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U.S.REHAB CENTRE

Occupational Therapist Clinic

4/12, Sriram Nagar, Mugalivakkam Main Road, Porur-600116 Chennai
1 Doctor
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U.S.REHAB CENTRE Occupational Therapist Clinic 4/12, Sriram Nagar, Mugalivakkam Main Road, Porur-600116 Chennai
1 Doctor
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about U.S.REHAB CENTRE
U.S.REHAB CENTRE is known for housing experienced Occupational Therapists. Dr. Thanan Chalyan, a well-reputed Occupational Therapist, practices in Chennai. Visit this medical health centre for Occupational Therapists recommended by 109 patients.

Timings

MON-SAT
09:00 AM - 01:00 PM 05:00 PM - 09:00 PM

Location

4/12, Sriram Nagar, Mugalivakkam Main Road, Porur-600116
Porur Chennai, Tamil Nadu - 600116
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Doctor in U.S.REHAB CENTRE

Dr. Thanan Chalyan

MPT - Orthopedic Physiotherapy
Occupational Therapist
12 Years experience
Available today
09:00 AM - 01:00 PM
05:00 PM - 09:00 PM
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Knee Arthritis - How To Know If You Are Suffering From It?

M S Ortho, D - Ortho, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Mumbai
Knee Arthritis - How To Know If You Are Suffering From It?

If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis. 

Types of Arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture. Major symptoms Arthritis pain may occur all of a sudden but develops slowly. 

In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile. Periodic inflammation is a common symptom of arthritis of the knee. You may have formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being active for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, and irreversible damage to the joint. 

Treatment 
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. Appropriate physiotherapy may help in some patients NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows: 

  1. Analgesics, which help in pain reduction act as good alternatives to NSAIDS. 
  2. Corticosteroids are used for reducing inflammation. 
  3. Certain DMARDs or disease-modifying antirheumatic drugs are used. 
  4. Certain injections that are used for helping with knee arthritis. 

They include: 
Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints. Corticosteroid injections also soothe inflammation and pain. PRP (Platelet Rich Plasma) BMAC (Bone Marrow Aspirate Concentrate) You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. 

The most common surgeries are as follows: 

  1. Joint Preservation Surgeries: Arthroscopy, where a keyhole incision is made in the knee for treating the damaged parts.  
  2. Ligament repairs & reconstruction
  3. Cartilage repair 
  4. Meniscus repair & transplantation 
  5. Osteotomy, where the knee bones are modified for optimising the function of and damaged knees. This avoids replacement of any part of the knee with an artificial prosthesis like a joint replacement
  6. Joint Replacement Surgeries: Uni knee replacement/Total joint replacement where your knee is replaced with a prosthetic made of metal, plastic or ceramic.

It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

My mother's age is 55 years. She is having pain in her left hand till ring finger. After Dr. Concern MRI has been done and the report is saying that "Diffuse bulge at C5-C6 indenting the ventral thecal sac with narrowing of neural foramen more in the Lt. Side. I want to what it exactly means and that are the precaution to take further.

MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
My mother's age is 55 years. She is having pain in her left hand till ring finger. After Dr. Concern MRI has been don...
It means one of your cervical nerve dosnt have enough space to exert its proper functional It is compressed because of the adjacent disc bulge (which is very common) You need to acquire certain postures which Avoid forward bending of you neck, putting weights over your head, lifting heavy objects, watching TV/ mobile For a longer duration, using improper pillow and few more However the exact treatment depends on the amount of compression that the nerve has Needs to see What exactly your Mr. says? Take care.
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My left index finger turned blue and it hurts what is the reason first the vein popped out and than turned blue.

DHMS (Hons.)
Homeopath, Patna
My left index finger turned blue and it hurts what is the reason first the vein popped out and than turned blue.
Hi, Lybrate user, Obesity might be one of the prime reasons you need to monitor your weight, please. Take, homoeopathic medicine @ Hypericum 30-5 drops ,thrice. Take, care.
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Defect L 4 multilevel disc degeneration c blood nerve not compression at L 4-5.Pain in right hip and goes upto leg and to the joint of paw. Unable to move as pain increases on the movement. On siting and lying no problem. taken Drox 17 and 24 of Haslab just started.

BHMS,PGDPC At Motiwala Homoeopathic Medical College and Hospital Nashik, PGDPC
Homeopath, Nashik
Defect L 4 multilevel disc degeneration c blood nerve not compression at L 4-5.Pain in right hip and goes upto leg an...
Take homeopathic medicine for best result. 1.Rhus Tox 200. 4pills three times a day for seven days. If you have any queries contact me.
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Unicondylar Knee Replacement - An Overview!

FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Unicondylar Knee Replacement - An Overview!

Knee problems can be quite annoying but if this problem becomes regular, it brings life to a standstill. The movement becomes restricted. Many associated problems slowly crop up. Thus, it is best to nip the problem in the bud. While some people might experience a problem in the full knee, in some people, only a single compartment (tissue or cartilage) of the knee may be affected. For such patients, Unicondylar Knee Replacement comes as a blessing.

The Unicondylar knee replacement, also known as the Unicompartmental Knee Replacement or Partial Knee Replacement is the most sought-after knee replacement surgery. The surgery involves replacing only the worn out or affected part (cartilage) of the knee, thereby preserving the healthier cartilages and tissues of the knee.

In the last few years, incidences of osteoarthritis have been on the rise. The unicondylar knee replacement surgery has made life a lot easier for people suffering from osteoarthritis (a condition where the articular cartilage or the connective tissue present within the knee joint begins to wear out).

The unicondylar knee replacement is ideal for people with:

  • Severe osteoarthritis (Median or Lateral) that results in painful, swollen and stiffened knee.
  • Only a small portion of the knee is affected.
  • A person experiences great difficulty in movement.
  • People over 48 years of age are mostly advised to undergo this surgery. Many young people with osteoarthritis opt for this surgery.

