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General
Trigger Finger Treatment
Trigger Finger Treatment Book an Appointment Diagnosis Trigger finger is the finger getting stuck in the bent position. It usually needs to be released with other hand. It returns to straightening with a snap. It is typically due to tightness of the A1 pulley which restricts the free movement of the flexor tendon underneath. The diagnosis of trigger finger is bsed on clinical examination. However, an X-ray would help to rule out any underlying bone condition contributing to the problem. Treatment Exercise based treatment. Trigger finger may respond to simple stretching exercise based treatments. Under warm water stretches of the finger for around 5 minutes twice a day for a month may help. However, the chances of the exercises alone helping are less. Steroid Injection Steroid injection is a safe and effective treatment for the trigger finger. There is a small risk of recurrence with the injection alone. Post injection stretches can minimize the risk of recurrence. Trigger Finger Release Surgery In patients with no improvement with all other conservative measures, surgery is considered. This is performed with a small transverse incision of around 1cm. The A1 pulley is released and the tendon is checked for free movement. Skin is usually closed with 2 simple stitches. Rehabilitation Post-surgery, the bulky dressing is removed after 4 days. Rehabilitation in the form of early mobilization is allowed. Gentle passive stretches for the finger are started early once the pain improves. Strengthening exercises for the hand are embarked upon after 4 weeks. One is expected to return to full activity by around 6 weeks post-surgery.
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Elbow
UCL Ligament Surgery – Elbow
UCL Ligament Surgery – Elbow Book an Appointment UCL or Ulnar Collateral Ligament injury (MCL Ligament Injury) of Elbow leads to instability and pain on the ulnar (little finger) side of the elbow. Clinical examination to assess site of pain, tenderness, stress test of the Elbow gives enough pointers to diagnose, however the extent of the tear wouldn’t be easy to decipher with examination alone. Diagnosis X-ray: X-ray is performed and is useful to rule out any bone avulsion injuries, however, ligaments are not visible on the X-ray. MRI Scan: MRI Scan is the gold standard investigation to identify the type and extent of the UCL ligament injury. In addition, it helps to assess the condition of the rest of the Elbow Joint, as associated injuries such as coronoid process of ulna fracture, LUCL injury and radial head fracture. Treatment Non-surgical Treatment The Elbow UCL ligament injuries can be treated with a ROM Elbow Brace for 6 weeks. In majority of patients this would be sufficient. If healing well this would be followed by stretching exercises to get the mobility back. In patients with poor healing or no improvement, it becomes necessary to get an MRI Scan done to assess the extent of the injury. Partial UCL Ligament tears In partial tears which have refused to heal with simple splinting, a PRP (Platelet Rich Plasma) Injection and the ROM Brace for 4 weeks is recommended. Here PRP stimulates the healing process and the brace immobilizes so that the ligament can stand a better chance to heal. Complete UCL Ligament tears Complete UCL ligament tears need either the ligament repair or reconstruction. Depending upon the condition of the remaining ligament tissue, either repair of reconstruction can be done. UCL repair with fiberwire and fixation to the humerus end using suture anchor is an option if the remaining ligament tissue is in good condition. Alternatively, UCL ligament reconstruction using gracilis tendon harvested from thigh/ palmaris longus tendon harvested from the forearm of the same side is an effective way of reconstructing the UCL. The tendon is fixed to the bone by using bio-suture anchors. Alternatively, fiber-tape can be used to reconstruct the ligament. Rehabilitation Post-surgery, you can expect to be in a thick dressing for 4 days. In patients with ligament reconstruction physiotherapy starts early. Range of movement exercises will start after 4 days. After 4 weeks strengthening exercises for the muscles controlling the elbow are started. Full functionality of the elbow can be achieved by 3 months.
