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Dr. Tholkapiyan

Orthopedist, Chennai

Dr. Tholkapiyan Orthopedist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Tholkapiyan
Dr. Tholkapiyan is a renowned Orthopedist in Kodungaiyur, Chennai. You can meet Dr. Tholkapiyan personally at Pavithra Hospital in Kodungaiyur, Chennai. Book an appointment online with Dr. Tholkapiyan on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 25 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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No 7, Ethiraj Swamy Salai, Kodungaiyur, Landmark: Opp To Malaysia Mahal, ChennaiChennai Get Directions
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My back is paining from frequently from last last week, earlier it pains sometimes but now it pains even I lay down on my bed or sit on a chair. What should I do?

BHMS
Homeopath, Delhi
My back is paining from frequently from last last week, earlier it pains sometimes but now it pains even I lay down o...
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little water) thrice a day for a week. 2. Rhus tox 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines.
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I have pain in my legs. Please advise.

MS - Orthopaedics, MBBS
Orthopedist,
Kindly show me a photographof 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 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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I am gulfam ahamad 24years old male & have back pain for last 4 months. What should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am gulfam ahamad 24years old male & have back pain for last 4 months. What should I do?
Do Take IFT and laser Therapy for 10 days followed by strengthening exercise From Neuro physiotherapist Best Wishes
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I am feeling pain in my neck. Sir please give me solution to this problem and tell me can this problem is serious for health?

MBBS
General Physician, Cuttack
1.Take crocin 500mg one tablet sos after food upto a maximum of 3 tablets daily 2.Apply volini gel twice daily 3.Give warm compress locally 4. Take rest If you have recurrent attack of neck pain a)Take X ray cervical spine to exclude spondylitis and consult orthopedic specialist b)Sometimes It could be due to bad sitting posture while reading or working on computer. Adopt proper sitting posture, put neck rest, use soft pillow while sleeping c) Consult me for further advice
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Hello Doctor, how to set my duck feet. When I am walking my feet are going outwards which makes my walking style quite hateful. Is there any way to set this?

BPTh/BPT
Physiotherapist, Gurgaon
Hello Doctor, how to set my duck feet. When I am walking my feet are going outwards which makes my walking style quit...
You can put medeal arch support inside your shoes. Do calf muscle streching. Put weight on your lateral side of foot always. Try to put your feet on inward position when you walk. Don't lock your knee when you standing.(hyperextension)
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Good evening doctors! My mother is suffering with cervical spondylitis. Her nerves have been blotting when she is doing any stressful work. Her nerves are so weak sometimes. So what is the best medication and remedy.

BPT
Physiotherapist, Gurgaon
Good evening doctors! My mother is suffering with cervical spondylitis. Her nerves have been blotting when she is doi...
In cervical spondylitis, there is a degeration of spine. Which results in these symptoms. Try taking physiotherapy for this. Regular neck exercises (isometrics and stretching) would also help.
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Help doctors, My sister has got chikungunya before 2 years. She has been diagnosed at that time. But now for the last 2 months, she is suffering from severe pain in hands and legs. She even can't lift weights or vessels in kitchen. Please tell her some medicines or treatment to treat the pain.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Help doctors, My sister has got chikungunya before 2 years. She has been diagnosed at that time. But now for the last...
Do contrast bath therapy twice daily. Take hot water in one bowl & cold in another. Both temperatures should be bearable by the patient. First immerse hands in hot water for 3min then move to cold water for 1min, keep repeating for 20min. While hands will be in water keep moving hands actively. Squeeze smiley ball & hold for count of 3 then relax, 25 repetitions twice daily
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She is suffering from back lower pain from last 2-3 years. Doctors suggest for the operation. Now what to do.

