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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.

Digital X‑Ray Services — Quick, Clear, Low‑Radiation Imaging At Shivam Advance Ortho Care in Basaveshwar Nagar, our advanced digital radiography (DR) system delivers high‑quality, instant images for accurate diagnosis. You get sharper detail than conventional X‑rays, minimal waiting time, and lower radiation exposure — all within the same facility where your orthopedic care is managed. Why Choose Our Digital X‑Ray Lab? Low‑Radiation Imaging – Digital sensors use significantly less radiation than traditional film‑based X‑rays, making it safer for children and repeated scans. Same‑Day Reports & Orthopedic Correlation – Your images are reviewed on‑site by orthopedic specialists, so you leave with a clear diagnosis, not just a film. Instant High‑Resolution Images – Digital enhancement provides superior detail for detecting hairline fractures, joint‑space narrowing, and subtle bone changes. Digital Copies on Request – Soft copies (JPG/PDF) emailed or WhatsApp‑ed for second opinions, insurance claims, or personal records. Walk‑In Friendly – No long waits; most scans take under 10 minutes. Sterile, Single‑Use Aids – All positioning pads and accessories are disposable for infection control. Our Digital X‑Ray Services in Bangalore Service Category Typical Views / Areas Common Uses Orthopedic & Bone X‑Rays AP, lateral, oblique views of limbs, joints, spine Fractures, dislocations, bone alignment, healing assessment Joint X‑Rays Knee, hip, shoulder, elbow, wrist, ankle Arthritis grading, joint‑space narrowing, degenerative changes Spine X‑Rays Cervical, thoracic, lumbar spine (with flexion‑extension if needed) Disc problems, spondylosis, scoliosis, posture evaluation Chest X‑Rays PA/AP, lateral views Lung conditions, infections, pre‑op fitness clearance Extremity X‑Rays Hand, foot, finger, toe, long bones Trauma, sports injuries, deformity assessment Pediatric X‑Rays Age‑appropriate positioning with low‑dose protocols Growth‑plate injuries, pediatric fractures, developmental checks Pre‑/Post‑Surgical Imaging Pre‑op baseline & post‑op follow‑up views Implant placement verification, healing progress, alignment check Special Features: Digital Enhancement – Brightness/contrast adjustment, zoom, and measurement tools for precise analysis. No Repeat Scans – Digital images can be optimised without re‑exposing the patient. Quick Turnaround – Reports typically ready within the same visit for routine cases. Integrated Care – Immediate correlation with physiotherapy and orthopedic consultation when required. How Digital X‑Ray Works — 4 Simple Steps Step 1 – Consultation & Requisition Your orthopedic doctor (or our in‑house team) reviews your symptoms and recommends the appropriate X‑ray views. Step 2 – Quick, Safe Scanning You’ll be positioned comfortably; the scan itself takes seconds per view. Lead shielding is used where needed to minimise exposure. Step 3 – Instant Image Review High‑resolution images appear on screen immediately for quality check. Step 4 – Specialist Reporting & Next Steps Findings are correlated with your clinical examination, and a digital report is generated. Soft copies are provided on request. Conditions Diagnosed with Digital X‑Ray Fractures & dislocations – hairline cracks, complete breaks, joint dislocations Arthritis & joint degeneration – osteoarthritis, rheumatoid changes, joint‑space narrowing Spine issues – disc degeneration, spondylosis, scoliosis, posture‑related pain Bone infections & tumors – osteomyelitis, bone cysts, benign/malignant growths Sports injuries – stress fractures, ligament avulsions, growth‑plate injuries in young athletes Post‑surgical assessment – implant position, fracture healing, alignment Chest & lung conditions – pneumonia, pleural effusion, rib fractures Foreign‑body detection – metal, glass, or other objects in soft tissue Frequently Asked Questions (FAQs) Q1. Do I need an appointment for a digital X‑ray? A: Walk‑ins are welcome, but booking ahead reduces waiting time. Call 08048035347 or WhatsApp +91 96060 28161 to schedule. Q2. How safe is digital X‑ray? Is the radiation harmful? A: Digital radiography uses a significantly lower radiation dose than traditional film X‑rays. We follow strict safety protocols (ALARA principle – As Low As Reasonably Achievable) and use lead shielding where appropriate. Q3. Can I get an X‑ray if I’m pregnant? A: Please inform our team before the scan. X‑rays are generally avoided during pregnancy unless medically essential. If required, we take maximum precautions to minimise abdominal/pelvic exposure. Q4. How long does the procedure take? A: Most routine X‑rays take 5‑10 minutes, including positioning. You’ll usually receive the report the same visit. Q5. When will I get my report? A: Reports are typically ready the same day. Complex cases reviewed by our orthopedic specialist may take slightly longer. Q6. Do you provide a digital copy of the X‑ray? A: Yes. Soft copies (JPG/PDF) are available on request via WhatsApp or email – useful for second opinions, insurance claims, and your own records. Q7. Are children’s X‑rays safe? A: Yes. Our low‑dose system and child‑friendly positioning make it safe for children when clinically indicated. A parent/guardian must accompany minors. Q8. How should I prepare for an X‑ray? A: Wear loose, comfortable clothing. Remove metal items (jewellery, watches, belts, zips) from the area being scanned. Inform us if you have implants, pacemakers, or are pregnant. Q9. Do I need a doctor’s referral for an X‑ray? A: No referral is required, but a requisition helps us take the correct views. If you’re already consulting at our clinic, your orthopedic doctor will advise the appropriate imaging. Q10. What’s the difference between digital and conventional X‑ray? A: Digital X‑ray captures images electronically instead of on film – giving faster results, sharper detail, lower radiation, and easy digital storage/sharing. Q11. Do you offer X‑rays for insurance or medico‑legal purposes? A: Yes, we provide proper reports and digital copies suitable for insurance claims and records. Please inform us in advance about your requirements. Q12. What are the charges for a digital X‑ray? A: Charges depend on the body part and number of views. Please call 08048035347 for current rates.

