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Rheumatologist Centre

Rheumatologist Clinic

#6, Cowley Brown Road, R.S. Puram, Coimbatore Coimbatore
1 Doctor · ₹0
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Rheumatologist Centre Rheumatologist Clinic #6, Cowley Brown Road, R.S. Puram, Coimbatore Coimbatore
1 Doctor · ₹0
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About

We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Rheumatologist Centre
Rheumatologist Centre is known for housing experienced Rheumatologists. Dr. A. Mahesh, a well-reputed Rheumatologist, practices in Coimbatore. Visit this medical health centre for Rheumatologists recommended by 103 patients.

Timings

MON-SAT
10:00 AM - 02:00 PM

Location

#6, Cowley Brown Road, R.S. Puram, Coimbatore
R.S Puram Coimbatore, Tamil Nadu
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Doctor

Dr. A. Mahesh

Rheumatologist
Available today
10:00 AM - 02:00 PM
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I am suffering from severe insomnia for the last 15 years. Please give me remedy and save my life. I am only 36 years old.

BHMS
Homeopath, Chennai
I am suffering from severe insomnia for the last 15 years. Please give me remedy and save my life. I am only 36 years...
Insomnia is a sleep disorder in which a person finds it difficult to fall asleep or to stay asleep. Insomnia also includes poor sleep quality, restless sleep, waking up several times during sleep, and feeling un-refreshed or tired after waking up.  Homeopathy provides a very safe, effective and non-habit forming treatment of both types of insomnia — acute and chronic. Since the Homeopathic medicines are sourced from natural substances, there are no side-effects. While Insomnia lasting less than a month is considered acute, if the condition continues for more than a month, it is referred to as chronic Insomnia. There are various causes of Insomnia. The prominent ones are stress, grief, depression, emotional disturbance, intake of stimulants like coffee and alcohol, and a huge number of medical reasons (like heart diseases, breathing disorders, thyroid problems, and rheumatoid arthritis). Insomnia is also one of the major concerns in elderly people. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects Medicines will reach you via courier services.
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I had ACL reconstruction with meniscus repair on 11.11.2017. I have started trying to walk with both legs but find it difficult (pain and instability ).Is it necessary to use a braced knee cap ?Please advise.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
I had ACL reconstruction with meniscus repair on 11.11.2017. I have started trying to walk with both legs but find it...
After ACL reconstruction most patients can usually walk within 10 days. If it was an old ACL ligament injury it's possible that you have weak muscles which can take longer rehabilitation time. You should get help of a good physiotherapist. Whether knee brace is needed or not should be decided by your operating surgeon as he only knows the stability of your knee.
2 people found this helpful
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Doctor. Since two years knee pain is there we took consult from doctor but no relief. please help.

Physiotherapist, Latur
Doctor. Since two years knee pain is there we took consult from doctor but no relief. please help.
Use hot pack to the knee at the sight of pain Knee exercises Keep napkin fold below the knee and press it holf for 10 sec and repeat it for 10 times Ankle to toe exercises
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Doctor this is manju Mogri, my mother about 35 age suffering from joint knee pain since two years we shown to doctors but still we not get any relief please help.

