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RK bone and joint clinic

Physiotherapist Clinic

No 10 14th street balajinagar anakaputhur chennai Chennai
1 Doctor · ₹250
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RK bone and joint clinic Physiotherapist Clinic No 10 14th street balajinagar anakaputhur chennai Chennai
1 Doctor · ₹250
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about RK bone and joint clinic
RK bone and joint clinic is known for housing experienced Physiotherapists. Dr. Natraj Ramar, a well-reputed Physiotherapist, practices in Chennai. Visit this medical health centre for Physiotherapists recommended by 96 patients.

Timings

MON-SUN
07:00 AM - 11:00 PM

Location

No 10 14th street balajinagar anakaputhur chennai
Anakaputhur Chennai, Tamil Nadu - 600070
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Doctor

Dr. Natraj Ramar

BPTh/BPT, MPT - Orthopedic Physiotherapy, MD - Acupuncture
Physiotherapist
10 Years experience
250 at clinic
Available today
07:00 AM - 11:00 PM
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Elderly Hip Fracture: Prevention & Treatment

MS orth, Diploma ort
Orthopedist, Agra
Elderly Hip Fracture: Prevention & Treatment

Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is mostly common in the elderly people, especially in women. Mostly, the reason is underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopaedic department. 
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule). 

What causes the hipbone fracture?

As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile. 

Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery

Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture. 

How to prevent hipbone fracture

  1. First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age. 
  2. Always remember to maintain a healthy bone. 
  3. Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day. 
  4. Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling. 
  5. Avoid consuming of tobacco and alcohols as it can reduce bone density. 
  6. Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.
  7. Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors. 

As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up. If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age.

Ankle Instability - 6 Ways It Can Be Manged!

MBBS, MS - Orthopaedics, Fellowship in Arthroscopy
Orthopedist, Hyderabad
Ankle Instability - 6 Ways It Can Be Manged!

The ankle, despite being one of the smaller joints, plays a crucial role as it bears the brunt of a person’s weight. Due to improper gait or injuries, the ankle often gets sprained. This can be a recurring problem in older people. Therefore, over a period of time, the ankle gets unstable and can cause chronic symptoms including pain, imbalance resulting in recurrent falls. Read on to know more about some causes, symptoms, and management techniques for ankle instability.

Causes: The ankle has ligaments which stretch to allow for ankle movement. When this ligament stretches beyond the limit, then it can tear or stretch. Therefore, sportspersons like basketball and football players, gymnasts who tend to use their ankle a lot are at a much higher risk of developing ankle instability over a period of time.

Symptoms: The most common symptom of ankle instability is when a person is unable to stand firm. This pain is worse in people wearing heels or walking on uneven ground. Patients may experience swelling, stiffness, and excruciating pain.

Management: Ankle instability is an acute problem but the recovery time is limited too, so the symptoms disappear over a period of time. However, in some people, especially sportspersons, it may lead to a chronic condition which needs immediate attention. Few remedies for getting relief from ankle pain are mentioned below:

  1. Ice: For pain relief, icing the ankle is an excellent option. Applying a cold pack for about 10 to 15 minutes about 2 to 4 times per day is an effective way to relieve the pain, stiffness, and swelling.
  2. Rest: Ligament injuries often heal on their own, and sportspersons may be advised to stay off of the game for about a week or two, to give it time for self-repair.
  3. Compresses: Using an elastic wrap or compression ice wrap for a few hours can help in relieving ankle instability.
  4. Pain killers: Non-steroidal anti-inflammatory drugs like ibuprofen can help in reducing both the inflammation and pain from the ankle injury.
  5. Exercise: Increasing the strength and flexibility of the ankle via exercise is a great way to reduce chances of further sprain. Rotating the ankles, standing on one leg, etc., are some effective ways to do this.
  6. Surgery: If none of the above-mentioned remedies work, a surgery may be required which is only in severe and/or chronic cases.

Ankle instability is quite common but is equally easy to manage.

Is there any permanent treatment for slip disc problem or surgery is the ultimate treatment? Please advise me

BPTh/BPT
Physiotherapist, Surat
Is there any permanent treatment for slip disc problem or surgery is the ultimate treatment? Please advise me
Surgery is also a treatment to slip disc but even after surgery you need to be cautious about any further damage.
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Lower Back Pain - Know the Causes and Treatments Of It!

Diploma in Orthopaedics, MBBS
Orthopedist, Gurgaon
Lower Back Pain - Know the Causes and Treatments Of It!

