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Dr. Anjan Madasu

Orthopedist, Delhi

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Dr. Anjan Madasu Orthopedist, Delhi
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Anjan Madasu is a trusted Orthopedist in Patparganj, Delhi. He is currently practising at Max Super Speciality Hospital-Patparganj in Patparganj, Delhi. Book an appointment online with Dr. Anjan Madasu on Lybrate.com.

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Indian Academy of Paediatrics (IAP)

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Max Super Speciality Hospital-Patparganj

#108 A, Indraprastha Extension, Patparganj. Landmark: Near Sai Mandir, DelhiDelhi Get Directions
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Heel Bone Spurs - Causes and Risks Associated with it?

CCST(Internal Medicine), FRCS (Orth Surg), FRCS, MS - Orthopaedics, DNB Orthopedics, MBBS
Orthopedist, Delhi
Heel Bone Spurs - Causes and Risks Associated with it?

Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.

What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running. 

What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight 
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder


Non-Surgical treatment
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.

Surgical treatment
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks. If you wish to discuss about any specific problem, you can consult an orthopedist.

2520 people found this helpful

I am 65 years old, may 2011 accidentally I fallen down on road since then I am having pain in both thighs, hence having problem in sitting down and getting up.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
Dear , did you do an xray of your hip joints? the problem can be in your hips which can mimic thigh pain. Send me a fresh xray of the hip joints if possible. (take a photo of the xrays and send over private chat.
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I am 34 years old male and have pain in my knee I used lots of medicines but still I have pain in my knees guide me and help me to come out of this knees pain.

MPT, BPT
Physiotherapist, Noida
I am 34 years old male and have pain in my knee I used lots of medicines but still I have pain in my knees guide me a...
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. Hams stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold). Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping-
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I am a sportsman! While playing volleyball I got a sprain in my ankle. Now it's swelling up. What should I have to do?

MBBS
General Physician, Faridabad
get x ray done, back with report, do hot water fomentation, apply volini locally, take tab dolo 1tab bd, it will help. welcome.
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Role of Exercises on Osteoarthritis Knee

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati

What is osteoarthritis of knee?

Osteoarthritis of the knee (knee oa) is a progressive disease causing inflammation and degeneration of the knee joint that worsens over time. It affects the entire joint, including bone, cartilage, ligament, and muscle. Its progression is influenced by age, body mass index (bmi), bone structure, genetics, strength, and activity level. Knee oa also may develop as a secondary condition following a traumatic knee injury. Depending on the stage of the disease and whether there are associated injuries or conditions, knee oa can be managed with physical therapy. More severe or advanced cases may require surgery.

Symptoms of knee oa may include:

  • Worsening pain during or following activity, particularly with walking, climbing, or descending stairs, or moving from a sitting to standing position
  • Pain or stiffness after sitting with the knee bent or straight for a prolonged period of time
  • A feeling of popping, cracking, or grinding when moving the knee
  • Swelling following activity
  • Tenderness to touch along the knee joint

Physiotherapy for oa knee:

Here are 5 exercises to help you take control of your knee oa. These exercises are recommendations. Before doing them, get your physio's approval. Never push through pain with these exercises you may be doing your joints more harm than good. Soreness is normal when starting an exercise program, but if it doesn't go away, call your doctor.

1. Knee oa exercise #1: standing quadriceps stretch

  • Stretching your quadriceps can ease tension in the knee joints.
  • Stand with feet hip-distance apart.
  • Bend your right knee and hold the top of your right foot with your right hand.
  • Bring your right heel as close as possible to your glutes. You can use a wall for balance.
  • Hold for 30 seconds, and repeat on the left leg.
  • Do 3 times once a day.

Knee oa exercise #2: standing calf stretch

  • This gentle calf stretch increases flexibility in your leg muscles and knee joints.
  • Bring your right foot a few feet in front of your left foot. Bend your right leg, making sure your knee doesn't go past your toes.
  • Keeping your left leg straight, press your left heel toward the ground to stretch the calf of your back leg.
  • Hold for 30 seconds. Repeat on opposite leg.
  • Do 3 times daily.

