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Dr. George Thomas

Orthopedist, Chennai

250 at clinic
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Dr. George Thomas 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. 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 39 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
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Iam suffering from RA since 2 years whether there is any permanent treatment is there.

MBBS, MD, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Mr. Kumar, Rheumatoid Arthritis does not have a permanent cure. Only 8 to 14% of patients may get back to normal that too within first 4 years of the disease. Go through this article for brief knowledge of Rheumatoid Arthritis 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.
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I met with an accident and my left foot got affected near the toe, I thought it was fracture or perhaps ligament was broken, but it was not. I took medicines but still not cured and the place is still swollen and as the days passes by, the pain increasing. Please advice what should I do as the pain reached upto my knee.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I met with an accident and my left foot got affected near the toe, I thought it was fracture or perhaps ligament was ...
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. 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. 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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Sir I am 21 year ol male and I am suffering from knee problem form last 2 month wht should do I now.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sir I am 21 year ol male and I am suffering from knee problem form last 2 month wht should do I now.
Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Simple Knee Exercises would help to strengthen the quadriceps muscle which is the key muscle.
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Am working in Electrical dept I have knee pain while driving two wheeler and I got sudden cold if I drunk cold water.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Am working in Electrical dept I have knee pain while driving two wheeler and I got sudden cold if I drunk cold water.
For knee pain do regular knee exercises. Eat milk daily to get adequate calcium. Get sunlight exposure during 11 am to 2 pm for 30 minutes. You will need some medicines if pain does not get relives after 15 days of exercises.
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My Mamma is Having extreme pain in her heels. It starts paining after every time she get up from chairs. How can my Mamma get rid of this? Thanks.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
My Mamma is Having extreme pain in her heels. It starts paining after every time she get up from chairs. How can my M...
Calf stretching and hamstring stretching along with ankle and toe curling exercises. Contrast bath is necessary. Nsaids for initial pain relief.
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I have pain in my waist for a month. Please give me some suggestions and medicine to get relieved from pain. Thank you.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have pain in my waist for a month. Please give me some suggestions and medicine to get relieved from pain. Thank you.
Posture correction must. Do hot fermentation and rest avoid strain do stretching exercise if it work then ok otherwise physiotherapy treatment.
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HI Dr. I am Saranjit Singh Sehgal age 62 years senior Citizen. I have pain in the back since from two year as I had a standing job for long hours as Manager in some reputed Sweets shop. I have got MRI done and other check up done. Report says compressive collapse fracture involving superior end plate of D12 vertebra likely osteoporosis. LS Spine, straightening Muscle Spasm. I have taken lot of medicines, physiotherapy plus exercises but still find it difficult to sit or sleep in one place for long time. Have acute pain doctors advice to walk or sit in right position. Bone test: First Metatarsal Head Right Foot 16 Heel 20. Medicines taken: Inj Voveran, Tab Mobizox. Tab Pan, Tab rantac, tramadol, Tab Gabapin, Tab Synaptolol, Tab Espran plus, Tab Calpep gold, Duke 60 K, Tab cal k2, Katadol 100, Canace, Es03 etc but still no relief. Kindly suggest the problem, treatment and best medicines so that I get relief. Dr. I am poor person not having any employment due to this problem and is not possible for me to go for vertebroplasty as this costs Rupees Four Lacs. Regards Saranjit Singh, New Delhi. Whatsapp 9717846535.

MPTh/MPT, BPTh/BPT, Certificate in Kinetic Control of Low Back and Hip, Neck and Shoulder, Certificate in Barefoot Training and Injury Prevention
Physiotherapist, Bangalore
HI Dr. I am Saranjit Singh Sehgal age 62 years senior Citizen. I have pain in the back since from two year as I had a...
hiii your issue is quite complicated. It needs a lot of patience. You need to undergo physiotherapy for prolonged period. Meanwhile get exposed to sunlight for atleast 20 mins a day, have more of green leafy vegetables, egg, milk. Do not stop physio. Perform exercises along with physio. Hope you recover soon.
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Due to my job I have to stand 8 hours because of that I am having little pain in my knees n legs. How to fix it?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Due to my job I have to stand 8 hours because of that I am having little pain in my knees n legs. How to fix it?
avoid long standing and stretching exercises must. hot fermentation and gently massage ya physiotherapy treatment for few days
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Hi sir. I have an issue with my backache n unable stand not even 10 min. Advise if any kind diagnosis test to be done. Regards Sathish.

DHMS (Hons.)
Homeopath, Patna
Hi sir.
I have an issue with my backache n unable stand not even 10 min. Advise if any kind diagnosis test to be done...
Hello, you need to be examined properly by an ortho-surgeon. Till, then you may continue with the homoeo med (size of pill-40)** @ hypericum 1000-6 pills, wkly @ macrot 200- 6 pills, twice a day. @ rhus tox200-6 pills, thrice a day. Report your progress, fortnightly take care.
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I have a rod in humerus. Now its causing itching after 2.5 years and a pus with blood is coming out of it from rubbed area. what to do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have a rod in humerus. Now its causing itching after 2.5 years and a pus with blood is coming out of it from rubbed...
Better do consult same surgeon who operated and I ask him to remove the same after verifying it's healing fine best wishes again pus oozing is because of infection associated.
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Psoriatic Arthritis - Can Homeopathy Help Treat it?