BHMS
Homeopath, Navi Mumbai
Doctor this is manju Mogri, my mother about 35 age suffering from joint knee pain since two years we shown to doctors...
Ok start the homoeopathic medicine Ruta 30 liquid dilution 10 drops in half cup of water for 2 times a day for 3 days.
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I have hashimoto thyroiditis. I also have insomnia issue. I am not able to sleep more than 4 hour at night. please tell me solution to improve sleep. My TSH is in normal range.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
I have hashimoto thyroiditis. I also have insomnia issue. I am not able to sleep more than 4 hour at night. please te...
Take passiflora Q 10 drops twice a day and revert back for further treatment. SOME TIPS WHICH MAKES YOU FALL ASLEEP SOONER- 1. Stop watching the clock. Marking off the minutes only heightens your distress about being awake. 2. Try relaxing your body to fall asleep. Working from your toes to your forehead, tightly tense each muscle group for five seconds, then relax. 3. Find an uninteresting activity. Read something uninteresting. Listen to relaxing music. When you start to feel drowsy, go back to bed. 4. Create a consistent sleeping and waking schedule — even on the weekends and days off work. “What works best is going to bed at the same time and waking up at same time every day 5. Avoid consuming drinks or food with caffeine before bedtime. Abstain from caffeine for at least five to six hours before you plan to retire 6. Make your sleeping environment comfortable. The room should have a temperature that is not too warm or too cold. Find a mattress and pillow with a firmness level that you find restful. 7. One hour before bedtime, stop doing work or other mentally challenging tasks. Switch to something calming such as reading a book. 8. Use your bed only for sleep or intimacy. Do not watch television or play with electronic devices while lying in bed. Try the above things. For more queries contact us.
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I am suffering from insomnia and unwanted dreams. Unwanted dreams are comes whole night till my wakeup and it dreams are very dangerous e.g. Fighting to evil, someone is dead in my family etc. Kindly advise.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
I am suffering from insomnia and unwanted dreams. Unwanted dreams are comes whole night till my wakeup and it dreams ...
Dreaming is a symbolic language designed to communicate your inner wisdom to you while you are asleep. The part of your subconscious that processes dreams -- your dream self -- sends messages as symbols and images, which in turn conveys ideas or situations in a visual language. While many agree about what dreams are, there is still debate over why we actually dream. Most experts believe we dream to assist the body with rest, repair and rejuvenation. Others speculate that we dream for psychological reasons: to reexamine the day's events, to reduce and relieve stress, and to provide an outlet for pent-up emotions. Since the dreams are disturbing your sleep so you should learn some techniques of meditation, take rest, be hydrated, take nutritious and balanced diet, go for a walk or do some exercises. This will keep your thoughts calm. We have some good homeopathic medicines based on the types of dreams you see which prevents your sleep. So do consult some good homeopath and for my consultation contact me.
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Sir, I have joint pain. On seeing the scan report, the physician say, it is a osteoarthritis. Please advise the nature of treatment and medicine. I am 72 years old with controlled BP and Sugar level.

MPT, BPT
Physiotherapist, Noida
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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Know More About Arthritis

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Know More About Arthritis

    Arthritis Types and Risk Factors

The term arthritis means “joint inflammation,” and the most common types are known as Osteoarthritis (OA) and Rheumatoid arthritis (RA).

Arthritis is a complex family of musculoskeletal disorders consisting of more than 100 different conditions that destroy joints, bones, muscles, cartilage and other connective tissues, hampering or halting physical movement and causing pain.

While arthritis is not a single disease, its symptoms are often universal and are largely experienced as stiffness, soreness, inflammation and pain. Over time, the cartilage between the joints can begin to wear down, exposing the joint to friction. When two bones rub together, inflammation and pain can take place. Redness and swelling of the joints and loss of joint function soon follow.

While the most common form, osteoarthritis, is a result of external factors like physical injury or wear and tear of joints through overuse, this is not the case with rheumatoid arthritis. In fact, despite advances in science, the exact causes of RA are unknown … but certain risk factors have been identified:- genetics, age, weight, injury, occupational hazards, sports, illness or infection, stress, etc.

 

Now we will go through two most common types of arthritis: osteoarthritis (OA), rheumatoid arthritis (RA).

Osteoarthritis

Osteoarthritis most commonly type of arthritis which is caused by poor lifestyle. It is degeneration of the cartilage that cushions the area where two bones meet to form a joint. When the cushion wears out or cracks, the bones rub together, causing intense pain. In severe cases, the joints can develop calcifications. This means that calcium builds up on the bones and soft tissues, making them stiff and painful to move. The pain of osteoarthritis gradually worsens with use over the course of the day.

This type of arthritis occurs slowly over time and is the type that many runners, martial artists and construction workers begin to feel by middle age due to over-extreme use of joints.

Prevention is always the best medicine. However, reversing damage already done is also essential.

Rheumatoid Arthritis

Rheumatoid arthritis, on the other hand, is a chronic disease of the autoimmune system that causes inflammation of the synovial membrane (joint lining). This causes destruction and deformity of bone, cartilage, ligaments and muscle tissue.

