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Dr. Jothikumar

Physiotherapist, Chennai

Dr. Jothikumar Physiotherapist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Jothikumar
Dr. Jothikumar is a renowned Physiotherapist in Arumbakkam, Chennai. You can visit him at Dr. Jothikumar Clinic in Arumbakkam, Chennai. You can book an instant appointment online with Dr. Jothikumar on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 27 years of experience on Lybrate.com. You can find Physiotherapists 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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No. 16/49, Valluvar Road, Arumbakkam, Land Mark: Near 7 Star Medical ShopChennai Get Directions
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Cartilage Damage - Causes And Treatment

M.Ch - Orthopaedics - , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Cartilage Damage - Causes And Treatment

Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.

There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.

Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)

Read on to know some of the most common causes for cartilage damage and ways to manage it.

Causes:

Age and trauma are the main reasons for cartilage damage.

  1. Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).

  2. Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.

  3. Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.

  4. Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.

Diagnosis:

The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.

Treatment:

Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:

  1. Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.

  2. Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.

  3. Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.

  4. Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4382 people found this helpful

I am getting severe back pain, couldn't able to sit for long and when I am going for walk within an hour or so I am getting the pain for standing also. Please advise better solution?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am getting severe back pain, couldn't able to sit for long and when I am going for walk within an hour or so I am g...
Avoid walking and strain till relief. Do physiotherapy treatment and strength exercises and stretching exercises. Posture correction must. Avoid toward bending tk soft pillow for back support.
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I visited an orthopedician for lower back pain (muscles pain). He gave a few medicines and suggested physiotherapy for 10 days which includes TENS.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
I visited an orthopedician for lower back pain (muscles pain). He gave a few medicines and suggested physiotherapy fo...
Most back pains can be resolved with such conservative measures.Continue with your treatment at present. If problem persists consult again. These are some suggestions for your condition. 1. Sit with straight back and change posture in between. Do not hunch and feet should rest on floor while seated. 2. Take breaks in between work and walk. 3. Take rest when back pain is severe but a void total bed rest. 4. Do back strengthening and stretching exercises daily. 5. Take simple painkillers like paracetamol if pain is persistent. 6. Apply analgesic cream over back followed by warm fomentation. 7. Keep pillow behind your knees at bedtime. 7. Do not bend and lift weights. 8. If back pain is accompanied with radiating leg pain or tingling , numbness or weakness, consult your doctor immediately.
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Bone Fracture - Common Types and How They Can be Prevented?

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Bone Fracture - Common Types and How They Can be Prevented?

The human body allows for movement through the complex system of bones, muscles and joints. A break in the bone is medically known as a fracture and can be caused by constant stress, pressure or impact. It is common knowledge that with age, the bone strength decreases and incidence of fractures (osteoporotic fracture) increases. Based on the affected bone and impact, different types of fractures are commonly identified as:

  1. Complete: When the breakage of the bone is complete, producing two or more pieces, it is referred to as a complete fracture.
  2. Incomplete: When the breakage is incomplete, where the bone has cracked, but does not break into pieces, it is known as an incomplete fracture.
  3. Another type would be the open or closed fracture:
    • Open fracture: When the skin is exposed and the bone breaks through this exposed skin, it is known as compound or open fracture.
    • Simple or closed fracture: The bone breaks, but the skin continuity is maintained. Again, here are different types including hairline, greenstick, oblique, etc.

What is the reason behind a fracture?
A bone will fracture when force is applied to it that is stronger than the bone itself. A key factor in a bone’s susceptibility to fracturing is age. Both children and older people are prone to bone fractures. Children’s bones are constantly growing and have not reached their full strength. Elderly people have brittle bones with old age and are prone to develop bone diseases, making them susceptible to fractures.

How they are treated?
Splint and pain medications are commonly used. Closed reduction where the fracture is reduced without opening up the tissues and open reduction, where the tissues are opened up are common approaches to managing fractures.

Can they be prevented?
Especially with children and in the elderly, extra precaution should be taken to avoid any kind of injury and fracture.

  1. Develop an exercise routine to strengthen the muscles
  2. Manage weight
  3. Use the right footwear and exercise gear
  4. Watch your medications (avoid sleep inducing ones)
  5. Increase lighting in the room/home to improve clarity of vision for elderly
  6. Make the home/living area fall-proof by reducing clutter, using railing in the bathroom and bedrRhinoplastyoom, using rubber mat, etc.
  7. While a fall may seem inevitable, taking the above steps can help reduce the incidence and severity of a fall, thereby minimizing damage.
1 person found this helpful

Good afternoon sir, , I have been suffering from back pain from 2 3 months, iam not able to sit or stand for a little long time, What is the problem, what should I do? I need to work on system am a software. suggest me the best remedy to relief. Thank You sir.

DHMS (Hons.)
Homeopath, Patna
Good afternoon sir,
,
I have been suffering from back pain from 2 3 months, iam not able to sit or stand for a little...
Hello, your problem is due to postural irregularity. * sit erect on the table keeping your head, straight in front of your computer * take- off computer for 5 mnts, frequently & stretch your body, pulling your shoulder back. * go for meditation keeping your entire body straight. * go for pawan- utthan asana, lie down on the floor on your abdomen and lift your body with support of your both d arms, keeping legs down on floor. * go for aerobic exercise under supervision of a physiotherapist. **homoeo-care** @ rhus tox 200-6 pills, thrice a day. @ arnica mont 200- 6 pills, thrice a day. Report weekly stay fit.
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I am suffering from arthritis. And facing daily swelling in whole body from many days. Pls suggest me diet to control my swelling and joint pain. Pls help.

