Category Archives: blog

3 Phases of Post-Surgery Healing

By  admin6  published  September 19, 2017

Rotator cuff tears are commonly encountered shoulder problems and often present with non-specific pain. A skilled and experienced orthopedic surgeon, such as Dr. Sumit Dewanjee at FXRX in Phoenix, has special expertise in the diagnosis and management of rotator cuff injuries with minimally invasive surgery.

If you have been through surgery for tendon repair, you should know that your shoulder goes through 3 phases of healing before it recovers fully.

Inflammatory Phase

The inflammatory phase occurs during the first week after surgery. The platelets facilitate clotting to stop any bleeding. Chemicals are sent throughout the body to attract inflammatory cells to the site of surgery.

Proliferative Phase

The proliferative phase of tendon healing is also the new cell formation phase from the first week to 2-3 weeks after surgery. The inflammatory cells produce scar tissue and the original clot is replaced with new blood vessels. This scar tissue becomes the building block for more permanent repair tissue that would form in the next phase.

Maturation Phase

The maturation and remodeling phase occurs about 3 weeks after your surgery. The scar tissue is starting to get replaced by more mature, repair tissue. This phase may last at least 12 weeks but may go up to 26 weeks.

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Signs you are suffering from a Torn Meniscus

By  admin6  published  August 30, 2017

The knee joint includes several important components that allow movement involved in getting up, walking, pivoting and many more movements that your knee helps you make throughout the day. Often taken for granted, these movements can become a challenge if the meniscus is torn.

The menisci are two small discs of cartilage that lie between the thigh bone and the shin bone to even out the pressure in the knee while standing or walking.

A meniscus tear can be caused by an injury or day-to-day wear and tear. Meniscus tears near the outer edge have a better chance of healing.

What are the common symptoms of torn meniscus?

The most common symptoms of a meniscus tear include:

  • Pain over the inner half of the knee that worsens with pivoting or deep squatting
  • Swelling on the upper and outer part of the knee
  • Motion, such as deep knee bending an pivoting is often limited
  • A feeling of instability or the knee giving out
  • Locking, catching or popping of the knee

How would I know if I have a torn meniscus?

Simply having knee pain does not indicate a torn meniscus. If some of the symptoms listed above have continued for more than a week, it may be a sign of a torn meniscus. An orthopedic surgeon is the best person to evaluate the pain and other symptoms.

To learn more or to consult the best orthopedic surgeon in Phoenix, AZ, Dr. Sumit Dewanjee, call FXRX Inc. at 480-449-3979. As a leading orthopedic surgeon who is an expert in arthritis and fracture treatment in Phoenix, Dr. Dewanjee has performed hundreds of successful knee and shoulder arthroscopies and other treatments.

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Most Frequents questions that are asked to a knee surgeon

By  admin2  published  October 6, 2015

Have you ever suffered a knee injury? No, no, not the mere cuts and bruises but one which is deep and cannot be treated from the surface. Such injuries can be painful. In fact, most of you won’t be able to take the pain and gobble down painkillers in one go. But, that’s not the solution, right? If your injury is severe, it may lead to complications later on. So, why not go and see and knee surgeon before things get too complicated?

Taking an appointment with a knee surgeon is no big deal. But yes, finding the right one is. You have the internet. Search for the best knee surgeon in your area and shortlist few names. Then you can see their reputation on the web and get an idea how satisfied their patients are. Select the best one and make an appointment.

It is true that when you visit the chamber of the knee surgeon, you will have a lot of things going on in your mind like:

  • Is my condition pretty severe?
  • Will he want to operate?
  • Do I need a knee replacement surgery? And so on.

In the midst of so many things going on in your mind, you may forget some necessary questions like the cost of a knee surgery, its side effects, how long are you going to take the medicines and etc. do one thing. Write them out on a piece of paper. But yes, do not scribble it. Make a proper list like the one given below:

Questions to be asked to the knee surgeon:

  • What is the guarantee that my implant will be successful and it will not move from its position in future?

Yes, there are few real chances of that happening. You doctor, if he is a reputed one, will make sure that it doesn’t. He will be quite experienced enough to make the right cut at the right angle to insert the implant.

  • What will happen if in future the implant becomes loose?

If you have not noticed yet, doctors do not give a 100% guarantee on anything. But, they give their best to minimize the chances of such incidents as the one mentioned above. If you are aware that you have had a knee transplant, you will be careful for the rest of your life. And that much is required to keep the implant steady. Otherwise, you just have no risk if your doctor is an experienced surgeon.

