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Bone And Joint Treatment Services

Leading Nursing Homes / Clinics / Hospitals of Complex Fracture and Trauma Treatment Services, Bone Ann Joint Treatment Services, Bone Metabolic Disease Treatment Services, Spine Treatment Services, Sciatica Treatment Services and Neck And Back Pain Treatment Services from New Delhi.

Complex Fracture and Trauma Treatment Services
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COMPLEX FRACTURE AND TRAUMA CENTER

General Information

For Trauma Surgery, Revision Surgery, Minimally Invasive Arthroscopic Surgery, Complex fractures, or non-surgical rehabilitation we need orthopedic and spine specialists, nurses, physical and occupational therapists, and Primus has the perfect combination of these, who take all necessary steps required and try their best to get you back on track at the earliest and assist you at every step for your speedy recovery.

Our teams of highly skilled and dedicated orthopedic surgeons who have expertise in their respective fields are supported with advanced cutting edge technology, like:

  • Computer Navigation System
  • High Definition Cameras
  • Arthroscopic Equipment for performing technically challenging procedures
  • State-of-the-Art “Bone Bank” for difficult cases like revision arthroplasty and bone loss following tumor resection

Experience world-class medical care:

  • Our centre is well equipped to provide comprehensive, multidisciplinary emergency treatment required to give victims of vehicle accidents, falls, assaults and other leading causes of traumatic injuries the best possible chance for survival and recovery.

  • Our surgeons routinely perform, knee, hip, shoulder, ankle, elbow and wrist surgeries, part of an extensive gamut of care that includes preoperative evaluation and postoperative rehabilitation.

  • We have engendered sophisticated procedures in our system which minimizes post operative infection or rather it would be appropriate to say that due to our excellent quality standards we haven’t reported any infection cases.

FAQ Trauma

 What are fractures?

A fracture means a broken or cracked bone. Fractures usually happen when too much force is applied to your bone, for example as the result of an accident or fall. Fractures can also happen as the result of osteoporosis.

Is there anything I need to know about looking after my cast?

Yes. It’s important to keep your cast in good condition and prevent it from being damaged. This gives your bones the support they need to heal.

The purpose of your cast is to keep your bones still and in the right place so that they can heal properly. A cast can also help to ease your pain and reduce any swelling. If your cast becomes damaged, it’s less likely to give your fracture the support it needs.

Once the cast is on, it takes time to dry. Plaster of Paris can take two to three days to dry out and fiber glass takes about an hour to dry and become fully hard. It’s important not to damage the cast during this time.

Once your cast has dried out fully, keep it in good condition. The main things you can do are listed below.

  • Keep your cast dry. Use a double layer of plastic to cover your cast when you’re in the shower or bath.
  • Check your cast regularly and look for any damage or soft areas.
  • Check the skin around your cast regularly. Look for any signs of redness or irritation and check for signs of infection under the cast, such as a bad smell or discharge (pus).
  • Don’t push anything down inside the cast to scratch itching skin. This can damage your skin and maybe lead to infection. If you have persistent itching, see your doctor.

If your cast becomes damaged or uncomfortable, you should go back to the plaster room department.

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Bone Ann Joint Treatment Services
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Department of Bone & Joint

Dr. Surya Bhan(HOD), former HOD of Orthopedics Department, Chief of Emergency Services and Chief of Trauma Centre, AIIMS

General Information


The department of Bone & Joint at Primus has been pioneers in offering state of art medical services to the patients from the past 10 years. Along with a team of highly professional and qualified doctors, the facility has been the top most priority for all age groups.

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Bone Metabolic Disease Treatment Services
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General Information
Osteoporosis
  • Osteoporosis is a metabolic bone disorder in which bone tissue breaks down, making the bone becomes increasingly fragile leading to increasing risk of fracture.
  • Osteoporosis and osteopenia, which refers to low bone density in general, can affect people of all ages.
  • Bone loss in adolescence and early adulthood can be a result of a failure to attain peak bone mineral density, and accelerated bone loss may be particularly noted around menopause and in later years.
  • Many factors, including diet and the lack of proper exercise, contribute to bone loss during these periods.
  • It can also occur as a result of numerous underlying conditions, many of which are often not readily apparent during the course of a doctor visit.
  • Osteoporosis is a “silent disease,” since there are no warning signs or symptoms until fractures occur.
  • Defined in medical terms as a bone metabolic disease, Osteoporosis involves treating and preventing fractures using medication to strengthen bones.
  • The single most important thing in preventing the onset of osteoporosis is preventing falls that can happen due to poor eyesight, poor muscle strength and balance; causes that need to be identified and treated.
FAQ BONE METABOLIC DISEASE What is bone Metabolic Diseases?

