Facioscapulohumeral Dystrophy (FSHD) is one of a number of uncommon inherited disorders called muscular dystrophies. Muscular dystrophy is a progressive weakening of skeletal muscles and has varying degrees of severity. FSHD mainly affects the face muscles and the muscles around the shoulder and shoulder blade.
Neuralgic Amyotrophy is an uncommon condition affecting the shoulder and upper arm. The exact cause is not known, therefore it is known by numerous different names such as:
The trapezius muscle is the the large muscle between your neck and your shoulder. It forms the ‘V’ shape of your neck. The trapezius muscle lifts the shoulder blade. It is the muscle which you use to shrug your shoulders, as well as assisting in moving your arm overhead.
The quadrilateral space is located posterior and inferior to the glenohumeral joint and contains the axillary nerve and posterior humeral circumflex artery. The space is bounded superiorly by the teres minor muscle, inferiorly by the teres major muscle, medially by the long head of the triceps, and laterally by the humeral shaft.
The brachial plexus is a large bundle of nerves which innervates the arm and upper portions of the chest.
The muscles supplied by the suprascapular nerve are the supraspinatus and infraspinatus. These muscles are part of the rotator cuff and help with movements of the arm at the shoulder joint.
If these become weakened or wasted due to a lack of innervations then those movements will suffer as a result.
Diagnosis can usually be confirmed with a special study called electromyography (EMG) which would show denervation of the involved muscles. MRI scans are helpful to diagnose a ganglion cyst and confrim the pattern of muscle wasting. However, the diagnosis is made on a purely clinical ground, i.e. just on the history and examination.
Treatment is usually involves physiotherapy, with specific reactivation exercises and a scapula control regimen. Avoidance of worsening activities should be observed to give the nerve time to recover without further aggravation or stretching.
Joint replacement surgery, also known as replacement arthroplasty, is a surgical procedure for your joint where a dysfunctional or decayed joint is replace with an artificial joint made of metals or plastic. At Dr. Chakri’s Clinic, a joint replacement surgery is suggested only when the health issue is really big and cannot be cured with medicines and physiotherapy alone.
Going for any surgery is a matter of strength and courage. Going for a surgery that would replace your human parts for artificial parts is a very big decision. At Dr. Chakri’s Clinic, we make sure that you explore all your options before making this decision. We suggest that you take a joint replacement surgery if you have extreme difficulty in movement or unbearable pain in a particular joint. Dr. Chakradhar can check for any future potential damage that your current issue might pose. This might also require you to take an artificial joint.
You will require a joint replacement surgery for one of the two reasons – one, your joint is diseased; two, you have injured or broken your joint or a part of it. Dr. Chakradhar will assess you condition and let you know if a surgery will be required. Chiefly, he aims at giving you better mobility and reduced pain through a joint replacement surgery. He is also watchful of the cosmetic outcome.
Joint replacement surgery is a very complex and delicate procedure. Only a professional orthopaedic surgeon can perform such a surgery. At Dr. Chakri’s Clinic, Dr. Chakradhar takes care of the complicated surgeries. Having taken his qualifying exams from the best Universities from India and Europe and with an experience of 14 years, he is the Best Orthopaedic Surgeon in Hyderabad and beyond. To a surgeon like him, joint replacement surgeries – from knuckles to knees – are parts of his daily routine.
Knee and hip are the joints which suffer most damage since they carry most of the body weight. Hence, Knee Joint Replacement and Hip Joint Replacement surgeries are most commonly done at Dr. Chakri’s Clinic. These are followed by Shoulder Joint Replacement in Hyderabad. However, smaller joints like elbows, ankles, wrists and even knuckles can be replaced. With the right doctor and the right medical equipment, nothing is impossible.
Based on the extent of the damage, a joint replacement surgery can be of two types – total and partial. As the names suggest, in a total joint replacement, the entire joint is replaced and a partial joint replacement is performed when only a portion of the joint in damaged which the other portion is healthy and not in any risk of degeneration.
Another type, called revision surgery is performed if the first surgery fails or proves to be inefficient or wears off. It is a slightly more complex procedure.At Dr. Chakri’s Clinic, all the types of replacement surgeries are performed by our expert surgeon Dr. Chakradhar Reddy.
All surgeries involve certain degree of risks. Dr. Chakradhar is very cautious about the basic potential risks of bleeding, infection etc. He not only is careful with the surgery, he will also give you detailed suggestion on post-operative care so that you don’t develop complications later on. However, any good doctor will like you to be informed of your potential health risks and Dr. Chakradhar is no exception. Even though when a surgery is done after proper testing, since the implant is an artificial object, your body might reject the artificial joint and lead to a failure of the replacement surgery.
Dr. Chakradhar also insists that you take your medicines regularly and attend to physiotherapy seriously to avoid the chances of blood clotting.Dr Chakri’s Clinic is stocked with the most-updated medical tools and surgical equipment. Minimally invasive surgical techniques and computer assisted surgeries have raised the rate of success of joint replacement surgeries tremendously. You can now forget any form of disability – with joint replacement surgery, you will heal faster and move better.