Geriatric Orthopedics in Delhi
Geriatric Orthopedics in Delhi with Dr. Neelabh focuses on safe, senior‑friendly fracture care, timely hip‑fracture surgery, joint replacement options tailored to age and health, bone‑health optimization, falls‑prevention, and a clear recovery pathway. We do not provide in‑house physiotherapy; we share written protocols and coordinate with your chosen physiotherapist so you can mobilize safely and regain independence.
Senior‑first communication • Early, safe mobilization • Clear plans for patients & caregivers
About Geriatric Orthopedics
As we grow older, bones, joints, and muscles change—and so does how we respond to injury and surgery. Geriatric orthopedics adapts fracture care, joint replacement, spine procedures, and rehabilitation to the needs of older adults. The goals are clear: relieve pain, protect independence, lower complication risk, and support safe mobility at home and in the community.
Our approach is practical and personalized. We prioritise early but safe mobilization, clear communication with families, and balanced decision‑making that weighs risks and benefits in the context of other medical conditions. When surgery is needed, we use techniques and implants that support stability and function in older bone. When non‑surgical care is right, we build a plan that protects the joint and reduces the chance of falls or further injury.
Who We Help
Fragility fractures
Hip, wrist, shoulder (proximal humerus), pelvis, and vertebral compression fractures after a simple fall.
Hip & knee arthritis
Severe pain and stiffness limiting walking, stairs, or sleep—when joint replacement may restore mobility.
Spine problems
Sciatica and spinal stenosis causing leg pain or walking limitation; osteoporotic vertebral fractures needing stabilization.
Complex trauma
Peri‑articular fractures around joints or fractures near old implants needing thoughtful fixation or revision.
Balance & falls risk
Gait insecurity, prior falls, or home hazards—planning to reduce risk and boost confidence.
Evaluation & Safety
- Clinical assessment: Mechanism of injury, pain pattern, function, prior mobility and aids, baseline independence.
- Imaging: X‑rays for alignment and fracture pattern; CT for complex fractures; MRI selectively (e.g., occult hip fractures, spine).
- Medical review: Cardiac, pulmonary, renal, diabetes, and anticoagulant status with optimization where needed.
- Medication review: Fall‑promoting drugs (sedatives, hypotensives), pain regimen safety, osteoporosis therapy status.
- Shared decisions: Realistic goals, risks/benefits, and expected recovery milestones for patients and families.
We align with your primary physician when necessary to ensure safe anesthesia and smoother recovery.
Acute Fracture Care
Timely, careful fracture management reduces complications such as blood clots, pneumonia, and deconditioning—and helps older adults return to movement sooner. We use stable fixation methods that respect bone quality and soft tissues, selecting nails, plates, or external fixators to match the pattern and allowing early weight‑bearing where feasible.
Simple fractures
Casting or bracing with close review; early motion to avoid stiffness when safe.
Operative fixation
Intramedullary nails for hip/femur/tibia; locking plates for fragile bone around joints.
Minimally invasive options
Small‑incision fixation or percutaneous techniques when appropriate to protect biology.
Spine fractures
Bracing or cement augmentation (vertebroplasty/kyphoplasty) in select painful compression fractures.
Hip Fracture Pathway
Hip fractures require quick, coordinated care. Our priority is safe surgery with early mobilization—often within 24–48 hours when medically fit. Appropriate surgical choices (hemiarthroplasty, total hip replacement, or fixation) are based on fracture type, bone quality, and pre‑injury mobility.
- Displaced femoral neck: Partial (bipolar) hip replacement for most seniors; total hip replacement for select active patients.
- Intertrochanteric fractures: Cephalomedullary nail for stable fixation and early weight‑bearing.
- Peri‑operative plan: Early surgery, DVT prevention, delirium awareness, pain control, and day‑1 standing where safe.
See our pages on Partial/Bipolar Hip Replacement and Total Hip Replacement.
Peri‑operative Optimization
Medical clearance
Cardiac and anesthesia review; optimize fluids, hemoglobin, sugars, and blood pressure.
Nutrition
Protein‑rich diet; vitamin D/calcium where indicated; address poor appetite or weight loss.
Medication adjustments
Hold/bridge anticoagulants when required; review sedatives or sleep aids that increase falls risk.
Infection prevention
Skin checks, appropriate antibiotics, and careful wound care instructions.
Anesthesia & Pain Control in Older Adults
Pain control has to be effective, simple, and safe. We prefer multimodal, opioid‑sparing strategies tailored to the procedure and your medical profile.
- Nerve blocks: Regional anesthesia for hip/knee/shoulder procedures to reduce systemic side effects.
- Scheduled basics: Paracetamol and anti‑inflammatories (when appropriate) form the foundation.
- Short‑course opioids: Only if needed, at the lowest effective dose and duration.
- Delirium awareness: Avoid excess sedatives; maintain orientation, hydration, and sleep routine.