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General
UCL Ligament Surgery – Thumb
UCL Ligament Surgery – Thumb Book an Appointment UCL or Ulnar Collateral Ligament injury (Game Keepers thumb) leads to instability and pain on the ulnar (little finger) side of the thumb. Clinical examination to assess site of pain, tenderness, stress test of the MCP joint of the thumb gives enough pointers to diagnose, however the extent of the tear wouldn’t be easy to decipher. Diagnosis X-ray: X-ray is performed and is useful to rule out any bone avulsion injuries, however, ligaments are not visible on the X-ray. MRI Scan: MRI Scan is the gold standard investigation to identify the type and extent of the UCL ligament injury. In addition, it helps to assess the condition of the rest of the MCP joint of the thumb. It also helps to check for the Stener lesion. Treatment Heat therapy followed by Foot and Achilles stretches twice a day for 4-6 weeks. If poor improvement PRP Injection to Achilles tendon. Non-surgical Treatment Thumb UCL ligament injuries can be treated with a thumb spica splint for 6 weeks. In majority of patients this would be sufficient. If healing well this would be followed by stretching exercises to get the mobility back. In patients with poor healing or no improvement, it becomes necessary to get an MRI Scan done to assess the extent of the injury. Partial UCL Ligament tears In partial tears which have refused to heal with simple splinting, a PRP (Platelet Rich Plasma) Injection and a plaster cast for 4 weeks is recommended. Here PRP stimulates the healing process and the cast immobilizes so that the ligament can stand a better chance to heal. Complete UCL Ligament tears Complete UCL ligament tears need either the ligament repair or reconstruction. Depending upon the condition of the remaining ligament tissue, either repair of reconstruction can be done. UCL repair with fiberwire and fixation to the phalangeal end using suture anchor is an option if the remaining ligament tissue is in good condition. Alternatively, UCL ligament reconstruction using palmaris longus tendon harvested from the forearm of the same side is an effective way of stabilizing thumb. Alternatively, fiber-tape can be used to reconstruct the ligament. Rehabilitation Post-surgery, you can expect to be in a thumb splint for 4 weeks if repair is performed. In patients with ligament reconstruction physiotherapy starts early. Range of movement exercises will start after 4 days. After 4 weeks strengthening exercises for the muscles controlling the thumb and hand. Full functionality of the thumb can be achieved by 3 months.
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General
Chondroplasty
Chondroplasty Book an Appointment Bunion Surgery Cartilage loss or Cartilage tear if restricted a particular area and is a localized problem, then it can be treated effectively. If the cartilage loss is generalized and if the whole joint is involved that is called arthritis and the treatment modalities involved are different. Diagnosis X-ray: . X-rays may show the cartilage loss only when the cartilage loss is in large areas, however it is not reliable diagnostic tool for assessing the cartilage loss. MRI Scan: . MRI Scan is a useful mode of investigation to assess the extent and depth of the cartilage loss. It also helps in assessing the condition of the rest of the joint structures such and ligaments and menisci as well as to check for loose bodies if any. Cartilage Mapping: . This is a more advanced tool in MRI that helps to assess the cartilage loss in a better way with more clarity than the MRI scan alone. Treatment For a contained defect (loss of cartilage in a specific area but intact cartilage all around) chondroplasty is the best option of treatment. It is done by arthroscopy (Keyhprocedures-surgeriesole surgery). There are various types of chondroplasty. Depending on the nature and extent of the defect and the condition of the rest of the joint, the decision would be made regarding the best option for that particular cartilage defect for that particular patient. Abrasion chondroplasty For the areas of cartilage loss, small holes are made into the bone. These are called microfractures. Bleeding into these holes helps in bringing the stem cells to this area for heping to grow new cartilage which is called fibro- cartilage. Autocart Chondroplasty This is a German technology by Arthrex in which the bone shavings are taken from the edges of the joint where there is no weight bearing. This mince is mixed with thrombin solution and PRP. This paste is applied to the area of cartilage loss. This helps to form a new cartilage in that particular area. OATS Chondroplasty (Osteochondral Autologous Transfer Surgery) OATS is an arthroscopic procedure in which the chunk of bone along with the cartilage is transferred to the area of defect. The graft is harvested from the non-weight bearing areas of the knee. This procedure is indicated when along with the cartilage loss, if the underlying bone bed is not healthy. Regrow Chondroplasty – Stem Cell Therapy Cartilage sample is taken from the small non weight bearing area and sent to lab. 4-5 weeks later a second procedure is undertaken where the stem cells are injected to the area of cartilage loss to form the new cartilage. Rehabilitation Post chondroplasty, loading the graft area is avoided for first 3 weeks. However early mobilisation with CPM (continuous passive motion) machine or gentle passive stretches is recommended.
