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Medically reviewed by Dr. Vishnu Vikraman NairSpine SurgeonLast reviewed:
Doctor discussing an X-ray with a patient during an orthopaedic consultation

An orthopaedic consultation is the first step to understanding what is causing your spine, joint, or bone pain, and knowing what to expect can make that first visit less daunting.

What an orthopaedic consultation covers

Orthopaedic consultations address concerns involving the bones, joints, muscles, ligaments, and tendons. Common reasons patients book a visit include back pain or neck pain, knee or other joint pain, fractures, sports injuries, arthritis symptoms, visible deformities, limited range of motion, or follow-up after a previous surgery. Concerns are welcome whether they involve the spine, a specific joint, or general bone health.

When to book a consultation

It is worth seeing a doctor for pain or stiffness that persists beyond a couple of weeks, pain that interferes with daily activities or sleep, a joint that feels unstable or gives way, or any injury that does not improve with basic rest and care. Seek prompt medical attention for a suspected fracture, sudden severe joint pain with swelling and redness, or any new numbness, weakness, or loss of bladder or bowel control associated with back or neck pain — these warrant urgent evaluation, although most orthopaedic concerns are not emergencies.

How your doctor reaches a diagnosis

Your first visit begins with a detailed discussion of your medical history and current symptoms — when they started, what makes them better or worse, and how they affect your daily life. A physical examination follows, assessing movement, strength, stability, and any visible deformity. Depending on the findings, imaging such as X-rays, MRI, CT scans, or a bone scan may be requested to clarify the diagnosis, along with blood tests if an inflammatory or metabolic cause is suspected.

What to expect during a spine surgery consultation specifically

If your concern is spine-related, Dr. Vishnu Vikraman Nair will review any existing imaging, examine nerve function and spinal movement, and discuss the full spectrum of options — starting with non-surgical treatment such as physiotherapy and medication, and only progressing toward options such as minimally invasive spine surgery or disc replacement if conservative care has not helped or your specific diagnosis warrants it. Nothing is decided in a single visit without a clear discussion of why a particular path is being recommended.

Non-surgical options discussed first

For most conditions, conservative treatment is discussed first: medication for pain and inflammation, physiotherapy to build strength and mobility, activity or lifestyle modifications, and — where relevant — supportive devices such as braces. These options are often effective on their own for many bone and joint disorders and are typically tried before more invasive interventions are considered.

When surgical options are discussed

Surgical options are raised when conservative treatment has not provided adequate relief, when there is significant structural damage or instability, or when neurological symptoms are progressing. Your doctor will explain, in your specific case, why a procedure is or is not being recommended, what alternatives exist, and what surgery would realistically involve — there is no single surgical answer that fits every patient with a similar-sounding complaint.

Recovery and follow-up care

Whether your treatment plan is conservative or surgical, follow-up visits are used to monitor your progress, adjust medications or physiotherapy as needed, and review any new imaging. For patients who undergo surgery, a structured follow-up schedule helps track healing and guide a safe return to normal activities.

What influences the cost of a consultation and follow-up care

Cost depends on the type of consultation, any imaging or tests required, and whether follow-up treatment is medical, physiotherapy-based, or surgical. Call or WhatsApp NAIR Spine & Knee Clinic for guidance before your visit.

What your first visit involves, in short

Bring any previous reports, scans, and a list of current medications. Expect a thorough history and examination, a clear explanation of the likely diagnosis, and a discussion of next steps — whether that is further tests, conservative treatment, or referral for a specific procedure. Consultations are available at NAIR Spine & Knee Clinic, Kharghar and other Navi Mumbai locations including Vashi; call or WhatsApp the clinic to confirm the current consulting schedule.

Frequently asked questions

A spine-focused consultation includes a detailed history of your symptoms, a physical examination assessing movement, strength, and reflexes, and a review of any imaging you bring. Your surgeon will explain the likely diagnosis in plain language and discuss the full range of options — from non-surgical care to surgery — before recommending a path forward.

Talk to a spine and joint specialist

Share your symptoms, reports or scans and our team will help you book a consultation with Dr. Vishnu Vikraman Nair or Dr. Juilee Mhatre Nair at the Navi Mumbai location most convenient for you.