Institute for Bone, Joint Replacement, Orthopaedics Spine and Sports Medicine

The Centre for Arthroscopy and Sports Medicine at Nanavati Max hospital provide state-of-the-art treatment in the field of arthroscopic joint surgeries in a caring and sophisticated environment, under the guidance of experts. Arthroscopy is a type of keyhole surgery which is used to diagnose and treat problems related to joints.  We follow a multidisciplinary approach and work closely with a variety of disciplines. Our team of proficient experts include orthopaedic surgeons, arthroscopy surgeons, sports medicine specialists, and physiotherapists offers a patient-centric treatment plan to meet the unmet needs of every patient. They provide round-the-clock care for emergency surgery patients with the most complex conditions. We at the centre offer both surgical as well as non-surgical specialisation in a wide range of orthopaedic treatments using leading-edge facilities and ultra-modern infrastructure that has been designed keeping in mind the comfort of our patients. 

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The Centre for Joint Replacement at Nanavati Max Hospital, Mumbai is Recognised by Maharashtra University of Health Sciences. Our expert orthopaedic care is personalised to each patient according to their current condition and the treatment is designed in a way to help them obtain the best possible outcomes from their surgery.Compassion, dedication, and multidisciplinary approach to treating a patient under complex conditions help provide people in need with the best a “gold standard” operation for all kinds of joint conditions.Joint replacement is the surgical process of removing the abnormal bone and lining structures of the joint and replace with a new artificial craft made up of special metal or plastic or specific kinds of carbon-coated implants. The surgery aims at helping patients experiencing chronic pain due to joint injuries or joint degeneration. Considered as one of the most common orthopedic procedures joint replacement surgery can help the patient to enhance their range of motion which was retrenched earlier due to the orthopaedic problemsThe surgery can be of two types: Partial Joint Replacement Surgery(replacement of only one part of the joint) Total Joint Replacement Surgery (replacement of the complete joint) Our multidisciplinary team of orthopaedic experts provides each patient with world-class treatment approach using minimally invasive techniques, Computer-aided Navigation system, and other advanced technologies. We hold expertise in performing surgery for joint replacement surgery and Revision Joint Replacement Surgery for Hip and Knee using special implants and frozen bone grafts. The centre also consists of highly trained physiotherapists who ensure our patients receive outstanding care, from the initial diagnosis to complete rehabilitation.A patient might have to perform some diagnostic tests like blood tests, an X-ray and possibly an MRI for determining the actual cause of your pain and the problem in the joint. During joint replacement surgery, a surgeon removes the damaged section of the joint using a minimally invasive approach by making a small incision. The damaged section is replaced with an artificial joint (prosthesis) usually constructed of metal, ceramic and very hard plastic that helps in reducing pain and improve function. The two most common procedures of joint replacement surgery in Mumbai are Hip Replacement Knee Replacement

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The Centre for Orthopaedics at Nanavati Max Super Speciality Hospital is a dedicated centre helping people of all ages to regain their mobility by providing comprehensive orthopaedic care. Our team of highly dedicated and trained orthopaedic specialists offers treatment to patients suffering from various orthopaedic conditions such as tears, fractures, chronic joint pain, neck pain, osteoarthritis, spine disorders, rheumatoid arthritis, tendinitis, and other bone and joint problems.  The centre offers a full range of treatment options using advanced technologies and ultra-modern infrastructure. The unique surgical procedures include Minimally Invasive Surgery (MIS) for Total Hip Replacement, Total Knee Replacement, Unicondylar (Partial) Knee Replacement, Revision Joint Surgery, Hip Resurfacing, as well as replacement of shoulder and elbow joints. We keep our patients at the priority of everything we do and are available 24X7 to treat all emergency and trauma orthopaedic cases. Our surgeons have diverse expertise in carrying out arthroscopic procedure for sports and other injuries, limb salvage surgeries for bone tumours and reconstruction surgeries for deformities. We are also committed to treating a variety of sports injuries which include ligament and tendon reconstruction/ repair, alignment correction, cartilage resurfacing, etc.  