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Dr. Gowri Shankar Patnaik

Orthopedist, Chennai

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Dr. Gowri Shankar Patnaik Orthopedist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Gowri Shankar Patnaik
Dr. Gowri Shankar Patnaik is an experienced Orthopedist in Nungambakkam, Chennai. She is currently practising at TOTAL REHAB in Nungambakkam, Chennai. You can book an instant appointment online with Dr. Gowri Shankar Patnaik on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 25 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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TOTAL REHAB

#3, Total Rehab Bhavani Mansion, 4th Lane Nungambakkam High Road, ChennaiChennai Get Directions
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Club Foot - What Is It?

MBBS, MS (Orthopaedics), Basic Life Support Course, Basic Trauma Life Support Course, Ao - Trauma Course
Orthopedist, Ghaziabad
Club Foot - What Is It?

Club foot is a deformity in infants. It is a general term to refer to some unusual positions of the foot and ankle. It is known as talipes equinovarus. The foot of the child is twisted out of shape and is rotated inwards and downwards at the ankle in this condition. The affected parts such as the foot, calf and leg appear to be smaller. It can be mild to quite severe. If not treated, it makes walking difficult as people with this condition have to walk on the sides of their feet.

Types:
Club Foot has two types-

  1. Postural or Positional.
  2. Fixed of Rigid.

Causes:
The exact cause of club foot is still unknown as it is a birth defect. Genetics and environmental factors seem to play a major role. Some possible causes of club foot are-

  1. A skeletal abnormality such as spina bifida cystica, hip dysplasia or developmental dysplasia is linked with club foot.
  2. It can be passed down through families due to genetic reasons. If either of the parents or any of their children born earlier have a club foot, then the newborn baby also has the possibility of developing this condition.
  3. Disruption in the neuromuscular pathway in the brain, spinal cord, nerve or muscle can be the reason.
  4. It has a link with the maternal age, smoking habits and conditions such as diabetes of the mother. Using recreational drugs during pregnancy and getting an infection also increases the risk.
  5. Sometimes, in very few cases, it can depend on the position of the baby in the mother’s womb.
  6. Not enough amniotic fluid surrounding the baby in the mother’s womb can also be a cause of club foot.

Symptoms:
As mentioned before, club foot makes the feet twisted.

  1. The foot is twisted downward and inward, and so severely that it looks as if it is upside down.
  2. The feet, calf muscles and legs are underdeveloped and small.
  3. The arch increases and the heels are turned inward.

Complications:
Club Foot causes some complications in the child’s life.

  1. Basic Problems: There will be difficulty with movement, walking and fitting a shoe size.
  2. Arthritis: There is a chance of developing arthritis.
  3. Poor Self Image: During the teen years, the body image will be a concern because of the unusual position of the foot.

Prevention:
It cannot be prevented completely because the cause is still unknown, but there are some tips for pregnant woman to limit the risk.

  1. No smoking.
  2. No alcohol.
  3. No unapproved drugs.

Treatment:
The treatment of club foot starts right after birth. There are several treatment methods.

  1. The Ponseti Method: In this method, the baby’s foot is bent gently by a specialist to the right position and a plaster cast is applied.
  2. The French Method: Massage, exercise, stretching and immobilization of the foot are performed under this method.
  3. Surgery: If other methods do not work, then a surgery is performed to adjust the tendons, ligaments and joints of foot and ankle.

After the treatment, the baby needs to wear special boots with a bar that holds the feet outwards in the right position this prevents the club foot from returning.

Club foot is a severe deformity that can create serious problems for the whole life. Hence, it should be treated right away. Parents are advised to consult a doctor as soon as they notice the symptoms.

3 people found this helpful

I have very pain in my back I take lots of medicines but I never feel better I always feel back pain please help meee plz.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have very pain in my back I take lots of medicines but I never feel better I always feel back pain please help meee...
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. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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Dear Dr. Working on computer in office. For long hours my hands are paining inside. How can I resolve this? Please tell.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
Dear Dr. Working on computer in office. For long hours my hands are paining inside. How can I resolve this? Please tell.
Hello lybrate-user, you need rest from your work. Please do stretching exercises at office whenever you get time. Remove your hand from mouse and do hand activities freely in air.
1 person found this helpful
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I am 60 years old Please suggest best hospital or doctor for stem cell treatment of knee arthritis in india or other alternate treatments except knee replacement surgery.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I am 60 years old Please  suggest best hospital or doctor for stem cell treatment of knee arthritis in india or other...
Stem cell therapy for knee is still under trial. Not available in India. Other treatment is Platelet rich Plasma injection.
1 person found this helpful
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I have some foot problem and its paining from last month suggest some exercise or medicine.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have some foot problem and its paining from last month suggest some exercise or medicine.
Get treated with Ultrasonic therapy which would directly heal the calcaneal spur (inflammation of the calcaneum bone) which causes the heel pain in majority of the cases. Along with ultrasonic therapy, shortwave diathermy also can be given. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the weight evenly in the feet so that the weight will be completely felt in the heel area. 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.
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Am 28 n my back is always dark. Tried many but no use. Any dermatologist suggest me good remedy to remove darkness in back neck?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Am 28 n my back is always dark. Tried many but no use. Any dermatologist suggest me good remedy to remove darkness in...
There is in ayurveda mention pinda swed. It is a type of swedan karma [phomentation] but it do some another manner. 1. Boiled a rice in milk then take this rice in one white cloth then tied it properly and warmly it rub on your face every morning for 15 days then stop it and do next month again 2. Apply almond oil on your face and massage for 3-5 min at night. By doing above thing you will get good result.
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Enter question for you or someone else. For e. G.I am 25 year old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days but haven’t got any relief. What should I do now?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Enter question for you or someone else. For e. G.I am 25 year old male and have backache for last 2 months. I have us...
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.
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My left hand not paining some time not hold up for a longer time. Could not able to take 5-10 k.g. Weight for few minutes.

BPTh/BPT
Physiotherapist, Delhi
My left hand not paining some time not hold up for a longer time. Could not able to take 5-10 k.g. Weight for few min...
1. Start with small weight lifting exercises routine. 2. Take half kg milk per day. 3. Increase protein intake. 4. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum.
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I am facing backpain since 3 months. I use only painkiller. Bcoz doctor give me some tablets of painkiller and other. please advice me.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am facing backpain since 3 months. I use only painkiller. Bcoz doctor give me some tablets of painkiller and other....
Sit straight maintain your posture avoid long sitting toward bending and lifting heavyweight. Do hot fermentation and rest and stretching exercise of spine and legs.
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I am moumita, I am 21 years ldo. My mother she is suffering from back pain, how she can get relief from it? Thnk u.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am moumita, I am 21 years ldo.
My mother she is suffering from back pain, how she can get relief from it?
Thnk u.
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.
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