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The Clinik

Orthopaedic Clinic

W 564, Opp Shiva Vishnu Temple, Park Road Anna Nagar West Extention, Chennai Chennai
1 Doctor
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The Clinik Orthopaedic Clinic W 564, Opp Shiva Vishnu Temple, Park Road Anna Nagar West Extention, Chennai Chennai
1 Doctor
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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 The Clinik
The Clinik is known for housing experienced Orthopedists. Dr. Vijaybaba, a well-reputed Orthopedist, practices in Chennai. Visit this medical health centre for Orthopedists recommended by 61 patients.

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MON-SAT
10:00 AM - 07:00 PM

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W 564, Opp Shiva Vishnu Temple, Park Road Anna Nagar West Extention, Chennai
Anna Nagar West Chennai, Tamil Nadu
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Knee Pain

MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
Knee Pain

1. Overweight

Over weight is one of the largest risk factors for knee pain. The knee supports much of the body’s weight, and too much weight taxes the joint and increases the likelihood of pain. Anterior knee pain, which develops at the front and center, is one of the more common types of knee pain associated with carrying extra weight. Inactivity or muscle weakness, both associated with being overweight, can exacerbate the condition.Obesity stresses the structure of the knee, including the patella—the medical term for the kneecap. 

2. Muscle weakness

The knee connects the thighbone—also known as the femur—to the shinbone—also known as the tibia. Having strong quadriceps muscles helps to stabilize the knee joint and keep it healthy.And improving muscular fitness can be one of the best ways how to prevent knee pain, even if you’re older. However, strong quadriceps and hamstring muscles can help insulate the knee from stress.

3. Inactivity/lack of mobility

A cause of muscle weakness and obesity—inactivity—is also another factor for knee pain. People who are inactive are less strong, less flexible, and more sedentary. When the time comes to move and exercise, there is a greater risk of injury. Inactivity has also been found to make knee pain from arthritis worse. Being sedentary results in muscle deterioration that weakens the knee and increases pain

4. Not resting after injury

Injured people who don’t rest their knees for a long enough period of time increase their risk of re-injury. Although recovery periods can last anywhere from several weeks to several months, taking the time to allow the body to adequately repair and heal is critical for allowing the knee to regain its strength.Resting is particularly difficult for athletes and other active people, but spending some quality time on the couch will go a long way to keeping the knees healthy and protecting against future injury.

5. Smoking

Smoking increases the risk of a host of health problems, and knee pain can be added to the list. Quitting smoking is one of the best ways how to prevent knee pain when you get older. smoking increased the risk for both cartilage loss and knee pain in men who had developed osteoarthritis in the knee. Because smoking affected the amount of cartilage the men had in their knees, it increased the amount of pain they experienced.

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सायटिका (Sciatica)

MD- Ayurveda
Ayurveda, Ujjain
सायटिका (Sciatica)

चलने का नाम ही जीवन है, परंतु कुछ रोग ऐसे हैं, जिसमें रोगी का चलना फिरना दुर्लभ हो जाता है और वह दूसरों की तरफ सहायता के लिए दयनीय भाव से देखता रहता है। ऐसा ही एक रोग है ''सायटिका”, जिसमें जब मनुष्य को असहनीय दर्द होता है तो वह ईश्वर से मृत्यु तक की प्रार्थना करता है।

इस रोग का अधिक परिचय देने की आवश्यकता नहीं सामान्यत: सभी इस नाम से परिचित रहते हैं। यह कमर से निकलने वाली सायटिका नाड़ी (नर्व) की सूजन अथवा इस पर किसी प्रकार का दबाव पडऩे से यह दर्द उत्पन्न होता है, जो कि कमर से लेकर पुट्ठे (Buttock) से होता हुआ टांग के पिछले हिस्से से पैर के अंगूठे तक जाता है तथा इस दर्द के साथ ही प्राय: रोगी को सुन्नता अथवा सुई चुभने जैसी पीड़ा होती है। यह दोनों टांगों में हो सकती है, परंतु प्राय: एक ही तरफ के रोगी अधिक मिलते हैं। इस विशेष प्रकार के दर्द के कारण सामान्य व्यक्ति भी कह देता है कि यह सायटिका का दर्द है। इस दर्द से रोगी को न बैठने से राहत मिलती है, न चलने से और न ही लेटने से आराम मिलता है। इसलिए रोगी बैचेन होकर कभी लेटता है, कभी उठता है, कभी चलता है तो कभी बैठता है, परंतु उसे दर्द से राहत नहीं मिलती तथा फिर इस दर्द के डर से रोगी मानसिक तनाव में आने लगता है, जिससे इस तनाव से दर्द और बढ़ जाता है। इस प्रकार रोगी को दर्द के डर से तनाव और तनाव से फिर दर्द, इस प्रकार दोनों ही बढ़ते चले जाते हैं।

