Qualification and Experience
Dr. Manish Sonatakke is a highly qualified and experienced orthopedic surgeon in Mumbai. He has experience of more than 14 years. He has been providing his esteemed services at Hiranandani Hospital, Vashi A Fortis network Hospital as Bone and joint consultant. He has also been associated with Mahatma Gandhi Medical Hospital, Vashi as an orthopedic consultant. He is also available at Lifeline Multi Speciality Hospital, Mumbai and Criticare ICCU, Multi Speciality & Trauma Center. Dr. Manish completed his MBBS from MBBS from Mahatma Gandhi Institute of Medical Sciences, Sewagram (MGIMS) in the year 2000. Later, in the year 2006, he completed his Diploma in orthopedics from the same institute. In the year 2009, he passed his DNB in orthopedics from the University of Pune, Maharashtra. In the year 2010, he completed an advanced degree in orthopedics i.e. MS in orthopedics from the University of Pune, Maharashtra.
Contribution to Medical Science
Dr. Manish Sonatakke is an expert in managing bone and joint disorders. His area of interest includes spine surgery and joint replacement surgery. He is an expert in performing joint replacement including joints of the knee, hip, and shoulder. He also has hands-on experience in foot care, limb deformities, tendon repair, ligament reconstruction, and spine mobilization. His area of services includes a wide spectrum of joint disorders such as Limb Lengthening, Musculoskeletal Pain Management, Orthopedic Physical Therapy, Osteomalacia, Rheumatoid arthritis, osteoarthritis, Plantar Fasciitis, Osteoporosis, Percutaneous vertebroplasty, Knee Osteotomy, cartilage surgery, reconstruction and rehabilitation, hip resurfacing and revision surgeries. He is specialized in disc prolapse, reconstruction of cruciate ligament, and a variety of wrist problems. He is an esteemed member of the AO Spine international board.
Ankle fusion operation, also known as ankle arthrodesis, is a surgical procedure conducted to close the joint space by joining the bones that make up the ankle joint.
Your ankle joint is an articulation of three bones. These three bones are known as the tibia, fibula, and the talus. During ankle fusion operation, the cartilage covering the bony surface of the ankle joint is scraped off. The diseased part of the bones is also trimmed.
Next, the newly exposed bony surface of the tibia and the talus are placed in close contact. Additionally, they are compressed using screws. New bone formation takes place in and around the joint resulting infusion of the bones into a single bone.
Ankle fusion operation is recommended for patients experiencing unbearable pain during the ankle movement. The pain may result because of the following reasons:
Not all patients with the aforementioned conditions are always suitable for ankle fusion. Patients with the following characteristics are not suggested to undergo this surgery:
Anterior cruciate ligament (ACL) reconstruction refers to the replacement of the damaged ACL with a tissue to facilitate normal functioning of the knee. ACL is a major stabilizing ligament in the knee, which connects the femur to the tibia. ACL helps provide proper movement of the tibia. ACL also facilitates pivoting or sudden change in the direction of the leg, preventing the damage to the knee.
The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:
The ACL may not require surgery when the knee is stable when the ligament is not torn completely, or even when you don’t have to strain your knees by active sports. The alternate treatment in such a situation is “RICE” – Rest, Ice, Compression, and Elevation.
Physiotherapy, exercise, and braces for legs can help provide support to the knee. Exercises such as swimming, running in a straight line, and playing golf can be preferred by active individuals if they do not wish to return to an active sports life.
The treatment for carpal tunnel syndrome depends on the severity of the condition and the duration of the symptoms. Generally, the physicians first recommend non-surgical interventions such as the use of corticosteroid injections and wrist splints to relieve the symptoms of carpal tunnel syndrome.
A carpal tunnel treatment surgery is recommended in case:
The carpal tunnel treatment surgery is an open technique. The surgeon may make a cut in the transverse carpal ligament that forms the roof of the tunnel. The carpal tunnel treatment allows more room for the median nerve and the tendons to pass through the tunnel. Thereby, the pressure on the nerve is reduced causing relief from the symptoms.
The spinal cord is a linear arrangement of many small bones known as vertebrae. These vertebrae consist of spaces between them known as intervertebral spaces. They are filled with cartilaginous structures that provide a cushioning effect to the vertebrae and support the movement of the spine. These cartilaginous structures are called Intervertebral discs.
Any pathology of the intervertebral discs such as disc herniation (slipping of the disc from between the vertebrae), ruptured disc, or degenerative disc disease may cause severe back pain due to nerve impingement, indicating the need for either partial or total disc replacement. In partial disc replacement surgery, only a portion of the cartilaginous disc is replaced by the artificial disc, while the total disc is replaced in the total disc replacement surgery.
