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Dr. Mallika Tiruvadanan

Anesthesiologist, Chennai

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Dr. Mallika Tiruvadanan Anesthesiologist, Chennai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Mallika Tiruvadanan
Dr. Mallika Tiruvadanan is a renowned Anesthesiologist in Ambikapuram, Chennai. You can visit her at LAKSHMI PAIN AND PALLIATIVE CARE TRUST in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Mallika Tiruvadanan on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 35 years of experience on Lybrate.com. You can find Anesthesiologists 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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LAKSHMI PAIN AND PALLIATIVE CARE TRUST

ââ?¬Ë?Koko Houseââ?¬â?¢, 9, Harleys Road, ChennaiChennai Get Directions
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I am 56 years old. I have a problem of getting up when I squat on the floor. The groin area pain or rather it prevents or delays me from getting faster. Why it happens?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
This could be due to oa knee &/or obesity. Physiotherapy along with medicines will help. Do knee exercises. It may have to be further investigated rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with a soft bedding on it. Any way take multivitamins & other antioxidants along with. Ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for private consultation and detailed treatment plan.
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How does detoxification process help cancer patients? Please let me know various detoxification processes.

Homeopath, Kurnool
Detoxification Detoxification is one of the more widely used treatments and concepts in alternative medicine. It is based on the principle that illnesses can be caused by the accumulation of toxic substances (toxins) in the body. Eliminating existing toxins and avoiding new toxins are essential parts of the healing process. Detoxification utilizes a variety of tests and techniques. Purpose Detoxification is helpful for those patients suffering from many chronic diseases and conditions, including allergies , anxiety, arthritis, asthma, chronic infections, depression, diabetes, headaches, heart disease, high cholesterol, low blood sugar levels, digestive disorders, mental illness, and obesity . It is helpful for those with conditions that are influenced by environmental factors, such as cancer, as well as for those who have been exposed to high levels of toxic materials due to accident or occupation. Detoxification therapy is useful for those suffering from allergies or immune system problems that conventional medicine is unable to diagnose or treat, including chronic fatigue syndrome, environmental illness/multiple chemical sensitivity, and fibromyalgia . Symptoms for those suffering these conditions may include unexplained fatigue , increased allergies, hypersensitivity to common materials, intolerance to certain foods and indigestion, aches and pains, low grade fever , headaches, insomnia , depression, sore throats, sudden weight loss or gain, lowered resistance to infection, general malaise, and disability. Detoxification can be used as a beneficial preventative measure and as a tool to increase overall health, vitality, and resistance to disease. Take: Mag.Sulph. 30 daily 4 pills 3 times a day. Detoxification not only help cancer patients but also to everybody.
1 person found this helpful

Sitting posture while driving

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist, Gurgaon
Sitting posture while driving
Hello,

I constantly try to educate patients on proper posture, but because people (myself included) spend so much time driving and sitting for prolonged periods of time. Driving can mean different for different people. It may be a way of leisure for some or as an everyday activity to commute to office. Driving for long time has always accompanied with some or the other musculoskeletal problems. It become a leading cause of back pain to our fast pace life.The problem is treated but the root cause of it is never looked after or we just don't bother about it much..

Why we get the pain or associated problems when we drive for long time?

Poor posture while driving can produce a repetitive load to the tissues that causes sustained stress. Daily prolonged drives apply loads to the spine that can cause viscoelastic tissues to slowly deform and creep. Simply staying in the car seat with poor posture long enough will eventually ensure damage. Sustained load and resultant deformation/creep causes a progressive reduction in tissue strength.With your hands in the proper position on the steering wheel, the thoracic spine, scapula and shoulder joint have a better chance of remaining in neutral. usually, we hold steering wheel with one hand and lean to other side.due to leaning hip bone( iliac crest) and 12th rib approximate; this will contribute to shortness (tightness) of the quadratus lumborum or latissimus dorsi

If the pelvis is rotated, it will contribute to lumbar or SI pathology and overactivity of the TFL(muscle). If the knees are even slightly superior to the hips, then there will be hip flexors muscles over activity or shortness, and hip extensor inhibition or weakness. Prolonged sitting on the glutes can cause poor circulation and lack of oxygen to the tissue, contributing to inhibition.

A person driving with a clutch who has poor or limited ankle dorsiflexion (like after ankle fracture) can perpetuate overly active hip flexors because they will pull the foot off the clutch using the hip flexors, instead of dorsiflexion at the ankle.

