Dr Jose Sergio de Oliveira Machado on Total Joint Replacement

Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic or ceramic device called a prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint.

According to Dr Jose Sergio de Oliveira Machado’s report in 2011, almost 1 million total joint replacements were performed in the United States. Hip and knee replacements are the most commonly performed joint replacements, but replacement surgery can be performed on other joints, as well, including the ankle, wrist, shoulder, and elbow.

Total Joint Replacement Surgery by Dr Jose Sergio de Oliveira Machado 

Comprehensive information on specific types of joint replacement — such as for the hip, knee, shoulder, or wrist — can be found in separate articles devoted to those topics. Direct links to individual joint replacement topics are provided in the “Related Articles” section of this page.

Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic or ceramic device called a prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint.

In Dr Sergio Machado’s report in 2011, almost 1 million total joint replacements were performed in the United States. Hip and knee replacements are the most commonly performed joint replacements, but replacement surgery can be performed on other joints, as well, including the ankle, wrist, shoulder, and elbow.

Treatment of Knee Injuries by Dr Jose Sergio

When you are first injured, the RICE method -- rest, ice, gentle compression and elevation - can help speed your recovery.

Hear a popping noise and feel your knee give out at the time of injury. Be sure to seek treatment as soon as possible, especially if you:

• Have severe pain
• Cannot move the knee
• Begin limping
• Have swelling at the injury site

Nonsurgical Treatment

Many knee injuries can be treated with simple measures, such as:

• Immobilization. Your doctor may recommend a brace to prevent your knee from moving. If you have fractured a bone, a cast or brace may hold the bones in place while they heal. To further protect your knee, you may be given crutches to keep you from putting weight on your leg.
• Physical therapy. Specific exercises will restore function to your knee and strengthen the leg muscles that support it.
• Non-steroidal anti-inflammatory medicines. Drugs like aspirin and ibuprofen reduce pain and swelling.

Surgical Treatment

Many fractures and injuries around the knee require surgery to fully restore function to your leg. In some cases - such as many ACL tears — surgery can be done arthroscopically using miniature instruments and small incisions. Many injuries require open surgery with a larger incision that provides your surgeon with a more direct view and easier access to the injured structures.

Would highly recommend Dr.Jose Sergio de Oliveira Machado , he was so nice and explained things where I could fully understand them. His staff is very friendly and accommodating. Overall, the experience was fast, efficient and very enjoyable.

According to Jose Sergio de Oliveira Machado, first aid workers must be able to think quickly in emergency situations and handle changing demands in response to the needs of an injured patient. They must also be able to work well in teams in an effort to orchestrate the best medical care possible. It is vital that first aid workers possess excellent communication skills and maintain their composure during crises

Knee pain: Symptom by Sergio Machado

By Jose Sergio de Oliveira Machado

Knee pain that comes on slowly, or as a result of activity that’s more strenuous than usual, can be managed at home. Knee pain that occurs from a relatively minor injury can often be safely observed for a day or two to see if self-care measures will be helpful.

Long-term knee pain from arthritis is often helped by weight loss and exercises to strengthen the muscles around the joint. Other self-care options include:

• Rest. Avoid more-strenuous or painful activities, but keep active. Try alternate activities that cause less discomfort — swimming instead of jogging, bicycling instead of tennis. For acute injuries, you may have to stay off your feet as much as possible or even use crutches for a short time.
• Ice. Put ice on your knee for 15 to 20 minutes a few times each day. Use ice cubes or a bag of frozen vegetables wrapped in a towel.
• Compression. Wrap an elastic bandage around your knee to help control swelling. Make the bandage fit snugly around your knee, but not tight enough to cause pain.
• Elevation. Lying down with your knee propped up on pillows may help control pain and swelling.
• NSAIDs. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may help relieve pain, swelling and inflammation. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). These types of drugs can cause stomach upset.

Schedule Sergio Machado’s visit
Make an appointment with your doctor if your knee pain was caused by a particularly forceful impact or if it’s accompanied by:

• Significant swelling
• Redness
• Tenderness and warmth around the joint
• Significant pain
• Fever

If you’ve had minor knee pain for some time, make an appointment with your doctor if the pain worsens to the point that it interferes with your usual activities or sleep.​

Sergio Machado- Hip & Knee Reconstruction and Replacement

Jose Sergio de Oliveira Machado is a renowned global personality who was born in and later on immigrated to America. Along with being a physician, he is a writer, who writes on Ayurveda and spirituality. He is also the founder of Chopra Foundation and is a public speaker. He has penned more than fifty-seven books and up until now his books have been published in around thirty-five different languages. Jose Sergio de Oliveira Machado has been announced by the Time magazine as one of the top hundred heroes and icons of the country and was praised as the ‘poet-prophet of alternative medicine’. It was in 2010, when he issued the criticism of the book 'The Grand Design’ written by Stephen Hawking. Moreover, he has been a good friend of Michael Jackson.

