Category Archives: services

fracture treatment in Dwarka

Trauma & Fracture Management

Dr Ashu Consul is the best orthopaedic for bone fracture treatment in Dwarka, Delhi. A fracture is a crack or a break in a bone. Most fractures are a consequence of the force applied to a bone.

  • Fractures are often caused by injury or overuse.
  • The injured area hurts (especially when used), is usually swollen, and may be infected, distorted, angled, or out of position.
  • Other injuries, such as blood vessel and nerve injuries, compartment syndrome, infections, and long-term joint problems may also be present or develop later.
  • Sometimes orthopaedic in Dwarka can diagnose fractures based on symptoms, injury-causing circumstances, and clinical examination results, but x-rays are usually needed.
  • Most fractures heal well and cause few problems, but the time it takes to heal varies, depending on many factors, such as the patient’s age, the type and severity of the injury, and the presence of other disorders.
  • Trauma & fracture treatment in Dwarka, Delhi depends on the type and severity of the fractures and may include pain relievers, PRICE (protection, rest, ice-ice-, compression, and lifting), manoeuvres or procedures to put the damaged parts back into their normal position (reduction), immobilization of the injured part (for example, with a cast or splint), and sometimes surgery.

Bones are part of the musculoskeletal system, which also includes the muscles and tissues that connect them (ligaments, tendons, and other connective tissues, called soft tissues). These structures provide the body with its shape and stability and make it able to move.

Tissues of the musculoskeletal system can be damaged in a variety of ways in addition to fractures, including:

  • Joint bones can be completely separated from each other (called dislocation) or only partially out of position (called subluxation).
  • Ligaments (which bind bones together) can rupture (sprain).
  • Muscles can break (fibrillary ruptures, strains, or muscle sprains).
  • Tendons (which bind muscle to bone) can rupture.

Sprains, strains, and broken tendons are called soft tissue injuries.

Fractures (and other musculoskeletal injuries) vary greatly in both severity and the type of treatment required. For example, fractures can range from a small crack in a foot bone, which easily goes unnoticed, to a major life-threatening pelvic fracture.

A fracture can break the skin (called an open fracture) or not (closed fracture).

Trauma that breaks a bone can also seriously damage other tissues, including the skin, nerves, blood vessels, muscles, and various organs. These injuries can complicate the fracture treatment in Dwarka, Delhi, and/or cause problems temporarily or permanently.

In most cases, the limbs are fractured, but fractures can occur in the bones of any part of the body, such as:

  • Head
  • Face
  • Eyes
  • Ribs
  • Spine

Causes

The most common cause of fractures is trauma. Trauma includes

  • Direct trauma, such as in falls or traffic accidents
  • Repeated moderate force, such as in long-distance runners or soldiers who march with a heavy load on their backs (these fractures are called overexertion fractures)

The severity of the fractures depends in part on the intensity of the trauma. For example, a fall from the height itself usually causes minor fractures, but a fall from a tall building can cause serious fractures affecting multiple bones.

Some fractures occur during sports.

Some disorders can weaken the bone. These factors include the following

  • Certain infections
  • Bone tumors (which may or may not be cancerous), including cancers that have spread (metastasis) from anywhere in the body to the bone
  • Osteoporosis

People with one of these disorders are also more likely to break a bone, even when the force exerted is mild. These types of fractures are called pathological fractures.

Trauma & Fracture Management/Treatment in Dwarka, Delhi

  • Treating serious complications
  • Pain relief
  • Protection, rest, ice, compression, and elevation
  • Realignment (reduction) of out-of-place fragments
  • Immobilization, usually with a splint or cast
  • On certain occasions, surgery

Serious fractures and related serious injuries, if present, are treated immediately. For example, shock or compartment syndrome is treated right away. Without timely fracture treatment in Delhi, such injuries can worsen, becoming more painful, and being more likely to cause a loss of function. These injuries can cause serious problems or even death.

If a person thinks they have a fracture or other serious injury, they should go to an emergency room. If you are unable to walk or have multiple injuries, you must be transferred by ambulance. Until medical assistance can be obtained, the following should be done:

  • Prevent the injured limb from moving (immobilize it) and provide support with a makeshift splint, sling or pillow
  • Raise the limb, if possible above the height of the heart, to limit inflammation
  • Apply ice (covered by a towel or cloth) to the injured area to control pain and inflammation

Fracture Treatment in Dwarka of children

Fractures in children are often treated differently from fractures in adults, as children’s bones are smaller, more flexible, less brittle, and still growing. Fractures in children heal better and faster than in adults. Several years later, in most children’s fractures, the bone appears almost normal on the x-ray.

In children, treatment with plaster is often preferable to surgery because

  • Children develop less stiffness after wearing a cast than adults.
  • They are more likely to be able to move normally after carrying a cast.
  • Surgery near a joint can damage the part of the bone that allows children to grow (growth plate).

Treating serious injuries

In the emergency department, orthopaedic in Delhi determines the presence of injuries that require immediate treatment.

If a tear has occurred in the skin, the wound is cleaned, usually after using a local anaesthetic to numb the area, and covered with a sterile bandage. In addition, the injured person is given a vaccine to prevent tetanus and antibiotics to prevent infection.

To ensure that the injured part is not deprived of blood, damaged arteries are surgically repaired unless they are small and blood flow is unaffected.

The severed nerves are also surgically repaired, but this surgery may be delayed up to several days after the injury, if necessary. If the nerves are compressed or flooded, they can heal on their own.

Pain relief

Pain is treated as soon as possible, usually with opiate pain relievers and/or acetaminophen. In general, aspirin (acetylsalicylic acid) and other nonsteroidal anti-inflammatory drugs (NSAIDs) are not usually recommended in these cases because they are not usually more effective than acetaminophen, and in some people, they may worsen bleeding.

Sometimes orthopedic in Delhi injects an anaesthetic into the nerves in the area. This procedure (called a nerve block) prevents nerves from sending pain signals to the brain.

tendon-transfer-surgery-in-Delhi

Tendon Transfer Surgery

What is Tendon Transfer Surgery?

Tendon transfer surgery in Delhi is a type of hand surgery that is performed in order to improve lost hand function. A functioning tendon is shifted from its original attachment to a new one to restore the action that has been lost.

Who needs Tendon Transfer Surgery in Delhi?

Many different conditions can be treated by tendon transfer surgery in Delhi. Tendon transfer surgery is necessary when a certain muscle function is lost because of a nerve injury. If a nerve is injured and cannot be repaired, then the nerve no longer sends signals to certain muscles. Those muscles are paralyzed and their muscle function is lost. Tendon transfer surgery can be used to attempt to replace that function. Common nerve injuries that are treated with tendon transfer surgery are spinal cord, radial nerve, ulnar nerve, or median nerve injury.

Tendon transfer surgery may also be necessary when a muscle has ruptured or been lacerated and cannot be repaired. Common muscle or tendon injuries that are treated with tendon transfer surgery are tendon ruptures due to rheumatoid arthritis or fractures. Also, tendon lacerations that cannot be repaired after injury may be treated with tendon transfer surgery.

tendon transfer surgery in Delhi

Tendon transfer surgery in Delhi may also be needed if a muscle function has been lost due to a disorder of the nervous system. In this situation, the nervous system disease or injury prevents normal nerve signals from being sent to a muscle, and an imbalance in hand function occurs. The muscle imbalance or muscle loss due to nervous system disease may be treated with tendon transfers. Common nervous system disorders treated with tendon transfer surgery are cerebral palsy, stroke, traumatic brain injuries, and spinal muscle atrophy.