Speciality Care at Nanavati Max: We focus on offering patient care in these specialties: Arthroscopic (Keyhole) Surgery Arthroscopic Surgery of the Shoulder and Hip Day-care Surgery Hand and Microvascular Surgery Joint Replacement and Revision Joint Replacement  Musculoskeletal Tumours Orthopaedic Trauma Paediatric Orthopaedics Physical Medicine and Rehabilitation Spine Surgery Sports Medicine  Total Hip Replacement Total Knee Replacement Total Shoulder / Elbow Replacement Disorders we Treat: We at Nanavati Max Centre for Orthopaedics offer excellent patient care in the fields of orthopaedic surgery and musculoskeletal medicine.  We treat a wide range of conditions including: ACL, PCL and Meniscus Repairs Arthroscopic Surgery of Hip, Knee and Ankle  Arthroscopic Surgery of Shoulder, Elbow, Wrist Artificial Joint Replacement Cartilage Restoration / Transplantation Disk Replacement Surgery Ligament Injuries Limb Lengthening, Deformity Correction Minimally Invasive Spine Surgery Musculoskeletal Injuries Nerve Decompression Surgery Repair of Shoulder Impingement Syndrome and Rotator Cuff Tear Rheumatoid Arthritis, Degenerative Arthritis Rotator Cuff Repair Scoliosis Spinal Deformity Correction under Spinal Cord Monitoring Spinal Disc and Degenerative Surgery Spinal Trauma, Tumour and Infection Surgery Sports-Related Injuries 

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A healthy hip joint is must to perform everyday movement, failure to which, can lead to pain and limit your movement. We at the Centre for Hip Replacement at Nanavati Max Super Speciality Hospital, Mumbai, provide affordable, accessible, and quality healthcare services to patients requiring a hip replacement. We have a team of highly- trained orthopaedic surgeons who hold expertise in providing personalised care to patients suffering from hip-related conditions. We offer compassionate care, technical expertise, and a wide range of treatment solutions using state-of-the-art diagnostic and therapeutic facilities. What is a Hip Joint? The hip is a ball-and-socket joint formed by the thigh bone (femur) with hip bone (pelvis). A healthy hip joint has a layer of smooth cartilage that covers the bony surfaces forming the joint, to allow the ball of the femur to glide smoothly in the pelvic socket. Muscles around the joint help move the joint mechanically, and you can walk without friction between the bony ends of the bones. What is a Degenerative Hip Joint? When the smooth cartilage layer wears down or degenerates, the rough underlying bone gets exposed. Instead of gliding smoothly during movement, the ball grinds in the socket causing pain due to friction, affecting daily activities like walking and leading to a limp, sitting and getting up from chair or stair-climbing. The debris resulting from wear and tear of the hip joint may be responsible for pain at rest too. The surfaces forming the joint become increasingly damaged and the pace of repair cannot keep up. The joint may even become deformed, leading to an unsightly appearance. This process of joint destruction is termed as Hip Arthritis. How is Hip Pain Treated? In the early stages of hip arthritis, intermittently occurring pain can be controlled with medications, weight reduction, physiotherapy, and mild medication.During the latter stage of arthritis, when the degeneration is near complete, there’s a more continuous type of pain and daily activities and mobility become severely limited. A patient may become dependent on pain relief medications, risking damage to the stomach and kidneys from overuse. The patient may also become dependent on others for basic care, leading to poor quality of life. What is Total Hip Replacement? Termed as “the Operation of the Century,” total hip replacement is a procedure that replaces the worn out or damaged bony ends of the joint socket and the ball of the femur with a Prosthetic Hip (artificial joint) made from biocompatible proven materials which do not react (in situ) in body (tissue) materials. These materials used in the hip replacement surgery are inert and have proven excellent results. At Nanavati Max Super Speciality Hospital, Mumbai we offer compassionate care which involves choosing the right type of prosthesis (depending on various factors like age, sex, bone mineral density, and femoral anatomy etc.). Our surgeons always prefer the best cement-less implant which is made of proven titanium metal. The ball of the implant is made of 4th generation modern implants with longevity against tearing up to 3 decades. The other biocompatible materials are also used like metal - Cobalt-Chromium, Titanium, Oxinium; the previous plastic sockets have been outdated & presently highly cross-linked