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SHALOM Orthopaedic Hospital, the best orthopaedic hospital in Kanyakumari Dist provides comprehensive and world-class orthopaedic services. This department offers specialized care in the field of complex trauma, poly-trauma and related sub-specialities. The Orthopaedic department at our hospitals delivers personalised care utilising the latest research and evidence-based medicine. The department provides management related to disorders of bone, joint and a variety of musculoskeletal disorders.

Orthopedic doctors (sometimes also called orthopaedic doctors or orthopaedic surgeons) at Shalom Orthopaedic Hospital focus on caring for your bones, joints, ligaments, nerves, and tendons. These parts of your body work together as musculoskeletal system. Orthopedic doctors assist patients in:

• Diagnosing and treating injuries caused by sports or physical activity;
• Management of conditions that usually get worse over age & time, such as osteoarthritis or osteoporosis
• help you avoid pain and discomfort when using a muscle or joint.

Some of the procedures that we take care are joint, Total knee replacement in India, hip and shoulder replacement, arthritis and custom implant surgeries. We treat sports-related injuries, which can be extremely painful and traumatic. Our sports medicine team works with surgeons to put sportspersons on a quick path to recovery. Arthroscopy, knee, shoulder and ankle arthroscopy, recurrent shoulder dislocation, rotator cuff repair, subacromial decompression, Msaicrominal and articular cartilage implantation are some of the other procedures done routinely.

We are equipped to diagnose and treat hand & upper limb surgery, which includes management of hand fractures, soft tissues of hand, malunited fractures, infections of hand and upper limb crush, hand injuries, tendon, nerve repair, reconstruction, tumors of hand and upper limb, congenital deformity, rheumatoid hand, soft tissue affections, elbow, radial head and joint replacement.

In Shalom Orthopaedic Hospital, orthopaedic department has a team of trained surgeons from India and abroad. In addition, efficient occupational therapists, physiotherapists and pain management experts work towards the quick rehabilitation of the patient leading to a better quality of life.

Orthopaedic treatment

Orthopaedic surgeons deal with the problems of the musculoskeletal system, which may involve the following:

- Diagnosis of the injury or disorder

- Prescribing treatments with medication, exercise, surgery, casting, etc.

- Rehab Centres or physical therapy to restore adequate movement, strength and function

- Preventing further injury and slowing the progression of diseases

Apart from the diseases and conditions of the musculoskeletal system, orthopaedics can also specialise in certain other areas like the spine, shoulder, hand, foot, ankle, hip or knee. Specific fields that they may choose to focus on include paediatrics, trauma or sports medicine.

Diagnosis

The first thing that an orthopaedic surgeon will do before performing a physical examination is to ask about the history of illness or injury. They will then move forward to diagnostic studies, such as x-rays and blood tests. After the diagnosis and informing the patient about the problem, they will come up with a treatment plan to help them live an active and functional life. The treatment can either be nonsurgical or surgical.

Nonsurgical treatment:

Certain musculoskeletal conditions can be treated without surgery. Orthopaedic surgeons can prescribe a treatment that involves medication, exercise, rehabilitation or alternative therapies. In cases when patients don’t respond to nonsurgical treatments, they recommend going for surgery.

Surgical treatment:

There are several types of surgeries that an orthopaedic surgeon can perform. Some of the common procedures include:

- Arthroscopy: This procedure uses special cameras and equipment to visualise, detect and treat conditions inside a joint.

- Joint replacement: Joint replacement can be a partial, total or revision surgical treatment. In this surgery, an arthritic or damaged joint is removed and replaced with an artificial joint called a prosthesis.

- Fusion: It involves fusing bones with bone grafts and internal devices like metal rods to heal into a single solid bone.

- Osteotomy: Cutting and repositioning the bone to correct bone deformity

- Internal fixation: This method involves using metal plates, pins or screws to hold the broken pieces of bone in a proper position.

When should you see an orthopedic doctor?

Muscle and joint pain are often short-term and go away on their own if you had them during an injury. But if your pain lasts more than 3-5 days, you may need to consult the best orthopaedic hospital in Kanyakumari Dist, if:

• you are finding it difficult to move as you used to do before injury
• you are unstable when you walk or stand, or
• you have a hard time doing daily activities, like walking

Orthopaedic surgery is a specialty dealing with acute injuries, congenital and acquired disorders and chronic arthritic or overuse conditions of the bones, joints and their associated soft tissues, including ligaments, nerves and muscles.

