- 3 days ago
Are you dealing with knee pain or stiffness? In this video, Dr. Balamurugan, Senior Consultant, Orthopaedics at Kauvery Hospital, Radial Road, Chennai, explains how modern knee treatments really work. Learn about knee replacement, understand who might benefit from it, and discover how arthroscopy can offer quicker recovery and less discomfort.
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00:00I would not say it is a major surgery.
00:02The patient is going to be a major or a minor surgery.
00:05If the patient is going to be a major or a minor surgery,
00:07the patient is going to be a major surgery or a minor surgery.
00:10And in three days, the patient will be going to be a major surgery.
00:12That's right.
00:13In fact, we are even trying to see whether we can discharge them the same day.
00:16Okay.
00:22So, I always tell you what's up to me.
00:25I always tell you what's up to me.
00:27I always tell you what's up to me and what's up to me.
00:30I'm joking.
00:32I don't know what's up to me.
00:35I'm talking about it.
00:36I know what's up to me.
00:37I don't know what's up to me.
00:39I don't know what's up to me.
00:41You can just apply this same thing.
00:45So, if you did this surgery, we can avoid the surgery?
00:50I don't know if we can avoid the surgery.
00:51But if you want to protect the joint, yes.
00:57I don't know if you want to take care of it, yes.
01:03I don't know if I want to take care of it.
01:04Welcome to another episode of Kaveri Podcast.
01:06In here, Dr. Balam Murgan, Senior Consultant Orthopedics.
01:10Welcome, Doctor.
01:10Welcome.
01:11If you are talking about CHAD GPT, AI,
01:13and it's very helpful,
01:15there are a lot of confusion.
01:17Do you have to say,
01:18you need a knee replacement surgery?
01:19That's how you do.
01:21If you were taking care of surgery,
01:23then you're afraid that you have to take care of it.
01:25What reason and situation do you want to do hip or knee replacement surgery?
01:30So, this is a good idea.
01:32The orthopedic surgeon is an orthopedic surgeon.
01:35So, when he comes to a replacement surgeon, he has a problem with patients.
01:42There is a problem.
01:43There is a problem.
01:45There is a problem.
01:46There is a problem with patients.
01:48So, I will be there.
01:50So, I will tell you.
01:52When he comes to a treatment, you want to get a treatment in the mid-stage surgeons.
01:58You can go to a cardiovascular disease and say a single-stage surgeon.
02:02There is a mismatch in the end period and a bottom line.
02:05There is a coating.
02:06If you are having a cartilage of the coat, you can get aion.
02:09You can make aion.
02:12So, if you do the hem or the ligaments, it is a problem.
02:16If you get aion, it is a smile and a problem.
02:21We are going to get a lot of pain.
02:24At that stage, the patient is getting to the arthritis.
02:30He can get a lot of pain.
02:35He can get a lot of pain.
02:37He can get a lot of pain.
02:42Try and try and try and try and try and try and try and try and try and try and try and try and try and try.
02:47In the same place, we suggest the replacement for the same stage.
02:52We suggest the replacement for the hip or knee.
02:56All of us, we will do joint replacement without any other replacement.
03:02But of course, the final decision will always be taken by the patient.
03:05This is a very important decision.
03:07We are able to make the patient's options.
03:10We will try and try and try and try and try and try and try and try and try and try and try and try.
03:14Okay. What stage do you think?
03:17In the Indian scenario,
03:19we say that the first step is a part of life.
03:24We are able to do the same part of life.
03:27You can try and try and try and try and try and try and try and try.
03:31That is the end stage.
03:33So, we have to reach the doctor's pain.
03:38So, this is a trend.
03:41For example, when I was a mother,
03:45I was a part of life.
03:48We will try and try and try and try and try and try and try and try and try and try and try and try.
03:52To do seniorember and try to provide mobility and practice.
03:55So, instead of bringing our own
04:06We need to be active.
04:08Every day, we must be active.
04:10So, we need to be present and ensure our joints feel healthier.
04:13So, that's why people are actively active.
04:19So, active work is actively active.
04:22One or two, a doctor will come to a doctor.
04:27There are a lot of home remedies.
04:28Parishmal or Thailand.
04:31There is no problem.
04:33There is no problem.
04:35There is no problem.
04:36There is no problem.
04:37There is no problem.
04:39There is no problem.
04:41There is no problem.
04:43They need to use the body.
04:45So, they are able to do things like this.
04:48One of them is a doctor.
04:52When we are in early stages,
04:54we have to do things like that.
04:57All of them are a regular topic.
05:01There are no problem.
05:03There are no problem.
05:05So, there are no problems like that.