polythene (plastic) sockets are being used for patients which have longevity against wear up to 15 to 20 years. The hip replacement surgeries can be done for unilateral or bilateral involvement in the same sitting of surgery. Why choose Nanavati Max Hospital for Total Hip Replacement Surgery in Mumbai? State-of-the-art modular operation theatres Dedicate Operation Theatre for Arthroplasty surgeries Continuous sterile airflow with HEPA-filter Spacesuits for surgeons We are one of the rarest centres in the country who perform bilateral hip replacement in the same sitting. The centre is also well known for the revision hip arthroplasties – revision hip replacements (the indications are failure surgeries, fracture of hip joints etc). The expert consultants perform revision hip replacements with excellent results.The centre believes in quick ambulation and all the patients are made to walk on the same day of surgery, with full weight-bearing (under supervision of physiotherapist). What are the Benefits of Total Hip Replacement Surgery? Provided the patient follows post-operative precautions during seamlessly integrated rehabilitation program, after the operation, he can experience: Improved quality of life Greater functional mobility Significant reduction in pain Any deformity of the joint and difference in Limb Length is also addressed at the surgery Prerequisites for Surgery: Surgeon should make sure that a patient doesn’t have any source of infection in the body, such as skin boils, dental, urine or chest infection. A patient must inform the doctor if he/she is taking any blood-thinning medicines. As a patient must stop taking these medicines a few days before surgery. A patient must also inform the doctor about any medical issues like diabetes, asthma, hypertension, hypothyroidism, etc. so that a doctor can take appropriate measures to control the same before surgery. What is The Procedure of The Surgery? A patient is admitted one day before surgery. Relevant investigations are done. The patient is assessed by the multidisciplinary team (Surgeons, Anaesthetists, Physicians, Cardiologist, and Endocrinologists etc) and posted for surgery. The patient is shifted to preoperative hold area about an hour before being taken to the operation theatre. The surgery takes about 50 minutes excluding anaesthesia time. After the operation, a patient is kept in the recovery ward for 1 hour and then sent back to the room; the only high-risk case may be sent to ICU if necessary. What is The Recovery Process? Under the proficient guidance of the treating team of a multidisciplinary team including orthopaedic surgeons, dieticians, physiotherapists, etc. patients are taught proper physiotherapy exercises, lifestyle changes, ergonomics etc to keep them fit and lead a normal life. Walking: The centre believes in assisting patients in making them walk on the same day of surgery, with full weight-bearing (under supervision of Physiotherapist). This can help in preventing complications like thrombosis/oedema (swelling ) Pain Relief: We provide adequate treatment for pain relief in the form of epidural pump, patient control analgesia (PCA) and a combination of oral and intravenous drugs. The patient should inform when in pain. The pain management team at Nanavati Max is there to offer assistance at any given time. Deep Vein Thrombosis (DVT) Prevention: Adequate measures are taken for prevention of thrombosis, such as DVT pump (pressure cuff around the calf), certain drugs, and early mobility. Discharge from Hospital: in case of single hip replacement patient will get discharged from the hospital in 3-4 days after surgery. However, it may take 4-5 days if both hips are operated. What Precautions Should be Taken at Home After Surgery? Short-term precautions The temperature should be monitored. Doctor to be informed if it goes above 100.5 degrees Fahrenheit. Doctor to be informed if there is an excessive pain. Inform the doctor if there is excessive swelling, redness around the operated area or discharge from the wound. Use of walking aid is recommended until advised otherwise. Low chairs or commodes should not be used. After the hip replacement surgery, it may take some time by the surrounding muscles and tissue to heal. After this, a patient may be able to resume normal activities. The following movements must be avoided for the first 12 weeks to reduce the risk of hip dislocation: Bending the hip beyond an ‘L’ shape ( 90 degrees) Sitting in cross leg position Make sure there is no movement of the operated leg across/over the midline of the body wisting the operated leg / turning leg inside Long-Term Precautions Make sure to inform your treating doctor if you are undergoing any surgical/ dental procedures requiring antibiotic cover. High impact exercise such as jumping, running