#knee cartilage treatment

[cartilage-regrow123]

Effective Cartilage Regrow Treatment in Gurgaon

Looking for cartilage regrow solutions in Gurgaon? Cartilage Regrow, led by specialist Dr. Debashish Chanda, offers advanced treatments to promote natural cartilage healing and improve joint health. Our comprehensive approach in Gurgaon combines expertise with cutting-edge technology to provide relief and restore mobility. Schedule a consultation today to start your recovery journey.

Know more at: Cartilage Regrow Gurgaon

[hcg-hospitals-hcg-network]

Arthroscopy: Everything You Need to Know

Arthroscopy, a minimally invasive surgical technique, has revolutionized how we diagnose and treat joint problems. Gone are the days of large incisions and lengthy recoveries; this high-tech procedure allows surgeons to peek inside a joint, perform delicate repairs, and get you back on your feet faster than ever before. But what exactly is arthroscopy, and how does it work? This comprehensive guide will answer all your questions and give you a clear understanding of this game-changing procedure.

What is Arthroscopy?

Arthroscopy, a surgical technique, has revolutionized the way we diagnose and treat joint problems. Imagine a tiny camera and surgical tools entering your joint through pin-sized incisions, allowing surgeons to visualize and repair internal structures with precision. This is the magic of arthroscopy, a procedure that has transformed the landscape of orthopedic surgery.

How Arthroscopy Works? Technique and Procedures

Arthroscopy utilizes a specialized arthroscope, a slender instrument equipped with a miniature camera and light source. This camera transmits live images of the joint interior onto a high-resolution monitor, guiding the surgeon's movements with unparalleled precision. Through additional tiny incisions, miniaturized instruments are inserted, allowing for diagnostic procedures like biopsies and therapeutic interventions like tissue repair or cartilage removal.

Advantages of Arthroscopy Over Traditional Surgery:

Compared to traditional open surgery, arthroscopy offers a multitude of benefits:

Minimally invasive: Small incisions reduce pain, scarring, and risk of infection.

Faster recovery: Less tissue disruption leads to quicker healing and earlier return to activity.

Reduced hospital stay: Outpatient procedures often eliminate the need for overnight hospitalization.

Improved visualization: Arthroscopic cameras provide magnified views of joint structures, enhancing diagnosis and surgical accuracy.

Less blood loss: Minimal tissue manipulation translates to less bleeding during and after surgery.

Common Types of Arthroscopy:

The versatility of arthroscopy extends to various joints, with knee and shoulder arthroscopy leading the way.

A. Knee Arthroscopy:

Conditions Treated: Meniscus tears, ligament injuries, cartilage damage, patellofemoral pain syndrome, joint instability.

Procedure Overview: Arthroscopic instruments are used to repair or remove damaged meniscus tissue, reconstruct ligaments, smooth cartilage irregularities, realign the kneecap, and stabilize the joint.

“Knee Replacement Surgery is a surgical procedure that involves replacing a damaged or worn-out knee joint with an artificial joint. A procedure that helps in relieving pain and functionality of a deceased knee joint.” says Dr. Priyank Gupta from HCG Hospitals.

B. Shoulder Arthroscopy:

Conditions Addressed: Rotator cuff tears, labral tears, shoulder instability, impingement syndrome, frozen shoulder.

Surgical Process: Arthroscopic tools facilitate repair or reattachment of torn rotator cuff tendons, trimming of labral tears, capsular tightening for stability, and removal of bone spurs causing impingement.

Procedure Details of Arthroscopy:

Before Arthroscopy:

Consultation and Diagnosis: Your doctor will discuss your symptoms, medical history, and perform necessary examinations to diagnose the joint issue and determine if arthroscopy is the right treatment.

Anesthesia: You'll receive general, regional, or local anesthesia to numb the area and ensure comfort during the procedure.

Preparation: The area around the joint is shaved and prepped with sterile solution.

During Arthroscopy:

Incisions: Your surgeon makes small incisions (about the size of a buttonhole) around the joint.

Arthroscope Insertion: A thin tube with a camera and light source (arthroscope) is inserted into one incision, providing a magnified view of the joint on a monitor.

Treatment: Depending on the issue, your surgeon may perform various procedures like repairing cartilage tears, removing inflamed tissues, or reconstructing ligaments using specialized instruments inserted through other incisions.

After Arthroscopy:

Recovery: You'll likely stay in the hospital for a few hours or overnight for observation.

Pain Management: You'll receive medication to manage pain and inflammation.

Rehabilitation: Physical therapy exercises are crucial to regain strength and flexibility in the joint.

Benefits and Risks of Arthroscopy:

While arthroscopy boasts significant advantages, it's essential to consider potential risks:

Benefits of arthroscopy:

Faster recovery and reduced pain.

Lower risk of infection and complications.

Minimized scarring and tissue disruption.

Early return to work and activities.

Risks of arthroscopy:

Potential for incomplete repair requiring additional surgery.

Infection, although rare.

Nerve or blood vessel injury, uncommon but possible.

Is Arthroscopic Surgery Right for You? Factors to Consider

Arthroscopic surgery is not suitable for everyone and depends on various factors, such as:

The type and severity of the joint problem

The age and health condition of the patient

The goals and expectations of the patient

The alternatives and options available for the patient

To decide on arthroscopic surgery, the patient should consult with a doctor who specializes in arthroscopic surgery and discuss the following aspects:

The diagnosis and prognosis of the joint problem

The benefits and risks of arthroscopic surgery

The preparation and procedure of arthroscopic surgery

The recovery and rehabilitation of arthroscopic surgery

The cost and insurance coverage of arthroscopic surgery

Conclusion

Arthroscopy has revolutionized joint surgery, offering a minimally invasive and effective approach to diagnosing and treating various conditions. With continuous advancements in technology and techniques, the future of arthroscopy is brimming with possibilities for faster, safer, and more personalized joint care. Remember, informed decision-making is key. Consult your doctor, discuss your options, and choose the best path to reclaim your joint health and regain your mobility.

