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Dr. Rutul Gandhi - Orthopedist, Ahmedabad

Dr. Rutul Gandhi

90 (21 ratings)
MS - Orthopaedics

Orthopedist, Ahmedabad

5 Years Experience  ·  800 at clinic  ·  ₹300 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Rutul Gandhi 90% (21 ratings) MS - Orthopaedics Orthopedist, Ahmedabad
5 Years Experience  ·  800 at clinic  ·  ₹300 online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rutul Gandhi
Dr. Rutul Gandhi is a trusted Orthopedist in Satellite, Ahmedabad. He has over 5 years of experience as a Orthopedist. He has completed MS - Orthopaedics . You can meet Dr. Rutul Gandhi personally at Parekhs Hospital in Satellite, Ahmedabad. Don’t wait in a queue, book an instant appointment online with Dr. Rutul Gandhi on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 31 years of experience on Lybrate.com. You can find Orthopedists online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MS - Orthopaedics - Civil Hospital, Asarwa, Ahmedabad - 2013
Languages spoken
English
Hindi

Location

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Parekhs Hospital

Shyamal Cross Road, 132 Feet Ring Road, Satellite, ShyamalAhmedabad Get Directions
  4.5  (21 ratings)
800 at clinic
...more
  4.5  (21 ratings)
800 at clinic
...more
  4.5  (21 ratings)
800 at clinic
...more
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Total Knee Replacement - Ways To Get Quick Relief From Pain!

MS - Orthopaedics
Orthopedist, Ahmedabad
Total Knee Replacement - Ways To Get Quick Relief From Pain!

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizzinessurinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

3685 people found this helpful

My mother is suffering from arthritis and she is having swelling on hands and feet and it increases with almost everything she eats. Can you please suggest the doctor for the treatment.

MS - Orthopaedics
Orthopedist, Ahmedabad
My mother is suffering from arthritis and she is having swelling on hands and feet and it increases with almost every...
From the history it seems she is suffering from rheumatoid arthritis affecting multiple joints. Better to consult a rheumatologist or an orthopedic for primary evaluation and management.
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When Do You Need A Knee Replacement Surgery!

MS - Orthopaedics
Orthopedist, Ahmedabad
When Do You Need A Knee Replacement Surgery!

Joint replacement surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced by artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.

When do you need a knee replacement?

When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade iv osteoarthritic knees of people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery

Correct the deformity: relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.

Anaesthesia: usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.

Recovery: stand up and walk a few steps with a walker the day after the procedure i. E. In 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking. Progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.

Activities: normal walks of 3 to 5 km per day climbing stairs, cycling, swimming, and driving can be performed with the new implant (s) now.

Avoid: squatting/kneeling prohibited: contact sports like football, cricket, tennis; jumping; adventure sports longevity of joints: 15-35 years depending on the materials used.

4 people found this helpful

Health Quote of the Week

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
Health Quote of the Week

A 20-25 minute daily exposure to sunlight improves bone health.

Health Quote of the Week

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
Health Quote of the Week

Diet rich in vitamin d, calcium and omega-3 improves bone strength and reduces risk of fracture.

Health Quote of the Week

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
Health Quote of the Week

To soothe stiff and painful joints in your hands, apply mineral oil to your hands, put on rubber dish washing gloves, and place your hands in hot tap water for 5 to 10 minutes.

I am 64 years old. I have pain in the left knee while I sit on the floor. Please suggest the causes for the pain. Regards,

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
I am 64 years old. I have pain in the left knee while I sit on the floor.
Please suggest the causes for the pain.
Reg...
Age related osteoarthritis is the most common cause. Also injury to some internal structure of the knee can be a cause. At least we need to look at your x rays to confirm any of the diagnosis.
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My wife is 65 years and 70 kg weight is suffering from osteoarthritis in both knees and doctors have advised knee replacement surgery. Recently an orthopaedic doctor started steroid MEDROL 4 MG every alternate day along with some Homeopathic medicines. She has considerable relief in stiffness and pain. Kindly advise whether steroids can be continued. If so how long. What adverse affects can the steroids have. She is already taking medicine NEBISTAR and dytor 5 for her Heart problem.

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
Hello. I would not suggest steroids for longer duration for knee pain. They would decrease the pain but on longer duration will lead to myriad of problems including osteoporosis and other systemic multi organ problems. We need to look at the x rays and select a long term treatment which can decrease her pain but without side effects.
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I have pain in both knees during walking. During rest ei. Sitting ,lying on bed there is no pain .some to much pain during walking. Taking medicine of all therapy. No relief. Doctor says it is old age problem ,lack of lubrication in knees. I am pure vegetarian of 78 years old male. Pl advice action to be taken to get relief. With medicine. Ok.

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
I have pain in both knees during walking. During rest ei. Sitting ,lying on bed there is no pain .some to much pain d...
Hello. Your complains suggest you have osteoarthritis of the knee. Which can be. Treated with medications life style modifications and also exercises. However it is better to look at your x-rays of the knees first so that we can plan a complete therapy for your problem.
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fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
Regular walking can decrease the rate of disability in osteoarthritis of knee and can help to increase the better outcome after replacement surgery.
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