should be avoided. Inform your doctor if you experience any pain, swelling or instability. It is advisable to use a toilet seat with a high commode attachment or a high commode chair at home. Physiotherapy should be done regularly to facilitate walking and strengthening of muscles. The patient should be mobilised as much as comfortably possible. What are The Risks/Complications of the procedure? All types of surgical and anaesthetic procedures carry some risks, particularly if there are other medical problems that a patient may be suffering from. However, our healthcare team has been trained to make sure that these are minimised and the treatment is carried out safely. Patients must be aware of some specific risks related to hip surgery. However, chances of immediate complications are less than 2 % Infection: Sometimes despite strict precautions, infection can occur. Superficial infection may occur at the wound site. Deep Infection: May occur in the early postoperative period or sometimes, later. Therefore, a patient must immediately see a doctor if he/she experiences an infection that may develop in any part of the body. Deep Vein Thrombosis (DVT): Despite taking precautions to prevent blood clot (thrombosis) formation in veins of the leg post-surgery, it remains a common risk after hip replacement surgery. Rarely, these clots can dislodge and travel through the heart to the lungs. This is known as pulmonary embolism which can cause serious complications in rare cases. Loosening of the Prosthesis (Without Infection): This is a risk common to all artificial joints. It weakens the bond between new joints and bones. Although it is expected that the new hip will last for many years, it can become loose earlier than anticipated, particularly if a patient is obese, or have damaged joint following an injury, or start performing daily activities without taking proper rest. If the joint becomes loose then it can generally be replaced by another. This is a more complex procedure that involves greater risks. With newer implants, it is common to see hip replacements last more than 15 years Persistent Pain: The operation may not relieve a patient of all pain, and he or she may continue to experience some mild discomfort. Complex regional pain syndrome, although rare, can cause pain, stiffness, swelling, and skin changes. Other recognised risks of hip surgery include bone fracture, urinary retention, bruising, anaesthesia, and blood transfusion. How Soon Does a Patient Recover From Surgery? After single hip replacement, a patient can stand with the assistance of a physiotherapist on the same day after surgery and start moving under the supervision of a physiotherapist. Toilet seat (raised) can be used after 3-4 days of surgery, independently by the patient. In case both hip replacements were done together, the recovery process is a little longer but same principles would apply in this condition as well.

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The Knee Replacement Unit at Nanavati Max Super Speciality Hospital, Mumbai offers most comprehensive care to a full spectrum of musculoskeletal conditions related to knee. Our team of well-trained knee replacement surgeons provides comprehensive care to address the most common to the rarest complications while evaluating all types of knee conditions and treating chronic knee pain. We follow a patient-centric multidisciplinary approach to treat a wide range of knee conditions using the latest technology and state-of-the-art procedures like minimally invasive surgery or computer-assisted navigation for orthopaedic surgery. Thereby, providing better outcomes and, in some cases, faster recovery time for our patients. Our team of extremely experienced surgeons focuses on providing every patient with high-quality care and advanced treatment modalities, which are at par with industrial excellence. What is a Knee Joint? A knee in a human body is a complicated joint that connects the thigh bone (femur) to the leg bone (tibia) and the kneecap (patella) is articulated with the femur. Normally, joint surfaces of bones are lined with a layer of cushion called articular cartilage, which ensures movement with minimum friction. Other specialised structures inside a knee like meniscus help in the motion of a knee and act as shock absorber.  What causes Knee Pain? During the incidences when knee cartilage gets worn out, it results in painful movements and makes the surface of the joints rough. However, as a person ages, joint cartilage usually wears leading to os-teoarthritis and some other types of arthritis, such as rheumatoid arthritis, post-injury arthritis, etc 

