Rishi Chana

06/02/2021

Proud to be part of this Powerful Platform
Check out HeartHealth Ltd
One data platform for all your healthcare investigations results and data for physicians and patients alike!

https://www.hearthealthnews.info/post/my-hips-hurt-what-can-do-i-to-help-myself-when-do-i-need-an-opinion

30/01/2021

Concierge bespoke level service bringing a Harley St practice style to Beaconsfield.

Fast tack access to top surgeons, GP’s and Doctors with no delay.

OrthoRapid a first class level Orthopaedic services across Beaconsfield and the surrounding area with access to Digital Radiology.

We are your msk. Ortho service provide and branding linked to DrNow

COVID Safe environment and safe space with plenty of room for social distancing..

0203 494 4034
www.rishichana.com

12/01/2021

Join our breakfast meeting Jan 14th this Thursday at 7.30 for a bright and early hip hip hooray update on all things hippy!
Mr Witt will talk about Labral tears and women and I will cover high performance hip replacement and enhanced recovery.
Courtesy of Schoen Clinic London.
We are still open and offering surgery for ASA 1 and 2 patients requesting surgery.

13/12/2020

Traditional vs High Performance hip replacement recovery:

What is the big deal here?
Why all the hype about this ‘new recovery’...?

Good questions!

Take a look ... 👀

2 weeks after a traditional hip replacement you are using crutches to aid the muscle healing, stairs are done one one step at a time with the crutch and pain is mild...

2 weeks after High Performance hip replacement you are walking around like nothing happened!! The muscle was never injured so no need for crutches! There is virtually no pain and stairs are tackled with complete confidence...

This is a paradigm shift in the new norm...

Visit The Home of Happy Hips:

www.rishichana.co.uk

0203 434 4034

13/12/2020

Myth 2: Hip replacement has a long recovery and you cannot walk properly for months...

The High Performance hip replacement uses a muscle sparing approach that allows the hip to ‘feel normal’ immediately. The Patient can walk as normal because the muscle cuff of the hip is intact ... this is normally cut and takes 6 weeks before people can walk normally again...
so at 2 weeks the High performance hip will do what a normal replacement can only do at 6 weeks.
Job done!

Visit The Home of Happy Hips:

www.rishichana.co.uk

0203 434 4034

12/12/2020

Myth 1: Hip replacement is a painful operation

The evolution of excellent Anaesthetic and Surgical techniques with Physio support, the high performance hip replacement is now a reality with virtually no pain from Day 1...



www.rishichana.com

25/11/2020

Feel free to join us on Eventbrite Dec 9th for a talk on hip preservation and latest developments in hip replacement surgery.
This is intended for patients as well as health professionals.

https://www.eventbrite.co.uk/e/hip-preservation-free-online-event-for-the-public-healthcare-professional-tickets-128106561173

26/10/2020

High performance hip replacement...
Questions:
1. What is this?
2. How and why should it be done?
3. What are the benefits compared to the standard hip surgery?

Answers:
1. This is an evolution of using modern implants and the combination of optimal anaesthetic and minimal tissue trauma during surgery.
2. It can applied to any patient. The minimal tissue trauma ensures fast healing and a ‘feeling of a normal hip’. This is called proprioception. An essential nerve to brain joint position sense that is usually the last part to recover. This can take up to 3 months in the standard surgery as the hip capsule is opened extensively..
3. Minimal muscle injury to the ‘hip rotator cuff’ equals great strength, endurance and confidence straight away... why settle for less when there is no downside?

www.rishichana.co.uk
0203 494 4034

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Thanks to my awesome patients for their support and hard work!!

# hipoa

18/10/2020

AMIC + BMAC in Hip Preservation is Superior to Microfracture.
The challenge of filling focal cartilage defects has been traditionally met by microfracture, this bleeds a wet clot into the defect through small holes made into the bone base of the area….this unfortunately is not very effective and studies record a failure rate of 25-30%.
The newer generation of AMIC, a collagen scaffold or sponge layer is much more stable and durable. The clot, produced by bone marrow derived blood (BMAC) to fill the sponge sits into the defect and is glued with fibrin to produce fibrocartilage. This is immediately stable allowing for enhanced recovery and accelerated progress. This is part of a Biological Reconstruction keyhole procedure.
Patients over 50 yrs who are not ready for hip replacement but still suffer with hip problems are in rut called the OA Gap….microfracture in this group fails and these lead to premature hip replacements that then need revision surgery in the future…not a great plan.
AMIC+BMAC bridges the OA gap! It has strong success in these patients, if they are picked early before both the ball and socket start to fail.
Can we bridge it? Yes we can! Patients over 50yrs who have focal cartilage defects can keep their hips natural and go stronger for longer with hip keyhole biological reconstruction techniques.
Really proud to present the latest paper on this topic:
Paper link: https://academic.oup.com/jhps/advance-article/doi/10.1093/jhps/hnaa047/5921724?searchresult=1
Journal of Hip Preservation Surgery: https://academic.oup.com/jhps
www.rishichana.co.uk

18/10/2020

05/10/2020

Femoral Stress Fractures?
With marathon season in full swing femoral stress fractures are at their most prevalent.
These occur due to overdoing your running prep.
Typically pain in the top half of your thigh on heel strike or landing in that leg should be treated as a potential stress fracture.
If you cannot to a single leg hop test and have pain on running but not walking, go and see a clinician .
An mri will show up or rule out this injury.
Your vitamin d and calcium levels as well as bone health, diet and menstrual history (for ladies) should also be checked.

Risk factors:
Consuming more than 10 alcoholic drinks per week
Excessive physical activity with limited rest periods
Female athlete triad (eating disorders, amenorrhea, osteoporosis)
Female s*x
Low levels of 25-hydroxyvitamin D
Recreational running (more than 25 miles per week

A stress fracture needs time to heal ... typically 8 to 12 weeks rest followed by
Stage 0: Pain free walking for 30 mins before progressing to stage 1.
Stage 1: 9 mins walk + 1 min jog
Progressively Switch to
1 mins walk + 9 min jog
Stage 2: 9 mins jog+ 1 min running
Progressively Switch to
1 mins jog+ 9 min running
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