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Dhanwanthri Maruthuvamm

Occupational Therapist Clinic

#22, 2Nd Cross Street, East Cit Nagar, Nandanam 35. Landmark: Near Thiruvengatam Clinic, Chennai Chennai
1 Doctor
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Dhanwanthri Maruthuvamm Occupational Therapist Clinic #22, 2Nd Cross Street, East Cit Nagar, Nandanam 35. Landmark: Near Thiruvengatam Clinic, Chennai Chennai
1 Doctor
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Dhanwanthri Maruthuvamm
Dhanwanthri Maruthuvamm is known for housing experienced Occupational Therapists. Dr. Ms. Pon Kalaiselvi, a well-reputed Occupational Therapist, practices in Chennai. Visit this medical health centre for Occupational Therapists recommended by 44 patients.

Timings

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

Location

#22, 2Nd Cross Street, East Cit Nagar, Nandanam 35. Landmark: Near Thiruvengatam Clinic, Chennai
Nandanam Chennai, Tamil Nadu
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Hernia - When Should You Go for Surgery? 

Fellowship in Minimal Access Surgery, Fellowship in Bariatric Surgery, M.S.
Bariatrician, Lucknow
Hernia - When Should You Go for Surgery? 

A Hernia occurs when an organ or fatty tissue pushes through a weak opening in the muscle that holds it in place. Hernias are common in the abdomen, but can also develop in the upper thigh, belly button and the genitals. 

The common types of hernia are the ones that occur in the groin viz (inguinal, femoral, obturator) around the belly button (umbilical), incisional (after a previous surgery) and hiatal (causes acid reflux) and are caused by muscle weakness. This weakness or increase in pressure in the abdomen can be triggered by lifting heavy objects without stabilizing abdominal muscles, diarrhea or constipation and chronic coughing (smokers and asthmatics) or straining to pass urine. 

How can you treat hernia?

As hernia is a mechanical defect in the abdominal wall, the only definitive treatment is surgical repair of the defect. The type of surgery required depends on the size of hernia and the severity of its symptoms. The defect may be repaired with stitches but the best option with least recurrence is to use a mesh. The Hernias that are small and don't cause discomfort can be observed and managed conservatively with regular follow up with the surgeon. All hernias have the risk of intestines getting trapped and strangulation. 

Lifestyle Changes 

Avoiding heavy meals, not bending over immediately after a meal and managing your body weight can reduce the incidence of hernias. Also, you should avoid foods causing heartburn and quit smoking. If these dietary changes do not relieve your discomfort, you may need surgery to treat hernia. 

Medication 

Prescription medication, given by your doctor that reduces stomach acid can relieve your soreness and improve the symptoms.

So when do you need surgery?

If your hernia is gradually growing in size, looks unsightly and is causing pain, you should seek help and the doctor may advice you to effectively treat it through surgery. But with a hernia, there is always a risk of bowel obstruction and strangulation which may need an emergency operation. 

A hernia can be repaired using two different surgical methods - open surgery or laparoscopic surgery. In case of an open surgery, an incision is made in the skin near the bulging area. It requires a longer recovery process. Laparoscopic surgery uses a camera and miniaturized surgical equipment to repair hernia by making three small incisions in the abdomen. This method is less damaging to the surrounding tissue and has a much shorter recovery time. 

Almost all of the hernias can be treated Laparoscopically, but as many surgeons are not well trained in Lapsroscopic hernia repair they do not recommend the procedure. So it's imperative you seek out a good minimally invasive surgical specialist. 

Is there an alternative to surgery? 

There is no other treatment apart from surgery for a hernia (imagine you have a hole in a cloth, the only way to repair it is with a thread (or a patch). 

Exercising regularly, losing weight or taking medications will not eliminate a hernia. Some patients feel that wearing a hernia belt will help ease the discomfort, but it will not help your hernia go away. It will only provide temporary relief. Only surgery provides a permanent and effective solution.

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Fracture Pain - How To Deal With It?

MD, FIPP
Pain Management Specialist, Kolkata
Fracture Pain - How To Deal With It?

A fracture is a complete or incomplete crack, which appears on a bone due to application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while sub acute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.

Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them:

  1. Development of fracture pain: When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.
  2. Treatment of fracture pain: Modern medications can be utilized to treat a fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating a fracture pain. However, these remedies cause side effects, which are harmful for the body. Cortisone shots are utilized for the same purpose as well.
  3. Prolotherapy: Prolotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain. Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.

Other measures:

  • Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.
  • Fracture pain occurs not only because of the broken bone, but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied.
3 people found this helpful

Hello doc. When I wake up from bed at morning, my foot get pain much, and when I start walking for a few minutes, the pain flew off. And when I sit on chair for few minutes and wake up again foot get pain.

MPT, BPTh/BPT
Physiotherapist, Ghaziabad
Hello doc.
When I wake up from bed at morning, my foot get pain much, and when I start walking for a few minutes, the...
You may be having planter fascitis, morning pain is due to accumulation of inflamation, with walking circulation cause inflamation to wash away reducing pain, do calf stretch and hamstring streching exercises you will get relief.
4 people found this helpful
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There is a regular pain in the left hand and is not getting cured by different creams such as volini iodex. I'm a sugar patient and have thyroid also.

BPTh/BPT
Physiotherapist, Mumbai
There is a regular pain in the left hand and is not getting cured by different creams such as volini iodex. I'm a sug...
Hello Do proper rest & do hot fomentation for 15-20 min thrice in a day .Take UST followed by IFT for 15 days. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.
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Some causes that lead elders to fall down

BPTh/BPT
Physiotherapist, Delhi
Some causes that lead elders to fall down

Decline in muscle strength and flexibility, slower balance reflexes and some vision problems are some of the prevalent causes of falling down amongst elders.

512 people found this helpful

Due to hip pain approached Ms. Ortho then he preferred MRI for Lumbar Spine IMPRESSION: Bulging L5-S1 disc with Central protrusion, osteophytes causing impingement On the a and encroachment ofneural foramina.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Due to hip pain approached Ms. Ortho then he preferred MRI for Lumbar Spine
IMPRESSION: Bulging L5-S1 disc with Centr...
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. 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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Mere left leg me chot lgne se wahan ki haddi par nila aur lal rand ho gya hai par dard zyada nhi hai lekin leg ke thora upar ander se sujan jaise lagta hai. Iska ko medicine hai jo ye sujan aur chot ko zyada badhne na de aur koi bimari hone se rok de. Chot leg ke upar haddi me lga hai wo bhi 10 din pahle.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
Mere left leg me chot lgne se wahan ki haddi par nila aur lal rand ho gya hai par dard zyada nhi hai lekin leg ke tho...
Take arnica 30 4pills thrice daily and ledum pal 200 4 pills once daily for 7 days and consult after that if neeeded. Thanks.
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All About Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
All About Knee Replacement

Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.

Why do you need knee replacement?

Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.

If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.

Some of the common reasons why you may opt for this particular surgery are:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.

The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.

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My mother feeling pain all body. Last 15 years she is suffering bone pain in the joint of hand and backrest. That time it was not serious, but now this problem is very serious. She can not stand or sit or walk more than 25 minute. When she cut vegetables, talk in phone, watch TV, or travel in train, she fell a kind of pain in (neck back) to shoulder. From today she is very ill, her vain from neck to shoulder getting so tension (a kind of feeling when we carry a heavy load)

BPT
Physiotherapist, Delhi
My mother feeling pain all body. Last 15 years she is suffering bone pain in the joint of hand and backrest. That tim...
- your mother is suffering from pivd (in cervical and lower back) - check got vit d, b12, uric acid level. - do neck and back exercises after full asessment by physiotherapist. She will recover her pain but needs to sincerely follow precautions. 1 avoid any weight lifting 2 use of firm matress 3 no forward bending 4 use of lumbar support belt.
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I have pain and swelling in my left arm joint. It is due to increase in uric acid level. Kindly suggest me medicine for immediate relief.

MD- Ayurveda
Ayurveda, Ujjain
I have pain and swelling in my left arm joint. It is due to increase in uric acid level. Kindly suggest me medicine f...
Dear For immediate relief you may take any pain killer tab, but for complete cure without any side effect, you should use - Tab Rumalya 2-2-2 + Yograj gugule 2-2-2 three times a day, Maharasnadi Kwath 40-40 ml twice a day in empty stomach, massage with Vishgarbh Tail.
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I have lot of pain in my head after playing in morning football and also water come from my eyes again and again.