Cervical disc degeneration and disc rupture may cause chronic neck pain radiating towards the arm. Thoracic disc degeneration may cause chronic upper/ mid back pain while lumbar disc degeneration may cause chronic lower back pain.
Birmingham hip resurfacing surgery is an alternative to the total hip replacement surgery, which is indicated in patients with advanced arthritis of the hip. The latter could be performed as an anterior hip replacement or posterior hip replacement.
Both hip resurfacing and total hip replacement procedures are, in a way, a form of hip replacement. In Birmingham hip resurfacing surgery, the femoral head of the bone is not removed.
Instead, it is trimmed and capped with a metal covering and the damaged bone is replaced with a metal cup. In total hip replacement surgery (anterior hip replacement and posterior hip replacement), the femoral head and neck of the bone are removed and replaced with a metal ball and a metal stem.
Patients with advanced arthritis of the hip are recommended to undergo hip resurfacing surgery. Hip resurfacing is not suitable for all patients. Patients below 60 years who have strong healthy bones are allowed to undergo hip resurfacing surgery. Patients with femoral neck cysts, severe bone loss, and osteoporosis are not suitable for this procedure.
Arthroscopy is a minimally invasive procedure used for the diagnosis and treatment of conditions related to the joints. It is performed with the help of a special instrument called an arthroscope. It comes with an attached video camera and a light. What is observed by the camera is recorded and can be viewed by the surgeon on a television monitor.
Arthroscopic knee surgery is an alternative to total knee replacement and other forms of knee replacement surgery. During the knee arthroscopic surgery, small incisions are made to insert an arthroscope and other surgical tools to correct a defect in or around the knee joint. Total knee replacement, on the other hand, refers to complete removal and replacement of the diseased joint with a prosthetic implant.
Knee arthroscopy is conducted for the diagnosis and treatment of the following conditions:
Meniscectomy is a type of meniscus tear treatment in which a part of the meniscus is removed. This is done when an individual suffers from a type of a knee injury called meniscus tear. The surgical decision to remove all of or a part of the meniscus is taken based on the overall health, age, activity level, and the nature of injury of the patient.
This meniscus treatment is performed by a team of orthopaedic surgeons. The doctor is likely to advise this surgery if they think that it is the best available treatment for you, depending on the exact location of the tear, its pattern, and size.
There are different types of a meniscus tear. A small meniscus tear usually requires no surgery and heals on its own through home treatment. A moderate to larger tear in the red zone of the meniscus is best treated with the help of a meniscectomy surgery. A tear in the white zone of the meniscus, on the other hand, is not treated with the help of meniscectomy surgery because there are fewer chances of healing.
The meniscus is a rubbery ligament between the shinbone and the thighbone. Meniscus tear takes place when there is a solid contorting movement of the knee, especially when the knee is bent while the foot is firmly placed on the ground. It is one of the most common knee injuries among sportsperson who play football, cricket, and tennis, and people who perform high-impact activities.
A few people may suffer from meniscus tear due to ligament of knee degeneration that takes place with age due to several factors.
Pain, swelling and tightness may increase over several days if you have a meniscus tear. You may not be able to straighten your knee, and it may lock in position. It may be problematic for you to put weight on your leg or even walk normally like before.
Minor meniscus tears can heal by itself if there is a good blood supply to the area. However, some tears require arthroscopic surgery to fix the tear. It is important to rest and let the ligament heal. Ice packs and physical therapy helps with the recovery of a meniscus tear.
Only 10 percent of meniscus tears can heal by itself if there is an appropriate blood supply.
Most of the surgeries are arthroscopic surgeries in which a special device is used to view inside the knee and see the torn meniscus. There are different procedures, however, that can be conducted to repair or fix the meniscus and these include the following:
Microdiscectomy is also known as microdecompression or cervical microdiscectomy. It is one of the most commonly performed spine surgery procedures.
Microdiscectomy or cervical microdiscectomy is preferred for patients with a lumbar herniated disc. The main goal of a discectomy is to relieve the pressure on a spinal nerve root by removing the material causing the pain. Traditionally, this purpose was solved by an open technique called lumbar discectomy surgery, which involves making a large incision to cut some of the back muscles, leading to a slow and painful recovery. Nowadays, an advanced form of surgery called microdiscectomy can achieve the same goal that too with the help of a small incision and fewer injury to back muscles. As a result, the recovery takes less time and is less painful. A special microscope is used in microdiscectomy to view the disc and nerves. The larger view allows the surgeon to make a smaller incision, causing less damage to the surrounding tissues.
