Category Archives: Shoulder & Elbow Shoulder

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Wrist replacement surgery, also called arthroplasty, removes the damaged bone and cartilage in a joint. The bone is resurfaced with implants made from metal alloy and polyethylene (plastic) to re-create the smooth gliding surface that were once intact. The purpose of the procedure is to restore movement and decrease or eliminate pain.

A total joint implant’s longevity will vary from patient to patient. All implants have a limited life expectancy depending on an individual’s age, weight, activity level, and medical condition. It is important to remember that an implant is a medical device that is subject to wear, which may lead to mechanical failure. Following all of your surgeon’s recommendations after surgery may enhance longevity, there is no guarantee that your particular implant will last for any specific length of time.

Since implants are mechanical devices, they are subject to conditions that can lead to mechanical failure. The most common reason for implant failure in wrist replacements is implant loosening or implant wear that leads to loosening. Implant wear particles can react with the bone, causing thinning of the bone that can lead to implant loosening. In most cases, failed implants can be revised successfully to provide good results.

Your surgeon will evaluate your health history, perform a physical examination, and take x-rays to decide if you are a candidate for this surgery. You must then decide if your discomfort, pain or stiffness, and overall loss of quality of life justify undergoing surgery. Generally, there is no harm in waiting to have surgery if conservative, non-surgical treatments are effective.

Age is not a problem if you are in reasonably good health and have the desire to continue living a productive, active life. You may ask to see your personal physician for an opinion about your general health and readiness for surgery.

• Operation- approximately 1 1/2 to 2 hours
• Outpatient surgery
• Rehabilitation-usually 3 to 4 months of regular exercise at home. This will vary with each patient and with each surgeon.

The incision is usually made of the on the back of the wrist to gain access to the joint.

Yes, you may have some numbness on the outside of the scar. The area around the scar may feel warm. You may also notice some clicking when you move your wrist as a result of the artificial surfaces coming together

While uncommon, complications can occur during and after surgery. Some complications include infection, blood clots, implant breakage, malalignment, and premature wear. Although implant surgery is extremely successful in most cases, some patients still experience stiffness and pain. No implant will last forever and factors such as the patient’s post-surgical activities and weight can affect longevity. Be sure to discuss these and other risks with your surgeon. There are many things that your surgeon may do to minimize the potential for complications. Your surgeon may have you see a medical physician before surgery to obtain tests. You may also need to have your dental work up to date and may be shown how to prepare your home to avoid falls.

Proper preparation and a great attitude are the best ways to accomplish a rapid recovery from joint replacement. With the help of a physical therapist, get yourself as physically fit as you can before surgery. Proper nutrition and optimal medical condition can help avoid complications. See your physician prior to surgery to ensure your blood pressure, heart, and lungs are in good shape. Be prepared to continue with your exercise program after surgery.

Exercise is necessary for proper healing. Early movement is important to prevent the muscles in the wrist from becoming tight. The types of exercises you may perform are gentle, range of motion exercises designed to help restore motion to the muscles in the shoulder. As your rehabilitation continues, you may begin strengthening exercises that are designed to restore strength to your shoulder. A regular exercise program at home to promote strengthening and mobility will continue up to 12 months following surgery. It is important to follow your surgeon’s prescribed recovery outline. Do not attempt exercises that are not prescribed by your surgeon, and do not attempt to alter your exercise schedule without contacting your surgeon.

Although wrist replacement is designed to restore motion and decrease pain, it does not return your wrist to “normal.” Like any mechanical device, it can wear out with use. Activities like heavy lifting or manual labor can cause early wear and failure of the wrist implant. Many activities should not begin until the soft tissues around the wrist heal, which can take 3 to 6 weeks. All postoperative activities should be cleared with your surgeon.

Patients with total wrist replacement typically require several weeks before returning to any type of lifting or repetitive movement activities. Talk to your doctor before participating in an activity that may place excess stress or movement on your shoulder. Consult with your surgeon or therapist for advice on acceptable activities.

Returning to work depends on your type of work and can be as early as 2 to 6 weeks for sedentary jobs. Returning to a job that requires significant use of the arm will usually take at least 3 months. Office workers often return in 2 to 3 weeks, while patients with more strenuous jobs may require more time away from work. The timing of your return to work depends considerably upon your commitment to recovery.

