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My knees ached for a long time

My knees ached for a long time. I did not realize that I got bow knees.  I thought bow knees is so visible that they are curvy. Mine were not like that. After the x-ray, the doctor told me that this was bow knees. It was the cause of the pain. After study many data and got more confidence when I learnt about the result of MHTO operation of many cases of Dr. Somsak patients. I decided to have the MHTO operation of both legs immediately. Now I am so glad that my knees are not ache anymore and I still have my own knees, not the artificial ones.

Back Problems : Surgery is the last choice

Back Problems : Surgery is the last choice

Radio Frequency (RF) for Non Surgical Spinal Treatment

Radio Frequency กับการรักษาโรคทางกระดูกสันหลังโดยไมต้องผ่าตัด

Minimal Surgery

การผ่าตัดแผลเล็ก

6 Non surgical Method Treatment for Spinal Problems

การรักษาโรคทางกระดูกสันหลัง โดยไม่ต้องผ่าตัด สามารถทำได้หลายวิธี Bangkok Advanced Clinics ขอเสนอ 6 วิธีการรักษาโรคทางกระดูกสันหลัง

I am used to having backache for years

I am used to having backache for years. I took medicine when it ached. If the pain were severe, I would get a pain killer injection. That was what I could do. To my puzzle, how an easy method the core muscle training, just leg lifting could cure the problem at the root of the pain

Bow legs,Knock knees Correction by MHTO surgery (1st Album)

เคสการแก้ไข เข่าโก่ง ขาโก่ง เข่ากาง ขากาง ด้วยวิธีผ่าตัด MHTO BY DR.SOMSAK

Neck pain down to arms

Artificial Knee joint Solution.

Hyaluronic Acid (HA) is the compound in the knee joint solution. It is sticky and highly elastic and it helps the joint, especially the knee joint bone disc surface, not to get too much pressing or bumping pressure when we walk or run. The compound also helps grease the cartilage surface when we bend or stretch the knee. It reduces friction or pressure, which in turn helps protect from degeneration of the cartilage. This results in reduction of inflammation, aching, swollen, reddening and heating up of the knee.  The normal level of the knee joint solution is only 1-2 cc.

As we age, our HA is lower, especially the ones who suffers from degenerated knees. The patient with severe degenerated knee has HA that is almost dried up. At this stage, the knee degeneration symptom will spread out rapidly. Some will develop an obvious bowleg within a year.

Scientists try to find methods to slow down the drying up of the knee joint solution. They believe that if the solution can be maintained it will help slow the knee degeneration. The artificial knee joint solution was first produced 30 years ago. The effectiveness was not satisfactory. After being injected for one to two weeks, as doctors pierced into the knee to inspect, it was found that there was none left.

In the year 1997-2004, scientists finally were able to develop the artificial kneecap solution of which the quality is close to the natural knee joint solution. The solution is produced from natural sources i.e. Rooster Combs or from Bacterial Fermentation. The application started in North America, Canada and Europe. The solution was injected into the final stage degenerated knee, and also used to inject into the hip joint and the ankle joint. The number of the patients that need to have the operation to change to the artificial knee joint was surprisingly reduced.

The three advantages of using the artificial knee joint solution are reducing pain, decreasing stiffness and can postpone the knee operation (Knee Arthroplasty Surgery) for 1 to 1.5 years.

The injection method is to directly inject the solution into the space of the knee joint. The doctor might inject the anesthetic at the skin in the area before the injection. This will reduce the pain during the injection of the solution, and this should be done only by an expert. In order to be effective, as being practiced internationally; the dose is to inject once each week for five (5) weeks in a row. At present, it is also the practice with the patient who went through the microscopy therapy of the bone.

The disadvantages can be e.g. allergies to the solution causing rashes on the injected are and high costs. When I first used it three to four years ago, the price of the solution was almost 20,000. Now as it proven to be effective, there are more manufacturers that produce the improved quality products with lower prices.

Above all, the degeneration of knees is nature to all. There are many factors that stimulate the inflammation and pain. So it needs consideration to get the treatment according to the real cause, not to depend only on the solution injection. Ask the doctor if it is worth to do so before you go for it.

What is the artificial knee joint?