Lumbago or Lower back pain is a condition that is characterized by mild to serious pain or uneasiness in the lower back region. Lower back pain is more prevalent among the youth whose work includes physical exertion or sitting for long hours and is also common in individuals belonging to the 'retirement age' because of their sedentary lifestyles. The pain might be acute (sudden and extreme) or chronic if it has been endured over a span of three months. 

The most common causes of lower back pain are: 

  1. Overuse of the muscles and includes strains or sprains of soft tissues such as muscles, ligaments and vertebral compression fractures. 
  2. Pressure on the roots of nerves due to conditions such as spinal canal stenosis (narrowing down of the spaces within the spine) or herniated disc (a condition of the rubbery disc present between the spine bones (vertebrae)). 
  3. Osteoarthritis is a condition wherein the shock absorbers, found in the joints, progressively break down. 

When it affects the spine, the condition causes back pain by stiffening the spinal joints. Symptoms of Lumbago (Low back pain) include: 

  1. Stiff back 
  2. Numbness in the legs 
  3. Loss of weight 
  4. Difficulty in urinating 
  5. Sciatica, which is the pain running down the lower back to hips, legs and thighs. This occurs due to a compression by an intervertebral disc in the back, which leads to a pinched nerve. 

How to diagnose lower back pain or a slip disc?

Some methods that can be utilized for diagnosing back include Xray, CT Scans, Myelogram and MRI scans. 

Treatment options available -
Exercises along with correction of bad posture for relieving back pain are a common component of any treatment plan. Factors such as type and severity of the pain as well as the patient?s history can help in determining the type of treatment that can be administered. In most cases, the recovery time is usually six weeks without surgery. Typical treatment of back pain includes use of muscle relaxants, painkillers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below: 

  1. Rest: A period of rest and inactivity would help the injured tissues to recuperate and relieve back pain. However, extended periods of rest lead to weakening of muscles and hence might prolong the existing back pain. 
  2. Heat and ice packs: Both heat and ice therapies are used according to the patient's preference to reduce inflammation. 
  3. Medications: A large variety of prescription and over-the-counter medicines are available. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. Examples would include acetaminophen, celecoxib and diclofenac.
1 person found this helpful

I am suffering from cervical spondylosis. What kind of exercise I do to remain fit.

BPTh/BPT
Physiotherapist, Hyderabad
I am suffering from cervical spondylosis. What kind of exercise I do to remain fit.
CS is nothing but stiffness n mis alighnment. It need to be diagnosed for stiffness n alighnment cirrection by musculosketal physio. Once its becomes normal, you can do strengtheNing to prevent recurrence.
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Severe pain in knees and rt feet due to flat foot. Recently got and x ray and report shows: degenerative changes knee joints (more on left side)

MBBS
General Physician, Mumbai
Severe pain in knees and rt feet due to flat foot. Recently got and x ray and report shows: degenerative changes knee...
For pain take tablet paracetamol 650 mg and plan to take physiotherapy treatment and follow up after a week
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Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

MS - Orthopaedics
Orthopedist, Hubli-Dharwad
Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

Our knee is supported by several ligaments which help in movement. But what happens if you tear a crucial knee ligament? Tears or 'ruptures' in ligaments of the knee are common in sportsmen and/or accident victims, especially of the anterior cruciate ligament (ACL).

Though the ACL is not the only ligament of the knee, it is one of the most crucial to maintain stability of the knee joint. Any tear of this ligament frequently leads to chronic knee instability. When a tear in this ligament happens, patients know it immediately as they report feeling or hearing a “pop” along with pain and a feeling of an unstable knee.

Types of ACL injuries
ACL injuries can be classified by the amount of damage to the ligament. They can be partial or complete tears.

  • Grade I Sprain: In this there is some stretching and micro-tearing of the ACL, but it is otherwise intact. This does not require surgery.
  • Grade II Sprain or partial disruption: In this there is some tearing and separation of the ligament fibres and the ligament is partially disrupted. Usually, the knee joint is also moderately unstable. Arthroscopy surgery may be required.
  • Grade III Sprain or complete disruption: In this, there is total rupture of the ligament and the ligament is completely disrupted and the joint is unstable. Surgery is usually recommended for the young and active.

Treatments
There are many different ways that this ligament can be reconstructed depending on the age, activity level, and gender of the patient. ACL tears can be treated using arthroscopy and minimally invasive surgical techniques.

Though non-surgical methods are available, like rehabilitation and physical therapy, they don’t help much with complete ACL tears.
1. Exercises- this helps to increase the range of motion of the injured knee, decrease the amount of swelling, and maintain muscle control.
2. Arthroscopic surgery for reconstruction of the ACL

It can be of 2 types- Repair and reconstruction of the ACL.

