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4 Benefits of Advanced Robotic Knee Replacement

As a joint replacement surgeon, I often meet patients who suffer from severe knee pain, stiffness, and limited mobility. If you’re reading this, you may already be considering knee replacement surgery but might feel hesitant. Let me share with you how Advanced Robotic Knee Replacement can help restore your quality of life, with more precision and faster recovery than traditional methods.

Why Consider Knee Replacement Surgery?

When arthritis or injury wears down the cartilage in your knee, the pain can become unbearable. Simple activities like walking, climbing stairs, or even getting up from a chair may feel like monumental tasks. Medications, physiotherapy, or lifestyle changes might help for a while, but when they no longer provide relief, knee replacement surgery can offer a long-term solution.

The main goal of knee replacement is to relieve pain, improve mobility, and allow you to return to an active life. But, like any surgery, it can feel intimidating. That’s where robotic assistance comes in, providing a level of precision and control that enhances the entire process.

What is Robotic-Assisted Knee Replacement?

Advanced robotic technology is revolutionizing the way knee replacements are performed. Unlike traditional surgery, where the surgeon relies solely on manual techniques, robotic-assisted systems help create a highly detailed, 3D model of your knee. This allows for:

  • Personalized Surgical Planning: Before surgery, a 3D map of your knee is created using CT scans. This model helps your surgeon develop a customized plan for your specific anatomy.
  • Increased Accuracy: The robot assists the surgeon in making precise bone cuts, allowing for better alignment of the artificial joint. This precision reduces the risk of complications and enhances the longevity of the knee implant.
  • Minimally Invasive: Robotic surgery often requires smaller incisions, resulting in less damage to surrounding tissue. This means less pain post-surgery and a faster recovery.

Benefits of Robotic Knee Replacement

  1. Better Fit, Better Function: Robotic systems enable the surgeon to fit the new joint more precisely, leading to improved joint function and longevity. This tailored approach can lead to a more natural feel post-surgery.
  2. Reduced Pain and Faster Recovery: Patients who undergo robotic-assisted knee replacement often report less post-operative pain and a quicker return to daily activities. The smaller incisions and precise cuts also reduce trauma to surrounding tissues, helping you heal faster.
  3. Fewer Complications: With robotic precision, the risk of surgical errors is minimized. This reduces the likelihood of common complications like implant misalignment, which can lead to joint instability or uneven wear.
  4. Longer-Lasting Results: Robotic surgery improves the alignment and placement of the artificial knee, which can lead to longer-lasting results and better overall joint function.

Happy patients after knee replacement surgery

Is Robotic Knee Replacement Right for You?

Robotic-assisted knee replacement is suitable for many patients suffering from osteoarthritis, rheumatoid arthritis, or traumatic injuries. It’s particularly beneficial for those who want to optimize their recovery and get back to an active lifestyle as soon as possible.

As a joint replacement surgeon, I have witnessed firsthand the life-changing benefits of advanced robotic technology. Patients who were once hesitant about surgery have seen the advantages of robotic precision, experiencing faster recovery times and greater mobility.

Take the Next Step Towards a Pain-Free Life

If knee pain is affecting your quality of life, it’s time to explore your options. Advanced robotic knee replacement offers a safe, effective, and precise solution for lasting relief. Don’t let knee pain keep you from enjoying the activities you love.

Feel free to schedule a consultation with me, Dr. Manoj Kumar Khemani, to discuss whether robotic knee replacement is the right choice for you. Together, we can find the best path forward to improve your knee health and enhance your quality of life.

Best orthopedic doctor in kolkataContact: +91-8697449191 for Appointment

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Augmented Reality (AR) Technology in Knee Replacement Surgery

Introduction to a Groundbreaking Advancement:

In the realm of knee replacement surgery, a groundbreaking advancement has emerged in the form of Augmented Reality (AR) technology, also known as Virtual Reality (VR) . Spearheading this transformative innovation is Dr. Manoj K Khemani, bringing the future of surgical precision to Kolkata for the very first time.

 

Seamless Integration with AR Technology:

Gone are the days of cumbersome setups and bulky machinery. Unlike traditional robotic systems, AR technology streamlines the surgical process, eliminating the need for additional drilling of pins or alignment rods. With Dr. Khemani’s expertise, patients can bid farewell to the discomfort associated with these conventional methods.

