Orthopedic


Healthbase has helped an uninsured American patient get double hip resurfacing surgeries in India. The high cost of Birmingham hip resurfacing surgery in the United States plus the lack of expertise in this procedure in the country continues to drive scores of Americans to India.

Nov. 21, 2008, Boston, MA. Healthbase Online Inc., an award-winning medical tourism facilitator based in Boston, Massachusetts, helps an Arizona-based former ballet dancer treat her hip osteoarthritis in India. 53-year old Katharine Frey who had arthritis in both her hips traveled to Apollo Hospitals, Chennai to have her hips resurfaced and availed of the 85% discount on the cost of the surgery.

“I have appreciated everything we have experienced and received at the Apollo Hospitals . Everyone has been very kind, supportive and helpful,” says Katharine after her hip resurfacing surgery last winter. She was so happy with the quality of care she received at her overseas hospital that she went back a few months later to have her second hip resurfaced.

Being uninsured, the $60,000 required to have a single hip resurfaced in the US seemed out of reach for Katharine. This led her into researching her other option – surgery overseas – and contacting Healthbase who coordinated both her surgeries in India for $8,000 each. The price included doctor’s fees, physical therapy and a week in the hospital.

According to Saroja Mohanasundaram, CEO of Healthbase , “Our clients prefer going abroad for Birmingham hip resurfacing because it is a fairly new procedure in the US but has been in use, say, in India, for many years. Being a major procedure it demands years of practice on the surgeon’s part to gain proficiency. The fact that Katharine went back to have her other hip resurfaced in India speaks volumes about the high level of satisfaction with our service and that of our partner hospitals and surgeons.”

Katharine Frey taking off on a paragliding flight just weeks after her hip resurfaicng surgery in India
Katharine Frey taking off on a paragliding flight just weeks after her hip resurfacing surgery in India

Katharine returned to work merely two and a half weeks post operation and to teaching ballet twenty days post operation. Katharine actively participates in swimming, yoga, hiking, paragliding, and cross-country road trips. “She has no pain in her hips and is moving and functioning like a normal human. I am so grateful and am enjoying watching Katharine return to life,” remarks Scott Martin, Katharine’s husband.

Katharine was operated upon by Dr. Vijay Bose and his team. Dr. Bose, a specialist in Birmingham Hip Resurfacing, Joint Replacement and Sports Medicine, has over a thousand BHR surgeries under his belt.
“Beyond the cost savings, the attention given was remarkable. Dr. Bose and his qualified staff will always be remembered for this,” adds Katharine.

Impressed by the high quality of care in India, even Scott, who accompanied Katharine to India addressed some of his periodontal issues through dental scaling and crowns at Apollo Hospitals while Katharine recuperated after her second Birmingham hip resurfacing surgery.

“It has been a positive life changing process for both of us. Thank you, Healthbase, for being so receptive, supportive and professional,” acknowledge Katharine and Scott.

Healthbase connects patients from across the globe to health care facilities in India, Singapore, Thailand, Malaysia, South Korea, Philippines, Turkey, Belgium, Hungary, Costa Rica, Panama, Brazil, Mexico and United States. Healthbase has over 45 providers on its network.

About Healthbase Online Inc.:

Healthbase, an award-winning Boston-based medical tourism and dental tourism facilitator, is a one-stop source for global medical and dental choices, connecting patients to leading healthcare providers around the world. Healthbase coordinates over 200 procedures in various categories like orthopedic, spinal , cardiac, bariatric, urology , oncology , dental , cosmetic and general surgery . Some of the common procedures offered are Birmingham hip resurfacing , total hip replacement , knee replacement , ACL repair , rotator cuff surgery , spinal fusion , spinal disk replacement, heart bypass surgery , lap band , gastric bypass , cancer treatment , liposuction, dental implants, crowns, bridges, etc. for a fraction of the cost in the US with equal or superior outcomes. Healthbase’s partner healthcare facilities are located in Thailand, India, Singapore, Malaysia, Philippines, South Korea, Turkey, Belgium, Hungary, Costa Rica, Panama, Brazil, Mexico and USA, and are expanding to Canada, UK, Jordan, Taiwan, Argentina, New Zealand, Australia, El Salvador and Guatemala. To ensure that patients receive the best care possible, Healthbase works mainly with hospitals that have international accreditations like JCI, JCAHO and ISO. Healthbase caters to the needs of individual consumers, self-funded businesses, insurance carriers, benefit consultants, insurance agents, and third party administrators seeking affordable medical travel and dental travel options. To learn more, call 1-888-691-4584, email info.hb @ healthbase.com or visit http://www.healthbase.com.