दर्द के इसी डर से रोगी चलते समय एक विशेष प्रकार की चाल से चलने लगता है, जो गिद्ध (गृघ्र - Vulture) की चाल जैसी होती है, इसलिए आयुर्वेद में इस रोग को “गृघ्रसी” कहा जाता है। आयुर्वेद के अनुसार वात दोष के प्रकोपक विभिन्न प्रकार के आहार-विहार के कारण यह रोग होता है। आयुर्वेद के प्राय: सभी ग्रंथों में इसकी विभिन्न प्रकार की चिकित्सा का वर्णन है, जिसमें विभिन्न प्रकार की औषधियों के साथ ही रक्त मोक्षण का भी उल्लेख मिलता है।

चक्र दत्त के ग्रंथ में पारिजात (हारसिंगार) पत्र के क्वाथ का वर्णन किया गया है। इसी उल्लेख के आधार पर हमने पारिजात, जिसे शेफालिका या हारसिंगार भी कहते हैं तथा जिसका वैज्ञानिक नाम Nyctanthes arbortristin है, के पत्रों का क्वाथ बना कर १८ रोगियों को एक माह तक प्रयोग करवाया, जिसके परिणाम निम्र रहे-

१. १८ रोगियों में से अधिकांश की आयु ४० वर्ष से कम थी।

२. महिला तथा पुरुषों में यह सामान्य रूप से पाया गया।

३. गरीब वर्ग के व्यक्तियों में यह रोग कुछ अधिक पाया गया।

४. शहर की तुलना में ग्रामीण क्षेत्र के रोगी कुछ अधिक पाये गये।

५. नौ महिला रोगियों में से सात गृहणियाँ थीं।

६. लगभग ९० (नब्बे) प्रतिशत रोगी हिन्दू पाये गये।

७. रोग के कारण को देखा जाय तो १८ में से ३ रोगियों के गिरने से चोट लगने के बाद, दो रोगियों को भारी वजन उठाने के कारण तथा नौ महिलाओं में से तीन को सामान्य प्रसव के पश्चात भी यह रोग हो गया।

८. एक माह तक पत्तों का क्वाथ पिलाने पर लगभग ८० प्रतिशत रोगियों को विभिन्न लक्षणों में लाभ देखा गया।

इसी प्रकार हमने कई अन्य रोगियों में विभिन्न वात शामक आयुर्वेदिक औषधियों के साथ ही रक्त मोक्षण की क्रिया की जो कि शीघ्र प्रभावकारी प्रमाणित हुई। हमने औषधियों के साथ ही कटि वास्ति, नाड़ी,स्वेदन, अलावू तथा रक्त मोक्षण आदि प्रक्रियाओं को किया, जिसमें से रक्त मोक्षण की प्रक्रिया से रोगी को शीघ्र परिणाम मिले।

रक्त मोक्षण आयुर्वेद की पंचकर्म चिकित्सा के अंतर्गत होने वाली एक प्रक्रिया है, जो कि जलौंका (लीच), शृंगी, अलावू, घटी यंत्र आदि के द्वारा प्रच्छान्न करके की जाती है। हमने इनका अत्यंत प्रभावकारी रूप में प्रच्छान कर एक कांच के ग्लास में नकारात्मक दबाव उत्पन्न कर रक्त मोक्षण (खून निकालना) की प्रक्रिया की।

 

चिकित्सक साथियों से निवेदन है कि यदि उपरोक्त प्रक्रिया बारे में कुछ और जानना चाहे तो Lybrate के माध्यम से सम्पर्क कर सकते हैं। रोगियो से निवेदन है कि किसी अनुभवी आयुर्वेद विशेषज्ञ से संपर्क कर इस शीघ्र परिणामदायी चिकित्सा का लाभ लें !

डॉ. राम अरोरा, एम.डी. (आयुर्वेद),

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Osteoarthritis - 5 Tips to Help You Prevent It

M.Ch. orthopaedics, M.S. (Orth)
Orthopedist, Ludhiana
Osteoarthritis - 5 Tips to Help You Prevent It

Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.

Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.

It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.

  1. Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
  2. Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
  3. Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
  4. Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
  5. Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

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Im Suffering from rheumatoid arthritis left Wrist it is Very painful i'm getting treatment infusion remicade n Tab methotrexate 15 mg Every week since 2 months but Swelling n pain Is still persist Is there complète cure in ayurveda.

BHMS
Homeopath, Gandhinagar
Im Suffering from rheumatoid arthritis left Wrist it is Very painful i'm getting treatment infusion remicade n Tab me...
Rhus Tox 200 4 pellets in morning and 4 pellets at night 5 days will help you communicate after 5 days.
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Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left thumb leg getting vibration is there any solutions for that.

BHMS
Homeopath, Secunderabad
Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left...
Go for a routine health check up and (also check blood sugar and BP). I don't think there is any serious problem but let the doctor decide it based on examination and some tests. On your part you need to become aware about the basics of health and not take life for granted. Start exercising every day (add yoga as it can be relaxing and empowers the nervous system ). Eat healthy food. Avoid all junk food and cold-drinks. Eat more of fruits and vegetables. Avoid bad habits. Sleep for 7-8 hrs everyday.
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I am having back pain since 3 month. On and off nature. Pain disappear on walking and start on sleeping .paine is diffuse in low back region. On MRI annular tear at l4 l5 level and no bulge of disc .plz guide.