Meniscus Repair Surgery – Preserving Your Knee's Natural Cushion A torn meniscus can stop you in your tracks – but modern arthroscopic techniques allow us to save, not just remove, your knee's shock-absorbing cartilage. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, our orthopaedic surgeons specialize in arthroscopic (keyhole) meniscus repair – stitching the torn meniscus back so it can heal, preserving your joint's natural cushioning. We tailor each treatment plan: some tears are best repaired; others may require a partial meniscectomy (removing only the damaged fragment). We'll give you an honest, evidence-based recommendation and guide you through recovery under one roof – with in-house imaging, surgery, and post-op physiotherapy. Why Patients Choose Us for Meniscus Surgery: Meniscus-Preserving Philosophy – We repair wherever possible because saving the meniscus lowers your risk of early knee arthritis. Arthroscopic (Keyhole) Technique – Small incisions, minimal pain, faster discharge, and barely-visible scars. Accurate Pre-Operative Diagnosis – Digital X-ray, MRI correlation, and detailed clinical examination before deciding on surgery. Honest, Non-Surgical Options – If your tear can be managed with physiotherapy alone, we'll tell you. Complete Recovery Pathway – Structured post-op physiotherapy at our clinic; home visits available across Bangalore. Sports-Injury Expertise – We treat athletes and active adults who want to return to sport safely. Our Meniscus Treatment Services Meniscus Tear Assessment & Diagnosis Clinical tests (McMurray, Thessaly), digital X-ray, MRI review, and tear classification by location, pattern, and size. Best for patients with knee pain after a twist or injury. Arthroscopic Meniscus Repair Keyhole surgery using arthroscopic sutures and anchors to stitch the torn meniscus back to the joint capsule. Best for peripheral, longitudinal (“bucket-handle”) tears in younger, active patients. Partial Meniscectomy Removal of only the irreparable torn fragment while preserving healthy meniscus. Suitable for complex or degenerative tears where repair isn't feasible. Combined ACL + Meniscus Surgery A single-stage arthroscopic procedure that reconstructs the ACL and repairs or trims the meniscus at the same time. For patients with both an ACL tear and meniscus injury. Meniscal Root Tear Repair Specialized repair for root-detachment tears that, if left untreated, rapidly accelerate arthritis. Often seen in sports trauma. Revision Meniscus Surgery Re-repair or revision meniscectomy for patients with persistent symptoms or a re-tear after a previous procedure. Post-Operative Rehabilitation Structured physiotherapy including protected weight-bearing, range-of-motion exercises, strengthening, balance work, and sport-specific progression. For all post-surgical patients. Non-Surgical Meniscus Management Physiotherapy, activity modification, strengthening, and pain-relief modalities for stable degenerative tears. Best for older patients or those with non-displaced tears. Signs You Might Need Meniscus Repair A “pop” felt at the time of injury, followed by swelling within 24 hours Knee locking, catching, or giving way Pain along the joint line (inner or outer knee) when twisting or squatting Difficulty fully straightening or bending the knee Persistent swelling after activity Instability on stairs or uneven ground Your Treatment Pathway – Step by Step Step 1 – Consultation & Physical Examination Detailed history-taking, McMurray/Appley/Thessaly tests, and digital X-ray to assess joint alignment and rule out other causes of knee pain. Step 2 – MRI & Tear Classification MRI review (we can arrange or use your existing scan) to determine tear type, location, and repairability. Step 3 – Surgical Planning & Decision Transparent discussion: repair vs. partial meniscectomy based on your age, activity level, and tear characteristics. Step 4 – Arthroscopic Procedure Typically 45–90 minutes under spinal or general anaesthesia; most patients go home the same day or stay one night. Step 5 – Post-Operative Protocol Bracing and weight-bearing instructions tailored to the repair type (more protective after repair than after meniscectomy). Step 6 – Physiotherapy & Milestone Tracking Progressive rehabilitation with assessments at 2, 6, and 12 weeks; functional tests before returning to sport. Step 7 – Return to Activity Graded return to walking, gym, and sport with final clearance from your surgeon and physiotherapist. Recovery Timeline After Meniscus Surgery Protected Phase (0–2 weeks) Swelling control, brace use, gentle range-of-motion exercises, and non-weight-bearing or partial weight-bearing as advised. Early Rehab (2–6 weeks) Regaining full extension and flexion, quadriceps activation, and weaning off crutches. Strengthening Phase (6–12 weeks) Progressive loading, balance and proprioception drills, and light resistance training. Return-to-Sport Phase (3–6 months) Sport-specific drills, agility work, and strength testing, with final clearance after functional assessment. Note: Recovery after meniscus repair is slower than after partial meniscectomy because the stitched tissue needs time to heal. Your surgeon will provide a personalized timeline. Frequently Asked Questions (FAQs) Q1. What is the meniscus, and why is it important? A: The meniscus is a C-shaped cartilage pad in your knee that acts as a shock absorber and stabilizer. Preserving it reduces the long-term risk of knee arthritis. Q2. How do I know if my meniscus tear needs surgery? A: Not all tears need surgery. Small, stable, or degenerative tears often become pain-free with physiotherapy. Surgery is usually advised for tears that cause locking, persistent pain, instability, or in active patients with repairable tears. We'll assess and advise honestly. Q3. What's the difference between meniscus repair and meniscectomy? A: Repair stitches the torn meniscus back together so it can heal – preserving tissue but requiring slower, more protected recovery. Meniscectomy removes only the damaged portion – faster recovery, but less meniscus remains in the knee. Q4. Is meniscus surgery painful? A: It's performed under anaesthesia, so you feel nothing during surgery. Post-op pain is manageable with medication and typically improves significantly within the first week. Q5. How long is the surgery, and how long will I stay in hospital? A: Most arthroscopic meniscus procedures take 45–90 minutes. Many patients go home the same day; some stay one night depending on the repair complexity and your general health. Q6. Will I need a brace or crutches after surgery? A: After a repair, yes – most patients use a brace and crutches with protected weight-bearing for 4–6 weeks. After a partial meniscectomy, you may walk with support within a few days and often don't need a brace. Q7. When can I return to work? A: Desk work: often within 1–2 weeks after meniscectomy, and 2–4 weeks after repair. Physically demanding jobs take longer and depend on your surgeon's and physiotherapist's assessment. Q8. When can I play sports again? A: Return to sport is typically 3–4 months after partial meniscectomy and 4–6 months after meniscus repair – only after strength and functional testing. Rushing this risks re-injury. Q9. Can a meniscus tear heal without surgery? A: Some tears in the outer, well-blood-supplied zone of the meniscus can heal, especially in younger patients. Degenerative tears in older adults often settle with physiotherapy. Tears in the inner avascular zone rarely heal on their own. Q10. Will I get arthritis after meniscus surgery? A: Preserving your meniscus – especially through repair – reduces the long-term risk of arthritis. Removing large amounts of meniscus increases it. This is exactly why we aim to repair wherever possible. Q11. Is MRI necessary before surgery? A: Yes, MRI is usually essential to confirm the tear pattern, location, and whether it's repairable. We can arrange imaging or review an MRI you already have. Q12. Is meniscus surgery covered by insurance? A: Arthroscopic meniscus surgery is commonly covered by health insurance when medically indicated. Our team will help with documentation, pre-authorization, and cashless/reimbursement claims. Q13. Do you offer physiotherapy after surgery? A: Yes – post-operative rehabilitation is done in-house at our clinic, or as home physiotherapy in Bangalore if you can't travel. This continuity is a major reason our patients recover well. Q14. What are the charges for meniscus repair surgery? A: Costs depend on the procedure type (repair vs. meniscectomy), implants used, and length of stay. Please call 08048035347 for an estimate after consultation.