[fingertipsmp3]

Only I would get diagnosed with a hamstring tear and feel smug about it

[fivedock-chiropractic]

Struggling with persistent knee pain from a cartilage tear or meniscus injury? Count on Five Dock Osteopathic & Chiropractic Centre for specialised knee cartilage tear treatment designed to promote faster recovery and lasting relief.

[kneecares]

Knee Osteoarthritis Treatment in Jaipur - KneeCares

Articular Cartilage Damage Treatment

Osteoarticular cartilage, a remarkable tissue within our joints, constantly faces stress and is susceptible to traumatic injuries or degenerative conditions, particularly in weight-bearing joints like the knee. When individuals, whether teenagers, young adults, or mddle-aged adults, develop localized full-thickness cartilage or cartilage and bone defects, this essentially mirrors a localized form of osteoarthritis.

For patients with substantial defects, especially those involving bone, a highly effective treatment for cartilage deficiency is the utilization of fresh osteoarticular allografts. These allografts are sourced from young donors with knee sizes matching the affected patient. Our findings show that fresh osteoarticular allografts have led to significant functional and clinical enhancements, with outcomes similar to historical reports from other centers for patients treated with such implants, after an average follow-up of three years.

It's crucial to perform a thorough assessment to determine whether a patient is a suitable candidate for this surgery. While it may not constitute an arthritis cure, many patients experience significant improvements in their quality of life for a decade or more post-surgery. Essentially, this procedure offers a "biologic resurfacing" and it's essential to understand that not all patients can resume full-impact activities following the surgery.

POST OPERATIVE PROTOCOL FOR OSTEOARTICULAR ALLOGRAFTS.

Patients undergoing a fresh osteoarticular allograft procedure follow a carefully structured recovery plan. For the initial 8 weeks after surgery, they are required to remain non-weightbearing, with the additional use of a continuous passive motion (CPM) device for 8-10 hours daily. In cases where a single donor plug is used, patients can start using a stationary bike once the surgical incision has sufficiently healed, typically around two weeks post-surgery. Immediate physical therapy is commenced to address quadriceps muscle activation, knee mobility, and to manage swelling.

Around the 8-week mark, we perform radiographs to confirm the donor graft's adequate healing. Once this healing is verified, patients transition into a partial weight-bearing program, gradually increasing by ¼ of their body weight each week until they are fully weightbearing. We also introduce resistance on stationary bikes and leg presses at ¼ of their body weight.

At the 3-month post-op mark, patients can begin to phase out their use of crutches and start proprioceptive and agility exercises. Engagement in impact activities, however, requires surgeon approval and typically begins between 6-9 months post-surgery.

If you need to get in Contact with us, please don’t hesitate to do so. We are always happy to help you out in any way we can.

[regenamexhealth]

Regenamex provides innovative stem cell treatment for knee cartilage repair, offering a non-surgical solution to enhance joint health. By utilizing advanced stem cell technology, this therapy targets damaged cartilage, aiming to stimulate natural regeneration and alleviate pain. Regenamex's approach helps restore mobility and function with minimal recovery time. Experience the potential of your body's own regenerative capabilities with Regenamex, and take a step towards improved knee health.

[unsoundedcomic]

Whumptober 2024 - 16 - "Necrosis"

It could take up to six weeks before the people he ate were fully digested. So Murkoph wasn't too fussed when he rolled over one night and a bulge rose from his abdomen like a hernia, or a log of shit that had lost its way, or a toddler's mitt reaching for the sky. He pushed the lump experimentally. Firm. Bit squishy. It hurt. But with only a little pressure he was able to collapse it back into himself and soothe his cold grey belly smooth again.

He wasn't fussed. But he should find some light.

His nights were always a game of tag with the light. Days were easy; find a dark lake or sea to sink into, doze on the bottom until the sun fucked off. Once it did, and the sky rolled over to pitch and star pricks, light grew more dangerous in its furtiveness. During the day, light didn't hide. You could always see it. You always knew where it was.

At night, a bloke couldn't predict when light was going to set upon him. He could be dick deep in a warm torso and then whoops! A wright's burning palm! Or a traveller's burning torch! A globe of starfly lymph. A pocket flask full of lambence. And then you best beat feet towards the shadows because you were hungry and you were fast but you weren't no senet and ya couldn't last.

His insides lurched excruciatingly. On an abandoned beach ringed by fronds and trash he fell to his knees in the moonlight. A white crescent hung above him, a boardwalk rose behind him. At hand the breakers talked over each other like a dementia ward, throwing themselves off endless cliffs towards endless splattered demises, and always more. Always a rolling parade of waves making for that showy, gory end.

Murkoph jammed his favourite knife into his navel. The old surgical Y there burned a garish black up over his ribs. He traced it with the blade, grunting at that sore point where the three lines kissed. He worked his knife beneath the incision, methodically, found the old fissure down the centre of his ribcage, twisted. The cartilage popped open. Inky ichor bubbled and ran. The knife fell to the sand. He curled his fingertips into the aperture and opened his chassis up like a salt lizard.

