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Dr. Sri Prakash

Orthopedist, Chennai

500 at clinic
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Dr. Sri Prakash Orthopedist, Chennai
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sri Prakash
Dr. Sri Prakash is a renowned Orthopedist in Alwarpet, Chennai. She is currently associated with Dr. Sri Prakash@Girishwari Hospital in Alwarpet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Sri Prakash on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 29 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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Girishwari Hospital

#19, KB Dhasan Road, SIB College Road, Alwarpet, Landmark: Opp. Vidya ENT Hospital, ChennaiChennai Get Directions
500 at clinic
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I am 65 now suddenly getting knee joint and back pain when standing more time how to eliminate these with minimum of exercise and less medication.

BHMS
Homeopath, Ahmedabad
I am 65 now suddenly getting knee joint and back pain when standing more time how to eliminate these with minimum of ...
Your age factor indicates you are suffer from osteoporosis but best way to eliminate is walking - with knee support belt - for osteoporosis take milk, dates, banana, green leafy vegetables, eggs.
2 people found this helpful
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My back side is paining yesterday I just fall from my bike backside so it is paining so what is the remedy for this thank you.

MS- Orthopedics
Orthopedist, Ahmedabad
My back side is paining yesterday I just fall from my bike backside so it is paining so what is the remedy for this t...
Apply ice twice a day and any diclifenac gel if not relieved kindly consult your nearby Orthodontics doctor for some analgesics and may be x-ray.
1 person found this helpful
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I have knee arthritis from over a year now. It hurts and feels weak when I walk how can I fix it.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have knee arthritis from over a year now. It hurts and feels weak when I walk how can I fix it.
Rheumatic arthritisIt is called as Rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your ESR levels to check whether you have inflammation The sound what you hear is called as Crepitus /ˈkrɛpɪtəs/ (also termed crepitation) is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue. Popping Knees and Crackling Knuckles. Occasionally hearing pops, snaps, and crackles when you bend your knees doesn’t necessarily mean you have arthritis. The kneecap (patella) is the small, convex bone that sits at the front of the knee, shielding the joint.
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I am 41 years of age. I have pain in whole body almost. For quite sometime now. It pains in the neck, shoulder, arms, back, waist and also in the arm and leg joints, elbows, knees, ankles etc. Also feel headache at times. Can't sit straight for long as back pain starts and even can't keep knees folded and sit for long as it starts paining. I am also having tremendous weakness as if I will fall done at time. Feel shortness of breath sometimes and chest discomfort as well. I cant walk much faster and long as feel tired and distressed. I have done several diagnosis related to heart and shown cardio but as per doctor I don't have any cardiac problems. I am also going through tough time professionally and financially for last few months now. I am too worried about my health and can not concentrate on anything else due to this. Please help me to get fit and healthy.

BAMS
Ayurveda, Pune
I am 41 years of age. I have pain in whole body almost. For quite sometime now. It pains in the neck, shoulder, arms,...
As you mentioned your age, please provide the details or nature of work you do. If the body pain and shortness of breath is chronic and if you have tried medicines before then you can surely go for the ayurvedic medicines and panchakarma therapy. It will help to restore your health and can relieve your mentioned problems. You can try liq. Maharasnadi kwatha liq. Dashmoolarishta 2-2tsf mixed together with 4 tsf of water and take twice a day after food. For specific treatment and prakriti parikshan meet your nearest ayurvedic consultant.
10 people found this helpful
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Ozone Discectomy For Disc Prolapse!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Ozone Discectomy For Disc Prolapse!

Ozone local anaesthesia with strict real time radiological control, which ensures the proper placement of Ozone in the center of the disc making it shrink.

Low Sciatica and PIVD

Among working-age people, as many as 20 percent experience back symptoms at least every year. facet arthropathy, sciatica, muscle strain, sacroilitis, bulging or herniated discs and degenerative disc disease. Prolapsed intervertebral discs (PIVD) are the most common cause of low back pain associated with a defined structural Abnormality.

Patients who are not helped by weeks of conservative therapy are often referred for pain that has persisted beyond a four-week period should be referred to a multidisciplinary pain center.

Different Non Surgical Interventions Employed Successfully:

  • Epidural Steroid Inj.

  • Epidurogram & Epidurolysis.

  • Nerve root sleeve/ transforaminal Inj.

