Tips to Consider Before Undergoing Shoulder Surgery

There is a complex procedure involved in a shoulder surgery. There are different types of shoulder surgery options available for the patients to consider. However, shoulder operation is only considered when the conservative shoulder treatment methods fail to deliver results.

The type of shoulder surgery depends on the patient’s particular problem and the best operation that suits their requirements. Here are some general tips to consider when you are undergonig a shoulder surgery.

Try to Get a Comfortable Sleep

After the surgery you need to get a comfortable and good night sleep. You may have difficulty sleeping with your arm wrapped in a sling or arm mobilizer. Therefore, you must not role on the shoulder that just underwent the surgery. Therefore, you need to sleep in a recliner to avoid rolling over to one side. Sometimes, sleeping on the sofa can help with the support of the pillows. Try to have different positions to find a goodnight sleep.

Ask a Friend or a Family Member to Accompany You

You are advised not to go alone for the surgery. You will have to take care of the shoulder before and after the surgery. Therefore, you will not be able to drive to and back from the hospital. You will probably need assistance getting into the vehicle. A person accompanying you to and back from the shoulder surgery can help with small tasks which may become difficult.

Narcotic Pain Medicines Can Help

Sometimes, your orthopedic surgery doctor may ask you to take narcotic pain medicine before the surgery. Therefore, you must strictly follow the routine of taking medicine as per the doctor’s advice. If you delay or miss your medication, you may feel increase in pain and swelling. Sometimes, taking medicine before the administration of anesthesia can help subside the pain during and after the surgery. The narcotic pain medicines may make you vomit or nausea. The narcotic medicine can also help you easily go to sleep.

Work on Decreasing the Swelling and Pain

Your orthopedic surgeon may advice you from the different types of cold therapies. Therefore, you must follow your doctor’s advice for applying a typical type of cold therapy. The use of cold therapy helps reduce shoulder swelling after the surgery. You may have to use from any of the cold therapy devices or ice to reduce swelling. However, you must only use the cold therapy for a shorter period of time on more frequent basis.


Elbow Fracture and Its Various Kinds

The elbow fracture occurs in the bony tip. Let us have a look at the types of elbow fracture.

Olecranon Fracture

Ulna in the elbow is prone to fractures. The lack of a muscle or ligament protecting the ulna can result in olecranon fracture. A strong yet sudden contraction of muscles can result in a fracture. Sometimes, a patient’s fall on their elbow can also result in olecranon fracture. The fall can result in breaking of the elbow bone ulna. Some symptoms of olecranon fracture can result in tenderness or sharp pain.

Distal Humerus Fracture

Distal humerus is referred to the rounded bottom of the elbow. This rounded structure moves around the head and ulna. The fracture of the ulna and head is not very common among other types of elbow fracture. Sometimes a hard injury to the elbow can result in distal humerus elbow fracture. Injury, tenderness, or swelling are often symptoms of distal humerus elbow fracture.

Radial Head Fracture

Radial head is also part of the radius bone in the forearm. The bone meets the elbow from within. The radial head fracture can also occur if a person tries to protect themselves during a fall while using their elbow. The impact can result in radial head coming into humerus bottom. Sometimes, this type of elbow fracture can also lead to elbow fracture.

Spinal Tumor and Its Various Kinds

There are different types of a spinal tumor. These spinal tumors need to get checked by a qualified orthopedic surgery doctor. A spinal tumor may or may not be dangerous.

However, in order for you to determine if a spinal tumor is cancerous or not, you need to get in touch with your doctor. Your orthopedic surgery doctor will take a sample from the tumor and send it to a laboratory to check its nature.

The various types of spinal tumor include plasma, bone, and cartilage.

Let us see the different types of spinal tumor.

Benign Bone Tumors

Here is a look at the different types of benign bone tumors.


This type of benign tumor is caused because of a bone growth. The hemangioma develops within the marrow of the bone. This type of spinal tumor most impacts hemangioma. Individuals with a age of 20 to 40 years may have hemangioma spinal tumor.


