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RM NOBEL HOSPITAL

  4.5  (217 ratings)

Orthopaedic Clinic

ECR, Next to Thiruvanmiyur RTO Chennai
1 Doctor · ₹350
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RM NOBEL HOSPITAL   4.5  (217 ratings) Orthopaedic Clinic ECR, Next to Thiruvanmiyur RTO Chennai
1 Doctor · ₹350
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about RM NOBEL HOSPITAL
RM NOBEL HOSPITAL is known for housing experienced Orthopedists. Dr. Vivek A, a well-reputed Orthopedist, practices in Chennai. Visit this medical health centre for Orthopedists recommended by 64 patients.

Timings

MON-SAT
05:00 PM - 08:00 PM

Location

ECR, Next to Thiruvanmiyur RTO
Thiruvanmiyur Chennai, Tamil Nadu - 600041
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Doctor

Dr. Vivek A

MS - Orthopaedics
Orthopedist
89%  (217 ratings)
10 Years experience
350 at clinic
₹200 online
Available today
05:00 PM - 08:00 PM
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"Professional" 4 reviews "Prompt" 1 review "Well-reasoned" 8 reviews "Helped me impr..." 2 reviews "Thorough" 1 review "Practical" 6 reviews "knowledgeable" 9 reviews "Sensible" 6 reviews "Caring" 7 reviews "Very helpful" 13 reviews "Inspiring" 1 review

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Fractures - Ways You Can Avoid Them!

MS - Orthopaedics
Orthopedist, Chennai
Fractures - Ways You Can Avoid Them!

An average person experiences two fractures during his or her lifetime and same holds true for joint related injuries. The severity of this condition depends on a number of factors, ranging from the forces responsible for injury and location to the damage done to the nearby tissues and bones.

How age plays a role in your chances of getting a fracture?

Your risk and severity of developing a fracture, depends, to a certain extent on your age.

A very common occurrence during childhood is crippling joint related injuries, the fractures that you tend to have during this time are generally less complex than the broken bone instances that you stand to experience when you enter adulthood.

With time, your bones become fragile and you become prone to broken bones sustained from falls, which you wouldn't when you were young. Furthermore, as you step into your 50th year, you can get struck by the bone condition osteoporosis, a leading cause of bone fractures during this time. For women, menopause makes them more susceptible to osteoporosis (as infrequent periods and hormonal changes at this time lead to loss of bone mass) and subsequently broken bones.

Preventing crippling joint injuries need many steps in younger generation known as prehab especially for sporting population and adult population involved in day to day activities requiring your body getting subjected to physical stress.

Simple steps to get your joints back to normal in case you do get into injuries.

  1. Having a calcium and vitamin d rich diet to strengthen bones
  2. Exercising to strengthen bone and muscle health as well as your balance
  3. Taking relevant medicines to make your bones strong
  4. Going for timely bone mineral density test to determine the health of your bone
  5. Exposing yourself to the sun for about 20 minutes everyday
  6. Having a requisite calcium intake of 1000 mg and 1200 mg for pre- and postmenopausal women respectively
  7. Preventing a fracture by modification in your household furniture, extra clothing, sometimes addition of simple orthotic devices, improving your muscle reaction time etc go in long way to help prevent falls. If you wish to discuss about any specific problem, you can consult an Orthopedist.
2595 people found this helpful

Cartilage Damage - Causes and Treatment

MS - Orthopaedics
Orthopedist, Chennai
Cartilage Damage - Causes and Treatment

Have you undergone cartilage damage recently and are seeking ideal treatment measures? Cartilage damage is a common form of injury that involves your knees. Other joints such as the ankles, elbows and hips may also be affected by cartilage damage. Cartilage, the tough and flexible tissues covering the surface of your joints, acts as a shock absorber, allowing the bones to slide over each other. Cartilage damage may occur because of injuries such as a gradual wear, sports injuries and osteoarthritis. While acute cartilage damage may heal on its own, severe damage may need treatment via surgical measures.

Treatment

Physiotherapy

  • Physiotherapy is effective when you experience difficulty in moving your affected joint.
  • It is also an important part of recovery if you have to undergo surgical procedures for treating cartilage damage.
  • A physiotherapist will teach you certain exercises that are effective for strengthening the muscles that surround and support your affected joint.
  • This helps in reducing pain and pressure on the joint.

