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Dr. Silamban

Anesthesiologist, Chennai

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Dr. Silamban Anesthesiologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Silamban
Dr. Silamban is an experienced Anesthesiologist in Cantonment, Chennai. Doctor is currently associated with St Thomas Hospital in Cantonment, Chennai. You can book an instant appointment online with Dr. Silamban on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 35 years of experience on Lybrate.com. You can find Anesthesiologists 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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St Thomas Hospital

No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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My knee ligament tore when playing football in teen age. Now I am 44 years old. Took MRI of knee and found three ligament tore. Now I feel some pain after a sleep of resting more time like sitting. I can not apply load suddenly. After a while it adjust to take load. please advice surgery can cure my problems.

MBBS, DNB - Orthopedics, Fellowship In Arthroscopy & Sports Medicine
Orthopedist, Bangalore
My knee ligament tore when playing football in teen age. Now I am 44 years old. Took MRI of knee and found three liga...
You definitely need surgery or else wait for some more years and go in for a knee replacement (which is not good in the long run) as the implant lasts only for 20 years max. So better to get the surgery done.
1 person found this helpful
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Anterior Cruciate Ligament: What To Expect For Its Surgery?

AO TRAUMA, DNB (Orthopedics), MS Ortho, MBBS
Orthopedist, Ghaziabad
Anterior Cruciate Ligament: What To Expect For Its Surgery?

ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.

Read on to know what you can expect in the recovery phase following an ACL surgery.

  1. Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
  2. Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
  3. Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
  4. Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
  5. Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.

Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
 

5 people found this helpful

3 days before I go to jogging suddenly my left Knee getting pain. What should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
3 days before I go to jogging suddenly my left Knee getting pain. What should I do?
Do apply ice fomentation thrice a day for 5 days regularly Do revert for further assistance Best Wishes
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Knee Joint Reconstruction

MBBS, MS - Orthopaedics, MS - General Surgery
Orthopedist, Delhi
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Mein Dr. Subhash Shalya, Senior Orthopedic Surgeon, Fortis Hospital, Nehru Place. Vhan me senior consultant hun orthopedics ka. Or joint replacement or sabhi difficulties surgeries mein krta hun.. To me aaj apse jo bat krna chahta hun vo knee joint ka damage or uske replacement ke bare me smjhana chahta hun. Ye normal knee jo hota hai vo is trha se hota hai. Ye knee ka exact model hai, jis tarha ka hmara knee hota hai. Ye samne vali haddi hai jisko patla kehte hain. Ye upar vali haddi hai, jisko fever kehta hain or niche vali haddi ko tivia kehte hain. Isko feura kehte hain. Fewmer, tibia and side ki haddi phiura. Philura jo jod ko badhane me kaam nhi krti lekin iske upar ek ligament attach rehta hai.

To jab age badh jati hai ya bhut jyada sports activity krte hain to aisa krne par ye jo cartilage hai, jo iske gulabi color ki dikhayi gyi hai, ye cartilage ghisne lagti hai. Jo hmara sab vajan andar ki side me hota hai, to andar ki side ki ye cartilage pehle ghis jati hai. Ye jod iske upar chalta hai iske upar. Or is cartilage ki normal gatti me motayi 10mm hoti hai. Cartilage kya hoti hai, jaise hmare kaan ke andar ye cartilage hai or ye skull bone hai, naak ke upar ka hissa bone hai or ye cartilage hai. To thk yhi moti soft flexible bone hoti hai jisko cartilage kehte hain. Thk naak ki haddi jaisi cartilage hoti hai. Or samay ke sath sath, bone ke andar calcium ki kami hone par, maspeshiyon ki kamjoori aane par, ye cartilage quki isme koi blood supply nhi hoti, to dhime dhime ye damage hone lagti hai.

Or hadiyan apas me takrati hain or uske andar dard hota hai. Uske lia hum mariz ka x-ray krate hain. Ek taang par khade ho kr ke pura vajan daal ke isko seneiring leg total weight billing APBO kehte hain. Or later view hum leat kr ke side se x-ray krate hain. Aisa krne se farak pta lag jata hai ke jod ke andar kya kharabi hai or cartilage kitni damage hai or joint ke 3 parts ki nasein konsa part damage ho gya hai. Ek part ye hota hai poterofemoral joint. Ek tibia midial space or tibia ka lateral space. To teeno jod ke andar konsa khrab hai, ye hum pta lga lete hain. Or agar ye pura damage ho gya hai, to uske lia fir knee joint replacement kia jata hai. Knee joint replacement ke andar iske 3 hisse hote hain.