  • A repair means that the injured ligament is left in place and the doctor tries to fix it back to the tibia or femur bones of the leg from which it has torn. This is a half-baked option as it does not restore full knee function.
  • A reconstruction, on the other hand, means that the ACL is substituted by a new ligament. The surgeon creates a soft tissue “graft” and uses it to reestablish knee stability. The body populates the graft with living cells and permanently attaches it in place. And, it usually takes about 4 to 6 months for the graft to start functional like the real ACL. Reconstruction surgeries help patients to get back to the same or higher degree of activity without pain or instability. The ‘graft’ usually comes from 2 sources
    • Taken from elsewhere in the patient’s body, called an autograft
    • Donated by donors, called an allograft

Knee arthroscopic surgery is a minimally invasive surgery which is done using pin hole cameras and under general or local anesthesia. The torn ligament is removed and the graft is introduced in its place and secured.

Post surgery outlook

  • Immediately after the surgery, the patient is placed in a brace. He or she can leave the hospital the same day if he/she wants.
  • The patient has to use crutches for preventing putting weight on the operated leg.
  • After-care is crucial for full functioning of the operated knee. The early postoperative period is devoted to restoring motion and decreasing swelling. After this the focus shifts to strengthening the knee joint.
  • The recovery of function following an arthroscopic ACL reconstruction continues over a few months and it usually takes 2-3 months for the patient to feel normal.

As long as the operated knee is cared for properly and other injuries are avoided, the benefits of the surgery are usually permanent.



 

ACL Reconstruction

2 people found this helpful

My sister aged 20 years has been molested and groped by house owner 18 days back. Since then she is having nightmare every night with some horrific scene which depicts that something more dangerous going to happen with her. She is frightened and not able to concentrate on her studies and personal life. She is completely shattered and lost her control. This moment she becomes normal and the next moment she starts crying or becomes angry. She also feel some kind of pain in the head and the body temperature gets increase suddenly. We are completely confused about her recent behavior. Can you please suggest some ways to overcome this nightmare situation?

M.Sc- Child development, Master's in Counselling and family therapy, Cerificate in Guidance and Counselling
Psychologist, Faridabad
My sister aged 20 years has been molested and groped by house owner 18 days back. Since then she is having nightmare ...
Hello dear, what your sister went through is no way your sister's fault .But definitely you need to seek help and share it with your parents or any trust worthy help available as the things can be repeated. The offender needs to be punished (if not possible then) avoided.Your sister will take some time to overcome it and her emotional and physical reactions are normal and in response to what she went through. Give her warmth ,a shoulder to bank upon, learning something for self defence, quietly,can also lend a feeling of empowerment.
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I am suffering from severe knee pain. I am not well to do and go for surgery. Pl help me.

BAMS
Ayurveda, Surat
I am suffering from severe knee pain. I am not well to do and go for surgery. Pl help me.
Hello lybrate-user. Take. Tab. Mahayograj guggulu 2 - 0 - 2 Tab. Mahavatvidhwansan ras 2 - 0 - 2 Syp. Maharasnadi kwath 2 - 2 - 2 chandanbalalakshadi oil for massage.
3 people found this helpful
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I am 61 years old. Suffering with knee pain since 2 yrs. Using "ayurved medcin. Nucart-oa 2 tabs 3 times daily since 10 days. Is this useful? As I tried many allopathy medicines and failed.

BAMS
Ayurveda, Surat
I am 61 years old. Suffering with knee pain since 2 yrs. Using "ayurved medcin. Nucart-oa 2 tabs 3 times daily since ...
Hello. lybrate-user. Take. Tab. Mahayogeaj guggulu 2 - 0 - 2 Tab. Mahavatvidhwansan ras 2 - 0 - 2 Syp. Maharasnadi kwath 2 - 2 - 2 Chandanbalalakshadi oil for daily massage. Ashwagandha churn 2 tsp 1 - 0 - 1 with milk.
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I am having knee pain from last 3 months. It started out in the left knee only. Now the left knee is okay and my right knee is having the pain. Have done the x-ray and blood test. No major problem seen in them. My doctor said that it might be the onset of arthritis. But I am only 24 years old and arthritis seems hard to believe. I am an active guy and play sports. I do work in corporate office so most of my time is sound in sitting. Does anyone have any opinion about why the pain is there. The pain started 3 months back after playing football. nothing showed up in x-ray mri or blood test. Have problem while sitting cross legged and pain while walking. Also I would like to ask, whether I can continue my gymming or gymming would severe the pain. Thanks in advance.

