Morena Orthopaedic Clinic Botswana

Considering Knee Replacement Surgery? Here’s Why It Could Be Life-Changing!
If chronic knee pain is holding you back, knee replacement surgery might be the solution. Here are the key benefits:
🌟 Pain Relief: Say goodbye to constant knee pain! Surgery can significantly reduce or eliminate discomfort, letting you enjoy daily activities again.
🏃 Improved Mobility: Regain the freedom to move! A new knee joint can restore range of motion, making walking, climbing stairs, and staying active easier.
💪 Better Quality of Life: Get back to doing what you love—whether it’s playing with grandkids, hiking, or simply moving without wincing.
⏳ Long-Lasting Results: Modern knee replacements are durable, often lasting 15-20 years, giving you years of improved function.
🙌 Enhanced Independence: Less pain and better mobility mean you can rely less on others and live life on your terms.
If knee pain is limiting you, consult with us to see if knee replacement is right for you! 💙
Disclaimer: Always consult a medical professional for personalized advice.

Rotator cuff impingement, also known as shoulder impingement syndrome, is a common condition that occurs when the tendons of the rotator cuff muscles become irritated or compressed as they pass through the subacromial space in the shoulder. This space is located beneath the acromion, a bony projection of the scapula (shoulder blade), and above the humeral head (the top of the upper arm bone).

# # # Key Structures Involved:
1. **Rotator Cuff**: A group of four muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) and their tendons that stabilize the shoulder joint and facilitate shoulder movements.
2. **Subacromial Space**: The area between the acromion and the humeral head where the rotator cuff tendons and the subacromial bursa (a fluid-filled sac that reduces friction) are located.

# # # Causes of Impingement:
1. **Anatomical Factors**: A naturally narrow subacromial space or a curved or hooked acromion can predispose individuals to impingement.
2. **Overuse or Repetitive Movements**: Activities that involve repetitive overhead motions (e.g., swimming, tennis, painting) can lead to inflammation and swelling of the rotator cuff tendons, reducing the available space.
3. **Poor Posture**: Slouching or forward head posture can alter the mechanics of the shoulder, narrowing the subacromial space.
4. **Trauma or Injury**: A fall or direct blow to the shoulder can cause swelling or structural changes that lead to impingement.
5. **Age-Related Changes**: Degeneration of the tendons or bone spurs on the acromion can reduce the space and cause impingement.

# # # Symptoms:
- Pain, especially when lifting the arm overhead or reaching behind the back.
- Weakness in the shoulder, particularly during overhead activities.
- Pain at night, especially when lying on the affected shoulder.
- Limited range of motion in the shoulder.
- A clicking or popping sensation during shoulder movement.

# # # Diagnosis:
- **Physical Examination**: A healthcare provider may perform specific tests (e.g., Neer's test, Hawkins-Kennedy test) to assess for impingement.
- **Imaging**: X-rays can reveal bone spurs or changes in the acromion, while an MRI or ultrasound can show inflammation or tears in the rotator cuff tendons.

# # # Treatment:
1. **Conservative Management**:
- **Rest**: Avoid activities that exacerbate symptoms.
- **Ice and Heat**: Apply ice to reduce inflammation and heat to relax muscles.
- **Physical Therapy**: Exercises to strengthen the rotator cuff and improve shoulder mechanics.
- **Anti-inflammatory Medications**: NSAIDs (e.g., ibuprofen) to reduce pain and inflammation.
- **Corticosteroid Injections**: To reduce severe inflammation in the subacromial space.

2. **Surgical Intervention**:
- If conservative treatments fail, surgery may be considered. The most common procedure is **arthroscopic subacromial decompression**, where the surgeon removes bone spurs or part of the acromion to create more space for the rotator cuff tendons.

# # # Prevention:
- Maintain good posture and shoulder mechanics.
- Strengthen the rotator cuff and shoulder muscles.
- Avoid repetitive overhead activities or use proper techniques.
- Warm up before engaging in sports or physical activities.

Early diagnosis and treatment are crucial to prevent further damage to the rotator cuff, such as partial or complete tears. If you have shoulder pain or suspect you have rotator cuff impingement, consult a us for an accurate diagnosis and appropriate management plan.

Call 3919344/ 3701132/ 75402757 for appointments.

Low Back Pain related to Disc pathology is a common cause of back pain. The infographic shown helps understand this better. Please reach out to us at 3919344 and 75402757 for an appointment to discuss and manage your back pain. We will empower you with knowledge regarding your pain and help you recover from it using the best evidence available for both operative and non-operative management.

We have a new clinic location. Please contact us for appointment. We are available on Saturdays as well for busy clients. Now there is no excuse for neglecting your musculoskeletal health. Give us a call. Morena is watching over you.

Today is world health day. Being healthy is an active choice, a choice that is sadly neglected. Know your musculoskeletal health. Call us for an assessment of your bone and joint health and Calcium metabolism, especially women close to menopause.

Morena Orthopaedic Clinic contact numbers:

Landline-3919344

Mobile-75402757

It's your right.

One of the common causes of shoulder pain is rotator cuff related pain. In this infographic, you can read about the various causes and management options for this problem.

If you have a nagging shoulder pain, please reach out to us so that we can examine you and help you with the latest treatment methods, including platelet rich plasma (PRP) injections and shoulder Arthroscopy.

Bracing provides a corrective effect on scoliotic curves of adolescent idiopathic scoliosis patients to achieve curve regression, given there is high compliance rate and the incorporation of exercises.



https://ow.ly/aNmJ50QLpNZ

Our approach to patient care is always evidence based and patient centred.

This paper is a good summary of our approach as well. We at Morena Orthopaedic Clinic Botswana use these pillars to guide you to better musculoskeletal health.

Contact us for a positive experience in attaining optimum musculoskeletal health.

To us Orthopaedic surgery is a calling and giving our best to our patients is a blessing in its own right.
P**a.

Road traffic accidents have shown a statistically increase every year. This is a terrible tragedy and our condolences to all the families affected by this incident. Please don’t drink and drive. Severe Orthopaedic injuries are very common in Road traffic injuries and lead to significant morbidity. Take care and drive safely. Wear a seatbelt at all times. They save lives.