Bone Health for Seniors
Fragility fractures signal weaker bones. We evaluate bone health and recommend treatment to reduce the chance of another fracture. Management can include vitamin D/calcium, nutrition and balance guidance, plus prescription therapy in appropriate cases.
- DXA scan & labs: Bone density (when indicated), vitamin D, calcium, renal profile, and other tests as needed.
- Medication options: Bisphosphonates or denosumab in select patients; dental and safety counseling included.
- Exercise & balance: We provide written home programs and coordinate with your physiotherapist. We do not provide in‑house physiotherapy.
Learn more on our Osteoporosis & Metabolic Bone Disease page.
Falls Prevention & Home Safety
Home hazards
Remove loose rugs, improve lighting, add grab bars/non‑slip mats, and keep essentials at waist height.
Vision & footwear
Regular eye checks; use supportive, non‑slip shoes; avoid walking in socks on smooth floors.
Medications
Review sedatives and blood‑pressure meds that increase dizziness or falls risk.
Balance & confidence
Written balance drills and posture cues; progress with your physiotherapist.
Mobility Aids & Bracing
Well‑chosen aids reduce pain and increase independence. We help you select and use them correctly.
- Walking aids: Sticks/canes, walkers, or crutches adjusted to your height and balance.
- Braces: Knee unloader braces, wrist/thumb splints, and lumbosacral supports when useful.
- Foot orthoses: For alignment and shock absorption to reduce joint stress.
We provide written instructions and coordinate with your physiotherapist for gait training.
Non‑PRP Injection Therapies
In select seniors, targeted injections reduce pain while other therapies continue. We do not offer PRP/regenerative injections. When indicated, we use:
- Corticosteroid injections: For inflammatory flares or advanced OA—spaced appropriately to protect cartilage and systemic health.
- Hyaluronic acid injections: For knee OA in select patients to improve lubrication and cushioning.
- Peri‑tendinous steroid: For bursitis or tenosynovitis after ruling out infection or rupture risk.
Surgical Options for Older Adults
Hip fracture surgery
Bipolar hemiarthroplasty or total hip replacement for displaced neck of femur; cephalomedullary nailing for intertrochanteric fractures.
Joint replacement
Knee, hip, and shoulder replacement options tailored to age, activity, and bone quality—including robotic planning where appropriate.
Spine augmentation
Vertebroplasty/kyphoplasty for painful osteoporotic compression fractures in carefully selected cases.
Complex fixation/revision
Fixation around old implants, nonunion/infection strategies, and deformity correction to restore stability.
See related pages: Partial/Bipolar Hip Replacement, Total Knee Replacement, Total Hip Replacement, Vertebroplasty & Kyphoplasty.
Recovery & Milestones
- Day 0–2: Stand/sit with assistance; gentle exercises; pain and DVT prevention.
- Week 1–3: Wound checks; progress walking aids; safe transfers at home.
- Week 4–8: Improve strength and balance; light household routines; review for driving readiness.
- Month 3–6: Community walking, stairs, and low‑impact activities; ongoing falls prevention.
We do not provide in‑house physiotherapy. You’ll receive written protocols and we coordinate with your physiotherapist for phased progression.
Caregiver Guidance
Caregivers are central to recovery. We provide simple, practical instructions so you can help safely.
- Medication & wound log: Track pain medicines, anticoagulants, and dressing changes.
- Safe home set‑up: Arrange chairs at proper height, remove obstacles, and plan bathroom access.
- Nutrition & fluids: Encourage small frequent meals, hydrate well, and support adequate protein.
- Watchpoints: Call if fever, uncontrolled pain, calf swelling, shortness of breath, or wound issues.
Cost & Insurance
Costs vary by diagnosis and plan—e.g., emergency fracture surgery, joint replacement, vertebroplasty/kyphoplasty, or non‑operative care with injections/bracing—plus facility, implant, and anesthesia fees. We verify benefits and provide a transparent estimate before scheduling your Geriatric Orthopedics in Delhi treatment.
- Insurance pre‑authorization & benefits check
- Clear estimate of out‑of‑pocket costs
- Cashless/financing options where applicable
How to Prepare
Bring records
Medication list (with doses), prior surgeries, allergies, recent labs, and imaging (X‑rays/CT/MRI) if available.
Medical contacts
Details of your physician/cardiologist to streamline peri‑operative clearance if surgery is needed.
Mobility plan
Note what aids you use; we’ll check fit and technique and advise upgrades if helpful.
Caregiver attendance
A family member or caregiver at the visit helps implement the plan smoothly at home.
Physio details
We do not provide in‑house physiotherapy. Share your physiotherapist’s contact so we can coordinate written protocols.
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
How quickly should a hip fracture be operated?
Is joint replacement safe for seniors?
Do you provide physiotherapy?
How can we reduce fall risk at home?
Will I be able to walk after surgery?
Ready for senior‑friendly orthopedic care?
Book a consultation. We’ll confirm your diagnosis and build a safe, practical plan to restore comfort and independence.