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Dr. C P Karpagam

Orthopedist, Chennai

Dr. C P Karpagam Orthopedist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. C P Karpagam
Dr. C P Karpagam is a renowned Orthopedist in Poonamallee, Chennai. He is currently practising at A G Arumugam Nursing Home in Poonamallee, Chennai. You can book an instant appointment online with Dr. C P Karpagam on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 33 years of experience on Lybrate.com. You can find Orthopedists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Old No 764 New No 402, Poonamallee High Rd,Kilpauk. Landmark:Near Aarthi Scans, ChennaiChennai Get Directions
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I have pain under the feet specially under the heel and can't properly walk due to pain. It swells sometimes. I take painkillers and hot water therapy but it comes back again. please help. I have checked my uric acid. It is under 5.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
I have pain under the feet specially under the heel and can't properly walk due to pain. It swells sometimes. I take ...
Heel pain is most likely due to plantar fascitis.The treatment mostly is conservative and lifestyle modifications to achieve maximum functionality with minimum pain. Follow these lifestyle changes religiously to get benefit. 1. Reduce body weight as obesity will aggravate the stress on heel. 2. Avoid exercises like running / walking on hard surfaces. Stop such activities when you start developing pain. 3. Roll your feet on bottle of cold water for 20 mins 4 times a day or can apply ice pack. 4. Use shoes with silicone sole inserts. 5. Do calf muscle and heel stretches daily. 6. Avoid prolonged standing or sitting. 7. Use night splint to keep foot flexed at night. Stop using it once pain is relieved. 8. Use analgesics like Ibuprofen for decreasing pain and inflammation. With proper lifestyle changes as above 90 % patients have relief and functionality. Only 10% patients would require surgical intervention like plantar fascia release or gastrocnemius recession. For further queries consult again.
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Sir during exercise my nuro system of from back neck to right hand wrist got tighten and after got medicated by ortho doctor now the power of my hand lost 50%and now I could not perform exercise like chin up.

Doctor of Medicine
General Physician, Surat
Sir during exercise my nuro system of from back neck to right hand wrist got tighten and after got medicated by ortho...
It is better to stop the exercise for some time and it is most advisable to perform the exercise under the care of instructor because wrong method could be the reason for that, if you go on mistaking it and keep taking medicine then it is not the option, you can even go for basic test (Imaging tests)
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Having pain near ankle joint with minor swelling for about 15 days. pain goes upto thigh joint while walking. i am diabetic & hyper patient having medicines. had low vit b-12 & took medicines recently.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Having pain near ankle joint with minor swelling for about 15 days. pain goes upto thigh joint while walking. i am di...
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.
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I am 30 year old male. Having backache from 20 days. Pain gets worse on standing.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 30 year old male. Having backache from 20 days. Pain gets worse on standing.
Most probably you are suffering from oa of knee. Knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results, in our hands. We have well equipped center in delhi. Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery. Do not ignore. It could be beginning of a serious problem. Kindly show me x- rays before a final decision can be taken. You will be thoroughly investigated before surgery is under taken. Risk in surgery is less than the risk in crossing road.
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I am 72 and getting my legs swollen when give weight on them and also have diabetes.

MBBS, MD - Medicine
General Physician, Delhi
I am 72 and getting my legs swollen when give weight on them and also have diabetes.
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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I am 44 years female. My crp is-- 46.2 Nd ESR is-- 76. Having unbearable pain in heels for d last few days. Now pain is in whole body. Is high level of crop Nd ESR is risky , if yes then in what ways? Is this curable?

