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Dr. Shiv Kumar Santpure

MS - Orthopaedics

Orthopedist, Aurangabad

20 Years Experience  ·  350 at clinic
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Dr. Shiv Kumar Santpure MS - Orthopaedics Orthopedist, Aurangabad
20 Years Experience  ·  350 at clinic
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Personal Statement

To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Shiv Kumar Santpure
Dr. Shiv Kumar Santpure is an experienced Orthopedist in Beed Bypass, Aurangabad. He has had many happy patients in his 20 years of journey as a Orthopedist. He is a MS - Orthopaedics . You can consult Dr. Shiv Kumar Santpure at Center for Joint Replacement and Advanced Orthopaedics in Beed Bypass, Aurangabad. Book an appointment online with Dr. Shiv Kumar Santpure on has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 39 years of experience on You can find Orthopedists online in Aurangabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.


MS - Orthopaedics - Dr. Babasaheb Ambedkar Marathwada University - 1999
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Center for Joint Replacement and Advanced Orthopaedics

Kamalnayan Bajaj Hospital, Beed Bypass RoadAurangabad Get Directions
350 at clinic
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My knee has too much pain. Am taking some pain killers but pain not stop. What can I do. please tell me sir.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My knee has too much pain. Am taking some pain killers but pain not stop. What can I do. please tell me sir.
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..


MS- Gynaecology, MBBS
Gynaecologist, Delhi

Homeopathy is good for rheumatoid patients

5 people found this helpful

What You Need To Know About Hip Replacement Surgery?

MBBS, MS - Orthopaedics
Orthopedist, Chennai
What You Need To Know About Hip Replacement Surgery?

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

  1. An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.

2 people found this helpful

I am suffering from an ACL tear from past 6 months. For the first 2-3 months I was unserious about the tear but after that I consulted a doctor and he told me to consult physiotherapist and everyone agreed that it could repaired without surgery but after 2 months of physiotherapy their was only improvement of 1-2 % in ligament and knee started paining and before that in 3 months it never pained after that I consulted some other and stopped the physiotherapy now I am taking medicine of some other ortho doc from last 1 month and doing some strengthening exercises which he told bt I was experiencing pain in the need what should be done to get back on track as I am athlete .

Physiotherapist, Noida
I am suffering from an ACL tear from past 6 months. For the first 2-3 months I was unserious about the tear but after...
Quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.

In my foot I am having inner growth of bone in the part of heel please suggest me what I have to do can not stand for long hours and having pain in my foot I do not want to take injection as I am very much scared of injection please suggest what another option I have to do.

Physiotherapist, Gurgaon
In my foot I am having inner growth of bone in the part of heel please suggest me what I have to do can not stand for...
Do contrast bath, take hot water in one bucket and icecold water in another dip your feet in hot water for 4 min. And then dip in cold water for 2 min repeat at least six to seven times. your shoes shd have a soft sole and you can use silicon heal by putting it inside d shoe under your heal. Do some exs 1 bend your toes and streach, about 10 to 15 times Move your ankle up and down 15 times Rotate your ankle clockwise and anticlock wise 15 times each direction.
1 person found this helpful

I am suffering from knee pain since 5year intake several medicine but no permanently relief advice me.

MD - Anaesthesiology
Anesthesiologist, Anand
I am suffering from knee pain since 5year intake several medicine but no permanently relief advice me.
Lybrate-user ji you have neither mentioned your age nor your weight and height. This things are very important for knee pain. If your weight is more for your height you need to reduce it. Knee pain wil b due to it most of the time. If your age is more say more than 55 or 60 you may have damaged cartilaze of your joint for that you need to consult an irthopadician who in turn wil advice you to undergo an x ray and an mri. From which he will diagnose your problem nd give you some medicine to rejuvunate your cartilase. Along with it he will advice you to strength your qudriceps muscles for which you need to visit a physiotherapist. You need to stopusing stairs. Do not sit on floor I mean do not use indian toilet instead use western toilet. Do not bend your knee more than 90 degree means use dinning table to take you lunch dinner or breakfast do not sit on floor. Do not squate. And if he feels that the damage is unrepairable than he will advise you to undergo a surgery that is knee replacement.
1 person found this helpful

I am having back pain and I cannot sit in class and also cannot do heavy work. I think the back pain was because I travel a lot in two wheelers through bumpy roads, so all the shocks may have been transferred to my back which resulted in back pain. So please tell me what to do.

Diploma in Naturopathy & Yogic Science (DNYS)
Ayurveda, Bangalore
I am having back pain and I cannot sit in class and also cannot do heavy work. I think the back pain was because I tr...
Eat broccoli cauliflower cabbage relevant vegetables, take estrogen foods, apply vathakesari oil on that area. Continue this for 15 days. Cured. And if you have any more issues after this treatment please welcome for consultation and keep your health stronger and live long life like our ancestors. Thank you.
1 person found this helpful

I have back pain as I had an accident 3 years ago if I do carry any weight I will get severe back pain what should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I have back pain as I had an accident 3 years ago if I do carry any weight I will get severe back pain what should I do?
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Can you kindly tell me whether you had any bony injury at the time of initial injury? also there are many causes of pain in lower back region. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other, so accurate diagnosis is the key to proper management of the condition. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

I am 41 years old, my foot always crack all time in summer and cold it has big cracks its very painful, cannot walk, I tried all types of ointment no benefits, please guide me it sign of some deficiency or what to to? Please give permanent solution of my problem.

General Physician,
I am 41 years old, my foot always crack all time in summer and cold it has big cracks its very painful, cannot walk, ...
This is due to lack of intake of less water intake and pure foot care particularly feet hygiene you must be walking a lot you must apply cream foot after proper washing and drying properly. You can consult a dermatologist for the same.
6 people found this helpful

Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.


The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.


The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.


The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).


Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.


The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

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