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Dr. Shankar

Orthopedist, Bangalore

500 at clinic
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Dr. Shankar Orthopedist, Bangalore
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Shankar
Dr. Shankar is a popular Orthopedist in Malleshwaram, Bangalore. He is currently associated with The Fracture & Orthopaedic Clinic in Malleshwaram, Bangalore. You can book an instant appointment online with Dr. Shankar on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. 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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The Fracture & Orthopaedic Clinic

#57, 17th 'A' Cross, 8th Main, Malleswaram West. Land mark: Mysore Lamp Road & Near toGanesh templeBangalore Get Directions
500 at clinic
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Ankylosing Spondylitis - What Are The Causes?

MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Ankylosing Spondylitis - What Are The Causes?

The human spine has 33 vertebrae. However, some conditions can fuse these vertebrae. Ankylosing Spondylitis is one such condition. This disease may also be known as AS or Bechterew's disease. It is an inflammatory disease that can make the spine less flexible by fusing the vertebrae of the lower back together. In some cases, it can also affect the rib cage and make it difficult to breathe. This disease typically affects more men as compared to women. Most patients begin showing symptoms in early adulthood.

Ankylosing Spondylitis affects the sacroiliac joints. These joints are located just above the tailbone. It causes inflammation of the spinal bones that in turn cause pain and stiffness. With time, this inflammation spreads to the entire spine and the vertebrae begin fusing together. This can make movement difficult and painful. In severe cases, it can also lead to the development of a hunchback. This disease also affects the other tissues of the body. For example, it can affect other joints and aggravate arthritis or affect organs such as the kidney, heart, lungs, and eyes.

A specific cause has not yet been identified for Ankylosing Spondylitis. However, studies show that genetic factors can be a trigger. In particular, the presence of the HLA-B27 gene increases a person’s risk of developing symptoms pertaining to this condition. However, it is important to note that merely the presence of this gene does not make Ankylosing Spondylitis inevitable. Other genes that are associated with this disease are ARTS1 and IL23R. These genes influence the functioning of the immune system. While it can affect people of all ages, adults are at a higher risk of suffering from this condition.

In many cases, the initial inflammation of the spine is due to a bacterial infection of microbial infection. Though the infection itself may be treated and cured, it may cause the immune system to react and trigger inflammation. Once activated, if the immune system cannot be turned off, this inflammation will continue and can trigger Ankylosing Spondylitis. In each case, the disease presents a unique pattern of progression.

There is presently no cure for this condition, but with an early diagnosis and treatment, the symptoms can be managed and progression can be slowed. This treatment usually takes the form of medication to relieve pain, inflammation and discomfort and physical therapy. Surgery cannot be used to treat Ankylosing Spondylitis but in cases where it has caused severe joint damage, surgery may be advised to replace the damaged joint. If you wish to discuss about any specific problem, you can consult a Rheumatologist.

3523 people found this helpful

MPT
Physiotherapist, Mumbai
Properly wearing a backpack is very important. Stand tall with your head and neck in line with your shoulders and use both the shoulder straps to evenly distribute the weight of the pack.
3 people found this helpful

I have pain in leg's joint and had eck. Is this chikungunya if yes what should I do. I suffering from fever also.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
I have pain in leg's joint and had eck. Is this chikungunya if yes what should I do. I suffering from fever also.
Symptoms of chikungunya: Most people infected with chikungunya virus will develop some symptoms. Symptoms usually begin 3–7 days after being bitten by an infected mosquito. The most common symptoms are fever and joint pain. Other symptoms may include headache, muscle pain, joint swelling, or rash.
1 person found this helpful
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I am suffering from back pain from last 6 months. Please suggest me what should I do.

Post Graduate Diploma in Orthopardics
Orthopedist, Mumbai
I am suffering from back pain from last 6 months. Please suggest me what should I do.
Hello, back pain for more than 6 month at this age need to rule out disc prolapse I would suggest you get an investigation done with x-rays and scan if needed.
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Today I have develop pain in the inner part of elbow Seems like golf elbow I hurts when I straight up my right hand Please suggest medicine.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Today I have develop pain in the inner part of elbow Seems like golf elbow I hurts when I straight up my right hand P...
i suggest you to keep ice over the area and also you can use elbow braces which will help you to reduce pain.give proper rest to area .please try to avoid activities in outstretched hand .for eg dont take heavy objects which is above your head level
1 person found this helpful
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My sister in law (26 years) recently had sr. Cpk test ranges 4968 U/L its high than normal range. She had severe muscle pain can't even able to wake up. Is it serious condition, how to overcome this? Or is it a muscle weakness? She had a symptoms like bulging face, fingers. Its been 4 years of her marriage still she didn't get conceive also because of this any problem?

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
My sister in law (26 years) recently had sr. Cpk test ranges 4968 U/L its high than normal range. She had severe musc...
Creatine phosphokinase (CPK) is an enzyme in the body. It is found mainly in the heart, brain, and skeletal muscle. This article discusses the test to measure the amount of CPK in the blood. Normal Results Total CPK normal values: 10 to 120 micrograms per liter (mcg/L). High CPK levels may be seen in people who have: Brain injury or stroke, Convulsions,Delirium tremens, Dermatomyositis or polymyositis, Electric shock, Heart Attack, Inflammation of the heart muscle (myocarditis) Lung tissue death (pulmonary infarction). Muscular dystrophies Myopathy Rhabdomyolysis.
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When go into deep sleep. Suddenly head burning like numbness and sit out time no issues, I have no bp, sugar, thyroid, brain CT scam also done no issues.

