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Overview :

The Orthopaedic Department was added to Pratiksha Hospital with the appointment of Dr. D. A. Phukan as Chief Consultant in the year 2008. It was initially started to provide orthopaedic services to the Gynae patients coming to the hospital and for the people of the nearby areas. However, over the last five years it has developed into a full fledge department catering to the orthopaedic problems of people from all over the North East.

Services :

The department provides the following services.

Sports Medicine & Arthroscopy

Pratiksha Hospital has tied up with SPORTS MED Mumbai . Our consultants from SPORTS MED includes Dr. Anant Joshi, Dr. Deepak Bhatia (shoulder Specialist), Dr. Pranjal Kodkani (Hip & Elbow specialist), Dr. Abhishek Kini (Ankel & Foot Specialist) & OSTEOPATHS Trained in Australia. We also provide round the clock sports medicine services through our full time consultants.

Trauma services

This department is headed by Dr. J. Mukhopadhya from Paras Hospital, Patna as a visiting consultant. We have Telemedicne facilities with Paras Hospital, Patna for discussion of various problems. We are assisted by Dr. Jintu Borah & Dr. Satyajit Borah in this department. We have 24 hour trauma and emergency services.

Reconstructive Orthopaedics

This department is headed by Dr. Mangal Parihar from Mumbai. Our in house doctor includes Dr. Lalit Shah who has been trained by Dr. Parihar & in the USA.

Joint Replacement Surgery Department

This department is headed by Dr. Vinod Agrawal from Mumbai.  We do all types of joint replacement surgeries including revision surgeries.

Spine Surgery Department

This department is headed by Dr. Vinod Agrawal from Mumbai. Dr. Nitu Borgohain is an associate consultant in this department. All types of spine surgeries including Scoliosis, Microdiscectomy and fixation of spine.

Plastic Surgery Department

This department assists orthopaedic department in poly trauma patients. We have two visiting consultant Dr. Parag Neog & Dr. Bhaskar Borkotoky.

Special Feature:


Name of the Surgery No. of Surgeries (Approx)
Arthroscopic Procedure 400
Joint Replacement Surgeries 130
Spine Surgeries 130



Patient Education


If you’ve been diagnosed with osteoarthritis (OA), you’re not alone. This chronic disease affects some 27 million Americans. OA is characterized by the breakdown of cartilage – the part of a joint that cushions the ends of the bones and allows easy movement. As cartilage deteriorates, bones begin to rub against one another. This can cause stiffness and pain that make it difficult for you to use that joint. Osteoarthritis can also damage ligaments, menisci and muscles. Over time OA may create a need for joint replacements.

There are two types of OA – primary and secondary. Primary osteoarthritis is generally associated with aging and the "wear and tear" of life. The older you are, the more likely you are to have some degree of primary osteoarthritis. However, not everyone gets it – not even the very old. That’s because OA is a disease, and not part of the normal aging process. Secondary osteoarthritis, in contrast, tends to develop relatively early in life, typically 10 or more years after a specific cause, such as an injury or obesity.

Osteoarthritis occurs most often in kneeships and hands.  Other joints, particularly the shoulders, can also be affected. OA rarely affects other joints, except as a result of injury or unusual physical stress.

The pain and stiffness of osteoarthritis can make it difficult to do daily activities including your job, play sports or even get around with ease. That’s why it’s important to learn all you can about this disease, how it affects you and how to live with it – a process called self management.

Signs and Symptoms

Usually joints affected by osteoarthritis ache or become painful or stiff first thing in the morning, or during or after use. They may also be stiff after periods of inactivity. It’s important to remain physically active despite any initial discomfort you might feel. Exercise keeps joints moving, which helps them stay lubricated. It also builds strength in the muscles surrounding the affected joint, so they can support it.

Back Pain

Back pain is pain felt in the back that usually originates from the muscles, nerves, bones, joints or other structures in the spine.

Back pain may have a sudden onset or can be a chronic pain; it can be constant or intermittent, stay in one place or radiate to other areas. It may be a dull ache, or a sharp or piercing or burning sensation. The pain may radiate into the arms and hands as well as the legs or feet, and may include symptoms other than pain. These symptoms may include tingling, weakness or numbness.

Back pain is one of humanity's most frequent complaints. In the U.S., acute low back pain (also called lumbago) is the fifth most common reason for physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year.

The spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, all of which are capable of producing pain. Large nerves that originate in the spine and go to the legs and arms can make pain radiate to the extremities.


There are several potential sources and causes of back pain. However, the diagnosis of specific tissues of the spine as the cause of pain presents problems. This is because symptoms arising from different spinal tissues can feel very similar and is difficult to differentiate without the use of invasive diagnostic intervention procedures, such as local anesthetic blocks.

One potential source of back pain is skeletal muscle of the back. Potential causes of pain in muscle tissue include muscle strains (pulled muscles), muscle spasm, and muscle imbalances. However, imaging studies do not support the notion of muscle tissue damage in many back pain cases, and the neurophysiology of muscle spasm and muscle imbalances is not well understood.