 

Cost-Effectiveness Redefined:

Furthermore, AR proves to be a more economical option compared to robotics. By sidestepping the requirement for expensive consumables, patients can undergo knee replacement surgery with peace of mind, knowing that financial burdens are minimized.

Virtual Reality Artificial Intelligence

Real-Time Precision and Accuracy:

One of the most significant advantages of AR technology lies in its ability to process data in real-time. Captured data is instantly analyzed and projected onto the surgical field, providing surgeons with unparalleled insights into knee alignment. This ensures precise and accurate positioning, ultimately enhancing patient outcomes.

 

Empowering Surgeons with Control and Expertise:

In contrast to robotics, AR surgery places complete control in the hands of the surgeon. Dr. Khemani emphasizes the importance of this hands-on approach, as it reduces the risk of malalignment and ensures that each procedure is tailored to the unique needs of the patient. AR technology serves as a tool to augment the surgeon’s expertise, combining human intuition with the precision of computers.

 

Smooth Transition to Manual Mode:

Moreover, AR offers the benefits of robotic assistance while minimizing the possibility of significant errors. Should the need arise, surgeons can seamlessly transition to manual mode, providing a safety net against unforeseen complications. This flexibility ensures that patients receive the highest standard of care throughout the entire surgical process.

Knee replacement xray

Unlocking the Future: The Synergy of Virtual Reality and Artificial Intelligence in Orthopaedics

The integration of Virtual Reality (VR) technology with Artificial Intelligence (AI) holds immense potential for revolutionizing performance within the medical sector in the future.

Watch YouTube video in Bengali

Watch YouTube video in English

 

A Milestone for Kolkata’s Medical Landscape:

Dr. Manoj K Khemani’s introduction of AR technology marks a significant milestone for Kolkata’s medical landscape. As the first in the region to offer this revolutionary approach to knee replacement surgery, Dr. Khemani is paving the way for advanced medical procedures in Kolkata and beyond.

 

Join the Augmented Reality Revolution in Knee Surgery with Dr. Manoj Kr Khemani:

For patients seeking the pinnacle of precision and innovation in knee replacement surgery, Dr. Manoj K Khemani invites you to explore the possibilities of AR technology. Experience the future of surgical excellence firsthand and embark on a journey towards improved mobility and quality of life.

Dr Manoj Kumar Khemani

Discover more about AR technology with Dr. Manoj Kr Khemani at

Healing Touch Clinic:
59, Bangur Avenue, Block A,
Kolkata- 700055
Appointment: 8697449191
WhatsApp: 8820250803

You can also Contact Us via this contact form.

 

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Gout Diet: What to Eat and What Not

Gout, a type of inflammatory arthritis, occurs due to excessive uric acid in the bloodstream, leading to crystal formation in joints.
The result is inflammation, swelling, and intense pain. Interestingly, diet plays a pivotal role in managing gout since specific foods can either alleviate or exacerbate the condition.

Diet’s Role in best gout treatment

The connection between diet and gout is quite direct. A type of protein called Purine, naturally present in some foods, break down into uric acid. When uric acid levels surge, crystals form in joints, causing gout flare-ups. By choosing the right foods, you can control gout and lessen the risk of painful episodes.

Gout Diet: Foods to Favor

  1. Fruits and veggies: Fill your plate with a colorful array of fresh produce to create a gout-friendly diet. Fiber, vitamins, and minerals abound in fruits and vegetables. Cherries are especially beneficial due to their anti-inflammatory properties that help reduce uric acid levels.
  2. Whole grains: Choose whole grain options such as brown rice, whole wheat bread, and quinoa to keep uric acid in check. Their fiber content is essential for managing this critical aspect of gout.
  3. Lean proteins: Opt for lean meats like chicken, turkey, or fish such as salmon and mackerel. Not only are they low in purines, but they also boast omega-3 fatty acids, which combat inflammation.
  4. Low-fat dairy: Including low-fat dairy products like yogurt and skim milk in your diet may reduce the likelihood of gout attacks. Their uric acid-lowering effects make them an excellent addition to your gout-friendly meal plan.