If he leaned back just a hair, his putrefying prizes would not tumble free. It was a beautiufl cache inside. He had no internal organs of his own but plenty of others': two hearts, a whole mess of intestines, kidneys, livers, a bit of spongy something that might be part of a lung but it was all snaggled with pink tubing that made him think of… kedis kits playing in yarn. There was a penis somewhere. A tongue. Half a dozen eyeballs of lots of different colours. He caught them all up in his giant mitt, rolled them, hefted the pleasant weight. One by one he popped each between his lips and felt them plink back into the morass like skeet balls.

Where any of it had come from he had no memory, but that wasn't important. They were his now. He could see and feel the necrotic tar of his innards assimilating the organic material; digesting it, distributing it, maintaining his slinky body with it. A dark and efficient ecosystem breathed its bitter funk inside of him, and every few weeks he added to the compost.

It was warm as it roasted; as it rotted. It warmed him.

And the Confoundments kept at bay.

Combing through the slime, his questing fingers found nothing squirming or living or pushing though. Huh. With the flat of his hand he gave the fetid cauldron a stir, then slammed himself shut with a satisfying squelch-

Boot treads on the boardwalk.

Murkoph melted from the moonlight to the shadow strip beneath just as lantern light intruded rudely upon the pale blue sands. He crouched there, still as the spent fags and empty bottles. A man and a woman passed overhead. He smelled like rum and unwashed ass. She smelled like peach hair treatment and she'd had something mint, recently. Mint and spirits. He panted.

Her skirts were full and fluffy; a barrier to the yellow lantern carried by her companion. A kind moon eclipsing that unwanted light. As she passed directly overhead and bathed him in that brief blackness, Murkoph contemplated zipping through the boards, punching a hand between her legs, dragging her down into the trash with him, bones all breaking and neck all snapping along the way. The Confoundments thought yes, yes, there are some missing pieces in us, and what we have grows so grey and cold and soft.

The lantern stabbed through the slats. Murkoph felt it lash his face in long and glowing strips. Mint and spirits.

Then she and her companion were already moving along. Away.

Why was he here?

A wet snuffling against the back of his knee twirled him in place. He hissed, laughed, grabbed at his leg through his pants. There! Here! The lump! It squealed when he grabbed it and fought his fingers as he guided it down, down, down his pants leg and out the bottom.

A wee mouse.

"All a'burgle in me undercarriage," he whispered, petting its gory head, "Did ya find some requisition worth the expedition?" The little whiskers trembled with beaded blackness. The beads looked like fleas on wire; like flea circus trapeze artists. He'd seen a flea circus in Sharteshane when he was a boy. He had paid a copper sem for the privilege. It had been very cold and they'd needed that copper for lamp oil. His brother had called him a rube.

Murkoph opened his palm. The mouse scurried in a frenzy from out the boardwalk shadows and into the moonglow. An owl's sudden screech explained its prey's desperate hiding place and Murkoph frowned to watch his little passenger taken from the world in a burst of talon and feathers.

"Oh, she scored one!" called the man's voice, laughing.

"Don't be awful," answered the woman. "Maybe it got away."

"So you can find it in the pantry tomorrow and scream for ME to come and bash its little brains out instead?"

Her prim treads and his heavy boots turned, began tracing back the way they'd come. The yellow lantern light swelled again. It streamed through the boards. A black tongue dabbed at the brightening brightness, as though to taste its citrus burn, and a knife fell into each of the shadow walker's sticky hands.

How long would he still be able to smell the mint inside, after he'd swallowed.

[dolljennie]

･ﾟ☆ fresh beauty effect 🎧🧖🏻‍♀️🕊️

.・゜゜・ ・゜゜・．.・゜゜・ ・゜゜・．.・゜゜・ ・゜゜・．.・゜゜・ ・゜゜・

I’m gorgeous, everyone drops to their knees at my beauty.

˞

ꉹ

—— face :

I am now extremely and utterly the most attractive version of myself

I am dead-drop gorgeous now

My beauty is so refreshing and eye-catching

I now have my desired face

My face looks exactly like how I desire it to be

I’m extremely grateful for having my desired face now

I’m so grateful for my beauty as it increases every second of every day

I’m extremely grateful for my beautiful visuals

I’m so grateful for my beautiful gorgeous face

My lymphatic system is now being drained and circulated healthily

My face looks like it has gone through a gua-sha treatment for 10 years every morning

I’m so grateful for the healthy blood flow circulation on my face

Thank you, thank you, thank you, for the healthy blood flow circulating on my face and neck

The healthy blood circulation on my face and neck is increasing my collagen

I’m grateful for the healthy collagen levels I have on my face and neck now

Collagen production is increasing to the ideal amount my body and face need now

I have the ideal and perfect amount of collagen I need on my face, thank you, thank you, thank you

I love my face now

My face is so pretty now

Thank you, thank you, thank you for my beauty

I’m extremely grateful for how I get more beautiful every day

I’m so grateful for how beautiful my face is now

My beauty is so eye-catching and enticing

My facial beauty makes people struck in awe

My beauty is so refreshing and pleasing to witness

I look so fresh and clean

My face looks well-kept, clean, and maintained

I’m grateful for my fresh appearance

I make people’s heads turn to witness my beauty

My beauty is so fresh like a lush field of grass after rain

My beauty is transformative

My beauty is unforgettable

I love my face so much, thank you, thank you, thank you

I’m extremely grateful for having my desired face and beauty now

I’m so grateful for how much my face has become symmetrical

Thank you, for my symmetrical beautiful face

I have a symmetrical face

My face is perfectly and ideally aligned

Both the right side and left side of my face are perfectly symmetrical to each other

I now have a symmetrical face

I have symmetrical facial features

Thank you, thank you, thank you

—— nose :