Finally, there are some conditions in which babies are born without certain muscle functions. In these situations, the missing muscle functions can sometimes be treated with tendon transfer surgery. Common conditions treated this way include hypoplastic (underdeveloped) thumbs and birth brachial plexopathy (nerve problem with paralysis).

What happens during Tendon Transfer Surgery?

Below the elbow, there are over forty muscles. Each different muscle has a different function. For example, there are 9 muscles that move the thumb. Each muscle has a starting point (origin), and tapers down from its muscle belly into a tendon that then attaches to the bone (insertion) in a specific place; when the muscle fires (contracts), it causes a certain motion (action).

During tendon transfer surgery in Delhi, the origin of the muscle is left in place; the nerve supply and blood supply to the muscle are left in place. The tendon insertion (attachment) onto bone is detached and re-sewn into a different place. It can be sewn into a different bone, or it can be sewn into a different tendon. After its insertion has been moved, when the muscle fires, it will produce a different action, depending on where it has been inserted.

What are the alternatives to Tendon Transfer Surgery?

You can discuss other treatment choices with your orthopaedic surgeon in Delhi. Other options may include repairing the nerve that has been injured or repairing the tendon or muscle that has been injured. In some cases, tendon grafts can be used, in which a portion of the intact tendon is removed, without its muscle, and used to bridge a gap in an injured tendon. In other cases, tendon lengthening or bone fusions may be necessary as part of reconstructing hand function.

What are the risks of Tendon Transfer Surgery?

All surgery has some risks, although those risks may be small. All surgeries produce a surgical scar. Surgical incisions may develop the infection. All surgeries require the use of anaesthesia and will require a complete history and physical examination by your primary care physician to determine if you have medical risks associated with anaesthesia. Evaluation by the anesthesiologist will help outline your risks and options.

When a tendon is transferred and sewn into another position, the tendon transfer will need a period of time to heal, usually about one to two months. A splint or cast may be used, followed by therapy to teach you the new tendon function. Finally, exercises will be needed to strengthen the muscle after your hand surgeon feels the tendon transfer has sufficiently healed. You will need to follow post-operative instructions. Movement too early can lead to rupture of the tendon transfer. Movement too late can lead to excessive scarring of the tendon with resultant stiffness. Discussion of your individual case with your orthopedic in Dwarka will help you further understand the risks and benefits associated with tendon transfer surgery.

What is an example of Tendon Transfer Surgery?

After a fracture of the wrist, the fragments of bone associated with the fracture may erode the tendon that straightens the tip of the thumb. In this situation, the thumb tip would not be able to move upward (extend). The muscle that extends the tip of the thumb is the extensor pollicus longus (EPL). The EPL tendon typically cannot be directly repaired because it is too frayed. There are two muscles that extend the index finger. Just like the body has two kidneys so that one can be spared if necessary, the body also has two tendons that extend the index finger. One tendon is left intact on the index finger so that it won’t lose extension, and the “extra” tendon can be transferred over to the thumb to replace the lost function. The tendon insertion of the “extra” index finger extensor tendon (Extensor indicus proprius—EIP) is detached. The EIP tendon is then re-directed and sewn into the thumb bone or thumb tendon (EPL).

After this type of surgery, a splint or cast is used for one month, after which supervised therapy may be started to re-learn how to use the transferred tendon to extend the thumb. Gentle movement with a protective splint may be used for an additional month. If adequate progress is made, the therapy may be advanced one month later to re-learn activities and strengthen the muscle, with the restoration of the ability to extend the thumb. A supervised hand therapy program for retraining the muscles is extremely important to achieve the best possible function.

painless knee replacement surgery in Delhi

Partial Knee Replacement

Robotic Painless Knee Replacement in Delhi: State-of-the-art surgery with Dr. Ashu Consul

Dr Ashu Consul is the best orthopaedic surgeon for robotic painless knee replacement surgery in Delhi. He has performed more than 2500 knee replacements in Delhi.

painless knee replacement surgery in Delhi

At our clinic, we understand the impact that knee pain can have on your daily life. Whether it’s due to arthritis, injury, or other degenerative conditions, chronic knee pain can limit your mobility and hinder your ability to perform even the simplest tasks. That’s why we are committed to offering the most advanced and effective treatment options, such as robotic painless knee replacement surgery in West Delhi.

Robotic-assisted knee replacement surgery is a groundbreaking technique that combines the precision of robotic technology with the skill of our experienced surgeon. This innovative approach allows for a more accurate and personalized procedure, resulting in better outcomes and faster recovery times for our patients.

During the procedure, Dr Ashu Consul uses a robotic arm to assist in the precise placement of the knee implant. The robotic arm is guided by a computer system that creates a 3D model of your knee, allowing Dr Ashu Consul to plan and execute the surgery with unparalleled accuracy. This level of precision ensures that the implant is positioned correctly, leading to improved joint function and reduced pain.

In addition to the benefits of robotic technology, Dr Ashu Consul is also dedicated to providing a painless experience for our patients. We understand that the fear of pain can be a barrier to seeking treatment, which is why we utilize advanced pain management techniques to ensure your comfort throughout the entire surgical process. From pre-operative pain management strategies to post-operative pain control, our team will work closely with you to develop a personalized pain management plan that meets your specific needs.

Furthermore, our state-of-the-art facility in Delhi is equipped with the latest advancements in medical technology and infrastructure. We prioritize patient safety and comfort, ensuring that you receive the highest quality care in a welcoming and modern environment. Our highly trained and compassionate staff will be with you every step of the way, providing support and guidance as you navigate your journey towards a pain-free life.

So, if you are seeking a solution to your knee pain, we invite you to explore the possibilities of robotic painless knee replacement surgery in Delhi. Contact us today to schedule a consultation and take the first step towards regaining your mobility and enjoying a life free from knee pain.

Why Choose Robotic Painless Knee Replacement in West Delhi?

Knee replacement surgery is a common procedure for individuals suffering from chronic knee pain and limited mobility. Traditionally, this surgery has been performed manually, but recent advancements in technology have introduced robotic-assisted knee replacement, which offers several benefits:

  • Precision: Robotic technology allows for highly precise and accurate placement of the knee implant, resulting in improved alignment and better long-term outcomes.
  • Customization: Each patient’s knee is unique, and robotic-assisted surgery allows for a personalized approach to ensure the best fit and function of the implant.
  • Minimally Invasive: Robotic surgery uses smaller incisions, resulting in less tissue damage, reduced pain, and a faster recovery time compared to traditional knee replacement surgery.
  • Painless Procedure: Our team is committed to ensuring a painless experience for our patients. We employ advanced pain management techniques to minimize discomfort during and after the surgery.

When it comes to knee replacement surgery, choosing the right approach is crucial for achieving optimal results. Robotic-assisted knee replacement offers a level of precision that is unmatched by traditional manual techniques. The robotic system utilizes advanced imaging technology to create a 3D model of the patient’s knee, allowing the surgeon to plan the procedure with utmost accuracy.

