The Best Orthopedic Clinic in Bengaluru

Viscosupplementation – Hyaluronic Acid Injections for Knee Pain When knee arthritis makes every step painful, your joint may be running low on its natural lubricant. Viscosupplementation — the injection of hyaluronic acid into the knee joint — works like a replacement for that lost synovial fluid, restoring lubrication, cushioning, and shock absorption while reducing pain and improving movement. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, we offer hyaluronic acid injections as part of a complete, ortho-led approach to knee arthritis. Your knee is first properly assessed with clinical examination and digital X-ray so we can honestly tell you whether viscosupplementation is likely to help — and if so, how much. Why Patients Choose Us for Hyaluronic Acid Injections: Ortho-Led Suitability Assessment – We confirm the arthritis grade and rule out other causes of knee pain before injecting. In-House Digital X-Ray – On-the-spot imaging to assess joint space narrowing and plan treatment. Precise, Sterile Injection Technique – Careful placement to maximise benefit and minimise discomfort. Non-Surgical, Drug-Free Pain Relief – No surgery, no systemic medication, no hospital stay. Integrated Rehabilitation – Physiotherapy alongside injections for better, longer-lasting results. Honest Expectations – We explain clearly what hyaluronic acid can and cannot do for your knee. Our Viscosupplementation Services Knee Osteoarthritis Injection Therapy For mild to moderate knee arthritis — reducing pain and improving joint function in patients who haven't responded adequately to medication and physiotherapy. Single-Injection Hyaluronic Acid Preparations High-molecular-weight formulations given as a single injection, suitable for patients who prefer fewer clinic visits. Multi-Injection Hyaluronic Acid Courses A series of 3–5 injections given at weekly intervals, a widely used protocol for knee osteoarthritis. Bilateral Knee Injections Both knees treated in the same treatment plan where arthritis affects both sides. Post-Injection Physiotherapy Structured rehabilitation to strengthen the quadriceps, improve gait, and maintain the benefits of the injection. Combined Arthritis Management Hyaluronic acid coordinated with weight management, exercise therapy, bracing, and PRP therapy where appropriate. Injection for Post-Injury or Post-Surgical Knee Stiffness Where reduced joint lubrication contributes to pain and restricted movement. Conditions Hyaluronic Acid Injections Can Help Mild to moderate knee osteoarthritis Knee pain not controlled by medication and physiotherapy Reduced joint lubrication causing stiffness and grinding Knee pain limiting walking, stairs, or daily activity Patients wanting to delay knee replacement surgery Knee discomfort after previous joint injury or surgery Activity-related knee pain in older adults Your Treatment Pathway – Step by Step Step 1 – Consultation & Knee Assessment Clinical examination, knee range-of-motion testing, and digital X-ray to grade your arthritis and confirm suitability. Step 2 – Suitability Discussion We review your symptoms, prior treatments, and goals, and explain honestly whether viscosupplementation is likely to benefit you. Step 3 – Pre-Injection Preparation Skin preparation with antiseptic, sterile draping, and local anaesthetic where required for comfort. Step 4 – Hyaluronic Acid Injection The injection is given directly into the knee joint using a sterile technique — usually a quick procedure taking just a few minutes. Step 5 – Post-Injection Care Brief rest, specific activity instructions, and guidance on what to avoid for the first 24–48 hours. Step 6 – Follow-Up & Response Assessment Review to assess pain relief and function; additional injections scheduled if needed based on the plan. Step 7 – Rehabilitation & Long-Term Management Physiotherapy, weight management, and activity modification to preserve the benefits. What to Expect After the Injection How it works: Hyaluronic acid supplements the knee's natural synovial fluid, improving lubrication, cushioning, and shock absorption, while also having anti-inflammatory effects on the joint lining. Procedure duration: The injection itself takes only a few minutes; the full visit is typically 15–30 minutes. Number of sessions: Depending on the product, either a