Dr Jose Sergio de Oliveira Machado is working in a specialty hospital for all plastic reconstructive surgery, an institute for organ transplant and also a training and research institute. He found it with the motive of giving quality healthcare for all and delivered services with dignity. A day in the life of he can be tiring but equally fun. His way of approach to life is unique and focused. His dedication and excellence in his field makes him completely a reliable person and hence he has set an example to his patients and his admirers.

Dr. Sergio Machado has pioneered minimally invasive hip and knee replacement, allowing patients to recover faster with less pain than with traditional hip and knee replacement surgery. His degree in mechanical engineering from MIT has helped him design specialized instruments which allow the surgery to be done without cutting any muscle, tendons, or ligaments. These advances allow most of Dr. Sergio’s patients to walk independently and leave the hospital the day of surgery. His mechanical engineering background has also helped him to design gender-specific implants that fit and perform better for active patients.

Dr Sergio Machado’s tips for knee pain

As with most uncommon occurrences in life, they tend to come in multiple numbers. To the misfortune of a few of my newer patients lately, knee surgery seems to be the topic of discussion at my office. From a seventy year old female CEO having her first knee surgery to a former lacrosse player having his fifth knee surgery, these blessed human beings have found their way into my office. They are lucky, not only because of my experience rehabbing knees and balancing the body, but also because I have been in their exact shoes. I get pumped when someone comes to me post-knee surgery because I know that with a push from me they are going to be moving and grooving in no time.

Half the time I, Dr Sergio Machado do encounter patients prior to going under the knife. If that is the case, I have them train for their surgery.Going under anesthesia and getting cut open is very traumatic for your body and all the systems involved. Why would you let yourself go prior to going under? My patients are encouraged to get treatment twice a week and train three times a week. Treatment consists of soft tissue work, adjustments, and the use of other modalities. Training, on your own or with a knowledgeable trainer, consists of posterior chain activation along with other movements that are still within your capabilities.

When I encounter patients post-surgery, I evaluate swelling and pain, muscle activation patterns, and range of motion of not only the knee but the hip, ankle, and lumbar spine as well.Every joint must function optimally so there will be no added stress on the knee. Everyone will progress at a different rate. Your chiropractor, trainer, or physical therapist will know your abilities and advise you accordingly.

For the first two weeks, decreasing the swelling and reaching full passive range of motion is key. Ice for ten minutes every hour the first couple of days after surgery. Work the range of motion between icing sessions. Movement is crucial so do something every day that will make you better. A lot of you CrossFitters out there have access to elastic bands. Utilize those thick green bands to keep your hip and ankle mobile in the first two weeks post surgery.

Achieving full range of motion is a huge accomplishment. Once full range of motion is attained, you can add weight-bearing exercises. This includes squats, lunges, step-ups, and so on. I don’t believe in partial squats, partial lunges, or partial anything. If you are going to do the movement, you had better go through the full range of motion or you are predisposing yourself to injury. Squats to ninety degrees stress the knee more than going to full depth. Do the movement correctly and slowly so you train your muscle activation patterns correctly.

All individuals and knee surgeries are different. People progress at different rates and heal at their own time. Be patient with yourself and give yourself praise for the accomplishments you make along the way. Full ACL reconstructive surgery puts you on the injured reserve list far longer than arthroscopic surgery for a meniscus. As I’ve shared with you, reaching full range of motion is so vital for your recovery. If it takes you five days or three months, you have to gain back your range of motion before asking your body to squat heavy or run a marathon.

Below are some tips to keep in mind for your road to recovery by Dr Jose Sergio de Oliveira Machado:

• 1-10 days on crutches is completely common.  
• Passive range of motion should be initiated immediately after surgery.
• Begin weight bearing as tolerated.
• Isometric quadriceps and hamstrings activation should be a focus early on.
• Obtaining knee extension should be a priority as it will be difficult.
• Mobility of your ankles, hips, pelvis, and lumbar spine should be maintained.
• Listen to your body daily.