The osteoblastoma mostly occurs to patients under the age of 30 years. Men are more prone to getting osteoblastoma spinal tumor as opposed to men. Osteoblastoma mostly impacts the column or posterior of the spinal cord.

Osteoid Osteoma

Individuals under the age of 25 are more prone to the osteoid osteoma. Men are at a higher risk of developing osteoid osteoma spinal tumor. Most of the osteoid osteoma spinal tumors are not greater than 2 centimeters in size. The pain becomes difficult to bear at night. You need to take a painkiller to relieve pain. However, only use medicine upon your doctor’s recommendation.

Giant Cell Tumor

Giant cell tumor is a rare but an aggressive form of spinal tumor. Individuals between the age of 20 and 40 years have more chances of having giant cell tumor. The giant cell spinal tumor develops within the sacrum. Sometimes, the giant cell tumor may also develop in the vertebral spine body. The giant cell tumor can also create other problems including bowel and bladder dysfunction.

Malignant Bone Tumors

The malignant bone tumors of the spine are dangerous. Let us have a look at the different types of malignant spine tumors.


The chondrosarcoma is a very rarely occurring type of spinal tumor. A chondrosarcoma can develop into various multiple myeloma. The development into multiple myeloma is dangerous for the patient.

In some cases chondrosarcoma may be only a single tumor. People above the age of 50 have the chances of getting this type of tumor. Plasmacytoma may occur as a single tumor too. This type of tumor usually attacks the nerve roots and spinal cord. Other areas where this tumor can impact include the vertebral body, causing hunchback.


Chordoma is a slowly growing spinal tumor. Chordoma tumor is a rare medical condition which may impact the coccyx and sacrum. Men are a greater risk of developing chordoma. Individuals of age 50 to 70 may have a higher chance of developing chordoma.


Osteosarcoma is a tumor which rarely attacks the spinal cord. This type of tumor affects anterior vertebral body. In some cases, this type of tumor can impact the posterior spine elements. Women and men have an equal chance of developing osteosarcoma. People between the ages of 20 and 30 with Paget’s disease may develop osteosarcoma.

Ewing’s Sarcoma

Children between the age of 10 and 15 are more prone to the Ewing’s sarcoma. The rapid development in the bones can cause Ewing’s Sarcoma. The male children are at a greater risk of developing Ewing’s Sarcoma. Sacrum is the area where most of the Ewing’s Sarcoma occur.   


Lymphomas is referred to the cancer with lymphatic system of the body getting impacted. Lymph plays an important role in the body by fighting various types of infection. Sometimes, the lymph may become uncontrollable.

Reverse Shoulder Arthroscopy and Shoulder Injuries

The process for reverse shoulder arthroscopy is reverse to that of the normal shoulder replacement surgery. The shoulder socket exchanges place with the cup. The orthopedic surgery doctor fixes metal ball to the socket and plastic cup to humerus.

Patients who previously had unsuccessful cuff tear arthroscopy would prefer to undergo reverse shoulder arthroscopy. In many types of shoulder injuries, it is probably the best available option to the patients. The purpose of reverse shoulder arthroscopy is to use different types of muscle groups for the arm and shoulder movement. After a successful reverse shoulder arthroscopy, the patient will use their rotator cuff muscles for making the movements.

Patients Who Need To undergo Reverse Shoulder Arthroscopy

There are certain types of shoulder injuries where reverse shoulder arthroscopy can greatly help. Let us have a look.

  • Patients who underwent arthropathy for the treatment of rotator cuff tear.
  • The failure of conservative treatment methods to treat shoulder injuries. In such cases, patients may need to go reverse shoulder arthroscopy.
  • The shoulder joint’s complex fracture which otherwise becomes difficult to treat.
  • When the patient is suffering from pain due to lifting of their arm.
  • In cases of an unsuccessful shoulder replacement surgery.

Let us have a look at the different shoulder injuries.


There are small sacs with liquid in them for reducing bone and muscle friction. Bursa help the bones better glide without friction. Sometimes, overuse of the joint can result to bursitis shoulder injuries.

