Dr. S.K. narayan Dash
Cardiology Surgeon
Questions? We’re here to help! Fill the form or chat with us now.
Accurate diagnosis and an appropriate treatment plan for pain, injury, deformity or difficulty walking.
Knee pain can arise from very different problems.
For some patients it is related to gradual cartilage wear and arthritis. For others, it may follow a sports injury involving the ACL or meniscus. Some patients have pain because of alignment, patellofemoral problems, tendon disorders or previous injury.
Treatment should therefore begin with a diagnosis rather than with a procedure.
As an Orthopaedic Knee, Foot & Ankle Surgeon, I assess both degenerative and sports-related knee conditions and discuss non-operative and surgical options according to the individual patient.
Knee osteoarthritis can cause pain, stiffness and difficulty with activities such as walking, climbing stairs, getting up from a chair or exercising.
The severity seen on an X-ray does not always correspond perfectly to the symptoms a patient experiences. Treatment decisions are based on the overall clinical picture—including symptoms, examination, imaging and the effect of the problem on daily life.
Treatment may include:
Total knee replacement is considered when severe knee arthritis causes persistent pain and functional limitation despite appropriate non-operative treatment.
The operation involves replacing the damaged joint surfaces with prosthetic components designed to restore a functional joint.
Before recommending surgery, I assess:
Knee replacement is not simply an X-ray-based decision. The patient's symptoms and functional limitations are an important part of determining whether surgery is appropriate.
Learn about Total Knee ReplacementRobotic assistance is a technology used during selected knee replacement procedures to support pre-operative planning and intra-operative execution.
It can assist with aspects such as bone preparation, implant positioning and assessment of alignment and soft-tissue balance.
However, the technology itself does not replace clinical judgement.
The appropriate implant, alignment strategy and surgical plan still depend on the patient's anatomy, deformity, ligament balance, bone quality and functional requirements.
I discuss the role of robotic assistance with patients when it is relevant to their individual knee replacement.
Learn about Robotic Knee ReplacementThe anterior cruciate ligament helps control the stability of the knee, particularly during pivoting and cutting movements.
An ACL injury commonly occurs during sports but can also result from other twisting injuries.
Patients may experience:
Assessment includes clinical examination and, when indicated, MRI to assess the ACL and associated structures such as the meniscus and cartilage.
Some patients can be managed without surgery. ACL reconstruction may be considered for selected patients depending on instability, activity requirements, associated injuries and rehabilitation goals.
Learn about ACL InjuryThe menisci are important structures between the thigh bone and shin bone that contribute to load distribution and knee function.
Meniscal tears can occur following an acute injury or as part of age-related degeneration.
Not every meniscal tear seen on an MRI requires surgery.
Treatment depends on the patient's symptoms, age, activity level, tear pattern, associated pathology and clinical examination.
Where appropriate, treatment may involve rehabilitation and activity modification. In selected cases, meniscal repair or partial meniscectomy may be considered.
Whenever possible, preservation of healthy meniscal tissue is an important consideration.
Learn about Meniscus InjuryKnee arthroscopy is a minimally invasive surgical technique in which a camera and specialised instruments are introduced into the knee through small incisions.
It has an important role in selected conditions such as ACL reconstruction and certain meniscal or cartilage problems.
However, arthroscopy is not automatically the answer to every painful knee.
The underlying diagnosis and expected benefit of the procedure need to be considered before surgery is recommended.
Learn about Knee Arthroscopy
Dr. S.K. narayan Dash
Cardiology Surgeon
Questions? We’re here to help! Fill the form or chat with us now.