  • Intra-discal steroid inj.

  • Nucleoplasty- Thermal & Mechanical

  • Ozone Discolysis

Conventional treatment methods for back pain comprise lamminectomy/ discectomy microsurgery, endoscopic disectomy and percutaneous arthoscopic disectomy, among others. These are invasive methods and their goal is to remove or contain the protruding disc. However, these methods have occasionally demonstrated a discrete incidence of failure and/or recurrence. Outcome studies of lumber disc surgeries ranging from 4% to 15%, have been noted. "In case of surgery, the chance of recurrence of pain is nearly 15 percent as against less than three percent in Ozone treatment.</p> <p><strong>Reasons for the failures</strong> of conventional surgeries are:</p> <ol> <li> <p>Dural fibrosis</p> </li> <li> <p>Arachnoidal adhesions</p> </li> <li> <p>Muscels and fascial fibrosis</p> </li> <li> <p>Mechanical instability resulting from the partial removal of boney & ligamentous structures required for surgical exposure & decompression</p> </li> <li> <p>Presence of Neuropathy.</p> </li> <li> <p>Multifactorial etiologies of back & <a href=">leg pain, some left unaddressed surgically.

Understanding the need for Nano-Technology 

  1. The various treatment options have confused clinicians and investigators due to high failure rate and complications associated with different kinds of surgeries and interventions. There has been a surge of interest in the search for a safer alternative method of decompressing the nerve roots maintaining the structural stability.
  2. Another safe least invasive alternative therapy that has been receiving exposure in Europe is the use of medical Ozone (02/03 mixture) in the treatment of PIVD. Epidural steroid injection, transforaminal epidural decompressions has a high success rate (up to 85%), but chances of recurrences are there specially if these interventions are done at later stage. anaphylaxis following intradiscal chymopapain injection. Injection of Ozone for discogenic radiculopathy (low back pain with radiation to legs) has developed as a revolutionary alternative to chemonucleolysis and disc surgery .

The use of ozone revolution for treating disc diseases 

Muto suggested an intradiscal injection of Ozone for a disc Ozone injection into the intervertebral disc. After that successful outcome has been reported from various European centers. It is very important to note from those reports that complications are remarkably few. Not a serious single life-threatening complication was found even after 120,000 cases of Ozone nucleolysis, which stresses the safety of these procedures.

The most critical portion of performing any of the minimally invasive procedures is the accuracy and safe positioning of the needle (or terminal device) in the centre of the disc space. The risk in ozonucleolysis is particularly minimised, with the use of a very thin 22/25-gauge needle. It may take anywhere from 5 to 30 minutes to position a needle in the centre of the disc space under radiological guidance. Once the needle is safely placed in position, ozonucleolysis is completed in only another 2 to 3 minutes.

How does water contained within the domain of proteoglycans. The water binding capacity of the proteoglycan molecule is partially a property of its size and physical shape, but the main force that holds water to the molecule stems from the ionic, carboxyl (COOH) and sulphate (SO4) radicals of the glycosaminoglycan chains. The ozone can have a direct effect on these carboxyl and sulphate groups, breaking down some of these glycosaminoglycan chains which make up the proteoglycans. The destruction of these cross-linked structures reduces their ability to hold water therefore diminishing the size of the herniation by collagen fibers and signs of regression (vacuole formation and fragmentation)- a sort of disk “<strong>mummification</strong>.”</p>

<p> </p> <p><strong>By Inhibiting inflammatory Nociceptors</strong></p> <ul> <li> <p>Synthesis of Prostaglandins & Secretion of Proteinases</p> </li> <li> <p>Liberation of Bradykinin and Pain Inducing Products</p> </li> <li> <p>Several studies suggest disc inflammation as a mechanism of sciatica due to disc herniation. Ozone has been shown to have an effect on the inflammatory cascade by inhibiting synthesis of proinflammatory prostaglandins or release of bradykinin or release of algogenic compounds; increased release of antagonists or soluble receptors able to neutralize proinflammatory cytokines like interleukin (IL)-1, IL-2, IL-8, IL-12, IL-15, <a href=">interferon, and tumor necrosis factor. Therefore, by reducing the inflammatory components there is a corresponding reduction in pain.

