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Dr. Hariharan

Orthopedist, Chennai

Dr. Hariharan Orthopedist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Hariharan
Dr. Hariharan is an experienced Orthopedist in Anna Nagar East, Chennai. Doctor is currently practising at The Back and Neck Clinic in Anna Nagar East, Chennai. Book an appointment online with Dr. Hariharan on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 41 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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The Back and Neck Clinic

#1, B Block, 2nd Avenue, Anna Nagar East. Landmark: Behind The World of Titan, ChennaiChennai Get Directions
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I am suffering from cough n cold. My nose is blocked for that so I can't desperate well. Also my knee is suffering from pain.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
Endoscopy of nose, CT scan PNS , etc will help to come to diagnosis. Avoiding allergens, will help you. You may require Antihistaminics and nasal decongestants.You may require surgery….Also contact orthopedic surgeon for knee problem.
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I have problam in my right hand. Jab main apna haath upar uthata hu to kandhe ke paas bahut dard hota hai. Mera haath pura upar tak nahi ja pata hai.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
According your age it may be muscle strain so tk physiotherapy for 5 days ultrasonic therapy. Haath upper aa jaiga.
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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I have severe back ache, neck ache from the past one month. What should I do to reduce it? Please help me

MBBS
General Physician, Faridabad
do neck muscle exercise, hot water fomentation and apply volini locally, can take tab dolo sos. it will help. welcome
5 people found this helpful
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I am 21 years old female I have h shoulder and neck pain from last 4 month. Many time my neck get sticked. please help me out.

Bachelor Of Physiotherapy
Physiotherapist, Noida
hello try to stop watching TV prolong do hot fermentation daily 15 min twice a day do stretch followed by hold and relax
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I am 23 year old man. I have one problem regarding my leg, my leg feel pain after every 3 month of cycle, so please provide me better solution for this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Keep your leg raised while sitting or lying quadriceps strengthening exercises hamstring stretching calf muscles stretching contrast bath.
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I fell from stairs yesterday n my ankle got swollen .It pains while walking but the pain doesnt exist when m @ rest .Is it a fracture or muscle tear ? i applied ice thrice n iodex what should i do consult an orthopedic in person or suggest some medicine

BPTh/BPT
Physiotherapist, Pune
Hello this is Dr.Vyas first u consult with an orthopedic take a x-ray to confirm is there any fracture or crack . According to your complain there may be no fracture its ligament tear only you r doing wright treatment applying ice 3-4 times, use iodex but don't do massage, use ankle support , don't walk much more and have some patience its take time 5-7 days.
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Akruit-4 daily taking 4 tabs to reduce tuberculosis but now uric acid increased. how to reduce it and kindly give tips to increase spinal cord bone strength. Because that placed near spine in left fossa few times back pain and left knee pain coming, how can reduce it?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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I am 54 years old. I am suffering with rheumatic pains near hands and knees and also swellings near these places. Kindly suggest a medicine which is not having side effects.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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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I am feeling ill because I had back pain last one year. What can I do for relax to pain.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do take ift and laser therapy for pain relief for 10 days followed by strengthening exercise from neuro physiotherapist avoid bending forward do learn spinal extension exercise use firm hard and even mattress for sleep.
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Hi, I'm 20 years old, I have right hand shoulder dislocation on past one and half year above, but now also, it make pain, during work and throwing balls like, so what I do, how many years it will cure. Please tell me.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
You should take acupressure therapy and take biochemic kali phos 12x + nat mur 12x 4 tab each thrice a day with warm water and take it 5 days
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My mom had chikungunya 1 month back and has joint pain till now. She is getting 99.7 like fever sometimes what could be the reason please help should we do some other tests?

BPTh/BPT
Physiotherapist, Delhi
1. For Joint pain start with Physiotherapy treatment. 2. Wear knee cap if pain is in both KNEE. 3. Apply volini cream before sleeping. 4. Take calcium, vitamin D 3 and Methylcobalmine supplement
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I had a grade 3 tear in lateral meniscus is surgery necessary or not if not how many days recovery is needed (I am cricket player and spinner)

MS - Orthopaedics, MBBS
Orthopedist, Ghaziabad
torn meniscus will degenerate your joint rapidly. if any piece of torn meniscus becomes loose then it cause locking problem also.so if it is grade three tear better to get it operated.
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I am 25 year old my back side pain I use pain relief tube last 2 months what should I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
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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My dad has a disc problem and in morning time he suffers from stiffness in lower back area. What should he do?

MS - Orthopaedics
Orthopedist, Chennai
He should not bend down, avoiding bike riding and sitting for long time and lifting heavy weights. He should gentle back toning exercises. If not alright he might need surgery.
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I am 30 yes old boy my question is during fast running I have so many pain in my leg above ankles. Kindly advise me.

MS - Orthopaedics, MBBS
Orthopedist, Pune
Hello lybrate user, pain above the ankle around the outer side of leg is common after fast running. It is due to spasm of a muscle called as tibialis anterior whose primary role is to pull the foot towards your body at the ankle joint. So after running this movement by the muscle is repeated vigorously causing it to go into spasm and later pain. Thank you.
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I have back pain on 3 months. I met doctor and he scanned my body and checked the reports but no any problems and he give some medicines but it not control the pain. The pain is too heavy, it not leave to sit, walk and sleep. I do not know where can I go? What can I do? Pleas tell me anything.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chitiradurga
Do not use soft bed for sleeping. Give rest to back portion in sleeping posture. Do not bend down abruptly to pick anything from ground. Use hot water bath and give fomentation to the painful area. Avoid driving 2 wheeler for sometime. Kindly consult me personally online for detailed guidance along with medicines and diet.
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Having these un intentional muscle twitch on arms biceps now days can any one help me what could be the reason for it.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
It is very common to have muscle twitches. Common causes are fatigue of the muscle or dehydration. Just drink plenty of water and wait and watch. Usually it subsides by itself.
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