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Punitha Chennai Pain Clinic

Pain Management Specialist Clinic

6C Sai Sarovar Apts 100 feet road velachery Chennai
1 Doctor
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Punitha Chennai Pain Clinic Pain Management Specialist Clinic 6C Sai Sarovar Apts 100 feet road velachery Chennai
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Punitha Chennai Pain Clinic
Punitha Chennai Pain Clinic is known for housing experienced Pain Management Specialists. Dr. Punitha Chockalingam, a well-reputed Pain Management Specialist, practices in Chennai. Visit this medical health centre for Pain Management Specialists recommended by 51 patients.

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6C Sai Sarovar Apts 100 feet road velachery
Velachery Chennai
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Know The Reasons Behind Heel Bone Spurs!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Gurgaon
Know The Reasons Behind Heel Bone Spurs!

Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.

What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running. 

What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight 
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder


Non-Surgical treatment
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.

Surgical treatment
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks.

Sitting All Day - Know How You Can Save Your Back!

B.P.T, M.P.T
Physiotherapist, Hyderabad
Sitting All Day - Know How You Can Save Your Back!

Today ‘working’ usually implies sitting at a desk from morning to evening. While this may seem more comfortable than working in the fields, sitting at a desk can trigger a host of back problems. This is because sitting in the same position all day makes the spine bend forward and lowers the efficiency of the back muscles. Working at a desk not only strains your back, but also restricts your movements to typing on a keyboard and moving a mouse.

Once a back problem begins, it usually lasts a lifetime hence; here are a few tips to save your back.

  1. Get yourself a good chair: Your chair is crucial to your back’s health. Avoid the hard backed plastic chairs and pick a more flexible mesh backed office chair if you sit at the table for a long span of time. Ergonomic chairs may seem expensive, but are worth the expense in the long run.
  2. Stretch your muscles: Sitting in the same position all day, puts the muscles under stress and with time can constrict the muscles. Make it appoint to stand up every 30 minutes and stretch your back and sides. Also try rotating your hips and shoulders form time to time.
  3. Take a break: No matter how much work you have in front of you, take a break at the end of each hour. Taking even 2 minutes off out of 60 every hour can have a huge impact on your health. If you still feel guilty skip using the phone to connect with your colleague and walk over to their desks instead.
  4. Get a pedometer: Keeping a pedometer will help you track the number of steps taken in a day. Ideally, a person should take 10,000 steps a day to stay healthy. If you sit at a desk for majority of the day, take every opportunity you can to up the count on your pedometer. Go for a walk around your office after lunch or park your car a little way off from the office to create opportunities to walk.
  5. Take the stairs: As far as possible avoid escalators and elevators. Instead climb stairs for a quick workout. If your office is on the 20th floor, walking up may not be feasible, but you could get off the elevator on the 18th floor and walk up the remaining two floors.
  6. Eat healthy: Lastly, pay attention to what you eat. Avoid eating at the office canteen or picking up a bite at the coffee shop and carry lunch from home. This ensures that you eat a balanced meal.

4 Tips To Keep Your Bones Healthy!

MBBS, M.S., M.Ch - Orthopaedics
Orthopedist, Lucknow
4 Tips To Keep Your Bones Healthy!

Did you know that in addition to your diet, exercise is one of the best ways to make sure that you never lie on a hospital bed with a surgeon treating you for a bone disorder? Medical expertise has constantly pointed out to the fact that regular exercise makes your bones less likely to suffer from wear and tear during old age.

As you exercise, your muscles become stronger, your bone density increases and your balance improves. Of course, it goes without saying that you need to follow certain precautions before you exercise to avoid certain injuries.

Before starting any exercise program, make sure that you prepare your body for exercise. A brief warm up helps you to get your muscles ready for exercise. It also makes sure that your chances of injury are drastically reduced.

Here are some tips to keep your bones healthy:

  1. Weight lifting: Weight lifting is a type of exercise that, if done correctly, will be extremely beneficial for your bones. You can opt for simple bodyweight exercises such as pushups and squats, which build muscle as well as strength. Avoid using very heavy weights as it causes back-related problems such as slipped disk.

  2. Yoga: Yoga is another method of exercise which is very beneficial for bones and joints. The premise of yoga is static strength building wherein you hold a pose or an exercise for a certain period of time; this helps in strengthening your muscles. Along with your muscles, your bones also become stronger as you get fitter. Yoga is repetitive stress which is good for flexibility and hence keeps your joints supple and muscles in good shape. There are certain asanas which are weight bearing and anti-gravity postures can strengthen your bones. 

