Joint Replacement: Hip, Knee, Shoulder, and Revision Surgeries
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Spine Surgeries: PIVD, Vertebroplasty, Degenerative Spine Disorders
Bone Infection Surgery: Osteomyelitis, Infected Trauma
Complex Trauma & Deformity Correction
Adjuvant Therapy for Bone Necrosis (AVN)
Arthroscopy and Sports Medicine
Platelet Rich Plasma (PRP) Therapy
Bone Tumors, Malignant Cancer, and Cyst Management

Institute of Orthopaedics, Joint & Spine
Overview
The Institute of Orthopaedics, Joint & Spine provides comprehensive care for conditions affecting the bones, joints, muscles, ligaments, tendons, nerves, and spine. It focuses on pain relief, mobility restoration, injury management, deformity correction, joint preservation, joint replacement, spine care, and rehabilitation.
Orthopaedic problems may range from fractures, sports injuries, arthritis, back pain, and neck pain to complex spine disorders, joint deformities, osteoporosis, trauma, and advanced joint damage. Timely diagnosis and treatment help reduce pain, prevent disability, and support an active life.
What Is Orthopaedics, Joint & Spine Care?
Orthopaedics is the medical and surgical specialty that treats the musculoskeletal system. Joint and spine care focuses specifically on movement-related problems involving the hips, knees, shoulders, hands, feet, neck, back, and spinal nerves.
Common areas of care include:
Fracture and trauma care
Arthritis and joint pain management
Knee, hip, shoulder, and other joint replacement
Sports injury treatment
Ligament, tendon, and cartilage injuries
Back pain, neck pain, and sciatica
Disc prolapse and spinal canal narrowing
Spine deformity and spinal instability
Osteoporosis and fragility fractures
Hand, foot, ankle, and shoulder disorders
Paediatric orthopaedic conditions where applicable
Physiotherapy, rehabilitation, and mobility support
The goal is to restore function using the right combination of medicines, therapy, procedures, surgery, and rehabilitation.
Causes and Risk Factors
Orthopaedic and spine conditions may develop due to injury, ageing, overuse, inflammation, infection, weak bones, nerve compression, or structural problems.
Common risk factors include:
Age-related joint or spine degeneration
Sports or accident-related injury
Repetitive strain or poor posture
Obesity
Osteoporosis or low bone density
Previous fracture or surgery
Diabetes or inflammatory arthritis
Weak muscles or reduced physical activity
Heavy lifting or occupational stress
Family history of arthritis or spine disease
Smoking, poor nutrition, or vitamin D deficiency
Congenital or developmental bone and joint conditions
Early evaluation helps prevent worsening pain, deformity, nerve damage, and loss of mobility.
Symptoms
Patients may need orthopaedic, joint, or spine evaluation when pain or movement problems affect daily activities.
Common symptoms include:
Joint pain, stiffness, or swelling
Back pain or neck pain
Pain radiating to the arm or leg
Numbness, tingling, or weakness
Difficulty walking, climbing stairs, or standing
Reduced range of motion
Clicking, locking, or instability in a joint
Pain after fall, injury, or sports activity
Visible deformity or swelling after trauma
Persistent muscle, tendon, or ligament pain
Loss of balance or repeated falls
Loss of bladder or bowel control with spine symptoms
Emergency care is needed for severe injury, visible deformity, inability to bear weight, sudden limb weakness, loss of bladder or bowel control, severe back pain with fever, or suspected fracture.
Diagnosis
Diagnosis begins with medical history, physical examination, movement assessment, and targeted imaging or laboratory tests.
Common diagnostic methods include:
X-rays for fractures, arthritis, alignment, and bone changes
MRI for ligaments, tendons, cartilage, discs, nerves, and spine problems
CT scan for complex fractures, spine conditions, or surgical planning
Ultrasound for selected tendon, muscle, and soft tissue problems
Bone density scan for osteoporosis risk
Blood tests for infection, inflammation, vitamin D, or autoimmune disease when needed
Nerve conduction study or EMG for nerve-related symptoms
Joint aspiration in selected cases of swelling, infection, or crystal disease
Gait, posture, and functional assessment
Accurate diagnosis helps decide whether the patient needs medicines, physiotherapy, injections, bracing, surgery, or rehabilitation.
Treatment Options
Treatment depends on the diagnosis, severity, age, activity level, pain, and functional goals.
Orthopaedic, joint, and spine care may include:
Pain relief and anti-inflammatory medicines
Physiotherapy and supervised exercise
Posture, activity, and ergonomic guidance
Braces, splints, casts, or walking aids
Joint injections in selected cases
Fracture reduction and fixation
Arthroscopy for selected ligament, cartilage, or joint problems
Joint preservation procedures
Partial or total joint replacement
Spine injections or minimally invasive spine procedures in selected cases
Spine surgery for severe nerve compression, instability, deformity, or trauma
Osteoporosis treatment and fall-prevention planning
Rehabilitation after injury, surgery, or joint replacement
Surgery is usually considered when non-surgical treatment is not enough, or when there is severe injury, deformity, instability, or nerve compression.
Prevention and Outlook
Many bone, joint, and spine problems can be reduced through regular exercise, strength training, maintaining a healthy weight, good posture, safe lifting, fall prevention, adequate calcium and vitamin D, avoiding smoking, and treating injuries early.
The outlook depends on the condition, severity, age, and treatment timing. Many patients improve with medicines, physiotherapy, lifestyle changes, or minimally invasive care. Advanced arthritis, fractures, or severe spine disease may require surgery, but with proper rehabilitation, many patients regain mobility and return to daily activities.
Frequently Asked Questions
When should I see an orthopaedic specialist?
You should consult an orthopaedic specialist for persistent joint pain, back pain, neck pain, fracture, sports injury, swelling, stiffness, deformity, difficulty walking, or nerve symptoms such as numbness or weakness.Is joint pain always arthritis?
No. Joint pain can be caused by injury, infection, tendon problems, ligament tears, autoimmune disease, or overuse. Proper evaluation helps identify the cause.When is joint replacement needed?
Joint replacement may be considered when severe joint damage causes persistent pain, stiffness, and difficulty in daily activities despite medicines, physiotherapy, and other non-surgical treatments.Is spine surgery always required for disc problems?
No. Many disc problems improve with medicines, physiotherapy, posture correction, and time. Surgery is considered for severe pain, progressive weakness, nerve compression, or loss of bladder or bowel control.How can I protect my bones and joints?
Stay active, maintain a healthy weight, strengthen muscles, avoid smoking, eat a balanced diet, prevent falls, and seek early care for injuries or persistent pain.What is orthopaedic rehabilitation?
Orthopaedic rehabilitation includes physiotherapy, exercises, walking training, pain control, and functional support after injury, surgery, joint replacement, or spine treatment.
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Dr. Nishit Palo
Consultant - (Orthopaedics)
Institute of Orthopaedics, Joint & Spine

Dr. Pushkar Chawla
Director and Unit Head - (Orthopaedics)
Institute of Orthopaedics, Joint & Spine

Dr. Virender Kumar Gautam
Senior Director
Institute of Orthopaedics, Joint & Spine

Dr. Kuldeep Bansal
Consultant - (Orthopaedics)
Institute of Orthopaedics, Joint & Spine

Dr. Shubham Anant
Attending Consultant - (Orthopaedics)
Institute of Orthopaedics, Joint & Spine
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