Fractures & General Orthopaedic

General Orthopaedic Service:

General Orthopaedics service provided by Dr. Laxman includes aches, pains and conditions related to your musculoskeletal system.This also includes fractures and dislocations.

Back Pain:-

Lower Back Anatomy

Back pain usually happens from afflictions of nerves, bones, muscles, joints or other structures in the spine. Back pain may start all of a sudden or evolves over a period of time. It may be constant or intermittent stay in your back or radiate to the back of your thighs and calfs. It can also lead to a sense of weakness, numbness and tingling sensation in your limbs. Back pain is oft experienced as:-

  • Neck pain radiating to upper limbs
  • Upper back pain
  • Lower back pain radiating to leg or foot
  • Tail bone pain

Common conditions associated with back pain are:-

  • Disc herniation
  • Spinal canal stenosis
  • Osteoarthritis
  • Trauma, fractures, tumours
  • Osteoporosis

Patients are thoroughly examined, followed by an x-ray or may be an MRI to arrive at a confirmed diagnosis.Most of the conditions can be treated by analgesics, other medications, and physiotherapy.Physiotherapy is one of the mainstays along with lifestyle modification.

Failure of the conservative management is one of the major indication of surgical management.Before the surgical option is explored patient is thoroughly counselled regarding the benefits and the risks involved.After surgery patients generally require 2-3 weeks of rehabilitation to get them back to their life.

Fractures and Dislocation:

FracturesLoss of continuity of bones are referred to as fracture in medical terms.Fractures can be grouped as many ways and are commonly associated with trauma or accidents .Rarely they can occur spontaneously as a result of diseases of bones.

Broadly fractures can be classified as open and closed fractures.Open fractures have wounds at the fracture site , the management will depend on wound dimensions. Closed fractures have skin continuity over the fracture site.

Regardless of the type of fractures Splinting, traction and support are the primary treatment , till the conditions are optimum for definitive management of fractures.

Management of the fractures can be broadly classified into conservative (Cast,splint/traction(rare)) or operative.

Pros & cons are to be explained to the patient regarding each modality of management.

Generally, bone fractures take about 3-6 months to heal, although a very good healing response is seen in 6 weeks.

First, xray is taken after 3 weeks to assess the healing, some cases may require a weekly x-ray to prevent Malunion or Non-union.

Dr Laxman is experienced in handling all types of simple and complex fractures.Trauma service is provided in association with attached hospitals.