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.