All You Need To Know About Total Hip Replacement.

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Hip Replacement Surgery is a surgical procedure to replace a damage hip joint with artificial joints. Total Hip Replacement Surgery is needed after severer arthritis hip pain or fracture in hip joint.

following three Hip Arthritis are common in India.

Osteoarthritis: This is degenerative old diseases, it affects middle age population and it effects cartilage  and adjacent bone in hip.

Rheumatoid Arthritis: it causes several stiffness and pain in hip joints.

Traumatic Arthritis :  This causes because of injury  and its also damages the hip cartilage.

The main goal of Hip Replacement Surgery is to remove the damage bones and cartilage which are main cause of pain and replace them with artificial joints.

Traditional Hip Replacement and Minimally Hip Replacement Surgery are two options available for the patients

Traditional Hip Replacement Surgery

Traditional Hip Replacement Surgery involves making an incision on the side of the hip (lateral approach) or the back of the hip (posterior approach). Both techniques involve detachment of muscles and tendons from the hip in order to replace the joint. Detachment of these muscles may result in increased pain after surgery and often prolongs the time to fully recover by months or even years. Failure of these muscles to heal after surgery may increase the risk of hip dislocation (the ball and socket separating), which is the leading cause of hip replacement failure. Hip precautions after surgery (no bending greater than 90 degrees, no crossing legs, no excessive rotation) are generally required for this reason.


Minimally Invasive Hip Replacement Surgery

Direct anterior hip replacement is a minimally invasive surgical technique. This approach involves a 3 to 4 inch incision on the front of the hip that allows the joint to be replaced by moving muscles aside along their natural tissue planes, without detaching any tendons. This approach often results in quicker recovery, less pain, and more normal function after hip replacement. Because the tendons aren’t detached from the hip during direct anterior hip replacement, hip precautions are typically not necessary. This allows patients to return to normal daily activities shortly after surgery with a reduced risk of dislocation.



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Benefits of Minimally Invasive Knee Replacement Surgery:

  • Patients recovery is very fast.
    • Patient can start walking within 3 to 6 hours and can start to climb stairs from the next day.
    • The main advantage is unlike earlier where patient had to stay for weeks in hospital, now patient can get discharged within 3 to 4 days of operation treatment which is very beneficial for the patient and their recovery.
    • Earlier, using the older methods, operation was done by a big incision or cut which lead to heavy blood loss but now with the minimally invasive technique, the incision or the cut is also less and hence the blood loss is also minimal during the process of  knee replacement.
    • Blood loss is minimal hence blood transfusion is not required.
    • Pain is less and recovery is quick hence less physiotherapy is needed.
    • Patient don’t need to take heavy antibiotics
    • It is minimally invasive hence is stitchless surgery.

Dr. Bakul Arora is a Consultant Joint Replacement & Orthopaedic Surgeon. He specialises in Mini-invasive techniques which offer multiple benefits to patients. He does the surgery using Subvastus approach for  Knee Replacement surgery and Direct Anterior Approach for Hip replacement Surgery . This new techniques has many advantages for patients.Surgical Advantage of Minimally Invasive Knee Replacement Surgery. Dr. Bakul Arora is Hip Replacement Surgeon at Thane , Mulund, Bhiwandi, Chembur, Sion, Bhiwandi, Dombivali and Kalyan.


For more information visit:

For appointments call: 09004900100.




About Dr.Bakul Arora

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Dr. Bakul Arora is a Consultant Joint Replacement & Orthopaedic Surgeon. He is the best knee and joint replacement surgeon in Thane. He specialises in Mini-invasive techniques which offer multiple benefits to patients. He does the surgery using Subvastus approach for Knee Replacement surgery and Direct Anterior Approach for Hip replacement Surgery .

Dr. Bakul Arora has completed his MBBS from Kasturba MedicalCollege, Manipal, MS (ortho) from Father Muller Medical College, Mangalore, India. Along with that he has also completed Fellowship in Mini Invasive Joint Replacement from Mumbai and Japan.

Dr. Bakul’s Key specialities are:

  • Subvastus Knee Replacement Surgery
  • Direct Anterior Hip Replacement Surgery
  • Trauma
  • Arthroscopy
  • Sports Medicine

This new techniques has many advantages for patients.Surgical Advantage of Minimally Invasive Knee Replacement Surgery.

  • Patients Start walking in few hours of surgery.
  • Patients start climbing the staircase from second day of his surgery.
  • Patients Discharge with in 3 Days from the Hospital after surgery.
  • No blood loss during the surgery, no blood Transfusion required.
  • Less Physiotherapy.( No Physiotherapist required for home)
  • Less Antibiotic.
  • Stitchless Surgery.
  • Recovery time is just two – three week.


