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Dr. George Thomas

Orthopedist, Chennai

250 at clinic
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Dr. George Thomas Orthopedist, Chennai
250 at clinic
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Personal Statement

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. George Thomas
Dr. George Thomas is a renowned Orthopedist in Mylapore, Chennai. He is currently practising at Dr. George Thomas@St.Isabel's Hospital in Mylapore, Chennai. Book an appointment online with Dr. George Thomas on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 34 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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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
250 at clinic
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I would like to to ask for some helpful suggestion regarding my mother, aged 61.In 2005 she fell down from our home stairs, in that incident accept her knee joints, everything was fine. The bad thing about the knee join happened was on on of her legs her knee joint bones were 90% shattered. She went through 2 surgeries in a span of next 5 years, 1st surgery was to fill in and repair the ankle joint with some kind of "Filling"(that's what the Orthopedic Surgeon said. It was going to heal in time but the doctor said that now that ankle movement will be fixed (not movable any direction. She was okay with that and after few physiotherapy sessions she was walking without any pain. From January 2015, she suddenly started to feel numbness in the operated leg, and she started getting hamstrings regularly. When she got diagnosed it was discovered that the initial fall also caused her slipped disc and now the bone in her waist is ruptured in a way which also tangled few nerves or veins. The orthopedic doctor said it is a very risky to operate now as if any vein tangled gets cut, they won't be able to stop the bleeding. So they asked her to move on. She didn't gave up and still trying with Herbal and acupuncture treatments but day by day it's getting worse. She can't stand straight for a second without holding anything. Nowadays she use to walk with her upper half bend little forward. I ask why you can't stand straight, she says whenever she tries it always causes her immense hamstring (both under thighs. She is having blood pressure for along time and take meds for them regularly and its in control. If you can help me out with any suggestion that could ease the pain of her hamstring (she can't bend her ankles, then it would be very helpful. Thank You. With regards. Niloy Bhattacharya.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I would like to to ask for some helpful suggestion regarding my mother, aged 61.In 2005 she fell down from our home s...
For pain do Take UST and IFT for 12 days followed by strengthening and Rehabilitation exercises from physiotherapist Best wishes.
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Complete tear of anterior cruciate ligament is seen with retraction of its fibres Will it cure by physiotherapy.

Certification in Manual Therapy, MPTh/MPT, BPTh/BPT
Physiotherapist, Ghaziabad
Complete tear of anterior cruciate ligament is seen with retraction of its fibres
Will it cure by physiotherapy.
Complete tear of acl requires an orthopaedic surgeon intervention. It might be fixed by reconstruction by graft. But it is solely on the discern of orthopaedician. But yes after the surgery physiotherapy plays a major role to put you back in life and to improve your quality of life.
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My grandma is 70 year old lady and she is having knee pain from past 10 years and we consulted many doctors but nothing happens what to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My grandma is 70 year old lady and she is having knee pain from past 10 years and we consulted many doctors but nothi...
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. 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.
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I have minor accident before few days. I bit injured in right leg, one day, suddenly its starts pain in my right thigh, what should I do?

BHMS
Homeopath, Faridabad
I have minor accident before few days. I bit injured in right leg, one day, suddenly its starts pain in my right thig...
Hello. 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. And wrap crepe bandage over it. Get back to me thereafter.
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Sir I have problem in my knee I can not walk too much because of pain in me. There is doubt of acl tear. Could You suggest me something.

Fellowship in Joint Replacement, M.S. Ortho, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Jalna
Sir I have problem in my knee I can not walk too much because of pain in me. There is doubt of acl tear. Could
You su...
If you have got examined by an orthopaedician, n had diagnosed acl tear, then get a mri of knee joint, to confirm type of tear. Then accordingly treatment can be started. If its a complete tear, unstable knee, then acl needs to be repaired at the earliest.
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I met with an accident and my scapula bones were fractured on jund 2014. My doctors say it will take one year for the bones to join. I am aged 72 years, I am doing physio theropy exercises daily. I have got pain in my right arm and swelling also. I have got pain near the scapula. What is the remedy? I am taking nearly five tablets per day. Please advice. I have also got hunch back. How to rectify it?

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. I will like to see your latest x rays and your clinical picture before I can make a comment on your status of scapula. You will also have to tell me what are the 5 tablets which you are taking on a daily basis and please send me x rays of your back as well. 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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My mom is having knee pain, she say that joints are cached, while walking it hearts.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
My mom is having knee pain, she say that joints are cached, while walking it hearts.
From you mom's condition it feels like she has developed Knee Osteoarthritis. Osteoarthritis can occur at any time of life but the incidence increases with age. It usually affects people over 40 years of age. There is no cure for osteoarthritis but the progression of the disease can be slowed and pain and disability reduced. Treatment options include: Healthy body weight: Maintaining a healthy body weight will reduce stress on the arthritic joints. Nutritional supplements Supplements such as glucosamine have been reported to relieve the pain of osteoarthritis and halt, or even reverse. So please try to take this supplement once a day. Exercise Exercise can assist with the maintenance of muscle strength and the mobility of arthritic joints. Activity at a level that does not cause pain is not thought to worsen osteoarthritis. Non weight-bearing exercises such as swimming or aqua jogging in a heated pool may be beneficial. Range-of-motion and stretching exercises will help maintain the maximum possible movement in the joint. Stretching will help maintain or restore flexibility to the joint’s muscles and tendons. You can apply cold or heat several times a day to reduce your knee pain. Just remember to cover the cold pack with a towel and keep your heating pad at a low setting to avoid burning your skin. Whether you use heat or cold, remove it after 20 to 30 minutes. If the knee is swollen or sore, the following positions and activities you should avoid until knee pain and swelling resolve: Squatting Kneeling Twisting and pivoting Consult a Physiotherapist privately to know the details of these exrcises and other management for OA knee. Best wishes.
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I went to sleep specialist for my apnea problem. He prescribed me nutrum tablets and asked me to use them for one month and revert him back. I want to know why did he prescribe the tablet.

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
I went to sleep specialist for my apnea problem. He prescribed me nutrum tablets and asked me to use them for one mon...
Nutrum is a multivitamin tablet and has no effect on apnea. Ideally, you should undergo a polysomnography (sleep study) to confirm the diagnosis. The, correct treatment can be started.
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Sir I am 35 years old I suffering fm low back pain since last 2 years. What should I do?

BPTh/BPT
Physiotherapist, Mumbai
Hello, start physiotherapy treatment and learn posture care/ spine exercise. Meanwhile take few precautions. 1) take hot water fomentation for 20 min. At every 3hrs. Interval. 2) do not lift heavy weights or twist your spine 3) wear comfortable shoes do not ignore your back pain and do reply for private consultation and detailed treatment plan. Best wishes.
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

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