Lybrate Mini logo
Lybrate for
Android icon App store icon
Ask FREE Question Ask FREE Question to Health Experts
Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Dr. P.Saiprasad  - Orthopedist, Chennai

Dr. P.Saiprasad

MBBS

Orthopedist, Chennai

6 Years Experience  ·  150 at clinic
Dr. P.Saiprasad MBBS Orthopedist, Chennai
6 Years Experience  ·  150 at clinic
Submit Feedback
Report Issue
Get Help
Feed
Services

Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. P.Saiprasad
Dr. P.Saiprasad is a popular Orthopedist in Tambaram West, Chennai. You can consult Dr. P.Saiprasad at Hindu Mission Hospital - Tambaram in Tambaram West, Chennai. Don?t wait in a queue, book an instant appointment online with Dr. P.Saiprasad on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 35 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 - KAPV Government Medical College - 2011
Languages spoken
English

Location

Book Clinic Appointment

No 103, Gst Road, Tambaram West. Landmark: Near Railway Level Crossing, ChennaiChennai Get Directions
150 at clinic
...more
View All

Consult Online

Text Consult
Send multiple messages/attachments
7 days validity
Consult Now

Services

Get Cost Estimate
Get Cost Estimate

Treatment of Knee replacement

Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
Get Cost Estimate
View All Services

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have backpain for more than a month. Physiotherapy will work out? please give me some suggestions regarding this plz.

DHMS (Hons.)
Homeopath, Patna
I have backpain for more than a month. Physiotherapy will work out? please give me some suggestions regarding this plz.
Hello, * this is postural disorder, hence, correct it * go for aerobic, exercise under guidance of a physiotherapist. * homoeo=care** @ rhus tox 200-6 pills, thrice a dy. @ arnica mont 200-6 pills, thrice a day. Report wkly, stay-fit.
1 person found this helpful
Submit FeedbackFeedback

MBBS, MD - Physical Medicine & Rehabilitation
Rheumatologist, Jaipur
Want to prevent low back pain?
1. Avoid prolonged sitting for more than half hour.
2. Do daily stretching of your calf/hamstrings/lower back muscles.
You will never have back ache in your life again.
34 people found this helpful

I am a 20 years old male and have backache for last 2 weaks. What should I do?

Ph.D, MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist,
I am a 20 years old male and have backache for last 2 weaks. What should I do?
Do consult neuro physio and have ift and laser therapy for 6 days followed by spinal extension exercise.
You found this helpful
Submit FeedbackFeedback

Sir, What are the symptoms of disk prolapse? I have heavy backpain. Spending the whole day in front of computer. What are the solution for reduce the backpain sitting in front of the computer? I also want to know the basic disk prolapse symptoms. Thank you.

Doctor Of Physical Therapy (DPT), MS, MCSP, Fellow in Ortho and Sports Rehab
Physiotherapist, Bangalore
Sir, What are the symptoms of disk prolapse? I have heavy backpain. Spending the whole day in front of computer. What...
Hi lybrate-user, it depends on the severity of the pain. Initial symptoms include a dull pain in the low back, followed by pain in the back of the thighs along with a tingling/numbness in certain cases. The most effective way to reduce pain on sitting is by correcting your posture. Make sure you do not slouch and your lower back should remain in contact with the chair. Latest research suggests that an angle of 135 degrees is perfect to maintain proper weight bearing on the lower back.
You found this helpful
Submit FeedbackFeedback

My both hands joints are so weak, what to do sir? but I use calcium tablets from my friend who is working as medical ref.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My both hands joints are so weak, what to do sir? but I use calcium tablets from my friend who is working as medical ...
Do check your vitamin d level from nabl lab and then take calcium tab on advice of doctor do consult neuro physio and learn strengthening exercise.
You found this helpful
Submit FeedbackFeedback

I have a pain in neck when i see up i am feeling draseness as my room is rotating round and round suggest me tips

