Chronic back pain can have several causes. Assessment may identify mechanical, muscular, nerve-related or other conditions. Treatment may include appropriate medicines, exercise-based rehabilitation, posture and ergonomic advice, physiotherapy and further investigation when red flags or persistent symptoms are present.
Non-Operative Medical Pain Management Protocols
Customized Core Stabilization & Physiotherapy Regimens
Postural Rehabilitation & Ergonomic Spine Guidance
Read the Complete Back Pain Guide
Physiotherapy for Back Spasm
Physiotherapy for Disc Prolapse
Shoulder Arthroscopy, Rotator Cuff, Bankart Repair, Remplissage & Latarjet Surgery
Shoulder problems range from rotator cuff tears to recurrent instability with labral and bone defects. The appropriate procedure depends on the injury pattern and the amount of bone loss; options can include arthroscopic rotator cuff or Bankart repair, remplissage and, in selected cases, Latarjet surgery.
Arthroscopic Rotator Cuff Tendon Fixation
Bankart Repair & Hill-Sachs Remplissage
Latarjet Coracoid Transfer for Glenoid Bone Loss
Frozen Shoulder (Adhesive Capsulitis), Tennis Elbow & Tendonitis
Frozen shoulder can markedly restrict movement, while tennis and golfer's elbow commonly cause pain with gripping or lifting. Treatment is based on the clinical diagnosis and may include activity modification, physiotherapy, medicines, selected injections and, in persistent cases, procedures or surgery.
Frozen Shoulder Rehabilitation & Selected Hydrodilatation
Tennis Elbow & Golfer's Elbow Rehabilitation
Bursitis & Tendon Strain Management
Carpal Tunnel Syndrome, Trigger Finger & Wrist Pain
Numbness or tingling in the hand, painful finger clicking, or thumb-side wrist pain can affect daily function. Treatment depends on the diagnosis and may include splinting, activity modification, physiotherapy, injections in selected cases, or surgery when indicated.
Carpal Tunnel Non-operative Care & Surgical Release When Indicated
Trigger Finger & De Quervain's Treatment Options
Wrist Tendonitis & Strain Rehabilitation
Knee osteoarthritis can cause pain, swelling, stiffness and reduced walking tolerance. Management is individualized and may include exercise therapy, weight and activity management, bracing, medicines and selected injections. Joint replacement is considered when symptoms and functional limitation remain significant despite appropriate non-operative care.
Hyaluronic Acid (Viscosupplementation) Injections in Selected Patients
Non-operative Knee Osteoarthritis Management
Osteoarthritis Pain & Swelling Management
Chronic Ankle Sprains, Ligament Instability & Achilles Tendonitis
Frequent twisting of the ankle during walking or sports leads to chronic lateral ligament weakness (ATFL tears) and persistent swelling. Dr. Saini provides ankle stability bracing, balance proprioception therapy, non-surgical ligament healing protocols, and Achilles tendonitis recovery guidance.
Chronic Ankle Sprain & ATFL Ligament Rehab
Achilles Tendon Rehabilitation & Activity Modification
Ankle Joint Stability Bracing
Shoulder pain with overhead activity or at night may be related to rotator cuff tendinopathy, bursitis or other shoulder conditions. Assessment helps determine whether physiotherapy, activity modification, medicines, injections or surgery may be appropriate.
Subacromial Impingement Pain Relief
Non-Surgical Rotator Cuff Tendonitis Therapy
Subacromial Bursitis Injections & Rehab
Guide to Rotator Cuff Surgery
Guide to Rotator Cuff Care
Advanced osteoarthritis can cause persistent pain, stiffness and reduced walking ability. Knee or hip replacement may be considered when symptoms significantly affect daily life despite appropriate non-operative treatment. Surgical planning, implant selection and rehabilitation are individualized for each patient.
Knee & Hip Arthroplasty Using Individualised Surgical Planning
Structured Rehabilitation & Early Mobilisation When Appropriate
Partial Knee & Revision Replacement in Selected Patients
TKR Surgery Guide
THR Surgery Guide
Read the Complete TKR Guide
Fracture and trauma management depends on the injury, soft-tissue condition and overall health. Treatment may include splinting or casting, reduction, internal fixation with plates or nails, external fixation, and care of delayed union or non-union when indicated. Open or severe fractures require urgent hospital assessment.
Accidental Fracture Fixation & Trauma Care
Plate Fixation & Intramedullary Interlocking Nailing When Indicated
Non-Union & Malunion Bone Correction
Guide to Fracture Fixation
Clinical & Surgical Guides Index
Older adults may need assessment for osteoporosis, falls risk, osteoarthritis and fragility fractures. Care may include bone-health evaluation, fall-prevention advice, non-operative treatment and surgery for fractures when indicated.
Osteoporosis Assessment & Medical Treatment
Fragility Fracture Assessment & Surgical Care When Indicated
Non-Surgical Old-Age Joint Care
Guide to Senior Citizen Care