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Dr Deepak Maheshwari

Orthopaedic Clinic

AD-80a, Shalimar Bagh. Landmark: Near Ring Road. Delhi
1 Doctor
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Call Clinic
Dr Deepak Maheshwari Orthopaedic Clinic AD-80a, Shalimar Bagh. Landmark: Near Ring Road. Delhi
1 Doctor
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Our medical care facility offers treatments from the best doctors in the field of Orthopedist . Customer service is provided by a highly trained, professional staff who look after your co......more
Our medical care facility offers treatments from the best doctors in the field of Orthopedist . Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Dr Deepak Maheshwari
Dr Deepak Maheshwari is known for housing experienced Orthopedists. Dr. Deepak Maheshwari, a well-reputed Orthopedist, practices in Delhi. Visit this medical health centre for Orthopedists recommended by 107 patients.

Timings

MON-SAT
10:00 AM - 01:00 PM 06:30 PM - 08:30 PM

Location

AD-80a, Shalimar Bagh. Landmark: Near Ring Road.
Shalimar Bagh Delhi, Delhi - 110088
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Doctor in Dr Deepak Maheshwari

Dr. Deepak Maheshwari

MS - Orthopedist
Orthopedist
18 Years experience
Available today
06:30 PM - 08:30 PM
10:00 AM - 01:00 PM
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Vertebroplasty - How It Can Help Manage Pain?

MBBS, MD, M.N.A.M.S(Anaesthesiology), FWACS
Pain Management Specialist, Delhi
Vertebroplasty - How It Can Help Manage Pain?

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material.

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

  • Local anesthesia is given in the area that needs to be operated
  • A biopsy needle is inserted into the fractured space with the help of an X-ray
  • The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
  • The needle is removed and the incision is covered with a bandage
  • Usually the patient is sent home in an hour’s time unless the overall condition is really bad
  • There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
  • There is also improvement in mobility while doing daily chores
  • The pain relief can last up to 3 years after the procedure
  • Returning back to normal activities takes about 3 to 4 days after the procedure

When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Benefits of using vertebroplasty for managing pain 

  1. Minimally invasive
  2. Effective way to get relief
  3. Improves mobility
  4. Cost-effective
  5. Reduces need for long-term use of painkillers
  6. Stabilizes the spine and prevents further collapse

In case you have a concern or query you can always consult an expert & get answers to your questions!

Please suggest. Bone fine calcium capsule indegrands is good? What should be given in bone fracture?

ms orthopaedics, mbbs
Orthopedist, Noida
Please suggest. Bone fine calcium capsule indegrands is good?
What should be given in bone fracture?
Calcium rich foods like milk, paneer etc You can take any calcium supplements, all have routine ingredients only.
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Early Signs of Strain

BPTh/BPT, MPT
Physiotherapist, Pune

Don't ignore the early signs of strain injury like weakness of the grip, numbness, and pain or discomfort in the arms, hands, wrists or shoulders.

9 Causes Behind Sciatica You Need To Know

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
9 Causes Behind Sciatica You Need To Know

Sciatica refers to the pain one experiences due to the irritation or compression of nerve roots contributing to formation of Sciatic nerve. The sciatic nerve is the longest and widest nerve in the body, running from the lower back, down to the back of each leg. The pain can occur in the lower back and spread to the hips, buttocks and leg. Sciatica generally affects one side of the body. There are numerous causes of irritation of the sciatic nerve and sciatica.

Some of them are:

  1. Spinal Stenosis: The narrowing of the spinal canal caused by natural wear and tear of the vertebrae (individual bones in the spine protecting underlying nerves) of the spine is known as spinal stenosis. The narrowing may put pressure on the roots of the sciatic nerve, causing pain.
  2. Herniated Disc: A disc is made up of cartilage and acts as a cushion between vertebrae, allowing flexibility of the spine. A herniated or slipped disc occurs when a disc is temporarily pushed out of place, putting pressure on the sciatic nerve.
  3. Spondylolisthesis: It is a condition where one of the lower vertebrae slips forward over another. This also causes a collapse of the disc space between both, causing the nerve to get pinched. This may cause sciatica.
  4. Piriformis Syndrome: Piriformis is a muscle found deep inside the buttocks, which connects the lower spine to the upper thighbone, running directly over the sciatic nerve. Spasming of this muscle can pressurize the sciatic nerve, triggering symptoms of sciatica.
  5. Sacroilitis: Sacroillac joints are the place where the lower spine meets the pelvis and inflammation of one or both of these joints causes sacroilitis. This can give rise to symptoms of sciatica as it causes pain in the lower back, buttocks and legs.
  6. Spinal tumors: Very rarely, tumors growing inside or along the spine may put pressure on the sciatic nerve.
  7. Infection or injury: Muscle inflammation, infections, fractures or any other spinal injury may lead to irritation or compression of the sciatic nerve.
  8. Pregnancy: Pregnant women may suffer from sciatica due to weight gain, expansion of the uterus or increased fluid retention or other changes occurring in the body, which put pressure on the sciatic nerve.
  9. Other causes: Osteoarthritis and fractures caused by osteoporosis may also affect the sciatic nerve, producing symptoms of sciatica.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