Most consultants work alongside general surgeons in emergency trauma dealing with bony and soft tissue injuries admitted through their local A & E Departments. The vast majority also have a specialist interest in a particular orthopaedic condition including the following:

• Joint reconstruction
• Particular anatomical region (eg arm)
• Spine (alongside neurosurgeons)
• Bone tumour surgery
• Rheumatoid surgery
• Sport surgery
• Complex trauma surgery

Paediatric orthopaedics require different fracture treatment due to growing bones and corrective treatment for childhood deformities.

Main operations

Among the main procedures undertaken by orthopaedic surgeons are:

• Joint arthoscopy – a minimally invasive technique which involves inserting probes into the joint to diagnose and repair damaged joint tissue (eg to torn ligaments or floating cartilage).
• Fracture repair – a whole series of techniques are used depending on type, severity and location of fracture to ensure that bones are stable, heal correctly and patient retains function. This can include permanent pins and plates, immobilization, use of external pinning and frames.
• Arthroplasty – the replacement of whole joints, usually due to osteo- and rheumatoid arthritis. Hip and knee replacements are the most common operations.
• General repair procedures on damaged muscle or tendon.
• Corrective surgery – procedures aimed at correcting problems of anatomical alignment which either limit function or would cause long-term problems if left.

Developments

Work into new joint replacement techniques include resurfacing of the hip and shoulder, which leaves patients with much more of their original bone than a total replacement. There is also work into different materials for replacements (including metals, plastics and ceramics).

Biological repair is an area of much research, such as cartilage transplantation or using material grown from stem cells to replace damaged joint tissue (eg tendons and ligament).

Computer-aided navigation enables 3D mapping of a joint and enables greater accuracy for incisions – more research is needed to see if this results in significant improvements for patients.

Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future. It takes a holistic approach that involves the patient directly in their own care.

Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. They maintain health for people of all ages, helping patients to manage pain and prevent disease.

Sports Physiotherapy

Generally, sporting activities are more physically demanding than normal activities. This makes athletes more vulnerable to muscle strains and tendon injuries.

Whether a beginner or a seasoned athlete, sports physiotherapists can help you recover faster from a sports injury and boost your overall performance.

Geriatric Physiotherapy

Older people tend to have diminished muscle strength, slow reflexes, and reduced balance and coordination. What’s more, most have overlapping health issues that need special exercises to manage.

Thankfully, through geriatric physiotherapy, conditions common in older adults such as loss of motion, arthritis, or Alzheimer’s disease can be managed.

Orthopedic Physiotherapy

Normally, back, neck and knee injuries cause chronic pain and often result in immobility and general weakness. Fortunately, orthopedic physiotherapy can get you back on track after a life-threatening injury or illness.

This physiotherapy is focused on integrating your other body parts with your musculoskeletal system to ensure a proper and speedy recovery.

Pediatric Physiotherapy

Pediatric physiotherapy is a branch of physiotherapy that focuses on diagnosing, preventing, and treating developmental disorders in infants, children, and young adolescents.

Pediatric physiotherapists use exercises and other advanced treatments to help children with cerebral palsy, retarded growth, skeletal disorders, or congenital disabilities regain their strength and improve their motor skills.

Neurological Physiotherapy

Neurological illnesses or injuries affect the peripheral nerves, brain, and spinal cord. As a result, you may experience loss of balance, reduced range of motion, and lack of muscle strength.

This type of therapy is recommended for people who suffer from stroke, Parkinson’s Disease, Cerebral Palsy, or Multiple Sclerosis.

When you schedule an appointment with a neurological therapist, they will use different techniques to relieve pain, reduce stress, restore mobility and prevent other neurological conditions.

Cardiovascular Physiotherapy

Cardiovascular physiotherapists test and prescribe appropriate exercises to keep your heart and lungs in good shape.

Some conditions treated under this branch of therapy are asthma and increased chest secretion.

Techniques used in Physiotherapy

Physiotherapists mostly use massages, exercises, heat therapy, and electrotherapy to treat injuries and deformities.

However, sometimes physiotherapists use taping, electromagnets, hydrotherapy, joint mobilisation, and hot and cold applications techniques to reduce pain, restore joint movement and improve overall strength.