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Dr. Mani Ramesh  - Orthopedist, Chennai

Dr. Mani Ramesh

MBBS, MS - Orthopaedics, M.Ch - Orthopaedic Surgery

Orthopedist, Chennai

33 Years Experience
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Dr. Mani Ramesh MBBS, MS - Orthopaedics, M.Ch - Orthopaedic Surgery Orthopedist, Chennai
33 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Mani Ramesh
Dr. Mani Ramesh is one of the best Orthopedists in Aminjikarai, Chennai. She has helped numerous patients in her 33 years of experience as a Orthopedist. She is a qualified MBBS, MS - Orthopaedics, M.Ch - Orthopaedic Surgery . You can visit her at Dr Mani Ramesh's practise in Aminjikarai, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Mani Ramesh on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 41 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.

Info

Specialty
Education
MBBS - Madras Medical College, Chennai, - 1984
MS - Orthopaedics - Armed Forces Medical College (AFMC), Pune, - 1988
M.Ch - Orthopaedic Surgery - University of Liverpool, UK, - 1994
Languages spoken
English
Professional Memberships
Indian Medical Association (IMA)
indian medical council
Tamilnadu Medical Council
...more
Tamil Nadu Orthopaedic Association
Madras Orthopaedic Society (MOS)

Location

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Dr Mani Ramesh's practise

67, Nelson Manikam road, Amnijikarai, ChennaiChennai Get Directions
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I am 42 years old. I had developed osteophytes in my right knee. It pains and is causing stiffness in this knee. I cannot fold it and hence cannot do any such exercise also. Please help.

BPTh/BPT
Physiotherapist, Mumbai
I am 42 years old. I had developed osteophytes in my right knee. It pains and is causing stiffness in this knee. I ca...
Hi you can start physiotherapy treatment to strengthen the muscles around the knee joint. Meanwhile apply cold pack for 20 minutes thrice a day for 5 days. Do reply for private consultation and detailed treatment plan wishing you a good health.
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I was playing football earlier this year and I hit leg of the other player instead of ball. Now its been a year and Pain in the thumb joint is not going. There is no inflammation or redness. When I hit ball again pain is unmeasurable.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
I was playing football earlier this year and I hit leg of the other player instead of ball. Now its been a year and P...
Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Inform after 5 days.
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I am 37 yrs old male. I am having pins and needles in my right foot and numbness too. What should I do?

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. These sensations are actually called as paraesthesias and are an indication of either a nerve compression somewhere, systemic pathology like diabetes etc or some local foot pathology. Can you please tell me whether there is any associated back pain, radiating pain in legs etc? do you feel any weakness in right leg region? you can start with physical therapy- tens modality and medications like pregabalin or gabapentin in small dosage. We will get some investigations done in your case if there is no improvement after 10-14 days. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

2 people found this helpful

I have back injury in many when I am sit 2 to 3 hours in a day my back injury is increase how I can handle this please tell me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have back injury in many when I am sit 2 to 3 hours in a day my back injury is increase how I can handle this pleas...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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I am 39 years old suffering from Ankylosing spondalytis for last 10 years. Am taking saazo 500mg 1 tab twice daily and Etoshine 60 1 tab at night. At present having problem in right hand elbow. Kindly suggest what to do ?

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
Seems you are not doing exercises, do some postural exercises and there is a particular exercise for AS i.E Cat and Camel exercise, do theses exercise Morning and Evening 10 reps each, for theses exercises check on net, thanks
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My father has constantly pain in their legs and they always says that his heel was burning! can you suggests what's the problem behind this n what's the cure? please help me doctors.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My father has constantly pain in their legs and they always says that his heel was burning! can you suggests what's t...
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress 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, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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I am 24 years old girl. Have Mild cervical spondylosis since I was 18. Can I use posture brace. I can not avoid carrying back pack daily as it is must in class. further I always suffer from pain related problems. I can not do much hard work as my heel pains if I walk much.

BPT, Certified Osteopathic Manual Therapist, Diploma in Osteopathy
Physiotherapist, Gurgaon
I am 24 years old girl. Have Mild cervical spondylosis since I was 18. Can I use posture brace. I can not avoid carry...
Dear lybrate-user this is not the age of decorative changese in body. You need to work out on posture with osteopath/physiotherapist. They will guide to make your posture correct so you get relieve form all pain top to bottam. You need some spinal mobilisation and good exercise protocol for you under expret guidenc and in 40 days you will all right. You just forgot your pain in these days.
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Have got pain in my left leg from hips till toes very painful when getting up in the morning , difficulty in standing this happens even in sitting position and tingling sensation in the toes.Otherwise during the day quite fine.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist,
It seams to be sciatica pain, which follows a specific exercise routine and electro therapy in Physiotherapy. So better you consult any physiotherapist near by. Thank you
1 person found this helpful
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I have chronic backache. Physiotherapist told me that I have slight slip disc and suggested some exercises; this will stop aggravating the slip disc. Will doing exercise will bring the disc in normal position?