05:07When we come to the hospital, we need to get the treatment.
05:11We need to reverse the treatment.
05:13So, we can help them earlier.
05:16The knee replacement surgery.
05:18This is a replacement surgery.
05:20The two of them are a major operation.
05:23Still, it is a major operation.
05:25In this case, we need to replace it.
05:30So, it is a major operation.
05:32This is a major operation.
05:33This is very important.
05:34We need to replace it.
05:36When we need to replace it, we need to replace it.
05:39The name is replacement.
05:40No, we need to use it.
05:43It is a resurfacing or arthroplasty.
05:45Arthro is a joint.
05:47Plastine is reconstructed.
05:49When we use our implant,
05:54we need to replace it.
05:56We need to resurface it.
06:00Basically, it is a legion and ligaments.
06:03The bone is shaped to her body.
06:06When we create the nail metal surface,
06:07we will have to remove theicular surface.
06:12So, this works for renovations.
06:14It is a piece of aluminum and coating.
06:17This is a resurfacing surgery.
06:19the surgery.
06:20So, you're going to start a 3rd year and start a 3rd year.
06:22It's not a imagination.
06:24There's a 3rd year operation.
06:26There's a 3rd year operation.
06:28That's why you start to go to the stage.
06:31But the operation is not a 3rd year.
06:34It's a knee resurfacing or a knee arthroplastic.
06:36If you think about it, that's a major surgery.
06:39We'll talk about it.
06:41We'll talk about it.
06:43Because you're going to be able to get a trip.
06:45You're going to be able to get a lot of pain.
06:47But in the surgery, you have to get a lot of pain.
06:51You have to get a lot of pain.
06:53But in the early years, you're going to be able to get a lot of pain.
06:55But in the early years, you have to get a lot of pain.
06:59You're going to get an anesthesia.
07:01So, you're going to get a lot of pain.
07:03So, it's a lot of pain.
07:05And sophisticated equipment, robotic surgeries, computer navigation,
07:08alignment philosophy, and metal designs.
07:12I would not say it's a major surgery.
07:16It's a major surgery.
07:17The patient is going to get a lot of pain.
07:19It's a major or minor surgery.
07:20Usually, if you're going to get a lot of pain,
07:22you'll have to get a lot of pain.
07:24And in three days, you can go to the hospital.
07:27That's right.
07:28So, we are even trying to see whether we can discharge them the same day.
07:31We can't get a lot of pain.
07:33But, it's not going to be able to get a lot of pain.
07:34Now, if you're going to the hospital,
07:36you'll have to get a lot of pain.
07:37By the third day, they will be active.
07:38That's why they will be able to get a lot of pain.
07:39So, I don't think it's a major surgery.
07:44So, I don't think it's a major surgery.
07:45So, for my understanding,
07:46now, patient's perspective,
07:48it's a major life-changing issue.
07:49Correct.
07:50But, in medical terminology,
07:51it's another day of a normal procedure.
07:53It's a major event for the patient.
07:54For the patient.
07:55Okay.
07:56So, I don't think it's a major surgery.
07:57I don't think it's a major surgery.
07:58I don't think it's a major surgery.
07:59I don't think it's a major surgery.
08:00But, I think they understand.
08:01Okay.
08:02But, I think they understand that it is a transforming surgery.
08:06But, it may not be a major surgery.
08:08Do you need to do a replacement and orthoscopy?
08:11Do you have any other questions about these?
08:13What about these two?
08:14So, joint orthoplasty.
08:16That procedure is done in the keyhole.
08:18First of all, that is the case.
08:20That's why I'm not sure patients are doing it.
08:21Keyhole.
08:22Keyhole.
08:23First of all, we can do joint replacement.
08:24Keyhole.
08:25Keyhole.
08:26Keyhole surgery is a normal replacement surgery,
08:28or fracture fixation,
08:30and the incestion of the skin.
08:33It's a 10-10 cm.
08:36That's a open surgery.
08:38Keyhole.
08:39Now, when we do a laparoscopic surgery,
08:41we do an appendix,
08:43or a coli system,
08:45we do a small hole in the camera,
08:49through the camera only,
08:51we work.
08:52We only wash our monitor when we are doing it.
08:54That's why we can do all joints with all joints.
08:56We can do the knee and shoulders.
08:59We can do the cartilage and ligament tear.
09:04We can do the keyhole.
09:05So, the keyhole is usually for us,
09:06we can put a camera on the right side.
09:08We can see the joint with all joints.
09:12We can do the pain in the right side.
09:14We can do the pain in the right side.
09:16So, this is possible for ligament injuries.
