Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 43 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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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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I have desk job and sometimes I am having severe back pain in middle of my spinal cord! I do not understand pain is in bone or in muscles. Please suggest what best I can do?
I am 40 years old. I have a knee problem. If I sit on a floor I am unable to get up fastly. Please advice
I am 43 years old women having two children, working in a compay. For past 6/7 months, more tiredness in the morning as soon as get up from bed and not feeling freshness. Eyes also doesnot look fresh in morning. The pain appears especially in shoulders and back hip more. Also appears in knee, legs. Carrying out regular jobs in morning becoming very tough in office as well as in home. Is any home remedy available? or please suggest how to come out this problem. I am mentally down with this situation.
Respected sir I have cervical pain since 6 month I had already consult with many doctors but no relief till now how I get relief from it.
I am 25 years old. I have been doing weight lifting like snatch and gym. Also I was a 400m hurdle athlete. After my college I have stopped weight training but I regularly do running and strength warmups. I feel pain in my knee when I bend it. Do I need to stop running? I do not wanna suffer serious injury. I have no previous surgery. Please suggest. ThankYou Doc.
I have pain on my neck from last 1 week. I am a smoker. And I want to leave my smoking habit. Please give me a right suggestion.
Benefits of Knee Replacement
Hello, friends, I am Dr. Gaurav Khera I am a consultant orthopedic surgeon joint replacements and spine. Today I will be talking to you about total knee replacement. Knee replacement is the most common surgery which is being done these days it is also a surgery which has got a lot of bad name to it because of a few complications that are associated a few myths which are associated. I'd like to clear all those out today.
Before I start talking about knee replacements I would like to tell you something about the anatomy of the knee joint. (Displaying knee model) now this is the knee joint knee joint is a type of a hinge joint, a modified hinge joint, it has three compartments, it has the middle or the inner compartment the lateral or the outer compartment and the patella femoral compartment. now what basically happens in osteoarthritis that is the reason why we do a total knee replacement is that the joint it starts to age or it starts to degenerate, and as the joint degenerates this blue coloured cartilage cover it starts to go away, as the cartilage cover goes the joint tries to recover from this degeneration process and in doing so in the repetitive process these osteophytes which are like bony specules they are formed, now these bony spicules as they are getting formed they start pinching into the surrounding tissues, surrounding tissue means the ligaments, basically 4 ligaments are in the joint 2 of which are inside and 2 of which are outside. the outside ones are the lateral and the middle collateral ligament and the inner other anterior and posterior cruciate ligament now the first ligament to get involved is the medial collateral ligament which is on the inner aspect of the knee joint and there is tightening of this ligament which takes place as the recommend gets tightened this middle compartment it starts to tighten up and there is further rubbing of these bones as these bones are out this blue cartilage it goes away and the bone gets exposed and the raw bone Easter surfaces they rub against each other causing severe excruciating pain.
The patients come to us then they complain of pain when they are going up and down stairs they complain of funny sounds which are coming, they complain of difficulty and squatting difficulty in cross leg sitting. so this is the reason why you get all these pains. now Osteoarthritis is not the only reason why were doing knee replacements. knee replacements are also being done father causes like hemophilia, septic arthritis, septic arthritis means infections. a few other causes like imposed tuberculosis, again its an infection. now there are two types of knee replacement surgeries which are being don,e one is the unicondyler knee replacement and one is the total knee replacement, a unicondyler knee replacement what we do is we change only the middle aspect of the joint or the inner aspect of the joint and in total knee replacement we change the entire joint. now changing of the joint does not mean that we remove the bone from the top and bottom and we just put in a new knee, basically were just changing the damage surface so this is the model of a knee replacement surgery.
