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Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
Treatment of Ankle Sprain
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Patient Review Highlights
I read about Dr Deepak Arora on one of the social media platform. Thanks to him I am much better now after his knee replacment surgery. He is not just highly qualified, but has years of experience in handling high risk cases. Both Deepak Arora and staff were very helpful. Even though it's been more than a year, still if I sometimes feel any problem and call him, he still takes my call in case of any emergency.
I am so much benefitted with his treatment, that i am perfectly fine now. By chance, I approached Dr Deepak Arora for second opinion and thank god, i did because, he treated me without any surgery and all. The nurses at the Max hospital were really helpful. Over the period of time the osteomalacia treatment has helped me a lot. He is not just friendly, but also is very motivating.
I was shocked to experience the symptoms of swelling on my knees. Dr Deepak has in depth knowledge and ensures that he explains the problem in detail. Never once that I felt that he is getting impatient, rather he has always responded to my each and every doubt with immense patience. His advice and counselling has helped me immensely.
My boss referred me Dr Deepak Arora. I am amazed that he is such a sweet doctor, even though he is so busy all the time. By chance, I approached Deepak Arora for second opinion regarding myproblem of knee pain and thank god, i did because, he treated me without any surgery and all. I feel so great after the completion of treatment.
I twisted my leg during my Dance classes. I needed to go to a nearby doctor urgently as I couldn't even move. My friends took me to Max Super speciality hospital in Delhi. There dr Deepak Arora attended my case of ankle sprain. He is such a nice doctor and takes so much care of his patients. Loved the treatment!!
No matter how critical be the situation, he is always very calm. The waiting area in the Max hospital is very comfortable for elderly patients. I am really grateful as Dr Deepak arora's lower back pain treatment has give me a ray of hope. Thanks to him I am much better now.
I have had this leg pain from quite some time. The overall atmosphere in the Max hospital is very soothing. No matter how critical be the situation, he is always very calm. Dr Arora has in depth knowledge and ensures that he explains the problem in detail.
satisfied with Doctor's friendly and utmost care. We do recommend others for referral of the patients if there be any to meet dr
Dr. Deepak Arora provides answers that are very helpful. Thanks sir it medicine refer by aiims.ortho dr. Vijay
Great you can rely on doctor advice....
Dr Shikha Joshi
V nice , experienced...Well qualified
Your bone is a living tissue that constantly undergoes the cycle of breakage and replacement. Osteoporosis is a condition wherein the rate at which new bones form cannot match up to the worn out bones, thus making the bones fragile. Osteoporosis mainly affects the wrist, hip or spine and can result in a stooped posture accompanied by height shrinkage and back pain caused due to a collapsed vertebra.
Reasons Behind Osteoporosis Hormones:
Lowered estrogen level in women and testosterone in men as a result of ageing or other treatments can result in this condition. Excess thyroid secretion in the body, an overactive adrenalin gland or parathyroid gland can also accelerate bone loss. Women are more vulnerable to osteoporosis during menopause.
- Prolonged use of steroid: Prolonged use of injected or oral steroid medications such as cortisone or prednisone messes with the bone-building process. Medicines used to combat cancer, gastric reflux and seizures can be responsible as well.
- Medical Conditions: Certain medical conditions such as Rheumatoid arthritis, cancer, liver or kidney disease increases the risks of acquiring osteoporosis.
- Sedentary Lifestyle: A sedentary lifestyle with not much physical activity along with an excessive consumption of alcohol and tobacco makes you susceptible to osteoporosis.
Treatments for Osteoporosis:
- Medication: Commonly prescribed medicines for osteoporosis include vitamin D, Calcium, bisphosphonates such as Zoledronic acid, Ibandronate, Risedronate and Alendronate. However these medicines are not free of side-effects such as abdominal pain, nausea or heart burn. In case, your regular medicine doesn’t work, you can use Denosumab and Teriparatide as alternatives but only after consulting your physician.
- Hormone Therapy: Estrogen therapy for women after menopause helps sustain bone density. However such procedures can escalate the dangers of getting afflicted with cancer, heart diseases or conditions such as blood clotting.
- Alternative Medicine: Ipriflavone, a laboratory manufactured product, when combined with calcium can curb chances of bone loss and alleviate pain
In case you have a concern or query you can always consult an expert & get answers to your questions!
Joint is one of the most obvious parts of our body which ages with an increase in the number of candles on our birthday cakes. As you age, joints tend to become stiffer and less flexible. The body does not recover from bumps and bruises as easily as it did before, and it becomes difficult to stand for extended time intervals. This is caused mostly by a breakdown of cartilage and inflammation of the synovium.
What is cartilage?
