Non-Surgical Treatment, Orthopaedic Counselling & Physiotherapy
Non-surgical treatment and orthopaedic counselling are often recommended for patients who do not require surgical treatment. These modalities are as vital as “high tech” surgery.
Physiotherapy is used in
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The immediate post-operative period of an operation.
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Knee injuries like ligament and soft tissue injuries not needing surgery
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All anterior cruciate ligament ( ACL) injuries.
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Patella dislocations of subluxation, especially after the first and second episodes.
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Non-traumatic knee conditions like patella tendinitis and quadriceps tendinitis. These often benefit from local utrasound treatment as well.
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Osteoarthritis of the knee which is not severe enough for an operation may benefit from targeted sessions of knee physiotherapy to strengthen muscles.
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However, results of physiotherapy for osteoarthritis of the hip are not as favorable as for other joints. Nevertheless, if part of the pain pattern is related to a back problem, then physiotherapy can be beneficial.
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Local ultrasound treatment can also be used to assist in cases of trochanteric bursitis and snapping iliotibial band (snapping or popping hip)
Orthopaedic Counselling:
As a high-volume joint replacement surgeon with extensive experience, Mr. Mahaluxmivala understands that optimal patient selection is crucial for achieving the best surgical results.
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High-risk and overweight patients may still benefit from joint replacement surgery, provided they are fully informed about the risk-benefit ratio.
Therefore, Mr. Mahaluxmivala accepts these patients after ensuring they have been adequately counselled and all conservative or non-surgical treatments have been exhausted.
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The clinic advocates for:
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General counselling on "joint health," advising patients to lose weight if overweight and engage in regular activities such as walking, cycling, swimming, and traditional gym workouts.
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Exploring non-surgical treatments such as osteopathy, acupressure, and acupuncture, if surgery is not an option. The clinic emphasises respecting other specialties to maximise patient care.
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Encouraging patients to join gyms and work with personal trainers to ensure that exercises to strengthen muscles around the knee are performed correctly. Correct form and sustained muscle-strengthening regimes are crucial for addressing lower limb and back pain issues.
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For patients in the Hertfordshire and Essex areas, the clinic can recommend personal trainers to assist with these efforts.