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Dr. Mahesh Varppa

Orthopedist, Bangalore

350 at clinic
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Dr. Mahesh Varppa Orthopedist, Bangalore
350 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Mahesh Varppa
Dr. Mahesh Varppa is an experienced Orthopedist in Kalyan Nagar, Bangalore. He is currently practising at Lokhande's Hospital in Kalyan Nagar, Bangalore. Save your time and book an appointment online with Dr. Mahesh Varppa on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 31 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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Lokhande's Hospital

#3ac902, 3rd A Cross,9th A Main,1st Block,Kalyan Nagar.Landmark: Near Cafe Coffe Day & Near Kalyan Nagar Post OfficeBangalore Get Directions
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I have frequent swelling of fingers of legs and hand around the edges of the nails and after some time yellow liquid is also coming when pressed slightly , please advise

M Ch. Ortho, M.S Orthopedics, M.B.B.S
Orthopedist, Hyderabad
Hi thanks for the query. From the details you had given it could be some sort of infection around the nail bed. It is better consult local surgeon or orthopedician for clear cut opinion and management.
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Sir, I am 55 years old. Recently for one month, while climbing stair case up and down getting slight pain in the knees. What shall I do for the ailment. The reason I suspect that I am not going for morning walk for the last three months.

MSPT (Master of Physical Therapy)
Physiotherapist,
Sir, I am 55 years old. Recently for one month, while climbing stair case up and down getting slight pain in the knee...
sir please do knee flexion and extension for 50 times in the morning by sitting on a high chair. you may get relief.
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I have pain in my backbone. I got advice's from many doctors. But no use. They said to me it is a type of disk problem. What I do?

BHMS
Homeopath, Faridabad
I have pain in my backbone. I got advice's from many doctors. But no use. They said to me it is a type of disk proble...
Hello, Slip disc is a mechanical problem and for that medicines can give you only symptomatic relief, so better go for Ayurvedic massages, physiotherapy for the same along with Homoeopathic/ Ayurvedic medicines.
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How to increase the gap between the both legs of knees. When it bring close in defence field medical test?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
How to increase the gap between the both legs of knees. When it bring close in defence field medical test?
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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Hi 33 yr old female. Ht 5' 4" weight 76. Married for 7 years. First delivery 2009, forcep delivery. L4-l5 disectomy oct 2010 triggered by overflow incontinence. Second delivery feb 2013. Movement in l4-l5 again causing pain radiating to legs. Kindly advise treatment. Currently due to pain not able to exercise

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. Please get a fresh x ray of ls spine ( ap & lateral - flexion and extension views and mri ls spine so that I can see if there is any pathology. Also please mention your clinical history regarding back pain in detail with medications being used and physical therapy being done for it or not? do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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I have back pain from last 2-3 days above my hip bone at lover back, and i'm also having pain while walking and using my hands, it's live my nerves stretches when I move any of these parts. Please respond me asap coz I don't know how to deal with it

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I have back pain from last 2-3 days above my hip bone at lover back, and i'm also having pain while walking and using...
Hi Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - To maintain proper posture of your back while working and sleeping - If pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you, a muscle relaxant can also be added for 5-7 days initially. - Physical therapy initially under supervision of a trained physiotherapist and then to continue at home - Adequate calcium & vitamin d intake if levels are low in body - Ice packs can applied if your pain is acute, then hot fomentation can be done at home - Analgesic spray for local application can be used and is easily available. - Avoid lifting heavyweight/ acute forward bending in mornings etc We will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. 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. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi
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I am having a serious pain in my leg. It is paining in yhe middle side of my right leg. It usulayy happened in one or twice in a month. I am suffering this problem from 7-8 years. Please suggest some things.

PG Hom, London, BHMS
Homeopath, Mumbai
I am having a serious pain in my leg. It is paining in yhe middle side of my right leg. It usulayy happened in one or...
Hello lybrate-user, it would be better if you can undergo an x ray or something of your leg. Also if you perform some exercises of your leg, it will help you a lot. Some times such pain in the leg specially in the back side of the leg can even be due to vitamin or calcium or electrolyte deficiency. In that case, you will require multivitamin course. Till then, you can take homeopathic rhus tox 200, 4 pills three times a day.
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Last one month i am having severe back pain, and body restless, low BP, generally i am not active .

BPTh/BPT, MSPT (Master of Physical Therapy), Certified Mulligan practitioner , Certified wheelchair service professional
Physiotherapist, Madurai
Dear what is your age? are you working? what type of movement increases your pain and do you have pain at rest or at night? either it could be a musculoskeletal or neural any how Physio can help you visit nearest physio. Physio will do complete assessment and Can treat the problem underneath it.
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The Secret to Avoiding FRACTURES, Revealed by Dr. Kamal Bachani

International Arthroscopy , Shoulder Surgery Fellowship, M Ch. Ortho, Fellowship in Joint Replacement, Fellowship Tr.Sports surgery/arthroscopy, Fellowship in Orthopaedic Rehabilitation (FOR), MS - Orthopaedics, MBBS
Orthopedist, Delhi
The Secret to Avoiding FRACTURES, Revealed by Dr. Kamal Bachani

The secret to avoiding bone and joint related injuries revealed!

An average person experiences two fractures during his or her lifetime and same holds true for joint related injuries. The severity of this condition depends on a number of factors, ranging from the forces responsible for injury and location to the damage done to the nearby tissues and bones.

