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Chaitanya Therapy Centre

Occupational Therapist Clinic

19/1 gangai Nagar ,1st cross street. LM: Near Murugan Kalyana Mandapam, Chennai Chennai
1 Doctor
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Chaitanya Therapy Centre Occupational Therapist Clinic 19/1 gangai Nagar ,1st cross street. LM: Near Murugan Kalyana Mandapam, Chennai Chennai
1 Doctor
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About

By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Chaitanya Therapy Centre
Chaitanya Therapy Centre is known for housing experienced Occupational Therapists. Dr. Kamal Raj, a well-reputed Occupational Therapist, practices in Chennai. Visit this medical health centre for Occupational Therapists recommended by 101 patients.

Timings

MON-SAT
09:30 AM - 07:00 PM

Location

19/1 gangai Nagar ,1st cross street. LM: Near Murugan Kalyana Mandapam, Chennai
Chennai, Tamil Nadu
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

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Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left thumb leg getting vibration is there any solutions for that.

BHMS
Homeopath, Secunderabad
Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left...
Go for a routine health check up and (also check blood sugar and BP). I don't think there is any serious problem but let the doctor decide it based on examination and some tests. On your part you need to become aware about the basics of health and not take life for granted. Start exercising every day (add yoga as it can be relaxing and empowers the nervous system ). Eat healthy food. Avoid all junk food and cold-drinks. Eat more of fruits and vegetables. Avoid bad habits. Sleep for 7-8 hrs everyday.
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I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.

DHMS (Hons.)
Homeopath, Patna
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Hello, Lybrate user, You might have been injured on your back cause pain lumber region. Tk, Homoeopathic medicine:@ Hypericum 200-6 pills, thrice. Tk, care.
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I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.

MPT (Sports Medicine)
Physiotherapist, Delhi
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still ha...
First of all you have to be assessed for any of the muscles or soft tissues of your shoulder. Then your movements have to be checked properly. And for this you need expert consultation. Then only reach to some decision else you would be prescribed 1 thing or another by different people no matter whether you get relief or not.
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I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Many times all tests are negative and the patient still suffers. You are suffering from indigestion and due to which there is a toxin called AMA being formed in your stomach. This is accumulating in joints leading to swelling and stiffness. So digestion needs to be rectified first along with panchakarma treatment. Pls see me personally.
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I was suffering with muscle joint problem below the stomach and the joint of legs to the stomach. It's been for last 7 days please suggest me how to get rid of pain.

BAMS
Ayurveda, Zirakpur
I was suffering with muscle joint problem below the stomach and the joint of legs to the stomach. It's been for last ...
Start taking Ashwagandha capsule,1 capsule twice daily with milk and do massage of that area with til tail.
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My mom has high diabetes which is under control but she is suffering from shoulder pain. Can you help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolhapur
My mom has high diabetes which is under control but she is suffering from shoulder pain. Can you help me.
Due to diabetes the vessels of body and muscles becomes stiff. It means it is unable to move or touch. It's called frozen shoulder. Some mesh type structure form around the working joint which causes pain while movement. Apply the hot water bag over shoulder. So the hand exercise slowly. Although it is painful do some movements . Details can connect me.
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My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?

BHMS, MD - Homeopathy, Post Graduation Diploma In Psychological Counselling, Certificate Course in Medical Transcription
Homeopath, Mumbai
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patien...
Get her dexa scan done. She will have to take calcium supplements and do mild exercise. Eat well. Yes, homeopathy can help her.
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My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.
give her RHUS TOX 30inglobules 4-6pills thrice daily for 7 days.have x ray of knee joint and blood for uric acid. and CONSULT after that . thanks
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What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n...
You have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. It is also suggestible to go for cervical muscle strengthening exercises.
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How I know what is the reason of pain in my neck, arm and shoulder from 2 year MRI and x-ray show everything normal please help My life becomes hell 8541819454 my no. U r my last hope.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
How I know what is the reason of pain in my neck, arm and shoulder from 2 year
MRI and x-ray show everything normal p...
There might be nerve compression Do neck isometrics Do neck & arm stretching Do shoulder shrugs Avoid sleeping on the affected side Use thin pillow while sleeping Apply hot fomentation
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I have My Vein problem in My Right Leg. When I get up from Bed That's Time problem to Walk in.

Physiotherapist, Latur
I have My Vein problem in My Right Leg. When I get up from Bed That's Time problem to Walk in.
Do some easy stretches while lying in bed, then sitting up in bed, such as bending to the front and sides .Take a hot shower. After you are warmed up from the shower, do some gentle knee bends. .Drink lots of water. .Eat healthier.
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Arachnoiditis - Pain Management Techniques For It!

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Arachnoiditis - Pain Management Techniques For It!

Arachnoiditis is a sort of inflammation of the defensive layers of the spinal canal. You can envisage it as the scar tissues that enlarge in the arachnoid lining. Also the lining can turn out to be inflamed due to the recurrent intervention on the spine, a lot of surgeries can lead to the scarring, for instance. It can also expand due to definite type of the spinal infections as well as due to the chemicals of epidural steroid injections, particularly if these kinds of chemicals get into the spinal fluid.

