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Dr. Rahul Bade - Orthopedist, Pune

Dr. Rahul Bade

MBBS, DNB (Orthopedics)

Orthopedist, Pune

15 Years Experience  ·  400 - 600 at clinic
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Dr. Rahul Bade MBBS, DNB (Orthopedics) Orthopedist, Pune
15 Years Experience  ·  400 - 600 at clinic
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Holistic solution to all your knee worries. We are an Organisation helmed by Dr Rahul Bade who has immense experience and prowess in the orthopaedic field for the past 12 years. We are a ......more
Holistic solution to all your knee worries. We are an Organisation helmed by Dr Rahul Bade who has immense experience and prowess in the orthopaedic field for the past 12 years. We are a one stop shop for all your knee worries. We have state-of-the-art infrastructure and expertise for timely and precise diagnosis, preventive measures and curative treatment. You are in safe hands!
More about Dr. Rahul Bade
Specialised in : - Knee Arthroscopy - Total Knee Replacement - Sports injuries - Shoulder Arthroscopy - Trauma - Joint Preservation Surgery


MBBS - DYPMCK, Kolhapur - 2004
DNB (Orthopedics) - Pushpagiri Medical College, Kerala - 2009
Languages spoken
Awards and Recognitions
Fellowship in Joint Replacement Surgery
Member - ISAKOS- International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine
Fellowship in Arthroscopy & sports injuries, Barcelona, Spain
Certification AO Recon
Professional Memberships
Member In ISAKOS
Poona Orthopedic Association
Indian Society of Hip and Knee Surgeons (ISHKS)
IMA Pune
Indian Arthroscopy Society


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600 at clinic

Sparsh Hospital

somatane phata, Near Talegaon, Tal MavalPune Get Directions
400 at clinic
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Platelet Rich Plasma In Sports Injuries

MBBS, DNB (Orthopedics)
Orthopedist, Pune
Platelet Rich Plasma In Sports Injuries

Sports injuries are a common problem, where various types of musculoskeletal injuries can occur during the physical activities. These injuries can either be acute or chronic in nature. In athletes, such injuries can pose as a risk to their careers, which makes it essential for the physicians to provide the most appropriate treatment. It is mandatory to provide a prompt, safe and quick treatment that can restore the athlete’s preinjury level of participation in sports.

Various treatment approaches are present for treating sports injuries. The use of intra-lesion blood injection is being made for addressing the musculoskeletal injuries. An easy and minimally invasive method of using concentrated autologous growth factors in treating sports injuries is the use of platelet rich plasma (PRP). It is a fraction of the blood plasma that contains a higher concentration of platelets than normal plasma, along with growth factors.

  1. PRP is used in the treatment of both soft tissue and bone injuries. Growth factors have a positively influencing effect on the healing process of connective tissue components.
  2. There is a huge difference between the anatomy and functions of tendons, ligaments, muscles and joint capsules. Hence, the site of injection of PRP also varies.
  3. The cellular tension in the tissue and the collagen structure is affected after the administration of PRP.
  4. Use of PRP is popular in the treatment of an Achilles tendon. For injecting PRP, an ultrasound scan is done, the site of injection is accurately identified and then PRP is administered.
  5. Proper location of the site of injury and deciding the accurate injection zone prior to the injection of PRP makes it easier to facilitate treatment and eliminate discomfort.
  6. Administration of PRP should be considered secondary to physical therapy and other conservative means of treatment.
  7. Enthesopathy is a discomfort in the area where the attachment of tendons, ligaments and the articular capsule is present. The use of PRP is increasing in the treatment of this condition. It has an inflammatory nature and presents as epicondylitis or capsulitis.
  8. Studies have proved that PRP is an effective alternative to injection of steroids for an anti-inflammatory effect. Steroids majorly provide only symptomatic relief, whereas PRP is more definitive.
  9. PRP has also found an increased use in the area of surgical procedures of knees. It is used to increase the efficiency of the healing grafts placed in the knee during reconstructive surgeries.
  10. For treatment of bone injuries, use of PRP has shown an improved quality and rate of bone healing. Even in cases of an infected injury, PRP aids in healing efficiently.
  11. No known side effects or complications after use of PRP have been observed, which makes it a sought after option in management of sports injuries.
2830 people found this helpful

PRP Therapy - How Can It Help With Sports Injuries?

MBBS, DNB (Orthopedics)
Orthopedist, Pune
PRP Therapy - How Can It Help With Sports Injuries?

Sports activities can lead to severe injuries, and the treatment administered differs, based on the severity of the injury. Muscle injuries are often healed using platelet-rich plasma. Called PRP in short, this therapy gained an immense popularity almost a decade back.

How does it work?

Blood is composed of cellular elements and plasma. PRP is the blood with concentrated platelets and is rich in bio-reactive proteins. This also contains factors that are vital to accelerating growth. PRP aids in faster tissue regeneration and repair. Bones, tendons, and ligaments are the connective tissues in the body, and they need to heal together, which is what this therapy promotes.

A regenerate therapy for faster healing

This therapy is performed by taking out a small amount of blood from the patient’s body. The platelet concentration is augmented by placing it in a centrifuge, and the growth factors are also promoted. Then this plasma is injected into the affected area. It is injected straight into the damaged area. This therapy suits all sorts of sports injuries, arthritis, inflammation, plantar fasciitis, knee ligament injuries, tennis elbow, patella tendinopathy, and Achilles tendinopathy. Joint pain that is caused by an acute injury, early partial tendon tears, and any chronic degenerative disease, too, can be cured with PRP.