Surgery

  • Severe and serious cartilage damage does not heal effectively on its own, and a surgery may be required for treatment.
  • Usually, surgery is performed by using Arthroscopy. This is a form of keyhole surgery in which certain instruments are inserted into your affected joint via incisions or small cuts.
  • In some cases, larger incisions have to be made.
  • Such surgeries are carried out after giving general anesthesia to the patient.

The most common surgeries that are undertaken in cases of cartilage damage include the following:

Lavage and debridement

  • In this form of surgery, your joint is cleaned for the removal of any loose tissues.
  • The damaged edges are trimmed to be made smooth. Sometimes, the damage may also be repaired during the same time.

Marrow stimulation

  • In this procedure, tiny holes are made on the bone beneath your damaged cartilage that releases the bone marrow in it.
  • The marrow cells stimulate the production of new cartilage.

Mosaicplasty

  • In this procedure, small plugs of healthy cartilage from areas of a joint that are non-weight bearing are removed and used for replacing areas of the affected cartilage.

Osteotomy

  • This procedure involves the alteration of the alignment of your leg for reducing pressure on the damaged area.
  • It is effective in improving pain.
  • A wedge of bone may be removed or added from your thigh bone or shin bone.
  • The bone gets fixed with a plate till it gets healed.

In some cases, a joint replacement surgery has to be carried out. In this procedure, the entire affected joint is removed and replaced with an artificial joint. Hip replacement and knee replacement are common examples of this kind of surgery. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2796 people found this helpful

How to fight osteoporosis by keeping bones healthy?

MS - Orthopaedics
Orthopedist, Chennai
How to fight osteoporosis by keeping bones healthy?

The human body stands on the foundation made in the framework of bones. If bones are strong and healthy, you get the additional support to lead a healthy life, go through daily and rigorous activities, and participate in all such events and things which challenge your strength and balance. Most importantly, you get the confidence to go on. But when bones are weak, decayed, depleting, or getting porous, affected from diseases, your whole system may collapse due to its effects, or you may get partially handicapped. Pains and sufferings automatically come with the bone diseases. Hence, to know how to protect your bones from the deadly diseases, and the most common and devastating one, which is Osteoporosis, read on.

The growth and life of bones

Bones are living tissues in the body, which keep on growing, and cells keep on multiplying, regenerating, and replace old and dead cells with new ones. When the natural rhythm is maintained you are safe from bone diseases and have healthy bones.

The frequency of bone diseases and Osteoporosis

Every year almost 1.5 million people from around the world suffer from bone fractures, and the most likely reason for this among people over thirties is osteoporosis.

What is Osteoporosis?

Bone cell structure under the microscope is a mesh network, where the cells are joined together to form a smart network of support. In Osteoporosis, the bones stop growing or get depleted. Due to any of the two reasons which may again be induced by other factors, the holes between the mesh formed by bone cells grow bigger. As a result, the bones lose density, mass and strength, and get into such a state that they may collapse under normal pressure anytime. This is more common in women who lose calcium (an important ingredient for healthy bones) after their thirties.

How to keep your bones healthy and fight Osteoporosis?

The best thing you can do to prevent osteoporosis is:

  • Monitor diet to see that your body gets important bone forming ingredients like vitamin D, calcium, and phosphorus
  • Do regular exercises to keep fit and promote blood circulation through bones
  • Get a health checkup done every few years to ensure your bones are okay

If you get a fracture easily or pain in the bones, you may be suffering from osteoporosis and must arrange for diagnosis and treatment as soon as possible to prevent further weakening of the bones.

Dislocated Kneecap - Symptoms and Treatment

MS - Orthopaedics
Orthopedist, Chennai
Dislocated Kneecap - Symptoms and Treatment

Have you suffered from a dislocated kneecap and are looking for effective treatment options? A dislocated kneecap is a very common form of injury that takes around six weeks time to heal. It is generally caused by a blow or a change in direction when your leg is planted on the ground. Such injuries are common during sports and dancing. The patella or knee cap, which sits at the front of the knee, glides over a groove in your joint, on straightening or bending your leg. Dislocations make it come out of the groove, leading to the tearing of the supporting tissues.

Symptoms

  • When your kneecap gets dislocated, it is likely to look out of place, or the angle will seem odd.
  • Other symptoms include severe knee pain, inability to walk, swelling of the knee, inability to straighten the knee, and a popping sensation in the knee.

