Crioterapia y terapia de compresión para cirugía de rodilla
La perspectiva de recuperación de una cirugía de rodilla implica dolor, hinchazón y fisioterapia durante un período prolongado de tiempo. Después de la cirugía de rodilla, los pacientes suelen mostrar signos y síntomas como dolor, rigidez y aumento del edema alrededor o debajo del sitio quirúrgico. La fisioterapia puede reducir estos síntomas a los pocos meses de la cirugía, sin embargo, los síntomas pueden ser frustrantes de experimentar. Por lo tanto, mientras que la rodilla puede ser un poco menos dolorosa e hinchada, el dolor leve a moderado y la hinchazón que persiste durarán mucho más tiempo. Los métodos alternativos como la crioterapia y la terapia de compresión pueden ayudar a acelerar la recuperación después de la cirugía de rodilla.
Crioterapia para la recuperación de la cirugía de rodilla
La crioterapia (también llamada «terapia de frío») es la aplicación de frío alrededor del tejido lesionado de la rodilla. La terapia de frío trae muchos beneficios cuando se trata de la cirugía de rodilla, incluida la reducción de la inflamación, el dolor en la rodilla y la mejora del rango de movimiento.
Aquí hay algunas ideas de Marie O’Connor sobre cómo la crioterapia puede ayudar con la recuperación de la cirugía de rodilla:
Marie O’Connor, Nordic Edge
Reducir la inflamación: En la superficie, la crioterapia o «terapia de frío» funciona acelerando el proceso de curación. Cuando las temperaturas extremadamente frías tocan la piel, causa constricción de los vasos sanguíneos y reduce el flujo sanguíneo al área, lo que hace que el dolor y la hinchazón / inflamación disminuyan. Lo mejor de la crioterapia es que puede disminuir la inflamación y, al mismo tiempo, estresar su cuerpo lo suficiente como para liberar ciertos químicos y hormonas. Las dosis bajas de estrés físico de una inmersión fría pueden provocar una respuesta adaptativa y fortalecer su sistema inmunológico al aumentar los glóbulos blancos y las células inmunes.
Reducir el dolor de rodilla: Al reducir la inflamación, la reducción del dolor es un efecto secundario. La crioterapia desencadena una liberación de norepinefrina antiinflamatoria que reduce el dolor a corto plazo de las lesiones. El frío resulta en un efecto adormecedor que también reduce sus niveles de dolor.
Mejorar el rango de movimiento: Debido a que la hinchazón y el dolor han disminuido, También hace que la fisioterapia sea más tolerable. La disminución de la inflamación permite al cliente mover la rodilla más libremente; por lo tanto, maximizando sus sesiones de ejercicio para obtener los mejores resultados. Además, después de la crioterapia y la vasoconstricción, los vasos sanguíneos se abren haciendo que las moléculas ricas en oxígeno regresen a la rodilla para ayudar en el proceso de curación.
Terapia de compresión para la recuperación de la cirugía de rodilla
La terapia de compresión ayuda a aumentar la actividad del flujo sanguíneo aplicando presión suavemente, usando medias específicamente diseñadas. La compresión ayuda a evitar que la sangre se acumule en las venas de las piernas, mejorando la circulación general y disminuyendo la hinchazón.
Aquí hay algunas ideas de Stephanie Idjadi y Cat Nadeau sobre cómo la terapia de compresión puede ayudar con las cirugías de rodilla:
Stephanie Idjadi, DPT, Reddy Care Terapia Física y Ocupacional
Los reemplazos totales de rodilla constituyen una de las cirugías más comunes realizadas por cirujanos ortopédicos. Aunque los reemplazos totales de rodilla se han vuelto bastante comunes, esto no disminuye la recuperación y el impacto de la cirugía en el paciente. La aplicación de compresión activa es una modalidad importante que se puede utilizar para ayudar con la recuperación de un reemplazo total de rodilla.
El Normatec es un sistema de compresión activo diseñado para mejorar el flujo sanguíneo y eliminar el exceso de líquidos de una extremidad afectada. Después de un reemplazo total de rodilla, los tejidos en curación requieren oxígeno y nutrientes para repararse a sí mismos. Mejorar la circulación ayuda a promover la curación al llevar sangre recién oxigenada al área y eliminar los desechos celulares.