DNB, MBBS
Orthopedist, Delhi
U are suffering from cervical spondylitis. Get x ray cervical spine AP and lateral views, serum vitamin D and uric acid and get back with reports. U can Take Tab Vertin 16 mgs twice a day for the dizziness in the meantime.
You found this helpful
Submit FeedbackFeedback

She have a facing a paining problem in her back from last 1 yr. But it occurs at an interval of 3-5 months not regular. What should we do. To cure her pain permanently.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
She have a facing a paining problem in her back from last 1 yr. But it occurs at an interval of 3-5 months not regula...
Back pain may be due to strain, sprain, weather change etc. *Avoid bending forward while working on lap top or for any other work. *Don’t sit continuously working on laptop etc. Get up periodically and move around. *Restrict bike driving as far as possible. *Don’t carry laptop or any load on your shoulder. Carrying very light loads equally with both hands is better *Sit straight so that back bone gets proper support. A dining chair is better than a laid back sofa. *You can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good *Soft bed will not give proper support to your back bone. Hard bed with thin mattress and thin pillow is better. *Get yourself tested whether you have spondylitis problem. Homoeopathy has a good treatment for this without adverse effects. Take Calc fluor 200--once daily in the morning.
You found this helpful
Submit FeedbackFeedback

I get pain in my back bone please tell me what I do now ?

MS - Orthopaedics, MBBS
Orthopedist,
Backache is the commonest ailment. Do not worry, 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. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises contact me again if need be. 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.
You found this helpful
Submit FeedbackFeedback

I have some problem in my body like pain in joints how may I overcome of this?

BPTh/BPT
Physiotherapist,
I have some problem in my body like pain in joints how may I overcome of this?
Hi kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.
You found this helpful
Submit FeedbackFeedback

Agar knee mein thodi si bhi pareshani hai to 50 + women ko kaun si exercise karni ya nahi karni chahiye ?

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
Stop using floor sitting, using indian toilet , sitting cross legged, start quads, hams and calf stretching and strengthening exercises
You found this helpful
Submit FeedbackFeedback

I have suffering frm fever for one days and back pain last night sir please advise me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have suffering frm fever for one days and back pain last night sir please advise me.
Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x twice daily. Bhujang Asana x twice daily. Back Stretching.
You found this helpful
Submit FeedbackFeedback

Dear Sir, My concern is, Last 2 weeks ago I am suffering from low back pain. It's happen after 4 pm every day. Please suggest sir what can I do also suggest medicine for that.

LASHS (UK)DIP.Sports rehabilitation, BPTh/BPT, MSc (Medical) ANATOMY
Physiotherapist, Hyderabad
Dear Sir, My concern is,
Last 2 weeks ago I am suffering from low back pain.
It's happen after 4 pm every day.
Please...
sir ,if am not wrong u are professional working by continuously seating .and pain starts exactly at 4 pm shows bad posture continuously seating for hours together.you need to correct your posture.and strengthening exercises to back.
You found this helpful
Submit FeedbackFeedback

Sir I have suddenly pain in my hand and it occurs automatically I tried medicine bt nothing happen please help me sir.

BPTh/BPT
Physiotherapist, Kota
Sir I have suddenly pain in my hand and it occurs automatically I tried medicine bt nothing happen please help me sir.
Hand pain k liye ap ice se massage kijiye or hand roller excercise kijiye or ultrasound use kijiye 4-9 days.
4 people found this helpful
Submit FeedbackFeedback

My mom is suffering with backache since a year. One of the doc said to take bed rest, even thought the pain is not cured. Please give me some suggestions. Thank you.

BHMS
Homeopath, Faridabad
My mom is suffering with backache since a year. One of the doc said to take bed rest, even thought the pain is not cu...
Hello. Maintain a right standing and sitting posture, keep your back always straight, avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. Management: -Stretching or activities that place additional strain on the back are discouraged. -Sleeping with a pillow between the knees while lying on one side may increase comfort. -Lying on your back with a pillow under your knees would also relieves pain and no pillow under your head. -Some people seem to benefit from the use of ice or heat. Take care, do not use a heating pad on ‘high’ or place ice directly on the skin. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.
1 person found this helpful
Submit FeedbackFeedback

I am 36 years old. Now started having pain at my back on bending, this is more after getting up in the morning.

