Dr. BL Prakash | Senior Consultant Orthopaedic & Joint Replacement Surgeon | Tuesday between 9.00 am & 1.00 pm at BOSH Hospital | Call for Appointment
Orthopaedic Hospital | BOSH | Bangalore

BOSH with its team of experienced Orthopaedic and Trauma Consultants involves a holistic, positive and supportive approach to the management of Orthopaedic conditions. BOSH prides itself on not only performing a surgical procedure is required to the highest standard but also forming a respectful and supportive relationship with the patients that often lasts longer. Effective and evidence-based treatments, faster recovery, with shortened hospital stay at an affordable cost is BOSH’s vision on community health care. Comprehensive care for several orthopedic afflictions such as degenerative bone disorders, chronic pains, fractures, and pediatric bone deformities, the Department of Orthopaedics in BOSH consists of Consultants with an average of 40+ years of collective experiences and have the reputation of Surgical Excellence all over India and abroad. Focusing on providing the highest level of patient care with professional expertise for early mobilization.

BOSH Orthopaedic department has a team of qualified and experienced surgeons, occupational therapists, physiotherapists and pain management experts to help in the quick rehabilitation of patients so that they can get back to their mundane activities in a shorter time. Orthopaedics is a medical specialty that focuses on injuries, diseases and trauma related to the musculoskeletal system. This involves conditions related to bones, joints, ligaments, tendons, muscles, and nerves that allows you to move, work, and be active.

Treatment verticals include

  • medicalDiagnosis of your injury or disorder
  • medicalTreatment with medication, exercise, casting, surgery or other options
  • medicalRehabilitation by recommending exercises or physiotherapy to restore movement, strength and function
  • medicalPreventive measures by educating the patient to avoid further injury or slow the progression of disease

Being a centre for Orthopaedic excellence, BOSH understands and provides Home Care on request to help with personal and tactical recovery process. Do contact the reception for more details on Home Care including Physiotherapy at home.

Treatments at BOSH for conditions involving :

Hip related medical conditions and treatments:

Your hip is the joint where your thigh bone meets your pelvis bone. Hips are called ball-and-socket joints because the ball-like top of your thigh bone moves within a cup-like space in your pelvis. Your hips are very stable. When they are healthy, it takes great force to hurt them. However, playing sports, running, overuse or falling can all sometimes lead to hip injuries. These include:

  • medical Strains
  • medical Bursitis
  • medical Dislocations
  • medical Fractures

Certain diseases also lead to hip injuries or problems. Osteoarthritis can cause pain and limited motion. Osteoporosis of the hip causes weak bones that break easily. Both of these are common in older people.

Arthritis: Arthritis is a form of joint disorder that involves inflammation of one or more joints. The most common form, osteoarthritis (degenerative joint disease), is a result of trauma to the joint, infection of the joint, or age. Other arthritis forms are rheumatoid arthritis, psoriatic arthritis, and related autoimmune diseases.

Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In some types, other organs are also affected. Onset can be gradual or sudden.

Usually strikes one or more joints in individuals over age 50 and is the leading cause of disability

Hip Fracture: Hip fractures are a serious problem for elderly patients with osteoporosis. A hip fracture is usually a break near the top of the thighbone (femur) where it angles into the hip socket and usually makes it too painful to stand. In most cases, hospitalization and surgery are required to either replace the broken portion or repair it with a metal plate and screws. A hip replacement may be required depending on where the break occurs. After surgery, treatment focuses on getting the patient back on their feet again as soon as possible, while the broken bone heals. A physical therapy program is an important factor for a good recovery.

Treatments available at BOSH are

Knee related medical conditions and treatments:

The knee is the largest joint in the body, and one of the most easily injured. It is made up of four main things: bones, cartilage, ligaments, and tendons.

Whether you have suffered a sports injury, or have a knee condition requiring a knee replacement, contact the orthopedic surgeons at BOSH. We specialize in treating tears of the ligaments and cartilage of the knee as well as knee replacement surgery due to osteoarthritis and other conditions.

