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Dr. Ramesh Pandiyan

Orthopedist, Chennai

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Dr. Ramesh Pandiyan Orthopedist, Chennai
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ramesh Pandiyan
Dr. Ramesh Pandiyan is an experienced Orthopedist in Porur, Chennai. He is currently associated with Vignesh Hospital in Porur, Chennai. You can book an instant appointment online with Dr. Ramesh Pandiyan on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 34 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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Vignesh Hospital

#36, Poothapedu Main Road, Venkateshwara Nagar, Porur. Landmark: Near S&S Power Switchgear, ChennaiChennai Get Directions
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I am a 62 year old man, had a MI in January 2007, got a stent in my LAD in Feb 2007. I have arthritis, ankylosing spondlytis, incontinence, ED, and sugar levels of 93 pre fasting and 250 after a meal. I am trying to get my sugar levels down by diet and exercise. Do let me know if it is possible to get my sugar levels down by diet and exercise.

PGC Diabetology, MBBS
General Physician, Hyderabad
I am a 62 year old man, had a MI in January 2007, got a stent in my LAD in Feb 2007. I have arthritis, ankylosing spo...
The levels of blood sugar you are telling look good. But let me know you hba1c level. Some people can control diabetes by diet and exercise. I can guide in detail. Please do a paid consultation.
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Causes of Knee Pain and Ways to Deal With It

MBBS, MS - Orthopaedics, Fellow In Joint Replacement , Fellow In Arthroscopy
Orthopedist, Hyderabad
Causes of Knee Pain and Ways to Deal With It

The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.

What can cause knee pain:

Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.

ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.

Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

  • Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
  • Rheumatoid Arthritis, an inflammatory chronic disorder
  • Septic Arthritis, causing pain, swelling and redness.
  • Gout caused due to the development of uric acid crystals in the joints

How to deal with it:

  • Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
  • Dealing with Load: Losing weight is an important factor as carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
  • Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to consult a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.

Ligament Injuries

The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

ACL injury and other ligament injuries can be caused by:

  • Twisting your knee with the foot planted
  • Getting hit on the knee
  • Extending the knee too far
  • Jumping and landing on a flexed knee
  • Stopping suddenly when running
  • Suddenly shifting weight from one leg to the other

These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.

Treatment

  1. Rest the knee
  2. Ice your knee to reduce pain and swelling
  3. Compress your knee
  4. Elevate your knee on a pillow when you're sitting or lying down
  5. Wear a knee brace to stabilise the knee
  6. Practise stretching and strengthening exercises if they are recommended

For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.

Meniscus Tear
A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.

A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.

Treatment may include:

  1. Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows
  2. Physical therapy
  3. Surgery to repair the meniscus
  4. Surgery to remove part of the meniscus
3946 people found this helpful

I have pain sometimes near my private part but not continuously. Sometimes it pains very hard at centre of my legs. please suggest me how I get rid from this.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I have pain sometimes near my private part but not continuously. Sometimes it pains very hard at centre of my legs. p...
Pain could be due to injury, muscle cramps or dehydration. But on a safer note, consult a physician/surgeon to rule out other rare causes like hernia or torsion
1 person found this helpful
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I was slip in at my home due to which my leg is injured and it is paining what should I do?

BPT
Physiotherapist, Lucknow
I was slip in at my home due to which my leg is injured and it is paining what should I do?
R you sure no any type of fracture. If you sure do ice fomenting nd use crape bandage. Gently do range of motion exercise.
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I am 32 years old. Whenever I wake up from bed, my heels are paining a lot and I am not able to balance. Please advise.

BPTh/BPT
Physiotherapist, Mumbai
I am 32 years old. Whenever I wake up from bed, my heels are paining a lot and I am not able to balance. Please advise.
Hi self-management may include using ice, stretching, wearing proper footwear and altering training (exercise) methods. Ice should be applied prior to and following activity for approximately 20 minutes. Try using a frozen bottle of water and gently rolling it under the arch and heel.
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I Am suffering from back pain due to I am playing cricket match I want from you for this back pain.

Bachelor of physiotherapy
Physiotherapist, Kolkata
I Am suffering from back pain due to I am playing cricket match I want from you for this back pain.
Hi. Are you playing cricket match regularly. If yes, than use ice compression and mild stretching of back as well as hams and quad. Consult me after 7days.
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Hello Dr. my mother aged 66 suffering from severe back pain pl give some remedy n also she has arthritis thks.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hello Dr. my mother aged 66 suffering from severe back pain pl give some remedy n also she has arthritis thks.
Heat fermentation twice a day and do rest avoid long sitting toward bending and long standing do gentle exercises ya physiotherapy treatment must.
1 person found this helpful
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From last 7 days I am suffering from pain in my right shoulder. It had started from a night, during sleep. What medicine should I take? thank you.

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. Since you have pain in shoulder region since 7 days only and that also happened after sleep at night, I would advise you: 1) to start with anti-inflammatory medications( short course) 2) intensive physical therapy 3) ice packs and local analgesic spray for local application. Please let me know if your pain persists after 3 weeks /sos. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr akshay kumar saxena Consultant orthopaedics fortis hospital, new delhi
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I am 23 years old I am having back pain from last 2 months And I am not feeling active in my daily activities so please suggest any exercise without medicine And I have belly fat in order to reduce that what precaution should I follow.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 23 years old I am having back pain from last 2 months
And I am not feeling active in my daily activities so plea...
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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My wife is 51 years. She has backache problem and for 3-4 day have having pain on joints and lower portion of both sides of her abdomen. She even cant walk.

