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Dr. G.Selvakumar

Orthopedist, Chennai

Dr. G.Selvakumar 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. G.Selvakumar
Dr. G.Selvakumar is a popular Orthopedist in Chromepet, Chennai. Doctor is currently practising at Parvathy Hospital in Chromepet, Chennai. You can book an instant appointment online with Dr. G.Selvakumar on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 44 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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No.241, G.S.T.Road, Chromepet. Landmark: Near To Chrompet Fly Over, ChennaiChennai Get Directions
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Since a couple of days I have been struggling from my back pain. I do not know how to fix it. Have also tried a moov gel. please help me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Since a couple of days I have been struggling from my back pain. I do not know how to fix it. Have also tried a moov ...
Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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I have been diagnosed with Spondylitis in the top of the neck its not the tightness or the pain its the way its affecting my balance! I also have a inner ear problem so not sure what is causing the vertigo or could it be a bit of both can anyone out there help before I go crazy thanks!

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hot fomentation x twice daily. Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support.
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I am having pain in my heel from past 4 months. It is so severe that sometimes I cnt even able to walk.

BPTh/BPT
Physiotherapist, Mumbai
I am having pain in my heel from past 4 months. It is so severe that sometimes I cnt even able to walk.
Hi pain could be because of bony spurs in the heel. Get x-ray done. And wear heel cushions in the shoes, take ultrasound therapy and contrast bath in physiotherapy. It helps along with foot ankle ex's.
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What is the 30-30 rule for preventing Backache?

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
What is the 30-30 rule for preventing Backache?

How to prevent a hunchback

Remember the 30-30 rule - prevent a hunchback. It is a golden winning rule and it can help prevent hunchback.

- For every 30 minutes of doing a certain activity do 30 seconds of movement in opposite direction.

- Every 30 minutes that you sit in the chair get up and do a stretch with a backward bend for 30 seconds.

- If your neck is bothering you just take a moment to draw your chin in as if getting a double chin, roll your shoulders back and down and stretch for 30 seconds.

- If you realize you haven't taken a deep breath in 30 minutes then take a moment to focus on your breathing, take slow deep breaths for 30 seconds.

- Set a timer for every 30 minutes you spend sitting, stretch for 30 seconds and feel better and look better.

I am 42 old i am getting back pain and leg also not able to walk for some time and some time its ok.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 42 old i am getting back pain and leg also not able to walk for some time and some time its ok.
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take BioD3 Max 1 tab dailyx10 Paracetamol 250mg OD & SOS x5days Do back(spine)/shoulder/knee exercises Make sure you are not allergic to any of the medicines you are going to take Do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days,then contact me again. Contact your family doctor or nearest hospital for emergency help. This may give you relief in legs as well.
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I am 35 year old female and I had a severe backache problem from last 2 month what can I do? I can't stand properly only because of pain.

BHMS
Homeopath, Raebareli
I am 35 year old female and I had a severe backache problem from last 2 month what can I do? I can't stand properly o...
I suggest you follow the below for your condition: take mag phos 6x - thrice daily for next 2 weeks and update. Also do x-ray of the affected area. Heat and ice packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
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I have pain in both knees during walking. During rest ei. Sitting ,lying on bed there is no pain .some to much pain during walking. Taking medicine of all therapy. No relief. Doctor says it is old age problem ,lack of lubrication in knees. I am pure vegetarian of 78 years old male. Pl advice action to be taken to get relief. With medicine. Ok.

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
I have pain in both knees during walking. During rest ei. Sitting ,lying on bed there is no pain .some to much pain d...
Hello. Your complains suggest you have osteoarthritis of the knee. Which can be. Treated with medications life style modifications and also exercises. However it is better to look at your x-rays of the knees first so that we can plan a complete therapy for your problem.
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I am 50 years old and gave knee pain. It pains in my knee very much. Operation doesn't give any relief. What should I do now. Please suggest some permanent solution to my problem twofold be thankful to you.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 50 years old and gave knee pain. It pains in my knee very much. Operation doesn't give any relief. What should I...
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold.
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Dear Sir, I am suffering from neck and shoulder pain also migraine, what kind of treatment wants to take and also some home remedies for the same.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Dear Sir,
I am suffering from neck and shoulder pain also migraine, what kind of treatment wants to take and also som...
Hi thanks for your query and welcome to lybrate. If you have have localized neck pain with no other symptoms like radiating upper limb pain, neurological symptoms like numbness, weakness, paresthesias etc and with no other associated constitutional symptoms like evening rise in temperature, loss of weight, excessive sweating at night etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your neck while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. We will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of neck and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
1 person found this helpful
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Rheumatoid Arthritis: A mystery solved with lucidity

MBBS, MD - Internal Medicine, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Rheumatoid Arthritis: A mystery solved with lucidity

Vital notes:

  • RA is a chronic debilitating joint disease that affects small joints of hands and foot.
  • More common in females aged 20 to 50 years.
  • It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years.
  • It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately.
  • Untreated disease may cause deformity of hands and foot causing deterioration of quality of life.
  • Erosion of small joints along with loss of entire joint architecture is the basic disease process.
  • Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic.
  • Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids.
  • Difficult diseases are treated with costly injections called biologics.
  • The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “
  • Lung and cardiac complications are common in long term disease.
  • Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.                    

