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Dr. V Gopal

MBBS, MS-Ortho

Orthopedist, Bangalore

25 Years Experience  ·  100 - 200 at clinic
Dr. V Gopal MBBS, MS-Ortho Orthopedist, Bangalore
25 Years Experience  ·  100 - 200 at clinic
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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. V Gopal
Dr. V Gopal is a popular Orthopedist in Yelahanka, Bangalore. He has over 25 years of experience as a Orthopedist. He has completed MBBS, MS-Ortho . He is currently associated with Sri Satya Sai Ortho Clinic in Yelahanka, Bangalore. You can book an instant appointment online with Dr. V Gopal on

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MBBS - Pondicherry University, - 1992
MS-Ortho - PGIMER,Chandigarh, - 1996
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Sri Satya Sai Ortho Clinic

Markandeya Complex, Yelahanka Old Town. Landmark: Near Hanuman StatueBangalore Get Directions
100 at clinic

Satya Sai Hospital

Survey.No 11/1, Airport Road, Kadiganahalli, ChikkajalaBangalore Get Directions
200 at clinic
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My mother is on bed first of all she has a fracture in right hip later on developed infection doctors operated and remove the plate implanted and the after that spacer in implanted in latter stage infection is developed in uti and there is hundred percent puss in urine and culture eport says that there is ecoli bacteria is seen. Now she has a problem of vomitting nothing is digested only given liquids such as coconut water little milk or some juice. No solid food is taken by her as she try immediately vomits it out. She is also diabitic her condition is critical since last fortnight so please advice what should we do

Post Graduate DIploma in Acupuncture, Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Coimbatore
Its better to avoid solid foods now. Go with fresh fruit juices in diluted form. Don' t add sugar or any sweetner. Let her body to get detoxify itself. Since infections are heavy this is only solution. Im sure if you follow this strictly she will regain her health soon. She can see the effects in a week. Any doubt during juice diet, consult me.
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Dear sir, I am from kanpur. Also I am married my question is 6 months ago I was fit n fine after marriage I feel bone pain like right side hand and knee. But I have already taken calcium tabs before 3 days but sir some doctors suggested me to get uric acid test done and calcium test that is right or not ? and how can recover from pain please tell me sir as soon as possible.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It needs to be investigated. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- 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. 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. If it does not give relief in 4-5days, inform.
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I am a 46 year old male diagnosed with fibromyalgia. I have been very active and used to play badminton and gym regularly before it all was stopped as I was misdiagnosed with cervical spondylosis. I have been advised to restart gymming and weight training exercises. What all exercises should I avoid and will losing weight help in fibromyalgia. What diets should I avoid?

Physiotherapist, Noida
Hot fomentation x twice daily. Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support. Self massage the back of neck.
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I am a retired person from Govt. Service and I am 59 years old male and have pain in right solder, from last 3 months and taking medicine and pain relief gel as prescribed my family doctor. Also I have BP and diabetes and taking tablets as prescribed my family doctor from last 5 years. Daily I am doing walking, exercise, and Yoga. But I am feel low satisfaction in all aspect of Health. position. What is your advice to me to follow. I kindly expect your reply. Thanking You.

MBBS, MD - Medicine
General Physician, Delhi
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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Hi I have knee pain, doctors say its spondylitis but some says calcium less in body. As of now I am taking razberg ace tablets. Is it right tablets.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
You should take Acupressure therapy and take Biochemic Mag phos 200x + Calc phos 200x 4 tab each thrice a day with warm water and take it 5 days than consult private online .
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I have darkness around my pelvic area. I also feel itchy some times. Please give me a solution.

Physiotherapist, Mumbai
Hi darkness/black skin is due to itching and itching is because of dry skin. Apply moisturizer thrice a day.
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Hi I am 28 year old. I have a problem with my knees. Slight deformity(knock knees). Due to which I often feel stress in my legs. So I would like to get fixed of this prob through surgery. So what would be the cost?