ACL Ligament Knee Arthroscopy Surgery – Restoring Knee Stability A torn ACL (anterior cruciate ligament) makes your knee feel unstable, especially during twisting, turning, or landing movements. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, our orthopaedic surgeons perform arthroscopic ACL reconstruction – minimally invasive keyhole surgery that rebuilds the torn ligament and restores the stability your knee needs for daily life and sport. We use your own tissue (hamstring or quadriceps tendon graft) or donor tissue where appropriate, and every procedure is planned around your age, activity level, and goals. Because we have in-house digital imaging, surgery, and physiotherapy, your entire journey — from diagnosis to return to sport — happens under one roof. Why Patients Choose Us for ACL Surgery: Sports-Injury Expertise – We treat athletes, gym-goers, and active adults who want to get back to what they love. Arthroscopic (Keyhole) Technique – Small incisions, less post-operative pain, minimal scarring, and quicker discharge. Accurate Diagnosis – Clinical tests (Lachman, pivot shift), digital X-ray, and MRI correlation before surgery. Graft Selection Tailored to You – Hamstring, quadriceps, or allograft chosen based on your body and sport. Combined Injury Management – ACL plus meniscus or cartilage injuries addressed in a single procedure. Complete Rehabilitation Pathway – Structured post-op physiotherapy at our clinic; home physiotherapy available across Bangalore. Honest Advice – If your ACL tear can be managed without surgery, we'll tell you. Our ACL & Knee Arthroscopy Services ACL Tear Assessment & Diagnosis Detailed clinical examination (Lachman test, pivot shift test, anterior drawer), digital X-ray for alignment, and MRI review to confirm the tear and check for associated meniscus or cartilage injuries. Arthroscopic ACL Reconstruction Keyhole surgery to rebuild the torn ACL using a graft. The procedure restores knee stability, prevents further damage, and is usually performed within weeks of injury once swelling settles. ACL Repair (Selective Cases) For certain proximal tears in young patients, primary repair with augmentation may be possible instead of full reconstruction – preserving the native ligament where the tear pattern allows. Hamstring Tendon Graft ACL Reconstruction The most commonly used technique – strong, well-tested, and associated with good long-term outcomes and minimal donor-site issues. Quadriceps Tendon Graft ACL Reconstruction Increasingly preferred for athletes and revision cases, offering a robust graft with favourable biomechanics. Combined ACL + Meniscus Surgery Single-stage arthroscopic procedure that reconstructs the ACL and repairs or trims a torn meniscus at the same time – protecting the knee from long-term arthritis. Revision ACL Reconstruction For patients with a re-torn ACL or failed previous reconstruction, with careful evaluation of tunnel position and causes of failure. Knee Arthroscopy for Other Conditions Diagnostic and therapeutic arthroscopy for cartilage injuries, loose bodies, synovitis, and other intra-articular knee problems. Post-Operative Rehabilitation Structured physiotherapy – swelling control, range of motion, quadriceps activation, progressive strengthening, balance work, and sport-specific return-to-play testing. Signs You May Have an ACL Tear A loud “pop” in the knee at the time of injury Rapid swelling within a few hours of the injury Knee giving way or feeling unstable when walking or turning Inability to continue playing sport after the injury Difficulty bearing weight on the affected leg Loss of full range of motion A feeling that the knee is “not normal,” even after swelling reduces Your Treatment Pathway – Step by Step Step 1 – Consultation & Physical Examination History-taking, Lachman/pivot shift/anterior drawer tests, and digital X-ray to rule out fractures and assess alignment. Step 2 – MRI & Injury Mapping MRI review to confirm the ACL tear and identify associated meniscus, cartilage, or collateral ligament injuries. Step 3 – Pre-Surgical Preparation Physiotherapy to reduce swelling, restore range of motion, and strengthen the quadriceps before surgery – an important step for better outcomes. Step 4 – Arthroscopic ACL Reconstruction Typically 60–90 minutes under spinal or general anaesthesia. Most patients stay one night or go home the same day. Step 5 – Post-Operative Protocol Brace use, crutch support, and weight-bearing instructions as advised, with early range-of-motion work. Step 6 – Physiotherapy & Milestone Tracking Progressive rehabilitation with assessments at regular intervals; return-to-sport testing at 6–9 months. Step 7 – Return to Activity Graded return to walking, gym training, running, and sport with final clearance after strength and functional testing. Recovery Timeline After ACL Reconstruction Protected Phase (0–2 weeks) Swelling control, brace use, gentle knee bending, quadriceps activation exercises, and partial weight-bearing with crutches. Early Rehab (2–6 weeks) Regaining full extension and flexion, walking without crutches, and beginning light strengthening. Strengthening Phase (6 weeks – 3 months) Progressive loading, balance and proprioception work, stationary cycling, and light gym training. Functional Phase (3–6 months) Running, agility drills, and sport-specific movement patterns under physiotherapy supervision. Return-to-Sport Phase (6–9 months, sometimes longer) Strength and hop testing, sport-specific drills, and final clearance before returning to competitive sport. Note: ACL recovery is a marathon, not a sprint. Graft healing and safe return to sport take time — rushing the process risks re-injury. Your surgeon and physiotherapist will guide your personalised timeline. Frequently Asked Questions (FAQs) Q1. What is the ACL, and why is it important? A: The ACL (anterior cruciate ligament) is one of the main ligaments stabilising your knee. It prevents the shin bone from sliding forward and controls rotational movements — which is why a torn ACL makes the knee feel unstable. Q2. How do I know if my ACL is torn? A: Common signs include a “pop” at the time of injury, rapid swelling, knee instability, and difficulty continuing activity. A proper diagnosis needs a clinical examination and usually an MRI. If you suspect an ACL tear, avoid twisting movements and see an orthopaedic specialist. Q3. Does every ACL tear need surgery? A: No. Some patients — especially those who are less active or willing to modify their lifestyle — can manage with structured physiotherapy and bracing. However, surgery is usually recommended for athletes, active individuals, and anyone with repeated episodes of the knee giving way. Q4. What is arthroscopic ACL reconstruction? A: It's keyhole surgery where the torn ACL is replaced with a graft (usually your own hamstring or quadriceps tendon). Using small incisions and a camera, the surgeon creates bone tunnels and fixes the graft in place to rebuild the ligament. Q5. Which graft is best — hamstring or quadriceps tendon? A: Both are excellent. Hamstring grafts are the most widely used and have strong long-term results. Quadriceps grafts are increasingly preferred for athletes and revision cases. Your surgeon will recommend the best option based on your anatomy, sport, and goals. Q6. How soon after injury should surgery be done? A: Usually after swelling has settled and you have regained good range of motion — often 2–6 weeks after injury. Pre-surgery physiotherapy (“prehab”) improves outcomes. Some patients need surgery sooner if there are other injuries. Q7. Is ACL surgery painful? A: The surgery is performed under anaesthesia, so you feel nothing during the procedure. Post-operative pain is usually manageable with medications and improves significantly within the first week or two. Q8. How long will I stay in hospital? A: Most ACL reconstructions take 60–90 minutes. Many patients go home the same day, while some stay one night for observation and pain control. Q9. Will I need a brace and crutches? A: Yes — most patients use a knee brace and crutches for the first 2–4 weeks, gradually weaning off as strength and confidence return. Your surgeon and physiotherapist will guide this. Q10. When can I return to work? A: Desk work is usually possible within 1–2 weeks. Physically demanding jobs take longer — typically 6–12 weeks — depending on your recovery and the demands of your role. Q11. When can I play sports again? A: Most patients return to light sport at 6–9 months, and full competitive sport often at 9–12 months, only after passing strength and functional tests. Returning too early is the biggest risk factor for re-tearing the graft. Q12. Can the ACL heal on its own? A: The ACL has a very poor blood supply and rarely heals on its own. Some partial tears may become functional with physiotherapy, but complete tears generally need reconstruction for full stability. Q13. Will I get arthritis after ACL surgery? A: ACL injury increases the long-term risk of knee arthritis regardless of surgery. However, reconstruction restores stability, protects the meniscus and cartilage, and reduces further damage — which is why timely treatment matters. Q14. Is ACL surgery covered by insurance? A: Yes, ACL reconstruction is commonly covered by health insurance when medically indicated. Our team will assist with documentation, pre-authorisation, and cashless or reimbursement claims. Q15. Do you offer physiotherapy after ACL surgery? A: Yes — post-operative rehabilitation is done in-house at our clinic, or as home physiotherapy in Bangalore if you can't travel. This continuity of care is a major reason our patients recover well. Q16. What are the charges for ACL reconstruction surgery? A: Costs depend on the graft type, implants used, any additional procedures (such as meniscus repair), and length of stay. Please call 08048035347 for an estimate after consultation.