 

Introduction:

Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon.

The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity.

This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment.

 

What are the symptoms?

Symptoms vary from person to person and also from early stage to late stage of the disease.

 In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results.

In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm.

In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful.

A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat.

Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease.

 

What is the difference between Rheumatic Fever & Rheumatoid Arthritis?

There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis.

 

Why Penicillin injections are given on a monthly basis?

Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist.

 

How is Rheumatoid Arthritis diagnosed?

Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course

 

Does each and every patient of rheumatoid arthritis develop crooked hands and foot?

No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease.

 

How Rheumatoid Arthritis is treated?

Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage.

Cessation of smoking is mandatory. Smokers tend to develop early joint destruction

Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs.

Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below.

 

Why I am being given Steroids?

Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment.

Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month.

 

What are Biologic agents? Why they are so costly?

Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started.

Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.

Hi I have cervical spondilitus for more than 13 years. What medicine should I take?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, got your pain your into, thanks for expecting progressive health from ayurveda, u can great health n fitness with ayurveda n therapies, muscle strengthening exercise by expert physiotherapist, cervical spond. Is vat vyadhi it demands mridu sanshodhan(mild detox) n brihan nasya n shiro-pichu, bala/kshirbala/almond tailam uttarbhaucktik pan means having these caps after food or at night. Sure this all should be under medical supervision. These all procedures will also avail benefit to your existing dm, thyroid, bp too.
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I am getting a severe backache if I sit for couple of hours to study. Since my height is six feet I cannot sit more than that. Please give suggestion to overcome from this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sujanpur
I am getting a severe backache if I sit for couple of hours to study. Since my height is six feet I cannot sit more t...
First you try to loose your weight take back suport at the time of sitting and also go for ayurvedic treatment it will give you relief.
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I have a waist pain from 1 year what I do? I'm very tense because I can not do any banding exercise please give a fast and relief full solution.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have a waist pain from 1 year what I do? I'm very tense because I can not do any banding exercise please give a fas...
For Pain relief try: -cool your wrists with an ice pack wrapped in a thin towel. Leave it on for about 10 minutes. You can repeat the treatment every hour or so. -Heat can also ease pain by relaxing muscles. Soak your hands and wrists in warm to hot water for 12 to 15 minutes before you go to bed each night. -Wear a splint at night. While sleeping, you may be bending your hand and wrist under your pillow, and this puts pressure on your wrist. A splint will hold your fingers in a neutral position and relieve pressure on the median nerve. You can purchase the splint in a pharmacy, but be sure to check with your physical therapist to make sure it fits properly. -consult a Physiotherapist who can suggest specific exercises depending on your particular hand or wrist condition. Some help increase a joint’s range of motion or lengthen the muscle and tendons via stretching. Other exercises strengthen muscles around a joint to generate more power or to build greater endurance.
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How the frozen shoulder should be treated for a person having age 45 years with no history of sugar, cholesterol and blood pressure.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.. Diabetes must be controlled well.
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I am suffering from knee pain problem (both leg),Alopathic Dr. KA BOLNA HAI KI KNEE KE BONE KA GAP KAM HO GAYA HAI, MEDICINE SE KUCHH NAHI HOGA, AAPKO SIRF EXERCISE KARNA HAI. LEKIN JAYDA FARK NAHI HAI? AGE 35 YEAR. PLZ.SUGGEST ME.

BPTh/BPT
Physiotherapist, Bangalore
Hello , there are wonderful exercises for knee which does wonders. Start with electrotherapy for the pain to come down and start strengthening your both knees quads and hams. When muscles get strong your joint will not be loaded with your body weight. Its not an overnight process you have to do the exercises regularly and religiously.
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I had typhoid twice this year. Now I dont have fever, but my body is not supporting. I have pain in my bones, joint, belly pain, tension, also chakkar and behoshi. After consult to family physician, he told it may be because of over dosage of medicines, tension, and moving of fever in bones. Kindly advise me the actual problem and treatment of the same.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I had typhoid twice this year. Now I dont have fever, but my body is not supporting. I have pain in my bones,  joint,...
U need to boost your immunity. For that you should take good liquid and nutritious diet. Avoid over exertion and take proper rest at night. Avoid spicy oily and junk food. Avoid outside food and water strictly. Take tulsi decoction daily for few days. Take multivitamins supplements with milk daily. For any queries you may consult me.
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I am rahul 25 years old I am feeling back strain from 3 weeks. I also done scans but no problem was found. Can you suggest some solution.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am rahul 25 years old
I am feeling back strain from 3 weeks. I also done scans but no problem was found. Can you su...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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I am 62 years old and am suffering from diabetes for the past two years. I am taking glynaze mf as advised by my doctor. Even then i'm not able to keep it under control. I do walking for about 30 minutes every alternate day. Is this I am having severe back pain and pain in my hands. What should I do to control my diabates. Please reply. Thanks.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Glynase usually works during the first few years & then starts failing. You should consider starting gliptins along with metformin.
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