The surgeon will set a follow-up schedule for the first year after surgery to evaluate your progress. Usually these follow-ups occur three, six and nine months after the surgery. Annual visits may be required thereafter. Complications can occur with implants, so seeing the surgeon when you notice a change in symptoms can assist in evaluating any changes that may occur with your new joint.

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Significant pain and disability is often associated with rotator cuff arthropathy. Individuals often have difficult with simple daily activities such as feeding themselves, getting dressed and combing their hair because of a significant loss of shoulder motion and strength. There is often associated pain, especially at night-time which interferes with normal sleep. Pseudo-paralysis and rotator cuff arthropathy can be seen in older patients with a degenerative massive rotator cuff tear.

Other causes of cuff arthropathy include prior failed rotator cuff repairs,  or individuals with prior failed shoulder replacement surgery. A reverse shoulder replacement  can also be useful in the cases of severe fractures of the proximal humerus (shoulder joint) in older individuals. In individuals with a massive rotator cuff tear that is not repairable, an initial trial of physical therapy may help restore function to an acceptable levels. If, however, significant functional loss and associated pain persist despite a course of conservative therapy, reverse arthroplasty is often the only surgical option.

Patients will work with a physical therapist to resume daily activities and strengthen shoulder muscles. Often the physical therapy is initiated during the hospital stay. The patient is taught a simple set of exercises that they can do on their own at home. Typically, full recovery is achieved by 3-4 months post-operatively. A reverse shoulder replacement can significantly decrease pain and improve function for patients and contribute significantly to an improved quality of life.

The Joint Replacement Surgery Hospital India center for complex shoulder problems and as such, we are specifically equipped to handle this type of complex operation. Patients benefit from our multidisciplinary approach to the treatment of shoulder disorders and have access to a full range of care. Our experienced team of physicians, certified physical therapists, and support staff all work together to help patients achieve success. In addition, our affiliated occupational and physical therapists are specially trained in rehabilitation of the shoulder and elbow prior to and after surgical reconstruction.

The surgical procedure is conducted under general or local anesthesia; and generally takes about 1 to 1½ hours to complete.

For decades, sufferers of severe shoulder arthritis have relied on traditional total shoulder replacement as a proven solution. But for individuals with more complex shoulder issues, such as a torn rotator cuff, this was not the best option. In recent years, a new shoulder replacement option called reverse total shoulder replacement has offered relief from pain and lack of mobility to those with more difficult shoulder problems.

In a traditional shoulder replacement, a plastic socket is placed in the shoulder and a metal ball and stem are inserted into the upper arm bone; the two fit together to form the new artificial joint. This solution still relies on a patient’s rotator cuff to move the arm.

Conversely, in a reverse total should replacement, the plastic socket is fitted into the arm bone and the metal ball is attached to the shoulder bone instead. This configuration is better for people with damaged rotator cuffs because the new joint does not rely on this muscle for movement of the arm. Instead, the deltoid muscle is used to move the arm.

Most patients are able to return to activities within a few months.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Trigger finger surgery is a surgical procedure to treat the frequent sticking of one or more finger. An incision is made in the palm to cut open the A1 pulley. The A2 pulley is strong enough to take the burden and the procedure does not impact any physical or functional trait of the area. The release of the A1 pulley ensures smooth gliding of the flexor tendon without getting stuck.

There are two types of techniques used to perform trigger finger surgery.

• Open surgery or an incision on the palm to reach tendon pulley and cut the ligament.

• Percutaneous trigger finger release, where a needle is used back and forth multiple times to cut the pulley and free the flexor tendon.

A patient is considered for trigger finger surgery if there is no relief despite using nonsurgical treatment for long severe symptoms, including pain and swelling, cause disability over an extended period patient is unable to stretch affected fingers fingers remain fixed too often help of the other hand is needed to unlock the locked finger.

Trigger finger surgery is performed in an outpatient setting. The procedure depends on the type of surgery.

Open Surgery: An incision is made to access tissues at the flexor tendon sheath. The sheath is cut to reach the flexor tendons. The finger is flexed to assess the cause of sticking and how it catches at the A1 pulley. The pulley is cut and released after nearby tissues are pulled away. As the pulley is released, flexor tendons are pulled back and forth to confirm that they are gliding smoothly without facing any obstacle. Once confirmed, the incision is closed and bandage is applied. The entire procedure is performed under local anesthesia.