During the surgery, the robotic arm is guided by the orthopaedic surgeon in Delhi, who has complete control over every movement. The robotic system provides real-time feedback, allowing the surgeon to make adjustments as needed. This level of precision ensures that the knee implant is placed in the optimal position, resulting in improved alignment and stability.

Another advantage of robotic-assisted knee replacement is the ability to customize the procedure to each patient’s specific needs. The 3D model created by the robotic system allows the surgeon to accurately assess the patient’s unique anatomy and plan the surgery accordingly. This personalized approach ensures that the implant is tailored to fit the patient’s knee perfectly, resulting in improved functionality and a more natural feel.

In addition to its precision and customization capabilities, robotic-assisted knee replacement is also a minimally invasive procedure. The smaller incisions used in robotic surgery result in less tissue damage and reduced trauma to the surrounding structures. This leads to less post-operative pain, faster recovery, and a shorter hospital stay compared to traditional knee replacement surgery.

At our clinic, we prioritize patient comfort and strive to provide a painless experience. Our team of highly skilled surgeons and anesthesiologists are well-versed in advanced pain management techniques. Before the surgery, we work closely with each patient to develop a personalized pain management plan, which may include a combination of medications, nerve blocks, and other innovative approaches to ensure a pain-free procedure.

In conclusion, robotic-assisted knee replacement offers numerous advantages over traditional manual techniques. Its precision, customization, and minimally invasive nature make it an appealing option for individuals seeking relief from chronic knee pain and limited mobility. By choosing robotic-assisted knee replacement, patients can expect improved outcomes, faster recovery, and a painless surgical experience.

Dr. Consul’s passion for orthopedic surgery began during his medical school days when he witnessed the transformative impact that knee replacement surgery in Delhi had on patients’ lives. This sparked his interest in specializing in this field and dedicating his career to helping individuals regain their mobility and live pain-free lives.

Throughout his medical training, Dr. Consul had the opportunity to work with renowned orthopedic surgeons who mentored him and imparted their knowledge and skills. This exposure to different surgical techniques and approaches allowed him to develop a well-rounded understanding of knee replacement surgery.

After completing his formal education, Dr. Consul sought further training in robotic-assisted knee replacement surgery. This innovative technology allows for greater precision and accuracy during the procedure, resulting in improved outcomes and faster recovery times for patients. Dr. Consul embraced this cutting-edge technology and became proficient in its use, making him one of the leading experts in robotic painless knee replacement surgery in West Delhi.

Dr. Consul’s commitment to staying at the forefront of his field is evident in his active involvement in research and continuing education. He regularly attends conferences and workshops to learn about the latest advancements in orthopedic surgery and incorporates this knowledge into his practice.

In addition to his technical skills, Dr. Consul is highly regarded for his compassionate and patient-centered approach. He takes the time to listen to his patients, understand their concerns, and address any questions they may have. He believes in educating his patients about their condition and treatment options, empowering them to make informed decisions about their healthcare.

Dr. Consul’s dedication to providing exceptional care extends beyond the operating room. He works closely with a multidisciplinary team of healthcare professionals, including physical therapists and pain management specialists, to ensure comprehensive and personalized care for his patients.

As a testament to his expertise and commitment to excellence, Dr. Consul has received numerous accolades and recognition throughout his career. He has been invited to speak at national and international conferences, sharing his knowledge and experience with fellow surgeons. Patients from all over the world seek his expertise, making him a trusted name in the field of orthopedic surgery.

In conclusion, Dr. Ashu Consul is a highly skilled and compassionate orthopedic surgeon who has dedicated his career to helping individuals suffering from knee pain. With his expertise in robotic-assisted knee replacement surgery and patient-centered approach, he continues to make a positive impact on the lives of his patients.

Our Approach to Robotic Painless Knee Replacement

At our clinic in Delhi, we prioritize patient comfort and safety throughout the entire process of robotic painless knee replacement. Our approach can be summarized in the following steps:

Evaluation and Consultation

During the initial consultation, Dr. Ashu Consul will carefully evaluate your knee condition, review your medical history, and discuss your symptoms and concerns. This comprehensive assessment helps us determine if robotic painless knee replacement is the right treatment option for you.

Preoperative Planning

Using advanced imaging techniques, including MRI and X-rays, we create a detailed 3D model of your knee joint. This allows Dr. Consul to plan the surgery with precision, ensuring optimal implant positioning and alignment.

Robotic-Assisted Surgery

On the day of the surgery, Dr. Consul will use the robotic-assisted system to guide the surgical instruments and position the knee implant accurately. The robotic technology provides real-time feedback and assists Dr. Consul in making precise adjustments during the procedure.

Pain Management

Our team is committed to ensuring a painless experience for our patients. We employ various pain management techniques, including regional nerve blocks and medications, to minimize discomfort during and after the surgery. Our goal is to help you recover quickly and comfortably.

Postoperative Care and Rehabilitation

Following the surgery, our team will provide comprehensive postoperative care and guidance. This includes pain management, physical therapy, and a personalized rehabilitation plan to help you regain strength, mobility, and functionality in your knee joint.

At our clinic, we understand that the success of robotic painless knee replacement surgery in Delhi goes beyond the procedure itself. We believe in a holistic approach that encompasses the entire patient journey, from the initial consultation to the final stages of rehabilitation. Our team of highly skilled professionals is dedicated to providing personalized care and support to each patient, ensuring their comfort and safety throughout the entire process.

During the evaluation and consultation phase, Dr. Consul takes the time to listen to each patient’s concerns and thoroughly assess their knee condition. This allows him to determine if robotic painless knee replacement is the most suitable option for them. By considering each patient’s unique circumstances and medical history, Dr. Consul can tailor the treatment plan to meet their specific needs.

Preoperative planning is a crucial step in ensuring the success of the surgery. Our clinic utilizes advanced imaging techniques to create a detailed 3D model of the patient’s knee joint. This allows Dr. Consul to visualize the joint from different angles and plan the surgery with utmost precision. By accurately positioning and aligning the knee implant, we can optimize the patient’s postoperative outcomes.

During the robotic-assisted surgery, Dr. Consul utilizes state-of-the-art technology to guide the surgical instruments and position the knee implant. The robotic system provides real-time feedback, enabling Dr. Consul to make precise adjustments as needed. This level of precision ensures that the implant is placed correctly, leading to improved functionality and longevity of the knee joint.

Pain management is a top priority for our team. We understand that managing pain effectively is crucial for the patient’s overall experience and recovery. Our clinic employs a combination of regional nerve blocks and medications to minimize discomfort during and after the surgery. By providing adequate pain relief, we aim to enhance the patient’s comfort and promote a smooth recovery process.

Postoperative care and rehabilitation play a vital role in the patient’s recovery journey. Our team provides comprehensive support, including pain management, physical therapy, and a personalized rehabilitation plan. Through targeted exercises and therapies, we help patients regain strength, mobility, and functionality in their knee joint. Our goal is to facilitate a speedy recovery and enable patients to return to their daily activities with confidence.

In conclusion, our approach to robotic painless knee replacement prioritizes patient comfort and safety at every step of the process. From the initial evaluation to the final stages of rehabilitation, our team is dedicated to providing personalized care and support. By combining advanced technology, precise surgical techniques, and comprehensive postoperative care, we strive to achieve optimal outcomes for every patient.