Metabolic bone diseases are disorders of bone strength, usually caused by abnormalities of minerals (such as calcium or phosphorus), vitamin D, and bone mass or bone structure. The most common metabolic bone disorder is osteoporosis. When untreated, it can lead to fragility fractures, bone deformities and serious disability. People at a high risk for osteoporosis include patients with age, small body size, history of fractures, steroid use, intestinal diseases, patients undergone organ transplants and suffering from kidney disorders.
Men and women of all ages may suffer from skeletal disorders. The most common include osteoporosis, osteomalacia, Paget’s disease and parathyroid disorders

Primus Metabolic Bone and Osteoporosis Center brings together the latest in research, technology and patient care services with quality care to cater to needs of every patient and create the best results. With an integrated, multidisciplinary team of experts we treat the following problems:

  • Osteoporosis in men and women
  • Steroid induced osteoporosis
  • Chemotherapy induced bone loss
  • Pre menopausal bone losss
  • Fragility and recurrent fractures
  • Parathyroid disorders
  • Vitamin D deficiency/osteomalacia
  • Calcium and phosphorus disorders
  • Renal osteodystrophy
  • Paget disease

What is a DXA test?

A DXA test, which stands for Dual-Energy X-ray Absorptiometry, is a low-level x-ray measuring important bone sites, and it is the most commonly used technique to assess bone density. It is painless, non-invasive, and takes about 10 minutes.

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Spine Treatment  Services
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Spine Treatment Services

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Department of Spine

General Information

The Spine Services Department at Primus Super Speciality Hospital is running one of the best spine care programs in the country and is manned by a team of dedicated spine doctors who cater to all the needs of the patients.

ADVANCE SPINE CENTER
Department of Spine Surgery Offers Management of the following Conditions:

  • Spinal Fracture Fixation.
    Minimally invasive/open technique
    Advanced cement stabilisation
    Vertebroplasty.
    Kyphoplasty.
  • Comprehensive back care.
    Open/minimally invasive fusion and non fusion surgeries.
    Keyhole spinal surgeries.
    Microdiscectomy/decompression.
    Spinal injection/blocks.
  • Complex spinal deformity correction.
    Done under continuous intraoperative neural monitoring to enhance safety.
    Kyphosis corrrection.
    Scoliosis correction.
    Advanced fusionless scoliosis correction.
    Magnetic growing rods
    Conventional growing rods.
    SHILLA/VEPTR.
  • Spinal tumour and infections
    Metastatic/ primary spinal tumour with open/ minimally invasive techniques.
    Enbloc/ large tumour resection & complex reconstruction.
    Spine Services at Primus Super Specialty Hospital, New Delhi

The Department of Spine Surgery at Primus Super Speciality Hospital is one of the best spine care programs in the country and is manned by a team of dedicated spine surgeons who provide state of the art spine services to the patient.  All the doctors have extensive experience in treating wide range of spine problems.  The hospital and the department have the best of equipments, infrastructure and services to diagnose, treat and rehabilitate the patients.

The spine doctors at Primus, utilize a wide range of minimally invasive diagnostic and therapeutic procedures like nerve root injections, facet joint blocks and various other CT guided procedures to identify the problems, so that best treatment can be provided to the patients, which will relieve them of their a long-term pain and provide relief to the patients.

Our spine team carries out minimally invasive spine procedures like keyhole vertebroplasty and kyphoplasty for spinal fractures, minimally invasive spinal fusion, percutaneous pedicle screw fixation, microscopic/endoscopic discectomy, and microscopic decompression of lumbar pathology.  Apart from these minimally invasive procedures, the other routine major surgeries of spine like artificial disc replacement, treatment of cervical and dorsal myelopathy, spinal deformity (scoliosis and kyphosis) correction, spinal tumour surgery and treatment of spinal fractures are routinely done at Primus Super Speciality Hospital with outcomes that the best in the world.
The department also offers wide range of modalities and exercise programs suited for patient’s conditions, such as in Degenerative Disc disease, through trained and experienced physiotherapists. This approach has helped numerous patients to appropriately manage spine problems.

Our department is one of the few centers across the country which offers complete range of Spine deformity correction services for Scoliosis and Kyphosis across all age groups. The treatment options range from conventional scoliosis correction procedures for Adolescent idiopathic scoliosis/congenital scoliosis to novel therapies such as Magnetic growth rod application for Early onset scoliosis (Scoliosis in very young children). Minimally invasive solution for spinal deformity is also offered for select group of patients, as per the diagnosis.

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General Information

Sciatica is pain that starts in your lower back and shoots down through your legs and sometimes into your feet. It happens when something in your body, maybe a herniated disk or bone spur or tissues compresses nerve roots. Some people experience sharp, intense pain while others get tingling, weakness, and numbness in their legs.

It causes pain and discomfort, but there are many effective treatments for it. Most people with sciatica don’t end up needing surgery and about half get better within 6 weeks with only rest from daily activities and medication.

