1 Surgery for Back, Knee & Other Health Problems

Abstract

This case study presents Hiral Patel’s transformation over 1 year following bariatric surgery. Before surgery, she weighed 123 kg and experienced severe back and knee pain, low energy, and difficulty with daily activities. Her obesity affected her physical health, emotional well-being, and quality of life as a mother. One year post-surgery, she reduced her weight to 76 kg, resolved her pain, and regained an active lifestyle through regular exercise and healthy habits.

Patient Background

A 36-year-old mother faced significant physical and mental exhaustion due to obesity-related health issues. Her increasing weight gradually limited her mobility, stamina, and enjoyment of daily life with her family.

Despite managing responsibilities, she experienced ongoing fatigue and discomfort. Simple tasks such as standing, sitting, and doing daily chores became increasingly difficult.

​Challenges Faced by a Patient Before Surgery

Before bariatric surgery, she faced several obesity-related difficulties that affected both her physical and emotional health:

• A weight of 123 kg caused severe physical strain
• Chronic back pain and knee pain
• Constant tiredness and low energy
• Difficulty sitting, standing, and moving comfortably
• Reduced enthusiasm for daily chores and activities
• Inability to actively play with her children
• Sedentary lifestyle and lack of motivation
• Emotional frustration due to limited mobility and poor stamina

Her obesity significantly affected her confidence and overall quality of life.

Pre-Surgery Assessment and Diagnosis

After consulting Dr. Manish Khaitan, the best bariatric surgeon in Ahmedabad, she underwent a comprehensive evaluation to assess her health concerns and suitability for surgery.

The assessment included:

• Weight and BMI evaluation
• Lifestyle and dietary assessment
• Evaluation of obesity-related joint pain and mobility limitations
• Counseling regarding long-term lifestyle changes after surgery
• Nutritional guidance and pre-operative preparation

Given her medical condition, physical limitations, and long-term health risks, bariatric surgery was recommended as an appropriate treatment.

Surgical Approach

Dr. Manish Khaitan performed her bariatric surgery at NObesity, emphasizing both weight loss and long-term lifestyle transformation.

The multidisciplinary team provided comprehensive support, including surgical intervention, nutritional planning, lifestyle counseling, ongoing follow-ups, motivation, and personalized dietary guidance.

Throughout her recovery, the team encouraged healthy habits, regular physical activity, and discipline, helping her adopt a healthier, more active lifestyle.

Post-Surgery Recovery and Care

After weight loss treatment, she received ongoing support from the NObesity team.

Deepali, a dietician at NObesity, played a key role in helping her adapt to the post-surgery diet and maintain healthier lifestyle practices. With structured nutritional guidance and regular follow-ups, she gradually improved her strength and stamina.

Her recovery plan included:

• Gradual dietary progression
• Nutritional monitoring
• Lifestyle modifications
• Physical activity guidance
• Long-term follow-up support

Over time, she established a disciplined fitness routine and adopted healthier daily habits.

​Transformation and Results

One year after surgery, she achieved a significant physical and emotional transformation.

Key Outcomes:

• Weight reduced from 123 kg to 76 kg
• Complete relief from back pain and knee pain
• Significant improvement in energy levels
• Increased mobility and physical endurance
• Improved ability to perform daily tasks comfortably
• Active participation in exercise and fitness activities
• Enhanced confidence and quality of life

Today, she exercises for nearly two hours daily and can perform 108 Surya Namaskars continuously. She runs and plays with her children without fatigue or discomfort.

According to her, she now feels more energetic than she did even in her twenties.

Patient Testimonial

Before bariatric surgery, even simple activities felt exhausting. After bariatric surgery, I feel energetic, confident, and physically active. My pain is completely gone, and I can exercise for two hours daily. I can even do 108 Surya Namaskars in one go.

I truly feel like I got a new life after surgery. I am grateful to Dr. Manish Khaitan for motivating me to take this step and supporting me throughout my journey. I am also thankful to Deepali and the entire NObesity team for guiding me toward a healthier lifestyle.

Key Learnings

Her journey demonstrates that bariatric surgery can transform more than body weight. With sustained weight loss, she reduced her weight from 123 kg to 76 kg and overcame back pain, knee pain, fatigue, and mobility challenges. She now leads an active lifestyle, exercises regularly, and enjoys energetic time with her children.

This case highlights the importance of combining surgery with healthy lifestyle changes, regular exercise, proper nutrition, and ongoing medical support. With consistent guidance and follow-up care, she adopted healthier habits and maintained the results over the long term.

Her journey demonstrates how improved physical health can enhance confidence, emotional well-being, and overall quality of life.

NObesity believes in lifelong obesity care, offering dedicated support to help patients create lasting, meaningful health changes.