Dr. Rajeev Verma treats a long list of conditions such as:
The conditions resolved by the doctor are related to the musculoskeletal system in adults. This includes conditions or injuries in the bones, ligaments, joints or tendons. The strength of the surgeon lies not just in their education experience and skill but also in their ability to improvise according to the situation at hand.
There are many signs and symptoms seen in the patients which may require you to visit an Orthopedic Surgeon such as:
Multiple symptoms are a common occurrence when musculoskeletal or orthopedic conditions are involved. You must consult an orthopedic surgeon at the earliest if you are having pain in the joints or muscles and swelling. In the affected area of the body, the range of motion could get restricted and that is usually a significant indicator of a musculoskeletal issue.
With Sunday being an off day, Monday to Saturday, 8 am to 4 pm are the operating hours of the doctor. It is only a skillful and efficient doctor that is able to do these procedures very well.
Here is a list of popular procedures performed by Dr. Rajeev Verma.:
Arthritis, hip pain, dislocated joints or any of a number of such conditions mean that to get back on our feet we must refer with an orthopedic surgeon. Degenerative conditions or acute orthopedic conditions or chronic issues all constitute the different types of musculoskeletal conditions patients may be affected with. The surgeons can sub specialise in specific areas of the body considering the wide application in the specialty.
You can book a video consultation with Dr. Rajeev Verma on our platform
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.
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:
Open reduction internal fixation (ORIF) procedure aims at fixing a bone fracture that is considered to be very serious and in case realignment of the bone to the normal position is required with the help of screws, plates and other equipment.
ORIF surgery is a common procedure and is applicable for different bone segments of the body, including the hip, knee, arms, and thighs. ORIF surgery is performed by orthopaedic surgeons who have specialization in the musculoskeletal structure of the human body.
ORIF surgery is performed to stabilize the broken bone, which could be in any part of the body. The following are some of the common conditions that are treated with the help of an ORIF surgery:
? The bone pieces such as knee, hip, tibia-fibula, humerus, and femur are significantly out of alignment
? The bone pieces are piercing out through the skin
? The part of the bones in the above-mentioned parts of body is fractured, leading to formation of several pieces
? The fracture involves a knee joint
? The healing of the bones is not normal even after undergoing conservative treatment
Open reduction means open surgery aimed to set the bones as may be necessary after a fracture, while internal fixation means fixing of plates or screws and intramedullary bone nails in the case of humerus, tibia or femur bones to facilitate in the overall process of healing.
Micro motion across the lines of fracture is prevented with rigid fixation which not only helps promote healing but also prevents further infection which can happen when plates such as dynamic compression plates are used as implants.
This surgery is used to either restore a joint that is damaged or increase, decrease the length of a bone that is deformed and misaligned with a joint. Your bones are cut and reformed to enable this process. Patients eligible for this procedure are below 60 years of age, are active and slim whereas older patients with rheumatoid patients are not eligible.
There are various types of Osteotomies to correct issues in joints and bones such as,
Hip Osteotomy: The hip socket is reshaped so that the hip joint ball is covered well.
Knee Osteotomy: This surgery aims to achieve the following:
Spine Osteotomy: Swayback condition can be corrected and hunchback is reduced.
Chin Osteotomy: A square or broad chin can be narrowed by plastic surgeons.
Jaw Osteotomy: This operation assists in aligning the bite of teeth with the face by working on the jaw.
Toe Osteotomy: The toe joint is realigned when the issue is bunions of high severity.
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.
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.
Prior to and during the consultation with the orthopedic surgeon, please get the relevant tests done, the whole list of whom is listed below.:
The tests give a clearer picture to the doctor as to the treatment overview and the accuracy of the issues involved. The preparedness of the patient for the required treatment can be determined basis the screening and the diagnostic tests. It is the physical tests which will help the doctor know better how effective the treatment has been..
The usual route of visiting the orthopedic surgeon is through the referral route when post consultation supported by tests your doctor recommends you to see this specialist. It is not just the treatment but the management of the pre operative and the post operative part of the treatment is done by the orthopedic surgeon. The orthopedic surgeon can guide you through the rehabilitation process making it more effortless and seamless. They prescribe the medicines that would support your orthopedic treatment process and you as well as recommend the right tests that need to be done.