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Now you can get medical tourism type price and quality for procedures received in the US.

How is that possible?
Because Healthbase has partnered with several US healthcare providers that offer procedures at very competitive prices that are comparable to what American-accredited foreign providers offer.

So now affordable high quality medical care is made available closer to home for patients from the US, Canada and Mexico. Patients from European countries and other nations looking for top quality care in the United States also stand to benefit from this partnership.

According to Saroja Mohanasundaram, CEO of Healthbase,

Majority of our clients from North America are drawn to medical tourism for the cost advantage it offers. However, some may not be able to take advantage of it due to the travel involved. So Healthbase has negotiated with US-based providers to offer the same top US-standard quality of care to our customers at a much reduced rate than what is prevailing. Hence, those who need quick access to top quality healthcare can avail of the low prices right here at home.

We all know that US providers charge a much higher rate to uninsured patients than they do to insured patients or insurers. But not anymore. A heart bypass tagged at over $100,000 (for uninsured patients) can now be had for an 85% discount. Such rates also closely match the lower foreign rates.

Mohanasundaram adds,

Our US providers offer a complete slew of services in all departments of medicine including cardiac (heart bypass, valve replacement, aneurysm repair), orthopedic (hip replacement, total knee replacement), general surgery, diagnostics, and so on

Who to contact for discounts on major procedures conducted within the US?
Healthbase

Further reading:
News release from Healthbase about this partnership

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IMPLANTS-IN-A-DAY

Implants-in-a-day, as the name implies, really means implants in a day. They are also known as immediate loading implants.

Normal dental implants involve a couple of stages for implantation. First, your dentist will examine your condition and implant a titanium screw into your jaw. After some months the implant is uncovered and a healing abutment and temporary crown is placed onto the implant. This encourages the gum to grow in the right scalloped shape to approximate a natural tooth’s gums and allows assessment of the final aesthetics of the restored tooth. Once this has occurred a permanent crown will be constructed and placed on the implant. In all, this process requires two to four visits to your dentist over a span of 3 to 6 months.

In recent years, an increasingly common strategy to preserve bone and reduce treatment times includes the placement of a dental implant into a recent extraction site. This technique called “implants in a day” allows the implant to be put into place and become functional in a matter of hours. This is made possible through the use of improved scanning technology which allows the dentist to make a precision custom crown which can be put on the implant instantly.

Implants in a day are becoming more common as success rates for this procedure are now acceptable. This can cut months off the treatment time and in some cases a prosthetic tooth can be attached to the implants at the same time as the surgery to place the dental implants. Immediate loading technique eliminates the need for making model templates used in normal implants thus requiring only a single trip to the dentist.

Implants in a day are especially beneficial for dental tourists who can now save travel and lodging costs as their implants can be done in a single trip, and the lost aesthetics and funtionality can be restored faster than with normal implants.

On the down side, implants in a day tend to be more expensive than normal implants.

For affordable dental implants-in-a-day or normal dental implants, log on to Healthbase.com. Healthbase is a dental tourism facilitator and medical tourism facilitator that connects patients to leading JCI/JCAHO/ISO accredited hospitals and dental offices overseas through a secure, high-tech, information-rich web portal. Healthbase provides a wide range of medical procedures through its partner hospital network. Over two hundred medical procedures are available in various categories: cosmetic and plastic, orthopedic, dental, cardiac, and many more. The savings are up to 80 percent from typical US prices even after adding up the travel costs, hospital stay and other related expenses. Healthbase offers more than just procedural availability; we also provide customers with extensive information on medical treatments, hospital and doctor profiles to help them make an educated decision regarding their treatment; travel planning and booking; applying for medical/dental loan and much more.

Register to view extensive hospital profiles including pictures of operating rooms, patient rooms, doctor qualifications, and lots more.

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Pelvis Fixation

What is Pelvis?

