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Dr. Harvinder Singh

MS, MBBS

Orthopedist, New Delhi

20 Years Experience  ·  300 at clinic
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Dr. Harvinder Singh MS, MBBS Orthopedist, New Delhi
20 Years Experience  ·  300 at clinic
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Personal Statement

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.
More about Dr. Harvinder Singh
Dr. Harvinder Singh is one of the best Orthopedists in Tagore Garden, Delhi. He has been a practicing Orthopedist for 20 years. He studied and completed MS, MBBS . He is currently associated with Renu Joint & Fracture Clinic in Tagore Garden, Delhi. You can book an instant appointment online with Dr. Harvinder Singh on Lybrate.com.

Lybrate.com has a nexus of the most experienced Orthopedists in India. You will find Orthopedists with more than 41 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 - Vardhman Mahavir Medical College, Safdarjung Hospital, Delhi - 2002
MBBS - Delhi university - 1998
Languages spoken
English
Hindi

Location

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Renu Joint & Fracture Clinic

293 Vishal Market Tagore Garden Extention Near Shiv MandirNew Delhi Get Directions
300 at clinic
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I am 25 year old male. Having continuous both knee pain from more than last six month. I consult with orthopedic.

BAMS
Ayurveda, Ambala
I am 25 year old male. Having continuous both knee pain from more than last six month. I consult with orthopedic.
As you feel pain in knees, follow these usefultips for pain relief: * first check out bone mineral density (bmd). In case of low bmd, your calcium level in body are low. So take take calcium rich diet daily. Take a glass (300 ml) of full cream milk daily or 100 gm of cheese or 1-2 eggs regularly. * give a gentle oil massage to knees regularly and wrap your knees with cloth dipped in hot water for atleast 10-15 minutes. * wear knee cap or wrap crape bandage during walk for knee support. * sit atleast for 5-8 minutes in sunlight in morning or evening for vitamind. *avoid heal shoe and wear only flat shoes for balanced load on knees. * check out your blood sugar level and hemoglobin level in every 6 months. * if you have any history of rheumatoid arthritis in family then checkout your ra factor. * take guggalu tablets if himalaya one tablet daily for atleast 3 months. * take a piece of garlic, crush it and boil it a glass of milk and drink daily for fast pain relief.
3 people found this helpful
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I am suffering from headache, leg pain, hand pain all at same time from 1 week wat should I do.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
I am suffering from headache, leg pain, hand pain all at same time from 1 week wat should I do.
Take Liquid Diet if you have loose motions:(ORS water, Coconut water, Sour Milk {Chhach - Lassi}, Green Moong Dal Liquid). Otherwise take semisolid food and plenty of fluids. Go for investigations: Typhidot IgM and Complete Hemogram - Upload your Investigation report soon for more help, You can start with Eupatorium Perf 200 - take it thrice daily (if you have faith in Homeopathy medicine). If there is Moderate to high grade fever then continue Antipyretic medicine along with Homeopathic Medicine. You can consult me in person online through Lybrate for more help.
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I have leg pain from 3 days. And it have heavy pain and how it reduce. Can you suggestion. please tell me wat should be?

BPTh/BPT
Physiotherapist, Mumbai
I have leg pain from 3 days. And it have heavy pain and how it reduce. Can you suggestion. please tell me wat should be?
Hello do proper rest & do hot fomentation for 15-20 min thrice in a day. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.
1 person found this helpful
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I have very pain in my right hand thumb nail, The nail of the thumb of my right hand is really in pain, I will not hurt by myself when I press my thumb, it pains when my thumb is hit or touch on something or any object. The pain is realy very Frightful.

Bachelor of Physical Therapy
Physiotherapist, Gurgaon
I have very pain in my right hand thumb nail, The nail of the thumb of my right hand is really in pain, I will not hu...
Condition is known as paronychia, fungal or bacterial infection of nail bed. Go to general physician/surgeon, they will prescribe antibiotics. I hope I helped you !
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I am having a severe back pain now a days. Beside of which iam not even able to sit in the classroom properly. I am skeptical whether it's some serious problem or what? Please help me.

BHMS
Homeopath, Delhi
I am having a severe back pain now a days. Beside of which iam not even able to sit in the classroom properly. I am s...
Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for a week and update.
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1) I have L4-L5 extrusion seen in scan. Back started started when I did a severe exercise in nov, 2008. Pain sometimes lowers and sometime it aggravates. Severe back pain now at the lower back. 2) I have wrinkled skin and I have become more darker in the last 3 years. I am 40 years. I have works at night shifts till 2 am. Is that a problem for skin? 3) In the last 3 to 5 years, many reddish brown moles have come on the different parts of the body. Some black moles also. 4) Prostate is slightly large and I have frequent urination with residue of 15%. Pls advise.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
1) I have L4-L5 extrusion seen in scan. Back started started when I did a severe exercise in nov, 2008. Pain sometime...
Dear lybrate-user, l4-5 extruded disc if giving you frequent problems, then it may need surgical excision. Had it been just disc bulge, non operative management would always suffice. Surgery or no surgery is your choice. Surgery will give you long term results. It may also settle down with rest and medicines.
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Hello I am 21 years old. I am having a severe back pain when ever I lift more than 5-10 kgs I tried normal pain killers like aceclo fenac, diclo fenac even tramadol But I get relif whenever I massage that area So kindly please help me to overcome this problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello I am 21 years old. I am having a severe back pain when ever I lift more than 5-10 kgs I tried normal pain kille...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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Hello Doctor, I have a painful knee (right), diog. As arthritis. What are sure cure of this arthritis? Thanks!

Vaidya Visharad
Sexologist, Narnaul
Dear, According to Ayurveda joint pain is known as Sandhigata vata. With increase in age vata dosha is predominant in human body that is why with aging disease caused by vata dosha increases in body. Joint pain is a common symptom with many possible causes. Joint Pain and Arthritis are the one of the most devastating conditions faced by individuals, particularly elderly women today. When there is pure Vata dosha involvement (a pain without swelling or discoloration) then the massage with medicated ayurvedic oil is quite useful & supplement is helpful in balancing bodily humors ?vata, which is responsible dosha for Sandhigata vata . Visit us:-www.Malhotraayurveda.Com

Procedures That Can Help Treat Slip Disc & Sciatica!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Procedures That Can Help Treat Slip Disc & Sciatica!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation 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 pt`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&L5S1), 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.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for 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 Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The 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 postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4492 people found this helpful

I am 32 years old and since 2009 I was suffering from leg pain and was diagnosed as sciatic pain initially and was using some pain killers and anti biotic. The problem was resolved, but again in 2012 it repeated and doctors suggested to go for MRI scan and noticed that L5 disk bulge is there and suggested to take rest for one month (bed rest) and the problem was solved. But again in 2014 same problem occurred. This time it was ok with yoga course. But whereas, one doctor suggested to take complete health check up and he identified with the results that due to diabetes I was suffering all these days. Now blood sugar levels are 130 (fasting) and 200 pp.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
I am 32 years old and since 2009 I was suffering from leg pain and was diagnosed as sciatic pain initially and was us...
Your problem seems to be due to the disc bulge that you mentioned. Its unlikely that diabetes would cause a typical scaitica pain which is one sided since so long. However your levels of blood sugar currently warrant treatment. If left untreated, it can aggravate your nerve problems.
1 person found this helpful
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