Hip Replacement Surgery – Move Freely Again, Without Hip Pain Chronic hip pain shouldn't decide what you can and cannot do. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, our orthopaedic surgeons perform total and partial hip replacement surgery using modern implants and minimally invasive techniques — replacing the worn-out joint with a smooth, durable artificial joint that restores pain-free movement. Whether your hip has been damaged by arthritis, an injury, or avascular necrosis, we plan every surgery around your age, bone quality, activity level, and lifestyle goals. And because our clinic offers in-house digital imaging and physiotherapy, your assessment, surgery, and rehabilitation all happen under one roof. Why Patients Choose Us for Hip Replacement: Experienced Orthopaedic Surgeons – Precise surgical planning with accurate implant sizing and alignment. Modern Implant Options – Ceramic, metal, and highly cross-linked polyethylene bearings chosen for durability and function. Minimally Invasive Approaches – Smaller incisions, less muscle trauma, and quicker mobilisation where suitable. Same-Day or Early Mobilisation – Most patients stand and take their first steps within 24 hours of surgery. Complete Recovery Pathway – Structured post-operative physiotherapy in-house, or as home physiotherapy across Bangalore. Honest Advice – If your hip can be managed without surgery, we'll tell you — and if surgery is needed, we'll explain exactly why. Our Hip Replacement Services Hip Pain Assessment & Diagnosis Detailed clinical examination, digital X-ray of the hip and pelvis, and MRI or bone scans where needed to assess joint damage, arthritis grade, and bone quality. Total Hip Replacement (THR) Complete replacement of the damaged hip ball and socket with prosthetic components. The most reliable solution for advanced arthritis, avascular necrosis, and severe hip damage. Partial Hip Replacement (Hemiarthroplasty) Replacement of only the femoral head, usually for elderly patients with a fractured neck of femur. A quicker, less invasive option for the right candidate. Hip Resurfacing A bone-preserving alternative for younger, active patients where the femoral head is reshaped and capped rather than removed. Suited to specific indications. Revision Hip Replacement For patients with a worn, loosened, or infected previous hip implant. Involves careful evaluation and specialised revision implants. Hip Fracture Surgery Urgent surgical management of femoral neck, intertrochanteric, and subtrochanteric fractures — with fixation or replacement depending on the fracture and the patient's age. Avascular Necrosis (AVN) Hip Management Staged treatment from core decompression in early stages to hip replacement in advanced disease. Post-Operative Rehabilitation Structured physiotherapy — early mobilisation, gait training, hip precautions, strengthening, and balance work — to get you walking confidently and safely. Signs You May Need Hip Replacement Persistent hip or groin pain that limits walking, sitting, or sleeping Pain that continues even at rest or at night Stiffness and reduced range of motion — difficulty bending, putting on shoes or socks Limping or a feeling that the leg is shortening Difficulty climbing stairs or getting out of a chair Pain not relieved by medication, physiotherapy, or injections X-ray showing advanced arthritis, joint space loss, or joint deformity Your Treatment Pathway – Step by Step Step 1 – Consultation & Physical Examination History-taking, hip range-of-motion testing, gait assessment, and digital X-ray of the hip and pelvis. Step 2 – Advanced Imaging (if required) MRI, CT scan, or bone density assessment to evaluate bone quality and plan the appropriate implant. Step 3 – Surgical Planning Selection of implant type, bearing surface, and surgical approach based on your age, activity level, and bone quality — explained clearly before you decide. Step 4 – Pre-Surgical Preparation Medical fitness checks, pre-anaesthetic evaluation, and pre-habilitation exercises to strengthen the muscles around the hip. Step 5 – Hip Replacement Surgery Typically 60–120 minutes under spinal or general anaesthesia. Most patients stay in hospital for 3–5 days. Step 6 – Early Mobilisation & Physiotherapy Standing and walking with support within 24 hours; structured physiotherapy begins in the hospital and continues at our clinic or at home. Step 7 – Recovery & Follow-Up Progressive strengthening, gait improvement, and follow-up X-rays to confirm implant position and healing. Recovery Timeline After Hip Replacement Hospital Phase (Day 0–5) Pain control, standing and walking with a walker or crutches within 24 hours, initial physiotherapy, and hip precaution education. Early Recovery (Week 1–6) Walking with support, gradual weaning from the walker to a cane, strengthening exercises, and return to light daily activities. Strengthening Phase (Week 6–12) Improving gait, building hip and thigh strength, balance training, and resuming most routine activities. Functional Phase (Month 3–6) Return to driving, working, and light recreational activity as cleared. Most patients walk unaided by this stage. Long-Term Phase (Beyond 6 months) Continued strengthening, low-impact activity such as walking, swimming, or cycling, and periodic follow-up to monitor the implant. Note: Recovery varies with age, fitness, and the surgical approach. Your surgeon and physiotherapist will provide a personalised plan and specific hip precautions to protect your new joint. Frequently Asked Questions (FAQs) Q1. When is hip replacement surgery really necessary? A: Hip replacement is advised when pain and stiffness significantly limit your daily life — walking, sleeping, or basic activities — and when non-surgical treatment such as medication, physiotherapy, or injections no longer helps. Advanced arthritis, avascular necrosis, and certain hip fractures are the most common reasons. Q2. How long does a hip replacement last? A: Modern implants typically last 15–25 years or more, depending on implant type, your activity level, body weight, and bone quality. Advances in bearing surfaces have significantly improved implant longevity. Q3. What is the difference between total and partial hip replacement? A: Total hip replacement replaces both the ball (femoral head) and the socket (acetabulum). Partial hip replacement replaces only the femoral head and is usually performed in older patients with a hip fracture. Your surgeon will recommend the right option for your condition. Q4. Is hip replacement a major surgery? How safe is it? A: It's a well-established, routinely performed procedure with excellent outcomes. As with any surgery, there are risks — infection, blood clots, dislocation, or anaesthetic complications — but these are uncommon and we take extensive precautions to minimise them. Q5. Will I be awake during surgery? A: Most hip replacements are done under spinal anaesthesia, which numbs the lower body while you remain lightly sedated. General anaesthesia is also an option. Your