The pelvis is the bony ring like structure located at the base of the spine. The pelvis incorporates the socket portion of the hip joint for each leg. It forms the lower limb (or hind-limb) girdle of the skeleton. Strong connective tissues (ligaments) join the pelvis to the large triangular bone (sacrum) at the base of the spine. This creates a bowl-like cavity below the rib cage. On each side, there is a hollow cup (acetabulum) that serves as the socket for the hip joint.

Purpose of the Pelvis

The pelvis protects the digestive and reproductive organs in the lower part of the body, and many large nerves and blood vessels pass through it to supply to the legs. It is also an important load-bearing part of the skeletal system. It also provides a connection between the axial skeleton and the hind limbs, that is, the legs. The hind limb consists of several bones such as the femur, tibia, fibula, tarsus, metatarsus and phalanges. The femur is the largest bone in the human body. Its lower end articulates with the tibia to form a hinge joint at the knee. The fibula is a shorter and smaller bone. Both the tibia and fibula form joints with the tarsus at the ankle.

Pelvis Fracture

Pelvic fracture is a disruption of the bony structure of the pelvis. The most common cause in elderly is a fall, but the most significant fractures involve high-energy forces such as a motor vehicle accident or a fall from significant height. Diagnosis is made on the basis of history, clinical features and special investigations usually including x-ray and CT. Pelvic fractures may produce significant bleeding. Emergency treatment consists of Advanced Trauma Life Support management. After stabilization, the pelvis may be surgically reconstructed.

Diagnosis

A broken pelvis is painful, often swollen and bruised. The individual may try to keep the hip or knee bent in a specific position to avoid aggravating the pain. If the fracture is due to trauma, there may also be injuries to the head, chest or legs. There is usually considerable bleeding, which can lead to shock. The injuries must be stabilized and the individual taken to a trauma center for definitive care. All pelvic fractures require X-rays, usually from different angles, to show the degree of displacement to the bones. A computed tomography (CT) scan may be ordered to define the extent of other injuries. The physician will also examine the blood vessels and nerves to the legs to see if they have been injured.

Treatment

Pelvic fractures that result from high-energy trauma are often life-threatening injuries because of the extensive bleeding. In these cases, doctors may use an external fixator to stabilize the pelvic area. This device has long screws that are inserted into the bones on each side and connected to a frame outside the body. The external fixator allows surgeons to address the internal injuries to organs, blood vessels and nerves.

What happens next depends on the type of fracture and the patient’s condition. Each case must be assessed individually, particularly with unstable fractures. Some pelvic fractures may require traction; for others, the external fixator may be sufficient. Unstable fractures may require surgical insertion of plates or screws of a biocompatible metal.

Healthbase is a medical tourism facilitator that connects patients to leading JCI/JCAHO/ISO accredited hospitals overseas through a secure, high-tech, information-rich web portal. Healthbase provides a wide range of medical procedures through its partner hospital network. Over two hundred medical procedures are available in various categories: cosmetic and plastic, orthopedic, dental, cardiac, and many more. The savings are up to 80 percent from typical US prices even after adding up the travel costs, hospital stay and other related expenses. Healthbase offers more than just procedural availability; we also provide customers with extensive information on medical treatments, hospital and doctor profiles to help them make an educated decision regarding their treatment; travel planning and booking; applying for medical/dental loan and much more.

To learn more, visit http://www.healthbase.com/ and login to view our extensive hospital profiles including pictures of operating rooms, patient rooms, doctor qualifications, and lots more. Get a FREE quote now!!

Note: All information presented here has been obtained from publicly available medical resources and is here for reference purposes only. Healthbase does not claim to be a medical professional and does not provide any advice on any issues relating to medical treatment.

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Spinal Arthritis

What is arthritis?

“Arthritis” is a general term that describes many different diseases causing tenderness, pain, swelling, and stiffness of joints as well as abnormalities of various soft tissues of the body. Of the combined term, “arthros” means a joint and its attachments, and “–itis” means inflammation. Various forms of arthritis affect nearly 50 million Americans and contribute to the majority of all physical disabilities.

Of the several varieties of arthritis, the most common, the most frequently disabling, and often the most painful is osteo- (meaning bone) arthritis, mostly affecting the weight bearing joints (hips and knees) plus the hands, feet and spine. Osteoarthritis is also known as degenerative joint disease and affects up to 30 million Americans, mostly women and usually those over 45 or 50 years of age.

