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Dr. Rajendran

Radiologist, Chennai

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Dr. Rajendran Radiologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Rajendran is a renowned Radiologist in Saligramam, Chennai. You can visit him/her at Sooriya Hospital in Saligramam, Chennai. You can book an instant appointment online with Dr. Rajendran on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 26 years of experience on Lybrate.com. You can find Radiologists 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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Sooriya Hospital

No 1/1, Arunachalam Road, Saligramam. Landmark: Opposite AVM Studio, Near To Vodafone Mini Store & Behind Hitech Diagnostic Center, ChennaiChennai Get Directions
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What You Need To Know About Breast Cancer Surgery?

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
What You Need To Know About Breast Cancer Surgery?

With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.

If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage

Breast cancer surgery may be classified into two types
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.

Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.

Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss it with your surgeon.

Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.

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

2568 people found this helpful

I am 33 years old my weight 69 kgs .l will take medicine to my disc problem before take medicine my weight 60 how to weight loss give me suggestion?

BHMS
Sexologist, Noida
I am 33 years old my weight 69 kgs .l will take medicine to my disc problem before take medicine my weight 60 how to ...
Mr. Lybrate-user I suggest you to take homoeoptahic medicine tuberculinum 200 and ars. Iod 30 tds for 1 month ok with take milk mixed with turmeric ok raise your immunity ok so solve your problem. Becouse of your immunity is very low ok.
1 person found this helpful
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Breast Cancer - 11 Risk Factors You Must Be Aware Of!

M.Ch - Oncology, MS - General Surgery, M.B.B.S., F.I.A.G.E.S.
Oncologist, Bhopal
Breast Cancer - 11 Risk Factors You Must Be Aware Of!

Breast cancer is an abnormal growth of cells in the tissues of the breast. Mainly it occurs in females but less than 1% of all the breast cancer cases develop in males. The majority of breast cancers start in the milk ducts. A small number start in the milk sacs or lobules. It can spread to the lymph nodes and to the other parts of the body such as bones, liver, lungs and to the brain.

With more reliable early detection methods as well as the trend towards less invasive surgery, there is hope that even more women with breast cancer will be treated successfully and will go on to resume their normal lives.

Signs & Symptoms 
It is painless, especially, during the early stage. Watch out for the following changes in the breast:

  1. A persistent lump or thickening in the breast or in the axilla. 
  2. A change in the size or shape of the breast. 
  3. A change in the colour or appearance of the skin of the breast such as redness, puckering or dimpling. 
  4. Bloody discharge from the nipple. 
  5. A change in the nipple or areola such as scaliness, persistent rash or nipple retraction (nipple pulled into the breast).

Consult a doctor immediately if you notice any of these changes.

Risk Factors 
Being a woman puts you at risk of getting breast cancer. There are certain factors that increase the risk of breast cancer. Some of them have been listed below:

  1. The risk increases with age; most cases of breast cancer develop after the age of 50 
  2. Genetic alterations in certain genes such as BRCA1 and BRCA2 
  3. Family history of breast cancer 
  4. Being overweight 
  5. Early menarche (onset of menstruation before the age of 12) 
  6. Late menopause (after the age of 55) 
  7. Never had children 
  8. Late childbearing 
  9. No breast feeding 
  10. Excessive consumption of alcohol 
  11. Use of hormonal replacement therapy (HRT) for a long period of time

However, most women who have breast cancer have none of the above risk factors. Likewise, not having any of these risk factors does not mean that you will not get breast cancer.

Early Detection and Screening

More treatment options are available when breast cancer is diagnosed at an early stage and hence the chances of recovery is also higher. So regular breast screening is important for early detection even if there are no symptoms. Following are the ways of screening:

  1. Breast Self-Examination (BSE): Perform BSE once a month about a week after your menses are over. If you no longer menstruate, choose a date each month which is easy to remember e.g. your date of birth or anniversary.
  2. Clinical Breast Examination: Get a breast specialist to examine your breast once a year if you are 40 years and above.
  3. Mammogram: Go for a screening mammogram once a year if you are 40 to 49 years old and once every two years if you are 50 years and above even if you do not have any symptom. It is not recommended for younger women (less than 40 years of age) as they have dense breasts, making it difficult for small changes to be detected on a mammogram. So ultrasonography of the breasts is advisable to them.

Types of Breast cancer

  1. Non-Invasive Breast cancer: These are confined to the ducts within the breasts. They are known as Ductal carcinoma in-situ (DCIS).
  2. Invasive Breast cancer: It occurs when cancer cells spread beyond the ducts or lobules. Cancer cells first spread to the surrounding breast tissue and subsequently to the lymph nodes in the armpit (Axillary lymph nodes). These cells can also travel to the other parts of the body such as bones, liver, lungs or brain and hence known as metastatic breast cancer.

Making A Diagnosis 

If you notice any unusual changes in your breasts, you should see a doctor immediately. He will examine you clinically and may ask you to undergo some tests so that a definitive diagnosis can be made. Further, the staging work up is done to find out the stage of the disease and management accordingly.

Treatment options 
Treatment of breast cancer may include various methods such as surgery with or without breast reconstruction, chemotherapy, radiation therapy, hormonal therapy and targeted therapy. Treatment options offered, depend upon the number of factors such as the stage of cancer and likelihood of cure, your general health and your preference. In case you have a concern or query you can always consult an expert & get answers to your questions!

1985 people found this helpful

Fracture: How To Recover From It?

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Fracture: How To Recover From It?

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.

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

4946 people found this helpful

I am 29 years old. I am from bangladesh. I have a problem with my backbone. I have slipped disc. I have been suffering from this since 2011. I consulted with some local doctors. They prescribed me with some exercise but no improvement till now. I feel that a bone or two is/are displaced somewhere my waist. I need expert suggestion.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 29 years old. I am from bangladesh. I have a problem with my backbone. I have slipped disc. I have been sufferin...
Ok as your requirement avoid all exercise for 3 days and do rest tk physiotherapy treatment for few days swd ift ultrasonic therapy it will help you and giving you relief after 3 days you can start spine extension exercise with treatment. For future avoid forward bending, heavyweight, long sitting and standing keep your posture straight.
5 people found this helpful
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CT findings are suggestive of L5-S1 disc protrusion, indenting the thecal sac and the bilateral S1 nerve roots. Whai I do now.

MPT , BPT
Physiotherapist, Gurgaon
Not necessary that what shows in MRI is significant. What is more important is your clinical presentation and symptoms. You need to get yourself assessed properly.
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Cervical Lordosis Straightening Treatment

MPT, BPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

5 people found this helpful

My rt. Breast surgery for breast cancer had done and presently from last 3-4 months rt. Hand and full arm are swelling.

MS - General Surgery
General Surgeon, Kanpur
You probably having lymphoedema, so apply compression bandage and keep your part high, over the pillows, consult your operating surgeon. This will go slowly.
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Fractures - How To Diagnose Them?

MS - Orthopaedics, MBBS
Orthopedist, Chennai
Fractures - How To Diagnose Them?

Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.

  1. Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
  2. Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.

Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

Diagnosis
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Treatments
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed. If you wish to discuss about any specific problem, you can consult an orthopedist.

What are the alternatives to avoid surgery for my brother aged 47 identified with Listhesis with foot drop and disc extrusion. In fact I had disc bulge (L3 L4 L5) at the age of 41 in 2013 and took oil massage in Kerala for 15 days and I am doing good now.

FRCS Orth, MCh Orth, MS Orth
Orthopedist, Delhi
You can use good quality lumbosacral belt but with neurological involvement, surgery is unavoidable. Consult spine surgeon.
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