How To Control Pain After Knee Replacement?

MBBS, MS - Orthopaedics, Fellowship Joint Replacement Surgery
Orthopedist, Delhi
How To Control Pain After Knee Replacement?

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!

How to increase bone strength I want to increase my cartilage because an as offering with knee pain severely.

MS Orthopaedic
Orthopedist, Vadodara
How to increase bone strength I want to increase my cartilage because an as offering with knee pain severely.
You should consult Orthopaedic doctor to rule out any ligaments injury of knee. If it's OA knee then you can take medication for cartilage Tab cartigen Duos twice day for one mth then after follow up you can continue it.
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Hands and feet are cold and tingelling. Feel slight heaviness in left chest, not able to sleep properly due to hands numbness specially. Internal organs give mild temporary pains, have fatty liver, weakness, previously faced erectile dysfunction now solved. Feel heaviness in left chest as well Is it due to poor blood circulation or calostrole? Or anything else.

BAMS
Ayurveda, Thrissur
Hands and feet are cold and tingelling. Feel slight heaviness in left chest, not able to sleep properly due to hands ...
It is best to go for blood routine test and also check your cholesterol levels. Cold hand s and feet usually is due to poor blood circulation and can improve with exercising. But be sure to do your blood routine to check if there no signs of any infections like chest infection or so .if at all there is a feeling of having fever in the evenings or at night also indicates infections. Better to see a doctor and get the tests done.
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I'm 46 years old women ,from past 3 months I'm suffering from pain in neck on the left side and also left shoulder n head. When I try rotate my head I hear cuttcutt sound. Can you please help me regarding this issue. Is it serious?

BHMS, PGDPC
Homeopath, Nashik
I'm 46 years old women ,from past 3 months I'm suffering from pain in neck on the left side and also left shoulder n ...
Don't worry Take homeopathic medicine for best results 1) Ruta 30.4 pills at morning 2) Hypericum 30.4 pills at night for 1 months.
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Dear sir /madam My recent whole spine MRI shows cervical discs are black colour less fluid which dehydrated and my ulnar nerve getting compression with numbness in little & ring finger Kindly suggest the best medicine for my problem Thanking in advance.

BHMS, PGDPC
Homeopath, Nashik
Take homeopathic medicine for best results 1) Ruta 30.4 pills at morning 2) Hypricum 30.4 pills at night for 1 months.
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My left arm is in pain might be muscle pain while movement feel pain all the time I M 38 yes old.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
My left arm is in pain might be muscle pain while movement feel pain all the time I M 38 yes old.
Arm pain may be due to several causes like medications, trauma,bad posture, stress ,vitamin d deficiency, Magnesium deficiency, Chest and cardiac issues there is no quick fix or short cuts to cure any health issue. Detailed history taking is important to find the root cause there is no use of putting a band aid temporary fix For a permanent fix of your health issue you have tell your age, your job and it nature Smoker / alcohol /Tobacco ,/ soft drinks consumption Veg / Non veg Are you Drinking cows milk or not Skipping meals Home food / outside food Stress at work / home Sleep and exercise pattern Bowel movements regular Fluid intake daily Fiber intake daily Gas issues any tests you have done and their results what medicines have you taken without all these information no Dr. Can give any specific advice You will require certain supplements. Your Gut is your gateway to health. All the health issues begin in the gut and produce manifestations in different parts of the body which misguides the patient to a different specialist Dr. who is not aware that the gut issue is the problem for his symptoms. So take a consult and solve your issue naturally without medicines with diet and lifestyle changes Remember You cannot fix your health without fixing your diet.
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