As the disease increases day by day, the symptoms also become bigger in magnitude. A lot of people who are suffering from this type of problems are incapable of working. Further due to Arachnoiditis the following symptoms are likely to happen

  1. Grounds of the nerve roots to plod together
  2. The nerve pain
  3. The numbness
  4. The tingling

Radio Frequency rhizotomy is primarily effectual on the joint pain. Patients who are good candidates for the RF have the pain whilst they're doing activities that increase the stress of the spine. Also the RF blocks all the nerves around the joint from sending the pain signals to the brain, as well as that pain free period normally lasts around one year. In that time, patients have to learn regarding the postural correction as well as the good body mechanics. RF presents the patients an option to get back their mobility as well as provide training regarding the movements of their daily lives with the less pain.

The details of information about drugs which might help arachnoiditis:
There are lots of pain management treatments available. Further patients might try the medications to find out the pain relief. A number of options are:

  1. The NSAIDs ( one kind of the anti-inflammatory drugs)
  2. The corticosteroids kind of drugs
  3. The anti-spasm type of the drugs
  4. Also an anti-convulsant drugs as well as
  5. The narcotic type of the pain relievers

A number of these types of medications might be given with a spinal pump. That is the little device which is entrenched under the skin and it then distributes the medication straightly to the inflamed area.
Also the patients might also take the spinal cord stimulation. On the other hand, the natural type of the treatments can assist, also, as well as it can often be utilized in conjunction with the prescribed type of the medication. You can also consult with your doctor about your options regarding your treatments.

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Sir I am 24 years old. I had undergone a hernia surgery in Mar 2011. After it hernia disappeared and hydrocele appeared. But it is not painful. For the last 6 years its size is same. Should I go for a surgery or it can be left same. Please suggest me sir. What consequences will I face if it will be left untreated.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Pune
Well. There is chances of swelling in scrotum after post op of inguinal hernia. That may be post op swelling which need some scrotum supports n medicine kindly consult me in private !but Get the ultrasonography of inguinal and scrotum region it will tell the diagnosis!
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My left leg was hit by car tyre about 2 months ago and I had check to doctor and take medicine and also I had x-ray my leg --nothing abnormality found But nowadays my leg is paining lightly please PLZ SUGGEST ME WHAT TO DO?

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My left leg was hit by car tyre about 2 months ago and I had check to doctor and take medicine and also I had x-ray m...
take arnica montana 200 /12 doses, thrice daily for4 days and rhus tox 30/12 for next 4 days and calcarea carb 200/12 doses once daily. consult after that thanks.
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At that time, my left hand can only be given to the strength of thumb, could not release the hand brake of the car, there is pain in the hand,

BHMS
Homeopath, Raebareli
At that time, my left hand can only be given to the strength of thumb, could not release the hand brake of the car, t...
Azlu probably you are facing stiffness resulting in pain due to accumulated lactic acid in group of muscles you need to do some physical exercise on daily basis along with it need glucose rich diet and for now avoid protein rich diets for few days along with it take a medicine Mag Phos 6x thrice daily for 5 days and consult back.
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I am suffering from headache, leg pain, hand pain all at same time from 1 week wat should I do.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
I am suffering from headache, leg pain, hand pain all at same time from 1 week wat should I do.
Take Liquid Diet if you have loose motions:(ORS water, Coconut water, Sour Milk {Chhach - Lassi}, Green Moong Dal Liquid). Otherwise take semisolid food and plenty of fluids. Go for investigations: Typhidot IgM and Complete Hemogram - Upload your Investigation report soon for more help, You can start with Eupatorium Perf 200 - take it thrice daily (if you have faith in Homeopathy medicine). If there is Moderate to high grade fever then continue Antipyretic medicine along with Homeopathic Medicine. You can consult me in person online through Lybrate for more help.
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I am 22 year old. Bones of my hand and legs are very thin. What should I do? May I take calcium supplement?

BHMS
Homeopath, Secunderabad
I am 22 year old. Bones of my hand and legs are very thin. What should I do? May I take calcium supplement?
You mean to say that you look lean and thin. It is not a disease. You have to cultivate the habit of exercising everyday and eat healthy food and avoid junk food and all kinds of bad habits. If the need arises then take calcium supplements after checking with a doctor (after a routine checkup).
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I am feeling sensations in back of my arms, neck and in cervical area some doctors diagnosed it as nerve problem, it feels good when someone presses it or gives massage, but whenever I masturbate. Problem increases so much and becomes intolerable, sensations become so high my complete arms feels weak, even I have problem in typing, also sensation in hands fingers, specially in last two fingers" Pinched nerve signs and symptoms include: Numbness or decreased sensation in the area supplied by the nerve. Sharp, aching or burning pain, which may radiate outward. Tingling, "pins and needles" sensations (paresthesia" Main problem in back of arms, cervical area and hands. Also the amount of CUM is reduced, please please please help me out I want to completely leave masturbation but I can't. So please help me I can't focus on studies and all other necessary things, I want to through out this weakness these irritating sensations not pain but weakening sensations as described earlier, please please help me please. I have taken homeopathic medicine, and consulted with an MBBS doctor also also have taken Cervical medicines but it gives rest for some time only whenever I masturbate the problem rises again. Please Help.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am feeling sensations in back of my arms, neck and in cervical area some doctors diagnosed it as nerve problem, it ...
You should take acupressure treatment and take biochemic Nat phos 200x + kali phos 200x 4 tab each thrice a day with warm water and take it 5 days and inform me private online.
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