Category: orthopedic

Knee Replacement Surgery has become one of the most successful and reliable orthopaedic procedures for people suffering from severe knee pain, stiffness, or mobility issues. Whether caused by osteoarthritis, rheumatoid arthritis, injury, or age-related wear and tear, knee problems can affect daily life, making even simple activities like walking or climbing stairs painful. This blog will help you understand what Knee Replacement Surgery is, how it works, its types, risks, recovery timeline, and why choosing a specialised center like Kolekar Hospital ensures better outcomes.

What Is Knee Replacement Surgery?

Knee Replacement Surgery, also known as knee arthroplasty, is a procedure where damaged knee joint surfaces are removed and replaced with artificial implants (prostheses). These artificial parts recreate the natural movement of the knee, reduce pain, and restore mobility.

It is recommended when:

• Pain persists even after medications, physiotherapy, or injections
  
• Joint deformity like bow legs or knock knees develops
  
• Knee stiffness affects basic activities
  
• X-rays show significant joint damage
  
• Pain affects sleep and daily routines
  

Knee Replacement Surgery offers long-term relief and can significantly improve the quality of life for patients suffering from chronic knee conditions.

Who Needs Knee Replacement Surgery?

Most candidates for Knee Replacement Surgery fall into these categories:

1. Osteoarthritis

This is the most common reason. The protective cartilage in the knee wears away, leading to bone-on-bone friction.

2. Rheumatoid Arthritis

An autoimmune condition causing chronic inflammation and severe joint damage.

3. Post-Traumatic Arthritis

Injury-related cartilage or ligament damage eventually leads to arthritis.

4. Knee Deformities

Excessive bending of the knee, bowing, or misalignment can worsen pain.

5. Failed Previous Surgeries

Patients who have had unsuccessful knee procedures may require revision Knee Replacement Surgery.

Types of Knee Replacement Surgery

Understanding the types helps patients and families make informed decisions.

1. Total Knee Replacement (TKR)

The entire knee joint is replaced with prosthetic components.

Recommended for:

• Advanced arthritis
  
• Severe joint degeneration
  
• Patients with deformity or long-term knee damage
  

2. Partial Knee Replacement (PKR)

Only the damaged portion of the knee, medial, lateral, or patellofemoral, is replaced.

Benefits include:

• Smaller incision
  
• Faster recovery
  
• Less bone removal
  

3. Robotic Knee Replacement Surgery

Robotic-assisted tools help the surgeon perform the procedure with greater accuracy, improving implant fit and longevity.

4. Revision Knee Replacement

Used when a previous implant wears out, loosens, or fails due to infection or trauma.

How Knee Replacement Surgery Is Performed: Step-by-Step Procedure

The process begins with preoperative evaluation and ends with rehabilitation. Here is a detailed overview of the procedure:

1. Preoperative Assessment

• X-rays, CT scans, or MRI
  
• Blood tests
  
• Heart evaluation
  
• Discussion about anesthesia options
  
• Pre-surgery physiotherapy
  

2. Anesthesia

Patients receive either:

• Spinal anesthesia
  
• General anesthesia
  The type depends on the patient’s health and preference.
  

3. Incision and Exposure

A surgical incision is made over the knee to access the joint.

4. Removal of Damaged Tissue

The surgeon removes damaged cartilage, worn-out bone, and any irregular surfaces.

5. Implant Placement

Prosthetic components made from metal and polyethylene are fixed on the thigh bone, shin bone, and kneecap.

6. Alignment and Balancing

Proper alignment is crucial for smooth knee movement and implant longevity.

7. Closure and Dressing

The incision is closed with sutures or staples, followed by sterile dressing.

8. Postoperative Monitoring

Patients are shifted to a recovery room where vital signs are observed.