My nose is my ideal now

I now have my ideal nose

Thank you, thank you, thank you for my beautiful tiny nose

I’m so grateful for my slim and upturned nose

The cartilage in my nose is now shifting, forming, and becoming tiny now

My nose bone is shifting and decreasing in size

My nose bone is narrow and beautifully slim

All sinus congestion is cleared and going down my throat now

My nose is slim, cute, and tiny

My nose is clear and clean from any bacteria now

I’m so so so grateful for how tiny my nose is now, thank you, thank you, thank you

My tiny nose is contoured beautifully

My nose matches me so well now

My nose is slightly upturned now

I have a tiny ski-sloped nose now

My nose tip is smaller than I remembered now

I have such a tiny nose tip now

I’m so grateful for my tiny nose tip

My nose is so much smaller than I remembered now

I’m so grateful that my nose is smaller now

My nose is so slim now

Thank you, thank you, thank you

—— skin :

The skin on my face is clear and mochi-like

My skin is soft and supple

The collagen my body is producing is being used to create my soft skin

My skin is much clearer than I remembered now

I’m so grateful for my clear skin

Thank you, thank you, thank you for my clear healthy, and hydrated skin

My skin looks so hydrated and clean

The skin on my face and neck is so clear and evenly toned

My skin is evenly toned and looks airbrushed

My skin’s pores are super clean and do not contain any bacteria

My pores are clean and hydrated ideally

The pores on my face are empty of blackheads

I’m so grateful that I do not have blackheads now

My skin is so clear and the pores on my face are so tiny

The pores on my face are evenly structured and smooth

My pores are all evenly toned and beautiful

All stem cells are directed to any scare tissue on my face and neck

Any and all bacteria on my face are now destroyed and gone now

The life cycle of any bacteria living on my face is now disrupted

My body is shrinking the sebaceous glands in my face

All sebaceous glands on my face are now shrunk

I’m so grateful for my clear beautiful skin

My skin is so hydrated and youthful looking

The skin on my face and neck is so clear and soft like a mochi

My skin resembles a soft delicate mochi

My skin is as soft as a baby’s bum

My skin is hydrated now

The skin on my face is clear now

My skin looks airbrushed and smooth

My pores look invisible because they’re so tiny

I’m so grateful for my healthy skin now

I’m extremely grateful that my skin is perfectly healthy and hydrated now

My skin is balanced and healthy

My hormones are ideally balanced and healthy

I have naturally flushed cheeks

My cheeks are pink and blushed

My face is cute and youthful looking

Thank you, thank you, thank you

—— eyes :

My eyes resemble that of ice crystals

My irises are so bright and shiny

My eyes are so hydrated and clean

My eyes look healthy and awake 24/7

I love my beautiful eyes now

I now have my ideal eyes

I’m so grateful for beautiful my eyes have gotten now

My eyes are so beautiful and dazzling

I love the way my eyes sparkle in any lighting

The way I lay eye contact with people makes them obsessed with me

I’m eternally grateful for my pretty clear eyes

I have glossy-looking irises now

My eyes are so cute and pretty now

Thank you, thank you, thank you for my pretty eyes

My eye sclera is so glossy and white

I have white eye sclera 24/7

My white sclera makes me look youthful and awake

I’m so grateful for my beautiful eye color

I’m so grateful for my beautiful eye shape

I’m so grateful for my beautiful eyelashes

My lashes are long and thick

My lashes are a lot longer than I remembered now

My eyes are a lot more beautiful than I remembered now

My eyes are so attractive and alluring

People get lost looking into my eyes

My eyes are enticing and eye-catching

My eyes are captivating to others now

I have such pretty eyes, and I’m grateful for them

I have my ideal eyes

I have my ideal eye shape

I have my ideal eye color

Everything that I want my eyes to have, I now obtain

My eyes are exactly how I want them to look like

I’m extremely grateful for my eyes now

Thank you, thank you, thank you

—— lips :

I have my ideal lips now

My lips are plump and supple

My lips have this beautiful fresh pigment of soft pink on them

My bottom lip is saturated with the color baby pink

My lips are hydrated and exfoliated now

Any and all dead skin cells on my lips are gone now

My body’s production of collagen is also being used to hydrate and plump my lips

My lips are their ideal size and shape

My lips are cute and pillow-like

My lips look hydrated and evenly toned

The skin on my lips is now healthy and has healed perfectly

I’m so grateful for my beautiful lips now

My lips enhance my other facial features seamlessly

Everything that I want my lips to have, I now obtain

Thank you, thank you, thank you

—— jaw :

