Monday, 16 March 2020

Hip Arthroscopy Surgery Recovery

The hip arthroscopic procedure is becoming popular across all age groups who experience non-arthritic hip pain. While the surgery is mostly non-invasive, it’s the rehabilitation period that is essential for faster recovery and pain management. After the surgery, the patient is usually discharged the next day or two based on his pain levels. During this period, a proper exercise chart will be prepared by the physiotherapist for the patient to be followed at home. The patient should be using crutches or a walker for a few weeks until recovery so that there will be no stress on the operated part.

 Hip Arthroscopy

The doctors prescribe pain medications for the pain incurred from the surgery. Even medicines are given to reduce blood clots. The complete recovery will take around 1-2 months based on the regularity of the physio sessions and exercises done at home. Physiotherapy help patients respond better to hip arthroscopy.

Tips For Faster Recovery
  • The swelling on the leg can be reduced by using ice. Try to use ice from your knee to the hip region. Usually, the issue resolves within 1-2 weeks from the surgery.
  • Try to use crutches for walking, climbing up or down the stairs until any further instruction from the doctor.
  • Try to avoid sitting on low surfaces, crossing legs, and lifting the leg straight up.
  • The sleeping position should be adjusted in a way that there is no pressure on the operated hip region.
  • While getting out of bed, try to rest the operated leg on top of the unoperated leg. This helps reduce muscle usage around the hip.
  • Do not sit for an extended period. Try to take short walks in between.
  • Try to follow the exercise schedule regularly as they help in reducing joint stiffness and restore muscle mobility.
  • Driving is not permitted until the patient can walk normally and is off from the crutches.
  • Flying is only permitted only after 10-14 days after the surgery.
  • Only after the complete recovery, the patients are allowed to take up their regular fitness activities or sports.

Hip arthroscopy helps many people to return to their normal activities/sports without much problem. If you are facing a problem with the hip region that needs immediate attention, then contact TOSH. One of the leading orthopedic hospital in Chennai.

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Wednesday, 1 January 2020

The complexity of sickle cell disease

Sickle cell disease is a condition caused due to insufficient amount of healthy blood cells to carry adequate oxygen throughout the body. Sickle cell disease causes severe bone and joint disorders, and it causes severe pain. The hip joint is vulnerable and easy to get affected by sickle cell disease. The femoral head is the most common area of bone destruction due to sickle cell disease. 

The other problems caused due to sickle cell disease would be 
  • Avascular necrosis 
  • Issues with thoracic and lumbar spine
  • Infection with encapsulated organisms
  • Problems with bone marrow 
  • Dental effects 

 Avascular Necrosis

Bone complications 

Based on the location and the extensiveness of the problems, the pain and structural damage can be identified. Patients with sickle cell disease are at risk for infections, and these might be life-threatening and interferes with the functioning and quality of life. It becomes a problem for the mobility and stability of the individual. 

Acute bone complications 

Sickle cell disease can lead to acute bone marrow necrosis, infections, stroke, and much more. Bone marrow necrosis can be diagnosed with magnetic resonance imaging (MRI) techniques. Patients with bone marrow necrosis will have severe pain, and epidural anesthesia could be provided to control intense pain. The necrosis would generally occur in the marrow of the ribs, femur, and tibia.

Chronic bone complications

Even though sickle cell disease is a hemoglobin disorder, it is associated with an increased incidence of avascular necrosis. The blood supply to the hip joint is compromised, which in turn causes osteoarthritis of the hip joint. This condition affects younger and middle age groups. This would make the patient difficult to move the body with severe pain and stiffness. Non-steroidal anti-inflammatory agents can be used in the initial stages, whereas, for severe conditions, injections of corticosteroids could help. The doctors would recommend decompression of the tissue in the head of the humerus. MRI scans could help detect the damage to the bone. 