Why Choose Dr. Ashu Consul for Robotic Painless Knee Replacement in Delhi?

Choosing the right surgeon for your knee replacement surgery in West Delhi is crucial for a successful outcome. Here are some reasons why you can trust Dr. Ashu Consul:

  • Experience: Dr. Consul has extensive experience in performing robotic painless knee replacement surgeries, ensuring the highest level of expertise and precision. With over 15 years of experience in the field, he has successfully performed numerous knee replacement surgeries, helping patients regain their mobility and improve their quality of life.
  • Advanced Training: With specialized degrees and research fellowships, Dr. Consul stays at the forefront of advancements in orthopedic surgery, including robotic-assisted techniques. He regularly attends conferences and workshops to enhance his skills and knowledge, ensuring that his patients receive the most advanced and effective treatment options available.
  • Compassionate Care: Dr. Consul and our team prioritize patient comfort and satisfaction. We understand that undergoing knee replacement surgery in Delhi can be a daunting experience, and we strive to provide personalized care and support throughout your treatment journey. Dr. Consul takes the time to listen to your concerns and answer any questions you may have, ensuring that you feel heard and supported every step of the way.
  • State-of-the-Art Facility: Our clinic is equipped with the latest technology and infrastructure to ensure a seamless and efficient surgical experience. From advanced robotic systems to state-of-the-art operating rooms, we have invested in cutting-edge equipment to enhance surgical precision and improve patient outcomes. Our facility also adheres to strict hygiene and safety protocols, providing a clean and sterile environment for your surgery.

When choosing a surgeon for your robotic painless knee replacement, it’s important to consider factors such as experience, training, and the level of care provided. Dr. Ashu Consul brings all of these qualities to the table, making him an excellent choice for your knee replacement surgery. With his expertise, advanced training, compassionate care, and state-of-the-art facility, you can trust that you are in capable hands throughout your treatment journey.

If you are considering robotic painless knee replacement surgery in Delhi, you have come to the right place. At our clinic, we understand the importance of finding a solution that not only relieves pain but also improves your quality of life. Dr. Ashu Consul and our team of experts are committed to providing the highest level of care and personalized treatment options to our patients.

When it comes to knee replacement surgery, robotic technology has revolutionized the field. With the help of advanced robotic systems, Dr Ashu Consul is able to perform precise and accurate procedures, resulting in better outcomes for patients. Robotic painless knee replacement surgery offers numerous benefits, including reduced pain, faster recovery, and improved overall function.

During your consultation with Dr. Ashu Consul, he will evaluate your condition and discuss the best treatment options for you. He will explain the robotic painless knee replacement procedure in detail, addressing any concerns or questions you may have. Our team is dedicated to ensuring that you have a clear understanding of the surgery and what to expect during the recovery process.

At our clinic, we prioritize patient comfort and satisfaction. We offer a warm and welcoming environment where you can feel at ease throughout your treatment journey. Our staff is friendly and knowledgeable, always ready to assist you with any inquiries or assistance you may need.

In addition to robotic painless knee replacement surgery, we offer a comprehensive range of orthopedic services. Whether you require treatment for a sports injury, joint pain, or any other orthopedic condition, our team is here to help. We utilize the latest advancements in medical technology and techniques to provide the most effective and efficient care possible.

If you are ready to take the first step towards a pain-free life, we encourage you to contact us today. Our friendly and professional staff will be happy to assist you in scheduling a consultation with Dr. Ashu Consul. During your appointment, he will assess your condition and recommend the most appropriate course of treatment. Don’t let knee pain hold you back – reach out to us now and start your journey towards improved mobility and a better quality of life.

scoliosis

Spinal Deformity and Scoliosis Conditions

The spinal deformity program at Neo Orthopaedic Clinic is comprised of certified orthopaedic in Delhi and registered orthopaedic nurse specialists. Together, this team of leading experts effectively diagnose, evaluate, and treat patients with spinal deformities including scoliosis, pediatric scoliosis, and spondylolisthesis.

Scoliosis, a major type of spinal deformity, is a lateral curvature in the normally straight vertical line of the spine. The normal spine curves gently backward (kyphosis) in the upper back and gently inward in the lower back (lordosis). The management of scoliosis is individualized for each adolescent depending on his/her age, amount of curvature, and amount of time remaining for skeletal growth.

Scoliosis Conditions

The diagnosis of pediatric scoliosis often requires frequent examinations by an orthopaedic physician to monitor the condition as the child grows. Early detection is important. If left untreated, scoliosis can cause problems with heart and lung function. Observation and repeated examinations may be necessary to determine if the spine is continuing to curve. Midwest Orthopaedics at Rush spinal deformity physicians are highly experienced in all treatment options including bracing and spinal surgery.

Spondylolisthesis, another spinal deformity, occurs when one vertebra slips forward in relation to an adjacent vertebra (usually in the lumbar spine). The symptoms that accompany a spondylolisthesis include pain in the low back, thighs, and/or legs, muscle spasms, weakness, and/or tight hamstring muscles. Some people are symptom-free and find the disorder exists when revealed on an X-ray. In advanced cases, the patient may appear swayback with a protruding abdomen and exhibit a shortened torso and waddling gait.

Treatment options for spondylolisthesis include custom-made bracing and, in severe cases, surgery. Surgical intervention is considered when neurologic involvement exists or when conservative treatment has failed to provide relief from long-term back pain and other symptoms associated with spondylolisthesis.

Bone-Lengthening-Ilizarov

Bone Lengthening Ilizarov

The Bone Lengthening Ilizarov in Delhi is a versatile procedure uses a circular external fixator device that attaches to the bone via transfixion thin wires, commonly used to lengthen the bone. A corticotomy (CUTTING OF BONE) is performed, permitting attachment of the wires. Periodic adjustment of the external fixator produces a distractive lengthening force, which gradually stimulates new bone growth.

Bone-lengthening procedures are considered medically necessary for the correction of congenital or post-traumatic limb length discrepancies and angular deformities of the limb (arm, forearm, thigh, or leg).

INDICATION OF ILIZAROV

  •  NON UNION OR MAL-UNION of long bone
  • INFECTED NONUNION
  • NONUNION / MALUNION WITH SHORTENING / BONE LOSS
  • LIMB LENGTHENING
  • DEFORMITY CORRECTION
  • BONE DEFECTS
  • CHRONIC ULCER HEALING
arthroscopic surgery in Delhi

Arthroscopic Surgery

Dr Ashu Consul Best Arthroscopic Surgeon in Delhi

Dr Ashu Consul is a specialist orthopaedic surgeon and arthroscopic surgeon. He has performed more than 3000 arthrocopic surgery till now. Arthroscopic surgery, also known simply as arthroscopy in Delhi, is a minimally invasive orthopaedic procedure used to diagnose and treat joint problems.

Arthroscopy is not a surgery, but a surgical method that can be used in many different procedures to diagnose joint problems or treat acute and chronic joint diseases. Arthroscopy in West Delhi is a minimally invasive procedure that uses a camera to look inside the joint instead of opening it completely.

arthroscopy surgery in Delhi

The arthroscope is a pencil-sized surgical instrument with a camera projected onto an operating room monitor. The arthroscope is often used with other instruments that are inserted through another incision or incision.