Components Used in Knee Replacement Surgery

Component	Material Used	Function
Femoral Component	Metal (Cobalt-Chromium)	Replaces thigh bone surface
Tibial Component	Metal + Polyethylene	Replaces shin bone surface
Patellar Component	Polyethylene	Replaces knee cap surface
Spacer	Polyethylene	Ensures gliding movement

Benefits of Knee Replacement Surgery

Patients undergoing Knee Replacement Surgery can expect:

• Long-term relief from knee pain
  
• Increased mobility and flexibility
  
• Ability to walk comfortably
  
• Improved knee alignment and stability
  
• Better quality of life
  
• High success rate (over 95% in most cases)
  

For many people, Knee Replacement Surgery restores the ability to participate in daily activities, travel, or even resume low-impact exercises.

Risks and Possible Complications of Knee Replacement Surgery

Although Knee Replacement Surgery is safe, like any major procedure, there are potential risks. Understanding them helps patients stay alert during recovery.

1. Infection

Deep or superficial wound infections may require antibiotics or additional surgery.

2. Blood Clots (DVT)

Clots can form in the leg veins, especially during the initial days of recovery.

3. Implant Loosening

Rare but possible if the implant wears out over time.

4. Nerve or Blood Vessel Injury

Though rare, nearby nerves or blood vessels may get affected.

5. Stiffness in the Knee

Patients may experience limited knee movement if physiotherapy is delayed.

6. Allergic Reaction to Metals

Some patients may experience irritation from implant materials.

7. Persistent Pain

A small percentage of patients may continue to feel pain despite successful surgery.

Recovery After Knee Replacement Surgery

Recovery is a combination of rest, physiotherapy, lifestyle modifications, and regular follow-ups.

Day 1–3

• Mild walking with support
  
• Pain and swelling management
  
• Leg exercises guided by physiotherapists
  

Week 1–4

• Increased walking distance
  
• Improved knee bending
  
• Transition from walker to stick
  
• Reduced pain medications
  

Month 1–3

• Strengthening exercises
  
• Better balance and stability
  
• Return to routine activities
  

Month 3–12

• Most patients walk comfortably
  
• Implant adjusts to natural movement
  
• Resuming light sports like swimming or cycling (only after doctor approval)
  

Expected Recovery Timeline After Knee Replacement Surgery

Time Period	Patient Progress
1–2 Weeks	Walking with support, reduced swelling
3–6 Weeks	Able to walk comfortably, increased mobility
2–3 Months	Improved knee strength, return to normal routine
6–12 Months	Full recovery, implant functioning optimally

Life After Knee Replacement Surgery

Most patients experience a dramatic improvement in lifestyle after Knee Replacement Surgery. With proper care, the artificial knee can last 15–20 years or more.

Things Patients Can Do

• Walking
  
• Swimming
  
• Climbing stairs
  
• Cycling
  
• Yoga (with modifications)
  

Things to Avoid

• High-impact sports
  
• Heavy weight lifting
  
• Running or jumping
  
• Twisting motions
  

Cost of Knee Replacement Surgery

The cost of Knee Replacement Surgery varies based on:

• Type of implant
  
• Surgeon’s expertise
  
• Hospital facilities
  
• Type of surgery (Total/Partial/Robotic)
  
• Diagnostic tests
  
• Post-operative physiotherapy
  

Kolekar Hospital offers advanced knee care with transparent pricing and personalised treatment plans.

Why Choose Kolekar Hospital for Knee Replacement Surgery?

Kolekar Hospital is known for offering specialised orthopaedic care with advanced technology and expert surgeons. Here’s why patients trust us:

• Experienced knee replacement specialists
  
• High-quality implants with long lifespan
  
• Robotic and minimally invasive surgical options
  
• Excellent physiotherapy and rehabilitation support
  
• Advanced infection control systems
  
• Personalised treatment plans
  
• High success rate and patient satisfaction
  

Our multidisciplinary team ensures that every patient receives complete support from diagnosis to rehabilitation.

Frequently Asked Questions (FAQs)

1. How long does Knee Replacement Surgery take?

Usually 1–2 hours depending on the type of surgery.

2. When can patients walk after Knee Replacement Surgery?

Most patients begin walking with support within 24 hours.

3. How painful is the recovery?

Mild to moderate pain is expected initially and is well managed with medication and physiotherapy.

4. Is Knee Replacement Surgery safe for senior citizens?

Yes, it is safe when performed with proper evaluation and monitoring.