Sciatica is a condition caused by compression of the spinal nerve, which generally results in chronic pain in the legs of the patients. This compression of the spinal nerve is frequently the result of a herniated lumbar disc. As a herniagrows, the damaged tissue extends into the spinal column and pushes on the nerves. This condition causes the nerves to send pain signals to the brain and the brain interprets the pain source to be coming from the legs.
Most commonly, sciatica heals naturally or with the help of medication in a few weeks. But, if sciatica lasts more than 12 weeks after taking oral medicines, patients may benefit from discectomy. Discectomy is also used for the treatment of spondylosis and lumbar spinal stenosis. While spondylosis occurs due to degenerative osteoarthritis of the vertebrae, lumbar spinal stenosis occurs due to narrowing of the spinal canal leading to nerve compression. The latter may also warrant the need for a spinal stenosis surgery.
A shoulder arthroscopy is a minimally invasive procedure conducted to inspect, diagnose, and rectify the problems involving the shoulder joint. During a shoulder arthroscopy, a small device attached to a camera is inserted into the shoulder to diagnose the reason for pain in the shoulder, among other problems.
Miniature surgical instruments are also inserted into the shoulder to rectify the identified problem. Such a surgery is known as arthroscopic shoulder surgery. When shoulder replacement is conducted with the help of arthroscopy, the procedure is known as arthroscopic shoulder replacement.
At each stage of the arthroscopic shoulder surgery, the surgeon is guided by an image displayed on the television screen. This is a minimally invasive procedure that ensures a quick recovery.
The shoulder has three bones, namely:
A rotator cuff tear, articular cartilage, labrum and surrounding soft tissues can be the cause of pain in the shoulder joint. These areas can get damaged or distorted as a result of some accident. The actual cause of pain can be diagnosed with the help of a shoulder arthroscopy. Sometimes, age-related wear and tear can is also responsible for shoulder joint-related pain and problems.
Symptoms of a shoulder injury include excessive pain in the shoulder joint and stiffness in the shoulder joint that may hinder easy movement of the arm around the shoulder joint. The patient may experience trouble while sleeping with the affected shoulder on one side. Slight swelling can also be observed physically in the joint region.
A physician may recommend a shoulder arthroscopy if your shoulder does not respond well to other alternative treatments such as exercising and physiotherapy. Common rotator cuff surgery can be used to conduct rotator cuff repair, removal or repair of the labrum, repair of ligaments and recurrent shoulder dislocation, and bone spur removal. Some of the less common procedures may include fracture repair, cyst excision, and nerve release.
Shoulder replacement is emerging as one of the most successful ways of curing degenerated shoulder joint, which may be due to prolonged joint disease, or any accidental damage. The procedure has been implemented by millions of people till date, and approximately 53000 candidates annually in the United States of America. The present record is however the witness of 5.6 times increase in shoulder replacement surgeries performed in the past two decades and the numbers are increasing every passing day.
The shoulder joint may get distorted due to several reasons. Often due to degenerative diseases or auto-immune disorders like arthritis, the bone disintegrates gradually which causes increased friction and thus, enhanced pain. Pain in the shoulder joint is extremely difficult to cope up with, especially in the progressed stages. It not only interferes with the daily activities but also restricts movement sometimes completely. Hence, in such cases where conventional methods seem to yield fruitful results, shoulder replacement surgery is highly recommended. In this procedure, the candidate’s glenohumeral joint or the shoulder joint is surgically removed and replaced with artificial joint or prosthetics. These prosthetics are not prone to degeneration and has years of longevity in the record. Hence, it not only helps in getting rid of the pain but also ensures comfortable movement of the arms without any discomfort in the long run.
The group of muscles and tendons form a cuff over the shoulder joint which is called as a rotator cuff. The rotator cuff holds the arm in the joint that aids in the movement. When one or more tendon muscle becomes damaged, stiffness, rotator cuff pain and soreness is developed along with decrease in the mobility. Rotator cuff repair is procedure that is used to repair the torn tendon and muscles in the shoulder which can be torn due to injury or overuse. The main goal of the rotator cuff repair is to restore the flexibility and movement of the joint and to decrease the pain.
Injuries – Athletics and construction workers are mostly involved in the rotator cuff injury. Repetitive movement and overuse may cause tendon tear.
