Rakesh John

Role of integrated approach of yoga therapy in a failed post-total knee replacement of bilateral knees.

OA Knee is the most common arthritis. Knee replacement Surgeries are being done increasingly in the present times. This has led to the violation of the standard indications and when knees are replaced ignoring other co - musculoskeletal conditions it results in the surgery failing early. This is about a patient who encountered a failed TKR due to improper selection as patient had bilateral OA Hip that was ignored in the initial stages. To overcome the problem she was advised bilateral hip replacement which would leave her with four replacements in the lower limb. She refused surgery and was told there are no alternative treatment options. This patient underwent a 3 week integrated course of IAYT at our center and she made a remarkable recovery. IAYT is a good non-surgical treatment that can be affective both before and after knee replacement and it should be considered as the first choice of treatment before surgery.

Wholistic orthopedics: Is this the right way to treat geriatric orthopedic patients?

Geriatric orthopedic problems poses different challenges in their management. Conventional treatment methods like drugs, physiotherapy and surgeries are inadequate. A Geriatric orthopedic patient suffers as a whole and not in isolation. This article highlights the importance of managing geriatric orthopedic patients as a whole and outlines the various steps of wholistic management.

EFFECT OF YOGA THERAPY ON SPINAL FLEXIBILITY IN PATIENTS UNDERGOING CONVENTIONAL TREATMENT FOR CHRONIC LOW BACK ACHE : AN RCT

Th e objective of this st udy was to evaluate the role of Integrated Approach of Yoga Therapy (IAYT) a s an add - on on pain and spinal flexibility in patients undergoing conventional treatment for chronic low back ache . One hundred and twenty patients suffering from chronic low back ache (CLBA) aged between 18yrs to 75yrs Yoga( 41.29±15.87 ) and Control ( 41.63±13.48 ) from Ebnezar orthopedic center, Bengaluru were randomly assigned into two groups; yoga group (YG) and control group (CG) to receive IAYT or Therapeutic exercises after Intermittent l umbar traction and ultrasound (20 minutes per day). Both the groups practiced supervised interventions (40 minutes per day) for 3 weeks at the c enter and later for 12 weeks at their residences after the completion of treatment. 57 (yoga) and 55 (control) s ubjects were available for the final analysis. Both th e groups were assessed for pain and spinal flexibility on the 1 st day in the pretest and on the 21 st day in the post test. Data were analyzed using repeated measures analysis of variance (RMANOVA). Ther e were significant differences within (RMANOVA, P<0.001) and between the groups (RMANOVA, P <0.001) on pain and spinal flexibility with better improvements in the yoga group than the control group. Pain in the yoga (39.9%, 66%, 85%, and 98.9 %) and control (25.5%, 45%, 63% and 74%), movements - flexion in yoga (77%, 126%, 183%,232%) and control (33%, 64%, 99%, 132%), Extension in yoga (75%, 113%, 130%,132%) and control (34%,68%,102%,121%), right lateral flexion in yoga (78%,113%,126%,129%) and control (32%, 66%, 99%,117%), left lateral rotation in yoga (76%, 109%, 119%, 120%) and control (33% ,67%, 100%, 113%), right lateral rotation in yoga (70%, 107%, 136%, 143%) and control (29%, 58%, 89%, 114%), left lateral rotation in yoga (66%, 103%, 129%, 130%) and control (28%,55%, 84%, 107%). All these improved in the yoga group better than the control group on the 21st day, 3 rd month, 6th mont h and 1year respectively. Integrated approach of yoga therapy (IAYT) as an add - on with the conventional physiotherapy provides significantly better improvement in reducing pain and improving spinal flexibility than the therapeutic exercises in patients suf fering from chronic low back ache.