The orthopaedic surgeon in Delhi inserts an arthroscope (a thin instrument with a camera attached) through one of several small incisions. A small incision (about the size of a loop) will be made to insert the arthroscope into the knee joint.

After the operation, the surgeon drains saline from the joint and sutures several small incisions. The surgeon usually injects novocaine into the knee during surgery to relieve pain after surgery. After surgery, patients should rest and elevate the joint and apply ice packs to reduce pain and swelling to speed up recovery time after knee arthroscopy.

With arthroscopy, the surgeon reconstructs the most common knee using surgical techniques such as suturing, inserting pins or rivets, or repositioning the bones. Orthopaedic surgeons use arthroscopy to diagnose, treat, and repair numerous conditions and diseases that can cause joint pain or mobility problems.

Arthroscopy in Dwarka, Delhi may be used along with additional surgical techniques. For example, if the surgeon performs arthroscopy on a knee joint and determines that the ACL  has been torn, an ACL RECONSTRUCTION may be added to the surgery.

One of the benefits of this minimally invasive approach is that this surgery is typically done on a DAYCARE basis, with the patient returning home the same day or the next day. Recovery is usually quicker than with comparable procedures performed “open” with a much larger incision.

Why Is Arthroscopy surgery in Delhi Necessary?

FOR DIAGNOSIS (DIAGNOSTIC) – If a diagnosis can’t be made by conventional methods like history, examination, blood investigations, or even imaging including MRI then arthroscopy help to make a diagnosis n sometimes simultaneously treats it also. we can take BIOPSY / SYNOVIAL FLUID FOR EXAMINATION / PHOTOGRAPH THE DAMAGE  basically actually seeing inside the joint.

FOR TREATMENT (THERAPEUTIC) –  to treat joint disorders, as  arthroscopy is evolving its indication are increasing day by day  with multiple benefits over conventional surgical methods like

DAYCARE  PROCEDURE – Lesser hospital stay.

FASTER REHAB – a small incision and lesser tissue damage causes less pain and early rehabilitation.

BETTER RESULTS – as anatomy is restored easily n without damaging much, results are much better.

NO/LESS BLOOD LOSS

Types of Arthroscopy Surgery in West Delhi

Arthroscopy surgery in Dwarka could potentially be performed on any synovial joint, and as time passes, more and more different joints are being arthroscopically treated. Common types of arthroscopy in Delhi include:

  • Knee Arthroscopy
  • Shoulder Arthroscopy
  • Hip Arthroscopy
  • Ankle Arthroscopy
  • Elbow Arthroscopy
  • Wrist Arthroscopy

KNEE & SHOULDER arthroscopy is by far the most common arthroscopic procedure performed. These joints are large enough to manipulate the instruments around, and they are amenable to arthroscopy in Delhi.

Technically speaking, any synovial joint can be arthroscope. However, the practicality and the instrumentation size available limit our ability to arthroscope every joint for all types of problems.

KNEE ARTHROSCOPY

knee arthroscopy in Delhi is being done for the following indications

  • LIGAMENT INJURIES ( ACL / PCL TEARS )
  • MENISCUS INJURIES
  • CARTILAGE INJURIES
  • PATELLOFEMORAL JOINT MALALIGNMENT
  • SYNOVITIS OR EFFUSION
  • LOOSE BODY REMOVAL
  • ANY KIND OF IMPINGEMENT
  • INFECTION / SEPTIC ARTHRITIS
  • AS AN AIDE TO ARTICULAR FRACTURE FIXATION

SHOULDER ARTHROSCOPY

  • ROTATOR CUFF TEAR
  • RECURRENT DISLOCATION OF SHOULDER
  • BURSITIS / SUBACROMIAL IMPINGEMENT
  • FROZEN SHOULDER
  • ACROMIOCLAVICULAR  JOINT DISLOCATION
  • SLAP TEARS
  • DIAGNOSTIC

Length of hospital stay

Arthroscopy in Delhi can be done on an outpatient basis, without the need to stay overnight in the hospital, but it may also require hospitalization. It all depends on the joint that will be operated on, the anaesthesia that will be used, and the procedure that will be performed.

How is the recovery of the patient

After arthroscopy in West Delhi, bruising may occur on the skin around the incision. This is temporary and should disappear within two weeks. The doctor should know about swelling and possible bleeding.

Joint rest may be necessary for a few days. The stitches will be removed between seven and 14 days. Ice, the elevation of the affected organ, and a compression bandage can be used to reduce any swelling. In addition, pain relievers will be prescribed to relieve any pain or discomfort. Physiotherapy and exercise will be recommended depending on the procedure that was performed. The orthopaedic surgeon in Delhi must inform you when to resume normal activity.

The Neo Orthopaedic Clinic

31 A, Pkt-II, Sector – 6 Dwarka, New Delhi 110075 India
Phone: 011-45020554
Secondary Phone: 9871442963

Monday 5:00 PM – 8:00 PM
Tuesday 5:00 PM – 8:00 PM
Wednesday 5:00 PM – 8:00 PM
Thursday 5:00 PM – 8:00 PM
Friday 5:00 PM – 8:00 PM
Saturday 5:00 PM – 8:00 PM
Sunday Closed
arthritis treatment in Dwarka

Arthritis

Arthritis affects the musculoskeletal system, specifically the joints. It is the main cause of disability among people over fifty-five years of age in Industrialised countries. However early arthritis treatment in Dwarka, West Delhi can relieve the symptom and makes people live a pain-free life.

Arthritis is not a single disease – it is a term that covers over 100 medical conditions. Osteoarthritis (OA) is the most common form of arthritis and generally affects elderly patients. Some forms of arthritis can affect people at a very early age.

The goals of arthritis treatment in Delhi is to control pain and other symptoms, minimize joint damage and deformity, slow the progression of arthritis, and maintain physical function. Arthritis treatment focuses on controlling pain, minimizing joint damage, and improving or maintaining function and quality of life. The goal of treating osteoarthritis is to reduce pain and improve the function of the affected joints.

Joint pain and other symptoms caused by osteoarthritis can be treated without surgery, especially when the disease is diagnosed early. While joint surgery can relieve pain and improve joint function, recovery can be lengthy, requiring pain medication and weeks or months of physical therapy. Medical professionals usually only recommend surgery for some severe cases of arthritis. Surgery is used when the joint is severely damaged or when medication does not relieve pain and there is severe loss of function.

What causes arthritis?

In order to better understand what is going on when a person suffers from some form of arthritis, let us look at how a joint works.

arthritis treatment in Dwarka Basically, a joint is where one bone moves on another bone. Ligaments hold the two bones together. The ligaments are like elastic bands, while they keep the bones in place your muscles relax or contract to make the joint move.

Cartilage covers the bone surface to stop the two bones from rubbing directly against each other. The covering of cartilage allows the joint to work smoothly and painlessly.

 

A capsule surrounds the joint. The space within the joint – the joint cavity – has synovial fluid. Synovial fluid nourishes the joint and the cartilage. The synovial fluid is produced by the synovium (synovial membrane) which lines the joint cavity.

