Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 37 years of experience on Lybrate.com. You can find Orthopedists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
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
Submit a review for Dr. Ajay GandohkarYour feedback matters!
I work in night shift so I sleep every day in afternoon but everyday when I try to sleep in afternoon my legs pain alot.
Hi for last couple of days I have severe back pain and neck pain also there is very much stress please suggest what to do. Please suggest some medicine also to control my pain.
I have a problems in my knee. When I walk I sounds like a crack joints. Its not paining. But its sounds like bad. Pls help me out.
My daughter is 16 years old. These days she is getting pain in her right hand till fingers. Please suggest me what to do?
Hello there, I am male 21 years from Mumbai I have a knee pain always whenever I walk on steps or rUN. Also I am not able to lif. My leg very high.
I am 44 year old male. Couple of months before I got injury to index finger of the right hand by accident. The finger got swollen and I am unable to bend beyond a certain limit. I visited doctor and he asked to take x-ray. It seems no fracture. The doctor asked me to do some simple exercise to solve the issue as this is a small issue. But after 2.5 months exercise, I am still having the swellings and the index finger is bend also. Unable to move the finger freely. Please suggest for me.
I am 23 year male and I have major neck pain (behind the neck). I also feel very weakness in my body. I feel fatigue all over the day. I am 80 Kgs in weight. What should I do?
What is osteoporosis?
The components of the word 'osteoporosis' literally mean 'porous bones' - 'osteo' is for bones, and 'porosis' means porous - helpfully describing this condition that results in reduced bone density and increased fragility of the bones.The thinning of the bones in osteoporosis, combined with the formation of weaker bone crystals, puts people at a higher risk of Fall and Fractures.
It can affect anyone of any gender, but it is particularly prevalent in postmenopausal women due to the sudden decrease in protective oestrogen levels after menopause.
Signs and Symtom
Bone loss that develops slowly, leading to osteoporosis, does not cause any symptoms or outward signs.
As such, a patient may only discover that they have osteoporosis due to an unexpected fracture after a minor fall or a slip or strain - or even a simple cough or sneeze - may result in a fracture.Breaks in the spine can lead to altered posture, with compressed vertebrae creating the stooped appearance often seen in older people
- Osteoporosis may be diagnosed directly through the use of a bone scan that measures bone mineral density (BMD). Central or peripheral DXA.
- Osteoporosis is diagnosed when the T-score is -2.5 or below.
- Other methods of measuring bone density include x-ray, ultrasound, and CT scan
It is important to ensure the cause of low bone denisty has been properly diagnosed as the treatment will vary greatly.the decision about what treatment you need – if any – will also be based on a number of other factors. These include your:
- risk of fracture
- previous injury history
Treating osteoporosis involves treating and preventing fractures and using medication to strengthen bones.
How Can a Physical Therapist Help?
Your physical therapist can develop a specific program based on your individual needs to help improve your overall bone health, keep your bones healthy, and help you avoid fracture. Your physical therapist may teach you.
- Specific exercises : to build bone or decrease the amount of bone loss
- Proper posture
- How to improve your balance so as to reduce your risk of falling
- How to adjust your environment to protect your bone health
Typically, exercises are performed 2 to 3 times a week as part of an overall fitness program.Your exercise routine should include exercises in each of the following areas:
- Strengthening exercise
- postural exercise
- balance exercise
- Flexibility exercise
1) Strength training
Strength training is a type of exercise with the goal of improving muscular strength. It involves performing movements against resistance; it is sometimes referred to as resistance training. Exercise bands, weights, machines or even your own body weight can be used for resistance. Strength training may increase spine and hip bone mineral density.
2) Posture training
Posture training involves paying attention to how the parts of our body are aligned with each other. Some kyphosis, or curvature of the upper back, is normal, but fractures or weak back extensor muscles can cause the spine to curve more than usual, resulting in an exaggerated kyphosis or excessively curved upper back.Attention to alignment during activity and at rest, along with exercises targeting the back extensor muscles, can improve the alignment of the spine. Flexion exercises are often CONTRAINDICATED. .
