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Dr. Paramesh .s

Physiotherapist, Bangalore

Dr. Paramesh .s Physiotherapist, Bangalore
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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. Paramesh .s
Dr. Paramesh .s is a popular Physiotherapist in Kammanahalli, Bangalore. You can visit him at Bangalore Medical Centre in Kammanahalli, Bangalore. Book an appointment online with Dr. Paramesh .s on

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Near Kammanahalli Telephone Exchange, 416, 4th Cross, 2nd Block, Kalyan NagarBangalore Get Directions
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Knee Pain - Causes And Ways To Deal With It!

MBBS, MS - Orthopaedics, M.Ch, FICS(USA)
Orthopedist, Delhi
Knee Pain - Causes And Ways To Deal With It!

The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.

What can cause knee pain:

Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.

ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.

Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

  • Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
  • Rheumatoid Arthritis, an inflammatory chronic disorder
  • Septic Arthritis, causing pain, swelling and redness.
  • Gout caused due to the development of uric acid crystals in the joints

How to deal with it:

  • Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
  • Dealing with LoadLosing weight is an important factor as carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
  • Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to consult a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.

Ligament Injuries

The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

ACL injury and other ligament injuries can be caused by:

  • Twisting your knee with the foot planted
  • Getting hit on the knee
  • Extending the knee too far
  • Jumping and landing on a flexed knee
  • Stopping suddenly when running
  • Suddenly shifting weight from one leg to the other

These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.


  1. Rest the knee
  2. Ice your knee to reduce pain and swelling
  3. Compress your knee
  4. Elevate your knee on a pillow when you're sitting or lying down
  5. Wear a knee brace to stabilise the knee
  6. Practise stretching and strengthening exercises if they are recommended

For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.

Meniscus Tear
A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.

A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.

Treatment may include:

  1. Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows
  2. Physical therapy
  3. Surgery to repair the meniscus
  4. Surgery to remove part of the meniscus
4307 people found this helpful

I am 36 years 40 days before I am skid by bike in this tibia and thalas more gap and fibula also fracture. I am consult the doctor I take treatment but after 40 days tibia thalas little gap is there. How to set this gap. This gap effects the walkstyle? What is the treatment.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
Ankle joint fractures​ do not tolerate even minor malalignment. You should get a CT scan done to properly assess your ankle condition. Almost all displaced fractures around the ankle require surgery as conservative treatment has been shown to give poor results.
1 person found this helpful
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Suggest me Best Calcium Tablets with Vit D . Should I go with SHELCAL-CT/SHELCAL 500G. I have joint pain.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
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..
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I am 22 year old. I got this problem most of the time that whenever I play field games back pain occurs and in cricket whenever a ball hit on my fingers it swell always. I don't know what is this ?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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. Why not discuss with me in a video conference? (facility provided by lybrate. Com) avoid injury to hands while playing.
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My right leg thumb is giving pain some times. Please give me an advice for any gel or capsules.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
It may be because of gout. Gel will not help. First diagnosis has to be confirmed. Get serum uric acid levels tested.
1 person found this helpful
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I am unable to keep my backbone straight. It has been since many years back. What possible measures I should take.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Learn Yoga postures and constant practice would make it possible unless some CALCIFICATION has been done barring more flexibility.
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Why does both legs heels pains ? Is it because of calcium deficiency? My six years old daughter is also facing the same problem. Can it be because of calcium deficiency.

Physiotherapist, Delhi
Your problem may be due to calcneal spur. Get a course of ultrasound therapy from a physio and use silicone heels in your shoes. Your daughter may having flat foot problem consult a physio also.
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I have Paine in my shoulder of my left hand sense Las 4 to 5 days is it related to Hart attack or its just normal pain, I didn't understand.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
If pain is also in chest that may be heart problem otherwise its only muscular ya bone problem of shoulder tk muscle relaxant medicine and avoid computer work.
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I have lower backache at right side at hip area and left side shoulder pain throughout full arm.My age is 42 years.What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your back and shoulder pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any radiating leg or upper limb pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. If you can compile an elaborate answer and send me relevant investigations, I should be able to help you with some medications. Do not hesitate to contact me if you need any further assistance.
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Hello sir good morning my right side hand very pain. Please give me better solution.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Apply hot fomentation whenever pain is felt Avoid lying on right side during sleeping Do neck, shoulder & hand stretching Do shoulder shrugs Neck isometrics Avoid lifting heavy weight for few days with right hand
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My muscles are too stiffed n feel like swelling in that muscles and it pains a lot. Especially in morning and night. Should I do exercises for that.