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The Orthopaedic Rehabilitation Clinic at Nanavati Max Super Speciality Hospital is a part of the Centre for Orthopaedics (Bone), Arthroplasty (Joint Replacement), Spine, Traumatology and Sports Medicine. The Clinic is engaged in providing cutting-edge, evidence-based rehabilitation practice and offers a personalised rehabilitation program to every patient under our care. In order to help our patients resume normal activities following an injury, surgery, or illness, we provide a full range of rehabilitation care, including Physiotherapy Center in Mumbai, such as: Balance/proprioceptive training Education on proper posture and body mechanics Gait training Individualised exercise program Isokinetic and bio-feedback assessment to ascertain specific deficit Manual therapy Range of motion Self-care training Splinting Sports specific training for injury prevention Strengthening Therapeutic modalities such as Electrical stimulation Heat/cold therapy Iontophoresis Traction Ultrasound Our multidisciplinary team of physiotherapists, orthopaedic surgeons, nurses, and other specialists provide evidence-based individualised care which is tailored according to the unique needs of patients in order to help them manage the following aspects: Establishing a range of motion Help patients return to normal life at the earliest Help reduce pain, swelling, and inflammation Preventive and protective splint for initial games Sports specific or functional training Strengthening, balance and coordination training We are a state-of-the-art facility that aims to provide evidence-based, individualised care for each patient suffering from various orthopaedic conditions and ensure that our patients not only recover but they also feel supported and cared for. We help them move through the world easily with best possible function, the highest level of physical independence, and quality of life. Our team treats the full range of Orthopaedic conditions that require rehabilitation. Our rehabilitation program best suits to A patient suffering from Orthopaedic conditions resulting from illness, trauma, or surgery Multiple traumatic injuries Pain after limb amputations Deformities of lower limbs due to injuries, genetics, or other factors An old age patient who has recently undergone surgical treatment of Hip or femur fractures A post-surgery rehab program from total joint replacements and fractures Whether your goal is to recover from an injury/surgery or to improve your orthopaedic help, our physiotherapists work closely with every patient to understand their unique requirements and create a patient-centric plan to help them live an active, pain-free life.

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The spine is one of the strongest parts of the human body. It balances the entire body weight and our workload. The spine suffers a lot of wear and tear continuously throughout life. Before the age of 30, we can jump/run and endure long hours of work and play. This is because the spine and muscles are strong. All we feel is a tired ache or cramp due to overactivity which is relieved with proper rest. After the age of 30, your spine starts getting weaker and stiffer thereby losing its performance endurance and strength. Hence, to support the spine better, our muscles need to gear up. The Spine Surgery Unit at Nanavati Max Super Specialty Hospital (one of the best hospitals for spine surgery in India) offers a wide range of services to diagnose and treat acute and chronic spinal disorders. From non-surgical treatments to surgical options, we develop patient-centric treatment plans intending to help our patients return to a normal and active lifestyle. The unit is known for providing comprehensive care to each patient using a multidisciplinary approach, leading-edge technology, state-of-the-art infrastructure, and managing all kinds of spinal surgeries such as:- 

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The Sports Injury Unit at Nanavati Max Super Speciality Hospital is the most prominent resource for quality healthcare, Total Rehabilitation, and orthopaedic and sports injuries treatment in Mumbai. We are home to a team of professional Sports & Orthopaedic Surgeons, Physiotherapists, Sports Nutritionists, and dieticians, who offer a tailored patient-centric treatment plan for our active patients by following a multidisciplinary approach to get them back to their active lives. At our unit, we treat athletes and non-athletic people of all ages with the top-of-the-line treatment in association with our rehabilitation team that helps patients in building strength, improve balance, become more flexible, and increase their endurance level.  The unit (one of the best sports injury centres in Mumbai, India) is well-equipped with advanced technology to perform the least invasive yet highly-effective treatments for a lot of elite athletes as well as weekend warriors to help them feel better and offer rapid recovery from injury. In addition to this, we follow preventative strategies to ensure our patients get back to a 100% performance level as expeditiously as possible.  