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orthopaedic doctor Spine Surgery

What are the differences between spine surgeons & neurosurgeons?

Whenever someone has to get their spine surgery, they are always confused because there are two options: orthopaedic spine surgeon and neurosurgeon. In the past, neurosurgeons were only handling brain issues, but now they are also doing spine work which creates confusion for patients. And if you are also one of those confused ones, then you can visit Hunjan Hospital, an Orthopaedic Hospital in Ludhiana.

Moreover, they have the best Orthopaedic Surgeon In India, so you can visit there to get excellent treatment. However, let’s learn more about orthopaedic surgeons and neurosurgeons in the following paragraphs.

Information about spine surgeons and neurosurgeons

  • Spine Surgeons

Orthopedic surgeons are specialists in the surgeries of spine, and they spend almost all their time providing excellent spine care to their patients. And they also provide lucrative limb trauma, arthroscopy, and joint replacement surgery. So it is pretty clear that they can provide you with excellent results for your spinal surgery.

  • Neurosurgeons

There is no doubt that chances are very less that you will find a neurosurgeon giving all your time to spine care. Because they usually deal with patients who suffer from neurological issues. Hence, it would be a great option for you to get in touch with a specialist spine surgeon in order to get good results from your surgery.

Orthopedic spine surgeons have proper training

Undoubtedly, in order to become a successful spine surgeon, they have to complete their studies for a long time. It is not enough orthopaedic surgeons to complete their training and perform some surgeries on the dummies. After completing all these necessary training, they start giving treatments or surgeries to their patients.

Moreover, there are many bone joints in the body, such as knees, wrists, elbows, necks, and ankles but the structure of spinal bone is pretty complicated. That is why it requires proper skills in order to provide positive results from spine surgery.

However, a neurosurgeon spends all their time attaining knowledge about neurological issues and the functioning of the brain. And they also get training for the best brain care and surgeries. But in the last one or two decades, neurosurgeons are also adopting the work of spine surgeries as they are trained to remove some spinal tumours.

There is no doubt that neurosurgeons can also provide spinal surgery, and there are charges that your surgery may be successful. But as orthopaedic surgeons, they spend all their time in the specific field of spine care and surgeries; hence they have more knowledge. And chances are maximum that your surgery will be successful if you will get your surgery from a specialist in spine surgeries.

Final words

Get in touch with Hunjan Hospital because at that place, you will get in touch with the experts in spinal care, and you can get your desired quality of treatment.

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Spine Surgery

Dismissing Common Myths And Misconceptions About Spinal Surgery

It is not easy for many people to face spinal surgery. In fact, it can be very scary too. And to top it off, there are just so many myths related to Spine Surgery in Punjab that it makes an already nervous patient more anxious about the whole procedure.

Do not cloud your judgment because of somebody else’s lenses. Instead, make the best decision for your health. Our doctor here performs minimally invasive surgery and only uses it as a last resort if other non-surgical non-invasive methods fail to alleviate pain.

In fact, if the surgical procedure becomes a necessary treatment, our team encourages our patients to gather all kinds of information before the treatment and dismiss any myths surrounding it.

Some Common Myths About Spine Surgery

These are some of the most common myths about spine surgery that we are going to eliminate.

Myth #1: You require months-long recovery in bed

If we talk about the traditional open spinal surgery, which requires a long invasive cut in the back for the procedure, which also generates high risk. Then you might need bed recovery for months. However, our doctors are committed to treating patients with the least invasive method. This means less invasive with the least bleeding and minimal scarring.

This eliminates the months-long bed recovery period for the patient. When the doctor performs a small incision for the surgery in an Ortho centre in Ludhiana, then the patient requires a shorter period of rest time as compared to the traditional process. In fact, some patients get discharged from the hospital the very same day.

Myth #2: Spinal surgery will cause you more pain

Unfortunately, there have been instances wherein the patient has complained of continued pain even after the spinal surgery. But these cases are the exception, not common. The patient who has experienced such negative surgery will be more vocal and drown out the voice of other patients, which is why you might have heard them louder.

The reason behind noticing pain after surgery can be because of receiving the wrong treatment or if the surgery was not necessary in the first place. This is why it is essential that you carefully select your spinal doctor or surgeon with proper qualifications and adequate experience for appropriate treatment. When the doctor performs the surgery carefully, it can easily alleviate spinal pain.

