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Dr. Agam Kumar

Orthopedist, Bangalore

150 at clinic
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Dr. Agam Kumar Orthopedist, Bangalore
150 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Agam Kumar
Dr. Agam Kumar is a renowned Orthopedist in Peenya, Bangalore. You can consult Dr. Agam Kumar at Jai Maruthi Hospital in Peenya, Bangalore. Save your time and book an appointment online with Dr. Agam Kumar on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 40 years of experience on Lybrate.com. You can find Orthopedists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Jai Maruthi Hospital

208 & 210 Hegganahalli, Peenya 2nd Stage. Landmark: Near Peenya 2nd Stage Bus StopBangalore Get Directions
150 at clinic
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I have back pain on my spinal cord. This has been started from 3 years back. But still no change. So please help me. Hope you will help me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have back pain on my spinal cord. This has been started from 3 years back. But still no change. So please help me. ...
Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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Doctor my leg pain from 29 april up to this date my leg pain is very high so reply me suggest your right suggested tablets etc I have also hand pain because my operations is done so suggests.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Doctor my leg pain from 29 april up to this date my leg pain is very high so reply me suggest your right suggested ta...
Leg pain can occur due to many reasons. Here are some simple tips to help you. 1. Drink lots of fluids in this summer to avoid cramps. 2. Avoid jogging on hard surfaces. 3. Wear good quality supportive shoes while walking 4. Give rest to your legs and apply cold pack when you have severe pain. You can take simple analgesics like paracetamol for relief. 5. Can apply topical analgesics. For diagnosis and management give details of your pain and consult.
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MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
Do not watch tv while lying down to save your neck from arthritis.
1 person found this helpful

I have pain in my right heel. It's persistent since last 3 months. Pain is felt after you wake up in the morning or after prolonged sitting. Also I feel it even after 10 walking or similar exertion. I'm 27 years old.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
I have pain in my right heel. It's persistent since last 3 months. Pain is felt after you wake up in the morning or a...
Hiii my Lybrate user, 1st check ur uric acid. If u have uric acid, u take medicine for ur uric acid. In this moment u take a medicine Antim Crud -200/6 doses twice daily in empty stomach for 3 days. Use flat shoes.
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I am 22 years old boy. Pain in both knees but right knee has more pain from 2-3 years and knees joints voice loudly. I treatment 1 years from ortho but no relax Pls tell me something sir/mam.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 22 years old boy. Pain in both knees but right knee has more pain from 2-3 years and knees joints voice loudly. ...
A checkup of vit d and calcium levels. If there is any injury due to sports then x-ray must. Strength exercise must of knee like quadriceps and treadmill. Apply ice and hot pack for 20 minutes avoid long standing and running,
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I am 23 year old male and i have problem with backpain from last 2 year. I am very weak personality. what would I do?

BHMS
Homeopath, Sindhudurg
I am 23 year old male and i have problem with backpain from last 2 year. I am very weak personality. what would I do?
Homeopathy is one of the most important and effective therapy for back pain. Homeopathy produces excellent results in backache treatment without producing any side effect and is extensively used in all over the world. Homeopathy is a natural system of healing and that is why it can heal whole symptoms of illnesses and it also cure the illness from its root. Tips for backache: heavy objects should be pushed rather than pulled. The weight of the objects should be taken in your bent legs and arms and not in your back. During an acute attack sleep with a pillow under the knees. Choose shoes that offer good support in the arch and have low, but not flat, heels. Prop up one foot on a box or low stool when you're standing for a long time. Use a chair that provides support for your back, or tuck a little pillow behind your lower back. Tips to improve balance/alignment/motion: lift your leg so your thigh is parallel to the ground while touching a wall. Hold it for five breaths. For alignment, move side to side while sitting on a balance ball. For motion, try moving forward and backward on the ball.
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When I move, sounds come out from knee, ankle, wrist and in almost every joints in my body. Whats the problem?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
When I move, sounds come out from knee, ankle, wrist and in almost every joints in my body. Whats the problem?
1) early degeneration 2) muscular pain 3) uric acid problem 3) fever or medical conditions get done x-ray of knee joint 1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. You must start ayurvedic medicines to 1) strengthen bones & muscles. 2) stop further degeneration of joint. 3) healing of joint. 4) release muscular spasm even chronic. 5) reduce swelling & pain.
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I had fever 4 days back. Had been to a General Physician and they suggested some medicines. I have severe knee joint pain and ankle joint pain from 4 days. I shared the same to the GP and she told it is viral fever. The fever came down after a day itself. However the joint pain is still there. I am a breast feeding mother. Worried - could it be dengue or chikungunya?