5. How long does the implant last?

Most implants last 15–20 years or more with proper care.

Conclusion

Knee Replacement Surgery is a life-changing procedure for individuals struggling with chronic knee pain, joint damage, or mobility limitations. With proper evaluation, expert surgical care, and structured rehabilitation, patients can return to an active, pain-free lifestyle. If you or a loved one is considering Knee Replacement Surgery, Kolekar Hospital offers reliable, advanced, and personalised care for the best outcomes.

Maintaining good posture is more than just standing tall it’s essential for your spine’s long-term health. In today’s sedentary lifestyle, poor posture has become one of the leading causes of chronic back pain. Whether it’s slouching at your desk, hunching over your phone, or sitting for long hours, improper posture puts constant strain on your muscles and spinal structures.

Let’s explore in detail the link between posture and chronic back pain, its causes, effects, and how to correct it for lasting relief.

What Is Posture?

Posture refers to how you hold your body when standing, sitting, or lying down. Proper posture keeps bones and joints in alignment so muscles are used correctly, reducing stress and wear on the spine.

There are two main types of posture:

• Static posture: How you hold your body while still (sitting, standing, or sleeping).
  
• Dynamic posture: How you position yourself while moving (walking, running, or lifting objects).
  

Both types are equally important for maintaining spinal balance and preventing pain.

How Poor Posture Leads to Chronic Back Pain

When your posture is poor, certain muscles and ligaments are overstretched while others become tight and weak. Over time, this imbalance causes chronic strain, inflammation, and pain.

1. Increased Pressure on the Spine

Poor posture, like slouching or leaning forward, shifts your spine out of its natural “S” curve. This causes uneven pressure on spinal discs, increasing the risk of disc herniation and degenerative changes.

2. Muscle Imbalance and Fatigue

When you slouch, some muscles (like the neck and back extensors) must work harder to hold your body upright. Continuous overuse leads to muscle fatigue, stiffness, and chronic pain.

3. Nerve Compression

Poor alignment can compress spinal nerves, leading to symptoms such as:

• Tingling or numbness
  
• Shooting pain down the legs (sciatica)
  
• Weakness in the lower limbs
  

4. Reduced Circulation and Flexibility

Sitting or standing incorrectly for long hours decreases blood flow to muscles, reducing flexibility and oxygen supply worsening chronic back discomfort.

Common Postural Mistakes That Cause Back Pain

Posture Type	Description	Effect on Back
Slouching while sitting	Rounded shoulders and curved spine	Stretches ligaments and weakens core muscles
Forward head posture	Neck and head extend in front of shoulders	Causes neck and upper back strain
Swayback posture	Hips pushed forward, chest leans back	Increases pressure on lower spine
Flat back	Loss of natural spinal curve	Leads to stiffness and muscle fatigue
Uneven weight bearing	Standing more on one leg	Causes hip and lower back imbalance

Symptoms of Posture-Related Chronic Back Pain

You might not realize poor posture is the cause of your pain until symptoms become persistent. Watch for:

• Dull, aching pain in the lower or upper back
  
• Muscle stiffness or tightness
  
• Pain that worsens after sitting or standing too long
  
• Headaches caused by neck tension
  
• Reduced mobility or difficulty bending
  

If these symptoms persist for weeks or months, it could indicate chronic back pain due to poor posture.

The Science Behind Posture and Spinal Health

Your spine has natural curves cervical (neck), thoracic (mid-back), and lumbar (lower back) that help distribute body weight evenly. Poor posture disturbs these natural curves, placing stress on the intervertebral discs and ligaments.

Over time, this leads to:

• Degenerative disc disease
  
• Spinal misalignment
  
• Chronic muscular tension
  
• Inflammation of joints and tissues
  

In many cases, improving posture can reverse mild spinal misalignment and significantly reduce pain intensity.

How to Improve Posture and Relieve Back Pain

Correcting posture takes conscious effort, lifestyle adjustments, and sometimes medical guidance. Here are some effective strategies:

1. Ergonomic Workspace Setup

• Keep your computer screen at eye level.
  
• Sit with your feet flat on the floor and knees at hip level.
  