anaesthetist will discuss the best approach for you. Q6. How long will I stay in hospital? A: Most patients stay 3–5 days. Many stand and take their first steps within 24 hours of surgery, which speeds up recovery and reduces complications. Q7. Will I need a walker or crutches? A: Yes. You'll use a walker or crutches initially and gradually progress to a cane as strength returns. Most patients walk unaided within 6–12 weeks, depending on their recovery. Q8. What are hip precautions, and why do they matter? A: Hip precautions are movement restrictions — such as avoiding deep bending or crossing your legs — that prevent dislocation of the new joint in the early weeks. Your physiotherapist will teach you exactly what to avoid and for how long. Q9. When can I return to normal activities? A: Most patients resume light daily activities within 2–3 weeks, driving at 4–6 weeks (depending on which hip and your surgeon's clearance), and full routine activity by 3 months. Q10. Can I exercise or play sports after hip replacement? A: Yes — low-impact activities like walking, swimming, cycling, and golf are encouraged. High-impact sports such as running, basketball, or contact sports are generally discouraged because they accelerate implant wear. Q11. Will I need physiotherapy after surgery? A: Absolutely — physiotherapy is essential. It restores strength, mobility, and a normal walking pattern. We provide structured rehabilitation at our clinic, or home physiotherapy in Bangalore if you can't travel. Q12. What are the signs of a problem after hip replacement? A: Contact us promptly if you notice increasing pain, swelling, redness or warmth around the incision, fever, discharge from the wound, a sudden inability to bear weight, or a feeling that the hip has “popped” out. Early evaluation prevents bigger problems. Q13. Is hip replacement covered by insurance? A: Yes, hip replacement surgery is commonly covered by health insurance when medically indicated. Our team assists with documentation, pre-authorisation, and cashless or reimbursement claims. Q14. What are the charges for hip replacement surgery? A: Costs depend on implant type, surgical complexity, length of stay, and whether it's a primary or revision procedure. Please call 08048035347 for an estimate after consultation. Q15. How do I prepare for hip replacement surgery? A: Strengthen your hip and thigh muscles with pre-habilitation exercises, maintain a healthy weight, stop smoking if applicable, arrange home support for the first few weeks, and complete all pre-anaesthetic tests. Your surgical team will guide you through each step. Q16. Do you offer home physiotherapy after hip replacement? A: Yes. Home physiotherapy is available across Bangalore for patients who can't travel to the clinic after surgery — same assessment standards, same care.

Knee Replacement Surgery – Walk Pain-Free Again When knee pain starts deciding how far you walk, how you climb stairs, or how well you sleep, it's time to look beyond temporary relief. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, our orthopaedic surgeons perform total and partial knee replacement surgery using modern implants and precise surgical techniques — replacing the worn-out joint surfaces with smooth, durable components that restore pain-free movement. Every knee is different. We plan your surgery around your arthritis grade, alignment, bone quality, age, weight, and activity goals — so your new knee functions the way you need it to. And because our clinic offers in-house digital imaging and physiotherapy, your diagnosis, surgery, and rehabilitation all happen under one roof. Why Patients Choose Us for Knee Replacement: Experienced Orthopaedic Surgeons – Accurate implant sizing, alignment, and soft-tissue balancing for a natural-feeling knee. Modern Implant Options – High-flex, cruciate-retaining, and highly cross-linked polyethylene designs chosen for durability and function. Minimally Invasive Techniques – Smaller incisions and less muscle trauma where suitable, allowing quicker mobilisation. Same-Day or Early Mobilisation – Most patients stand and take their first steps within 24 hours of surgery. Complete Recovery Pathway – Structured post-operative physiotherapy in-house, or as home physiotherapy across Bangalore. Honest Advice – If your knee can be managed without surgery, we'll tell you — and if surgery is needed, we'll explain exactly why. Our Knee Replacement Services Knee Pain Assessment & Diagnosis Detailed clinical examination, weight-bearing digital X-ray, alignment assessment, and MRI where needed to grade arthritis and plan treatment. Total Knee Replacement (TKR) Complete resurfacing of the damaged knee joint — femur, tibia, and often the patella — with prosthetic components. The most reliable solution for advanced knee arthritis and severe joint damage. Partial (Unicompartmental) Knee Replacement Replacement of only the worn-out compartment of the knee, preserving healthy ligaments and bone. Suited to patients with arthritis limited to one side of the knee. Patellofemoral Knee Replacement A targeted option for arthritis confined to the kneecap joint — preserving the rest of the knee. Revision Knee Replacement For patients with a worn, loosened, or infected previous knee implant. Requires careful evaluation and specialised revision implants. Robotic-Assisted or Computer-Navigated Knee Replacement Where available, enhanced precision in alignment and implant positioning for better long-term function. Knee Replacement After Injury For post-traumatic arthritis and severe joint damage following fractures or ligament injuries. Post-Operative Rehabilitation Structured physiotherapy — early mobilisation, range-of-motion work, quadriceps strengthening, gait training, and balance retraining. Signs You May Need Knee Replacement Persistent knee pain that limits walking, standing, or climbing stairs Pain that continues even at rest or disturbs your sleep Stiffness and reduced range of motion — difficulty bending or straightening the knee Knee swelling, deformity, or bowing of the legs Grinding, cracking, or a feeling of bone-on-bone contact Difficulty getting up from a chair or out of a car Pain not relieved by medication, physiotherapy, injections, or weight loss X-ray showing advanced arthritis with joint space narrowing Your Treatment Pathway – Step by Step Step 1 – Consultation & Physical Examination History-taking, knee range-of-motion testing, gait and alignment assessment, and weight-bearing digital X-ray. Step 2 – Advanced Imaging (if required) MRI, CT scan, or long-leg alignment X-rays to plan implant positioning and assess bone quality. Step 3 – Surgical Planning Selection of implant type, surgical approach, and whether a total or partial replacement is right for you — explained clearly before you decide. Step 4 – Pre-Surgical Preparation Medical fitness checks, pre-anaesthetic evaluation, and pre-habilitation exercises to strengthen the muscles around the knee. Step 5 – Knee Replacement Surgery Typically 60–120 minutes under