MD - Anaesthesiology
Anesthesiologist, Anand
I had fever 4 days back. Had been to a General Physician and they suggested some medicines. I have severe knee joint ...
Lybrate-user ji you are right you have chicken guniya. But do not worry you wil be alright in 2 months. But after you become alright you wil have to reduce your weight. Acording to your height your weight should be less than 67 kg. So reduce it by minimum 11 kg. For that you can join a gym.
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I have a back pain and I consulted so many doctors but it does not work so I want some suggestion what should I done.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a back pain and I consulted so many doctors but it does not work so I want some suggestion what should I done.
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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I have pain in my right hand and I can not control this pain please help me fast.

DHMS (Hons.)
Homeopath, Patna
I have pain in my right hand and I can not control this pain please help me fast.
Dear lybrate user, for how many days, you feel pain in your arms? take, homoeo medicine. @ arnica mont 200-6 pills, thrice a day. @ sang nit. 200-6 pills, thrice a day. You r advised to go to a physiotherapist. Please. Take, care.
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I am 45 year old female. I have burning sensation in my cheeks, shoulder, hand etc. I consult a Dr. He advised me to take calcium-vitamin d, e tabs. When I have it I feel better. Please guide me? what is the reason for this type of feeling.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of cervical spine. sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Ibuprofen 200mg od & sos x 5days bio d3 max 1tab od do neck, back & shoulder exercises it may have to be further investigated you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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Hi I am 25 years old female, I have knee pains and calcium deficiency, what type of food should I take.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Hi . Unfortunate to have pain in this young age. But surely it has a cure. I would like to know if you're vegan or a non vegetarian so that I can guide you better.
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I am 40years old, since last one week having pain in heel and ankle, even I am not able to walk. Some times pain also exist in hands and waist (kamar). When I take pain killer then I am able to walk but very slowly. I think my masuls become tense which create pain and swelling. Please suggest some medicine regards somesh.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear well, I think probably you have planter fascistic and may be rheumatoid tendency and so you need a detailed work up to come to a diagnosis and then we can plan treatment accordingly.
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I have back pain how to avoid it because I take many treatment about the back but all reports are nill but my back pain is still going.

MS Orthopaedics
Orthopedist, Panchkula
I have back pain how to avoid it because I take many treatment about the back but all reports are nill but my back pa...
Please check your diet reduce milk and meat products to 60% these help in producing Uric acid which may be a cause of pain
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Rheumatoid Arthritis: A mystery solved with lucidity

MBBS, MD, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Rheumatoid Arthritis: A mystery solved with lucidity

Vital notes:

  • RA is a chronic debilitating joint disease that affects small joints of hands and foot.
  • More common in females aged 20 to 50 years.
  • It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years.
  • It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately.
  • Untreated disease may cause deformity of hands and foot causing deterioration of quality of life.
  • Erosion of small joints along with loss of entire joint architecture is the basic disease process.
  • Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic.
  • Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids.
  • Difficult diseases are treated with costly injections called biologics.
  • The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “
  • Lung and cardiac complications are common in long term disease.
  • Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.                    

 

Introduction:

Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon.

The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity.

This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment.

 

What are the symptoms?

Symptoms vary from person to person and also from early stage to late stage of the disease.

 In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results.

In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm.

In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful.

A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat.

Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease.

 

What is the difference between Rheumatic Fever & Rheumatoid Arthritis?

There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis.

 

Why Penicillin injections are given on a monthly basis?

Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist.

 

How is Rheumatoid Arthritis diagnosed?

Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course

 

Does each and every patient of rheumatoid arthritis develop crooked hands and foot?

No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease.

 

How Rheumatoid Arthritis is treated?

Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage.

Cessation of smoking is mandatory. Smokers tend to develop early joint destruction

Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs.

Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below.

 

Why I am being given Steroids?

Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment.

Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month.

 

What are Biologic agents? Why they are so costly?

Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started.

Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.

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 developed spur at the ankle bone which is paining me while I am walking. I came to know this when I took the Xray. I am given to wear an anklet but it pains me when I bend my leg. Can you suggest a remedy. than.

Bachelor of Physiotherapy
Physiotherapist, Mumbai
I have developed spur at the ankle bone which is paining me while I am walking. I came to know this when I took the X...
Hello Lybrate user, Calcaneum spur can be treated symptomatically via physiotherapy, You can take pulsed ultrasound for it and do contrast bath i.e.dip your ankle in cold water for 7 mins and then in lukewarm water for 7 mins twice in a day.
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Hi I am 41 year male, working in computers for 10 hours a day. Now I have knee pain on both legs. Also I feel slight bend in legs below knee to foot portion. Now I started walking, if I walk the pain become more. My weight is 83kgs and height is 5' 5.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
You are overweight and take steps to reduce at once. People take pride in telling they work for long hours, but spend very little time for one self. Do not eat junk foods, aerated drinks, maida related food etc. Chew the food well and swallow. No fast food please go for a brisk walk for 30 minutes without fail in the morning. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Swing 20 times morning and evenings. This will relieve your problem. Also take calcium tablets for a limited period 2 months consult after 5 days
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