RA commonly called “crippling arthritis” is a “systemic” disease. Besides the tissues around the joints, other areas RA affects include the glands of the eyes and mouth, the lining of the lungs and the pericardium. When inflamed, the tissue lining between the joints becomes red, painful and swollen. The frequency and duration of these “flare-ups” vary widely. After repeated episodes, chronic inflammation begins to cause damage to the surrounding tissue, cartilage and bone. Eventually this damage can lead to loss of cartilage and weakening of bones, resulting in painful and permanent destruction and deformities.

The second study offers even more hope as to the healing power of green tea for RA sufferers. Green tea, supplementation and relaxation techniques are powerful solutions for this disease.

Juvenile Arthritis

The autoimmune trigger of RA also affects children causing Juvenile arthritis (JA). Actually, JA is a term used to group the various autoimmune disorders affecting children 16 and under. While JA affects the joints, it also can affect the eyes, skin and gastrointestinal (GI) tract as well.

JA, while similar to RA, is more easily diagnosed. Again, this autoimmune disease is not precise in how, or whom, it affects, but inherited genes and external factors can trigger it in a child. If you have a family history of RA and your child shows red inflammatory joints.

The natural solutions and plan for JA are the same as for RA. The difference is that usually a parent or adult will have to manage the lifestyle changes in the home and keep the child on course with the plan.

 

There Is Hope!

People think that because they experience excruciating pain today, they will experience it tomorrow and keep experiencing it for the rest of their life. It is as if the trajectory of arthritis, to them, is inevitable, and therefore there is no hope. This does not have to be the case. Nothing about arthritis is “inevitable” if you understand the condition and take steps to control it.

People suffering with arthritis do not believe anything can be done to help ease their pain. Why? Because the drug-based therapies they have been following are not useful in providing a change to the condition – only symptomatic relief. Yes, immediate relief of pain or stiffness or inflammation is a good thing and drugs are the fastest means for that relief. However, there are two problems with relying on synthetic drug therapies over the long term.

Problem 1: The drugs and cortisone injections are toxic to the system, causing in some cases damage to the liver and stomach lining, weakening of the joint cartilage and the immune system, and GI tract issues.

Problem 2: Drugs do not change the course of the condition and thus, as the arthritis worsens over time, drugs that are more potent are needed, causing more toxicity and potentially damaging side effects.

The good news is that a multi-pronged approach to arthritis can do wonders, and even feel like a miracle to those suffering its nasty symptoms. Because there is no cure, it is extremely important to become proactive in managing, treating and slowing down the condition.

My age is 22 can I stay without surgery for ACL complete tear for life time because my knee slips not so much and the pain is little bit and while folding my leg I feel pain that's all.

BMS
Orthopedist, Tirupati
My age is 22 can I stay without surgery for ACL complete tear for life time because my knee slips not so much and the...
Acl reconstruction is not mandatory. If you are attending sports and late age some will get early osteo artritis. So acl reconstruction is not mandatory.
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What Precautions should the patient take when he is taking Exemptia 40injection course?

MBBS
General Physician, Mumbai
What Precautions should the patient take when he is taking Exemptia 40injection course?
Tips- At the time of taking the injection you should not be having any kind of infection and should be vitally stable and any vaccination prior to this should not be given
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My wife knee is making sound when she walks from yesterday when she saw movie in theatre. Please suggest n guide us.

MPT, BPT
Physiotherapist, Noida
My wife knee is making sound when she walks from yesterday when she saw movie in theatre. Please suggest n guide us.
Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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I've ACL complete tear problem in knee but can it be repair without surgery? Please advise me

BPTh/BPT, MPTh/MPT
Physiotherapist, Pondicherry
I've ACL complete tear problem in knee but can it be repair without surgery? Please advise me
For strengthening you should see a physiotherapy doctor nearby for about 7-10 days for your knee and hip muscles Edema Control: Cryotherapy. Strengthening: Entire lower extremity should be strengthened. Special attention should be paid to Quads, Hamstrings for the ability to help stabilize knee in lieu of an intact ACL and Hip abductors to maintain proper alignment of lower extremity. Closed Chain exercises are used for Quadriceps strengthening. Open Chain exercises that may cause excessive anterior translation of the tibia on the femur should be avoided. Joint ROM/ Muscle Stretching Proprioception Training Endurance Training Electrical Stimulation- To strengthen the VMO and to prevent development of patellofemoral dysfunction. ROM- Active and Passive of knee Stretching- Quads, Hamstring and ITB Balance Training- incorporating entire Lower extremity. Gait Training- Progressing from possible assistive device to walking, ascending and descending stairs and finally Jogging/ Running. Bracing- Derotational knee brace. Used during athletic activities. Frequency & Duration Outpatient Care: 2-3x/week for 2-3 months as indicated by patient’s status and progression.
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Severe pain in knees and rt feet due to flat foot. Recently got and x ray and report shows: degenerative changes knee joints (more on left side)