Gout Diet: Foods to Forgo

  1. Red meats: Red meats like beef and lamb are purine-rich and can increase uric acid levels, triggering gout attacks.
  2. Organ meats: Purine-packed kidneys, liver, and sweetbreads should be off your menu.
  3. Shellfish: Certain seafood varieties, including shrimp, lobster, and scallops, are high in purines, contributing to gout flare-ups.
  4. Sugary drinks: Sweetened beverages, containing high-fructose corn syrup, can raise uric acid levels.
  5. Alcohol: Alcohol, especially beer, hampers the body’s ability to eliminate uric acid, increasing gout risks.

More Than Just Diet: Gout Treatment Matters

A well-planned diet is crucial for gout management, but it’s not a standalone cure.

Consult an orthopedic specialist for the best gout treatment in Kolkata, who can devise a comprehensive plan, including medications and lifestyle changes to control uric acid levels and inflammation.

In some instances, the top arthritis treatment in Kolkata may be required to tackle joint damage caused by recurring gout attacks.

Final Words

Though gout can be extremely painful, adopting the right dietary choices can significantly lower the risk of flare-ups. A balanced diet, coupled with proper medical treatment, can effectively manage gout.

Seek the best gout treatment in Kolkata or the top arthritis treatment in Kolkata if you’re dealing with frequent gout episodes. Work with your healthcare provider to keep gout under control and enjoy a healthy, active life.

Direction:-

https://g.page/dr-manoj-kumar-khemani

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Play Sports? You’re at Greater Risk for Arthritis

Keeping fit and active through sports is fantastic for overall well-being. However, there’s a flip side to this coin…

Did you know that athletes and individuals who play sports have a higher risk of developing orthopedic issues like arthritis?

If you play sports, learn about the connection between sports and arthritis, the early warning signs to watch for, and practical steps to prevent its onset.

How and Why Sports Expose You to Arthritis Risks

Exercise is great for maintaining a healthy lifestyle. Yet, participating in sports can also lead to an increased likelihood of arthritis. The root cause?

Repetitive stress and high-impact activities take a toll on your joints. Sports such as football, rugby, running, or tennis put significant wear and tear on joint cartilage, leading to arthritis over time. The most affected joints include the knees, hips, and shoulders.

Arthritis: Early Signs to Look Out For

Arthritis often creeps up gradually. To access the best arthritis treatment in Kolkata, it’s vital to recognize these early symptoms:

  1. Persistent joint pain and stiffness, often worse after inactivity or exercise.
  2. Inflammation and swelling around the affected area.
  3. Limited range of motion, making daily tasks difficult.
  4. A grinding or crackling noise during joint movement, suggesting cartilage deterioration.

If you notice these signs, consult a specialist for the best rheumatoid arthritis treatment Kolkata, ensuring a timely diagnosis and treatment plan.

Keeping Arthritis at Bay: Prevention Tips for People in Sports

While engaging in sports may increase arthritis risks, you can take several steps to minimize its early onset:

  1. Warm-ups and cool-downs: Embrace a solid warm-up and cool-down routine to reduce joint stress and enhance flexibility.
  2. Muscle fortification: Build strength in the muscles around your joints for extra support, lowering joint impact.
  3. Weight management: Excess weight strains joints, so maintain a healthy weight with a balanced diet and regular exercise.
  4. Proper gear: Use suitable protective equipment and footwear to avoid injury and joint strain.
  5. Rest up: Allow your body sufficient recovery time after intense physical activities, decreasing overuse injuries and joint damage chances.

Final Words

Although sports might heighten arthritis risks, staying active remains key for your overall health. Pay attention to your orthopedic health by monitoring early arthritis signs and adopting preventive measures.

Seek the best arthritis treatment in Kolkata or the best rheumatoid arthritis treatment Kolkata if you experience any arthritis symptoms. Stay proactive in your health care, so you can continue enjoying sports without compromising your joints.

Direction:-

https://g.page/dr-manoj-kumar-khemani

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Post-Arthroscopy Rehabilitation: 5 Tips for More Effective Recovery

Arthroscopy can be a game-changer for people dealing with joint pain, significantly enhancing their day-to-day living. Once the procedure is done, focusing on recovery becomes paramount to ensure the most favorable results. With the support of Arthroscopy treatment in Kolkata and an orthopedic doctor in Kolkata, you’ll be well-equipped to tackle your post-operative journey.