MBBS, DOMS, MS - Ophthalmology, , Fellowship in phacoemusification
Ophthalmologist, Patna
I have lot of pain in my head after playing in morning football and also water come from my eyes again and again.
You should consult ophthmologist till then you may use antibiotic eye drops 4-5 times (vigamox eye drops).
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For last 3 months my wife gets leg cramps in the night. It lasts a few seconds or one minute and then it is normal. What should be the reason and the treatment required. Her age is 66 years.

Fellowship in Minimal Access Surgery, F. ASSI (Spine Surgery), MS - Orthopaedics, MBBS
Orthopedist, Kolkata
For last 3 months my wife gets leg cramps in the night. It lasts a few seconds or one minute and then it is normal. W...
Hello! Cramps could be due to several causes, most of which are simple to tackle. Drinking more water, consuming more electrolytes (coconut water) and starting her on a vit-D supplement would b the first line of action. Tab uprise D3 60k once a week for 8 weeks along with tab gemcal once a day for 8 weeks. This will tackle any deficiencies which are known to cause such cramps. If after a month, you feel the cramping is still happening, you would want to meet a spine specialist who will get more information (like any difficulty in walking long distances, any back/ leg pain) and direct the treatment accordingly. As of now, I believe she will do well with the vit supplementation and more water intake. Hope this was helpful!
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I am 36 year old I am unable to walk normally after standing for half an hour. I feel heaviness in my legs and my walk becomes very slow. I feel pain in my legs and thighs. Please give me you r suggestion what should I do.

MD- Ayurveda
Ayurveda, Ujjain
I am 36 year old I am unable to walk normally after standing for half an hour. I feel heaviness in my legs and my wal...
Dear lybrate-user ,Your problem is due to varicose veins, so always avoid long standing or walking, Wear leg stockings, do massage with Lakshadi tail, use tab. Rhumatil 2-2-2 + Rasanadi gugule 2-2-2 ,Three times a day with lukewarm water. You will get relief.
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My mother's age 62. She have pain in both leg. Complete leg pain very much. And feel weakness in evening. please tell a medicine or home treatment. They have blood pressure.

BPT
Physiotherapist, Delhi
My mother's age 62. She have pain in both leg. Complete leg pain very much. And feel weakness in evening. please tell...
- when pain was started and how gets aggrevated ate also imported point for proper diagnosis. - she might be having arthrits problem, having signs of stiffness, pain specially in morning and eveving. - checkfor vit d, uric acid levels. - she can do herself knee exercises to strengthen her knee exercises like - isometrics. With her knees straight and back supported, place roll of towel and press it till you count 30 and release it .repeat this for 10 times for 2- 3 times per day. - there are more exercoses as muscle strength increases. - kindly consult physio for proper assesment and diagnosis.
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Joint Pain - 6 Home Remedies for Treating it!

Jiva Ayurveda Clinic
Ayurveda, Faridabad
Joint Pain - 6 Home Remedies for Treating it!

In Ayurveda, joint pain is known as 'Sandhigata Vata'. Arthritis and Joint pain are among the most prevalent problems faced by adults, mostly old people. As per ayurveda, 'vata Dosha' Is responsible for joint pains and other discomforts associated with it. Natural remedies and proper lifestyle techniques can be utilized to balance the 'vata' to lessen the occurrence and severity of joint pain. Factors including,old age, obesity, injury and strenuous physical activities (that require a lot of joint movements) are responsible for disturbing the balance of your 'vata'.

