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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
Submit a review for Dr. Avik PaulYour feedback matters!
I am having pain in my right knee continuously from 2 months and doctor advised me to take methycobal injection once in 2 days and nucoxia 90 pain killer. I am having both lower limbs disabled due to polio since childhood. X Ray report of right knee shows - particular osteoporosis, Subluxation of right knee joint, Hypoplastic bones of knee joint. X Ray report of left knee- Spiking of tibial spine is seen, tibia femoral and patella femoral joint compartments normal Blood reports- Vitamin d total is low 15.38 B 12 level is 296 normal Uric acid normal Sugar normal.Please tell.
My slip disc operated last year now again I have pain during sitting. After few minutes pain starts. What should I do?
I am a internet user. I am suffering from from back pain. What is the solution to clear this problem. Please help me.
Are you in your 30s or 40s and frequently experience frequent neck, back or shoulder pain? do you feel tired easily or feel weak inspite of a regular routine of jogging? may your core is to blame for that.
Core muscles of the body include the shoulder, chest, back and pelic muscles. A strong core is quintessential requirement for mainting a fit and healthy body.
Poor core strength leads to poor posture, frequent neck, shoulder and back pain and easy fatiguability in performing physical tasks.
Thus if you want to avoids such health problems you should incorporate some form of core strenghthening exercises. Choose from a mix of swimming, plank, burpee, superman exercises (u can google what these exercises and u'l find plenty of links) in addition to your routine jogging/walkingetc. U'l see plenty of youtube videos on core strengthening.
A strong core leads to a strong and fit body. Happy exercising.
Hello Doctor, my left ankle joint does not working properly. While walking it is not rotating properly nd its like something is missing in it. It is for last 2 years or so. Its like something is break in it.
I have pain in my lower back 2 inches left to backbone, feels sharp pain like needle stings not severe yet bearable. Cause is prolonged sitting on chair in front of PC at work. If I spend day with walking and less sitting then it is normal. As I sit on chair pain starts and keep on increasing. I got x ray but it was normal. Should I take tablets like neuroprene, calcium with regular exercise to strength en my muscles. Regards gagan.
My mother aged 65 years has severe arthritis of both knees, should she get both knees replaced in one sitting?
You should do both knees in one sitting if the severity is same in both the knees and the patient is unable to differentiate the painful knee. In case the patient says one knee is more painful than address one knee at a lime. Your own knee is always the best till it lasts.
What are the advantages of doing both the knees in one sitting?
- Exposure to the risk of anaesthesia reduced to only once
- Aids simultaneous rehabilitation especially in severely deformed knees
- Bilateralprocedure reduces cost
- Earlier return to baseline function and convenience for the patient and relatives
- Shorter cumulative hospital stays
What are the risks associated with bilateral Total Knee Replacement (TKR) and are there any studies to support the same?
The risks of cardiac and infection related complications for bilateral TKR are lower than the combined risk of two unilateral TKRs. A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-Bilateral Total Knee Arthroplasty published in The Journal of Bone And Joint Surgery.
Result: Records were available for 11.445 simultaneous-bilateral arthroplasty Procedures and 23.715 staged-bilateral procedures.
Conclusions: Simultaneous-bilateral total knee arthroplasty was associated with clinically important reduction in the incidence of infection and malfunction within one year after arthroplasty.
What is the latest Technology available which could help improve surgical outcomes?
Custom Fit Knee Resurfacing: A knee with your name on it i.e. customized specifically based on your dimensions.
Understanding Custom Fit Knee Resurfacing: You are unique and so is your individual anatomy and thus lack of accuracy leads to discomfort and even further corrective surgeries That is why Custom Fit Knee replacement surgery, which utilizes MRI (Magnetic Resonance Imaging) technology to create personalized positioning guides for total Knee replacement is recommended.
Practical Benefits Of Custom Fit Knee Replacement
- MRI of the affected knee is done based on which we can make a customized jig for better fitting of the implant for the patients
- No intra medullary instruments so minimal chances of fat embolism
- Minimally Invasive (just a 4-5 inch incision)
- Improves the speed of the operation theater time (40% reduced surgical time)
- Increases implant inventory efficiency (know sizing)
- Faster recovery of the patient
- Perfect patient alignment thus better mobilization
What is the role of body exhaust 'space' suits in Bilateral TKR?
- 'Space' suits maintain a more sterile environment and offer more mobility to the surgeons.
- Space suits are used to help reduce contamination from the operating teams from entering the wounds.
- The impure air exhaled by the operating team is pushed down by the rotating fan in the helmet of space suits and absorbed by the laminar air flow in the 0.T.