Best Shoulder Surgeon in Delhi

Introducing Dr. Shekhar Srivastav – Leading Shoulder Surgeon in Delhi

Dr. Shekhar Srivastav is a renowned and highly skilled shoulder surgeon based in Delhi, specializing in the diagnosis and treatment of various shoulder conditions. For years, he has been a trusted doctor who has devoted his time to helping those who are suffering to get rid of their shoulder pain, injuries, and disorders. With state-of-the-art equipment and facilities, they are able to meet their medical expenses and are still provided patient-centered care.

Dr. Srivastav is also a very competent medical practitioner and a well known surgeon performing advanced shoulder surgeries. He’s an expert in treating various shoulder problems including Rotator cuff tear, Bankart repair, Shoulder Instability, Shoulder arthritis, Frozen shoulder, Supraspinatus tears and various other problems of the shoulder joint. He’s well known for performing Arthroscopic surgeries of Shoulder joint and also one of the few surgeons in Delhi who’s performing Shoulder Replacements and Reverse Shoulder Replacement.

According to Dr. Shekhar Srivastav's brand new concept of patient-centric care, he is eager to ensure that all patients are able to get the best treatment options possible. In other words, the doctor will use the latest non-surgical or surgical treatment practices for only the necessary therapy of the current phase. He assured total assistance in the patients' recovery from immobility to the resumption of their active lives through his comprehensive care and rehabilitation program

In the event that you are looking for an expert shoulder surgeon in Delhi, Dr. Shekhar Srivastav is highly recommended for his skills and effective care. One can directly connect to his office and set a day convenient that best fits one's schedule whenever one wants to bring the issue up through phone or email at his office.

What is Shoulder Replacement Surgery?

Shoulder Replacement Surgery is a method in which damaged or severely affected areas of the shoulder joint are replaced with artificial body parts. A natural shoulder joint is generally comprised of the joint of a ball and socket, and it includes the humeral head (ball) and the glenoid (socket) parts. When the parts become worn or suffer from, e.g., a condition like arthritis, certain combinations can be broken, leading to different

states of inconvenience, like pain, joint stiffness, and so on. In shoulder replacement surgery, the surgeon takes out the affected areas of the shoulder joint and inserts a metal and plastic combination in place.

There are 2 main type of Shoulder Replacement Surgery :

• Total Shoulder Replacement: Here, both the ball (humeral head) and its socket (glenoid) are replaced by artificial ones.
• Reverse Shoulder Replacement: When there is damage beyond repair to the rotator cuff, it is then decided that both the ball and the socket be changed. The ball is placed on the shoulder blade, and the socket is attached to the upper arm bone, which subsequently allows more movement and better stability after the rotator cuff becomes inoperative.

Shoulder replacement surgery is a common procedure for patients plagued by the hardship of arthritis, rotator cuff disease, or severe fractures resulting in chronic pain and immobility. The main idea is to refabricate the affected area and, thereby, banish the pain as well as restore the lost function, thus giving the patient's quality of life a jouissance. A basic follow-up plan includes physiotherapy sessions in which the patients build their endurance and range of motion.

Types of Shoulder Replacement Procedures Offered

There is a variety of techniques that can be used by an orthopedic surgeon in the process of a shoulder replacement depending on the specific situation of the shoulder and the patient’s needs. The main methods of shoulder replacement enabled by orthopedic surgeons are given below:

1.    Total Shoulder Replacement (TSA)

• What it is: Total Shoulder Replacement becomes necessary when a total replacement of the socket and the ball with an artificial joint is performed. Osteoarthritis and rheumatoid arthritis are the most common causes of such a procedure.
• When it's recommended: Patients with a healthy rotator cuff and a very bad shoulder, caused by arthritis or other types of damage, are the main candidates for this surgery. The primary aim is to establish healthy movement and eliminate pain.
• Outcome: The main results include considerable pain reduction, enhancement of the range of motion, and better function, which make it possible for people to perform their normal activities.

2.    Reverse Shoulder Replacement (RSA)

• What it is: Similar to a normal shoulder replacement, in reverse shoulder replacement, a special cup (socket) and a metal ball joint are used to replace the diseased or worn parts of the shoulder joint. The only differentiation is that the cup is fixed to the scapula and the ball is attached to the upper arm bone of the humerus in the reverse shoulder joint.
• When it's recommended: People who are unable to repair their rotator cuff or who had developed rotator cuff arthritis and therefore are most likely to be the victims of this treatment. In addition, this is the second consideration for those who had failed in the surgery of the shoulder before. It’s also recommended in elderly persons with Shoulder fractures with Osteoporosis & severe communition.
• Outcome: The reverse system certainly contributes to the orthosis and stabilization of the shoulder, primarily in patients with significantly weakened rotator cuff muscles.