As traumatic and humbling as knee surgery can be, it can also trigger a huge paradigm shift in the way you view your health. Use your knee surgery as a wake up call. Realize you are going to have to learn to contract your quad again, learn to walk again, and that it will be a while before you feel normal again. Find a chiropractor, physical therapist, or someone who knows you and will support you on your road to recovery.

Common types of Sports Injury

Common Types of Sports Injuries

• Muscle sprains and strains
• Tears of the ligaments that hold joints together
• Tears of the tendons that support joints and allow them to move
• Dislocated joints
• Fractured bones, including vertebrae.

Fractures

A fracture is a break in the bone that can occur from either a quick, one-time injury to the bone (acute fracture) or from repeated stress to the bone over time (stress fracture).

Acute fractures: Acute fractures can be simple (a clean break with little damage to the surrounding tissue) or compound (a break in which the bone pierces the skin with little damage to the surrounding tissue). Most acute fractures are emergencies. One that breaks the skin is especially dangerous because there is a high risk of infection.

Stress fractures: Stress fractures occur largely in the feet and legs and are common in sports that require repetitive impact, primarily running/jumping sports such as gymnastics or track and field. Running creates forces two to three times a person’s body weight on the lower limbs.

The most common symptom of a stress fracture is pain at the site that worsens with weight-bearing activity. Tenderness and swelling often accompany the pain.

Dislocations

When the two bones that come together to form a joint become separated, the joint is described as being dislocated. Contact sports such as football and basketball, as well as high-impact sports and sports that can result in excessive stretching or falling, cause the majority of dislocations. A dislocated joint is an emergency situation that requires medical treatment.

Who Is at Greatest Risk for Sports Injuries?

If a professional athlete dislocates a joint or tears a ligament, it makes the news. But anyone who plays sports can be injured. Three groups—children and adolescents, middle-aged athletes, and women—are particularly vulnerable.

Children and Adolescents

Although playing sports can improve children’s fitness, self-esteem, coordination, and self-discipline, it can also put them at risk for sports injuries: some minor, some serious, and still others that may result in lifelong medical problems.

Young athletes are not small adults. Their bones, muscles, tendons, and ligaments are still growing and that makes them more prone to injury. Growth plates—the areas of developing cartilage where bone growth occurs in growing children—are weaker than the nearby ligaments and tendons. As a result, what is often a bruise or sprain in an adult can be a potentially serious growth-plate injury in a child. Also, a trauma that would tear a muscle or ligament in an adult would be far more likely to break a child’s bone.

Because young athletes of the same age can differ greatly in size and physical maturity, some may try to perform at levels beyond their ability to keep up with their peers.

Contact sports have inherent dangers that put young athletes at special risk for severe injuries. Even with rigorous training and proper safety equipment, youngsters are still at risk for severe injuries to the neck, spinal cord, and growth plates. Evaluating potential sports injuries on the field in very young children can involve its own special issues for concerned parents and coaches.

For more information, contact OPTM Health Care. 

When to get medical attention for common sports injuries

We know you’re tough — but you also need to be smart. If you suspect a serious sports injury or if you have any of these signs, see a doctor:

·         Deformities in the joint or bone — it looks “crooked,” or moves abnormally

·         You cannot bear weight or can’t use the limb without it “giving way”

·         Excessive swelling

·         Changes in skin color beyond mild bruising

·         It’s not getting any better after a few days of PRICE therapy

·         Ankle injuries are often thought of as sports injuries. But you don’t have to be an athlete or even a “weekend warrior” to turn your ankle and hurt it. Something as simple as walking on an uneven surface can cause a painful, debilitating sprain.

Ankle injuries can happen to anyone at any age. However, men between 15 and 24 years old have higher rates of ankle sprain, compared to women older than age 30 who have higher rates than men. Half of all ankle sprains occur during an athletic activity. Every day in the U.S., 25,000 people sprain their ankle. And more than 1 million people visit emergency rooms each year because of ankle injuries. The most common ankle injuries are sprains and fractures, which involve ligaments and bones in the ankle. But you can also tear or strain a tendon.

Tennis elbow is a type of tendinitis – swelling of the tendons – that causes pain in the elbow and arm.

With the input of doctors of OPTM Health Care, here’s a list of ten of the most common sports injuries you’ll want to avoid. Be conscious of them as you play or work out, as any one of them will throw a huge wrench in your training – not to mention the pain that goes with it.

