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Max Super Speciality Hospital-Patparganj

Rheumatologist Clinic

#108 A, Indraprastha Extension, Patparganj. Landmark: Near Sai Mandir, Delhi Delhi
1 Doctor · ₹600
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Max Super Speciality Hospital-Patparganj Rheumatologist Clinic #108 A, Indraprastha Extension, Patparganj. Landmark: Near Sai Mandir, Delhi Delhi
1 Doctor · ₹600
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About

Our medical care facility offers treatments from the best doctors in the field of Rheumatologist.Our goal is to offer our patients, and all our community the most affordable, trustworthy ......more
Our medical care facility offers treatments from the best doctors in the field of Rheumatologist.Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Max Super Speciality Hospital-Patparganj
Max Super Speciality Hospital-Patparganj is known for housing experienced Rheumatologists. Dr. Prasan Deep Rath, a well-reputed Rheumatologist, practices in Delhi. Visit this medical health centre for Rheumatologists recommended by 104 patients.

Timings

MON
12:00 AM - 12:00 AM

Location

#108 A, Indraprastha Extension, Patparganj. Landmark: Near Sai Mandir, Delhi
Patparganj Delhi, Delhi
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Doctor

Dr. Prasan Deep Rath

MD Internal medicine , MBBS
Rheumatologist
20 Years experience
600 at clinic
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Knee Pain

MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
Knee Pain

1. Overweight

Over weight is one of the largest risk factors for knee pain. The knee supports much of the body’s weight, and too much weight taxes the joint and increases the likelihood of pain. Anterior knee pain, which develops at the front and center, is one of the more common types of knee pain associated with carrying extra weight. Inactivity or muscle weakness, both associated with being overweight, can exacerbate the condition.Obesity stresses the structure of the knee, including the patella—the medical term for the kneecap. 

2. Muscle weakness

The knee connects the thighbone—also known as the femur—to the shinbone—also known as the tibia. Having strong quadriceps muscles helps to stabilize the knee joint and keep it healthy.And improving muscular fitness can be one of the best ways how to prevent knee pain, even if you’re older. However, strong quadriceps and hamstring muscles can help insulate the knee from stress.

3. Inactivity/lack of mobility

A cause of muscle weakness and obesity—inactivity—is also another factor for knee pain. People who are inactive are less strong, less flexible, and more sedentary. When the time comes to move and exercise, there is a greater risk of injury. Inactivity has also been found to make knee pain from arthritis worse. Being sedentary results in muscle deterioration that weakens the knee and increases pain

4. Not resting after injury

Injured people who don’t rest their knees for a long enough period of time increase their risk of re-injury. Although recovery periods can last anywhere from several weeks to several months, taking the time to allow the body to adequately repair and heal is critical for allowing the knee to regain its strength.Resting is particularly difficult for athletes and other active people, but spending some quality time on the couch will go a long way to keeping the knees healthy and protecting against future injury.

5. Smoking

Smoking increases the risk of a host of health problems, and knee pain can be added to the list. Quitting smoking is one of the best ways how to prevent knee pain when you get older. smoking increased the risk for both cartilage loss and knee pain in men who had developed osteoarthritis in the knee. Because smoking affected the amount of cartilage the men had in their knees, it increased the amount of pain they experienced.

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Osteoarthritis - 5 Tips to Help You Prevent It

M.Ch. orthopaedics, M.S. (Orth)
Orthopedist, Ludhiana
Osteoarthritis - 5 Tips to Help You Prevent It

Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.

Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.

It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.

  1. Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
  2. Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
  3. Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
  4. Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
  5. Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total 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.

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Im Suffering from rheumatoid arthritis left Wrist it is Very painful i'm getting treatment infusion remicade n Tab methotrexate 15 mg Every week since 2 months but Swelling n pain Is still persist Is there complète cure in ayurveda.

BHMS
Homeopath, Gandhinagar
Im Suffering from rheumatoid arthritis left Wrist it is Very painful i'm getting treatment infusion remicade n Tab me...
Rhus Tox 200 4 pellets in morning and 4 pellets at night 5 days will help you communicate after 5 days.
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I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Many times all tests are negative and the patient still suffers. You are suffering from indigestion and due to which there is a toxin called AMA being formed in your stomach. This is accumulating in joints leading to swelling and stiffness. So digestion needs to be rectified first along with panchakarma treatment. Pls see me personally.
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Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complete ACL Tear, Grade 3 Tear f posterior Horn of Meniscus and Knee Joint Effusion. What is the treatment for this? Surgery is necessary?