If you have arthritis something goes wrong with the joint(s). What goes wrong depends on what type of arthritis you have. It could be that the cartilage is wearing away, a lack of fluid, autoimmunity (your body attacking itself), infection, or a combination of many factors. It is advisable to not avoid joint pain and meet the doctor for arthritis treatment in Delhi.

Does cracking knuckles cause arthritis?

Cracking the knuckles, also known as “popping”, is a kind of joint manipulation that produces a cracking sound. Cracking one’s knuckles is a deliberate action.

In fact, humans are able to crack several joints, including the ankles, shoulders, feet, jaws, toes, neck and back vertebrae, elbows, wrists, and hips.

Types of arthritis

There are over 100 types of arthritis. Here is a description of some common ones, together with the causes:

  • Osteoarthritis – cartilage loses its elasticity. If the cartilage is stiff it becomes damaged more easily. The cartilage, which acts as a shock absorber, will gradually wear away in some areas. As the cartilage becomes damaged tendons and ligaments become stretched, causing pain. Eventually, the bones may rub against each other causing very severe pain.
  • Rheumatoid arthritis – is an inflammatory form of arthritis. The synovial membrane (synovium) is attacked, resulting in swelling and pain. If left untreated arthritis can lead to deformity. Rheumatoid arthritis is significantly more common in women than men and generally strikes when the patient is aged between 30 and 60. However, children and much older people may also be affected.
  • Gout – is a type of arthritis in which uric acid crystals deposit in joint and causes arthritis, most commonly affects males of 30 – 60 yrs and involves typically joints of the foot commonly the great toe.
  • Ankylosing spondylitis – is arthritis involving the spine with or without major joints like the hip and knee. Commonly affecting young males of age 15-30 yrs.
  • Post-traumatic arthritis –  mostly after injury or fracture joint losses its alignment or damage to the cartilage which causes secondary osteoarthritis.
  • Infectious arthritis (septic arthritis) – is an infection in the synovial fluid and tissues of a joint. It is usually caused by bacteria, but could also be caused by fungi or viruses. Bacteria, fungi, or viruses may spread through the bloodstream from infected tissue nearby and infect a joint. Most susceptible people are those who already have some form of arthritis and develop an infection that travels in the bloodstream.
  • Juvenile rheumatoid arthritis (JRA) – means arthritis that affects a person aged 16 or less. JRA can be various forms of arthritis; it basically means that a child has it. There are three main types:
  1. Pauciarticular JRA, is the most common and mildest. The child experiences pain in up to 4 joints.
  2. Polyarticular JRA affects more joints and is more severe. As time goes by it tends to get worse.
  3. Systemic JRA is the least common. Pain is experienced in many joints. It can spread to organs. This can be the most serious JRA.

What are the signs and symptoms of arthritis?

Many patients who suffer from arthritis visit us for arthritis treatment in West Delhi with various symptoms. The symptoms of arthritis depend on the type of arthritis, for example:

  • Osteoarthritis – The symptoms develop slowly and get worse as time goes by. There is pain in a joint, either during or after use, or after a period of inactivity. There will be tenderness when pressure is applied to the joint. Initially, pain may be only on stair climbing or standing from a sitting position. The joint will be stiff, especially first thing in the morning. The patient may find it harder to use the joint – it loses its flexibility. Some patients experience a grating sensation when they use the joint. Hard lumps or bone spurs may appear around the joint. In some cases, the joint might swell. The most commonly affected joints are in the hips, knee,  hand, and spine ( in the spine it is known as spondylosis).
  • Rheumatoid arthritis – The patient often finds the same joints in each side of the body are painfully swollen, inflamed, and stiff. The fingers( small joint of hands n feet), elbow, knee, and wrists are most commonly affected. Symptoms are usually worst on waking up in the morning and the stiffness can last for 30 minutes at this time. The joint is tender when touched. deformity also is seen which is diagnostic of it. Hands may be red and puffy.  Many patients with rheumatoid arthritis feel tired most of the time. Weight loss is common.
  • Gout – common symptoms are painful red swollen foot joints, especially the great toe. serum uric acid is generally high.
  • Ankylosing spondylitis – common symptoms are stiffness in the back and neck with stooping posture associated with pain. most of the patients have HLA B27 positivity.
  • Infectious arthritis – The patient has a fever, joint inflammation, and swelling. He will feel tenderness and/or sharp pain. Often these symptoms are linked to an injury or another illness. The most commonly affected areas are the knee, shoulder, elbow, wrist, and finger. In the majority of cases, just one joint is affected.
  • Juvenile rheumatoid arthritis – The patient is a child. He will experience intermittent fevers which tend to peak in the evening and then suddenly disappear. His appetite will be poor and he will lose weight. There may be blotchy rashes on his arms and legs. Anaemia is also common. The child may limp or have a sore wrist, finger, or knee. A joint may suddenly swell and stay larger than it usually is. The child may experience a stiff neck, hips, or some other joint.

How will arthritis affect me?

Arthritis affects people in many different ways. How long the patient is affected and how severely it depends on the type of arthritis. Arthritis sufferers will find there are good and bad days. Most patients with arthritis will suffer from discomfort, pain, stiffness, and/or fatigue. Most important they gradually find difficulty in doing daily activities of living.
You may also feel frustrated that you are no longer able to grip things so well or get around like you used to. It is important to remember that if you suffer from arthritis this does not mean you have to give up having an active lifestyle. With proper arthritis treatment in Dwarka, West Delhi, and some changes to your way of life, there is no reason why you cannot continue being active.

Goals of Arthritis Treatment in Delhi

The goal of treatment is often to limit pain and inflammation and help maintain joint function. The goal of these strategies is to reduce joint stress and inflammation to relieve pain and slow the progression of arthritis. While many other treatments for osteoarthritis can reduce symptoms, they cannot effectively reduce joint stress and arthritis progression. Doctors may prescribe medications to relieve arthritis pain, but they also often recommend natural treatments.

While medications are only one option for arthritis treatment, they can relieve pain (and slow joint damage in many cases of inflammatory arthritis). These drugs are still used in the treatment of inflammatory arthritis, but on their own may not be enough to adequately control symptoms and limit the damage that inflammatory arthritis can cause. Anti-inflammatory and pain medications can relieve the symptoms of arthritis. These medications can help relieve pain and reduce inflammation in the joints at the same time, although they do not prevent rheumatoid arthritis from progressing over time.

Options for arthritis treatment in Dwarka include medication, lifestyle changes, joint injections, surgery, and more. While there is no cure for rheumatoid arthritis, early treatment and support (including medications, lifestyle changes, supportive care, and surgery) can reduce the risk of joint damage and limit the effects of rheumatoid arthritis. The goal of rheumatoid arthritis treatment in Delhi is currently to reduce the level of arthritis activity and remission as much as possible while minimizing joint damage and improving physical function and quality of life.

Heat and Cold Therapy

Heat and cold therapy can help reduce the pain and inflammation of arthritis. Using heat, such as applying heating pads to sore joints, taking hot baths or showers, or soaking warm paraffin in sore joints, can temporarily relieve pain. Pain can be relieved by applying moist heat (a hot bath or shower) or dry heat (a heating pad) to the joint. Thermal treatments may include long showers or hot baths in the morning to relieve stiffness, and use of an electric blanket or wet heating pad to relieve discomfort at night.

