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Dr. Pranav Rathi - Orthopedist, Mumbai

Dr. Pranav Rathi

86 (48 ratings)
Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - ...

Orthopedist, Mumbai

11 Years Experience  ·  400 - 800 at clinic  ·  ₹200 online
Dr. Pranav Rathi 86% (48 ratings) Fellowship in Shoulder and Upper Limb, Fellowship in Join... Orthopedist, Mumbai
11 Years Experience  ·  400 - 800 at clinic  ·  ₹200 online
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How to tackle Impingement Syndrome and Rotator Cuff Tear<br/><br/>Good Morning, I'm Dr. Pranav Ra...

How to tackle Impingement Syndrome and Rotator Cuff Tear

Good Morning, I'm Dr. Pranav Rathi. I'm one of the Orthopedic Surgeon who specializes as a shoulder surgeon. I practice in Juhu, Andheri in Mumbai. Today I'm going to talk about ImpingementSyndrome and Rotator Cuff Tears. These ar e pathologies pertaining to the shoulder which commonly affects middle age to older individuals. For the benefit of the patients I have a shoulder model with me here. This is the shoulder joint. These are the muscles, the subscapilaries, the supraspenitors and when I turn it around the intraspenitous. These constitute the rotator cuff. This is the acromion which is the bony process.

Now we can easily make out that whenever we try to move these, these muscles run under this bony prominence. With age and degeneration sometimes there are extra bony prominences which grow on the under surface of the acromion, and these dig into the tendons. When this keeps happening this causes a lot of pain, especially when you're doing overhead activities like removing something from the top shelf. If this is neglected at that point then this continuous rubbing on the bony surface causes the tendons to become weak and it finally tears. That is called the Rotator Cuff Tear.

If you neglect a Rotator Cuff Tear which causes a significant weakness in the movement of your shoulder then your joint goes into arthritis and this arthritis is accelerated. What I mean by that is normal if a 70yr old gets arthritis, somebody with a Rotator Cuff Tear can get it 10yrs earlier at the age of 60 or 55 and you're really not that inactive and you really want to use the shoulder isn't it? So that is the reason why we should tackle these things the moment they're diagnosed. Now, the surgery to create more space under the acromion is called sub-acromion depression. It is done arthroscopically with just two stitches. At the same time if we find a Rotator Cuff Tear we can repair it using special suture anchors which go to the bones on one side and have threads on the other side to take these Rotator Cuff and bring it back to the bone. And that is how you can tackle it with a minimally invasive procedure.

Unfortunately, many patients come to me who have missed this bus and they've already had arthritis in their shoulders. Now, these procedures will not work to take away the pain of arthritis in which case you'll require shoulder replacement. Therefore, it is essential that you target these problems as early as possible to avoid a more invasive and a major surgical procedure like shoulder replacement.

Hope this information was helpful. For any furthur information or any queries you might have please contact me on Librate.

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Personal Statement

Born and brought up in Mumbai, I was a pupil of Don Bosco High School, Borivali and D.G. Ruparel College, Matunga. I have the honour of topping Maharashtra medical entrance exam (MHCET-2......more
Born and brought up in Mumbai, I was a pupil of Don Bosco High School, Borivali and D.G. Ruparel College, Matunga. I have the honour of topping Maharashtra medical entrance exam (MHCET-2000). I finished his MBBS from Seth G. S. Medical College and K. E. M. Hospital and MS (Orthopaedics) from Bombay Hospital where I was ranked 7 in the university. Further I trained abroad with world renowned surgeons; first as a clinical fellow in Hip and Knee Arthroplasty (Primary and Revision) for a year at UC Davis Medical Center, California, USA and later as a clinical fellow in Shoulder and Upper Limb Unit at Aberdeen, UK for 2 years. I already have two international publications in American Journal of Orthopaedics. I am competent in managing regular trauma but through my sub-specialty training abroad I have gained considerable experience in the following procedures: ? Shoulder Arthroscopy ? Knee Arthroscopy ? Shoulder Replacements and Revisions ? Hip Replacement and Revisions ? Knee Replacement and Revisions ? Complex upper limb fractures
More about Dr. Pranav Rathi
Dr. Pranav Rathi is an experienced Orthopedist in Mumbai, Mumbai. He has had many happy patients in his 11 years of journey as a Orthopedist. He has done Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS . You can meet Dr. Pranav Rathi personally at Dr. Pranav Rathi's Ortho-Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Pranav Rathi and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 33 years of experience on Lybrate.com. Find the best Orthopedists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
Fellowship in Shoulder and Upper Limb - Royal College of Surgeons, Edinburgh - 2015
Fellowship in Joint Replacement - University of California, Davis, Sacramento, CA, USA - 2012
MS - Orthopaedics - Bombay Hospital Institute of Medical Scienece - 2009
...more
MBBS - Seth G. S. Medical College and K. E. M. Hospital, Parel, Mumbai - 2006
Languages spoken
English
Hindi
Professional Memberships
Bombay Orthopaedic Society
General Medical Council
Maharastra Medical Council

