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Dr. R.Dhayanidhi

Physiotherapist, Chennai

200 at clinic
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Dr. R.Dhayanidhi Physiotherapist, Chennai
200 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. R.Dhayanidhi
Dr. R.Dhayanidhi is an experienced Physiotherapist in Chintadripet, Chennai. You can visit him/her at Darshan Physiotherapy & Rehabilitation Center in Chintadripet, Chennai. You can book an instant appointment online with Dr. R.Dhayanidhi on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 33 years of experience on Lybrate.com. You can find Physiotherapists 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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English

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Darshan Physiotherapy & Rehabilitation Center

Old No. 55, New No. 107, Kalavai Street, Chintadripet. Landmark: Near Chintadripet Vegetable Market, ChennaiChennai Get Directions
200 at clinic
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I am hemofilic patient. My knee joint got damaged. Doctor advice for joint replacement therapy Due to the hemofilia getting lots of problem. In my blood factor 8 inhibitors present in report 4UBL And factor 8 (1%) present I need advice from hematologist.

MD - Anaesthesiology
Anesthesiologist, Anand
I am hemofilic patient.
My knee joint got damaged.
Doctor advice for joint replacement therapy
Due to the hemofilia g...
Lybrate-user I think you need to consult a hematologist before undergoing knee replacement. Though if orthopeadic surgeon has advised knee replacement than you should go for it. Bt only after guidence from a hematologist.
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Good day 1 week ago saturday I had a very bad injury I fall down on ice and injure my left leg. I went toi the hospital and stayed one day there now they saying my muscles above my left knee (ferrum) was a little bit broken open and we can do two things they told me or we make operation or put a brace. I have chosen for a brace and they told me 4 weeks home to recover with the brace and do not walk too much and walk with crutches. My question is will I recover with my leg totally after a lot of rest and do not walk too much.

BPTh/BPT
Physiotherapist, Kota
Good day 1 week ago saturday I had a very bad injury I fall down on ice and injure my left leg. I went toi the hospit...
Back pain or HIP PAIN k liye back isometrics exercise kijiye or hot fragmentations kijiye. For word bandings mat kijiye. Long time ek hi positins m mat rahiye. Breegings exercise bilateral or single leg rotation kijiye phle without weight kijiye fir 1-2kg weight cuff se kijiye rotations kijiye leg single -single than avoide kijiye stair clabbings sweelings ho to ice ki massage kijiye back pain ko ap darr mat smjiye ap low back belt bi use m laa sakte h vo kisi bi tarah k jurck se apko bacha ti h deep breathing exercise kijiye I hope get well soon… thnx. Shoulder pain or elbow pain or HAND PAIN k liye ap ice massage kijiye … jurck se bachiye or shoulder wheeler exercise kijiye. Clapping kijiye. Sweeling aye to ice massage kijiye ……rotation krte rahiye. Elbow m pain ho to ap ultra sound lgaiye 4-10 days pulley exercise kijiye or weight cuff bandh kr 1-2kg k weight cuff se pendullaer exercise kijiye…. I hope get well soon thnx. Wrist pain k liye stimuleter ka use kr sakte h …. Or fingers k liye mobilization bi krsakte h I hope get well soon……thnx 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. KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx……
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Osteoarthritis: Symptoms And Treatment

MBBS, MS - Orthopaedics
Orthopedist, Chennai
Osteoarthritis: Symptoms And Treatment

Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.

Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:

  1. Sore or stiff joints – after inactivity or overuse
  2. Limited range of motion or stiffness that goes away after movement
  3. Clicking or cracking sound when joint bends
  4. Mild swelling around a joint
  5. Pain that is worse after activity or toward the end of the day

Treatment Options For Osteoarthritis

Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:

  1. Managing symptoms, such as pain, stiffness and swelling
  2. Improving joint mobility and flexibility
  3. Maintaining a healthy weight
  4. Getting enough of exercise

Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.

Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.

Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.

Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.

Management: Medical:
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.

For Pain Management
NSAIDs
Cox-2 inhibitors
Opioids

Intraarticular Injections

  1. Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
  2. Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year

Surgical Management

Knee pain or functional status has failed to improve with non-operative management

Types of Surgery

  1. Arthroscopic Irrigation
  2. Arthroscopic Debridement
  3. High Tibial Osteotomy
  4. Partial Knee Arthroplasty
  5. Total Knee Arthroplasty

Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.

Joint Replacement SurgeryJoint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.

Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.

Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.