Percutaneous Trigger Finger Surgery: This surgical procedure is minimally invasive and performed through the skin without an open incision. Surgeons use a needle as a scalpel. The needle is inserted at the A1 pulley position. It is moved back and forth to cut the ligament. Once the surgery is done, it is taken out and the area is bandaged. The percutaneous trigger finger surgery is usually done under local anesthesia. It does create any incision and there is no need for healing. However, the procedure has its limitations. Its use is restricted to less serious conditions, as it may not be able to cut the more stiffened sheath and successfully release the pulley. The procedure may also cause damage to tendons or nerves.

The procedure takes about 15 to 30 minutes.

The surgery is an outpatient procedure and patients are discharged within an hour.

Patients require rest for one or two days after surgery to avoid any infection. Pain, swelling, and soreness return after the anesthesia wears off. Medication and therapy helps overcome these temporary surgical effects.

• Keep the bandage clean and dry.
• No driving for a week.
• Avoid grasping or pinching for 2 weeks.
• Keep your hand in a elevated position for 3 to 5 days to reduce swelling.
• Limit activities with the hand for 6 weeks
• No heavy lifting or repeated finger movements for 2 weeks.

• Trigger finger surgery does not require lengthy rehabilitation. You can start finger movements from day one to overcome stiffness and also do soft massaging. Limit the finger and hand exercises to your tolerance level and avoid repeated finger movements for 2 weeks. Press softball and open and close your hand several times a day for 3 weeks.

The finger and palm recover significantly in a week and gets better gradually. However, patients have to wait for 2 to 3 months to regain full finger strength. They can return to sedentary jobs after 3-4 days. But it is advised to have a 6-week break for jobs requiring repeated finger use, high-strength grasping, or hand vibration. Patients can start using keyboards or drive without pain after a week and play racquet sports in 3 weeks. They can join manual labor after 3-4 weeks. All stiffness goes in 6 months assuring complete recovery.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

Shoulder resurfacing is much like hip resurfacing. The ball part of the shoulder is smoothed (made back into round) with a shaping tool. A metal shell of the exact natural size is then placed on the bone to recreate a completely smooth new humeral head. A similar shaping and placement of a new surface is performed for the shoulder socket (glenoid). The shoulder is put back together and then it will function typically in a completely normal fashion.

During a shoulder replacement the ball part of the joint is entirely removed and replacement with an artificial ball that is held in place with a spike (stem) inside the shaft of the upper arm bone (humerus).

A resurfacing procedure is a less invasive procedure and it will have more functional capability than a shoulder replacement. Both procedures reliably reduce pain and increase function.

The recovery time of a shoulder resurfacing procedure varies depending on each individual patient. Patients will have to avoid heavy lifting and strenuous exercise after their surgery. Your doctor may also encourage a physical therapy regimen to restore and strengthen the joint after surgery. Shoulder resurfacing in India provides desired shoulder relief at an affordable price.

Advantages of Shoulder Resurfacing

1. Restoration of normal anatomy.
2. Less traumatic surgery
3. No risk of fat embolus
4. Resurfacing can be done even if the bone is deformed.
5. Normal loading of the bone.
6. No stress riser effect
7. No risk of fracture at the tip of the prosthesis.
8. Range of movements better than shoulder replacement.
9. Easy revision surgery if needed.

Indications for shoulder Resurfacing

1.Osteoarthritis

2.Rheumatoid arthritis

3.Avascular necrosis

4.Rotator cuff arthropathy

5.Instability arthropathy

6.Post trauma arthritis

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

A wrist fusion can be a very effective operation for controlling pain in an arthritic wrist. Arthritis can arise as a consequence of a number of conditions, including trauma, generalised wear and tear arthritis, inflammatory arthritis, such as those caused by rheumatoid arthritis or psoriasis.

Arthritis is a term that is defined as inflammation of a joint and used to describe over 100 different conditions that can affect the human body. Arthritis affects millions of Americans each year with symptoms including pain, stiffness, swelling, and loss of motion in affected joints.

The bones in a joint are covered with a tough, lubricating tissue called cartilage to help provide smooth, pain-free motion to the joint. As the layer of cartilage wears away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis.

Arthritis can occur in a wrist as a consequence of a fracture that may have gone into the joint and healed with a step, causing localised wear and tear. Arthritis can occur as a generalised wear and tear process, with increasing age. Arthritis can occur as a consequence of inflammatory joint disease such as rheumatoid arthritis or psoriatic arthritis.

Patients often complain of pain and a decreased range of movement in the wrist. Painful actions include lifting and bending the wrist. These can be quite painful. Restricted range of movements can affect patients, with inability to perform common day-to-day tasks.

