Dr. Niraj Shah

Consultant orthopaedic Surgeon Trauma,  Spine & Joint Replacement Specialist.

Joint Replacement

Orthotech by Dr. Niraj Shah has created a renowned name for itself in the medical industry by performing safe joint replacement surgeries. A joint refers to the coming together of two or more bones like the knee, the hip and the shoulder. A joint replacement surgery includes removal of a damaged joint and putting a new one in place of it. Sometimes, removal of an entire joint is not required while wherein only the damaged part is replaced or fixed. This kind of a surgery is performed by a doctor called an orthopaedic surgeon.
A joint replacement surgery is suggested with the view to improve your movements, relieve pain and subsequently help you live better. Usually hips and knees are replaced most often. Other joints that are replaced include the shoulders, fingers, ankles and the elbows

Fracture Treatments

Fracture Treatments

The condition where a bone is broken is termed as a fracture. A bone can be fractured either completely or partially in any number of ways like crosswise, lengthwise or in multiple pieces. We have acquired a reputed name for offering the best treatment for fractures. The tests conducted by us are performed while observing utmost safety and precaution. The staff hired by us is experienced in their respective domain. These experts perform the diagnostic tests without leaving any scope for errors.

Types of fractures

Bones are usually strong and rigid, but they do bend or give way when an external force puts pressure on it. If the pressure is too great, the bones tend to break. This condition causes a fracture. The severity of a fracture is determined by the amount of force that caused the break. In case the bone's breaking point has exceeded very slightly, then the bone may crack rather than break, however, if the force is extreme, for example in an auto-mobile crash or a gunshot, then the bone may shatter.

Common types of fractures include 

  • Stable Fracture
  • Open, Compound Fracture
  • Transverse Fracture
  • Oblique Fracture
  • Comminuted Fracture

Spine Treatments

Spine Treatments

According to the Mayo Clinic, USA, approximately 80% of all Americans will certainly suffer from low back pain at least once in their life. Looking at this data, we can clearly see that back pain is one of a very common problems that ails people. Such is the effect of this ailment that it is considered as one of the common reasons for absence from work or visiting the doctor. As per the records of the NHS (National Health Service), UK; backache is the primary cause of work-related absence in the United Kingdom. Although back pain may be painful and may cause some discomfort, it is usually not serious. Back pain ails every individual belonging to any age-group, however, it significantly affects those falling in the age bracket of 35 years onwards. Pain in the upper back is caused due to disorders of the aorta, tumours in the chest and inflammation of the spine. Back pain, on the other hand, is associated with the combined working of our bones, muscles and ligaments. Pain in the lower back may be linked to numerous reasons. These may include the discs between the vertebrae, lower back muscles, ligaments around the spine and discs, bony lumbar spine, spinal cord and nerves, abdomen & pelvic internal organs and the skin around the lumbar area.

What are the factors causing back pain?
Listed below are the factors that may act as a catalyst in causing back pain:

  • A mentally stressful job
  • Pregnancy
  • A sedentary lifestyle
  • Age
  • Anxiety
  • Depression
  • Gender - back pain is more prevalent among females as compared to males
  • Obesity/overweight
  • Smoking
  • Strenuous physical exercise (especially if not done properly)
  • Laborious physical work

What are the main signs and symptoms of back pain?

The primary symptom of back ache is pain anywhere on the back and sometimes it goes down uptil buttocks as well as legs. If any of the following signs or symptoms accompanies a back pain, it is time to consult a doctor:
  • Weight loss
  • Elevated body temperature (fever)
  • Inflammation (swelling) on the back
  • Persistent back pain - lying down or resting does not help
  • Pain down the legs
  • Pain reaches below the knees
  • A recent injury, blow or trauma to the back
  • Urinary incontinence - You urinate unintentionally (even small amounts)
  • Difficulty urinating - Passing urine is hard
  • Faecal incontinence- You lose your bowel control (you pop unintentionally)
  • Numbness around the genitals
  • Numbness around the anus
  • Numbness around the buttocks
According to a study conducted by the National Health Service (NHS), UK, people falling the listed below categories should seek medical advice if they experience any kind of back pain:
  • Individuals aged less than 20 years or more than 55 years
  • Patients who have been taking steroids since the past few months
  • Drug abusers
  • Patients suffering from cancer
  • Patients who have suffered from cancer in the past
  • Patients with low immune system

What are the causes of back pain?