The PRICE principle for treating common sports injuries

The U.S. Marines say that “pain is weakness leaving your body.” Most of the rest of us would add, “OK, but can’t we hurry it up a little?” The answer is yes. Using the PRICE method to treat any common sports injury will help get you back in the game sooner.

First, it’s important to know that swelling is a normal response to these injuries. Excessive swelling, though, can reduce range of motion and interfere with healing. You can limit swelling and start healing faster after common sports injuries by using the PRICE principle:

• P — protect from further injuryFor more severe injuries, protect the injured area with a splint, pad, or crutch.
• R — restrict activityRestricting activity will prevent worsening of the injury.
• I — apply iceApply ice immediately after a common sports injury. “Ice is the miracle drug” for sports injuries, says Putukian. “It’s an anti-inflammatory, without many side effects.” Use ice for 20 minutes every one to two hours for the first 48 hours after the injury. Don’t use heat during this time — it encourages swelling and inflammation.
• C — apply compressionCompression with an elastic bandage will help reduce swelling.
• E — elevate the injured areaElevating the injured area above the heart will also reduce swelling.

Over-the-counter pain relievers usually relieve the pain of common sports injuries to a tolerable level. If they don’t, it’s probably time to see a doctor. 

Treating the most common sports injuries

6: Knee injury: Patellofemoral syndrome

What it is: Patellofemoral syndrome can result from the repetitive movement of your kneecap (patella) against your thigh bone (femur), which can damage the tissue under the kneecap. Running, volleyball, and basketball commonly set it off. One knee or both can be affected.

What you can do: Patience is key. Patellofemoral pain can take up to six weeks to clear up. It’s important to continue low-impact exercise during this time. Working out the quadriceps can also relieve pain.

sports injury

7. Tennis elbow (epicondylitis)

What it is: Repetitive use of the elbow — for example, during golf or tennis swings — can irritate or make tiny tears in the elbow’s tendons. Epicondylitis is most common in 30- to 60-year-olds and usually involves the outside of the elbow.

What you can do: Epicondylitis can usually be cleared up by staying off the tennis court or golf course until the pain improves.

Treating the most common ​sports injuries

3. Hamstring strain

What it is: Three muscles in the back of the thigh form the hamstring. The hamstring can be over-stretched by movements such as hurdling — kicking the leg out sharply when running. Falling forward while waterskiing is another common cause of hamstring strains.

What you can do: “Hamstring injuries are slow to heal because of the constant stress applied to the injured tissue from walking,” says Royster. “Complete healing can take six to 12 months.” Re-injuries are common because it’s hard for many guys to stay inactive for that long.

4. Shin splints

What they are: Pains down the front of the lower legs are commonly called “shin splints.” They are most often brought on by running — especially when starting a more strenuous training program like long runs on paved roads.

What you can do: Rest, ice, and over-the-counter pain medicine are the mainstays of treatment.

When to see a doctor: The pain of shin splints is rarely an actual stress fracture — a small break in the shin bone. But you should see your doctor if the pain persists, even with rest. Stress fractures require prolonged rest, commonly a month or more to heal.

5. Knee injury: ACL tear

What it is: The anterior cruciate ligament (ACL) holds the leg bone to the knee. Sudden “cuts” or stops or getting hit from the side can strain or tear the ACL. A complete tear can make the dreaded “pop” sound.

When to see a doctor: Always, if you suspect an ACL injury. ACL tears are potentially the most severe of the common sports injuries. “A completely torn ACL will usually require surgery in individuals who wish to remain physically active,” says Royster.

Treating the most common sports injuries

Usually, common sports injuries are mild or moderate — there’s some damage, but everything is still in place. You can treat them at home using the PRICE therapy method described later in this article. But you should expect that some common sports injuries may take months to heal, even with good treatment. If a sprain or strain is severe, however, the entire muscle, tendon, or ligament is torn away, and surgery may be needed.

Here are some specific tips for treating each of the most common sports injuries:

1. Ankle sprain

What it is: Most athletes have experienced a sprained ankle, which typically occurs when the foot turns inward. This turning stretches or tears the ligaments on the outside of the ankle, which are relatively weak.

What you can do: With an ankle sprain, it’s important to exercise to prevent loss of flexibility and strength — and re-injury. You can ask your doctor or physical therapist to help you know what kinds of exercise you should do.

