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Dr. Hemant

Orthopedist, Delhi

10 at clinic
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Dr. Hemant Orthopedist, Delhi
10 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Hemant
Dr. Hemant is a popular Orthopedist in Vikas Marg, Delhi. Doctor is currently associated with Santi Mukund Hospital in Vikas Marg, Delhi. Save your time and book an appointment online with Dr. Hemant on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 32 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.

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Santi Mukund Hospital

2 Institutional Area Vikas Marg Extension Vikas Nagar. Landmark:- Near Karkoduma Metro Sation, DelhiDelhi Get Directions
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What You Should Know About Spondyloarthritis?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
What You Should Know About Spondyloarthritis?

The bones and joints orchestrate very well with each other for smooth movements of various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby, limiting movement. Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

  1. The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
  2. Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
  3. ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
  4. Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
  5. Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
  6. In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
  7. Exercise plays a very vital role in controlling the issue and improving range of motion. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
2615 people found this helpful

7 Tips For Good Bone Health

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

1. Eat calcium-rich foods

In addition to dairy products, choose fish with bones such as salmon, sardines or whitebait. For additional benefits, serve them with a side of dark leafy green vegetables or broccoli. Almonds, dried figs, fortified tofu and soy milk are also calcium-rich choices, says registered dietitian laura jeffers, med, rd, ld.

2. Take calcium supplements

The u. S. Recommended daily allowance for calcium is 1, 000 mg a day during your 20s, 30s and 40s. But your need rises as you age. Check with your doctor before starting supplements to find out what amount is right for you. For example, after menopause, most women need 1000 to 1, 500 mg a day unless they take hormone therapy. Your body only absorbs 500 mg of calcium at a time, Ms. Jeffers notes, so spread your consumption out over the course of the day.


3. Add d to your day

To help absorb calcium, most adults need 1, 000 to 2, 000 iu of vitamin d daily, combined calcium-vitamin d pills usually do not meet this requirement. And most of us who live north of atlanta do not get enough vitamin d the old-fashioned way — from the sun. Taking a vitamin d supplement will ensure you meet your daily needs.


4. Start weight-bearing exercises

To boost your bone strength, try exercise that “loads” or compresses your bones, says exercise physiologist heather nettle, ma. “running, jogging, high-impact aerobics, repetitive stair climbing, dancing, tennis and basketball are best for building bones. But if you have osteopenia, osteoporosis or arthritis, try walking or using an elliptical or other machine,” she says. Be sure to clear any exercise plans with your doctor first.


5. Don’t smoke, and don’t drink excessively

Bad news for bad habits: loss of bone mineral density is associated with tobacco use and excessive alcohol consumption, Dr. Sikon says. If you smoke, look into a program to help you quit. If you drink, stick to no more than one libation a day, she advises.

6. Get your bone mineral density tested

Doctors can get a quick and painless “snapshot” of bone health using a simple x-ray test called dxa. This test measures bone mineral density and helps determine risks of osteoporosis and fracture. Dr. Sikon recommends testing for women within two years of menopause. Earlier tests are recommended for men and women with certain diseases and for those taking medications that increase risk, such as long-term steroid therapy.

7. Medication

Perimenopausal women may consider hormone therapy to increase waning estrogen levels, which are linked to bone loss. And women and men diagnosed with osteopenia or osteoporosis can take various medications to prevent dangerous hip and spine fractures.

7 people found this helpful

What are the kidney stone? My back side pain ,is it because of kidney stones in the morning my pain too much could you please help me?

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
What are the kidney stone? My back side pain ,is it because of kidney stones in the morning my pain too much could yo...
Immediate consult your physician. Also you need to follow certain dietary changes. About 80% of all kidney stones are composed of calcium and other minerals, usually a combination of calcium and oxalate. In some cases dietary adjustments help to prevent the recurrence of these types of stones. Increase fluid intake: this is the most important preventive measure for all patients who develop kidney stones. It hinders the formation of stones by diluting the urine. The biggest portion of calcium in the diet comes from milk and foods made from large amounts of milk, such as cheeses and yogurt, dark greeny vegetables. Too much may cause calcium stones. Sugar, sodium, and animal protein: it has been found that too much of these may also aggravate the development of calcium or calcium oxalate stones. A diet high in animal protein affects certain minerals in the urine that may promote the formation of kidney stones. Insoluble fiber also speeds up movement of substances through the intestine, so there will be less time for calcium to be absorbed. When vitamin c is used by the body, oxalate is produced. Take personalised expert dietary advice. Thanku.
1 person found this helpful
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Iam 25 year old. From last one month iam suffering from knees pain. Dr. recommends bio-d3-fem. I have taken one month bt no change. Whn I walk thn I can feel pain and weird type sound. May be you knw wht type of sound iam talking abt (chatak type). Wht shud I do.