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Knee Salvation Procedure 

This is a unique combination of three procedures which offers a solution to

is safer, simpler & offers similar benefits of a knee replacement. It can be done as an Outpatient procedure, wherein patient can go home chronic knee pain and osteoarthritis. In isolation these procedures offer moderate pain relief and improve joint function, but in combination these act synergistically and act as an alternative to Knee Replacement.

This procedure and resume normal activities on the same day.


Components of this procedure are:

  1. Arthroscopic Lavage
  2. PRP/Stem cell Injection
  3. Proximal Fibular Osteotomy

Arthroscopic lavage is a procedure done to wash o

  1. Arthroscopic Lavage

ut any debris, blood, fluid or loose body from joints. It is commonly used to treat osteo-arthritis. Osteoarthritis of the knee can cause pain, stiffness, swelling and difficulty in walking. An arthroscopic washout is often combined with debridement, synovectomy, abrasion chondroplasty, micro-fracture decompression of worn out bony surfaces. In isolation, arthroscopic lavage contributes to about 20% of pain relief.

  1.  Stem Cells or PRP
    Those who suffer from arthritis know the feelings of discomfort, pain, and stiffness all too well. Arthritis can decrease your quality of life and make it harder for you to do things you once loved, but stem cells and PRP injections could help. Stem cells are the body’s raw materials. They are cells that all other cells are generated from, while PRP, or platelet-rich plasma, is a combination of platelets and growth factors, which occur naturally in the body. PRP works to provide messages to cells, signaling them to help stem cells flourish and develop into new cartilage. Stem cells are harvested from bone marrow. These cells are then injected into the damaged joints. The stem cells can change into specialized cells to heal the affected arthritis areas. The stem cells transform into cartilage cells, which in turn produce new cartilage. PRP have shown to prevent scarring and reduce inflammation so the healing process is accelerated.
  2. Proximal Fibular Osteotomy 

Compared with knee replacement, PFO is a simpler surgical procedure, effectively relieves knee pain and also corrects the deformity for patients with medial compartment knee osteoarthritis (OA). PFO is performed by removing a 2 to 3 cm length of fibula bone at a site 6 to 10 cm below the knee. Full weight bearing and free mobilization are allowed after surgery. PFO relieves pain & corrects medial joint space by off-loading the weight bearing axis on the knee, thereby decompressing the medial compartment & loading the normal lateral compartment.

PFO is a simple, safe, fast and affordable surgery to relieve pain and improve joint function and the medial joint space in human knee osteoarthritis. PFO is a promising alternative in most developing countries because of their financial and healthcare delivery limitations. It may also constitute a promising alternative surgery for osteoarthritis of the medial compartment of the knee, especially for patients who cannot undergo TKA because of certain medical comorbidities. Furthermore, these patients can still undergo TKA in the future if it becomes necessary.

Tennis Elbow


Content: Tennis elbow is the condition in which the outer part of the elbow becomes sore and tender. The origin of forearm muscles and tendons become damaged with the repetitive use of the wrist and arms which cause an extreme pain. The pain initially starts in the outside of the elbow.


The symptoms of Tennis Elbow includes pain in the outer elbow. Pain increases while gripping or holding anything.

Symptoms also includes

  • Difficulty in shaking hands
  • Difficulty in turning the door knob
  • Difficulty in holding small objects like cup.


Tennis elbow is cause by overuse of wrist and arms and muscles strain energy. The repeated motion and stress results in tennis elbow.

As the name suggests it is commonly seen in racquet sport players but they are not the only one who go through this condition. It commonly occurs in IT professionals who have constant & repetitive use of computer mouse & keyboard. And housewives, who who repetitively twist clothes to dry and use circular wrist movements for cooking.


Essentially the main stay of treatment is rest and to avoid chronic repetitive stressful wrist movements. Analgesics and anti-inflammatory medications will help muscles and tendons to recover from the damage.

Tennis Elbow Brace is a circular band worn 2 cm below the painful area, helps in off-loading the point of origin of muscles. Must be used while playing racquet sports, use of computers or while cooking/working.

Physiotherapy using ultrasound massage and exercises gives excellent relief from pain and belps in building strength.

Local infiltrations of steroid is reserved for resistant or recurrent cases.

Local infiltrations of PRP (Platelet Rich Plasma) is gaining popularity over steroid injections as PRP is natural & uses patient’s own platelets.

Surgical releases are seldom necessary and reserved for resistant cases wherein all the above methods of treatment have failed.

