Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Book
Call

Dr. Nagesh

Orthopedist, Bangalore

250 at clinic
Book Appointment
Call Doctor
Dr. Nagesh Orthopedist, Bangalore
250 at clinic
Book Appointment
Call Doctor
Submit Feedback
Report Issue
Get Help
Feed
Services

Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Nagesh
Dr. Nagesh is a renowned Orthopedist in Kumaraswamy Layout, Bangalore. He is currently associated with Swathi Nursing Home in Kumaraswamy Layout, Bangalore. Book an appointment online with Dr. Nagesh on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 36 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.

Info

Specialty
Languages spoken
English

Location

Book Clinic Appointment with Dr. Nagesh

Swathi Nursing Home

1764, Radhakrishna Building, 14th main, 1st stage, Kumaraswamy Layout, Landmark: Opp to Netravathi CablesBangalore Get Directions
250 at clinic
...more
View All

Services

View All Services

Submit Feedback

Submit a review for Dr. Nagesh

Your feedback matters!
Write a Review

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am 35 years old and suffering from backache since last two years, Please help me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 35 years old and suffering from backache since last two years, Please help me.
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 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 contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again.
1 person found this helpful
Submit FeedbackFeedback

I have pain in my back side from last 4-5 years, I concerned many doctors but I didn't get any results. I am requesting you to please provide me some medicine for tha.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have pain in my back side from last 4-5 years, I concerned many doctors but I didn't get any results. I am requesti...
Sit striaght maintain your posture avoid long sitting and avoid toward bending, lifting heavy weight use soft pillow in long sitting tk muscle relaxant medicine, do stretching exercise in daily routine.
Submit FeedbackFeedback

I have pain in my left hip. I cannot sleep properly & some problem in walking also.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in my left hip. I cannot sleep properly & some problem in walking also.
advice... hot fomantation stretching exercise 1.do cross over 2.piriformis stretching 3.knee to chest
Submit FeedbackFeedback

I am felling pain in my neck from last week what should I do when I get up in the morning I am unable to move my neck sitting in the class for long time I get a strain in my neck.

MBBS, D.P.H
General Physician, Gurgaon
I am felling pain in my neck from last week what should I do when I get up in the morning I am unable to move my neck...
1.avoid pillow. 2.regular neck exorcise and avoid forward bending if pain or inflammation is present. 3. Always sit in good posture. 5. Avoid mobile, comptutor work regularly and sit in proper posture. 6.take break if your job not permitting you.
Submit FeedbackFeedback

Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

2 people found this helpful

I having leg pain since 11 days, I take pain killer, calcium tablet and also use pain gel but the pain is still same.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I having leg pain since 11 days, I take pain killer, calcium tablet and also use pain gel but the pain is still same.
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
Submit FeedbackFeedback

I love to play cricket and I am a bowler but when I throw ball a pain is shown in my shoulder, thereafter I can, t throw any ball, so please help and tell me what is the way to stop it.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I love to play cricket and I am a bowler but when I throw ball a pain is shown in my shoulder, thereafter I can, t th...
Dear user. The pain on your shoulder muscles could be due to wrong position of your throwing arm and your wrist. You should try changing the position of the arm and practice new position. You can talk to your coach or physiotherapist. Take care.
Submit FeedbackFeedback

I have back pain from last 3 days. Even can't sleep due to this problem please suggest me what to do.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have back pain from last 3 days. Even can't sleep due to this problem please suggest me what to do.
Here are some tips for how to handle your back pain: -while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -find a mattress with back support. A good mattress should provide support for the natural curves and alignment of the spine. Medium-firm mattresses usually provide more back pain relief than firm mattresses. -do not perform activities that involve heavy lifting or twisting of your back -avoid bending forward and sitting in a place for long time -stretching and strengthening exercises are important. -a physiotherapist can tell you when to begin stretching and strengthening exercises and how to do them. Best wishes.
Submit FeedbackFeedback

Hye I am 18 year old I have a problem in my back I used many pain creams creams but no relief Please sugest me any treatment.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hye I am 18 year old I have a problem in my back I used many pain creams creams but no relief Please sugest me any tr...
Avoid heavy weight, long sitting and toward bending, rest and heat fermentation twice a day. Do spine extension exercise and stretching exercise.
Submit FeedbackFeedback
View All Feed

Near By Doctors

90%
(14 ratings)

Dr. Khalid Fiyaz M

MBBS, Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics)
Orthopedist
VIVA Medical Center, 
200 at clinic
Book Appointment

Dr. Sunil V Nukapur

MBBS, Ph. D - Orthopaedics
Orthopedist
Likhith Orthopaedic Specialities & Diagnostics, 
350 at clinic
Book Appointment
85%
(14 ratings)

Dr. Syed Imran

MBBS, Diploma in Orthopaedics, DNB (Orthopedics), Fellowship in Joint Replacement
Orthopedist
Ortho Care, 
300 at clinic
Book Appointment
93%
(183 ratings)

Dr. Bharath Raj .R

MBBS, DNB - Orthopedics, Fellowship in Arthroscopy and Sports Medicine
Orthopedist
Dr. Sunny Medical Center, 
300 at clinic
Book Appointment
85%
(31 ratings)

Dr. Ajay Rao

MBBS, DNB - Orthopedics, Fellowship in Upperlimb and Limb Reconstruction (Australia)
Orthopedist
Rao's Ortho Clinic, 
300 at clinic
Book Appointment
88%
(22 ratings)

Dr. V G Rajan

MBBS, Diploma In Orthopaedics (D. Ortho), Membership of the Royal College of Surgeons (MRCS), Fellowship of the Royal College of Surgeons (FRCS)
Orthopedist
MANIPAL HOSPITAL BANGALORE, 
300 at clinic
Book Appointment