I’m so grateful for how sharp my jaw has become

My jawline is shaped like a V now

I have a V-shaped jawline now

I’m so happy and thankful for my sharp jawline

Thank you, thank you, thank you for my sharp jawline

My lower face is so narrow and a lot smaller now

My jaw is so much skinnier than I remembered it to be

My jaw looks so snatched and clean

My jawline is beautiful and makes people compliment me on how sharp it is

I love how clean and sharp my jaw has become

I’m so so so grateful for my V-shaped jawline

My jawline looks like something of an anime character’s

My jaw is extremely V-shaped and my chin is pointy

My chin and jaw are ideally and perfectly symmetrical

My jaw is so narrow and petite

I have a perfect and ideal bite

My teeth lay ideally and perfectly on each other

My lower face and jaw is narrow and a lot smaller than I remembered

Thank you, thank you, thank you for my sharp jawline

Thank you, thank you, thank you

—— more +

My visuals are fresh and new-like

My visuals are transformative and beautiful

I look exactly like how I want to look now

I now have obtained every physical quality I desire of myself

Thank you for my beauty

I have a refreshing and icy aura

My visuals are a godsend from heaven

I love how my face now has exactly everything I want it to have

I have a fresh aura

My beauty is clean and fresh

I have natural highlights on my fresh skin

I have an overwhelmingly positive presence

My beautiful presence fills every single room I enter now

Thank you, thank you, thank you for my fresh presence and appearance

People associate me with spring, clean fresh cold air, and flowers

I look like an angel because I glow ever so slightly

My presence feels so pure and kind

I love myself fully and as a whole person

I’m so grateful for myself and who I am as a person

I know that I’m beautiful and pretty

I love everything about myself now and forever

My mental health is improving all the time, every second, of every day

I have a healthy mindset

I have a fresh and positive outlook on life

I now have a fresh perspective on myself and who I am

I am clean and fresh

I smell like vanilla and milk with honey

My smell is so soft and cute

I have a refreshing scent to me 24/7

I love myself

Thank you, thank you, thank you

₊˚ʚᗢ₊˚✧ﾟ.

Love & light!

Xoxo

[wheelie-sick]

about to be one step closer to surgery (doing my gait analysis to get a better idea of how my legs are rotated)

had a nightmare last night about surgery, I want to do it but I'm so scared of it. it's a major surgery and I'm likely getting metal in my knees and that's just terrifying but it needs to happen because I'm losing cartilage so 🥲

it'll be my first major surgery, I've had minor ones before but never anything like this. I legitimately have 7 things wrong with my knees that all need treatment. it's frustrating, I don't know what to do and I can't tell if I'm making the right decision. I'll be the first person recorded getting this particular surgery for miserable malalignment syndrome instead of just doing a derotational osteotomy. I'm honestly very scared that I'll get surgery, it won't work, and then I'll be in the same or worse boat and need to get a derotational osteotomy to preserve my cartilage. I don't know what to do and I just want to cry about the whole situation.

[cartilage-regrow123]

Cartilage Regrow for Joint Repair | Consult Dr. Debashish Chanda Today Cartilage Regrow offers specialized treatments for knee cartilage repair. Get expert care from Dr. Debashish Chanda and restore joint mobility naturally.

[fatgumsurpremacy-remastered]

so like the thing is, i want medic to wrap his hands around my neck until i hear the latex in his gloves start to squeak, nd i wanna feel him up while hes still wearing his heavy over coat and watch him get hotter nd hotter under the collar, and i wanna feel the heavy rubber sole of his shoe between my shoulder blades as he slowly crushes me into the floor, nd i wanna help clean him up and wash all the sweat and gore off him when he returns home from a mission, and let him knock me out with painkiller nd go absolutely fucking crazy on my almost dead body, and - *i am forcibly removed from the podium and booed off the stage*

Ouuuggh wonderful!

Tw: choking, asphyxiation, degradation, horny medical examination, medical malpractice, biting, blood, violence, kicking, stepping, non con, drugs, allusions to death, unprotected sex.

Cycle of Violence Yandere Medic x Fem reader.

Medic had never fazed you before, you made it a mission in the field to either try or die trying.

Your position, in fact, had you actively apart from medic. As a type of support.

The doctor of course, noticed you.

It was nearly impossible not to! In the heat of the battle no one shone as great as you did in the field. So he always had his eyes on you.

When the winter months rolled around your first year you grew weary. Where the respawn machine could keep you from death, it could never keep you from illness.

When you’d respawn.

It’d come back.

Even the blistering heats of New Mexico had to yield to lady winter.

This year was the worst yet. Your engineer had fallen victim to the worst head cold he’d received on account of record breaking cold spikes. Causing you to not only pick up his end of work but also the itching feeling in your throat.

You weren’t scared of your medic.

In fact you found him quite harmless, professional at work, silly off hours. The steel of his door felt like nothing to you as you pushed it open.

The doctor himself seemed frazzled at the notion.

You merely sat yourself on the edge of his operating table and explained the issue to him. After a while he took out his necassary tools.

“Ah yes, and you were saying it was causing breathing abnormalities?”

You nodded as he pressed the stethoscope to your chest. One breath brought wheezing, and the next sharp, dry, coughs. Your shoulder hurt from the intensity of such, and the pain traveled down your arm.

The doctor tsked slightly before practically trotting off to find some more supplies.

Here was the time you likely should have realized something was wrong.

The doctors cold gaze softened as he stared at you. He smiled just as brightly as he normally had, placing a warm, welcome hand on your shoulder. His warm breath smelling fresh as he spoke to you about possible treatment.

And then he pegged this-

“Would you mind at all if we did some testing?”

Something you, didn’t mind at all.

You sat as straight as he told you before the hand, which was previously at his side pressed two fingers against your lymph nodes. He felt around for the ball, just a moment though.

Standard practice would’ve dictated longer. Instead his thumbs met above the center of your throat. Warm rubber feeling strange, as you could feel him shaking.

“Just a test my friend! Don’t worry.” You gave him a thumbs up and his hands clamped down. Your hands shot up to his wrists and your vision instantly began to cloud.

The severity of such a force sent you backwards. Medic fell forward with you, his words garbled. All senses were replaced with energetic heat. It sizzled through your body as if you were being burnt alive.

You couldn’t keep your eyes open during the struggle.

Only high pitched noises breached your ears, and you found yourself not breathing at all.

The cartilage in your spine popped noisily in your brain, and your lungs felt empty. Or full, you couldn’t tell. You felt like you were going to pop. You could barely tell how the doctor was easing his knee between your thighs. Pressed harshly against your heat, how he spit words of filth to you as you weakly held onto his face,

Begging for him to stop.

When you woke up in the respawn machine you couldn’t remember a thing.

