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Parvathy Hospital

Orthopaedic Clinic

No.241, G.S.T.Road, Chromepet. Landmark: Near To Chrompet Fly Over, Chennai Chennai
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Parvathy Hospital Orthopaedic Clinic No.241, G.S.T.Road, Chromepet. Landmark: Near To Chrompet Fly Over, Chennai Chennai
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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 Parvathy Hospital
Parvathy Hospital is known for housing experienced Orthopedists. Dr. G.Selvakumar, a well-reputed Orthopedist, practices in Chennai. Visit this medical health centre for Orthopedists recommended by 94 patients.

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MON-SAT
09:00 AM - 08:00 PM

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No.241, G.S.T.Road, Chromepet. Landmark: Near To Chrompet Fly Over, Chennai
Chromepet Chennai, Tamil Nadu
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Lower Back Pain - Try Physiotherapy For It!

Physiotherapist, Mumbai
Lower Back Pain -  Try Physiotherapy For It!

Low back pain is one of the most common medical problems and occurs due to injury associated with the nerves, bones, and muscles of the back. The pain can vary from a sharp shooting pain that happens at various intervals to a gnawing pain that can last for weeks on end. While the former can go away with some muscle relaxant, the latter may need a combination of medications and exercise.

Common reasons include improper sleeping posture, lifting, fracture, lack of exercise, disk injuries, arthritis, and many more. Most of these instances would lead to medium to long term pain that will not subside on its own. Physiotherapy has been proven to provide very good relief and render it pain-free.

The aim of physiotherapy is 3-fold - reduce pain, improve movement, and maintain the spinal function in the long run. Most often, the therapy sessions would last for about 4 weeks when the regular course of medications have not helped much.

The nerves, muscles, bones, and disks of the low back are supported by the abdominal muscles and the back muscles. The intent of the exercise is to strengthen these two sets of muscles so that the spine/low back per se is not very susceptible to injury.  The exercises would be a combination of stretching followed by strengthening and conditioning, all aimed at these two sets of muscles.

Some common exercises include bottom to heels stretch, knee rolls, back extensions, deep abdominal strengthening, and pelvic tilts.

In addition to being used a sole means of treatment, physiotherapy also is used in back pain to treat severe cases both pre and post surgically. What is corrected by surgery needs to be enhanced by the regular exercises as prescribed by the doctor.

One disclaimer that a doctor might want to give is that the physiotherapy may not be beneficial if exercises are not done properly or if the patients don't adhere to the scheduled prescription. The long-term success depends not just on getting the relief but on following the maintenance exercises that are prescribed. This is more important and helps avoid relapse of the back pain.  A good posture and improved core stability with ongoing exercises is the key to success of physiotherapy in low back pain. 
While most people consider low back pain as a chronic condition, it can be managed effectively. It is important to realize that there is no overnight cure and that it may not get better on its own. Physiotherapy is a very good intervention; however, it will depend on the severity of pain and how it affects the patient's lifestyle. 
 

Juvenile Rheumatoid Arthritis - What Causes It?

Fellowship in Rheumatology, MD (Medicine), AFIH, MBBS
Rheumatologist, Delhi
Juvenile Rheumatoid Arthritis - What Causes It?

Juvenile rheumatoid arthritis also known as juvenile idiopathic arthritis is a commonly occurring arthritis in children under the age of 15. Some common problems that are faced by patients with this disease include stiffness, joint pain, and swelling. While the symptoms might persist for a few months for some patients, for others it might continue for the rest of their lives. Patients might face serious complications such as inflammation of the eye, problems related to growth etc. The treatment of this condition focuses on preventing the bones from getting damaged, pain control and improving the function of the body.

What are some of the common symptoms of juvenile arthritis?

  1. Pain: A child suffering from juvenile rheumatoid arthritis might face extreme pain in the joints. They might limp after a nap or night sleep due to pain or stiff joints.
  2. Swelling: Larger joints such as the knee might swell frequently. The swelling might occur in smaller joints too.
  3. Stiffness: In addition to limping the child might appear rough and clumsy after waking from night sleep or a nap.

Other conditions could include rashes, swollen lymph nodes, frequent fever, headache, etc.

What are the causes of Juvenile Rheumatoid Arthritis?
Juvenile Rheumatoid Arthritis occurs when the immune system of the body attacks its own tissues and cells. It is still unclear as to why it happens, although, researchers believe that the environment and heredity have a role to play. Certain geneticmutations might make a childmore vulnerable and susceptible to microbes that can trigger this condition.