BPTh/BPT
Physiotherapist, Mumbai
My wife is 51 years. She has backache problem and for 3-4 day have having pain on joints and lower portion of both si...
Hi I can understand your problem. # relax & stay positive. # take hot and cold foementation. # change sleeping position. # use lumber support. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same, you need specific treatment plan according to your symptoms.
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Physiotherapy for Back Pain

MPT - Orthopedic Physiotherapy
Physiotherapist, Palwal
Physiotherapy for Back Pain

Most of us suffer from lower back pain at some point in our lives; be it from a sedentary lifestyle, spending hours at the office desk or from strenuous physical exercises. In most cases, a little bit of rest does the trick. However, if the lower back pain persists for 3-6 weeks, physiotherapy is recommended.

How does physiotherapy help?

The main purpose behind physiotherapy is reducing lower back pain and increasing muscle and bone function, so that such instances are avoided in the future. Physiotherapy is the first line of defence against lower back pain. More drastic measures such as surgery are undertaken once physiotherapy fails to do is job.

Physiotherapy is often recommended when the back pain is caused due to lifestyle factors, a minor injury like a fall or other moderate factors. For more severe back injuries, doctors recommend surgery straight away when there is no scope of performing physiotherapy.

Low-intensity back pain can be cured using a combination of heat packs, ultrasound wave therapy and Iontophoresis (using a localized current source to introduce medical ionic compounds to the body).

A physical therapy program for back pain usually has two components:

  1. Passive physical therapy to help reduce the patient's pain to a more manageable level

  2. Active exercises

Passive Physical Therapy - Modalities

The physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples include:

  1. Heat/ice packs

  2. TENS units

  3. Iontophoresis

  4. Ultrasound

Active Physical Therapy - Back Pain Exercises

In addition to passive therapies, active physical therapy (exercise) is also necessary to rehabilitate the spine. Here are some of the common exercises for back pain:

  1. Back Stretch: Put your hands underneath your head while lying back. Bend your knees but put your feet on the ground. Roll your legs to one side and hold them there for 10 seconds. Repeat three times for each side.

  2. Deep Lunge: For this, you need to kneel on one knee with the other foot pointed towards the front. Lift the back knee up and hold it there for five seconds and then bring it down. Repeat this exercise three times for each side.

  3. One Leg Stand: This is the simplest of exercises. Hold on to a wall for support while standing and face towards it. Then slowly hold one leg and bend it behind you. Hold in the same position for five seconds before bringing it down. Repeat the process three times for each leg in five second gaps.

4664 people found this helpful

I am fifty six year old male, I am having arthrities (gathia bay since last three years. Please advise me

DNB, MBBS
Orthopedist, Delhi
Sir you'll have to specify which type of arthritis you have, osteoarthritis or rheumatoid arthritis, treatment will be different accordingly. Treatment also differs according to grade of arthritis and joints involved.
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Whenever I involve my in some sports activity, I feel a bit of a pain on my back for sometime. Is there anything serious?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Whenever I involve my in some sports activity, I feel a bit of a pain on my back for sometime. Is there anything seri...
Its not serious issue. Its lack of fitness and weakness of core muscles. You should be working out regularly. Atleast 30 minutes daily for yourself is must for your health.
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Hello doctor. my knee stiffness problem is still there after 7 months. And even with 5 hours of exercise this. Stiffness still exist. Sir can you please suggest me some ways to quickly sort this problem.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Don't do so much exercise. 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 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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I am 26 years old. 7 yes before I fell down from staircase and my backbone got hurt. I did some treatment but no use. Still I suffer from those pain specially in winter season. Please help me out. Thank you.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 26 years old. 7 yes before I fell down from staircase and my backbone got hurt. I did some treatment but no use....
Due to the bone contusion there might be injury which is not healed. It generally gets triggers during the cold weather and you need to do ice therapy which will help you to reduce the contusion
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have pain in knee joint and whole body I take medicine relief me but note take medicine no relief.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
have pain in knee joint and whole body I take medicine relief me but note take medicine no relief.
Advice. 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).
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I am 61 and taxi driver. After 2 hours of drive I feel numbness in my legs. What I should do? what medicine I can take?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph & digital x rays of ls spine. 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. Ibuprofen 200mg od & sos x 5days. Bio d3 max 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. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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Meri wife ka operation se bachha hua hai. Ek saal ho chuke hain Aksar kamar me dard rahta hai Ultrasound kiya to left kidney me four. Six mm ki stone hai. Jiski homeopathy ki dawa chal rahi hai Sir mujhe kamar drad k liye kuch oil ya spray bataye.

Advanced Aesthetics
Ayurveda, Gulbarga
Meri wife ka operation se bachha hua hai. Ek saal ho chuke hain Aksar kamar me dard rahta hai Ultrasound kiya to left...
stone ki wajah se kamar me dard ho raha hai .. mahanarayana taila ye ayurvedic shop me milega is se halke massage karo... aur stone keliye 5days ka dawayi bhi ayega jo 5din me nikal jayega
9 people found this helpful
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I have swelling on both ankles, few months back, gone for medical examination. Doctor suggested tests, like creatnine and uric acid. Every test was normal. At present there can is only little swelling on my ankles. What can be other reasons for swelling?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have swelling on both ankles, few months back, gone for medical examination. Doctor suggested tests, like creatnine...
Other reasons of swelling could be hypothyroidism....protein loss from body via kidneys or gut...or early stages of hypertension...get ur bp...liver function tests and bp examination done
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I am 38 year old male, going for regular walk from last 6 years. But now from last 6 month fell pain in legs and arms through out day.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 38 year old male, going for regular walk from last 6 years. But now from last 6 month fell pain in legs and arms...
Requires examination and investigation in detail. Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform
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