Osteomyelitis is an infection on the bones. This could be either acute or chronic in adults, whereas, for kids, it would be acute. It occurs in the pelvis or vertebrae of the spine, and at times, it would occur in the feet with severe pain. A bone biopsy can determine the issue, and further treatments can be performed with the required medications.

 Avascular Necrosis

At Tosh-Trauma & Orthopedic Hospital, the doctor and his team help to identify the root cause and provides the appropriate treatment for the complications caused by the bone due to sickle cell disease.

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Friday, 6 December 2019

Alerting Symptoms of Bone Cancer

Cancer is the abnormal growth of cells that form a mass known as a tumor. A tumor can develop in any part of the body. The place at which the tumor develops is known as ‘primary tumor site.’ 

 Bone cancer

What is Bone cancer?

Bone cancer is a very rare condition. Bone cancer can develop in any bone in the body. The majority of the cases are diagnosed in the lower body part, say thigh bone and shin bone. However, some tumors that start in the bone are not cancerous. They do not spread to other tissues and organs and are not usually life-threatening. These are often cured with surgery. 

Cancerous tumors are often known as True or primary bone tumors. These tumors start in the bone, muscle, fibrous tissue, blood vessels, fat tissue, as well as some other tissues. These are also called sarcomas. 

Warning Signs
Symptoms of primary bone cancer can be prevalent and vary depending on the location and the size of the tumor. Most of the signs are often misunderstood with other symptoms such as sports injuries, growing pains, or any other common conditions such as tendonitis or arthritis. 

The most common symptoms of bone cancer are:

Bone pain
Pain in the affected bone is the most common symptom. This can be constant or intermittent and get worse at night. As cancer grows, this pain can become more severe. When the bone is used (For activities such as walking, running, or work-related), the pain gets worse. Painkillers may not help all the time. 

Cancer affected area may be tender to touch. A lump or swelling may be seen or felt if the tumor is near the surface of the body. In other places like the pelvis, a lump or swelling may not be visible.

Difficulty in Movements
A person with bone cancer may experience problems with mobility, such as stiff joints or reduced movement. Bone cancer can also result in the development of an unexplained limp, which might cause pain and discomfort.

Bone cancer can weaken the bone or cause easy bruising. However, most of the time, the bones do not fracture (break). People with a fracture next to or through a bone tumor often experience severe pain in a bone that had been sore for a few months. 

Some other less common symptoms may also occur in patients with bone cancer. They are:
  • Tiredness
  • Sweats/fever
  • Weight loss
  • Loss of muscle tone

If you notice any of these bone cancer symptoms, please seek further advice from your doctor. Experts of TOSH Trauma & Orthopedic Hospital offer a precise diagnosis of your condition and provide a wide range of treatments and services.

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Thursday, 21 November 2019

Core connection of joints & blood

Out of all the joints and connections in the human body, the hip joint is one of the largest weight-bearing joints. These joints play a vital role in the stability and mobility of the body. Any damage to this joint will have an impact on regular lifestyle movements. 

Avascular necrosis is one of the factors that will cause damage to the hips. It is a deformity that occurs in the joints caused due to lack of blood supply to the head of the femur that leads to its collapse. This can be seen in chain smokers, deep-sea divers, and people who have prolonged steroid use. Usually, the young crowd is more affected by avascular necrosis.

People would experience mild to the moderate hip or groin pain, decreased hip movement, and a limp. At times there could be a sudden pain that gets worse with standing and walking. Usually, men tend to get avascular necrosis between 40 - 50 years old. 

Children who are affected by avascular necrosis might have spasms in their hips muscles, restricted hip movements, and a limp. Legg-Calve-Perthes disease is a type of avascular necrosis in children that leads to one of the causes of hip symptoms. 

Avascular necrosis can be caused due to the following:
  • Accidents 
  • Hip fractures 
  • Dislocations 
  • Sickle cell disease 
  • Gout 
  • Lupus

Hip core decompression for AVN
Usually, doctors would recommend surgery for most people who have avascular necrosis. Surgery is recommended when other treatments fail. Other treatments would include medications, exercises, and electrical stimulation, as well as having a limit on the weight-bearing joints. Doctors would suggest anti-inflammatory drugs to reduce pain.

