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Your bones are continuously changing — new bone is made and old bone is broken down. When you're young, your body makes new bone faster than it breaks down old bone, and your bone mass increases. Most people reach their peak bone mass around age 30. After that, bone remodeling continues, but you lose slightly more bone mass than you gain. How likely you are to develop osteoporosis — a condition that causes bones to become weak and brittle — depends on how much bone mass you attain by the time you reach age 30 and how rapidly you lose it after that. The higher your peak bone mass, the more bone you have "in the bank" and the less likely you are to develop osteoporosis as you age.

A number of factors can affect bone health. For example: The amount of calcium in your diet. A diet low in calcium contributes to diminished bone density, early bone loss and an increased risk of fractures. Physical activity. People who are physically inactive have a higher risk of osteoporosis than do their more-active counterparts. Tobacco and alcohol use. Research suggests that tobacco use contributes to weak bones. Similarly, regularly having more than one alcoholic drink a day for women or two alcoholic drinks a day for men may increase the risk of osteoporosis. Sex. You're at greater risk of osteoporosis if you're a woman, because women have less bone tissue than do men. Size. You're at risk if you are extremely thin (with a body mass index of 19 or less) or have a small body frame because you might have less bone mass to draw from as you age. Age. Your bones become thinner and weaker as you age. Race and family history. You're at greatest risk of osteoporosis if you're white or of Asian descent. In addition, having a parent or sibling who has osteoporosis puts you at greater risk — especially if you also have a family history of fractures. Hormone levels. Too much thyroid hormone can cause bone loss. In women, bone loss increases dramatically at menopause due to dropping estrogen levels. Prolonged absence of menstruation (amenorrhea) before menopause also increases the risk of osteoporosis. In men, low testosterone levels can cause a loss of bone mass. Eating disorders and other conditions. Severely restricting food intake and being underweight weakens bone in both men and women. In addition, weight-loss surgery and conditions such as celiac disease can affect your body's ability to absorb calcium. Certain medications. Long-term use of corticosteroid medications, such as prednisone, cortisone, prednisolone and dexamethasone, is damaging to bone. Other drugs that might increase the risk of osteoporosis include aromatase inhibitors to treat breast cancer, selective serotonin reuptake inhibitors, methotrexate, some anti-seizure medications, such as phenytoin (Dilantin) and phenobarbital, and proton pump inhibitors.

You can take a few simple steps to prevent or slow bone loss. For example: Include plenty of calcium in your diet. For adults ages 19 to 50 and men ages 51 to 70, the Recommended Dietary Allowance (RDA) is 1,000 milligrams (mg) of calcium a day. The recommendation increases to 1,200 mg a day for women age 51 and older and for men age 71 and older. Good sources of calcium include dairy products, almonds, broccoli, kale, canned salmon with bones, sardines and soy products, such as tofu. If you find it difficult to get enough calcium from your diet, ask your doctor about supplements. Pay attention to vitamin D. Your body needs vitamin D to absorb calcium. For adults ages 19 to 70, the RDA of vitamin D is 600 international units (IUs) a day. The recommendation increases to 800 IUs a day for adults age 71 and older. Good sources of vitamin D include oily fish, such as salmon, trout, whitefish and tuna. Additionally, mushrooms, eggs and fortified foods, such as milk and cereals, are good sources of vitamin D. Sunlight also contributes to the body's production of vitamin D. If you're worried about getting enough vitamin D, ask your doctor about supplements. Include physical activity in your daily routine. Weight-bearing exercises, such as walking, jogging, and climbing stairs, can help you build strong bones and slow bone loss. Avoid substance abuse. Don't smoke. If you are a woman, avoid drinking more than one alcoholic drink each day. If you are a man, avoid drinking more than two alcoholic drinks a day.

Consuming a diet high in vegetables has been shown to help create healthy bones during childhood and protect bone mass in young adults and older women. Performing weight-bearing and resistance training exercises can help increase bone formation during bone growth and protect bone health in older adults, including those with low bone density. A low protein intake can lead to bone loss, while a high protein intake can help protect bone health during aging and weight loss. Calcium is the main mineral found in bones and must be consumed every day to protect bone health. Spreading your calcium intake throughout the day will optimize absorption. Getting adequate amounts of vitamins D and K2 from food or supplements may help protect bone health. Diets providing too few calories have been found to reduce bone density, even when combined with resistance exercise. Consume a balanced diet with at least 1,200 calories daily to preserve bone health. Emerging evidence suggests that supplementing with collagen may help preserve bone health by reducing collagen breakdown. Being too thin or too heavy can negatively affect bone health. Furthermore, maintaining a stable weight, rather than repeatedly losing and regaining it, can help preserve bone density. Magnesium and zinc play key roles in achieving peak bone mass during childhood and maintaining bone density during aging. Omega-3 fatty acids have been found to promote the formation of new bone and protect against bone loss in older adults.

Many people see orthopedic doctors for pain or injuries that are caused by physical activity or sports. For example, if you’re an avid mountain biker and your knee hurts, you may benefit from seeing an orthopedic doctor who’s a specialist in treating knee problems. But orthopedic doctors treat a wide range of problems beyond sports injuries. People see orthopedic doctors to get advanced treatment for these problems: Even though primary care doctors treat some of the same injuries, it can be a good idea to see a doctor who’s an expert in treating these problems. That’s because orthopedic doctors have advanced knowledge and training beyond your primary care doctor to treat musculoskeletal problems. Different orthopedic doctors specialize even further in specific areas of your body—like your hip, ankle and foot, or shoulder. Some orthopedic doctors specialize in treating children. Pediatric orthopedists monitor bone growth problems in children—like scoliosis—or developmental problems that children are born with, like clubfoot or hip dysplasia.

Some causes of arthritis are beyond your control, like growing older, being female or having a family history of arthritis. But you can take steps to reduce your risk of arthritis or delay its onset. Here’s how to keep your joints healthy as you age: Stay at a healthy weight. Extra pounds put pressure on weight-bearing joints like hips and knees. Each pound you gain adds nearly four pounds of stress on your knees and puts six times the pressure on your hips. Control your blood sugar. High blood sugar can stiffen the tissue that supports your joints and make them more sensitive to stress. Exercise. Just 30 minutes of exercise five times a week helps joints stay limber and strengthens the muscles that support your knees and hips. Focus on low-impact exercises like walking, cycling or swimming. Stretch. Gentle stretching can improve your range of motion and keep your joints limber. Try to work in simple stretches into every day. Avoid injury. An injured joint is more likely to develop arthritis than one that was never injured. Wear protective gear when playing sports and always lift with your knees and hips, not your back. Quit smoking. Smoking puts stress on tissues that protect your joints and can lead to arthritis pain. Learn how Blue Cross can help you quit. Eat fish twice a week. Eat fish high in Omega-3s, like salmon, trout and mackerel. Omega-3s have many health benefits and may reduce inflammation. Get routine preventive care. Your doctor may be able to suggest lifestyle changes that can help reduce your risk or slow the progress of arthritis. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK) Senior Orthopaedic Surgeon & Head of the department of Orthopaedics (DNB Training), Apollo Hospitals, Vizag.

Elbow arthroscopy is a minimally invasive surgical procedure for elbow injuries and conditions that do not improve after nonsurgical treatment. Elbow arthroscopy is performed as an outpatient procedure under general anesthesia. After the patient is comfortable, asleep, and positioned, the following procedure steps are performed: *Small incisions are made in the injury *A small pencil shaped camera inserted into the incision *The surgeon monitors the injury *All the damaged ligments are repaired as the surgon view The patient’s injury or condition determines other procedure steps. Commonly performed elbow arthroscopy procedures and the conditions they treat include: *Bone spur removal *Debris removal *Joint capsule repair Dr Abdul D Khan | Best Orhtopedic doctor in Visakhapatnam MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Sports and other activities that involve throwing can sometimes lead to problems affecting the UCL This ligament can be inflamed or torn, which causes pain on the inside elbow. *To reconstruct the UCL *Regrowing ligament Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Total hip replacement is a surgical procedure in which the damaged cartilage and bone are removed from the hip joint and replaced with artificial components. The main indication for total hip replacement is arthritis. >Avoid the combined movement of bending your hip and turning your foot inwards >Keep a pillow between your legs while sleeping for 6 weeks >Avoid sitting on a low chair >Use an elevated toilet seat Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Elbow fracture fixation is a surgical procedure to align fractured bones in the elbow so that they can heal properly.Procedure steps include the following: Incision Exposure Reduction. Fixation. Closure Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The biceps tendons attach the biceps muscle to the elbow and shoulder. Biceps tendon tears at the elbow .However, they are usually complete and require surgical intervention. Bruising Inability to rotate the palm upwards (supination) Pain Swelling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Elbow tendonitis is inflammation of the elbow tendons. lateral epicondylitis and medial epicondylitis Both have the same symptoms and cause. Symptoms are pain, tenderness, weakness,and stiffness. The cause is overuse.they treated: Rest and ice. Medications Injections. Physical therapy. Bracing Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Tennis elbow or lateral epicondylitis is inflammation of the forearm muscle tendons at their insertion on the lateral (outside) part of the elbow. Customized treatment plans include multiple treatment options. Rest and ice are very effective. Nonsteroidal anti-inflammatory drugs (NSAIDs). Bracing. Physical therapy. Injections. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The arm and forearm bones come together to form the elbow joint. Many strong forearm muscle tendons insert on the medial (inside) part of the elbow joint. The inflammation of these tendons is called golfer’s elbow or medial epicondylitis. Golfer’s Elbow Treated: *Nonsteroidal anti-inflammatory drugs (NSAIDs). *Bracing. *Physical therapy. *Injections. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

As with any major surgery, there may be potential risks involved: Infection of the wound Failure to relieve pain Pulmonary embolism Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Total shoulder joint replacement surgery is indicated for conditions such as osteoarthritis or rheumatoid arthritis when medication, injections, physical therapy, and activity changes do not help relieve pain. Your doctor recommends surgery when you have the following symptoms: Severe shoulder pain that restricts daily activities Moderate to severe pain during rest Weakness and/or loss of motion Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

After undergoing revision hip replacement, you must take special care to prevent the new joint from dislocating and to ensure proper healing. Some of the common precautions to be taken include: Avoid sitting on a low chair. Use an elevated toilet seat. Avoid bending down to pick up things; instead, a grabber can be used to do so. Never cross your legs or bend your hips past a right angle (90 degrees). Place a pillow between your legs while sleeping for 6 weeks. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

As with any major surgical procedure, there are certain potential risks and complications involved with total hip replacement surgery. The possible complications after total hip replacement may include: Infection Dislocation Fracture of the femur or pelvis Injury to nerves or blood vessels Leg length inequality Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Arthroscopy is a minimally invasive procedure that allows your surgeon to look inside the wrist joint using small incisions (portals) and instruments. Wrist arthroscopy allows the surgeon to diagnose and treat the disorders of the wrist. Some of the common problems of the wrist which can be treated by arthroscopy include Arthritis Bone fractures Carpal tunnel syndrome (the nerves in the carpal tunnel are compressed) Dislocations Chronic wrist pain Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options may be used to treat some bicep tendon tears. Treatment options include: Rest and ice Pain and anti-inflammatory medications Physical therapy Immobilization Bracing Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Although total knee replacement surgery is successful, sometimes the procedure can fail due to various reasons and may require revision surgery. Revision knee replacement surgery may be advised if you have one or more of the following conditions: Trauma to the knee joint Chronic progressive joint disease Increased pain in the affected knee Worn out prosthesis Loosening of the prosthesis Infection in the prosthetic joint Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Elbow arthroscopy is a minimally invasive surgical procedure for elbow injuries and conditions that do not improve after nonsurgical treatment. Elbow arthroscopy is performed as an outpatient procedure under general anesthesia. After the patient is comfortable, asleep, and positioned, the following procedure steps are performed: Small incisions are made in the area of the injury A small pencil shaped camera (an arthroscope) is passed into the incision The surgeon views the elbow from a nearby television monitor Damaged tendons, ligaments or bones can be repaired as the surgeon views the shoulder on the monitor Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Total knee replacement surgery is commonly indicated for severe osteoarthritis of the knee. Osteoarthritis is a type of arthritis. It is the most common form of knee arthritis in which the joint cartilage gradually wears away, and often affects the elderly. Your doctor may advise total knee replacement if you have: Severe knee pain that limits your daily activities (such as walking, getting up from a chair or climbing stairs) Moderate-to-severe pain that occurs during rest or awakens you at night A bow-legged knee deformity Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Total knee replacement, also called total knee arthroplasty, is a surgical procedure in which the worn out or damaged surfaces of the knee joint are removed and replaced with an artificial prosthesis. As with any major surgery, the possible risks and complications associated with total knee replacement surgery include: Knee stiffness Infection Blood clots Ligament injuries Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

During total hip replacement, the damaged cartilage and bone are removed from the hip joint and replaced with artificial components. At times, hip replacement implants can wear out for various reasons and may need to be replaced with the help of a surgical procedure known as revision hip replacement surgery. Revision hip replacement is advised for the following conditions: Increasing pain in the affected hip Dislocation of previous implants Worn out plastic or polyethylene prosthesis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthroscopy is a surgical procedure performed through very small incisions to diagnose and treat various hip conditions including: Removal of torn cartilage or bone chips that cause hip pain and immobility Repair of a torn labrum Repair of fractures or torn ligaments caused by trauma Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Elbow fracture fixation is a surgical procedure to align fractured bones in the elbow so that they can heal properly.Procedure steps include the following: Incision Exposure Reduction. Fixation. Closure Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

As with any major surgical procedure, there are certain potential risks and complications involved with revision hip replacement surgery. The possible complications after revision hip replacement include: Fracture of the femur or pelvis Injury to nerves or blood vessels Leg length inequality Wearing of the hip prosthesis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The advantages of hip arthroscopy over the traditional open hip surgery include: Smaller incisions Less pain Faster recovery Lower infection rate Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

All the trauma (fracture) procedures are done here Including: Poly trauma cases Communited long bone fractures Complex peri articular fractures Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

We use various trauma implants for the cases depending on the requirement. Including: Screws Plates K wires Nails External fixators We use the best quality trauma implants including Synthes, Zimmer, Biomet, Smith & Nephew etc. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Arthroscopy is a minimally invasive procedure that allows your surgeon to look inside the elbow joint using small incisions (portals) and instruments. Elbow arthroscopy allows the surgeon to diagnose and treat the disorders of the elbow. Conditions of the elbow that can be treated by arthroscopy include Fractures Tennis elbow Stiffness Arthritis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The ankle consists of three bones attached by muscles, tendons, and ligaments that connect the foot to the leg.An Ankle Arthroscopy can be useful in patients who have a variety of painful ankle conditions. These include: Painful clicking Instability Osteo-chondral defects Ankle spurs Severe ankle stiffness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The ankle consists of three bones attached by muscles, tendons, and ligaments that connect the foot to the leg.An Ankle Arthroscopy can be useful in patients who have a variety of painful ankle conditions. These include: Painful clicking Instability Osteo-chondral defects Ankle spurs Severe ankle stiffness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

