Overview
Department of Orthopaedics is one of the major clinical service department offering Trauma & Orthopaedic Care. The above services are excellently managed by most efficient, experienced faculty who are trained in India & abroad and performing special surgical operations, apart from routine work.
The department caters 24 hours accident and Orthopaedic emergency services. Starting from reception of the patients in accident and emergency department till the patients passes through rehabilitation programme. It is fully supported by Neurosurgery, Gen. Surgery, Faciomaxillary Reconstructive Surgery, Physiotherapy and Artificial Limb Centre.
206 bones, 640 muscles, over 200 joints, over 4000 tendons, approximately 160 bursae and 900 ligaments is what our musculoskeletal system is made up of. Our bones form the skeletal framework of our body. Our muscles help our bones to help us sit, stand, walk and run. The bursae (fluid sac between the muscles and bones that forms in areas of friction) in our body help to facilitate the various movements at the joints minimizing friction. The tendons (a fibrous band of tissue connecting muscle with bone) help to transmit the force generated during movement from the muscles to the bones. The ligaments (a fibrous band of tissue connecting bones) seal the joint space and provide passive stability.
The system as a whole gives form, stability and movement to the human body. And,we are always striving to offer you the most comprehensive range of musculoskeletal care and expertise.
The RAIGAD HOSPITAL IS IN Excellence in Musculoskeletal Care is designed to further our lifelong tradition of being a centre of excellence in everything we do. Here you will find a multi specialty group of surgical, research, and clinical consultants working in an integrated setting to provide the highest-quality for close to a patients a. We offer patients the opportunity to consult with not only Orthopedic Surgeons and Rheumatologists, but also with services such as Hand Surgery, Sports Medicine, Orthopedic Oncology (specialising in Limb Salvage Surgery for bone and soft tissue tumors) Neurology, Physical Therapy, Endocrinology, Radiology, Pain Management, specialized nursing care nutritional support in a manner to offer highly individualized care to one and all.
WHAT WE CAN DO AS OPRTHOPEDIC DEPAETMENT (INDICATIONS & TREATMENT)
Orthopedic Surgery (for upper and lower extremity)
Whether you are suffering from a fracture, degenerative arthritis or any musculoskeletal disease, the Orthopedic specialists at RAIGAD Hospital provide a full complement of services to meet your needs. Additionally, our therapists are dedicated to preventing upper limb problems, especially in the work environment and other methods to promote employee well-being. We also realize that treating the condition is just one step in returning a patient to a fulfilling and productive life. As a result, our approach emphasizes managing the patient’s entire picture of health. You as our patient can expect compassionate, personalized care at every level. We are dedicated to treating every condition right from the simplest to the most complex.
Upper extremity
The Upper Extremities Service is acclaimed for innovative and effective treatment of patients with injuries and disorders of the hand, wrist and elbow. Our physicians recognize that no two patients are alike – and neither are their shoulder and elbow conditions. We are dedicated to treating every condition ranging from
Fractures and dislocations
Joint dislocation or instability
Osteoarthritis and other degenerative conditions
Nerve injuries/Paralysis
Bone and joint infections
Tendon transfers
Ligament injuries and tears
Deformity corrections
Bone and Joint Infections e.g. Tuberculosis, Osteomyelitis
With us, you will find specialists who are pioneers in their field not just by what they treat, but also how they treat you. Within them ,exists a self-sufficient referral network. Each doctor is capable of handling a multitude of cases and offer that extra expertise to deal with what very few can claim mastery over.
We are the one of the elite few who has a Hand Surgeon on board. The intricate anatomy of hand where all types of tissues, including tendons and nerves, exist in close approximation and need to be able to carry out varied functions of tender sensation, delicate pinch and powerful grasp make the entire management a very complex one. With us, you will find dedicated specialists for managing
Carpal Tunnel Syndrome
Brachial Plexus Injuries
Trigger finger
Tennis Elbow
Crush Injuries of Hand
Reimplanatation of amputated fingers.
Stiff hand after injuries
Tendon transfers for paralysis
Post burns contractures treatment
Birth defects of hand(extra fingers/missing finger)
Hand swellings(Ganglion, Giant cell tumor)
CRPS (Reflex Sympathetic Dystrophy)
Fusion of painful joints in Rheumatoid Arthritis
Hand joint replacements
Lower extremity
If your hips are making it difficult for you to tie your shoelaces, sit for long, making you limp and If your knees creak, swell, pain, catch, buckle, and lock, Our doctors will make sure that none of it happens again. Even if, you have had previous surgeries, which haven’t got you the desired results.