Fellowship of the Royal College of Surgeons (FRCS), MRCS, DNB (Orthopedics), MBBS
Orthopedist, Visakhapatnam
I am having back pain since 3 month. On and off nature. Pain disappear on walking and start on sleeping .paine is dif...
Back pain will settle soon. U need to do physiotherapy. Because of annulus tear, some episodes of back and leg pain will come because of the chemical reaction. If pain persist, you can take caudal epidural injection, which will help regarding the pain.
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I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.

DHMS (Hons.)
Homeopath, Patna
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Hello, Lybrate user, You might have been injured on your back cause pain lumber region. Tk, Homoeopathic medicine:@ Hypericum 200-6 pills, thrice. Tk, care.
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I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.

MPT (Sports Medicine)
Physiotherapist, Delhi
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still ha...
First of all you have to be assessed for any of the muscles or soft tissues of your shoulder. Then your movements have to be checked properly. And for this you need expert consultation. Then only reach to some decision else you would be prescribed 1 thing or another by different people no matter whether you get relief or not.
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I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Many times all tests are negative and the patient still suffers. You are suffering from indigestion and due to which there is a toxin called AMA being formed in your stomach. This is accumulating in joints leading to swelling and stiffness. So digestion needs to be rectified first along with panchakarma treatment. Pls see me personally.
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My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?

BHMS, MD - Homeopathy, Post Graduation Diploma In Psychological Counselling, Certificate Course in Medical Transcription
Homeopath, Mumbai
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patien...
Get her dexa scan done. She will have to take calcium supplements and do mild exercise. Eat well. Yes, homeopathy can help her.
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Sir my sister aged 32 years is going under total hip replacement. I much confused about prosthetic which one to go for Ceramic with poly or Ceramic on Ceramic Please advice which one is better.

Fellowship of the Royal College of Surgeons (FRCS), MRCS, DNB (Orthopedics), MBBS
Orthopedist, Visakhapatnam
Hi Lots of studies are there. As per my experience in UK 12 yrs, ceramic on ceramic is good in long term. But risk of fracture is there always when ever patient jumps. Ceramic on poly is more safe and it's better combination too. I preserve ceramic on ceramic. Hope it solves you r question.
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My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.
give her RHUS TOX 30inglobules 4-6pills thrice daily for 7 days.have x ray of knee joint and blood for uric acid. and CONSULT after that . thanks
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Is there any cure for bulged disc to be bought back to its original position in the world? Allopathic or ayurvedic? Specifically im having mild disc bulge at my lower back.

BAMS, PG Dip (Medical Education), (FAGE) Fellow of Academy of General Education, MBA (Healthcare)
Ayurveda, Bangalore
Is there any cure for bulged disc to be bought back to its original position in the world? Allopathic or ayurvedic? S...
Disc bulge can be managed with Ayurveda Treatments, Life style modifications, Medicines and Yoga. If disc bulge untreated may lead to numbness, pain, stiffness and many other symptoms. With 2-3 months of precautions and treatments can definitely help you with this condition. But pls consult an Ayurveda Doctor nearby and do not do any home remedies.
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My left back is paining. It is giving some pain signal the time when I hold handle of sweat.

DHMS (Hons.)
Homeopath, Patna
My left back is paining. It is giving some pain signal the time when I hold handle of sweat.
Hello, Lybrate user, Tk, Homoeopathic medicine:@ Arnica mont 200-6 pills, thrice. Avoid, junk food, alcohol, cold intake, lifting weight. Tk, care.
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Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complete ACL Tear, Grade 3 Tear f posterior Horn of Meniscus and Knee Joint Effusion. What is the treatment for this? Surgery is necessary?

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complet...
You can wait upto a period of 6 weeks during which you have to undergo physiotherapy to strengthen your thigh and calf muscles and also to improve your knee movements. At the end of this regimen if you are able to carry out all your pre-injury activities comfortably you may not need surgery immediately. But if you have knee pain / instability at the end of 6 weeks, it is definitely advisable to undergo surgery. Thanks & Regards.
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What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n...
You have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. It is also suggestible to go for cervical muscle strengthening exercises.
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How I know what is the reason of pain in my neck, arm and shoulder from 2 year MRI and x-ray show everything normal please help My life becomes hell 8541819454 my no. U r my last hope.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
How I know what is the reason of pain in my neck, arm and shoulder from 2 year
MRI and x-ray show everything normal p...
There might be nerve compression Do neck isometrics Do neck & arm stretching Do shoulder shrugs Avoid sleeping on the affected side Use thin pillow while sleeping Apply hot fomentation
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I have pain in back and knee from 1-2 month please suggest me best medicine for it.

Physiotherapist, Latur
I have pain in back and knee from 1-2 month please suggest me best medicine for it.
follow exercises for knee and back for knee: static quads hot pack over the joint. for back: extension exercises avoid bending and lifting heavy objects. maintain proper posture.
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