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Dr. Vijayaragavan

MBBS

Orthopedist, Chennai

400 at clinic
Dr. Vijayaragavan MBBS Orthopedist, Chennai
400 at clinic  ·  ₹ online
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Vijayaragavan
Dr. Vijayaragavan is a trusted Orthopedist in Porur, Chennai. Doctor has done MBBS. Doctor is currently associated with Sri Ramachandra Medical College And Research Institute in Porur, Chennai. Book an appointment online with Dr. Vijayaragavan on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 42 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.1, Ramachandra Nagar, Porur. Landmark: Near To Porur Bus Stop, ChennaiChennai Get Directions
400 at clinic
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No.1, Ramachandra Nagar. Landmark : Near Ponnaiamman Koli StreetChennai Get Directions
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Iam suffering from RA since 2 years whether there is any permanent treatment is there.

MBBS, MD - Internal Medicine, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist
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Mr. Kumar, Rheumatoid Arthritis does not have a permanent cure. Only 8 to 14% of patients may get back to normal that too within first 4 years of the disease. Go through this article for brief knowledge of Rheumatoid Arthritis Vital notes: RA is a chronic debilitating joint disease that affects small joints of hands and foot. More common in females aged 20 to 50 years. It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years. It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately. Untreated disease may cause deformity of hands and foot causing deterioration of quality of life. Erosion of small joints along with loss of entire joint architecture is the basic disease process. Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic. Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids. Difficult diseases are treated with costly injections called biologics. The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “ Lung and cardiac complications are common in long term disease. Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.Introduction: Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon. The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity. This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment. What are the symptoms? Symptoms vary from person to person and also from early stage to late stage of the disease. In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results. In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm. In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful. A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat. Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease. What is the difference between Rheumatic Fever & Rheumatoid Arthritis? There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis. Why Penicillin injections are given on a monthly basis? Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist. How is Rheumatoid Arthritis diagnosed? Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course Does each and every patient of rheumatoid arthritis develop crooked hands and foot? No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease. How Rheumatoid Arthritis is treated? Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage. Cessation of smoking is mandatory. Smokers tend to develop early joint destruction Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs. Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below. Why I am being given Steroids? Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment. Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month. What are Biologic agents? Why they are so costly? Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started. Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.
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Sir. From 1 month I observe that when I move my body parts. Sound come from that joint where movement have been done. What could be the reason for this and should I do to get rid of that.

BPTh/BPT
Physiotherapist
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Sir. From 1 month I observe that when I move my body parts. Sound come from that joint where movement have been done....
Back pain or HIP PAIN k liye back isometrics exercise kijiye or hot fragmentations kijiye. For word bandings mat kijiye. Long time ek hi positins m mat rahiye. Breegings exercise bilateral or single leg rotation kijiye phle without weight kijiye fir 1-2kg weight cuff se kijiye rotations kijiye leg single -single than avoide kijiye stair clabbings sweelings ho to ice ki massage kijiye back pain ko ap darr mat smjiye ap low back belt bi use m laa sakte h vo kisi bi tarah k jurck se apko bacha ti h deep breathing exercise kijiye I hope get well soon… thnx. Shoulder pain or elbow pain or HAND PAIN k liye ap ice massage kijiye … jurck se bachiye or shoulder wheeler exercise kijiye. Clapping kijiye. Sweeling aye to ice massage kijiye ……rotation krte rahiye. Elbow m pain ho to ap ultra sound lgaiye 4-10 days pulley exercise kijiye or weight cuff bandh kr 1-2kg k weight cuff se pendullaer exercise kijiye…. I hope get well soon thnx. Wrist pain k liye stimuleter ka use kr sakte h …. Or fingers k liye mobilization bi krsakte h I hope get well soon……thnx Leg pain k liye calf stretchings or periformis stretchings or T. F. L stretching ilio psos muscles ki stretching kijiye sweelings ho to ice pack kijiye or sweeling nhi ho to hot pack ka use ap kijiye. Heel track kijiye… weight cuff 1-2kg use kijiye or leg exercise kijitye hips up nd down exercise kijiye…. Walking kijiye phle edii rakiye fir panjaa rakijiye 6-9 kaadaam chalet huye apni walking ki capacity incress kijiye daily 1000 kaadaam ap chaliye …deep breath lijiye pani jada se jada pijiye ……. Long sitting, standing, clambing avoide kijiye I hope ap jaldi ache ho jayege thnx. KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx……

Sir my brother age 28 is suffering from spondylitis problem right side leg and spinal pain what is the treatment for this please suggest.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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Sir my brother age 28 is suffering from spondylitis problem right side leg and spinal pain what is the treatment for ...
do hot fomentations and stretching exercise of back and legs.avoid toward bending lifting weight.. posture correction must. tk calcium supplements

Hi. This is renu I am a 31 yes female. I have a back pain from last 2 years. I have taken so many treatment but I didn't get any response. Can you please help me out reg. This.

BPTh/BPT, MPTh/MPT
Physiotherapist
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Hi.
This is renu I am a 31 yes female. I have a back pain from last 2 years. I have taken so many treatment but I did...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.

I am working a sitting job in my office past 4 years now I have lots of back pain. I am daily eating pain killer tablet. How can I cure 100% on this.

BHMS
Homeopath
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I am working a sitting job in my office past 4 years now I have lots of back pain. I am daily eating pain killer tabl...
Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for a week and update. *take rest or move about once in 1-2 hours in case of working in a constant position. *maintain a good posture while reading or working with computers. *take a high fibre content diet like vegetables, fruits, etc.
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My grandfather leg was paining so much what medicine or any oil is there for it.

