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Dr. P Krishnamurthy

Anesthesiologist, Chennai

150 at clinic
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Dr. P Krishnamurthy Anesthesiologist, Chennai
150 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. P Krishnamurthy
Dr. P Krishnamurthy is a renowned Anesthesiologist in Tambaram West, Chennai. You can meet Dr. P Krishnamurthy personally at Hindu Mission Hospital - Tambaram in Tambaram West, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. P Krishnamurthy on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 33 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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Hindu Mission Hospital - Tambaram

No 103, Gst Road, Tambaram West. Landmark: Near Railway Level Crossing, ChennaiChennai Get Directions
150 at clinic
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I am 42 year's old I am having sever pain in right knee, white waking I have no pain but while climbing step I am very sever pain Dr. told me to wear knee cap and given homeopathic medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 42 year's old I am having sever pain in right knee, white waking I have no pain but while climbing step I am ver...
1.. Go for fasting once a week. You can go for absolute fasting or rely on a liquid diet to digest ama (toxin). Fasting should be followed by hot fomentation or by taking a bath with lukewarm water or steam bath. 2.. After fasting and fomentation, mix powdered long pepper, black pepper and dried ginger in equal quantities and take 1 teaspoon of this powdered mix with lukewarm water twice a day. This will help you restore your digestive fire. 3.. Take one tablespoon of castor oil before going to bed, once or twice a week. It helps in cleansing ama (toxin) build up and balancing vata. 4.. Mix equal quantities of powdered fenugreek seeds, turmeric and ginger powder. Take one teaspoon daily in the morning and evening. 5.. For dry fomentation of the affected joints, take a cloth and fold it into four, fill it with hot and sand make a potli (bag) out of it. Use this bundle for the fomentation of different joints. This is very helpful in reducing pain and swelling.
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I have very much leg pain. Near my nees it is high. I feel like my feet are some what bulge. What could be the reason. Doctor said my sugar level is normal.

MPT, BPT
Physiotherapist, Noida
I have very much leg pain. Near my nees it is high. I feel like my feet are some what bulge. What could be the reason...
Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Stretch calves get a custom made insole. Hams stretching. Sports taping. Hot fomentation.
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Knee Replacement - When Do You Have To Go For It?

MBBS, MS (Orthopaedics), Basic Life Support Course, Basic Trauma Life Support Course, Ao - Trauma Course
Orthopedist, Ghaziabad
Knee Replacement - When Do You Have To Go For It?

Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.

Why do you need knee replacement?

Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.

If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.

Some of the common reasons why you may opt for this particular surgery are:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.

The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.

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

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I am suffering from my neck pain left side neck nerve pained from 4 month I had checked to the doctor he told me its cervical pain and I will me recover in 4 month I just wanna ask that I am doing gym so should I continue the gym or left for recover please tell me.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
I am suffering from my neck pain left side neck nerve pained from 4 month I had checked to the doctor he told me its ...
Hello lybrate-user, if pain is not present then only do gymming. Otherwise do an x-ray, get confirmed and continue gymming.
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I am 35 Years old Male, working in a Back Office Section, My job role is sitting hours together in front of the computer. Nearly 9 hrs I to sit and work. My weight is 88 Kgs, my height 5. 7. I am facing back pain from last 6 months. Please advise me how to reduce my weight. It is not possible for me to do exercises in the morning and in the evening. Please suggest me the weight loss food habits.

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
You have to do exercises for your problem. If u dont do so in the future u will face bigger problem. And take zero oil food, less sugar, more protein and fiber diet. And do at least 15 min back exercises. Thanks and regards Dr. Ritesh kharnal
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Natural Posture and Mechanical Low Back Pain

MPT, BPT
Physiotherapist, Noida
Natural Posture and Mechanical Low Back Pain

NATURAL POSTURE 

The side view of the human body in the standing position  shows that there is an inward curve in the small of the back just above the pelvis. This hollow in the low back is called the lumbar lordosis. The lumbar lordosis is a natural feature of the lumbar spine in all humans, having been formed during the evolutionary process. Our understanding of the function of the lumbar lordosis is an important feature.

When standing upright, the lordosis is naturally present, though varies from person to person. The lordosis is lost whenever the Iow back is rounded, and this usually occurs during sitting and bending forward. If the lordosis is lost often and for long enough periods, then low back problems may develop. The ligamentous stays become fatigued or over stretched, and may result in a painful episode.

