Osteoarthritis and Rheumatoid Arthritis Management

Osteoarthritis (OA) and Rheumatoid Arthritis (RA) Management focuses on the diagnosis, treatment, and rehabilitation of these chronic joint conditions to relieve pain, improve mobility, and enhance quality of life. While both conditions affect the joints, they have different causes and treatment approaches, making early and accurate diagnosis crucial.

Osteoarthritis (OA)

A degenerative joint disease caused by gradual wear and tear of cartilage.

Commonly affects the knees, hips, spine, and hands.

Symptoms:
  • Joint pain and stiffness (worse after activity)
  • Reduced flexibility
  • Bone spurs and swelling

Rheumatoid Arthritis (RA)

An autoimmune disease where the immune system attacks joint linings.

Affects multiple joints symmetrically, including hands, wrists, knees, and ankles.

Symptoms:
  • Persistent joint pain and swelling
  • Morning stiffness lasting more than 30 minutes
  • Fatigue, fever, and overall weakness
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Best Shoulder Arthroscopy in Gurugram

Shoulder Arthroscopy is a minimally invasive surgical procedure used to diagnose and treat shoulder joint problems using a small camera called an arthroscope. The camera provides a clear, magnified view inside the shoulder, allowing surgeons to repair damaged tissues through tiny incisions instead of traditional open surgery. This leads to less pain, smaller scars, and faster recovery.

When is Shoulder Arthroscopy Recommended?

 

Shoulder arthroscopy is advised when pain, stiffness, or weakness does not improve with medications, physiotherapy, or injections.

Common Shoulder Problems Treated

 

  • Rotator Cuff Tears – Repairing torn tendons

  • Shoulder Impingement – Removing inflamed tissue or bone spurs

  • Labral Tears – Repairing the cartilage around the socket

  • Shoulder Instability / Dislocation – Tightening or repairing ligaments

  • Frozen Shoulder – Releasing tight tissues

  • Arthritis & Cartilage Damage – Cleaning or smoothing rough surfaces

  • Removal of Loose Fragments – Bone or cartilage pieces inside the joint

Best Knee Arthroscopy in Gurugram

Knee Arthroscopy is a minimally invasive surgical procedure used to diagnose and treat knee joint problems using a tiny camera called an arthroscope. The camera provides a clear view of the inside of the knee, allowing surgeons to accurately detect damage and perform precise treatments through small incisions, causing less pain and enabling faster recovery compared to traditional open surgery.

When is Knee Arthroscopy Recommended?

 

Knee arthroscopy is advised when there is persistent knee pain, swelling, stiffness, or locking that does not improve with medication, physiotherapy, or lifestyle changes.

Common Conditions Treated

 

  • Meniscus Tears – Repair or removal of torn cartilage

  • Ligament Injuries – Including ACL and PCL reconstruction

  • Loose Bone or Cartilage Fragments – Removal of debris inside the joint

  • Synovitis – Inflammation of the joint lining

  • Knee Cap (Patella) Problems – Maltracking or instability

  • Early Osteoarthritis – Debridement or cartilage smoothing

Best Hip Replacement in Gurugram

Hip Replacement — also called Total Hip Replacement (THR) or Hip Arthroplasty — is a surgical procedure where a damaged or diseased hip joint is replaced with an artificial implant made of metal, ceramic, or high-grade plastic. The goal is to relieve pain, restore mobility, and improve overall quality of life.

It’s most commonly recommended when severe arthritis, injury, or degeneration makes daily activities like walking, climbing stairs, or even sitting painful and difficult.

Who Needs Hip Replacement?

 

Hip replacement is advised when non-surgical treatments like medications, physiotherapy, or injections no longer provide relief.