In some cases the problem of shoulder bursitis may occur with the rotator cuff tendinitis. The inflammation can lead to swelling and pain. The bursitis can result in difficulties for the patient in performing routine tasks.

Acute Shoulder Tendinitis

The acute shoulder tendinitis occurs when a patient has difficulty in raising their arm above shoulder or head level. The typical reasons for these kinds of shoulder injuries include work stress or sports activities.

Chronic Shoulder Tendinitis

Different types of degenerative diseases or arthritis can cause chronic shoulder tendinitis. Age at times may also increase the chances of developing chronic shoulder tendinitis.


Tendons help form connection between bones and muscles. The wearing down of these tendons affect impacting the joint of the shoulder over time. Tendinitis of the shoulder may eventually lead to splitting up to cause a big tear.

There are two types of shoulder tendinitis, chronic and acute. In acute shoulder tendinitis the patient feels severe pain when rising their shoulder above the head. The chronic shoulder tendinitis can be the result of a degenerative disease, contributing to shoulder tendinitis.

Tendon Tears

The split or tear occurring because of an impacting injury. Sometimes, the changes because of degenerative diseases or advancing age may also contribute to more wear and tear. The tears may be partial or full.

In most cases shoulder injuries involve complete tendon tears .The tendon tears pull the bone apart from the muscle. The biceps tendon tear and rotator cuff tear are the most common types of such shoulder injuries.


The pressure that the shoulder exerts on the top of the soft tissues may result in shoulder impingement. Such conditions can become difficult for the body to handle. The shoulder injuries resulting from impingement can result in bursitis or tendinitis. In rare cases, impingement can lead to rotator cuff tear.


Sometimes, the upper arm bone may get out of its socket, causing shoulder instability. The wear & tear, overuse, or injury can cause shoulder instability.

The loosening of the muscles and tendons around the joint can cause these types of shoulder injuries. Get in touch with your orthopedic doctor in Sioux Falls, SD to help you overcome your shoulder problem.


Similarly, shoulder injuries may also result from arthritis. The most common type of arthritis is related to osteoarthritis. The swelling, stiffness, and pain can be the result of shoulder arthritis. It takes time for the osteoarthritis to its damage to the entire shoulder joint. Other side effects of shoulder arthritis may include infection, rotator cuff tear, and inflammation in the joints.


The breaking of the shoulder is commonly referred to fracture. These types of shoulder injuries usually occur because of an accident. Sometimes, these injuries occur because of a patient falling on their shoulder. Motor vehicles are typical accidents that cause shoulder fractures. Other impacts of shoulder fractures include pain, swelling, and bruising.

Shoulder Injuries You Need To Know About


Shoulder injuries can happen to any individual. There are different types of shoulder injuries. Let us have a look at the different types of shoulder injuries.

Rotator Cuff Shoulder Injuries

When there is inflammation in muscles or tendons in the shoulder, it can result in rotator cuff tear shoulder injuries. People who play sports involving shoulder can have the rotator cuff tear.

Let us have a look at some of the treatments of rotator cuff tear.

  • The physician in Sioux Falls Orthopedics may suggest the patients to use non-steroidal drugs. These drugs help reduce the inflammation in the patients.
  • The application of cold packs can also help improve the overall shoulder condition.
  • The Sioux Falls Orthopedics surgeon may ask the patient to avoid physically challenging activities.
  • In some cases the doctor may prescribe the patient the use of nonsteroidal anti-inflammatory drugs.  

Shoulder Sprains

Strain or sprain in the shoulder causes a tear. A patient may have from any of the two types of shoulder sprains, acromioclavicular joint sprain or sternoclavicular joint sprain.

Let us have a look at these types of sprain involving shoulder injuries.

Sternoclavicular Joint Sprain

A tear occurring in the sternoclavicular joint is known as sternoclavicular joint sprain. It is a rare type of shoulder injury to the patient. There are three levels of sternoclavicular joint sprain, Grade I, Grade II, and Grade III.