Location

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Dr. Pranav Rathi's Ortho-Clinic

Advanced Multi Speciality Hospital,Homeopathy Medical College Campus, Natakkar Gadkari Marg, Irla, Vile Parle WestMumbai Get Directions
800 at clinic
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Dr.Dr. Pranav Rathi's Ortho-Clinic

Bhartiya Arogya Nidhi Hospital, NS Road no. 13, JVPD Scheme, JuhuMumbai Get Directions
400 at clinic
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Impingement Syndrome and Rotator Cuff Tear

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
Play video

How to tackle Impingement Syndrome and Rotator Cuff Tear

Good Morning, I'm Dr. Pranav Rathi. I'm one of the Orthopedic Surgeon who specializes as a shoulder surgeon. I practice in Juhu, Andheri in Mumbai. Today I'm going to talk about ImpingementSyndrome and Rotator Cuff Tears. These ar e pathologies pertaining to the shoulder which commonly affects middle age to older individuals. For the benefit of the patients I have a shoulder model with me here. This is the shoulder joint. These are the muscles, the subscapilaries, the supraspenitors and when I turn it around the intraspenitous. These constitute the rotator cuff. This is the acromion which is the bony process.

Now we can easily make out that whenever we try to move these, these muscles run under this bony prominence. With age and degeneration sometimes there are extra bony prominences which grow on the under surface of the acromion, and these dig into the tendons. When this keeps happening this causes a lot of pain, especially when you're doing overhead activities like removing something from the top shelf. If this is neglected at that point then this continuous rubbing on the bony surface causes the tendons to become weak and it finally tears. That is called the Rotator Cuff Tear.

If you neglect a Rotator Cuff Tear which causes a significant weakness in the movement of your shoulder then your joint goes into arthritis and this arthritis is accelerated. What I mean by that is normal if a 70yr old gets arthritis, somebody with a Rotator Cuff Tear can get it 10yrs earlier at the age of 60 or 55 and you're really not that inactive and you really want to use the shoulder isn't it? So that is the reason why we should tackle these things the moment they're diagnosed. Now, the surgery to create more space under the acromion is called sub-acromion depression. It is done arthroscopically with just two stitches. At the same time if we find a Rotator Cuff Tear we can repair it using special suture anchors which go to the bones on one side and have threads on the other side to take these Rotator Cuff and bring it back to the bone. And that is how you can tackle it with a minimally invasive procedure.

Unfortunately, many patients come to me who have missed this bus and they've already had arthritis in their shoulders. Now, these procedures will not work to take away the pain of arthritis in which case you'll require shoulder replacement. Therefore, it is essential that you target these problems as early as possible to avoid a more invasive and a major surgical procedure like shoulder replacement.

Hope this information was helpful. For any furthur information or any queries you might have please contact me on Librate.

3414 people found this helpful

Shoulder Pain: Causes, Diagnoses & Treatment

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
Shoulder Pain: Causes, Diagnoses & Treatment

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are:

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:

  • Bankart lesion

Diagnose Shoulder Pain

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views.
  2. Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Always remember 'a stitch in time saves nine'

3204 people found this helpful

4 Most Common Orthopedic Disorders

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
4 Most Common Orthopedic Disorders

Orthopedic disorders include all the health issues and ailments that are related to the muscles, joints and ligaments. Orthopedic disorders are so widespread and so large in number that it is very difficult to list all of them down. However, among them the four most common orthopedic disorders are:

  1. Arthritis: It is a chronic and a long lasting orthopedic disorder in which you witness the swelling or inflammation of one or more joints in the body. This condition is very painful in nature and it tends to deteriorate gradually. This condition usually affects elderly people and it also worsens with age which ultimately causes stiffness of the joints and limits your routine body movements.
  2. Osteoarthritis: This is a degenerative joint disorder which leads to immense pain and discomfort in the joints of the body. This is one of the most serious forms of orthopedic disease that has been noticed. This disease involves degradation and decline in the overall quality of the bones and joints in the affected areas.
  3. Lower back pain: This condition refers to periods of pain and discomfort in the lower part of your spinal area. This condition is very common nowadays and as a result of this pain, your back usually becomes tender, swollen and stiff. This pain also stops you from doing your overall routine activities.
  4. Rheumatoid arthritis: It is an orthopedic disorder in which there is severe swelling in a particular joint, accompanied by small lumps on the affected area that further degrade the external appearance of the skin. In case of adults, this disorder lasts for a lifetime and worsens with time, if left untreated.