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General
ACL Reconstruction
ACL Reconstruction Book an Appointment Diagnosis With good physical examination, the ACL (Anterior Cruciate Ligament of Knee) injury can be identified. However when the knee is acutely swollen and painful, it may be difficult to examine. X-ray: X-ray is often performed by medical professionals to rule out any bone injuries. Ligaments are not visible on the X-ray. MRI Scan: MRI Scan is the gold standard investigation to identify the type and extent of the ACL injury. In addition, it helps to assess the condition of the meniscus (cushions in the knee joint), cartilage and other ligaments. Often these structures are affected in addition to the ACL injury and need attention as well. Treatment First Aid for ACL injuries involves the typical R.I.C.E therapy for the first week. Rest: It is important to minimize walking for the first week. Icepacks: Cold packs 3 to 4 times a day helps reduce the swelling. Compression: Crepe bandage is sufficient to help with compression. Elevation: Keeping it elevated on a pillow when resting helps. ACL Prehabilitation ACL Prehab exercises can be started once the pain and swelling improve. These exercises help in regaining the knee movements and keep the muscles in a good condition. ACL Reconstruction Surgery is recommended in people leading an active lifestyle and are physiologically fit. Without surgery one can manage, however will have to limit the activities and be cautious on uneven surfaces to not twist again. ACL surgery is a day care surgery in which the torn ligament is replaced by your own spare piece of tissue usually a tendon. This is called auto-graft. Graft material can be obtained from cadaver source (another person), however own tissue is preferred as the healing and take up of the material is better. Hamstring muscles from the inner side of the thigh are one of the common choices for graft. The spare muscle tendons are harvested through small keyholes. The whole surgery is performed with the help of a camera and small keyholes. Usually on one side the graft is fixed with a small titanium button and on the other side with a bio-composite screw. In some instances to increase the thickness of the graft, an all-inside technique where both sides small titanium buttons are used to fix the graft. In some instances, we use internal bracing technique. It is used only to augment the primary repair/reconstruction by expanding the area of tissue approximation during the healing period and is not intended as a replacement for the native ligament. The Internal Brace technique is for use during soft tissue-to-bone fixation procedures and is not cleared for bone-to-bone fixation. ACL Rehabilitation ACL Rehab starts from the day 1. Post-surgery, you are allowed to walk on the same day evening. If your meniscus is intact and only ACL reconstruction surgery has been performed, then you are allowed to walk with full weight on the leg. Initial one week you may need the support of a walker. Within a week most people manage to walk without support. Physiotherapy exercises are started early. In the first 6 weeks the focus is mainly on getting the full range of movement and help regain the muscle strength. The whole rehabilitation process will take about 6 to 8 months before returning back to playing sports on the ground or court. Visit us Best ACL Reconstruction Surgery Doctor in Bangalore Know More
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Hip
Hip Replacement (THR)
Hip Replacement (THR) Book an Appointment Overview Hip replacement surgery involves removal of the damaged part of the hip joint and replacing that with metal alloys, ceramic or hard by smooth plastic polymer lining. The artificial joint provides a pain free mobile joint. Replaced hip behaves as a normal hip in terms of movement once the initial post-surgery stiffness of the muscles settle. When to get Hip Replacement done? Osteoarthritis: Advanced stages of hip arthritis with severe pain, limitation of mobility affecting the daily activities would warrant a hip replacement. Rheumatoid Arthritis: Persistent hip pain inspite of good control of rheumatoid arthritis affecting the activities of daily living warrant a hip replacement. Avasular necrosis of Hip: Advanced stages of AVN hip with persistent pain needs a hip replacement. Hip Dysplasia. With pain and limited mobility warrants a hip replacement. What symptoms warrant surgery? Persistent pain Night pain Limited mobility due to pain Difficulty with activities of daily living due to stiffness and pain Risks Any surgery would involve certain risks however the risks with hip replacement are low. Fracture: During the surgery there is a small risk of fracture of the thigh bone or the socket. Small fractures usually heal. Larger fractures though rare, may need further fixation with plates or wires. Infection: Risk of infection is low with the advanced techniques and improvised theatre environment. Infection if picked up early, are likely to respond to antibiotics. In some instances it may need further washout or even removal of the implant. Nerve Damage: Rare, but can lead to numbness or weakness down the leg. In most patients, that recovers within 3 months. Clots in legs and lungs: To prevent clots (Deep vein thrombosis and pulmonary embolism), medications are given for first 45 days post-surgery. Stiffness: Stiffness of the muscles is common post-surgery and needs good physiotherapy support. Dislocation: Hip dislocation is a condition where the ball jumps out of the socket. If it happens repeatedly, then may need a further surgery to stabilize this. Change in leg length: Leg length may differ by 1 to 3cm post-surgery. Small differences are often not noticeable. However, if that affects the mobility, a shoe raise may be needed. Loosening of the implants: This is expected to happen in some patients usually after 15 years post-surgery. If it becomes painful, may then need a revision hip replacement surgery. Preparing for the surgery A good control of medical conditions such as diabetes and blood pressure is required. In addition to that a thorough check up by the physician and advice regarding the dosage of the medications and any alterations to that the days before and after the surgery needs to be taken. Stopping smoking is necessary as smoking affects the healing of the surgical wound. Total Hip Replacement surgery The surgery is either performed with injection in the back to numb the legs or alternatively under general anaesthesia where you are put to sleep for about the 2 hours of surgical time. Post-surgery you can expect to see a large dressing on the side of you hip. Lying down on the back with legs separated by a pillow for first 2-3 days is expected. Post-Surgery Post-surgery you can expect rehabilitation to start early. On the day 1 Physiotherapists will ask you to move your ankles and press your knee down. On day 2, you can expect to sit on the edge of bed also take a few steps with the help of walker and the physiotherapist. A stay of 3 to 5 days in hospital is expected. You can expect to walk comfortably without a walker support by 2 to 3 weeks.