Orthopedic specialists in BOSH treat a wide range of conditions including:

  • medical ACL (Anterior Cruciate Ligament) tear
  • medical Arthritis
  • medical IT (Iliotibial) band syndrome
  • medical Meniscus injuries
  • medical Patellofemoral injuries

Acute injuries: Injuries are the most common cause of knee problems. Sudden (acute) injuries may be caused by a direct blow to the knee or from abnormal twisting, bending the knee, or falling on the knee. Pain, bruising, or swelling may be severe and develop within minutes of the injury. Nerves or blood vessels may be pinched or damaged during the injury. The knee or lower leg may feel numb, weak, or cold; tingling; or look pale or blue. Acute injuries include:

  • medical Sprains, strains, or other injuries to the ligaments and tendons that connect and support the kneecap.
  • medical A tear in the rubbery cushions of the knee joint (meniscus).
  • medical Ligament tears, such as the anterior cruciate ligament (ACL),posterior cruciate ligament.
  • medical Pieces of bone or tissue (loose bodies) from a fracture or dislocation that may get caught in the joint and interfere with movement.
  • medical Knee joint dislocation. This is a rare injury that requires great force. It is a serious injury and requires immediate medical care.

Overuse injuries: Overuse injuries occur with repetitive activities or repeated or prolonged pressure on the knee. Activities such as stair climbing, bicycle riding, jogging, or jumping may stress the joints and other tissues and can lead to irritation and inflammation. Overuse injuries include:

  • medical Inflammation of the small sacs of fluid that cushion and lubricate the knee (bursitis).
  • medical Inflammation of the tendons (tendinitis) or small tears in the tendons (tendinosis).
  • medical Thickening or folding of the knee ligaments (plica syndrome).
  • medical Pain in the front of the knee from overuse, injury, excess weight, or problems in the kneecap (patellofemoral pain syndrome).
  • medical Irritation and inflammation of the band of fibrous tissue that runs down the outside of the thigh (iliotibial band syndrome).

Osteoarthritis of the Knee: Gradual onset of knee pain, stiffness and swelling are typical symptoms of knee osteoarthritis. Arthritis of the knee comes in several forms. Osteoarthritis is by far the most common form, followed by some forms of inflammatory arthritis, such as rheumatoid arthritis and gout. Problems not directly related to an injury or overuse may occur in or around the knee.

  • medical Osteoarthritis (degenerative joint disease) may cause knee pain that is worse in the morning and improves during the day. It often develops at the site of a previous injury. Other types of arthritis, such as rheumatoid arthritis, gout, and lupus, also can cause knee pain, swelling, and stiffness.
  • medical Osgood-Schlatter(knee pain) disease causes pain, swelling, and tenderness in the front of the knee below the kneecap. It is especially common in boys ages 11 to 15.
  • medical A popliteal (or Baker's) cyst causes swelling in the back of the knee.
  • medical Infection in the skin (cellulitis), joint (infectious arthritis), bone (osteomyelitis), or bursa (septic bursitis) can cause pain and decreased knee movement.
  • medical A problem elsewhere in the body, such as a pinched nerve or a problem in the hip, can sometimes cause knee pain.
  • medical Osteochondritis dissecans (OCD or OD) causes pain and decreased movement when a piece of bone or cartilage or both inside the knee joint loses blood supply and dies.

Treatments available at BOSH are:

Shoulder related medical conditions and treatments:

The shoulder is a complex joint built to allow movement in many directions: forward, backward, around in a circle, and away from the body. Muscles and ligaments help keep the shoulder stable and secure in your shoulder socket. We depend on our shoulders to support many of our most basic motions, including pushing, pulling, lifting, and throwing.