Generally speaking the arthritic wrist is swollen and has a restricted range of movement.

There are two main types of fixation for wrist fusions. The first is a contoured plate that is held across the back of the wrist joint, with screws into the bone to secure fixation. The surgeon will carefully remove the remaining articular cartilage from the wrist joint to allow the bone to completely solidify underneath the plate. The second type of fixation is a pin that is passed across the wrist joint (usually down through the middle knuckle joint). This second type of fixation is often performed for patients with rheumatoid arthritis.

If a plate fixation is used and the fixation is solid often no post-operative immobilisation is required, and patients are advised to move their fingers as soon as possible. Swelling is common after such a surgery and it is highly advisable to elevate the hand for the first few weeks after surgery. If a pin fixation has been used, then often this is supplemented with plaster of Paris for four to six weeks until the underlying bones have solidly united.

These, generally speaking, can be well tolerated with a plate fixation within the first two to three weeks. Heavy loading activities should be avoided until the bone has completely solidified.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

If you or someone you love have the symptoms of this condition but are not a tennis player, that is not necessarily a reason to dismiss the possibility of tennis elbow. The condition gets its name because the muscle group involved, the wrist extensors, are at work during the common tennis motions of cocking the wrist back and stabilizing it while gripping a racquet. However, other sports or even jobs which require repetitive motions in the wrist and arm may lead to this condition. Common careers affected by this condition include plumbers, painters, carpenters, and butchers.

There are specific areas and instances of pain which are most commonly associated with tennis elbow. The pain will often radiate from the outside of the elbow, into the forearm and wrist. The pain and weakness resulting from this condition may make it difficult to shake hands, turn a doorknob, or even hold a full cup of coffee. If you continue to experience pain and tenderness matching this condition, and it is not resolved with rest or ice, it may be time to contact a doctor.

When you visit your doctor, she or he will typically begin with a physical exam, asking you to move your arm and wrist in various ways. Your doctor will also ask questions about your medical and activity history. In many cases, this combination is enough to offer a diagnosis of tennis elbow. However, in certain cases, an X-ray may be used to rule out other conditions with similar symptoms.

For over 90% of patients, non-operative treatment is successful to address the pain and weakness of tennis elbow. These options typically include a combination of the following:

• Lifestyle modification (including technique adjustments and rest)
• Changing Stroke Mechanics and Racquet (in cases of regular tennis players)
• Anti-Inflammatory Medications (these can be used to control pain and inflammation)
• Cortisone Injections (these can reduce pain in the case that more conservative methods fail)
• Elbow Braces (these can help to reduce the use of the injured muscles during healing)
• Exercise (strengthening the related muscles can help to prevent re-injury)

In most cases, some combination of the above treatment options, guided by a sports medicine physician, can be effective to treat tennis elbow.

In very rare cases, however, a surgical treatment approach may be necessary. Lateral epicondylitis surgery involves the removal of the damaged tendon and repair of the remaining tendon to the bone. This surgical procedure is usually successful, although it is rarely needed.

If you or someone you love is suffering from this condition, turn to the elbow specialists and sports medicine physicians at Joint Replacement Surgery Hospital India. Our team of orthopaedic experts has the experience, as well as the access to the latest techniques and technology, to provide you with the highest level of care.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

When non-operative treatments have failed to control the pain and the pain is:

• Moderate to severe
• Constant/ all the time
• Affecting sleep
• Stopping you from carrying out activities of daily living

Trapeziectomy’s are normally performed as day case surgery under a general anaesthetic or a regional block (where the arm is made numb using an injection). You will be sent home with dressings or a POP on and be seen by the consultant in 2/52 to remove the dressings. At this point you may be seen by a hand therapist who will:

• Provide a splint to be worn as protection as your thumb heals
• Give exercises to help you re-gain movement in your thumb
• Give advice on what kind of activity you should/shouldn’t be performing
• Give advice on strengthening your thumb

Things to consider before having a Trapeziectomy:

• Risk of infection through surgery
• Risk of nerve injury/ neuroma. A small nerve running through the region of where the surgeon is operating can be damaged during surgery. It may form a painful spot on / near the scar (a neuroma)
• Rehabilitation can take between 4-12 months
• Results from trapeziectomy vary depending on may different factors i.e. the individual, other health problems, severity of arthritis, etc.
• 80% of patients experience decrease in pain following surgery, 15% experience little or no change in pain and function and 5% are worse than before they had surgery
• Risk of problematic scar tissue. After the operation there is a risk that you may have problems with scarring, including tender/ sensitive scarring. Thick/ hard scarring causing reduced movement
• Risk of problematic scar tissue. After the operation there is a risk that you may have problems with scarring, including tender/ sensitive scarring. Thick/ hard scarring causing reduced movement

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.

