Doctor in Advance Knee And Shoulder Hospital
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Patient Review Highlights
I was quite concerned, as my health was degrading day by day, but due to Dr Prathmesh Jain and the foot pain treatment I didn't lose hope. I remember, I read an article of Prathmesh Jain in the paper and made contact. It's been so long, I have lost all hope, but then I met Prathmesh Jain and I am hopeful again that I will be fine. Even in case of long queues, the staff was managing people in a very positive manner. With great ease Prathmesh Jain explained us the problem and how the treatment will be carried out.He is so pleasant to talk to and always ready to answer your doubts.
Being a physiotherapist i would say that Dr Jain is excellent surgeon n good human being too. His postoperative care for patients is ggod and he makes apoint that patient achives normal life as early as possible... As a part of rehab team i will say that he cooperative..freindly to all.....thank god i got chance to treat his patients
I was shocked to experience leg pain. He is not just friendly, but also is very motivating. I was suffering from leg pain for such a long time. Even though Dr Jain is not from our city, he is still very famous, so we consulted him. The Advance Hospital is designed in such a manner that all requirements of patients are taken care of.
I was panicked, because I never thought I will suffer from muscle cramps like this. I consulted Dr Prathmesh who is a well kown orthopaedics in Gujarat. His treatment suited me the best and now I am fine. He is very patient with all his patients. Over the period of time I noticed a number of changes in myself.
I was suffering from knee pain. I'am almost on the path to recovery, Thanks to Dr Prathmesh Jain perfect advice. The atmosphere in the Advance Hospital is always so positive and full of life. Even though the problem was not so big, but still the other doctors were not able to treat it, Then I consulted him.
dr Prathmesh jain is so pleasant to talk to and always is ready to answer your doubts.Thanks to the expert care and guidance at his clinic Advance Knee And Shoulder Hospital in ahmedabad regarding my treatment of ACL reconstruction , I feel much better than before and there is no problem post the surgery.
I was in so much pain for which I consulted Dr Prathmesh. After consulting him, I am feeling much better now. I am so much benefitted with his splinting treatment. He never gets frustrated, even when I ask a number of queries. The guidance Prathmesh Jain gave me has helped me immensely with my situation.
Dr. Prathmesh jain is reallY polite n soft nature doctor.. All staff of clinic is reallY frindlY... i reallY feel homelY while oprated ACL... I reallY thankful of Dr. Prathmesh jain Coz after opration there is no problm in mY knee... Now i feel norml...
i came to hospital with shoulder pain. Treated it without surgery. Earlier i have been adviced surgery by other doctors. very understanding doctor. knows his subject well . the hospital is well equipped. overall nice experience.
dr Prathmesh Jain did my arthoscopy at his clinic Advance Knee And Shoulder Hospital in Ahmedabad. i am very satisfied woth his service as he had give me his best. may god bless him for being such a good human too.
I Was Operated ACL and Medial Meniscus repair by DR.Prathmesh Jain . Now I am 100% OK and feeling like natural Knee. That is due to DR.Prathmesh Jain Skiil Work and Smiling Helpful nature.
dr Prathmesh Jain of Advance Knee And Shoulder Hospital in ahmedabad is a very fine doctor for treatment of back pain. Thanks to him for making me fine again.
Dr Priyadarshi Nagda
Dr prathmesh is too good. He came with smiling face and satisfied us by replying every query in calm manner. Overall ambience at hospital was very good.
A competent Doctor with humanistic approach and ethics. Had a very good experience and proper advise. Happy and recommend with full confidence.
Doctors diagnosis and treatment is excellent, i will recommend him for sure.
Great Experience with Dr. Prathmesh Jain since last Four years
Back problems are no longer restricted to people above a certain age. With today’s fast paced and sedentary lifestyle, spine related disorders have become very common. In fact, a lot of youngsters nowadays are being diagnosed with slipped discs, which can be very painful if not attended to immediately.
Slipped disc or herniated disc is a condition of the lumbar region of our back. It occurs when the tissue cushioning our vertebrae in the lower region is ruptured. It causes intense pain as the fluid that comes out of the ruptures vertebrae that irritates the nerve endings in the area.
