Total Knee Replacements in Mumbai – Knee Arthritis

Total Knee Replacements in Mumbai – Knee Arthritis- Dr. Sanjay Agarwala is the best knee replacement surgeon in Mumbai, PatkarMarg, (Hughes Road), Opera House, Mumbai who will help you out with the best.Total Knee Replacements in Mumbai - Knee Arthritis

UNDERSTANDING YOUR TREATMENT PROCESS.

Thank you for opting to have your surgery done with us.

I hope that you are cognizant of the other methods of treatment of your problem which has been discussed with you by me, my staff and assistants in my clinic, in advance, at the time of your consultation, and I trust if you have had any queries, they have been answered.

Based on our discussions, we have determined the suggested plan of action as the best option under the circumstances, keeping in mind your requirements and our current expertise.

To help you understand the process, I am comparing it to taking a flight from Mumbai to a foreign destination.

Just like before a flight, you need passports, visa, ticket bookings, like-wise for the operation, you need to book a date for admission and a date and time for surgery.

Just like the visa process, we need to know that you are fit for surgery and therefore, you need to share your medical history with us, alongwith ALL the medication that you normally take including tablets such as Aspirin and Clopilet which are blood thinners and can cause bleeding at the time of surgery, and medication for Asthma (you may need more oxygen during the surgery) and Diabetes (if your blood sugars are high, then wound healing is very poor). All inputs by you help make us more prepared to help you.

Specific medication & conditions of the heart (ECG, 2D Echo), lungs (PFT/X-rays), liver and kidney etc., need to be known as various drugs can interact with these functions. The physical act of giving you anesthesia may require extra tests like specialized x-rays of your spine, CT or MRI screening of parts of your body, so that we are better prepared to tackle your spinal position during the process of the surgery.

Just like you have a security check before taking a flight, we need the Physician and the Anesthetist to look through these pre-operative medical reports and to examine you so that we may reduce the risks still further.

Just like in an aircraft before take-off, there is a safety drill in case of any risks, likewise, in any surgery we are taking RISKS but minimizing it by trying to cover as many events as we can.

Just as every landing at an airport, the pilot has to contend with cross-winds, haze, other flights, weather changes, quality of communication etc., similarly every surgical procedure is individualized, some are longer, some are shorter and there are multiple variables.

The OTC is like a ticket. Just like you pay for a ticket before your travel. The Hospital expects you to do an OTC (Operation Theatre Clearance) so that the hospital and you are both aware of the expected expenses. Against your paid ticket you get a boarding pass, likewise against an OTC, the institution permits you to be taken to the theatre for surgery. This is based on averages, but in your individual case the total expenses may be more if there are complications or emergency requirements which may or may not be related to the actual surgical procedure.

You need to be aware therefore that this is an estimate only based on an AVERAGE and is NOT a PACKAGE.

Recovery thereafter is a natural process, and we as doctors help nature help you, with medication, nursing, physiotherapy and other techniques required for your recovery. I reiterate that healing is a process dictated by nature, we only help in this. Just as nature has storms, weather changes, etc, recovery can sometimes in your individual cases be slower and therefore worrisome to you.

Such delays are also worrisome to us as individuals and as a team. The nurses, other staff and my team help the recovery process. Your concerns will be addressed.

Just like in the airline industry the cost of the ticket for travel supports the airline staff, the salaries, the fuel for the aircraft etc., for our team to successfully execute the whole process, there is staff in the hospital which is supported by the expenses incurred for your case, for administration, security, laundry, dining, meals, air-conditioning, water, catering etc.,

Like certain budget airlines offer cheaper fares and skeleton services many doctors and medical facilities will be able to offer you these at lesser rates. In our institutions we have overheads to ensure that checks and measures are carried out for your safety and these necessitate the charges quoted by us.

Just like in any travel there is an Economy class or Business Class or First class at different charges, helping you reach the same destination, similarly in the hospital there are various classes of admission with different levels of comfort, helping you attain the best results. My team’s training, experience, etc., should make this a smooth landing.

I hope this helps you understand the process and I really look forward to greeting you on the other side with every success in your case.

– DR. SANJAY AGARWALA

SA:bf:10th July 2018

Knee Arthritis

If you suffer from knee pain, it’s possible you have arthritis. Knee arthritis is caused by the deterioration of cartilage in the knee joint. The two most common types of knee arthritis are osteoarthritis and rheumatoid arthritis.

Osteoarthritis

Osteoarthritis is a progressive, degenerative disease in which the cartilage of the knee slowly wears away. Cartilage serves as insulation between the bones of the joint, and when the cartilage of the knee joint wears away due to osteoarthritis, the resulting pain and inflammation can be debilitating.

Your chances of osteoarthritis of the knee increase with age; the condition most often affects middle-aged and older people. Osteoarthritis may first appear between the ages of 30 and 40, though symptoms may not be present in the early stages. By the age of 70 almost everyone will have this type of knee arthritis.

Causes
The question of what causes osteoarthritis of the knee has not been answered. Prior knee injuries seem to increase the likelihood of osteoarthritis, but many people with knee arthritis have never had a serious knee injury. Osteoarthritis is the most common form of arthritis, and many people have a genetic predisposition to this chronic disease.

 

Symptoms

The primary symptoms of osteoarthritis are pain in the knee, swelling and stiffening of the knee joint. In the early stages of osteoarthritis the pain may be mainly associated with activity. As the cartilage wears away and the bones of the joint rub against each other, pain can become more severe and constant, interfering with regular daily activities and disrupting sleep.

Treatment

In the early stages of osteoarthritis, treatment may involve several techniques. Behavioral and lifestyle changes including losing weight and changing routines to avoid painful situations can be very effective in relieving pain. Non-steroidal anti-inflammatory drugs (NSAIDs) such as naproxen sodium may also provide relief from pain. Cox-2 inhibitors are also effective in providing knee arthritis pain relief. Physical therapy may improve muscle strength and joint mobility, reducing the symptoms of osteoarthritis in the knee. Joint fluid therapy such as SUPARTZ* brand hyaluronic acid may lubricate the knee and reduce the pain and swelling of the joint. Partial or total knee replacement surgery may be necessary as the disease progresses and daily functioning becomes more impaired.

Rheumatoid Arthritis

Unlike osteoarthritis, Rheumatoid knee arthritis involves inflammation of the lining of the joints, known as the synovium. Though less common than osteoarthritis, rheumatoid arthritis is among the most debilitating of the over one hundred forms of arthritis. Rheumatoid arthritis usually develops in middle age, but may occur in the 20s and 30s.

Causes

The exact cause of rheumatoid arthritis is unknown. It’s possible that a virus or bacteria may trigger the disease in people with a genetic predisposition to rheumatoid arthritis. Many doctors think rheumatoid arthritis is an autoimmune disease in which the tissue of the joint’s lining is attacked by the body’s immune system. It’s also possible that rheumatoid arthritis is caused by severe stress. The disease sometimes occurs after a life-changing event such as divorce, loss of a job or a severe injury.

Symptoms

The primary symptoms of rheumatoid arthritis include pain and swelling in the joints and difficulty moving. Other symptoms may include loss of appetite, fever, loss of energy, anemia, and rheumatoid nodules (lumps of tissue under the skin).

Treatment

Treatment of rheumatoid arthritis usually involves medications such as NSAIDs, aspirin and analgesics. In severe cases, surgery may be indicated to replace the knee joint with an artificial joint.

If you think you may have arthritis of the knee, contact your doctor for a complete evaluation and a discussion of the options available for treatment.

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