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Dr. Gulshan Kapoor - Orthopedist, New Delhi

Dr. Gulshan Kapoor

MS - Orthopaedics, MBBS

Orthopedist, New Delhi

31 Years Experience  ·  700 at clinic  ·  ₹400 online
Dr. Gulshan Kapoor MS - Orthopaedics, MBBS Orthopedist, New Delhi
31 Years Experience  ·  700 at clinic  ·  ₹400 online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Gulshan Kapoor
Dr. Gulshan Kapoor is one of the best Orthopedists in Karol Bagh, Delhi. He has had many happy patients in his 31 years of journey as a Orthopedist. He has done MS - Orthopaedics, MBBS . He is currently associated with Bali Nursing Home in Karol Bagh, Delhi. You can book an instant appointment online with Dr. Gulshan Kapoor on Lybrate.com.

Lybrate.com has a nexus of the most experienced Orthopedists in India. You will find Orthopedists with more than 29 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.

Info

Specialty
Education
MS - Orthopaedics - Vardhman Mahavir Medical College, Safdarjung Hospital, Delhi - 1993
MBBS - Maulana Azad Medical College, New Delhi - 1987
Languages spoken
English
Hindi

Location

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Bali Nursing Home

20B/3, D.B Gupta Road, Karol BaghNew Delhi Get Directions
700 at clinic
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Ortho Clinic

F-290, New Rajindra NagarNew Delhi Get Directions
700 at clinic
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Past 2 year my legs are weaken and did not find any solution from doctors now recently I notice visibility of veins on my legs is there any serious thing to worry.

MPT, BPT
Physiotherapist, Noida
Past 2 year my legs are weaken and did not find any solution from doctors now recently I notice visibility of veins o...
• Leg Lifts – Sit on the floor/mat or lie on your back with your feet straight out. Slowly, lift one leg at a time from the floor. Hold your leg in the air. Slowly, lower your leg back down to the floor. Repeat on the opposite leg. • Calf Raises – Stand with your legs straight. Slowly, rise on to your tiptoes and then lower back down.
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I am 21 year old In 2 days I'm not able to walk properly and my right leg are very paining Also my right leg have cramp And then its highly pain.

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
I am 21 year old In 2 days I'm not able to walk properly and my right leg are very paining
Also my right leg have cra...
Tk mag phos 6 x 4tab 4time in a day. But cause of d pain should b known for that consult to your near by dr.
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

2 people found this helpful

I am vidyadhar[age 36] and I am suffering of foot numbness. I am using pragacip capsules, my doctor telling that was blood circulation problem. Can you tell me some good medicines for blood circulation and for ed problem.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am vidyadhar[age 36] and I am suffering of foot numbness. I am using pragacip capsules, my doctor telling that was ...
The problem of numbness can be due to lack of vit B12 in your body. Get a report to confirm whether it is normal or not. As for lack of Blood circulation, you can take Ferrum Phos 6x 4 pills daily. But for ED, consult a homeopath for proper treatment.
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I feel so much pain in my leg bones (fibula other part is ok) and the surrounding muscles after jogging. What is the likely cause?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I feel so much pain in my leg bones (fibula other part is ok) and the surrounding muscles after jogging. What is the ...
If there is no injury then may be due to deficiency of calcium and vit d and muscle also stiff so tk calcium supplements and tens therapy for you.
1 person found this helpful
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Hello, I am having pain in my knees and legs .I m 57 years old my one overy and utrus has been removed in june 2007.I m taking amway omega,cal mag d,glucoamine from last 07 months. Pain is reduced but at times it becomes more pain ful. I have no other disease.

MPTh/MPT
Physiotherapist, Mumbai
Hello, Visit a physiotherapist for your problem. Exercises is need to reabsorb the calcium into the bone. Only medication will not help. Visit my clinic which in mumbai, or else visit any physiotherapy clinic near you.
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I have ankle Sprain and its been week. My sweeping and brushing has increased. The initial x day had no fractures. The pain is unbearable at nights.

PG Diploma in Health Promotion, Bachelor of Physiotherapy, certificate in Yoga Therapy & Ayurveda
Physiotherapist, Delhi
I have ankle Sprain and its been week. My sweeping and brushing has increased. The initial x day had no fractures. Th...
Sprain means you have ligament injury. It has nothing do with fractures. As you have night pain too that means you may have grade 2 or 3 sprain. Please protect your leg and take full rest. Don't do any massage on the affected area. Do not put weight on the leg. Keep your leg elevated. Do visit nearest Physiotherapy Clinic for further rehabilitation.
1 person found this helpful
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Arthritis - How Effective Is Ayurveda When It Comes To Its Treatment?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD(Ayurveda)
Ayurveda, Guwahati
Arthritis - How Effective Is Ayurveda When It Comes To Its Treatment?