If not treated, it may aggravate and have to be resolved through surgery. However, if checked in time, exercise and oral medication can help you overcome this problem. There are certain medications available in the market that can be taken after consulting a doctor.
Here are a few tips that might come handy if you suffer from slipped disc:
- Hot/ cold compresses: To alleviate the pain caused by the herniated disc, you can use hot or cold compresses on the lower back, in consultation with your doctor. Cold pack will help you to bring down swelling in the area while warm compresses are useful for relaxing tense muscles. Remember, none of these packs should be used directly on the skin, but should be wrapped in a towel before use.
- Exercise: Even if it sounds preposterous to some, exercise is one of the most effective ways to combat the problem of slipped disc. It may be slightly painful, but if done slowly and steadily, it can give you great results. As per your doctor’s recommendations, you can indulge in swimming, yoga, biking or walking. Pelvic tilts and butt squeezes are effective as well. However, avoid lifting weights or any other exercise that puts pressure on the back.
- OTC medication: Your orthopaedic may prescribe some over the counter drugs to relieve inflammation and pain caused due to the herniated disk. However, refrain from long term use of analgesic medicines as they may cause side effects, such as stomach ulcers or problems in the kidney or liver.
- Alternative treatments: Holistic treatments, such as acupuncture, acupressure, nutritional and supplements too are some methods to get rid of the pain associated with slipped disks. However, the effectiveness of such methods is debatable.
- Time: Time is a great healer and especially conditions, such as slipped discs should not be rushed, as it can cause more harm than good. The right amount of rest, exercise and medication, along with a few lifestyle changes will ensure that you return to your normal self soon enough!
When cells divide abnormally and uncontrollably, they can form a mass or lump of tissue. This lump is called a tumor. Bone tumors form in your bones. As the tumor grows, abnormal tissue can displace healthy tissue.
Some tumors are benign, meaning they aren’t cancerous. While benign bone tumors won’t spread to other parts of the body and are unlikely to be fatal, they can still be dangerous and may require treatment. Benign tumors can grow and could compress your healthy bone tissue. Other tumors are malignant, meaning they’re cancerous. Malignant bone tumors can cause cancer to spread throughout the body.
Causes of bone tumor:
The cause of bone tumors is unknown. They often occur in areas of the bone that grow rapidly. Possible causes include:
- Genetic defects passed down through families
- In most cases, no specific cause is found.
Symptoms of bone tumor:
Symptoms of bone tumor may include any of the following:
- Bone fracture, especially fracture from slight injury (trauma)
- Bone pain, may be worse at night
- Occasionally a mass and swelling can be felt at the tumor site
- Some benign tumors have no symptoms.
Diagnosing a bone tumor:
There are some common conditions like fractures, infections and other conditions that may resemble tumors. But, to be sure some physical examination to be performed which will check the tenderness in the bone and also the range of motion. Blood or Urine test may be performed to detect different proteins that may indicate the presence of tumor. Doctor may go with X-rays and depending on the X-ray results other imaging tests might be necessary i.e. CT scan, MRI PET scan. In some cases biopsy is also performed. In this test. a sample of the tissue that makes up the tumor is removed.
Treating bone tumor:
Bone cancer is generally treated with Surgery in which the entire tumor is removed. The surgeon carefully examines the margins of your tumor to make sure no cancer cells are left. Surgical techniques have improved greatly. Other ways to treat is radiation therapy which is used in conjunction with surgery. Still if the doctor feels that cancer cells are likely to spread or already spread then Chemotherapy is recommended.
Lower back pain is a very common issue and can take place due to numerous reasons. However, one of its main causes is a ligament strain or back muscle strain. Microscopic tears or excessive stretching of ligaments can take place due to lifting very heavy objects or doing enormously strenuous task or due to a sudden twisted movement.
These conditions are most likely to be experienced by individuals ranging between the ages of 30 and 60. Other causes of lower back pain include back injury, arthritis of back bone joints, infections in the lower back area, and in very rare cases, tumours.
In case of acute back pain, these are a few important things that should be definitely kept in mind.
- It is absolutely essential to take rest for a couple of days and avoid any sort of stressful activity. Although back pain is self-limiting, if you take proper care, it can be cured in a few days. However, if proper rest is not taken, the situation may become worse.