Acromioclavicular Joint Sprain

Acromioclavicular joint sprain occurs between collarbone and acromion. It is a common type of shoulder sprain injury. The acromioclavicular joint sprain has three levels including Grade I, Grade II, and Grade III.

Treating Sprain Shoulder Injuries

The Sioux Falls Orthopedics doctor will treat each patient as per their specific needs. Let us have a look at the treatments for both types of shoulder sprains.

Treatment of Sternoclavicular Sprain

The treatment of sternoclavicular sprain depends on the level of strain. Grade I sternoclavicular sprains involve the use of non-steroidal anti-inflammatory medicines. The doctor may ask the patient to use a sling for a couple of weeks. Grade II sternoclavicular sprains require the Sioux Falls Orthopedics doctor to use the sling for an extended period of three to six weeks. For grade III sternoclavicular sprains, the doctor may ask the patient to under a surgery.

Treatment of Acromioclavicular Joint Sprain

The doctor may recommend the use of anti-inflammatory medicines for treating Grade I and Grade II acromioclavicular joint sprain. The use of sling becomes necessary for treating a Grade III acromioclavicular joint sprain shoulder injuries. In rare cases, the patient may be asked to undergo a surgical procedure.

Shoulder Gout

Gout is an orthopedic condition which can occur in part of the human body. The main reason behind gout is increased uric acid in the blood.

Let us have a look at some of the symptoms of gout in the shoulder.

  • A reduced mobility of the shoulder which affects motion because of high levels of uric acid in the blood.
  • The formation of crystal lumps which make it difficult for the shoulder joint to function.
  • Continuous pain in the shoulder region.

If you face similar problems, get in touch with your Sioux Falls Orthopedics doctor today. Here are some ways of improving a gout affected shoulder.

  • Maintain a proactive and healthy lifestyle and follow up with your doctor on routinely basis.
  • The use of corticosteroids and pain relievers can help normalize uric acid blood levels.
  • The orthopedic surgery doctor may ask the patient to take anti-inflammatory or non-steroidal medicines.

Thoracic Outlet Syndrome

Any injury or disease which compresses blood vessels or nerves in thoracic outlet can this shoulder problem. The compressing of blood vessels, nerves, or muscles can cause serious problem. This pain may radiate to other parts of the body too like shoulder, arms, and neck.

Possible Causes of Thoracic Outlet Syndrome

  • The overuse of the shoulder joint or arms can cause this injury.
  • A person born with extra rib can have thoracic outlet syndrome.
  • Poor body posture and obesity can result in thoracic outlet syndrome.
  • Any injury which results in compressing of the vessels and nerves.

Treating the Thoracic Outlet Syndrome

  • One way to treat the thoracic outlet syndrome is to reduce weight.
  • The Sioux Falls Orthopedics surgeon may ask the patient to undergo physical therapy.
  • The doctor may prescribe the use of over the counter medications to help reduce pain.
  • In some cases surgery becomes inevitable for treating Thoracic Outlet Syndrome. Surgery will help treat such shoulder injuries.

Shoulder Osteoarthritis

Shoulder osteoarthritis is more common in individuals above the age of 50. However, young people can get affected because of this problem. In young people an injury or trauma  can trigger shoulder osteoarthritis. Sometimes, shoulder injuries due to fracture or dislocation can result in osteoarthritis. A patient having shoulder problem due to injury or trauma is known to have post-traumatic arthritis. In rare cases shoulder osteoarthritis can be hereditary.  

Here are some ways your bone doctor may recommend.

  • Dietary supplements can help improve the shoulder osteoarthritis condition.
  • The use of anti-inflammatory medicines can help relieve pain.
  • The doctor may ask the patient to apply ice on the affected shoulder area.
  • In some cases, exercises, physical therapy, or resting can help.

Frozen Shoulder

A reduced mobility of the shoulder joint is considered frozen. The thickening or tightening of the shoulder joint occurs due to different reasons. The thickening seriously impacts mobility and limits movement. Stiffness, swelling, and pain are common symptoms of frozen shoulder.

