Doctor in Tomar Foundation
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
Submit a review for Tomar FoundationYour feedback matters!
Patient Review Highlights
It was getting very difficult for me to cope us with my pain in my hand. So I chose to consult Dr Tomar . He is very talented and seasoned doctor. He is well aware about innovative techniques to treat problems. Over the period of time I noticed a number of changes in myself. All the staff members were very helpful. And I had a great experience there.
I am very much pleased with dr L tomar 's approach considering my existing minor illness. I consulted him for my problem of back pain so he could give me a great solution that could totally solve my problem. and his treatment did wonders to me as I am totally benefitted. Thanks to him and his staff at Tomar Foundation in Delhi.
My experience with dr L Tomar has been very good. No words to express my gratitude towards him as he healed my arm pain. please continue the superb work ur doing. I will me more then happy to help in this cause in any way I can. He can be consulted at Tomar Foundation in delhi.
Rheumatoid arthritis is a chronic disorder in which the small joints of the hands and feet of the affected person get inflamed. It affects the lining of the joints and causes pain and swelling that may lead to joint deformity and erosion if left untreated.
This disorder of the autoimmunological system occurs when the body's immune system attacks the body's own tissues.
Although this medical condition usually causes joint problems only, sometimes it may go on to affect other body organs like skin, lungs, eyes and blood vessels as well.
Some of the signs and symptoms that are indicative of rheumatoid arthritis are:
1. Problems in the joints
One of the most common symptoms of rheumatoid arthritis is swelling of the joints that become tender and painful. During the early days, only the smaller joints are affected, especially the finger and toe joints. However as the disease worsens, the symptoms spread to other body parts like knees, wrists, elbows, ankles etc. Joint redness and warmth are also characteristic features of rheumatoid arthritis. It is also recognized by joint deformity and stiff joints.
2. Fever, fatigue and loss of weight
Fatigue is a common symptom of rheumatoid arthritis. It may be a result of the body's reaction to insomnia, anemia, and inflammation. It may also be caused due to loss of appetite and the consequent and unintended weight loss. Sometimes rheumatoid arthritis is also accompanied by fever.
3. Rheumatoid nodules
Another symptom of rheumatoid arthritis is the presence of firm bumps of tissues under the skin on the arms. These bumps are known as rheumatoid nodules and may be painful. The nodules may come and go depending on the severity of the disease at a particular time. During flares, they may appear, and they may subside during the periods of remission just as all the other symptoms of rheumatoid arthritis.
The thought of going under the knife to treat your spine problem may give rise to a range of emotions; make you ponder over a number of things such as the recovery period, procedure and techniques involved and so on. Nonetheless, before opting for the surgery, there are certain points that you should go over and these are:
- Be well aware of the cause of your pain - Identifying the cause that is behind your pain is vital in order to decide whether the surgery is going to prove beneficial in the long run or not. If the cause is not identified as the right one, the surgery may prove futile and you may not get the pain relief that you're looking for.
- Gather detailed information about your spine surgeon - Before visiting the spine surgeon, you should collect detailed information about the specialist so as to be able to come up with appropriate questions concerning the surgery. From questions concerning about the surgeon's success and complication rates, numbers of surgeries performed to qualifications of the surgeon, these and much more should be part of your evaluation process.
- Prepare yourself before a consultation - It's good to prepare yourself before a medical consultation. Whether it's researching about the surgery and your condition or being well aware of your family's medical history, or details about the pain that you experience, or your expectations from the surgery, every aspect should be covered so that you derive the maximum benefit from your meeting.
- Carry out your own research - Carrying out your own research on the alternatives before opting for the surgery can put you on a better footing. It's imperative to compare the opinion put forward by the surgeon from genuine sources so that you're better able to understand the merits and demerits of the treatment. If you wish to discuss about any specific problem, you can consult an Orthopedist.
A stinging pain in the neck that makes you feel broken from the neck joint could be a reason to worry. It is often accompanied by an aching head or a throbbing shoulder joint. Neck pain, such as this occurs due to an injury in the area resulting from sudden back and forth movement of the neck. It is referred to as whiplash as the nature of the pain and subsequent discomfort resembles the snapping of a whip. The pain is more like a sprain, but not exactly so. This can affect athletes or even any person in general who has faced an accident in recent past. Whiplash is characterized by a tearing of ligaments and tendons that connect one bone to another.
Causes of Whiplash:
- Sports that involve contact: Any extracurricular activity involving collisions or other forms of physical contact can cause neck injuries. Football and rugby players frequently suffer from Whiplash.