spinal or general anaesthesia. Most patients stay in hospital for 3–5 days. Step 6 – Early Mobilisation & Physiotherapy Standing and walking with support within 24 hours; structured physiotherapy begins in the hospital and continues at our clinic or at home. Step 7 – Recovery & Follow-Up Progressive strengthening, gait improvement, and follow-up X-rays to confirm implant position and healing. Recovery Timeline After Knee Replacement Hospital Phase (Day 0–5) Pain control, standing and walking with a walker within 24 hours, knee bending exercises, and initial physiotherapy. Early Recovery (Week 1–6) Walking with support, achieving full knee straightening, progressive bending, and building quadriceps strength. Strengthening Phase (Week 6–12) Improving gait, strengthening the thigh and calf muscles, balance training, and resuming most routine activities. Functional Phase (Month 3–6) Return to driving, working, and light recreational activity as cleared. Most patients walk unaided by this stage. Long-Term Phase (Beyond 6 months) Continued strengthening, low-impact activity such as walking, swimming, or cycling, and periodic follow-up to monitor the implant. Note: Recovery varies with age, fitness, and the extent of surgery. Your surgeon and physiotherapist will provide a personalised plan and milestones. Frequently Asked Questions (FAQs) Q1. When is knee replacement surgery really necessary? A: Knee replacement is advised when pain and stiffness significantly limit your daily life — walking, climbing stairs, or sleeping — and when non-surgical treatment such as medication, physiotherapy, injections, or weight loss no longer helps. Advanced arthritis and severe joint damage are the most common reasons. Q2. How long does a knee replacement last? A: Modern implants typically last 15–25 years or more, depending on implant type, your activity level, body weight, and bone quality. Advances in bearing surfaces have significantly improved implant longevity. Q3. What is the difference between total and partial knee replacement? A: Total knee replacement resurfaces all three compartments of the knee. Partial (unicompartmental) replacement replaces only the worn-out compartment, preserving healthy bone and ligaments. Partial replacement suits a smaller group of patients with arthritis limited to one area. Q4. Is knee replacement a major surgery? How safe is it? A: It's a well-established, routinely performed procedure with excellent outcomes. As with any surgery, there are risks — infection, blood clots, stiffness, or anaesthetic complications — but these are uncommon and we take extensive precautions to minimise them. Q5. Will I be awake during surgery? A: Most knee replacements are done under spinal anaesthesia, which numbs the lower body while you remain lightly sedated. General anaesthesia is also an option. Your anaesthetist will discuss the best approach for you. Q6. How long will I stay in hospital? A: Most patients stay 3–5 days. Many stand and take their first steps within 24 hours of surgery, which speeds up recovery and reduces complications. Q7. Will I need a walker or crutches? A: Yes. You'll use a walker or crutches initially and gradually progress to a cane as strength returns. Most patients walk unaided within 6–12 weeks, depending on their recovery. Q8. How much pain will I have after surgery? A: Some pain and swelling are normal in the first few weeks. It's managed with medication, ice, elevation, and gentle movement. Most patients find the surgical pain far more tolerable than the arthritis pain they lived with before. Q9. When can I return to normal activities? A: Most patients resume light daily activities within 2–3 weeks, driving at 4–6 weeks (depending on which knee and your surgeon's clearance), and full routine activity by 3 months. Q10. Can I exercise or play sports after knee replacement? A: Yes — low-impact activities like walking, swimming, cycling, and golf are encouraged. High-impact sports such as running, basketball, or contact sports are generally discouraged because they accelerate implant wear. Q11. Will I need physiotherapy after surgery? A: Absolutely — physiotherapy is essential. It restores strength, mobility, and a normal walking pattern. We provide structured rehabilitation at our clinic, or home physiotherapy in Bangalore if you can't travel. Q12. What are the signs of a problem after knee replacement? A: Contact us promptly if you notice increasing pain, swelling, redness or warmth around the incision, fever, discharge from the wound, or a sudden inability to bear weight. Early evaluation prevents bigger problems. Q13. Is knee replacement covered by insurance? A: Yes, knee replacement surgery is commonly covered by health insurance when medically indicated. Our team assists with documentation, pre-authorisation, and cashless or reimbursement claims. Q14. What are the charges for knee replacement surgery? A: Costs depend on implant type, surgical complexity, length of stay, and whether it's a primary or revision procedure. Please call 08048035347 for an estimate after consultation. Q15. How do I prepare for knee replacement surgery? A: Strengthen your thigh muscles with pre-habilitation exercises, maintain a healthy weight, stop smoking if applicable, arrange home support for the first few weeks, and complete all pre-anaesthetic tests. Your surgical team will guide you through each step. Q16. Do you offer home physiotherapy after knee replacement? A: Yes. Home physiotherapy is available across Bangalore for patients who can't travel to the clinic after surgery — same assessment standards, same care.

PRP Therapy – Natural, Non-Surgical Relief for Joint & Tendon Pain If joint or tendon pain is holding you back but surgery feels like too big a step, PRP (Platelet-Rich Plasma) therapy offers a middle path. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, we use your own blood's healing properties — concentrated and injected precisely into the injured tissue — to reduce pain, promote repair, and improve function without surgery. PRP is a biological, minimally invasive treatment. A small sample of your blood is spun in a centrifuge to concentrate the platelets, which are rich in growth factors. That concentrated plasma is then injected into the affected joint, tendon, or ligament under sterile conditions. Because it uses your own blood, the risk of allergic reaction is minimal. Why Patients Choose Us for PRP Therapy: Non-Surgical Approach – No incisions, no general anaesthesia, no hospital stay for most patients. Ortho-Led Assessment – PRP is recommended only after proper diagnosis — not as a blanket treatment. Ultrasound-Guided Precision – Accurate injection placement into the affected tissue where required. In-House Digital Imaging – X-ray and MRI correlation before treatment to confirm the diagnosis. Honest Expectations – We clearly explain what PRP can and cannot achieve for your specific condition. Complete Recovery Support – Rehabilitation and physiotherapy integrated with your PRP treatment. Our PRP