In some cases different types of illnesses can also cause a frozen shoulder. These illnesses include weak immune system, hormonal imbalance, or diabetes.

Let us see which individuals are more prone to the frozen shoulder injury.

  • A patient who wears a sling for a long time can have a frozen shoulder. This is typically true for older individuals with rigid bone structure.
  • The lack of activity and a lazy lifestyle can result in this type of shoulder injury.
  • Thyroid disorders can cause frozen shoulder.

Rotator Cuff Injury

There are four muscles in the shoulder that work together. These four muscles work together to stabilize the joint. A tear in any of these four muscles can cause rotator cuff tear.

Let us look at the potential reasons behind rotator cuff injury.

  • The patient may need to avoid activities which cause rotator cuff tear.
  • The application of cold packs as per the directions of the Sioux Falls Orthopedics doctor can help.
  • Sometimes, anti-inflammatory drugs can help the patient.
  • Steroids, physical therapy, and surgery are also helpful for treating rotator cuff tear.

Rotator Cuff Tendinitis

Inflammation in the tendons or muscles of the shoulder joint refer to the condition of rotator cuff tendinitis. People who actively participate in sports activities are prone to the rotator cuff tendinitis.

Treatment of Rotator Cuff Tendinitis

  • The patient may need to use non-steroidal medications to facilitate a reduction in inflammation.
  • The doctor may ask the patient to avoid activities which may result in rotator cuff tendinitis.
  • The application of the cold ice packs as per the doctor’s instructions can help reduce inflammation.
  • In some cases the use of steroids, surgery, or physical therapy may help. Home care can come in handy for these types of shoulder injuries.

Simple Tips to Avoid Shoulder Injuries

Shoulder Stretching Exercises

Simple shoulder stretching exercises are important for the health of the joint. If you are suffering from any of the shoulder injuries, consult your orthopedic physician before undergoing any particular type of training.

A Straight Standing Posture

Make sure to stand and sit straight. Posture plays an important role in avoiding unnecessary burden on the shoulder joint. Make a habit of keeping a proper posture. Proper posture is also good for your spine and other joints of the body.

Avoid Too High Lateral Shoulder Raise

Do not unnecessarily raise shoulders laterally above 90 degree. Avoid this mistake when doing a lateral shoulder exercise while lifting weights. This high lateral shoulder lift puts more pressure on the shoulder joint.

Work on Improving Strength of External Rotators

There are different exercises you can do to strengthen different parts of the shoulder. You can do different shoulder exercises to improve the overall strength. Make sure not to overdo an exercise or in a wrong way.

Knee Replacement Surgery – Things You Need To Know

Knee replacement surgery is an important decision in a patient’s life suffering from related health issues. Let us have a look at some of the facts related to knee.

Minimally Invasive Surgery

There are two ways of conducting knee replacement surgery. The orthopedic surgeon can use the minimally invasive surgery or traditional surgery to replace the knee joint.

However, an overwhelming number of orthopedic surgery doctors give preference to minimally invasive surgery. The primary reason for this preference is use of smaller incision. The use of smaller incisions helps reduce the damage done to soft tissues.

Your orthopedic surgeon is the best person to decide the procedure for you. Some research studies show that minimally invasive surgery is better. In many cases it helps reduce hospital stays, reduce blood loss, and improves knee mobility function. However, some other studies suggest that at times it increases risk of complication. The poor position of knee implants can result in loss of motion.

Therefore, at times, minimally invasive knee surgery may not be the best option. The orthopedic surgery doctor will require bigger incision to have more working space.

Weight Loss Can Play Important Role

At times, simple lifestyle altering choices can go a long way in overcoming knee pain. For example, many orthopedic doctors maintain that we must maintain a healthy lifestyle. Similarly, they argue that we must keep body weight in check.

Overweight patients have more knee related problems to deal with. These patients can try reducing their weight to have an overwhelming impact. A loss of exercise in obese people results in loss of muscle.

