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Dr. Ravi C V  - Orthopedist, Visakhapatnam

Dr. Ravi C V

90 (15 ratings)
DNB, Fellowship in Pediatric Orthopedics

Orthopedist, Visakhapatnam

9 Years Experience ₹300 online
Dr. Ravi C V 90% (15 ratings) DNB, Fellowship in Pediatric Orthopedics Orthopedist, Visakhapatnam
9 Years Experience ₹300 online
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Ravi C V
Dr. Ravi C V is a trusted orthopaedist based in Maharanipeta, Visakhapatnam. With total 9 years of experience, he is a highly proficient orthopaedist who has successfully provided diagnosis and treatment to a great number of patients over the years. Dr. Ravi C V is a vastly skilled orthopaedist who is capable of dealing with all kinds of disorders and deformities of the skeletal system and supporting structures such as muscles and cartilage. This includes sports injuries, spine diseases, infections and even congenital disorders. As an orthopaedist, he cherishes the opportunities he gets to directly improve the health and wellbeing of his patients and to develop professional and personal relationships with them. An appointment with him will surely help you find the most suitable and effective remedy for your orthopaedic problems for good. He studied and completed DNB, Fellowship in Pediatric Orthopedics . You can meet Dr. Ravi C V personally at SG Ortho in Maharanipeta, Visakhapatnam. You can book an instant appointment online with Dr. Ravi C V on Lybrate.com. ybrate.com has a nexus of the most experienced Orthopedists in India. You will find Orthopedists with more than 26 years of experience on Lybrate.com. You can view profiles of all Orthopedists online in Visakhapatnam. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
DNB - Ganga Hospital Coimbatore - 2009
Fellowship in Pediatric Orthopedics - RCH Melbourne - 2012
Languages spoken
English

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SG Ortho

Coastal Battery Rd, Krishnagar, Krishna Nagar, Maharani Peta,Visakhapatnam Get Directions
  4.5  (15 ratings)
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Abhiram Hospital

Sreerampuram, near Water Tank ., Juvvalapalem Rd,bhimavaram Get Directions
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Know More About Perthes Disease In Children!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Know More About Perthes Disease In Children!

The hip joint is a ball and socket joint made up of the round head of thigh bone (femoral head) with the cup shaped socket (acetabulum) of the pelvis and Perthe’s Disease is an affliction of the hip joints in growing children. It is much more common in boys than girls, and occurs most commonly in children aged between 4 to 10 years. The cause of this problem is still unidentified.

In Perthes disease, changes affect the femoral head which can be seen on X-ray. These changes occur in three stages over 18 months to 2 years:

  1. The blood supply to part of the femoral head is disturbed, causing loss of bone cells.
  2. Softening and collapse of the affected bone
  3. Re-establishment of the blood supply, repair and remodeling of the femoral head.

  • Limping is the most common symptom. The limp may become more persistent and pain may develop. Examination of the child by the orthopaedic surgeon generally shows restriction of hip movement. The nature of Perthes disease is variable. Severity depends on the child’s age, and the extent of femoral head involvement. Older children, girls, and those with greater involvement of the femoral head are likely to require more complex treatment. Treatment aims to reduce pain and stiffness, and prevent femoral head deformity.
  • All children need regular review by the orthopaedic surgeon through the duration of the disease. Not all children require active treatment. Many will make a good recovery with only symptomatic treatment. This may involve restriction of activity such as running and high impact sports. Swimming is encouraged. Some children may require exercise in slings and springs, or the application of plaster casts to the lower limbs. Some children will require surgical management.
  • Children with Perthes Disease are otherwise healthy, but may be affected by physical restrictions. By middle age, one third of those affected have no symptoms, one third have intermittent hip pain, and one third would develop arthritis requiring treatment.

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

4443 people found this helpful

How Common Developmental Dysplasia Of Hip Is Treated?

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
How Common Developmental Dysplasia Of Hip Is Treated?

What is Developmental Dysplasia of the Hip?

Developmental dysplasia of the hip or DDH, is a condition that affects the hip joint in newborns and young children. The hip is like a ball-and-cup, formed by the round top of the thigh bone - called the femur - and a cup-shaped socket in the pelvis. The hip joint is stable in spite of its large range of motion and is kept in place by ligaments and other soft tissue structures. The normal infant hip is not mature at birth but develops into a strong and stable joint as the child grows.

