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Dr. Vivek Shrivastava, a renowned medical professional based in Indore, brings over 23 years of expertise in pediatrics and orthopedics.

Radial Club Hand

Radial club hand is a congenital birth defect where the radius bone, one of the two bones in the forearm, is underdeveloped or absent. This can cause the hand to appear “clubbed” or bent toward the thumb side.

Severity Levels

The condition can vary in severity, ranging from mild shortening of the radius to a complete absence.

Associated Conditions

Radial club hand may be associated with other birth defects or syndromes, such as:

  • Poland syndrome: A rare condition that affects the chest and arm.
  • Fanconi anemia: A rare inherited blood disorder.
  • Holt-Oram syndrome: A condition that affects the heart and arms.
Treatment

Treatment for radial club hand often involves a combination of surgery, therapy, and prosthetics. The specific approach will depend on the severity of the condition.

Common treatments may include:

  • Surgery: To correct the deformity, lengthen the forearm, or improve hand function.
  • Therapy: To strengthen muscles and improve hand function.
  • Orthotics To provide support and function.

Knock Knee

Knock knee, also known as genu valgus, is a condition where the knees touch or nearly touch each other, causing a gap between the ankles. It’s common in children and often corrects itself with growth.

Causes:

1. Genetic predisposition
2. Growth and development
3. Injury or trauma
4. Infections (e.g., osteomyelitis)
5. Neuromuscular disorders (e.g., cerebral palsy)

6.Metabolic disorder eg Rickets

Symptoms:

1. Knees touch or nearly touch
2. Gap between ankles
3. Uneven gait or walking pattern
4. Difficulty standing or balancing
5. Pain or discomfort in knees, legs, or feet

Treatment:

1. Observation and monitoring
2. Bracing or orthotics
3. Physical therapy
4. Surgery (in severe cases)

Exercises to help correct knock knee:

1. Strengthening exercises (leg lifts, squats, lunges)
2. Stretching exercises (hamstring, quadriceps)
3. Balance and coordination exercises

When to seek medical attention:

1. Severe knock knee
2. Pain or discomfort
3. Difficulty walking
4. Uneven growth or development
5. Concerns about appearance or self-esteem

Foot Deformities

Hallux valgus, also known as bunions, is a common foot deformity characterized by:

Characteristics:

1. Lateral deviation of the big toe (hallux)
2. Medial prominence of the first metatarsal bone
3. Bony bump or lump at the base of the big toe
4. Pain, redness, and swelling

Causes:

1. Genetics
2. Poor footwear (tight, narrow, or high-heeled)
3. Abnormal gait or biomechanics
4. Arthritis (e.g., rheumatoid, osteoarthritis)
5. Neuromuscular disorders (e.g., cerebral palsy)

Symptoms:

1. Pain or discomfort at the base of the big toe
2. Redness and swelling
3. Difficulty walking or standing
4. Pressure on adjacent toes
5. Corns or calluses

Treatment:

Non-surgical:

1. Orthotics or shoe inserts
2. Padding or taping
3. Physical therapy
4. Medications (pain relievers, anti-inflammatory)
5. Lifestyle modifications (wider shoes, avoiding high heels)

Surgical:

1. Bunionectomy (removal of the bony prominence)
2. Osteotomy (cutting and realigning the bone)
3. Arthrodesis (joint fusion)
4. Soft tissue procedures

Complications:

1. Chronic pain
2. Limited mobility
3. Arthritis progression
4. Wound complications
5. Recurrence

Prevention:

1. Wear proper fitting shoes
2. Avoid high heels
3. Use orthotics or arch supports
4. Maintain a healthy weight
5. Exercise regularly

Cerebral palsy

Orthopedic surgery is commonly performed in cerebral palsy (CP) patients to address musculoskeletal issues that affect mobility, posture, and overall quality of life. Here’s an overview of orthopedic surgery in CP patients:

Common Orthopedic Issues in CP Patients:

1. Muscle spasticity and contractures
2. Hip subluxation or dislocation
3. Knee flexion or extension contractures
4. Foot deformities (e.g., equinus, varus, or valgus)
5. Scoliosis and other spinal deformities
6. Osteoporosis and fractures

Surgical Goals:

