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Sai Srini Physio Care

Physiotherapist Clinic

No. 2/19A, Samayapuram Main Road, Vivekananda Nagar , Porur, Land Mark: Near Porur Bus Stop Chennai
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Sai Srini Physio Care Physiotherapist Clinic No. 2/19A, Samayapuram Main Road, Vivekananda Nagar , Porur, Land Mark: Near Porur Bus Stop Chennai
1 Doctor
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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 Sai Srini Physio Care
Sai Srini Physio Care is known for housing experienced Physiotherapists. Dr. K. Nagalakshmi, a well-reputed Physiotherapist, practices in Chennai. Visit this medical health centre for Physiotherapists recommended by 68 patients.


05:00 PM - 09:00 PM 10:00 AM - 02:00 PM


No. 2/19A, Samayapuram Main Road, Vivekananda Nagar , Porur, Land Mark: Near Porur Bus Stop
Porur Chennai, Tamil Nadu - 600116
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05:00 PM - 09:00 PM
10:00 AM - 02:00 PM
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Frozen Shoulder - When Is Surgery Required?

MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Guwahati
Frozen Shoulder - When Is Surgery Required?

Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well. In case you have a concern or query you can always consult an expert & get answers to your questions!

Complete Knee Surgery - Can It Be Beneficial?

Fellowship in Joint Replacement , M.Ch , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Complete Knee Surgery - Can It Be Beneficial?

My mother aged 65 years has severe arthritis of both knees, should she get both knees replaced in one sitting?

You should do both knees in one sitting if the severity is same in both the knees and the patient is unable to differentiate the painful knee. In case the patient says one knee is more painful than address one knee at a lime. Your own knee is always the best till it lasts.

What are the advantages of doing both the knees in one sitting?

  • Exposure to the risk of anaesthesia reduced to only once
  • Aids simultaneous rehabilitation especially in severely deformed knees
  • Bilateralprocedure reduces cost
  • Earlier return to baseline function and convenience for the patient and relatives
  • Shorter cumulative hospital stays

What are the risks associated with bilateral Total Knee Replacement (TKR) and are there any studies to support the same?

The risks of cardiac and infection related complications for bilateral TKR are lower than the combined risk of two unilateral TKRs. A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-Bilateral Total Knee Arthroplasty published in The Journal of Bone And Joint Surgery.

Result: Records were available for 11.445 simultaneous-bilateral arthroplasty Procedures and 23.715 staged-bilateral procedures.

Conclusions: Simultaneous-bilateral total knee arthroplasty was associated with clinically important reduction in the incidence of infection and malfunction within one year after arthroplasty.

What is the latest Technology available which could help improve surgical outcomes?

Custom Fit Knee Resurfacing: A knee with your name on it i.e. customized specifically based on your dimensions.

Understanding Custom Fit Knee Resurfacing: You are unique and so is your individual anatomy and thus lack of accuracy leads to discomfort and even further corrective surgeries That is why Custom Fit Knee replacement surgery, which utilizes MRI (Magnetic Resonance Imaging) technology to create personalized positioning guides for total Knee replacement is recommended.

Practical Benefits Of Custom Fit Knee Replacement

  • MRI of the affected knee is done based on which we can make a customized jig for better fitting of the implant for the patients
  • No intra medullary instruments so minimal chances of fat embolism
  • Minimally Invasive (just a 4-5 inch incision)
  • Improves the speed of the operation theater time (40% reduced surgical time)
  • Increases implant inventory efficiency (know sizing)
  • Faster recovery of the patient
  • Perfect patient alignment thus better mobilization

What is the role of body exhaust 'space' suits in Bilateral TKR?

  • 'Space' suits maintain a more sterile environment and offer more mobility to the surgeons.
  • Space suits are used to help reduce contamination from the operating teams from entering the wounds.
  • The impure air exhaled by the operating team is pushed down by the rotating fan in the helmet of space suits and absorbed by the laminar air flow in the 0.T.