The various conditions of the hip and knee you can get managed with us are:
Developmental Dysplasias in children
Legg-Calve Perthe Disease in children
Osteonecrosis
Arthritis
Bone and Joint Infections e.g. Tuberculosis, Osteomyelitis
Stress fractures and other fractures
Ligament/Cartilage/Meniscal tears and injuries.
The various state of the art procedures being conducted to alleviate a variety of disorders:
Revision total joint replacement (for patients suffering from failed implants due to loosening or fracture)
Osteotomies (joint preserving operations of the hip and knee)
Core decompression and bone grafting procedures
Hip impingement procedures
Arthrodesis (for end-stage degenerative disease in young adults)
With 26 joints to consider versus a single joint is hip and knee, the foot is an amazing structure that presents challenging structural issues. When all the joints work together, the foot and ankle plays like a symphony and our doctors are adept at achieving that. Our doctors work to provide treatments for a variety of conditions like
Osteochondral injuries
Congenital or acquired foot deformities including pes planovalgus (flat foot) and pes cavus (high arches).
Difficult foot deformities such as sequelae of polio
Athletic fractures including stress fractures and ankle instability
Diabetic foot problems
Plantar Fascitis and other causes of heel pain.
Limb Realignment Surgeries
Reconstruction surgeries for deformities arising due to various diseases e.g. Rheumatoid Arthritis
Spine Surgery
We bring together sub specialists from multiple disciplines to provide treatment option to evaluate and treat individuals with disorders of the spine. The expertise of our Orthopedic spine surgeons, Neurosurgeons, combined with advanced non-surgical and surgical services, make the center one of the most sophisticated and comprehensive facilities of its kind.
Our service treats the complete range of spinal conditions, including:
Degenerative spine diseases (e.g. herniated discs, stenosis and spondylolisthesis)
Spinal deformities (scoliosis and kyphosis)
Injuries resulting from trauma, work-related accidents and sports injuries.
Bone and Joint Infections e.g. Tuberculosis, Osteomyelitis
Tumors
Noninvasive management of spine disorders
Acute and chronic pain management.
At the Spine Clinic, we conduct a wide variety of spine surgeries, including:
Minimal access surgeries like micro discectomy and thoracoscopy
Out patient procedures like vertebroplasty and image guided nerve root injections
Spinal instrumentations / fusions
Complex anterior spinal reconstructive surgery for vertebral tumors
Occipito-cervical fixations
Spinal deformity corrections.
Osteoporosis & Metabolic Bone Disease
Centre for Osteoporosis & Metabolic Bone Diseases
With every major osteoporosis fracture, the risk of death doubles. Yet it is not taken seriously the world over. Not just Osteoporosis, but the whole gamut of metabolic diseases has been long put on the backburner. In the hierarchy of diseases, much of our attention has been consumed by AIDS, tuberculosis or cancer. Yet the true picture of this malady of the bones is very serious. One out of eight males and one out of three females in India suffers from osteoporosis, making India one of the largest affected countries in the world (Source: WHO)
Metabolic diseases are a group of disorders arising due to abnormalities of minerals (like Calcium, Phosphorous, and Vitamin D) metabolism. Most are remarkably reversible if the underlying defect has been corrected. Timely intervention can save you from having to suffer a lifelong deformity.
At the centre you will find comprehensive treatments involving your Orthopedic expert, Endocrinologist, Dietitician, Physiotherapist for complete disease evaluation and treatment
Primary and Secondary Osteoporosis
Osteopenia
Estrogen Deficiency States
Cushing’s Disease
Hypocalcemia
Osteomalacia
Paget’s Disease
Hyperparathyroidism
Disorders of Calcium Metabolism
Renal Osteodystrophy
Osteogenesis Imperfecta
Bone Disorders in Gastrointestinal Diseases e.g. Celiac Disease, Inflammatory Bowel Disease.
