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Dr. Pugalendhi

Orthopedist, Chennai

Dr. Pugalendhi Orthopedist, Chennai
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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. Pugalendhi
Dr. Pugalendhi is a popular Orthopedist in Ambikapuram, Chennai. You can meet Dr. Pugalendhi personally at Dr. Pugalendhi@Be Well Hospital in Ambikapuram, Chennai. Book an appointment online with Dr. Pugalendhi 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.

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Be Well Hospital

#5A, Vijaya Raghava Road, T Nagar. Landmark : Near 10 Downing Street Hotel.Chennai Get Directions
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Hello doctor, I am getting pain in my lower legs if I walk for more distance. Could you please let me know why this is happening?

BPTh/BPT
Physiotherapist, Kota
Leg pain k liye calf stretchings or periformis stretchings or T. F. L stretching ilio psos muscles ki stretching kijiye sweelings ho to ice pack kijiye or sweeling nhi ho to hot pack ka use ap kijiye. Heel track kijiye… weight cuff 1-2kg use kijiye or leg exercise kijitye hips up nd down exercise kijiye…. Walking kijiye phle edii rakiye fir panjaa rakijiye 6-9 kaadaam chalet huye apni walking ki capacity incress kijiye daily 1000 kaadaam ap chaliye …deep breath lijiye pani jada se jada pijiye ……. Long sitting, standing, clambing avoide kijiye I hope ap jaldi ache ho jayege thnx.
1 person found this helpful
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I am taking tb medicines from past 10 days and gradually m feeling better. But my knee joint is getting more and more sore everyday. It pains a lot when I try my knee to bend more than 90 degrees. Is this a side effect of tb medication. If yes 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. Whats been your diagnosis for which you are taking anti tubercular medicines? is your knee also involved in this? do not hesitate to contact me if you need any further assistance.
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Sir I have problem of neck. My neck pain creates A so much problem for me please tell me what to do?

MBBS, MBA (Healthcare)
General Physician, Delhi
Apply volini gel on neck. Do warm fomentation. Do neck muscle exercises, avoid high pillow. Consult if not ok.
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I get pain started from foot and goes upto knees twice a week. Someone suggested me get uric acid checked up so it came around 11%so I started taking homeopathic medicine named berbaris Pentagon it helped but still pain happens kindly suggest me best remedies.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Can you please send me latest Serum Uric Acid level report. On that basis, I could suggest you any medication. Thanks
2 people found this helpful
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Spondylitis - Can Non Surgical Methods Help You?

FIPP ( UK ), DA, MBBS
Pain Management Specialist, Navi Mumbai
Spondylitis - Can Non Surgical Methods Help You?

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-

  1. 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.
  2. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
    1. Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
    2. Opiates, for example, hydrocodone, for pain relief
    3. Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
    4. Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  3. Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
    1. Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
    2. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
    3. Exercise routinely to help you recover quickly.
    4. 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.
  4. 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.
  5. 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).
  6. 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.
  7. 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. If you wish to discuss about any specific problem, you can consult a pain management specialist.
4106 people found this helpful

5 Ways For Quick Recovery From Fracture

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, mch
Orthopedist, Delhi
5 Ways For Quick Recovery From Fracture

Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.

  1. Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
  2. Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
  3. Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
  4. Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
  5. Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation. If you wish to discuss about any specific problem, you can consult an orthopedist.
3586 people found this helpful

Rheumatoid arthritis can be curable or not. Or it can only be controlled. Please advise.