Common Conditions Requiring Hip Replacement

 

  • Osteoarthritis – Wear-and-tear arthritis causing cartilage loss

  • Rheumatoid Arthritis – Inflammatory arthritis damaging the joint

  • Avascular Necrosis – Bone collapse due to poor blood flow

  • Post-Traumatic Arthritis – Arthritis after hip injury or fractures

  • Hip Dysplasia – Abnormal hip development leading to degeneration

  • Persistent hip stiffness, pain, and mobility loss

Best Knee Replacement ​in Gurugram

Knee Replacement — also known as Total Knee Replacement (TKR) or Knee Arthroplasty — is a surgical procedure where a damaged or worn-out knee joint is replaced with an artificial implant to relieve pain, restore mobility, and improve quality of life. It is most commonly performed for severe arthritis or knee injuries when other treatments like medicines, physiotherapy, and injections no longer provide relief.

Who Needs Knee Replacement?

 

Knee replacement is recommended when knee damage causes persistent pain, stiffness, and difficulty in daily activitiesdespite conservative treatment.

Common Conditions Requiring Knee Replacement

 

  • Osteoarthritis – Wear-and-tear arthritis causing cartilage loss

  • Rheumatoid Arthritis – Autoimmune inflammation damaging joints

  • Post-Traumatic Arthritis – Knee degeneration after injuries or fractures

  • Avascular Necrosis – Bone damage due to poor blood supply

  • Severe knee deformities (knock knees or bowlegs

Best Fracture Treatment ​in Gurugram

Fracture Treatment involves the diagnosis, management, and healing of broken bones caused by trauma, accidents, sports injuries, falls, or underlying medical conditions like osteoporosis. The goal is to restore bone alignment, promote healing, relieve pain, and regain full function of the affected limb or joint. Treatment varies depending on the type, location, and severity of the fracture.

Types of Fractures

 

Fractures are classified based on how the bone breaks:

  1. Closed (Simple) Fracture – Bone breaks but does not pierce the skin.

  2. Open (Compound) Fracture – Bone breaks and comes through the skin, requiring urgent care.

  3. Hairline (Stress) Fracture – Small crack caused by overuse or repetitive stress.

  4. Comminuted Fracture – Bone shatters into several pieces.

  5. Greenstick Fracture – Common in children; bone bends and cracks but doesn’t break completely.

  6. Pathological Fracture – Bone breaks due to weakness from diseases like osteoporosis or cancer.

Best Meniscus Repair ​in Gurugram

Meniscus Repair is a surgical procedure to treat tears in the meniscus, which is a C-shaped cartilage in the knee joint acting as a shock absorber between the thigh bone (femur) and shin bone (tibia). The meniscus plays a critical role in stabilizing the knee, distributing weight, and preventing early arthritis.

When the meniscus is torn due to injury or degeneration, repairing it rather than removing it (meniscectomy) is often preferred, as it helps preserve knee function and reduces the risk of long-term joint damage.

When is Meniscus Repair Recommended?

 

  • Acute meniscus tears in younger, active patients

  • Tears in the outer third (“red zone”) where blood supply is better and healing potential is high

  • Combined injuries with ACL reconstruction

  • Patients aiming to preserve natural knee cartilage and avoid arthritis

  • Persistent knee pain despite non-surgical treatments

Best PCL Reconstruction​ ​in Gurugram

The Posterior Cruciate Ligament (PCL) is located inside the knee joint and works with the Anterior Cruciate Ligament (ACL) to stabilize the knee. While PCL injuries are less common than ACL injuries, they are often more complex and sometimes occur in combination with multi-ligament knee injuries.

When is PCL Reconstruction Recommended?

 

  • Complete PCL tears (Grade III injuries)

  • Persistent knee instability despite physiotherapy

  • Combined injuries with ACL, MCL, or meniscus damage

  • Young, active individuals involved in sports or heavy physical activity

  • Cases where non-surgical treatments fail

Best ACL Reconstruction ​in Gurugram

The Anterior Cruciate Ligament (ACL) is one of the main stabilizing ligaments in the knee. It connects the thigh bone (femur) to the shin bone (tibia) and helps maintain knee stability, especially during twisting, pivoting, or sudden movements.