DHMS (Diploma in Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
When go into deep sleep. Suddenly head burning like numbness and sit out time no issues, I have no bp, sugar, thyroid...
Hello For your problem most probably oxygen &blood circulation not properly according to your needs for that reason it's may be happen inadequate blood supply, you can take homoeopathic medecine for your problem 1 Arnica 30 2 drops to be taken twice daily &Ferrum metallicum200 2 drops at evening with half cup water & five phos 6x 4tabs thrice daily & Spirulina cap (vestige com) one capsule twice daily after meal, it's help to recover your problem, you report me after 15 days ,if you want you can consult with me privately, Take care..
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Sir, my heel to toe pain from 2 months. When I sleeping or when I start walking after long sit or sleeping. Why it paining. There is any deficiency which cause pain.

BHMS
Homeopath, Delhi
Sir, my heel to toe pain from 2 months. When I sleeping or when I start walking after long sit or sleeping. Why it pa...
Hi Lybrate user. Your heel pain could be because of calcalean spur. You can take homoeopathic treatment for this Avoid wearing footwear with hard soles ,standing for long and go for physiotherapy.
3 people found this helpful
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I am 61 years old and have had a backache pain for the last two years. Taking no medicines.

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 pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg 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. Do not hesitate to contact me if you need any further assistance.
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Low Back Pain in Athletes

MPT, BPT
Physiotherapist, Noida
Low Back Pain in Athletes

After twenty one years of practice, I have come to the conclusion that low back problems occurring in athletes require more than the usual amount of attention. The symptoms of low back pain occurring in athletes can often behave in an extremely mystifying and confusing fashion. A combination of several factors add to this confusion.

First, athletes are highly motivated to participate in their treatment and sometimes carry to excess the advice given to the min an attempt to speed recovery. 

This over exuberant participation in the rehabilitation of their back problem very often delays rather than accelerates the healing process. A second point to be noted is that the athlete's or sportsman's enthusiasm to participate in their favorite pastime or sport leads them to return to full participation, often long before sufficient time has passed to allow for complete healing.

The third and certainly the most common source of confusion can stern from the frequent belief of athletes that the sole cause of their problem lies in their frequent participation in a particular sporting activity. Subsequently, this belief is reinforced by a health provider who all too often comes to the same conclusion. It is not difficult to reach this conclusion, for probably three out of five athletes who experience low back pain state that their pain appears after they have participated in sport or indulged in some equally vigorous activity.

The belief that pain appearing shortly after activity must be caused by the activity itself is widespread and understandable but unfortunately frequently mistaken.

The true cause of pain in these individuals is frequently the adoption of a slouched position following the thorough exercising of their joints . After exertion we usually sit down and relax:as we are tired, the relaxed sitting posture is adopted almost immediately. In other words, after vigorous exercising we collapse in a heap and slouch badly. Joints of the spine during the process of vigorous exercise are moved rapidly in many directions over an extended period of time. 

This process causes a thorough stretching in all directions of the soft tissues surrounding the joints. In addition, the fluid gel content of the spinal discs is loosened, and it seems that distortion or displacement can occur if an exercised joint is subsequently placed in an extreme posture. 

This is so often the cause of back pain in athletes and can be proven rather easily. 

If low back pain has in fact occurred as a result of participation in a sport, then recommending rest from activity would be appropriate advice. However, if the pain has appeared after the activity has been completed and has occurred as a result of adopting a slouched sitting posture, such advice would be entirely inappropriate. 

To advise an athlete to cease participation in his favourite pastime can have serious consequences, both emotional and physical .

 If you are an athlete, or if you participate in vigorous activity sand have recently developed low back pain, it is necessary to expose the true cause of this problem in order to treat your condition correctly and successfully: we must determine whether your pain appeared during the particular activity or whether it developed afterward. 

If the pain appeared during the activity itself, then your sport may well be the cause of the present problems. 

You may remember something which happened at the time of the activity and can describe what you felt at that moment. But a very large number of people who have back pain and participate in a sport never feel discomfort or pain while they are participating or competing; their pain appears after the activity.It is easy to determine if your low back problems are the result of slouched sitting. 

From now on,immediately after activity you should watch your posture closely and sit correctly with the low back in moderate lordosis supported by a lumbar roll For example, if you have completed a few sets of tennis, if you have finished a round of golf, or competed in a football game,you must not then sink into a comfortable lounge chair or slouch in the car when you drive home. 

You must sit correctly with posture maintained meticulously  Should no pain eventuate as a result of this extra postural care, the answer to your problem is clear and the responsibility for preventing further trouble is entirely your own. 

If you fall into the group of people who develop pain only after activity, it is undesirable for you to begin the exercises at the same time as commencing the postural correction. If the exercises are performed in conjunction with postural correction, it is impossible to determine from which source the improvement was derived. If your pain continues to appear after activity in spite of correcting your posture, it is possible that you have weakened or damaged some of the soft tissues in your low back.

Poor posture is often seen in athletes during intervals of non participation: for example when waiting their tum to high jump,throw the discus or bat at baseball. It is necessary to maintain good posture during these intervals as well as after completion of the activity.

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