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Knee
Knee Replacement
Knee Replacement Book an Appointment In patients with chronic Knee Pain, not controlled with conservative management will need a knee surgery. Knee replacement surgery involves removal of the damaged part of the knee joint and replacing that with metal alloys, ceramic or hard by smooth plastic polymer lining. The artificial joint provides a pain free mobile joint. Replaced knee behaves as a normal knee in terms of movement once the initial post-surgery stiffness of the muscles settle. When to get Knee Replacement done? Osteoarthritis: Advanced stages of knee arthritis with severe pain, limitation of mobility affecting the daily activities would warrant a knee replacement. Rheumatoid Arthritis: Persistent knee pain inspite of good control of rheumatoid arthritis affecting the activities of daily living warrant a knee replacement. Infective Arthritis: Post knee infection stiffness and persistent pain. What symptoms warrant Surgery? Persistent pain Night pain Limited mobility due to pain Difficulty with activities of daily living due to stiffness and pain Risks Any surgery would involve certain risks however the risks with the knee replacement are low. Fracture: During the surgery there is a small risk of fracture of the bone around the site of implants. Small fractures usually heal. Larger fractures though rare, may need further fixation with plates or wires. Infection: Risk of infection is low with the advanced techniques and improvised theatre environment. Infection if picked up early, are likely to respond to antibiotics. In some instances it may need further washout or even removal of the implant. Nerve Damage: Rare, but can lead to numbness or weakness down the leg. In most patients, that recovers within 3 months. Clots in legs and lungs: To prevent clots (Deep vein thrombosis and pulmonary embolism), medications are given for first 45 days post-surgery. Stiffness: Stiffness of the muscles is common post-surgery and needs good physiotherapy support. Loosening of the implants: This is expected to happen in some patients usually after 15 years post-surgery. If it becomes painful, may then need a revision knee replacement surgery. Preparing for the surgery A good control of medical conditions such as diabetes and blood pressure is required. In addition to that a thorough check up by the physician and advice regarding the dosage of the medications and any alterations to that the days before and after the surgery needs to be taken. Stopping smoking is necessary as smoking affects the healing of the surgical wound. Day of the surgery The surgery is either performed with injection in the back to numb the legs or alternatively under general anaesthesia where you are put to sleep for about the 1.5 hours of surgical time. Post-surgery you can expect to see a large dressing around your knee. Post-Surgery Post-surgery you can expect rehabilitation to start early. On the day 1 Physiotherapists will ask you to move your ankles and press your knee down. On day 2, you can expect to sit on the edge of bed also take a few steps with the help of walker and the physiotherapist. A stay of 2 to 4 days in hospital is expected. You can expect to walk comfortably without a walker support by 2 to 3 weeks. Visit Us Best Total Knee Replacement in Bangalore Know More
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About Our Surgical Procedures
Our orthopedic surgical procedures are designed to address a wide range of musculoskeletal conditions, from sports injuries to degenerative joint diseases. Our experienced surgeons utilize the latest techniques and technology to provide optimal outcomes for our patients.
When considering surgery, we believe in thoroughly educating our patients about their options, potential benefits, risks, and recovery expectations. Each procedure page provides detailed information to help you make informed decisions about your care.
Whether you require minimally invasive arthroscopic surgery or complex joint reconstruction, our team is committed to delivering personalized care and supporting you throughout your surgical journey.