An ACL injury—often caused by sports, accidents, or sudden knee trauma—can lead to knee instability, pain, and difficulty performing daily or athletic activities.

When is ACL Reconstruction Needed?

 

  • Persistent knee instability (giving way during walking or sports)

  • Severe ACL tear confirmed on MRI/clinical exam

  • Active lifestyle requiring pivoting, running, or jumping

  • Associated knee injuries (meniscus, cartilage damage)

  • Failed non-surgical treatments (physiotherapy, bracing)

Best Robotic Joint Replacement in Gurugram

Robotic joint replacement uses a computer-assisted robotic system to create a 3D virtual model of the patient’s joint. This allows the surgeon to plan the surgery accurately, position the implant with sub-millimeter precision, and ensure natural joint movement post-surgery.

Unlike traditional joint replacement, the robot does not perform the surgery independently. The surgeon controls the entire procedure, while the robotic system acts as a guide for accuracy and safety.

Types of Robotic Joint Replacement

 

  1. Robotic Total Knee Replacement (TKR)

    • Complete replacement of the knee joint using robotic assistance.

  2. Robotic Partial Knee Replacement (PKR)

    • Only the damaged compartment of the knee is replaced, preserving healthy bone and ligaments.

  3. Robotic Total Hip Replacement (THR)

    • Replacement of the hip joint with robotic-assisted accuracy for implant placement and alignment.

Osteoarthritis and Rheumatoid Arthritis Management

Osteoarthritis (OA) and Rheumatoid Arthritis (RA) Management focuses on the diagnosis, treatment, and rehabilitation of these chronic joint conditions to relieve pain, improve mobility, and enhance quality of life. While both conditions affect the joints, they have different causes and treatment approaches, making early and accurate diagnosis crucial.

Osteoarthritis (OA)

 

  • A degenerative joint disease caused by gradual wear and tear of cartilage.

  • Commonly affects the knees, hips, spine, and hands.

  • Symptoms:

    • Joint pain and stiffness (worse after activity)

    • Reduced flexibility

    • Bone spurs and swelling

Rheumatoid Arthritis (RA)

 

  • An autoimmune disease where the immune system attacks joint linings.

  • Affects multiple joints symmetrically, including hands, wrists, knees, and ankles.

  • Symptoms:

    • Persistent joint pain and swelling

    • Morning stiffness lasting more than 30 minutes

    • Fatigue, fever, and overall weakness

Complex Fractures and Trauma Care

Complex Fractures and Trauma Care involves the diagnosis, surgical management, and rehabilitation of severe bone injuries caused by high-impact accidents, falls, or other traumatic events. Unlike simple fractures, complex fractures often involve multiple bone fragments, joint involvement, surrounding tissue damage, or open wounds, making their management highly challenging.

Effective trauma care requires a multidisciplinary approach involving orthopedic surgeons, trauma specialists, physiotherapists, and rehabilitation experts to ensure optimal recovery and restore mobility.

Types of Complex Fractures

 

  • Comminuted Fracture – Bone breaks into multiple fragments

  • Open (Compound) Fracture – Bone pierces through the skin, increasing infection risk

  • Segmental Fracture – Bone breaks at two distinct levels

  • Intra-Articular Fracture – Fracture extends into the joint surface

  • Pathological Fracture – Caused by underlying conditions like osteoporosis or tumors

  • Periprosthetic Fracture – Occurs around joint replacement implants

Sports Injury Management

Sports Injury Management focuses on the prevention, diagnosis, treatment, and rehabilitation of injuries sustained during sports or physical activities. It aims to help athletes and active individuals recover quickly, restore function, and return safely to their sport or fitness routine while minimizing the risk of re-injury.

