Dr. Manish Sontakke

Diabetic foot care

Spine surgery plays an essential role in the traumatic spinal cord injury (SCI) treatment plan. Undergoing surgery shortly after the injury may have meaningful benefit for people with SCI, as studies link early surgical intervention to better long-term outcomes.

If you’ve been through a traumatic event, your spinal column and spinal cord may have sustained significant damage. A particular region or level of your spine could be unstable, and different anatomical structures (eg, vertebral bone, disc, ligament) may be compressing on your spinal cord.

Shoulder manipulation procedure

During closed manipulation, the doctor moves the arm at the shoulder joint. This is done to break up adhesions and loosen the stiff joint. The goal of the procedure is to improve range-of-motion by breaking up scar tissue.

Your doctor may recommend closed manipulation if other methods of relief have failed. This procedure can relieve pain and stiffness for some patients. In others, there is still some pain and swelling in the shoulder joint. If the closed manipulation is not successful, you may need arthroscopic surgery.

Intra-articular steroid and viscose supplementation

In medicine, a joint injection (intra-articular injection) is a procedure used in the treatment of inflammatory joint conditions, such as rheumatoid arthritis, psoriatic arthritis, gout, tendinitis, bursitis, Carpal Tunnel Syndrome, and occasionally osteoarthritis.

A hypodermic needle is injected into the affected joint where it delivers a dose of any one of many anti-inflammatory agents, the most common of which are corticosteroids. Hyaluronic acid, because of its high viscosity, is sometimes used to replace bursa fluids. The technique may be used to also withdraw excess fluid from the joint.

Carpal tunnel release

Most of us use our hands almost every minute of the day without ever giving it a second thought. But if you have carpal tunnel syndrome, the pain, numbness, and tingling in your fingers get your attention. Treatments like wrist braces and corticosteroids can help, but in more severe cases, you may need surgery.

Carpal tunnel syndrome is caused by pressure on your median nerve. This is what gives you feeling in your thumb and all your fingers except your pinky. When the nerve goes through your wrist, it passes through the carpal tunnel -- a narrow path that’s made of bone and ligament. If you get any swelling in your wrist, that tunnel gets squeezed and pinches your median nerve. That, in turn, causes your symptoms.

Soft tissue surgery for trigger fingers and Tenosynovitis

Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. Other symptoms may include pain and stiffness in the fingers and thumb. The condition is also known as stenosing tenosynovitis.

The ring finger and thumb are most commonly affected digits; however, the condition can affect any of the digits. When the thumb is involved, the condition is, appropriately, called trigger thumb.

Limb lengthening by ILIZAROV /LRS

The Limb Lengthening and Reconstruction Society (LLRS) is a professional organization of diverse orthopaedic surgeons, physicians, and allied health professionals devoted to advancing the science of limb reconstruction for patients of all ages.

This includes fostering research, stimulating scientific exchange, and collaboration to provide excellent clinical care in the arena of limb lengthening, limb reconstruction, extremity deformity correction, as well as complex fracture treatment.