Conditions that can be cured with PRP

When athletes are involved in sports activities, a few joints are constantly used. As a result, the tendons experience microscopic tear, and it takes a lot of time for these tendons to heal because the blood supply is not adequate here. When you get injected with the PRP, the nutrients and growth factors required are supplied and it helps in faster healing. Here are a few injuries that can benefit from PRP. It is often seen that celebrities suffering from the condition use this regenerative therapy.

  • Rotator Cuff injuries: Sports injuries can occur commonly in the shoulder joints, where lots of actions can take place. With the arm motion more repetitive in sports such as baseball or basketball, this condition can be seen repetitively. Accidents, too, can result in rotator cuff injuries. When the rotator cuffs suffer from a partial tear of tendons or inflammation, PRP injections can offer the solace. However, if rotator cuffs experience severe damage, then only surgery can be helpful.
  • Plantar Fasciitis: When the sports require a lot of footwork, an injury may result. Runners are often found suffering from a sports injury. People who stand on feet for long hours too can face this condition. This condition responds well to PRP injections. However, if not treated for long or left unattended, a surgery becomes the sole option for relief.
  • Tennis Elbow: The forearms are often used in sports like tennis. The tendons, due to continuous usage, can tear. The repetitive stress on these tendons can also lead to inflammation. Not only sports people but even cooks, painters, carpenters, and assembly line workers can find this a trouble. PRP injections offer the required growth factors to heal the tendons and help to get back to normal life faster.

With hordes of regenerative therapies available, consult a professional to choose the best for you. Also, your physician should be the right person to decide if it is time for a surgery.

2845 people found this helpful

Cartilage Damage - What Causes It?

MBBS, DNB (Orthopedics)
Orthopedist, Pune
Cartilage Damage - What Causes It?

Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.

There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.

Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)

Read on to know some of the most common causes for cartilage damage and ways to manage it.


Age and trauma are the main reasons for cartilage damage.

  1. Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).
  2. Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.
  3. Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.
  4. Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.


The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.


Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:

  1. Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.
  2. Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.
  3. Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.
  4. Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth.  

In case you have a concern or query you can always consult an expert & get answers to your questions!

2568 people found this helpful

Total Knee Replacement - Multimodal Pain Relief After Surgery!

MBBS, DNB (Orthopedics)
Orthopedist, Pune
Total Knee Replacement - Multimodal Pain Relief After Surgery!

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 dizziness, urinary 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2577 people found this helpful

Knee Injuries - What Things Should You Know?

MBBS, DNB (Orthopedics)
Orthopedist, Pune
Knee Injuries - What Things Should You Know?

Knee injury can occur from the direct blow as well as through stretching and twisting injuries. At times the ligament that holds the knee in place gets stressed and results in sprains. Depending on the extent of the ligament and fibre damage, the sprains are graded. Then there are knee injuries that are caused by overuse of it. These injuries cause harm to the tendons and the muscles. Since the knee is interconnected to a lot of other structures, any damage to the knee can have serious repercussion to other connected bones and ligaments.

What are the Risk Factors?

  1. Muscle imbalance leading to hamstring spasm.
  2. Imbalance of the thigh muscle leading to injury of the knee.
  3. Pregnant women and people who are overweight are at increased risk of  knee injury

Signs and Symptoms of a Knee Injury:

Knee injuries that are serious in nature can result in instant swelling along with difficulty in bending it. People may find it difficult to bear any sort of weight whatsoever. Joint pain, swelling, inflammation of the muscles are some of the other symptoms of injury to the knee. Pain, instability, locking of the knee can be felt while walking fast or climbing stairs.

When to Contact a Doctor?

Any knee injury should be instantly reported to a doctor. Signs such as deformity, loss of sensation, cold ankle, swelling of knee etc. are signs of a knee injury. A doctor should be consulted, if home remedies such as rest, elevation, compression and ice treatment fail to fetch any fruitful results. If the swollen area has become warm and red and accompanies fever, it is a sign to visit the doctor.

How is a Knee Injury Diagnosed by a Doctor?

A doctor starts the diagnosis with medical history along with physical exam of the patient. Doctor first does a thorough inspection of the nerve and blood supply of the area.The next step of the diagnosis includes palpation. This is a step where the doctor tries to find out the exact location of the pain and tries to correlate the same with the injury location. The doctor might also stress the ligament in order to find out if they are fine. Other imagery tests such as X-ray and MRI are performed to find out the exact location of the injury.

Treatment Available-

The nature of the injury decides the treatment plan. In many cases, the injured area is suggested to be kept at rest or moved in the specific direction as per the direction of a physiotherapist. For serious injuries with a tendon or ligament injury, a reconstructive surgery is necessary to get the knee to the original condition. The type of surgical procedure depends on the kind of Injury one have faced.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2514 people found this helpful

Bilateral knee replacement! what will be the cost nd pricing of the total surgery? I am also a paediatrician from gorakhpur! want to get it done for my mother! waiting fr your reply sir.

MBBS, DNB (Orthopedics)
Orthopedist, Pune
Bilateral knee replacement! what will be the cost nd pricing of the total surgery? I am also a paediatrician from gor...
Approx 1.4 lakh for each knee if 2 stage. 2.5 lakh if single stage. Estimate for implants by Depuy all poly. Includes pharmacy. Preop fitness mandatory. Single or 2 stage depends on complexity and patient fitness.