Partial rotator cuff injury tears can be treated non-surgically by taking rest, non-steroidal anti-inflammatory drugs, steroidal injections, and exercises. Severe rotator cuff injury tears require surgical treatment. The surgical techniques that are used to treat severe tears of rotator cuff include:
Arthroscopy involves a small incision through which a narrow tube with a fiber-optic video camera is inserted that is connected to a television monitor. The arthroscope is inserted allowing the surgeon to visualize the internal structure of the joint. Small additional incisions are made to insert the surgical tools those are used to repair the joint.
This surgery is done for complex tears. During open repair surgery, a large muscle called deltoid muscle is slowly moved away to perform the surgery.
The mini-open repair surgery is done by using an arthroscope. The damaged tissue or bone spurs are removed through arthroscopy. Mini-open repair surgery is a combination of both arthroscopy and open repair surgery.
Failure of the non-surgical treatment may cause the need for surgery.
Spinal fusion surgery is a type of a spinal procedure used to join two or more bones permanently in the spine and to prevent movement between them. The bones that are joined are called as vertebrae. Spinal fusion surgery is performed along with other surgical procedures such as foraminotomy or laminectomy and after diskectomy in the neck. It is required if the patient has an injury or a fracture of the vertebrae. The spine will become weak due to an infection or tumors. Spinal fusion is also performed in abnormal curvatures that result from scoliosis or kyphosis.
Total hip replacement surgery also called total hip arthroplasty, is a surgical procedure conducted to replace the damaged or diseased hip joint with an artificial joint or prosthesis. The hip prosthesis contains the following three components:
The two types of prostheses used in the total hip replacement surgery include a.) cemented and b.) uncemented prostheses. A combination of both is sometimes used during the surgery, depending on the recommendation made by the patient.
The hip joint surgery is conducted in patients when other non-surgical and surgical alternatives fail to work and relieve the patient of the terrible hip pain. A successful hip joint surgery ensures increased mobility, improved function of the hip joint, and pain-free movement.
There are two types of total hip replacement surgery, differentiated on the basis of whether a single or both the hip joints are replaced. Total hip replacement bilateral refers to the replacement of joints on both the sides of the hips. This procedure is conducted when both the sides are affected.
Patients who experience the following symptoms are recommended to undergo bilateral hip replacement surgery:
Unilateral hip replacement surgery is conducted in patients who suffer from osteoarthritis of just one hip joint or those who have damaged or infected joint on one side of the hips.
A unilateral hip replacement surgery is less time intensive and serious than a bilateral hip replacement surgery, which involves removal and replacement of joints on both the sides of the hips.
During the unilateral hip replacement surgery, which is also known as hip arthroplasty, the affected side of the hip is cut open to expose the diseased hip joint. It is cut and removed before transplanting artificial prosthesis.
Some hip replacement surgeons may choose to use the cemented prosthesis, while others may choose uncemented prosthesis. Opening up the hip area to perform the surgery is not necessary if a minimally invasive technique is used to achieve the same objective.
Unilateral hip replacement surgery is the last treatment options for a patient who have not experienced any relief from constant hip pain through other alternative treatments such as physical therapy, exercising, and the use of painkillers.
Patients who experience the following symptoms are recommended to undergo unilateral hip replacement surgery:
Knee Replacement Surgery cost varies all across the world, where countries like the US, Australia and Canada provide the treatment at high prices. In countries like Taiwan,India, and Mexico Total Knee Replacement Surgery is far more affordable and is now offered at premium quality heathcare services.The knee joint is the largest joint in the body that aids in the mobility. During a knee replacement surgery, the diseased or damaged knee joint is replaced with an artificial joint made of metal or plastic. Your doctor would recommend a knee replacement surgery to you if you have a progressive pain even during sitting and lying down that leads to decreased or painful mobility.
The joint ailments that may trigger a need for knee replacement surgery include:
Depending on whether just one or both the knees are affected, a surgeon may conduct unilateral or bilateral knee replacement surgery. A unilateral knee replacement surgery refers to the removal of the diseased or damaged joint of a single knee and its replacement with prosthesis.
A unilateral knee replacement surgery can be recommended to an individual from any age group, depending on the extent of pain and immobility. The surgery helps provide relief from pain and immobility.
In total knee replacement surgery, the whole knee joint is removed and replaced with the artificial knee joint.
The partial knee replacement or unicompartmental surgery involves the replacement of only the damaged part of the knee joint.
The total knee replacement surgery and partial knee replacement surgery can be performed by a minimally invasive procedure. This is an advanced surgical procedure that involves three to five-inch incision or smaller, which causes less pain and fast recovery whereas the usual traditional procedure involves 8 to 12-inch incision.
Get a Priority Appointment with
Dr. Manish Sontakke
(+1) 424 283 4838