Dr Riya Narwani
About Me
Dr Riya Narwani
MS
Orthopaedic Surgeons
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
OPEN REDUCTION INTERNAL FIXATION (ORIF) FOR FRACTURES
Surgically repairing complex fractures often involves Open Reduction Internal Fixation (ORIF), where bones are realigned through an incision (open reduction) followed by stabilization using hardware such as plates or screws (internal fixation).
TRAUMATIC HIP DISLOCATION MANAGEMENT
A traumatic hip dislocation happens when high-impact forces push the femoral head out from its pelvic socket. It constitutes an orthopaedic emergency because it threatens blood supply to the femoral head leading to avascular necrosis if untreated promptly.
- Presents with: Severe hip pain, inability to move the leg, limb shortening or abnormal positioning commonly follow vehicular accidents or falls from height.
- Eliciting diagnosis: Clinical suspicion confirmed via X-rays defines dislocation type—posterior being most common—and checks for accompanying fractures. Treatment strategies involve prompt closed reduction under anesthesia; surgery may be needed if reduction fails or fractures exist simultaneously;,
KNEE LIGAMENT INJURY REPAIR
Knee ligament injuries involve tearing or stretching of ligaments that stabilize the knee joint. These injuries frequently result from sports activities or accidents causing twisting forces on the joint.
- Causative factors & symptoms: Sudden pivoting movements may cause pain, swelling, instability, difficulty bearing weight, and a popping sound at injury time.
- Diagnosis tools: Clinical tests assessing ligament laxity supplemented by MRI provide detailed visualization of injuries sustained.
- Treatment options: Non-surgical management includes rest, bracing, physical therapy; severe tears may require arthroscopic ligament reconstruction surgery.
- The recovery pathway: Gradual rehabilitation focusing on strength restoration enhances functional outcomes over several months post-injury.
An individualized approach considering tear extent ensures effective healing while minimizing future joint degeneration risks after ligament damage occurs.
DISLOCATED SHOULDER REDUCTION
The shoulder joint can become dislocated when the upper arm bone pops out of its socket due to sudden trauma or extreme rotation. Proper reduction techniques are critical for restoring joint alignment safely.
- Indicators of dislocation: Intense pain, visible deformity, limited range of motion, swelling, and numbness around the shoulder region often occur immediately after injury.
- Diagnostic process: Physical assessment combined with imaging studies such as X-rays confirm dislocation direction and exclude associated fractures.
- Treatment modalities: Closed reduction maneuvers performed under sedation realign the joint; immobilization follows for several weeks depending on severity.
- Avoiding recurrence: Rehabilitation exercises focus on strengthening rotator cuff muscles to stabilize the shoulder post-recovery.
A timely reduction reduces the risk of long-term instability or arthritis. Accurate diagnosis aids in tailoring management plans suitable for each patient’s needs.
ACUTE COMPARTMENT SYNDROME
Acute compartment syndrome is a medical emergency caused by increased pressure within muscle compartments that can compromise blood flow and nerve function. It frequently arises after trauma to limbs such as fractures or crush injuries.
- Signs and symptoms: Severe pain disproportionate to injury, tightness in the limb, numbness, tingling, and diminished pulses may indicate this condition.
- Diagnosis methods: Clinical evaluation supported by measuring intracompartmental pressure confirms diagnosis.
- Treatment approach: Immediate surgical decompression via fasciotomy is required to relieve pressure and restore circulation.
- Potential complications: Delayed treatment risks permanent muscle and nerve damage, sometimes necessitating amputation.
This condition demands swift recognition and intervention to preserve limb viability. Understanding early symptoms can save function and quality of life following trauma.
OPEN FRACTURE MANAGEMENT
An open fracture occurs when a broken bone pierces the skin, creating an open wound that exposes the bone and surrounding tissue to the environment. This type of injury requires immediate and specialized care to prevent infection and promote proper healing.
- Symptoms and causes: Visible bone protruding through the skin, bleeding, severe pain, and swelling often follow trauma such as falls or accidents.
- Diagnosis: Physical examination combined with X-rays are crucial to determine fracture extent and soft tissue damage.
- Treatment options: Emergency wound cleaning (debridement), intravenous antibiotics, stabilization using internal or external fixation, and sometimes surgery are used to treat these fractures.
- Management considerations: Close monitoring for signs of infection or compartment syndrome is vital during recovery.
- Recovery expectations: Healing time may be longer than closed fractures due to soft tissue injury; rehabilitation focuses on regaining function while preventing complications.
Effective management of open fractures is essential to reduce risks of infection and ensure optimal healing outcomes. Prompt medical attention after injury improves prognosis significantly.