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Meet our Doctor Dr. Shrivastava
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Medical licensure—Board certified in Orthopedic Surgery with Licensure at State and National level in the state of Madhya Pradesh and Republic of India. Registration number MP 1970
"From playful checkups to, Dr. Shrivastava is here to ensure every child's journey to health is as bright as their smile.."
Dr. Vivek Shrivastava Pediatric Orthopaedic Surgeon
Our Services
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, also known as radial deficiency, is a rare congenital condition that affects the development of the radius bone in the forearm. This results in a shortened or missing radius, leading to a curved or “club-like” appearance of the hand.
Some common characteristics of radial club hand include:
– Shortened or missing radius bone
– Curved or bent wrist and forearm
– Shortened or missing thumb
– Fusion or webbing of fingers
– Limited wrist and hand movement
Treatment options may include:
. Serial plaster to correct deformity
– Surgery to straighten the wrist and improve hand function
– Physical therapy to improve mobility and strength
– Orthotics or prosthetics to support hand function
– Occupational therapy to develop adaptive skills
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)
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
Any condition which alters the shape or structure of the foot into something painful or harmful.
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.
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. Foot 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.
