I got knee ache since I was 25 years old. When I knew that, I got bow knees I decided to go MHTO surgery
At first, I am not aware that bow knees can be cured. I searched through Google and I found Dr. Somsak name mentioned in Panthip page. I look more into the details of the Clinique, the method to cure bow knees. Then I came to BAC to consult with Dr. Somsak on the treatment. Dr. Somsak gave me the explanation of how many kinds of bow knees there are. The one I got. needed to be treated by MHTO which is the doctor’s expertise. I decided to go with it, got the operation on the two legs at the same time. After a month and a half the metal pieces were taken out.
I am Karine from Brazil.40 years old. I was suffering with knee pain for one and a half years. I went to consult many doctors but no solution. Finally, I knew exactly what the root of my knee pain. My legs were not even about 1cm. Then I got final solution!!! and now I am a different person just by wearing “Body Balancing Insole”. After 2 months, my knee pain was gone!!! The best part is I am SUPER HAPPY that I can wear my fashion shoe which at the same time also treat my knee and my body structure.
Bow legs, bow knees, knocked knees have many drawback especialy it cause the imbalanced body structure. It cause more vibration force on the ankle and back than nornal that make the back and knee hurt. It needed to be taken care of asap, not a chronic disease nor a genetic inherit factor. Most of the patients begin the symptom at working age or at middle age, who do not take good care of using the knees.The MHTO, used by Dr. Somsak, is the surgery to adjust and straighten the legs. The prominent point of this technique is a small cut wound. less blood loss, fast recovery and the use of a new instrument designed by Dr.Somsak Laowattana himself. 4 important points of Dr.Somsak’s MHTO technique for bow leg ,knock knee correction 1.Miminal surgical woumd 2.Minimal blood loss 3.Minimal surgical and recovery time 4.Minimal surgical new tools by Dr.Somsak From Knee and Leg shape correction center : Bangkok Advanced Clinics
When the elderly who have osteoporosis or thin bone fell down and the butt bump on the floor, even not hard it can cause the bone to collapse. The spine arched up and has a severe back pain. Some hurt so bad that they do not want to get up and walk again. If the relieve type healing, like wearing the back support does not work, there is a new method of cure that can heal the collapsed spine without having to go for a the surgery. The method can inflate up the collapsed bone and concealed within not quite an hour. The elderly will have no more pain, can get up and walk again.They can resume the quality life back in no time. We call this method Kyphoplasty…the cure of the collapsed spine by a balloon technique.
What is Carpal Ganglion Cyst?
Subconsciously, we use our hands regularly throughout the day. For example, we flex our wrist to pick up objects, or we twist it to wring out clothes. The wrist composes of many muscles and tendons, working together systematically. Within the wrist, fluid lubricates the joints which enables them to move smoothly and more conveniently.
The effect of the carpal ganglion cyst (CGC)
The continued use of the wrist, can sometimes cause the leak of the aforementioned lubrication fluid as it accumulates at the back of the wrist. This accumulation will increase over time. In addition to this , when squeezed, it will feel like a hard water-bag. Consequently, it will enlarge if it is forcefully flexed or if the wrist is bent backwards. Unfortunately, the cyst can become increasingly bigger, due to fact that the leak of the fluid is substantially more than the out flow or the resorption rate. When the cyst grows in size, it forms a noticeable lump which can lead to an individual becoming self-conscious and will often make them feel uncomfortable.
Furthermore, as the cyst develops, it will start to put additional strain on the tendon as it presses against it, causing the inflammation of the tendon. Something positive that can be drawn from this is that it is not dangerous; it is a normal tumor, and it will not turn out to be a malignant tumor.
The Prevention of Carpal Ganglion Cyst
The best way to prevent the lump from forming, is to prevent the leaking of the joint lubrication fluid into the wrist which causes the cyst to develop. If the wrist is not used properly and is overexerted by being used too frequently or being bent too far back then this will also cause added inflammation. In some extreme cases, a hole will form and the leak will discharge from the cyst, due to the accumulation of the fluid. Therefore, if an
individual feels pain from or develops inflammation, it is recommended that they visit a doctor as soon as possible.
