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Dr. Naresh Padmanaabhan - Orthopedist, Chennai

Dr. Naresh Padmanaabhan

MBBS Bachelor of Medicine and Bachelor of Surgery, D.Ortho

Orthopedist, Chennai

18 Years Experience  ·  350 at clinic  ·  ₹350 online
Dr. Naresh Padmanaabhan MBBS Bachelor of Medicine and Bachelor of Surgery, D.Ortho Orthopedist, Chennai
18 Years Experience  ·  350 at clinic  ·  ₹350 online
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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. Naresh Padmanaabhan
Dr. Naresh Padmanaabhan is a renowned Orthopedist in Thiruvanmiyur, Chennai. He has helped numerous patients in his 18 years of experience as a Orthopedist. He has done MBBS Bachelor of Medicine and Bachelor of Surgery, D.Ortho . You can visit him at Neobone Ortho Clinic in Thiruvanmiyur, Chennai. Book an appointment online with Dr. Naresh Padmanaabhan on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 36 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

Education
MBBS Bachelor of Medicine and Bachelor of Surgery - Manipal Academy of Higher Education - 2000
D.Ortho - Manipal Academy of Higher Education - 2002
Languages spoken
English
Tamil
Professional Memberships
AO Trauma Foundation
Indian Orthopaedic Association
TamilNadu Orthopaedic Association
...more
Trauma Society of India
National Association of Interlocking Surgeons (NAILS)

Location

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Neobone Ortho Clinic

No.21/1, Malaviya Avenue, Ground Floor Nathans Arcade, LB Road, Landmark : Opposite To HDFC BankChennai Get Directions
350 at clinic
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Spondyloarthritis - Ways It Can Be Diagnosed

MBBS Bachelor of Medicine and Bachelor of Surgery, D.Ortho
Orthopedist, Chennai
Spondyloarthritis - Ways It Can Be Diagnosed

The bones and joints orchestrate very well with each other for smooth movements of the various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby limiting movement.

Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

  1. The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
  2. Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
  3. ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
  4. Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
  5. Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
  6. In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
  7. Exercise plays a very vital role in controlling the issue and improving range of motion.

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

3891 people found this helpful

Symptoms Of Spinal Stenosis And Its Treatment

MBBS Bachelor of Medicine and Bachelor of Surgery, D.Ortho
Orthopedist, Guwahati
Symptoms Of Spinal Stenosis And Its Treatment

What is Spinal Stenosis: The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

-  A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.

-  Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.

-  Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.

-  Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

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

3546 people found this helpful

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