single injection or a course of 3–5 injections given weekly. Onset of relief: Some patients feel better within a week; for others, benefits build over 3–4 weeks as the joint responds. Duration of effect: Relief commonly lasts 6–12 months, after which the treatment can be repeated if it worked well. Downtime: Most patients return to routine activities the same day but are advised to avoid strenuous activity for 24–48 hours. Frequently Asked Questions (FAQs) Q1. What is viscosupplementation? A: Viscosupplementation is the injection of hyaluronic acid into a joint — usually the knee — to supplement the natural synovial fluid. It improves lubrication and cushioning, reducing pain and stiffness in arthritis. Q2. What is hyaluronic acid, and is it safe? A: Hyaluronic acid is a natural substance found in your joints and connective tissue, not a drug or steroid. Modern preparations are well tolerated; side effects are usually limited to temporary pain, swelling, or warmth at the injection site. Q3. How does hyaluronic acid injection help knee arthritis? A: It restores lubrication in a joint that has lost synovial fluid, reduces friction between joint surfaces, improves shock absorption, and has mild anti-inflammatory effects — together easing pain and improving movement. Q4. Is the injection painful? A: You may feel brief pressure or discomfort during the injection, which takes only a few minutes. Local anaesthetic can be used for comfort. Some soreness for 1–2 days afterwards is normal. Q5. How many injections will I need? A: It depends on the product chosen. Some are given as a single injection; others require a course of 3–5 injections at weekly intervals. Your doctor will recommend the appropriate protocol. Q6. How soon will I feel better? A: Some patients notice improvement within a week; most feel the full benefit over 3–4 weeks. If your arthritis is advanced, relief may be partial — we'll discuss realistic expectations upfront. Q7. How long does the relief last? A: Typically 6–12 months, depending on the product, your arthritis severity, activity level, and body weight. Injections can be repeated if the first course helped. Q8. Is hyaluronic acid better than steroid injections? A: They serve different purposes. Steroids reduce inflammation quickly but are usually limited in frequency because repeated use can weaken cartilage. Hyaluronic acid works more gradually but may provide longer-lasting relief. Your doctor will advise based on your condition. Q9. Can hyaluronic acid injections cure knee arthritis? A: No. They relieve pain and improve function but do not reverse or cure arthritis. They are most effective as part of a broader plan including exercise, weight management, and physiotherapy. Q10. Can these injections help me avoid knee replacement? A: In mild to moderate arthritis, they can effectively delay the need for surgery and improve quality of life. They cannot substitute for replacement in advanced, bone-on-bone arthritis. Q11. Who should not have hyaluronic acid injections? A: Patients with active infection in or around the knee, skin infection at the injection site, known allergy to hyaluronic acid preparations, or certain bleeding disorders should avoid the procedure. We review your history beforehand. Q12. What should I avoid after the injection? A: Avoid strenuous activity, prolonged standing, and heavy lifting for 24–48 hours. Keep the injection site clean, and follow any specific instructions given by your doctor. Q13. Can I have injections in both knees? A: Yes. Bilateral knee injections are commonly done, either in the same visit or on separate occasions, depending on your comfort and your doctor's recommendation. Q14. Are these injections covered by insurance? A: Coverage varies. Many insurers treat viscosupplementation as an elective treatment, so it is often self-paid. Our team will guide you on costs and documentation. Q15. What are the charges for hyaluronic acid knee injections? A: Costs depend on the product used and the number of injections required. Please call 08048035347 for current rates. Q16. Do I need physiotherapy along with the injections? A: Yes — it makes a real difference. Strengthening the quadriceps and improving gait help you get more out of the injection and maintain the benefits for longer. We provide physiotherapy in-house or at home across Bangalore.