Preventive Measures

  1. People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
  2. In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
  3. X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
  4. Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
  5. A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.
2 people found this helpful

I have a pain in my bone in pelvis region. I had an accident fell down from bike and since then that pain persist. Its been about 2 months.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have a pain in my bone in pelvis region. I had an accident fell down from bike and since then that pain persist. It...
Keep ice which will reduce the inflammation and that will there by reduce the pain Anaemia always leads to the symptoms of being tired that can also be reason to have frequent pain in the whole body especially in the waist. Once the oxygen levels in the blood comes down it automatically leads to improper functioning of the joints and muscles. It is also due to vacuum created in the joints as once the body lacks oxygen automatically the body becomes arid and that is one reason to get frequent pain the body ie. More prone to get pain the waist. The hip muscles become tired thereby straining in a day with any physical activity might lead to waist / hip pain. And also wear MCR chappals which will help you to prevent the weight falling on the hip while standing.
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Three Important Exercises For Backache

BPTh/BPT, MPTh/MPT
Physiotherapist, Gurgaon
Three Important Exercises For Backache

1.Tummy tuck in or Bracing the lower back, you can do these exercises in-

Standing- Exhale from mouth with pursed lips (blowing the candle), simultaneously pull your belly button towards your spine hold it for 3 to 5 secs. Repeat 10 times. 

Sitting- Sit on a firm chair in tall relax sitting and repeat as above.

Lying- Lie on your back with legs bent so that feet lies flat on the bed. Repeat as above.

2. Pelvic tilt- Lie on your back as above and push your belly button towards the spine, roll the pelvis as you are trying to touch the pelvis with your face without lifting the pelvis from the bed. Hold it for 3 to 5 secs. Repeat 10 times. 

3. Single leg raise-

Lie on your back as above. Straighten your one leg while other leg remains in bent position. Raise the straight leg up to 50 to70 degree at comfortable range and try to hold for 3 to 5 secs. Repeat 10 times.

1 person found this helpful

Hi I have lower back pain since two years and there is swelling on my lower back which did not allow me to walk properly and when I get up I can not walk for 5 min more over the make me to walk in a curve shape what should I do for it.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Hi I have lower back pain since two years and there is swelling on my lower back which did not allow me to walk prope...
The most common form of morning stiffness and pain is due to muscle imbalances and poor conditioning of the muscles themselves. Here are some tips for how to handle your back pain: -while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -find a mattress with back support. A good mattress should provide support for the natural curves and alignment of the spine. Medium-firm mattresses usually provide more back pain relief than firm mattresses. -do not perform activities that involve heavy lifting or twisting of your back -avoid bending forward and sitting in a place for long time -stretching and strengthening exercises are important. -a physiotherapist can tell you when to begin stretching and strengthening exercises and learn how to safely, easily, stretch and strengthen the weak and tight areas of your lower back and hips which cause pain while sleeping. Best wishes.
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I am 58 years old male. I have shoulder pain for the past 8 months. For the past 6years I have been riding hero honda two wheeler. What is the defect and what shall I do for that.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me x rays of your shoulder. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Shoulder exercises can be done any time. It should not be done immediately after taking food. Do reply back for private consultation and detailed treatment plan.
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I am 67 year old and have ligament tear in my right knee I have shown in to knee specialiest who has adviced to take medicine and mejorly asked me to carry out the excercies as directed by phisigeo but it is not normal walking stepping up and down difficult some times the the knee joint gets delocated should I go gor arthoscopi on knee replacement.

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. Can you kindly send me your doctor's prescription papers, your mri report if done and your knee x ray so that I can see and advise accordingly. Do not hesitate to contact me if you need any further assistance.
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My problem is that I got pain in my right side foot's heal when I get up in the morning.

BHMS
Homeopath, Faridabad
My problem is that I got pain in my right side foot's heal when I get up in the morning.
Hello, take Ledum pal 30 CH, 5 drops once daily. take five phos 6x, 5 tabs twice daily. Revert me after 10 days.
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I have pain in my lower leg for last 7-8 months. What might be the reason for this?

BPTh/BPT
Physiotherapist, Mumbai
I have pain in my lower leg for last 7-8 months. What might be the reason for this?
Hi 1) wear comfortable sports shoes 2) make daily routine of exercise 3) rule out calcium and vit d deficiency 4) do proper warm up before exercise and cool down after exercise 5) do stretching of legs do exercise under supervision of skilled physiotherapist. Do reply for private consultation and detailed treatment plan. Best wishes.
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