The muscle around the knee also reduces due to no exercise. Weight loss can help reduce symptoms of osteoarthritis. Similarly, more muscle has a positive impact on the knee function and retardation in progression of disease.

However, you need to consult your doctor to know which type of exercise works best for you. You must be careful in selecting an exercise while keeping your knee position in perspective. Do not exercise without asking your doctor about it.

Alternative Treatment Methods May Also Work

Patients often ask if knee replacement surgery is the only option? Well, in some cases it may be the only option. While, in order cases, your orthopedic surgery doctor may recommend other ways to treat knee pain.

In some patients, you do not need to have a complete knee replacement surgery. The bone surgeon may recommend the patient to undergo partial knee surgery. The orthopedic surgeon recommends partial knee surgery to patients with limited damage to the knee. The disease did not have an impact on the bone and the cartilage remains healthy.

The benefit of total knee replacement surgery is reduced pain and quicker recovery times. However, there exists a risk of a revision surgery if arthritis starts affecting other parts of the knee.

Technological Advancements Took Place in Knee Replacement Surgery

Over the years, advancements in knee replacement surgery techniques have improved a great deal. Patients usually avoided knee replacement surgeries till it became inevitable.

The advancement in materials, technologies, and techniques have had a considerable impact on the quality of treatment. Nowadays, orthopedic surgeons mark precise locations for implanting the implants in the exact location. Over 200 different types of implant sizes are available to help the surgeon better decide the right fit.

Trauma and Injury Has Devastating Impact on Knee Joint

Injury has a bad impact on the knee. Similarly, trauma can have a bad impact on the knee. However, it is seldom a case where the damage could impact the joint surface. For these kinds of issues, the orthopedic surgeon will advise measures like rehabilitation, immobilization, or reconstruction.

However, a very small percentage of patients may need to undergo knee replacement surgery. These are the typical cases where the joint’s surface deteriorates due to the impact of an injury. The condition occurs because of the ligaments not holding the knee together. Doctors recommend patients with such problem to avoid high-impact sports and activities.

Common Questions Relating to Knee Replacement Surgery

Let us have a look at some of the common questions patient ask. For answers to all your questions, get in touch with Dr. Dave Watts of Sioux Falls Orthopedics.

What is the life of an artificial knee joint?

The various studies conducted on knee replacement surgery show 85 percent success ratio. However, the modern materials make it possible to last for up to 20 years. But does depend on the usage. Too much wear and tear can result in early problems in performance. Therefore, you must limit your physical activities to prolong the components life and performance.

Is there a need of using special equipment?

The orthopedic surgery doctor will recommend the patient to use CPM machine, when lying on bad or a flat surface. The orthopedic surgeon may give this device to the patient before sending them home.

CPM stands for continuous passive motion. The purpose of this machine is to gently flex the knee joint. The purpose of this machine is to improve knee movement. Most patients want to facilitate their quick recovery. CPM machines lets them improve their knee joint movement. Consult your doctor if you need a CPM machine or not. In other cases, the doctor may ask you to use special mobility equipment including crutch or walker.

Any measures or precautions to take during recovery at home?

Some patients live in a multi-storey building. They need to make sure that they shift their bed on the ground floor. Try to clear any obstructions and clutter which may curtail your movement. You may consider using garb bar in the shower or tub.

What kind of expectations should you set recovering from knee replacement surgery?

In most cases, the patient will be able to start walking in a day or two. They may have to use some kind of walking support like crutches or walker. The physical therapist will assist with the different bending exercises after knee replacement surgery.

The length of post-knee surgery therapy depends on the patient’s health and type of procedure. It usually takes several weeks for the patient to fully recover. The different exercises help improve mobility of the joint. In some rare cases with no support available at home, the doctor may ask the patient to stay at a rehabilitation facility.

Expectations Immediately After Surgery

In most cases, the patient will have a drain after surgery for removing the fluid. The patient will have an elevated knee and with a CPM machine attached. The attachment of a catcher will ensure that you do not need to go to the toilet. The doctor may ask the patient to wear a compression bandage.

