Orthopedic Consultation & Second Opinion in Delhi
Orthopedic Consultation & Second Opinion in Delhi with Dr. Neelabh provides clear diagnosis, unbiased advice, and a practical plan—medical, procedural, or surgical. We explain options, risks, benefits, and timelines in plain language, help you decide with confidence, and share a written summary you can take home. We do not provide in‑house physiotherapy; we share written protocols and coordinate with your chosen physiotherapist.
Diagnosis clarity • Evidence‑based guidance • Realistic expectations • Written plan
What a Second Opinion Offers
An orthopedic second opinion is a structured review of your diagnosis and proposed treatment—by a surgeon who was not involved in the initial recommendation. It can confirm that you’re on the right track, offer a safer or simpler option, or explain why a different procedure may better match your anatomy, goals, and health. Sometimes the biggest value is timing: waiting (or not waiting) can change outcomes.
Our approach is practical: confirm the diagnosis, explain your choices in plain language, set realistic expectations for pain and function, and help you make a confident decision. Whether the plan is medication, bracing, targeted injections, or surgery, we share a written summary for you and your family—and we’re happy to communicate with your primary doctor if you wish.
When to Seek a Second Opinion
Major surgery proposed
Joint replacement, spine surgery, revision, or tumor surgery—confirm indication and technique.
Conflicting diagnoses
Different explanations from different clinics; you need a clear path.
Persistent symptoms
Pain or weakness despite months of treatment; re‑check the diagnosis and plan.
Failed treatment
Relapse after prior surgery or injections; consider alternatives or revision strategy.
Technology choices
Robotic vs conventional replacement, implant options, bone grafting vs endoprosthesis.
Insurance / peace of mind
Policy requirement or personal reassurance before committing to care.
Second opinions are common and professional—your original doctor won’t be offended.
What to Bring
- Imaging: X‑rays, MRI/CT reports, and image CDs/DVDs or a cloud link (DICOM preferred).
- Medical records: Previous clinic notes, operative report, discharge summary, and pathology (if any).
- Medication list: Current medicines and known allergies; include anti‑coagulants and steroids.
- Comorbidities: Diabetes, heart, renal, or lung conditions with recent test results if available.
- Physio/injection history: Dates, responses, and any side effects; we do not provide in‑house physiotherapy but coordinate with your therapist.
- Your goals & questions: Work demands, sports, cultural needs (e.g., squatting/floor sitting), and three key questions you want answered.
Bringing a caregiver helps capture details and implement the plan at home.
How the Consultation Works
- Intake & history: Your story, symptoms, and goals; review of prior diagnoses and treatments.
- Focused examination: Joint, limb, or spine evaluation; gait and functional testing as needed.
- Imaging review: We personally review available images and reports; we may mark key frames to explain findings.
- Diagnosis & options: Plain‑language explanation of the problem, non‑surgical pathways, and procedural/surgical indications.
- Shared decision‑making: Discuss risks, benefits, timelines, and recovery milestones; align with your priorities.
- Written summary: Take‑home plan with next steps, tests (if any), and contact for clarifications.
Online second opinions are available for many cases. If imaging is older or incomplete, we may recommend updated or weight‑bearing X‑rays before final advice.
Imaging Review & Advanced Scans
Good decisions start with good images. We review studies and request targeted views only when they change management:
- Weight‑bearing alignment films: For knee/hip arthritis to understand load and joint space under real conditions.
- Long‑leg/standing films: For deformity and joint‑preservation planning (HTO/DFO/TTO).
- MRI protocols: Meniscus/labrum, cartilage, and marrow edema in sports and early arthritis; dedicated spine sequences with nerve detail when indicated.
- CT with 3D planning: For complex deformity, version/offset, robotic or patient‑specific cutting guide planning.
You can share DICOM via cloud link or bring CDs; phone photos of films seldom capture important details.
Medical & Non‑Surgical Options
Many problems improve with a structured non‑surgical plan. We personalize the combination and time‑frame:
Medications
Targeted analgesics/anti‑inflammatories, neuropathic agents where needed, gastric and renal safety considered.
Bracing & orthotics
Knee unloaders, wrist/thumb splints, ankle braces, and foot orthoses to improve alignment and comfort.
Injection options (non‑PRP)
Intra‑articular corticosteroid, viscosupplementation for select knees, and peri‑tendinous steroid for bursitis/tenosynovitis.
External physiotherapy
We do not provide in‑house physiotherapy; we share written protocols and coordinate with your physiotherapist for home and clinic plans.
If pain or instability persists despite best conservative care, we discuss procedural or surgical routes with realistic outcomes.
Surgery Readiness & Optimization
When surgery makes sense, preparation improves results. We help you weigh timing, technique, and recovery logistics:
- Indication & timing: Confirm necessity; align with work/family commitments and medical readiness.
- Technique & technology: Conventional vs robotic, implant choice (e.g., knee/hip/shoulder), graft options (for ACL), and fixation strategy for fractures.
- Optimization: Anemia correction, diabetes control, skin/dental checks (when relevant), smoking cessation, nutrition and sleep.
- Prehab (external): We provide written prehab aims and coordinate with your physiotherapist.
We’ll also discuss hospital environment, expected stay, and discharge planning so you know what the journey looks like.
Risks, Benefits & Expectations
No plan is risk‑free. We’re transparent about what matters to you:
- General surgical risks: Infection, clots, bleeding, stiffness, anesthesia issues—how we minimize them.
- Procedure‑specific risks: E.g., instability or wear after joint replacement; re‑tear after cuff/ACL; nonunion after complex fixation.
- Recovery timelines: Realistic return‑to‑work/sport expectations and criteria‑based progress.
- Cost & access: Implant/technology cost differences; insurance authorization; post‑op support.
You’ll leave knowing what to expect on good days and challenging days, and when to call us.
Cost & Insurance
Consultation fees vary by in‑person vs online and by complexity of case review. If additional imaging or lab work is required before final advice, we’ll share transparent estimates. For procedures (injections, arthroscopy, joint replacement, spine, fracture fixation), costs depend on facility, anesthesia, implant/technology choices, and insurance coverage. We verify benefits and provide a written estimate before booking.
- Insurance pre‑authorization & benefits check
- Clear estimate of out‑of‑pocket costs
- Cashless/financing options where applicable
Preparation Checklist
Gather records
Imaging CDs/reports, operative notes, discharge summaries, lab results, and medication list.
List questions
Top three concerns (e.g., “Do I need surgery?”, “What if I wait?”, “Is robotic better for me?”).
Caregiver support
Bring a family member; two sets of ears help remember details and decide.
Physio details
We do not provide in‑house physiotherapy; share your therapist’s contact to coordinate written protocols.
Online consult prep
For video: send scans 24–48 hours prior; test your camera/audio; keep a notepad handy.
Where to Consult Dr. Neelabh
BLK Hospital
A-4-6, Pusa Rd, Near Rajendra Place Metro Station, New Delhi-110005
🕓 4:00 PM – 6:00 PM
Timings may vary—please call +91‑9810117204 to confirm.
FAQs
Will my doctor be offended if I seek a second opinion?
Can I get a second opinion online?
Do you provide physiotherapy?
What if the opinions differ?
How long does the consult take?
Can you share the plan with my doctor?
Need a clear, unbiased orthopedic second opinion?
Book an appointment. You’ll receive a diagnosis‑led plan and a written summary you can share with your family and doctor.