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Dr. Mariappa

Orthopedist, Bangalore

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Dr. Mariappa Orthopedist, Bangalore
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Mariappa
Dr. Mariappa is one of the best Orthopedists in Wilson Garden, Bangalore. Doctor is currently associated with Sri Krishna Nursing Home & Orthopaedic Centre in Wilson Garden, Bangalore. Book an appointment online with Dr. Mariappa on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 44 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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Sir, i am suffering from joint. Pains swelling, stiffness(fingers, palm, knees and foot) since after chigungunya, at present I am taking treatment from orthopedic Dr. Aravindam from rajahmundry, he suggested tab. Sazo-500 mg, sorez along with some multivitamin tables( since one month) but no response, my uric acid is 5. 8 mg/dil. Every thing is alright, you suggest me better treatment for relief . Regards

MS Orth, Fellowship of the Royal College of Surgeons (FRCS)
Orthopedist
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Joint pains and swelling persist for about 1-2 years post viral infections like chikunguniya. There is no specific medicine for it. So rely more on exercises to prevent joint stiffness. Good news is it is self-remitting and will cure itself.

I am getting a severe headache for 30 years old, and also getting neck pain please help me.

MBBS, MS - Orthopaedics
Orthopedist
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Kindly show me a photograph of the affected part. Rule out diabetes & vit.D deficiency or any other metabolic disorder. 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. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general 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. If it does not give relief in 4-5days,contact me again.. Do not ignore .It could be beginning of a serious problem.

Hi My husband had pain in his left shoulder. He can' t move the shoulder back. He has taken physiotherapy for more than two months. Still the problem is there. It was said that he has frozen shoulder problem. Please advise

MSPT (Master of Physical Therapy)
Physiotherapist
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If he had a frozen shoulder then primary treatment is pain killer and physiotherapy he has to do exercises on regular basis if at all no relief is there then u can consult a orthopaedic they can do manipulation under g a. Thanks and regards Dr. Ritesh Kharnal

I am 28 yedar old male and have left leg heal should painful when I am walking after take rest or waking from sleep. Some people give some advice like extend your leg bone. What should I do?

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist
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Reduce your weight by 10 kgs. 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 shelcal 500mg for a limited period 2 months consult after 10 days.

I am suffering from back pain. I am not able to bend comfortably is there any solution to that.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I am suffering from back pain. I am not able to bend comfortably is there any solution to that.
avoid bending till relief do spine extension exercise and hot fomentations. posture correction must tk muscle relaxant medicine.

I am 37 year old person suffering from neck stiffness since child hood I am unable to control my neck movements, there is stiffness in the shoulders along with pain sometimes.

BHMS
Homeopath
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Hello, take Gelsemium 30, 3 drops once daily. Hypericum 1x, 2 tab with warm water twice daily. Apply topi Arnica on the painful area of the neck. Revert me after 1 week.

What is he treatment for trigger finger. Presently it is on one finger only. Will it spread to other fingers if not treated.

MD - Alternate Medicine, BHMS
Homeopath
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Yes, it can go to another fingers. Many times it happens because of side-effect of anti-hypertensive. So you need to co-relate this problem with the physician under whom you taking treatment. So that that medicine can be stopped and another medicine can be started. Take care.:)

From few days I feel backaches after midnight. What could be the possible treatment to remove this.

BPTh/BPT, MPTh/MPT
Physiotherapist
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From few days I feel backaches after midnight. What could be the possible treatment to remove this.
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.

Hi sir I aam suffering from back bone pain I think I have a Venus problem when I sit regular one hour my back bone is so paining so please suggest best doctor.

DNB (Orthopedics), MS - Orthopaedics
Orthopedist
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Hi sir I aam suffering from back bone pain I think I have a Venus problem when I sit regular one hour my back bone is...
Hello, you may have disc problem of your spine. Any leg or buttock pain. Avoid long sitting or travelling, do core strengthening exercises of spine. Consult ortho spine surgeon for further evaluation.

Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist
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Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.
Cervical Lordosis Straightening Treatment

I am a 30 years old and since last two 3 month I am suffering from backache. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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I am a 30 years old and since last two 3 month I am suffering from backache. What should I do?
Hi Thanks for your query and welcome to Lybrate. I am Dr. Akshay from Fortis hospital, New Delhi. You are very young to actually have persistent back pains. 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 - 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

I am suffering with severe pain in my butt since may 2015. What can be reason for such kind of pain?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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I am suffering with severe pain in my butt since may 2015. What can be reason for such kind of pain?
It might be of muscle strain or of pathological reasons do take ust and tens therapy for pain relief for 10 days followed by strengthening exercise from neuro physiotherapist best wishes.

My age is 70 years. My Right Leg two fingers are having severe pain since long time.Please do help

MSPT (Master of Physical Therapy)
Physiotherapist
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Apply contrast bath if not help then consul an orthopedic surgeon. Thanks and regards Dr. Ritesh kharnal

Sir mere right hand ke wrist pr ubhar aa gaya hai gilty jaisa but wo pain nhi krta hai. Abhi wo chota hai mai kya karu?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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Sir mere right hand ke wrist pr ubhar aa gaya hai gilty jaisa but wo pain nhi krta hai. Abhi wo chota hai mai kya karu?
Do Take UST and laser Therapy for 12 days followed by strengthening exercise from Neuro physiotherapist best wishes

I am 27 years old last 1 month knee pain [thigh to knee ]how to solve this problem?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation do reply back for private consultation. And detailed treatment plan.

My left shoulder is having pain from last few days and swollen at a place down the shoulder.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist
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You can use the ice if the duration of pain is shorter, or if pain is severe with swelling and redness. otherwise you can use warm water pouring on affected part. you can avoid heavy weight lifting. do some free exercise without any weight slow that relieves your pain slowly. DR HEMANG S JANI MPT

I have worked full time in computer with internet. My problem is I am facing back pain. please help me how should I do.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I have worked full time in computer with internet. My problem is I am facing back pain. please help me how should I do.
tk soft pillow for back support. avoid toward bending. do spine stretching exercises and spine extension. keep straight ur legs. do hot fermentation. avoid long sitting

My foots are very hard when I wake up at morning and hard to walk. Let me know why.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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My foots are very hard when I wake up at morning and hard to walk. Let me know why.
Apply prasarini oil or pranacharya restopain oil on affected part then give hot fomentation. Take maharasnadi kwath 2-2 tsf twice a day. 1-1 tab yograj guggul after lunch and dinner. Avoid tea. Coffee. Junk food. Spicy food. Fermented food. Take green vegetables. Drink juice. Eat fruits. Drink 7-8 glass of water in a day. Take 7 hours sleep minimum. Do pranayama early morning. Walk for minimum 30 minutes in a day. For more detail contact me in private.

I'm 23 years old and I'm having backache and heavy pain in my knees especially my left knee, I'm feeling this pain from 1 year and I'm taking pain killers like aceclofenac, ibuprofen, it's not getting cured it gives relaxation for sometime but again pains a lot please help me to get rid of this!

BPTh/BPT, MPTh/MPT
Physiotherapist
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I'm 23 years old and I'm having backache and heavy pain in my knees especially my left knee, I'm feeling this pain fr...
Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation.
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