BPTh/BPT
Physiotherapist, Pune
I am 36 years old. Now started having pain at my back on bending, this is more after getting up in the morning.
Hey, back pain can be due to wrong posture (occupational) or stiffness in your back or lack of strength. What you should do is start doing stretches and strengthening exercise for your back. Take ift sessions from nearby physiotherapist and start exercising on regular basis. Understand ergonomics from physiotherapist.
You found this helpful
Submit FeedbackFeedback

Am 16 old male. And I have back pain for last 2 months and I have used pain relief ointment cream for couple of days but haven't got any relief. What should I do now.

D.P.T
Physiotherapist, Hyderabad
Am 16 old male. And I have back pain for last 2 months and I have used pain relief ointment cream for couple of days ...
dear user, i suggest you to take inferential and ultrasonic therapy to reduce back pain at home you can apply any pain relief ointment with heat fermentation twice a day.
You found this helpful
Submit FeedbackFeedback

When i am walking my hand joints are making sound. What it could be ?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. If there is a sound kind of sensation it is ok if there is no pain, swelling or any other discomfort like stiffness or restriction of movements of involved joint, it may happen in certain individuals in joints. Do not hesitate to contact me if you need any further assistance.
You found this helpful
Submit FeedbackFeedback

BPTh/BPT
Physiotherapist, Delhi
Back pain is commonly caused by postural stress, muscle strains, disc injuries and arthritis.
You found this helpful

Hi sir I have backache last 10day's after standing a half hours pls suggest me any resonof it?

BAMS
Ayurveda, Ambala
Hi sir I have backache last 10day's after standing a half hours pls suggest me any resonof it?
* First correct your sitting posture. Do not bend your lower back.You can use lumber belt for support. * Do regular back strength exercises.Move your clockwise and anticlock wise. * Do not sleep on very soft bed ,sleep on slight hard cotton mattress. * Do Tadasana and Bhjangasana for back strengthening.If you can not understand these asans you can consult me. * Take calcium rich diet and calcium and vitamin D supplements regularly. *Do not Take any heavy weight or heavy work. * If you are over weight then follow a good and effective diet plan to loose some kilos of weight. You can consult me to get a diet chart. * You can take Guggalu tablets of Himalaya for fast relief. You can consult me privately for detailed and complete treatment.
1 person found this helpful
Submit FeedbackFeedback

Rheumatoid Arthritis: A mystery solved with lucidity

MBBS, MD - Internal Medicine, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Rheumatoid Arthritis: A mystery solved with lucidity

Vital notes:

  • RA is a chronic debilitating joint disease that affects small joints of hands and foot.
  • More common in females aged 20 to 50 years.
  • It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years.
  • It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately.
  • Untreated disease may cause deformity of hands and foot causing deterioration of quality of life.
  • Erosion of small joints along with loss of entire joint architecture is the basic disease process.
  • Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic.
  • Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids.
  • Difficult diseases are treated with costly injections called biologics.
  • The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “
  • Lung and cardiac complications are common in long term disease.
  • Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.                    

 

Introduction:

Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon.

The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity.

This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment.

 

What are the symptoms?

Symptoms vary from person to person and also from early stage to late stage of the disease.

 In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results.

In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm.

In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful.

A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat.

Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease.

 

What is the difference between Rheumatic Fever & Rheumatoid Arthritis?

There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis.

 

Why Penicillin injections are given on a monthly basis?

Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist.

 

How is Rheumatoid Arthritis diagnosed?

Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course

 

Does each and every patient of rheumatoid arthritis develop crooked hands and foot?

No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease.

 

How Rheumatoid Arthritis is treated?

Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage.

Cessation of smoking is mandatory. Smokers tend to develop early joint destruction

Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs.

Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below.

 

Why I am being given Steroids?

Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment.

Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month.

 

What are Biologic agents? Why they are so costly?

Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started.

Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.

You found this helpful
View All Feed