BAMS
Ayurveda, Bangalore
Hi, Rheumatoid arthritis is not a curable disease; it can only be controlled with medications. It is a crippling disease as the small joints get deformed and the joint mobility decreases.
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I once had a kidney operation years a long back, because of the stones in the kidney and now I am facing a problem in back side bone its heavily giving serious pain so suggest me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
If along with pain you experience any urine problem or pain while urinating,then it i likely that the pain is due to kidney problem.My suggestion for you is to go for ABDOMEN ULTRASOUND and discuss with me along with reports.
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Mere left leg me 5 din se pain ho raha hai. Main apna left leg ko mod ke baith nahi paa rahi hu. Jara sa bhi modne par pain hone lagta hai. Kripya kuch sujhav de jisse mujhe turant aur hamesha ke liye aaram mil jaye.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
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.
2 people found this helpful
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Hi I am 52 year old last I year suffering knee leg pain, and right side leg feet up swelling normally please your advise.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi please thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. I want to know your detailed clinical history, your relevant investigations, your treatment records till now. It helps me to better understand your condition and prescribe accordingly. Please also mention your co-morbid conditions and drug allergy. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
1 person found this helpful
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I have always back pain by this I am not able to sit for long time because its start pain how can it can be resolved please suggest me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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Am suffering from diabetes from last three years, am also patient of hypertension, joint pain in my knees, I want medicine,

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Firstly maintain your diabetes and bp problem then do stretching exercise in daily routine hot and cold pack alternative for 20 min do quadriceps exercise.
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I am 43 years old and I am suffering from backache pain sometimes, knee pains and general weakness. What I can do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Massage with warm sesam oil. It its relief from pain & strenghten your joints, back too. Its sign of osteoporosis so better to start some calcium suppliment. Improve your diet -start a glass of milk with 2 spoon cow ghee.
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One year ago, I cress an accident through bike ride and on that day some lightly pain on my right leg. But till date the leg pain will increase very high. So please suggest me what can I do?

BPTh/BPT
Physiotherapist, Mumbai
Hi do not delay and consult physiotherapist. You can start physiotherapy treatment as electrotherapy will reduce pain and spasm. And exercise will strengthen your affected muscles. Best wishes.
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Precautions to be followed for Back Pain relief

BPTh/BPT
Physiotherapist, Delhi
Precautions to be followed for Back Pain relief
Exercise your back regularly. Walking, swimming (especially backstroke) and using exercise bikes are all excellent ways to strengthen your back muscles.

Always bend your knees and your hips, not your back.

Maintain a good posture. Avoid slumping in your chair, hunching over a desk or walking with your shoulders hunched.

Use a chair with a backrest. Sit with your feet flat on the floor or on a footrest. Change how you sit every few minutes

Remedy for left shoulder pain for last 2 months. Had undergone bypass surgery 7 months back.

MBBS
General Physician, Mumbai
Dear lybrateuser, -Some pain may occur after a bypass surgery, if you are doing some exercise involving the shoulder & left arm then take a break for sometime for it or see the position when you are sleeping if weight is there on it or it is in a strained position then also it can pain -take a mild analgesic & apply a analgesic gel 3-4 times in a day -if not much relief then get x-ray shoulder done & consult doctor.
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Please suggest me any medicine for back muscle strain. I am having severe back pain.

Doctor Of Physical Therapy (DPT), MS, MCSP, Fellow in Ortho and Sports Rehab
Physiotherapist, Bangalore
Hi lybrate-user, ofcourse it would be difficult to suggest medication or muscle relaxants without a proper physical assessment. You could try with hot fomentation - with hot water bags or electric hot pads and see if it helps.
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I am working before computer that's way my neck pain increasing day by day please give me succession.

MS Ayurved, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Junagadh
It's obviously due your work so don't work continue more than 30 min. After each 30 min or hour do some stretch exercise, have daily regular exercise of shoulder, neck and Hot fomentation at back of neck still you have problems persist you need some medication.
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I am suffering from regular back pain and migraine in morning and in evening what should I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Back pain is caused by vata vitiation while migraine is caused by vata kapha vitiation. The approach of vata-'kaphanashak' herbal combos, ten herb roots group decoction and herbal oil pungent nasal drops will settle the problem.
1 person found this helpful
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My mom is suffering from arthritis since almost 20 years. She is 59 years old and now cannot walk or getup from bed without support and she does not feel like eating. Her legs are always swollen. Can you please help.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Please give her Naturamore Female powder with Warm water daily in morning and evening. This will definitely give her relief. And ask her to apply ice-pack over it for 5 mins daily 2-3 times in a day. Take care. :)
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