Core decompression is considered to be a surgical procedure to treat avascular necrosis. It involves surgical drilling into the area of dead bone near the joint. The dead bone would be removed, which helps to stimulate bone production and the development of new blood vessels. Doctors provide stem cell injection along with core decompression. This is performed to harvest bone marrow from the hip bone, the pelvic bone, and then process and inject it after core decompression. This can help increase the blood flow and helps in the long-lasting effect of the treatment. This also helps to reduce pressure, increases the blood flow, and slows the bone/joint destruction. Most often, core decompression is used to treat osteonecrosis. 

At Tosh Hospitals,  doctors provide an effective treatment for all the deformities caused in joints and their related problems.
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Saturday, 19 October 2019

Arthroscopic Rotator Cuff Repair

The rotator cuff is a group of tendons and muscles in the shoulder that help keep the shoulder joint in place. They also help to lift and rotate the arms. But, sometimes an injury or overtime wear and tear causes a tear in the rotator cuff that manifests severe shoulder pain. Most of the tears can be fixed by prescribing medicines and physical therapy. Only when the pain is critical, and medication and other noninvasive techniques are ineffective in correcting the tear surgery is recommended. Arthroscopic surgery is the most preferred type of procedure that is used to repair the torn rotator cuff.

arthroscopic rotator cuff repair in chennai


Below are a few conditions that might cause a rotator cuff tear 

TENDINITIS – This condition is mainly seen in tennis players and painters who overuse their shoulders that cause the inflammation in the joint.
BURSITIS – It is caused by the inflammation of the bursa. These are the fluid-filled sacs present in between the rotator cuff and the underlying bone.
ACUTE INJURY OR OVERUSE – Injuries that are caused by lifting heavy objects, improper position of shoulders, or strain from a fall or injury can lead to tearing in the rotator cuff. 


Not all rotator cuff injuries cause pain. Mostly degenerative injuries start to show signs only after months of injury. Common symptoms include

  • Difficulty achieving full range of shoulder motion
  • Progressive weakness of the shoulder
  • Trouble sleeping during the night
  • Trouble reaching behind the back
  • Avoiding certain activities because of the pain


Doctors can identify the tear either by medical history, physical examination, or by imaging scans. X-rays help to identify any bone spurs while MRI is used to examine the soft tissues like muscles and tendons. 


Treatments include resting the affected arm to surgery based on the symptoms. Surgery is recommended only when the shoulder pain hasn’t improved after 6-12 months, Weakening of the shoulder, tear in the rotator cuff tendon, rely on the shoulder for your job or active in sports. 

Arthroscopic surgery is the most common procedure that is performed to repair the torn rotator cuff and reattach the tendon to the head of the humerus. It is a daycare procedure performed under anesthesia that makes use of arthroscope inserted into the small incisions made on the skin. The arthroscope displays the torn cuff images on the screen through which the surgeon will fix the problem. 

Recovery from arthroscopic surgery is faster when compared with open tendon surgery. However, complete recovery will take time and depends on how patients follow their physiotherapy exercises.

arthroscopic rotator cuff repair in chennai
Only an experienced orthopaedic surgeon or sports medicine specialist can identify the symptoms of rotator cuff tear.  Contact TOSH - Trauma and Orthopaedic Specialty Hospital, Chennai for immediate diagnosis and effective treatment of your shoulder pain.