Some Do’s:
1) Select a car that matches your height and suits your work.
2) Change posture as much as possible take frequent Microbreaks ,recommended atleast 15 minutes, every 2 hours
3) Place hand on steering wheels so that elbows are close to your side and not so high that you have to reach up for the wheel.
4) Place hands at 3 o’clock or 9 o’clock position this will reduce the amount of strain on shoulders and put hands in safer position.
5) It is advisable to keep two hands in steering wheel except while shifting gears. Change hand posture frequently to reduce fatigue and improve circulation.
6) Learn Microbreaks: An example of a "microbreak" for driving in the car is squeezing the shoulder blades together for 20-30 seconds and repeating 2-3 times. Repeating anterior and posterior pelvic tilts and lateral tilts for a minute or two is sometimes helpful. Other microbreaks for driving include cervical range of motion, and shoulder retraction with elevation and depression.
Some Dont’s:
1) Avoid lifting after driving long hours because your muscles are tired your ligaments are stretched and disc are at risk of injury, give yourself some time to stretch and relax.
2) The death grip posture, the one arm cool dude” the Wrist resting at 12 o’clock position on steering wheel and fingers flop over the top, arm straight out in front and one arm propped on your window.


The longest journey begins with a right sitting posture, not with a turn of the ignition key !!!! dive safe
.
32 people found this helpful

I am 21 year old male and have backache for last 4 months. I have used pain relief ointment cream for couple of days but haven’t got any relief. What should I do now? And now a days am doing exercise for it so what I can do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 21 year old male and have backache for last 4 months. I have used pain relief ointment cream for couple of days ...
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.
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I am 22 yrs old male and having good health but due to gym I got pain in my shoulder and whenever I do the exercise of that area the pain arises.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Can be solved through acupressure/ acupuncture easily. Try this for 3 days. Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening.
1 person found this helpful
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Hi, I am 25 year old I work too much online due to which I have backache and I cant sit in a proper manner. Its very painful. Please suggest me some measures.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi, I am 25 year old I work too much online due to which I have backache and I cant sit in a proper manner. Its very ...
Kindly show me photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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I am suffering from body pain from last 4-5 days. At night I am feeling very much cold.

MBBS
General Physician, Cuttack
I am suffering from body pain from last 4-5 days. At night I am feeling very much cold.
1. Take paracetamol 500mg, 1 tablet as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest.
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She is 65 years old and suffering from 0osteoarthritis. Though she can walk, but having pain continuously. Is there any alternative from having knee replacement. General physician asked to consult orthopaedic surgeon after seeing x-ray. Please suggest.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
She is 65 years old and suffering from 0osteoarthritis. Though she can walk, but having pain continuously.
Is there a...
Not all the patients of pain in knee, need knee replacement (tkr). Most of them can be managed without surgery. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out hypertension, diabetes or any other metabolic disorder. Any way you may try- --. Dolokind plus (mankind) [aceclofenac 100 mg +paracetamol 350 mg] 1 tab. Od & sos. X 5 days. --. Caldikind plus (mankind) 1 tab od x 10 days. (you may need help of your local doctor to get these medicines.) --. Fomentation with warm water. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. --. Do mild exercises for hips, knee & legs. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (through this platform.) kindly make sure, there is no allergy to any of these medicines. (contact family doctor, if needed). For emergency treatment visit nearest hospital. -hope I have answered your question to your satisfaction, if you have any further question, I will be happy to help. -kindly rate the answer. -wish you a quick recovery & good health.
41 people found this helpful
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Feeling very lazy in morning and pain in left knee & feel very hot at both feet while sleeping, due to that my sleepy goes away. What disease is this?

BPTh/BPT
Physiotherapist, Mumbai
Feeling very lazy in morning and pain in left knee & feel very hot at both feet while sleeping, due to that my sleepy...
Hi you can start physiotherapy treatment to strengthen the muscles around the joint, stabilize the joint, and improve your range of motion. The therapist will use techniques such as ultrasound, heat or cold therapy, electrical nerve stimulation, and manipulation. Do reply for private consultation and detailed treatment plan wishing you a good health.
1 person found this helpful
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I have got a partial tear in Anterior Cruciate Ligament. I want to know whether running or skipping or any gym exercises effect my leg or what?