  3. Swimming: Swimming again is a good aerobic exercise and is good for back and over all fitness but doesn't strengthen bone per se. It is a way to keep you healthy. Swimming is a cardiovascular exercise, which is also known for its calorie burning capabilities. It is also very effective is incinerating fat and keeping your skeletal system healthy. Whereas walking and jogging and running certainly build your bones as they are weight bearing exercises.

  4. Pilates: Pilates is a new form of exercise that has been gaining a lot of steam lately. It does not require much equipment, as you can get started with just a mat. It is very effective in working your spine and the hips, thus keeping your lower back strong. A weak lower back increases the chances of bone disorders drastically.

What causes headache while bending down or laughing hard? It usually happens when there is a change in sleep pattern.

MD - Homeopathy, BHMS
Homeopath, Pune
What causes headache while bending down or laughing hard? It usually happens when there is a change in sleep pattern.
It is quite classic for sinus pressure headaches to get worse when bending over, or to experience a 'sloshing' sensation with this movement from the liquid in the sinuses moving forward with gravity. The pain with the sinus headache will be either in the cheekbones or in the middle of the forehead and other symptoms would include stuffy nose or cold symptoms and cough. On the other hand, if the pain is not in these locations or not associated with these other symptoms, then it is less likely to be a sinus headache. Other possibilities would include migraine or tension headache, the most common types of headache. If you experience any concerning symptoms you should report these immediately to your doctor. These concerning symptoms would include dizziness, difficulty walking or uncoordinated movements, severe nausea and vomiting, blurred vision, or any numbness, tingling, weakness or other strange sensations. 1. Drink plenty of fluids. 2. Cover up before going out in the sun. 3. Sleep for at least 7 hours. 4. Meditation. 5. Avoid loud music. 6. Don't drink extremely cold drinks. Homoeopathy is wonderful in treating such chronic, repetitive complaints More details like your family history, past history, thermals, thirst, desires aversions, attitudes is required to make a prescription especially in a chronic case such as yours. Consult in private with the above details. More questions may be asked if required..
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Torn Cartilage - Most Effective Ways To Manage It!

MS - Orthopaedics, MBBS
Orthopedist, Dehradun
Torn Cartilage - Most Effective Ways To Manage It!

Torn or damage cartilage is not just a problem for the sportsmen. It can occur to anyone. It is generally caused due to a direct hit on the body parts. Its treatment is far more complicated than a simple bone injury. The best sign to know whether or not you have injured your cartilage is to check out your activities. If you have hurt your joint and don’t notice major symptoms, like if you are still capable of putting weight on and move the joint, you might have had a cartilage injury. It doesn’t hurt you a lot in the beginning, but might get worse later. 

Here are the initial care and self-treatment procedure: 

  1. Protection: It is the first thing that has to be kept in mind. You must protect the affected area from any further injury. Thus, providing an external support, for example, use a knee brace. 
  2. Rest: Provide complete rest to the affected joint. The rest is must during the first two or three days. Crutches may help the situation if you’ve got an injury around your knee or ankle. It is then advisable to return back to light activity over the next few days or weeks, as prescribed by the doctor. 
  3. Ice: It is best to apply an ice pack to the injured area for about 15 to 20 minutes in every two to three hours. This must be repeated in the first two to three days. 
  4. Compression: Use a bandage to provide the needed compression to the injured area to avoid any swelling and movement. This will not let things go beyond control. 
  5. Elevation: You must keep the injured area raised. Keep it supported on a pillow to reduce swelling. 

If there is an unbearable pain, take painkillers such as paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs). If your condition doesn’t improve after the initial therapy, you must consult a doctor immediately. 

  1. Physiotherapy: It can be helpful in treating the affected joint. If there is any difficulty in moving the affected joint, you must opt for physiotherapy. A professional will be able to teach you exercises that will strengthen your muscles and provide support to the joint. This will help you in getting rid of the pain. It can be also beneficial at a time when you are recovering from any surgical procedure. 
  2. Surgery: If physiotherapy doesn’t work, it means you have severe cartilage damage. In that case, you might be advised to take up surgical procedures to set things in proper shape. Surgery is done either by opening the joint or by Arthroscopy. There are various types of surgery which can be done. 1st the old and successful surgery wherein damaged part of the cartilage is debrided and filled with normal cartilage from the non-weight bearing part of the joint. 2nd is ACI (Autologous Chondrocyte Implantation) is a 2 stage procedure wherein chondrocyte is grown using stem cell and implanted in defect part in 2nd stage. 3rd is multiple drilling of the area usually done in children.