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Tuesday, 17 September 2019

Different Types Of Hand Disorders

Hands are a unique part of the human body that symbolizes strength, power, and protection. According to Aristotle, the hands are the “Tool of Tools.” They are one of the greatest assets that can grasp, move, and manipulate objects. It has been estimated that almost 20% of all disabling accidents on the job involve the hands. Any hand injury can hamper basic hand movements and significantly affect the quality of life.
hand injury treatment chennai




It is a common condition that occurs when one of the primary nerves to the hand, known as the median nerve is squeed or compressed. It causes a feeling of numbness, tingling, and weakness in the hands. This condition is common in people who perform repetitive work using wrist and hand like typing. Doctors can suggest Steroid injections, Oral anti-inflammatory drugs, braces or splints as part of the nonsurgical treatment procedure. Surgery might be required if none of the nonsurgical procedures are effective in treating the condition.


It is a common hereditary disorder that causes an abnormal thickening of the tissue between the skin and the tendons in the palm. The initial symptom of the condition is the occurrence of a small lump or nodule in the palm. As the disease progress, the nodule might become painless and cause the curling of the fingers. Treatment will be most effective when sought only at an early stage.non surgical options like collagenase and corticosteroid injections are used to treat the condition.


It is a condition characterized by the inflammation of the tissues that surrounds the joint. The two types of arthritis that affect the hands are Osteoarthritis and Rheumatoid Arthritis. The former is caused due to the natural aging process whereas the later due to the immune system dysfunction. Both the conditions attack and wear away the protective cartilage lining between the bones in the hand and wrist. The noticeable symptoms include swelling, pain, or burning in the joints, lack of strength, and difficulty moving the wrist. The advanced treatments available to treat the condition are arthroscopic and minimally invasive techniques.
hand injury treatment chennai



Ganglion cyst is the most common hand tumor that grows either on the top or inner side of your wrist. Most hand tumors are not considered cancerous. The early indicator of the cysts is the appearance of the lump that might cause discomfort and pain. Aspiration is the most common treatment method used to treat cysts.

Apart from the above mentioned, other disorders that require immediate diagnosis and treatment include conditions like Fractures, Tendinitis, and Finger conditions(Mallet Finger, Nail bed injuries, and Trigger finger).

For effective and advanced treatments for your orthopaedic conditions, visit TOSH - Trauma and Orthopaedic Speciality Hospital,Chennai.
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Tuesday, 25 June 2019

How Effective Is Stem Cell Therapy?

Stem Cells are the body's raw materials from which cells with specialized functions are generated. Under a particular condition in the laboratory or the body, the stem cells divide to form daughter cells. Now, these daughter cells either become new stem cells or they become specialized cells which have some specific function. Scientists have started utilizing these stem cells in various medical fields.

The stem cell therapy is improvising rapidly in the field of medicine. The treatment involves separation of the stem cell from the bone marrow and applying it to various defective parts of the body. In the field of orthopaedics, it has helped to cure various disorders like osteoarthritis, cartilage repair & regeneration, tendinitis, non-union of fractures and osteonecrosis.

What benefits does stem cell therapy offer?

At present there are two types of stem cell injections one is the PRP (Platelet Rich Plasma) and the other is the BMAC (Bone marrow aspirate concentrate). PRP therapy is the most effective form of Stem Cell therapy. It offers 5 main benefits:
  • It involves naturally-induced rejuvenation without the use of any strong acids, plumping agent or pharmaceutical chemicals.
  • The therapy has worked great for unresponsive injuries. For any sort of chronic pain, PRP therapy has helped to reduce the pain and other complexities related to the disease.
  • Not only PRP, but other stem cell injections also involve faster recovery. In the orthopaedic field Stem cell therapies have helped to cure redness and swelling within a short period.
  • The stem cell therapy also helps to reduce scarring post any complicated surgery.


Well, it should be noted that not all stem cell treatments are equally beneficial. Only the ones that involve bone marrow transplantation have proved to be safe and effective.

The TOSH Trauma & Orthopaedic Speciality hospital is a one-stop destination for all your orthopaedic related issues. It offers a plethora of advanced treatment options that meet international standards. Here we also perform Stem cell therapies like knee cartilage rejuvenation and PRP therapy to restore the joints and rejuvenate the area naturally.

For any orthopaedic related issues, call at +91-44 4903 4903, 09894467903.

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