How age plays a role in your chances of getting a fracture?

Your risk and severity of developing a fracture, depends, to a certain extent on your age.

A very common occurrence during childhood is crippling joint related injuries, the fractures that you tend to have during this time are generally less complex than the broken bone instances that you stand to experience when you enter adulthood.

With time, your bones become fragile and you become prone to broken bones sustained from falls, which you wouldn't when you were young. Furthermore, as you step into your 50th year, you can get struck by the bone condition osteoporosis, a leading cause of bone fractures during this time. For women, menopause makes them more susceptible to osteoporosis (as infrequent periods and hormonal changes at this time lead to loss of bone mass) and subsequently broken bones.

Preventing crippling joint injuries need many steps in younger generation known as prehab especially for sporting population and adult population involved in day to day activities requiring your body getting subjected to physical stress.

Simple steps to get your joints back to normal in case you do get into injuries.

  • having a calcium and vitamin d rich diet to strengthen bones
  • exercising to strengthen bone and muscle health as well as your balance
  • taking relevant medicines to make your bones strong
  • going for timely bone mineral density test to determine the health of your bone
  • exposing yourself to the sun for about 20 minutes everyday
  • having a requisite calcium intake of 1000 mg and 1200 mg for pre- and postmenopausal women respectively
  • preventing a fracture by modification in your household furniture, extra clothings, sometimes addition of simple orthotic devices, improving your muscle reaction time etc go in long way to help prevent falls.

'consult.

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Morning body stiffness is there. Difficulty in handling objects. Is it due to arthritis?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Morning body stiffness is there. Difficulty in handling objects. Is it due to arthritis?
Hello- Yes it can be arthritis. Morning stiffness generally occurs due to improper digestion and taking heavy meals. Indigestion in long run can cause Rheumatoid arthritis.
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I'm 30 years female and em experiencing back pain and knee pain. I feel ike my bones are fragile to bear pressure. Moreover I have problem in loosing weight. Although my diet is completely under check. Can you suggest any test that I should take to check my calcium level?

MBBS, MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Jaipur
I'm 30 years female and em experiencing back pain and knee pain. I feel ike my bones are fragile to bear pressure. Mo...
Hello Samina Multiple joint pain at such young age is a serious problem. We need to assess your exact bone status. For that. Get Serum calcium, phosphorus, serum alkaline phosphatase levels and Vit. D (OH-3) levels. We need to discuss your problem in detail. So, kindly contact me in private consults, so that I can give you prescription also. U will be fine. Thank you.
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I am 46 year of age male. Suffering from whole body joints pain. Maximum knee and arms (shoulders) pains. I am slim and height of 5.6. Last 2 yeas I have this problem. I take many tab but no effect. Pain as it is. Please suggest.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
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. Go for a regular walk. Also control your weight properly to bring down the pain.
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I am 66 years Old, Ex Serviceman Indian Navy no Self Employed. Married vvith Three Children All Married. I am T2 Type Diabetic, last about 12 * 15 Years Slovvly My Right Knee & Then Left Knee Stared Paining, and Novv I am unable to stand for long or vvalk due to pain and vice ness. I am normal Built views about 50 kg. What do you suggest!

BHMS
Homeopath, Mumbai
I am 66 years Old, Ex Serviceman Indian Navy no Self Employed. Married vvith Three Children All Married. I am T2 Type...
Hello sir. Your knee pain is not related to diabetes. Do one xray of both the kness and start treatment it may b age related osteoporous or osteoarthritis. Proper medication will help. Dn bend your knees much.
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Hi myself 29 years old female I always hav lot of pain in my knees I always consumes pain killers and also apply ointment but yet no relief pls tell me what should I do ?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hi myself 29 years old female I always hav lot of pain in my knees I always consumes pain killers and also apply oint...
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
1 person found this helpful
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Physiotherapist, Lucknow
Back pain is commonly caused by postural stress, muscle strains, disc injuries and arthritis.

Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
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.

Characteristics

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.

Cause

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.

Mechanism

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).

Prevention

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.

Treatment

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.

My knee and ankle joint create a sound kat' by any movement after a time interval. But there is no pain or swelling.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My knee and ankle joint create a sound kat' by any movement after a time interval.
But there is no pain or swelling.
Sleep on a hard bed with soft bedding. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contacts your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
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I am a student and sit more than six hours continue and my back start paining how I will be safe with this pain?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am a student and sit more than six hours continue and my back start paining how I will be safe with this pain?
Tk break between long sitting do walk and stretching exercise. Tk soft pillow for back support heat fermentation and muscle relaxant medicine.
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I am suffering from bachache from last one day what I must do to resolve my problem.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Backache of 1 day duration can be due to just muscle strain. If you have localized back pain with - no neurological symptoms like numbness, paresthesia etc - no associated symptoms like fever, swelling etc, my advice is: - take rest for 3-5 days - avoid forward bending, lifting heavy weights etc - take an analgesic like diclofenac or something which suits your body for 5-7 days - take muscle relaxant for same time as analgesic to relieve muscle spasm - ice packs at the site of pain, muscle spasm - local analgesic spray can be used but no massage is required let me know in 2 weeks time how you are feeling and then we can suggest you some exercises for lower back muscle strengthening. Do not hesitate to contact me if you need any further assistance.
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