Initially , when the cyst is relatively small in size, patients are recommended to refrain from using the wrist as much as possible throughout the day. Additionally taking anti-inflammation medicine should reduce the size of the cyst. In some cases where the cyst has increased in size it may be necessary to use a syringe to extract the fluid from the cyst, in order to reduce its size. The drawback is that there is a high chance of the cyst recurring.due to the fact that the syringe can only remove outside fluid Both the tissue that surrounds the cyst and the hole that is causing the leak still remain. Therefore, there is a high chance that the fluid will accumulate again and the swelling will return to create a new undesirable lump.
If the size of the cyst becomes too large then an operation to remove the whole cyst is necessary. There are two disadvantages to this. Firstly, the operation will leave a scar which is, of course, much more more visible than when the fluid is extracted using a syringe. Secondly, there is still a chance that the cyst can return as there could be parts of the tissue that surrounded the cyst left behind. Also, the needle stitch, used to seal the leak, could cause a new leak hole. Unfortunately, as many as one out of every five patients will develop a new lump.
After learning of the potential recurrence of the lump, some patients will often decide that further treatment, by the method of either the syringe extraction or through an operation, cannot be justified. If this is the case, once patients have had confirmation that the lump is CGC and nothing more serious then they will often decline treatment and learn to live with it.
CTS (Carpal Tunnel syndrome) are commonly found in middle aged women. The symptom starts with the numbness of the finger tip when used continuously for a period of time e.g driving, holding the cooking spatula or even holding the cell phone. The fingers often found with the symptom are the index, the middle and the ring fingers. After having the symptom on and off for some time, without having the right treatment, the numbness will increase in degree followed by streaking pain from the wrist that spreads up to the forearm.
Suffering from numbness of the hand or hands can be a worrying symptom. Sufferers can find the fear of permanent damage or loss of feeling to be particularly worrying, understandably.
Carpal Tunnel Syndrome
(Numbness at the tips of the fingers from the narrow Carpal Tunnel)
Nerves in the hands can be compared to the electrical wiring in a house. Like the wiring in a house, where the electricity is supplied from a source to the fittings (light switches, power outlets, etc.), the hands, like arms, legs and rest of the body receive signals from the brain stimulating muscles and skin, enabling movement and allowing us to feel and touch the world around us.
Every time we move, our muscles contract and release, pulling our bones, enabling us to move. While undertaking low movement activities such as working in front of the computer or driving long distances, the muscles around the neck become inflamed. Pain accumulates little by little without any awareness of the individual. When we do finally feel the pain, it can be a chronic pain at the nape and the shoulder blade. It can feel like the sprain of the neck similar to that felt after slipping off the pillow or sleeping in an uncomfortable position, limiting neck movement and preventing turning of the neck all the way. Some turn to massages for relief. The massage will squeeze and unwind the muscles and it will feel like the sunken, stiffened shoulders are relieved. However, a massage is only a temporary relief. If the condition has been neglected for a long time and not corrected at the cause, the pain will be far more severe and can progress to the failure of the neck muscles. At this stage the patient cannot straighten his neck even for one minute. The pain will be so intense that the patient is unable to manage the pain. Some will suffer headaches, pain in the eye sockets, and suffer from nausea and migraines. Finally, patients can suffer shooting pains down the arms and legs and experience numbness in the hands.
Recently there has been a new, revolutionary way of thinking towards the treatment of bowed-legs. Patients can wear specially designed shoes that are tailored to a patient’s particular needs and can therefore produce a change to the legs / knee structure. These custom made shoes, featuring patient specific insoles, can adjust the structure of the horizontal plane and the angle and the length of the legs. Fortunately, they can be fit as soon as the child is able to walk. Furthermore, they are also effective in elderly patients, where they can provide increased support in weaker areas.