Related Tip: "4 Common Orthopedic Problems Faced By Aged People"

3204 people found this helpful

Common Treatment Options For Back Pain

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
Common Treatment Options For Back Pain

Lower back pain is a very common discomfort causing condition that occurs anywhere on the back below the ribs and above the legs. The pain is very common and it is faced by most individuals at least once during their lifetime.

The most basic measures to cure your lower back pain are exercising well, eating healthy and maintaining a good body posture at all times. Here are some of the common treatment options for reducing back pain.

Spinal Manipulation: It refers to an ancient form of therapy in which your back pain is treated externally. This form of treatment is quite similar to a massage treatment and helps to relax the muscles in the lower back area, thereby reducing the pain. It is usually done by osteopathic physicians, chiropractors, occupational therapists and physical therapists.

Neurostructural integration technique (NST): The main role of this type of treatment is to naturally reset the affected area of the body in order to allow it to regain its normal form. The results usually begin to appear after at least 2 sessions of the therapy and the effects are long lasting in nature.

Acupuncture: This is an old technique which uses small needles at strategic locations on your skin. The main aim of the acupuncturists is to re-balance the flow of energy in your body and to ensure that you have an optimal level of energy in all parts of your body. This in turn helps to regain the normal state of your lower back if the right points on the body are targeted.

Other measures: Some preventive measures which ensure that the lower back pain does not recur are as follows:

  1. Keep your spine straight and posture correct
  2. Avoid excessive bending, stretching or weight lifting
  3.  Avoid heavy physical activities like sprinting
  4. Regular and light exercising
3785 people found this helpful

I went through the tibia surgery in which they have inserted rod inside tibia to integrate the fracture. It's been 4 years for the operation. Should I go for reverse operation to extract that rod. I mean is it necessary to eliminate or I can continue with the same.

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
There is no need to remove the implant unless there are some symptoms related to it. Implant removals are tricky and unpredictable operations which take almost as much time as the original surgery.
1 person found this helpful
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My mother is 50 years old and suffering from knee pain. How can I treat my mother?

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
My mother is 50 years old and suffering from knee pain. How can I treat my mother?
Id she has not had any injury to the knee then at this age it is most likely to be degenerative pathology. This needs to be confirmed with xrays. Blood investigation to rule out inflammatory arthritis may be required if there is family history of ra. The first line of management in degenerative knee pain is conservative with physiotherapy and pain control with over the counter simple analgesic.
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My mother having a knee problem since last 8 years and I concerned most of the doctors and also concerned in medical but doctors said that knee pain is caused by gas. Is their any treatment so my mother knee problem is cured.

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
My mother having a knee problem since last 8 years and I concerned most of the doctors and also concerned in medical ...
Knee pain cannot be explained by gas. Your mom is 50 so she must have developed early osteoarthritis which is the most common cause of knee pain if there is no history of trauma. Try pain killers only when necessary and start physiotherapy to strengthen the quadriceps muscle. Give it 3 weeks and the re-evaluate.
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Sir I have a problem of slipped disc in cervical spine. I am a dance choreographer so I should do my profession or I should stop it.

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
If the problem is recent and correctly diagnosed you should take rest for a couple of weeks and then start gradually with neck physio. Once your neck muscles are strong then you can gradually restart your dance activity.
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My MRI report is Minimal knee effusion Partial tear of pcl Low grade injury in acl My MRI report is Grade 2 medical signal (intrasubtance meniscus tear) in posterior horn of medial meniscus in right knee. So what treatment for it.

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
My MRI report is Minimal knee effusion
Partial tear of pcl
Low grade injury in acl
My MRI report is Grade 2 medical s...
Try rest x 2 weeks and then physiotherapy x 4weeks. Grade 2 signal does not mean a complete tear. Partial/low grade injuries can heal.
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