After the surgery, the doctor administers intravenous antibiotics for reducing changes of blood clots. Sometimes, the patient may feel stomach upsets, something doctors consider normal.The doctor may advise the use of medication to reduce stomach pain.

Anaesthesia During Surgery

There is truth in risks related to anaesthesia. However, there is a low rate of complications in general anesthesia. There are different types of anesthesia your anesthetist may consider. Some options for anesthesia include nerve blocking, epidural, spinal, or  general. Your orthopedic surgeon will discuss with the anesthetist the type of anesthesia to administer.

Pieces Used in Knee Replacement Surgery

The orthopedic surgery doctor will use implants made of multi-grade plastic and metal. The sealing of these components to your bone will play an important role. The use of bone cement helps set the components in. However, it depends upon the doctor. Sometimes, they may choose to use an approach not involving cement. In this method, the use of porous coating results in growth within the tissue. In some rare cases, the surgeon may simultaneously choose to use both approaches.

The Actual Procedure Behind Surgery for Replacement of Knee

The surgery starts with an incision at the top of the knee. This incision lets the surgeon expose the damaged knee area. The traditional method of surgery required an incision of up to 10 inches. However, the minimally invasive surgery requires shorter incisions. Sometimes, a 4 inches incision is enough to expose the bone.

After incision the orthopedic surgeon will be able to move the kneecap aside. The orthopedic surgery doctor will cut away the damaged portion of the bone and cartilage. After replacing the damaged bone and cartilage, the orthopedic surgery physician will replace them with plastic and metal components.

The orthopedic surgery specialist ensures the components are biologically compatible. The aim is to mimic natural movement of the patient’s knee. It usually takes 1.5 to 2 hours for the orthopedic knee replacement surgery to take place.

Is Surgery the Only Option?

No, it depends on the extent of damage. In some cases, surgery may be the only option. However, there are certain tips you can follow in consultation with your doctor.

  1. The doctor may administer the patient with bone marrow concentration injections. The physician may inject our own bone marrow cells into our body. This will help improve the healing of the injury in the knee joint. However, this type of treatment is more effective in younger patients.
  2. The use of plasma rich injections can sometimes help. Some famous athletes do use this method to overcome knee pain. The process works by concentrating your body’s growth factors into platelets.
  3. The use of hyaluronic injections may also help in some cases. The procedure originally applicable in plastic surgery can also help knee joint pain. It is a thick lubricant driven from rooster comb. This procedure helps overcome inflammation and cushions knee cartilage. This procedure works best in cases of early knee arthritis intervention.
  4. Also, exercise can help relieve knee pain. The orthopedic surgery doctor asks the patient to focus on improving strength of thigh muscles. An increase in thickness of the thigh muscles will help overcome the risk of undergoing knee joint replacement surgery. Ask your doctor about specific exercises to help you overcome knee pain. Some of the exercises the doctor may recommend include pilates, cycling, and swimming.

When Do I Need to Undergo Surgery for Replacing Knee

There are certain requirements you need to meet in order to undergo a knee replacement surgery. Let us have a look at some of these requirements.

Bone on Bone Arthritis

If a patient has a bone on bone issue but due to thinning of cartilage, they must not undergo the surgery for replacing knee joint. The primary reason is that these patients will not get satisfactory results from the surgical procedure. They must get in touch with their orthopedic doctor in Sioux Falls to work on pain management strategies.

Knee Instability

The progressive instability in the knee makes it a lot loose and unstable. The stability can be mild or intense. In rare cases, the bending of knee makes it a lot more instable. The knee upon bending may also create a popping sensation. Such instability may cause the patient to have difficulty in walking or fall. In such cases, the

Effect on Daily Activities

An important reason for considering knee replacement surgery is problems affecting daily life routine. In such cases, even the anti-inflammatory medicines do not have any impact on the patient. You can only consider surgical option when the pain becomes unbearable.

