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Dr. J.P.Kumar

Occupational Therapist, Chennai

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Dr. J.P.Kumar Occupational Therapist, 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. J.P.Kumar
Dr. J.P.Kumar is one of the best Occupational Therapists in Nungambakkam, Chennai. You can meet Dr. J.P.Kumar personally at Vidyanjali Therapy centre in Nungambakkam, Chennai. You can book an instant appointment online with Dr. J.P.Kumar on Lybrate.com.

Lybrate.com has an excellent community of Occupational Therapists in India. You will find Occupational Therapists with more than 37 years of experience on Lybrate.com. You can find Occupational Therapists 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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Vidyanjali Therapy centre

No 148,Vallurvar Kottam High Road, Near To Nungambakkam Police Station,Nungambakkam, Chennai, ChennaiChennai Get Directions
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I am 67 years old. Due to a fall last year, it resulted in a spinal compression fracture. Mri report is: cervical spine shows mild spondylotic changes cv junction is normal. Disc dehydration is noticed at all levels c5-6: mild posterior disc osteophytic complex causing mild impingement on thecal sac. No obvious nerve root compression. Spinal cord: shows normal signal intensity. No focal lesions. Impression: >acute mild compression fracture of l! vertibral body with diffuse marrow ocdcma. >no retropulsion. >old anterior wedge compression fracture of t11 vertebral body. Sacralization of l5 vertebra with rudimentary l5-s1 disc. >bilateral neural foramina are compromised at l5 causing impingement on bilateral exiting l4 nerve roots due to spondylotic grade I spondylolisthesis & pseudo disc herniation. Following this I was on medication consisting of pain killers, antibioticaand calcium tablets. Now I am not using any drug. I donot want to go for surgery. I am havinf constant blow back pain due to which myu movement is very much restricted. I am unable to sit on the floor and even with effort I sit, it is very difficult to get up. Can you please suggest a follow up action so that my pain is reduced and I will bwe able to move without much pain. Thanks.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Not all patients of backache & pain joints need surgery. Most of them can be managed without operation rule out vit. D deficiency or any other metabolic disorder. Physiotherapy usually helps any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Diabetes must be controlled beyond any shadow of doubt.
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.

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I am suffering from Spondyloarthropathy from last 8 years. I am 30 years old. X ray shows Sacroiliitis. HLA b27 positive. Now start using ashvagandha safe Musli and Shilajeet capsules of patanjali. Is it safe to take with in limit. Serving in Indian Air Force. pregabalin Hcq by medical specialist. I used to take these when back ache is more than normal. Advise me please. Is there any cure of Spondyloarthropathies.

MBBS, D'Ortho, DNB (Orthopedics)
Orthopedist, Mumbai
I am suffering from Spondyloarthropathy from last 8 years. I am 30 years old. X ray shows Sacroiliitis. HLA b27 posit...
Hello Lybrate-user, ankylosis spondylitis with medication you will feel better but along with that you need to start physiotherapy which is must there is no permanent cure of these disease but we can suppress it.
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I am 25 years old male. I have leg pain for 1month. I'm consult the doctor to get ointment. Then use the ointment in the leg pain but not use pain also increase. So kindly answer how to solve this problem.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 25 years old male. I have leg pain for 1month. I'm consult the doctor to get ointment. Then use the ointment in ...
Leg stretching exercise and heat formation if it work then ok otherwise physiotherapy treatment for you.
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I am suffering from back pain last more than 2 months, now a days also felling knee veins are tight at morning time taking treatment from homeopath medicine ,last month kindly suggest me what are the suggestion from your side.

MS - Orthopaedics
Orthopedist, Ahmedabad
I am suffering from back pain last more than 2 months, now a days also felling knee veins are tight at morning time t...
Here are some advices for you 1. Don't sit on the floor 2. Avoid bending forward 3. Don't lift heavy weights Get an X-ray of Lumbar Spine done.
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Foot paining and hand paining sometime head also paining then we have to rub the foot for long times.

BPTh/BPT, DMS
Homeopath, Kolkata
Foot paining and hand paining sometime head also paining then we have to rub the foot for long times.
lybrate-user ù take Homeopathic medicine Feŕum met.-200 3 times daiĺy & Rhus tox - 200 3 times daiĺy and estimation of Vit D3 is essential.
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I am 19 years old now, when I was 12 I used mastaburate a lot I mean each day. And now m doing sports and now I left mastaburation but I feel weakness in my body. My lower legs pain when I run and even I lost my stamina. How can I recover from whatever I lost please help. I am big body man but m weak according to my body. I just want to recover my full lost energy stamina and everything so that I can do my game easily.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am 19 years old now, when I was 12 I used mastaburate a lot I mean each day. And now m doing sports and now I left ...
Have good nutritious diet. Including fruits, vegetables, milk, dry fruits, egg, pulses, no smoking, no alcohol daily morning walk for 30 mts 10 mts deep breathing exercise expose your body to sun daily for 20 mts do regularly
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I am 44 years old. i look like 30 age body only but having lot of problem like joint pain, etc.

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. In my opinion reading your query I will advise you to get a comprehensive body checkup done with all investigations including inflammatory profile markers also. It will be good if you can actually consult with a general physician and get all the tests done. From an orthopaedic point of view, since you have multiple joint pains, I will advise you to get: cbc, esr, crp, serum vitamin d levels, serum electrolytes, thyroid profile also. Get these tests done empty stomach and send me the investigation reports. Do not hesitate to contact me if you need any further assistance.
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Sir. Mera right hand pisle 3 month se pain karte rehte hei or finger v jin jinate rehte hei. Ak baar accident mei thora frecture huwa finger nise. So what kind of medicine I can use. Alopethic.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sir. Mera right hand pisle 3 month se pain karte rehte hei or finger v jin jinate rehte hei. Ak baar accident mei tho...
Your finger pain can be due to various reasons our suggestion would be to do warm water bath to relieve from pain. If the pain doesn't subside please do ice therapy to reduce the inflammation from the finger.
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I am started to play football on last sunday. My thigh started to pain on yesterday. Now I can not play football. What can I do doctor?

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
I am started to play football on last sunday. My thigh started to pain on yesterday. Now I can not play football. Wha...
When you start sport or exercise it happens initialy but as you continue it you will be comfertable. Start to take rhustox 200 3time for a week n keep continuing football.
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