Cartilage is a thick rubbery connective tissue. It covers the ends of two bones in a joint. It is softer than bone tissue but less flexible than muscle tissue. Cartilage is responsible for the smooth movement of joints. With age, cartilage begins to degenerate. As the cartilage gets thinner, movement becomes more and more difficult. If left untreated, the cartilage may completely wear off leaving no buffer between the bones. This is one of the leading causes of knee replacement surgery.
What is synovium?
Synovium is a membrane responsible for keeping the cartilage healthy. It produces a thick fluid that keeps the cartilage and joint lubricated. In cases of osteoarthritis, this membrane can swell up and produce excess fluid. This in-turn causes the joint to swell as well.
Along with age, factors like being overweight, genetics, gender and lifestyle also play a role in the condition of your joints. Being obese points towards a sedentary lifestyle and puts extra pressure on joints, leading to the thinning of cartilage. While men have higher chances of becoming osteoarthritis patients before 45, women have higher chances of developing this disease after 50. A healthy lifestyle is the easiest way to ensure that your joints work well even when you're old and grey.
Movement of the joints keeps the fluid in them moving. It also prevents the cartilage from shrinking and stiffening up. Exercise also makes the bones stronger, and slows the rate of bone tissue deterioration. Stretching exercises are also a good way to maintain the flexibility of joints.
Foods that are known as natural anti-histamines, antioxidants and foods that fight inflammation promote healthy joints. Some of these are:
- Green tea: It prevents the breakdown of collagen and cartilage - Nuts and seeds: These are rich in omega 3 fats that are essential for good bone health
- Ginger: It relieves pain and joint swelling
- Yogurt: It helps soothe tender joints and fights inflammation Hot and cold therapy can also help relieve joint pain and reduce inflammation.
As you get older, avoid putting too much pressure on your joints and give them adequate rest. Lastly, avoid smoking, as people who smoke have an increased risk of cartilage loss.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Rheumatoid Arthritis is an autoimmune condition wherein the body’s immune system mistakenly attacks the linings of the joint. This condition affects both sides of the body including the eyes, hands and legs. Unlike the depreciating damage of osteoarthritis, rheumatoid arthritis causes a distressful swelling that consequently leads to bone deformity and even erosion. As such, it is one of the more important characteristics of the condition which distinguishes it from other forms of arthritis. It often leads to debilitating disabilities.
Risk factors and complications
Factors such as obesity, smoking, age (affects mostly after the age of 40) and many environmental factors increase the risk of Rheumatoid arthritis. In severe cases, rheumatoid arthritis can lead to a plethora of other conditions such as:
Blood and imaging tests will first be carried out. Based on such diagnosis, you may be advised medications such as steroids or Nonsteroidal anti-inflammatory drugs (NSAIDS). Now in case of severe pain, one would have to take to surgery. Varying surgeries work on different joints of the body and some of these include:
- Arthroplasty: This procedure replaces all or a part of the joint for instance, the knee or the hip.
- Arthroscopy: A procedure which helps pull out inflamed tissue or debris from the required joint with the help of light, small instruments.
- Cervical spinal fusion: Pressure on the median nerve is eased with this procedure.
- Hands and foot surgeries: These procedures help correct dysfunctional joints of the hands, fingers, legs and toes.
- Synovectomy: Synovectomy helps remove more intricate tissues which are inflamed or otherwise.
What to consider before you opt for one?
Although these various surgeries often restore almost-normal movements in the patient, they can only do so in two or possibly three joints. And of course, it goes without saying that you should consult with an orthopaedic surgeon) experienced in arthritis and joint surgeries before opting for such.
How to manage arthritis without medication? I am 60 years old working woman. I get pain in my knee joint and small bones of my feet every now and then. The situation worsens in heat and humidity. In cold weather I am fine. All my tests are normal but there is osteopenia.
Patella dislocation is mostly found among women and people associated with the high impact sport. It refers to a condition where the kneecap gets completely displaced from its normal location. Lateral dislocation is more common that involves the damage of ligaments and muscles. An immediate response to a patellar injury should be to cut down inflammation, stop engaging the patellofemoral joint and to relieve pain. One of the best ways to do it is to follow the RICE mechanism- rest, ice, compression, and elevation. Once this is done, one should seek urgent medical attention.
Symptoms of patellar dislocation:
- Immediate swelling of the knee area
- Extreme tenderness around the area of the knee cap
- Instability while bearing weight
- Acute pain near the knee cap area
- Quadriceps muscle weakness
- Redness to the affected area and instant fever as a result of the pain
- Warm feeling of the affected area
If patella remains dislocated, consult to doctor immediately. To put the kneecap back in place, doctor may give you pain medication to relax his or her knee muscles, and then gently apply pressure to move the kneecap back into place. This process is called a "reduction."
Immobilization. You may wear a brace for 4 to 6 weeks. This stabilizes the knee while it heals.