Spine Surgery in Shivam Advance Ortho Care At Shivam Advance Ortho Care, we provide advanced spine surgery treatment for patients suffering from back pain, neck pain, slipped disc, sciatica, spinal stenosis, and other spinal disorders. Our goal is to deliver accurate diagnosis, effective treatment, and long-term relief so patients can return to an active and pain-free life. We understand that spine problems can affect movement, work, sleep, and daily activities. That is why we offer personalized spine care, from detailed evaluation to surgical treatment and post-operative rehabilitation. Our team focuses on both minimally invasive spine surgery and traditional surgical procedures, depending on the patient’s condition and recovery needs. Our Spine Surgery Services We treat a wide range of spine-related conditions, including: Slip disc / herniated disc Sciatica Chronic back pain Neck pain and cervical spine problems Spinal stenosis Degenerative disc disease Spondylolisthesis Spinal fractures and spine injuries Spinal infections Spinal deformities Nerve compression causing pain, numbness, or weakness Spine Surgery Procedures We Offer Depending on the diagnosis, spine treatment may include: Microdiscectomy Laminectomy Spinal decompression surgery Spinal fusion Spinal stabilization Minimally invasive spine surgery Surgery for spine trauma and fractures Deformity correction surgery When to See a Spine Specialist You should consult a spine specialist if you experience: Persistent back or neck pain Pain radiating to the arms or legs Numbness or tingling in the hands or feet Muscle weakness Difficulty walking or standing for long periods Pain that does not improve with medicines or physiotherapy Loss of balance or reduced mobility Why Choose Shivam Advance Ortho Care for Spine Surgery? Patients choose Shivam Advance Ortho Care for: Experienced orthopedic and spine specialist care Accurate diagnosis with a patient-focused approach Advanced treatment options for spine disorders Minimally invasive spine surgery where suitable Dedicated support before and after surgery Focus on pain relief, mobility, and recovery Our Approach to Spine Treatment We believe every patient deserves a treatment plan designed around their specific condition. After a thorough consultation and imaging evaluation, we recommend the most suitable treatment, which may include medication, physiotherapy, injections, or surgery if required. Our spine surgery care is aimed at helping patients reduce pain, improve posture, restore movement, and prevent further complications. Spine Surgery FAQ 1. What is spine surgery? Spine surgery is a medical procedure performed to treat conditions affecting the spine, spinal discs, nerves, or vertebrae. It may help relieve pain, nerve pressure, instability, or structural problems in the spine. 2. When is spine surgery needed? Spine surgery is usually recommended when non-surgical treatments such as medicines, rest, physiotherapy, or injections do not improve the condition, or when there is nerve compression, spinal instability, or injury. 3. Is spine surgery safe? Yes, spine surgery is generally safe when performed by an experienced specialist after proper evaluation. Like all surgeries, it has some risks, which your doctor will explain before treatment. 4. What is minimally invasive spine surgery? Minimally invasive spine surgery uses smaller cuts and advanced techniques to reduce tissue damage, pain, and recovery time. It is suitable for selected spine conditions. 5. How long does recovery take after spine surgery? Recovery time depends on the type of surgery, the severity of the condition, and the patient’s overall health. Some patients recover in a few weeks, while more complex surgeries may take longer. 6. Can back pain be treated without surgery? Yes, many cases of back pain can be treated without surgery using medicines, physiotherapy, exercise, posture correction, and lifestyle changes. 7. What tests are needed before spine surgery? Common tests include X-rays, MRI, CT scan, blood tests, and a physical examination. These help determine the exact cause of the spine problem and the best treatment plan. 8. Why should I choose Shivam Advance Ortho Care for spine treatment? Shivam Advance Ortho Care offers expert evaluation, advanced spine surgery options, and compassionate care focused on pain relief, recovery, and long-term spinal health.