As with any major surgery, there may be potential risks involved: Infection of the wound Dislocation, requiring repeat surgery Failure to relieve pain Pulmonary embolism Wear and tear of prosthesis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Three bones join to form the elbow joint. Strong ligaments connect the humerus (arm bone), radius (large forearm bone) and ulna (small forearm bone). The elbow joint is very important because it moves the arm and forearm.Elbow injuries are common. An elbow fracture, break, and sprain should be seen by one of our specialists. The following are common causes of an elbow fracture, break, and sprain: Accidents Direct blows Falls Sports Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Achilles tendon repair is an outpatient surgical procedure that repairs a torn Achilles tendon. The goal of this procedure is to repair the torn tendon as well as provide strength and stability to the ankle. The procedure is performed under general anesthesia and usually takes about 1-1 ½ hours. During this procedure: An incision is made just above the heel and the torn tendon is exposed Sutures are used to attach torn tendon ends Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The Achilles tendon connects the calf muscle to the heel bone and is very important because it is responsible for the movement that points the foot down. Without the Achilles tendon, it is impossible to push off of the foot and walk, run, and jump. Sports, physical activities, and overuse cause partial and complete Achilles tendon tears. Symptoms include: An audible pop or snap Bruising Inability to walk Pain Swelling Tenderness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ankle fracture fixation is a surgical procedure that aligns and fixates fractured ankle bones so they can heal properly. The procedure is usually performed on an outpatient basis, although procedures for severe fractures may require a one or more night hospital stay.During this procedure, the following steps are performed: A small incision is made in the ankle Ankle tendons and muscles are retracted Surgical instruments are used to anatomically align the fracture and temporarily fixate it Screws or a plate and screws are used to permanently fixate the bone Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

An ankle fracture is a serious injury that requires immediate medical attention. X-rays are taken to determine the severity and location of the fracture. Fractures that cannot heal on their own and/or change the anatomy and function of the ankle joint require surgical intervention. Accidents, injuries, falls, and direct blows may cause ankle fractures. Symptoms that typically present include the following: Bruising Difficulty weight-bearing Pain Swelling Tenderness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ankle ligament reconstruction is an outpatient procedure that repairs a damaged or torn ankle ligament and stabilizes the joint. The procedure is performed under general anesthesia and usually takes about one hour. Procedure steps include the following: Incision. An incision in the ankle is made near the damaged ligament Reconstruction. Sutures repair the ligament or a ligament graft reconstructs it. A graft may be made from the patient’s tendons or harvested from a cadaver. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The ankle ligaments connect the ankle bones and stabilize the ankle. Sports, physical activities, and obesity can weaken, damage, and tear the ankle ligaments and cause the following symptoms: Ankle instability Decreased ankle function Pain Swelling Tenderness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A bunionectomy is an outpatient procedure that treats a painful or inflamed bunion on the toe. The procedure is performed under general anesthesia and usually takes about an hour.During the procedure: An incision is made and the bunion is exposed. The bunion is carefully removed and the bone is shaved. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A bunion is a big toe bone deformity that may or may not be symptomatic. Bunions that are large enough to push the big toe towards other toes and cause them to move are the most problematic and the ones that most often cause pain.Bunion symptoms include: Big toe bony bump Calluses Difficulty wearing shoes Foot deformities Foot Pain Toe pain Swelling Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A hammertoe is a toe deformity where the toe is stuck in a curled position, like the head of a hammer. Any of the toes may be affected, the most likely however are the 2nd and 3rd. Anything that causes toe tendon and muscle imbalances can cause a hammer toe. Bunions and high heels are two very common causes. Symptoms include: Calluses Corns Inability to move the toe Visible deformity Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Plantar fascia release is an outpatient surgical procedure that releases a painful plantar fascia tendon and relieves plantar fasciitis symptoms. The procedure is usually performed under general anesthesia and takes about one hour. The procedure may be performed arthroscopically or as an open procedure depending upon the specific area and severity of the injury. Steps of the procedure typically include: First, an incision is made on the sole of the foot Next, the tight plantar fascia is carefully cut and released Last, the incision is carefully closed and sterilely dressed Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The plantar fascia is a band of soft tissue on the bottom of the foot that absorbs and distributes forces placed on the foot. Plantar fasciitis occurs when the plantar fascia is irritated and inflamed due to overuse or repetitive injury.Plantar fasciitis causes and risk factors include: Calf muscle tightness High arch Increased physical activity Obesity Overuse New or overly strenuous physical activity Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The Achilles tendon attaches the calf muscle to the heel bone. The Achilles tendon helps people walk, run, and jump. A healthy Achilles tendon is very strong. Achilles tendon injuries can be painful and sometimes long-lasting.Achilles tendonitis is usually not linked to one specific accident or injury. Usually, Achilles tendonitis takes time to develop. Common causes include: An increase in exercise frequency and/or volume Tight calf muscles A bone spur on the heel Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options are used to treat Achilles tendonitis. Many treatment options are available. OIBO specialists create customized treatment plans that include any or any combination of the following: Rest, ice, elevation Immobilization Physical therapy Supportive shoes and orthotics Stretching exercises Nonsteroidal anti-inflammatory drugs (NSAIDs) Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The plantar fascia is a strong band of tissue that connects the heel to the front of the foot. The plantar fascia is important because it supports the foot’s arch. Plantar fasciitis is a very common condition. Plantar fasciitis is the most common cause of lower foot pain.Common causes of plantar fasciitis are: Repetitive high impact activities and exercises New exercises and activities Tight calf muscles Being overweight/obese A high arch Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options relieve plantar fasciitis pain. Numerous treatment options are included in an OIBO specialist’s customized treatment plan, including: Rest, ice, elevation. Nonsteroidal anti-inflammatory drugs (NSAIDs) Stretching exercises Supportive shoes and orthotics Night splints Physical therapy Corticosteroid injections Immobilization Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Arthritis is a term that broadly refers to a number of different conditions. It literally, however, means “pain within a joint.” Although there is no cure for arthritis, there are many treatment options available. There are different types of arthritis that may affect your foot and ankle. Osteoarthritis is known as the degenerative, or “wear and tear” arthritis. It is a common problem for many people after they reach middle age. The cartilage becomes worn or frayed, which results in pain, inflammation, and swelling surrounding the joint. Post-traumatic arthritis is very common in the foot and ankle. It occurs after an injury and it may develop years after a fracture, dislocation, severe sprain, ligament injury, or crush injury. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A bunion is a deformity characterized by lateral deviation of the hallux (great toe) toward the second digit. Hallux abductovalgus involves several pathologies of the first metatarsophalangeal joint. There is an enlargement of the medial (inner) first metatarsal head and range of motion often becomes restricted. The position of the great toe often continues to deviate more laterally over time, which can lead to arthritic changes of the first metatarsophalangeal joint. Bunions can be genetic or caused from faulty mechanics and are often associated with chronic use of high-heeled or ill-fitting footwear. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Flatfeet, commonly known as fallen arches, can affect as much as 50% of the population. A flatfoot is due to excessive pronation. Pronation allows the foot to adapt and react to the ground. When there is excessive pronation, the foot splays (widens), the arch drops, and excessive stress and strain occur to many of the ligament and tendon structures supporting the foot and ankle. Flatfeet can lead to many painful conditions such as heel pain, tendinitis, arthritis, and difficulty with walking, running, and/or standing. Flatfeet can affect both children and adults. A child with excessive hyperpronation could possibly develop chronic foot pain or permanent biomechanical imbalances. Treatment for flatfeet include orthotics, pain relieving measures such as anti-inflammatory medication, proper shoe wear, and physical therapy. An adult-acquired flatfoot can be a very debilitating condition. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hallux limitus is the most common form of arthritis in the foot. It occurs at the base of the big toe. Arthritis of the big toe joint can be very problematic. The condition presents as a stiff joint. It can become chronically painful and cause difficulty in walking and particularly running. Hallux rigidus often progresses in spite of conservative treatment Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Heel pain has many causes. It can affect the posterior (back near the Achilles tendon), or plantar aspect (bottom) of the heel. Pain in the heel is generally a result of faulty biomechanics (walking or running gait abnormalities). Excessive stress is placed on the heel, which leads to chronic irritation and inflammation. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The nerves of the lower extremities help muscles to function and provide sensation to the skin and tissue. The most common examples of nerve abnormalities include neuropathy, neuroma, and a version of carpal tunnel that affects the ankle called tarsal tunnel. The cause of tarsal tunnel is not fully understood; however, injury, compression, and varicose veins are thought to be contributing factors. Compression, pinching, or abnormal biomechanics of the foot could be a sign of Morton’s neuroma, a thickening of tissue around the nerves in the foot. Complications related to diabetes can also lead to nerve abnormalities, which often feel like tingling, numbness, a burning sensation, pain, and/or weakness, depending on how advanced the condition is. Tingling and numbness may also be a sign of sciatica, typically resulting from a pinched or compressed nerve in the spine Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Osteochondral injuries most often occur after a significant or grade 3 ankle sprain (the most severe type). An osteochondral injury usually occurs when there is an abrasion to the cartilage of the talus (the bone connecting the foot to the leg). If the cartilage injury is severe, it can cause the joint to lock, feel unstable, and may lead to painful joint motion Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A Ruptured Achilles tendon often can be very debilitating and, in many cases, surgery is required to repair the tendon directly. The Achilles is the most commonly injured tendon in the foot. It is located on the back of the leg and is a thick, fibrous piece of tissue that connects the calf to the heel bone. Injury most often happens as a result of playing sports, although other causes are possible. Four to six weeks of casting and physical therapy are mainstays of treatment after a complete Achilles tendon tear Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The rotator cuff is four muscles and tendons that attach to the top of the shoulder. The rotator cuff is important because it raises, rotates and stabilizes the shoulder. A partial or complete rotator cuff tear is a serious injury that requires medical attention as soon as possible. An Orthopaedic Institute Brielle Orthopaedics specialist diagnoses a tear and prescribes a treatment plan. The majority of rotator cuff repairs are performed arthroscopically: · 2-3 tiny shoulder incisions are made · An arthroscopic camera is used to visualize the tear · Tiny instruments and sutures anchors are used to repair the tear and attach the tendon to the bone Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A carpal tunnel release is performed when nonsurgical treatment options do not relieve symptoms. Local anesthesia and a mild sedative are used to make the patient as relaxed and comfortable as possible during the 30-45 minute procedure. Procedure steps include the following: A tiny wrist incision is made Muscles and tendons are carefully moved to view the transverse carpal ligament A tiny blade is used to cut the ligament and decompress the nerve Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Carpal tunnel syndrome (CTS) is a common orthopedic condition that causes shooting pain in the thumb, index, middle, and ring finger. CTS occurs when the transverse carpal wrist ligament presses against the underlying median nerve. Common causes of CTS are: Aging Overuse (manual labor, jobs that involve using the hands) Medical conditions (diabetes, osteoarthritis) Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Cubital tunnel release is a surgical procedure that decompresses a pinched ulnar nerve and relieves associated symptoms such as pain, weakness or numbness in the fingers. The procedure is performed on an outpatient basis under general anesthesia and the steps used to perform the procedure are: A small incision is made on the inside of the elbow Tendons and muscles are carefully moved to expose the ulnar collateral ligament A tiny blade is used to cut the ligament and decompress the nerve Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Cubital tunnel syndrome is entrapment of the ulnar nerve at the area where it passes the elbow bone. The cubital tunnel, which is a tunnel of tissue, presses against the nerve and in turn, causes the following symptoms in the ring and little fingers: “Falling asleep” sensation Numbness Tingling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Cyst excision is an elective surgical procedure to remove asymptomatic wrist, hand, or finger cyst. The procedure is usually performed using local anesthesia and IV sedation. After the patient is relaxed and can feel no discomfort or pain, the following steps are performed: An incision is made near the cyst Soft tissues are moved and the cyst is exposed The cyst’s stalk and roots are carefully excised Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ganglion cysts are small non-cancerous fluid-filled lumps that develop on the wrist, hand, and fingers. Ganglion cysts are common and usually, do not produce symptoms or produce symptoms that nonsurgical treatment options easily treat. A ganglion cyst that is large and presses a nerve or tendon may be symptomatic. The following are common symptoms: Pain Restricted movement Tenderness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Surgery may be recommended for the treatment of some types of forearm, hand, wrist and finger fractures. The goal of surgery is to anatomically align the fracture and then fixate it so the bone can heal. Fracture surgery is performed as an open reduction internal fixation (ORIF) procedure under general anesthesia. Surgery is usually performed as an outpatient procedure using the following steps: An incision is made over the fractured bone Muscles, nerves, blood vessels, and soft tissues are gently moved to expose the bone Surgical instruments are used to align the bone and temporarily hold it in place a plate and screws, rod, pins, or screws are used to fixate the bone Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ligaments attach bones to bones and tendons attach muscles to bones. The wrist and hand are made up of many bones and thus have many ligaments and tendons that provide stability and facilitate movement. A partially or completely torn ligament or tendon may require surgical intervention. A ligament or tendon repair is an outpatient procedure that is usually performed under general anesthesia. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

First, a tiny incision is made near the torn ligament or tendon Next, sutures are used to attach torn tendon ends or suture anchors are used to attach the ligament to the bone Last, the incision is carefully closed and the patient is placed in a comfortable custom-made splint The splint holds the wrist and hand in a position that gently stretches the tendon or ligament to prevent tightness and scar tissue. Hand therapy after surgery is a very important part of recovery. The patient and hand therapist perform stretching and strengthening exercises together to regain complete wrist and hand function. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

An accident or injury, such as a fall onto an outstretched hand or direct blow to the hand or wrist may cause a hand or wrist ligament tear. Osteoarthritis can also make patients more susceptible to a tear. Hand or wrist ligament tears may cause any of the following symptoms: Pain Stiffness Swelling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A trigger finger release is a surgical procedure that treats the condition known as trigger finger syndrome. The less than 30-minute outpatient procedure is performed under local or general anesthesia During the procedure, the following steps are performed: A small incision is made in the palm The tendon is divided and released The finger is moved to ensure it no longer catches or locks The incision is carefully closed and dressed Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Wrist arthroscopy is a minimally invasive surgical procedure that treats a variety of wrist conditions. Our, new surgical techniques and equipment allow many traditionally open procedures to be performed in a minimally invasive arthroscopic fashion. Small incisions are made and therefore fewer muscles, nerves and soft tissues are damaged during the procedure. Patients experience symptom relief quicker and fully recover from surgery faster. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Local anesthesia, intravenous sedation, or general anesthesia is used to perform this outpatient procedure. First, small incisions are made on the wrist. Next, an arthroscopic camera is passed through the incisions and the surgeon views the wrist joint on a nearby television monitor. The type of procedure dictates the next procedure steps: Carpal tunnel release. Diagnostic wrist arthroscopy. Ganglion cyst removal. Ligament repair. Wrist fractures. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Patients who experience symptoms that do not respond to nonsurgical treatment options may be candidates for wrist arthroscopy. Key symptoms patients should be aware of include but are not limited to: Decreased mobility Numbness Pain Stiffness Swelling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Joint fusion or arthrodesis is a surgical procedure that fuses a joint to eliminate pain associated with movement. A wrist, hand, or finger arthrodesis may be indicated when nonsurgical and possibly surgical treatment options do not improve osteoarthritis or traumatic injury symptoms. The procedure is usually performed under general anesthesia. The following steps are used: Incision. An small incision is made over the affected joint. Exposure. Muscles, nerves, blood vessels, and soft tissues are carefully moved so the surgeon can view the joint. Removal. Damaged bone and cartilage are removed. Bone Graft Fixation Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