Osteoarthritis of the spine
Spinal arthritis is one of the common causes of back pain. Spinal arthritis is the mechanical breakdown of the cartilage between the aligning facet joints in the back portion (posterior) of the spine that quite often leads to mechanically induced pain. The facet joints (also called vertebral joints or zygophyseal joints) become inflamed and progressive joint degeneration creates more frictional pain. Back motion and flexibility decrease in proportion to the progression of back pain induced while standing, sitting and even walking. Over time, bone spurs (small irregular growths on the bone also called osteophytes) typically form on the facet joints and even around the spinal vertebrae. Bone spurs are also seen as a normal part of aging and do not directly cause pain, but may become so large as to cause irritation or entrapment of nerves passing through spinal structures, and may result in diminished room for the nerves to pass (spinal stenosis). Osteoarthritis in the spine is anatomically divided into:

  • Lower back (lumbar spine) osteoarthritis, sometimes called lumbosacral arthritis, which produces stiffness and pain in the lower spine and sacroiliac joint (between the spine and pelvis).
  • Neck (cervical spine) osteoarthritis, sometimes called cervical spondylosis (spondy- implies the spine, and –osis is an abnormal condition), which can cause stiffness and pain in the upper spine, neck, shoulders, arms and head.

Causes of osteoarthritis and spinal arthritis
Repetitive trauma to the spine from repetitive strains caused by accidents, surgery, sports injuries, poor posture, or work-related activities are common causes of spinal arthritis. Other known risk factors for developing spinal arthritis include:

  • Aging: steady and advanced aging of spinal structures, beginning in the 30’s, often work-related
  • Gender: osteoarthritis being more common in post-menopausal women (although below age 45, it is more common in males)
  • Excess weight: causing more stress on weight-bearing joints and the spine, particularly during the middle age years
  • Genetics: having a family history of osteoarthritis or congenital defects of joints, spine, or leg abnormalities
  • Associated diseases: the presence of other associated diseases, infections, diabetes, and various other forms of circulating arthritis, such as rheumatoid arthritis or gout

Surgery for spinal arthritis
For spinal arthritis, the only effective surgical treatment is spine fusion surgery to stop the motion at the painful joint. Spinal fusion may also be referred to as “arthrodesis”. Fusion is a surgical technique in which one or more of the vertebrae of the spine are united together (“fused”) so that motion no longer occurs between them. During spinal fusion surgery bone grafts are placed around the spine during surgery. The body then heals the grafts over several months – similar to healing a fracture – which joins, or “welds,” the vertebrae together.

When Is Fusion Needed?
There are many potential reasons for a surgeon to consider fusing the vertebrae. These include: treatment of a fractured (broken) vertebra; correction of deformity (spinal curves or slippages); elimination of pain from painful motion; treatment of instability; and treatment of some cervical disc herniations.

How Long Will It Take To Recover?
The immediate discomfort following spinal fusion is generally greater than with other types of spinal surgeries. Fortunately, there are excellent methods of postoperative pain control available, including oral pain medications and intravenous injections. Another option is a patient-controlled postoperative pain control pump. With this technique, the patient presses a button that delivers a predetermined amount of narcotic pain medication through an intravenous line. This device is frequently used for the first few days following surgery.

Recovery following fusion surgery is generally longer than for other types of spinal surgery. Patients generally stay in the hospital for three or four days, but a longer stay after more extensive surgery is not uncommon. A short stay in a rehabilitation unit after release from the hospital is often recommended for patients who had extensive surgery, or for elderly or debilitated patients.

The decision whether or not to undergo spinal fusion is complex and involves many factors related to the condition being treated, the age and health of the patient, and the patient’s anticipated level of function following surgery. This decision must therefore be made carefully and should be discussed thoroughly with your surgeon.

Healthbase is a medical tourism facilitator that connects patients to leading JCI/JCAHO/ISO accredited hospitals overseas through a secure, high-tech, information-rich web portal. Healthbase provides a wide range of medical procedures through its partner hospital network. Over two hundred medical procedures are available in various categories: cosmetic and plastic, orthopedic, dental, cardiac, and many more. The savings are up to 80 percent from typical US prices even after adding up the travel costs, hospital stay and other related expenses. Healthbase offers more than just procedural availability; we also provide customers with extensive information on medical treatments, hospital and doctor profiles to help them make an educated decision regarding their treatment; travel planning and booking; applying for medical/dental loan and much more.