Frequently Asked Questions 1. What is a Sports Medicine Hospital, and How is it Different From a Regular Hospital? A sports medicine or injury hospital is a specialised facility that provides treatment and care for individuals who have sustained sports-related injuries. These hospitals have certified medical professionals like physiotherapists, trauma surgeons, and orthopaedic experts for joint or bone-related complications. The unit specialises in medicine and has experience treating various sports injuries such as sprains, strains, fractures, and concussions. They differ from regular hospitals because they have advanced equipment, infrastructure, expertise, and vast experience handling sports injuries. 2. What Type of Injuries Can be Treated at A Sports Medicine Hospital? Sports medicine hospitals are equipped with specialists for the comprehensive management of injuries through diagnostic imaging, advanced surgical procedures, and targeted rehabilitation programs. These facilities can treat a broad spectrum of injuries, ranging from common sprains, strains, and fractures to more complex conditions such as major dislocations, torn ligaments, and concussions. The hospitals have tailor-made, standard-of-care for professional athletes and sportspersons' unique needs. With a strong emphasis on rehabilitation services, the centres ensure a complete recovery with natural agility and mobility, helping professional sportspersons compete at regional, national, or international levels. 3. Do I Need a Referral to Visit a Sports Medicine Hospital? No, you need not be referred to a sports medicine hospital. These facilities welcome walk-in patients for sports injury care. Please seek the nearest hospital's emergency department in cases of severe injuries needing urgent attention. For non-acute injuries, schedule an OPD appointment via the hospital's website or contact number. 4. What Type of Medical Professionals Work at a Sports Medicine Hospital? Sports medicine hospitals are managed by a team of multidisciplinary experts with vast diagnostic, treatment and rehabilitation experience of sport or exercise-induced injuries. This team typically includes certified sports medicine physiotherapists, emergency medicine experts, orthopaedic surgeons, and trained paramedic staff. The team is also supported by sports nutritionists or sports psychologists, offering a comprehensive approach to injury treatment, rehabilitation, and prevention for athletes at all levels. 5. How Long Does it Take to Recover from a Sports Injury? The recovery period for a sports injury depends on the nature and severity of the injury, the patient's health condition and age, history of similar or other injury/trauma and the patient's adherence to the rehabilitation program. The sports medicine multidisciplinary team can assess the injury and suggest a probable recovery period, which can be unique for each individual. Recovery is a collaborative process where clinical expertise can be strengthened with patient and caregiver participation.

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The Orthopaedic Trauma Care Unit at Nanavati Max Super Speciality Hospital is a dedicated unit which is fully equipped to handle all types of traumatic injuries requiring immediate medical attention. Our multidisciplinary team of expert orthopaedicians, orthopaedic surgeons, traumatologists, physiotherapists offers a comprehensive treatment plan to treat most of the complex cases of orthopaedic trauma injuries requiring immediate medical attention, which if left untreated and can lead to permanent damage.  The hospital is in close vicinity to the Express highways Railway station, Airport, industrial & commercial centres. We are a dedicated optimal orthopaedic trauma care unit that strives to provide valued and trusted health services to meet the unique needs of our patients. Our orthopaedic practices are home to several recognised doctors specialised in tailoring treatment plans that offer relief from discomfort. We stand for improving the quality of life for every one of our patients. Our team coordinate the multiple aspects of treatment, including physiotherapy and follow-up care.  We are at the forefront of the latest advances in our field and provide the best possible definitive care 24X7 and 365 days a year for polytrauma injury, multiple fractures of bones, and other emergency conditions. We also have a dedicated ICU which is manned by a team of doctors trained in Advanced Trauma Life Support (ATLS) and Advanced Cardiac Life Support (ACLS).  

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