MD - Homeopathy
Homeopath, Aurangabad
Psoriatic Arthritis - Can Homeopathy Help Treat it?

Psoriasis is an auto-immune provocative disease and that is known to primarily affect the skin. The skin lesions basically appear on the skin above the knees and elbow. It is basically classified into 5 types namely plaque, guttate, pustular, inverse and erythrodermic. The major causes of this condition are stress, injury and cold climatic condition.

The skin condition is marked by white scaly patches that appear on the top layer of the skin. Psoriatic arthritis occurs in individuals who suffer from psoriasis for a longer time. The weakening of the immune system of the body is the result of the inflammation of the joints and that cause the Psoriatic arthritis.

Indications of Psoriatic arthritis

  1. Pain, stiffness and swelling are experienced in the joints of the body and the intensity of the pain can be moderate or mild.
  2. As a result of inflammation, the joints involved with arthritis problem and are warm when touched
  3. Pain occurs around the neck as well as the sacrum
  4. The nails become yellow in color and tend to separate from the nail bed.    

Can homeopathy medicines treat psoriatic arthiritis

  1. Homeopathic treatment is anytime safe for treating Psoriatic arthritis, and that has been evidently proved by the researchers. 
  2. Homeopathy medicines have also helped in the improvement in the quality of the lives of people suffering from the psoriatic arthritis. 
  3. The homeopathic medicines have a definite desirability, and they act well on different tissues as well as organs in our body. It is very important that thorough examination is done by the homeopathic doctor so that good results can be attained.

The different ways by which homeopathic medicines can resolve psoriatic arthritis depend mainly on how persistent the disease is, family history, and how extensive it is. These key features help in determining the rate of curability of psoriatic arthritis. Homeopathy medicines act very well on patients not using conventional medicines. Opting for homeopathy at the earliest once the condition is diagnosed is very beneficial as it provides quick relief.

How helpful are homeopathic medicines
The homeopathic medicines that are used to treat psoriatic arthritis are Thuja occidentalis, Rhus toxicodendron, Radium bromatum, Kali carbonicum and Ledum palustre. These medications not only relieve the pain, but are beneficial in reducing the stiffness and the inflammation.

The progress of the disease is also arrested by the use of homeopathic medicines, which in turn improve the quality of life of the patient and they are able to perform their daily activities properly.  The dependency on the pain killers for reducing the pain can be reduced by taking homeopathic medicines. If you wish to discuss about any specific problem, you can consult a Homeopath.

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I have back pain from few days its paining a lot I have use some pain relief spy but it couldn't work. What I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have back pain from few days its paining a lot I have use some pain relief spy but it couldn't work. What I do?
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. 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 have neck pain. I thought its because of over use of mobile phone. Most of the time I was used in bed when I was lyed on bed and I used 3 pillows to get height to my head. Now I really suffering from neck pain shoulder pain and also upper back pain. Sometimes my 2 hands too. What I do for this. Is there any solution for this?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Yes there is solution. Stop using mobile phone very frequently. Don't take 3 pillows, it's too much. Exercises for neck. Posture modification
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I am 22 year old male. I am having pain in my shoulders. I thought I might had overtrain myself so I took a week off from gym. After going for just one day tha pain is back. What should I do as I do not want to loose all the progress I have made.

Bachelor in Physiotherapy (BPT)
Physiotherapist, Hyderabad
I am 22 year old male. I am having pain in my shoulders. I thought I might had overtrain myself so I took a week off ...
While working out proper angulation is important, better use machines instead of barbell and dumbbells. And relearn how to make a movement in proper direction to avoid injury. After two weeks try with barbell and dumbbells with same direction of movements.
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I am 36 years old lady and for the past two months suffering from back pain please suggest

MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Delhi
Go for 45 minutes of brisk walk. Take adequate amount of milk and milk products. You will be alright.
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Sir, I am Vishnu working as an engineer, I am suffering from ache on my knee joints from 6 months, a nd allergic problem due to dust... Please help me by suggesting some tips n cure.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir, I am Vishnu working as an engineer, I am suffering from ache on my knee joints from 6 months, a nd allergic prob...
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.
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Hi I want to know the exercises to be done post scoliosis correction surgery. I was operated last year. I also do my exercises but I want to know more so that I can have a better posture.

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
Better you follow a proper protocol described by your operating Surgeon because he will be the best person to tell you what type of exercise you can do for you can't so better follow his instruction with the help of physiotherapist doing exercise at your own can harm and reduce the effect of surgery thank you.
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I am a dancer. Recently I got a ligament twist in my left leg knee. I want some exercise and diet tips regarding my knee ligament.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am a dancer. Recently I got a ligament twist in my left leg knee. I want some exercise and diet tips regarding my k...
Take rest. Homoeopathy has good treatment for your problem, without causing adverse effects. To start with, take homoeopathic medicine arnica 200 daily in the morning and in the evening and give feedback after 4 days.
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