The signs of this disease are shown by what looks like scarring on the palms of your hands and the fingers. Fingers curling towards the palms happens when the fibrous connective tissue in the palms has thickened. This condition is known as Dupuytren’s Contracture.

Surgery not only straightens the fingers but also makes using your hand easier.

This procedure may be performed to different degrees: cutting the fibrous band in your palm or taking away the scarred skin and covering the area with skin grafts. The are a number of anaesthetic procedures available for this operation.

Any risks or complications will be discussed in advance of your treatment with your expert consultant.

• No overnight stay.
• Regular exercise of your hand and fingers will help recovery and get your hand back to normal more quickly, however, all exercise should be approved by your doctor first.
• Your hand may take a little time to feel normal after surgery.

• Symptoms of the disease start slowly. The first symptoms include firm nodules or bumps that form on the palm of the hand. Here’s what else you should know:
• Nodules may be tender at first, but they can become less painful as the disease progresses.
• Over time, thick bands of tissue form beneath the skin of the palm.
• In more severe cases, the fingers, especially the last two fingers, curl down into the palm and can’t be straightened.
• Symptoms can involve one or both hands and can range from just nodules to complete contraction of all the fingers.

Doctors do not know why the fascia in the palm of the hand becomes abnormal in people with Dupuytren’s contracture, but it tends to run in families. Here’s what else you should know:

• The disease rarely starts before age 40, but becomes more common with increasing age.
• People whose ancestors are from Scandinavia or other areas in northern Europe are at the highest risk. Two-thirds of men who are related to people with Depuytren’s contracture develop the condition. Having diabetes is another risk factor.
• Men may be at as much as 15 times greater risk than women. However, because women tend to get a milder form of the disease, they may simply not be diagnosed as often as men.
• Although drinking alcohol and cigarettes have both been linked to Dupuytren’s in a few studies, altering habits does not appear to modify the disease.

One factor that does not seem to increase your risk is working with your hands or having a hand injury.

Dupuytren’s contracture is not a life-threatening disease. Those with a milder form of the disease experience few limitations. For some people, the disease never progresses beyond the nodule stage. The disease comes on slowly, but if symptoms start at an early age, it may progress more quickly. The progressive form may end with one or both of hands frozen in a claw-like deformity, making it hard to grip or grasp, wear gloves, or even put your hand in your pocket.

Unfortunately, there is no cure for the disease and there is nothing you can do to stop its progression. Hand exercises may be helpful if you have a mild form of the disease or if you are recovering from surgery. However, in some cases, trying to stretch your hands or exercise your fingers may actually make the disease progress more quickly. Because every person is unique, check with your doctor to see what can help you manage this disease. If you have a milder form, you may experience few limitations. If the disease progresses to cause your hand to become deformed, you may need to see a hand specialist for treatment.

Treatment can slow down Dupuytren’s and may relieve some of the deformity that has already set in. Treatment options include:

• Steroid injections into the hand to relieve painful nodules
• Enzyme injections into the palm to break up thickened fascia
• Needle aponeurotomy where a needle is inserted through the palm of the hand to break up the fascia during this in-office procedure (recurrences are common)
• A reconstructive type of open hand surgery called fasciectomy/fasciotomy to remove or split the thickened fascia (recurrence rate is variable and based on multiple factors)

Surgical procedures help most people regain some movement in their fingers, but the contracture comes back in about 20% of people. After treatment, a splint may be used to keep the hand in the best position to heal. Physical therapy may be started with massage and strengthening exercises.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

We accept different methods of payment like, cash, plastic cash, via net banking, etc.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

That is a decision that is best made between you and your treating physician. Typically, surgery is only considered if conservative treatments fail and the pain from arthritis continues to limit your activity or cause pain that is intolerable.