What happens in hip dysplasia?

In DDH, the hip does not develop normally as the cup and ball are either partially or completely out of alignment. DDH can vary from mild to severe depending on whether the cup is shallow, soft tissue structures are lax or a combination of all. These problems may cause the hip to become unstable, and even come out of the joint. This is known as a dislocated hip and is believed to occur in around one in 1000 infants. One or both hips can be affected. DDH isn't painful in babies and young children. Untreated DDH can result in limping in young children. This can progress to hip pain and arthritis at a later date.

How common is it?

DDH is more common in girls and first-born children. It's more likely to occur if there's a family history or if the baby was breech. Swaddling or wrapping a baby's legs too tightly can also lead to DDH. Certain traditional practices like wrapping the children, etc. are known to increase the risk, while carrying them with limbs separated apart is known to decrease the risk of dysplasia. All newborns should have both hips carefully examined by a health professional. 

Treatment options

Treatment depends on the child's age and the severity of the condition. Young babies with confirmed DDH are usually treated in a brace or harness that holds the legs apart. This helps the hip socket to deepen and the hip to become stable with growth. Regular monitoring of the hip position is necessary to ensure good outcomes. Surgery may be necessary if brace treatment is unsuccessful, or if a hip dislocation is first noticed when the child is older.

What is the long-term outlook?

Most infants who are diagnosed and treated early do not have any hip problems in later life. Earlier the diagnosis and treatment, the better the outcome, as late diagnosis often requires surgical treatment and can mean a higher likelihood of ongoing hip problems.

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

4334 people found this helpful

Arthritis - Can Poor Diet and Nutrition Lead To It?

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Arthritis - Can Poor Diet and Nutrition Lead To It?

One of the most common diseases that afflict a large section of the population is arthritis. It is common among people who are above 40 years of age. Acute joint pain, difficulties in movement and weakened bones are among the most common symptoms of arthritis. Given the fact that it is a condition that has permeated into modern life so deeply is what makes arthritis one of the most feared illnesses of this time. Although there are multiple forms of arthritis, there are primarily two types, which are:

  1. Osteoarthritis: This is characterized by a breakdown of the cartilage between the bones. It is mostly known to affect a person’s joints.
  2. Rheumatoid Arthritis: This is a form of auto immune disease that severely affects the lining within the joints of bones.

Causes
The causes of arthritis might vary from person to person. Some of them are discussed below:

  1. Diet and nutrition habits: Some food items, especially red meat and products derived from animals can cause a rise in the level of uric acid thus, increasing the risks of arthritis as well as gout. Smoking also has been known to worsen this condition.
  2. Genetic predisposition: Some people are more prone to develop arthritis as they are genetically predisposed to it.
  3. Problem in the immune system: Rheumatoid arthritis is one condition which is caused by the attack of immune system on the lining of the joints within the body.

Risk factors for arthritis include:

  1. Obesity: The joints are subject to excess stress because of the excess weight. This results in a higher risk of arthritis in obese people.
  2. Age: The risk of arthritis increases with age.
  3. Family history: It is possible for you to be vulnerable to this disorder if arthritis runs in the family.
  4. Previous injury: People who have had a previous joint injury are more susceptible to arthritis.

Typical symptoms of both forms of arthritis are:

  1. Redness in the affected areas
  2. Stiffness in the joints
  3. Pain in the joints of the body
  4. Swelling in particular joints or most joints of the body
  5. Decreased mobility either due to pain or stiffness

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

4352 people found this helpful

Patella Dislocation - A Brief Insight!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Patella Dislocation - A Brief Insight!

Have you ever experienced a sudden unbearable pain inside the kneecap? If yes, this could be a case of Patella dislocation. The condition can occur while doing any kind of physical activity, and you are most likely to have a swell in the joint, in which case medical attention is required. Read on to know more about this.

What is Patella dislocation and what is the cause?
The kneecap, also known as the patella lies in front of our knee joint. The patella glides up and down a groove known as the patellofemoral groove at the front of the femur or the thigh bone as the knee bends. The kneecap or patella is attached to the quadriceps muscle. It helps to increase the leverage from this group of muscle while straightening the knee. Patella dislocation happens when it is moved to the outside of the patellofemoral groove resulting in severe pain and disability if not treated properly. It can occur due to weak or inflamed joints, and genetic factors contribute to causing the issue as well.