Ek hissa ye hai jo fimar ke andar lgaya jata hai. Or iske 2 hisse hain jo tibia me lgaya jata hai. To ye tibia ki base plate hai. Joint ke andar hum, joint ka alignment khrab ho jata hai, to hum dono ke bich me thik 10mm ka gap, aise le aate hain or purani cartilage nikal dete hain. Or uske andar yhan par ye jo joint ka fimar ka portion hai, ye is tarha se fit kr dete hain. Ye bone cement se, 45 years tak ke lia chipka rehta hai. Or jo nichla vala portion hai, fir tibia vala uske andar ye metal ki bres plate hoti hai. Iske andar hum yhan cement lga kar ke, iske andar aise fit kr dete hain. Or jo cartilage hai uska alternative ye plastic hoti hai. Hum isko aise fit kr dete hain. Or ye hmara joint tyar ho gya. Isi joint ko knee replacement kha jata hai ya ghutno ka puran pratyaropan. Bhut se marizon ke andar knee joint ka sirf midial cartilage involve hota hai.

Or unki umar bhi jyada nhi hoti. Grade 1 or grade 2 or grade 3 or choti cartilage hoti hai. Uske andar fula haddi ko kaat dete hain. Katne se jod khol jata hai. Isko high fuler osteotomy ye problofuler osteotomy kehte hain. Or us se knee joint ko change krne ki awashkta nhi pdti hai. Or ye sirg 10 minutes ka operation hai. Dono tango ka 20 minutes ke andar operation ho jata hai. To ye ek alternative hai total knee replacement ka. Or iska kharcha bhi knee joint ke replacement se 1/10, dusvan hiss ahata hai. Or iske baad mariz second day apne kam pe vapas ja skta hai. Knee replacement ke lia hume karib mariz ko 5-7 days hospital me bistar par admit rkhna pdta hai. Or 7 din ke baad vo vapas ja skta hai.

 

Or knee joint replacement ka khrcha kareeb kareeb 3.5-4 lakhs aata hai. Quki isme 1,30,000/- ki dono ghutno ki jod hi aate hain. Baki hospital ka 7 din ka khrcha hota hai. Knee joint replacement surgery duniya ki sabse achi surgery mani jati hai. Jisme mariz ka dard khtm ho jata hai. Taang sidhi ho jati hai aur vo normal life lead krne lagta hai. Or high fural osteotomy jaise hum fural lga ke upper end se 3 inch niche se cut kr dete hain. Ye bhi duniya ka ek sabse acha operation mana jata hai, jo 50 saal se niche ke umar ke logon me kia jata hai. Ya knee joint replacement nhi kia jata unke lia ye ek bhut acha operation hai. Ek chota operation hai. To mene aaj apko do chizon ke baare me btaya. Total knee replacement or high fural osteotomy. Total knee replacement ke lia hum kosish krte hain, mariz ko 60 se upar nikal jaye. Agar 60 se umar kam hai to high fural osteotomy ek badia operation hai.

Uske baad diet change krte hain thodi si or exercise krate hain to ye operation ek bhut kamyab operation hai. Mein aise sekdon operation kar chukka hun. Or mariz ka dard second day se hi thk ho jata hai. Or vo normal zindagi jeene lgta hai. Sirf ek din ka admission hota hai. 2nd day vo kam par vapis ka skta hai.

Dhanywad. 

3244 people found this helpful

Hi I am 31 years old I have a severe back pain when I consult doctor, he checked my uric acid level which is quite high its 7. what should I do to control my uric acid level? Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi I am 31 years old I have a severe back pain when I consult doctor, he checked my uric acid level which is quite hi...
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day.
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Sar mai bahut paresan hu mere hathon mein bahut dard hota hai mai kya karu koi dava batao.

DHMS (Hons.)
Homeopath, Patna
Sar mai bahut paresan hu mere hathon mein bahut dard hota hai mai kya karu koi dava batao.
Hi, lybrate user, take, homoeo medicine. @ rhus tox 1000-6 pills, twice a wk. @ colocynth 200-6 pills, thrice a day. Take, care.
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I am 50 yrs female suffering with ankle pain and all joint pains. Advice me please.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult agter 10 days.
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Tendon repair on the finger, after how many days does the moment will come in the finger.

MSPT (Master of Physical Therapy)
Physiotherapist,
Tendon repair on the finger, after how many days does the moment will come in the finger.
usually after 6-8 weeks. but proper mobilisation of fingers is needed; get advice from a qualified physiotherapist for best results.
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I want a best health service provider and I had some serious issue like headache and backache. what medication should I used to care my disadvantages and what medication should I used to care all of these and I want a best health checkup.

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I want a best health service provider and I had some serious issue like headache and backache. what medication should...
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache kindly follow advises given below: you can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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