The human back is made of a structure of muscles, tendons, ligaments, disks and bones, all of which are cushioned with cartilage-like pads. Problem with any of these components may lead to back pain.
    Strain :
  • Strained muscles
  • Strained ligaments
  • Lifting something improperly
  • Lifting something that is too heavy
  • The resultant effect of an abrupt and awkward movement
  • A muscle spasm
  • Structural Problems
  • Ruptured disks
  • Bulging disks
  • Sciatica
  • Arthritis
  • Abnormal curvature of the spine
  • Osteoporosis
    Structural Problems :
  • Cauda equina syndrome
  • Cancer of the spine
  • Infection of the spine
  • Other infections
  • Pelvic inflammatory disease in (females)
  • Bladder or kidney infections
  • Sleep disorders
  • Shingles
  • Bad mattress
  • Everyday Activities or Poor Posture
  • Bending awkwardly
  • Pushing something
  • Pulling an object
  • Carrying an item
  • Lifting something
  • Standing for a long period
  • Bending down for a long duration
  • Twisting
  • Coughing
  • Sneezing

Diagnosing back pain
A back-pain is easily diagnosed by a doctor, after consulting the patient and carrying out a physical examination, which may or may not include imaging scans. In case the pain persists for too long, further tests may be recommended. Following are the tests used to determine the cause of back pain:

  • X-Rays
  • MRI or CT Scan
  • Bone Scan
  • Electromyography or EMG
What are the treatment options for back pain?

In majority of cases the pain subsides by itself by observing simple precautions and taking care of oneself, hence, no medical help is required. Resting proves effective in minimizing back pain.
Usually back pain is segmented into two categories:
1. Acute back pain
2. Chronic back pain
If home treatments do not prove effective in reducing backache, the doctor may recommend the following:

MedicationNSAID (non-steroidal anti-inflammatory drug) including Codeine, hydrocodone or narcotics
PhysiotherapyIncludes steps like
  • Application of heat or ice
  • Ultrasound
  • Electrical stimulation,
  • Some muscle-release techniques to the back muscles and soft tissues
Cortisone InjectionsIn case the aforementioned therapies do not prove effective enough or if the pain reaches down to the patient's legs, cortisone may be injected into the epidural space. Cortisone is an anti-inflammatory drug that helps minimise inflammation around the nerve roots.
SurgeriesIn case of persistent pain and nerve compression, surgery is recommended. Examples of surgical procedures includes:
  • Fusion
  • Artificial disk
  • Discectomy (partially removing a disk)
  • Partially removing a vertebra

Prevention of back pain

It is very important to prevent back pain so as to lead a normal and healthy life. Following are some steps that should be taken to prevent backaches:

  • Regular exercise
  •   Core-strengthening exercises
  •   Flexibility
  • Reduce or quit smoking
  • Maintain a balanced body weight
  • Observe correct posture when standing and sitting
  • Use expert's recommended posture while lifting things
  • Do not lift and twist at the same time
  • Move things by pushing and not lifting
  • Wear comfortable flat shoes
  • Ensure comfort while driving
  • Use a mattress that keeps you spine straight

Arthroscopy Treatments

Arthroscopy Treatments

An arthroscopy refers to the type of keyhole surgery that is used for the dual purpose of diagnosing problems with the joints and repairing damage done to the same. The procedure is usually [performed on knees, wrists, elbows, ankles and shoulders. This surgery is recommended for those suffering from problems with joints, such as swelling or stiffness and whose initial imaging tests have not been able to determine its cause. An arthroscopy is then used to look at the inside of the joint.
Orthotech is a clinic that is renowned for performing this surgery under the experienced guidance of Dr. Neeraj Bijlani. We make use of standard instruments and sophisticated technology to ensure absolute safety and the success of the surgery performed by us.

Why is arthroscopy necessary?
Usually a joint injury or disease is diagnosed with the help of tests like x-rays, magnetic resonance imaging (MRI), computed tomography (CT along-with patient's medical history and physical examination. A final diagnosis is performed via the arthroscope. Performing this test ensures accuracy as compared with open surgery or from X-ray studies. Some of the most frequent and serious conditions found by arthroscopic examinations of joints include:
Inflammation: Synovitis is an inflammation of the lining in the knee, shoulder, elbow, wrist, or ankle

Acute or Chronic Injury :

  • Shoulder injury
  • Knee injury
  • Wrist injury
  • Loose bodies of bone and/or cartilage

Some problems associated with arthritis can be treated. This may require a combination of arthroscopic and standard surgery:

  • Rotator cuff surgery
  • Repair or resection of torn cartilage (meniscus) from knee or shoulder
  • Reformation of anterior cruciate ligament in knee
  • Removal of inflamed lining (synovium) in knee, shoulder, elbow, wrist, ankle
  • Release of carpal tunnel
  • Repair of torn ligaments
  • Removal of loose bone or cartilage in knee, shoulder, elbow, ankle, wrist
How is arthroscopy performed?

Arthroscopic surgery requires the use of anaesthetics where a patient is given either a general, spinal or a local aesthetic, depending on the joint or suspected problem. This process is followed by making a small incision (about the size of a buttonhole) so as to insert the arthroscope.
The corrective surgery is performed with the aid of technologically advanced and precision designed instruments that are inserted into the joint through accessory incisions. Earlier, arthroscopy was considered as a simple diagnostic tool for planning standard open surgery, however, with introduction of advanced and better instrumentation as well as surgical techniques, various conditions can be treated arthroscopically. The best part of an arthroscopic surgery is that the small incisions made for the surgery is covered with a dressing. Many patients require little or no pain medications.

What are the possible complications?