When the conditions below reach severe stages and do not respond to nonsurgical treatments, a wrist, hand, or finger arthrodesis may be recommended. Osteoarthritis Rheumatoid arthritis Fractures Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

There is a multitude of forms of arthritis that affect the hands, including degenerative, rheumatoid, psoriatic, lupus, and many more. This condition is caused by inflammation of the joint, and it typically worsens with age. Millions of Americans suffer from arthritis, but there are numerous treatment options that can help minimize discomfort, improve mobility, and enhance the quality of life. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Degenerative Arthritis, also called Osteoarthritis, typically affects the fingers, causing pain in the joints furthest from the hand. Symptoms tend to flare up, fade away, and return again. During periods of discomfort, splinting, anti-inflammatory medications, heat and ice, and cortisone injections can be helpful to address these concerns. In the event minimally invasive techniques prove ineffective or the pain worsens over time, surgery may help you to achieve longer-lasting relief. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Rheumatoid Arthritis, commonly called Inflammatory Arthritis, can affect any area of the body, including the organs. In many cases, inflammatory arthritis of the hand will be felt near the wrist, which may cause visible deformity. This disorder can advance over time, and it’s important for you to seek out a medical professional experienced in rheumatology to minimize progression. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Basal Joint Arthritis occurs in the hand near the base of the thumb, and it is one of the most common types of arthritis addressed by orthopaedists who specialize in the upper extremity. Fortunately, non-surgical treatment usually can offer significant relief of symptoms and may include medication, splinting, or a cortisone injection. Although uncommon, a joint replacement (tendon arthroplasty) or fusion may be recommended if conservative methods prove ineffective. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Carpal tunnel is a wrist condition. Carpal tunnel occurs when the transverse carpal ligament compresses the median nerve. The median nerve is important because its innervate muscles in the thumb, index, middle, and ring fingers. People who work with their hands (i.e. typing, counting money) are most at risk. The symptoms of carpal tunnel are tingling, numbness and weakness in the thumb and/or fingers. Our hand specialists obtain a medical review, examine the hand, and order and analyze a nerve conduction study to diagnose carpal tunnel. A customized treatment plan is created. Symptoms quickly improve. Patients no longer need to worry about carpal tunnel affecting their day-to-day lives. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The goal of treatment is to take pressure off the nerve and calm inflammation. Several nonsurgical treatment options may be used to accomplish this goal. They include: Immobilization Nonsteroidal anti-inflammatory drugs Injections If nonsurgical treatment options do not improve symptoms, an OIBO hand specialist may recommend surgery. A carpal tunnel release is a quick outpatient procedure. The hand specialist carefully cuts the transverse carpal ligament and the nerve is decompressed. Symptom relief is experienced very quickly, sometimes within a few hours. The procedure is performed under local sedation so patients do not need to be put to sleep. To schedule an appointment with a fellowship trained and board-certified specialist, call our practice or visit our contact page. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The ulnar nerve is an important nerve. The ulnar nerve starts in the neck and runs to the fingers. The ulnar nerve passes through the cubital tunnel—a narrow space on the medial (inside) part of the elbow. Cubital tunnel syndrome is compression of the ulnar nerve in the cubital tunnel. Cubital tunnel syndrome is caused by chronic elbow pressure. Constantly leaning on the elbow and constantly bending the elbow are common causes. Cubital tunnel symptoms may include: Tingling and/or numbness in the 4th and 5th fingers Hand weakness Elbow and/or forearm pain Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options treat most cases of cubital tunnel syndrome. Many treatment options are available. A customized treatment plan usually includes a combination of the following: Rest and ice. Quickly decrease nerve inflammation and pain. Towel wrapping. A soft towel placed between the elbow and a hard surface takes the pressure off the nerve. Bracing. A day and/or night brace keeps the elbow straight and takes the pressure off the nerve. Anti-inflammatory medications. Over-the-counter and prescription medications decrease inflammation and pain. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The palmar fascia is fibrous tissue between the palm and fingers. The palmar fascia stabilizes the palmar side of the hand. Without the palmar fascia, it would be difficult to grip objects and make a tight fist. Dupuytren’s contracture occurs when the palmar fascia thickens and tightens. Dupuytren’s contracture progresses slowly. Dupuytren’s contracture first presents as minor hand tightness and stiffness. Later, small visible nodules form. Nodules may make it difficult to straighten the fingers and properly use the hand. Risk factors include: Gender. Males. Ancestry Diabetes, seizure disorders. Hereditary Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Corticosteroid injections decrease inflammation and pain. Injections also slow down or stop nodule progression. The number of injections required for symptom relief varies from patient to patient. Injections are usually given at three-month intervals. Surgery may be recommended to treat severe Dupuytren’s contracture. A fasciotomy removes portions of thickened tendons. A fasciectomy removes large pieces of the palmar fascia. A fasciectomy requires a larger incision and longer recovery. A splint is used after surgery. Hand therapy is usually started 2-4 weeks after surgery. Both procedures reduce symptoms, straighten the fingers, and improve hand function. All specialists are fellowship trained and board certified. To schedule your appointment with an specialist, call our practice or visit our contact page. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The hand and wrist are very important body parts. Hand and wrist injuries are extremely common because the hand and wrist are constantly used. Manual laborers, athletes, and active individuals are most at risk. A hand or wrist fracture, break, or sprain may occur when a patient: Accidently strikes their hand or wrist with or against a solid object Falls on an open or closed hand Makes a fist and punches a solid object Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Immobilization is the most common nonsurgical treatment option. OIBO specialists create comfortable custom-made casts, splints, and braces. They help bones perfectly align and heal. Anti-inflammatory medications are prescribed to decrease inflammation and pain. Hand therapy is prescribed after the fracture, break, or sprain heals. Surgery is recommended for some fractures and breaks—specifically those that cause joint misalignments and deformities. During a closed reduction percutaneous pinning (CRPP), an specialist manipulates the hand or wrist to realign the bones. A small pin is used to fixate the bones. No incision is made. During an open reduction internal fixation (ORIF), an specialist realigns the bones through an incision. A metal plate and screws are used to fixate the bones. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ganglion Cysts are a type of hand tumor that generally develops on the back of the wrist. These common growths can also be found on the side of the wrist or at the base of a finger or fingernail (mucous cyst). Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Although they may sound scary, tumors of the hand are not uncommon. If benign, they may cause no discomfort and require no intervention. At the Orthopaedic Institute Brielle Orthopaedics, we can diagnose these issues using state-of-the-art technology, including radiographs, MRIs, CT scans, or other imaging tests. We will also perform a physical examination of the area of concern. Surgery for benign tumors is often not necessary, unless the growth increases in size, causes pain, or you prefer to have the tumor removed. As with most hand conditions, there are several types of hand tumors: Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ganglion Cysts are a type of hand tumor that generally develops on the back of the wrist. These common growths can also be found on the side of the wrist or at the base of a finger or fingernail (mucous cyst). There are several other tumors that can develop along the hand or fingers, including lipomas (fat), schwannomas and neurofibrommas (nerve), and hemangiomas (blood vessel) tumors. In many cases they cause no discomfort; however, they may become larger and aesthetically unappealing with time. Giant cell tumors of the tendon sheath should be carefully observed. These benign masses may begin in the hands and then expand to nearby tendons, bone, and other tissue. Aggressive and fast growing, they are one of the few benign tumors that can spread to the lungs. Giant cell tumors should be excised to reduce the risk of them becoming larger, which can make removal more difficult, or before they extend into other structures, which can increase the likelihood of recurrence. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Also known as baseball finger, mallet finger is a condition in which a fingertip cannot straighten due to an injury to the extensor tendon. Most incidences of mallet finger can be effectively resolved without the need for surgery. Various splints are available that hold the fingertip straight until the tendon naturally repairs itself, typically at least 8 weeks, after which the splint is worn periodically for several weeks to maintain the outcome. However, if a fracture was sustained or the joint is misaligned, surgery may be necessary to fix mallet finger. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

There are several different types of tendonitis, a condition in which any tendon is inflamed or irritated. Tendons are the cord-like fibers that hold muscle onto the bone. Some examples of conditions caused by tendonitis include trigger finger, Dequervain’s disease, and lateral epicondylitis (tennis elbow). These concerns are difficult or impossible to cure; however, they can typically be treated with a variety of surgical and non-surgical options. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Trigger Finger often occurs as a result of repetitive motion such as gripping. The finger often will make a snapping sound when straightened, and it can become permanently stuck in a bent position if left untreated. Non-surgical treatment options include cortisone injections and splinting. In more severe cases, surgery may be necessary. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

DeQuervain’s Tenosynovitis, also called Mommy’s Thumb, affects the tendons of the wrist closest to the thumb. Turning, grasping, and making a fist can cause significant discomfort. Repetitive motion may be a contributing factor, and this condition is most commonly seen in new mothers. Treatment options include braces, physical therapy, medication, injections, or, in rare cases, surgery. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The elbow is a hinge joint. The humerus (arm bone), radius (large forearm bone), and ulna (small forearm bone) join to form the elbow joint. Ligaments hold the bones together. The ulnar ligament is a ligament on the lateral (outside) part of the elbow. The ulnar ligament is susceptible to injury. A great deal of stress is placed on the ulnar ligament when throwing motions are performed. Overhead throwing athletes are most at risk to sustain an ulnar ligament injury. An injury can range from mild inflammation and irritation to a complete tear. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Pain is the most common symptom of an ulnar ligament injury. Pain usually gets worse when an object is gripped or a fist is made. Swelling and bruising are symptoms of a complete tear. Decreased range of motion and decreased performance are common. Our specialists diagnose and treat ulnar ligament injuries. All specialists are fellowship trained and board-certified. An elbow examination reveals injury severity. An MRI may be ordered if a tear is suspected. A customized treatment plan is prescribed after an accurate diagnosis is made. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options treat mild to moderate injuries. A combination of treatment options is prescribed. Any of the following may be included in an OIBO specialist’s customized treatment plan: Rest and ice. Nonsteroidal anti-inflammatory drugs (NSAIDs). Immobilization. Physical therapy. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The cervical spine connects the skull to upper back and protects the spinal cord. Intervertebral discs lie between cervical vertebrae C1-C7 and help facilitate movement and reduce the load placed directly on the bone. Damaged discs that cause neck and/or upper extremity pain sometimes require surgery. An anterior cervical discectomy and fusion (ACDF) are performed as follows: Incision Exposure Discectomy Implant insertion Fusion Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Anterior hip replacement Anterior hip replacement may be recommended to treat: Osteoarthritis Avascular necrosis Rheumatoid arthritis Post-traumatic arthritis Symptoms that can be easily improved include: Difficulty walking Instability Groin pain Hip pain Stiffness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthroscopy is a minimally invasive surgical procedure that is performed for both diagnostic and treatment purposes. Hip arthroscopy is similar to knee and shoulder arthroscopy and the benefits and surgical concepts are the same. Smaller incisions are used, less muscle and soft tissue are traumatized, recovery occurs much quicker. General procedure steps include the following: Incisions Visualization Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Anterior hip replacement Anterior hip replacement may be recommended to treat: Osteoarthritis Avascular necrosis Rheumatoid arthritis Post-traumatic arthritis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip labrum repair is an arthroscopic surgical procedure that repairs a torn labrum in the hip and relieves the associated symptoms. The procedure is performed arthroscopically on an outpatient basis as follows: Tiny hip incisions are made An arthroscopic camera and instruments are placed through incisions and the joint is viewed on a nearby television monitor Loose, damaged, and torn cartilage is removed Suture anchors are used to repair the labrum and reattach it to the bone Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Osteoporosis, a condition that weakens bones, increases the risk of a hip fracture a great deal. Women over the age of 50 are the patient population most at risk. Hip fracture symptoms include: Bruising Groin pain Hip pain Swelling Stiffness Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A hip fracture is a serious injury that requires immediate medical attention, especially with older individuals. Common causes of hip fractures include: Falls Motor vehicle accidents Sports injuries Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip resurfacing is a modified type of hip replacement procedure and the distinguishing feature of the procedure is the replacement of only the femoral head. In a total hip replacement, the head of the femur is completely removed and replaced with a ball and stem implant. In a hip resurfacing procedure, the head of the femur is carefully trimmed and replaced with a cap. Common procedure steps include: A board-certified anesthesiologist administers general anesthesia A lateral or anterior hip incision is made Muscles and soft tissues are retracted and the hip joint is exposed Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip resurfacing is a modified type of hip replacement procedure and the distinguishing feature of the procedure is the replacement of only the femoral head. In a total hip replacement, the head of the femur is completely removed and replaced with a ball and stem implant. In a hip resurfacing procedure, the head of the femur is carefully trimmed and replaced with a cap. Common symptoms include: Difficulty walking Instability Groin pain Hip pain Stiffness Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hipbone damage can cause many problems for patients. Causes of hip bone damage include: Avascular necrosis. Lack of blood flow and nutrients to hip bones. Osteoarthritis. Wear and tear of hip bone and cartilage. Rheumatoid arthritis. An immune attack on hip bone and cartilage. Post-traumatic arthritis. An accident or injury causes early onset arthritis. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A total hip replacement is a surgical procedure that removes osteoarthritic hip bone and cartilage and replaces it with metal and plastic components. Total hip replacement is a highly successful procedure that improves pain and quality of life tremendously. For the overwhelming patients, a total hip replacement allows them to live a normal, pain-free life that they would not be able to live while suffering from hip arthritis. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A total hip replacement is a surgical procedure that removes osteoarthritic hip bone and cartilage and replaces it with metal and plastic components. Total hip replacement is a highly successful procedure that improves pain and quality of life tremendously. For the overwhelming patients, a total hip replacement allows them to live a normal, pain-free life that they would not be able to live while suffering from hip arthritis. Pain Stiffness Swelling Decreased range of motion Instability Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Our Board-Certified and Fellowship Trained hip specialists are revision hip replacement experts. Before performing a revision hip replacement procedure, he obtains your complete medical history review, performs a physical examination, and orders and analyzes medical imaging studies (x-rays, an MRI, a CT-scan) to ensure a revision hip replacement is necessary. During a procedure the hip specialist removes failed components and replaces them with new ones. The procedure is performed on an inpatient basis—a 2-3 night hospital stay is usually necessary. The overwhelming majority of patients have an excellent surgical outcome. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