To learn more, visit http://www.healthbase.com/ and login to view our extensive hospital profiles including pictures of operating rooms, patient rooms, doctor qualifications, and lots more. Get a FREE quote now!!

Note: All information presented here has been obtained from publicly available medical resources and is here for reference purposes only. Healthbase does not claim to be a medical professional and does not provide any advice on any issues relating to medical treatment.

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Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.Healthbase LogoMedical Tourism – Healthbase – Medical ProceduresHealthbase provides a wide range of medical procedures through its partner hospital network. Over hundred medical procedures are available in various categories: orthopedic procedures such as hip replacement, Birmingham hip resurfacing, artificial knee replacement, knee surgery, cosmetic procedures such as breast augmentation, face lift, rhinoplasty (nose surgery), liposuction, dental procedures such as bridges, implants and much more. The savings are up to 80% from typical USA prices.

Healthbase offers more than just procedural availability, we also provide customers with extensive information on medical treatments, hospital and doctors profiles to help them make an educated decision regarding their treatment.

 

Partial list of procedures available:

Categories

Orthopedic 
Hip Replacement (partial) 
Hip Replacement (full) 
Hip Resurfacing (Birmingham) 
Knee Surgery 
Knee Arthroplasty 
Rotator Cuff Surgery 
Total knee replacement, Bilateral knee (TKR) 
Total knee replacement, Single knee (TKR) 
Arthroscopy with Ligament Reconstruction 
Anterior Cruciate Ligament (ACL) Repair 
Medial Cruciate Ligament (MCL) Repair 
Posterior Cruciate Ligament (PCL) Repair 
Elbow Replacement 
Fusion 
Hand Reconstruction 
More... 

Dental 
Cosmetic Dentistry 
Oral Surgery 
Smile Designing 
Root Canal Treatments 
Dental Implants 
Dental Crowns 
Dental Bonding 
Dental Caps 
Dental Bridges 
Dental Fillings 
Teeth Whitening 
Periodontal Flap Surgery 
Full mouth Radiograph 
Tooth Contouring and Reshaping 
Veneers, Bonding, Inlays and Overlays 
Tooth Extractions 
Tooth Impactions 
More... 

Obesity 
Gastric Bypass 
Lap Band 
Rouyn Y Loop 
More... 

Spinal 
Artificial Disc Implantation 
Bone Spur Treatments 
Cervical Discectomy 
Cervical Discectomy with Fusion 
Disc Degeneration Treatments 
Disc Surgery 
Discectomy 
Endoscopic Discectomy 
Fusion 
Herniated Disc Treatments 
Laminectomy + Posterior Instrumentation 
Laminectomy for excision of Spinal Tumors 
Decompressive Laminectomy 
Open Discectomy 
Percutaneous Endoscopic Lumbar Discectomy (PELD) 
Radiosurgical Treatment of Spinal Tumors 
Stenosis Treatments 
Thoracoplasty 
More... 

Cardiac 
Coronary Angioplasty (PTCA or PCI) 
Coronary Artery Bypass Graft (CABG) 
Coronary Angiography 
Artial Septal Defect (ASD) and Ventricular Septal Defect (VSD) 
ASD Device 
Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) 
Off Pump Coronary Artery Bypass (OPCAB) 
Enhanced External CounterPulsation (EECP) (noninvasive) 
Implantable Cardioverter and Defibrillator (ICD) 
Pacemaker Implantation (Single Chamber) 
Pacemaker Implantation (Dual Chamber) 
Peripheral Vascular Treatment 
PDA Device 
Robotic Cardiac Surgery (daVinci Telemanipulation) 
Stenting 
Totally Endoscopic Coronary Artery Bypass (T-CAB) 
Trans Myocardial Laser Revascularisation (TMLR) 
Valvuloplasty 
More... 

Cosmetic 
Arm Lift (Brachioplasty) 
Breast Augmentation (Mammoplasty - Augmentation) 
Breast Lift (Mastopexy) 
Brow Lift 
Buttocks Lift 
Chin Surgery (Mentoplasty) 
Chin Implants 
Cheek Implants 
Circumferential Body Lift 
Ear surgery (Otoplasty) 
Eyelid surgery (Blepharoplasty) 
Face Lift (Rhytidectomy) 
Facial implants 
Forehead / Brow Lift 
Gynecomastia 
Hair Transplant 
Jaw Reconstruction 
Jaw Shaving 
Lip Enhancement 
Liposuction 
Mole Excision 
Neck Lift (Platysmaplasty) 
Nose Surgery (Rhinoplasty) 
Ptosis Correction 
Skin Grafts 
Spider Veins (Sclerotherapy) 
Thigh Lift (Thighplasty) 
Tummy Tuck (Abdominoplasty) 
More... 

