Ice packs and heating pads are among the most commonly used treatments in orthopedics. It is quite tricky which one to use. Ice treatment is most commonly used for acute injuries. If you have had a recent injury (within the last 48 hours) where swelling is a problem, you should be using ice. Ice packs can help minimize swelling around the injury, reduce bleeding into the tissues, and reduce muscle spasm and pain.Applying an ice pack early and often for the first 48 hours will help minimize swelling, and decreasing swelling around an injury will help to control the pain as it reduces nerve sensitivity to pain perceive. The general guidelines is to apply ice indirectly ( not directly to the skin) for 15 min 4 times a day. Heat treatments should be used for chronic conditions to help relax and loosen tissues and to stimulate blood flow to the area. Use heat treatments for conditions such as muscle pain/ stiffness etc. Heat is used to increase the blood flow which intern washout pain producing substances from local area thereby improving tissue healing. The guidelines for heat treatment is 25-30 mins 3 times a day

Inflammation of tendon causing pain just outside the joint Some common name for tendinitis is

  • Golfer elbow
  • Tennis elbow
  • Jumper knee patellar tendinitis
  • Swimmer shoulder

Risk factor like increase age, occupation involved repetitive action sports like tennis etc Without proper treatment, tendinitis can increase your risk of experiencing tendon rupture — a much more serious condition that may require surgery. Mostcases of tendinitis can be successfully treated with rest, physical therapy and medications to reduce pain. If tendinitis is severe and leads to the rupture of a tendon, you may need surgery.

For prevention

  • Ease up
  • Mix the activities
  • Improve techniques of activities
  • Stretching
  • Strengthen of muscle

Major surgery usually take hours in the operating room. Achieving full range of motion, strength, and flexibility back in that joint after surgery might takes around months. There in, the pre operative exercise, education and post operative physiotherapy bring into play. The pre operative exercise and education helps to gain muscle strength, tissue stretching and train the patient physically, emotionally and mentally for the surgery, and to maximise the recovery after the surgery. The postoperative physiotherapy helps to restore not only the strength of the patient but also the range of motion. Altogether, such programs are among the most important determinants in the success of your surgery.

Smoking has been implicated in impeding bone metabolism and fracture repair, and increasing the rate of postoperative infection and the incidence of nonunion. Tobacco use is related to augmented morbidity and mortality. People who smoke heavily before orthopedic surgery may have more nonmedical complications than nonsmokers. Orthopedic perioperative complications of smoking include impaired wound healing, augmented infection, delayed and/or impaired fracture union and arthrodesis, and worst total knee and hip arthroplasty results.

Musculoskeletal Effects of Smoking

  • Increased risk of osteoporosis and bone fracture
  • Association with postoperative infection, poor bone fusion, and delayed bone formation
  • Significantly raised risk of postoperative deep vein thrombosis
  • Significantly increased time to union and risk of nonunion
  • Significant association with reduced healing and poor clinical outcomes following surgery

The adoption of smoking cessation methods such as transdermal patches, chewing gum, lozenges, inhalers, sprays, bupropion, and varenicline in the perioperative period should be recommended. Perioperative smoking cessation appears to be an efficacious method to decrease postoperative complications even if it is implemented as late as 4 weeks before surgery.

Orthopedic surgery recovery times vary because every patient reacts differently to surgical intervention. Multiple factors (Age, Comorbit condition like diabetes mellitus, cardic disease, hypertension etc) will determine the recovery time of you from your surgery that is to fully recover and see the benefits of orthopedic surgery. For some patients, recovery takes a few weeks. For others, it can take several months. The individual’s genetics, their overall health, and the complexity of the procedure all influence how quickly the patient will be back to normal (or better) after surgery . By understanding what affects recovery times, you can develop a better understanding of what time investment is anticipated for a successful surgery. Depending on your physical health, you may be able to go home the same day or the day after surgery even if you had total joint replacement surgery. Consult to your orthopedic surgeon to learn more about what your individual recovery plan manifests.

Depending on the type of diagnostic imaging procedure, these exams are generally safe for pregnant women. According to the American College of Radiology( ACR), no single diagnostic X-ray results in radiation exposure enough to threaten the health of the developing embryo or foetus. However, your doctor collaborate with you to determine the safest diagnostic imaging method. Concluding, we can come out of our dilemma, as diagnostic procedures are completely safe for pregnant women.

sprain is an injury to the ligaments (tissues that connect your bones), whereas a fracture is an injury to your bone (breach in bone or broken bone) For the average person, it can be difficult to tell whether they are suffering from a sprain or a fracture. X-Rays or bone scans are used to determine for certain if you have a sprain or a fracture.

Sign and symptoms of broken bone

  • Swelling which is more pronounced
  • Abnormal mobility
  • Bruising which is more pronounced

Sprains heal with time and rest, but a fracture will require some type of treatment (splint, cast, crutches, wheelchair and/or surgery).

Now this is a delusional question. There's no one-size-fits-all answer for deciding when to have surgery. Your orthopedic surgeon will help you determine when surgery is the most appropriate next step. Key considerations include whether you're in pain, if you're experiencing instability or decreased mobility, and whether the injury or condition is affecting your quality of life. Most-often fracture requires surgery.

Orthopedic injections are administered in the patient who are not getting benefits from the conservative treatment like rest, medications, cryotherapy, physiotherapy. Orthopedic injections aren’t like numbing shots from the dentist or a flu shot. These injections deliver medication to a specific area of the body to assist in reducing or eliminating pain caused by inflammation. Injections may not completely eliminate all severe orthopaedic pain symptoms, be it immediately or permanently, but they can serve to significantly aid in pain reduction and allow increased comfort and function with activities of daily living.

Some common conditions they treat include arthritis, nerve pain, and tendonitis.
Most common Sites

  • Should
  • Knee
  • Hip

local infiltration used in Tendinitis etc

Intra articulator injection are injected in Knee hip shoulder ankle

Epidural injection are used in sciatica / back pain