Healthy Lifestyle Can Help You Avoid Knee Replacement In Future

Healthy Lifestyle Can Help You Avoid Knee Replacement In Future

Today’s life is very fast and progressive. As we are progressing, the competition between us is also increasing personally and professionally. It is very difficult to concentrate on health issues due to this fast life. In this competitive era our body does not get proper exercise and diet which ultimately affects the knees and is the main cause of knee pain.

The only thing a patient suffering from knee pain do is to get a proper diet and exercise daily. In this patient can monitor their health regularly.

Our body needs appropriate amount of calcium to maintain the strength of bones. Hence, breakfast is the most important diet. But in this busy life most people skip the most important meal of the day i.e., breakfast. Skipping breakfast reduces the energy hence reduces the bone strength which leads to increase in knee pain.

If the knee pain problem increases and if the patient suffering from knee pain has difficulty in walking and standing and doing regular activities then it is suggested to visit orthopedic doctor. After examination if needed, Knee Replacement Surgery using minimally invasive technique can be done.

Minimally invasive technique is the latest technique in which no muscles are cut during the surgery and hence there is less blood loss. Patient can start to walk on the day of the surgery itself

Advantages of minimally invasive knee replacement surgery

  • Patients Start walking in few hours of surgery.
  • No blood loss during the surgery, no blood Transfusion required.
  • Less Physiotherapy.
  • Less Antibiotic.
  • Patients Discharge within 3 Days from the Hospital after surgery.
  • Stitch less Surgery.
  • Recovery time is just two – three week.Knee Replacement Surgery

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Chondro-malacia Patella Most common cause of knee pain in young individuals

knee pain in young

Chondro-Malacia Patella (CMP) is the most common cause of knee pain in younger individuals. It literally translates to:

Chondro = Cartilage.

Malacia = Softening.

Patella = Knee cap bone.

This is the first stage of degeneration. The cartilage becomes soft. If ignored, it gradually starts to wear off, exposing the underlying bone. The bones then start to rub against each other, ensuing frank Arthritis needing a knee replacement surgery. Hence, its important to identify & address the problem when it is still reversible.

Hallmark symptoms of CMP are:

  1. Knee pain after a period of inactivity.
  2. Knee pain while getting up from a sitting position.
  3. Knee pain while climbing up or down the stairs.

Simple clinical examination clinches the diagnosis. Xrays or MRI may be often be needed to rule out other causes of knee pain.

Knee strengthening exercises are the main stay of treatment for Chondro-malacia Patella. Knee strengthening must be directed towards Quadriceps & Hamstrings. Physio consultation is often suggested.

Cartilage strengthening supplements are helpful in reversal of cartilage softening.

Diet rich in proteins and vitamin C is beneficial for knee cartilage.

Needless to mention, weight reduction is crucial to ensue healing.

Best wishes & Wish you Happy Knees.

Dr. Bakul Arora

Joint Replacement Surgeon, Mumbai


Home Remedies For Heel Pain (Plantar Fasciitis)


Plantar Fasciitis is the most common cause of heel pain & greatly impacts our daily lives and activities like standing, walking, jogging, running, etc. Plantar fasciitis is common among Diabetics, however not exclusive.

The hallmark feature is to experience a sharp shooting pain in the heels while taking a 1st step in morning, and/or after a period of inactivity.  This pain is due to an internal swelling secondary to micro-tears in the soft tissues around the heal. This swelling increases during the period of inactivity like sitting and sleeping and pain disappears after walking for about 15-20 minutes.

heel pain - Copy

We suggest a few useful home remedies to help you fight this problem:

  1. Give rest to your feet.
  2. Use soft footwear at all times.
  3. Avoid wearing high heel foot wear.
  4. Silicon heel cup shoe-inserts can be used in official footwear.
  5. Roll your feet over ice bottle or ice pack at least 3 times a day.
  6. Stretching exercises for ankles and toes must be done at least twice a day.
  7. Check your blood sugars, thyroid and Vitamin D & B12 levels.
  8. Over the counter anti-inflammatory gives good relief from pain.

