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Geriatric Orthopaedics: A Boon For Senior Citizens

An elder man experiencing back discomfort, symbolizing specialized geriatric orthopedic care.

Ageing and the changes that come with it are inevitable. One of the most evident changes happens with our bones. The sturdy framework that protects our organs and gives our body shape and structure slowly loses its strength and stability and becomes more prone to damage.

Geriatric orthopaedics serves as a critical pillar in maintaining senior wellness. This specialised field focuses on boosting mobility, easing discomfort, and enhancing the quality of life for senior citizens.

Let’s further delve into geriatric orthopaedics and gain insights into the latest advancements, like geriatric fracture treatments, and how these measures improve seniors’ quality of life.

What is Geriatric Orthopaedics?

Geriatric orthopaedics is an avenue of Geriatric Care Management. Unlike normal orthopaedics, this field has a unique approach since its requirements differ from conventional ortho needs. One must consider that recovery time is longer and orthopaedic risks are higher than for the younger population.

The essence of geriatric orthopaedics lies in its customised patient care approach. Doctors create personalised treatment plans by considering the complexities associated with ageing, such as frailty, decreased bone mass, and concurrent health issues. These often blend conservative measures, rehabilitative techniques, and surgical interventions when needed. The aim is to foster an active, independent lifestyle for seniors to enjoy their later years with utmost freedom and comfort.

Geriatric health plans may include a mix of medication, physical therapy, lifestyle adjustments, and advanced surgical options like joint replacements for severe cases.

In the following sections, we shall explore the common orthopaedic conditions prevalent among seniors and why a specialised approach is necessary for targeted, effective care.

Also Read: Insights into Geriatric Fractures- Protecting Bone Health

4 Orthopaedic Conditions Common Amongst Seniors

Osteoarthritis

Osteoarthritis is one of the most common orthopaedic conditions among the elderly. This degenerative joint disease impacts the pelvic, knee, spine, and upper limb joints. The onset is very gradual and almost unnoticeable until the person complains of persistent pain, swelling, and stiffness.

As osteoarthritis progresses, it impacts the joint flexibility and causes a grating sensation when moving the joint. Proactive treatment can help manage symptoms and maintain an active lifestyle, mitigating fracture risk and other complications.

Rheumatoid Arthritis

RH, or rheumatoid arthritis, is a chronic inflammatory disorder affecting the limb joints. In this condition, the body’s immune system attacks the joints, causing pain, swelling, and restricted mobility. RH is a progressive disease that can slowly impact the functioning of the heart, bone marrow, and kidneys. This condition is irreversible but can be managed with the right treatments, physiotherapy, and medication.

Fractures

Fractures among the elderly can significantly affect life, leading to chronic discomfort and mobility challenges. The most common cause of fractures in this age group is falls due to poor gait and muscle strength. Also, those with osteoporosis are more vulnerable to fractures. Other fractures may occur due to sports injuries and vehicular accidents.

Fractures are of two types- open and closed fractures. Most open fractures require surgery to assemble the bones that may have split into two or more fragments. Closed fractures usually heal on their own with medication, rest and therapy.

Addressing fracture aftermath, such as chronic discomfort and mobility issues, and exploring comprehensive management strategies are essential for helping seniors overcome these challenges.

Joint Dislocations

A dislocation occurs when the bone is forced out of the normal position due to an impactful fall, a blunt force trauma to the body or by twisting the joint. Dislocations can be very painful and also result in damage to the bone. Some dislocations may require surgery, and some may not. Either way, the person should be taken to a hospital if they show signs of joint dislocation.

These prevalent conditions among elders affect the quality of life by limiting mobility and independence. Effective management is key to maintaining independence and ensuring a high-quality life.

Diagnosis & Treatment Approaches for Geriatric Orthopaedic Problems

Doctors may recommend the following diagnostic procedures to investigate geriatric ortho conditions:

  • X-rays and CT scans- To visualise fractures and cross-sectional images of body parts.
  • MRI scans- To gather detailed images of internal organs and body tissues.
  • Bone density tests- To measure bone mineral density and assess osteoporosis risk.
  • Comprehensive physical exams and patient history- For holistic diagnosis, considering functional limitations and daily life impact.

The key treatment approaches for managing chronic pain and mobility issues include:

  • Non Pharmacological Treatments
  • Pharmacological Treatments

Understanding the pain and mobility issues is critical for effective treatment. This insight helps healthcare professionals craft tailored treatment plans, ensuring the best outcomes.

Recent advancements offer a broad spectrum of treatment options for geriatric orthopaedic conditions, from conservative management and medication to cutting-edge surgical interventions like joint replacement surgeries. These aim to minimise pain and maximise mobility.

Rehabilitation & Prevention

Rehabilitation efforts and focus areas are crucial for effectively managing orthopaedic conditions. Prevention strategies and components are also equally vital.

By combining rehabilitation and preventive measures, seniors can effectively manage their orthopaedic conditions, minimising the impact on their quality of life.

Embarking on a Healthier Future with Geriatric Orthopaedics

Exploring geriatric orthopaedics opens a path to preserving mobility, managing pain, and enhancing seniors' overall well-being. Sri Balaji Hospital is the best orthopaedic hospital in Chennai for advanced medical expertise and compassionate care.

At Sri Balaji, we focus on providing individualised care tailored to the specific needs of each senior. Our compassionate team of experts seeks to provide optimism and effective solutions for the various challenges that come with ageing. Reach out to us at Sri Balaji Hospital to experience expert healthcare that is dedicated to supporting and treating you.

Dr. Balaji Subramanian

Dr. Balaji Subramanian

I'm Dr. Balaji Subramanian, M.B.B.S., M.S.Ortho, proudly serving as the Director at Sri Balaji Multi-Speciality Hospital & Pvt. Ltd, Chennai. With 14 years of dedicated experience, I excel in orthopaedics, traumatology, and joint replacement. My passion lies in precise fracture fixation and pioneering minimally invasive approaches for hip and knee replacements.

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