It is important to schedule an appointment with an Orthopaedic shoulder specialist at BOSH if you’re suffering from symptoms including shoulder pain, stiffness, swelling or a feeling of weakness. Delaying treatment could result in more damage to an injured shoulder. We treat rotator cuff injuries, shoulder instability including repeated shoulder dislocations, and SLAP tears. Discuss your symptoms or shoulder injury with our Orthopaedic specialists to learn more about the best treatment option.

Shoulder Problems and Injuries:

Frozen Shoulder: It can be caused by an injury, from overuse, or due to a chronic disease. It results in stiffness and limited range of motion in the shoulder, and can worsen over time.

Rotator Cuff Disorders: A torn rotator cuff can be due to a fall, a jerking motion, or from repetitive shoulder motions over time. Medication or physical therapy may be recommended at first. If symptoms do not improve, rotator cuff surgery may be recommended.

Osteoarthritis in the Shoulder: It is caused when the cartilage in the joints wears away and causes damage and pain in the shoulder joint. Alternative treatments to surgery includes medicine, physical therapy, heat and ice therapy, and injections.

SLAP (superior labrum, anterior to posterior) Tear: It is an injury where the ring of tissue around the shoulder socket is torn. Symptoms included popping of the shoulder, pain when moving your arm overhead, a feeling of weakness, or an aching pain.

Shoulder Dislocation: It can be a partial or complete dislocation of the shoulder joint. A shoulder dislocation can result in injuring other ligaments or tendons, so an orthopedic physician should examine your shoulder before treatment.

Treatments available at BOSH are:

Hand, Wrist and Elbow related medical conditions and treatments:

Carpal tunnel syndrome: It is a condition where one of the nerves of the wrist is pinched, causing symptoms in the hand and fingers.There are many reasons why a person can develop carpal tunnel syndrome, but here are some of the most common signs and symptoms. The most common symptoms of carpal tunnel are tingling and numbness. Typically the tingling and numbness correspond to the precise area where the median nerve is located.
Tinel's test is performed by tapping the median nerve along its course in the wrist. Because the nerve is compressed and irritated, tapping the nerve can cause abnormal sensations in the fingers.
Phalen's test is done by pushing the back of your hands together for one minute. This compresses the carpal tunnel and is also positive when it causes the same symptoms you have been experiencing with your carpal tunnel syndrome.

Preventive Measures:

  • medical Avoid activities requiring excessive up-and-down and side-to-side movements of the wrist.
  • medical Position and align your hands properly while working. Wrists should be parallel and elbows should be at a 90-degree angle to your work surface (i.e. desk or keyboard).
  • medical Take frequent breaks to stand, walk, and stretch.
  • medical Ask your orthopedic surgeon about splints to limit wrist movement.
  • medical Avoid direct pressure on the heel of the hand.
  • medical Don't wear restrictive watchbands/jewelry or clothing with tight elastic sleeves.
  • medical Learn proper use of the computer mouse.Use the mouse with an open, relaxed hand posture.Don't grip the mouse between the thumb and little finger. Use the entire arm to move the mouse as opposed to shifting it with a side-to-side wrist motion. Do not use a wrist rest. Keep the mouse close to the keyboard.

Treatments available at BOSH are:

Foot and Ankle related medical conditions and treatments:

The orthopaedic specialists at BOSH know that comprehensive care is the best way to treat the entire range of foot pain, ankle pain and injuries and disorders. That’s why our teams integrate foot and ankle specialists and therapists, all dedicated to eliminating the pain and limitations such disorders can cause. And since we believe in compassionate, focused care, we emphasize minimally invasive and arthroscopic procedures so our patients have options for faster recovery, reduced risk of infection, and quicker return to full function.

From diagnosis to treatment to rehabilitation and therapy, BOSH foot and ankle specialists are with you each step of the way, providing the professional and personalized care you deserve. 