Complications, however rare, may occur occasionally during or following arthroscopy. Phlebitis (blood clots of a vein), infection, excessive swelling or bleeding, damage to blood vessels or nerves and instrument breakage are the some of the most common complications that occur in far less than 1 percent of all arthroscopic procedures.

What are the advantages of arthroscopy?

Arthroscopic surgery has gained immense preference as it has cured numerous well-known athletes. This surgery also serves as an excellent tool for all orthopaedic patients and is easier on the patient as compared with open surgery. Most patients get an arthroscopic surgery as outpatients and reach home several hours after the surgery.

What is recovery like after arthroscopy?

The small puncture wounds take several days to heal. The operative dressing can be removed the morning after surgery and adhesive strips may be applied to cover the small healing incisions. Although the puncture wounds are small in size so the pain in the affected joint that underwent arthroscopy is minimal. However, it takes several weeks for the joints to fully recover. A specific activity chart as well as rehabilitation programs may be suggested to speed up your recovery and protect the joints.

Hand surgery

Hand surgery

Hand is a priceless part of human body that helps the body to move around and perform all kinds of functions. Hand surgery can be affected by various injuries and trauma conditions like:

  • Hand pain
  • Fractures of the fingers, hand and wrist
  • Tendon and ligament injuries
  • Nerve and vessel injuries
  • Simple and complex lacerations
  • Crush injuries
  • Joint damage
  • Burn reconstruction

What is a fracture?
The hand is made up of many bones that are arranged in a framework. This framework acts as a point of attachment for the muscles that constitute the wrist and helps the fingers to move. A fracture happens when immense force is applied to a bone, heavy enough to break it. This results in pain, swelling along-with decreased use of the injured part.

How does a fracture affect the hand?
Fractures taking place in the hand may cause severe pain, stiffness and loss of movement. Some fractures like in finger, will cause a deformity, however, many fractures do not. Owing to the proximity and close relationship of bones with ligaments & tendons, the hand may be stiff and weak after the fracture heals. Fractures that injure joints may lead to early arthritis in those joints.

How are hand fractures treated?
Medical evaluation and x-rays determine the seriousness of the fracture and the subsequent treatment. A splint or cast is used to treat a fracture that is not displaced or else to protect a fracture that has been set. Some displaced fractures need to be set and then held in place with wires or pins. This procedure is done without making an incision and is called closed reduction and internal fixation. Other kind of fractures may require surgery to set the bone and is termed as open reduction. Once the bone fragments are set, these are then held together in place with the help of pins, plates or screws.

What types of results can I expect from surgery for hand fractures?
Perfect alignment of the bone is not always shown in x-ray. A bony lump may appear at the fracture site as the bone heals and is known as a “fracture callus”. This is a normal healing process and the lump usually gets smaller over time. Problems with a healing fracture may include shift in position, stiffness, infection, slow rate of healing or complete failure to heal. Smoking also acts as a deterrent in the process of healing. A hand therapy program with splints and exercises may be advised to speed up and improve the recovery process.

Paediatric Orthopaedics

Paediatric Orthopaedics

What is paediatric (children's) orthopaedics?
Orthopaedics refers to the diagnosis as well as corrective treatment of disorders of bones, joints and muscles. The medical treatment meted out is often shared by orthopaedic surgeons, haematologists, sports doctors and GPs.
Some babies are born in a way which makes them vulnerable to the risk of having abnormal hips. These babies should at once be examined by the GP who will refer the babies for an x-ray while some may require to be checked by an orthopaedic surgeon.
Orthopaedic surgeons also treat fractures, except for the most minor ones. These surgeons possess immense expertise to assess the damage around the fracture and offer the best treatment to mend the fracture.

Some of the common children's conditions that are treated by orthopaedic surgeons include the following:

  • Disorders of the growth of bones
  • Disorders of the formation of joints
  • Fractured bones
  • Inflammation of or torn muscles, tendons or cartilage
  • Infections in bones
  • Injury to nerves
  • Some disorders of the spine

Best Orthopaedic Surgeon in Anand | Best Dental Surgeon in Anand | Best Orthopaedic Hospital in Anand - Smit Orthopeadic Hospital & Dental Clinic - Anand - Gujarat,India.

Call our Clinic (02692) 259610, 26969 for Appointment

Smit Orthopaedic Hospital & Dental Clinic

Address : Patel Colony, Mahavir Road Anand - 388001
Tel No. : (02692) 259610, 26969
Mobile No. :+91 98252 56987
Mon to Fri : 11 AM to 8 PM
Sat : 11 AM to 1 PM (By Apt. Only)


About us

Smit Orthopaedic Hospital & Dental Clinic, a clinic that specialises in treating various kinds of musculoskelatal problems. Under the proficient guidance of Dr. Niraj Shah, Smit Orthopaedic Hospital & Dental Clinic has been helping clients get relief from various kinds of orthopaedic problems. We make all possible efforts to promote a healthy and pain free life. Our endeavours to ensure 100% success in all surgeries has led us to not only hire expert professionals but also ensure a highly advanced infrastructure facility which comprises advanced tools and sophisticated technology. A contemporary infrastructure ensures that the patients feel absolutely comfortable before and after surgery.