1. Improve mobility and function
2. Enhance posture and balance
3. Reduce pain and discomfort
4. Prevent or correct deformities
5. Improve overall quality of life

Common Orthopedic Surgeries:

1. Muscle lengthening procedures: Lengthening of muscles and tendons to reduce spasticity and contractures.
2. Tendon transfers: Transferring tendons to improve muscle balance and function.
3. Osteotomies: Cutting and realigning bones to correct deformities.
4. Hip reconstruction: Surgery to correct hip subluxation or dislocation.
5. Spinal fusion: Surgery to correct scoliosis or other spinal deformities.
6. Clubfoot correction: Surgery to correct foot deformities.
7. Bone stabilization: Surgery to stabilize bones and prevent fractures.

Considerations and Challenges:

1. Complexity of CP: Each patient’s condition is unique, requiring individualized treatment plans.
2. Multiple surgeries: CP patients may require multiple surgeries throughout their lifetime.
3. Anesthesia risks: Patients with CP may have increased anesthesia risks due to associated medical conditions.
4. Postoperative care: Requires specialized rehabilitation and therapy to optimize outcomes.
5. Growth considerations: Surgeons must consider growth plates and potential impact on future growth.

Preoperative Evaluation:

1. Comprehensive medical history and physical examination
2. Imaging studies (e.g., X-rays, CT scans, MRI)
3. Assessment of cognitive and communication abilities
4. Evaluation of nutritional status and bone health
5. Consultation with rehabilitation team and other specialists

Postoperative Rehabilitation:

1. Pain management
2. Physical therapy to maintain range of motion and strength
3. Occupational therapy to improve daily functioning
4. Orthotics and assistive devices to support mobility and balance
5. Regular follow-up with orthopedic surgeon and rehabilitation team

Outcomes and Research:

1. Improved mobility and function
2. Reduced pain and discomfort
3. Enhanced quality of life
4. Prevention of deformities and complications
5. Ongoing research focuses on optimizing surgical techniques, improving outcomes, and reducing complications.

About

Our mission is to provide the best services.

More Than 23 Years Of Experience .Senior Pediatric Orthopedic Surgeon .Practicing Bone Problem In Children. He Is Credited With Starting First Pediatric Orthopedic Unit In State Of Madhya Pradesh India. He Is Fellowship Trained In Pediatric Orthopedic At Various Centre In India & Japan. All Fractures & Deformity Are Treated With Latest Techniques. He Has Experience Of More Then 5000 Surgeries And Trusted By Thousands Of Patients.

Great Staff
Our nurses respond every time with a big warm smile.
Safety
Ensures a secure and caring environment, where every aspect of your health is handled with the utmost diligence and professionalism.

Testimonals

Ashok Kushwah
Ashok Kushwah
2023-12-02
Best doctor for child...
Aradhana Sharma
Aradhana Sharma
2023-08-23
Very good
Himanshu Kashyap
Himanshu Kashyap
2023-07-07
Very experienced and humble Dr.
Ritesh Rawat
Ritesh Rawat
2023-07-04
Very good doctor👍
rahul jadhav
rahul jadhav
2023-06-18
My son, Shiv Jadhav, was born on April 10, 2023, and we found that he has clubfoot. I am from Jalgaon District, Maharashtra, but unfortunately, there are no pediatric orthopedic doctors available in our district. I reached out to some doctors in nearby cities like Aurangabad and Nashik, but after discussing with them over the phone, I was not satisfied with their answers. As a result, I decided to search for the best pediatric orthopedic specialist near my district on Google. I came across Ojas Hospital in Indore, which is located 350 km away. I called Dr. Vivek Shrivastava, discussed the treatment with him, and after receiving all the necessary details and satisfactory answers, I decided to pursue treatment under his care. We commenced the treatment on April 15, 2023, and as of June 10, 2023, you can see the positive results in the photo below. I am immensely grateful to Dr. Vivek Shrivastava for treating my newborn with clubfoot. He is highly experienced and treats his patients with utmost confidence. He has guided us every step of the way, and what's more, he is always available on the phone and through WhatsApp to address our concerns. I wholeheartedly recommend Dr. Shrivastava for pediatric orthopedic problems. To all parents seeking treatment at Ojas Clinic, I advise parents to remain calm and place your trust in the doctor.
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