
Arthritis Treatment in Jaipur: Dr. Hemendra Agrawal
MBBS, MS (Orthopedics), DNB, MNAMS · Senior Orthopedic Consultant, Narayana Health · Director, Orthoklinik
Osteoarthritis of the knee, hip and shoulder, and inflammatory arthritis: how it is staged, managed for years without surgery, and when replacement makes sense.
15+
Years Experience
20,000+
Surgeries Performed
4
International Fellowships
5.0★
Patient Rating
Overview
Understanding arthritis
Arthritis means damage to the smooth cartilage that lines a joint. The most common form, osteoarthritis, affects the knees, hips and shoulders and progresses gradually. Inflammatory types such as rheumatoid arthritis behave differently and are managed together with a rheumatologist. Most arthritis is managed without surgery for years; joint replacement is for when a joint has stopped working despite proper treatment.
हिंदी: गठिया (आर्थराइटिस)
When to get arthritis checked
- Pain that limits how far you can walk
- Pain at night or at rest
- A joint that is becoming visibly bent or deformed
- Painkillers that no longer control the pain, or are needed daily
- Several joints swollen at once, with long morning stiffness
Emergency: A single hot, red, swollen joint with fever can be an infection and needs the nearest hospital the same day.
Common Causes
What usually causes arthritis
The cause decides the treatment, which is why the consultation starts with a proper examination rather than a prescription.
Osteoarthritis
Age-related and load-related wear, most often in the knees and hips. Pain with activity, stiffness after rest, and gradual loss of movement and alignment.
Rheumatoid and inflammatory arthritis
The immune system attacks the joint lining, often in several joints at once, with morning stiffness lasting over an hour. Medical treatment by a rheumatologist comes first.
Post-traumatic arthritis
Arthritis that develops years after a fracture into a joint, or after an untreated ligament or meniscus injury in the knee.
Arthritis after AVN
When the ball of the hip or shoulder collapses after loss of blood supply, the joint wears out quickly and usually needs replacement.
Gout and crystal arthritis
Sudden, very painful attacks in one joint, often the big toe or knee. Diagnosed with blood tests and joint fluid, and treated medically.
Treatment
How arthritis is treated
Step 1
Treatment without surgery
Tried first, and enough for most patients.
- Strengthening exercise and staying active, adjusted to the joint involved
- Weight management, especially for knee and hip arthritis
- Physiotherapy, walking aids and supportive footwear
- Medicines for flares, with long-term painkiller use reviewed for stomach and kidney safety
- Referral to a rheumatologist when the pattern suggests inflammatory arthritis
Step 2
When surgery is genuinely needed
Advised only when non-surgical treatment has been properly tried, or the problem will not heal without it.
Where To Consult
Get arthritis assessed in Jaipur or at a district OPD
Consultation and follow-up are available in Jaipur and at three district OPDs. Surgery, if needed, is always performed in Jaipur.
Jaipur
Narayana Hospital, and Orthoklinik, 183/82, Rana Sanga Marg, Sector 18, Pratap Nagar, Jaipur, Rajasthan 302033. Mon to Sat, 10 AM to 9 PM at the clinic.
Clinic detailsArthritis in Sri Ganganagar
Every 3rd Thursday of the month
9:00 AM – 11:00 AM · Anand Hospital
Sri Ganganagar OPDArthritis in Hanumangarh
Every 3rd Thursday of the month
1:00 PM – 5:00 PM · Mahaveer Lab
Hanumangarh OPDArthritis in Alwar
Every 2nd & 4th Thursday of the month
11:00 AM – 3:00 PM · Chopra Orthopedic Hospital
Alwar OPD
About The Surgeon
Dr. Hemendra Agrawal
MBBS, MS (Orthopedics), DNB, MNAMS · Senior Orthopedic Consultant, Narayana Health · Director, Orthoklinik
Dr. Hemendra Agrawal is one of Rajasthan's most experienced orthopedic surgeons, with over 15 years of practice and more than 20,000 successful surgeries. He trained at SMS Medical College, Jaipur and Safdarjung Hospital, New Delhi, and went on to complete international fellowships in joint replacement in Germany and Japan, shoulder and elbow surgery in Japan, and sports medicine and advanced arthroscopy in Switzerland.
He practises as Senior Orthopedic Consultant at Narayana Health, Jaipur and is Founder and Director of Orthoklinik, Pratap Nagar. His work centres on knee, hip and shoulder replacement, arthroscopic ligament and cartilage surgery, and complex or neglected trauma, including cases other surgeons have declined. He sees patients with arthritis in Jaipur and at his district OPDs, and says plainly when surgery is not needed.