MECHANICAL PAIN

This section on mechanical pain is very important, as it explains exactly why you hurt when you do. if you take the time to well understand this you will be more than halfway toward solving your problems.  Research has found that the better the patient understands the problem, the better will be the results of treatment.

Pain of mechanical origin occurs when the joint between two bones has been placed in a position that overstretches the surrounding  Lordosis ligaments and other soft tissues.This is true for mechanical pain in any joint of the body, including the spine. To help you understand how easily some mechanical pains can be produced, you may like to try a simple experiment.First, bend one finger backward,  until you feel a strain. If you cause the finger to remain in this strained position, you will initially feel minor discomfort only,but, as time passes, pain will eventually develop. In some cases,pain caused by prolonged stretching may take as much as an hour to appear.

Try the experiment once more,but now keep bending the finger past the point of strain until you feel pain. The sensation of pain is immediate. You have overstretched, and your pain warning system is telling you that to continue movement in that particular direction will cause damage.

Should you ignore the warning and continue to overstretch,damage will occur. Of course, the pain warning tells you to stop overstretching,and when you do so,the pain ceases immediately. No damage will have occurred to your finger and the pain will have gone.No lasting problems will arise from this short-lived strain providing you take note of the pain warning system.

If you fail to heed the warning and keep the finger in the overstretched position, the ligaments and surrounding soft tissues that hold the joint together will be tom. This tearing will result in an ache which continues even when you stop overstretching. The pain will continue even when the finger is at rest. The pain will increase with movement and reduce at rest but it will not cease until some healing has occurred. Healing may take several days but will be prolonged if, every day, you continue to apply the same strains to the finger.

 MECHANICAL LOW BACK PAIN

  • If an engineer were to examine which area in the back is subjected mostly to mechanical stress, he would conclude that most strain must be placed on that part of the spine which is located just above its junction with the pelvis. This conclusion is correct, for statistics show that back problems arise more often in the low back than in any other part of the spine.
  • Low back pain is not caused by draughts, chills, or the weather. It. was once believed that these weather-related phenomena were responsible for back and neck pains. Today our understanding is better, and it is generally agreed by specialists that most backache is caused by mechanical strains, similar to those described in the previous section.It is often thought that low back pain is caused by strained muscles.
  • Muscles, which are the source of power and cause movement,can indeed be overstretched or injured. This requires a considerable amount of force and does not often happen. 
  • Moreover,muscles usually heal very rapidly and seldom cause pain lasting for more than a week or two. On the other hand, whenever the impact of the injuring force is severe enough to affect the muscles, the underlying soft tissues and ligaments will be damaged as well. 
  • In fact, usually these tissues are damaged long before the muscles.
  • Most low back pain is caused by prolonged overstretching of ligaments and other surrounding soft tissues. Just as pain arises in the overstretched finger as I have described above, pain can also arise in the lower back when ligaments in this region are overstretched. Pain produced by overstretching in this manner is common and arises particularly when we develop poor postural habits.
  •  Whenever we remain in a relaxed position, be it standing, sitting, or lying, prolonged overstretching can easily occur.
  • When pain arises because we have allowed our posture to slouch,it is really our own fault and we have no one to blame but ourselves.This type of strain is easily avoided, and once we have been properly educated, the prevention of pain produced in this manner becomes our responsibility.
  • However, mechanical pain may also be caused by over stretchingof such severity that some tissues are actually damaged. Over stretching causing damage may occur when an outside force places an excessive strain on the low back. For example, this type of strain can occur due to a fall while playing tennis, or from a contact sport such as football where severe forces develop when players are tackled. 
  • Lifting excessive weights is also likely to cause overstretching and damage to the supporting ligaments of the spinal joints. These types of injury cannot easily be avoided as they occur unexpectedly and without warning signs.
  • When soft tissues surrounding a joint are overstretched, it is usually the ligaments that first give rise to pain. When the spinal joints are considered, there are additional factors, for the surrounding ligaments are also the retaining walls for the soft discs that act as shock absorbers between the vertebrae.
  •  Overstretching of these will, under certain circumstances, affect the discs. This may significantly influence or alter the intensity of the pain that you have, the distribution of the pain you feel, and the behavior of the pain, which may be made better or worse by certain movements or positions.
  • Complications of another sort arise when the ligament surrounding the disc is injured to such an extent that the disc loses  its ability to absorb shock and its outer wall becomes weakened. 
  • This allows the soft inside of the disc to bulge outward and, in  extreme cases, to burst through the outer ligament, which may cause severe pain. When the disc bulges far enough backward, it may press painfully on the sciatic nerve. This can cause some of the pains or other symptoms (numbness, sensation of pins and needles,,  weakness) that may be felt well away from the source of the trouble, for example in the lower leg or foot. 
  • Should the soft inside of the disc bulge excessively, the disc may  become severely distorted. This will cause the vertebrae to tilt forward or to one side and prevent the vertebrae from lining up  properly during movement. In this case some movements will be blocked partially or completely and any movement may cause severe pain. 
  • This is the reason why some people with severe back pain are forced to stand with the trunk off-centre or bent forward. Those of you who experience a sudden onset of pain and following this are unable to straighten up or move the back properly are likely to have some bulging of the soft disc material. This need not be cause for alarm. Once soft tissues are damaged, pain will be felt until healing is complete and function is fully restored. It is important that during the healing process you avoid movements that pull the healing surfaces apart. 
  • For instance, if you have overstretched ligaments of the lower back by bending forward, it is likely that any repetition of this movement will continue to open and separate the healing tissues, and this will further delay the repair of the damage. If, on the other hand, you avoid bending forward and instead keep a
  • hollow in the lower back, the damaged surfaces will remain together and healing will not be interrupted.It is difficult perhaps to visualize this process occurring in the lower back. Using the finger once more as an example may help understanding. Let us imagine that you have accidentally cut a the back of your knuckle with a sharp instrument. If you are to bend the injured finger joint every day, you would open up the wound and delay recovery. However by keeping the finger straight for about a week, you would allow the healing surfaces to remain together and complete healing would result. 
  • You could then commence bending the finger without risking any further damage.The same strategy works for the problems arising in the lower back. 
  • When tissues heal they form scar tissue. Scar tissue is less elastic than normal tissue and tends to shorten over time. If shortening occurs, movement may stretch the scars and produce pain. Unless appropriate exercises are performed to restore normal flexibility,the healed tissue may produce a continuous source of back pain and/or stiffness. Such problems can persist for years. 
  • Even though the original damage is repaired, the scar itself restricts movement and causes pain when stretched .

