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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
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My aunt is suffering from fibromyalgia. She always feel pain in joints. She is having medicine but is there any diet suggestions and other suggestions for this disease?
I am 60 years male height 6' weight 95 kgs. MRI report says the following; 1. Diffuse disc at L3 - L4 indenting anterior thecal sac mildly with bilateral mild neural foraminal narrowing 2. Diffuse disc bulge at L4-L5 more so on left side indenting nerve roots with significant bilateral neural foraminal narrowing (left>right) 3. Diffuse bulge with posreocentral disc extrusion at L5-S1 indenting nerve roots with bilateral significant neural foraminal narrowing. Diagnosis and remedy.
The common term ‘shinbone’ suggests there is only one bone in the lower leg. Actually, there are two: the fibula and the tibia. The muscles of the fibula attach to the ankle and help to move the foot. The muscles on the outer side of the tibia extend over the top of the foot and help to lift the foot & uncurl the toes.
Causes of Shin Splints
Shin splits commonly occur due to overuse or over-activity. It usually occurs when a person has started running after a long period. Running on hard surfaces or wearing of inadequate and poorly shoes is also one of the major causes of shin splints. Other then this being overweight, lack of calcium or any previous injury can also be reasons of pain in lower leg.
Signs & Symptoms of Shin Splints
The patient has a dull, aching pain in the front part of the lower leg. For some, the pain and discomfort emerge only during exercise, while for others it comes after the physical activity is over. Pain can also be there all the time. The pain can be on either side of the shinbone, or in the muscle itself - this depends on the cause. Signs and symptoms related to shin splints may include:
Moderate swelling in lower leg
Tenderness or soreness along the inner part of the lower leg
Feet may feel numb and weak, because swollen muscles irritate the nerves
Pain triggers when the toes and foot are bent downwards
In severe cases,pain can also be felt while climbing stairs
Stress fractures of one of the two bones in the leg below the knee can also cause shin splint-type pain. A stress fracture is a type of incomplete fracture in a bone. Stress fractures tend to occur as a result of overuse and are known as overuse injuries.
Diagnosis of Shin Splits
Shin splints are usually fairly easy to diagnose. The doctor carries out a physical exam, checks the patient's medical history, and may ask relevant questions regarding lifestyle and physical activities.Sometimes, the doctor may order some diagnostic tests in order to rule out other possible causes, such as a stress fracture. The tests you may have are listed below
MRI scan- This uses magnets and radiowaves to produce images of your shin bone and surrounding soft tissues. Because MRI scans are the most accurate and don’t expose you to radiation, this is usually the test of choice.
X-ray- This is a test that uses radiation to produce an image of the inside of your body.
CT scan - This uses X-rays to make a three-dimensional image of your shin bone. You’re exposed to more radiation than a simple X-ray when you have this test.
Bone scan - This looks for abnormalities or changes in your bones.
Treatment of Shin Splints
Following are things you can do yourself to treat shin splints
Avoid doing activities that causes pain,swelling or discomfort. It is better to do low-impact exercises like bicycling, swimming instead of completely avoiding it. But if you have stress fracture it is recommended to take rest for few weeks and heal properly.
Try cold ice packs to help relieve any pain. Wrap your ice pack in a towel – don’t apply it directly onto your skin. Hold it in place for 10 to 20 minutes at a time. You can repeat this several times a day if you need to.
You can take over-the-counter painkillers like paracetamol or ibuprofen to reduce pain.
Check your sport shoes to make sure they are giving your feet enough support and cushioning. Orthotic insoles for your shoes may also help to improve the way you run.
When you start exercising again, start slowly. If you get shin splints again, stop the activity and rest for a few days before starting the exercise at a lower level of intensity.
Run on soft surfaces like grass
Your physiotherapist can develop a training programme for you to gradually increase your level of activity and help you return to your usual sports. They may use a range of different treatments to help your recovery, including massage and stretching exercises.
Most of the time, surgery isn’t required for shin splints. However, if your shin splints are caused by compartment syndrome and your pain is severe, your doctor may suggest an operation called a fasciotomy. This releases the pressure on the muscles in your lower leg.
Prevention of Shin Splints
Risk of developing shin splints can be reduce by doing the following
Wear shoes with good support and padding
Wear cushioned insoles to absorb some of the impact while doing any sport activity
Warm up before working out
Stretch the muscles in your legs after workouts
Work to maintain and improve strength in muscles
Hi am having some pain in my back so please tell me some solutions for cure me fast am have this from 10days give some tip.
Hi. I m 26 yr female having lower back pain frm so many months taken meds nd physiotherapy. Now fine. But recently if I walk for 15 mins I m getting pain again lasting for few days. Walking suppose to b healthy but what shall I do. please suggest.
Sir, When I am going for walking me leg is paining very much. And I am taking very medicine but nothing happen.
My mom is 45 years old n she is suffering from severe backpain. After consulting doctors they said it's spondylosis n gave some treatment but though she was unrelieved from the pain. Now daily she is suffering a lot from d pain. please suggest wat to do.
Hi i Am suffering from leg muscle pain. I have done with dvt but there is null in report. But donno the pain remains same uptill now. So can I find the reason n treatment for this.
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.
I am 27 yrs old male. When I am swallowing something a sharp pain occurs in rhomboid muscles area. Also when I stretch my neck or press my throat area pain occurs near shoulder blade area. This problem is happening with me for last 1 monthbut from last three days it has increased a lot. Not ableto eat food or sleep properly.
I am suffering from thigh pain 2 years sgo my left foot slipped n now I can't fold my left leg bcoz it starts pain irritates me some nerve may pressed bcoz pain moves same happened vd my right shoulder please help me nerve relaxing medicine or what you diagnosed.
Dear Doctor usually the pain in my knee and other joints of body my age is 19 please ask how I do for this.
I am 40 years old, working in a pse, suffering from spondolytis in neck, lower side of back. Please suggest.
I am suffering from a knee ligament injury. My left knee ligament is torn. I have swelling in knee from more thn ten days. Can you suggest what should be done.
I have not been on regular morning walks. I am feeling heaviness in legs, appetite increased and the urge to urinate is frequent. What do the symptoms say?
Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.
Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:
- Sore or stiff joints – after inactivity or overuse
- Limited range of motion or stiffness that goes away after movement
- Clicking or cracking sound when joint bends
- Mild swelling around a joint
- Pain that is worse after activity or toward the end of the day
Treatment Options For Osteoarthritis
Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:
- Managing symptoms, such as pain, stiffness and swelling
- Improving joint mobility and flexibility
- Maintaining a healthy weight
- Getting enough of exercise
Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.
Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.
Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.
Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.
For Pain Management
- Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
- Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year
Knee pain or functional status has failed to improve with non-operative management
Types of Surgery
- Arthroscopic Irrigation
- Arthroscopic Debridement
- High Tibial Osteotomy
- Partial Knee Arthroplasty
- Total Knee Arthroplasty
Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.
Joint Replacement Surgery: Joint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.
Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.
Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.
- People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
- In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
- X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
- Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
- A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.