MS - Orthopaedics, MBBS
Orthopedist
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X rays of both knee joints (digital) rule out high blood pressure or any other kidney problem do hot fomentation keep a pillow under the legs at night &/when resting. Any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1 tab odx10days do knee exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. You will need other supportive medicines also. Do ask for detailed treatment plan. Don? t ignore. It could be beginning of a serious problem.
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I have pain in my legs its swelling is increasing day by day. I had shown to many specialist's bt its swelling is not decreasing. And my back spinal chord too pains a lot please help me out.

MD(EH)/AM/Accupressure
Acupressurist
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I have pain in my legs its swelling is increasing day by day.
I had shown to many specialist's bt its swelling is not...
You should take belladona 200 thrice a day first only one day three drops in water. Apply belladona q on your legs at night and see the inprovement.
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Hello sir , This is saransh Tripathi. Please give me a precise advice I am not feeling well from last 4-5 days because when I wake up in morning my left leg is getting pain Atleast for 2-3 hours. I am waiting for your valuable advice Please reply asap.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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Hello sir , This is saransh Tripathi. Please give me a precise advice I am not feeling well from last 4-5 days becaus...
Tk muscle relaxant medicine do rest avoid long standing and equal balance on both legs hot fermentation twice a day. Do spine and legs stretching exercise otherwise physiotherapy treatment must for relief.

I am unable to breathe sometimes and I am getting tired easily. I am also having joint pain and bad breathe what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I am unable to breathe sometimes and I am getting tired easily. I am also having joint pain and bad breathe what shou...
Homoeopathic medicine adel-4 (adel) drink 10 drops in 20 ml fresh water 3 times daily nux vomica 30 (dr reckeweg) drink 2 drops direct on tongue twice daily rinseout (sbl) gargles 20 drops in 20 ml luke warm water. Gargles 3 times daily while holding water for 20 seconds in mouth immediately after meals. Hekla lava tooth powder (wheezal) scrub teeth daily night haemocal (sbl) chew 4 tab twice daily vitamin-d plus (bakson) chew 1 tab daily exercise-20-30 minutes standing cycle report after 30 days.

My wife is aged 50 years. She get crunches in the legs in the evening normally. She is a teacher in a school in which she moves from ground to second floors two to three times in a day. Kindly advice some medicine for stopping crunches in the legs.

BPTh/BPT
Physiotherapist
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My wife  is aged 50 years.  She get crunches in the legs in the evening normally.  She is a teacher in a school in wh...
Hi I can understand your problem. *take rest *increase fluid intake *gently stretch or massage your leg muscle. * apply heat to tight muscles or cold to tender muscles. * keep moving, do not stand for long. * there are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.

Hi I am 25 year old male I am suffering from back pain.Please help

Diploma In Orthopaedics (D. Ortho)
Orthopedist
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Hello . Back pain is very annoying but also very common. At your age it seems most probably coz of bad postural habits. Pls let me know some points. Do you have a history of tb? do you get tingling in legs? do you have any fall or trauma? how much do you daily drive?

I am 28 year old having pain in joint give solution.

MS Orth, Fellowship of the Royal College of Surgeons (FRCS)
Orthopedist
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Joint pains at young age require evaluation for connective tissue and blood related disorders like rheumatoid arthritis. Consult a rheumatologist.

Can you please tell me the treatment for frozen shoulder. Having pain in right shoulder while moving up & back. what to do?

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist
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Can you please tell me the treatment for frozen shoulder. Having pain in right shoulder while moving up & back. what ...
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. 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. Inform after 5 days.
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My age is 40 years old and I have problem in my back. I feel back pain. Please give me some advice to resolve this problem.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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My age is 40 years old and I have problem in my back. I feel back pain. Please give me some advice to resolve this pr...
Hi thanks for your query and welcome to lybrate.You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Hello sir, I am little fat, so I feel pain in my back bone when I sleep after my daily work. So I am not sure, what else can I do. Can you please help me about it.

MSc
Dietitian/Nutritionist
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Hello sir,  I am little fat, so I feel pain in my back bone when I sleep after my daily work. So I am not sure, what ...
To reduce fat you need to be particular about food choices & timings. Eat small & frequent meals. Include high fiber foods in your diet such as whole cereals & whole pulses. Drink plenty of water. Avoid refined foods from your diet such as maida, pasta. Keep check on your food intake.
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I am a 26 year old male. And, I have a backache for past few months and found disk bulge is the problem. Currently im doing physio exercises morning and evening and pain is somewhat under control. I used to commute via bus which takes more than one hour of sitting and if I take two wheeler I can reach in 35 mins. Which is the better option for me?

MBBS, MS - Orthopaedics
Orthopedist
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I am a 26 year old male. And, I have a backache for past few months and found disk bulge is the problem. Currently im...
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.

I am 28 year old boy and I have back pain from last 3 years try most of medicine and doctor but they did not work so please suggest me what I have do.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am 28 year old boy and I have back pain from last 3 years try most of medicine and doctor but they did not work so ...
. 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.

There is pain in my elbow joint. And back pain is also. What should I do?

MS - Orthopaedics, MBBS
Orthopedist
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Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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 fomantation 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 that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.

I am suffering from neck pain from a week. Can you tell me medicine for that or any neck exercise.

BHMS
Homeopath
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Homoeopathic treatment- mag phos 6x -4 pills 3 times calcivita syrup 2 spoonful 3 time. For 8 days and revert back.
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