FAQ
Arthritis: common questions
Can arthritis be cured?+
Worn cartilage does not grow back, so osteoarthritis cannot be reversed. But its symptoms can be controlled well for years with exercise, weight management and sensible use of medicines. When a joint is badly worn and limiting your life, joint replacement replaces the damaged surfaces and usually removes the arthritic pain.
Is there a right age for joint replacement?+
There is no fixed age. The decision depends on how much the joint limits you, what the X-ray shows, and your overall health. Younger patients are generally encouraged to delay surgery while non-surgical treatment works; older patients should not be told they are simply too old if they are otherwise fit.
How do I know if my arthritis is osteoarthritis or rheumatoid?+
Osteoarthritis usually affects one or two large weight-bearing joints and is worse with use. Rheumatoid arthritis tends to affect several joints on both sides, including the small joints of the hands, with prolonged morning stiffness. Blood tests help confirm it, and inflammatory arthritis is treated medically first.
Are long-term painkillers safe for arthritis?+
Occasional use is generally fine, but daily long-term use of anti-inflammatory painkillers can affect the stomach, kidneys and blood pressure, especially in older patients. Part of every arthritis consultation is reviewing what you are taking and whether a safer plan is possible.
Can both knees be replaced at the same time?+
In suitable patients, yes. Whether both knees are replaced together or in two stages depends on your general health, heart and lung fitness, and how severe each knee is. This is decided on assessment, with the risks of each approach explained.
Where can I consult Dr. Hemendra Agrawal for arthritis?+
In Jaipur at Narayana Hospital or Orthoklinik, 183/82, Rana Sanga Marg, Sector 18, Pratap Nagar, Jaipur, Rajasthan 302033, or at his district OPDs: Sri Ganganagar (Anand Hospital) every 3rd Thursday of the month; Hanumangarh (Mahaveer Lab) every 3rd Thursday of the month; Alwar (Chopra Orthopedic Hospital) every 2nd & 4th Thursday of the month. Patients from elsewhere in Rajasthan can share their reports on WhatsApp first. Call +91 92106 96045 to book.
हिंदी में जानकारी
गठिया (आर्थराइटिस): आम सवाल
क्या गठिया (आर्थराइटिस) का इलाज बिना ऑपरेशन के हो सकता है?+
हाँ, ज़्यादातर मरीज़ों में कई सालों तक। व्यायाम, वज़न कम करना, फिज़ियोथेरेपी और दवाओं का सही इस्तेमाल दर्द को काफ़ी हद तक नियंत्रित रखता है। लंबे समय तक रोज़ दर्द की गोली लेना पेट और किडनी के लिए नुक़सानदेह हो सकता है, इसलिए इसकी समीक्षा ज़रूरी है। जब जोड़ पूरी तरह घिस जाए और चलना मुश्किल हो, तब जोड़ बदलने (जॉइंट रिप्लेसमेंट) की सलाह दी जाती है।
गठिया (आर्थराइटिस) के लिए डॉ. हेमेंद्र अग्रवाल को कहाँ दिखा सकते हैं?+
जयपुर में नारायणा हॉस्पिटल या ऑर्थोक्लिनिक, प्रताप नगर में। इसके अलावा ज़िला ओपीडी: श्री गंगानगर में हर महीने के तीसरे गुरुवार को (आनंद हॉस्पिटल, सेक्टर 17, हनुमानगढ़ रोड (अंध विद्यालय के सामने)), हनुमानगढ़ में हर महीने के तीसरे गुरुवार को (महावीर लैब, सरकारी अस्पताल के पास, हनुमानगढ़ टाउन), अलवर में हर महीने के दूसरे और चौथे गुरुवार को (चोपड़ा ऑर्थोपेडिक हॉस्पिटल, अलवर)। राजस्थान के दूसरे ज़िलों के मरीज़ पहले अपनी रिपोर्ट +91 92106 96045 पर व्हाट्सऐप कर सकते हैं।
Other conditions
Knee Pain Treatment
घुटने का दर्द
Arthritis, meniscus tears, ligament injuries and kneecap pain: what is causing it, and why most knee pain does not need surgery.
Read moreHip Pain Treatment
कूल्हे का दर्द
Hip arthritis, AVN and fractures that never united: telling true hip pain from back pain, and why the hip rewards early assessment.
Read moreShoulder Pain Treatment
कंधे का दर्द
Rotator cuff tears, frozen shoulder, dislocation and arthritis: why a correct diagnosis matters more for the shoulder than almost any other joint.
Read moreBack Pain Treatment
कमर दर्द
Mechanical back pain, sciatica, osteoporotic fractures and hip pain that feels like back pain: what an orthopedic assessment looks for.
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