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Dr. Arjun Wadhwani

MS - Orthopaedics

Orthopedist, Indore

26 Years Experience  ·  300 at clinic
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Dr. Arjun Wadhwani MS - Orthopaedics Orthopedist, Indore
26 Years Experience  ·  300 at clinic
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Arjun Wadhwani
Dr. Arjun Wadhwani is a renowned Orthopedist in Sanwer, Indore. He has over 26 years of experience as a Orthopedist. He has completed MS - Orthopaedics . He is currently associated with Dr Arjun Wadhwani Clinic in Sanwer, Indore. Book an appointment online with Dr. Arjun Wadhwani on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 34 years of experience on Lybrate.com. You can find Orthopedists online in Indore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MS - Orthopaedics - Pandit Ravishankar Shukla University - 1993
Languages spoken
English
Hindi

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Dr Arjun Wadhwani Clinic

Patel Nagar, Near Agrawal Sweets, Sapna Sangeeta RoadIndore Get Directions
300 at clinic
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Hello doctor .i am getting pain in the knee area of right leg from many days .can you ppl suggest me that what to do.

MBBS, D.ORTHO, DNB (Ortho), Fellowship Joint Replacement, MNAMS
Orthopedist, Mumbai
Hello doctor .i am getting pain in the knee area of right leg from many days .can you ppl suggest me that what to do.
Yes, You need to avoid activities that causes pain, Apply ice packs, Also you need physiotherapy , You can take a consultation for details

Knee Replacement

DNB (Orthopedics), Diploma in Orthopaedics, MBBS
Orthopedist, Mumbai
Play video

Benefits of Bilateral Total Knee Replacement

I am Dr. Rakesh Nair. I am an exclusive knee replacement surgeon practicing at Zen Hospital in Chembur. I am also attached to the Fortis Group of Hospitals at Vashi and Mahim and Holy Family Hospital at Bandra. Today, I am going to talk about Bilateral One Stage Total Knee Replacement. To understand the basic term which I have used here when I say Bilateral One Staged, I say both knees and one sitting. They are done together once the patient is wheeled in. They are not done in a gap of a few days. That’s what I mean by both knees and one sitting.


In the surgery, all we remove is hardly 7-8 mm of bone from the thigh bone and around 7-8 mm from the shin bone, that is the lower part and all we do is just change the cap. It’s like changing the cap of a tooth, so your bone and your muscle are your own. We are not chopping off the whole knee and replacing it. So, that is the reason why I am using the terminology Knee Resurfacing, we are changing only the cap.
Once the cap is changed, we are able to mobilize the patient, the same evening if required. And, with the advanced anesthesia techniques that we have, I am able to make the patient walk the same evening. So, there are some videos here also which would tell you the same where the patient has been operated in the morning by around 12 o’clock once he or she is wheeled out the operation theatre. In another four hours by 4 o’clock evening, the patient is walking with full weight on the leg without much pain because of the pain techniques that we in terms of the pain management.

Now, why would I say that we should be doing both knees in one sitting? So, what are the advantages of doing both knees in one sitting? If you see the further videos which I would also show you, most of the patients who come to me have severe deformities. They, like, have severe bow legs, legs which are severely bent, either towards the inside or either towards the outside. So, doing one knee and then doing another knee is not going to help at all because the patient is not going to be able to walk. So, when I do both knees in one sitting it restricts the surgical procedure so it is like saying I do everything under one anesthesia. The patient gets short of medication. The medicines also which go into the body is once you are wheeled into the operation theatre. The most important part is that the patient can be mobilized very easily because immediately both the legs are straight and the patient can walk with full weight bearing on both the legs. So, I can make the patient walk in the evening or the next day depending on how strong the bones and the muscles are. Another thing is, it reduces the hospitalization also, plus the hospital cost also goes down because we don’t double use the medication nor the stay is doubled. The stay is same; it varies between 3-7 days depending on how strong the patient's knees are before surgery. So, I would definitely advocate doing both knees in one sitting.


What are the main advantages and what would you say in terms of why wouldn’t we do a knee after a week or 10 days? There are studies which say that it is not the number of joints, so the number of knees you do in which causes the problem or the commonest cause which is an infection. The problem arises if you keep on wheeling the patient into the operation theatre. So, if somebody says that we do a knee today and then we do a knee after 4 or 5 days then cases of infection will increase because the patient is being wheeled into the operation theatre on two separate occasions. So, it is not that I have not done both the knees in one sitting, which is a better option because the chances of infection are less than doing one knee now and then doing the other knee after 4-5 days, where the patient gets the same medicines repeatedly plus he is bought into the operation theatre again and his stay also increases in the hospital.