Physiotherapy at Shivam Advance Ortho Care Recover faster, move better, and live without pain. At Shivam Advance Ortho Care, our physiotherapy team combines advanced orthopaedic expertise with personalised rehabilitation plans — treating the cause of your pain, not just the symptom. Whether you're recovering from surgery, managing a chronic condition, or getting back to sport, we build a plan around your body, your goals, and your schedule. Why Patients Choose Us Ortho-led physiotherapy — assessment and treatment guided by orthopaedic specialists, so you get an accurate diagnosis from day one. One-on-one sessions — no crowded floors, no shared attention. Every session is with a qualified physiotherapist. Advanced modalities — manual therapy, dry needling, IFT, ultrasound therapy, shockwave therapy, kinesio taping, and targeted exercise prescription. Home physiotherapy available — for post-surgical and mobility-restricted patients across Bengaluru. Measurable progress — functional assessments and progress tracking at every stage. Our Physiotherapy Services 1. Pain Management & Manual Therapy Hands-on treatment for neck pain, back pain, shoulder pain, knee pain, and sciatica. Includes manual mobilisation, myofascial release, and posture correction to relieve pain without relying on medication. 2. Post-Surgical Rehabilitation Structured recovery after knee replacement, hip replacement, ACL reconstruction, spinal surgery, and fracture fixation. We focus on restoring range of motion, strength, and confidence in movement — safely and progressively. 3. Sports Injury Rehabilitation For athletes and active individuals: sprains, muscle strains, tendinopathy, ligament injuries, and return-to-sport conditioning. Includes strength and conditioning, agility work, and injury-prevention training. 4. Orthopaedic & Joint Care Non-surgical management of arthritis, frozen shoulder, tennis elbow, plantar fasciitis, and disc-related problems. Designed to delay or avoid surgery where possible. 5. Neuro Rehabilitation Physiotherapy for stroke recovery, Bell's palsy, nerve injuries, and balance/gait disorders. Focused on restoring independence in daily activities. 6. Posture Correction & Workplace Ergonomics For desk-bound professionals dealing with tech neck, lower back strain, and repetitive strain injuries. Includes ergonomic assessment and corrective exercise plans. 7. Geriatric Physiotherapy Gentle, goal-based programmes for seniors — improving balance, preventing falls, and maintaining independence. 8. Home Physiotherapy Doorstep sessions for patients who cannot travel, with the same assessment and treatment standards as our clinic. Conditions We Treat Neck & back pain · Sciatica · Slipped disc · Frozen shoulder · Rotator cuff injuries · Knee osteoarthritis · ACL & meniscus injuries · Ankle sprains · Plantar fasciitis · Tennis & golfer's elbow · Carpal tunnel syndrome · Post-fracture stiffness · Sports injuries · Post-operative stiffness · Stroke rehabilitation How It Works Book an appointment — call, WhatsApp, or book online. Detailed assessment — history, physical examination, and functional testing. Personalised treatment plan — clear goals, session frequency, and expected timeline. Treatment & progress review — hands-on therapy plus a home exercise programme, with regular re-assessment. FAQs How do I know if I need physiotherapy? If pain, stiffness, or reduced movement is affecting your daily activities, work, or sleep, physiotherapy can help. A physiotherapist can assess whether your issue needs therapy, further investigation, or a specialist referral. Do I need a doctor's referral to see a physiotherapist? No. You can book directly with us. If your condition requires orthopaedic or medical input, our team will guide you and coordinate the referral. How many sessions will I need? It depends on your condition. Minor issues may improve in 4–6 sessions; post-surgical and chronic cases often need 8–12 weeks. You'll receive a realistic estimate after your first assessment. Does physiotherapy hurt? Some techniques may cause mild discomfort or soreness afterwards, but treatment is designed to be tolerable and progressive. We always work within your comfort limits and adjust as needed. What should I wear to my session? Comfortable, loose clothing that allows access to the affected area — shorts for knee, hip, or back issues, and a sleeveless top for shoulder or neck problems. We also provide gowns if needed. How long is each session? Typically 45–60 minutes, including assessment, hands-on treatment, and guided exercise. Do you offer home physiotherapy in Bengaluru? Yes. Home visits are available for post-surgical, geriatric, and mobility-restricted patients. Contact us for availability in your area. Is physiotherapy safe after surgery? Yes — it's an essential part of recovery. We follow your surgeon's protocol and progress you gradually, so healing is protected while function is restored. Can physiotherapy help avoid surgery? In many cases, yes. Conditions like early knee arthritis, frozen shoulder, and disc-related back pain often respond well to conservative physiotherapy. We'll be honest with you if surgery looks like the better option. Do you treat sports injuries in athletes? Yes. We manage acute injuries and provide structured return-to-sport programmes, including strength, agility, and injury-prevention training. What are your consultation fees? Fees vary by service (clinic vs. home visit) and treatment type. Please call or WhatsApp us for current charges and package options. How do I book an appointment? Call or WhatsApp [phone number], or book online at [website]. Walk-ins are accepted subject to availability.