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Dr. Kosygan

Orthopedist, Chennai

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Dr. Kosygan Orthopedist, Chennai
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Personal Statement

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. Kosygan
Dr. Kosygan is an experienced Orthopedist in Aminjikarai, Chennai. You can consult Dr. Kosygan at Admert Hospital Pvt Ltd in Aminjikarai, Chennai. Book an appointment online with Dr. Kosygan on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 42 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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Admert Hospital Pvt Ltd

No 9/4, Railway Colony 1st Street Nelson Manickam Road, Aminjikarai, Chennai, Landmark: Near Indi Mall, ChennaiChennai Get Directions
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Admert Hospital Pvt Ltd

No 9/4, Railway Colony 1st Street Nelson Manickam Road, Aminjikarai, Chennai, Landmark: Near Indi Mall.Chennai Get Directions
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My daughter has 6 mm gallstone. I doesn't want to operate her. She is just 4 years old. I want to know on which age n on what conditions I should get her operated. What's the precautions I should take for her for diet n all. Does this gallstone harm to lever n how I will know this.

MD - Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Jammu
My daughter has 6 mm gallstone. I doesn't want to operate her. She is just 4 years old. I want to know on which age n...
Six mm gal stone at the age of 3 years is due to mandagni.even if u get her ioperated at this age she will develop some other problem.so give AYURVEDIC medicines to her to increase her agni
2 people found this helpful
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Spinal Cord Injury - Physiotherapy For It!

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Spinal Cord Injury - Physiotherapy For It!

A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.

Causes-

A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • head or spinal injuries during sporting events
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms -

Some symptoms of a spinal cord injury include:

  1. problems walking
  2. loss of control of the bladder or bowels
  3. inability to move the arms or legs
  4. feelings of spreading numbness or tingling in the extremities
  5. unconsciousness
  6. headache
  7. pain, pressure, stiffness in the back or neck area
  8. signs of shock
  9. unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Call 911 or your local emergency medical assistance number
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck

Treatment

Treatment should be focused upon that individual and tailored specifically to their condition. A treatment programme is formulated following a thorough physical assessment which might include:

  1. Stretching activities to maintain muscle and tendon length and reduce or keep muscle spasms/spasticity to a minimum.
  2. Flexibility and strengthening exercises for the whole body.
  3. Breathing exercises to maximise lung function and prevent chest infection.
  4. Balance and posture exercises which can help to reduce pain associated with poor posture and balance impairment and ensure correct transfer techniques (in/out of wheelchair, bed, toilet/bath, car etc.)
  5. Functional activities to improve fundamental movement patterns such as rolling over and sitting up, and standing where appropriate.
  6. Walking re-education, if there is sufficient muscle activity and power in the legs.

Your physiotherapist might also be able to advise an individual on use of appropriate equipment such as wheel-chairs and pressure releasing cushions, exercise equipment and electrical muscle stimulators.

Prevention

Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. Always wearing a seatbelt while in a car
  2. Wearing proper protective gear while playing sports
  3. Never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks

In case you have a concern or query you can always consult an expert & get answers to your questions!

3172 people found this helpful

I had got inflammation, cut, and pain in my proximal inter phalngeal joint after breaking a soil pot during martial art training. And also I get inflammation in metacarpal region outer side of palm of right hand after punching wall. What should I do now. Continue my practice to make my palm more strong or I should stop it.

MSPT (Master of Physical Therapy), Certified Yoga Trainer
Physiotherapist, Vadodara
I had got inflammation, cut, and pain in my proximal inter phalngeal joint after breaking a soil pot during martial a...
You should stop untill your current injuries are healed totally. And you should in cooperate proper technique of training as getting yourself injuried every time is not a good sign.
1 person found this helpful
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I feel a sharp pain in my lower backing. My feet hurts when I wake up in the morning. Thanks.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I feel a sharp pain in my lower backing. My feet hurts when I wake up in the morning. Thanks.
Hi Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi. There are many causes of pain in lower back region. It can be due to faulty posture, related to weak muscles, issues with Intervertebral Disc, narrowing of Spinal canal, any Bony instability besides many other , so accurate diagnosis is the key to proper management of the condition. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset.I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi
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Hi doctor I am 24 year old and I am suffering from lower back pain 4 years back I got an accident which is treated well and pain is gone but after 2 years from this incident again this pain started its a time of winter so we thought because of winters pain might occur but since last 4 months again this pain occur and iam unable to understand the reason why this is happening this pain mostly occur while iam relaxing in home and while sleeping this pain can started in chest also. Please help height 5'7 weight 67 work profile sitting job.

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. You will have to let me know what injury did you sustain earlier, was that at back, what was the diagnosis at that time and what management was done for it? you have mentioned that you are having back pain, can I ask you on a scale of 1-10 what is the intensity of this pain? I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Kindly provide a detailed reply to my question and attach all relevant investigations so that I can understand and advise accordingly. Do not hesitate to contact me if you need any further assistance.
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I'm 33 year old. Since last 1-2 years neither i'm able to sit or stand for even few minutes. I feel my legs and back have become too weak. If I walk, my legs start paining & when I sit on the ground, it takes some time to get up and straighten my back. I'm unable to sit upright on the chair as well. My job for last 10 years has been operating the computer, in night shifts. Please let me know at the earliest what my medical condition is & what I need to do to overcome this problem. Thank you.

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. Because of your previous history and lifestyle I will advise you conservative management initially failing which we will have to investigate you in a greater detail. For back pain: if you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. For leg pain: actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I'm 22 years old. And suffering from back pain. It seems only in winter and rainy seasons and also body pains how can I control these.?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I'm 22 years old. And suffering from back pain. It seems only in winter and rainy seasons and also body pains how can...
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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Hi, i am 31 years old i have big back pain in my back bone.In my back bone 4 gaps(l2,b2,b4.B5) lot of pain in my back bone please suggest any medicines ?

BPTh/BPT
Physiotherapist, Delhi
Start with Physiotherapy sessions and learn exercise for spine. Use lumber spine belt also. Don't sit on floors. Send me your x Ray report also so that I can advise you medicine.
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Mere hath pe 7 din se bohot dard hai, dabai khaya lekin kam nahi hua, kya karu doctor Saheb.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Mere hath pe 7 din se bohot dard hai, dabai khaya lekin kam nahi hua, kya karu doctor Saheb.
You should take acupressure treatment and take biochemic kali phos 12x + ferrum phos 12x.taken 4 tab each thrice a day with warm water and take it 5 days and inform me.
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