MAKO robotic-arm assisted total hip replacement is a new type of hip replacement procedure that ensures perfect implant placement. With this procedure, a direct anterior approach is used to minimize surgical trauma, decrease post-surgery pain, and shorten recovery.The MAKO robotic arm helps surgeons: Plan hip replacement surgery. MAKO software takes CT scan images and produces a 3D virtual hip model that the surgeon uses to plan surgery. Perform hip replacement surgery. The surgeon controls the MAKO robotic arm to carefully remove damaged bone and precisely replace it with plastic and metal implant. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

MAKO robotic-arm assisted total hip replacement is used to treat severe hip arthritis that does not improve after nonsurgical treatment. Hip arthritis symptoms include: Difficulty standing Hip pain Groin tenderness Groin pain Stiffness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Situations, where patients may experience symptoms, include but are not limited to: Sitting down or standing up Putting on shoes and socks Getting in and out of a car Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Total hip replacement is a surgical procedure that replaces damaged or arthritic hip bone and cartilage with metal and plastic components that mimic the function of a healthy hip. The procedure is one of the most common orthopedic procedures with over 300,00 being performed each year. Our Joint Replacement experts have helped thousands of patients return to an active lifestyle using this innovative procedure. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Symptoms patients should pay close attention to include: Difficulty walking Instability Groin pain Hip pain Stiffness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Particularly common in athletes, thigh muscle injuries can include hamstring, quadriceps, adductor, and tendon strains, tears, and bruises. These tissues cross the hip and knee joints, so they generate significant force during activities that require running and jumping. In most cases, these concerns can be addressed with non-surgical treatment; however, complete tears (ruptures) may require surgery to reconnect the tendon or muscle ends. We utilize the latest techniques to shorten the recovery period and maximize results. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthritis is one of the most common causes of hip pain. Hip arthritis is inflammation of the protective cartilage of the hip joint. Osteoarthritis (OA) is the most common type of hip arthritis. OA can be caused by ageing, obesity, genetics, and injuries. Rheumatoid arthritis (RA) is an autoimmune disorder that can affect any joint in the body. The body attacks and destroys its own cartilage. The large hip joint is especially susceptible to RA. Symptoms of both types of arthritis are similar. They include: Groin pain Thigh pain Stiffness Weakness Decreased range of motion Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthritis cannot be cured. An early diagnosis is a key to effective treatment. A combination of treatment options decreases symptoms and prevents arthritis from becoming worse. Treatment options include: Activity modification Anti-rheumatic drugs Assistive devices Nonsteroidal anti-inflammatory drugs Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip injuries are common. Hip fractures, breaks, and sprains are injuries that require immediate medical attention. Delaying a diagnosis can make an injury worse. Common causes of a hip fracture, break, and sprain are: Motor vehicle accidents (MVAs) Sports accidents Falls Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options treat sprains and minor fractures and breaks. Treatment options include: Activity modification. Slowing down or stopping symptom causing activities. Immobilization. Crutches, a cane, a walker. Medications. Anti-inflammatory and pain medications. Physical therapy. Strengthening and stretching exercises. Rest, ice, and elevation. Inflammation and pain and take the weight off the hip. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The leg and pelvic bones join to form the hip joint. The hip joint is very important because it stabilizes, balances, and moves the trunk and lower body. Hip osteoarthritis is inflammation of the hip joint. Wear and tear of cartilage with age is the main cause of hip osteoarthritis. An injury, obesity, and genetics may also be causes and contributing factors. The following are common symptoms: Groin pain Thigh pain Stiffness A grinding noise (crepitus) while walking Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A combination of nonsurgical treatment options is used to treat mild to moderate cases of hip osteoarthritis. Because hip osteoarthritis is a chronic condition, meaning it cannot be cured, treatment is focused on relieving symptoms and preventing the condition from becoming worse. The following are commonly included in a customized treatment plan: Activity modification. Nonsteroidal anti-inflammatory drugs (NSAIDs). Physical therapy. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Sometimes called “snapping hip syndrome,” tendonitis of the hip can be recognized by the snapping or clicking sound the hip makes when performing certain movements. You may also feel pain when bending over or lifting your knees towards your chest. This condition is caused by irritation or inflammation of the hip-flexor tendon, which crosses over the hip socket. Tendonitis may occur as a result of repetitive movement and overuse or as a result of improper stride or walking habits. Treatment options include rest, injections, anti-inflammatory medication, or physical therapy. In more severe cases, minimally invasive surgery can help alleviate discomfort and improve range of motion. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

There are dozens of joints in the human body, including those of the hands, wrists, elbows, shoulders, hips, knees, ankles, and feet. Each one can be subject to regular wear and tear, injury, arthritis, and other concerns. To address the comprehensive array of conditions, our experienced orthopedists offer the latest non-surgical and surgical treatment options. During your initial consultation, one of our specialists will evaluate your symptoms and recommend one or more methods to help relieve pain, improve mobility, and enhance your quality of life. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

We recognize that minimally and non-invasive techniques can be highly effective. As a result, our physicians usually will advise conservative methods initially. Should these approaches prove unsuccessful, more advanced modalities may be recommended. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder arthroscopy is a commonly performed minimally invasive procedure that treats many shoulder injuries. Modern surgical techniques and equipment allow Orthopaedic Institute Brielle Orthopaedics Orthopaedic Institute Brielle Orthopaedics shoulder specialists to perform shoulder surgeries that were once open procedures as arthroscopic procedures. Procedures are performed on an outpatient basis so patients may return home after they are awake and alert and their pain is under control. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Generally, an arthroscopic shoulder procedure proceeds as follow: Small incisions are made in the area of the injury A small pencil shaped camera (an arthroscope) is passed into the incision The surgeon views the shoulder from a nearby television monitor Damaged tendons, ligaments or bones can be repaired as the surgeon views the shoulder on the monitor Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The patient’s injury determines many of the procedure steps. Arthroscopic shoulder surgery treats the following injuries when they are severe in nature and cannot be improved with nonsurgical treatment options. Some of the most common arthroscopic shoulder procedures are used to treat include: Bone spurs Osteoarthritis Labrum tear Rotator cuff tear Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A rotator cuff repair is an arthroscopic surgical procedure to repair a partially or completely torn rotator cuff. A rotator cuff repair was performed for many years as an open incision procedure, but modern surgical techniques and equipment allow the overwhelming majority of rotator cuff repairs to now be performed arthroscopically. In some cases, a mini-open or small incision approach is used. A rotator cuff repair is performed on an outpatient basis under general anaesthesia. Procedure steps are: Pieces of a damaged tendon, cartilage, and bone are smoothed Suture anchors attach the torn tendon to the bone and repair tore tendon ends Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Total shoulder replacement is a surgical procedure that removes osteoarthritic bone and replaces it with metal and plastic components. This procedure is similar to a total knee or total hip replacement as the goal is to relieve the symptoms associated with joint arthritis. Total shoulder replacement is very effective at restoring range of motion and improving quality of life. Procedure steps include: Incision Bone removal Implants Closure Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Osteoarthritis is a chronic condition that degrades the bones, cartilage and soft tissue of a joint. Shoulder osteoarthritis is especially problematic because the shoulder is the body’s most mobile joint. Severe shoulder osteoarthritis causes bone on bone rubbing, which can damage soft tissue, cartilage and other ligaments and cause the following symptoms: Decreased range of motion Inability to move the arm Pain Swelling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Osteoarthritis is a chronic condition that degrades the bones, cartilage and soft tissue of a joint. Shoulder osteoarthritis is especially problematic because the shoulder is the body’s most mobile joint. Severe shoulder osteoarthritis causes bone on bone rubbing, which can damage soft tissue, cartilage and other ligaments and cause the following symptoms: Decreased range of motion Inability to move the arm Pain Swelling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Reverse shoulder replacement is a surgical procedure that dramatically improves shoulder pain associated with osteoarthritis of the shoulder by removing damaged portions of the bone in the shoulder and replacing it with metal and plastic components. During the 1-2 hour procedure, the following steps occur: Incision Bone removal Implants Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Reverse total shoulder replacement is a surgical treatment option for severe shoulder osteoarthritis that causes pain when the patient moves their arm. The procedure is only recommended when nonsurgical treatment options do not improve the patient’s pain. To find out if the treatment option is right for you, please contact our office and make an appointment. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder labrum repair is a minimally invasive arthroscopic procedure that repairs a torn shoulder labrum and stabilizes the shoulder. The outpatient procedure is performed arthroscopically under general anesthesia. During this short procedure, the following procedure steps are carried out: Incisions Labrum repair Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The glenoid labrum is a rim of soft tissue that surrounds the shoulder socket—holding the head of the humerus in place and stabilizing the shoulder. An accident or injury may cause a partial or sometimes complete labrum tear and subsequent shoulder subluxations or dislocations. Because the labrum is torn and cannot repair itself, surgery may be a recommended treatment option, especially if subluxations or dislocation are frequent. Patients who injure their shoulder and are in pain are encouraged to make an appointment with our specialists as soon as possible. Delaying a diagnosis can make the injury and its symptoms worse. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Orthopaedic Institute Brielle Orthopaedics Orthopaedic Institute Brielle Orthopaedics specialists perform a shoulder resurfacing procedure on patients who suffer from arthritis or a traumatic injury but are not ready for a total shoulder replacement. The procedure is performed under general anaesthesia on an in-patient, usually 1-2-night, basis. The procedure. During the procedure, a specialist removes damaged bone from the humeral head and replaces it with a metal component. The metal component is perfectly fit to your bone and cemented in place. The specialist checks range of motion to ensure the shoulder moves freely and easily. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder resurfacing procedure is ideal for patients who are in pain and/or have a limited range of motion but are not ready for a total shoulder replacement. Common conditions that cause these symptoms include: Osteoarthritis Rheumatoid arthritis Avascular necrosis Post-traumatic arthritis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder fracture fixation is a surgical procedure that realigns a fractured or broken shoulder bone so it can heal properly. Shoulder fracture fixation is an open reduction internal fixation (ORIF) procedure that is performed as follows: Incision Reduction and fixation Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The head of the humerus (arm bone) and clavicle (collarbone) are the most commonly fractured shoulder bones. The scapula (shoulder blade) rarely fractures because large muscles protect it. An accident or injury may cause a fracture. The most common of which include: Falls Motor vehicle accidents Sport injuries Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Bruising Decreased range of motion/Inability to move the arm Pain Swelling Weakness A physical examination and x-rays are used to diagnosis shoulder fractures and determine their severity. Please make an appointment if you have injured your shoulder. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder capsular reconstruction is a minimally invasive arthroscopic procedure. Two or three very tiny incisions are made on the shoulder. An arthroscopic camera is placed in the shoulder so the joint structures can be viewed on a nearby television monitor. The following steps complete the procedure: Small holes are made in the shoulder bone Suture anchors are placed in the holes The sutures are passed through the shoulder capsule, carefully bringing it together for a tightening effect Special surgical knots are made to ensure the sutures remain in place and the capsule stays tight The incisions are carefully closed Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder capsular reconstruction is a treatment option for massive rotator cuff tears. Symptoms surgical candidates typically have included: Pain Weakness Decreased range of motion Instability Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The rotator cuff tendons stabilize the shoulder and help it move. A rotator cuff tear occurs when one or more of the rotator cuff tendons are torn. Tendon tears can be partial or complete. They are grouped into nondegenerative and degenerative categories. Sports injuries, traumatic accidents, and falls cause nongenerative rotator cuff tears. Osteoarthritis causes degenerative rotator cuff tears. Symptoms of tears include: Pain Weakness Stiffness Swelling Bruising Decreased range of motion/inability to move the arm Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options may be used to treat some rotator cuff tears. A specialist’s nonsurgical treatment plan includes: Nonsteroidal anti-inflammatory medications Rest, ice, and immobilization Physical therapy Activity modification Many complete rotator cuff tendon tears require surgical intervention. Our Board-certified specialists perform minimally invasive arthroscopic rotator cuff repairs. During the procedure, a television monitor, arthroscopic camera, and tiny instruments are used to visualize the tear. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The labrum is a circular piece of soft cartilage on the edge of the shoulder socket. The labrum’s key function is holding the shoulder in place. An injury, accident, or osteoarthritis may cause a labrum tear. Partial labrum tears occur much more frequently than complete ones. Symptoms of a torn labrum include shoulder instability, pain, and decreased range of motion/ability to move the shoulder. If a tear is not treated, it may lead to a shoulder subluxation or dislocation. Our specialists accurately diagnose shoulder labrum tears. A medical history and physical exam are performed and medical imaging studies (X-rays and MRIs) are ordered. The findings of the studies tell the specialist the location and severity of the tear. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A 24yr female patient presented with pain and stiffness in right shoulder since 9 weeks. Her symptoms started after she fell off a two wheeler. ‘She was initially seen by a local GP who got a ray done and gave her analgesics Her initial xray showed posterior dislocation (ight bulb sign) with reverse hill sachs lesion which was missed. She had CT/ MRI scans here which confirmed the same. She clinically had locked internal rotated shoulder with no external rotation and elevation.

Afity your oid femaie presented with symptomatic: Subtalar jot Ostecarthrita (OA) since two yours and is not responding to conservative treatment. She was eated wih rest. anaigescs. physiotherapy and brace wen (ite reset. She had a MF scan - severe subtalar joint OA and large csteophyte in the snus tarsi. Nomad, for his condition as per the cument practices in our region, open surgical arthvodess (ont fusion) is dons. Open surgery can lead to wound heaing problems, infection, neurovascular inary, igament injury and disruption of blood supply to the talus.

A 30-year-old male presented with persistent left elbow pain since last one year. He injured his elbow in the gym. He was diagnosed as Golfers Elbow and treated with rest, analgesics, activity modification, brace, and local steroid injection with little relief. His left elbow MRI scan showed a high grad rupture ofthe anterior band of ulnar collateral ligament.