Gastroenterology 
Colonoscopy 
Gastroscopy / Endoscopy 
Flexible Sigmoidoscopy 
Colonoscopic Polypectomy 
Foreign Body Removal 
Achalasia Cardia Dilatation 
Colonoscopic Balloon Dilatation 
Sigmoidoscopic Balloon Dilatation 
Esophageal Metal Stenting 
Endoscopic Ryle`s Tube Placement 
Endoscopic Sclerotherapy 
Percutaneous Endoscopic Gastrostomy 
Endoscopic Hemoclip Appln. GI Bleed 
ERCP Diagnostic 
ERCP Therapeutic 
Mechanical Liphotripsy of Biliary Stones 
Paracentesis 
Ultrsound Guided Liver Biopsy 
Glue Injection of Fundal Varices 
Gastrectomy 
Sigmoidoscopic Polypectomy 
Esophageal / Pyloric / Duodenal Dilatation 
Endoscopic Banding 
Laparoscopy Appendicetomy 
Endoscopy 
Gastroplasty 
Laparoscopy assisted Hemicolectomy 
Laparoscopy Cardiomyotomy 
Laparoscopy Cholecystectomy with Choledochoduodenestomy 
Laparoscopy Fundoplication 
Laparoscopy Gastrojejunostomy 
Laparoscopy Rectopexy 
Laparoscopy Splenectomy 
Laparoscopy duonenal, Preforation closure 
Liver Cyst 
Psudopancreatic Cyst 
Wireless capsule Endoscopy 
Laparoscopy Cholecystectomy 
laparoscopic adrenaloctomy 
More... 

Opthalmology 
LASIK 
Squint 
Retinal Detachment 
Vitrectomy 
Vitrectomy + Retinal Detachment 
Ptosis 
Fundus fluroscein Angiography (FFA) 
Phaco + IOL (Intra Ocular Lens) 
Cataract + Glaucoma 
Pterygium Removal 
Squint Correction - horizontal 
Squint Correction - vertical 
Glaucoma (Trabeculectomy) 
More... 

ENT 
Myringoplasty 
Superficial Parotidectomy 
Tonsillectomy 
Septoplasty 
Stapedotomy 
Ossiculoplasty 
Thyroplasty 
Micro Larynglean Surgery 
Tympanoplasty 
Thyroidectomy 
Cochlear Implant 
Somnoplasty 
More... 

Urology 
Lithotripsy 
Uroendoscopy 
Cystoscopy 
Optical Internal Urethrotomy 
Endoscopic Surgery - TURP / TUEVP 
Pyeloplasty 
Variocele - unilateral 
Endoscopic Surgery - Optical Internal Urethrotomy 
Endoscopic Surgery - Endopyelotomy 
Stone Treatments 
Percutaneous Nephrolithotomy (PCNL) 
Ureteroscopy (URS) 
More... 

More Categories 
Oncology 
Vascular 
General Surgery 
Wellness 
More...

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Shoulder Replacement

Provided by Wockhardt Hospital
Brought to you by Healthbase

Shoulder ReplacementSimilar to other joint replacement procedures, shoulder replacement surgery is generally done to address persistent pain that is not controlled by non-surgical therapy. Less commonly, poor shoulder motion may also be a reason for replacement surgery.

The shoulder is a ball-and-socket joint, with the top of the arm bone (humeral head) fitting into a socket known as the glenoid. Muscles and tendons, such as the rotator cuff, help hold the joint in place. Surgery involves replacing the humeral head and the glenoid with artificial components. The humeral head replacement is generally made from a metal alloy, while the glenoid component is made from polyethylene plastic. The new components may be anchored by cement or press-fit into place so that the bone grows in around them.

During surgery, a three- to four-inch incision is made along the space between the arm and the collarbone. The procedure lasts about 90 minutes, and the incision is then closed with staples or stitches. Patients typically stay in the hospital for one to two nights, and full recovery usually takes six to 12 weeks.