Here are five handy tips for more effective post-arthroscopy rehabilitation:

1) Heed your doctor’s guidance

It’s of utmost importance to follow the specific directions provided by your orthopedic doctor. These instructions will help you take care of the surgical area, manage discomfort, and perform exercises to fortify your joint. Adhering to these guidelines is essential for a seamless recovery and for avoiding possible complications.

2) Start physical therapy when advised

Engaging in physical therapy is critical for regaining strength, flexibility, and joint mobility after arthroscopy. Your therapist will create a customized plan based on your individual requirements, incorporating gentle stretches, strengthening exercises, and low-impact activities. Embarking on therapy as soon as your doctor gives the go-ahead will optimize your recovery.

3) Exercise patience and establish achievable goals

Recovery from arthroscopy is a gradual process, so it’s crucial to remain patient with your progress. Set attainable goals and take the time to celebrate small achievements, which will help maintain motivation and focus throughout your rehabilitation.

4) Embrace a healthy lifestyle

Living healthy is an important factor post any type of orthopedic surgery. This usually includes eating a balanced diet, getting enough sleep, and keeping yourself hydrated. Avoiding smoking and limiting alcohol consumption is also important. A healthy lifestyle will promote healing, as well as improve your general well-being.

5) Stay in touch with your healthcare providers

Keep communicating with your orthopedic doctor or physical therapist throughout the recovery. If you have any concerns, discuss them with your doctor. Similarly, if you’re facing any challenges, get prompt help. You should always be able to rely on your healthcare provider or an orthopedic doctor in Kolkata to recover better after your surgery.

Final Words

Focusing on your post-arthroscopy rehabilitation is more than just about resting. You have to take proactive steps in ensuring you’re healing faster. If you have any questions about arthroscopy treatment in Kolkata, get in touch with a specialist today.

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https://g.page/dr-manoj-kumar-khemani

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Common Reasons Knee Replacement Surgeries Fail

Knee pain can be frustrating, affecting one’s mobility and quality of life. If you’re facing this issue, you’re not alone. The good thing is there are specialists available to help. The best orthopedic doctor Kolkata can help you alleviate the pain with proper treatment.

The last-line treatment for knee pain is surgery. Generally, knee replacement surgery is very common and has a high success rate. But there are some instances where it can fail.

Here are five common reasons knee replacement surgeries fail:

1) Infection

Infections can occur after knee replacement surgery, which can lead to the failure of the procedure. In some cases, the infection may require removing the artificial joint and doing the surgery again. To minimize the risk of infection, you ideally want to follow your surgeon’s post-operative care instructions.

2) Implant wear and loosening

Over time, the artificial joint components can wear out or loosen, causing pain and instability. This may lead to the need for revision surgery to replace worn or loose components. Choosing a skilled surgeon and high-quality implant materials can help reduce the risk of implant wear and loosening.

3) Incorrect implant sizing or alignment

If the artificial joint is not sized or aligned correctly during the surgery, it can result in pain, instability, and decreased range of motion. A skilled surgeon is crucial to ensure proper implant sizing and alignment, reducing the likelihood of surgery failure.

4) Inadequate rehabilitation

Following knee replacement surgery, it is crucial to participate in a prescribed rehabilitation program. This helps to regain strength, flexibility, and range of motion in the joint. Failure to follow the rehabilitation plan can lead to poor outcomes and potentially cause the surgery to fail.

5) Patient factors

Certain factors can increase the risk of knee replacement surgery failure. These include obesity, smoking, or poor overall health. Maintaining a healthy lifestyle and addressing any health issues prior to surgery can help improve the chances of a successful outcome.

Final Words

It is crucial to choose an experienced surgeon, like the best knee replacement surgeon in Kolkata, and follow their guidance throughout the entire process. With the right doctor and healthcare team by your side, you can ensure successful and lasting knee replacement.

If you’re experiencing knee pain, get in touch with the best orthopedic doctor Kolkata for treatment.

Direction:-

https://g.page/dr-manoj-kumar-khemani

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Is Your Sedentary Lifestyle Destroying Your Hip?

In today’s fast-paced, technology-driven world, a sedentary lifestyle has become increasingly common. Many of us spend most of our waking hours sitting in front of a computer or glued to our smartphones, leading to a host of health issues. One such concern that often goes unnoticed is the impact on our orthopedic health, particularly the health of our hips.