MBBS
General Physician, Mumbai
Severe pain in knees and rt feet due to flat foot. Recently got and x ray and report shows: degenerative changes knee...
For pain take tablet paracetamol 650 mg and plan to take physiotherapy treatment and follow up after a week
1 person found this helpful
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Rheumatology Patients - How They Can Manage Pain?

MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Rheumatology Patients - How They Can Manage Pain?

Rheumatoid arthritis is an autoimmune disorder. It affects the joints as well as the skin, lungs, heart, eyes and blood vessels. This condition is most notorious for the pain and discomfort it causes in the joints. Unlike osteoarthritis, it does not attack the cartilage but affects the lining of the joints.

This results in erosion of the bone tissue and can even cause deformities. There is no known cure for this condition and treatment is mostly focused on relieving the pain caused. Some of the ways to manage your pain are:

  1. Medication: Medication can help control the inflammation and pain caused by rheumatoid arthritis. Disease-modifying antirheumatic drugs or DMARDs are usually the first course of treatment. These may be accompanied by steroids and help reduce inflammation. The best medication to relieve pain is non-steroidal anti-inflammatory drugs or NSAIDs. In some cases, stronger pain relievers may be prescribed but these should be used cautiously. Excessive dependence on pain relievers can cause addiction.
  2. Change Your DietA diet rich in Omega 3 fatty acids can help control inflammation. In turn, this can help relieve discomfort and slow the progression of the disease. Cold water fish and fish oil supplements are rich sources of omega 3 fatty acids. In addition, it is important to have a well-balanced diet and to avoid excessive carbs and sugars that can lead to weight gain. It is important to note that heavier people suffer from more pain as their weight puts pressure on the joints.
  3. Exercise Regularly: Rheumatoid arthritis makes movements difficult and hence exercising may seem counterintuitive but this can help in the long run. Avoid high-intensity workouts and pick low-intensity activities like walking, cycling, swimming etc. Water aerobics is one of the best forms of exercise for rheumatoid arthritis. Yoga can also be very beneficial. Regular exercise is important but it is also important not to overdo it. Put exercising on hold during acute flare-ups and avoid doing anything that increases your pain. It is a good idea to consult a physical therapist to know what the best type of activity is for you.
  4. Hot and cold packs: Heat and cold therapy can help relieve pain immensely. A hot pack will help relax the muscles while the cold pack will numb the pain. Heat packs and cold packs can be used alternatively. Alternatively, you could soak the affected joint in hot water and cold water.
1 person found this helpful

Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

MS - Orthopaedics
Orthopedist, Hubli-Dharwad
Ligament Injury Of Knee - How Arthroscopic Surgeries Can Help?

Our knee is supported by several ligaments which help in movement. But what happens if you tear a crucial knee ligament? Tears or 'ruptures' in ligaments of the knee are common in sportsmen and/or accident victims, especially of the anterior cruciate ligament (ACL).

Though the ACL is not the only ligament of the knee, it is one of the most crucial to maintain stability of the knee joint. Any tear of this ligament frequently leads to chronic knee instability. When a tear in this ligament happens, patients know it immediately as they report feeling or hearing a “pop” along with pain and a feeling of an unstable knee.

Types of ACL injuries
ACL injuries can be classified by the amount of damage to the ligament. They can be partial or complete tears.

  • Grade I Sprain: In this there is some stretching and micro-tearing of the ACL, but it is otherwise intact. This does not require surgery.
  • Grade II Sprain or partial disruption: In this there is some tearing and separation of the ligament fibres and the ligament is partially disrupted. Usually, the knee joint is also moderately unstable. Arthroscopy surgery may be required.
  • Grade III Sprain or complete disruption: In this, there is total rupture of the ligament and the ligament is completely disrupted and the joint is unstable. Surgery is usually recommended for the young and active.