What is the Treatment?
There are two types of treatment which are available for patella dislocation which is surgery and conservative treatment. Surgery can disrupt the normal growth of structures in the knee. So, doctors generally do not recommend knee surgeries for young people who are still in growing phase. There are many other complications of surgery such as reaction anesthesia or infections.

Hence, conservative treatment is preferred which is a combination of physical therapy and rehabilitation. It reduces the chances of getting another knee injury and other knee related problems like osteoarthritis and patellofemoral pain syndrome. Normally RICE principles are applied to the injured knee, i.e., rest, ice, compression, and elevation. Doctors recommend applying ice to the injured knee for a duration of 10 to 15 minutes every hour unless the symptoms and swelling reduces.

Who is at risk and how to prevent it?
Those sports in which the foot is planted on the ground and body direction changes like basketball or soccer, the chances of the sportsperson experiencing this problem is high. An athlete who has suffered from patella dislocation earlier is at risk as well. For such cases, a knee support is to be used which can protect the joint. In the acute phase, it is needed to protect the patellofemoral joint which includes reducing loads by activity modification, postural correction, and shoe changes. Also, barefoot running can reduce patellofemoral joint stress.

This is a common injury which typically takes around six weeks to heal, and with care, there would be no complications. Hence the key is to be aware and avail medical help on time. In case you have a concern or query you can always consult an expert & get answers to your questions!

4764 people found this helpful

Understanding In Detail About Knee Arthritis & High Tibial Osteotomy!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Understanding In Detail About Knee Arthritis & High Tibial Osteotomy!

What is arthritis of the knee?

The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.

What is medial compartment arthritis?

Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee. 

How do you diagnose medial compartment arthritis?

ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.

Non-operative treatment

Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.

Who requires surgery?

People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.

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

3834 people found this helpful

What to Expect After Knee Replacement - Quick Recovery Tips!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
What to Expect After Knee Replacement - Quick Recovery Tips!

Most of us may not be aware, but the knee is the largest joint in the human body and contributes the maximum to a person’s physical movement from one place to another. The knees play a significant role in a variety of movements including squatting, supporting the weight, running, kneeling, sitting, etc.

Whether it is a severe accident, osteoarthritis that set in with age, or other reasons, the result could be stiff, painful knees. The first line of treatment would be exercise, physiotherapy, and medications. However, if these do not work, then surgical treatment is the choice. Though usually it is reserved for people over the age of 50, there could be exceptions.

Given the number of functions it is involved in, when a serious procedure like knee replacement is being considered, the pain that the person would go through and the recovery time are two important parameters to address. It is best that the patient has a detailed discussion with the doctor and gets all doubts clarified. This will help both the patient and the doctor have realistic and practical expectations about what to expect after the surgery.

So, when pain and stiffness make knee replacement inevitable, prepare for it. The following sequence outlines what happens right from surgery to recovery.

  1. Under general anesthesia, the damaged portion of the knee is removed, and a prosthesis (metal or plastic) is used to replace the removed portion.
  2. Hospital stay can range from 3 to 5 days.
  3. In about a month, the patient will have remarkable recovery, with almost no pain.
  4. Though not advisable, most patients would be able to stand and do basic movement on the day of surgery.
  5. Begin walking with the support of parallel bars and continue using cane/walker/crutches for the first few days to avoid overload on the knees.
  6. With proper support, walking is possible in 3 to 5 days. Continue using a cane for the next few weeks to strengthen the knee.
  7. Schedule a postoperative visit in the 4th to 6th week after surgery.
  8. Draw up an exercise routine with your physiotherapist.
  9. Ice pack can be applied to control swelling.
  10. Driving should be possible, once you are off pain medications, as these can make you drowsy.
  11. Blood clot in the surgical site causing a bruise will disappear in a couple of weeks.
  12. Knee replacement is almost magical as in the long run (10 years postoperatively), there is a good 98% chances of success.

Having said this, it is important to remember each person responds differently to the procedure and therefore treatment/rehabilitation is completely personalized. In case you have a concern or query you can always consult an expert & get answers to your questions!