El elemento más valioso del Normatec es el patrón de masaje pulsante que utiliza. Las medias de compresión que a menudo se usan después de un reemplazo total de rodilla usan compresión estática, que solo exprime el líquido de la extremidad. La acción pulsante del Normatec es más efectiva porque imita las bombas musculares de la pierna. Esto mejora en gran medida el movimiento del líquido de las extremidades después de la cirugía.
La investigación ha demostrado que la compresión NormaTec disminuye la sensibilidad al dolor, aumenta el rango de movimiento, elimina los metabolitos pasivamente, disminuye la fatiga muscular después del ejercicio y mejora la función endotelial y el flujo sanguíneo en las piernas. Todos estos factores reducen la inflamación y disminuyen el dolor en la rodilla. En un ensayo de control aleatorio, la terapia de compresión multicapa (el mismo gradiente de compresión que emplea NormaTec) causó reducciones significativas inmediatas en el edema postoperatorio para los reemplazos totales de rodilla, incluso siendo más efectiva que las bolsas de hielo para reducir la hinchazón inmediatamente después de la operación.
Morgan Mowers, PT, DPT, Terapia física en la línea de meta
Reducir la hinchazón: Después de la cirugía, la cantidad de hinchazón en la pierna puede tardar mucho tiempo en disiparse porque las venas (vasos sanguíneos que devuelven la sangre desoxigenada al corazón) solo pueden empujar a circular a cierta velocidad. Con la cirugía en las extremidades inferiores, la gravedad puede disminuir aún más esta circulación al agrupar la inflamación más abajo en la pierna. La compresión mejora la recirculación al aumentar la presión, dando a las venas un impulso adicional hacia el corazón.
Mientras que las mangas de compresión ordinarias hacen un gran trabajo en esto, la compresión intermitente (como Normatec) es aún mejor porque replica la forma en que el sistema venoso del cuerpo devuelve naturalmente la sangre al corazón, comenzando distalmente y apretando gradualmente hacia arriba con una retención prolongada y una disminución gradual de la presión. Al pasar por ciclo, los músculos se reponen con sangre oxigenada con menos subproductos inflamatorios. Esto es mejor que los AINE porque no es evitando que
su cuerpo cree biomarcadores inflamatorios importantes, sino que elimine los productos químicos más rápido una vez que hayan hecho su trabajo.
Pruebe la crioterapia y la terapia de compresión por sí mismo
Tanto la crioterapia como la terapia de compresión son excelentes métodos para reducir la hinchazón después de la cirugía de rodilla y deben explorarse para permitir una recuperación rápida. Recomendamos probar estos servicios.
I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.
I had an extremely friendly and personalized medical consult with Dr Karkare. Dr Karkare was very knowledgeable and very professional. His communication skills was extremely good and explained my medical condition in very simple words. The office visit was very helpful in understanding my medical condition. Thank you Dr Karkare
Dr Vedant Vaksha had done emergency surgery in 2020 after a traumatic injury.His office at Complete Orthopedics handled the continued care thereafter.Dr V and his staff had been Professional and friendly throughout the process, taking the time to explain all the questions on how to proceed and what to expect.Whenever I needed to speak with Dr V or the office they were a phone call away, without waiting or calling several numbers like in so many other medical offices.The office was accommodating to scheduling to my needs at all times. Dr Vedant Vaksha earned the following5 out of 5 stars, highly recommended.
Dr. Vaksha helped me recover from an injury. I am very thankful that he took the time to explain the best treatment for my injury. Also thankful for the wonderful office staff!
The ladies are very welcoming, the service is great, the doctor is very professional and caring and the building is super clean. I really like to come here, the atmosphere is very friendly... Come and you will love it too.
Dr. Nakul Karkare is awesome! And patriotic! Thank you, Dr. Karkare for displaying the American Flag in your waiting room, honoring and mourning our military personnel, this Memorial Day, who died while serving in the United States Armed Forces.
Excellent and skilled orthopedic practice specializing in joint replacements. Dr Karkare was trained at the Hospital for Special Surgery and has excellent results, as do his associates!! Would gladly refer family members to the practice!!