How a Sedentary Lifestyle Affects Hip Health

Prolonged sitting and inactivity can have detrimental effects on our hip joints. The hip joint is a ball-and-socket joint designed to provide a wide range of motion and stability. A sedentary lifestyle can lead to muscle imbalances, tightness, and weakness around the hip joint, resulting in improper joint alignment and reduced mobility.

This, in turn, can cause various hip problems, including hip osteoarthritis, hip impingement, and labral tears. In severe cases, it may even necessitate consulting the best hip replacement surgeon in Kolkata.

Symptoms of a Deteriorating Hip Condition

When your hip is in bad condition due to a sedentary lifestyle, you may experience a range of symptoms. Pain in the groin, buttocks, or thigh area is a common complaint, often accompanied by stiffness or a reduced range of motion in the hip joint.

You might also notice a grinding or clicking sensation when moving the hip, which can indicate cartilage damage or joint inflammation. In some cases, the discomfort may worsen after periods of inactivity, such as sitting for a long time or waking up in the morning. If you experience any of these symptoms, it’s crucial to address the underlying causes and take action to improve your hip health.

Improving Hip Health

There are several strategies you can implement to counteract the negative effects of a sedentary lifestyle on your hips. Here are a few suggestions:

  1. Get moving: Incorporate regular physical activity into your daily routine. Aim for at least 150 minutes of moderate aerobic exercise or 75 minutes of vigorous aerobic exercise per week, combined with strength training twice a week.
  2. Stretch and strengthen: Engage in targeted exercises to stretch tight muscles and strengthen weak muscles around the hip joint. This can help restore balance, improve flexibility, and reduce pain.
  3. Stand up and take breaks: If you work at a desk, make an effort to stand up and walk around every 30 minutes to an hour. This simple act can help prevent stiffness and maintain hip mobility.
  4. Maintain a healthy weight: Excess weight puts additional stress on your hip joints. By maintaining a healthy weight, you can reduce the strain on your hips and minimize the risk of hip problems.
  5. Practice good posture: Proper posture helps ensure that your hip joints are well-aligned and functioning optimally. Be mindful of your sitting and standing posture throughout the day.

Consult a Doctor:

If you’re concerned about your hip health, it’s essential to seek professional advice. Visit the best orthopedic surgeon in Kolkata for a thorough evaluation, diagnosis, and personalized treatment plan. Early intervention can help prevent further deterioration of your hip condition and improve your overall quality of life.

Don’t let a sedentary lifestyle destroy your hip health. By staying active, stretching, strengthening your hip muscles, and seeking medical advice when needed, you can maintain healthy hip joints and enjoy an active, pain-free life.

Direction:-

https://g.page/dr-manoj-kumar-khemani

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Physical Therapy After Orthopedic Surgery: All You Need to Know

Physical therapy is a crucial aspect of the recovery process after orthopedic surgery. It involves a series of exercises, stretches, and techniques designed to restore strength, mobility, and function to the affected area. This comprehensive guide will provide insights into the role of physical therapy after orthopedic surgery, the process, and why it is essential for a successful recovery.

Orthopedic Surgeries Requiring Physical Therapy

Orthopedic surgery is a broad term that encompasses a range of procedures aimed at addressing issues related to the musculoskeletal system, including bones, joints, ligaments, tendons, and muscles. Some common orthopedic surgeries that require physical therapy include:

  1. Joint replacement (hip, knee, or shoulder)
  2. Arthroscopic surgery (minimally invasive joint surgery)
  3. Spinal surgery (fusion, discectomy, or laminectomy)
  4. Fracture repair
  5. Ligament injury treatment in Kolkata or other locations

The Process of Physical Therapy

The physical therapy process typically begins with an initial evaluation by a licensed physical therapist, who will assess your condition and create a personalized treatment plan. The plan will include specific exercises and stretches tailored to your needs, goals, and abilities.

There are three primary phases of physical therapy after orthopedic surgery:

  1. Early postoperative phase: This phase focuses on reducing pain and inflammation while protecting the surgical site. The therapist may use passive range-of-motion exercises, gentle stretches, and manual therapy techniques to help facilitate healing.
  2. Intermediate phase: As pain and swelling subside, the therapist will introduce more active exercises to improve strength, flexibility, and balance. These may include resistance training, proprioceptive exercises, and functional activities.
  3. Advanced phase: The final stage of physical therapy focuses on helping you return to your daily activities, sports, or hobbies. The therapist will incorporate sport-specific exercises and drills to ensure a safe and effective transition.