Using a cold compress, such as an ice pack on a sore muscle, can relieve pain and inflammation after strenuous exercise. Arthritis in certain joints, such as the knee, can be improved with a type of treatment called viscous supplements.

Physical therapy

Physical therapy is often recommended by doctors to help people with arthritis overcome some problems and reduce movement restrictions. Dr Ashu Consul may recommend physical therapy to help manage some of the symptoms of arthritis.

Diet

There is no specific diet for arthritis, but certain foods can help reduce inflammation. Doctors have found that treating depression with antidepressants and other therapies can reduce not only depressive symptoms but arthritis pain as well.

DMARDs are slow-acting antirheumatic drugs that help stop disease progression and joint damage in some forms of arthritis. Disease-modifying antirheumatic drugs (DMARDs) and biological therapies can slow or stop arthritis, which causes swelling in the body.

Short-term pain and inflammation relief may include pain relievers such as acetaminophen, aspirin, ibuprofen, or other NSAIDs. Oral pain relievers such as acetaminophen were the first common treatment. Over-the-counter pain relievers such as acetaminophen (Tylenol, etc.), ibuprofen (Advil, Motrin IB, etc.), or naproxen sodium (Aleve) may help relieve occasional pain caused by activities that do not use muscles and joints pain. – It’s like gardening indoors in winter.

How to avoid arthritis?

As most common arthritis is osteoarthritis which is mostly due to an inactive lifestyle. So by doing the following, we can save our joints

  • Walking- daily walking nourishes our joint cartilage (ends of our bones) so maintains its elasticity.
  • Daily exercise  – daily exercise helps in maintaining our muscle strength around the joint so less stress goes to the joint and also adds to your bone mass (stronger bones).
  • Avoid prolonged sitting  – as sitting is a new disease in itself so avoid sitting more than 45 minutes at a time, get up and take a walk, sitting causes twice the stress on the joints of the spine and knee than standing.
  • Healthy diet  – as calcium-rich food gives minerals required by bones and joints.
  • Maintain a healthy weight –  as obesity increases the load on joints and causes degeneration (wear and tear).
  • Early consultation – if u feel any joint/s is painful then seeing an orthopaedic doctor in Delhi will save u from later complications.

The Neo Orthopaedic Clinic

31 A, Pkt-II, Sector – 6 Dwarka, New Delhi 110075 India
Phone: 011-45020554
Secondary Phone: 9871442963

Monday 5:00 PM – 8:00 PM
Tuesday 5:00 PM – 8:00 PM
Wednesday 5:00 PM – 8:00 PM
Thursday 5:00 PM – 8:00 PM
Friday 5:00 PM – 8:00 PM
Saturday 5:00 PM – 8:00 PM
Sunday Closed
Clavicle-Fracture

Clavicle (Collarbone) Fracture

Dr Ashu Consul is a leading orthopaedic for collarbone fracture treatment in Dwarka, Delhi. The collarbone is one of the main bones of the shoulder joint. This, together with the acromioclavicular scapula and joint support of the shoulder, give stability and strength to the shoulder.

The clavicle also protects the bundle of nerves and vessels that go from the neck to the shoulder (brachial plexus).

Clavicle (Collarbone) Fracture Causes

A clavicle (collarbone) fracture occurs through trauma to an outstretched hand or by direct contact with the clavicle or shoulder. This type of accident occurs in sports such as football, wrestling, or ice hockey.

Symptoms

Symptoms of a clavicle (collarbone) fracture:

  • sudden acute pain after a direct hit on the clavicle or shoulder;
  • the impossibility of lifting the respective member due to the pain;
  • Friction sensation when trying to lift the affected limb.

Sometimes the shoulder appears detached and, if a deformity is present, it has a bulging or hinged appearance along the collarbone. Very rarely, the bone perforates the skin, but more often it can push it resulting in the appearance of a tent.

A clavicle (collarbone) fracture is not usually serious. In rare cases, it can pierce a lung or cause a rib fracture or the severing of nerves or vessels. These changes can result in a pale, cold, or cushioned limb and tingling.

Diagnostic

A clavicle (collarbone) fracture can be diagnosed by anamnesis and objective examination. The orthopaedic in Dwarka will check:

  • the affected area and will look for deformities of the bone or grooves;
  • the peripheral circulation of the arm by searching the pulse and observing the color of the skin and the temperature;
  • damage to the nerves or blood vessels;
  • the angles of movement of the shoulder and other joints;
  • muscle strength in the affected limb.

The orthopaedic in Delhi will recommend an x-ray to find the exact location of the fracture and the degree of severity.

Collarbone Fracture Treatment in Dwarka, Delhi

Collarbone Fracture Treatment in Dwarka Most heal without any intervention. The arm is immobilized in phase so that the movements of the shoulder during healing are reduced. An adult will wear the band for a few days up to a week; children may need 1 to 3-4 weeks. For children, a ribbon can also be used to keep the shoulder in the correct position.

Immediately after the fracture, a few slight movements can begin and as the pain subsides, it can start to tone movements. If the physical exercises start too soon, the fractured bone may not heal properly. If the patient is an athlete or has an active lifestyle, he is advised not to start the activity until his shoulder is functioning normally.

Non-steroidal anti-inflammatory drugs, including aspirin, ibuprofen, or naproxen, may be used to relieve pain. Aspirin is not given before the age of 20 due to the risk of developing Reye syndrome. Paracetamol can help relieve pain.

For severe fractures, surgery is recommended occasionally.

Proximal-Humerus-Fracture

Proximal Humerus Fracture

Proximal Humerus Fracture: Symptoms and Treatment

A proximal humerus fracture is a common shoulder injury. Particularly common in older people due to osteoporosis, fractures of the proximal humerus are among the most common broken bones in the shoulder. In fact, in patients over the age of sixty-five, proximal humerus fractures are the third most common broken bone (after wrist and hip fractures).

A proximal humerus fracture occurs when the ball of the shoulder joint breaks. The fracture is actually in the upper part of the arm bone (the humerus). Most proximal humerus fractures are not displaced (not out of place), but about 5 to 20% of these fractures are displaced, and may require more invasive treatment.

The most notable problem with proximal humerus fractures is that the treatment is very limiting and the results are usually fair or poor. Several patients suffering from this injury do not regain full strength or mobility of the shoulder, even with precise treatment.

Displaced Fractures of the Proximal Humerus

Proximal Humerus Fracture When the bone is not in precise alignment, the fracture is known as displaced. In proximal humerus fractures, severity is usually described by how many of the major parts of the proximal humerus fracture are displaced. There are 4 parts of the proximal humerus, therefore a displaced fracture can be 2 parts, 3 parts, or 4 parts (a nondisplaced fracture is, by meaning, part I). In general, the most displaced parts, the prognosis is lower.

The components of the proximal humerus are known as tuberosities (the major and minor tuberosity), the humeral head (the ball of the shoulder), as well as the humeral axis. The tuberosities are next to the ball and are junctions of the vital rotator cuff muscles. For a component to be considered displaced, it must be more than forty-five degrees apart from its usual place.