 

Rehabilitation

 

Arthritic shoulders are stiff. One of the major goals of total shoulder replacement surgery is to relieve much of this stiffness. However, after surgery scar tissue will tend to recur and limit movement unless motion is started immediately. This early motion is facilitated by the complete surgical release of the tight tissues so that after surgery the patient has only to maintain the range of motion achieved at the operation. Later on, once the shoulder is comfortable and flexible, strengthening exercises and additional activities are started.

A careful, well-planned rehabilitation program is critical to the success of a shoulder replacement. You usually start gentle physical therapy on the first day after the operation. You wear an arm sling during the day for the first several weeks after surgery. You wear the sling at night for 4 to 6 weeks. Most patients are able to perform simple activities such as eating, dressing and grooming within 2 weeks after surgery. Driving a car is not allowed for 6 weeks after surgery.

Here are some “do’s and don’ts” for when you return home:

  • Don’t use the arm to push yourself up in bed or from a chair because this requires forceful contraction of muscles.

  • Do follow the program of home exercises prescribed for you. You may need to do the exercises 4 to 5 times a day for a month or more.

  • Don’t overdo it! If your shoulder pain was severe before the surgery, the experience of pain-free motion may lull you into thinking that you can do more than is prescribed. Early overuse of the shoulder may result in severe limitations in motion.

  • Don’t lift anything heavier than a glass of water for the first 6 weeks after surgery.

  • Do ask for assistance. Your physician may be able to recommend an agency or facility if you do not have home support.

  • Don’t participate in contact sports or do any repetitive heavy lifting after your shoulder replacement.

  • Do avoid placing your arm in any extreme position, such as straight out to the side or behind your body for the first 6 weeks after surgery.
    Many thousands of patients have experienced an improved quality of life after shoulder joint replacement surgery. They experience less pain, improved motion and strength, and better function

Frequently Asked Questions

 

What are the symptoms to detect Shoulder Replacement?

 

Patients with arthritis typically describe a deep ache within the shoulder joint. Initially, the pain feels worse with movement and activity, and eases with rest. As the arthritis progresses, the pain may occur even when you rest. By the time a patient sees a physician for the shoulder pain, he or she often has pain at night. This pain may be severe enough to prevent a good night’s sleep. The patient’s shoulder may make grinding or grating noises when moved. Or the shoulder may catch, grab, clunk or lock up. Over time, the patient may notice loss of motion and/or weakness in the affected shoulder. Simple daily activities like reaching into a cupboard, dressing, toileting and washing the opposite armpit may become increasingly difficult.

 

How do I know if I am ready for shoulder replacement surgery?

 

Patients who have tried the usual treatments for shoulder arthritis, but have not been able to find adequate relief, may be a candidate for shoulder replacement surgery. Patients considering the procedure should understand the potential risks of surgery, and understand that the goal of joint replacement is to alleviate pain. Patients generally find improved motion after surgery, but these improvements are not as consistent as the pain relief following shoulder replacement surgery.

 

How long is the recovery following shoulder replacement surgery?

 

Hospital stays vary from one to three days for most patients. You will be sent home wearing a sling and you should not attempt to use the arm except as specifically instructed by your doctor.

Most physicians will begin some motion immediately following surgery, but this may not be true in every case. Usually within two to three months, patients are able to return to most normal activities and place an emphasis on strengthening the muscles around the shoulder and maintaining range of motion.

 

What are the symptoms of severe arthritis of the shoulder?

 

Common symptoms of shoulder arthritis include:

  • Pain with activities

  • Limited range of motion

  • Stiffness of the shoulder

  • Swelling of the joint

  • Tenderness around the joint

  • A feeling of grinding or catching within the joint

Can rehabilitation be done at home?

 

In general the exercises are best performed by the patient at home. Occasional visits to the surgeon or therapist may be useful to check the progress and to review the program.

 

When can I return to ordinary daily activities?

 

In general, patients are able to perform gentle activities of daily living using the operated arm from two to six weeks after surgery. Walking is strongly encouraged. Driving should wait until the patient can perform the necessary functions comfortably and confidently. Recovery of driving ability may take six weeks if the surgery has been performed on the right shoulder, because of the increased demands on the right shoulder for shifting gears.

With the consent of their surgeon, patients can often return to activities such as swimming, golf and tennis at six months after their surgery.


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