What are the complications involved?
There could be several complications that might arise due to this condition. It is, therefore, wise to keep a close watch on the child. Seeking immediate medical attention can go a long way in mitigating the risk of these complications.

  • Problems related to the eye: Juvenile Rheumatoid arthritis can damage the eye by causing an inflammation known as uveitis. If this condition is not treated, it might result in other conditions such as glaucoma, cataracts, blindness etc.
  • Growth problems: Juvenile rheumatoid arthritis could result in growth problems. To treat this, a child would require a dose of corticosteroid.

How to diagnose juvenile arthritis?
It is not very easy to diagnose juvenile arthritis. Doctors often prescribe blood tests to get an idea of erythrocyte sedimentation rate, rheumatoid factor, C-reactive protein, anti-nuclear antibody, cyclic citrullinated peptide etc. A doctor might also prescribe imaging tests such as X-rays, MRI etc to detect congenital defects, fractures, tumors etc.

What are the treatment options available?
Some of the medications that are prescribed for this condition include NSAID such as ibuprofen and naproxen, DMARD such as Trexall and Azulfidine, TNF blockers such as Humira and Enbrel, immune suppressants such as Kineret, Rituxin and Orencia. In addition to this doctors would also prescribe corticosteroids and therapies.
 

Rheumatoid Arthritis - How Exercise Can Help In It?

MBBS, MS - Orthopaedics
Orthopedist, Ranchi
Rheumatoid Arthritis - How Exercise Can Help In It?

If you are middle aged and can feel pain in your joints and can see them get inflamed and turn red, chances are that you suffer from rheumatoid arthritis. An early diagnosis can help control it through medication, lifestyle changes and exercise.

Exercise is one of the most important aspects of the treatment of this disease. Exercise has many benefits for a rheumatoid arthritis patient. Some of these are: 

1. Increased flexibility: Exercise helps relieve the stiffness caused by the disease and keeps your joints flexible. 

2. Stronger muscles and bones: This helps strengthen the muscles that support joints. It also helps strengthen bones by making them denser and thus preventing fractures. 

3. Pain management: When you exercise, the joints are kept flexible and the pain associated with moving them is reduced. 

4. A healthier heart: Rheumatoid arthritis increases the risk of suffering from heart disease. By exercising regularly, the heart muscles are kept healthy and there are lowered chances of heart diseases. 

5. More energy: Exercising boosts energy production, helps you sleep better and makes you a happier person. 

Before you begin exercising consult your doctor to see what kind of exercises are suitable for you and what should be avoided. Your exercise plan should cover these three points. 

Cardio: Avoid high impact exercises like running on paved roads and instead create a low impact exercise routine for yourself. Walking, swimming and cycling are good forms of exercise to increase your heart rate. Try and exercise for 30 minutes a day. 

Flexibility: Exercise is the only way to fight stiffness in joints. Do gentle stretches that are relaxing and do not hurt. Stretching a good way to warm up before cardio but should never be hurried. If a muscle starts paining while you re stretching it, stop immediately. 

Strength training: This sort of exercise helps build muscle strength and can be done in a gym or at home. Lifting hand held weights, working with resistance bands and using your own weight to create resistance are some ways of strength training. Start by doing these exercises every alternate day. As your muscles get stronger, you can increase the number of sets of each exercise. Avoid heavy weight lifting. The important part of exercising is to be regular. Exercising with a friend can help you stay motivated. Setting goals for yourself in terms of number of hours a week can also help keep you moving.

Partial vs Complete Paralysis - Understanding The Difference!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh - Neuro Surgery
Neurologist, Raipur
Partial vs Complete Paralysis - Understanding The Difference!

As children, you have probably learnt that paralysis is complete inability to move, sense, touch or control other bodily sensations. But little did we know that paralysis comes in many forms depending on the extent to which a person is immobilized. So, what is the difference between partial and total paralysis?

What is Total Paralysis?

Whether temporary or permanent, paralysis is the inability to move part of the body due to nerve damage. However, it does not mean that people with total paralysis cannot move any parts of the body - they can still use their faces and necks. The extensive form of paralysis is typically referred to as quadriplegia, which involves diminished or absence of movement in the trunk, arms, legs, hands and feet. Some common symptoms of total paralysis are as follows:

  • Difficulty swallowing
  • Unable to control bowels and bladder
  • Pain anywhere in the body
  • No sensation below the site of injury
  • Difficulty breathing

What is partial paralysis?