Treatment

  • A dislocated knee cap is not something very serious and it pops back in place on its own in many cases. However, it is recommended for you to get it diagnosed and treated by a health professional.
  • In case your knee cap goes back into place on its own, you should visit a minor injuries unit or MIU, or an accident and emergency department.
  • If your kneecap does not go back into place by itself, you need to call an ambulance and avoid trying to put it back in place by yourself.
  • On the way to the hospital, or while you wait for the ambulance to arrive, you should sit, keeping your leg in a position that is most comfortable for you.
  • If your kneecap does not correct itself by the time you reach a hospital, it has to be manipulated back in place by a doctor. This process is called reduction.
  • You will be given medication to ensure that you keep relaxed and free from pain during the procedure.
  • After the knee cap is put back in place, an X-ray has to be undertaken to check out if your bones are in the right position. Signs of other damages are also analysed.
  • After the procedure, you will be prescribed painkillers. Your leg will be immobile and put in a removable splint for some time.
  • For effective recovery, you should undergo physiotherapy for several weeks.

A surgery for a dislocated kneecap may only be required to be undertaken in case of a fracture or associated injuries like a ligament tear. A surgery may also be required in case you had experienced a knee cap dislocation in the past. If you wish to discuss about any specific problem, you can consult an orthopedist.

2832 people found this helpful

Common FAQs on Tennis Elbow Treatment

MS - Orthopaedics
Orthopedist, Chennai
Common FAQs on Tennis Elbow Treatment

A Tennis elbow is a painful condition that affects the tendons due to a condition known as tendinitis, which causes inflammation. This condition will end up restricting the free movement of the elbow and the arm due to the pain and stiffness that it causes. This is due to the fact that these tendons are the tough band of connective tissues that hold the muscles and the lower arm with the bone. Repeated gripping motions and continued tugging as well as activities like weight lifting, tennis, squash and other like carpentry, painting writing and typing, can lead to this condition.

Here are a few methods of treatment and the questions that revolve around them.

  1. Do I have to restrict my movements: Yes, when you have tennis elbow, the very first thing you must do is to give rest to the tendons by curbing those activities that have caused the condition or those which can aggravate the pain and stiffness. Lifting heavy objects, gripping things for prolong periods, other physical pursuits like tennis and other games and more will need to stop so that you do not stretch, strain or pull the tissue.
  2. Can I take pain killers: Yes, you can take pain killers like ibuprofen and acetaminophen in case the pain is unbearable? Always ensure that an orthopaedic specialist takes a look at your arm before prescribing the medicines to you.
  3. Is an ice compress good for this pain: You can use the RICE method for acute pain that is less than 72 hours old. For more persistent pain, you must see a doctor. The RICE method refers to Rest, Ice, Compression and Elevation. In this method, you can keep your arm elevated and give it rest. You can also use an ice compress and keep it tightly wound with an elastic bandage so as to avoid swelling.
  4. Can I take injections for this condition: Corticosteroid injections may be used for very severe cases. This contains the cortisol hormone and can give good results in the short run.
  5. Are there any non invasive methods for treatment: You can try non-invasive procedures like shock wave therapy which will help in fixing the pain and promote motion gradually. This procedure is usually conducted with the help of shock waves that are passed to the skin.
  6. Is exercising a complete no no: In this case, many orthopaedic surgeons and doctors will ask you to go through physiotherapy so that you can get used to movements and motion after prolonged pain. These exercises will also strengthen the muscles of the area.

Talk to your doctor if the pain is particularly debilitating and discuss surgery for the same.

2637 people found this helpful

I am 30 Year old women having spine (disc) issue. According to my MRI report “Posterior and left paracentral disc extrusion at L5-S1 level superior migration causing compression on left existing nerve”. Due to this the toes of my left foot has lost power restricting dorsiflexion. There is no back pain and I am able to move and walk freely without any issue. The numbness and sensation have shown recovery after 15 days of physiotherapy. My doctor has advised for surgery but I am reluctant to go for it. My two questions are 1) Whether it is possible to get recovery without surgery? If yes what precautions should be taken? 2) I fear further damage due to this nerve compression. Whether there are chances of further damage due to this if I don’t go for surgery?