This specialized approach combines advanced medical techniques, physiotherapy, and rehabilitation programs tailored to the type and severity of the inju

Common Types of Sports Injuries

 

Acute Injuries

 

  • Sprains – Ligament tears, common in ankle, knee, and wrist

  • Strains – Muscle or tendon injuries

  • Fractures – Bone breaks due to high-impact trauma

  • Dislocations – Joints forced out of position

  • Contusions (Bruises) – From direct impact

Chronic / Overuse Injuries

 

  • Tendinitis – Inflammation of tendons due to repetitive stress

  • Stress Fractures – Micro-cracks in bones from overtraining

  • Runner’s Knee – Knee pain caused by repetitive movement

  • Tennis Elbow / Golfer’s Elbow – Tendon damage from repeated motions

  • Shin Splints – Pain along the shinbone due to strain

Arthroscopic Surgery

Arthroscopic Surgery is a minimally invasive surgical procedure used to diagnose and treat problems inside a joint. It involves inserting a thin, flexible tube called an arthroscope — equipped with a camera and light — through a small incision to visualize the inside of the joint on a screen. Surgeons can then repair, remove, or reconstruct damaged tissues without making large incisions, leading to faster recovery, less pain, and minimal scarring

Advantages of Arthroscopic Surgery

  • Minimally Invasive – Smaller incisions, less tissue damage.

  • Faster Recovery – Patients return to normal activities sooner.

  • Less Pain & Scarring – Minimal disruption of muscles and tissues.

  • Lower Infection Risk – Smaller wounds reduce complications.

  • Day-Care Procedure – Many surgeries are performed on an outpatient basis.

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Robotic Total Hip Replacement (THR)

Robotic Total Hip Replacement (THR) is an advanced surgical procedure that combines cutting-edge robotic technology with the expertise of an orthopedic surgeon to replace a damaged or arthritic hip joint with extreme precision. Compared to conventional hip replacement, robotic-assisted THR ensures greater accuracy, better implant positioning, reduced tissue damage, faster recovery, and improved long-term outcomes.

Advantages of Robotic THR

 

  • Unmatched Precision – Sub-millimeter accuracy for implant placement.

  • Personalized Surgical Planning – Customized based on your unique hip anatomy.

  • Less Tissue & Muscle Damage – Minimally invasive approach reduces trauma.

  • Faster Recovery – Quicker return to normal activities compared to conventional THR.

  • Improved Joint Function – Natural movement and better range of motion.

  • Longer Implant Lifespan – Optimal positioning enhances durability.

  • Reduced Pain & Blood Loss – Smaller incisions and precise techniques lower post-op discomfort.

 

Revision Joint Replacement Surgery​

Revision Joint Replacement Surgery is a specialized orthopedic procedure performed when a previously replaced joint — such as the knee or hip — fails or develops complications. Unlike the initial (primary) replacement, a revision surgery is more complex because it involves removing the old implant, addressing bone loss or damage, and placing a new prosthesis for better function and stability.

Benefits of Revision Joint Replacement

 

  • Restores joint stability and mobility

  • Relieves chronic pain caused by implant failure

  • Corrects deformities or alignment issues

  • Improves overall quality of life

  • Extends the functional lifespan of the joint

kauai surgeon introduces robotic assisted total knee replacement to ucla web

Robotic Total Knee Replacement (TKR)

 

Robotic Total Knee Replacement (TKR) is an advanced surgical technique used to treat severe knee arthritis, deformity, or damage when non-surgical treatments no longer provide relief. It combines the precision of robotic-assisted technology with the expertise of an orthopedic surgeon to ensure accurate implant placement, better alignment, and improved overall outcomes compared to conventional knee replacement surgery.

Benefits of Robotic-Assisted TKR

 

  • Higher Accuracy – Ensures optimal alignment and positioning of the implant.

  • Personalized Planning – Customizes the procedure based on the patient’s knee anatomy.

  • Less Tissue Damage – Minimally invasive technique leads to reduced soft tissue trauma.

  • Faster Recovery – Patients often regain mobility quicker compared to traditional TKR.

  • Better Joint Function – More natural movement and improved long-term outcomes.

  • Reduced Post-Operative Pain – Smaller incisions and precise techniques minimize discomfort.

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