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Rangadore Memorial Hospital, Shankarapuram

Orthopaedic Clinic

1st Cross, Shankarapuram. Landmark: Beside Shankarapuram Policestation Bangalore
1 Doctor
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Rangadore Memorial Hospital, Shankarapuram Orthopaedic Clinic 1st Cross, Shankarapuram. Landmark: Beside Shankarapuram Policestation Bangalore
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Rangadore Memorial Hospital, Shankarapuram
Rangadore Memorial Hospital, Shankarapuram is known for housing experienced Orthopedists. Dr. Rajkumar, a well-reputed Orthopedist, practices in Bangalore. Visit this medical health centre for Orthopedists recommended by 102 patients.

Timings

MON-SAT
09:00 AM - 08:00 PM

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1st Cross, Shankarapuram. Landmark: Beside Shankarapuram Policestation
Bangalore, Karnataka
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Renal Biopsy - When Should You Go For It?

MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Renal Biopsy - When Should You Go For It?

Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment. 

Why and when is it done? 

A renal or kidney biopsy is done in the following situations: 

  1. When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
  2. When kidney failure is suggested by blood tests but cause is not clear 
  3. To find the cause of bleeding in the urine (haematuria) 
  4. To identify and/or confirm diagnosis after a CT scan or ultrasound 
  5. To check how well a transplanted kidney has been received 

Know about the procedure 

A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.

In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis. 

Recovering from a biopsy 
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

Bad Immune System - How It Accelerates Rheumatoid Arthritis?

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Bad Immune System - How It Accelerates Rheumatoid Arthritis?

Rheumatoid arthritis is an inflammatory disease, which destroys the cartilages of the body, thereby rendering a weak joint structure throughout the body. This causes the bone density to reduce, which in turn reduces the original strength of the bones. This is usually manifested in people – men and women both - from their late middle ages. Terrible pain is sometimes accompanied with such form of arthritis. Though arthritis can be treated, this treatment is only provided to boost bone density, make the bones stronger, provide vitamins and minerals to the body and slow the process of bone degeneration. Once arthritis affects you, you can never be completely cured of it, but you can definitely try to lessen the degradation rate and frequency.

Immune system:
There are several factors, which lead to the development of rheumatoid arthritis in a human body. One such factor is the immune system. Over the years, the immune system becomes weaker. The body is attacked by many infections, bacteria and other foreign particles, which the immune system fights effectively. But as one starts growing and reaches almost middle age, it is found that the immune system no longer remains as vigilant and quick to be able to cope up with the disease causing germs, and fight them effectively. A reduced immune system can be caused by consumption of excessive medicines, vaccines and other medicinal drugs over the years. This makes it difficult for the immune system to cope with arthritis at this age. Hence, the development of rheumatoid arthritis is very much related to a weak immune system in the body.

Treatment:
However, this does not mean that it cannot be treated. There are various natural and organic ways to boost your immunity. You must try to follow some of them so that your immune system becomes stronger and better or at least shows signs of improvement. That apart, you need to consult your medical practitioner when signs of arthritis are manifested by your body. There are simple exercises, natural methods to keep fit and certain other medicines, which need to be consumed to make your bones stronger. If you follow these rules then your arthritis would not be very fatal and you will be able to cope with it.

This highlights how the immune system is an integral part in the formation of arthritis in a human body. If you see signs and symptoms of arthritis developing in your body, then you must consult the medical practitioner immediately so that you can start with an appropriate treatment as soon as possible. Arthritis should never be neglected as it can give rise to chronic pains and adverse health problems in the future.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Sir. My father already operated join hip replacement, at 2.2.18 Dr. .Given Tolydol 1-1- 1 three times daily. Now for the last 5 days. He is not eating properly. Or you can say very few amount of food. Is it possible because of Tolydol.

MS Orthopaedic
Orthopedist, Vadodara
Sir. My father already operated join hip replacement, at 2.2.18 Dr. .Given Tolydol 1-1- 1 three times daily.
Now for ...
If pain is severe then you can continue tolydol and pain is less you can continue with zerodol-p. Do regular physiotherapy and walk with walker.
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I'm suffering from a severe pain in left side of back ribs and I'm unable to sleep properly .What should I do?

MBBS, MD anaesthesiology, FPCI
Spine and Pain Specialist,
I'm suffering from a severe pain in left side of back ribs and I'm unable to sleep properly .What should I do?
It might be musculoskeletal issues also sir. Improper posture while you sleep. I may suggest you to have muscle relaxant and check. If still pain persistent we have to investigate.
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Shoulder pain when drive a bike and lifting a weight. Taken d3 tab as well for 2 months.

BPTh/BPT
Physiotherapist, Delhi
Shoulder pain when drive a bike and lifting a weight. Taken d3 tab as well for 2 months.
You need to get an x-ray done to know exact cause of pain. Get it accessed by an orthopaedic or a physiotherapist for proper guidance .don't take it lightly as condition may get worse. A stitch in time saves nine.
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My backbone is paining so please sir give any idea for remove pain. And any medicine.