Common symptoms of sciatica include:

  • Lower back pain
  • Pain in your butt or leg that worsens when you walk
  • Hip pain
  • Burning or tingling down your leg
  • Weakness, numbness, or difficulty moving your leg or foot
  • A constant pain on one side of your butt
  • A shooting pain down your leg that makes it difficult to stand up
  • Rarely loss of bowel bladder control with or without numbness in private parts

Sciatica usually affects only one side of your lower body but can be in both legs .Often, the pain extends from your lower back all the way through the back of the thigh and down through one of your legs. Depending on where your sciatic nerve is affected, the pain may also extend to your foot or toes.

Risk factors for sciatica include:

  • Age. Age-related changes in the spine, such as herniated disks and bone spurs, are the most common causes of sciatica.
  • Obesity. By increasing the stress on your spine, excess body weight may contribute to the spinal changes that trigger sciatica.
  • Occupation. A job that requires you to twist your back, carry heavy loads or drive a motor vehicle for long periods may play a role in sciatica, but there’s no conclusive evidence of this link.
  • Prolonged sitting. People who sit for prolonged periods or have a sedentary lifestyle are more likely to develop sciatica than active people are.
  • This condition, which affects the way your body uses blood sugar, increases your risk of nerve damage.
  • Predisposes to disc problems

Complications:  Although most people recover well from sciatica, often without any specific treatment, sciatica can potentially cause permanent nerve damage so seek immediate medical attention if you experience any of these symptoms:

  • Loss of feeling in the affected leg
  • Weakness in the affected leg
  • Loss of bowel or bladder function
  • Numbness in private parts

 

If your pain doesn’t improve with self-care measures, your doctor might suggest some of the following treatments.

Medications

The types of drugs that might be prescribed for sciatica pain include:

  • Anti-inflammatories
  • Muscle relaxants
  • Narcotics
  • Tricyclic antidepressants
  • Neuropathic pain medication

Physical therapy

Once your acute pain improves, your doctor or a physical therapist can design a rehabilitation program to help you prevent future injuries. This typically includes exercises to correct your posture, strengthen the muscles supporting your back and improve your flexibility.

Steroid injections

In some cases, your doctor might recommend injection of a corticosteroid medication into the area around the involved nerve root commonly called as Selective nerve root block .Corticosteroids help reduce pain by suppressing inflammation around the irritated nerve. The effects usually wear off in a few months but can be of good value in some patients .The number of steroid injections you can receive is limited and cannot be given too frequently.

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General Information

Neck pain is a very common medical condition found in people these days. Neck pain can arise from a number of disorders and diseases of any tissues in the neck. Common neck pain conditions are whiplash, muscular spasm ,a herniated disc, or a pinched nerve.

Symptoms of Neck Pain:

  • Pain around neck
  • Numbness
  • Weakness
  • Color changes
  • Deformity
  • Difficulty in swallowing
  • Dizziness

Causes of Neck Pain:

  • Spondylosis
  • Spinal disc herniation
  • Prolonged and abnormal postures
  • Pinched nerve
  • Stress
  • Spinal stenosis
  • Carotid artery dissection
  • Head and neck cancer

TREATMENT:

There are a number of neck pain management treatment options that help reduce neck pain, which include ­­­­­­­­the following after proper investigation and clinical evaluation

  • Physical Therapy
  • Medication Management
  • Physic Therapy
  • Trigger Point Injection
  • Facet Joint Injection or Selective Nerve Root Block
  • Cervical Epidural Steroid Injection
  • Discography for Appropriate Surgical Evaluation

Back Pain:

Pain in the lower back (lumbago) is particularly common, although it can be felt anywhere along the spine – from the neck down to the hips. In most cases the pain isn’t caused by anything serious and will usually get better over time. There are things you can do to help relieve it. But sometimes the pain can last a long time or keep coming back.

Back pain commonly stems from strain, tension, or injury.

Causes of Back Pain are:

  • strained muscles or ligaments
  • a muscle spasm
  • muscle tension
  • damaged disks
  • injuries, fractures, or falls

Activities that can lead to strains or spasms include:

  • lifting something improperly
  • lifting something that is too heavy
  • making an abrupt and awkward movement

Treatment:

Back pain usually resolves with rest and home remedies, but sometimes medical treatment is necessary.

Home treatments

Over-the-counter (OTC) pain relief medication, usually nonsteroidal anti-inflammatory drugs (NSAID), such as ibuprofen, can relieve discomfort. Applying a hot compress or an ice pack to the painful area may also reduce pain.

Medical treatment

If home treatments do not relieve back pain, a doctor may recommend the following medication, physical therapy, or both.

Medication: Back pain that does not respond well to OTC painkillers may require a prescription NSAID.  or hydrocodone, which are narcotics, may be prescribed for short periods. These require close monitoring by the doctor. In some cases, muscle relaxants may be used.

Antidepressants, such as amitriptyline, may be prescribed, but research is ongoing at to their effectiveness, and the evidence is conflicting.

Physical therapy: Applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain.

As the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles. Techniques for improving posture may also help.

The patient will be encouraged to practice the techniques regularly, even after the pain has gone, to prevent back pain recurrence.

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