MBBS, cc USG
General Physician, Noida
I am 44 years female. My crp is-- 46.2 Nd ESR is-- 76. Having unbearable pain in heels for d last few days. Now pain ...
High CRP and ESR signify any kind of infection or inflammation You can apply volini gel 1% local application twice a day for 3-5 days 2. You can do massage with olive/ castor oil before sleeping 3. Hot fomentation twice a day for 3 days 4. Avoid wearing tight and hard sole foot wears Consult for further management as you need Physical examination
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I am 20 Year old. I am suffering from backache in my left part. The pain is unbearable. I do little beat vomiting. The stomach and back both are paining.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 20 Year old. I am suffering from backache in my left part. The pain is unbearable. I do little beat vomiting. Th...
Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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I am 25 years old and I fall down while driving bike and fortunately I don't have fracture in my legs but I have pain in my right leg and knee as well. So please guide me what I have to do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 25 years old and I fall down while driving bike and fortunately I don't have fracture in my legs but I have pain...
Take rest for few days. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again.
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Dear sir since long time near about 5 , 6 yrs I am having pain in my right side shoulder near bottom of neck and that pain comes to the ends of finger I cannot keep my hand up or work without support and when I move my head front side down and back side down pain will be to much when I wake up in morning I cannot move my head left and right I cannot hold any thing in my hand for long time please advise me.

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
To help you please give some more details like 1.Did you go to doctor 2.Any tests done and their reports your symptoms suggest 'CERVICAL SPONDYLOSIS" urgently consult a good orthopedic doctor
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Sir, I already done two times orthoscopy by doctor for removing loose body generate in right knee. But in MRI again show loose body (synovial chondromatosis. Can I done orthoscopy third time for remove loose body or it is reaksable. Please advice me.

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Sir,
I already done two times orthoscopy by doctor for removing loose body generate in right knee. But in MRI again s...
You can, it is a difficult condition, recurrs again and again, but you can get repeat artroscopy done.
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I am 32 year old suffer from back pain. Please guide me treatment.

MS - Orthopaedics, MBBS
Orthopedist,
I am 32 year old suffer from back pain. Please guide me treatment.
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
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Hello, My mom age is 48 and her ring finger went bent. For 4 months it's like that only. Several medicines tried. Is there any solution to sure?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello, My mom age is 48 and her ring finger went bent. For 4 months it's like that only. Several medicines tried. Is ...
Hot fomentation. Gentle stretching of hand muscles. Ball exercises. Wrist exerciser. Grip exercises.
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I have neck pain since very long time and also leg knee pain.

Clinical Exercise Specialist, Nutritionist, MHSc (Public Health), MPT - Orthopedic Physiotherapy, Certificate in Diabetology and Prevention, Certificate in Population Health
Physiotherapist,
I have neck pain since very long time and also leg knee pain.
You are very young, this pain may be due to weak neck muscles,--- so do neck exercises and deep breathing exercises daily 5 minutes each twice in a day. You will be fine.
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I am 46 yes old male, work with computer min 7 hrs a day with due brks but still pain in my back, what I shld do?

BHMS
Homeopath, Faridabad
I am 46 yes old male, work with computer min 7 hrs a day with due brks but still pain in my back, what I shld do?
Hello. Maintain a right standing and sitting posture, keep your back always straight, avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Lie down on bed on your back without pillow. Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.
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My whole body huge pain please help me with your opinion.

BPTh/BPT
Physiotherapist,
My whole body huge pain please help me with your opinion.
Hi take hot water bath twice daily, sleep on hard and even mattress. Kindly rule out your diabetes, calcium, vitamin d and other metabolic disorders. Best wishes.
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Joint pain with redness and swelling.

BPTh/BPT
Physiotherapist,
Joint pain with redness and swelling.
Hi kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.
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How to cure rheumatoid arthritis?

MS - Orthopaedics, MBBS
Orthopedist,
Rheumatoid arthritis is self limiting disease. Acute phase can be managed with medicines. Physiotherapy helps in preventing contractures & deformities. Keep your morale up!
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I am suffering with back pain from long time. I have been done of MRI my L5 S1area. In MRI report came my spine disc L3 L4, L4 L5, L5 S2 dehydration. I have been consult my doctor with MRI report they suggest to me for regularly exercise of some special type of exercise step and giving one injection in my spine. I don't know name of the injection but I am feeling well with that injection for some time. Now again slowly start same problem. So I want needful solution of my problem. Doctor told to me avoiding some type of work that also following. Thanks.