If you are looking for natural remedies for arthritis, you should opt for Ayurvedic treatment. Arthritis is a chronic, systemic inflammatory disease causing damage to your joints and connective tissues. The knee gets commonly affected. There are three primary types of arthritis, which occur in your knees. Ayurveda is ideal for arthritis treatment, and there are several Ayurvedic remedies that you can opt for.

How Does Ayurveda Approach Arthritis?

Ayurvedic treatment for arthritis is based on the understanding of the various doshas or humors of the body. According to Ayurveda, there are four main humors in the body and it is these that govern our health, wellness and our proneness to disease. Arthritis, as per Ayurveda, is a condition caused due to the aggravation of vata dosha (air). The body produces ama – a toxin that is released as a by product of improper digestion. When ama is produced, it circulates in the body and gets deposited at sites that have already weakened. So when the vata is already stirring up, ama finds the perfect place to build up. That is why you experience arthritis in fingers or knees. For most people, arthritis in the knee is more painful than in the fingers because knees are load bearing joints. If you have arthritis in your knees, you will have trouble moving and the range of motion in your joints will be severely restricted. You may have to depend on people or walking aids to make even the smallest of movements.

Ayurvedic treatment for arthritis aims at balancing and stabilising the Vata component of your body. This is done by strengthening your alimentary canal and metabolic pathway. This makes sure that your circulatory channels do not get blocked by impurities, and are functioning properly. You need to drink a lot of water in order to detoxify your body. There are several Ayurvedic home remedies for arthritis treatment as well, which help in improving your motion range.

Treatment Tips:

  1. You should start your day with a big glass of lukewarm lemon water every day.

  2. You should opt for fenugreek which is an ideal natural inhibitor of ama and corrects your Vata dosha. This natural arthritis remedy can be taken in various ways. You can take these seeds in your food. You can also grind them, mix mustard oil to it, and apply the mixture to your joints. This provides warmth and relief to your joints.

  3. You can opt for an Ayurvedic hot oil massage of your joints. This is effective, especially during the winter. You can use castor oil, and sesame seed oil for massaging your arthritis affected joints. Do not apply pressure while massaging your joints as applying pressure goes against the principles of Ayurveda.

  4. It is recommended for you to meditate regularly for relieving stress and coping with anxiety. These factors are responsible for the development of ama in your body. Regular meditation makes your body relaxed and calm. You should practice yoga as it involves several breathing exercises which help in initiating you into meditation. Having effective control over your breath, your meditation will be more effective.

  5. It is important for you to sleep early and wake up early. The disruption of your sleep cycle causes aggravation of all your doshas and causes stress and fear. A healthy sleep cycle helps you in keeping away from obesity. This improves the health of your load bearing joints, as the chances of them getting extra load because of obesity are prevented.

If you are looking for Ayurvedic remedies for arthritis, it is important for you to consult an experienced Ayurvedic practitioner. He will be able to prescribe you Ayurvedic remedies which suit your symptoms and stage of arthritis. In case you have a concern or query you can always consult an expert & get answers to your questions!

3531 people found this helpful

I have right leg pain. Please help me. I have sleep at 24th march in evening on road then. My legs are foot skin are damaged and very pain.

BHMS
Homeopath, Faridabad
I have right leg pain. Please help me. I have sleep at 24th march in evening on road then. My legs are foot skin are ...
Hi. Is there any history of injury or hurt to the area? any underlying medical condition? the pain in legs can be because of - muscle cramps (due to tiredness or dehydration), shin splints (doing activity over and over on hard surfaces can bring this on. You may also be more likely to get shin splints if you have flat feet or your feet turn outward. Rest your legs to feel better. Ice helps), tendinitis (you can get it from overworking the calf muscle or climbing the stairs, apply ice to get some relief), sprains (do rest, ice, compression & elevation). Other causes are varicose veins, arterial disease, sciatica, diabetic neuropathy. Medication: meantime, take homoeopathic medicines - arnica 200 and rhus tox. 200 - take both of them thrice daily for 1 week. Also, apply schwabe's topi-arnica and topi mp gel on the affected area in circular motions gently thrice a day. And wrap crepe bandage over it. Get back to me thereafter. For dry foot skin: apply schwabe's aloe vera cream immediately after bathing, use schwabe's skin care soap.
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Hello Sir, I am Vijayashree, working as Chemistry lecturer, I have to stand for longer time to take classes in college that's why suffering from leg pain kindly suggest me some ayurvedic medicines. Thank you.

M.D.(Ayu.) Basic Principles, B.A.M.S., I.P.G.T.& R.A., GAU
Ayurveda, Ajmer
Hello Sir,
I am Vijayashree, working as Chemistry lecturer, I have to stand for longer time to take classes in colleg...
Hi Lybrate user You can use following medicines to get rid of your problem 1. You can do gentle message of your legs by applying Dhanvantram oil or sahacharadi oil than half an hour later do foot soak for 10 minutes by lukewarm water. 2 Use Dashmool kwath 20 ml two times a day empty stomach. Tc thanks.
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