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
For state of the art quality surgeries at unbelievably low rates, kindly consult us on or contact Dr. Sunil nadkarni who is one of the best ortho surgeon in the world.
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I'm having a pain when I bend my wrist. It seems like a nerve has some problem and it's growing it'd be better if I post a picture or video of it.

Homeopath, Faridabad
Hello, you should take Ruta 30 Ch 3 drops , twice daily and Hypericum 30 Ch , 3 drops once daily. Apply Topi Arnica gel over it. Revert after 10 days.
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I am 18 year old and I am suffering from muscle pain in legs since last two weeks and I don't play much games.

Homeopath, Sindhudurg
Homoeopathic treatment- mag phos 6x -4 pills 3 times calcivita syrup 2 spoonful 3 time. For 8 days and revert back.
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I am 57 years old & suffering from cervical spondylosis. As per x ray report intervertebral dick spaces appear reduced at c5-c6 & c6-c7 leveles. What should I do ? please guide.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
The best treatment is a mix of kati basti + matra basti. Please see some good qualified panchakarma expert in your area or call us we shall guide.
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I am Ashu, 27 years old. I had so much of back pain and M taking pain killer tablet but still M facing same problems. So please help me. And from last 4 months M facing irregular periods soguidefor this also.

Physiotherapist, Noida
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. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
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Good morning sir I am 40 year old have a pain in one knee due to cartilage loss It is because my leg is little bit tilt In daily working I am comfortable But some time it get start paining Can you help me so that it does not get more damage in future.

Ayurveda, Nashik
use knee brace for support . tO STOP further damage Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. Start natural calcium supplement. Do regular stretching exercise this will help you to improve joint strenght you can also go for ayurvedic panchakarma therapy for knee joint
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Underside of my foot is having pulsating pain especially at night. What is to be done?

General Physician, Dhenkanal
May be due to I'll fitting shoes,gout etc.Do a serum Uric acid test.Putting foot in warm water bowl for 15 minutes daily ,may give relief.
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Doctor, I had got my CBC done on 27 Aug. Today is 1st Sep but still I am experiencing pain in my arm. At the moment the blood was being drawn too I experienced pain. What could be the reason? First time such pain after blood test.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear may be your veins have got inflammation and that pain can bother you for long. Apply ice for 20 minutes every hourly.
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Iam a 19 years boy and iam getting pain in my eyes and neck pain at nt I have habit of chatting at nights and some time I feal like my eyes are coming out and how I reduce or control the pain of my eyes and neck what care should I need to take.

Homeopath, Faridabad
hello , Use CMD2 eye drop , 2 drop in each eye twice daily. Take Ruta 30 , 3 drops twice daily. Take Gelsemium 200 ch , 3 drop once daily. Also get your eyes tested by an eye specialist.Stop late night chatting and watching TV.
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.


The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.


The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.


The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).


Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.


The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

Hi doctor I have a problem Every day in my hand pain is start Its very difficult to face this problem every day I cry please gave tips.

Ayurveda, Nashik
do consult ortho doctor with X ray of hand . or u can try some tips 1) Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. 2) Start natural calcium supplement. 3) Do regular stretching exercise 4) In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. 5) Do neck & upper back extension, give feedback after 4 days.
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Hello sir. I am 34 years old male from tamil nadu. My one leg is affected by polio. So I have strained only a my one leg through the life. Now days my normal leg's foot have pain. And also have some itches. Is this is symptoms of any problem?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Dear this is due to double pressure of limb, that create any problem in future do stretching exercise of leg tk walker for balance your weight.
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Hi, I am 30 year old male with a L5 disk slip 3 months back. Weight 85 kg. I have been experiencing continuous numbness in my right thigh. Please suggest if I need to go disc hernia surgery.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take IFT and laser Therapy for pain relief for 12 days followed by Rehabilitation exercises from physiotherapist first conservatively and still pain persists do Take an second opinion from other Neuro Surgeon Best wishes.
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