3) Balance training
Balance training exercises are those that challenge your balance.Balance exercises are also important to incorporate to further reduce the risk of falls Examples include:Shifting weight to the limits of support (e.g., moving your weight more to one foot than another).
Physical activities like Tai Chi, that involve balance and coordination may also reduce falls and fractures.
Tai Chi is a very safe and effective low impact form of exercise that improves balance and reduces the risk of falls.
4) Weight bearing Aerobic (water) physical activity
Aerobic exercise is a rhythmic activity that you do for at least 10 minutes at a time continuously and it increases your heart rate and makes you breathe harder than you usually do during your daily activities.For individuals with osteoporosis, we often recommend weight-bearing aerobic exercise or physical activity like walking or cycling or swiming or guided exercises to be done in swimmimng pool
5 flexibility exercise:
These can help improve the individuals overall physical function and postural control
Start by speaking with a physical therapist or consult me to ensure you are choosing safe , specific and appropriate physical activities for you.
Remember: if you have osteoporosis, aerobic exercise is not enough. Strength training and balance training are essential to maintain bone and muscle, and prevent falls.
"Osteoporosis is not a inevitable part of aging it is preventable.So it is vital that all of us,start taking care of our bones now, before its too late"..quote by Camila Parler Bowles
I have swelling on left elbow since 2 months but it's happen in some time, please suggest any tablet or cream.
Hello, I am 26 yrs old female, unmarried. I am suffering from lower back pain since two weeks, I could not bow down and not able to sit for long. But there is no prob while walking or cooking. I did not take any pain killer just moov spray, and mostly imp that I have gastric prob too. Please do help me soon, am getting married this july 2015.
I have a meniscus tear of my knee. Is there any cure to this or any remedy other than operation as my knee gets blocked and is very painful.
Chronic back pain is one of the common problems faced by people of all ages. This leads to disability to move. Fortunately, there are a wide variety of options to treat this condition.
Chronic back pain can happen due to ligament strain or muscle pull due to heavy lifting. Bulging of the disk can also result in chronic pain. Apart from this, there are other reasons such as skeletal irregularities, osteoporosis, arthritis etc.
Depending on the level of pain, a doctor might suggest one of the many treatment options available. Chronic pain can be managed with home treatment as well. It is advisable to continue with the daily activities such as walking, running etc. If the pain persists, a doctor might suggest one of the following methods:
- Over the counter medicine: For chronic pain, a doctor might suggest over the counter medicine such as naproxen sodium, ibuprofen, etc. However, over usage of these medicines has devastating side effects.
- Narcotics: Drugs such as hydrocodone and codeine can be used under the supervision of a doctor to get relief from back pain.
- Tropical relievers: These are creams or ointments that can give instant relief from chronic pain.
- Antidepressants: It has been identified by many medical practitioners that usage of certain anti-depressants can relieve a person from chronic back pain.
- Injections: If all else fails, as the last avenue, a medical practitioner can inject cortisone around the spinal cord area to cut down nerve root inflammation. The effect, however, lasts less than a month.
Therapy and exercise:
Therapy is one of the best ways to counter chronic back pain. Based on the pain frequency and bearing capacity of the patient, a physiotherapist can try various treatment varieties such as ultrasound, heat, techniques related to muscles release, electrical simulation etc. A combination of these treatments can reduce chronic pain. As part of the process, the next step is that a physiotherapist ensures is to strengthen the abdominal muscle with various exercises. The latter also ensures that the pain doesn’t come back.
There are many alternative medicine options which are known to be extremely helpful for chronic pain management. Some of them are mentioned below:
- Chiropractic care: This form of alternative medicine manipulates the spine to reduce the pain and give relief for the long term.
- Massage: Massage might help in those cases where the trigger of the pain is due to over work.
- Acupuncture: An acupuncture specialist injects sterilized steel inside the skin at nodal points. Many patients have reported that few sittings with a specialist have improved the chronic pain.
- Yoga: It is a form of exercise that is a combination of breathing technique and posture maintenance that can greatly help in chronic pain management.
In case you have a concern or query you can always consult an expert & get answers to your questions!