MS - Orthopaedics
Orthopedist, Chennai
Hello madam, The symptoms described by you and the MRI report corelate. It means that you have significant disc problem. It is considered as a strong indicator of surgery if you have weakness of muscle. Generally for disc related problems conservative treatment by medication and physiotherapy will work, but when muscle weakness is present, then there is high risk of progression and chances of recovery of muscle power cannot be predicted. If you recover from this problem without surgery it will be great, but have to be lucky. But if it gets worse then you may have to be only sorry. Unfortunately no test or no Surgeon can predict if someone in your position will recover or not. Ifeel the doctor who has seen you in person has more information about you than me, so my advice would be to get your self treated as per his decision. If you have any questions contact me on this platform.
2 people found this helpful
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My father is suffering from paralysis from past 1 year. Now a days he is screaming always not even sleeping for a moment. What should I do?

MS - Orthopaedics
Orthopedist, Chennai
Hello sir the reason for the problem your father is facing can be due to pain or can be due to other psychological reasons. The best approach would be to involve a physician near by so that he can assess your father and give the correct advice.
1 person found this helpful
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I am feeling problem in seating it cause me pain nearby pubic region and hip side area tell me wat should I do.

MS - Orthopaedics
Orthopedist, Chennai
I am feeling problem in seating it cause me pain nearby pubic region and hip side area tell me wat should I do.
Hello madam the cause of the pain that you are experiencing is very difficult to guess with the limited information you have furnished. The best thing will be to meet a doctor nearby who can assess your problem and give you the correct treatment or you can contact me on this platform. The role of the physiotherapist is to do physical therapy. They are not trained or certified to diagnose medical problems.
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I'm female, Case of rheumatic arthritis. Suffering for the last 5 years. Taking medication as and when paining. My ESR always shows 50. Is it harmful or can be ignored. Pl. Suggest remedies.

MS - Orthopaedics
Orthopedist, Chennai
I'm female, Case of rheumatic arthritis. Suffering for the last 5 years. Taking medication as and when paining. My ES...
Hello madam the role of ESR in Rheumatoid arthritis is of prognostic importance. It is advisable to consult a Doctor to get your doubts cleared I do not want you to get a wrong information about your problems. Rheumatic arthritis and rheumatoid arthritis are two entirely different problems. So when anyone is answering we are assuming that you have rheumatoid arthritis.
1 person found this helpful
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My knees and back after sitting, walking or running for a while feel numb as if its the situation of old people And a regular pain in the tailbone as I have to drive bike a lot coz of my marketing job. Need help.

MS - Orthopaedics
Orthopedist, Chennai
My knees and back after sitting, walking or running for a while feel numb as if its the situation of old people And a...
Hello, the symptoms expressed by you may be due to simple deficiencies of nutrients. However I cannot prescribed medications on this portal you can get in touch with me for the same.
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I have a stomach and back pain continuously from one week but only for 3 to 4 hours a day while sitting in my office. After eating something and also when I move from my office the pain will disappear automatically. Can you please suggest some remedies. Thank you.

MS - Orthopaedics
Orthopedist, Chennai
I have a stomach and back pain continuously from one week but only for 3 to 4 hours a day while sitting in my office....
Hello, the problems presented by you could be because of low back muscle strain and also can be due to ulcer in your stomach. However to clarify you have to meet your doctor and get it treated. Or communicate with details with me on this platform.
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3 Months Earlier I Had Triple Arthrodesis Surgery Which Enables To Corrects My Foot Deformity. I've Plaster During Those Days. IN first week Of December My Plaster Has Been Removed. But Now I am Suffering From Little Foot Pain. I had Little Difficulties in Walking. All I want To Ask That How Can I get Rid Of This Post Surgery pain. How Can I be Able to walk With No Difficulties. What Exercise Or Techniques Should I Do For Get Rid Of This Pain. I had Taken Painkillers "Ultracet" Regularly for 8 Days. But Then again I am Not Able to deal with this. Please Suggest Me some Advice. Your Advice Will Be helpful For Me Thank You.

