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Dr. Mallika Tiruvadanan

Anesthesiologist, Chennai

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 27 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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I am 20years old and I get lower back pain I've tried several exercises ointments etc. But still could not find any change. Help me with it.

BHMS
Homeopath, Faridabad
I am 20years old and I get lower back pain I've tried several exercises ointments etc. But still could not find any c...
Hello, i think you are suffering from the back pain caused by long continuous sitting posture and sedentary life style. you are advised to take 10 minutes break after every 2 hour sitting.Start a morning walk for at least 30 minutes.Regular walking is also very helpful as it is a wholesome exercise of the body, improves blood circulation and helps lose weight.Try to maintain a correct sitting posture. Take homoeopathic medicine Rhus tox. 200, 5 drops twice daily for 10 days, then revert me with feed back.
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Causes, Diagnoses And Treatment of Shoulder Pain

Fellowship In Arthroplasty and Arthroscopy, MS Orthopaedics, MBBS
Orthopedist, Gurgaon
Causes, Diagnoses And Treatment of Shoulder Pain

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are:

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:

  • Bankart lesion

Diagnose Shoulder Pain

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views.
  2. Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for various types of Shoulder pain

  1. For Shoulder impingement or Rotator cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery) Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Always remember 'a stitch in time saves nine'. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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Sir. I am having a lot of pain in my legs joints (both knee, left ankle swelling also, right foot's index finger) since 1 month I had some blood tests also my hemoglobin was low (9.8 mg/ dl) and rbc count was 4.47 million ,other tests were fine. Sir I don't know that is this pain caused by low hemoglobin or any other factor? Please help!

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Sir. I am having a lot of pain in my legs joints (both knee, left ankle swelling also, right foot's index finger) sin...
Hi, Thanks,You are suffering from anaemia so that neurological pain in joints and muscles will take place.Take hematonic foods and drugs.Blood volume to be maintained.Take care of personal hygiene and physical exercise daily you will be ok.
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My right arm has stopped working properly for the last 25 days. L feel difficulties in wearing on or off my shirt or kurta. I can't hold glass of water with my right hand. I have consulted homeopathic doctor who said that I have my frozen shoulder. The orthopaedic doctor just gives pain killers. I am taking daily light exercises but no relief I have got till date.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me your x rays. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.
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How to recover from back pain and joint pain. Its a mild pain bt at my age its not good as I think so suggest me what should I do. My age is 20 and wt. 41 kg.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
How to recover from back pain and joint pain. Its a mild pain bt at my age its not good as I think so suggest me what...
you have to get sunlinght exposure, take calcium rich food, do regular exercises, use appropriate posture.
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Sometimes I feel severe pain in leg nerve. People say it's sciatica. How to get relief from it.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sometimes I feel severe pain in leg nerve. People say it's sciatica. How to get relief from it.
1. Lie on your back. 2. Cross your left leg over your right so that your left ankle rests on your right knee. 3. Use your hands to grab hold of your left knee and pull it gently toward the opposite shoulder. 4. Hold for 15 to 30 seconds. 5. Relax, and then repeat with the other leg. 6. Repeat this cycle 2 to 4 times.
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Sir, I am suffering from osteoarthritis in my right knee, some what swelling is there. I am taking" rejoint" - tab (glucosamine sulphate 500mg, chondroitin sulphate 400mg). How it works? is it a pain killer?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. Please tell me duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. I also need to see your latest knee x rays so that I know what grade of arthritis are we dealing with on your case? rejoint is not a pain killer but has glucosamine which has been thought to help in cartilage regeneration and minimize symptoms, although its role is controversial. 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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She is having a swelling on her face and severe pain in hands and feet. She use to say she has pain in nerves not in bone or any joint. Please also suggest us in which medical department we take her or it is due to menopause.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
She is having a swelling on her face and severe pain in hands and feet. She use to say she has pain in nerves not in ...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Kali mur 200x 4 tab each thrice a day with warm water and take it 5 day
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I am 17 years male My friend is 12 years old but he this age hi has pain in his knees so my question is what is the proper treatment for this pain?

BHMS
Homeopath, Faridabad
I am 17 years male My friend is 12 years old but he this age hi has pain in his knees so my question is what is the p...
Hi, is there any history of injury on the knee? simple nutritional deficiency can cause general weakness of the body. Would advise your friend to take homoeopathic medicines - alfaalfa tonic and five phos. - both thrice daily, and let me know about his condition after a month.
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My age is 57 running I got joint pain I could not walk or if I sit on the floor immediately I can stand. My weight is 87 kgs. I got stamk problem. Kindly advice us what ti do.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My age is 57 running I got joint pain I could not walk or if I sit on the floor immediately I can stand. My weight is...
Do Take Mobilisation and Strengthening exercises from physiotherapist Apply hot water fomentation thrice a day for pain relief in knee joint followed by strengthening exercise Do revert for further assistance Best Wishes.
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I have an back pain and in my face sikn is coming out in the form of white laces. What to do for this?