Weightbearing. Because putting weight on the knee may cause pain and slow the healing process, you may require crutches for the first week or two after the injury.
Physical therapy. Once the knee has started to heal, you doctor will require physical therapy to help you to regain normal motion. Specific exercises will strengthen the thigh muscles holding the knee joint in place. Your commitment to the exercise program is important for a successful recovery. Typically, patient return to activity 3 to 6 weeks after the injury.
Because a dislocation often damages knee tissue, the patella often remains looser, or more unstable, than it was before the injury. As a result, the patella may dislocate again. Recurrences also are common if the dislocation was caused by an irregularity in the knee structure. Ongoing exercises, such as cycling, can strengthen quadriceps muscles in the thigh and prevent future patellar dislocations.
If your patella dislocates multiple times, or continues to be unstable despite therapy and bracing, surgery may be recommended to correct the problem. The type of surgery will depend on the cause of the unstable kneecap. Surgical treatments often involve reconstructing the ligaments that hold the patella in place.
Post-surgical knee rehabilitation is a key step to a full recovery from patellar dislocation. The process of rehabilitation not only rebuilds the muscles but negate the chances of future dislocation. It also focuses on strength, endurance, power and full motion of the knee. The balance and agility of the limb are also focused upon.
How to prevent patellar dislocation?
Since the risk of recurrence of a patella dislocation is 50 percent, prevention procedures should be at the top of the list.
- Refraining from high impact sports.
- Wearing a knee cap
- Continuing the daily exercise recommended by the physiotherapist to ensure non recurrence of the patella dislocation. If you wish to discuss any specific problem, you can consult a physiotherapist.
Posterior cruciate ligament helps to hold the knee together. If there is a ligament tear, it results in pain, swelling and redness. The cruciate ligament connects the important tibia to the femur. Any injury to the posterior cruciate ligament may take months to heal and has the potential to cause instability and disability.
Signs and symptoms: The symptoms and signs of a posterior cruciate ligament injury include moderate to severe pain resulting in difficulty in walking and limp. The knee swells to a large proportion within minutes of the injury causing the knee to feel loose. There are certain situations when a patient doesn’t feel a thing about the injury and then there is a case where the pain worsens every day.
Causes: A tear in the posterior cruciate ligament appears when the shin bone gets hit. It can also occur when a person falls down with a bent knee. Some common injuries of this sort occur during motor vehicle accidents and contact sports. Apart from this, sudden accidents hitting the back portion of the knee can also result in ligament injury of the posterior cruciate ligament. Historically, men have been found to be more risk prone to this condition as compared to women.
What are the complications?
A posterior cruciate ligament injury may result in damage to other ligaments and bones within the knee. Based on the type of injury, the long term implications are predicted by healthcare professionals. The risk of developing arthritis and long term chronic pain exists in this condition.
- X-rays. Although they will not show any injury to your posterior cruciate ligament, X-rays can show whether the ligament torn off with a piece of bone when it was injured. This is called as an avulsion fracture.
- MRI. This study creates better images of soft tissues like the posterior cruciate ligament.
If you have injured just your posterior cruciate ligament, your injury may heal quite well without surgery doctor recommend simple, nonsurgical options.
- RICE: When you are first injured, the RICE method - rest, ice, gentle compression and elevation can help speed your recovery.
- Immobilization: You may require a brace to prevent your knee from moving. To further protect your knee, you may be given crutches to keep you from putting weight on your leg.
- Physical therapy: As the swelling goes down, a careful rehabilitation program is started. Specific exercises will restore function to your knee and strengthen the leg muscles that support it. Strengthening the muscles in the front of your thigh (quadriceps) has been shown to be a key factor in a successful recovery.
Your doctor may recommend surgery if you have combined injuries. For example, if you have dislocated your knee and torn multiple ligaments including the posterior cruciate ligament, surgery is almost always necessary.
- Rebuilding the ligament: Because sewing the ligament ends back together does not usually heal, a torn posterior cruciate ligament must be rebuilt. Your doctor will replace your torn ligament with a tissue graft. This graft is taken from another part of your body. It can take several months for the graft to heal into your bone.
- Procedure: Surgery to rebuild a posterior cruciate ligament is done with an arthroscope using small incisions. Arthroscopic surgery is less invasive. The benefits of less invasive techniques include less pain from surgery, less time spent in the hospital, and quicker recovery times.
Surgical procedures to repair posterior cruciate ligaments continue to improve. More advanced techniques help patients resume a wider range of activities after rehabilitation.
Whether your treatment involves surgery or not, rehabilitation plays a vital role in getting you back to your daily activities. A physical therapy program will help you regain knee strength and motion. Although it is a slow process, your commitment to therapy is the most important factor in returning to all the activities you enjoy. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Hello sir/mam mai ye puchna chahti hu k agar kisi ko back pain spine pain ki problem ho ya lordosis increase ho rahe ho to use kis tarah ke bed pe letna chahiye. Soft bed or hard bed? And kya hum floor pe bhi let sakte hai? Usse koi problem to nahi hogi.