- Using the black belt, also known as lumbo sacral corset, is a good idea. This can actually be of enormous help to individuals who have been suffering from lower back pain for a long period of time.
- As already mentioned, one of the main causes of these kinds of mishaps are sudden jerky movements, twisted movements, heavy weight lifting etc. So, it is necessary to avoid such circumstances, or else, a more acute back pain situation may arise due to slipping of one of the discs from the spinal cord.
- As much as you like long drives and bike rides, these are a strict no. Any prolonged sitting or standing activity needs to be avoided. It is important that the tear caused in the muscles due to what-so-ever reason heals properly and prolonged stay in a tensed muscle position would definitely not help the cause.
- Although these back pains can be handled at home by following the discussed steps, using simple analgesics or muscle relaxants prescribed by the doctor can be a way to speed up the process of recovering the strained ligament.
Apart from these important steps, regular exercise to strengthen the core body muscles is a great way to avoid such ligament strains in the future. However, if you feel that even after following the precautionary measures, the problem doesn’t subside, visit an experienced doctor for his advice. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Human body moves in an agile manner because of the wonderful coordination between the muscles and bones. The bones are connected to the muscles by what are known as tendons. These are fibrous, thinner than bones, but thicker than muscles and enable movement.
However, due to overuse, trauma, or inflammation, these tendons can be affected. Symptoms include constant dull ache, weakness, stiffness, and limited movement of the affected area. With exercise or sudden movement, the pain can be more sharp and severe. This condition is known as chronic tendinopathy. Depending on the actual clinical presentation, rest, ice therapy, heat therapy, exercise and pain medications are usually used in combination to relieve the tendon pain.
However, if there is no relief of symptoms, surgery may be indicated to remove the injured tissue. This will allow for healing of the affected tendon, thereby reducing pain and inflammation and improving range of motion of the affected joint. Many questions have been raised about the traditional methods of therapy and treatment for tendon pain. More and more innovative, but conservative measures are being used to treat chronic tendon pain, as they produce better results and have gained more popularity. Three of the most common ones are listed below:
- Platelet rich plasma therapy: Traditionally, corticosteroids were used for treating chronic tendinopathy. This was believed to reduce inflammation and therefore relieve the pain. Instead, injecting the affected joint with platelet-rich plasma provides the body with rich supply of oxygen, nutrients, and growth factors. This triggers natural healing. It is done as an outpatient, nonsurgical procedure, where the patient’s blood is drawn and centrifuged to remove the platelets. This plasma is then injected back into the tendon area to promote healing.
- Mechanical therapy: Conventionally, static stretching of the injured tendons was believed to repair the injury. However, this belief is slowly replaced with doing the exercise with resistance in place. This helps collagen synthesis and therefore helps in promoting the tendon injury. After the initial healing phase, slowly introducing heavy, slow resistance therapy helps build back muscle and improve strength.
- Tenex procedure: Traditionally, if all other measures for tendon repair failed, surgery would be the last resort. A large incision was made, through which the injured tendon would be accessed and repaired. Recovery would sometimes take months. With advancements, however, currently, a 3-mm incision is made, through which ultrasound image is used via probe. This probe removes the damaged tissue and the surrounding tissue is also debrided. This minimally invasive procedure takes about 20 minutes and recovery takes about 2 to 6 weeks.
The next time there is someone suffering from chronic tendon injury, try these innovative and less invasive ways. Treatment and recovery would be more effective. If you wish to discuss about any specific problem, you can consult an Orthopedist.
The carpal tunnel is the passageway for the median nerve to pass through on the inner side of your hand, when your palms are facing down. For example, while typing, there is a lot of movement of the fingers and this puts a lot of pressure on this tunnel. In fact, people who are involved in a lot of typing are one of the most prone people for carpal tunnel syndrome (CTS). Other causes would include trauma, fractures, etc., where the tunnel is injured.
Conventional measures to treat CTS included a combination of exercise and pain killers in mild to moderate cases. In moderate (sometimes) to severe cases, surgery was also done. However, with advancements in medical technology, endoscopic surgical procedure is gaining popularity.
What is done?
In endoscopic surgery, a small incision is made in the wrist or one each in the palm and the wrist. Through this, a flexible tube with a camera and minute cutting tools are inserted into the wrist. Another ligament known as transverse carpal ligament is cut. This reduces the pressure on the median nerve, which provides relief from the CTS symptoms.