Basically there seven cuts which is involved in a total knee replacement the main cut being the table cut and the other cuts are the femoral cuts now the femoral cuts are again you know the distal anterior posterior the chamfer the box so once these cuts are done this is how the femur of the knee joint looks like of the implant. this is then fitted onto these cuts with the help of a bone cement and on the tibia we put a tibial plate which is again fixed with a cement and then we put a insert. the size of the cuts and the amount of bone which is being cut is generally decided inter operatively. the types of implants which are being used are different, the types of implants vary we have patient-specific implantations we have computerized implantations you know in which we can do computerised cuts during the surgery and we have high flex knees we have normal needs so huge variety of things which are coming. now coming to rehabilitation process after the surgery the rehabilitation process for you as a patient is the most important, see normally the patient requires two to three months to recover after the knee replacement.
We make the patient walk after 24 to 48 hours .now the reason why we are making you walk so early is so that we can get your knee to start moving we can prevent complications like DVT and we can start your physiotherapy for muscle strengthening as soon as possible. your physiotherapy will continue for at least two months after the surgery and you will be able to lead a completely normal life that is hardly any activity which is going to be restricted after your surgery, you can go for your cycling you can go for your mountaineering you can go for your running you can go for your walks, we will only advise you not to be squatting and not to be cross leg sitting other than these you will be allowed to do all other activities. the complication rates of the surgery has come down tremendously. about 10 years back the complication rates were much higher now the complication rates have really come down that is because the most common complication is infection. now infection the methods which we are using in this surgery they are better antiseptic methods that we are using, there are better barriers which are there in the hospital, better antibiotics so infection rates have come down. the other thing is the failure of the implants there is a much better understanding of how the knees functioning, there is a much better understanding of what the soft tissue balancing is required. so all these complications have really come down so I would advise you that
If you are really suffering from a lot of knee problem if you’re having to take a lot of painkillers if youre not being able to do your daily activity then you should get in touch with us and you start thinking of a knee replacement surgery. you can contact me and come and meet me at my clinic at dr Kheras wellness clinic, I am here everyday in the evening from 6 to 9. I am also available at Apollo spectra hospital, you can call text or video chat with me through Lybrate. Thank you.
Pain in the back can be due to a number of reasons. It may be habitual, occupational, sports-related, or idiopathic.
- Habitual pain is usually due to patients being habituated to a faulty posture.
- Occupational pain is related to professions, which require standing or driving for long hours or professions like dentists who need to have a bent posture for extended periods of time.
- Sports-related pain usually affects athletes or children who bend their back inadvertently during taking part in sports.
Apart from these, back pain may also occur due to unknown or unrelated reasons. Homeopathic is a great alternative compared to allopathic medicines because it has no side effects and the cure is long term. The several homeopathic medications that may be used for back pain are as follows:
- Sulphur: It is a great remedy for patients who have back pain due to a slouching posture and whose pain worsens when they stand up.
- Ruta Graveolens: It is the remedy of choice in cases the patient experiences stiffness in joint or muscles, accompanied with feeling of soreness and lameness all over the back.
- Aesculus: It is a good homeopathic remedy in cases of very low back pain, which gets worse when the patient tried to stand upright from a previously sitting position.
- Rhus Toxicodendron: It is a recommended medicine in cases of pain of the lower back, shoulders and neck. Pain is worsened by damp and cold weather and by movement. Relief to such pain is provided by massage, hot baths, and warm applications.
- Arnica: This homeopathic gel is popular for its good effect on soft tissues and muscular pain.
- Nux Vomica: It is a great remedy for cases where pain gets worse by damp and cold weather, especially at night and painful muscle cramps are experienced in the lower back.
- Ignatia: It is a good remedy for emotional distress and for pain in the muscles of the lower back.
- Natrum Muriaticum: It is indicated for use in the pain of the lower back, which gets better from lying down on a hard surface.
- Bryonia: It is recommended in cases of strong pain in the lower back that prevents the patient from even moving, turning from side to side in the bed, coughing, or making any kind of sudden movement.
- Kali Carbonicium: It is a good remedy for patients who have frequent and strong night pains, accompanied with increased back pain during menses.
In addition to these, there are other homeopathic remedies that are recommended in cases of back pain such as Cimifuga, Calcarea Carbonica, Calcarea Phosphorica, Dulcamara, etc.
In case you have a concern or query you can always consult an expert & get answers to your questions!