If you have had
Have had a fracture following mild trauma (e.g. slip and fall)
Have low estrogen (women) or testosterone (men) levels
Are on Prednisone or other steroids
Have chronically overactive thyroid or parathyroid function
Have elevated blood prolactin levels
All women over 65 and all men over 70 and
All post-menopausal women under age 65 who have other risk factors for fracture
You should get yourself screened to pick up the disease at the earliest through a simple non invasive DEXA Scan.
Fracture and Trauma Care Centre
The Department of Accident and Emergency Medicine works round the clock offering holistic care to acutely injured patients through a full range of specialists. The Department of Orthopedics works in close liaison with other specialists to bring to the table the best of practices by way of complex reconstruction surgeries. Experts in Micro vascular Surgery enable our patients to benefit by way of a number of reimplantation surgeries.
Joint Preservation and Replacement (Arthroscopy and Arthroplasty)
Our team of medical specialists, rehabilitation therapists and nurses is committed to providing comprehensive services for joint preservation, reconstruction and partial or total joint replacement.
Among the procedures we provide are:
Total joint replacements (hip and knee)
Revision total joint replacement (for patients suffering from failed implants due to loosening or fracture)
Mini-incision unicondylar knee arthroplasty (MIS UKA)
Bone Sparing Arthroplasty
Knee Arthroscopy.
Arthroscopic Ligamentary and Meniscal repairs
Our surgeons specializing in joint preservation and replacement are experts in surgical techniques designed to help you get back to living as close to normal as possible.
Medical conditions that can benefit from primary joint replacement of the hip or knee include osteoarthritis, inflammatory arthritis, osteonecrosis, and post-traumatic arthritis amongst many others. A new alternative to total hip replacement for some younger patients usually 60 years of age or younger who are highly active is hip resurfacing. This procedure may benefit patients with osteoarthritis as well as hip dysplasia or avascular necrosis (damage to bone as a result of an insufficient blood supply).
Rehabilitation for those undergoing either joint reconstruction or replacement begins immediately after surgery. Our team will help you progress through a range of rehabilitation exercises to enhance range of motion and strengthening around the joint. Programs are individualized for each patient based on their condition and type of surgery.
Centre for Sports Medicine
For us, Sports Medicine isn’t just restricted to taking care of the professionals. We seek to provide help to anyone who ranks physical fitness high on their priority list. We provide a vast spectrum of multidisciplinary services through a multitude of programs right from preventive medicine to reconstructive surgery. At our Centre, you will find the complete range of treatment options for the following:
Ligament injuries to the knee (ACL, PCL, MCL and LCL injuries)
Cartilage injuries in the knee (meniscus tears and articular cartilage defects)
Rotator cuff tears
Shoulder instability
Shoulder tendonitis and bursitis
Throwing injuries of the shoulder and elbow
Ankle sprains
Achilles tendon injuries
Tennis elbow
Golfer’s elbow
Peroneal tendon injuries
Turf toe
Torn ligaments and many more
Orthopedic Oncology
The collaboration of knowledge and experience of our Orthopedic Surgeons, Reconstructive Surgeons, Radiologist, and Radiation Oncologists ensures you get the complete care. We will help you in not only getting the diagnosis but also providing personalized treatment protocols based on the latest research and limb sparing surgery options. Not all treatments require surgery and we offer patients state-of the-art non-surgical techniques including:
chemotherapy
radiation therapy
radio-frequency ablation (heat cautery)
cryosurgery (freezing)
Day Care Surgery
Hospitalization for surgery for days on end is set to become a thing of the past.Day Care Surgery or Ambulatory Surgery refers to all those elective surgeries wherein the patient is operated upon the day of admission and discharged within 24 hours after surgery. Further recovery occurs within the comfortable premises of his/her home. Safer Anesthetic methods, lesser surgical complications and shorter operation times have what have made this a reality.The major advantages are shorter hospital stay, lesser chances of hospital-acquired infections and cost effectiveness. High level of patient satisfaction and acceptance has further driven this option up the popularity charts.
We, at RAIGAD Hospital, have a dedicated Day Care Centre, “SHORT STAY SERVICES” exclusively devoted to performing a wide array of day care surgeries across numerous specialties. The quality of treatment and the level of personalized attention is the same as any other inpatient. We are also responsible for your full recovery after discharge. Infact, our one of its kind CARE@Home Service has made this even simpler and convenient to one and all.