However, the surgery may not be a wise idea for

  • A person with Rheumatoid Arthritis and Angular Deformity (acute).
  • A person whose larger portion of the knee is affected.
  • A person who had undergone osteotomy (surgical excision followed by reshaping of bones).
  • People with an unstable or weak knee should avoid this surgery.

Pre- surgery, a person should

  • Avoid taking any anti-inflammatory and herbal medicines (minimum 10 days before the surgery).
  • Get yourself medically examined for any health complications (that might interfere with surgery).
  • Follow a healthy lifestyle. Avoid smoking and drinking.

Procedure:

  • For the surgery, the patient is either given a general anesthesia or a spinal (or epidural) one.
  • Next, a compressing device (tourniquet) is put around the upper part of the thigh. This is done to avoid excessive blood loss during the surgery.
  • A 7cm incision is made over the knee.
  • The damaged parts (bones and cartilages) of the knee are then carefully removed.
  • The surgeon next replaces the excised parts with metallic implants. Once the metallic part fits into the knee, it is adhered to the bone with (or without) bone cement.
  • The surgeon then stitches the incised area, followed by dressing and bandage.

The recovery time is quick, between 3-4 weeks. However, the concerned person may require physiotherapy for the next 3-6 months.

Advantages:

  • The surgery is less invasive with a quick recovery time.
  • The surgery replaces only the affected knee part.
  • Blood transfusions are seldom required.
  • A person gets back to normal life faster.
  • The surgery requires less time (~ 1-2 hours).

You need to be careful about:

  1. Infection at the incision site, though it is very rare.
  2. Injury in blood vessel, ligaments, or nerves.
  3. Fracture in the bone
     
2 people found this helpful

After the Lichtenstein method for my hernia repair on 10/09, I find the portion of my lower belly just above the incision to be slightly swollen and hard. Can I do some physiotherapy for this and how long will it take to be normal?

MBBS, MS - General Surgery, Diplomate of National board in Surgical Oncology
General Surgeon, Kolkata
Hi lybrate-user the swelling and hardness is a natural acompaniment of surgery. There is nothing to worry. It shall level off by 6 months. But the firmness shall persist all through out. No need of any physio rather avoid lifting weights and strenous exercise give your body enough time for the wound to heal.
1 person found this helpful
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Am unable to sit on chair even for a second. I have discomfort which I can't explain which makes me to get up. I have pain while standing in legs thighs foot. I stand and move like elephant lifting legs left and right. I can't stand still without moving which makes me afraid. I have pain in hips. I don't know the exact problem why I am having this pls help with this problem.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Am unable to sit on chair even for a second. I have discomfort which I can't explain which makes me to get up. I have...
Leg PainIf 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. Pain in the back while walking and standing Pain in the right legIf you have leg pain please check your body weight and your hemoglobin levels, as Anemia always leads to the symptoms of being tired and also having leg pain though there may not be any pathological reasons for back pain. My suggestion would be to wear MCR Chapels which will help you to prevent the weight falling on the If you have back pain while walking and standing first of all check your weight and your hemoglobin levels, as Anemia always leads to the symptoms of being tired and also having back pain though there may not be any pathological reasons for back pain. My suggestion would be to wear MCR Chapels which will help you to prevent the weight falling on the back. And also should check whether you have flat foot on the right leg that also might be the reason to have pain in one particular leg Pain in the left side of the leg/thighThe compression of the sciatic nerve should be around the right side that's the reason you have pain in the left side. That's the reason you cannot sit or stand and it is exactly around the L5 vertebrae where the sciatic nerve passes by.
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I am suffering from plantar fasciitis for last 2 months. Can you please suggest me how to cure it fast?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am suffering from plantar fasciitis for last 2 months.
Can you please suggest me how to cure it fast?
Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the Plantar Fascitis weight evenly in the feet so that the weight will be completely felt in the heel area. You shall do contrast bath to relieve this pain. Contrast bath is nothing but keeping in one tub hot water (bearable heat) and in another tub cold water Ask your father to apply ice in the painful area which would definitely help to greater extent. If still the pain persists then it is better to keep TENS stimulation at one of the nearby physiotherapy.
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I have buttocks pain after intercourse what's the reason the pain will be continued till my period.

DHMS (Hons.)
Homeopath, Patna
I have buttocks pain after intercourse what's the reason the pain will be continued till my period.
Hi, Lybrate user, Any acute inflammation of vulva, vagina or cervix either due to infection or lack of secretions (dry vagina) can result in pain during deep, penetration. Similarly, deep-seated pain even after completion of coitus can be due to conditions like ovarian cysts, tender retroverted ovaries, ceases on continuations of period, need an expert opinion. Moreover, Tk, homoeopathic medicine:@ Arnica mont 200-5 drops, thrice. Tk, care.
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Rotator Cuff Injury - Can It Lead To Severe Shoulder Pain?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Ortho, Fellowship In Knee Replacement & Arthroscopic Surgery ( Knee & Shoulder )
Orthopedist, Mumbai
Rotator Cuff Injury - Can It Lead To Severe Shoulder Pain?

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain.

Let us get to know the six most common ones. 

  1. Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 
  2. Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 
  3. Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 
  4. Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
  5. Bursitis: This condition is known to affect the fluid-filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 
  6. Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.

Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.

Rotator cuff tendinosis, Frozen shoulder and Tendon sheath inflammation are more common in Diabetic patients. Essential part of treatment of these conditions include diabetes control and physiotherapy. However in chronic and refractory cases Arthroscopy may be required. Many times chronic rotator cuff tendinosis ends up in rotator cuff tear as a result of minor trauma.

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