How you got there or what caused your death. The idea frightened you but the day went on and every time you breathed your chest pound in anger back at you.

You felt spent and afraid. Whimpering pathetically as you drove your hands along the wall, in a plea you’d make it to Medics room before you died.

And that you did.

You looked up pathetically at the doctor, thanking him with what little breath you could that he let you in.

You were comfortable around medic and had no reason to fear him.

You barely knew him, but he’d always given you a dashing smile around the breakfast table so you knew he could be trusted.

“Now what would you rate your pain my dear?”

You held up an eight on your fingers, whimpering a bit more when he went between them and pressed right above your belly.

Pain coursed in a circle inside you. Painting a portrait in vicious hues before swiping it away again. You held onto the doctors shoulders as he continued. He explained his actions as “Checking for bumps.”

You didn’t understand how that would help you in the slightest but his warmth allowed you to breathe.

Your hand absentmindedly went under his labcoat, fiddling dazed with the shirt underneath.

You expressed no discomfort as his hand stayed stagnant over your chest. The heat permeated your flesh and you felt to do the same.

Your hands fished his shirt out of his pants and slid up the curled expanse of his body. The thick muscles underneath would’ve shocked you had it not been for the beheamoth of medicine he carried around on him. You hummed pleasantly as your seemingly permanently cold hands trailed along him.

As you reached his chest you contentedly rested there. Medic removed his hands from you, only to plant them by either side of your hips and lead closer. You closed your eyes and breathed deeply, hearing the fast paced thudding of his heart.

Beads of sweat ran down his neck and you had little thought left in your brain but to lick it. He panted, nearly falling on top of you as you did. The wet feeling of your tongue on him catching him in a vice grip.

He moaned as his arms moved further behind you.

And you only kept working your mouth over his neck, hands kneading gently at his soft and hairy chest.

Suddenly the needle of a syringe stuck your own neck.

When you woke up in the respawn machine you couldn’t remember a thing.

You felt hot and sweaty, unnerved by the way you’d waken up.

You found yourself sticking by medic that entire day. Conversing with the busy man, and fucking up every shot you took.

Your team glared at you as you walked in that day. Your body was wrecked with pain, and one by one you filed into the medbay.

You were mature enough to know you’d fucked up. And you stayed at the back of the line. Dell, who had recovered the night before smiled at you as you went in. He pulled you into a hug before hand offering some words of advice.

“Take it from me kid. We’ve all got out off days out there. It can be pretty stressful, you just gotta remember to keep to your own and stay out of trouble ya hear?” You smiled sheepishly, “Thank you Engie.”

“Anytime sug’.” He said calmly before walking off.

Today you didn’t feel right about medics lab. You hesitated to even call it an “office” as there was no feeling other than brutal tension inside.

“What happened out there?” The door slammed closed from its open position. A shocking feat given its weight. Then man positioned behind it had a calculating gaze. His usually happy demeanour skulking as he slowly brushed by you.

You looked towards the ground, aching hands clasped tightly across your body as you sought for a word that couldn’t be found.

Medic sat impatiently in his rolling chair before gesturing with his finger. When you got close enough to him he grabbed you tightly from the collar of your uniform and pulled you in.

“Sit. You don’t deserve to be above me.”

You sat abruptly listening in for any change in his tone. His demeanor. But you swallowed hard upon realizing what he expected.

Before you could understand what you were telling him, you babbled out apologies on top of one another. You incohearent sentences music to the man’s ears as his posture decompressed. His eyes stared right back into yours, and he could feel the sincerity from you.

“Oh schatz, I understand. I don’t think it was entirely your fault… but then again.” He tilted his head to one side as an impish grin crawled unto his features. “We’re you nor the one who caused our team to loose?”

He stood up imposingly, backlit from the dim white lighting above.

Before you could say anything he shoved your shoulder to the side harshly before taking his heel to your back.

You thrashed up in a feeble attempt to fight back, but his heel stomped down in your tailbone with a sick thud noise.

You yelped in pain, attempting in vain, to crawl away. Like a helpless roach pinned beneath a cat. The feeling only continued to worsen as he slammed his heel back down with reverence between your shoulder blades.

The crack was unholy, and your vision went black. You could only feel the horrible mans boot above you. The pressure keeping your chest flat to the ground. You whined and he hushed you as soft as any lover would.

And again he ground into your back. Heel digging into your muscles until they forcibly snapped- from one another.

You could only scream and hear him laugh as you cried yourself to sleep.

When you woke up in the respawn machine you couldn’t remember a thing.

You sat there, huddled in the corner for a good three hours before someone found you. You can’t remember who.

You don’t remember what you were wearing but it showed that you’d been bleeding for a very long time.

When you were dropped off in the medbay you were unconscious, eyes glued to something in the darkness. Never looking at the lights or grey world around you.

The men had called that day off, but medic insisted that they could go on without you. He’d left you patched up and in your room, recovering well as you stared ahead.

You didn’t understand. It’d been almost a week and you couldn’t remember a thing. You sobbed for a while.

No one came.

You talked to yourself and made yourself mad trying to understand what you were thinking.

No one came.

But he came when you were asleep, gently shaking you awake. Smiling blue eyes the only reprieve you had from a splitting headache and fragmented reality.

His hand came up to meet your head, now bare and uncaring of your flesh.

“Doctor, I’ve been having nightmares.”

You grabbed a wet wipe from your desk and absentmindedly cleaned his hand still sticky with sweat.

You rolled his sleeve up a bit more.

You continued,

he pressed about the dreams, smiling to you as you described how bad they were.