In case you have a concern or query you can always consult an expert & get answers to your questions!

ACL Surgery Recovery - What To Expect?

MS - Orthopaedics, FAIS, FASIF, MBBS Bachelor of Medicine and Bachelor of Surgery, MS -Ortho, Fellowship In Lizarov Surgery
Orthopedist, Mumbai
ACL Surgery Recovery - What To Expect?

ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.

Read on to know what you can expect in the recovery phase following an ACL surgery.

  1. Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
  2. Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
  3. Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
  4. Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
  5. Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.

Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation. In case you have a concern or query you can always consult an expert & get answers to your questions!

Slip Disc Often Misdiagnosed And Mistreated

MS - Orthopaedics
Orthopedist, Howrah
Slip Disc Often Misdiagnosed And Mistreated

What is a slipped disc?
Injury or weakness can cause the inner jelly like portion of the disc to protrude through the outer ring. This is known as a slipped or herniated disc. This causes pain and discomfort. If the slipped disc compresses one of your spinal nerves, you may also experience tingling, numbness and pain along the affected nerve. As the lumbar spine (lower back) carries most of the body weight, it tends to “slip” more than higher levels.

What is the anatomy of disc herniation / herniated disc/ slip disc /sciatica?

Human spine is made of up 33 bones (vertebrae) that are cushioned by discs. These vertebrae are divided by region: neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end of your spine, you also have the sacrum and the coccyx, which is commonly called your tailbone. Discs are present between these bones. The disks protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting. Each disc has two parts—a soft, gelatinous inner portion (nucleus pulpous) and a tough outer ring (annulus fibrosus). Together, the vertebrae and discs form a tunnel through which the spinal cords and nerve pass.

What are the causes of slip disc?

The etiology/cause of slip disc is multifactorial; there is no evidence to prove/disprove the quantitative effect of one or other. The risk factors for slip disc can be:

• life style: stress and emotional tension, poor posture -standing for long periods of time or sitting incorrectly—can cause slip disc, heavy physical work, lifting or forceful movement, bending, or awkward positions can really hurt your back.
• obesity: being overweight puts pressure and stress on the back, especially the low back. Carrying excess weight aggravates other health conditions such as osteoporosis (weak bones), osteoarthritis (joint pain), rheumatoid arthritis (an autoimmune disease), degenerative disc disease (described above in the aging section), spinal stenosis, and spondylolisthesis.

What are the symptoms of herniated disc or slip disc?
Symptoms of a slipped disc include: sciatica – pain in buttock radiating to leg
• pain and numbness, most commonly on one side of the body
• pain that extends to your arms and/or legs
• pain that worsens at night
• pain that worsens after standing or sitting
• pain when walking short distances
• unexplained muscle weakness
• tingling, aching, or burning sensations in the affected area
• sciatica— a sharp shooting pain that can extend from the buttock into the leg and sometimes into the foot.
• muscle spasm, locked back, stiffness in back, morning stiffness.
• although rare, herniated discs can cause you to lose bowel or bladder control known as cauda equine syndrome and one should seek medical advice as prognosis deteriorates with time. One can know whether this is happening to him or not if he has urgency /frequency of urination or loss of control of urination or sudden peri anal anesthesia.

When do I need to have a spine doctor opinion?
Patients with progressive symptoms in leg / back need a specialist opinion to diagnose and treat the problem.

symptoms which need specialist attention (red flags) are:

1. Persistent leg pain
2. Numbness in leg
3. Weakness in leg
4. Difficulty in walking
5. Unable to control urine / motion

symptoms like bowel and bladder urinary incontinence shall seek urgent / emergency opinion /management by the spine specialist.

Which tests will be needed to confirm the diagnosis?

Imaging studies / investigations help to arrive a diagnosis of slip disc / herniated disc and include:
• x-rays
• mri scans
• disco grams, which are rarely utilized.