Treatments
There are many different ways that this ligament can be reconstructed depending on the age, activity level, and gender of the patient. ACL tears can be treated using arthroscopy and minimally invasive surgical techniques.

Though non-surgical methods are available, like rehabilitation and physical therapy, they don’t help much with complete ACL tears.
1. Exercises- this helps to increase the range of motion of the injured knee, decrease the amount of swelling, and maintain muscle control.
2. Arthroscopic surgery for reconstruction of the ACL

It can be of 2 types- Repair and reconstruction of the ACL.

  • A repair means that the injured ligament is left in place and the doctor tries to fix it back to the tibia or femur bones of the leg from which it has torn. This is a half-baked option as it does not restore full knee function.
  • A reconstruction, on the other hand, means that the ACL is substituted by a new ligament. The surgeon creates a soft tissue “graft” and uses it to reestablish knee stability. The body populates the graft with living cells and permanently attaches it in place. And, it usually takes about 4 to 6 months for the graft to start functional like the real ACL. Reconstruction surgeries help patients to get back to the same or higher degree of activity without pain or instability. The ‘graft’ usually comes from 2 sources
    • Taken from elsewhere in the patient’s body, called an autograft
    • Donated by donors, called an allograft

Knee arthroscopic surgery is a minimally invasive surgery which is done using pin hole cameras and under general or local anesthesia. The torn ligament is removed and the graft is introduced in its place and secured.

Post surgery outlook

  • Immediately after the surgery, the patient is placed in a brace. He or she can leave the hospital the same day if he/she wants.
  • The patient has to use crutches for preventing putting weight on the operated leg.
  • After-care is crucial for full functioning of the operated knee. The early postoperative period is devoted to restoring motion and decreasing swelling. After this the focus shifts to strengthening the knee joint.
  • The recovery of function following an arthroscopic ACL reconstruction continues over a few months and it usually takes 2-3 months for the patient to feel normal.

As long as the operated knee is cared for properly and other injuries are avoided, the benefits of the surgery are usually permanent.



 

ACL Reconstruction

3 people found this helpful

My mother is 49 years, is suffering from OA and currently she is having pain in both Knees and in calf region and ligament cramp. Doctors advised for knee replacement. But we are somehow unable to do it. She is taking Cartigen Duo 1 tab OD. May it is better to take Adesam 400 mg BD?

Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Do hot and cold formentation on knee and calf muscles and do quadriceps exercise. Cartigen should continue for six months it will help.
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I have a nerves pain at knee back side and total body numbness. Which medical test is give best out put result. Before consult doctor.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have a nerves pain at knee back side and total body numbness. Which medical test is give best out put result.
Befor...
Hi Devaraju... Here we give some health suggestion and not whole treatment... The pain you are having may be because of sciatica.... and it is my advise to take proper treatment... otherwise it can turn into something serious.... Still if you want to keep trying then take homoeopathic medicine.. Lachesis 30 tds for one day..
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I am suffering from severe knee pain. I am not well to do and go for surgery. Pl help me.

BAMS
Ayurveda, Surat
I am suffering from severe knee pain. I am not well to do and go for surgery. Pl help me.
Hello lybrate-user. Take. Tab. Mahayograj guggulu 2 - 0 - 2 Tab. Mahavatvidhwansan ras 2 - 0 - 2 Syp. Maharasnadi kwath 2 - 2 - 2 chandanbalalakshadi oil for massage.
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I am 61 years old. Suffering with knee pain since 2 yrs. Using "ayurved medcin. Nucart-oa 2 tabs 3 times daily since 10 days. Is this useful? As I tried many allopathy medicines and failed.

BAMS
Ayurveda, Surat
I am 61 years old. Suffering with knee pain since 2 yrs. Using "ayurved medcin. Nucart-oa 2 tabs 3 times daily since ...
Hello. lybrate-user. Take. Tab. Mahayogeaj guggulu 2 - 0 - 2 Tab. Mahavatvidhwansan ras 2 - 0 - 2 Syp. Maharasnadi kwath 2 - 2 - 2 Chandanbalalakshadi oil for daily massage. Ashwagandha churn 2 tsp 1 - 0 - 1 with milk.
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