Therapy Services PRP for Knee Osteoarthritis For early to moderate knee arthritis — reducing pain, improving joint function, and delaying the need for knee replacement in suitable patients. PRP for Tendon Injuries Tennis elbow, golfer's elbow, Achilles tendinopathy, rotator cuff tendinopathy, patellar tendinopathy, and plantar fasciitis. PRP for Ligament Injuries Partial ACL, MCL, and ankle ligament sprains — supporting healing and reducing the need for surgery in selected cases. PRP for Sports Injuries Muscle strains, overuse injuries, and chronic sports-related pain that hasn't responded to rest and physiotherapy. PRP for Hip & Shoulder Conditions Early hip arthritis, labral irritation, and shoulder joint or tendon problems. PRP for Plantar Fasciitis & Heel Pain A well-established option for stubborn heel pain before considering surgery. PRP for Cartilage & Joint Preservation Aimed at slowing joint degeneration in younger patients with early cartilage damage. PRP Combined with Physiotherapy Most patients receive structured rehabilitation alongside PRP for the best functional outcomes. Conditions PRP Therapy Can Help Knee osteoarthritis (early to moderate) Tennis elbow and golfer's elbow Rotator cuff tendinopathy Achilles tendinopathy Patellar tendinopathy (jumper's knee) Plantar fasciitis and heel pain Partial ligament sprains (ACL, MCL, ankle) Chronic muscle strains Hip and shoulder joint pain Early cartilage damage Your Treatment Pathway – Step by Step Step 1 – Consultation & Diagnosis Clinical examination and imaging review (digital X-ray or MRI) to confirm your condition is suitable for PRP. Step 2 – Suitability Assessment We discuss your symptoms, prior treatments, activity goals, and medical history to decide whether PRP is the right option for you. Step 3 – Blood Collection A small sample of blood is drawn from your arm — similar to a routine blood test. Step 4 – Centrifugation The blood is processed in a centrifuge to separate and concentrate the platelet-rich plasma. Step 5 – Precise Injection The PRP is injected into the affected joint or tendon under sterile conditions, with ultrasound guidance where indicated. Step 6 – Post-Injection Care Short rest, activity modification, and specific instructions to protect the treated area during the healing phase. Step 7 – Rehabilitation & Review Physiotherapy and a review at follow-up to assess response and plan further sessions if needed. How PRP Works and What to Expect How it works: Platelets contain growth factors that stimulate tissue repair, reduce inflammation, and support the body's natural healing processes in joints, tendons, and ligaments. Treatment duration: The full procedure usually takes 30–45 minutes, including blood draw, processing, and injection. Number of sessions: Many patients need 2–3 injections spaced a few weeks apart, though some conditions respond to a single session. Onset of relief: Improvement is usually gradual — often noticed over 4–8 weeks as tissue healing progresses — not immediately after the injection. Downtime: Most patients return to desk work the same day or next day. Strenuous activity and sports are typically avoided for 1–3 weeks depending on the area treated. Frequently Asked Questions (FAQs) Q1. What exactly is PRP therapy? A: PRP therapy uses a concentrated portion of your own blood plasma, rich in platelets and growth factors, injected into an injured joint, tendon, or ligament to promote healing and reduce pain. It's a biological, non-surgical treatment. Q2. Is PRP therapy safe? A: Yes. Because PRP is prepared from your own blood, the risk of allergic reaction or rejection is minimal. Side effects are usually limited to temporary soreness, swelling, or mild pain at the injection site. Q3. Is PRP painful? A: The injection itself can cause brief discomfort, and the treated area may feel sore or swollen for a few days. Most patients find it well tolerated, and discomfort usually settles within 48–72 hours. Q4. How many PRP sessions will I need? A: It depends on your condition. Many patients need 2–3 injections spaced a few weeks apart. Some conditions, such as early tennis elbow, may respond well to a single session, while knee arthritis often benefits from a series. Q5. How soon will I see results? A: PRP works gradually. Most patients notice improvement over 4–8 weeks as healing progresses. Full benefits may take up to 3–6 months, depending on the condition. Q6. Is PRP better than steroid injections? A: They work differently. Steroids reduce inflammation quickly but can weaken tissue with repeated use. PRP aims to promote actual tissue repair and may offer longer-lasting relief. The right choice depends on your condition — we'll advise honestly. Q7. Can PRP therapy help me avoid knee replacement surgery? A: In early to moderate knee arthritis, PRP can significantly reduce pain and improve function, often delaying the need for surgery. It cannot reverse advanced arthritis or rebuild a completely worn joint. Q8. Is PRP effective for sports injuries? A: Yes. PRP is commonly used for tendon injuries, partial ligament sprains, and chronic overuse injuries in athletes. It's usually combined with a structured rehabilitation programme for the best results. Q9. Does PRP therapy work for every patient? A: No. Response varies. Factors such as the severity of the condition, age, overall health, and smoking can influence outcomes. We assess suitability carefully before recommending treatment. Q10. What should I avoid after a PRP injection? A: Avoid anti-inflammatory medications (NSAIDs) for about 1–2 weeks unless prescribed otherwise, as they may interfere with the healing response. Also avoid strenuous activity, alcohol, and smoking in the initial period. We'll give you specific instructions. Q11. Can PRP be combined with other treatments? A: Yes. PRP is often combined with physiotherapy, activity modification, and other non-surgical treatments. In some cases it's used alongside or after surgery as part of a broader plan. Q12. How long does the PRP procedure take? A: Usually 30–45 minutes from blood draw to injection. Most patients go home the same day. Q13. Is PRP therapy covered by insurance? A: PRP is generally considered an elective or investigational procedure by many insurers, so coverage varies. We'll guide you on costs and documentation. Please check with your insurer. Q14. What are the charges for PRP therapy? A: Costs depend on the number of injections, the joint or area treated, and whether ultrasound guidance is used. Please call 08048035347 for current rates. Q15. Who should not have PRP therapy? A: PRP may not be suitable for patients with certain blood disorders, active infections, low platelet counts, or some cancers. We review your medical history and blood tests before recommending treatment. Q16. Do I need physiotherapy along with PRP? A: Yes, in most cases. Physiotherapy helps restore strength, mobility, and function while the tissue heals. We provide in-house rehabilitation, or home physiotherapy in Bangalore if you can't travel.