What are the treatment options for slip disc?
There are different options to treat slip disc depending on the severity and duration of symptoms. They may comprise of one or many:

1. Drugs & medications
2. Spinal injections
3. Spine surgery

drugs, medications, to relieve slip disc: medication alone is not the ultimate solution to your back pain, however during emergency or during severe pain these medicines may help you curb the suffering. paracetamol:
your doctor may call this an analgesic, they don’t help reduce inflammation, though. nsaids (non-steroidal anti-inflammatory drugs):
these will help reduce swelling (or inflammation) while relieving your pain; that’s how nsaids differ from paracetamol.

muscle relaxants: which will help stop the muscular spasms.

as surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your body’s production of endorphins, a natural pain killer.

in the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid.

medication warning:
as with all medications, you must follow your doctor’s advice precisely.

Spinal injections: 
(a) injection techniques
• root block injection
• epidural injection
• caudal block injection
• facet block injection

The options of surgery are
• decompression
• spinal fusion

the spine surgery advised for slip disc can be performed in many different ways. The success rates of surgery in slip disc/ herniated disc / sciatica is 98 % and with invention of modern technology and minimal invasive surgery techniques it nears 100 %. Spine surgery can be performed in different manners:-

• conventional open surgery
• minimal invasive spine surgery – key hole spine surgery
• endoscopic spine surgery
• microscopic spine surgery
• micro endoscopic spine surgery

Decompression includes
• facetectomy: a procedure that removes a part of the facet (a bony structure in the spinal canal) to increase the space.

• foraminotomy: a procedure that removes the bony compression over foramina (the area where the nerve roots exit the spine) to increase the size of the nerve pathway.

• laminoplasty: a procedure makes more room for the spinal canal.

• laminotomy: a procedure that removes only a small portion of the lamina (a part of the vertebra) to relieve pressure on the nerve roots.

• micro-discectomy: a procedure that removes a disc through a very small incision using a microscope.

• laminectomy: a procedure for treating spinal stenosis by relieving pressure on the spinal cord.

spinal fusion: surgery intends to stabilize an unstable segment responsible for pain, this may involve putting some screws in your spine to increase stability.

various options of doing spinal fusion are plf /plif/tlif/ alif/xlif.

Main 1 month se morning walk kar raha hoan but mere right knee main dard ho jata hai pahle main socha ki sorowat ke liye ho raha lakin 1 month ke baad bhi dard hai kya reason hai iska.

Bachelor of physiotherapy
Physiotherapist, Gurgaon
Main 1 month se morning walk kar raha hoan but mere right knee main dard ho jata hai pahle main socha ki sorowat ke l...
If you found a sound in joint and pain frequently during walk or in morning or in various stages. Then no need to fear we have solutions for it. A technique to regenerate the knee cartilage is use for this. If further query contact.
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Hello sir My father is suffering from neuro problem. MRI report of my father - Lumber spondylosis with degenerative poster central and right lateral disc protrusion at L5/S1 level causing indentation over the thecal sac and narrowing of the bilateral recesses and lower segment of bilateral neural foramina resulting entrapment of the corresponding exiting nerve roots more on right side. Our doctor said that my father needs surgery. Isn't there some other option except going for surgery. What should we do.

Bachelor of physiotherapy
Physiotherapist, Gurgaon
Hello sir
My father is suffering from neuro problem. MRI report of my father -
Lumber spondylosis with degenerative p...
Yes there is a solution and no need to surgery. Various medications and treatment is useful for this prob and surgery isn't necessary after all of that. This all provide relief and better ADL. For that physiotherapy and medicine give you better result. If any query then consult.
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Waist to foot one nerve always pain. Few months ago I lift a 2 kg thing from that day I feel the same problem. One doctor sugest me for laser treatment he told me nerve is damaged so for reducing the I have to go for laser therapy.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
Waist to foot one nerve always pain. Few months ago I lift a 2 kg thing from that day I feel the same problem. One do...
Take homeopathic medicine Rhus tox 200, 4 pills thrice a day and ruta 30, 4 pills and report thereafter 3 days.
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Started back pain from lower back, taken flexon-mr 2 tabs, now sometimes middle back, some times lower back pain is going on, Advice.