By stimulating fibroblasts & immunosuppressor cytokines 

  • Local production of Antioxidant Enzymes
  • Another action which may prove to be one of the most important is the stimulation of
  • Release of immunosuppressor cytokines like transforming growth factor, and IL-10 fibroblastic activity by ozone. Fibroblasts initiate the repair process by stimulating the deposition of collagen. Although yet to be validated, this mode of action could explain the resolution of PIVD on CT scans and the small percentage of patients who have relapses after the completion of treatment plan.
  • Ozone may have a reflex therapy effect called ‘chemical acupuncture’, breaking the chain of infection which is healed with antibiotics.

     

    In fact, over 120,000 patients have been treated successfully worldwide using the injection of medical ozone with a success rate of 80-90% and with a near nil rate of procedure-related complications. “The procedure is a safe and effective alternative to open surgical procedure. Patients get the advantage of going home after a short recovery on the same day. They generally go to work within a week and are spared prolonged absence from work and disability,” The treatment relieves pain substantially and, after two sittings, people "can go back to work under medical guidance".

    Comparison: 1. More hospital stay One day/day care 2. Complications of prolonged surgery& spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular in European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post-operative discomfort or morbidity and low cost.

4671 people found this helpful

Hi, my hand finger joints and leg finger joints are paining.In night they pain more .please help me.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Hi, my hand finger joints and leg finger joints are paining.In night they pain more .please help me.
Do contrast bath therapy twice daily Do ball squeezing activity multiple times a day Do toe curls twice a day
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I have met with an accident last year at my ankle there is a pain still exists but there is no fracture that time.

BHMS
Homeopath, Sindhudurg
I have met with an accident last year at my ankle there is a pain still exists but there is no fracture that time.
Hi you can take symphytum 200 ledum pal 200 4pills 2 times calcivita sry 1spoonful 2 times daily for 1 month.
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My anti ccp test is 4.8 , but I don't have many joint pains anywhere in the body will I get Rheumatoid arthritis in future ?

MBBS, D.ORTHO, DNB (Ortho), Fellowship Joint Replacement, MNAMS
Orthopedist, Mumbai
My anti ccp test is 4.8 , but I don't have many joint pains anywhere in the body will I get Rheumatoid arthritis in f...
No, not necessary - the sensitivity of this test is 60-70 % - so do not worry if you do not have any symptoms.
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I have been suffering from cervical spondylosis for a long tym. What are the tests to be taken for this. How can I get free from my neck pain. please suggest me good treAtment for this.

MS Orthopaedics
Orthopedist, Panchkula
I have been suffering from cervical spondylosis for a long tym. What are the tests to be taken for this. How can I ge...
Every neck pain is not spondylosis.you are young and working on computer or bad sleeping posture can give you neck pain. The best treatment is gradual neck exercise twice a day with moderate heat on the back of your neck
1 person found this helpful
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What You Need To Know About Brain Injury?

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai

TYPES

  • Traumatic Brain Injury - Happens due to trauma 
  • Anoxic/Hypoxic brain injury - Happens due to decreased blood or oxygen supply to the brain. 
  • Ischemic or hemorrhagic cerebrovascular accident (commonly referred to as stroke) - Happens due to clots occluding the blood vessels in the brain or due to bleeding of blood vessels in the brain  
  • Brain tumors and metastasis (spreading of cancer) to the brain 
  • Vascular malformations of the brain such as Arteriovenous malformation, aneurysm etc - 
  • Brain infections
  • Autoimmune conditions such as  Multiple Sclerosis and auto-immune encephalitis - 
  • Toxic/metabolic causes such as post transplantation, sepsis, liver failure and kidney failure
  • Basically any injury or illness that affects your brain function for a prolonged period of time causing temporary or permanant damage 

SYMPTOMS

Usually individuals affected by these conditions can have a number of symptoms directly related to the brain injury such as

  • One-sided or both sided weakness and numbness of the arms and legs
  • Pain and tightness of the arms and legs
  • Difficulty with speech
  • Impaired consciousness (i.e. impaired arousal)
  • Cognitive impairment such as memory problems, slow thinking skills, problems with attention
  • Changes in their behavior such as aggression
  • Changes in their mood such as depression and anxiety
  • Difficulty in swallowing
  • Bladder and bowel incontinence
  • Visual problem
  • Hearing problem

MEDICAL COMPLICATIONS

There are medical complications that can be noted a few weeks or months after a brain injury. Some common ones include

