Best Doctors in India for Avascular Necrosis Treatment
- Orthopedic Surgeon, Hyderabad, India
- Over 30 years’ experience
Profile Highlights:
- Dr. J V S Vidya Sagar is a renowned Orthopedic Surgeon and one of the most experienced surgeons for Arthroscopy in India.
- Dr. Vidya Sagar has been performing Arthroscopic and Joint Replacement surgeries for over 30 years during which he has performed 31,500 Arthroscopies, 13,400 joint replacement surgeries, 27, 600 knee joint surgeries, and 20,800 surgeries for ligament reconstruction, and over 38,600 surgeries for cerebral palsy and polio.
- Orthopedic Surgeon, Mumbai, India
- Over 25 years’ experience
Profile Highlights:
- Dr. Kaushal Malhan is a renowned Orthopedic Surgeon in Mumbai with expertise in hip and knee replacement surgery and regional resurfacing.
- Dr. Kaushal Malhan’s name has been recorded in the Limca Book of Records for his innovative Tissue Preserving Total Knee Replacement Technique that helps in reducing post-operative recovery time.
- Dr. Malhan pioneered computer-assisted joint replacement surgery in India and is the first orthopedic surgeon to perform gender-specific computer-assisted and minimally invasive knee replacement.
- Orthopedic Surgeon, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Mrinal Sharma is a highly renowned Orthopedic Surgeon and Joint Replacement Specialist with a specialization in Arthroplasty.
- Dr. Mrinal Sharma holds with him an experience of more than a decade and has achieved huge success with joint replacement procedures, especially of the knee, during his career.
- He is among the new generation of Orthopedic surgeons who use Computer Navigated techniques for performing knee and hip replacement surgeries.
- Orthopedic Surgeon, Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Murali Poduval is a well-known Orthopedic surgeon in Mumbai with a specialization in Joint Replacement surgeries.
- He holds an extensive experience of close to 2 decades in Orthopedics and Joint replacement surgery and is an expert in the management and treatment of deformity correction, arthroplasty, and complex trauma.
- He is highly skilled in performing all types of primary and revision surgeries on the hip, knee, and spine. His primary interest also includes hip arthroplasty for severe defects in children and adolescents.
- Orthopedic Surgeon & Spine Surgeon, New Delhi, India
- Over 40 years’ experience
Profile Highlights:
- Dr. Pradeep Sharma is the Director of the BLK-Max Centre for Orthopedics, Joint Reconstruction, and Spine Surgery in Delhi.
- Dr. Pradeep Sharma has an experience of 40+ years in the field and is an expert in the treatment of both adult and pediatric patients.
- Dr. Pradeep Sharma runs arthroplasty Fellowships supported by Zimmer and Stryker and has trained and mentored young surgeons in Arthroplasty.
- Orthopedic Surgeon, Kolkata, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Rakesh Rajput is the Director and HOD – Orthopedics at The Calcutta Medical Research Institute (CMRI), Kolkata.
- Dr. Rakesh Rajput’s expertise lies in Joint replacement surgeries for the knee and hip, Arthroscopy, and Pelvic and Ace tabular trauma. He is also highly skilled in Minimally invasive orthopedic surgeries.
- Dr. Rakesh Rajput received his training in Joint replacement procedure from the prestigious University of Dundee and has worked and trained under some of the best orthopedic surgeons in the world.
- Orthopedic Surgeon & Spine Surgeon, Mumbai, India
- Over 25 years’ experience
Profile Highlights:
- Dr. Ram Chaddha is a specialist Spine Surgeon in Mumbai with expertise in the management and treatment of all kinds of spinal disorders for over 25 years.
- Dr. Chaddha is trained in Minimally Invasive Spine Surgery and is also among the few surgeons in India to hold expertise in Minimally Invasive Cosmetic Spine Surgery.
- Dr. Ram Chaddha spent a considerable number of years training undergraduate and postgraduate students and has also been an examiner for such courses at Mumbai University.
- Orthopedic Surgeon, Mumbai, India
- Over 24 years’ experience
Profile Highlights:
- Dr. Shreyash Gajjar is one of the most accomplished Arthroscopic and Sports Orthopedic surgeons in India and has performed more than 3000 surgeries of which more than 2500 included arthroscopic surgeries.
- Dr. Shreyash Gajjar is the first orthopedic surgeon in India to perform several first surgeries with the use of arthroscopic procedures.
- Dr. Shreyash Gajjar received his training in Arthroscopy, Trauma, and Sports Medicine from the best orthopedic institutions and under the guidance of renowned surgeons in India, UK, and Australia.
- Orthopedic Surgeon, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Subhash Jangid is a renowned Orthopedic Surgeon in India who performs more than 600 joint replacement surgeries annually and helps in the management of patients after such procedures.
- He played a pioneering role in establishing the first Bone Bank in India at the All India Institute of Medical Science in 2002.
- He has been associated with several other prestigious hospitals both in India and abroad and has also been a Visiting faculty at Nnamdi Azikiwe University Teaching Hospital in Nigeria where he trains young surgeons in Arthroplasty.
- Orthopedic Surgeon and Spine Surgeon, Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Vishal Peshattiwar is a leading Spine Surgeon in Mumbai specializing in Minimally Invasive Spine Surgeries (MISS)
- He has an experience of more than 2 decades in spine surgery and holds the credit of performing over 4000 spinal surgeries to
- He is the first in India to use the MISS technique on a patient with liver failure and Tuberculosis.
- Dr. Vishal Peshattiwar’s most notable case till date was performing a Revision Spine Surgery through MISS on the oldest patient in India.