A smaller portion of the body is affected by partial paralysis. One of the most common types of partial paralysis is Paraplegia that occurs below the waist. If affects both the legs, hips and other functions. Other forms of partial paralysis can be Monoplegia where a single area like one limb gets affected and Hemiplegiawhere parts of the body on the same side get affected. Some common symptoms of partial paralysis are as follows:

  • Inability to walk
  • Difficulty with sexual functioning
  • Pain below the site of injury
  • Unable to feel or move your legs or arms

How to Predict the type of paralysis?

The location of the injury or site of nerve damage will usually determine the type of paralysis. Damages in the cervical spinal cord almost inevitably lead to total paralysis associated with quadriplegia. The higher the injury is located, the more extensive the paralysis will be. Lower injuries commonly lead to partial paralysis. The prognosis is generally much better with this type of paralysis. With proper care and therapy, individuals may experience intermittent difficulties with movement and can regain.

Can paralysis be treated?

Whether it is total paralysis or partial paralysis, the positive prognosis is certainly possible, given the condition of the patient and other factors. Physical therapy involves teaching the brain and spinal cord to work around the damage and also aid neuron healing over time. Paralysis can be classified under a number of ways and the most basic classification is that of partial or complete paralysis. Talk to your doctor to understand what type of paralysis you have and adopt a positive outlook to help you towards recovery.

Sports Injuries - 5 Amazing Tips To Prevent Them!

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
Sports Injuries - 5 Amazing Tips To Prevent Them!

Do you remember the last time you had a searing knee pain in the middle of your morning run? It was probably because you did not warm up properly. The incidence of injuries in various sports has gone up in recent times, and it is mostly due to the lack of proper warm-up exercises. However, other factors come into play as well, such as the pressure of increased workload on the current batch of athletes, missing a trick or two with the proper technique to be followed, etc.

In order to reduce the risk of an injury, it is advised to follow these simple tips:

  1. Set realistic goals for yourself: Don’t go overboard with anything that includes repetitively stressing and straining your body over a certain degree. If you are planning to go for a run or hit to the gym, make sure you set goals that you can sustain and find feasible. One example of this would be to not increase the amount of weight drastically while lifting weights as it can lead to serious injuries.

  2. Follow the right technique: Proper technique is very important in sports, a lack of which can lead to injuries. Ask your trainer to observe your form when you perform any activity. Focus on your breathing and posture when you are exercising.

  3. Warm up before you begin exercising: Warming up before you exercise or play a sport is important as it helps loosen your muscles and boost blood circulation. It drastically reduces the risks of sustaining injuries and also prepares your body for the subsequent exercise.

  4. Cool down: Similar to an essential warm-up is the need to cool down; it is another aspect that should not be ignored. Cooling down usually consists of stretches and postures that promote flexibility. The muscles become sore after working out. Stretching can help reduce post-workout pain and make the joints flexible. Cooling down also helps in eliminating lactic acid from the muscles, which means less pain after exercise.

  5. Listen to your body: During an activity, if you feel that you can no longer carry on, terminate the activity. The chances of injury rise if you continue to push your body over your threshold limit. If you think that you can no longer carry on doing something without risking an injury, avoid doing it altogether. Listen to your body, and it shall never fail you.

Im suffering from the shoulder joint pain left hand by bike skid. What treatment should I take?

BHMS
Homeopath, Noida
Im suffering from the shoulder joint pain left hand by bike skid. What treatment should I take?
U need to do an x-ray of affected shoulder joint. Take single dose of arnica 1m and give me a follow up thereafter for further course of medication,

Can Physiotherapy Help In Back Pain Due To Slipped Disc?

MPT - Orthopaedics
Physiotherapist, Ghaziabad
Can Physiotherapy Help In Back Pain Due To Slipped Disc?

You might be an elite athlete or just a commoner. There is always a possibility for you to develop back pain while carrying out your daily activities. You might not be aware, but regular activities—like sitting at the computer, running on the treadmill or simply crawling into your bed for a good night's sleep—can affect the health of your spine. You are always at the risk of damaging your spine. These damages lead to back pain. It has been found that faulty postures can cause back pain by causing straining of the back muscles, injuring the tendons and damaging the vertebrae or ligaments. Back pain can be caused due to the overuse of a particular activity or for undertaking a new activity. Besides all these possibilities, most people put the blame on their discs for back pain.

