Dr-Sijad Ahmed Mahar - Orthopaedic Surgeon

26/01/2026

03/01/2026

3D CT Reconstruction of a man who fell from cliff of a mountain.
🙄🙄

01/01/2026

Technology including implants and instruments has only little influence on the outcome of foot and ankle procedures. It is mostly the surgeon's skill that decides the postoperative result.
Nikolaus Wulker.

24/12/2025

بڑے سکون سے ڈوبے تھے ڈوبنے والے
جو ساحلوں پہ کھڑے تھے بہت پکارے بھی

13/12/2025

Strength is the fountain of youth. Muscle protects joints, maintains metabolism, and slows aging far more than I realized.

Muscle is a significant determinant of human trajectory. Your muscles are not decoration, they’re engines. If you ignore them, they’ll betray you.

29/11/2025

Understanding Neck Pain: Could It Be Your Facet Joints?

Not all neck pain comes from a slipped disc. A very common but often overlooked cause is facet-mediated pain — pain arising from the small joints at the back of your neck.

Here is what you need to know:

What are facet joints?
They are small joints that guide movement of your neck. With age, posture issues, or injury, these joints can become irritated or worn out.

How does facet pain feel?
• Aching or stiffness in the neck
• Pain going to the shoulder or between the shoulder blades
• Worse with looking up, turning, or bending to one side
• Better with rest or gentle flexion
• Usually no numbness or tingling in the arms

Why is this important?
Facet pain is often mistaken for “disc disease” or “muscle spasm.” Correct diagnosis prevents unnecessary medicines, wrong injections, or even unnecessary surgery.

How is it diagnosed?
A specialist identifies the pain pattern and may use a small numbing injection (medial branch block) to confirm the source.

How is it treated?
• Targeted physiotherapy
• Posture correction
• Medial branch blocks
• Radiofrequency ablation for longer-lasting relief
• Surgery is rarely needed

Key message
If you have persistent neck pain, especially with shoulder-blade discomfort or pain worsening on neck movements, your facet joints may be the source — and effective, minimally invasive treatments are available.

16/11/2025

The History Behind Colles’ Fracture

Most orthopedic surgeons diagnose a Colles’ fracture within seconds—but the history behind it is far more remarkable than the quick label we use today.

In 1814, long before X-rays existed, Abraham Colles, an Irish surgeon, published a short but groundbreaking paper titled:
“On the fracture of the carpal extremity of the radius” in the Edinburgh Medical and Surgical Journal.

With nothing more than clinical observation, Colles described:
• The classic dinner-fork deformity
• Dorsal displacement and angulation of the distal radius
• Preservation of pronation and supination despite deformity
• The tendency for the deformity to persist, yet function to remain surprisingly good
• Its high prevalence in elderly women after falls on an outstretched hand

He defined—accurately and completely—a fracture pattern 80 years before radiography.
His description was so precise that modern imaging simply confirmed what he had already concluded from careful examination alone.

Today, over 200 years later, every wrist X-ray with dorsal angulation pays silent tribute to the clinical brilliance of Abraham Colles.

16/11/2025

Dupuytren’s Contracture

If you’ve noticed a thickened cord or a finger slowly bending into your palm—and you can’t fully straighten it—you may be dealing with Dupuytren’s contracture.

This isn’t caused by overuse. It’s a gradual thickening and tightening of the palmar fascia, often linked with:
• Family history
• Diabetes
• Chronic alcohol use
• Smoking
• Northern European ancestry

Early signs are easy to ignore, but the progression is not. Once the finger starts contracting, it rarely reverses on its own.

Key facts:
• Usually painless
• Affects ring and little fingers most
• Early treatment gives better outcomes
• Options include collagenase injection, needle fasciotomy, and fasciectomy depending on severity

If you can’t place your hand flat on a table, get it assessed. Delay leads to stiffness, functional loss, and more invasive surgery later.

Dr. Sijad Ahmed Mahar
Clinic # 08, River City Hospital Bypass Road Near IBA University Sukkur

River City Hospital Sukkur.
Monday to Friday
4 pm to 7 pm

https://maps.app.goo.gl/ZE3Z9MYcybSCLDq47