Myth #3: Most people require another surgery post spinal surgery

If the patient selects the right spine doctor, gets the right diagnosis, and receives the right treatment, then it is very unlikely they will have to undergo another spinal surgery. Our doctors are committed to conducting one of the best surgical treatments for their patients to increase the success rate and improve their health.

They determine the real cause of the problem for their chronic leg, neck, or back pain. And based on the diagnosis of the problem, the doctor and the staff member will perform the most appropriate procedures unless and until it is absolutely necessary.

I hope we have helped you debunk some common myths about spinal surgery and created a better understanding of it.

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Spine Surgery

Are You Considering Spine Surgery? 5-Minutes Read To Learn More

After receiving the news that you might have to undergo spinal surgery, there are tons of emotions that one person goes through, from the hope that finally, they would not have to feel the constant pain and discomfort to the fear about what would happen before, during or after the surgery. In short, they would be very confused about what to do next.

However, before you make the decision to undergo the Spine Surgery in Punjab, it is necessary that you take steps to empower yourself by learning everything that you should know about the related condition and your treatment option, and your Ortho surgeon in Ludhiana.

Know The Cause Of The Pain

Identifying the reason for your pain is not somewhat equivalent to finding out what actually is anatomically wrong with your back.

Let us take an example to simplify it.

You might be suffering from a herniated disc that the doctor can notice in an MRI scan. But in case that is not the exact cause of your pain, then you might not find relief from the pain after your surgery for a herniated disc.

Hence, it is vital for you and your doctor to articulate the precise pain generator before they begin the surgery. For that, you must select a reputable surgeon and hospital in order to diagnose the real problem and treat them accordingly.

According to many practitioners in the Orthopaedic Hospital in Ludhiana, the number one reason for the failed back surgery syndrome, which is basically a continuation of pain after the surgery, is an improper diagnosis prior to surgery.

Go Get Yourself The Best Spine Surgeon

The best way to select the best spine surgeon is to get a referral from your current physician. They would refer you to one or more good spine surgeons who might help you cure your spinal issues. And a physician is the right place to look for such specialists as they have better contact compared to others. But it does not mean you will blindly believe what they refer to. You can, for the sake of better options, ask around about the clinic or call them for a better assessment.

You can ask the referred spine surgeon about their qualifications and experiences to evaluate their skills based on how many successful surgeries they have conducted over time.

You Need To Be Well-Prepared For Your Medical Consultation

It is natural not to articulate your pain and suffering to the doctor while you live those moments. Many times the patient is unable to complete their symptoms in a concise and accurate manner. To top it off, it can be overwhelming to meet your spine surgeon, especially for the first time. This is why you must research beforehand to get a better perception of your issues. And also, be ready to describe your medical history.

Final Comments

Hunjan Hospital works on providing the best to its patients. We believe in quality service in a friendly environment.

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Spine Surgery

What are the types of spine surgery you can undergo at Hunjan Hospital?

Hunjan Hospital best place for Spine surgery to boost your spine health

Your spine is the reason that body strength and ability are always in the right place. Moreover, with the spinal vertebrae, the spinal cord gets the right kind of protection it needs. In many cases, the patient needs to undergo spine surgery and for that getting the surgery at the best Orthopaedic Hospital in Ludhiana like Hunjan Hospital will make a difference in your health. Dr. Balwant Singh Hunjan is one of the most trusted names among the ortho doctors for giving different treatment options be it Knee Replacement in Ludhiana, spine surgery, or any other ortho treatment.

Different types of spine surgery

    • Lumbar Decompression Surgery for Spinal Stenosis

This surgery is also known by the name of lumbar laminectomy which is done for spinal canal correction. In medical terms, this surgery is used for spinal stenosis. The excess pain caused by this problem is addressed perfectly with this. In most cases, the spinal canal narrows down due to age. With the surgery, the canal is widened, and then the pressure is released from the same.

    • Spinal fusion surgery

During this surgery, the vertebrae which are next to each other will be connected so that pain levels are reduced. Through the use of screws and rods, the vertebrae are linked with each other. Once that is done, the healing is done on its own, and it gets fused.