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. You are very young to have these symptoms, so my advice to you will be to get a few investigations done form a good lab empty stomach and send me the test reports. Cbc, esr, crp, serum electrolytes, thyroid profile and serum vitamin d levels. This should actually help us find out whether there is any inflammatory cause of your issues. Exercises are of course of paramount importance together with correcting deficiencies and making your lifestyle more active. Do not hesitate to contact me if you need any further assistance.
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I am a 29yr old male and have backache & headache for last 3 years in regular. What should I do?

General Physician, Gurgaon
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem kindly follow advises given below: you can take: 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis/relieving/ triggering/ associated factor to reach diagnosis Consult physician for further management
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I have a problem on my legs and hands where they have joints l cannot fold my hands and legs if I sit down I cannot stand up properly where they have joints in the fingers also I can't fold it properly.

Physiotherapist, Noida
Hot fomentation. Gentle Stretching of Hand Muscles. Ball exercises. Wrist Exerciser. Calf Stretches Standing calf stretch Stand away from a wall and.put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day. Wall calf stretch Stand about two feet away from a wall. Place the ball of your right foot against the wall while your heel remains on the ground. Slowly and gently lean into the wall while keeping your knee straight. Hold this for 5 seconds. Repeat 10 times twice a day.
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I am getting back pain daily if I sit for 2 hrs mostly in the evening. What may be the reason? how can I get rid of it?

Physiotherapist, Mumbai
Hi I can understand your problem. # relax & stay positive. # take hot and cold fomentation. # learn posture care exercise. # use lumber support. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same. do share investigation reports if you have any.
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I am a student & from past some days my back severely hurts & i'm unable to sit for at least 1 hr. What will be the cause & please tell me some good back exercise.?

M.SC. in Sports Injury, BPTh/BPT
Physiotherapist, Mumbai
Hi back pain usually occurs due to prolonged sitting in a bad posture hence the pressure on the back increases and you get back pain as your muscle don't support any undue pressure so for this now you can start with a hot packs for ten minutes twice a day and also start strengthening your core muscles.
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Hi I am suffering from back pain from the past 5 days and I even consulted cupping doctors and done cupping treatment but still the pain persists, also I took pain killers like nice, paracetamol as pain is temporary reduced. Please check and do the needful.

Physiotherapist, Noida
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

DHMS (Hons.)
Homeopath, Patna
Hello, dear lybrate user, i, being a homoeopath may suggest some recourse in homoeopathy *homoeo medicine * @ hypericum 200-6 pills, twice a day. @ arnica mont 200-6 pills, thrice. Please, follow all d norms instructed by your treating orthopaedic surgeon. Take, care.
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My right arm has been hurting for the past two weeks now. The pain only occurs when I move my hand in a particular way else in a resting position it doesn't hurt. Guess I slept on my arm. The pain is like a nerve pull. What could be the reasons for the pain and what do you suggest?

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. The pain can actually be due to muscular strain, or a soft tissue element. So Rest to affected part, Ice packs at home, physical therapy under supervision of a physiotherapist and gentle anti inflammatory medication like Tab Etoshine or Tab Paracetamol or whichever suits you should be sufficient to help you get rid of this pain, but it may take 2-3 weeks. 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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Sir, I am suffering from lower back pain. I am doing cardio after that I feel relief but after 2 or 3 hours pain starts again. Pls help me.

Physiotherapist, Noida
Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.
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Hi, About my mom She is 65 years old her weight is 90 above She got previously surgery blood clot And bed sore also since 2015 November she is not able to wake up herself she can not walk She can't lift her legs So solution? Suggest for food I am giving her chapathi Brown rice Jowar ke roti Apples dry fruits Please tell me about this.

General Physician, Mumbai
We have to examine her for further guidance and Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong , chana , Dal , rice etc And to apply ghee over chappati and don't apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit
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