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complet...
You can wait upto a period of 6 weeks during which you have to undergo physiotherapy to strengthen your thigh and calf muscles and also to improve your knee movements. At the end of this regimen if you are able to carry out all your pre-injury activities comfortably you may not need surgery immediately. But if you have knee pain / instability at the end of 6 weeks, it is definitely advisable to undergo surgery. Thanks & Regards.
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I have pain in back and knee from 1-2 month please suggest me best medicine for it.

Physiotherapist, Latur
I have pain in back and knee from 1-2 month please suggest me best medicine for it.
follow exercises for knee and back for knee: static quads hot pack over the joint. for back: extension exercises avoid bending and lifting heavy objects. maintain proper posture.
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I have knee pain from 2-3 month when I get any painkiller or use move then I give relief only for 1-2 days and after that pain again continuously.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have knee pain from 2-3 month when I get any painkiller or use move then I give relief only for 1-2 days and after ...
As knee pain is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee Exercies Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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I have knee pain from 2 month, I have used to massage with move, or painkiller but after 1-2 day refile, pain come back. Can you suggest best medicine for it.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I have knee pain from 2 month, I have used to massage with move, or painkiller but after 1-2 day refile, pain come ba...
Apply hot fomentation Do knee isometrics Do straight leg raising exercise Do hmastrings & quadriceps muscles strengthening exercise Avoid long standing & crossed leg sitting
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I have made road accident before 2 months but but at the time of walking I am feeling pain in left leg knee. So give me the suggestions about ligament injury. And treatment.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have made road accident before 2 months but but at the time of walking I am feeling pain in left leg knee. So give ...
If you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs.
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Pain in my knee joint. Which medicine is better. 1-arthocerin 2-orthotrue Plss sir prescribe me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Pain in my knee joint. Which medicine is better.
1-arthocerin
2-orthotrue
Plss sir prescribe me.
If your knee is paining then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
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Hey Dr. Pls suggest .e something as I am suffering from knee pain I am a athlete.

BPTh/BPT
Physiotherapist, Pune
Hey Dr. Pls suggest .e something as I am suffering from knee pain I am a athlete.
Hello do regular stretching exercises after running like quadriceps, hemstring, calves and gluteus. You may get rid very soon. Thanks and regards
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Dr. I am a solder in army and My knee is paining very sever I can not say to my unit Dr. Becoz my training will bi delayed so pls recommend me some precautions.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Dr. I am a solder in army and My knee is paining very sever I can not say to my unit Dr. Becoz my training will bi de...
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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Arthritis and Bone Disorders - How Ayurvedic Remedies Can Help?

BAMS
Ayurveda, Sonipat
Arthritis and Bone Disorders - How Ayurvedic Remedies Can Help?

Bone issues are very common. From infection to inflammation to injuries to mere old age, bone issues are very common. Arthritis can happen with any of these conditions. The healing of this has two aspects one is to heal and reduce the pain and the second is to address the underlying condition. The range of motion needs to be improved, and further damage to the bones should be arrested.

Ayurveda identifies two types of joint problems, one is due to poorly nourished bones, which are prone to damage and the second is the over accumulation of toxins, leading to joint pain and stiffness. This joint pain would be further aggravated by damp weather.

Ayurveda also believes that the overdose of vaata leads to bone issues. So food items aimed at reducing vaata should be included so that balance is restored. There is more than one component to this healing. Food, lifestyle changes, herbs, and exercise manage bone issues, arthritis and the pain. Let’s see how.

  1. Food: Eating whole grains, fresh fruits and vegetables, as well as a calcium rich diet is very essential for healing bones. Eat freshly cooked food items and include a lot of dairy products.
  2. Lifestyle: A regular sleep schedule, which is in sync with the biological clock, is very essential. Also eat at regular intervals with the meals getting lighter as the day goes by. Exercise, even in the form of brisk walk, helps soothe joints and keeps them agile.
  3. Massages: Oil massages like Abhyanga are very essential to prevent joint problems. They also help in reducing toxins, which are quite high in chronic conditions like arthritis. These oils can be applied directly on the joints too to improve lubrication, movement and reduce pain.
  4. Go anti ama: There is another component known as ama, which is an equivalent of toxins. The diet and lifestyle should be aimed at reducing ama, which gets accumulated with age in the form of digestive toxins. Eat food products that are easy to digest, consume ama reducing spices like turmeric and pepper, avoid daytime napping and exercise regularly.