One example is inability of the patient to go out of their home to conduct routine activities. The person with the problem does not want to go out because of the pain. This also includes inability of the patient to go up and down the stairs. Sometimes, the bone on bone arthritis is responsible for this unending pain.
Similarly, extreme knee pain may make it difficult for the patients to go to sleep at night. Even the sleeping pills cannot help the patient go to sleep.

Meniscus Tear, Treatment, and Symptoms


The forceful rotation or twisting of the knee causes knee injuries called meniscus tear. Sometimes, when a patient puts their full weight on the knee, it results in meniscus tear.

There are two menisci which act like cushion between thighbone and shinbone. There are different problems which result because of meniscus tear. There are many issues caused by a meniscus tear. Typical health issues may include swelling, stiffness, and pain. Sometimes, the meniscus tear can also result in blocking the knee motion.

The Causes behind Meniscus Tear of the Knee

Sometimes, injuries can also cause meniscus tear of the knee. At times, the lifting of heavy objects or age contributes to wearing down of the meniscus. Hence, older people have a greater tendency of getting this knee problem.

Common Symptoms Associated with Meniscus Tear

The symptoms vary with the extent of the tear. There are different levels of meniscus tear in the knee. The symptoms depend on the type of the tear including minor tear, moderate tear, and severe tear.

A minor tear only causes a small injury with less pain. The usual time for recovery from a minor injury is 2 to 3 weeks.

However a moderate meniscus tear takes usually 2 to 3 days to get worse. The moderate injury results in sharp pain. A moderate meniscus tear can also result in making the joint a lot stiffer. The patient needs to take a moderate meniscus tear seriously. If not treated properly this kind of knee meniscus tears can take years to heal.

The severe tears of the meniscus can also affect the knee joint. Sometimes, a severe tear like these can lock the joint. The severity of the tears can also result in inability of the patient to freely move their knee. Sometimes, torn meniscus pieces can go into the knee joint, making the condition more painful.

In older patients it is difficult to determine the exact cause of the tear. The patient can only feel pain when moving from a squatting position.

Doctor Diagnoses of the Treatment

These are some of the common ways of diagnosing the problem of meniscus tear.

Physical Examination the Patient

There are different methods used by the physician to look into the knee joint.

X-ray of the Knee

The X-ray may not necessarily show a problem in the meniscus but it can help ascertain other potential customers. Sometimes, an X-ray can reveal other issues responsible for the problem like osteoporosis.

MRI Scans

MRI uses latest magnetic technology to determine the cause of the knee pain. This may include taking pictures from different angles to get a better understanding of the situation.

The Use of Ultrasound

Ultrasound may help take images where ordinary cameras do not work. An ultrasound lets the physician know if there are any loose cartilages.

Physical Examination

A simple yet effective way can be physical examination of the patient. The doctor examines knee of the patient for testing the different motions. The doctor will have a closer look to ascertain exact place of the meniscus tear.

In some cases, the doctor may ask the patient to undergo McMurray test. The McMurray test involves bending the knee and straightening it up to see the joint rotation. The slight pop of the knee during this test can help the physician know about a tear.

Treatment for Meniscus Tear

There are different methods recommended by the orthopedic doctor. You need to consult your orthopedic doctor in Sioux Falls South Dakota for the right type of treatment.

  • The orthopedic doctor recommends their patient to take rest. Sometimes, the patient may be asked to temporarily use crutches. The doctor also asks the patient to avoid activities which may worsen their joint pain.
  • The application of ice every 3 to 4 hours for half an hour can help relieve pain and reduce inflammation.
  • The wrapping of an elastic bandage around the knee can help give temporary comfort to the patient.
  • Sometimes, the physician may ask the patient to elevate their knee to reduce swelling.

Surgery for Overcoming Meniscus Tear Problem

The doctor will recommend an arthroscopic surgery if the knee does not respond to the conventional methods of treatment.

  • The patient may need to use crutches until the day of the surgery.
  • The orthopedic surgeon will ensure all pre-surgery requirements are fulfilled. The tests that the orthopedic doctor may conduct include MRI, EKG, and desired medical clearances.

The patient is asked not to eat or drink the night before the night of the procedure.