Treatment

About 80 percent of proximal humerus fractures are not displaced (not out of place), and these can almost always be treated with a sling. The typical treatment is to rest the shoulder in the sling for 2 to 3 weeks, and then start some light range of motion exercises. As healing progresses, more aggressive shoulder strengthening exercises can be resumed, as complete healing generally takes around three months.

In more serious injuries where the bone is displaced (out of place), it may be essential to realign or replace the damaged bone. Determining the best treatment depends on several factors, including:

  • Hand Mastery
  • Patient age
  • Degree of fracture displacement
  • Patient activity level

Options for surgery include realigning the bone fragments and holding them in place with metal orthopedic implants, or having a shoulder replacement procedure. Whether the bone fragments can be fixed, be it bone screws, dowels, wires, large sutures, or a bone plate. The plates and screws, as shown above, have become much more common because the coating technology has improved.

If there are problems with the bone repair, orthopaedic surgeon in Delhi may suggest you go for some type of shoulder replacement. If a replacement procedure is suggested, options include a standard shoulder replacement, hemiarthroplasty, or a reverse shoulder replacement.

The specific recommendation for which type of surgery is best depends on several factors, including the type of rest and the particular patient. For example, reverse shoulder replacements can be excellent treatments, but they are reserved for older, less active patients.

Cervical-Lumbar

Cervical and Lumbar Spine Diseases

The spinal cord is protected by the bones of the spine as it travels from the brain to lower back, with a number of spinal nerve travelling across the spine to reach arms and legs.

To exit from the bony tunnel of the spine itself, the spinal nerves travel through holes in the bones which are separated by discs or shock absorbers. If these nerves are squashed or pinched, this can cause pain, numbness, weakness or loss of function in the limbs (sciatica).

There are many bones running up and down the spine, each separated by a jelly-like core and tough outer fibrous structure called a disc.

The nerves travel to the left and right of the spine through space called an intervertebral foramen. Either these nerves or the spine itself can be compressed by either further growth of bone, instability of the bone, or bulging or bursting of the disc ( disc prolapse ).

The symptoms to be particularly aware of are:

  • pain in neck/back
  • pain radiating to arms/legs
  • pain after walking / standing/sitting for too long
  • Weakness and numbness in arms or hand/legs or feet.
  • Balance problems.
  • Loss of function in the arms or legs.
  • Pins and needles sensation  in the limbs
  • Diminishing bladder control.

Investigations

After a thorough history and investigation, you may be required to have an x-ray, CT scan or MRI to look more closely at the bone and soft tissue structures around the neck.

Treatment

REST, MEDICATION AND PHYSIOTHERAPY, generally cure most patients in short term. But most pain can reoccur if your ergonomics (working and sitting posture) are not right. Long term solution to a problem is EXERCISE AND the RIGHT POSTURE.

Surgery

Sometimes surgery is required if the pain is severe and not responding to conservative therapy. Certain types of compression require surgery to prevent nerve damage from becoming permanent or irreversible. Surgical options include removing excess bone, removing bulging discs, fusion or stiffening of bones to remove instability or replacing dysfunctional discs. The disc can be removed with very minimal incision using endoscopes ( ENDOSCOPIC DISCECTOMY)  or sometimes open surgery is required to fix ( TLIF )the spine segment and to decompress the nerves.

WHAT CAUSES  SPINE PROBLEM

Since the IT boom, we are growing very fast economically and digitally. But somewhere compromising health especially our back and neck, Due to a prolonged sitting hour (10-12 hrs) on computer and top of that some of you are travelling to Noida /Gurgaon, again sitting for 2-3  hrs too n fro. This article is all about pains in the back, neck, shoulder, forearm and legs from which you may be suffering, the pain doesn’t correlate to your work.

“Mr X doesn’t wear a hard hat to work. He doesn’t lift heavy objects nor does he operate heavy machinery. Actually, Mr. X wears fairly comfortable clothing, and he doesn’t need to exert a lot of physical energy to accomplish his tasks. He sits at his desk from 8 a.m. to 5 p.m., Monday to Friday, and the only machinery he has to operate is a mouse and keyboard. Sitting in his office, Mr. X is generally safe and secure from injury………but still suffers from pain.”

Our bones and muscles make up our musculoskeletal system. As strong as this system might be, overuse of the muscles through repeated movements can put stress on your body, causing a Repetitive Strain Injury (RSI). Other names for RSI include Cumulative Trauma Disorder and Repetitive Motion Injury. Unfortunately, many office jobs require that we perform repetitive motions to fulfil our duties. For this reason, RSIs are the most common type of injury found in the office.

Symptoms of RSIs The first signs of an RSI may be subtle and mild, and the symptoms may appear long after performing the activity. For these reasons, people often ignore slight aches and pains, but eventually, these slight aches and pains can become serious problems down the road if ignored. Symptoms may include: • Dull aching • Loss of sensation (numbness), especially at night • Aches/pains which may be worse at night • Tingling and burning sensations • Swelling around the wrist/hand • Dry, shiny palm • ‘Pins and needles’ discomfort • Clumsiness (loss of ability to grasp items, impaired thumb and finger dexterity • Muscle weakness and fatigue • Muscle spasm • Joint restriction/loss of movement • A ‘crackling’ feeling when swollen tendons are pressed tightly • A cyst-like swelling or node, known as a ganglion, near a tendon or joint

Injury to the spine is very common in the office environment because constant sitting (desk job) either working on laptop or desktop, spine (lower back) is at risk. Because sitting causes 150%-200% stress on back while standing just 100%, sitting with a laptop is worse than desktop because of poor posture with a laptop. This constant sitting is just like a small drop of water in a big bucket, over a period of time bucket is filled, water splashes out, that is the time when people experiences severe pain. Getting treatment just takes out a few mugs of water but that little drop (constant sitting) still coming to a bucket. That means pain may reoccur. So what to do…”..STOP THE LITTLE DROP

HOW TO SAVE BACK & NECK FROM SITTING JOB STRESS
  • AVOID PROLONGED SITTING > 45 MINS –  do not sit more than 45 min at a stretch, get up after 45 mins take 2 min walk than sit again
  • AVOID FORWARD BENDING –   Bending forward causes double the stress over neck n back, our head wt is around 5 kg which increases to 30 kg if we bend our neck up to 60 degrees. so keep your head centre of shoulders. if u want to bend n lift something from lower down than bend from knee and hip as well so that stress on the spine is less.
  • AVOID HEAVY WT LIFTING – keep ur back as straight as possible while lifting wt or ask for help while lifting heavy wt.
  • FULL CHAIR SITTING – Try to sit in the office chair with hips at the back of a chair and back fully supported with backrest, by this your back is fully supported n slightly backwards tilted, keeping stress low on spine . do not sit half chair.
  • LAPTOP TO DESKTOP – with laptop one has to bend forward and work as in laptop screen and keyboard is so close to each other that you cant work without bending forward. So dissociate screen from the keyboard by using an external keyboard( preferably wireless ) and external mouse with laptop stand to keep the screen at your eye level.
  • HOLDING MOBILE AWAY FROM BODY –  So that neck does not bend too much for long, keep the neck as straight as possible.
  • NEVER WORK IN  BED OR WITH  BAD POSTURE – as it causes severe stresses on back and neck
  • DAILY EX-  Daily exercise of neck and back strengthens muscles so that they can take stresses of sitting