In addition, the following herbs are known to be beneficial for bone health.

  1. Ashwagandha: It has rich anti-inflammatory properties, produces effects equivalent to steroids and helps in controlling joint pain and inflammation. Swelling and movement are also improved with its regular use.
  2. Boswellia: Combined with Ashwagandha, this is another wonder drug that helps reduce bone inflammation. It suppresses release of chemicals responsible for inflammation and helps control pain and swelling.
  3. Turmeric: One of the most acclaimed anti-inflammatory agents, it releases multiple enzymes and thereby controls inflammation.

So, for bone pain and arthritis, an NSAID is not the only remedy.

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Hello sir, my mom age is 55 years. There is pain in her knee from her waist from last 2 months. All medicines are ineffective, even physiotherapy is very less effective. What should I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello sir, my mom age is 55 years. There is pain in her knee from her waist from last 2 months. All medicines are ine...
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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Hello madam, I am 35 years old woman, suffering with chronic insomnia. I can't sleep more than 6.5 hrs. Due to which I feel fatigued, irritability, hopelessness, depressed and stressed. please help!

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hello madam, I am 35 years old woman, suffering with chronic insomnia. I can't sleep more than 6.5 hrs. Due to which ...
Dear user. The following are the medical conditions that can cause INSOMNIA : Nasal/sinus allergies. Gastrointestinal problems such as reflux. Endocrine problems such as hyperthyroidism. Arthritis. Asthma. Neurological conditions such as Parkinson's disease. Chronic pain. Low back pain. Other than these, stress, anxiety, depression, obsession, lack of exercises etc can also cause insomnia. Consult a doctor for diagnosis and treatment. Take care.
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Hello I had been a patient of knee Arthritis for for 5 years I had undergone arthroscopic surgery for this and right now I don't have regular periods I am taking medicines for that also but the main issue is that I have continuous leg pain particularly in thighs back and calf muscles .I have terrible pain in all conditions and worsens when I come to rest position from moment.

MS Ayurved, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Junagadh
Hello I had been a patient of knee Arthritis for for 5 years I had undergone arthroscopic surgery for this and right ...
Dear Lybrate User, As per your complains it seems like may be due to Osteoarthritis. Initially avoid yogurt, curt, excessive spicy & slaty foods, fast food & junk food, cold water/milk, cold drinks, avoid sprouted pulses like mung-chana etc. Don't sit directly at floor. Have hot fomentation on Joints & painful area, do small exercises of joints, Took proper sun bath, fruits & vegetables except all beans & pulses. U need ayurvedic panchkarma treatment. For more discussion consult me personally.
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How to differentiate between rheumatoid Arthritis and Osteoarthritis? Wht is RA factor?

BPTh/BPT, Post Grad Dip. Developmental Therapy
Physiotherapist, Ranchi
How to differentiate between rheumatoid Arthritis and Osteoarthritis? Wht is RA factor?
Hi Miss lybrate-user, For the Rheumatoid Arthritis you may have pain in multiple joints, with involvement of the small joints of hands and fingers. The pain usually agrevates in the morning. Osteoarthritis, is a disease of large joints, which occur due to wear and tear and high load. Whereas the Rheumatic arthritis is related to your immune system. Rheumatic Arthritis (RA) Factor is present in our blood. An examination of this rules out wether you have an Rheumatic Arthritis or not. BEST WISHES. NALIN.
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I am 25 years old and suffering from rheumatoid arthritis from past 3 years. I am felling pain and swelling in knee joints, elbow joints and others too. So is there ways to reverse joint damage causes by arthritis?

MBBS, MD - General Medicine
Rheumatologist, Kolkata
I am 25 years old and suffering from rheumatoid arthritis from past 3 years. I am felling pain and swelling in knee j...
Rheumatoid arthritis is very much controllable disease. With the advancement of drugs for Rgeumatoid people live like other normal people with proper use of DMARDS (disease modifiying anti rheumatic drugs. Drugs will help you preventing further progression of disease and joint damage but once the joints get damaged totally drugs have little role in preventing further progression. So my advice will consult any Rheumatologist of your area who can guide you properly. Hope this will help you.
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Arthritis and Diet

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
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Lifestyle Changes to maintain Arthritis

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