• Use a chair with lumbar support.
  
• Take breaks every 30–40 minutes to stretch.
  

2. Strengthen Core Muscles

A strong core supports your spine and prevents slouching. Include exercises like:

• Planks
  
• Bridges
  
• Pelvic tilts
  
• Back extensions
  

3. Mindful Posture Awareness

• Keep your shoulders relaxed and aligned with your hips.
  
• Avoid crossing your legs for long periods.
  
• Stand evenly on both feet.
  
• Use reminders or posture-correcting devices if necessary.
  

4. Stretch Regularly

Tight muscles often lead to bad posture. Focus on stretching:

• Hamstrings
  
• Hip flexors
  
• Chest and shoulder muscles
  

5. Limit Screen Time

Constantly bending your neck to look at phones or laptops leads to “tech neck,” a common cause of upper back pain. Keep screens at eye level and maintain a neutral spine.

Posture Correction Therapies

Sometimes, lifestyle changes alone aren’t enough. Depending on the severity of your condition, your doctor may recommend:

1. Physical Therapy

A physical therapist can teach specific exercises to strengthen weak muscles, correct alignment, and relieve tension.

2. Chiropractic Care

Chiropractic adjustments help realign the spine, restore mobility, and relieve nerve compression caused by poor posture.

3. Orthopedic Consultation

For persistent or severe cases, an orthopedic specialist can evaluate for underlying spinal problems and recommend appropriate treatment such as medication or minimally invasive therapy.

4. Pain Management Techniques

Options may include:

• Heat or cold therapy
  
• Muscle relaxants
  
• Postural braces or supports
  
• Trigger point injections (in chronic cases)

Preventive Tips for a Healthy Spine

Preventing chronic back pain starts with daily habits. Follow these posture-friendly practices:

• Sleep on a supportive mattress that maintains spinal alignment.
  
• Avoid high heels for long durations, as they tilt the pelvis forward.
  
• Lift objects properly by bending your knees, not your back.
  
• Maintain a healthy weight to reduce strain on the lower spine.
  
• Stay active regular walking, yoga, or swimming helps maintain flexibility and posture.

When to See a Doctor

Consult a specialist if:

• Pain lasts longer than a few weeks.
  
• You experience numbness, weakness, or radiating pain down the legs.
  
• You notice changes in posture, like an increased hunch or tilt.
  
• Over-the-counter remedies and exercises don’t relieve pain.
  

Early diagnosis and treatment can prevent chronic pain from worsening and improve your quality of life.

The Role of Lifestyle in Maintaining Good Posture

Modern lifestyles contribute significantly to poor posture, long working hours, lack of physical activity, and stress all play a part. Here’s how to make posture correction part of your routine:

Activity	Common Mistake	Correction Tip
Working at a desk	Leaning forward	Sit upright, shoulders relaxed, monitor at eye level
Driving	Reclined seat position	Keep seat upright and adjust mirrors to avoid slouching
Using smartphones	Looking down constantly	Hold the phone at eye level
Watching TV	Slumping on the couch	Sit with back supported and feet on the floor

Consistency is key small changes in daily posture can significantly reduce back pain over time.

Long-Term Benefits of Good Posture

Practicing proper posture not only relieves back pain but also offers numerous long-term health benefits:

• Improved muscle strength and balance
  
• Better breathing and circulation
  
• Enhanced confidence and body image
  
• Reduced fatigue and tension
  
• Lower risk of future spinal problems
  

Maintaining the correct posture ensures your spine functions efficiently, keeping you active and pain-free for years to come.

Conclusion

The link between posture and chronic back pain is undeniable. Poor posture places undue stress on your spine, muscles, and ligaments, leading to persistent discomfort and reduced quality of life. However, by adopting correct posture habits, strengthening your core, and seeking professional help when necessary, you can prevent and even reverse posture-related back pain.

At Kolekar Hospital, our team of orthopedic specialists and physiotherapists provide personalized assessment and treatment for patients suffering from chronic back pain. Through advanced therapies and guided rehabilitation, we help you restore mobility, correct posture, and achieve lasting relief.