Knee oa exercise #3: 

  • Seated leg raise
  • The seated leg raise exercise helps strengthen muscles around your knees.
  • Sit on a chair with both legs bent at 90.
  • Slowly raise your right leg so that it's parallel to the floor, keeping your left foot on the ground.
  • Hold for 30 seconds, then slowly bring the right foot back to the floor, and repeat on left leg.
  • Do 10 times twice a day.

Knee oa exercise #4: 

  • Step-ups strengthen your legs, making it easier for you to do everyday things like climb stairs. You'll need an exercise step, or use a bottom stair in your house.
  • Stand in front of the stair with feet hip-width apart.
  • Step onto the stair with your right foot, then with your left foot.
  • Step down in reverse: your left foot reaches the ground first, then the right foot.
  • Go at your own pace for about 30 seconds at a time. For balance, use a railing.
  • Do 10 times twice a day.

Knee oa exercise #5: 

  • Static quadriceps contraction
  • With your knee relatively straight, slowly tighten the muscle at the front of your thigh (quadriceps) by pushing your knee down into a small rolled up towel. 
  • Put your fingers on your quadriceps to feel the muscle tighten during the contraction. 
  • Hold for 5 seconds and repeat 10 times as firmly as possible without increasing your symptoms.

What if I need surgery?

In some cases of knee oa, the meniscus (shock absorber of the knee) may be involved. In the past, surgery to repair or remove parts or all of this cartilage was common. Current research, however, has shown in a group of patients who were deemed surgical candidates, 60-70% of those who participated in a physical therapy program, instead of surgery, did not go on to have surgery. Further, after 1 year those outcomes were unchanged. This study suggests that physical therapy may be an effective alternative for those patients who would like to avoid surgery.