Homecare Sevices include Sample Collection, Nursing Care and Physiotherapy. Each of these services have some unique characteristics and are delivered by professionals with specialized skills in those areas. These services could be of great help in those cases where:
Doctor intervention is not required.
Travel and transaction time cost is higher than the cost of Home Care visit charges.
Patient is not in a condition to visit the hospital.
Patient requires rest and does not wish to take the stress of travel.
For the Musculoskeletal Surgeries, the various surgeries done by us on a day care basis are:
Standard Tendon repairs
Simple Diagnostic Arthroscopy
Simple Local excision of lesion or tissue of bone (unspecified site)
Simple Removal of internal fixation device
Closed reduction of small fractures & plastering
Clot evacuation / exploration (intermediate)
Manipulation of joints
Simple / small implant removal
Incision & drainage abscess
Small dressing
Debridement
Carpal tunnel release
For further enquiries Contact Us at 02148-or visit us at www.RAIGADhospital.com
Department of Physiotherapy and Rehabilitation
“A Perfect Anatomical Repair without Functional Recovery is Useless”
The Department of Physiotherapy and Rehabilitation at RAIGAD HOSPITAL is dedicated to restoring you to your optimum health and functional abilities after any musculoskeletal illness or injury. Physiotherapists work round the clock to deliver the best possible patient care to both our outpatients as well as inpatients.
They specialize in a wide array of problems affecting the musculoskeletal system, including:
Disorders involving the spine, shoulder and upper extremity, hip, pelvis, knee, ankle and foot
Sports injuries
Pre and Post Joint Replacement
Fractures and Dislocations
Occupational injuries
Cervical/Lumbar Spondylosis,
Osteoarthritis
Ligament Sprains, strains and Repetitive stress injuries,
Soft tissue injuries like Tennis Elbow. De’QuervaIns Disease, Plantar Fascitis and many more
Osteoporosis
Amputee Rehabilitation
Depending on your needs, treatment techniques may include:
Various manual therapy techniques including joint mobilization, soft tissue massage and range-of-motion exercises.
Customized Bracing/Splinting/prosthetics/orthotics to improve mobility and function.
Programming to improve mobility, flexibility and muscle strength, while decreasing stress on the joints
Stretching exercises
Use of the McKenzie Method of Mechanical Diagnosis & Treatment for the treatment of low back and neck pain
Procedures such as Ultrasound and Interferential Current Therapy, TENS, Electrical Stimulation to promote soft tissue healing and relive pain.
Neuromuscular re-education using electrical stimulation for the treatment of muscle imbalances or atrophy
The Feldenkrais Method
Manipulation Stretching, Strengthening.
Deep heat in combination with moist heat( to relieve acute muscle spasms)
Postural Correction
Patient education
Each patient is evaluated comprehensively and holistically to formulate an continually evolving personalized treatment plan. Each plan is aimed at ensuring the full spectrum of care to ensure that each of our patient returns to his/her earlier lifestyle as early as possible and as closely as possible.
Radiology Services
The Department of Radiology and Imaging provides a comprehensive range of imaging diagnostics and image guided interventional therapeutics. With highly experienced experts at the helm, commitment to deliver high quality results is one of our long respected traditions. Musculoskeletal Imaging and Therapeutics is a subspecialty division offering the full spectrum of modalities for various diseases of bones and joints.
Imaging Diagnostics
X- ray
Ultrasound
Ultrasonography uses high frequency sound waves inaudible to the human ear to visualize body structures. It is often the modality of choice for sports injuries, ligament tears, and early changes of Rheumatoid Arthritis.
CT Scan
Multidetector CT scans allows us to image abnormalities of bone with ultra-high resolution. The images are generated akin to thin slices that appear to opening the body up. CT scan is routinely used for evaluation of complex fractures, joint reconstructions, and bone tumors.
MRI
MRI is a non-invasive, non-ionizing imaging modality that uses high radio -frequency pulses. It is the imaging modality of choice for joint derangements, muscle and tendon injuries radio graphically occult fractures, infections and tumors of bone and soft tissues.
Bone Mineral Densitometry Scan(DEXA Scan)
DEXA scan is used to diagnose Osteoporosis, to follow up for the efficacy of treatments for osteoporosis and also to assess one’s risk of getting fractures.