It’s quite common for toddlers to appear mildly bow legged. In fact, toddlers can often have bowed legs that may even interfere with walking. Fortunately, bow legs usually begin to straighten once the child starts to walk and it can be thought of as a natural occurrence that the child will usually grow out of. Adolescents occasionally have bowed legs if the degree of deformation is rather severe which can cause a flaw in their appearance.
“Drawback of having bowlegs”
Most patients are usually taken by surprise when the doctor tells them they have bowlegs. They react as if it is impossible to have such condition at their age. “How is that possible?” is a typical reaction, while some conditions are severe. Worried they might be teased that a small kid can walk through their bowlegs!
Some patients try to find excuses like, “I was born with it.” or “Every time I wear shorts to play soccer, friends always tease me that my legs are not straight!”
This condition is inherited but there is nothing to be worried about. “Bowing” of knees or the technical term genu varum (genu = knee, varsus/varum = angles in) is part of the normal development of a person. It is the outward curvature (curved out or curving out) of the legs (x-shapedor o-shaped legs as described by some patients in Thailand) that causes separation of the knees when the ankles are close or in contact. The doctor needs to find out the severity of each patient’s condition though it really has serious consequences if left untreated.
“When do you need the surgery for bowlegs?”
Bowlegs (Varus knees) that reach these severe conditions need to get operated:
1. The two knees are bowed or curved outwards (curved out) resulting to unequal length.
This causes the patient to walk wobbly because the lengths of the two legs are unequal. The wear on the shoe soles are also unequal. When a patient is wobbly walking for a distance or standing for a long time, it will result in backache. The patient is usually unaware that the chronic backache is caused by bowlegs.
“The treatment for varus knee (bow-legged) correction”
Nowadays, there are only three standard treatments for varus knee correction to regain straight knees, which are acceptable for successful result.
1. Knee replacement
This technique is suitable for inactive patients (older that 65 years old) with severe osteoarthritis of the knee. They currently receive full alternative
reatment though the pain has not improved still. Knee Arthroplastydoes not really last forever since it can only be used and worn for an average of 10-15 years. Patients need to use it carefully, avoiding contact sports. Otherwise, it has to be replaced earlier than expected. Another major disadvantage of knee replacement is having catastrophic infections. Knee replacement is only reserved for elderly patients with severe stage of knee osteoarthritis since it is the last option left.
“The Latest and Most Innovative Operation Techniques for Bowlegs”
Advantages of Modified HTO with New Charnley Clamp:
- Small cut wound around 1.5 to 2 centimeters; less time spent on the operation.
- Minimal blood loss; no need to use the tube to drain out the blood from the wound.
- Less pain; short time spent in the hospital (only 2 to 4 days).
- The operating tools are newly designed to be of smaller size and not to be left permanently in the bone.
Modified HTO with New Charnley Clamp
The method is the same as HTO, the third method, in using the Titanium Pedicular screw external fixator. The modification made the operation procedure faster, and with the patient having a smaller cut wound.
“The operation to straighten both knees at the same time with the new MHTO Method”
Frequent questions from patients who have bowlegs or knock-knees on both sides from a young age are:
- Can the operation be done on both sides on the same day?
- Is there a difference between knock-knees and bowlegs?
- Will there be a difference if the operation is done on one side at a time?
- And the most important question is: Has this kind of operation (same-day-both-knees) been practiced in Thailand?
The operation on both knees at the same time
For the majority of cases, a patient needs to undergo an x-ray in order to determine if they have suffered slipped vertebrae. So, logically, the prevention of slippage of the vertebrate is not easy unless we routinely x-ray all people. The issue needs to be further considered and explored.
You should seek the help and support of a doctor about your back if you have persistent back pain for more than 2 weeks or if you are suffering from leg or calf pain on the same side or same area. If you suffer from these or similar symptoms, you should seek the advice of a specialist doctor for diagnosis immediately.
The pictures show the patient before and after the back operation