How to Avoid Tennis Elbow:

  1. Correct posture.
  2. ‎Correct grip or padding.
  3. Correct strength.
  4. ‎Exercises your wrist & fingers.
  5. ‎Take frequent breaks.

For more information visit:

Contact: 9004900100


Healthy Lifestyle Can Help You Avoid Knee Replacement In Future

Healthy Lifestyle Can Help You Avoid Knee Replacement In Future

Today’s life is very fast and progressive. As we are progressing, the competition between us is also increasing personally and professionally. It is very difficult to concentrate on health issues due to this fast life. In this competitive era our body does not get proper exercise and diet which ultimately affects the knees and is the main cause of knee pain.

The only thing a patient suffering from knee pain do is to get a proper diet and exercise daily. In this patient can monitor their health regularly.

Our body needs appropriate amount of calcium to maintain the strength of bones. Hence, breakfast is the most important diet. But in this busy life most people skip the most important meal of the day i.e., breakfast. Skipping breakfast reduces the energy hence reduces the bone strength which leads to increase in knee pain.

If the knee pain problem increases and if the patient suffering from knee pain has difficulty in walking and standing and doing regular activities then it is suggested to visit orthopedic doctor. After examination if needed, Knee Replacement Surgery using minimally invasive technique can be done.

Minimally invasive technique is the latest technique in which no muscles are cut during the surgery and hence there is less blood loss. Patient can start to walk on the day of the surgery itself

Advantages of minimally invasive knee replacement surgery

  • Patients Start walking in few hours of surgery.
  • No blood loss during the surgery, no blood Transfusion required.
  • Less Physiotherapy.
  • Less Antibiotic.
  • Patients Discharge within 3 Days from the Hospital after surgery.
  • Stitch less Surgery.
  • Recovery time is just two – three week.Knee Replacement Surgery

For more details please call us on : 9004900100

Chondro-malacia Patella Most common cause of knee pain in young individuals

knee pain in young

Chondro-Malacia Patella (CMP) is the most common cause of knee pain in younger individuals. It literally translates to:

Chondro = Cartilage.

Malacia = Softening.

Patella = Knee cap bone.

This is the first stage of degeneration. The cartilage becomes soft. If ignored, it gradually starts to wear off, exposing the underlying bone. The bones then start to rub against each other, ensuing frank Arthritis needing a knee replacement surgery. Hence, its important to identify & address the problem when it is still reversible.

Hallmark symptoms of CMP are:

  1. Knee pain after a period of inactivity.
  2. Knee pain while getting up from a sitting position.
  3. Knee pain while climbing up or down the stairs.

Simple clinical examination clinches the diagnosis. Xrays or MRI may be often be needed to rule out other causes of knee pain.

Knee strengthening exercises are the main stay of treatment for Chondro-malacia Patella. Knee strengthening must be directed towards Quadriceps & Hamstrings. Physio consultation is often suggested.

Cartilage strengthening supplements are helpful in reversal of cartilage softening.

Diet rich in proteins and vitamin C is beneficial for knee cartilage.

Needless to mention, weight reduction is crucial to ensue healing.

Best wishes & Wish you Happy Knees.

Dr. Bakul Arora

Joint Replacement Surgeon, Mumbai


Home Remedies For Heel Pain (Plantar Fasciitis)


Plantar Fasciitis is the most common cause of heel pain & greatly impacts our daily lives and activities like standing, walking, jogging, running, etc. Plantar fasciitis is common among Diabetics, however not exclusive.

The hallmark feature is to experience a sharp shooting pain in the heels while taking a 1st step in morning, and/or after a period of inactivity.  This pain is due to an internal swelling secondary to micro-tears in the soft tissues around the heal. This swelling increases during the period of inactivity like sitting and sleeping and pain disappears after walking for about 15-20 minutes.

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We suggest a few useful home remedies to help you fight this problem:

  1. Give rest to your feet.
  2. Use soft footwear at all times.
  3. Avoid wearing high heel foot wear.
  4. Silicon heel cup shoe-inserts can be used in official footwear.
  5. Roll your feet over ice bottle or ice pack at least 3 times a day.
  6. Stretching exercises for ankles and toes must be done at least twice a day.
  7. Check your blood sugars, thyroid and Vitamin D & B12 levels.
  8. Over the counter anti-inflammatory gives good relief from pain.

With the regular implementation of the above methods, in majority of the cases, heel pain subsides completely. However, in some cases, the healing process takes time from a few months to a year and need further treatment like:

  1. Local steroid injection.
  2. Platelet Rich Plasma injection.
  3. Surgical release of Plantar Fascia.


To read more please visit our website url:


Dr. Bakul Arora

Joint Replacement Surgeon