3.    Partial Shoulder Replacement

• What it is: Partial shoulder replacement surgery means that just the humeral head part is replaced. The glenoid ball that is a part of the socket is not replaced.
• When it's recommended: This approach is generally chosen for patients who have damage mainly on the humeral head (e.g. due to a fracture or arthritis) but also have a healthy glenoid. This surgery is also applicable to younger, active patients.
• Outcome: Partial shoulder replacement has the ability to relieve patients of the pain and at the same time improve their performance. It is, however, the case that the procedure may not have the same effect for patients with a lot of damage to both the humeral head and the socket.

4.    Shoulder Resurfacing

• What it is: Shoulder resurfacing surgery is the process in which the damage of the bone is corrected by putting a metal cap on it and not by removing the bone and putting a new joint. Therefore, this method is less disruptive to the anatomy compared to a total shoulder replacement.
• When it's recommended: This option is usually the choice for a less severely damaged shoulder joint of younger patients, especially if they are still actively participating in physical activities and want to keep as much of their natural bone as possible.
• Outcome: Shoulder resurfacing can be a way to remove the pain and the restriction of movement while keeping a more anatomical joint structure than in the case of a traditional prosthesis. However, if you have progressed arthritis or extensive joint damage, this method may not be for you.

5.    Shoulder Revision Surgery

• What it is: A change in the shoulder implant is called revision surgery. The procedure replaces or fixes a shoulder prosthesis that was previously implanted but has failed, worn out, or has become dislocated.
• When it's advisable: It's normally carried out on the people who underwent a shoulder replacement in the past and face issues like implant loosening, infection, or dislocation.
• Outcome: The primary ambition is to identify and eliminate the root cause of the problem and to regain function, but revision surgeries can be more complicated compared to primary replacement procedures.

Choosing the Correct Option:

Some of the factors that influence the choice of the procedure include:

• The patient’s age, activity level, and overall health
• The degree of the damage to the shoulder joint
• The existence of a functional rotator cuff
• The patient’s aims and preferences

One of the key points regarding the different kinds of shoulder replacement surgery is that there is a range of benefits and difficulties that should be considered thus it is crucial for a patient and an experienced orthopedic surgeon to have a detailed discussion of available options and to decide on the most suitable treatment plan according to the patient’s requirements.

Benefits of Shoulder Replacement Surgery

Shoulder replacement surgery is a great solution for patients who have chronic shoulder pain and very limited mobility. Be it arthritis, rotator cuff injuries, or directly the result of a trauma, replacement of the shoulder offers pain relief and greatly enhances the patient's life quality. Here are the major points that reflect the positive outcome of shoulder replacement surgery:

1.    Pain Relief

• The most apparent and probably the most significant benefit is freedom from pain that is chronic in nature. There are patients who are suffering from diseases like osteoarthritis, rheumatoid arthritis, or rotator cuff tears who feel pain to a large extent especially when they move their arms. By conducting the surgery for shoulder replacement, the damaged areas of the joint are taken out and new, smooth, and artificial products replace the part, which can decrease pain drastically.

2.    Improved Shoulder Function

• After the patients finally recuperate, they typically experience their shoulder joint to be fully functional once more. Shoulder replacement surgery allows for the recovery of the lost motion in the patient, indicating that activities such as lifting, reaching, and rotation of the arm can be done by the patient with little effort.
• With this regained function comes the capacity of doing activities which were once very difficult or impossible to perform, namely, driving, dressing, and participating in recreational activities.

3.    Increased Range of Motion

• Over a period of time, the shoulder joint can lose its range of motion due to problems like arthritis, leaving the joint very stiff and making everyday movement a difficult task. Shoulder replacement surgery is able to fix the range of motion by swapping the old joint surfaces with smooth, artificial and functional components.
• Patients usually find that, especially after physical therapy, the range of motion of their shoulder gets back to full or nearly full.

4.    Enhanced Quality of Life

• Easier and more comfortable daily activities are thus enabled by the surgery. The freedom of movement of your arm without the pain or discomfort that you experienced previously can have a profound impact on your life quality.
• Emotional health is also shown to be much better in many cases of patients, as feelings of chronic pain as well as physical limitations are no more a burden.