BPTh/BPT, MPTh/MPT
Physiotherapist, Faridabad
I am having knee pain from last 3 months. It started out in the left knee only. Now the left knee is okay and my righ...
Show me your blood reports as I want to knows the position of your calcium vit b12 or vit D n its not compulsory that arthritis occurs in later age. The later age arthritis is called osteoarthritis but there r other types of arthritis that is autoimmune related can occur in early age also and there r some arthritis which does not comes positive in any type of blood tests. I Will tell you home remedies for that and you will get completely relief with in one month n do some yoga asans n strengthening n stretching exercises under the guidence of some experienced only otherwise it can further worst your condition for more information take private consultation with me through Lybrate.
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Few days back I hav back pain so I decided to checkup and after my blood test and urine test I found out that there is a something wrong in my urine. I, e calcium oxalate crystals so to know more about disorder I went for sonography but it was normal according to the report. And doctor advice me to only drink more water. So my question: Ll it be ok if I only drink water What causes dis disorder Does it increase in future.

BPTh/BPT, MPT sports physiotherapy
Physiotherapist, Rajkot
Few days back I hav back pain so I decided to checkup and after my blood test and urine test I found out that there i...
Hello. Yes if you drink more water than your urinary tract can be cleaned. Preferably if you drink boil water it will be good. Boil the water and allow it to cool down and drink from that. The cause is the water you drink might be more hard or you might not be drinking enough quantity throughout the day. Normally you should drink around 5 liters per day.
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I have knee joint pain could be Arthritis or cleavage in joints, please suggest remedy REGARDS NArasimhan.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
I have knee joint pain could be Arthritis or cleavage in joints, please suggest remedy
REGARDS
NArasimhan.
2. Rhus tox 0/2 once a day for 4days Ruta 200 as above Sympht 200 as above Hyper200 once day for 5days Bell3 c liquid 4tims day
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My wrist is paining but no hamarage any others material so please solution this problem.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
My wrist is paining but no hamarage any others material so please solution this problem.
2. Rhus tox 0/2 once a day for 4days Ruta 200 as above Sympht 200 as above Hyper200 once day for 5days Bell3 c liquid 4tims day
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I am 83 male have left knee arthritis, the cartilage totally gone. I couldn't be operated for knee replacement, as I have left aortic aneurysm. I use jiva oil in the morning for a light massage take osteobioflex tablet green lipped mollusca extract and alternate days brufen 400 mg wear knee braces and complete all walking within the house. Carrying on like that. Don't go out much, except for walks inside the complex corridor. Any advice?

BPTh/BPT, MPTh/MPT
Physiotherapist, Pondicherry
I am 83 male have left knee arthritis, the cartilage totally gone. I couldn't be operated for knee replacement, as I ...
Eat well as balanced diet (take protein and hydrate yourself, strengthen / condition your leg muscles - exercises (static cycling*/** under water walking upto pelvis or mid chest level;-10-15 mins take precaution )* avoid exertion, don't think of pain perception while on exercise, on exercising casually you have pain avoid that and have a rest. Have atleast 8 hours of sleep.
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I have problem that my left hand palm near thumb is paining and blink internally what I can do and I have constipation problem.

MBBS, Craniosacral Balancing, Quantum Touch, Visceral manipulation
Pain Management Specialist, Panchkula
I have problem that my left hand palm near thumb is paining and blink internally what I can do and I have constipatio...
Your complaints are not sufficient to comment. To avoid constipation, don't take spicy, hot or fast food. Wishing you a healthy life.
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I am suffering from back pain last more than 2 months, now a days also felling knee veins are tight at morning time taking treatment from homeopath medicine ,last month kindly suggest me what are the suggestion from your side.

MS - Orthopaedics
Orthopedist, Ahmedabad
I am suffering from back pain last more than 2 months, now a days also felling knee veins are tight at morning time t...
Here are some advices for you 1. Don't sit on the floor 2. Avoid bending forward 3. Don't lift heavy weights Get an X-ray of Lumbar Spine done.
1 person found this helpful
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Sir I want to ask you that I have pain in leg due to an accident. What to do now.

BPTh/BPT, MPTh/MPT
Physiotherapist, Gurgaon
Sir I want to ask you that I have pain in leg due to an accident. What to do now.
Please do cold packs on the injured part every 2 to 3 hours for 12 t0 15 minutes. Give rest & keep the leg elevated. Minimise activities.
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