    • Lumbar discectomy

During this surgery, an injured disc is treated which is present in the lower back area. The lumbar discectomy is performed in 2 types which are:

    • Open spine surgery
    • Minimally invasive arthroscopic discectomy
    • Herniated Disc Surgery

With this surgery, the herniated disc is repaired and for that either some part is removed or all of it. The vertebrae adjacent to each other are fused which allows the pain to get less. Although, with spinal fusion, that specific section of the back is not able to move. When you will visit the doctor for the consultation, a necessary decision is made as per your current state.

Best team of spine surgeons at Hunjan Hospital

As the technology keeps on advancing, it has helped the patients to get the best spine surgical options for their spine health. In addition, the expertise of spine doctors makes everything better as they can effectively and safely handle all the different types of conditions and injuries. No doubt, you deserve the best of care , and this is what the doctors at Hunjan Hospital do every day for you. Moreover, we have even tailored the treatment plan as per your specific needs by considering your current state and checking your medical history to understand the situation in a better manner.

Are you having trouble with your spine?

No need to worry about anything as with our experienced team of spine surgeons you will get the possible care you want. Schedule your initial consultation with our team.

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Spine Surgery

What are the different spinal conditions? What are the types of spine surgery?

Orthopedic Spine Surgery

Back pain is one of the common problems which can occur due to different reasons like strain, accident, and injury. In such a case, you must visit the best Orthopaedic Hospital in Ludhiana and get the ultimate care you deserve. In some cases, the problem is worse than the patient needs to undergo Spine Surgery in Ludhiana as the other treatment options have not helped them.

At Hunjan Hospital, we have the best team of spine surgeons who provide the treatment with the most advanced and effective treatment methods. This is the only way to treat spinal conditions and problems. Moreover, the modern treatment options help in giving precise results, quick recovery, and higher accuracy.

Is it necessary to undergo spine surgery?

First of all, the doctor will suggest that you get non-surgical treatment. You will only be suggested the surgical treatment when other treatments did not work out the way they should. In addition, if you are having problems performing the daily activities then the doctor will suggest surgery.

What are the different spinal conditions/disorders?

  • Tumor
  • Kyphosis
  • Spinal deformity
  • Degenerative disease
  • Trauma
  • Infection of the spine
  • Growth disorders
  • Neuromuscular disorders
  • Herniated or ruptured discs
  • Scoliosis
  • Myelomeningocele

No doubt, there are different options available to address the spine problem. From minimally invasive to extensive spine surgery you can get everything at Hunjan Hospital.

What are the types of spine surgery?

  • Spinal fusion

Spinal fusion is the most preferred surgery for back pain. The surgeon will join the spinal bones with each other. This allows the motion to be limited between the spine bone and nerves won’t get stretched too much.

  • Laminectomy

This helps to relieve the extra pressure which is put on the spinal nerves. The problem needs to be addressed right away as it can lead to weakness or pain. During the surgery, the bone spurs, back ligaments, or bones are removed.

  • Foraminotomy

During this type of surgery, the bone from the sides of the vertebrae is cut as it allows to increase the space where nerves go outside. The surgery allows taking away the pressure from the nerves.

  • Discectomy

In some cases, the patient may have the issue of slipped disc, and then it is pressed on the spine nerve

  • Disc Replacement

If your spinal disc is damaged, then it is going to be replaced with an artificial disc and this allows to make the spine motion right. This method is most commonly used by spine surgeons.

What are the benefits of spine surgery?

Spine surgery has countless benefits and some of them are mentioned for your understanding:

  • Better physical fitness
  • Increase in productivity
  • Resuming regular daily activities
  • The patient is able to increase their activity level
  • Less intake of drugs and medication – leading to fewer side effects
  • Make it easier to get back t work regime on time
  • Improvement in mood

Book your initial consultation

If your back pain is troubling you in excess and you are not able to do your daily chores, then there is no need to stop yourself. Book your initial consultation at Hunjan Hospital – Super Speciality Hospital.

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Spine Surgery

Spine Surgery: Everything you need to know about spine surgical procedure

Introduction

If you are struggling with back pain, then you might be thinking spine surgery is the only choice. Sometimes, surgery is the preferred choice. It is important to understand that back problems can also be treated with non-surgical treatment/conservative therapy. Let’s go through the spine surgery guide to make you understand about the different treatment options.

How computer-assisted technology is beneficial for back pain?