Most surgeons practice at one or two local hospitals. Find out where your operation will be performed. Have many of the operations you are thinking about having been done in this hospital? Some operations have higher success rates if they are done in hospitals that do many of those procedures. Ask your doctor about the success rate at this hospital. If the hospital has a low success rate for the operation in question, you should ask to have it at another hospital. Until recently, most joint replacement surgery was performed on an inpatient basis and patients stayed in the hospital for 1 or more days. Today, a lot of surgery is done on an outpatient basis in a doctor’s office, a special surgical center, or a day surgery unit of a hospital. Outpatient surgery is less expensive because you do not have to pay for staying in a hospital room. Ask whether your joint replacement surgery will be done in the hospital or in an outpatient setting. If your doctor recommends inpatient surgery for a procedure that is usually done as outpatient surgery, or just the opposite, recommends outpatient surgery that is usually done as inpatient surgery, ask why. You want to be in the right place for your operation.

Anesthesia is used so that surgery can be performed without unnecessary pain. Your surgeon can tell you whether the operation calls for local, regional, or general anesthesia, and why this form of anesthesia is recommended for your procedure.

Local anesthesia numbs only a part of your body for a short period of time, for example, a tooth and the surrounding gum. Not all procedures done with local anesthesia are painless. Regional anesthesia numbs a larger portion of your body, for example, the lower part of your body for a few hours. In most cases, you will be awake with regional anesthesia.

General anesthesia numbs your entire body for the entire time of the surgery. You will be unconscious if you have general anesthesia.

Anesthesia is quite safe for most patients and is usually administered by a specialized physician (anesthesiologist) or nurse anesthetist. Both are highly skilled and have been specially trained to give anesthesia. If you decide to have an operation, ask to meet with the person who will give you anesthesia. Find out what his or her qualifications are. Ask what the side effects and risks of having anesthesia are in your case. Be sure to tell him or her what medical problems you have including allergies and any medications you have been taking, since they may affect your response to the anesthesia.

Your surgeon can tell you how you might feel and what you will be able to do or not do the first few days, weeks, or months after surgery. Ask how long you will be in the hospital. Find out what kind of supplies, equipment, and any other help you will need when you go home. Knowing what to expect can help you cope better with recovery.
Ask when you can start regular exercise again and go back to work. You do not want to do anything that will slow down the recovery process. Lifting a 10 pound bag of potatoes may not seem to be “too much” a week after your operation, but it could be. You should follow your surgeon’s advice to make sure you recover fully as soon as possible.

Health insurance coverage for surgery can vary, and there may be some costs you will have to pay. Before you have the operation, call your insurance company to find out how much of these costs it will pay and how much you will have to pay yourself.

Ask what your surgeon’s fee is and what it covers. Surgical fees often also include several visits after the operation. You also will be billed by the hospital for inpatient or outpatient care and by the anesthesiologist and others providing care related to your operation.

After surgery, there is a significant recovery period. The thumb is casted, with a pin in place for one month, after which physical therapy is essential to regain flexibility and strength.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Yes. Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Clinical data show that woman are actually as much as ten times more likely to develop carpal tunnel syndrome than men are. This is largely due to the fact that women tend to have smaller hands and thus a narrower carpal tunnel.

If needed, it is possible to address both hands in one operation. Doing so does not generally have any effect upon recovery time, but can increase the discomfort and pain experienced after surgery. The choice to treat both hands separately or at once is left to each individual patient’s discretion.

Carpal tunnel release surgery can be performed under local anesthesia. This makes it a fairly simple, outpatient operation. This means that patients can return home on the day of surgery without requiring overnight care.

Endoscopic surgery is a minimally invasive approach performed using an advanced surgical tool called an endoscope. The endoscope is composed of a thin tube with a miniature light and a camera on the end. In an endoscopic carpal tunnel release, the endoscope is inserted through a small incision in the palm. The area to be operated upon is then magnified and projected on a screen. The surgeon uses the images on the screen to guide the surgery, which is performed using a small instrument inserted through another small incision.

Minimally invasive or endoscopic surgery for treatment of carpal tunnel syndrome can dramatically increase the risk for complication. It can also make for a faster recovery, less pain and less scarring. One must of course bear in mind are risks involved in any form of surgery. Your surgeon can and will inform you these before your surgery.

You can most definitely choose hotels as per your convenience to you and your budget.

You can talk to the doctor and satisfy all your medical queries. You can also send us your queries for answers from the top doctors.

• We accept different methods of payment like, cash, plastic cash, via net banking, etc.

To know about the procedure of getting an Indian Medical Visa, please go to our website where you will find all the details regarding the initial procedure. You can also send us a query regarding the same.

Many hospitals in India have language translators to help you communicate better and effortlessly with the doctors and medical staff.

Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.