Arthrograms
Arthrograms are used to study the anatomy of the joints under real-time imaging.
CT guided Biopsy (Disc Space, Para-vertebral Soft tissue, Vertebral Body)
This method is a non-invasive technique to obtain various specimens for detailed study.
Interventional Radiology
Our Interventional Radiologists offer minimally invasive options to treat various diseases, hitherto treated by surgeries and other invasive methods.
An Injection can be used to alleviate pain in your neck, shoulder, arm, back, buttock, hip, and/or leg. It is a non-surgical procedure that uses x-ray imaging to guide the injection of medication in to the specific area of focus. The various options available are:
Cervical facet block injections,
Cervical nerve block injections,
Lumbosacral facet block injections
Epidural Steroid Injections
Epidural Steroid Injections
Endovascular Techniques for Spinal Arteriovenous Malformations Bone Augmentation (Vertebroplasty, Kyphoplasty, Sacroplasty) for Bone Fractures Vertebroplasty is an alternative to surgery for reinforcing fractured, collapsed vertebrae using cement like substance. Kyphoplasty is used to treat progressive vertebral fractures which may have been sustained due to variety of causes like trauma, kyphosis, scoliosis, spinal stenosis.
Nucleoplasty/Percutaneous Discectomy for Herniated Inter-vertebral Discs.
Discography
Endovascular Techniques for Spinal Arteriovenous Malformations Bone Augmentation (Vertebroplasty, Kyphoplasty, Sacroplasty) for Bone Fractures
Vertebroplasty is an alternative to surgery for reinforcing fractured, collapsed vertebrae using cement like substance. Kyphoplasty is used to treat progressive vertebral fractures which may have been sustained due to variety of causes like trauma, kyphosis, scoliosis, spinal stenosis.
Nucleoplasty/Percutaneous Discectomy for Herniated Inter-vertebral Discs.
Discography
All our diagnostic and interventional services work in close liaison with our Physicians to deliver protocol based treatments. They play a defining role in ensuring the thorough practice of evidence based medicine. The Department plays more than an utilitarian role of an information provider, but of a critical determinant in the delivery of healthcare services.
Pain Management Clinic
Pain is a common problem which makes people seek medical advice. It is your body’s telegram, telling you that something is wrong. Injuries and illnesses are typical triggers of pain.
Everyone experiences some degree of pain in day to day life. However when this pain becomes persistent and starts interfering with your enjoyment of life, affects sleep, work, socializing with family and friends and makes it difficult to accomplish everyday tasks, it requires specialized evaluation for successful management. In addition to the pain you experience, those close to you begin to suffer as well.
At RAIGAD Pain Clinic, we realize the burden that chronic pain has on you, your family, and your friends. We believe in a compassionate patient-centered program to obtain the most effective long-term relief.
Our Services (related to musculoskeletal system)
We assist patients suffering from pain caused by a variety of conditions, including:
Low Back Pain
Neck Pain
Headache and Facial Pain
Neuropathic (Nerve) Pain
Pain After Surgery
Myofascial pain and Fibromyalgia
Post-Injury Chronic Pain (Complex Regional Pain Syndrome)
Cancer-related Pain
During the first visit, a pain physician will evaluate the type, cause and severity of pain and give a detailed treatment plan that best suit each patients’ needs covering immediate to long term management ranging from physical therapies to pharmacological treatments and minimally invasive procedures.
Common therapeutic Pain Management procedures done include:
Lumbar and Cervical facet joint injection
Sacroiliac Joint injection
Epidural steroid and Nerve root injection
Sympathetic Blocks
Intrathecal Drug Delivery
Neurostimulation
Epidural Lysis of Adhesions
Most of the above procedures are done under fluoroscopic guidance to ensure correct and precise localization of needle and delivery of treatment.
The RAIGAD Hospital Advantage:
Since RAIGAD hospital &RC is a tertiary care institution with multiple medical specialities, patients can be assured that appropriate referrals are easily carried out and conditions treated effectively without delay. Patient’s medical records can also be shared & updated in an integrated and hassle-free manner.
Treatment Options:
Our highly trained medical staff and advanced techniques can go a long way to ensure that you benefit from our:
Medical consultation
Medical (drug) treatment
Interventional pain management procedures
Surgical procedures
Physical therapy
Psychological Counselling