A human body has a total of 206 bones, and yet it makes life a living hell, if even one of them is harmed. A person living with Osteoporosis feels the same way, except that they are a lot more prone to having their bones broken than a person who doesn’t. There are a variety of ways to go about treating the issue and one of them involves making use of parathyroid hormones. This is a pathbreaking cure for Osteoporosis and is being adopted by many patients worldwide.
If a person takes a look at the drugs which are made use of in the treatment of osteoporosis, he or she will release that their main function is not to repair what is damaged, but rather to slow the rate of further damage like Bisphosphonate.
However, if parathyroid hormones are looked at, it will be seen that they are usually recommended for those people who may even already had had fractures on account of osteoporosis. These people are generally said to have low bone density, which can be quite dangerous. The reason for this being the case is the fact that when parathyroid hormones are used, they have the potential and the ability to increase the rate of growth of the bones; in terms of the mineral density of the bones as well as the strength of the same.
Teriparatide comes in a pen-like device so that it can be introduced into the body by the way of an injection to either the thigh or the wall of the abdomen. It is important to keep in mind that the medicine should be handled with care which goes to mean that it is to be refrigerated at all times.
It is also to be kept in mind that the medicine can have certain side effects. In most cases in which side effects occur, the medicine leads to some dizziness or some leg cramps.
Taking into due account the fact that the drug is a new one, many doctors would not recommend it to people who have problems with their bones other than those which are caused by osteoporosis. Examples of such conditions would be hypercalcemia, which is a condition in which there is too much calcium in the blood or bone cancer. In addition to this, the medicine is not to be used by a person for a duration which is longer than two years.
All in all, it can be said that if a person makes use of parathyroid hormones to treat a problem that can be as bad as osteoporosis, the effects can be quite startling, and that too, in a positive way! If you wish to discuss about any specific problem, you can consult an orthopedist.
Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.
Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:
- Sore or stiff joints – after inactivity or overuse
- Limited range of motion or stiffness that goes away after movement
- Clicking or cracking sound when joint bends
- Mild swelling around a joint
- Pain that is worse after activity or toward the end of the day
Treatment Options For Osteoarthritis
Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:
- Managing symptoms, such as pain, stiffness and swelling
- Improving joint mobility and flexibility
- Maintaining a healthy weight
- Getting enough of exercise
Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.
Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.
Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.
Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.
For Pain Management
- Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
- Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year
Knee pain or functional status has failed to improve with non-operative management
Types of Surgery
- Arthroscopic Irrigation
- Arthroscopic Debridement
- High Tibial Osteotomy
- Partial Knee Arthroplasty
- Total Knee Arthroplasty
Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.
Joint Replacement Surgery: Joint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.
Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.
Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.
- People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
- In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
- X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
- Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
- A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.
Back pain is a common source of pain, which can be acute, subacute or chronic in nature. Back pain is classified along the segments of the spine and can be divided into neck pain, middle back pain, lower-back pain or tailbone pain.
Lower back pain is a type of back pain, which affects the lower back portion of the body. It may occur from arthritis or due to sudden jerking during movement. Lower-back pain may cause serious discomfort and aching and may disable a person from moving about. It should be treated and cared for properly.
Here are several treatments and care procedures for lower-back pain:
- Take some rest: Rest for 2 to 3 days is sufficient and consult to doctor.
- Pills: Sometimes, a lower back pain can suddenly become severe. In this case, you should intake anti-inflammatory pills such as ibuprofen or naproxen. These pills will help you ease the pain. However, you should not take them for longer time period as continuous pill consumption can cause side effects.
- Hot & cold compress: Apply a bag of frozen peas or an ice pack to the affected area in your lower back for 48 hours after the pain appears. Every session should be about of 20 minutes and you should take several sessions each day. After two days, repeat the same procedure using a heat pad. The cooling procedure shuts down your blood capillaries, reducing the flow of blood to the affected area. The swelling is then eased. The heating, on the other hand, loosens tight muscles and helps to increase blood circulation.
- Replace your mattress: People who sleep on firm mattresses and cushions on their beds are at a higher risk of experiencing lower-back pain. If you sleep on a medium-firm mattress, your chances of getting lower-back pain are less. In case your mattress is sagging or is very old, you should replace it.
- Exercising regularly: Simple and easy stretches for back not only eases the stress, but also prevents the body against spine arthritis. However, one should seek proper guidance before you attempt any exercise as not all exercises are suitable for all types of medical conditions.
Lower-back pain is likely to cause great discomfort and trouble. You will be unable to carry out your daily chores because of the pain. Therefore, proper treatment and care are required for lower-back pain.