Treatments available at BOSH are:

Spinal Injuries

The spinal cord is a collection of nerves that travels from the bottom of the brain down your back. There are 31 pairs of nerves that leave the spinal cord and go to your arms, legs, chest and abdomen. These nerves allow your brain to give commands to your muscles and cause movements of your arms and legs. The nerves that control your arms exit from the upper portion of the spinal cord, while the nerves to your legs exit from the lower portion of the spinal cord.

The spinal cord is very sensitive to injury. Unlike other parts of your body, the spinal cord does not have the ability to repair itself if it is damaged. A spinal cord injury occurs when there is damage to the spinal cord either from trauma, loss of its normal blood supply, or compression from tumor or infection.

An injury to the upper portion of the spinal cord in the neck can cause quadriplegia-paralysis of both arms and both legs. If the injury to the spinal cord occurs lower in the back it can cause paraplegia-paralysis of both legs only.

Following are the causes:

  • medical Fall from height
  • medical Violence
  • medical Sporting injuries

Diagnosis: Physical examination to check if sensation and reflexes are present in the arms and legs followed by x-ray, CT scan and MRI for a better view.

Treatment: If the patient has a breathing difficulty a ventilator will have to be placed to assist respiration. The next step is immobilization followed by high dose steroids which will reduce pain and inflammation. First priority will be to relieve any kind of pressure on the spinal cord which could involve removing portions of the vertebrae. Second priority is to stabilize the spine with a combination of metal screws, rods and plates.

Our Spine department at BOSH is headed with experts in this field and there have been heart warming stories of patients after a successful surgical outcome.

Sports Injuries

Sports injuries are common, and seeing a doctor for every ache and pain is not realistic for most athletes. That said, there are some signs you should seek medical attention. Foremost, if there is a condition that is not improving with simple treatment steps, or if it is worsening despite your efforts, you should be seen by a trained professional.

Some signs that you should be seen by a medical professional include:

  • medical Difficulty using the injured extremity (walking, lifting your arm, etc.)
  • medical Inability to place weight on the extremity
  • medical Limited mobility of a joint
  • medical Deformity of the injured area
  • medical Bleeding or skin injury
  • medical Developing signs of infection (fevers, chills, sweats)

Symptoms: Injuries to the spinal cord can cause weakness or complete loss of muscle function and loss of sensation in the body below the level of injury, loss of control of the bowels and bladder,

and loss of normal sexual function. Spinal cord injuries in the upper neck can cause difficulty breathing and may require the use of a breathing machine, or ventilator.
Athletes of various sports are also susceptible to tears of a structure called the triangular fibrocartilage complex (TFCC) on the pinky side of the wrist from either a fall on an outstretched wrist or repetitive wrist motion. The TFCC is a shock absorbing wrist stabilizer and tears may cause pain, clicking or instability with forearm rotation. If the thumb ligament is completely torn, surgery may be necessary. Sometimes, as the ligament tears, it pulls a bone fragment away from the base of the bone. The fragment may need to be removed or replaced to its correct position. Patients commonly need to wear a short-arm cast or a splint to protect the thumb ligament for a period of time following surgery.

Following are a few things which one can look out for to get relieved from Sport Injuries:

  • medical Rest: Limit the forces acting on the injured part of the body. This generally means stopping your sport activity, and it may mean using crutches, a sling, or other aid to fully rest the area.
  • medical Ice: Ice is helpful at controlling swelling and inflammation, and it can also help tremendously with pain reduction. Many athletes who ice an acute injury find they don't need pain pills to help alleviate discomfort.
  • medical Compress: Compression is performed by snugly, but not tightly, wrapping the injured part of the body with a compression bandage. Too-tight constriction can cause worsening of your symptoms and other problems.
  • medical Elevate: Elevating the injured extremity can also help reduce swelling and inflammation and, in turn, reduce pain

Many of these tears may be treated with immobilization, rest, and, if needed, cortisone shots. Occasionally, for persistently painful or unstable TFCC tears, surgery is recommended. The procedure is usually accomplished arthroscopically through minimally invasive incisions.