MS - Orthopaedics, MBBS
Orthopedist, Pune
She is suffering from back lower pain from last 2-3 years. Doctors suggest for the operation. Now what to do.
Hello lybrate user, back pain that is associated with day time sedentary jobs like computer professional s are associated with paraspinal muscle spasms. The best way to tackle this sort of pain is to do well spaced stretching exercises of the back, back extension exercises, using hot water bags to provide relief and avoiding stooping posture while sitting. Posture also plays a very important part in back pain, always maintain a straight posture while sitting. While getting up from the bed try to first go on your left or right side of the body and get up side ways. Avoid cruntches or sit-ups: they may increase the pressure on your back and may predispose to slip disc. Always maintain a healthy lifestyle in terms of regular brisk walking, meditation, eating healthy. P. S: try to avoid pain killers (analgesics) as much as possible as many are associated with side effects that you may not be aware of. Stay healthy. Stay happy god bless you.
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I have pain in my leg because when I play cricket in my childhood, my leg got sleep and have a pain in my leg and upto now I am suffering from this problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in my leg because when I play cricket in my childhood, my leg got sleep and have a pain in my leg and upt...
Lie on the back, supporting the thigh with the hand or with a towel wrapped around it. Slowly straighten the knee until a stretch is felt in the back of the thigh, trying to get the bottom of the foot to face the ceiling, one leg at a time. Hold the position initially for 10 seconds, and gradually work up to 20 to 30 seconds.
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BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
Herniated disks or bone spurts in the vertebrae of the neck may become the reason behind severe neck pan. They sometimes take too much space and compress the nerves branching out from the spinal cord.
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Hi I am mukesh kumar 38 years old I am working as a Teacher when I stand long period in class then I feel pain in my knee please suggest me a solution.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Hi I am mukesh kumar 38 years old I am working as a Teacher when I stand long period in class then I feel pain in my ...
You need exercises for knee joint strengthening and core strengthening. Some medicines will help along. Calcium and vitamin d plus cartilage regeneration medicines. Exercises are of prime importance.
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Hi I am 28 year old. I have a problem with my knees. Slight deformity(knock knees). Due to which I often feel stress in my legs. So I would like to get fixed of this prob through surgery. So what would be the cost?

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
For state of the art quality surgeries at unbelievably low rates, kindly consult us on http://www.walawalkarhospital.com/html/costcomp/ or contact Dr. Sunil nadkarni who is one of the best ortho surgeon in the world.
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OSTEOPOROSIS : PREVENTION AND TREATMENT

Fellowship In Arthroplasty and Arthroscopy, MS Orthopaedics, MBBS
Orthopedist, Gurgaon

Case 1 : A 65yr old women develops severe pain in the lower back while trying to lift her grandson from the floor. She was then rushed to the hospital and on investigating was found to have osteoporotic collapse of lumbar vetrebrae.

Case 2 : A 72 yr old female sustained a small twisting jerk while walking over the uneven surface and developed sharp pain in the hip region followed by difficulty in walking and when examined was found to have fracture in the hip.

These cases are just to exemplify that Osteoporosis may not cause any apparent symptoms. Patients may not know they have osteoporosis until they break (fracture) a bone.

Osteoporosis is defined as a systemic skeletal disease characterised by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. Although the diagnosis of the disease relies on the quantitative assessment of bone mineral density, which is a major determinant of bone strength, the clinical significance of osteoporosis lies in the fractures that arise.

Common sites for osteoporotic fracture are the spine, hip, distal forearm and proximal humerus. The remaining lifetime probability in women, at menopause, of a fracture at any one of these sites exceeds that of breast cancer.

Osteoporotic fractures are a major cause of morbidity in the population. Hip fractures cause acute pain and loss of function, and nearly always lead to hospitalisation. Recovery is slow, and rehabilitation is often incomplete, with many patients permanently institutionalised in nursing homes. Vertebral fractures may cause acute pain and loss of function but may also occur without serious symptoms. Vertebral fractures often recur, however, and the consequent disability increases with the number of fractures. Distal radial fractures also lead to acute pain and loss of function, but functional recovery is usually good or excellent.