What Are The Discs?

The human spine is composed of 24 bony vertebrae. These are placed one on top of the other. There is a thin intervertebral disc between each vertebrae. These discs look like jam doughnuts. They are made up of a hard outer shell known as the annulus fibrosis. They have a soft, jelly-like inner core known as the nucleus pulposus. They are shock absorbers.

What Happens To The Discs When An Injury Occurs?

The jelly-like softcore in the discs can often get shifted as a result of the accident or injury. Thus, the discs become a reason behind back pain. The pain could be due to the problems with the disc while carrying out tasks like —

  1. Prolonged sitting

  2. Bending

  3. Lifting

  4. Twisting

  5. Pulling

Symptoms Of Disc-Related Pain:

Symptoms tend to vary due to the nature of the injury and the damage caused. However, some common symptoms have been listed below:

  1. Localised back pain

  2. Pain in thighs, lower legs and feet

  3. Tingling sensations

  4. Numbness or muscular weakness

Treatment-

It is best to consult a doctor to know about the treatment needed for back pain related to disc. Initial treatment after detection of the problem includes the following ways:

  1. Intake of non-steroidal anti-inflammatory and pain medication.

  2. Application of heat and ice packs.

  3. Physiotherapy.

  4. Home exercise program as suggested by the doctor.

  5. Practicing of core and lumbar strengthening exercises.

One must stop movements that aggravate the pain and don’t take difficult physical activities. You must take adequate rest to set things right.

Do You Need Any Surgery?

It is not always needed for all disc related problems. Most issues with the disc vanish after a week. Surgery is sought only after nonsurgical treatments prove useless. The decision must be taken by a doctor.

Postures For Fit Spine

MBBS, MS - Orthopaedics
Orthopedist, Kolkata
Postures For Fit Spine

The way we sit, walk, bend or stand is hugely dependent on one very vital organ of the human body; the spine. The spinal column provides strength and support to your entire framework. It has nerves, muscles, bones and tendons; all of which enhance proper functioning of your body. The human brain sends signals to the nerves in your spinal cord- a mass of nerve fibers and tissues ensconced within the spine- that further prompts every single part of your body to perform minute and notable actions all the same. A spine injury can thus impair your health; in many cases it can even turn out as fatal. Care should be taken to avoid sources of spine shock or injury. If an injury has already been acquired, it should be treated either through exercising or through medical assistance. 

A few postures to reap the benefits of a fit spine:-

1. Twist your spine either early in the morning or after a tiring day

Fold one leg while the other leg remains perched on the folded one. If the left leg is folded the left elbow should be rested on your perched right knee and the right palm should be placed on the yoga mat behind your right hip. This posture can be repeated by folding the right leg as well. It increases spine mobility by twisting it to the end of its range sideways. Muscular spine aches can be remedied by following this posture once each day.
  
2. Do not slouch but sit straight

Some people are in the habit of slouching when they sit or stand. This is an absolutely wrong thing to do if your spine health is of any concern to you. Stretch out your shoulder blades and remain erect while standing and the same should be followed while sitting. Bending one's spine, unless it is necessary, can be very harmful.  
    
3. Stretch your spine in three directions

This exercise is a good way to allay the tension your spine has to undergo every day. Sit with folded legs, intertwine your fingers and stretch your arms upward, in front and at the back to expand your spine to the full. 
  
4. The downward doggy posture can relieve back pain

In this yoga posture, one is expected to stretch his or her legs according to the width of the person's back and stoop forward by placing the palms on a yoga mat. Knees and elbows should not bend.
 

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Hip Replacement Surgery - Understanding The Benefits Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, Fellowship In Joint Replacement, Fellowship In Minimal Invasive Subvastus Knee Replacement
Orthopedist, Navi Mumbai
Hip Replacement Surgery - Understanding The Benefits Of It!

Human bones are continuously being removed and formed, which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips, which may become worn due to age or other problems within the body. 

Hip replacement surgery
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip, which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.

Benefits of hip replacement surgery:

  1. Lessening hip pain: This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.
  2. Correction of bone deformity: When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.
  3. Return to normal activities: This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain free life.
  4. Ability to have painless sleep: Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.
  5. Leg strength increase: Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.
  6. In most cases a lifelong solution to hip problems: As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again.
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