09:19Quick recovery.
09:21Blood loss.
09:22Patient's pain is reduced.
09:23So, if patients come home,
09:25they can go home on the same day evening.
09:27So, scar is reduced?
09:28Scar is reduced.
09:29Pain is reduced.
09:30More than,
09:31yeah, of course, scar is the most important thing.
09:33But, if you look at the scar,
09:34the scar is faster.
09:37Blood loss.
09:39It's the most important thing.
09:40It's easier for the knee to do the pain.
09:41So, the keyhole has completely changed.
09:43The way we treat ligament injuries.
09:45Shoulders?
09:46Shoulders.
09:47Shoulders.
09:48Shoulders.
09:49Shoulders.
09:50Shoulders.
09:51Shoulders.
09:52Shoulders.
09:53Shoulders dislocate.
09:54So, if you look at them,
09:55they have a muscle ligament tear.
09:56So, if they repair it,
10:01they are open for 20-25 years back.
10:04If they do it,
10:05now,
10:06they can work with the keyhole.
10:07We have to do two-three incisions.
10:09We have to go to the evening next morning.
10:11We have to do two-three weeks and we have to be active.
10:14And that's why we have a rotator cuff tear.
10:17That's a common problem.
10:19We can get the patient to get the muscles.
10:23That's why we have to do a few muscles.
10:25We have to do a few muscles.
10:27So, we can't do a few exercises.
10:29So, we have to be very quick.
10:31So, if you are in a 50-year age,
10:33you suggest surgery to do this.
10:35But if you are in the first stage,
10:37the patient called down the surgery.
10:39Why do they think that we can do jogging?
10:41We can do LTR lifestyle.
10:43We can go to the gym.
10:45At the end stage, we can do a new activity in the gym.
10:47So, that's why the stage is worse.
10:49So, we have to say that.
10:51So, we have to say that.
10:53We have to say that.
10:55We have to say that.
10:57We have to say that.
10:59So, again, this is a myth.
11:01We have to say that.
11:03We have to say that.
11:04We have to say that.
11:05So, I read the patient's pain as well.
11:09If I am in a patient's pain,
11:11I haven't diagnosed a patient's pain as well.
11:13My patient has taught me that.
11:15And the patient tells me that I have to say,
11:17I told my patient's pain.
11:18Therefore, I can take treatment from your body.
11:20Therefore, I can take treatment from the patient's pain.
11:22So, I wasn't excited about it.
11:24So, I am doing regular exercise around the knee joint.
11:26and then we can do the joint, and then we can do the joint.
11:28But with that statement,
11:30we can get a lot of pain.
11:32We suggest them treatment according to the pain.
11:36So, they can be active.
11:38If they are active, it will be protective for the joint.
11:41If there is a statement,
11:43for some reason,
11:45we can go through the surgery,
11:46medicines and rehabilitation,
11:48we can do the muscle strength.
11:52For the muscle strength,
11:54we can do the muscle strength.
11:56So, the muscle strength will be protective.
11:58So, the rehabilitation will be a fulcrum of treatment.
12:02Any option you can do,
12:04the exercises are the main option.
12:06So, it depends on patient to patient,
12:08the pain will be able to do the pain?
12:10Correct.
12:11So, if you look at one x-ray,
12:14if you look at the same x-ray,
12:16you can find the same x-ray,
12:18you can find the same x-ray.
12:20You can find the same x-ray,
12:22you can find the same x-ray.
12:23We are active.
12:24The first time,
12:25we can talk about the same x-ray.
12:26Just between here,
12:27in the wheelchair,
12:28the main problem.
12:29There is a subjective phenomenon.
12:30That's why the x-ray doing
12:32supportive work,
12:33the decision on treatment
12:35will be compared to patient.
12:37So, I said to my regular,
12:39I have to give you an application
12:41of friends who are working on the x-ray,
12:43and asking what we are doing.
12:45And we are joking.
12:47I know that this is what I am saying, that I am going to give treatment for x-ray.
12:52I am going to speak more about this.
12:53When he is speaking, you know what I'm thinking because you have knowledge of the body.
12:55It is the body that you have done.
12:57You can approach general measures and give it.
12:59But you can give them the suggestions.
13:01You can get the treatment for your body.
13:03That's a regular mind.
13:05In this way, we have to treat the root cause.
13:12Okay.
13:13If there are any problems that are related to a situation in a situation,
13:15that is why there are some problems in a situation that is in a situation.
13:19But now, the problem is that it is not the case.
13:20The problem is that it is not the case for 25 years.
13:23People are trying to get the measures in the initial stage.
13:27Because we all say that the lifestyle is a problem.