  • What are the chances of getting an infection?

Knee surgical infection

There is almost no chance of getting an infection if you have chosen an experienced knee surgeon. This is because all surgical instruments are sterilized properly and you will be under the effect of antibiotics that prevent infection.

  • Is there any chance of nerve damage?
knee surgeon phoenix

Nerve damage

Yes, you may have heard about something like this. We all have. But the chances are really less if your doctor is experienced and knowledgeable about the whole thing. He will explain everything to you before you take any decision and less you are satisfied, he will continue answering your questions. After all it’s your knee, a very important contributor in your locomotion.

You can easily find an experienced knee surgeon in Phoenix, Arizona. Just take help of the internet and choose the most reputed one among the results. You will be in good hands for sure.

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How To Recover After Knee Arthroscopic

By  admin2  published  May 25, 2015

Knee Surgeons Phoenix AzArthroscopic surgery is a surgical process where the cartilage in the tendons in your joint are reviewed by a surgeon and repaired. The process begins with a small incision around your kneecap through which a small tube is placed. This tube contains a small camera. The camera is used to reach small areas of your joint in search for the affected region. The camera will show images of the inside of your kneecap to the surgeon on the video monitors inside of the operating room. This allows the Arizona orthopedic surgeon to review the inside of your joint in search for the damaged area.

Once the damaged area is located the knee specialist in Phoenix uses a camera for guidance while they make a secondary incision through which miniature surgical tools are inserted and used to fix the problem. The process of arthroscopic surgery offers significantly faster recovery times compared to open surgery and the incision spots are both quite small. Once this process is complete the Arizona orthopedic surgeon is able to stitch up the incision and work with you to create a recovery plan.

This is a surgical process recommended after you have attempted all other nonsurgical treatment options with no success. If you have exercised all nonsurgical options and your knee joint continues to remain in flames or damaged this surgical option may be your only resort. A doctor will review your medical history and evaluate your current medical health prior to recommending a surgeon. This knee specialist Phoenix will speak with you about the process and what will happen before, during, and after. You might have to get blood work and a regular checkup completed by your primary care physician in order to verify your health. You should also make sure that while speaking with the Arizona orthopedic surgeon you discuss any medications or herbal supplements that you are currently taking. In some cases you may be asked to stop taking these items two weeks before the surgery takes place.

What happens before the surgery?

Before the surgery takes place the hospital will contact you to speak with you about what is expected in terms of your arrival time, what items you should wear, and what items you should and should not drink and eat. All advice offered must be followed. Should you have any questions the hospital staff will be able to answer them.

A local nerve inhibitor will be applied to your knee joint in order to inhibit the nerves in the region which send pain signals to your brain. The area will become numb but you will still be awake. If you prefer to not be awake during the process you can opt for general anesthesia in addition to the local inhibitor. If you have both forms of anesthesia you will help offset the amount of pain that you feel after the surgical procedure is complete.

Your orthopedic surgeon in Phoenix AZ will likely give you a plan for physical therapy. It is imperative that these recommendations be followed as they will help you to retain flexibility and improve strength in the joint.

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Do I Need Shoulder Replacement?

By  admin2  published  October 24, 2014

Many types of shoulder injuries are treated by noninvasive means. However, with some cases of severe arthritis, the damage to the joint is so extensive that a complete surgical replacement becomes necessary. Over the course of treatment, you and your doctor will need to be able to determine when that time has come.

Symptoms of severe arthritis: Pain and stiffness are the main indicators of damage. In the shoulder, like with other joints, this eventually causes severe limitation of range of motion. There can also be a feeling of grinding or catching as the tip of the humerus—the ball in the joint socket—moves around.

Top Orthopedic Surgeons In Phoenix

Tests that might be done: X -rays are commonly done to start evaluating the level of damage. Especially if there’s a record of past testing, this will give a sense of changes or abnormalities in the bone and cartilage. Doctors will have patients perform certain activities to check for strength and range of motion.

Activity modification/interference: One main determination in what level of treatment the Shoulder doctor Phoenixpatient needs is how badly the pain and stiffness are interfering with everyday activities. This can depend partly on the patient’s lifestyle—for example, someone working a job with lots of lifting and carrying might be more affected at a lower level of pain.