We would be showing you some videos where the patient, how the patient is walking before surgery. If you see most of these patients, the legs are severely deformed. So, all of them I have been able to do a One Staged Bilateral Knee Resurfacing where I have done both the knees in one sitting. You see them how they are walking before surgery, you see them how are they are walking after surgery. And, if you compare the function, they are really able to walk very comfortably.


My patients even sit cross-legged after surgery but that is not. I will show you one of these videos which are showing the patient sit cross-legged after surgery. But that is not something which we promote. It is just to show that they get very good function and they would definitely be able to sit cross-legged but that is not something we tell the patient to do because that compromises on the life of the knee. So, there are a lot of records and results which say that, whether we do a Bilateral One Staged Knee Replacement or whether we a One Staged Knee Replacement, the complications in terms of infection, an embolism is always similar. In fact, it is much more in a unilateral knee than in a bilateral knee.


We use body exhaust play suits, again, during surgery. I will show you this video which is showing you the body exhaust play suits where we are working in a very sterile environment. We would not want to give any infection even from the OT personnel to the patient. So, these are body exhaust playsuits which prevent the impure air breath out of the operating team, it is not allowing it to go to the patient. In fact, it is sucked up by a rotating fan which is there on top of the body exhaust playsuits and the whole impure air is taken out from the patient’s atmosphere. Even our conventional methods of mixing cement have been changed and we are using basically vacuum mixing for cement so there again is no impurities in the bowl in which we are mixing the bone cement to fix the implants to the bone.

We have all the options in terms of the knee replacement where we even have computer assisted Total Knee Replacement. We have Unilateral Knee Replacement where basically the unilateral knee replacement is used for younger patients who have deformities or pain in the insides of the knee where only a part of the knee has been damaged, the rest of the bone is all right, that’s where we use the Unilateral Knee Replacement. The latest what we have is the Customized Jigs in Total Knee Replacement where we get the MRI done of the affected knee. On the basis of the MRI, ceramic Jigs are made and on the basis of the ceramic Jigs, the positioning of the implant can be as perfect as required. Obesity has always been, the patient has always come up to me saying, “Doc, I am little on the heavier side, I am so heavy, is it a contraindication to my surgery?” So, obesity as such is not a contraindication to surgery. Definitely chances of wound healing are a problem but, instead of a week to ten days, it will take another week to ten days for healing. Otherwise, it is not a contraindication to the surgery.


Now, a very important question which comes from the patient is, “Doctor, how long will these knees last?” So, I give a very simple answer to that is that, the more you take care of it, the longer it will last. So, the longevity of the knee all depends on how strong your muscles are before surgery, how strong your bones are after surgery or before surgery and depending on that we normally get a bone density done for the patient and we treat the patient either on a yearly injection for osteoporosis or daily injection which are meant to fill up the bone and that decides on how well the implant is going to hold on and how long the life of the knee is going to last.

For further information, you need to contact me through lybrate.com.

 

3459 people found this helpful

Hello doctor, I am 26 Male. I have got injured on my left wrist. It was a minor injury that happened while I tried to pull my scooty from mud. But the problem is that almost 2 months is going to elapsed I still feel the ache on my wrist.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hello doctor, I am 26 Male. I have got injured on my left wrist. It was a minor injury that happened while I tried to...
You should take acupressure therapy and take biochemic nat phos 12x +mag phos 12x 4 tab each thrice a day with warm water and take it 5 days

I am 21 years old boy, I was playing volleyball about 1 week before, then suddenly after hitting spike there is a pinch pain in my left lower back. And the still irritating me when I sit down, stand up, run and the pain is increasing when again I jump for spike volleyball. Now after 1 week I think I should rest because the pain is increasing everyday, please tell me what should I do now.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 21 years old boy, I was playing volleyball about 1 week before, then suddenly after hitting spike there is a pin...
It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / lePhysiotherapy treatment:Ift and swd can be done for localized pain.Ift and traction can be done if you have radiating pain. G pain though there may not be any pathological reasons for back pain.

Carpal Tunnel Syndrome

BPT, MPT- Ortho
Physiotherapist, Gurgaon
Carpal Tunnel Syndrome

Carpal tunnel syndrome

Facts

1. Carpal tunnel syndrome is caused by irritation of the median nerve at the wrist. 
2. Any condition that exerts pressure on the median nerve can cause carpal tunnel syndrome. 
3. Symptoms of carpal tunnel syndrome include numbness and tingling of the hand. 
4. Diagnosis of carpal tunnel syndrome is suspected based on symptoms, supported by physical examination signs, and confirmed by nerve conduction testing. 
5. Treatment of carpal tunnel syndrome depends on the severity of symptoms and the underlying cause. 

What is carpal tunnel syndrome? 