BPTh/BPT
Physiotherapist, Kota
I have an back pain and in my face sikn is coming out in the form of white laces. What to do for this?
Dear low back pain k liyyy you can do it perfectly….1, Lying on your stomach, prop yourself up on your forearms. Align your elbows directly under your shoulders. Press firmly through your palms and the tops of your feet. Press your pubic bone forward. You will feel sensations in your lower back, but breathe through it. You are allowing blood flow int From all-fours, bring your right knee behind your right wrist with your lower leg at a diagonal toward your left hip. Square off your hips toward the ground. Bend forward. Widen the elbows and place one hand on top of the other as a pillow for your forehead. Hold 2-3 minutes and then switch to the left side for 2-3 minutes. O the lower back for healing. Hold for 1-3 minutes. 2….Lying on your back, bend both knees with the feet flat on the ground. Bend the right knee like a figure four, with the outer left ankle to the right thigh. Lift the left foot into the air, bringing the left calf parallel to the ground. Thread your right hand between the opening of the legs and interlace your hands behind your left thigh. Hold 2-3 minutes and then repeat on the other side 3…Scoot your buttocks all the way into the wall and swing your feet up the wall. This pose is excellent for relaxing the muscles of the lower back and drains stagnant fluid from the feet and ankles. Do this pose after a challenging workout and always after traveling by plane. Hold for 5-10 minutes. I hope you will fit ands fine…
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My mom gets back pain frequently she got ayurvedic treatment but it only worked for few days.

BHMS
Homeopath, Delhi
My mom gets back pain frequently she got ayurvedic treatment but it only worked for few days.
Backache may be due to poor posture and calcium and proper nutritional deficiency. Advice her to keep posture straight. Take proper diet and calcium rich diet. Take calcium supplements. Do morning walk atleast for half hour.
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Hi, my mother is 60 year old and is sufferring from a type - 2 since 15 years. She has severe knee pains since four years. Kindly advice.

MD - Medicine
Rheumatologist, Gurgaon
Good evening considering her age, it looks more of an osteoarthritis. However with diabetes it is neccessary to rule out other forms of arthritis as well. A examination would be helpful. If not possible, you can post a picture of the x ray of both knees (standing once). Avoid strong pain killers as it can harm the kidneys with diabetes as background.
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I'm 18 years old male having a dislocated sternoclavicular joint. Please help me.

Fellow of Royal College of Surgeons (Trauma and Orthopaedics), Diploma in Trauma Surgery, Membership of the Royal College of Surgeons (MRCS), DNB (Orthopedics), MBBS
Orthopedist, Mumbai
I'm 18 years old male having a dislocated sternoclavicular joint. Please help me.
As doctor kumar said, mild variety of sternoclavicular dislocations do not need surgical treatment. This is a relatively less common injury. The 6 grades mentioned by Dr. Kumar may be for acromioclavicular dislocation. Sternoclavicular dislocations have three main types- simple sprain, partial dislocation and complete dislocation. The treatment depends on the type and the direction of the dislocation.
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I am having back ache since I was small I have tried homepathic but nothing happened till now. What should I do for its cure.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am having back ache since I was small I have tried homepathic but nothing happened till now. What should I do for i...
Kindly show me a 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. 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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Hello sir my body are paining from last 2days I don't know what the problem is can you please help for out of it.

MBBS
General Physician, Cuttack
Hello sir my body are paining from last 2days I don't know what the problem is can you please help for out of it.
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 rest
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I have rigidity on my muscles and bones that I am unable to sit on the ground and get up. I have pains from toe to thigh on both the legs. I have clean bowel movement along with first urine and I feel free only when I do morning walk for 35 to 45 minutes after taking a glass of luke warn water. I do pranayama, kabala bokyam and some physical exercises by holding my breath and pressing my tummy.

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
In this age doctors don't recommend floor sitting. Do some exercises to strengthen your thigh and knee muscle. Do Not sit cross len, don't use indian toilet. Thanks and regards Dr. Ritesh kharnal
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I am 40 years man suffering from pain left side limb, hip & ankle having trouble of stomach also. Like colitis gas bowling.

BHMS
Homeopath, Delhi
Let me know the details as of since when are you having pains? any other medical history? any investigation report and I would be able to advice you better.
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Hi, I'm 21 years old. I'm a male. I have breathing problem (steps, bathing time etc) and also I have a body pain every parts of body will be paining. Even though I did not done any heavy work but I'm getting body pain. I used pain relief ointment for knee for past two days but no use. I'm feeling like a old man. Please give me a suggestions. Thank you!

BHMS
Homeopath, Howrah
Hi, I'm 21 years old. I'm a male. I have breathing problem (steps, bathing time etc) and also I have a body pain ever...
There are various reasons for breathing problem, it may be due to anaemia, asthema, deviated nasal septum, cardiac origin etc. Cause needs to be detected first. About your joint problem take eupatorium 30, four pills two times daily for a week, and rhus tox 30, three times daily for a week. Revert back to me after 7 days.
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