Thursday, December 10, 2015

PRP injection can heal partial rotator cuff tear

A PRP injecion can repair a partial rotator cuff tear. Partial rotator cuff tears are common in middle age patients and cause lot of pain. They can also lead to stiffness.
Traditionally treatment has been strengthening of adjoining muscles, steroid injections and surgical repair. However these procedures often fail.
Now PRP injections can heal partial rotator cuff tears.
I have tested these patients in my practice with more than six months follow up. They have not returned to me with any recurrent complaints.
The procedure is simple and is done under local anesthesia in an outpatient setting.
See for more information.

Sunday, May 03, 2015

Reverse Shoulder Replacement Chennai

 A complex Reverse Shoulder Replacement procedure was undertaken on an Odisha 
patient at a city-based hospital helping restore mobility.
   In a release here today, Dr AK Venkatachalam, who specializes in joint replacements and arthroscopy, said 
Ms P Nair from Bhubaneshwar of Odisha had been 
suffering from left shoulder pain for the last 15 years due towidespread rheumatoid arthritis.
   She could not get any relief from Ayurvedic treatment. CT and MRI scans 
showed advanced bone and soft tissue destruction from the rheumatoid arthritis.
   Rheumatoid arthritis affects all the synovial joints ultimately leading to joint damage and bony 
   As the bony destruction was advanced, Dr A K Venkatachalam decided on the basis of the scan 
reports to perform a Reverse Shoulder Replacement "which was her only option." 
   He performed the surgery that took nearly two and half hours.
   Earlier in 2008, he had performed bilateral knee replacements to help her to walk.
   In a reverse shoulder replacement, the surgeon is faced with extensive damage to the rotator cuff, joint and bones.
   The rationale is instead of relying on the rotator cuff tendons to initiate movement, the surgeon relies on the Deltoid muscle to initiate lifting of the arm.
   The normal position of the ball in a shoulder joint is at the upper end of the arm bone while the socket is at the outer end of the shoulder blade. 
   In this operation, the position of the two is reversed with the ball being shifted to the shoulder blade and the socket to the upper end of the arm bone. 
   The center of rotation is shifted more outward and this makes the Deltoid muscle more effective, he claimed.
   The back side of the un-cemented ball is coated with a ceramic material to allow osseo-integration by the patient’s own bone. The ball will biologically integrate with her shoulder blade. The socket is cemented into the arm bone.
   He said the patient had recovered well and will be discharged in a day. 
   She will be totally pain free and recover full mobility after a course of physical therapy, Dr Venkatachalam said. 
  The total cost of the surgery, which was done at a private hospital in the city, worked out to nearly Rs 4 lakh, he added.
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