Treatment plans are prescribed according to the severity of the tear. Nonsurgical treatment options may be used to treat minor to moderate tears. An OIBO specialist’s customized nonsurgical treatment plan includes: Medications to decrease inflammation and pain Instructions regarding rest and ice application Activity modification recommendations A physical therapy prescription Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The shoulder is the most mobile joint of the body. The head of the humerus (arm bone) and glenoid cavity of the scapula (shoulder blade) form the ball and socket joint. The joint is held in place by the rotator cuff tendons and the soft tissue glenoid labrum. A tear in either can cause the shoulder to partially or completely dislocate. Symptoms of a shoulder dislocation include pain, swelling and bruising, and inability to move the arm and shoulder. A visible anatomical deformity is usually seen. Common causes of a shoulder dislocation are sports injuries, traumatic accidents, and falls. Patients who experience a shoulder dislocation should make an appointment with an specialist as soon as possible. Delaying treatment increases the chances of another dislocation. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder dislocation may require immediate medical attention. If the shoulder does not relocate to its normal position on its own, a closed reduction is performed. Once the shoulder is relocated and the cause for the dislocation is determined, a treatment plan is prescribed. Nonsurgical treatment options include the following: Nonsteroidal anti-inflammatory medications Activity modification Rest and ice Physical therapy Injections Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

If nonsurgical treatment options do not reduce symptoms and stabilize the shoulder, surgical intervention may be recommended. Two commonly performed procedures are: Rotator cuff repair : Suture anchors are used to repair the torn tendon and reattach it to the head of the humerus. Labrum repair : Suture anchors are used to repair the torn labrum and reattach it to the outer rim of the glenoid cavity. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A 60 year old female patient presented with severe shoulder pain and stiffness since last two years. She has been treated with rest, analgesics. steroid injections and physiotherapy with no relief. She had globally restricted movements in the shoulder with absolutely no external rotation. Normally for this condition in the region, manipulation under anaesthesia is done but the results are not predictable and also there is risk of fracture of the proximal humerus. Some surgeons in the region also do limited rotator Interval capsular release but that doesn't lead to global regain of movernents In the shoulder. After informed consent. Dr. Khan dld arthroscopic rotator interval capsular release along with Superior Gleno Humeral Ligament (SGHL), Coraco Humeral Ligament (CHL), Middle Gleno Humeral Ligament (MGHL) and Inferior Gleno Humeral Ligament (ID.) release. He switched the portals and completed the 360 degree capsular release around the glenoid labrurn. Subscapularts muscle seen after the fele., f fv1GHL Incidentally. this patient also had small articular side partial tear of Supraspinatus with fraying close to the Long Head of Biceps (LHB) which was debrided.There was full range of shoulder motion after the procedure. Dr. Khan did this procedure in lateral decubitus position which is very safe. It was done as a day care procedure and patient was discharged within 6 hours of the procedure. Frozen shoulder is a very comrnon condition in our region. This technique will lead to good relief of symptoms and regain of full range of motion in patients who had failed long conservative treatment.This is the first time such kind of procedure has been done in the shoulder in our region.

The shoulder is one of the most important joints. Shoulder fractures, breaks, and sprains can limit a patient’s ability to perform movements required for day-to-day living and fun activities. Common causes of shoulder fractures, breaks, and sprains are: Traumatic accidents Sports injuries Falls Osteoarthritis Osteoporosis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options may be used to treat shoulder fractures, breaks, and sprains that do not involve serious bone displacement or tendon tearing. A combination of the following is prescribed: Rest, ice, and medications decrease inflammation, swelling, and pain. Immobilization in a sling or brace gives bones and tendons time to heal. Physical therapy strengthens bones and muscles and prevents future injuries. Surgical intervention may be recommended in some cases. A broken or fractured bone is reduced and fixated during an open reduction internal fixation (ORIF) procedure. A metal plate or rod and screws are used. X-rays confirm the bone is in a perfect anatomical position. Bone healing takes place over the course of several weeks. Symptoms decrease and patients return to a normal, pain-free, unrestricted life. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder tendonitis is the inflammation of the rotator cuff tendons. The tendons stabilize the shoulder and help it move. They become irritated and inflamed when overused. Symptoms of shoulder tendonitis include: Shoulder pain at rest Shoulder pain triggered by movement Stiffness Decreased range of motion Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options treat the overwhelming majority of cases of shoulder tendonitis. OIBO specialists prescribe the following: Nonsteroidal anti-inflammatory medications Rest and ice Physical therapy Injections Treatment options are prescribed as part of a comprehensive, customized treatment plan. Symptoms are dramatically reduced in as short a time frame as possible. To schedule your appointment with a specialist, call our practice or visit our contact page. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Impingement Syndrome is a condition where the patients have often pain related to inflammation around the rotator cuff tendon and bursa, which may be caused by poor shoulder mechanics or an abnormal anatomy, which puts them at risk for this condition. It is often treated with oral anti-inflammatories (Motrin, Aleve), steroid injections, physical therapy and/or arthroscopic surgery. Many times mechanics can be restored through a combination of inflammatory-relieving medications/injections and physical therapy. Shoulder surgery is reserved for those patients who do not respond to these conservative treatments. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hyaluronic acid injections are a minimally invasive treatment option for knee osteoarthritis that does not respond to nonsurgical treatment. Injections are performed as a quick and easy outpatient procedure. A topical anesthetic is applied over the knee before the procedure begins—anesthesia, intravenous sedation, or pain medications are not needed. After the patient is relaxed and the knee is numb, the procedure begins: A needle is carefully guided into the joint Hyaluronic acid is injected into the joint The needle is removed and a band-aid is placed over the tiny mark Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Knee osteoarthritis slowly destroys knee bone and cartilage and decreases hyaluronic acid concentration in the joint fluid. This is important because hyaluronic acid helps lubricate the joint, allowing it to move easily without pain or bone on bone rubbing. Symptoms patients should be aware of include: Pain Stiffness Swelling Nonsurgical treatment options effectively treat mild cases of knee osteoarthritis. Some moderate to severe cases of knee osteoarthritis may not respond to nonsurgical treatment and hyaluronic acid injections may be recommended. Patients who experience symptoms are encouraged to make an appointment. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Knee arthroscopy is a minimally invasive procedure that treats a number of knee injuries and conditions. The advantages of minimally invasive arthroscopic procedures over open incision ones include less surgical trauma, less post-operative pain, and a quicker recovery. Modern surgical techniques, equipment, and devices allow physicians to perform most knee surgeries arthroscopically, with the exception being total knee replacement surgery. Common procedure steps include the following: Incisions Joint visualization Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The type of procedure determines additional steps. Commonly performed procedures include the following: Cartilage repair Ligament repair Meniscus repair General anesthesia is used to perform the majority of knee arthroscopy procedures. Procedures are performed on an outpatient basis. A family member or friend drives the patient home shortly after. A return to work usually takes at least 2-3 days. The type of procedure determines total recovery time. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Meniscus repair is a minimally invasive procedure that treats a torn meniscus. A board-certified anesthesiologist administers general anesthesia and pain medications to begin the procedure. After the patient is completely asleep, the following steps occur: 2-3 tiny incisions are made around the patella (kneecap) An arthroscopic camera is placed through the incisions and guided into the joint The torn meniscus is viewed on a nearby television monitor If present, pieces of torn cartilage are removed and remaining cartilage is smoothed Anchors are used to reattach the meniscus to the tibia (shin bone) and sutures repair the tear Incisions are carefully closed and sterilely dressed Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The meniscus is a piece of soft tissue that sits on the top of the tibia and cushions the knee by evenly distributing weight while standing, walking, running, and jumping. Falls and sports injuries are usually the cause of meniscus tears. Symptoms include the following: Clicking or catching sensation Pain Stiffness Swelling Weight-bearing and physical activity make symptoms worse. Patients who experience symptoms and would like to receive a diagnosis and treatment plan may make an appointment with our Board-Certified and Fellowship-Trained knee specialists. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

ACL repair/reconstruction is a well-known minimally invasive procedure that repairs a torn ACL. The procedure is one of the most commonly performed in orthopedic surgery. Usually, it is performed on athletes and active individuals who tear their ACL while competing or training. Procedure steps include the following: Anesthesia Incisions Ligament Repair/Reconstruction Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The anterior cruciate ligament (ACL) attaches the tibia (shin bone) to the femur (leg bone) and is very important because it stabilizes the knee and helps it move properly. ACL tears occur when the knee is twisted and a force pushes against it in the opposite direction. Symptoms include: Pain Swelling Weakness Patients find it is extremely difficult to walk without feeling like their knee will give out. Some partial ACL tears may heal with nonsurgical treatment options. The majority of complete tears will not heal without surgery. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Knee microfracture surgery is a minimally invasive arthroscopic procedure that treats knee cartilage damage. The procedure is performed on an outpatient basis under general anesthesia. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The knee is the largest joint in the body. Osteoarthritis, a chronic disease that destroys joint cartilage, commonly affects the knee joint. Nonsurgical treatment options are used to treat mild to moderate cases of knee osteoarthritis. Surgery may be needed to treat severe knee osteoarthritis. Especially when it limits a patient’s ability to perform normal day-to-activities. Total knee replacement surgery is one of the most successful orthopaedic surgeries. Patients regain knee strength and function and no longer have to worry about knee pain dictating their life. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A partial knee replacement is performed when osteoarthritis only affects one side of the knee joint. A total knee replacement is performed when it affects both. During the procedures, an OIBO specialist removes osteoarthritic cartilage and bone and replaces it with metal and plastic components. The procedures are performed under local sedation or general anaesthesia. A 1-3-day hospital stay is usually necessary. Physical therapy following the procedure is important. Patients regain balance, strength, and flexibility during one-on-one sessions with an OIBO approved physical therapist. Total recovery time is approximately six months. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The knee ligaments attach the femur (leg bone) to the tibia (shin bone) and are very important because they stabilize the knee and help it perform movements necessary for normal day-to-day living. The ACL is the most well-known ligament because it is commonly injured during sports and physical activities. The other three knee ligaments are: Medial collateral ligament (MCL) Posterior cruciate ligament (PCL) Lateral collateral ligament (LCL) A ligament tear is a serious injury that requires medical attention. Nonsurgical treatment options may treat some partial tears. A ligament repair is usually recommended for a complete tear. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A ligament repair is performed under general anesthesia administered by a board-certified anesthesiologist. For an MCL or LCL ligament repair, an open incision is made on the inner or outer part of the knee. For a PCL repair, tiny incisions are made and the procedure is performed arthroscopically. The Procedure. After the incisions are made, the torn ligament is removed and a new one is put in its place. The new ligament may be tendons harvested from the patient or a cadaver. Special devices are used to secure the ligament to the bone and a physical examination ensures it functions properly. The incisions are closed and sterilely dressed and the patient is placed in a hinged knee brace set to a locked position. The patient returns home after there are awake and alert and their pain is under control. Physical therapy is started as soon as possible and continues throughout recovery. Total recovery time may take 3-12 months depending on the type and severity of the tear. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

There are three new bones: the femur (leg bone), tibia (shin bone), and patella (knee cap) are connected by many strong ligaments. The medial patellofemoral ligament (MPFL) connects the inside of the patella to the femur. The MPFL is very important because it helps prevent lateral movement of the patella. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Patella tendon repair is a surgical procedure that repairs a completely torn patella tendon. The procedure is performed under general anesthesia on an outpatient or inpatient basis. After a board-certified anesthesiologist administers general anesthesia and pain medications, the procedure is carried out as follows: An incision is made and the torn tendon is exposed Tiny holes are drilled in the bottom section of the patella bone (knee cap) Sutures are passed through the holes and then through the torn tendon Sutures are gently tightened to bring the tendon and bone together and then tied to secure it The incision is carefully closed and sterilely dressed to prevent infection and ensure proper healing. The knee is placed in a comfortable knee immobilizer set to a locked position. Physical therapy begins 1-2 weeks after surgery and continues throughout the recovery process. Total recovery time is usually about 6 months. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The patella tendon connects the patella to the tibia (shin bone) and is very important because it works in unison with the quadriceps tendon to straighten the leg and stabilize the knee. Forceful jumps and falls and sometimes lacerations cause patella tendon tears. Tears may be partial or complete. Partial tears are usually treated non-surgically and complete tears usually require a patella tendon repair. Torn patella tendon symptoms patients should be aware of include the following: Anatomical deformity Bruising Difficulty walking Pain Swelling Tenderness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Quadriceps tendon repair is a surgical procedure that reconnects a torn quadriceps tendon to the patella (kneecap). This procedure is performed on an outpatient basis under general anesthesia. Procedure steps include the following: A knee incision is made Tiny holes are drilled in the top of the patella Sutures are passed through the torn tendon and then the holes Sutures are gently pulled and then carefully tied to bring the tendon and bone together Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The quadriceps tendon is very important because it connects the thigh muscles to the kneecap and thus helps perform the movement that straightens the leg. Partial or complete quadriceps tendon tear may be caused by: Direct blows to the knee Falls Forceful jump lands Lacerations Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Symptoms that patients should be aware of include: Bruising Difficulty straightening the leg Pain Stiffness Tenderness Weakness Nonsurgical treatment options can treat partial tears, but the majority of complete tears require a quadriceps tendon repair procedure. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Tibial tubercle osteotomy is a surgical procedure that corrects patella malalignment. The elective procedure is performed under general anesthesia on an outpatient basis. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

In most cases, athletes suffer knee injuries as the result of a sudden trauma or impact such as a direct hit to the knee or from a change of direction while the foot is planted. In other instances, knee injuries may be the result of overexertion and muscular imbalance which forces the knee to be repetitively strained. It is important to see a Sports Medicine Specialist at the first sign of knee pain as many knee conditions are progressive and will worsen if left untreated. Meniscus Tears ACL Injuries MCL / PCL Injuries Tendonitis of the Knee Patellofemoral Pain (Jumper’s Knee or Runner’s Knee) Hamstring Injuries Knee Instability Patellar Dislocation Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The knee is the largest joint in the body. It supports the lower body and bends the leg. Knee arthritis, the inflammation of knee bone and soft tissue, is common. The three types of knee arthritis are: Osteoarthritis (OA) Rheumatoid arthritis (RA). Posttraumatic arthritis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A combination of nonsurgical treatment options is used to treat mild to moderate knee arthritis. OIBO specialists commonly prescribe: Medications Physical therapy Bracing Injections Activity modification Surgical intervention may be recommended for severe knee arthritis. A partial or total knee arthroplasty removes arthritic bone and tissue and replaces it with metal and plastic components. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Knee osteoarthritis (OA) is one of the most common orthopedic conditions. It is characterized by the wear and tear of knee cartilage with age. Knee bone becomes inflamed as cartilage loses its integrity and function. Painful bone spurs may develop. Joint space decreases. Symptoms include pain, swelling, stiffness, and tenderness. Weight-bearing usually increases symptoms. Patients who are over 50 years old, not active, overweight and smoke are most at risk. An early diagnosis is the key to effective treatment. Our Fellowship trained and board-certified Orthopaedics physicians specialize in knee osteoarthritis. They obtain a complete medical history review, perform a physical examination, and order and analyze x-rays. An accurate diagnosis is always made. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Knee OA is a chronic condition. Treatment is focused on decreasing symptoms and preventing OA from becoming worse. OIBO treatment plans usually consist of a combination of the following: Nonsteroidal anti-inflammatory drugs (NSAIDs) Activity and lifestyle modification Physical therapy Injections Surgical intervention may be recommended for knee OA that does not improve after nonsurgical treatment. A partial or total knee arthroplasty removes osteoarthritic cartilage and bone and replaces it with metal and plastic components. Symptoms and quality of life improve tremendously following recovery and physical therapy. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