What to expect as benefits?
The intention behind the surgery remains the same in both traditional and endoscopic procedures. The pressure on the median nerve is released, restoring movement and reducing pain in the joints. In addition, the endoscopic procedure has the following benefits.
- Less invasive: Needless to say, there are only one or two small incisions done for this procedure, so less surrounding tissue is damaged.
- Same day surgery: No hospitalization is required, and unless required, the patient can return home on the same day of surgery.
- Reduced recovery time: The recovery period is usually substantially less compared to the traditional surgical approach.
- Back to work: Depending on which is your dominant hand, you would be able to return to your regular work earlier than with regular surgery. If your non-dominant hand is involved, a day or two of rest is required. If your dominant hand was involved, give it up to four weeks for complete recovery.
- Reduced chances of nerve injury: The area of operation has many nerves and blood vessels, and endoscopic surgery reduces the chances of damaging adjacent nerves.
- Anesthesia: This is done under local anesthesia. Therefore, complications arising out of general anesthesia are completely avoided.
While these sound promising, your doctor will decide if you are a candidate for endoscopic procedure depending on the following:
- Nonsurgical treatment including exercise and pain killers have not provided relief, even after several months.
- Severe symptoms including those of nerve damage, like loss of sensation, altered coordination, etc., is affecting your normal daily routine.
- Person requiring bilateral surgery like severe trauma, wheelchair dependent, etc.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Arthritis refers to extreme joint pain. It could either manifest in one of the joints in the body or more than one. At times, it occurs because of a vitamin deficiency. However, it can also advance with age. This is how arthritis can be easily diagnosed:
To diagnose arthritis, your specialist will consider the side effects and symptoms. They will then take a physical exam to check for swollen joints or loss of movement.
They will then use blood tests and X-ray to affirm the conclusion. X-ray and blood tests help in identifying the sort of arthritis you have. For instance, a great many people with rheumatoid arthritis have antibodies called rheumatoid components (RF) in their blood. X-rays are used to analyse osteoarthritis, normally uncovering lost ligament, bone deformities and in many extreme cases, a bone rubbing against another bone.
Sometimes, a needle is used to draw a little specimen of liquid from the joint for testing. This is done to eliminate different sorts of arthritis. In case your specialist speculates irresistible arthritis as a confusion of some other sickness, taking a sample of liquid from the influenced joint will typically affirm the finding and decide how it will be dealt with.
Depending on what kind of arthritis you have, your doctor will recommend you different therapies. However, some of the most common treatments for arthritis are as follows:
- Certain therapies involve long-term treatment to treat the affected joint. With the assistance of an occupational therapist, you can learn simpler approaches to do your typical exercises. A therapist can show you how to do the following:
- Maintain a strategic distance from positions that strain your joints.
- Utilise your most healthy joints and muscles while saving weaker ones.
- Use props to support certain joints.
Joint pain treatment will rely upon the nature and level of the condition. The principle objectives are to diminish aggravation and enhance the capacity of the influenced joints before the condition worsens. Your specialist will most likely recommend acetaminophen or a non-steroidal mitigating drug (NSAID), for example, Aleve.
Different types of surgeries might be expected to lessen the inconvenience of joint inflammation or to recover the joint capacity. Synovectomy is the expulsion of a harmed connective tissue coating a joint depression. In case that ligament pain and irritation turn out to be genuinely chronic, or ligament joints turn out to be badly damaged, the answer may lie in surgical substitution.
Non-medical management of arthritis pain:
Besides medicine-based treatment for arthritis, there are many psychotherapeutic techniques to manage the same. Enhancing patients’ mental state by showing them how to unwind and perform their every day exercises at a sensible pace will also help in finding a way to defeat mental anxiety and nervousness. If you wish to discuss about any specific problem, you can consult an Orthopaedics.
The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.
Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-
Smaller incision compared to traditional surgical procedures, where only the injured area is accessed
The surrounding tissues are untouched, unless they are injured and require repair
Lesser bleeding compared to earlier techniques
Lesser painful procedure
Reduced hospitalization period
Quicker recovery and return to normal activities
The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.