M.D.(HOMOEOPATHY), C.S.D.(MUMBAI), BHMS
Homeopath, Bareilly
I am suffering with back pain from long time. I have been done of MRI my L5 S1area. In MRI report came my spine disc ...
Degenerative disc disease is not really a disease but a term used to describe the normal changes in your spinal discs camera.gif as you age. Spinal discs are soft, compressible discs that separate the interlocking bones (vertebrae) that make up the spine. The discs act as shock absorbers for the spine, allowing it to flex, bend, and twist. Degenerative disc disease can take place throughout the spine, but it most often occurs in the discs in the lower back (lumbar region) and the neck (cervical region). The changes in the discs can result in back or neck pain and/or: Osteoarthritis, the breakdown of the tissue (cartilage) that protects and cushions joints. Herniated disc, an abnormal bulge or breaking open of a spinal disc. Spinal stenosis, the narrowing of the spinal canal camera.gif, the open space in the spine that holds the spinal cord camera.gif. These conditions may put pressure on the spinal cord and nerves, leading to pain and possibly affecting nerve function. What causes degenerative disc disease? As we age, our spinal discs break down, or degenerate, which may result in degenerative disc disease in some people. These age-related changes include: The loss of fluid in your discs. This reduces the ability of the discs to act as shock absorbers and makes them less flexible. Loss of fluid also makes the disc thinner and narrows the distance between the vertebrae. Tiny tears or cracks in the outer layer (annulus or capsule) of the disc. The jellylike material inside the disc (nucleus) may be forced out through the tears or cracks in the capsule, which causes the disc to bulge, break open (rupture), or break into fragments. These changes are more likely to occur in people who smoke cigarettes and those who do heavy physical work (such as repeated heavy lifting). People who are obese are also more likely to have symptoms of degenerative disc disease. A sudden (acute) injury leading to a herniated disc (such as a fall) may also begin the degeneration process. As the space between the vertebrae gets smaller, there is less padding between them, and the spine becomes less stable. The body reacts to this by constructing bony growths called bone spurs (osteophytes). Bone spurs can put pressure on the spinal nerve roots or spinal cord, resulting in pain and affecting nerve function. To relieve pain, put ice or heat (whichever feels better) on the affected area and use acetaminophen (such as Tylenol) or nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen. Your doctor can prescribe stronger medicines if needed. If you develop health problems such as osteoarthritis, a herniated disc, or spinal stenosis, you may need other treatments. These include physical therapy and exercises for strengthening and stretching the back. In some cases, surgery may be recommended. Surgery usually involves removing the damaged disc. In some cases, the bone is then permanently joined (fused) to protect the spinal cord. In rare cases, an artificial disc may be used to replace the disc that is removed. ONLY PERMANENT TREATMENT AVAILABLE TILL DATE IS HOMOEOPATHY. Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition. The symptoms listed against each medicine may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. To study any of the following remedies in more detail, please visit our Materia Medica section. None of these medicines should be taken without professional advice.
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Dear sir/mam, I am 42 yrs old male. Since last two weeks, I am suffering from mild pain under my thighs and also towards foot downwards. I do regular walk in the morning around 3 km. Kindly provide me your kind guidance. Thank you.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned pain in thighs and foot region, do you actually feel it is a radiating pain from your lower back region which is going in the legs? do you also suffer from lower back pain? is there any associated numbness, weakness in legs and paresthesias as well? please also send me any investigations if you have done in this regard and what treatment have you taken thus far? meanwhile I will advise you to continue with your walks and also intensive physical therapy for lower back region. I will advise you ion medications once you furnish me with details I need to know. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Akshay kumar saxena consultant orthopaedics fortis hospital, new delhi.
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