Degenerative Joint Disease

Osteoarthritis Treatment in Jaipur — Dr. Dheeraj Dubay

Osteoarthritis (OA) is the most common form of arthritis, caused by the gradual breakdown of joint cartilage. Dr. Dheeraj Dubay offers the full spectrum of evidence-based treatments for knee osteoarthritis in Jaipur — from lifestyle modification and injections to robotic knee replacement surgery.

Educational information only. Diagnosis and treatment require an individual orthopedic assessment. Read our medical editorial policy.

24 Years

Orthopedic experience

40,000+ Surgeries

Total surgeries performed

Director

Robotic Joint Replacement Surgery, Shalby Hospital Jaipur

What is Knee Osteoarthritis?

Osteoarthritis is a degenerative joint disease in which the protective cartilage that cushions the ends of the bones wears down over time. As cartilage deteriorates, the bones begin to rub against each other, causing pain, stiffness, and reduced mobility. Bone spurs (osteophytes) may form, and the joint space narrows progressively. OA can affect one or all three compartments of the knee.

Risk Factors and Causes

  • •Age — cartilage naturally degrades as we get older, most common after 50
  • •Obesity — every kilogram of excess weight adds 4 kg of force on the knee
  • •Previous knee injuries — fractures, ligament tears, or meniscus damage
  • •Repetitive stress — occupations or sports involving kneeling, squatting, or heavy lifting
  • •Family history — genetic predisposition to cartilage breakdown
  • •Female gender — women are at higher risk, especially post-menopause
  • •Bone deformities — varus (bow-legged) or valgus (knock-kneed) alignment
  • •Weak surrounding muscles — reduced support increases joint stress

Symptoms of Knee Osteoarthritis

  • ⚠Deep, aching knee pain that worsens with activity and improves with rest
  • ⚠Morning stiffness lasting less than 30 minutes
  • ⚠Stiffness after prolonged sitting ("gelling")
  • ⚠Creaking or grinding sensation (crepitus) with movement
  • ⚠Reduced range of motion — difficulty fully bending or straightening the knee
  • ⚠Swelling and tenderness around the joint
  • ⚠Gradual bow-legged or knock-kneed deformity
  • ⚠Muscle weakness and reduced ability to walk long distances

Diagnosis of Osteoarthritis

Diagnosis combines clinical assessment with imaging. The Kellgren-Lawrence grading system (I–IV) is used to classify OA severity on X-ray.

Weight-bearing X-rays showing joint space narrowing and bone spurs
MRI for early cartilage changes not visible on X-ray
Blood tests to exclude rheumatoid arthritis or other inflammatory conditions
Standing full-length leg alignment X-rays (HKA angle assessment)

Treatment for Osteoarthritis

Non-Surgical Options

  • ✓Weight loss — most effective non-surgical intervention
  • ✓Physiotherapy to strengthen quadriceps and improve biomechanics
  • ✓Walking aids and activity modification
  • ✓Paracetamol and NSAIDs for pain management
  • ✓Corticosteroid injections for inflammation flares
  • ✓Hyaluronic acid injections (viscosupplementation)
  • ✓PRP (platelet-rich plasma) therapy for mild-moderate OA
  • ✓TENS, ultrasound, and other physical modalities

Surgical Options

  • →Arthroscopy has a limited role and may be considered for selected mechanical problems rather than routine osteoarthritis treatment
  • →Osteotomy may be considered in selected younger patients with one-sided disease and suitable alignment
  • →Partial knee replacement may be considered when arthritis is limited to an appropriate compartment
  • →Total knee replacement is an established option for selected patients with advanced arthritis and persistent symptoms
  • →Robotic assistance may be used to support planning, alignment assessment and controlled bone preparation when clinically appropriate

Dr. Dheeraj Dubay — relevant experience

  • ✓24 years of orthopedic experience.
  • ✓40,000+ total surgeries performed across his career.
  • ✓Director, Robotic Joint Replacement Surgery at Shalby Hospital Jaipur.
  • ✓Practice focused on knee and hip replacement, including robotic, computer-navigated and minimally invasive approaches where clinically appropriate.
  • ✓Recorded 34 joint replacements in one day on 9 May 2024 — 33 knee replacements and 1 hip replacement.

Frequently Asked Questions

Established cartilage loss from osteoarthritis is not currently restored to normal by routine treatment. Management focuses on reducing symptoms, maintaining function and addressing contributing factors. Surgical treatment may be considered when joint damage and symptoms are advanced.

Related Conditions

Need an Orthopedic Assessment?

Book a consultation with Dr. Dheeraj Dubay. Appointments are available at Shalby Hospital Jaipur and Dr. Dubay Hip & Knee Clinic, Vidhyadhar Nagar.

Website information is educational. Diagnosis and treatment recommendations require an individual clinical assessment.

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