DHMS (Hons.)
Homeopath, Patna
I am suffering from arthritis. And facing daily swelling in whole body from many days. Pls suggest me diet to control...
Hello, * avoid, cold intake, cold exposure, all fruits, sour, spicy fried, food item. * try to move, slowly for 20 mints. * sit in sun for 1/2 an hr. * drink, luke warm water * take, a bath with luke warm water. * homoeo-medicine* @ rhus tox 200-6 pills, thrice a day take, care.
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I got meniscus tore. Well an year back for the first time. I do met a doctor. He asked me to do some physical exercises at regular intervals. And again 2 months back I got meniscus tore again. 2nd time. Will it be a problem at future.

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 need to see your latest mri to give an opinion. Also what are your complaints after second injury like pain, swelling, locking of knee joint etc, please elaborate briefly. 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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I have an pain in my left hand from tw o months. I have shown it to a doctor. He told me that some nerve has been tampered. N gave me some medicines. Bt pain is still there. What should I do. Pain in in my left hand wrist n palm n all fingers. Reply plz.

BPTh/BPT
Physiotherapist, Mumbai
I have an pain in my left hand from tw
o months. I have shown it to a doctor. He told me that some nerve has been tam...
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do stretching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief see a physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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I get caught by Cold and Cough every now and then. And mostly the Sneezes. Back to Back Sneezes are pain for me. What might be the Cause? Can you help me out here?

MD, MBBS
Pulmonologist, Delhi
I get caught by Cold and Cough every now and then. And mostly the Sneezes. Back to Back Sneezes are pain for me. What...
your symptoms suggest you suffer from allergy especially involving nose. this is easily controllable just get yourself tested
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I am 32 years old female. I feel sleepy, drowsy and lethargy soon after my lunch. I keep yawning till I go and take rest or a nap. I also get a feeling of not being fit and sometimes its followed by mild head ache and shoulder pain. I have spondylitis and Thyroid. But my concern is that this happens only when I am in Office, on weekends and holidays when I am at home none of the above problems are faced by me. Why is it so? What to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 32 years old female. I feel sleepy, drowsy and lethargy soon after my lunch. I keep yawning till I go and take r...
Calf Stretches Standing calf stretch Stand away from a wall and.put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day.
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I am suffering from bone pain in my lower limbs and no biochemical report favour for any cause. And X ray r normal. What should I do?

DHMS (Hons.)
Homeopath, Patna
I am suffering from bone pain in my lower limbs and no biochemical report favour for any cause. And X ray r normal. W...
Hello, take, homoeo-medicicne** @ five phos 6x-4 tabs, thrice a day. @ ledum pal 200- 6 pills, thrice a day. * avoid, cold intake, junk food, dust, smoking, alcohol * take, apple, carrots, papaya, orange, soyebeen, almonds, *report fortnightly.
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I have been suffering from back pain from last year, I have injured myself playing cricket, I have been undergoing physiotherapy but I don't find results for that.

MBA Hospital management, BPTh/BPT
Physiotherapist, Mohali
I have been suffering from back pain from last year, I have injured myself playing cricket, I have been undergoing ph...
Kindly improve your posture & avoid forward bending & weight lifting. Do simple exercise. Take proper diet & milk.
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I'm 30 years old female suffering from backache last 3 years doctor told due to deficiency of vitamin I'm also complete vitamin D injunction course n again same problem happen. Suggest me what to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I'm 30 years old female suffering from backache last 3 years doctor told due to deficiency of vitamin I'm also comple...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps.
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Please advice if Ketorol will help me out. I am having a lot of pain on my hip after it got operated on and I am not sure if it is supposed to happen or not. Doctor has suggested to take Ketorol but I don't know if I should. I require your advice.

MD
General Physician, Mumbai
Please advice if Ketorol will help me out. I am having a lot of pain on my hip after it got operated on and I am not ...
Dear patient, greetings from lybrate! ketorol is a non steroidal anti-inflammatory medicine. It helps in acute and sub acute muscular and joint pain. You can take this medicine for a short term basis for hip pain relief. Long term use causes kidney issues. I hope this helps.
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I am 24 year old male. I have knee pain since 6 month. I am a college going student. When I turned my legs, it create a sound like krrrr. In very low volume. Mostly I felled pain when I go to bed. What I do, please suggest.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 24 year old male. I have knee pain since 6 month. I am a college going student. When I turned my legs, it create...
Advice. Avoid sitting cross legged. Avoid squatting- 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. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold.
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A bundle of flash on my shoulder about thumh size with no pain. Could it be a cancer who to get it be checked. Kindly assist.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
A bundle of flash on my shoulder about thumh size with no pain. Could it be a cancer who to get it be checked. Kindly...
you should take acupressure therapy and take biochemic kali phos 3x+ nat phos 3x+ nat sulph + sillicia 12x 4tab each thrice a day with warm water, take it 5 days and consult private online.
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Have a back pain. Which comes on and off. What should I do? Went for an ayurvedic massage. Got relief. It's better than before but is still persistent. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Have a back pain. Which comes on and off. What should I do? Went for an ayurvedic massage. Got relief. It's better th...
Homoeopathic medicine SPONDYAID ( BAKSON) Drink 10 drops in 20 ml fresh water 3 times daily CALCAREA PHOS 6X ( Dr Reckeweg) Chew 4 tab 3 times daily Report after 15 days
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I have pain in the region below my right shoulder for about 3-4 years What should I do?

BHMS
Homeopath, Faridabad
I have pain in the region below my right shoulder for about 3-4 years
What should I do?
Hello, take Sangunaria 200 ch , 5 drops , once daily. Arnica 30 ch , 4 drops once daily. Revert me after 7 days. Thanks.
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I am 25 years old. I have pain on my knees from 3days. What should I do? If you can help then suggest.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 25 years old. I have pain on my knees from 3days. What should I do? If you can help then suggest.
Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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