  • Pneumonia
  • Urinary tract infection
  • Deep vein thrombosis – blood clot in the veins of your arms and legs
  • Pulmonary embolus – blood clot in your lungs
  • Pressure ulcers
  • Heterotopic ossification – a condition which causes stiffness of your joints
  • Seizures
  • Post-stroke shoulder pain – shoulder pain in the weak arm
  • Spasticity – tightness of the muscles of the affected arm and leg
  • Paroxysmal sympathetic hyperactivity – a condition which causes fluctuations in your blood pressure, heart rate, and also causes abnormal stiffness of the arms and legs
  • Headache
  • Hydrocephalus – a condition where fluid builds up in your brain

HOW REHABILITATION CAN HELP?

A comprehensive, interdisciplinary team approach (i.e. care being provided by various disciplines in a coordinated fashion) with   Physician (Physiatrist), Physiotherapist, Occupational Therapist,  Speech and Language Therapist, Neuropsychologist,  Nutritionist and a  Nurse can help reduce your symptoms directly related to the injury as well as prevent and treat common medical complications post brain injury. Not all patients will require all services and usually, a combination of these services is required for an individual patient. 

PHYSICIAN (PHYSIATRIST)

Patients can be evaluated by the Physician first to determine the nature and severity of the medical condition then come up with a treatment plan that best suits them. Depending on the patient’s symptoms and medical complications (listed above), the treatment plan will include recommending therapy services, prescribing medications and performing injections. Medications are commonly  prescribed for medical complications as well as to reduce symptoms directly related to brain injury such as arm and leg weakness, muscle tightness, speech impairment, mood and behavior issues, cognitive impairment and impaired arousal. The physician  performs injections such as tendon injections, joint injections for joint or muscle pain as well as Botulinum toxin (commonly referred as Botox injections) and nerve block injections to help relieve muscle and tendon tightness.

PHYSIOTHERAPIST

A Physiotherapist will  focus on various physical exercises to improve weakness in the arms and legs, improve their walking and balance and to reduce muscle tightness. They might use physical modalities to reduce pain and inflammation, muscle and tendon tightness and prevent muscle atrophy. They can also fit you with an orthosis to reduce muscle tightness as well as improve your walking and arm function.

OCCUPATIONAL THERAPIST

An Occupational Therapist will focus on various physical activities required for daily living for patients with severe physical and/or cognitive impairment and also teach cognitive exercises thereby compensating the cognitive deficits.  Visual Training exercises are provided to individuals with visual impairment due to the neurological problem. The final phase of treatment involves patient training for successful community integration (education, employment etc).

SPEECH-LANGUAGE PATHOLOGIST

A Speech Language Pathologist (commonly referred to as a Speech and Language Therapist), will evaluate the patient’s speech, communication and swallowing skills.  The treatment plan is broken down after an initial evaluation. The program will vary depending on the extent of the injury, the stage of recovery, and the individual’s particular areas of difficulty. Specific retraining and compensatory exercises are taught to improve the above skills. However, the major focus is on helping the individual gain back his/her quality of life.

NEUROPSYCHOLOGIST

A Neuropsychologist evaluates  patients  with depression and anxiety, that is commonly seen after any major  life-changing illness or injury and guides them through the process of rehabilitation  thereby improving their quality of life through motivation and counseling.  Performing an in-depth cognitive assessment and planning cognitive re-training exercises and compensatory strategies is also a major treatment aspect of a Neuropsychologist.

NUTRITIONIST

Malnutrition or undernourishment is a common problem in this population. For optimal recovery,  a Nutritionist recommends an appropriate intake of nutrition.

REHABILITATION NURSE

A Rehabilitation Nurse  trains patients with central nervous system injury to manage their bowel and bladder independently.  Performing and training wound care management for patients with pressure ulcers are also handled by a Rehabilitation Nurse.

EXPECTATIONS OF RECOVERY

Depending on the severity and chronicity (time duration since injury/illness) of the injury/illness, your recovery time may differ. Complete neurological recovery is often possible if the injury is mild to moderate. In the case of a moderate to severe injury, a complete neurological recovery may not be possible and therefore the goal will be to help you be as independent as possible and integrate you into the community despite your physical and/or cognitive limitation. If the injury is too severe, then the goal would be to improve your quality of life by helping you be as independent as possible with your day to day living, decrease pain and prevent complications.

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