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:
1) The immediate post-operative period of an operation.
2) Knee injuries like ligament and soft tissue injuries not needing surgery.
3) All anterior cruciate ligament ( ACL) injuries.
4) All patella dislocations or subluxations (knee cap jumping out of joint) especially after the first and second episodes.
5) Non traumatic knee conditions like patella tendinitis and quadriceps tendinitis. (Inflammation of the tendons in the front of the knee). These do well with modalities like local ultrasound treatment to the tendon.
6) Osteoarthritis of the knee which is not severe enough for an operation may benefit from targeted sessions of knee physiotherapy to strengthen muscles and improve range of movement.
“Unfortunately results of physiotherapy for osteoarthritis of the hip are not as favourable as other joints but if part of the pain pattern is from a back problem, then physiotherapy is beneficial”.
7) Local ultrasound can be used to help in cases of trochanteric bursitis and snapping iliotibial band (snapping or popping hip).
As a high volume joint replacement surgeon over many years, Mr Mahaluxmivala knows that best surgical results depend on optimal patient selection.
High risk and overweight patients still could benefit from joint replacement surgery provided they are aware of the risk benefit ratio. Hence these patients are taken on by Mr Mahaluxmivala, provided he has counselled them adequately and all conservative or non-surgical treatments have been exhausted.
1) General counselling on “joint health” with advice to lose weight if overweight/ be active with regular walking / cycling / swimming and traditional gym work is advocated by the clinic.
2) If surgery is not an option, patients are encouraged to explore non-surgical treatments like osteopathy/ acupressure and acupuncture if they so wish. The ethos of the clinic is that by respecting other’s specialities best patient care is maximised.
3) If surgery is not an option, patients are encouraged to join gyms and use a personal trainer to make sure that exercises’ to strengthen muscles around the knee are done correctly. Correct form and sustained muscle strengthening regimes are crucial in helping lower limb and back pain issues.
To that end, personal trainers in the Hertfordshire and Essex areas could be recommended by the clinic.