The following are some Ayurvedic home remedies that can be utilized to treat joint pain:

  1. Massage therapy: Warm coconut, castor, mustard, olive or garlic oil can be utilized to massage the affected areas to lessen the intensity of pain. If you massage the affected joints with natural oils, it improves blood circulation and relaxes the swelling and stiffness in the region.
  2. Hot & Cold Compress: Cold and hot compresses can be utilized to ease your joint pain effectively. Heat compression decreases the pain, increases the blood circulation and relaxes the swollen joints and muscles. On the other hand, cold therapy lessens the inflammation of the affected joint. Place hot and cold towel alternatively on the affected area to achieve immediate relief from persistent pain.
  3. Fenugreek: Ingest a teaspoon of ground fenugreek seeds and drink a glass of lukewarm water. Fenugreek has anti inflammatory and antioxidant properties that make it effective for joint pains.Follow this remedy every morning on a regular basis to achieve optimal results.
  4. Turmeric: Add a pinch of turmeric and a teaspoon of honey in a glass of lukewarm water and drink this solution on a regular basis for a week. Turmeric contains anti-inflammatory and antioxidant properties, which makes it an excellent remedy for treating joint pains.
  5. Apple cider vinegar: Add 2 teaspoons of apple cider vinegar and a little honey to a cup of lukewarm water. Drink this solution twice daily, before your meals. Apple cider vinegar has alkalizing effect, which makes it an effective remedy to remove the toxins that are responsible for causing joint pain.
  6. Healthy diet: A balanced diet that comprises a lot of green leafy vegetables and fresh seasonal fruits is good for your joints. The uncontrolled intake of fatty food, dairy products and high sodium diet must be avoided in order to avoid arthritis and joint pain.
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My Age is 20 and weight 49 , sir mere jodo me jalan hoti hai udasee ati hai dard ata hai lekin subhe nahee & feeling tired.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
My Age is  20 and weight 49 , sir mere jodo me jalan hoti hai udasee ati hai dard ata hai lekin subhe nahee & feeling...
20 - 29 age people should have161.9 pounds27.5 (73 kgs). So you can say you are underweight person. Here are 10 more tips to gain weight: Don't drink water before meals. This can fill your stomach and make it harder to get in enough calories. Eat more often. Drink milk. Try weight gainer shakes. Use bigger plates. Add cream to your coffee. Take creatine. Get quality sleep.
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When I am using phone by lots of time n mob. Being whole heat n with those heat my inner finger were paining wht to do Dr. Please tell.

Ergonomist, MPTh/MPT, Trained in Mulligan Concept, BPTh/BPT
Physiotherapist, Gurgaon
When I am using phone by lots of time n mob. Being whole heat n with those heat my inner finger were paining wht to d...
Dear this is the time you need to listen to your body.Stop using phones so much.and use fingers for typing. Do not overstretch fingers while holding phones.
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Pain in the tip of the finger after one day when we cut the nails sometimes its normal but sometimes very bad pain.

DHMS (Hons.)
Homeopath, Patna
Pain in the tip of the finger after one day when we cut the nails sometimes its normal but sometimes very bad pain.
Hello, Lybrate user, finger tips are highly sensitive and might be injured even with slightlest injury thereof. Tk, Homoeopathic medicine:@Hypericum 30-6 pills, thrice. Apply, ice cube on injured finger-tip. Tk care.
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I am 52 years old and run between 8 to 9 kms six days a week. I often get muscle pull in calf and muscle below calf. What vitamin do I lack that I often get muscle pull which takes a long time to cure. I eat vegetables everyday and eggs sometimes. Kindly advice what I should do.

MPT - Orthopedic Physiotherapy, Diploma in Diet and Nutrition
Physiotherapist, Delhi
I am 52 years old and run between 8 to 9 kms six days a week. I often get muscle pull in calf and muscle below calf. ...
Prior to run, you should do stretching of ankle n caff muscles. Vitamin d3 and b12 both you can have. Apple hot pack over pulled muscles and do stretching n running.
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I am 52 years old and I run 9 kms every day. But I often get muscle pull in calf and muscles below calf. It's painful and takes many days to recover. Do I lack any vitamin or what's the deficiency in my body that I often get muscle pull. I eat vegetables and egg sometimes. Kindly guide me what I should eat and what vitamin do I lack.

BHOM, MD - Alternate Medicine, Diploma in Weight Loss, Diploma in Nutrition
Dietitian/Nutritionist, Delhi
I am 52 years old and I run 9 kms every day. But I often get muscle pull in calf and muscles below calf. It's painful...
Do check your Vit. D levels. Have citrus fruits to get good amount of Vit. C. Eat green veggies to get adequate amount of Vit. B. Apart from eggs have fresh fruits and veggies. Have cereals, grians, milk curd, paneer, etc.
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