I had such a wonderful experience with Complete Orthopedics in Stony Brook. Not only did Dr. Kuo fix my broken wrist with such kindness and care, but the office staff, including Billing, Reception and the X-Ray Technician, was always so helpful, going out of their way to ensure that each patient felt welcome, answering any questions with a smile, and ensuring any issues with insurance/billing were handled with the utmost professionalism. I highly recommend their practice!
I'm very happy St. Catherine's sent me to this office for treatment after I broke my collar bone! Unfortunately the break was too severe to repair on its own and I had to have it rebuilt a week after the injury. Dr. Vaksha did a great job fixing it. I'm three months out, and I have full use of the arm and shoulder. The whole office staff is very professional, accommodating, and welcoming. I hope to not need orthopedic services again, but Dr. Vaksha will be my number one choice if I or anyone in family suffers such am injury.
No one likes going to the doctor. But these people make it painless. I go for knees, hips and shoulders. At almost 70 Complete Orthopedics keeps my active life style running smoothly. Whether chasing my Grandson and even surfing again, I highly recommend them!!
Been going to this place before my accident and after I had my knee surgery. So happy how I been treated and how well I am getting. Thank you all and specially Dr. VAKSHA for everything and getting back on track.
Love this place From the minute I called I was treated kindly. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. I came back in for my follow up and had the same great experience.
Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best.
Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up
The staff is very professional and helpful. Dr. Vaksha is excellent. He takes time to listen and offer suggestions to help you get better. I’m very thankful and happy to be a patient here at Complete Orthopedics.
I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha
My appointment with Dr. Vaksha was amazing. Dr. Vaksha was very thorough and kind. I would refer this office to anyone who needs a great orthopedic doctor.
Scheduling my appointment was quick and easy. The staff was super friendly and down to earth. I was seen on time. The appropriate test, “x-rays” were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am happy I found them and would refer them to friends and family.
Amazing team!! Very caring, profesional, and friendly!! Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Elizabeth you the best thank you for you help always and you big smile and positive actitud❤️🙏🏼
The staff is truly exceptional, they make you feel comfortable and welcomed. The doctors are amazing,always professional, compassionate and great listeners.
What a great place! The place is clean and organized.The staff is wonderful. Setting up physical therapy is right there as well.I'm so glad I found this place.
This was my 1st time breaking something in my 27 years on this planet. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Would highly recommend
After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. The patient portal made it easy for me to access all my documents including work notes. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. I highly recommend this office to anyone who’s looking for knowledgeable and kind orthopedic office.
They are an excellent practice. The front and back office people are amazing and so helpful. Rebecca is such a kind and understanding person. I had an issue with paperwork and she cleared it right up. Dr. Karkare is very knowledgeable, helpful, and caring.
Great experience, the Doctor is nice but the staff is incredible. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!!
I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . So I would strongly recommend Complete Orthopedics for any aches and pains that one might be experiencing.....
It was the afternoon of Friday Sept. 24. We were in Pt. Jefferson and my wife, Mary Ann, broke her hip. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. This would be her third time under the knife in the past year. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. He put in a rod and two screws in her hip. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. If it wasn’t for Dr. Karkare’s expertise she never would have been able to work. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731
In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Total knee replacement was the only viable option. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. From the time I entered Dr. Karkare’s office for the first time until now, his staff has been amazing. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Courtesy and kind would be an understatement. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. This was the right decision no pain and no limp. Complete Orthopedics should be your choice!
I suffered with pain in both knees for years. My orthopedic doctor kept recommending knee replacement . I fought it for years, as I was just afraid. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. He explained everything to us, and the office staff set everything up for us and made the process easy. So about one month after our initial meeting I had the first knee done. I was up walking mere hours after the surgery, and on the workout machines the next morning. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Three months later I had the other knee done and went home the very next day. Dr. Karkare put my fears to rest . I would highly recommend him. His expertise gave me my life back. Thank you Dr. Karkare.SincerelyVito Congro
My mom had a total hip replacement by dr karkare. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. The office staff is the best, love Andrea.You wont find a better doctor.
There is no better Orthopedic doctor you will find. Broke my ankle three places on a Saturday. Called Dr. Karkare. He had is team ready at the hospital and operated on me within 6 hours after my injury. Now After 3 months of great care by him and his staff, I am walking to normalcy.
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