He no longer had a shirt on. He was above you and in his boxers. You wondered just how you ended up this way. Gently wiping off your teams medic, but his warm flesh seized your brains capacity to function.

You brushed through his hair with your fingers, an action that seemed to have him taken aback. But as you retracted them be grabbed your hand and kissed it smiling happily up at you.

“You’re so so cute did you know that?” His smile was unreasonably bright, it hurt to look at.

“I need medication doctor.”

Medic paused his advances as you said this. Confusion melted in his brain but the same hadn’t shown on his face. Instead he scrambled off the bed in search of what he’d brought.

A jar full of pretty pink and blue pills.

You leaned back and popped the ones he gave you with little thought behind the action.

Why would you think?

The room was soooo hot.

Could you remember what happened? What you’d seen, heard, felt…

Felt…

Felt. Hands.

His hands grazed your sides as your eyes glazed over. Already wet with tears you couldn’t feel a damn thing.

Your vision was beging go cloud with liquidy static, starting at the edges before fizzling around the pupil.

You knew it was sleep, but your adrenaline kept you awake.

Awake enough to feel your body being yanked towards him, breasts fondled harshly as he allows his flesh to not examine, but devour.

His nipping, and gnashing jaws, things that would usually be an issue felt like itching at the flesh of a disembodied system. Nothing coukd hurt you here. The ripping threads of your garment littered the floor and he dipped below.

Everything around you felt like it was falling, and moving up around you at the same time.

A horrifying caress of Alice’s experiences in wonder land.

Warm

Wet

Tongue, his tongue on your flesh felt searing, and you couldn’t be bothered in the slightest, your body was limp.

A small and very pliable doll.

Something to wreck

To tear into and devour.

But he didn’t want that now, he wanted you. And he needed just a bit more than the surface level blood he could draw from his biting.

What drew you into this wild world of killing? Had you grown so numb to your natural life that you expected something different here?

Medic shoved his face between your thighs, lasciviously flaunting skills that took years in the making with small flicks and harsh presses of his mouth.

No sounds roused from you. No nothing.

You were still,

And quiet.

And present.

How he wanted you really. From the start he’d hoped to be knuckle deep in your dripping hole. Who cares if the dripping was from lube or not?

It didn’t matter when he held you close and whispered to you. Pretending like what he was doing was normal when you were little more than a warm pillow by then.

He could get over it.

With the same hand inside of you, he started jacking. Warning his cock to slip deep, deep into you.

He wanted you to feel it.

But you couldn’t, so he’d have to improvise.

He lined himself up and slammed in.

Oh it could’ve wakened you.

The thrust almost against your cervix, pounding away the moment he stuck himself in you. The pulsing of his balls, dripping with the precum of a man who had held his orgasms for nearly a month.

He was desperate and he needed you.

He always needed you. And he rolled his hips, thrusting his cock harshly in and out. A brutal pace to set for a cooling fuck doll. The sleep made you cold. You could feel your breath.

The sleep made you cold, and you could feel his hands.

The sleep made you cold.

It made you…

You could feel everything.

The veins on his dick were thick and weaves through the complex structures in your walls. He always angled his cock to hit at the top, and a fraction of a centimeter away from your cervix.

His hair scratched at your skin, sometimes leaving raw red patches were it dragged.

And he just pulled your hair back and hit.

And hit

And hit.

It was at random and accommodating only what he enjoyed doing. And the fuzziness came back, this time the liquid static shot down, furling and curling. It lead your stomach to churning a vicious wave. Everything was floating.

“Ich werde dich zum Abspritzen bringen, Mädchen. Du wirst es tun, bist du nicht mein Haustier? Du bist nah dran und du weißt es. Sperma jetzt, komm jetzt, mach es!”

His spitting words and hand snatched ruthlessly across your face forced the waves within you to crash.

The feeling sent you forward on shaky legs, ass in the air as he turned you around and shoved himself back in.

Warmth.

Finally.

Deep and burning, and placid.

Like a thick blanket of-

When you woke up in the respawn machine you couldn’t.

[squadron-goals]

The mother about the boy Manfred

Manfred had a particularly good, healthy nature from childhood on. Nothing bad could stick to him. Not even the vaccines caused the usual short illness - neither at the first nor at the second and third vaccination. I can only remember one instant that he got sick – with measles – otherwise, to his detriment, he never had to miss a day of school. He had a wonderfully skillful body. When he did somersaults as a very small boy, he never used his hands to do so, he put them tightly on the seam of his trousers. When he was eight years old, he once had to pick apples from a big old apple tree that no one else could reach. Afterwards he didn't come down the trunk, but let himself down on the outside of the branches. We watched him, but no one felt that anything could happen to him. It looked so skillful. In general, I loved watching him do daring things. I have never forbidden my children from doing so, because I remember from my own childhood how much I had loved to be wild and free, and how annoying it was for me to be restrained and to have to behave in a civilized way.

Once my children and I were in Zinnowitz. Manfred and Lothar were eleven and nine years old. The pier led quite far out into the sea. One day I went for a walk. Some ladies came towards me all excited: my boys were running along the railing very fast, it was hard to watch, I should come soon and forbid it, otherwise they would fall into the water. I had to laugh, because I knew that they would not fall. I think people thought I was a very careless mother, but I had the firm conviction that children can only be skillful if they are given every conceivable physical freedom of movement. They must learn to judge for themselves what they are capable of as early as possible. An anxious mother is a major obstacle to the good physical development of her children. Of course, minor incidents happened. Once - we went for a walk in the forest - Manfred stands on a footbridge. He says to Lothar: "Watch out, I'm going to fall into the water.“ Immediately afterwards he disappears in into the black water. When I got there, he was already standing on the bank covered in mud. We went to the mill. There he was bathed. Then - wearing only a shirt borrowed from the miller's wife, with his cadet's coat over it, barefoot - he continued the walk with us. Then came the return journey, which took an hour. It was a cool summer day. He didn´t even get a cold.