MS - Orthopaedics
Orthopedist, Chennai
3 Months Earlier I Had Triple Arthrodesis Surgery Which Enables To Corrects My Foot Deformity. I've Plaster During Th...
Hello madam, triple arthrodesis surgery is done for specific conditions of the foot, since no detail is available regarding the indications for your surgery it would be inappropriate for any doctors on this portal to advise on this aspect. It would be better to meet your surgeon and get your doubts cleared. However till such time if pain is your major problem, you can use ultracet which you have been using. Other measures like ice packs, hot fomentation and compression bandage along with local application of analgesic gel can be used to relieve your pain.
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Sir, I am suffering from severe back pain problem. While I am sitting for more than 5-8 hours I am getting lot of pain. Please give any suggestion for my problem. And more over pain in hand muscle. Also.

MS - Orthopaedics
Orthopedist, Chennai
Sir, I am suffering from severe back pain problem. While I am sitting for more than 5-8 hours I am getting lot of pai...
Hello, for an young man of your age, back problem is due to common conditions which can be rectified with simple measures and medications, you will need to contact me in person to get the problem sorted. The treatment will involve modification of activities, exercises and supplementary medications.
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I am 62 I am having swollen foot for past one months on my right leg and it already comes for me earlier and I am having asthma problem and till now I have not had any cardiac problem I am using action-or tab as pain tablet as per doctor suggestion.

MS - Orthopaedics
Orthopedist, Chennai
Hello sir, foot swelling can be due to multiple causes. For a person of your age, causes related to organ systems have to be ruled out which your physician will be the best person to do it. I would also require more details regarding the swelling, like is there any pain what are the relieving factors was there any injury You can get back to me with these details so I can come up with an interim solution.
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I was having fibula fracture lower to knee earlier about 1 year ago but now I got my fracture repaired can I start exercising now.

MS - Orthopaedics
Orthopedist, Chennai
Hello lybrate-user, by now the facture would have healed well. You should exercise and do all activities.
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Does walking worsen joint and muscle pain and does it increase the risk of tendon rupture? A week ago I went to doctor for my loose motions and he prescribed me ofloaxin (200 mg) and ornidazole (500 mg) tablets to be taken two times a day for a week. After a day I noticed mild muscle, knee pain and a loss of sensation in my right leg. I thought permanent nerve damage has been done to my leg. But I was wrong and since yesterday when I finished my dose of antibiotics there is very little pain and that too occur occasionally. So my question is since this antibiotic increases the risk of tendon rupture and cause muscle/joint pain, will it be safe to walk 10-15 kms a day? Or should I wait for few weeks before I start walking such long distances? PS: I love to walk!

MS - Orthopaedics
Orthopedist, Chennai
Does walking worsen joint and muscle pain and does it increase the risk of tendon rupture? A week ago I went to docto...
Hello sir, Now that you have completed the course of antibiotics, your muscular pain and tiredness will be gone. You can get back to active walking schedule. Doing regular exercise is a good thing. Now when you start walking, don't walk 10-15 km on day one. Take time and gradually increase the distance. Tendon injury following fluroquinolones is a theoretical possibility, but don't worry. I'm sure you have Read the instructions or in Google. So far in 12 years I've not seen a person have that complication. Enjoy your walks.
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She is suffering from muscular pain in thigh muscles after her miscarriage in sept 2016. She experiences trouble in climbing steps due to the muscle pain. What should I do.

MS - Orthopaedics
Orthopedist, Chennai
She is suffering from muscular pain in thigh muscles after her miscarriage in sept 2016. She experiences trouble in c...
Hello, I am an orthopedic surgeon in Chennai. I feel you should correct her vitamin D and vitamin B12 levels checked and corrected. Supplements for iron and calcium will be required.
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Can I use moov/volini spray for backache. As 2 week earlier I gave birth to my child by cesarean delivery. Request pls suggest accordingly.

MS - Orthopaedics
Orthopedist, Chennai
Can I use moov/volini spray for backache. As 2 week earlier I gave birth to my child by cesarean delivery. Request pl...
Hello, you can use Volini spray or Moov cream for the back ache but make sure that the spray or cream does not touch the baby's skin. The child's skin will be sensitive and may cause irritation. You can try simple measures like exercises and physiotherapy if you are not relieved.
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When I run regularly for preparation of army. Then there is some pain in my knee and under knee parts. When I stop running frw day it stops.

MS - Orthopaedics
Orthopedist, Chennai
When I run regularly for preparation of army. Then there is some pain in my knee and under knee parts. When I stop ru...
Hello, sir it may be due to muscle soreness. Correcting your vitamin D and a few supplyments to a large extent will correct your problem.
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