An ACL (anterior cruciate ligament) tear/injury is one of the most common and well-known orthopedic injuries. The ACL is a very important ligament because it prevents the tibia (shin bone) from sliding in front of the femur (thigh bone). The ACL stabilizes the knee while walking, running, jumping, and moving from side to side. An ACL tear/injury usually occurs during running and jumping sports and activities. Movements that cause an ACL tear/injury are: Suddenly changing directions Suddenly stopping Landing from a jump Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options are used to treat an ACL sprain or partial tear. The following may be included in a customized OIBO treatment plan: Medications Physical therapy Immobilization Activity modification Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The MCL (medial collateral ligament) is an important knee ligament. It is located on the inside part of the knee—connecting the tibia (shin bone) to the femur (thigh bone). A direct blow to the knee may cause an MCL tear/injury. Football, soccer, and hockey are sports in which MCL tears/injuries are common. Symptoms include: Immediate pain and swelling Knee instability Difficulty bear weight/walking Patients who sustain an MCL tear/injury should make an appointment with our specialists as soon as possible. A physical examination determines the severity of the tear/injury. In some cases, X-rays and an MRI are ordered after swelling goes down. An accurate diagnosis is made so the tear/injury can be effectively treated. Our specialists are fellowship trained and board-certified. They prescribe customize treatment plans that decrease symptoms and heal the tear/injury. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The overwhelming majority of MCL tears/injuries heal on their own after several weeks of nonsurgical treatment. All of the following are usually included in a customized OIBO treatment plan: Rest, ice and medications Immobilization Physical therapy Complete MCL tears may require surgical intervention. During an MCL repair, one of our specialists uses sutures to reattach torn ends of the MCL. Physical therapy is prescribed after surgery to help patients regain strength and flexibility. To schedule your appointment with one of our specialists, call our practice or visit our contact page. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The femur (thigh bone) and tibia (shin bone) come together to form the knee joint. The joint is the largest in the body. It supports, stabilizes, and moves the lower body. The meniscus is an important piece of soft cartilage in the knee joint. The meniscus is located between the femur and tibia—serving as a shock absorber that distributes weight and protects the bones from rubbing against each other. Pain Swelling Stiffness Catching/Locking Knee instability Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Rest, ice, compression, and elevation (RICE) are used to control initial pain and swelling. Pain and anti-inflammatory medications may also be prescribed. The following are included in a nonsurgical OIBO treatment plan: Immobilization Physical therapy Surgical intervention may be recommended for some meniscus tears. During a minimally invasive arthroscopic meniscus repair, one of our specialists removes or repairs the torn meniscus. Physical therapy is prescribed two weeks after surgery. Our approved physical therapist helps patients regain strength, flexibility, and function. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The patella or kneecap is a small bone that protects the knee. The patella tendon connects the patella to the tibia (shin bone). The patella tendon may partially or completely tear. A strong force delivered from a fall or jump is the cause of a patella tendon tear. Tears usually occur during sports or physical activities. The following are common symptoms: Pain Swelling Bruising Tenderness Difficulty walking A visible indention Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options may be used to treat partial patella tendons tears. The following are included in an OIBO specialist’s treatment plan: RICE Medications Immobilization Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The knee is the largest joint in the body. The femur (leg bone), tibia (shin bone), and patella (knee cap) join to form the knee joint. The bones are connected by ligaments. Tendons connect muscles to the bones. Knee ligaments and tendons help protect, stabilize, and move the knee. Knee ligament and tendon injuries are more common than knee fractures and breaks. Knee fractures and breaks are usually caused by a fall, traumatic accident, or sports injury. There are many different types of knee fractures and breaks. Pain, swelling, bruising, decreased range of motion, and stiffness are common symptoms. An knee specialist orders and analyzes medical imaging studies (X-rays and an MRI) to accurately diagnose knee fractures and breaks. Customized treatment plans help fractures and breaks heal as quickly as possible. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options may be used to treat knee fractures and breaks that do not disrupt knee joint integrity/anatomy. Immobilization is very important. OIBO knee specialists place the knee in a comfortable brace, splint, or cast. A wheelchair or crutches are used for the first 2-4-weeks. Bone healing is monitored via X-rays. Once the bone completely heals, patients return to normal activities. Anti-inflammatory and pain medications may be prescribed. Physical therapy may be used as well. Surgery may be recommended to treat knee fractures and breaks that disrupt knee joint integrity/anatomy. During an open reduction internal fixation (ORIF) procedure, an OIBO specialist reduces the fractured bone and uses screws and a plate or rod to fixate it. Immobilization after surgery is important. A comfortable splint is used for 2-4-weeks. Bone healing takes places over many weeks. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Medial Patellofemoral Ligament Reconstruction: There are three new bones: the femur (leg bone), tibia (shin bone), and patella (knee cap) are connected by many strong ligaments. The medial patellofemoral ligament (MPFL) connects the inside of the patella to the femur. The MPFL is very important because it helps prevent lateral movement of the patella. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Tendonitis of the hip, often referred to as "snapping hip syndrome," is a condition characterized by a snapping or clicking sound in the hip during specific movements. It may also cause pain when bending over or lifting the knees towards the chest. This issue arises due to irritation or inflammation of the hip-flexor tendon, which crosses over the hip socket. Causes of tendonitis include repetitive movement and overuse or improper stride or walking habits. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Key aspects to consider about tendonitis of the hip are: Recognizable by snapping or clicking sound during certain movements Pain experienced when bending over or lifting knees towards the chest Caused by irritation or inflammation of the hip-flexor tendon Result of repetitive movement, overuse, or improper walking habits Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Treatment options for tendonitis of the hip vary depending on the severity of the condition. In most cases, conservative treatment methods are effective in alleviating discomfort and improving range of motion. These options include: Rest Injections Anti-inflammatory medication Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Neck pain can develop as a result of a wide range of conditions that affect the bones, muscles, ligaments, nerves, or joints of the neck. Discomfort typically stems from the soft tissues, either due to an anatomical abnormality, injury, or long-term wear and tear. Though uncommon, tumors or infection can occur, reducing mobility and causing pain. Neck concerns can also lead to issues in other areas of the body, including the shoulders, back, and arms. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Key aspects to consider about tendonitis of the hip are: Recognizable by snapping or clicking sound during certain movements Pain experienced when bending over or lifting knees towards the chest Caused by irritation or inflammation of the hip-flexor tendon Result of repetitive movement, overuse, or improper walking habits Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

There are a number of degenerative diseases of the neck that can cause you pain or discomfort. Some of the most common include osteoarthritis and rheumatoid arthritis. Over time, regular wear and tear of the joints can lead to osteoarthritis, which typically develops in mature and elderly adults. Rheumatoid arthritis (RA) is an autoimmune disease that causes the lining of your joints to swell, gradually leading to bone destruction and joint deformity. With both of these conditions you may experience stiffness, pain, and reduced function. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Another cause of neck pain can be cervical disc degeneration. In between each vertebra is a squishy, shock-absorbing disc that protects the bones. Inside the disc is a jelly-like substance called the nucleus. If this soft center begins to degenerate, there is less space between the two corresponding vertebrae, which may then begin to rub painfully. Furthermore, if the disc ruptures, the contents could protrude and place pressure on the spinal cord or spinal nerves, causing discomfort and reduced mobility. A ruptured disc in the neck is known as a herniated cervical disc. Cervical disc degeneration commonly occurs in women over the age of 40, but it can happen to anyone. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

If you experience an injury that results in severe neck pain, such as a car or diving accident or fall, you should seek out a Board Certified Spine Specialist promptly. Persistent and continuous Severe Accompanied by radiating pain through the arms or the legs Accompanied by weakness, tingling, numbness, or headaches Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

When you arrive for you initial consultation, one of our experienced Spine Specialists will evaluate your areas of concern, discuss your symptoms, and develop a customized and comprehensive treatment plan tailored to your unique needs. This evaluation is a necessary part of diagnosing your condition and providing the best possible care. During this meeting, your Spine Specialists will take a complete medical history and we encourage you to feel comfortable and be honest about any medications you’re taking and surgeries or treatments you’ve completed. We will also ask you about any past neck injuries, illnesses, pain, or other complaints. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Your doctor will then perform a physical examination of your neck, arms, and legs. He or she may explore your neck motion, check for tenderness, and review the function of your nerves, muscles, and ligaments in your neck and extremities. Your physician may then request some tests to help diagnose your condition. We will order the minimum number of tests necessary to properly evaluate your concern. X-rays are commonly requested to view how your cervical bones look and function. In most cases the physical evaluation, consultation, and X-rays will be sufficient to develop an optimal treatment plan. In some instances, however, we may require additional tests to enhance the diagnosis. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

MRI (Magnetic Resonance Imaging) CT (Computerized Tomography) Myelogram EMG (Electromyogram) Depending on your unique needs, your orthopaedic surgeon may also request blood tests or consult with other medical professionals to arrive at the most precise diagnosis possible. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Most incidences of neck pain can be successfully treated with one or more non-surgical techniques, including rest, prescription medication, physical therapy, exercise, and behavior modifications. Your treatment plan will depend on your diagnosis, and our Spine Specialists will review their findings and recommendations with you during your consultation. Discomfort caused by stretching neck muscles and ligaments beyond the normal range can lead to inflammation, which can be treated with rest and by wearing a neck collar for a pre-determined period of time. Medication to reduce inflammation may also be prescribed. If you’re experiencing pain severe enough to require prescription medication, it’s important to use it as advised and to discontinue use as directed. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Rehabilitation programs can also be highly effective for persistent or chronic neck pain. This treatment plan may include specific exercises and physical therapy movements that are designed to reduce pain and prevent recurrences. Surgical intervention is necessary for neck pain only when other treatments have not provided adequate pain relief or if the condition is severe enough to warrant an operation. Some instances where this may occur include: when a herniated disc pinches a nerve or the spinal cord; if a bony abnormality narrows the spinal canal opening; or if you suffered a serious injury that could cause lead to partial paralysis. In cases of trauma, surgery can help to stabilize the neck to prevent additional damage. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Tendonitis includes conditions like trigger finger, Dequervain's disease, and tennis elbow. Our friendly, professional team offers various surgical and non-surgical treatments to effectively manage discomfort and restore mobility. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

There are several different types of tendonitis, a condition in which any tendon is inflamed or irritated. Tendons are the cord-like fibers that hold muscle onto the bone. Some examples of conditions caused by tendonitis include trigger finger, Dequervain’s disease, and lateral epicondylitis (tennis elbow). These concerns are difficult or impossible to cure; however, they can typically be treated with a variety of surgical and non-surgical options. Trigger Finger DeQuervain’s Tenosynovitis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Heel pain, resulting from various causes, can impact the posterior (near the Achilles tendon) or plantar aspect (bottom) of the heel. Often, it stems from improper biomechanics such as walking or running gait abnormalities that apply excessive stress on the heel, causing chronic irritation and inflammation. Impacts posterior or plantar aspect of the heel Often caused by faulty biomechanics, such as walking or running gait abnormalities Excessive stress leads to chronic irritation and inflammation' Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Manual Therapy is a treatment approach employed by physical therapists to alleviate pain, enhance mobility, and restore function in patients suffering from musculoskeletal conditions. This hands-on method involves various techniques to manipulate soft tissues and joints. Benefits include: Reducing pain and muscle tension Improving joint mobility and flexibility Restoring function and enhancing performance Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Techniques include: Soft tissue mobilization to release muscle tension, reduce inflammation, and promote healing Joint mobilization to improve joint movement and reduce pain Myofascial release to address fascial restrictions and improve range of motion Muscle energy techniques to correct joint alignment and muscle imbalances High-velocity, low-amplitude thrusts for spinal manipulation and pain relief Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Neuromuscular and Movement Retraining is a treatment approach utilized by physiatrists to help patients improve motor function, coordination, and balance. This method focuses on retraining the nervous system and muscles to work together effectively using targeted exercises and therapies. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The treatment plan may include: Progressive resistance exercises to build strength and endurance Balance and coordination training for improved stability Gait analysis and training for proper walking technique Flexibility exercises to increase range of motion Functional electrical stimulation to activate weakened muscles The duration and intensity of the treatment plan will depend on the individual's specific needs and the severity of their condition. Regular monitoring and adjustments to the program ensure optimal progress and recovery.

Therapeutic exercise is a specialized form of physical activity designed to help individuals recover from various orthopedic conditions or injuries. These exercises aim to improve both disability and performance within a patient population, addressing specific needs and goals. Therapeutic exercises benefit patients suffering from a range of orthopedic issues by improving motor function, strength, flexibility, balance, and reducing pain. By targeting specific muscles and joints, these exercises promote healing, prevent further injury, and enhance overall wellness. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Resistance training Aerobic training Flexibility training Balance training Pain reduction exercises Therapeutic exercise is a crucial component of rehabilitation for individuals with orthopedic conditions or injuries. By incorporating a variety of techniques tailored to each patient's needs, therapeutic exercise interventions can significantly improve motor function, strength, flexibility, and overall wellness. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Impingement syndrome is a condition where patients have regular pain related to inflammation around the rotator cuff tendon and bursa, which may be caused by poor shoulder mechanics or abnormal anatomy, which puts them at risk for this condition. It is often treated with oral anti-inflammatories (Motrin, Aleve), steroid injections, physical therapy and/or arthroscopic surgery. Many times mechanics can be restored through a combination of inflammatory-relieving medications/injections and physical therapy. Shoulder surgery is reserved for those patients who do not respond to these conservative treatments. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder tendonitis is a common condition that can affect anyone who engages in activities that require repetitive shoulder movements, such as throwing sports, swimming, weightlifting, or manual labor. The inflamed rotator cuff tendons cause pain, stiffness, and decreased range of motion. Our specialists perform a thorough medical history review and physical examination to diagnose shoulder tendonitis accurately. Medical imaging studies such as X-rays and MRIs may be ordered to rule out the possibility of a tendon tear. Non-surgical treatment options are the first line of defense for shoulder tendonitis, including nonsteroidal anti-inflammatory medications, rest and ice, physical therapy, and injections. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder pain at rest Shoulder pain triggered by movement Stiffness Decreased range of motion Activities and movements that cause shoulder tendonitis include throwing sports, swimming, weightlifting, and overhead lifting (manual labor). The cause of shoulder tendonitis is very important for treatment. Our specialists perform a medical history review to determine the exact cause of shoulder tendonitis. A physical examination is performed to check for symptoms and if needed medical imaging studies (X-rays and MRIs) are ordered to rule out the possibility of a tendon tear. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Treatment options for tendonitis of the hip vary depending on the severity of the condition. In most cases, conservative treatment methods are effective in alleviating discomfort and improving range of motion. These options include: Rest Injections Anti-inflammatory medication Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Thigh muscle injuries in athletes include strains, tears, and bruises; treated with non-surgical methods or surgery for ruptures, prioritizing recovery and patient satisfaction. Particularly common in athletes, thigh muscle injuries can include hamstring, quadriceps, adductor, and tendon strains, tears, and bruises. These tissues cross the hip and knee joints, so they generate significant force during activities that require running and jumping. In most cases, these concerns can be addressed with non-surgical treatment; however, complete tears (ruptures) may require surgery to reconnect the tendon or muscle ends. We utilize the latest techniques to shorten the recovery period and maximize results. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Thigh muscle injuries are prevalent in athletes and encompass various issues, such as strains, tears, and bruises involving the hamstring, quadriceps, adductor, and tendons. Key points to consider include: Thigh muscles cross hip and knee joints, generating significant force during activities like running and jumping. Non-surgical treatments are typically used for most cases, addressing muscle strains and minor tears effectively. Complete tears (ruptures) might necessitate surgery to reattach the tendon or muscle ends. The latest techniques are employed to minimize recovery time and optimize outcomes, ensuring patient satisfaction and clear communication. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Neck pain can be caused by a variety of conditions that affect the bones, muscles, ligaments, nerves, or joints of the neck. Injuries and degenerative diseases like osteoarthritis and rheumatoid arthritis are common causes. Seek medical care for severe pain and persistent Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Neck pain can develop as a result of a wide range of conditions that affect the bones, muscles, ligaments, nerves, or joints of the neck. Discomfort typically stems from the soft tissues, either due to an anatomical abnormality, injury, or long-term wear and tear. Though uncommon, tumors or infection can occur, reducing mobility and causing pain. Neck concerns can also lead to issues in other areas of the body, including the shoulders, back, and arms. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

