Orthopedic Services

Arthritis

Are you living with the daily discomfort of arthritis, experiencing joint pain, stiffness, and a gradual loss of your ability to move freely? We understand the profound impact arthritis can have on your life, and we’re here to offer a comprehensive and personalized approach to effectively manage and, in many cases, alleviate your symptoms.

While a “cure” for all types of arthritis isn’t universally available, our commitment is to provide cutting-edge treatments and compassionate care that significantly improve your condition, reduce pain, and restore your quality of life.

Whether you’re struggling with osteoarthritis, rheumatoid arthritis, gout, psoriatic arthritis, or another form, our team of highly experienced orthopedic specialists and rheumatologists works collaboratively to develop a tailored treatment plan just for you.

Our comprehensive Arthritis Treatment Solutions include:

  • Accurate Diagnosis: Utilizing advanced diagnostics, including detailed imaging and laboratory tests, to precisely identify the type and severity of your arthritis.
  • Personalized Medical Management: Offering the latest advancements in medication, including anti-inflammatory drugs, disease-modifying anti-rheumatic drugs (DMARDs), biologics, and other targeted therapies to control inflammation, slow disease progression, and manage pain.
  • Advanced Joint Injections: Providing targeted relief through precise joint injections of corticosteroids or hyaluronic acid to reduce localized pain and improve lubrication.
  • Specialized Physiotherapy & Rehabilitation: Our dedicated physiotherapists design customized exercise programs to improve joint flexibility, strengthen supporting muscles, reduce stiffness, and enhance overall mobility, helping you regain functional independence.
  • Lifestyle & Nutritional Guidance: Offering expert advice on diet, weight management, and lifestyle modifications that can significantly impact arthritis symptoms and improve overall joint health.

Minimally Invasive and Surgical Interventions (When Indicated): For cases of severe joint damage or unmanageable pain, our skilled surgeons offer advanced procedures such as:

  • Joint Replacement (Arthroplasty): Replacing damaged joint surfaces with artificial implants to eliminate pain and restore function in affected hips, knees, shoulders, and other joints.
  • Arthroscopy: Minimally invasive procedures to clean out damaged joint tissue, remove loose bodies, or repair cartilage.
  • Osteotomy: Reshaping bones to redistribute weight and relieve pressure on damaged joint areas. 

Frozen Shoulder

Are you experiencing persistent shoulder pain, stiffness, and a frustrating loss of motion that makes everyday tasks a challenge? You might be suffering from Frozen Shoulder (Adhesive Capsulitis), a condition that can significantly impact your quality of life.

At our center, we don’t just treat frozen shoulder; we provide a dedicated and comprehensive pathway to restore your shoulder’s full potential and help you reclaim your active life.

We understand the unique journey of frozen shoulder, from the initial painful “freezing” stage to the debilitating “frozen” phase. Our expert team offers a personalized approach, leveraging the latest advancements in orthopedic care and rehabilitation to guide you through each step of your recovery.

Our comprehensive Frozen Shoulder Solutions include:

  • Precise Diagnosis: Utilizing advanced imaging and thorough clinical evaluation to accurately assess your condition and rule out other causes of shoulder pain.
  • Targeted Pain Management: Implementing effective strategies such as state-of-the-art corticosteroid injections (often ultrasound-guided for precision) to alleviate pain and reduce inflammation, especially during the crucial early stages.
  • Cutting-Edge Physiotherapy: Our highly skilled physical therapists design bespoke rehabilitation programs, incorporating gentle yet effective stretching, mobility exercises, and strengthening techniques to progressively restore your range of motion and muscle function.
  • Hydrodilatation: For suitable cases, we offer hydrodilatation procedures to gently expand the joint capsule, breaking down adhesions and accelerating your return to pain-free movement.
  • Minimally Invasive Procedures (When Necessary): In instances where conservative treatments haven’t yielded sufficient results, our experienced orthopedic surgeons may utilize advanced techniques like arthroscopic capsular release. This minimally invasive procedure precisely releases the tightened capsule and scar tissue, providing significant and often rapid improvement in mobility. We prioritize this option only when truly indicated, ensuring the most effective and least intrusive path to recovery.

Joint Replacement

At our center, we specialize in joint replacement surgery, a highly effective solution for individuals suffering from severe joint pain, stiffness, and limited mobility due to conditions like arthritis, injury, or age-related degeneration.

Our commitment is to help you regain your independence and quality of life. We offer advanced surgical techniques, including minimally invasive options where appropriate, and utilize the latest prosthetic technologies to ensure the best possible outcomes.

From your initial consultation through your comprehensive rehabilitation, our experienced orthopedic team provides personalized care, guiding you every step of the way towards a future with reduced pain and improved movement.

Joint replacement, also known as arthroplasty, is a surgical procedure where damaged or diseased parts of a joint are removed and replaced with artificial components called prostheses. These prostheses are typically made of metal, plastic, or ceramic and are designed to replicate the movement and function of a healthy natural joint.