Presence of symptoms relating to nerve compression, including pain from the spine down the leg.
Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.
People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.
Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.
Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.
Exercise is one of the best stress-busters for those who believe in it. Sweating it out in any form brings out renewed energy, both physically and mentally. Similarly, running unleashes vast amounts of energy and is one of the most vigorous workouts. Of late, running is a fad, and there are more and more people vying for the half and full marathons.
The following are some pointers for runners. Whether you are just beginning to or are planning for a marathon, read on to know what to do before actually running.
Hydration: Before getting into a running mode, take a minute to think if you have had enough water for the day. The amount of water consumed should be dependent on a number of factors including:
Weather/climatic factors including temperature, humidity etc.
Distance and speed of running
Toilet trips should be done during the day
Consumption of alcohol or caffeine – these will leave you dehydrated
Amount of water in the last 2 hours
Level of thirst
Drink water about 30 minutes before you begin to run, but not to the point that you feel water splashing in the belly and have to stop at the restroom every half an hour.
Food: While it is not advisable to run on an empty stomach, it is not required to eat a full meal before running. Make it easy for the stomach by eating something light like a banana or oats. These are easily digestible and do not tire you out.
Shoes: The most important of all, ensure you are wearing running shoes which are lightweight. Ideally, the right shoes should not cause pain in the shin or the knees and can stand the long runs. Bad shoes can cause severe damage, therefore, it is always wise to invest in a good pair of running shoes.
Work towards a target: Running without having a target is not of much use. Your target could be in the distance covered, time you ran, calories burned, or matching your personal best timing. Whatever you choose, with each run, keeping the route, time, and distance in mind, set a target. Track your run against that target. This can help establish personal best times and help improve performance with other runners too. It also helps get a feeling of accomplishment and a purpose.
- Music: This just peps up your run and often adds to the spring in your foot. A nice lively song can increase the heart rate and prepare you for a longer run. Warming up to a good music also elevates mood and energy levels. Any runner would agree that he enjoys a good music during the run. If you wish to discuss about any specific problem, you can consult a doctor.
Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.
Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.
Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.
Prepare for blood loss: Most people experience some blood loss, but not excessive.
Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.
Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).
Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.
Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.
Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.
Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.
After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.
Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail
Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.
Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.
Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.
Smoking and alcohol should be completely stopped, as healing can be hampered.
With some preparation, spinal surgery can be sailed through smoothly. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Our bones and joints make us functional on a day to day basis. It is, therefore, imperative that we should take good care of them at all times. There are many conditions that can affect our skeletal system and one of them is, Gout. While the link between the two may not be that obvious, gout happens to be a condition, which is sometimes related to arthritis. Therefore, it is sometimes known by the name 'gouty arthritis'.
While the issue may be severely painful, it does not mean that it cannot be reduced. And of course, when a person has the option and cutting the pain caused by gout drastically, his or her natural response is likely to be 'why not?'
Why Does It Happen?
The main reason for the occurrence of gout is too much uric acid being present in the body. The limbs of the body swell up, especially the extremities and this is known to be very painful. In many cases of gout, the swelling is especially evident in the big toe. Flare ups can last hours on end and may even get longer.
The people who wish to get the gout that is putting him or her through so much pain treated, there are quite a few options at their disposal. There are pain relievers that can be consumed under the advice of a medically qualified professional. While these pain relievers do not treat gout, but can reduces the intensity of the symptoms. Daily doses can be recommended as per the requirement and severity of the situation.
How to Get Rid of Gout?
While some anti-inflammatory drugs may have their effect, but no matter how bad the pain, aspirin is a drug that needs to be avoided. Intake of aspirin can make the problem even worse, which is the last thing a person would want!
The severe problems of gout can be dealt with the chemicals known as corticosteroids. Now, while these can provide some very effective pain relief, using them can be tricky due to certain side effects. One of these side effects is that since these chemicals are injected into the joints, they can significantly weaken them. The other side effect is that they slow the healing process of the wound. Both of these side effects are highly undesirable for any patients. These chemicals are usually prescribed by the doctors after a thorough analysis of patient's condition and history.
A person who drinks alcohol and suffers from severe condition of gout should look to scale back the amount which is consumed by him or her. This is because alcohol increases the amount of uric acid which is present in the blood.