Through computer-assisted image technology, the surgeon can look at the operative site with ease, which is not possible with traditional visualization methods. Back pain is likely to trigger when the body mechanics are not proper, the spine has undergone a structural abnormality or injury. To treat chronic back pain, you must consult medical professionals right away. The doctor will inform you about everything on what type of lifestyle you need to live and what kind of physical activity which you need to do.

Non-surgical conservative treatment

Some of the non-operative treatment options suggested by the medical expert are:

    • Pain medications
    • Physical Therapy
    • Anti-inflammatory medications
    • Bracing (should not be done before the surgery)

Generally, conservative treatment is suggested to the person for 6 weeks to 6 months. In case, non-conservative treatment did not help the patients then spine surgery is suggested.

Difference: Open Surgery Vs Minimally Invasive Spine Surgery

Open Surgery Minimally Invasive Spine Surgery
    • Traditional spine surgery is known as open surgery
    • Minimally Invasive Spine Surgery (MISS) is a modern approach.
    • During surgery, a long incision is made on the surgical site to look at the spinal anatomy.
    • During the surgery, the incision is a few inches long. Even through this spine anatomy is checked carefully.
    • Under this approach, muscles might get manipulated and the surrounding tissues. Post-operative complications are higher.
    • Under this approach, the surrounding muscles are not manipulated and chances of complications are also less.
    • Hospital stay is longer with a traditional approach and recovery takes time.
    • Hospital stay is less with modern approach and recovery takes less time.

How imaging is helpful during spine surgery?

    • With the help of computer-assisted images, the surgeon can have a better view of the surgical site, which is not possible with traditional methods.
    • There is a greater degree of accuracy with modern surgical methods as compared to conventional methods.
    • The surgeon will make use of intraoperative fluoroscopy and preoperative computed tomography which increases the safety and makes the result precise.

What are the surgical methods?

Be it MISS or open surgery, the doctor can access the spine from different directions. In medical terms, these are known as surgical methods which include the following:

    • Anterior approach

With the anterior approach, the surgeon accesses the front part of the body from the abdominal area.

    • Posterior approach

With the posterior approach, the incision is made on the back.

    • Lateral approach

With the lateral approach, the spine area is reached from the side.

What are the common spine surgical methods?

Different conditions can increase the risk of spine surgery and some of the common procedures included with it are:

    • Discectomy or Microdiscectomy

With this approach, removal of a herniated intervertebral disc. Under this approach, pressure is taken from the compressed nerve. It is referred to as the MISS procedure.

    • Laminectomy

With laminectomy, the thin bony plate from the back is removed and space is increased in the spinal canal. This way the pressure is relieved.

    • Laminotomy

With laminotomy, the vertebral arch is removed which covers the spinal cord. Under this approach, the bone portion is removed less as compared to laminotomy.

Be it, laminectomy and laminotomy the tissue which compresses the spinal nerve is removed by the surgeon.

    • Foraminotomy

Tissue or bone removal comes in the way where the root comes off from the spinal cord and then reaches the spinal column.

    • Disc replacement

It is another option that is used instead of fusion and then an artificial one is kept in its place.

    • Spinal fusion

Surgical procedure which connects the vertebrae. Under this, the bone grafts are used which might have or not have instrumentation. Bone grafts are available in different types like donor’s bone or your bone is used. Fusion is done by the surgeon through the following methods:

    • Anterior Lumbar Interbody Fusion
    • Posterior Lumbar Interbody Fusion
    • Transforaminal Lumbar Interbody Fusion indicates a surgical approach through the foramen.
    • Lateral Interbody Fusion in which the minimally invasive approach is from the side of the body.

Wrap up

If your spine pain is getting in excess, then you should schedule your consultation with our health experts. Depending on the problem you are having and understanding the cause of it, the treatment plan is customized.

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Back Pain orthopaedic Spine Surgery

Which precautions to follow after one has undergone spine surgery?

Once the patient has taken up the spine surgery t, then there are some things which he needs to take care of. According to the expert surgeons of the famous orthopaedic hospital in Ludhiana, it is very important to follow all the precautionary measures after one has undergone spine surgery in Ludhiana. So in this article, we shall be focusing on the discussion of the important precautionary points that are mandatory to be taken into account after getting treated with spine surgery.

Here are a few points:

• Do not go for the road trip
You are not supposed to go for the road trip since you are not allowed to sit in constant motion for a long period. It will produce a negative impact on your spine health. Not only this but if you are the one who is employed for the sitting job like typing work or any other kind of that, then it is advised that you should take leave for some days as sitting in the stiff motion will cause you to suffer from the unendurable pain.