So I am 26 and I am suffering from stomach problem like any time lotion motion stomach keep on paining on right side and think hyperacidity can you help an fast cure.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
So I am 26 and I am suffering from stomach problem like any time lotion motion stomach keep on paining on right side ...
This seems like you may have hyperacidity. But for any conclusions you have to go through an usg whole abdomen and some test if required to finalise your line of treatment. I would need to enquire about whole of your symptoms, prakruti.so for this you need to consult us online through this 'Lybrate' platform .and medicines will be sent to you by courier.
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Sir, Mujhe pure chest me khi bhi pin chubti he Esa dar hota he or ye dad heart ke pass or back me bhi or underarm ke niche bhi hota he or hath ki nash me bhi ye dar hota he please give me ans.

BHMS
Homeopath, Noida
Sir, Mujhe pure chest me khi bhi pin chubti he Esa dar hota he or ye dad heart ke pass or back me bhi or underarm ke ...
It can be gas. U do the following 1. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods n fried foods 7.Take a lot of green vegetables n fruit. 8. Drink lot of water 9. Everyday preferably sleep on same time Exercise in the form of yoga, cycling, Swimming, gymming, walking etc. For more details you can consult me.
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My friend is 23 years old studying engineering he's weight is 93 kg he constantly have issues like chest pain, oily skin pimples, he doesn't follow proper food habits in the sense he doesn't have his breakfast most of the time not even lunch he directly have his dinner at 10.00 pn.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
My friend is 23 years old studying engineering he's weight is 93 kg
he constantly have issues like chest pain, oily s...
Change diet and lifestyle and reduce weight otherwise he is heading for more serious issues Your Gut is the gateway to health. All diseases begin in the gut due to faulty eating and lifestyle habits and produce symptoms elsewhere in the body Antibiotics, Pain killers, Antidepressants .Food chemicals, skipping meals etc will kill your Gut ecosystem ,killing the good bacteria ,depresses the immunity ,reduces the feel good hormones and cause multiple health issues throughout the body and directs you to the wrong specialist Doctor who treats the patient according to the symptoms without treating the root cause Do not blindly believe your drs. They may have vested monetary interests, They only medicate the patient without educating the patient. Do not eat outside foods which are high in calories, high in fats and sugars and have no nutrients and rich in disease causing chemicals. They is currently an epidemic of lifestyle diseases like IBS, IBD,GERD ,GI tract Cancers, Gall stones, Piles ,Anxiety & Depression which could have all been prevented if you had taken personal responsibility for your lifestyle & diet and not entrusted your health entirely to your doctor. Your investigations may be normal but if you still have symptoms it means your Dr. has failed to fix your diet and lifestyle. You need 1) detailed dietary ,lifestyle, environmental,occupational ,family and medical history taking 2) Comprehensive lab testing-which should, include tests for inflammation and which focuses on your whole body and not only the gut. 3) detailed lifestyle and dietary advice based on the results of the lab tests and the detailed history. Take Consultation if you want to find out the root cause and fix your health problem by sending feedback with name and phone number. Keep your Gut healthy & happy for a happy life. Get educated about disease prevention reversal and never get medicated for any lifestyle disease. Remember- Drugs cannot cure any lifestyle & dietary disease. True health reform starts only in your healthy kitchen. Create one and enjoy good health.
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Hi, my mother's heels have a lot of pain, what can be the reason, even when she wakes up in the morning she have a lot of trouble in walking. Please suggest something to heal that problem of her.

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)
Physiotherapist, Delhi
Hi, my mother's heels have a lot of pain, what can be the reason, even when she wakes up in the morning she have a lo...
Could be heal spur or some times if Uric acid is high then it may cause pain. Kindly get one x Ray heal done and then meet a good Physio. Do warm water immersion.
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Hi, I have thyroid for which I am taking medicines and the levels are normal. I have knee pains. When I have done vit d serum level test the result was highly deficient in levels. Can I take uprise D3 weekly once. And please say me some homeo medicines too.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hi, I have thyroid for which I am taking medicines and the levels are normal. I have knee pains. When I have done vit...
Hello, Thanks for the query. Looking at your weight and height it is clear that with a BMI of 28.42 KGS/ Sq meter you are very close to being in grade 1 obesity. It would have been better if actual TSH levels were mentioned. That would have given a clear idea about actual control. For Vitamin D3 deficiency the supplement. Can be taken. Knee pain can come down with weight reduction. Your ideal body weight should be about 70 Kgs. Thanks.
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