13:31They accept it.
13:33But what do they do?
13:34Fortunately, we have to get the measures in the right.
13:36We have to get the awareness of that technology.
13:38So there are many things which we are doing it wrong.
13:41Last year, 15 years ago, we got carried away.
13:43So, we got a life-sale total.
13:45So, we got some self-awareness.
13:48So, they are ready to listen.
13:50That's why you told me,
13:52when we talk about end-stage time,
13:55about 15-20 years.
13:57Now, we are 45 years old.
13:59So, we have a problem with decision-making.
14:03So, if they are well-informed
14:10about preventive measures,
14:12what they are doing,
14:14because they are useful.
14:17So, we are active.
14:19Again, we have changed to desk job.
14:23So, we are doing our brother,
14:25and we are doing our party.
14:27But, he is active.
14:29He used to walk for 15 kilometers,
14:33up and down.
14:35So, we did not do that.
14:37That's why we have time for walking.
14:40Now, we have to go regularly walking.
14:44But, we are doing muscle strengthening.
14:46So, it may not help them.
14:48So, walking is very important.
14:50So, we are doing muscle strengthening.
14:53They can do weights.
14:54So, that's why we are active.
14:56In case, sports are involved,
14:57they have to do warm-up and cool-down.
14:59So, ligaments and muscles are stretched.
15:02Before they get into sports,
15:03to prevent any injuries.
15:05Still, sports injury,
15:06they can stop their career.
15:07That's why they are conscious.
15:09They have to do rehabilitation before the games.
15:12So, and well-hydration.
15:14To get the blood.
15:15To get the blood.
15:16To get the blood.
15:17To get the blood.
15:18To get the blood.
15:19To get the blood.
15:20To get the blood.
15:21To get the blood.
15:22To get the blood.
15:23To get the blood.
15:24And alcohol and smoking.
15:26Definitely, it is detrimental for joints.
15:28Like any other part.
15:29That's why we avoid eating better.
15:31Food.
15:32Food, we have no clarity.
15:34We have no mood for any food.
15:35But generally,
15:36one thing is inflammation.
15:38That's why we say it is inflammation.
15:39That's why we say it is inflammation.
15:40That's why it happens because of our improper diet.
15:44So, our diet needs to be streamlined.
15:46Correct on time.
15:47And avoiding fast food.
15:49Definitely, it will hurt them.
15:50Okay.
15:51In another point.
15:52Doctor.
15:53Now, you've come to Avanus and said technology.
15:55What are you doing?
15:57So, for example.
16:02For example.
16:03Running and jogging.
16:04You can't get the weight.
16:06You can't get the weight.
16:07But the weight of your weight.
16:10I can stress how to be balanced.
16:11You can stress the weight.
16:12Only if it happens to you,
16:13If you just do anything along the way,
16:14You can avoid them.
16:15Because if you're doing brisk walking,
16:17If they're not able to jog and run,
16:19They don't have to do that.
16:21If you're doing brisk walking,
16:23And you could give the joints its equal effect.
16:25And,
16:26If the treadmills is on the treadmill.
16:29If they are having pain in the knee, I will see that a lot of pain in the knee.
16:34I will avoid that.
16:36If you have a soft surface of the lawn or the grass surface, the joint will be protected.
16:42Shock absorption and ground reaction force will be protected.
16:46I will avoid the muscle strength training.
16:52I will avoid that.
16:53So in this situation, I will avoid surgeries in this situation.
16:57I will avoid surgery.
16:59But if you have a joint to protect, you will avoid the answer.
17:05So there is a connecting point.
17:07So there is no incidence of end stage arthritis.
17:10They can't get any injury.
17:12If you are active in the end stage arthritis, they can prevent a surgery.
17:15If you are in the end stage arthritis, they can't get any injury.
17:20They can't get any injury.
17:22They can't get any injury.
17:25Which is possible.
17:27We will see that.
17:28If you are active in the end stage, we will not do that.
17:31So definitely, they can prevent a surgery by being healthy and active.
17:34Okay, Dr.
17:35Actually, in the conversation, if you want to talk about three people, you will be scared.
17:39You will be scared.
17:40You will be scared.
17:41But that is a complicated procedure.
17:43We will change our lifestyle.
17:45There will be a take-away.
17:47You will be scared.
17:49So we will start with the core values.
17:52A healthy lifestyle.
17:53A discipline.
17:54A life.
17:55A discipline.
17:56A life.
17:57You will be able to solve it.
17:58You will be able to solve it.
18:00Thank you so much, Dr.
18:01Thank you so much.
18:03Thanks for the opportunity.
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