There are many cities in the western countries that surprisingly have a lot of senior citizens commuting using buses to get to different towns. Most of these are towns near the beaches, which are quite a distance, where old retirees live alone while having a good rest in the last period of their lives. They do not want to be a burden to their families so the number of these oldies living alone is increasing as time goes by.

As it is the culture of many foreign countries, a lot of senior citizens live alone. They have no one to look after them or even relatives to live with. When they get sick and get difficulties in walking, it will have a big impact on them. When the knee joints degenerate and they start to feel the pain as they walk, they do not hesitate to see the doctor, thus, undergoing an operation to put in the artificial knee joint that helps them to be able to walk again. They do not usually wait until the knee sags or bows too much.

Usually it is the patients who ask for the operation in order for them to have their normal lives back. The artificial knee joint is made from a premium quality metal and plastic which can be put into a human flesh without body resistance. It is a Medical Grade, and it is much more expensive than the Engineer Grade that we use in the industry.

The artificial knee joint is designed to be as close in shape as the real knee joints. The knee joints consist of the surface of the joints of the thigh bone (Femur) where it touches the bone of the leg end (Tibia). They are connected with the surface of the kneecap (Patellar). When in good condition, this joint surface will be smooth and slick in order to reduce the friction pressure when we bend or stretch the knee. This is to prevent the joint from heating up and getting inflamed which eventually damages the joint surface.

Similar to the real knee joint, the artificial joint has the metal surface that is very smooth and so shiny that the doctor can even use it as a mirror. There is also a Polyethylene plastic, which is also smooth and slick on the surface of the metal to prevent them from touching each other.

The development of the artificial knee joint is like the development of the car — it gets better and better every year. A new car model has more features for us to choose from. The artificial knee joints, in the present, also offer many designs to suit the patient’s condition, i.e. the model that gives Maximum Flex and Extension, the model with more Rotation Degree (Closer to the original joint); there is also one model that is specially made for female patients. There are more leading companies that conducts research and compete in the manufacturing of the artificial knee joints.

The artificial knee joint, though, is not a permanent thing. After its use in daily life for some time, it will wear out. Luckily, the wearing is only at the plastic surface which can be replaced by a small surgery.

To get a good result when changing to artificial knee joints, you need to know how to maintain them. You are not to put hard load on the joints, not to bend the joints to sit on the floor or lift heavy stuff. It is also imperative to regularly exercise to have a strong muscle around the knee so that the bumping pressure on the joint is reduced. Keeping the wound clean in very important. An artificial knee joint is a foreign thing in the body so it is also prone to infections. When we have infected wounds on the skin, decaying tooth or having tooth extraction, we need to be very cautious not to get any infection since it can get into the blood stream and could accumulate around the artificial knee joint. This will stimulate the knee tissue to get infected. As a prevention measure, take the anti-infection medicine before you go to see the dentist or when you get a skin infection. Take good care of your artificial knee joints so they will stay longer with you.

Knee & Leg Shape Correction

Focus on the correction of the misshaped leg and knee e.g. the O-shaped, X-shaped bow knee from all the causes, i.e. genetics and degeneration.

Some child patients got the problem but parents are not aware. The abnormal shaping needs an early treatment. The longer the problem is neglected, the bigger the problem occurs.

It can also influence other body structures in the long run, like the decreased height, the crooked spines, increased bowed knee angle or more pain when walking. The patients are not able to stand for long periods or even to the extent that the length of both legs are not even, which increases the rate of degeneration.

We are the expert in correcting the misshaped legs and knees. We offer a complete loop of treatment for every age period, from a child of 1 year old up to an elderly of 90 years old. The diversities’ techniques used are from many types of non-surgery treatments to the minimum invasive surgery, the Modified High Tibia Osteotomy (MHTO). This type of surgery only needs to make a very small cut wound, aiming to help for a faster recovery and there is no need to stay longer in the hospital.

Bangkok Advanced Clinics
1/18 Soi Sukhumvit 24
Klongton, Klongtoey
Bangkok – Thailand

Tel : +66 (0)2 000 3535 (Thai)
+66 (0)99 216 0216 (Thai)
+66 (0)81 632 6138 (English)

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