BHMS, PGDPC
Homeopath, Nashik
My backbone is paining  so please sir give any idea for remove pain. And any medicine.
Take homeopathic medicine for best results. 1) Ruta 30. 4pills. At morning. 2) Silicea30. 4pills at night. For 15 days.
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Swelling Of The Legs Or Hands!

MBBS, MS - General Surgery, MCh - Vascular Surgery, F.V.E.S
Vascular Surgeon, Bangalore
Swelling Of The Legs Or Hands!

Swelling or edema of the legs and hands is a very common condition and can be due to various types and reasons. The medical term is peripheral edema, the arms and legs being the peripheries. It is often due to fluid retention and in some cases, could also be due to blockage of fluid movement or excessive fluid in the body.

It can also be sudden or gradual – swelling that happens suddenly is usually due to prolonged standing or walking which leads to poor venous return. Gradual swelling is more a cause for concern and implies underlying disease.

At a cellular level, there is leakage of fluid into the surrounding tissue, which causes puffiness. In order for the kidneys to maintain fluid balance, they accumulate more fluid, which gets into a vicious cycle with both intracellular and extracellular fluid accumulation.

There are many causes for edema, but the following could be specific to vascular issues.

  1. Prolonged sitting or standing: When there is long periods of inactivity due to sitting with feet down or standing, there is fluid accumulation in the feet. Over a period of time, it could also affect the valve function and worsen the condition, causing it to be a chronic issue. Let's take a look at some of the common causes:
  2. Pregnancy: The hormones lead to overall body fluid retention, and so feet swelling is very common with pregnancy. The good news is that it subsides soon after delivery.
  3. Blood clots in the legs can affect blood flow, leading to swelling
  4. Heart failure
  5. Varicose veins, where there is a vascular issue leading to swelling
  6. Liver cirrhosis, which causes ascites and feet swelling as the main symptoms
  7. Lymphedema: Any improper lymph circulation also leads to hand and feet swelling
  8. Any tumor or infection along the path of circulation can lead to fluid accumulation, due to impaired blood/lymphatic flow.

Symptoms:

  1. Skin gets stretched, shiny, and loses hair
  2. There could be dimpling, where if the skin is pressed for about 10 seconds and released, it could take time to return to normal
  3. Stiffness of the surrounding joints
  4. Weight gain
  5. Fullness of nearby veins
  6. Increased blood pressure

Treatment: This would depend on the cause of the edema.

  • In transient cases, lifting the legs up often helps in release of the edema.
  • Underlying liver or heart conditions need to be treated to relieve the edema. Diuretics, which promote expelling of fluid from the body, are often used to reduce edema.
  • The infection or tumor or growth along the path of the blood vessels tree needs to be treated either with medications or surgery.
  • In cases where there are vascular issues, surgery may be required. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

11 Signs Your Body Is Giving You And You Must Not Ignore!

DM - Nephrology, DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
11 Signs Your Body Is Giving You And You Must Not Ignore!

Kidney problems, although take a longer time to develop, they end up being silent killers. There are no obvious signs for months and the symptoms crop up when it's rather late.

Many younger people these days are getting diagnosed with kidney problems. This is primarily due to drinking alcohol, smoking, bad eating habits and a sedentary lifestyle. About 60% people who have diabetes or hypertension develop kidney problems eventually.

Therefore, it is advised to be aware of what harms your kidneys and take adequate care to keep them healthy.

Watch out for any of these symptoms early on.

1. Urine Color - This is probably the first symptom and unfortunately affects many people around us. With the way our lifestyles are, this is becoming an increasing concern. Urine becomes dark and there is a need to urinate yet, one is unable to do so.

2. Urine Infection - Second would be when you feel pain or difficulty while urinating. The infections in the urinary tract induce their symptoms of pain or burning during urination. If this infection spreads to the kidneys, one can feel pain in the back.

3. Blood In Urine - If there is blood in your urine, it is a sign of renal illness. While this could be happening because of various reasons, it is advisable to see your doctor soon.

4. Water Retention - The function of the kidney is to take out the extra liquid and the waste from our body. When this process is not smooth, water will stay back and cause your face, limbs and/or ankle joints to swell.

5. Weakness - Severe exhaustion would mean minimized oxygen being delivered to the cells, causing weakness in general. This is also one of the symptoms that your kidney needs medical attention.

6. Temperature Variance - If your kidney is unwell, one of the symptoms is that you will feel the chill even when the temperature is actually warm.

7. Skin Breakout - Since an unfit kidney means waste in the body is piling up, it causes the skin to break out and cause severe irritation and rashes.

8. Rise of Blood Urea Level - When the kidney is unwell, it increases the level of urea in the blood. This causes breakdown of the urea into ammonia in the spit, causes it to smell foul, like urine/metal.