The wrist is surrounded by a band of fibrous tissue that normally functions as a support for the joint. The tight space between this fibrous band and the wrist bone is called the carpal tunnel. The median nerve passes through the carpal tunnel to receive sensations from the thumb, index, and middle fingers of the hand. Any condition that causes swelling or a change in position of the tissue within the carpal tunnel can squeeze and irritate the median nerve. Irritation of the median nerve in this manner causes tingling and numbness of the thumb, index, and the middle fingers -- a condition known as "carpal tunnel syndrome." 

What are carpal tunnel syndrome symptoms? 

People with carpal tunnel syndrome initially feel numbness and tingling of the hand in the distribution of the median nerve (the thumb, index, middle, and thumb side of the ring fingers). These sensations are often more pronounced at night and can awaken people from sleep. The reason symptoms are worse at night may be related to the flexed-wrist sleeping position and/or fluid accumulating around the wrist and hand while lying flat. Carpal tunnel syndrome may be a temporary condition that completely resolves or it can persist and progress. 


As the disease progresses, patients can develop a burning sensation, and/or cramping and weakness of the hand. Decreased grip strength can lead to frequent dropping of objects from the hand. Occasionally, sharp shooting pains can be felt in the forearm. Chronic carpal tunnel syndrome can also lead to wasting (atrophy) of the hand muscles, particularly those near the base of the thumb in the palm of the hand. 

How a physio can help? 

Determining the cause and contributing factors is important in the management. Reducing inflammation associated with a fracture or an injured tendon will help reduce pressure in the carpal tunnel. If symptoms are related to vibration then modifying work practices to avoid prolonged exposure is important. Similarly avoiding prolonged positioning of the wrist in a flexed or extended position is important. Splints, different equipment, different grips may all be useful to change and support the wrist mechanics. 
Wear a splint: 
A specific carpal tunnel splint that helps to keep the wrist in a neutral position helps minimise the pressure in the carpal tunnel. Initially the splint may need to be worn for long periods to allow symptoms to settle. As symptoms settle the splint is worn for shorter periods. 
Rest: 
Rest from aggravating activities is important, it helps settle inflammation and alleviates symptoms. 

Exercise Program

Your physiotherapist will give you stretches and exercises that help to mobilise the median nerve, help strengthen the muscles around the wrist and stretches to stretch the structures around the wrist to help settle and alleviate symptoms and to prevent recurrences. 

Surgery? 

In cases that are left untreated, serious cases, or cases that don’t respond to treatment, surgery is sometimes needed. Surgery involves decompression of the nerve. Most people do well after such surgery. 

1 person found this helpful

Hi I am having heavy hair loss I have used patient, head and shoulders but to no vain. Can you suggest any natural remedy, or should I use any other shampoo.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
Hi I am having heavy hair loss I have used patient, head and shoulders but to no vain. Can you suggest any natural re...
Hair fall caused by stress lack of proper nutrition use of hair cosmetics dyeing of hair any scalp diseases after acute illness androgenic alopecia certain medications take nutritious food reduce your stress by taking rest, meditation, playing outdoor games use good conditioning shampoo wash your hair properly at least twice a week use mild shampoos use anti dandruff shampoo to clear dandruff take preventable therapy for for baldness in androgenic alopecia.
2 people found this helpful

Had severe back pain at the lower part which radiated to left leg. Applied some oil and got some relief but no completely wonder what should I do now.

BPTh/BPT, weight management specialist, Diploma in Nutrition and Health Education (DNHE)
Dietitian/Nutritionist, Kolkata
Had severe back pain at the lower part which radiated to left leg. Applied some oil and got some relief but no comple...
There can be compression of nerve at some level of the spine or disc bulge,better would be to get yourself examined by a dcotor..in the mean while rest as much as you can ,apply some volini gel,dont massage that area,you can wear a LS belt to give support to the back..avoid bending forward and lifting heavy weights or 'exercising for few days.Do ice compression Don't sleep on hard surface or floor.

My job is sitting in front of the computer whole day. So as I have back pain as well as my waste do pain everyday in the morning. Please advice me the solution.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My job is sitting in front of the computer whole day. So as I have back pain as well as my waste do pain everyday in ...
Avoid long sitting and toward bending do heat fermentation twice a day and do stretching exercise of full spine in daily routine sit straight and tk break between workwork rest must.

I am a banker. Due to my profession I have pain in my back. Please give me any healthy solution so that i'll focus on my work without any disturbance. Thanks.

BPTh/BPT
Physiotherapist, Mumbai
I am a banker. Due to my profession I have pain in my back. Please give me any healthy solution so that i'll focus on...
Hi I can understand your problem. # relax & stay positive. # take hot and cold fomentation. # learn posture care exercise. # use lumber support. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same. Do share investigation reports if you have any.
1 person found this helpful
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