1 person found this helpful

I am a. Non vegetarian. Three years back I list 15 KGS. But now I am not able to decrease further. I am 65kgs now and my height is 4'11. I want to lose another 8kgs at least. I do workouts when I am free at least thrice a week but not very high intensive.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
I am a. Non vegetarian. Three years back I list 15 KGS. But now I am not able to decrease further. I am 65kgs now and...
You should have 2 tablets chitosan medician 30 minutes before meal and avoid eating in between medician or meal. This will reduce 3 to 4 kg per month definitely without any side effects.
2 people found this helpful
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I am 26 year old man. I want to know I was addicted by cigarettes and laziness but today I'm so much concern about my health. I am doing jogging and taking healthy food. I have supraspinatus injury on my shoulder also. What you can suggest me about my issues and my health concerns?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 26 year old man. I want to know I was addicted by cigarettes and laziness but today I'm so much concern about my...
I think you are already into the path of recovery.Admitting to addiction and then leaving this addiction at your age is not an easy job.It itself shows that you are determined in your life and wants to move forward in life.This time is very important to you and just hold your nerves and think in positive way.Be optimistic and follow below given steps in your life and forget about such addictions as these addictions will lead you into darkness------------------------------ 1.First of all try to enjoy or find enjoymnt in what you are doing because if we dont enjoy our work we will find excuses and moreover we will exhaut early. 2.Daily morning 15 minutes each ALOM VILOM PRANAYAAM and KAPAL BHATI PRANAYAM 3.Eat healthy/Balanced diet and avoid fried,junk and oily food,avoid overeating Balanced Diet= 60% Carbohydrates + 20% Fats + 20% Proteins (A)Carbohydrates: Our main source of energy. Stored in liver and muscles. Carbohydrates are used the most by our body duringexercise. Hence, it is important for people who exercise regularly to consume a diet rich in carbohydrates. (a) Instant/rapid carbohydrates energy sources: Banana, Milk, Sweets, Sugarcane juice. (b) Slow carbohydrates energy sources: Beans, Bread, Cereals, Potato, Pulses, Rice. (B) Proteins: Essential for growth, repair of muscle, skin, hair and body tissues. Protein deficiency leads to low immunity, hairfall, feeling of tiredness. Proteins are not stored in our body as any excess protein is converted to energy or fat. Hence, a person requires protein intake every day. When the body does not get enough carbohydrates to fuel itself, it falls back on protein bank. That is why people who follow starvation diets or go on fasting lose muscle tissue. (a) Major protein sources: Egg white(white portion), Milk, Soybeans/Soymilk, Fish, Cheese, Tofu. (b) Other protein sources: Beans with wheat, Nuts, Curd, Yogurt (Dahi). (C) Fats: Required and healthy when taken in small amounts. Excess fat leads to weight gain, increase in bad cholesterol (LDL) and heartproblems (a) Major fats sources: Egg yolk (Yellow portion), Avocados, Whole Milk, Butter, Cheese, Nuts. (b) Other fats sources: Corn, Vegetable/Olive oil, Biscuits, Flaxseeds(San Beej). (D) Vitamins and Minerals: Critical for normal functioning of organs and processes within our body. They do not provide energy directly but work behind the scenes to break down food into energy. (E) Fiber: It helps retain water and in making our stools softer to avoid constipation. Intake should be 25 to 35 grams a day. (F) Calories: A measure of how much energy food or drink contains. On an average, a man needs around 2,000 calories a day and a woman 1700 calories a day to maintain his weight and good health. Number varies by person depending upon weight, age and how active the lifestyle is. (G) Guideline: Each day have 3 main meals, 2 snacks, 5 pieces of fruit and at least 1 glass of milk. 4.Always usestairs rather than lift 5.Try to help your parent in house work 6,Be attentive,alert and focused in what you are doing.Mean avoid day dreaming 7.Drink lots of water and 2 glass milk daily. 8.Always work with your target and motive towards your aim.Dream of your aim rather than beyond your aim 9.Set up small goals in your life and achieve these one by one while moving towards your aim. 10.Always keep in your mind that life is very harsh and you have to nitch a name for yourself otherwise you will be lot in this harsh world like most of other. 11..Always keep the above 10 points in your mind which will help you to remain focused and once focused ,you will automatically gain stamina aand power to do work. 12. . BRAMARI PRANAYAM or Bee Breath 1.Close your eyes. Focus on your breathing. 2.Place your thumbs in your ears, your index fingers above your eyebrows, and your remaining along the sides of your nose. Keep each pinky finger near a nostril. 3.Breath in deeply through the nose. First, feel the diaphragm move down, allowing the lungs to expand and forcing the abdomen out; then feel your chest expand with your collar bones rising last. .4.Use your pinkies to partially close each nostril. Keep your lungs filled. .5.Breathe out through the nose while humming. Note that the humming sound should originate in your throat, not as a result of your partially-blocked nostrils. 6.Repeat twenty times.starting from 5 times 13.Follow the above 12 points and you will strat feeling energetic After 30 days again consult me
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Hello sir, my mom feeling severe pain in both knees, while during the pain swelling occurs around the knee. But. These kind of pain and swelling get lowered after 2/3 days by the application of pain relief dream/gel and after 2/3 weeks she gets again. Could you tell me the scenario and suggest a type of treatment.

Ayurveda, Trichy
Hello sir, my mom feeling severe pain in both knees, while during the pain swelling occurs around the knee. But. Thes...
those who are standing for long time and due to age knee problem happen. avoid long standing calcium rich diet are advisable. should not take pain killer.local application will help little much
3 people found this helpful
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I am 47 years male suffering from both legs swelling problem from last 1.5 years. After long time standing or seating both legs swells. What should I do?

PDDM, MHA, MBBS
General Physician, Nashik
Do you have hypertension or renal disorder. Kindly consult privately for personalised assessment and management. Dr. Surbhi agrawal consultant physician and diabetologist
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I am 39 years old female. My lower right leg swells up if I stand for 30+ minutes or do household work. I have shown this to reputed doctors in my place both neurologist and orthopedic, but they deny the fact that my leg is swollen. This problem is persisting from 1.5 years.

MBBS
General Physician,
I am 39 years old female. My lower right leg swells up if I stand for 30+ minutes or do household work. I have shown ...
Dear lybrate-user, Swelling in one leg may be troublesome but may or may not be obvious at times. This maybe because of a mild infection or may be vitamin deficiencies. Request you to reach out to your doctor for further support. Hope this helps! Be healthy and be well.
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