• A right way to sit
Sitting postures and standing from the seat are very critical things that everybody takes quintessential care of. There are certain sitting postures that the patients should avoid which may include the one in which the individual sits by keeping his knees above the hip. Also, do not suddenly get up from your seat. You should follow a gradual standing process in which first of l all you should move to the end of the seat and slowly get up by putting pressure on your arms and not on your back.

• Do not do these movements
There are certain movements which the individual should completely abstain himself from and which includes the following:
• Lifting
• Twisting
• Pushing and Pulling movements

• Take complete rest
You are suggested to take complete rest unless you will end up straining yourself which will lead you to severe pain which you may find unendurable.

• Use the roll log method
You must be given some information regarding the roll log method. It involves the bedding and keeping of the knees together. You should particularly take care of one thing that you are not rolling to one side in a specific motion. Twisting of the spine should completely be avoided. Now push in the upward direction and try to place the legs at the end of the bedside to get a proper seated position.

• A good lifestyle
By a good lifestyle, we mean taking sound sleep and trying to incorporate healthy items into the dietary routine. The diet is of significant importance as far as speedy recovery is required.

• Do not sleep for longer horse
No doubt you are suggested to take complete rest. But this does not surely mean that you are supposed to sleep the whole day. Do not interfere with your ideal sleeping cycle.

Bottom Line
Negligence in the following of any f aforesaid points will only cause considerable delay in your recovery. So it is your call whether you want to follow the instructions or you want to stay in bed for a longer time.

 

Categories
back surgery Spine Surgery

Which precautionary measures to follow after undergoing back surgery?

In the case of orthopaedic surgeries, it is necessary to visit the best orthopaedic hospital in Ludhiana. As far as the spine surgery in Ludhiana is concerned, then you should be following the below-mentioned measures:

An important point to know

The recovery time of different back surgeries is different.

Back surgery  Time taken to recover
Discectomy 6 to 8 weeks
Laminectomy 12 weeks
Spinal fusion  6 weeks

Precautions to be taken

The subsequent precautions should be followed after you have undergone the back surgery, If you take these precautions, then you will be assured to get healed at a speedy rate:

  • No BLT

Bending, Lifting and twisting have been presented in the form of the acronyms that you may know that you should be keeping yourself away from such strenuous activity. It is advised that do not practice any of the BLT otherwise you may end up causing the procedure to go in vain. If you think that lifting of the grocery bags or the laundry baskets will not produce that much effect on the back, then you are wrong since it can affect the recovery rate,

  • Squats are suggested

I know that you hate getting dependent on anyone. So we would like to suggest you squatting to pick your things from the floor rather than bending down. So be smart when it is your recovery period.

  • Even smarter

Sometimes your body condition or even physique restricts you to doing squatting. In those cases, you can take the help of the reacher. The reacher will help you to get the things which you want.

  • Footwears

The doctors always suggest that the patient should buy both sturdy slippers and slip shoes to avoid the discomfort which can come up owing to weaning off the socks and shoes.

  • Do not twist your torso

When it is about the torso then make sure that you are not twisting it. Instead, you can try to move your entire body. You should try to align the hips and the shoulders. This instruction should be followed when you are trying to get in and out of your bed and when you are sitting in the car.

Which things should you pay quintessential attention to?

 Don’t get comfortable on the couch:

The predominant problem which is done by the patients after the surgery is that they start spending too much time on the couch because of that the body becomes significantly weaker and stiffer.

  • Keep the joints moving

If you have been guided by the doctor that you are not supposed to move your joints, then you have taken treatment from the wrong doctor. Try to move the joints a little bit.

  • Consult the therapist before the procedure

Make sure to consult the therapist before the procedure since it creates a great impact on the recovery period.

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orthopaedic doctor Spine Surgery

How to choose the right orthopaedic doctor for knee replacement surgery?

When the internal parts of the knees get damaged, then knee replacement surgery is taken into account. The knee replacement surgery and spine surgery in Ludhiana are the highest performed surgeries nowadays. The surgery can be carried out manually and robotically. Hujan hospital, the best orthopaedic hospital in Ludhiana is the first hospital in entire north India to bring about robotic knee replacement for the first time.