When to see a doctor: It’s important to note where the sprain has occurred. “A ‘high ankle sprain’ is slower to heal and should probably be seen by a doctor to make sure the bones in the lower leg did not separate,” says R. Marvin Royster, MD. Royster is assistant team physician for the Atlanta Braves and an orthopedic surgeon with Peachtree Orthopedic Clinic in Atlanta. One way to recognize a high ankle sprain is that this sprain usually causes tenderness above the ankle.

2. Groin pull

What it is: Pushing off in a side-to-side motion causes strain of the inner thigh muscles, or groin. “Hockey, soccer, football, and baseball are common sports with groin injuries,” says Royster.

What you can do: Compression, ice, and rest will heal most groin injuries. Returning to full activity too quickly can aggravate a groin pull or turn it into a long-term problem.

What Are ​Sports Injuries?

The term “sports injury,” in the broadest sense, refers to the kinds of injuries that most commonly occur during sports or exercise. Some sports injuries result from accidents; others are due to poor training practices, improper equipment, lack of conditioning, or insufficient warm-up and stretching.

Although virtually any part of your body can be injured during sports or exercise, the term is typically reserved for injuries that involve the musculoskeletal system, which includes the muscles, bones, and associated tissues like cartilage. Traumatic brain and spinal cord injuries (relatively rare during sports or exercise) and bruises are considered briefly in the appendix at the end of this publication. Following are some of the most common sports injuries.

Sprains and Strains

A sprain is a stretch or tear of a ligament, the band of connective tissues that joins the end of one bone with another. Sprains are caused by trauma such as a fall or blow to the body that knocks a joint out of position and, in the worst case, ruptures the supporting ligaments. Sprains can range from first degree (minimally stretched ligament) to third degree (a complete tear). Areas of the body most vulnerable to sprains are ankles, knees, and wrists. Signs of a sprain include varying degrees of tenderness or pain; bruising; inflammation; swelling; inability to move a limb or joint; or joint looseness, laxity, or instability.

A strain is a twist, pull, or tear of a muscle or tendon, a cord of tissue connecting muscle to bone. It is an acute, noncontact injury that results from overstretching or overcontraction. Symptoms of a strain include pain, muscle spasm, and loss of strength. Although it’s hard to tell the difference between mild and moderate strains, severe strains not treated professionally can cause damage and loss of function.

Knee Injuries

Because of its complex structure and weight-bearing capacity, the knee is a commonly injured joint.

sports injury, knee surgery : Lateral View of the Knee

Treating a sports injury

You can usually treat minor injuries yourself by:

resting the affected body part for the first 48-72 hours to prevent further damage

regularly applying an ice pack to the affected area during the first 48-72 hours to reduce swelling

using over-the-counter painkillers, such as paracetamol or ibuprofen, to relieve pain

If your symptoms are severe or don’t start to get better within a few days or weeks, your GP may be able to refer you for specialist treatment and support, such as physiotherapy.

Particularly serious injuries will occasionally require a procedure or operation to align any misplaced bones, fix any broken bones, or repair any torn ligaments.

Depending on the type of injury you have, it can take a few weeks or months to make a full recovery. While you recover, it’s important not to do too much too fast – aim to increase your level of activity gradually over time.

Preventing the most common sports injuries

Sometimes preventing common sports injuries is beyond our control, but many times sports injuries are preventable. “Some injuries,” Roberts says, “we bring on ourselves because we’re not conditioned for the activity.” His advice: “Work out daily and get double benefit — enjoy your weekend activities and garner the health benefits.”

What to do if you have an injury?

Following an inactive work week, end-zone gets and 36-opening weekends can take their toll in like common sports injuries . The seven most basic sports injury are:

1. Crotch pull
2. Hamstring strain
3. Shin braces
4. Ankle Splints
5. Knee harm:  ACL tear
6. Knee harm:  Patellofemoral disorder — damage coming about because of the dreary development of your kneecap against your thigh bone
7. Tennis elbow

If you’ve injured yourself, you will probably notice pain, tenderness, swelling, bruising, and restricted movement or stiffness in the affected area immediately. Sometimes, you may only notice these symptoms several hours after exercising or playing sports.

Stop exercising if you feel pain, regardless of whether your injury happened suddenly or you’ve had the pain for a while. Continuing to exercise while you’re injured may cause further damage and slow your recovery time.

If the injury is minor, you don’t usually need to see a doctor and can look after yourself at home (see below), but you may want to visit your GP or local NHS walk-in centre if you need advice or your symptoms don’t get better over time.

If the injury is severe, such as a broken bone, dislocation or severe head injury, go to your nearest accident and emergency (A&E) department as soon as possible.