5.    Minimally Invasive Options

• Thanks to progress in the medical sector, the latest methods of shoulder replacement are mostly carried out with minimally invasive approaches. The process includes smaller cuts, so that tissue damage is minimized and healing is faster.
• Clearly, the techniques mentioned are such that the rate of complications is reduced, and the patients normally encounter less pain after the operation and heal more quickly.

6.    Long-Term Results

• In the majority of cases, joint replacement surgery for the shoulder gives the patients the relief that remains for a long time. Over 15–20 years, or even indefinitely, artificial joints in the shoulder can serve their purpose well. Along with patient activity and the type of operation, the age of the patients may influence the duration of the implant significantly. So the long-time durability of the new joint enables the patient to follow an active and free of pain lifestyle for several years post-surgery.

Shoulder Replacement Surgery Procedure Overview

Deciding to undergo shoulder replacement surgery is a rather common method that removes the damaged or arthritic shoulder joint and replaces it with an artificial prosthesis. The surgery has a dual effect of pain relief and the recovery of body functions, which leads to the improvement of the patient's general living conditions. Joint stiffness, pain, and bone fracture are just a few commonly known conditions that might require this type of surgery. Here is an in-depth description of what one should anticipate to happen during a shoulder replacement procedure:

1.    Preoperative Preparation

Prior to the commencement of the operation, the orthopedic surgeon, after reviewing your history and physical examination, will be in a position to identify your shoulder condition, general health, and fitness for the proposed surgery. This comprises of the following:

• Physical examination: The range of motion, pain level, and any deformities in the shoulder will be assessed by the doctor during a physical examination.
• Imaging tests: X-rays, CT scans, or MRIs can be carried out and the results will give the doctor an initial idea as regards the extent of damage to the shoulder joint.
• Blood tests: They will not only allow for an assessment of your body's overall health, but they will also enable the detection of any underlying medical conditions.
• Preoperative instructions: You will be provided with guidelines for medication, the time you need to fast before surgery, and what will be waiting for you post-surgery.

2.    Anesthesia

Most of the shoulder replacement surgeries are done under general anesthesia, which means that you will be sleeping throughout the entire operation. In a few situations, the medical team may use regional anesthesia like a nerve block which numbs the arm and shoulder while you stay awake or are sedated.

3.    Surgical Procedure

The surgery needed for a shoulder replacement patient will follow these steps after the specific key details are taken over to perform total, reverse or partial shoulder replacement. The surgical steps divided in the following manner:

a.    Incision

• On the front or side of the shoulder, a single incision (6-8 cm long) is made.
• Provided that the patient’s condition and the type of surgery allow for it, the surgeon may decide to use a minimally invasive approach.

b.    Removal of Damaged Components

• The surgeon will gently take out the damaged humeral head (ball) and the glenoid (socket).
• In total shoulder replacement, the surgeon will remove both the ball and the socket while in reverse shoulder replacement surgery, the ball gets connected to the shoulder blade, and the socket is secured to the upper arm bone.

c.    Prosthesis Insertion

• The prosthetic components that normally consist of metal (cobalt-chromium alloy) and plastic (ultra-high-molecular-weight polyethylene) are inserted to substitute the damaged joint parts
• It is usually the case that the humeral component (ball) is implanted in the humerus (upper arm bone) by using either cemented or uncemented technology, which depends on the patient’s bone quality and the surgeon's preference.
• The glenoid component (socket) is mounted to the shoulder blade (scapula), and carefully the surgeon adjusts its location so that the alignment and function are optimal.

d.    Joint Reconstruction

• After the joint has been assembled, the surgeon will perform a test for proper alignment, the mobility of the joint, and its stability so that it may fit in well.
• As necessary, the surgeon may have to carry out some minor adjustments to reach the most favorable range of motion.

4.    Postoperative Recovery

Postoperative recovery is very important in the case of a shoulder joint replacement. The steps that are usually taken are presented as follows:

a.    Hospital Stay

• The procedure usually requires an overnight hospital stay (or 1-2 nights according to the patient’s healing). Once a patient is capable of moving their arm themselves and do not have to take pain medications anymore, they are usually discharged from the hospital.

b.    Pain Management

• During the first few days after surgery, the patient often experiences pain, which can, however, be properly treated with the prescribed medications, including opioids in the initial stage, followed by non-steroidal anti-inflammatory drugs (NSAIDs).
• Moreover, the doctor can perform a nerve block injection or use ice packs to help in treating the pain and reducing the swelling post-surgically.