9. Nausea - Waste accumulating in the blood adds up to causing nausea and vomiting.

10. Breathlessness - One can also feel the lack of breath if the condition of the kidney worsens.

11. Discomfort or Pain - Some people have been known to have bodily pains, an instant discomfort that spreads from the lower back to the groin. This usually means that there is a stone in the kidney. In case you have a concern or query you can always consult an expert & get answers to your questions!

Homeopathy Treatment For Ankylosing Spondylitis!

BHMS
Homeopath, Jaipur
Homeopathy Treatment For Ankylosing Spondylitis!

The spine or the backbone is responsible for the fluid movement of the body, especially standing, bending, and sideways movement. It also is an important part of the nervous system and carries multiple nerves to the lower part of the body. The lower spine has sacral and iliac vertebrae, which have disks between the vertebral bones where these nerves are located. With age, infection, tumors, or injury, this soft tissue becomes hardened and get the bones to fuse. This is a type of arthritis known as ankylosing spondylitis and limits movement between the disks.

Causes: With age, the soft vertebral tissue gradually hardens. There is a genetic component also to this, so it runs in families. In addition, infection or tumors of the spine and injuries involving the spine can also lead to this condition.

Symptoms: When AS ankylosing spondylitis (AS) onsets, there is usually morning pain and stiffness in the low back and upper buttocks. The intensity of this gradually reduces over the course of the day. The range of movement also is reduced, with bending, stooping, and sideward movement becoming gradually difficult. It is believed that people with AS have an overactive immune system, and homeopathy helps by suppressing this activity. A homeopath will have a detailed discussion with the patient and based on the presenting symptoms, an appropriate product would be prescribed.

  1. Aesculus: The patient would have extremely painful and stiff low back and hips. It would be constant ache with walking and stooping, and it is not easy to rise from a sitting position. The patient also feels that the legs would give way, making them hesitant to walk.
  2. Rhus Tox: When the patient presents with low back pain that is present at rest, with sitting and inactivity, Rhus is usually preferred. The pain improves with activity and movement and radiates down the legs all the way to the foot.
  3. Kali Carb: If the patient presents with extreme weakness also and feels like a paralytic attack, as if the back is broken. The patient feels the symptoms are worse in the morning and changing position in bed.
  4. Kalmia: If the patient has pain associated with a prickly, numbing sensation, then this is used. There also could be burning sensation. The pain appears in bursts in the late evening and early night hours and could also go down the legs or up into the neck.

As with any other disease, homeopathy looks at the person holistically and treats the symptoms. The patient should not go for self-medication based on some reading and friends’ suggestions. Each person is unique in terms of symptoms and treatment, and so the doctor is the best person to decide the appropriate medicine. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Calcium & Bone Disorders - How to Know If Your Are Suffering From Them?

DGO, MBBS
Gynaecologist, Chandigarh
Calcium & Bone Disorders - How to Know If Your Are Suffering From Them?

Pregnancy places a lot of demand on the expectant mother. While the emotional demands are not very evident, the physical ones are. The mother has to ensure that the developing baby gets all the required nutrients through her. Some of them are very critical, and not getting adequate amounts of these manifest as problems, which cannot be rectified later. Calcium supply and associated problems that may arise is one such example.
If there is a reduced supply of calcium and the bones and teeth are not formed properly, taking any amount of calcium is not going to correct the situation later, after delivery.

  1. The bones which are forming in the developing baby are dependent on the mother for adequate supply of calcium. It is common knowledge that calcium is an integral component of bones, teeth, and skeleton. Hypocalcemia, which is a condition where there is reduced amounts of calcium in the body, can be quite severe during pregnancy.
  2. In addition to the growing baby’s needs, calcium also plays a vital role in the pregnant mother for muscular contractions, nerve conduction, hormone secretion, and blood clotting. So adequate intake of calcium during pregnancy is essential.

Now, the question arises as to how much calcium is good enough. For a normal female, about 1000 mg of calcium is required on a daily basis. This goes up by another 200 to 300 mg for a pregnant woman, especially during the third trimester when the bone and teeth formation is in full speed. This extra amount of calcium should be continued even after pregnancy, as calcium continues to be provided to the baby during the lactation phase.

Some of the symptoms of reduced calcium intake during pregnancy are aching muscles, brittle nails, weakened bones, severe cramping, and dry skin. If there is suspected hypocalcemia, it is best to seek medical advice. It is not advisable to take supplements without medical supervision. Increased amounts of calcium can produce a different set of symptoms.

While these are evident symptoms, there are other detrimental effects on the baby too. Calcium deficiency affects development of heart and associated structures and puts the newborn at a higher risk of developing hypertension. The baby’s fat percentage and triglycerides are also increased. The bone mineral density is reduced. The delivery period could be prolonged, as muscular contractions and nerve conduction are severely impacted when there is less calcium in the system. Recovery from labor is also delayed.

It is possible that you are taking adequate amounts of calcium, but its absorption is affected. Reducing caffeine intake helps in better absorption of calcium. Iron, which is often given during pregnancy, prevents calcium absorption and so needs to be spaced out. In case you have a concern or query you can always consult an expert & get answers to your questions! 

1 person found this helpful
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