Beyond Physical Therapy: Holistic Recovery

While physical therapy is a critical component of recovery after orthopedic surgery, it is not the only factor that contributes to successful rehabilitation.

A holistic approach to recovery should also include pain management, proper nutrition, adequate rest, and emotional support. Your physician or the best orthopedic doctor in Kolkata may prescribe medications to help manage postoperative pain and discomfort.

Eating a balanced diet rich in proteins, vitamins, and minerals can promote healing and speed up recovery.

Giving your body time to heal is crucial, so be sure to follow your surgeon’s recommendations on activity restrictions and gradually increase your activity level as directed.

The emotional aspect of recovery should not be overlooked, and reaching out to friends, family, or a support group can help you cope with the challenges of rehabilitation.

Consult with an Orthopedic Specialist

It is essential to consult with an orthopedic specialist to determine if you require physical therapy after surgery. They will evaluate your specific needs and recommend a course of action that is best suited to your individual circumstances.

Physical therapy is a vital part of the recovery process following orthopedic surgery. By working closely with a skilled therapist and following a comprehensive treatment plan, you can improve your strength, mobility, and function and return to your daily activities with confidence.

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https://g.page/dr-manoj-kumar-khemani

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Hip Pain in Young Adults: All You Need to Know

Hip problems aren’t just reserved for the elders.

Especially with the prevalent sedentary lifestyle, even young adults are increasingly facing hip-related issues.

In this blog, we will cover the common symptoms, causes, and treatments for hip problems in younger people.

Symptoms

Hip pain in young adults can be a debilitating condition that affects daily life activities. Common symptoms of hip pain in young adults include:

  1. Hip pain may be felt in the groin, hip, thigh, or buttocks.
  2. The hip joint can become stiff, making it difficult to move.
  3. Limited mobility in the hip joint may occur, leading to a reduced range of motion.
  4. During movement, the hip joint may produce a clicking or popping sensation.
  5. Sitting or standing for prolonged periods may cause discomfort.
  6. Pain may worsen with activity and subside with rest.
  7. Swelling or tenderness in the hip area may be present.

It is important to note that the severity and duration of hip pain can vary greatly among individuals.

Causes

Hip pain in young adults can be caused by a variety of factors, including injury, overuse, and medical conditions. Some common causes of hip pain in young adults include:

  1. Osteoarthritis: A degenerative condition that occurs when the protective cartilage in the joint wears down over time, causing pain and stiffness.
  2. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the hip joint, can cause pain and swelling.
  3. Tendinitis: Inflammation of the tendons that attach to the hip joint can cause pain and stiffness.
  4. Fractures: Trauma or overuse can cause fractures in the bones of the hip joint, leading to pain and difficulty with movement.
  5. Hip impingement syndrome: This condition occurs when there is abnormal contact between the bones in the hip joint, causing pain and restricted movement.

It is important to identify the underlying cause of hip pain in young adults to determine the most appropriate treatment plan. A thorough medical evaluation, including imaging and diagnostic tests, may be necessary to determine the cause of hip pain.

Treatment

The treatment of hip pain in young adults depends on the underlying cause of the pain. In many cases, conservative treatments such as physical therapy, rest, and pain medication can help to alleviate symptoms.

However, some conditions may require more aggressive treatments, including surgery. In cases of severe hip pain or injury, a referral to a specialist such as the best hip replacement surgeon in Kolkata or a bone specialist doctor in Kolkata may be necessary.

Surgical options for hip pain in young adults include hip arthroscopy, which is a minimally invasive procedure to repair or remove damaged tissue in the hip joint.

In cases of severe hip damage, hip replacement surgery may be necessary to replace the damaged joint with a prosthetic joint.

With proper treatment, based on a doctor’s assessment, most cases of hip pain in young adults can be effectively managed through conservative measures, allowing for improved mobility and quality of life.

Final words

If you are experiencing hip pain as a young adult, it is important to take action promptly. Seek medical attention to identify the underlying cause of your hip pain and determine the best course of treatment.

Direction:-

https://g.page/dr-manoj-kumar-khemani