In some cases, activity or lifestyle modification can help to mitigate and compensate for pain. However, if attempts to work around the symptoms become impractical or are causing significant problems in the patient’s lifestyle, it is a sign that surgical replacement may be necessary.

Physical therapy progress: For many types of shoulder injuries, this is a preferred form of first-resort treatment. Often, doctors will consider shoulder replacement if the patient is not making expected progress in physical therapy, or if the pain and damage are too severe even for basic exercises.

Upsides to shoulder replacement: Typically, this is effective in helping patients carry out ordinary tasks with significant reduction in pain. Most patients are said to regain about two-thirds of normal shoulder movement. It also prevents further deterioration of the joint.

It is considered to have high potential for effectiveness, with failure rates estimated to be quite low. Stretching exercises and other physical therapy begins about six weeks after surgery, continuing at a higher level around three months after surgery.

The typical lifespan of the replacement parts is long enough that patients older than 60 will typically not need another replacement later on.

Downsides to shoulder replacement: As with other surgeries, there is some risk of infection or difficulty with healing, and some risk from anesthesia. Postoperative infection risk is estimated at around 2 or 3 percent, and is more common in patients who are immunosuppressed from corticosteroids, or who have other ongoing health risks.

Often, shoulder replacement patients will eventually need further surgery, since the artificial joints have an average lifespan of around 10 to 15 years. This makes them a less attractive option for younger patients.

Also, while it does improve on current function, it won’t restore your condition to where it was before there was any damage. There may still be severe stiffness and low range of motion.

Rare potential complications include injury to the nerves or fracture of the upper arm bone, either during or after surgery. Nerve injuries typically improve, however. Slightly more common is dislocation, often from the soft tissue being stretched too far too soon after surgery.

For severe arthritis that hasn’t responded to other forms of treatment, including physical therapy and medication, try consulting with top orthopedic surgeons in Phoenix about what kinds of more extensive treatment might be a good option.

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Common Workplace Injuries

By  admin2  published  October 23, 2014

Depending on what type of industry you’re working in, you may be vulnerable to different types of workplace injuries. Some risks are more common than others, though. In some cases, these injuries lead to patients missing work, or cause varying levels of chronic disability. Along with knowing what to watch out for, knowing what kind of treatment to seek out will limit problems at work and with your health.

Orthopedic Surgeon Phoenix

Backs:Back pain is the most common type of workplace injury, typically from strain and overuse. Improper lifting technique is a known problem, although bad posture in sedentary workers also leads to back injury. These can range from disc herniation to vertebrae or cervical fractures, and strains of either the lower or upper back.

Supportive back braces may help protect from acute overexertion. Rest followed by gradual knee surgeons phoenix az	introduction of physical therapy and behavior or posture adaptation going forward is a preferred treatment.

Shoulders:Shoulder injuries can sometimes result from falls, including in patients who catch themselves and hang by their arms—in falling off the edge of a roof or an open walkway, for example. This can cause labral tears in the cartilage surrounding the joint socket. Other types of sprains, rotator cuff injuries, or pinched nerves can all result from strain or movement when the arm is being held overhead.

In some cases, breaking a fall with your arm can cause fracturing in the shoulder joint. This is indicated by more severe grinding and swelling or deformity. Most types of shoulder fractures will be treated with immobilization, although surgery to install plates or screws will be necessary if fragments have shifted out of place. Severe shoulder separations, from a fall or from lifting, may also require surgery for ligament repair.

Other arm injuries: While falls can also lead to injured elbows and wrists or broken arms, carpal tunnel syndrome is a common injury for workers who spend a lot of time in front of computers. As it becomes more severe, bracing and behavioral adaptation will be required for pain relief and healing.

Knees and legs:Damage to ligaments often comes from acute injuries. The ACL can be strained or torn in landing from a jump or fall, or from a sudden change in direction if you need to dodge something, while other ligaments can be injured from an impact against the knee. Sudden stops or pivots also tear other parts of the knee, such as the meniscus. Other injuries, particularly tendinitis, come from overuse.

While severe knee injuries may need surgical treatment, some can be improved with shorter-term bracing and physical therapy that strengthens the surrounding muscle.

Consulting a doctor as soon as possible after your injury will help you recover more quickly and more completely, and will also help support your worker’s comp claim. An orthopedic surgeon at FXRX can run tests and determine what kind of treatment you might need. They can also help you defend any need to take time of work for recovery.

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