With the regular implementation of the above methods, in majority of the cases, heel pain subsides completely. However, in some cases, the healing process takes time from a few months to a year and need further treatment like:

  1. Local steroid injection.
  2. Platelet Rich Plasma injection.
  3. Surgical release of Plantar Fascia.


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Dr. Bakul Arora

Joint Replacement Surgeon

Recovery After Knee Replacement Surgery

recovery of knee replacement surgery

Recovery after knee replacement surgery is the step by step procedure and can be gradually recovered in the appropriate time. It is more supporting when the patient has the encouragement of their family and friends. The first stage of recovery is just after the surgery. Early days after the surgery might seem a little uncomfortable due to surgery. Even though patients can walk just after 2-3 hours of surgery. Some pain killers are provided to ease the pain after the surgery, but this medicine are not recommended to consume for the longer duration.

Second method to relieve the pain is to use homemade ice pack. After the surgery the knee is typically swollen so applying the ice pack over the swollen area benefits to reduce the swelling and pain. Use a zip lock bags for more benefit.

By practicing the above two remedies after the post-surgery, total recovery of the patient is seen within 4 to 6 weeks. There are some don’ts that patient should follow after the knee replacement surgery such as travelling should be avoided for atleast 3 weeks after the surgery. Some people feel comfortable for driving. However, it is recommended to avoid long trips up to 6 weeks after knee replacement surgery.

By six weeks after the surgery many patients experience less pain. At this time it is common for patients to notice that their knee may click or clunk. This noise is normal and is caused by some minor motion between the thigh bone and the plastic component attached to the shin bone which helps in the better strength in the knee.

For some patients it may take upto 12 weeks to recover fully. Working patients can join back to work and normal routine between 6 to 12 weeks after the surgery.

Dr. Bakul Arora,

Knee Replacement Surgeon, Thane.

What Are The Risk Of Delaying Knee Replacement Surgery

knee - Copy (2)

Knee pain is ignored by many people assuming that it’s just a minor pain and will go away by applying ointment or chronic use of pain killers. Most people who suffer from constant knee pain which includes difficulty in walking and sitting don’t realise that it can be a serious problem too like Renal failure, dialysis, kidney transplant,Nephro-toxicity.

Patients suffering from the condition often delay knee replacement surgery due to many reasons. One out of it is lack of information regarding it. The other reasons that patient delay for knee replacement surgery includes fear of loosing a body part, fear of post-operative surgery pain and fear of stitches.

This reasons later often cause more severe knee problems. Avoiding knee replacement surgery is a risk which a patient should not take as it may lead to further problems like increase in pain, unable to walk properly or completely. Depending upon the condition of the knee, there are techniques like if a patient’s knee not so much damaged then he can opt for knee salvation procedure which is an alternative to knee replacement surgery. If the damage in knee more then the patient also has an option of minimally invasive knee replacement surgery which is painless knee replacement surgery.

Patient sometimes purposely delay knee replacement surgery which can cause
– Risk of deformities developing inside and outside the joints.
– Lack of mobility
– Muscles, ligaments becoming weaker and loosing function
– Unbearable pain

Progression of knee Deformity.
Deformity correction during knee replacement is sometimes challenging, can necessitate the need for more complex and expensive implants and also delays recovery.
When knee replacement surgery is delayed the problem is increased, there are also risks involved during surgical procedures such as it may take longer hours to complete the surgery, or the problem has increased so much till then it requires a major surgery.
Stiffness. Pre-op loss of knee flexion and stiffness makes the surgery difficult for the surgeon and also delays post op recovery. Extensive physiotherapy is needed to overcome stiffness.

Recent studies have shown that timing does make difference in the surgery. So, if the patient is suggested a knee replacement surgery then it should not be delayed or postponed as that can lead to lots of serious issues. Emotional effects of knee pain. Depression. Social anxiety. Lack of confidence. Patients are usually confined to their homes. They resist going out and interact with people and in turn develop emotional issues.

A stitch in time saves nine. A painless knee replacement in time gifts smiles.