Why is it performed? The primary reasons for joint replacement surgery are severe joint pain, stiffness, and disability that haven’t responded to non-surgical treatments like medication, physical therapy, or lifestyle changes. The most common underlying conditions leading to joint replacement include:

  • Osteoarthritis: The most frequent cause, where the cartilage cushioning the ends of bones wears down over time.
  • Rheumatoid Arthritis: An autoimmune disease causing chronic inflammation and damage to joints.
  • Post-traumatic Arthritis: Arthritis that develops after a joint injury or fracture.
  • Avascular Necrosis: A condition where bone tissue dies due to a lack of blood supply.
  • Other joint conditions: Including deformities or severe joint abnormalities.

Commonly Replaced Joints: While any major joint can be replaced, the most common procedures are:

  • Knee Replacement (Total Knee Arthroplasty): Involves resurfacing the ends of the thighbone (femur) and shinbone (tibia), and often the kneecap (patella). Partial knee replacement is also possible, replacing only the damaged portion.
  • Hip Replacement (Total Hip Arthroplasty): Replaces the damaged ball (top of the femur) with a metal or ceramic ball attached to a stem, and the damaged socket in the pelvis with a metal socket and plastic liner.
  • Shoulder Replacement: Replaces the damaged ball and/or socket of the shoulder joint.
  • Other joints: Ankle, wrist, elbow, and even smaller joints in the hands and feet can also undergo replacement.

The Procedure: Joint replacement surgery typically involves:

  1. Anesthesia: General or regional (spinal) anesthesia is administered to ensure the patient is pain-free. 
  2. Incision: The surgeon makes an incision to access the joint.
  3. Removal of Damaged Tissue: Damaged cartilage and bone are precisely removed. 
  4. Prosthesis Implantation: The artificial components are fitted and secured to the remaining bone, sometimes using bone cement or a “press-fit” technique where the bone grows onto the implant.
  5. Closure: The incision is closed with stitches or staples.

Spine Trauma

Spine trauma refers to injuries to the spinal column (vertebrae), spinal cord, or the nerves emanating from the spinal cord. These injuries can range from mild strains to severe damage resulting in significant neurological deficits, including paralysis.

Causes of Spine Trauma: Spine trauma is most often caused by sudden, forceful impacts or movements. Common causes include:

  • Motor vehicle accidents: The leading cause in many regions.

  • Falls: Especially common in older adults.

  • Acts of violence: Such as gunshot or knife wounds.

  • Sports and recreational injuries: Including diving into shallow water, contact sports, and extreme sports.

  • Underlying conditions: Pre-existing conditions like osteoporosis, arthritis, or spinal stenosis can weaken the spine, making it more susceptible to injury from even minor trauma.

Types of Spinal Injuries: Spine trauma can affect different parts of the spinal column and cord:

  • Vertebral Fractures: Breaks in the bones of the spine. These can range from stable compression fractures to unstable burst fractures or fracture-dislocations.

  • Ligamentous Injuries: Damage or rupture of the ligaments that hold the vertebrae together, leading to instability.

  • Spinal Cord Injury (SCI): Damage to the spinal cord itself, which is the bundle of nerves that transmits signals between the brain and the rest of the body. SCI can be:

    • Complete: Complete loss of all motor and sensory function below the level of injury.

    • Incomplete: Some motor or sensory function remains below the level of injury, with varying degrees of preservation.

    • Conus Medullaris Syndrome/Cauda Equina Syndrome: Injuries to the very end of the spinal cord or the nerve roots extending below it, leading to specific patterns of weakness, sensory loss, and bowel/bladder dysfunction.

Symptoms of Spine Trauma: Symptoms vary widely depending on the location and severity of the injury. They can include:

  • Severe back or neck pain.

  • Weakness, numbness, or paralysis in the arms, legs, or trunk.

  • Loss of sensation (inability to feel heat, cold, or touch).

  • Loss of bowel or bladder control.

  • Muscle spasms or exaggerated reflexes.

  • Difficulty breathing (especially with high cervical injuries).

  • Problems with balance and coordination.

Diagnosis: Diagnosis typically involves a thorough physical examination and imaging studies:

  • X-rays: To identify fractures or dislocations of the vertebrae.

  • CT scans: Provide detailed cross-sectional images of bone injuries.

  • MRI scans: Essential for evaluating the spinal cord, ligaments, and soft tissues, and detecting disc herniations or hematomas that may be compressing the cord.

Treatment: Initial management focuses on immobilizing the spine to prevent further damage. Treatment depends on the type, location, and severity of the injury:

  • Immobilization: Using cervical collars, back braces, or halo vests to stabilize the spine.

  • Medications: To manage pain, reduce inflammation, or address complications.

  • Surgery: May be necessary to:

    • Decompress the spinal cord (remove bone fragments, disc material, or foreign objects pressing on the cord).

    • Realign and stabilize fractured or dislocated vertebrae using screws, rods, and bone grafts (spinal fusion).

  • Rehabilitation: A critical component of recovery, involving physical therapy, occupational therapy, and other interventions to maximize functional recovery and adapt to any lasting deficits.

Spine trauma can have profound and long-lasting consequences, emphasizing the importance of prevention, rapid diagnosis, and comprehensive care