Pain Management Specialist, Nagpur
I have chronic backache. Physiotherapist told me that I have slight slip disc and suggested some exercises; this will...
Dear lybrate user disc problem is reduced by certain physiotherapy exercises but the disc cannot be brought back to normal.
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I got severe pain on both middle shoulders since 3 moths. Even with physiotherapy the pain is not controlling. Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Shoulder pain is quite common. Kindly rule out diabetes & vitamin d deficiency or any other metabolic disorder. Proper physiotherapy will help. Medicines will also be needed. Kindly visit my website shoulder pain is quite common. Kindly rule out diabetes & vitamin d deficiency or any other metabolic disorder. Proper physiotherapy will help. Medicines will also be needed. Kindly visit my website www. Drncgupta. Com it gives detailed information regarding backache, causes consequences & cure - & pain in & around neck & physiotherapy in general. Antioxidants like caldikind plus (from mankind) 1 tab /day helps. Paracetamol 250mg bd/tds will also give you relief kindly make sure that you are not allergic to any of the ingredients of the brands you are going to take. Common. It gives detailed information regarding backache, causes consequences & cure - & pain in & around neck & physiotherapy in general. Antioxidants like caldikind plus (from mankind) 1 tab /day helps. Paracetamol 250mg bd/tds will also give you relief Kindly make sure that you are not allergic to any of the ingredients of the brands you are going to take. Common.
1 person found this helpful
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I am suffering from knee lock problem and my age is 19+ Suggest me how to treat it By exercise.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I am suffering from knee lock problem and my age is 19+
Suggest me how to treat it By exercise.
If you want treatment by your choice, then you can go to any road side bone setter. He will give you n number of exercises and manipulations, creams and lot many things. If you want proper treatment for your problem, then ask for treatment of choice. Locking of knee is mainly because of meniscus tear. Now ho ahead and get treatment from knee specialist or zola chhap. It's your choice.
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I am a regular teacher, age 35ye, my problems pain of knee ,and legs. Please give a proper solution for peace.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am a regular teacher, age 35ye, my problems pain of knee ,and legs. Please give a proper solution for peace.
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). Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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I am having a lot of pain in are above my both foot heels. It is more prevalent when I wake up in the morning .I don't drink and smoke .Please suggest what it could be .I never had any accident or having any kind of injury .The pain remains throughout the day and it's harming while walking running everyday. Also at the same time there is a kind of sensation in both the foot .please help.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having a lot of pain in are above my both foot heels. It is more prevalent when I wake up in the morning .I don'...
do hot fermentation. calf stretching exercises. avoid long standing. Wear comfortable shoes. if it work then OK otherwise physiotherapy treatment best option
1 person found this helpful
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I am 32 old male suffering from ankle pain every day in the morning since 1 year. Kindly suggest any homoeopathy medicine. I am not diabetic.

Fellowship in Joint Replacement, M.Ch, MS - Orthopaedics, MBBS
Orthopedist, Moradabad
I am 32 old male suffering from ankle pain every day in the morning since 1 year. Kindly suggest any homoeopathy medi...
Get your blood uric acid levels checked. Avoid walking bare foot. Avoid using leather shoes with hard soles. Use footwears with" soft sole" drink plenty of water. Do hot fomentation of your feet followed by some massage. Take tab" flotrip plus" thrice daily before meals for 5 days.
2 people found this helpful
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I have back pain since 1 month whenever I wake up from the bed. I usually sleep on my stomach side. Please tell me what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have back pain since 1 month whenever I wake up from the bed. I usually sleep on my stomach side. Please tell me wh...
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.
1 person found this helpful
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Madam last few days back onward after sex with my husband my body is full paining I consult to doctor but she suggest to go for massage It will cure soon. I went massage center & took massage for whole body but also it is paining lot especially in body part I.e.(Vagina part & breast (boobs) more paining especially when I wear bra to cover breast (boob's) it causes more pain I can't control in office as well home what can I do? please give me solution.

DGO, MBBS
Sexologist,
Madam last few days back onward after sex with my husband my body is full paining I consult to doctor but she suggest...
Breast pain is a common problem if it occurs before periods, because it happens due to hormonal changes, however if the pain stays all through the month or if you can feel some lump/swelling then you may need to do ultrasound examination of breasts. Wearing a well fitting bra may help. If you are taking any medicine/ pills or nutritional supplement on regular basis then it may be due to side effect of that. Otherwise you need to do blood tests Hb, TC, DC, Sugar PP, TSH and Vitamin D. Depending on the reports treatment is decided.
6 people found this helpful
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My wife 48 years (63 kg) got complete ACL tear about 6 month back. Now she can briskly walk use stairs & no pain / instability in her lt knee. Is arthroscopy necessary or physio will do?

MS - Orthopaedics, MBBS
Orthopedist, Chennai
My wife 48 years (63 kg) got complete ACL tear about 6 month back. Now she can briskly walk use stairs & no pain / in...
If no instability surgery not required but she will need a regular treatment with physio to strengthen her Quadriceps and Hamstring musculature. If she has instability an all Arthroscopic ACL Reconstruction will be recommended. Regards
1 person found this helpful
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