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
I have got a partial tear in Anterior Cruciate Ligament. I want to know whether running or skipping or any gym exerci...
You need to complete your rehabilitation first. This is must that the ligament injury heals first with rest and restricted motion and including relevant exercises which would strengthen the joint.
1 person found this helpful
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I have back neck ache problem, sometimes right side or left side of lower neck from last 3 months kindly suggest.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
1 person found this helpful
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Of late I have started getting pain in the knee joint - when I stand for more than 30 minutes. What should I do?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Visit a knee specialist. Most probably it's start of OA knee. You will need some physio. Dr Prashant Parate. Shoulder and Knee specialist.
1 person found this helpful
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I am 42 years old single lady. I have leg and foot discomfort and also mild back ache now a days.

BPTh/BPT
Physiotherapist, Mumbai
I am 42 years old single lady. I have leg and foot discomfort and also mild back ache now a days.
Hi 1) wear comfortable sports shoes 2) make daily routine of exercise 3) rule out calcium and vit d deficiency 4) do proper warm up before exercise and cool down after exercise 5) do stretching of legs do exercise under supervision of skilled physiotherapist. Do reply for private consultation and detailed treatment plan. Best wishes.
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I am 25 years male am having body ache and most of the time i am having stomach upset with dysentery. And I had sex without protection i am having fear about that.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Fir stomach ache, you can take tab drotin. What are you afraid of - having a baby or having a disease?
1 person found this helpful
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I have pain in left hand so tell me about what is the problem and give me solution for the same.

BPTh/BPT
Physiotherapist,
I have pain in left hand so tell me about what is the problem and give me solution for the same.
This may be due to neuralgia or over stress of hand, some time trapezitis or cs causes reffered pain. I. F. T in physio department will help to reduce pain followed by hot formantation.
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I'm 25 years of. My knees are paining since last 1 year and it is swollen also. Is this a symptoms of artheritis. What should I do now.

Clinical Exercise Specialist, Certificate in Population Health, Certificate in Diabetology and Prevention, Nutritionist, MHSc (Public Health)Preventive Medcine, MPT - Orthopedic Physiotherapy, ch. Pain Management
Physiotherapist, Delhi
It could be but at this age not so; there may be some injury inside due to any activity or may be you r overweight: kindly visit any orthopedic or consult me.
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I suffering from bone pain hand feet numbness tingling, rt leg weakness .my vitamin b12 level 185/pg/ml advice me sir.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I suffering from bone pain hand feet numbness tingling, rt leg weakness .my vitamin b12 level 185/pg/ml advice me sir.
You should take Acupressure therapy and take Biochemic Nat phos 200x + Kali phos 200x 4 tab each thrice a day with warm water and take it 5 days than inform private online.
1 person found this helpful
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I have Grade 3 acl tear in knee joint moreover there is evidence of tear in posterior horns of medial and lateral menisci reaching the inferior articular surface if i'll posture my surgery for 1 month does it further effect my knee In what time i" ll go for my surgery.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
I have Grade 3 acl tear in knee joint moreover there is evidence of tear in posterior horns of medial and lateral men...
ACL surgery is best done 6 weeks post injury. The longer you leave it the extent of meniscal tear can increase.
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My mom hav a regular knee joint pain and wrist joint pain. She consult wid a doctor here they gives sum medicines of calcium named "Shelcal" Bt if she leave a dose of 1 day the pain again rises soo can you please give me the better advice or better medicine for that?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My mom hav a regular knee joint pain and wrist joint pain. She consult wid a doctor here they gives sum medicines of ...
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.
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I have pain in my shoulder sometimes it start from the right side breast to should than in arm to thumb is it aa a problem or not.

BPTh/BPT
Physiotherapist, Kota
I have pain in my shoulder sometimes it start from the right side breast to should than in arm to thumb is it aa a pr...
No 1: Rotator Cuff Isometrics Most of these shoulders have quite high pain levels for the first few weeks and we know that isometrics are great for reducing pain (source) and they do produce some significant forces and tension in the cuff, so can be thought of beginning the needed loading program. There are lots of variations and I don't think it matters too much how you do them, it's more important how hard and how much you do them, more on this in a bit. The isometric exercises I usually give are a'Back of the hand Wall Press' used when I suspect a more superior cuff tendinopathy, it's done simply by standing next to a wall and pressing the back of the hand into the wall in the scapular plane (called Scaption) at approx 30° of abduction.
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