Best Hospitals in India for Avascular Necrosis Treatment
Paras Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
S L Raheja Hospital, Mahim, Mumbai
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
Wockhardt Hospitals, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Pushpawati Singhania Hospital & Research Institute, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
Indian Spinal Injuries Center, New Delhi, India
- City: New Delhi, India
Hospital Highlights:
- The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
- Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
- The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
- The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.
W Pratiksha Hospital, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
Narayana Superspeciality Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
Sir Ganga Ram Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
CK Birla Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
KIMS Hospital, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
- The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
- The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
- The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
- The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.
AVASCULAR NECROSIS
Avascular Necrosis is the death of bone tissue which is caused by a loss of blood supply. Also termed osteonecrosis, it causes tiny breaks in the bone and eventually leads to the bone collapsing.
Blood flow to a section of a bone can be interrupted by a broken bone or dislocated joint. This condition is also associated with long-term use of high-dose steroid medications as well as excessive intake of alcohol.
Anyone can be affected by avascular necrosis, though the condition is more common among people between the ages of 30 and 50.
Symptoms
In the early stages of avascular necrosis, most people generally show no symptoms. However, as the condition gets worse, your affected joint is likely going to hurt when weight is put on it. Eventually, you might start experiencing the pain even while lying down.
Pain may be mild or severe and generally, it develops gradually. Pain which is associated with avascular necrosis of the hip can occur on the groin, thigh, or buttock. Other than the hip, the shoulder, knee, hand, and foot may also be affected.
Sometimes, people may also develop avascular necrosis on both sides, i.e. bilaterally.
If you think you have a dislocated joint or a broken bone, or if you experience persistent pain in any joint, it is important to seek immediate medical treatment.
Causes & risk factors
Certain factors that can lead to avascular necrosis or make it more likely include the following:
- Alcohol- If you take several drinks in a day, it can cause fat deposits to form in your blood. This can lower the blood supply to your bones.
- Medical treatments- Radiation therapy for cancer can weaken your bones. Other conditions linked to avascular necrosis include organ transplants, such as kidney transplants.
- Bisphosphonates- These medications which can help you boost bone density might also sometimes cause osteonecrosis of the jaw. This is more likely if you are taking them for multiple myeloma or metastatic breast cancer.
- Trauma- If you break or dislocate a hip, it might also cause damage to nearby blood vessels and cut off the blood supply to your bones. Avascular necrosis is known to affect 20% or more of people who dislocate a hip.
- Inflammation, blood clots, and damage to your arteries- All of these can block the blood flow to your bones.
- Steroid drugs- Long-term use of these inflammation-fighting drugs, either by mouth or in a vein, can lead to 35% of all cases of nontraumatic avascular necrosis. Doctors are unsure why, but the longtime use of certain medications can lead to avascular necrosis. It could be that the medications raise the fat levels in the blood, which lowers the blood flow.
Other conditions which are associated with nontraumatic avascular necrosis include:
- Decompression sickness, which causes gas bubbles in your blood
- Diabetes
- HIV
- Pancreatitis, inflammation of the pancreas
- Autoimmune diseases such as lupus
- Gaucher disease, in which a fatty substance collects in the organs
- Sickle cell disease
Diagnosis
During a physical exam, a doctor is likely going to press around your joints, and check for tenderness. Your doctor might also need to move the joints through different positions, to see, if your range of motion has been reduced.
Your doctor can also recommend certain imaging tests, to help pinpoint the source of pain.
Some of the options include:
X-rays
X-rays can help to reveal bone changes that occur in the later stages of avascular necrosis. In the early stages of the condition, however, X-rays may appear normal.
MRI and CT scan
These tests help to produce detailed images that are able to show early changes in bone that can indicate avascular necrosis.
Bone Scan
In this method, a small amount of radioactive material is first injected into your vein. This tracer travels to various parts of the bones that are injured or are healing, and they show up as bright spots on the imaging plate.
Treatment
Treatment for avascular necrosis aims to improve the joint, stop the bone damage, and ease any pain. The best treatment is going to depend on a number of factors, such as your age, the stage of the disease, the cause, as well as the location and amount of bone damage.
If you catch the ailment early, doctors generally recommend medications to relieve pain. Medications can include blood thinners, cholesterol drugs, etc.
If your avascular necrosis is fairly advanced, your doctor is likely going to recommend any of the following:
Core decompression
In this procedure, the surgeon removes part of the inner layer of your bone. Other than reducing your pain, the extra space within your bone helps to stimulate the production of healthy bone tissue as well as new blood vessels.
Bone transplant (graft)
This procedure helps strengthen the area of bone which is affected by avascular necrosis. The graft is a section of healthy bone taken from a different part of your body.
Bone reshaping (osteotomy)
A wedge of bone is removed above or below a weight-bearing joint, and this can help shift your weight off the damaged bone.
Joint replacement
If your diseased bone has collapsed and other forms of treatments are not working, you might require surgery to replace the damaged parts of your joint with plastic or metal parts.
Electrical stimulation
An electrical current might also jump-start new bone growth. Your doctor may use it during surgery or he/she may give you a special gadget for it.
Prevention
To prevent avascular necrosis, you can take the following steps:
Cut back on alcohol- Heavy drinking is a leading risk factor for avascular necrosis.
Use steroids carefully- Taking steroids over and over again can worsen bone damage.
Keep your cholesterol in check- Small bits of fat are the most common thing that is known to block the blood supply to your bones.
Don’t smoke- Smoking boosts your risk of avascular necrosis.