There are a number of degenerative diseases of the neck that can cause you pain or discomfort. Some of the most common include osteoarthritis and rheumatoid arthritis. Over time, regular wear and tear of the joints can lead to osteoarthritis, which typically develops in mature and elderly adults. Rheumatoid arthritis (RA) is an autoimmune disease that causes the lining of your joints to swell, gradually leading to bone destruction and joint deformity. With both of these conditions you may experience stiffness, pain, and reduced function. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Another cause of neck pain can be cervical disc degeneration. In between each vertebra is a squishy, shock-absorbing disc that protects the bones. Inside the disc is a jelly-like substance called the nucleus. If this soft center begins to degenerate, there is less space between the two corresponding vertebrae, which may then begin to rub painfully. Furthermore, if the disc ruptures, the contents could protrude and place pressure on the spinal cord or spinal nerves, causing discomfort and reduced mobility. A ruptured disc in the neck is known as a herniated cervical disc. Cervical disc degeneration commonly occurs in women over the age of 40, but it can happen to anyone. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

If you experience an injury that results in severe neck pain, such as a car or diving accident or fall, you should seek out a Board Certified Spine Specialist promptly. After a serious trauma, it’s imperative to immobilize the neck to reduce the potential risk of paralysis or additional damage. If you feel pain radiating down your arms or legs, request immediate medical attention. Even if pain is minimal or nonexistent, numbness, weakness, or another sensation that radiates through the arms and/or legs following an injury should be examined. Persistent and continuous Severe Radiating pain through the arms or the legs Weakness, tingling, numbness, or headaches Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

When you arrive for you initial consultation, one of our experienced Spine Specialists will evaluate your areas of concern, discuss your symptoms, and develop a customized and comprehensive treatment plan tailored to your unique needs. This evaluation is a necessary part of diagnosing your condition and providing the best possible care. During this meeting, your Spine Specialists will take a complete medical history and we encourage you to feel comfortable and be honest about any medications you’re taking and surgeries or treatments you’ve completed. We will also ask you about any past neck injuries, illnesses, pain, or other complaints. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Your doctor will then perform a physical examination of your neck, arms, and legs. He or she may explore your neck motion, check for tenderness, and review the function of your nerves, muscles, and ligaments in your neck and extremities. Your physician may then request some tests to help diagnose your condition. We will order the minimum number of tests necessary to properly evaluate your concern. X-rays are commonly requested to view how your cervical bones look and function. In most cases the physical evaluation, consultation, and X-rays will be sufficient to develop an optimal treatment plan. In some instances, however, we may require additional tests to enhance the diagnosis. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

MRI (Magnetic Resonance Imaging): Examines the soft tissues of the neck, including the spinal cord and nerve roots. CT (Computerized Tomography): An alternative form of X-ray that shows a more precise view of the bones and spinal canal Myelogram: Another type of X-ray that includes the injection of a dye or “contrast material” into the spinal canal to enhance visibility of the spinal canal and the nerve roots. EMG (Electromyogram): An evaluation of nerve and muscle function. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Most incidences of neck pain can be successfully treated with one or more non-surgical techniques, including rest, prescription medication, physical therapy, exercise, and behavior modifications. Your treatment plan will depend on your diagnosis, and our Spine Specialists will review their findings and recommendations with you during your consultation. Discomfort caused by stretching neck muscles and ligaments beyond the normal range can lead to inflammation, which can be treated with rest and by wearing a neck collar for a pre-determined period of time. Medication to reduce inflammation may also be prescribed. If you’re experiencing pain severe enough to require prescription medication, it’s important to use it as advised and to discontinue use as directed. You should also carefully follow any instructions provided by your specialist. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Rehabilitation programs can also be highly effective for persistent or chronic neck pain. This treatment plan may include specific exercises and physical therapy movements that are designed to reduce pain and prevent recurrences. Surgical intervention is necessary for neck pain only when other treatments have not provided adequate pain relief or if the condition is severe enough to warrant an operation. Some instances where this may occur include: when a herniated disc pinches a nerve or the spinal cord; if a bony abnormality narrows the spinal canal opening; or if you suffered a serious injury that could cause lead to partial paralysis. In cases of trauma, surgery can help to stabilize the neck to prevent additional damage Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Heel pain, resulting from various causes, can impact the posterior (near the Achilles tendon) or plantar aspect (bottom) of the heel. Often, it stems from improper biomechanics such as walking or running gait abnormalities that apply excessive stress on the heel, causing chronic irritation and inflammation. Impacts posterior or plantar aspect of the heel Often caused by faulty biomechanics, such as walking or running gait abnormalities Excessive stress leads to chronic irritation and inflammation Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Manual Therapy is a treatment approach employed by physical therapists to alleviate pain, enhance mobility, and restore function in patients suffering from musculoskeletal conditions. This hands-on method involves various techniques to manipulate soft tissues and joints. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Neuromuscular and Movement Retraining is a treatment approach utilized by physiatrists to help patients improve motor function, coordination, and balance. This method focuses on retraining the nervous system and muscles to work together effectively using targeted exercises and therapies. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The treatment plan may include: Progressive resistance exercises to build strength and endurance Balance and coordination training for improved stability Gait analysis and training for proper walking technique Flexibility exercises to increase range of motion Functional electrical stimulation to activate weakened muscles Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Therapeutic exercise is a specialized form of physical activity designed to help individuals recover from various orthopedic conditions or injuries. These exercises aim to improve both disability and performance within a patient population, addressing specific needs and goals. Therapeutic exercises benefit patients suffering from a range of orthopedic issues by improving motor function, strength, flexibility, balance, and reducing pain. By targeting specific muscles and joints, these exercises promote healing, prevent further injury, and enhance overall wellness. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Techniques used in therapeutic exercise sessions include: Resistance training Aerobic training Flexibility training Balance training Pain reduction exercises Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Impingement syndrome is a condition where patients have regular pain related to inflammation around the rotator cuff tendon and bursa, which may be caused by poor shoulder mechanics or abnormal anatomy, which puts them at risk for this condition. It is often treated with oral anti-inflammatories (Motrin, Aleve), steroid injections, physical therapy and/or arthroscopic surgery. Many times mechanics can be restored through a combination of inflammatory-relieving medications/injections and physical therapy. Shoulder surgery is reserved for those patients who do not respond to these conservative treatments. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder tendonitis is a common condition that can affect anyone who engages in activities that require repetitive shoulder movements, such as throwing sports, swimming, weightlifting, or manual labor. The inflamed rotator cuff tendons cause pain, stiffness, and decreased range of motion. Our specialists perform a thorough medical history review and physical examination to diagnose shoulder tendonitis accurately. Medical imaging studies such as X-rays and MRIs may be ordered to rule out the possibility of a tendon tear. Non-surgical treatment options are the first line of defense for shoulder tendonitis, including nonsteroidal anti-inflammatory medications, rest and ice, physical therapy, and injections. These treatments are prescribed as part of a customized treatment plan, and our specialists monitor progress closely to ensure the best possible outcome. With proper treatment, symptoms can be reduced quickly, and the chances of shoulder tendonitis returning are greatly reduced. Don't let shoulder pain limit your life – schedule an appointment with our practice today by calling us or visiting our contact page Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder tendonitis is the inflammation of the rotator cuff tendons. The tendons stabilize the shoulder and help it move. They become irritated and inflamed when overused. Symptoms of shoulder tendonitis include: Shoulder pain at rest Shoulder pain triggered by movement Stiffness Decreased range of motion Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options treat the overwhelming majority of cases of shoulder tendonitis. OIBO specialists prescribe the following: Nonsteroidal anti-inflammatory medications Rest and ice Physical therapy Injections Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The shoulder is a complex joint that is crucial for daily activities and enjoyable pastimes. Shoulder fractures, breaks, and sprains can significantly impact a patient's quality of life, causing pain, swelling, bruising, stiffness, and decreased range of motion. Our fellowship trained and board-certified specialists use a step-by-step approach to accurately diagnose shoulder injuries, including obtaining a complete medical history, performing a physical examination, and ordering medical imaging studies. Non-surgical treatment options such as rest, ice, medications, and physical therapy may be prescribed for less severe cases. However, surgical intervention may be necessary in more severe cases. An open reduction internal fixation (ORIF) procedure may be performed to fixate and reduce a broken or fractured bone using a metal plate or rod and screws. Bone healing typically takes several weeks, and patients can return to their normal, pain-free lives. Don't let shoulder pain limit your daily activities – schedule an appointment with our specialists today by calling our practice or visiting our contact page. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The shoulder is one of the most important joints. Shoulder fractures, breaks, and sprains can limit a patient’s ability to perform movements required for day-to-day living and fun activities. Common causes of shoulder fractures, breaks, and sprains are: Traumatic accidents Sports injuries Falls Osteoarthritis Osteoporosis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options may be used to treat shoulder fractures, breaks, and sprains that do not involve serious bone displacement or tendon tearing. A combination of the following is prescribed: Rest, ice, and medications Immobilization Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Particularly common in athletes, thigh muscle injuries can include hamstring, quadriceps, adductor, and tendon strains, tears, and bruises. These tissues cross the hip and knee joints, so they generate significant force during activities that require running and jumping. In most cases, these concerns can be addressed with non-surgical treatment; however, complete tears (ruptures) may require surgery to reconnect the tendon or muscle ends. We utilize the latest techniques to shorten the recovery period and maximize results. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The shoulder is a complex joint that allows for a wide range of motion, making it more susceptible to injury. A shoulder dislocation occurs when the head of the humerus is forced out of the glenoid cavity of the scapula. This can happen due to a tear in the rotator cuff tendons or the soft tissue glenoid labrum. Symptoms of a shoulder dislocation include pain, swelling, bruising, and inability to move the arm and shoulder, and there may be a visible anatomical deformity. If left untreated, there is an increased risk of re-dislocation and chronic pain. Treatment options include anti-inflammatory medications, activity modification, rest and ice, physical therapy, injections, and, if necessary, minimally invasive rotator cuff or labrum repair surgery. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder dislocation may require immediate medical attention. If the shoulder does not relocate to its normal position on its own, a closed reduction is performed. Once the shoulder is relocated and the cause for the dislocation is determined, a treatment plan is prescribed. Nonsurgical treatment options include the following: Nonsteroidal anti-inflammatory medications Activity modification Rest and ice Physical therapy Injections Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Symptoms of tears include: Pain Weakness Stiffness Swelling Bruising Decreased range of motion/inability to move the arm Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options may be used to treat some rotator cuff tears. A specialist’s nonsurgical treatment plan includes: Nonsteroidal anti-inflammatory Rest, ice, and immobilization Physical therapy Activity modification Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder fracture fixation is a surgical procedure that repairs a fractured or broken shoulder bone by realigning it and holding it in place using a plate and screws. It is typically done as an open reduction internal fixation (ORIF) procedure, where a shoulder incision is made and the instruments are used to align the bone. The incision is then closed, and the patient is placed in a comfortable sling. Shoulder fracture fixation is usually performed on an outpatient basis but may require a hospital stay in some cases. Common causes of shoulder fractures include falls, motor vehicle accidents, and sports injuries. Symptoms of a shoulder fracture may include swelling, bruising, pain, weakness, and inability to move the arm. Diagnosis is made through physical examination and x-rays. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder capsular reconstruction is a minimally invasive arthroscopic procedure. Two or three very tiny incisions are made on the shoulder. An arthroscopic camera is placed in the shoulder so the joint structures can be viewed on a nearby television monitor. The following steps complete the procedure: Small holes are made in the shoulder bone Suture anchors are placed in the holes Special surgical knots are made to ensure the sutures remain in place and the capsule stays tight The incisions are carefully closed Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder capsular reconstruction is a treatment option for massive rotator cuff tears. Symptoms surgical candidates typically have included: Pain Weakness Decreased range of motion Instability Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder fracture fixation is a surgical procedure that repairs a fractured or broken shoulder bone by realigning it and holding it in place using a plate and screws. It is typically done as an open reduction internal fixation (ORIF) procedure, where a shoulder incision is made and the instruments are used to align the bone. The incision is then closed, and the patient is placed in a comfortable sling. Shoulder fracture fixation is usually performed on an outpatient basis but may require a hospital stay in some cases. Common causes of shoulder fractures include falls, motor vehicle accidents, and sports injuries. Symptoms of a shoulder fracture may include swelling, bruising, pain, weakness, and inability to move the arm. Diagnosis is made through physical examination and x-rays. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder fracture fixation is a surgical procedure that realigns a fractured or broken shoulder bone so it can heal properly. Shoulder fracture fixation is an open reduction internal fixation (ORIF) procedure that is performed as follows: Incision Reduction and fixation Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The head of the humerus (arm bone) and clavicle (collarbone) are the most commonly fractured shoulder bones. The scapula (shoulder blade) rarely fractures because large muscles protect it. An accident or injury may cause a fracture. The most common of which include: Falls Motor vehicle accidents Sport injuries Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder fracture symptoms may include: Bruising Decreased range of motion/Inability to move the arm Pain Swelling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder Resurfacing Procedure is a surgical treatment option for patients suffering from arthritis or traumatic injury who are not yet ready for a total shoulder replacement. During the procedure damaged bone from the humeral head is removed, and a metal component is perfectly fit to the patient's bone and cemented in place. The patient's arm is placed in a sling after the procedure and goes through physical therapy to regain shoulder strength and function. Recovery time is dependent on the patient's healing process and response to physical therapy. This procedure is an effective treatment option for osteoarthritis, rheumatoid arthritis, avascular necrosis, and post-traumatic arthritis. Our Board Certified and Fellowship Trained Orthopedic Surgeons are experts in diagnosing and treating shoulder resurfacing procedures. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder resurfacing procedure is ideal for patients who are in pain and/or have a limited range of motion but are not ready for a total shoulder replacement. Common conditions that cause these symptoms include: Osteoarthritis Rheumatoid arthritis Avascular necrosis Post-traumatic arthritis Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Reverse Shoulder Replacement is a surgical treatment option for severe shoulder osteoarthritis that causes pain and decreased range of motion. During the 1-2 hour procedure, the surgeon makes an incision on the front of the shoulder, removes osteoarthritic bone, and perfectly positions metal and plastic implants in reverse positions. After the procedure, patients are placed in a comfortable shoulder sling and monitored in the recovery room until they are awake and alert. Our Orthopaedic Institute Brielle Orthopaedics Shoulder Specialist will create a physical therapy plan to help restore function and motion to the shoulder. This procedure is only recommended when nonsurgical treatment options do not improve the patient's pain. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A shoulder labrum repair is a minimally invasive arthroscopic procedure that repairs a torn shoulder labrum and stabilizes the shoulder. The outpatient procedure is performed arthroscopically under general anesthesia. During this short procedure, the following procedure steps are carried out: Incisions Labrum repair Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The glenoid labrum is a rim of soft tissue that surrounds the shoulder socket—holding the head of the humerus in place and stabilizing the shoulder. An accident or injury may cause a partial or sometimes complete labrum tear and subsequent shoulder subluxations or dislocations. Because the labrum is torn and cannot repair itself, surgery may be a recommended treatment option, especially if subluxations or dislocation are frequent. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Reverse Shoulder Replacement is a surgical treatment option for severe shoulder osteoarthritis that causes pain and decreased range of motion. During the 1-2 hour procedure, the surgeon makes an incision on the front of the shoulder, removes osteoarthritic bone, and perfectly positions metal and plastic implants in reverse positions. After the procedure, patients are placed in a comfortable shoulder sling and monitored in the recovery room until they are awake and alert.Specialist will create a physical therapy plan to help restore function and motion to the shoulder. This procedure is only recommended when nonsurgical treatment options do not improve the patient's pain. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