Personalized, doctor-led consultation focused on understanding your condition, diagnosing precisely, and creating a tailored treatment plan. Every patient gets undivided attention, scientific guidance, and clear next steps toward recovery

Fracture Management – Rapid Diagnosis, Precise Fixation, Complete Healing A fracture needs more than a cast — it needs correct alignment, timely treatment, and structured rehabilitation so you regain full strength and movement. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, we manage everything from simple fractures to complex trauma cases: accurate diagnosis with digital X-ray, appropriate fixation — whether cast, splint, or surgical — and complete post-fracture rehabilitation. Every fracture is assessed on its own merits. Some heal beautifully with conservative treatment; others need surgery to restore alignment and stability. We explain your options clearly, recommend honestly, and follow your healing with serial X-rays until you're back to full function. Why Patients Choose Us for Fracture Care: Same-Visit Diagnosis – In-house digital X-ray means faster fracture confirmation and treatment. Both Conservative & Surgical Options – Casting, splinting, closed reduction, and internal fixation under one roof. Orthopaedic Expertise for All Ages – From paediatric fractures to complex geriatric trauma. Fracture-Specific Rehabilitation – Structured physiotherapy to restore joint movement and muscle strength. Serial X-Ray Monitoring – Follow-up imaging to confirm alignment and healing progress. Honest Advice – If your fracture can heal without surgery, we'll say so — and if surgery is needed, we'll explain exactly why. Our Fracture Management Services Fracture Diagnosis & Assessment Clinical examination, digital X-ray in multiple views, and CT or MRI where needed to evaluate complex or intra-articular fractures. Casting, Splinting & Plaster Application For stable and minimally displaced fractures — precise immobilisation using plaster casts or fibre-glass splints suited to the fracture site. Closed Reduction & Manipulation Non-surgical realignment of displaced fractures, followed by casting or splinting. Internal Fixation (ORIF) Open reduction and internal fixation using plates, screws, nails, or wires — for displaced, unstable, or joint-involving fractures. Intramedullary Nailing For long bone fractures of the femur, tibia, humerus, and forearm — providing strong, stable fixation and early mobilisation. External Fixation For open fractures, severely comminuted fractures, and damage-control situations before definitive surgery. Paediatric Fracture Management Age-appropriate treatment for children's fractures, with attention to growth plates and remodelling potential. Geriatric Fracture Care Hip fractures, wrist fractures, and vertebral fractures in elderly patients — including osteoporosis evaluation and fall prevention. Heel, Foot & Ankle Fractures Specialised management of calcaneal, metatarsal, ankle, and tibial plafond fractures. Post-Fracture Rehabilitation Physiotherapy for joint stiffness, muscle wasting, and return of function — at our clinic or as home physiotherapy across Bangalore. Common Fractures We Treat Wrist and forearm fractures (Colles' fracture, radius, ulna) Hip fractures (femoral neck, intertrochanteric) Femur, tibia, and fibula fractures Ankle and foot fractures (including calcaneus and metatarsals) Shoulder and humerus fractures Elbow and olecranon fractures Hand and finger fractures Clavicle (collarbone) fractures Rib fractures Pelvic and acetabular fractures Spinal compression fractures Open and compound fractures Stress fractures in athletes Paediatric and growth-plate fractures Non-union and malunion fractures Your Treatment Pathway – Step by Step Step 1 – Immediate Assessment Clinical examination of the injured area, neurovascular check, and digital X-ray to confirm the fracture and its pattern. Step 2 – Emergency Stabilisation Splinting, pain control, and wound care. Open fractures receive urgent cleaning, antibiotics, and tetanus cover. Step 3 – Treatment Planning Decision on conservative versus surgical management based on fracture type, displacement, stability, and your age and activity level — explained clearly to you. Step 4 – Fracture Fixation Casting, splinting, closed reduction, or surgical fixation as planned, using the appropriate technique for your fracture. Step 5 – Immobilisation & Protection Structured follow-up with serial X-rays to confirm alignment and healing, with load-bearing restrictions as advised. Step 6 – Rehabilitation Progressive physiotherapy to restore movement, strength, and function once healing is confirmed. Step 7 – Healing Review & Discharge Final assessment of bone union, functional recovery, and guidance on gradual return to full activity. Recovery Timeline After a Fracture Acute Phase (Week 0–2) Pain and swelling control, immobilisation, elevation, and gentle movement of unaffected joints. Early Healing Phase (Week 2–6) Early callus formation, protected mobilisation as advised, and gentle range-of-motion work for adjacent joints. Consolidation Phase (Week 6–12) Progressive strengthening, gradual return of joint movement, and partial weight-bearing as permitted. Functional Recovery Phase (Month 3–6) Full weight-bearing, strengthening, gait retraining, and return to routine activities. Full Recovery Phase (Beyond 6 months) Complete bone remodelling, return to sport or heavy activity as cleared, and final functional assessment. Note: Healing time varies by fracture type, location, age, and general health. Simple fractures may heal in 6–8 weeks, while complex or lower-limb fractures can take 3–6 months or longer. Your surgeon will give you a personalised timeline. Frequently Asked Questions (FAQs) Q1. How do I know if I've fractured a bone? A: Common signs include severe pain, swelling, deformity, inability to bear weight or move the limb, and sometimes a visible break or bone prominence. However, only an X-ray can confirm a fracture — even some sprains and fractures feel similar. Q2. Should I go to a hospital or a clinic for a fracture? A: Minor, stable fractures can be managed at an orthopaedic clinic with X-ray facilities. Open fractures, severe deformities, head or spine injuries, or fractures with numbness require immediate emergency hospital care. Q3. Does every fracture need surgery? A: No. Many fractures heal well with casting, splinting, or closed reduction. Surgery is usually needed for displaced, unstable, open, or joint-involving fractures, or when a fracture fails to heal properly with conservative treatment. Q4. How long does a fracture take to heal? A: Simple fractures typically heal in 6–8 weeks. Complex, displaced, or lower-limb fractures may take 3–6 months or more. Age, general health, smoking, and nutrition all affect healing time. Q5. What is the difference between a cast and a splint? A: A cast provides rigid, complete immobilisation and is used once swelling settles. A splint provides partial support and is often used in the initial phase when swelling is present, or for less severe injuries. Q6. What is internal fixation (ORIF)? A: ORIF stands for Open Reduction and Internal Fixation — surgery where the fracture is realigned and held in place with plates, screws, nails, or wires. It allows accurate alignment and often earlier mobilisation. Q7. Will the metal plates and screws need to be removed? A: Usually not. Most implants are designed to stay permanently. Removal may be advised if they cause irritation, restrict movement, or in specific cases involving young patients. Your surgeon will advise based on your situation. Q8. Is fracture surgery painful? A: The surgery is performed under anaesthesia, so you feel nothing during the procedure. Post-operative pain is managed with medication and typically improves steadily over the first week. Q9. How soon can I move after a fracture? A: Movement of the affected part depends on the fracture and the treatment. Adjacent joints are usually mobilised early. Weight-bearing and full movement are guided by X-ray evidence of healing — following restrictions strictly is essential. Q10. What is the biggest risk of ignoring a fracture? A: Untreated or poorly treated fractures can heal in the wrong position (malunion), fail to heal (non-union), cause permanent stiffness, nerve or blood vessel damage, and long-term disability. Prompt, correct treatment matters. Q11. Can physiotherapy help after a fracture? A: Absolutely — it's essential. Physiotherapy restores joint movement, rebuilds muscle strength, reduces stiffness, and helps you return to normal function. We provide rehabilitation at our clinic or as home physiotherapy in Bangalore. Q12. Why does my joint feel stiff after the cast is removed? A: Stiffness is normal after immobilisation — the joint capsule and muscles tighten from disuse. Structured physiotherapy gradually restores mobility. Starting exercises at the right time makes a significant difference. Q13. What should I eat to help my fracture heal faster? A: A balanced diet rich in protein, calcium, vitamin D, and vitamin C supports bone healing. Avoid smoking and excessive alcohol, as both impair bone repair. Your doctor may also recommend supplements. Q14. Do fractures heal faster in children? A: Yes. Children's bones heal faster and have greater remodelling capacity than adults. However, growth-plate injuries need careful evaluation, as they can affect future bone growth if not managed properly. Q15. Is fracture treatment covered by insurance? A: Yes, fracture treatment — including surgery where indicated — is commonly covered by health insurance for accidental injuries. Our team assists with documentation, pre-authorisation, and cashless or reimbursement claims. Q16. What are the charges for fracture management? A: Costs depend on whether treatment is conservative or surgical, the type of implants used, and length of stay. Please call 08048035347 for an estimate after examination.