3870 people found this helpful

Perthes Disease In Children - Know More About It!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Perthes Disease In Children - Know More About It!

The hip joint is a ball and socket joint made up of the round head of thigh bone (femoral head) with the cup shaped socket (acetabulum) of the pelvis and Perthe’s Disease is an affliction of the hip joints in growing children. It is much more common in boys than girls, and occurs most commonly in children aged between 4 to 10 years. The cause of this problem is still unidentified.

In Perthes disease, changes affect the femoral head which can be seen on X-ray. These changes occur in three stages over 18 months to 2 years:

  1. The blood supply to part of the femoral head is disturbed, causing loss of bone cells.
  2. Softening and collapse of the affected bone
  3. Re-establishment of the blood supply, repair and remodeling of the femoral head.
  • Limping is the most common symptom. The limp may become more persistent and pain may develop. Examination of the child by the orthopaedic surgeon generally shows restriction of hip movement. The nature of Perthes disease is variable. Severity depends on the child’s age, and the extent of femoral head involvement. Older children, girls, and those with greater involvement of the femoral head are likely to require more complex treatment. Treatment aims to reduce pain and stiffness, and prevent femoral head deformity.
  • All children need regular review by the orthopaedic surgeon through the duration of the disease. Not all children require active treatment. Many will make a good recovery with only symptomatic treatment. This may involve restriction of activity such as running and high impact sports. Swimming is encouraged. Some children may require exercise in slings and springs, or the application of plaster casts to the lower limbs. Some children will require surgical management.
  • Children with Perthes Disease are otherwise healthy, but may be affected by physical restrictions. By middle age, one third of those affected have no symptoms, one third have intermittent hip pain, and one third would develop arthritis requiring treatment.

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

3978 people found this helpful

Knee Arthritis & High Tibial Osteotomy - Understanding It In Detail!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Knee Arthritis & High Tibial Osteotomy - Understanding It In Detail!

What is arthritis of the knee?

The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.

What is medial compartment arthritis?

Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee. 

How do you diagnose medial compartment arthritis?

ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.

Non-operative treatment

Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.

Who requires surgery?

People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.

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

3563 people found this helpful

Developmental Dysplasia Of Hip - How Common It Is?

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Developmental Dysplasia Of Hip - How Common It Is?

What is Developmental Dysplasia of the Hip?

Developmental dysplasia of the hip or DDH, is a condition that affects the hip joint in newborns and young children. The hip is like a ball-and-cup, formed by the round top of the thigh bone - called the femur - and a cup-shaped socket in the pelvis. The hip joint is stable in spite of its large range of motion and is kept in place by ligaments and other soft tissue structures. The normal infant hip is not mature at birth but develops into a strong and stable joint as the child grows.

What happens in hip dysplasia?

In DDH, the hip does not develop normally as the cup and ball are either partially or completely out of alignment. DDH can vary from mild to severe depending on whether the cup is shallow, soft tissue structures are lax or a combination of all. These problems may cause the hip to become unstable, and even come out of the joint. This is known as a dislocated hip and is believed to occur in around one in 1000 infants. One or both hips can be affected. DDH isn't painful in babies and young children. Untreated DDH can result in limping in young children. This can progress to hip pain and arthritis at a later date.

How common is it?

DDH is more common in girls and first-born children. It's more likely to occur if there's a family history or if the baby was breech. Swaddling or wrapping a baby's legs too tightly can also lead to DDH. Certain traditional practices like wrapping the children, etc. are known to increase the risk, while carrying them with limbs separated apart is known to decrease the risk of dysplasia. All newborns should have both hips carefully examined by a health professional. 

Treatment options

Treatment depends on the child's age and the severity of the condition. Young babies with confirmed DDH are usually treated in a brace or harness that holds the legs apart. This helps the hip socket to deepen and the hip to become stable with growth. Regular monitoring of the hip position is necessary to ensure good outcomes. Surgery may be necessary if brace treatment is unsuccessful, or if a hip dislocation is first noticed when the child is older.

What is the long-term outlook?

Most infants who are diagnosed and treated early do not have any hip problems in later life. Earlier the diagnosis and treatment, the better the outcome, as late diagnosis often requires surgical treatment and can mean a higher likelihood of ongoing hip problems.

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

3471 people found this helpful

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