While at the cadet corps, Manfred got a knee injury. In the cadet corps, Manfred had suffered a knee injury. He had done a "Sturzhocke" (translation not possible as the author can´t find out what exactly that was) without assistance and a piece of cartilage in his knee had torn loose. Every now and then, this piece would jam itself between the kneecap, and then the leg would go uncontrollable to the side. That was bad. Massaging and all kinds of treatments didn't help. So more than a year and a day had passed without the leg getting better. When we were once again discussing what to do and I must have seemed depressed and he wanted to comfort me. He said: "If I can no longer walk on my legs, I will walk on my hands," and like a completely healthy person, he stretched both legs in the air and walked around the room on his hands. We then decided to have an operation, and within four weeks he was fully recovered, and shortly afterwards already jumped out of a window. The suffering with his knee spoiled his entire Lichterfeld cadet days. He did gymnastics and played games there, but of course he was terribly handicapped, and no one there probably guessed how wonderfully skilled Manfred really was. I think later in his regiment they realised it very quickly. I always regretted very much that he didn't get to ride bigger races. On the day when Antithesis was to run his first race in Posen, he rode him across the Russian border.

Manfred was happy and funny, often to the point of exuberance! But on the other hand, he was already very sensible and reasonable at a young age. So I got used to discussing important issues with him and he was often a good advisor and friend to me despite his youth. I often longed to talk about different things with him and most of the time he came up with the right solution.

Manfred was truth-loving. When we sat face to face, I got answers to my questions, regardless of sensibilities, and I rose with the happy knowledge that my son trusted me. I myself believed in him, in his ability, in his reliability and distinction. And I was proud of this son. I was convinced that he had to be recognised, that he would be recognised out in the world. He seemed to me like a rock around which it could surge and wave: He stood firm.

I remember a few other adventures from his childhood. Our housekeepers claimed our house was haunted. Someone once hanged himself up in the attic and a ghost has been going around there ever since. Manfred now wanted to experience this spook. He had the spot in the attic shown to him and then his and Lothar's beds carried to that spot. My daughter and I didn't want the boys to wait in vain, so we decided to do a little haunting. We quietly leveled up and began to roll chestnuts along the floor. Lothar was still awake. He called: "Manfred, don't you hear anything?" Manfred slept soundly; but waking up, grabbing a stick and rushing at us happened within seconds. I had to turn on the light quickly, otherwise we poor ghosts would have gotten a beating. At that time he was thirteen or fourteen years old. When Manfred was ten years old, he wanted to walk through the Moltkegrund (a somewhat gloomy part of the promenade) at ten o'clock in the evening to show his courage. Lothar too. I sent the servant some distance behind to see if they would do it. Manfred walked the whole way calmly, without speeding up. Lothar went too, but needed much more self-control. But he was younger. We often spent our holidays with the grandmother in Romberg, in the countryside. One day One day Manfred could no longer control his passion for hunting, he shot three or four tame ducks that were swimming on the Weistritz. Grandmother told me about it, laughing. These first trophies, three duck feathers, still hang in Manfred's room among all the proud war trophies. I can't look at them without getting emotional.

[kneecares]

Osteochondral Autograft Transfers | Articular Cartilage Surgery in Jaipur by Dr Amit Meena

Osteochondral Autograft Transfers

Our joints are equipped with a resilient, smooth substance known as cartilage. This essential surface facilitates the effortless and painless gliding of joints, granting us the freedom to move and flex. However, as the natural aging process unfolds or as we engage in sports and physical activities, this cartilage can begin to deteriorate and sustain damage. This deterioration can give rise to specific conditions that manifest as knee joint pain, stiffness, and swelling.

While microfracture procedures are often recommended for addressing minor defects, there are instances where microfracture may not be the most suitable option. This includes scenarios involving patients who are taking blood thinners, individuals with cysts beneath the cartilage defect area, or those engaged in physically demanding occupations or sports that require a faster post-surgery return to activity.

In most cases, a small open incision is made at the location where the plug is being implanted. This ensures precise placement that aligns with the normal contour of the remaining articular cartilage. While the majority of the surgery can be conducted arthroscopically, it does necessitate several arthroscopic incisions around the knee to facilitate the transplantation of the donor graft into the recipient site.

Post-Operative Protocol for Osteochondral Autograft Transfers

Patients who undergo osteochondral autograft transfers typically follow a specific rehabilitation protocol to optimize their recovery. Initially, they are instructed to refrain from bearing weight on the affected leg for approximately 6 weeks following the surgery. During this period, a continuous passive motion (CPM) machine becomes an essential component of their rehabilitation routine, and patients are encouraged to use it for 6–8 hours each day. The CPM machine aids in moving the patellofemoral joint without relying on the patient’s muscles, which is especially important during the initial stages of healing.

Once the 6-week mark post-surgery is reached, patients are granted permission to gradually increase their weight-bearing capacity, as tolerated. This phase also marks the commencement of using a stationary bike as part of their rehabilitation program, contributing to the restoration of their knee’s functionality. Overall, the goal is to ensure that patients regain their strength, experience no swelling or pain during physical activities, and see a return to their normal level of function. This comprehensive process typically spans a minimum of 5–6 months to achieve a full recovery. It’s essential to understand that recovery times can vary depending on individual factors, such as anatomy, healing capacity, and overall health prior to the surgery.

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