A dual energy X-ray absorptiometry (DEXA or DXA) scan can be used as a screening test for osteopenia (bone loss that precedes osteoporosis). This test measures bone density in the hip, wrist and spine and is more precise than an X-ray.

The National Osteoporosis Foundation recommends the following groups of people should have Dual energy X-ray absorptiometry (DEXA or DXA) scans to screen for osteoporosis:

All women age 65 and older

All postmenopausal women under age 65 who have risk factors for osteoporosis

Postmenopausal women with fractures

Women with a medical condition associated with osteoporosis

How Is Osteoporosis Treated and Prevented?

There is no current cure for osteoporosis. Osteoporosis treatment involves stopping further bone loss, and strengthening bones that show signs of weakness. Prevention of osteoporosis is key.

Prevention and Treatment:

1. Exercise : Exercise is important in helping improve muscle strength and balance. Consult your doctor for the type and duration of exercise that is right for you

It is also important to consider other medical problems that may also be present (heart disease, diabetes, high blood pressure) before starting any exercise program.

2. Quit Smoking and Curtail Alcohol

3. Calcium Supplements

4. Calcium-Fortified Foods

5. Vitamin D


Treatment: Medications

There are several types of medications used to treat osteoporosis.

Antiresorptive drugs

Menopausal estrogen hormone therapy.

Selective estrogen receptor modulators (SERMs).

Anabolic drugs: these are the only drugs that actually build bone mass. Teriparatide, a form of parathyroid hormone, is one example of this type of drug

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I had been tested for vitamin d and Tsh levels approx 3months back. My vitamin d levels were less than 10 and Tsh levels were 5 (normal range as per lab: 4.9) Since then I have been suffering from muscle pain and cramps during mensuration. This time I faced a lot of neck pain during mensuration. Notes: I have taken vitamin d supplements but no medicine for thyroid.

BAMS
Ayurveda, Ambala
* Neck pain occurs due to wrong posture or due to strain on your neck muscle . Check your posture , do not bend your neck excessively and when you work on your laptop or computer after half hour of working move your neck slowly in clockwise and anticlockwise direction . * Do neck massage with lukewarm mustard oil . * Do not take pillow of high hight during sleeping Or avoid to take pillow . * In diet vegetable protein of cereal , B complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
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I have pain in bone below knee and some swelling.

BPT
Physiotherapist,
Dear patient! It might be possible you are suffering from Osteoarthritis/Rheumatoid arthritis.In early stage ,they causing pain below knee. Advised to apply on knee Paraffin wax for 20 to 25min.Daily for two weeks.And after this you should go for static quadriceps n sitting quadriceps strengthening exercises daily. Use to apply Volitra gel after hot fermentation. Contact me: Dr.B.B.Pandey (Physiotherapist) noida [Automatically added by Lybrate] Click "Consult Dr.B.B.Pandey" below to consult privately with the doctor.
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I have a pain on my backbone I get this injury by playing. When I want to sleep the pain disturb me what ido please tell me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I have a pain on my backbone I get this injury by playing. When I want to sleep the pain disturb me what ido please t...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days.
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I want to know about exercises being done in case of diffuse disc bulge at l1-l2 level indenting anterior the cal sac mildly with bilateral mild neural foraminal narrowing.

Diploma in Radio-Diagnosis
Radiologist, Shimla
If pain is there no exercise indicated, after relief mild passive exercises, lumber exercise, lumbo-sacral exercise, mild lumber extension exercise; click on private quastion in my name for any clarification.
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I am 31 years old female and I have dark circles around my eyes since before marriage. And also tell me after 30 which multivitamins or calcium tab should take coz I have little bit knee pain and back pain. Thanks.

BPTh/BPT
Physiotherapist, Mumbai
I am 31 years old female and I have dark circles around my eyes since before marriage. And also tell me after 30 whic...
Hi apart from supplements you should start physiotherapy and learn spine mobility and strengthening exercise from physio. Do reply for private consultation and detailed treatment plan.
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