c.    Rehabilitation and Physical Therapy

• Physical therapy (PT) is an essential part of the healing process. You will start off with some light exercises just a few days following the surgery so as to increase the movement and strengthen the muscles of the operated region.
• Initially, the physiotherapist will help you with ROM exercises, but as time goes by, he/she will step up the game to not only let you gain muscle but also increase endurance. It is during rehabilitation that properly done exercises will be ingrained in the memory of your body so that you perform them automatically when in need.
• It takes normally several months of rehabilitation, and the patient will be told not to lift heavy items or engage in high-impact activities for about three to six months after surgery.

d.    Follow-Up Appointments

• Good recovery health checks made on a regular base with the surgeon will help to know whether everything is right with the shoulder and also to address the potential complications such as infection or loosening of the implant before they get aggravated.

5.    Long-Term Outlook

• As a rule, the majority of patients derive a good deal of benefit from their surgery in forms of pain relief and increased mobility. However, for the patient to pull through and expect normal conditions, he is advised to attend all rehabilitation sessions and stick to the surgeon’s instructions about post-surgical activities.
• The longevity of the shoulder implant varies between 15 to 25 years based on many factors; for example, activity level, age, and the kind of prosthetic device employed.

Recovery After Shoulder Replacement Surgery

The majority of the patients go for light physical therapy within a few days after the operation to regain the movement, prevent stiffness, and build strength in the shoulder. Usually, patients are very likely to be fully recovered during the time period between 3 and 6 months if they take care of their health regularly, are in good physical shape, and are motivated to get through the rehabilitation process.

Using medicine that has been administered by the doctor and the method of cold therapy to lessen pain and inflammation are the most effective means of the early stage of medication. To ensure rapid progress, patients are usually recommended not to try to lift, push, or pull heavy objects in the first few weeks. The team constituted by the surgeon who performed your surgery and the physiotherapist who is in charge of your rehabilitation is responsible for setting out the best healing strategy and achieving the full recovery of your shoulder muscles.

It can be expected that proper nutrition, adequate sleep, steady physical activity, and will all make your recovery feel smoother. Moreover, you should keep up with appointments to keep track of your progress and get treatment if necessary.

Many of the patients who follow the procedure without mistakes achieve expected outcomes and at the same time, increase the shoulder’s mobility and functionality. If you want to have the best possible recovery after you have gone through shoulder replacement surgery, seek the assistance of our skilled professionals. Your mobility and comfort are our main concern at all times.

Why Choose Dr. Shekhar Srivastav for Shoulder Replacement in Delhi?

Dr. Shekhar Srivastav is a top-rated orthopedic surgeon in Delhi, well known for his specialization in shoulder replacement surgeries. Having a vast experience of more than 28 years, he has successfully completed numerous procedures, such as total and reverse shoulder replacements, and arthroscopic surgeries like rotator cuff repairs and Bankart repairs.

Being the Head of the Orthopedics Department at Sant Parmanand Hospital, Dr. Srivastav leads a team of experts who are highly devoted to joint replacement and arthroscopy. His devotion to using advanced technology such as robot-assisted surgery guarantees the success of the operation and the faster recovery of the patient.

Patients are very happy with his way of treating them so individually and personally and to get their needs to be the most important in the therapy, is the best way to be ensured of recovery and the functionality of the patients. Dr. Srivastav's specialised training, including time spent as a fellow in Austria, Germany, and the USA, serves to add on to his skills as a surgeon.

For those wanting the best possible care for their shoulder replacement in Delhi, Dr. Shekhar Srivastav is offering his years of exposure, innovation, and passionate patient care. Call +91-9971192233 to make an appointment or visit delhiarthroscopy.com for more information

Shoulder Replacement Cost in Delhi, India

The amount of money that the patient should spend on the shoulder replacement surgery in Delhi is within the wide range of options. The variation in the costs of such kinds of operations is influenced to a great extent by the equipment that the patient and the surgical team will decide on (the level of joint injury, the surgical technique), the chosen establishment, and the experience of the operating physician that are all appropriate for particular situations.

Factors That Influence the Cost:

• Type of surgery (total or reverse shoulder replacement)
• Brand and quality of implants
• Hospital facilities (room type, ICU, etc.)
• Duration of hospital stay
• Pre- and post-operative care including physiotherapy

Affordable & Expert Treatment in Delhi

Dr. Shekhar Srivastav, who is a senior orthopedic surgeon & Heads the Department at Sant Parmanand Hospital, is well known for his shoulder replacement skills.