- Road accidents: Public transport has a host of disadvantages. Reckless driving can make the tendons of your neck tear. Auto accidents cause immense strain on your neck; it can also lead to Whiplash.
- Any kind of physical abuse: If you have gotten into a violent fight with someone your neck could suffer from a Whiplash. Instances of physical abuse where the neck is jerked or punched at can also result in neck strains. Domestic violence often leads to instances of neck strains.
Symptoms related to this condition:
- You may or may not suffer from tinnitus. Tinnitus is a physical disorder where you hear ringing sounds. It is quite distracting.
- Your vision might get blurry.
- You can experience irregular sleep patterns.
- You can find it hard to concentrate on any one thing for more than a while.
- You can grow irritable at the drop of a hat.
- Your memory may fail you. You might find it next to impossible to trace back a day's activity.
Some of the other direct symptoms are:
- Your neck might turn stiff preventing you from moving it left, right, up or down.
- Pangs of pain can be felt in and around your shoulders.
- Your upper arms can grow numb and tender.
- Your head can spin repeatedly or you could feel dizzy.
- Whiplash can also result in serious fatigue. If you wish to discuss about any specific problem, you can consult an Orthopaedist.
Wrist fracture is a medical term used to describe a broken wrist bone. Wrist is composed of 8 small carpal bones and lower ends of the two forearm bones, such as Radius & Ulna. The fracture may occur in any of the 10 bones that make up the wrist. While some fractures can be severe, most fractures are tiny in nature. The fractures, which are severe, tend to render the bone unstable and a cure for this condition might require a surgery. Open fractures occur when the broken bone spike juts out through the skin. This might lead to an infection in the wounded region.
Causes of Wrist Fracture
- The most basic cause of a wrist fracture is injury. Any fall on your outstretched hand (FOOSH) and you might have to nurse a fractured wrist. This type of fracture is common among sportsmen.
- People suffering from osteoporosis have a high risk of getting a wrist fracture.
- Traumatic accidents might also cause severe wrist fractures.
- Repetitive use of wrists leads to inflammation of the tendons present in the wrists (tendonitis).
Symptoms of Wrist Fracture
A wrist fracture has symptoms that can be extremely painful. The pain escalates whenever you try to move your wrist or flex it, even if you are just flexing your fingers. Sometimes your hand or arm may even become extremely numb when you fracture the wrist. The muscles in the area become tender and swell up. It is almost impossible to move the wrist after it gets fractured. The fracture causes the wrist or rather the hand to appear deformed. The most common deformity being a Dinner fork deformity (Colles' Fracture). The area around the fracture may experience bruising and a fractured wrist also affects the blood flow in the area. You might even injure your ligaments, tendons, muscles or nerves.
To confirm and check the level of severity, you are generally asked to get an X-Ray done. In order to get a more detailed look at the fracture, you might have to undergo CT or MRI scans as well. Usually, in order to treat a fracture, you will have to wear a splint or a cast and move your hand as least as possible. But keep moving your fingers otherwise they might get stiff.
Most cases of wrist fractures recover well with a very good return to function. If you wish to discuss about any specific problem, you can consult an orthopedist.
Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended world-wide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.
Modern technological advances have made computer assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through small incision and it eliminates the chances of human error. A perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.
There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.
In knee replacement surgery, the worn out surfaces of joints of knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicate knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping. If you wish to discuss about any specific problem, you can consult an orthopedist.
The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.
What can cause knee pain:
Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.
ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.
Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.
Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.
- Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
- Rheumatoid Arthritis, an inflammatory chronic disorder
- Septic Arthritis, causing pain, swelling and redness.
- Gout caused due to the development of uric acid crystals in the joints
How to deal with it:
- Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
- Dealing with Load: Losing weight is an important factor as carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
- Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to consult a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.
The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.
ACL injury and other ligament injuries can be caused by:
- Twisting your knee with the foot planted
- Getting hit on the knee
- Extending the knee too far
- Jumping and landing on a flexed knee
- Stopping suddenly when running
- Suddenly shifting weight from one leg to the other
These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.
- Rest the knee
- Ice your knee to reduce pain and swelling
- Compress your knee
- Elevate your knee on a pillow when you're sitting or lying down
- Wear a knee brace to stabilise the knee
- Practise stretching and strengthening exercises if they are recommended
For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.
A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.
A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.
Treatment may include:
- Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows
- Physical therapy
- Surgery to repair the meniscus
- Surgery to remove part of the meniscus