Let’s discuss the variegated factors for choosing the right orthopaedic doctor:

  • Qualifications

Would you like to get treated by a doctor who is not having the right qualifications for performing the surgery? Nobody does. So you must consider the qualification of the orthopaedic doctor. Since the surgeon cannot be eligible to perform the surgery unless he is possessing the required qualifications

  • Training

Along with the qualifications of the doctors, do not forget to check the training of the doctor. The qualified doctors are not eligible to carry out the surgery unless they have been trained under the supervision of the experienced doctor.

  • Skills and experience

The skills can only be polished if the doctor has practised the specific surgery for a considerable time. That is why it takes years of experience for doctors to be called adept in the particular field. Make sure, you are taking the experience of the doctor into account.

  • Check website

The doctor must be practising in a hospital. So you can easily check the reviews on the website and determine whether the hospital is capable of offering you the best and the required treatment. The reviews will help you to know if the patients are satisfied with the outcomes of the procedure.

  • Observe doctor’s behaviour

You can not conclude which doctor to take treatment for unless you have met them. So the initial consultation here plays a major role. So whenever you feel like that particular doctor might be the kind you are finding, do not judge him instantly. Wait till you meet him. And notice the following:

  • Is the doctor listening to you?
  • Is the doctor offering the relevant answers to your questions?
  • Is he putting an effort to address your queries?
  • Is he only praising his hospital?
  • Is the doctor polite in his verbal dealings?
  • Is the doctor forcing you to take treatment from him?
  • Is the doctor offering you thorough knowledge about the procedure?
  • Your budget

The doctor would provide you with the quote for the knee replacement surgery in the initial consultation. Now it will be your call to determine whether the particular quote is convenient for you.

  • The reputation of the hospital

The reputation of the hospital must be taken into account since it matters a lot. If we talk about Hunjan hospital, we have attempted to maintain a reputation by satisfying our customers with the procedures and not giving them a chance to complain against the treatment approach.

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orthopaedic orthopaedic doctor Spine Surgery

Which are the 7 topmost important tips to choose an Orthopedic surgeon?

Top tips to select the Orthopedic Surgeon, You need to visit the best Orthopaedic Hospital in Ludhiana to get the best treatment plan. Through inventive ortho treatment, the recovery time is short and fewer complications. Undergoing Spine Surgery In Ludhiana will help you live a healthier and active life.

Top tips to select the Orthopedic Surgeon

Tip 1: Take recommendations

You should ask for referrals from your close ones like family, primary care physician, and physical therapist. The person who needs to get knee surgery needs to choose someone whom you can trust. With your loved ones you can get the right feedback and this way, the surgery is done with the best approach.

Tip 2: Go through surgeon credentials

You need to choose the surgeon who has the best credentials. This way you will be able to choose someone who is reliable and who has performed the surgery with perfection. You need to check the surgeon’s overall experience. Some of the things you need to consider are:

  • The surgeon needs to be board-certified
  • The surgeon who has done proper training
  • Check the surgeon background and degrees

Tip 3: Go through his experience

Knee replacement specialists are not only advanced in his field, but he has an understanding of new techniques, devices, and knows the latest surgical treatment which will give you quality care. His years of experience will help him to handle every situation and even high-risk cases. So, choose the surgeon who has completed many successful surgeries.

Tip 4: Go to the surgeon hospital

Once you have a selection of surgeons, it is better that you meet them directly. By doing so, you can discuss your situation with them. The ortho surgeon will listen to all your doubts, go through your medical history and give you enough information about the surgical approach which is best for you. Choose the surgeon who makes you feel comfortable.

Tip 5: Check the surgical equipment options

You should check whether the surgical equipment they use is up-to-date or not. The combination of quality equipment and surgeon expertise will pave the road to successful results. It means your problem will be solved correctly.

Tip 6: Get an understanding of the cost

When it comes to choosing the surgeon, you should be careful about the cost. Ask the doctor about the treatment cost and what factors will be included to determine it. You should ask him about the medications, physical therapy, or any other related cost which will be included in it. This way you don’t have to bear any unwanted expenses.

Tip 7: The second opinion is helpful

Your health needs the best care. Sometimes you should ask for a second opinion as all the crucial decisions need to be taken wisely. Make sure that nothing is done in a hurry. This way you can get an invaluable insight into the best treatment plan.