Knee Salvation Procedure

painful knee

Knee Salvation Procedure 
This is a unique combination of three procedures which offers a solution to chronic knee pain and osteoarthritis. In isolation these procedures offer moderate pain relief and improve joint function, but in combination these act synergistically and act as an alternative to Knee Replacement.
This procedure is safer, simpler & offers similar benefits of a knee replacement. It can be done as an Outpatient procedure, wherein patient can go home and resume normal activities on the same day.
Components of this procedure are:
1. Arthroscopic Lavage
2. PRP/Stem cell Injection
3. Proximal Fibular Osteotomy


1. Arthroscopic Lavage

Arthroscopic lavage is a procedure done to wash out any debris, blood, fluid or loose body from joints. It is commonly used to treat osteo-arthritis. Osteoarthritis of the knee can cause pain, stiffness, swelling and difficulty in walking. An arthroscopic washout is often combined with debridement, synovectomy, abrasion chondroplasty, micro-fracture decompression of worn out bony surfaces. In isolation, arthroscopic lavage contributes to about 20% of pain relief.

2.  Stem Cells or PRP
Those who suffer from arthritis know the feelings of discomfort, pain, and stiffness all too well. Arthritis can decrease your quality of life and make it harder for you to do things you once loved, but stem cells and PRP injections could help. Stem cells are the body’s raw materials. They are cells that all other cells are generated from, while PRP, or platelet-rich plasma, is a combination of platelets and growth factors, which occur naturally in the body. PRP works to provide messages to cells, signaling them to help stem cells flourish and develop into new cartilage. Stem cells are harvested from bone marrow. These cells are then injected into the damaged joints. The stem cells can change into specialized cells to heal the affected arthritis areas. The stem cells transform into cartilage cells, which in turn produce new cartilage. PRP have shown to prevent scarring and reduce inflammation so the healing process is accelerated.

3. Proximal Fibular Osteotomy 

Compared with knee replacement, PFO is a simpler surgical procedure, effectively relieves knee pain and also corrects the deformity for patients with medial compartment knee osteoarthritis (OA). PFO is performed by removing a 2 to 3 cm length of fibula bone at a site 6 to 10 cm below the knee. Full weight bearing and free mobilization are allowed after surgery. PFO relieves pain & corrects medial joint space by off-loading the weight bearing axis on the knee, thereby decompressing the medial compartment & loading the normal lateral compartment.

PFO is a simple, safe, fast and affordable surgery to relieve pain and improve joint function and the medial joint space in human knee osteoarthritis. PFO is a promising alternative in most developing countries because of their financial and healthcare delivery limitations. It may also constitute a promising alternative surgery for osteoarthritis of the medial compartment of the knee, especially for patients who cannot undergo TKA because of certain medical comorbidities. Furthermore, these patients can still undergo TKA in the future if it becomes necessary.

15 minutes of everyday walk can change your life

There are various physical activities which are commonly used by people in order to stay fit and keep their bones and muscles strong. Walking is the most common of them all and the easiest exercise a person can do.

“It is a simple exercise with which anyone can get a healthy life but it’s often ignored. People concentrate on harder things and exercise to keep their muscles strong whereas only simple walking for just 15 minutes can change your life” said by Dr.Bakul Arora, Knee Replacement Surgeon thane. It can reduce the risk of various diseases. It improves the activity of body as well as brain as it benefits in increase in the blood circulation. It also helps in stimulating the heart and to pump additional oxygen to the muscles. Walking daily increases the bone and muscle strength hence can help to live a better life. People now-a-days often use treadmill at home to walk but walking outdoors has a positive effect on mental state too. It improves the mood, decreases the stress, and most importantly it helps you to get away from the depression.

Walking is the very easy method and the obvious solution to all the mental and body health issues. Walking every day and small knee exercise also give  strength in your knee which avoids / delays the Knee Replacement Surgery in future.

Walk your way to a good health.

Walk Painfree
Live Carefree
Age Gracefully

Dr. Bakul Arora
Joint Replacement Surgeon Thane

Mob. +919004900100walk