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Dr. Narayana K

Orthopedist, Bangalore

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Dr. Narayana K Orthopedist, Bangalore
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Narayana K
Dr. Narayana K is one of the best Orthopedists in Arekere, Bangalore. He is currently associated with Smruthi in Arekere, Bangalore. Save your time and book an appointment online with Dr. Narayana K on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 40 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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Smruthi

Bilekalli main road, BangaloreBangalore Get Directions
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Cartilage Treatment - Know The Ways It Can Be Treated!

MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Arthroscopy, Sports Orthopaedics & Shoulder
Orthopedist, Ghaziabad
Cartilage Treatment - Know The Ways It Can Be Treated!

Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.

There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.

Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)

Read on to know some of the most common causes for cartilage damage and ways to manage it.

Causes:

Age and trauma are the main reasons for cartilage damage.

  1. Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).

  2. Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.

  3. Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.

  4. Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.

Diagnosis:

The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.

Treatment:

Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:

  1. Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.

  2. Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.

  3. Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.

  4. Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth.  

I want dislocation specialist doctor My left shoulder recurrent dislocation so at present I'm doing physiotherapy exercise actually operation should be done but operation causes I miss some moments permanently of my left hand so how can I proceed? Please give reply..

MD(EH)/AM/Accupressure
Homeopath, Chandigarh
I want dislocation specialist doctor My left shoulder recurrent dislocation so at present I'm doing physiotherapy exe...
You must contact to orthodox doctor nearest to you. He will set the bone first. After that you must go to physiotherapist.
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I am 28 years old lady, have back pain and high bp problem last 3 weeks. Please help me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 28 years old lady, have back pain and high bp problem last 3 weeks. Please help me.
Do take ift and spinal extension exercise from neuro physio and consult gen,physician for hypertension problems
3 people found this helpful
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50 year old female, getting severe pain when sitting and standing from sitting. There is discomfort at the out let of anus and often getting pain at the feet joints and lower back.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Stiffness in back & other joints is quite a common condition. 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 mattress are harmful use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take do reply back for private consultation and detailed treatment plan.
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My problem is shoulder pain and back pain also I am suffering from it from six months.

DHMS (Hons.)
Homeopath, Patna
My problem is shoulder pain and back pain also I am suffering from it from six months.
Dear lybrate user, it might be cervical spondiolosis, postural defect. Go for suitable physiotherapy for your complain. Take, homoeo medicine. @ rhus tox 200-6 pills, thrice a day. @ arnica mont200-6 pills, thrice a day. Avoid, jerk, bending down to lift heavy weight, junk food, cold intake, smoking, alcohol. Correct your sitting, sleeping postures. Report, wkly, please. Take, care.
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Hands and feet are cold and tingelling. Feel slight heaviness in left chest, not able to sleep properly due to hands numbness specially. Internal organs give mild temporary pains, have fatty liver, weakness, previously faced erectile dysfunction now solved. Feel heaviness in left chest as well Is it due to poor blood circulation or calostrole? Or anything else.

BAMS
Ayurveda, Thrissur
Hands and feet are cold and tingelling. Feel slight heaviness in left chest, not able to sleep properly due to hands ...
It is best to go for blood routine test and also check your cholesterol levels. Cold hand s and feet usually is due to poor blood circulation and can improve with exercising. But be sure to do your blood routine to check if there no signs of any infections like chest infection or so .if at all there is a feeling of having fever in the evenings or at night also indicates infections. Better to see a doctor and get the tests done.
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Rheumatoid Arthritis - How to Manage its Pain?

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Rheumatoid Arthritis - How to Manage its Pain?

Arthritis is an autoimmune disorder wherein, the immune system of the body attacks healthy tissues within the various joints of the body. This causes inflammation of the joints, leading to multiple problems in them. One common issue with all the problems is pain. Thus, managing pain with rheumatoid arthritis is one of the most important facets of the treatment. More than the deformities or other problems, it is the pain that limits your capabilities. Some techniques for the management of pain are mentioned below.

  1. Pain medication: This is the obvious and first choice to avail if you need to reduce pain. There are many types and levels of pain medications which can range anywhere from being mild to very strong. However, this isn’t an option that should be considered lightly as you may have a tendency to develop a dependency which can border on addiction. Also, many of them harm the hepatic and renal system of the body if used beyond a certain period. Thus it is advisable to use this prudently.
  2. Weight management: In many cases, the pain is exacerbated by obesity. It has been noticed that obese or overweight people tend to suffer more from arthritis pain as the added weight tends to add pressure on the joints. Thus, one of the best ways to reduce a significant amount of pain would be to reduce weight through dieting and limited exercises that don’t strain the joints. However, it is easier said than done as a person in pain cannot usually exercise! So, the best strategy is to visit a pain specialist / interventional pain physician and get your pain controlled. Thereafter, start the exercises and reduce the weight effectively.
  3. Medication for inflammation: Inflammation of the joints is the primary symptom of this disorder. Inflammation is also what causes the pain within the joints. Thus, treating the inflammation with relevant medication has also been known to reduce pain. This is usually the first option to go to for relieving arthritis pain. The catch point here is also the side effect profile of these drugs.
  4. Changes in Diet: A few type of foods, especially certain fish found in colder waters are a rich source of omega-3 fatty acids, which are very good at reducing inflammation within the joints. There are also certain food items which may be bad for your arthritis pain as they may aggravate inflammation and it is better to avoid such items altogether. Some examples of such items would be sugar, alcohol, white flour, processed meats, gluten rich foods among others.
  5. Massages: Whether it is a self-massage or from a therapist, it is a great way to encourage circulation which can help reduce inflammation and work as a pain reliever. A therapist would also know certain specific techniques to relieve arthritis pain. However, most of the times, improper massage shall do more harm than good.
  6. Interventional Pain Procedures: These may often be the most cost effective and usually the only option to reduce pain. These include joint injections, neurotomies, radio frequency therapy, laser therapy, ozone therapy, platelet rich plasma or anti-inflammatory injections.
  7. Other therapies: Some other therapies include heat and cold compress, acupuncture, wearing supportive wears and braces among others to encourage circulation and reduce pain. Transcutaneous electrical nerve stimulation also helps to relieve pain by stimulating the affected nerves in the joints with the help of a low voltage electric current. If you wish to discuss about any specific problem, you can consult a pain management specialist.
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I'm 35 years old, last 1 years back my both legs to much pain, I was trying so many medicine and oil massage but no relief please give me suggestion what can I do?

MPT, BPT
Physiotherapist, Noida
I'm 35 years old, last 1 years back my both legs to much pain, I was trying so many medicine and oil massage but no r...
Keep your leg raised while sitting or lying quadriceps strengthening exercises hamstring stretching calf muscles stretching contrast bath.
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