Another potential source of lower back pain is the synovial joints of the spine (e.g. zygapophysial joints/facet joints. These have been identified as the primary source of the pain in approximately one third of people with chronic low back pain, and in most people with neck pain following whiplash. However, the cause of zygapophysial joint pain is not fully understood. Capsule tissue damage has been proposed in people with neck pain following whiplash. In people with spinal pain stemming from zygapophysial joints, one theory is that intra-articular tissue such as invaginations of their synovial membranes and fibro-adipose meniscoids (that usually act as a cushion to help the bones move over each other smoothly) may become displaced, pinched or trapped, and consequently give rise tonociception (pain).

There are several common other potential sources and causes of back pain: these include spinal disc herniation and degenerative disc disease or isthmic spondylolisthesis, osteoarthritis (degenerative joint disease) and lumbar spinal stenosis, trauma, cancer, infection, fractures, and inflammatory disease. The anterior ligaments of the intervertebral disc are extremely sensitive, and even the slightest injury can cause significant pain.

Radicular pain (sciatica) is distinguished from 'non-specific' back pain, and may be diagnosed without invasive diagnostic tests.

New attention has been focused on non-discogenic back pain, where patients have normal or near-normal MRI and CT scans. One of the newer investigations looks into the role of the dorsal ramus in patients that have no radiographic abnormalities. See Posterior Rami Syndrome.

How to prevent sports related injuries

Sports injuries are injuries that occur in athletic activities. They can result from acute trauma, or from overuse of a particular body part.

A warm-up program has been founded to decrease injuries in association football.  Many athletes will partake in HGH Treatment for Athletic Enhancement as a way to prevent injuries.

Risk of injury can be reduced by completing an effective warm up consisting of a heart raiser to get your pulse up, followed by sport specific dynamic stretches (stretches whilst moving). To reduce the risk of injury:

Plan to have at least 1 day off per week from a particular sport to allow the body to recover.

Wear the right gear. Players should wear appropriate and properly fit protective equipment such as pads (neck, shoulder, elbow, chest, knee, shin), helmets, mouthpieces, face guards, protective cups, and/or eye wear. Young athletes should not assume that protective gear will protect them from performing more dangerous or risky activities.

Strengthen muscles. Conditioning exercises before games and during practice strengthens muscles used in play.

Increase flexibility. Stretching exercises before and after games or practices can increase flexibility.

Use the proper technique. This should be reinforced during the playing season.

Take breaks; rest periods during practice and games can reduce injuries and prevent heat illness.

Strict rules against headfirst sliding (baseball and softball), spearing (football), and body checking (ice hockey) should be enforced.

Stop the activity if there is pain.

Avoid heat injury by drinking plenty of fluids before, during and after exercise or play; decrease or stop practices or competitions during high heat/humidity periods; wear light clothing.

Sports-Related Emotional Stress

The pressure to win can cause significant emotional stress for a child. Sadly, many coaches and parents consider winning the most important aspect of sports. Young athletes should be judged on effort, sportsmanship and hard work. They should be rewarded for trying hard and for improving their skills rather than punished or criticized for losing a game or competition.

Using proper equipment is key in preventing injury. The NFL is conducting tests with new helmet designs that could reduce the number of head injuries in the league.

Doctors believe fatigue can be a contributing factor in sports injuries because it is more difficult for the body to protect itself when fatigued. Stopping an activity at the first sign of fatigue can prevent sports related injuries.

Our Medical Team

Dr. Diganta Apurba Phukan
MS Ortho
Dr. Mangal Parihar
MBBS, University of Bombay, 1984
MS (Orth), University of Bombay, 1988
Both undergraduate and postgraduate training was obtained at theSeth G S Medical College and KEM Hospital, Bombay
Visiting Consultant
Dr. J. Mukhopadhya
FRCS, MCH(Liverpool, UK)
Visiting Consultant
Dr. Anant Joshi
D. Ortho, M.S. (Ortho),
Dip. Sports Medicine USA,
Sports Medicine Consultant to BCCI & ICC.
Visiting Consultant
Dr. Taral Nagda
M.S.(Ortho), D. Ortho, DNB (Ortho)
Paediatric Orthopaedic Visiting Consultant
Dr. Vinod Agarwala
M.S. (Ortho), D. Ortho, FCPS, DNB, MCH (UK), DMT(NZ)
Visiting Consultant
Dr. Deepak Bhatia
M.S. (Ortho), Sportsmed, Mumbai
Shoulder, Elbow & Wrist Specialist
Visiting Consultant
Dr. Sudhir Warrier
MS, MCH, Orthopaedic Surgeon, Hand Specialist
Consultant Lilavati Hospital, Mumbai,
Visiting Consultant
Dr Jintu Bora
MS Orthopedics in 2004 from Guwahati Medical College
MBBS from Assam Medical College
Visiting Consultant



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