MBBS, Post Graduate Diploma In Orthopedics , Gold Medalist - MS Orthopedics, Super Specialisation - Mch Orthopedics, FELLOWSHIP- American Academy of Orthopaedic Surgeons
Orthopedist, Kolhapur
Started back pain from lower back, taken flexon-mr 2 tabs, now sometimes middle back, some times lower back pain is g...
Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. I generally see many cases like this at my clinic. I give them rest, analgesics,anti-inflammatory tablets and ice pack till the symptoms reduce to some extent. Then I get an xray and if necessary an mri done to find out the exact reason. In your case, there are 3 possibilities- POSSIBILITY 1. SOFT TISSUE INFLAMMATION- there may be no bony involvement, only the soft tissues around the region might be inflammed that may be causing the pain POSSIBILITY 2. NEUROPATHY- there may be a partial or complete inflammation of the nerves in that region that may be the root cause of such kind of pain. POSSIBILITY 3. DISC PROLAPSE-there may be a compressed a nerve in the spine somewhere that might be causing radiating pain in those regions. Possibility of a disc prolapse should be kept in mind. I suggest you get an Xray as well as an MRI done to find out the exact cause. Physiotherapy, analgesics,anti-inflammatory drugs should help till then. Do get back to me after your reports are ready. For direct online text/audio/video consultation with me, visit "" Thanks.
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Post Knee Replacement - Exercises You Can Do At Home!

MBBS, MS - Orthopaedics, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Chandigarh
Post Knee Replacement - Exercises You Can Do At Home!

Disorders that affect the knee like severe arthritis or trauma do not allow you to utilize the full range of motion of your knees. Since you use your affected knees very sparsely, they become stiff and this condition persists even after you have undergone a knee replacement surgery. You can, however, get back the normal range of motion of a healthy knee by doing the following exercises post knee replacement surgery.

  1. Take a stroll around the house after surgery: Walking helps your knees get back to normalcy. Initially, you need to walk using the support of crutches or canes as instructed by your therapist. Make sure that your heels and toes are perfectly aligned while you walk. Walk for 20 minutes at least twice at the initial stage and increase your pace gradually, so that, eventually you can walk freely without any support.
  2. Exercises to reduce swelling: Your legs or foot can become inflamed after the operation. This is not an uncommon sight. In order to reduce swelling, you need to lie flat and rest your legs on a stack of pillows, one at a time. While your leg is elevated you can apply a cold compress at the surgical site.
  3. Pumping exercises: Swelling will be ameliorated and your knees will be revived if you perform ankle pumps and circles. Ankle pumps are done by holding your foot and bending them up and down, whereas, circles are done by moving your feet in a clockwise and an anticlockwise direction. Both these exercises strengthen the knee muscles and reduce swelling.
  4. Stretching exercises: There are two very effective methods of stretching that you can perform by sitting on a chair. The first exercise involves the placing of your leg on a chair opposite to the one you are sitting on. Put pressure on your knee till you can feel a light stretch at the back of your knee. The second exercise is performed by sitting straight on a chair with the feet touching the ground. You need to push your feet outward and inward as far as possible. These exercises reactivate the motion of the knees.
  5. Lying kicks: This is an advanced exercise that one must perform post knee replacement surgery after some warm-up exercises like walking, ankle pumps and stretching. You need to lie flat on a mat with a blanket rolled under your knee. Now slowly raise your leg, hands-free, or using your hands. Keep the leg elevated for at least five seconds before bringing it down slowly on the blanket.

Strictly perform these routines regularly and you will start walking in no time following the knee replacement surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!

I have a very hardly back body for pain so, now you clearly suggestion for me. Which medicines suitable for that ariesed problem.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have a very hardly back body for pain so, now you clearly suggestion for me.
Which medicines suitable for that arie...
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. If you have leg pain then you have to rule out the casues for having leg pain. First of all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side. •Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.
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