The procedure is similar to a total shoulder replacement; however, the components are placed in reversed positions. In other words, the head of the humerus rests in the shoulder socket and the glenoid cavity of the scapula rests on top of the arm bone. During the 1-2 hour procedure, the following steps occur: Incision Bone removal Implants Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Reverse total shoulder replacement is a surgical treatment option for severe shoulder osteoarthritis that causes pain when the patient moves their arm. The procedure is only recommended when nonsurgical treatment options do not improve the patient’s pain. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Total Shoulder Replacement is a highly effective surgical procedure used to relieve the symptoms of osteoarthritis in the shoulder joint. Our Board Certified and Fellowship Trained Shoulder Specialists use modern surgical techniques to make small incisions and perfectly position metal and plastic implants that mimic the normal function of a healthy shoulder. Patients can look forward to symptom relief, a quick recovery, and a return to normal activities. If you are experiencing decreased range of motion, inability to move the arm, pain, swelling, or weakness in your shoulder, please contact us today to schedule an appointment with one of our specialists. Early diagnosis is key to effective treatment. After surgery, our specialists will create a physical therapy plan to help restore function and motion to the shoulder. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Procedure steps include: Incision Bone removal Implants Closure Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Osteoarthritis is a chronic condition that degrades the bones, cartilage and soft tissue of a joint. Shoulder osteoarthritis is especially problematic because the shoulder is the body’s most mobile joint. Severe shoulder osteoarthritis causes bone on bone rubbing, which can damage soft tissue, cartilage and other ligaments and cause the following symptoms: Decreased range of motion Inability to move the arm Pain Swelling Weakness Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A rotator cuff repair is an arthroscopic surgical procedure designed to repair a partially or completely torn rotator cuff. Previously performed as an open incision procedure, modern techniques and equipment now enable the majority of rotator cuff repairs to be conducted arthroscopically or with a mini-open approach. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A rotator cuff repair is performed on an outpatient basis under general anaesthesia. Procedure steps are: Two to three tiny incisions are made and an arthroscopic camera and shaver device are passed through them Pieces of a damaged tendon, cartilage, and bone are smoothed Suture anchors attach the torn tendon to the bone and repair tore tendon ends Incisions are carefully closed and covered with dressings and the patient is placed in a comfortable sling Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Shoulder arthroscopy is a minimally invasive procedure commonly performed to treat various shoulder injuries. Modern techniques and equipment enable shoulder specialists to conduct surgeries with less invasive arthroscopic procedures instead of traditional open procedures. These procedures are typically done on an outpatient basis, allowing patients to return home once they're awake, alert, and pain is managed. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Generally, an arthroscopic shoulder procedure proceeds as follow: Small incisions are made in the area of the injury A small pencil shaped camera (an arthroscope) is passed into the incision The surgeon views the shoulder from a nearby television monitor Damaged tendons, ligaments or bones can be repaired as the surgeon views the shoulder on the monitor Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Arthroscopic shoulder surgery treats the following injuries when they are severe in nature and cannot be improved with nonsurgical treatment options. Some of the most common arthroscopic shoulder procedures are used to treat include: Bone spurs Osteoarthritis Labrum tear Rotator cuff tear Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Tendonitis of the hip, often referred to as "snapping hip syndrome," is a condition characterized by a snapping or clicking sound in the hip during specific movements. It may also cause pain when bending over or lifting the knees towards the chest. This issue arises due to irritation or inflammation of the hip-flexor tendon, which crosses over the hip socket. Causes of tendonitis include repetitive movement and overuse or improper stride or walking habits. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Key aspects to consider about tendonitis of the hip are: Recognizable by snapping or clicking sound during certain movements Pain experienced when bending over or lifting knees towards the chest Caused by irritation or inflammation of the hip-flexor tendon Result of repetitive movement, overuse, or improper walking habits Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Treatment options for tendonitis of the hip vary depending on the severity of the condition. In most cases, conservative treatment methods are effective in alleviating discomfort and improving range of motion. These options include: Rest Injections Anti-inflammatory medication Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

An injury, obesity, and genetics may also be causes and contributing factors. The following are common symptoms: Groin pain Thigh pain Stiffness A grinding noise (crepitus) while walking Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

A combination of nonsurgical treatment options is used to treat mild to moderate cases of hip osteoarthritis. Because hip osteoarthritis is a chronic condition, meaning it cannot be cured, treatment is focused on relieving symptoms and preventing the condition from becoming worse. The following are commonly included in a customized treatment plan: Activity modification Nonsteroidal anti-inflammatory drugs (NSAIDs) Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip injuries are common. Hip fractures, breaks, and sprains are injuries that require immediate medical attention. Delaying a diagnosis can make an injury worse. Common causes of a hip fracture, break, and sprain are: Motor vehicle accidents (MVAs) Sports accidents Falls Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options treat sprains and minor fractures and breaks. Treatment options include: Activity modification Immobilization Medications Physical therapy Rest, ice, and elevation Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthritis, a prevalent cause of hip pain, involves inflammation of the protective cartilage in the hip joint. Common types include osteoarthritis (OA) and rheumatoid arthritis (RA). Symptoms such as groin pain, thigh pain, stiffness, weakness, decreased range of motion, and crepitus are similar for both types. Diagnosis by hip specialists involves medical history, hip examination, x-rays, and possibly an MRI, followed by devising a customized treatment plan. While hip arthritis cannot be cured, early diagnosis enables effective treatment. Options include activity modification, anti-rheumatic drugs, assistive devices, NSAIDs, and physical therapy. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Particularly common in athletes, thigh muscle injuries can include hamstring, quadriceps, adductor, and tendon strains, tears, and bruises. These tissues cross the hip and knee joints, so they generate significant force during activities that require running and jumping. In most cases, these concerns can be addressed with non-surgical treatment; however, complete tears (ruptures) may require surgery to reconnect the tendon or muscle ends. We utilize the latest techniques to shorten the recovery period and maximize results. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Thigh muscle injuries are prevalent in athletes and encompass various issues, such as strains, tears, and bruises involving the hamstring, quadriceps, adductor, and tendons. Key points to consider include: Thigh muscles cross hip and knee joints, generating significant force during activities like running and jumping. Non-surgical treatments are typically used for most cases, addressing muscle strains and minor tears effectively. Complete tears (ruptures) might necessitate surgery to reattach the tendon or muscle ends. The latest techniques are employed to minimize recovery time and optimize outcomes, ensuring patient satisfaction and clear communication. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthritis, a prevalent cause of hip pain, involves inflammation of the protective cartilage in the hip joint. Common types include osteoarthritis (OA) and rheumatoid arthritis (RA). Symptoms such as groin pain, thigh pain, stiffness, weakness, decreased range of motion, and crepitus are similar for both types. Diagnosis by hip specialists involves medical history, hip examination, x-rays, and possibly an MRI, followed by devising a customized treatment plan. While hip arthritis cannot be cured, early diagnosis enables effective treatment. Options include activity modification, anti-rheumatic drugs, assistive devices, NSAIDs, and physical therapy. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthritis is one of the most common causes of hip pain. Hip arthritis is inflammation of the protective cartilage of the hip joint.OA can be caused by ageing, obesity, genetics, and injuries. They include: Groin pain Thigh pain Stiffness Weakness Decreased range of motion A grinding sound (crepitus) when walking Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Hip arthritis cannot be cured. An early diagnosis is a key to effective treatment. A combination of treatment options decreases symptoms and prevents arthritis from becoming worse. Treatment options include: Activity modification Anti-rheumatic drugs Assistive devices (a cane or walker) Nonsteroidal anti-inflammatory drugs (NSAIDs) Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ulnar ligament injuries, common in overhead throwing athletes, range from mild inflammation to complete tears. Our fellowship-trained, board-certified specialists accurately diagnose and create customized treatment plans, including rest, NSAIDs, immobilization, and physical therapy. For severe cases, our experts perform Tommy John surgery, ensuring a comprehensive recovery process. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Nonsurgical treatment options treat mild to moderate injuries. A combination of treatment options is prescribed. Any of the following may be included in an OIBO specialist’s customized treatment plan: Rest and ice Nonsteroidal anti-inflammatory drugs (NSAIDs) Immobilization Physical therapy Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Tendonitis includes conditions like trigger finger, Dequervain's disease, and tennis elbow. Our friendly, professional team offers various surgical and non-surgical treatments to effectively manage discomfort and restore mobility. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Also known as baseball finger, mallet finger is a condition in which a fingertip cannot straighten due to an injury to the extensor tendon. Most incidences of mallet finger can be effectively resolved without the need for surgery. Various splints are available that hold the fingertip straight until the tendon naturally repairs itself, typically at least 8 weeks, after which the splint is worn periodically for several weeks to maintain the outcome. However, if a fracture was sustained or the joint is misaligned, surgery may be necessary to fix mallet finger. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Discover peace of mind with our expert care for hand tumors at Brielle Orthopaedics. Our state-of-the-art diagnostics ensure accurate identification of various hand growths like Ganglion Cysts, lipomas, and more. Our experienced hand surgeons evaluate each case and recommend personalized treatment plans, often avoiding surgery for benign tumors. Entrust your hand health to our friendly and professional team, dedicated to your satisfaction and well-being. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ganglion Cysts are a type of hand tumor that generally develops on the back of the wrist. These common growths can also be found on the side of the wrist or at the base of a finger or fingernail (mucous cyst).There are several other tumors that can develop along the hand or fingers, including lipomas (fat), schwannomas and neurofibrommas (nerve), and hemangiomas (blood vessel) tumors. In many cases they cause no discomfort; however, they may become larger and aesthetically unappealing with time.Giant cell tumors of the tendon sheath should be carefully observed. These benign masses may begin in the hands and then expand to nearby tendons, bone, and other tissue. Aggressive and fast growing, they are one of the few benign tumors that can spread to the lungs. Giant cell tumors should be excised to reduce the risk of them becoming larger Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Ganglion Cysts are a type of hand tumor that generally develops on the back of the wrist. These common growths can also be found on the side of the wrist or at the base of a finger or fingernail (mucous cyst). Location: Commonly found on the side of the wrist, base of a finger, or near a fingernail (mucous cyst) Appearance: Round or oval-shaped, filled with a jelly-like fluid Size: Can vary from small pea-sized to larger than an inch in diameter Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Often painless; may cause discomfort if pressing on a nerve Reduced range of motion in the affected joint Visible lump beneath the skin Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Age: More common in individuals between 20 and 40 years old Gender: Women are more likely to develop ganglion cysts Osteoarthritis: Increased risk for those with wear-and-tear arthritis in the finger joints Previous injury: A history of joint or tendon injuries may increase the likelihood of developing a cyst Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Regain hand and wrist functionality with our expert care for fractures, breaks, and sprains. Our board-certified specialists diagnose and create customized treatment plans, including immobilization with custom-made casts and hand therapy. For more severe cases, we offer surgical options like CRPP and ORIF to realign and fixate bones. Trust our comprehensive approach to help you recover strength and mobility in your hand and wrist. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Immobilization is the most common nonsurgical treatment option. OIBO specialists create comfortable custom-made casts, splints, and braces. They help bones perfectly align and heal. Anti-inflammatory medications are prescribed to decrease inflammation and pain. Hand therapy is prescribed after the fracture, break, or sprain heals. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Surgery is recommended for some fractures and breaks—specifically those that cause joint misalignments and deformities. During a closed reduction percutaneous pinning (CRPP), an specialist manipulates the hand or wrist to realign the bones. A small pin is used to fixate the bones. No incision is made. During an open reduction internal fixation (ORIF), an specialist realigns the bones through an incision. A metal plate and screws are used to fixate the bones. The hand or wrist is immobilized in a splint after both procedures. Bone healing takes place over many weeks. A strong solid bone forms after recovery. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Regain hand function with our expert care for Dupuytren's Contracture. This condition causes thickened palmar fascia, leading to finger stiffness and difficulty in hand usage. Our board-certified specialists diagnose and provide customized treatment plans. Corticosteroid injections offer relief, while surgery, such as fasciotomy or fasciectomy, can address severe cases. Rediscover your grip strength and dexterity with our comprehensive approach to Dupuytren's Contracture. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Dupuytren’s contracture progresses slowly. Dupuytren’s contracture first presents as minor hand tightness and stiffness. Later, small visible nodules form. Nodules may make it difficult to straighten the fingers and properly use the hand. Dupuytren’s contracture is usually seen in the index and ring fingers. The cause of Dupuytren’s contracture is unknown. Risk factors include: Gender. Males. Ancestry. Northern European descent. Medical conditions. Diabetes, seizure disorders. Hereditary. Genetically inherited. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Corticosteroid injections decrease inflammation and pain. Injections also slow down or stop nodule progression. The number of injections required for symptom relief varies from patient to patient. Injections are usually given at three-month intervals. Surgery may be recommended to treat severe Dupuytren’s contracture. A fasciotomy removes portions of thickened tendons. A fasciectomy removes large pieces of the palmar fascia. A fasciectomy requires a larger incision and longer recovery. A splint is used after surgery. Hand therapy is usually started 2-4 weeks after surgery. Both procedures reduce symptoms, straighten the fingers, and improve hand function. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Experience relief from Cubital Tunnel Syndrome with our board-certified specialists. This condition, caused by chronic elbow pressure, results in tingling, numbness, and hand weakness. We diagnose using medical history, physical examination, and nerve conduction study. Most cases benefit from non-surgical treatments like rest, bracing, and therapy. If necessary, a surgical cubital tunnel release can provide rapid symptom improvement. Trust our expertise to restore your comfort and function. Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)

Cubital tunnel syndrome is caused by chronic elbow pressure. Constantly leaning on the elbow and constantly bending the elbow are common causes. Cubital tunnel symptoms may include: Tingling and/or numbness in the 4th and 5th fingers Hand weakness Elbow and/or forearm pain Dr Abdul D Khan MBBS(AMC, Vizag) MRCS(Edin, UK) MRCS(Glasg, UK) FRCS(Tr & Orth, UK) CCT(Tr & Orth, UK)