
• AO Spine
• Association of Spine Surgeons of India (ASSI)

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Surgical joint replacement is always the last line of treatment, used only when other types of treatment, such as medications and physical therapy, are not sufficient to relieve pain and immobility. Fortunately for those who suffer, however, technological advances have made joint replacement a safe and effective option. Candidates for joint replacement surgery typically are troubled by symptoms such as:

• Severe joint pain
• Stiffness
• Limping
• Muscle weakness
• Limited range of motion
• Swelling

When such symptoms become disabling, affecting the patient’s ability to perform ordinary tasks, such as walking or dressing, joint replacement may be required.

Reasons For Joint Pain And Other Symptoms

Most often, the reason for joint pain is either osteoarthritis or rheumatoid arthritis. While rheumatoid arthritis is an autoimmune disorder of indeterminate origin, osteoarthritis (OA) is a degenerative joint condition that has several known precipitating causes. In OA patients, cartilage, normally a cushion for the joints, wears away, resulting in inflammation. According to the Centers for Disease control and Prevention (CDC), approximately 27 million Americans are affected by the disease.

Precipitating Causes Of OA

There are several possible reasons that one person is more prone to develop OA than another. These include:

Heredity — OA tends to run in families. In some cases, specific genetic joint defects may be responsible for the disorder; in others, there is simply a family history of the disease, perhaps due to a genetic predisposition to abnormal cartilage metabolism.

Sports Injuries and Other Traumatic Injuries — It is well known that athletes can develop osteoarthritis as a result of a traumatic injury to one of their joints. These may occur in adults of any age and include: torn cartilage, dislocated joints, and ligament injuries. Knee traumas, such as strains and tears of the ACL (anterior cruciate ligament) are especially damaging, resulting in OA in 40 to 50 percent of the patients who suffer them.

Minor Repetitive Injuries — More minor injuries, when they are repetitive, can also result in the development of OA. Such injuries produce constant wear and tear on the joints, causing the cartilage to wear down prematurely. Repetitive injuries may occur because of one’s occupation or hobby, especially if the activity involves heavy physical labor, kneeling, squatting, or climbing for long periods of time.

Other Disease Conditions — individuals who have medical conditions that involve bleeding near a joint, like hemophilia, or blockage of blood flow near a joint, like avascular necrosis, may also develop OA in the affected joint. Having other forms of arthritis, like rheumatoid arthritis or gout, increases your risk of developing OA, as does having diabetes.

Being Overweight or Obese — Although being overweight isn’t necessarily a cause of OA, it does exacerbate joint problems, especially in the knees, hips, and back.

Hormonal Changes — Because statistics demonstrate that men and women are equally at risk for OA until age 55, at which point more females are affected, it is postulated that the hormonal changes at menopause contribute to the development of the disorder.

If you are experiencing serious or increasing joint pain, you should consult with a board certified orthopedic surgeon to find out if you are suffering from osteoarthritis and, if so, to discuss possible treatment options.

Questions? Call +254 718 994 368 / 733 994 368 or E-mail: wecare@pathwayintl.co.ke

PATHWAY INTERNATIONAL: providing Global Healthcare Soltuions

The post Reasons For Joint Replacement appeared first on Pathway International.

Your joint replacement recovery will be as good as your commitment to staying healthy and following your surgeon’s instructions. In case you needed some incentive, remember that proper recovery can yield decades of pain relief!

Just in case you missed our article to help you determine whether you may be a good candidate for a joint replacement, take a few minutes to check it out. If you’ve had a physician tell you that joint replacement would be a good idea for your case, or if you suspect that you will soon be headed in that direction, you’re probably wondering about the timeline and details of joint replacement recovery.

Obviously, this topic is contingent first on which joint is being replaced. Hips and knees, the body’s largest joints, tend to be some of the most frequently replaced, and they require a more extensive recovery time than smaller joints, such as the shoulder or elbow. But before we get into some specifics, let’s be sure to define the terms.

Joint Replacement: What is It?

During a joint replacement procedure, the pieces of a damaged joint are removed and replaced with prosthetic parts made of metal, plastic, or ceramic. Joint replacement surgeries can be performed on the hip, knee, ankle, shoulder and elbow. The prosthesis is designed to replicate the movement of a normal, healthy joint, allowing the patient to return to an active, pain-free lifestyle.

Getting Down to Details: Joint Replacement Recovery

There are few serious or likely complications of joint replacement surgeries and as long as you choose a reputable, qualified orthopaedic surgeon, your procedure should go smoothly and your recovery should be very manageable. Of course, like any surgery, there is some level of pain involved, but patients weighing that short-term pain against a lifetime of chronic joint pain consistently choose surgery over the daily battle with arthritis.

Let’s answer a few commonly asked questions concerning the procedure, the joint replacement recovery and its outcomes:

How Long Will I Be in the Hospital?

In some cases, patients may need to remain in the hospital for 1-2 days following their procedure. However, with continued advancements in surgical precision and patient care, many patients are able to go home the next day!

How Soon After Surgery WIll I Be Able to Use My New Joint?

Your physician will encourage you to begin moving your joint and rebuilding strength right away. As soon as you are able, physical therapy will begin to assist you as you learn to work with your new joint. Your return to more demanding activities, including certain sports, will be closely monitored by your surgeon throughout your joint replacement recovery.

What are the Benefits of Joint Replacement Surgery?

• Minimizes pain and maximizes range of motion
• Increases ability to perform daily activities with ease
• Provides patient with a new, healthy joint that will last for many years to come
• Improves quality of life all around

Questions? Call +254 718 994 368 / 733 994 368 or E-mail: wecare@pathwayintl.co.ke

Pathway International: providing Global healthcare Solutions.

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If you’re the caretaker for someone who has had a joint replacement, your role is vital to his or her recovery. At times, that job might feel complicated and overwhelming. Surprises will pop up, and, when you’re ready for things to just get back to normal, the process can seem slow. Here are a few things to keep in mind to make things smoother.

Preparation Is Key

Before the surgery, plan for the days that will follow it. Thinking ahead will save you some headaches and late-night rushes to the store. Stairs might be tough for your loved one, so make arrangements to have a bed on a lower level. Home health store items, like bath rails and grabber sticks will also come in handy. Stock up on favorite groceries (or prepare some meals that you can just toss in the oven), basic toiletries, and sit-down entertainment, like movies, books, craft supplies, and puzzles. If you have to get back to work or another commitment soon after the procedure, plan for alternative care or arrange for visits from family and friends to check in on your loved one.

You Don’t Need To Do Everything

In the first days after surgery, your loved one might appreciate you being around for even seemingly small tasks like getting dressed, bathing or grabbing a glass of water. You’ll also be needed for helping with chores, like laundry and dishes, and driving him or her around to appointments, the pharmacy, and other stops. As he or she continues to recover, however, it’s important to follow the instructions of the physical therapist assisting with rehabilitation. While a patient should take time to let things heal, coddling them instead of working the replaced joints will only be a set back, so make sure your loved one is moving and exercising as instructed.

Take Time For Yourself

Emotions might be running high as your loved one heals. He or she might feel overwhelmed or frustrated, medications can cause behavior changes, and being together in a confined space might be stressful. Remember that an effective caretaker also needs to take care of themselves. Get a massage, talk with a friend, practice your hobbies, go for walks or runs — and remember that soon your loved one will be back to the way he or she was before (but with less pain!)

Questions? Call +254 718 994 368 / 733 994 368 or E-mail: wecare@pathwayintl.co.ke

PATHWAY INTERNATIONAL: providing Global Healthcare Solutions.

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