6 months ago while learning two wheeler, I fell from the scooter, however no injuries. From then on the hip joint I get pain, specially when I sit long time in the same posture. One orthopedic doctor advised me to take an injection on that spot. Is this advisable, pls suggest.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
6 months ago while learning two wheeler, I fell from the scooter, however no injuries.  From then on the hip joint I ...
Do consult neuro physio and take ift and laser therapy for 12 days foliwed by strengthening exercise once if it fails you can try other remedies.
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My mom is having some burning sensation in the sole of her feet. Her age is 50. No diabetes or Pressure problems detected yet. Hemoglobin is around 11 last time checked.

BHMS, Masters in Nutritional Therapy
Homeopath, Mumbai
My mom is having some burning sensation in the sole of her feet. Her age is 50. No diabetes or Pressure problems dete...
Turning in the soil maybe because of the B12 deficiency or it can be due to burning syndrome go for homeopathic treatment that is suitable for you.
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I have pain in my back near to right side. And have pain my gonads sometimes. It will last for sometime. Whenever spending time with my fiancee this pain in gonads increases.(not always). Kindly suggest.

BPTh/BPT
Physiotherapist, Kota
I have pain in my back near to right side. And have pain my gonads sometimes. It will last for sometime. Whenever spe...
Ankle Pumps •Lie on your back. •Move ankles up and down. Repeat 10 times. •Repeat 10 times. Heel Slides Lie on your back. Abdominal Contraction •Lie on your back with knees bent and hands resting below ribs. •Tighten abdominal muscles to squeeze ribs down toward back. •Be sure not to hold breath. •Hold 5 seconds. •Relax. •Repeat 10 times. ••Slowly bend and straighten knee. •Repeat 10 times Wall Squats •Stand with back leaning against wall. •Walk feet 12 inches in front of body. •Keep abdominal muscles tight while slowly bending both knees 45 degrees. •Hold 5 seconds. •Slowly return to upright position. •Repeat 10 times.
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