COMT, MPT - Orthopedic Physiotherapy, CMP
Physiotherapist, Pune
Iam 25 year old.  From last one month iam suffering from knees pain. Dr. recommends bio-d3-fem. I have taken one mont...
It can possibly being wear and tear of the back surface of your knee cap called the patella, its called the chondromalacia patella common in young females who are involved in dance or sports. Need to show a physiotherapist to get yourself examined.
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I'm naveen 24 yes old, I'm suffering from back pain below the ribs. What should I do?

BHMS
Homeopath, Lucknow
I'm naveen 24 yes old, I'm suffering from back pain below the ribs. What should I do?
naveen do u have pain on left side or right side. if it is right sided then there is so many causes ---gastric causes[ flatulence means excessive accumulation of gas, pain of gall bladder]..pain of bones & muscles due previous injury & due to abnormal posture] if it is left sided then it may be due to flatulence & due to pain of bone & muscle. so make it sure what kind of problem with u. if there is gastric cause then go for USG upper abdomen.
1 person found this helpful
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From last two months I suffering From backache I concern many doctors. But I have not got a relief so what to do can you give me a advice that I be healthy.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
From last two months I suffering From backache I concern many doctors. But I have not got a relief so what to do can ...
Homoeopathic medicine SPONDYAID ( BAKSON) Drink 10 drops in 20 ml fresh water 3 times daily MAGNESIA PHOS 6X ( Dr Reckeweg) Chew 4 tab every 2-3 Hrly depending on pain daily Drink 2 glass Milk and an Egg Daily Report after 15 days
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I have wrist pain from 2years my age 38years please find me a parchment solution.

COMT, MPTh/MPT
Physiotherapist, Surat
I have wrist pain from 2years my age 38years please find me a parchment solution.
Mostly pain in wrist is due to strained or inflamed soft tissues like tendon. There are many other reasons why pain in wrist occurs so to rule out the exact cause you need to go for proper investigation. After looking to your pain I would recommed you for some care that you can take at home. If possible visit some physio who can give you several mdalities like us, ift etc to cure the pain. Along with it we have a special program designed like pnf, hold relax etc just to get relief from pain. Precautions: 1. Avoid weight lifting. 2. Avoid doing twisting moments like supination-pronation which usally is done while playing badmitton or while washing clothes. 3. Give rest to your work for some days. 4. Wear wrist band to rest your muscles. 5. Avoid bending your wrist into positions that cause the symptoms. Treatment: 1. Give rest to your wrist. If severe pain you can use sling/band to avoid gravity pressure. 2. Take alum in hot water and take fermentation with that water thrice a day for 15-20 minutes. While your hand is in water do some exercises like close hand, open hand, making circle from indivisual fingers etc. 3. Massage using your 2 fingers over the painful area. 4. Exercises: start the exercise once your pain is decreased atleast 50-60% a) palm lifting b) wrist up and down in gravity eliminated position c) strengthening of wrist muscles. D) strenthening of all finger muscles. E) making fist and then open hand. For any query please contact me right away. Good luck and get well soon.

After finishing gym I am getting pain in my left wrist , if I won't go for gym then pain will not be there, the pain actually started while working out in gym 3 months back , please tell me the solution .

DHB
Homeopath, Sagar
After finishing gym I am getting pain in my left wrist , if I won't go for gym then pain will not be there, the pain ...
Dear your wrist pain appears due to some muscles pulled while doing your workout in the gym. It is common to people doing weight lifting type exercise. Take homoeopathic medicines arnica 200 rush tox 200 both 5 drops twice daily.
6 people found this helpful
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My mother gets excessive pain in elbow and in joints of foot. She gets exhausted. After walking a small distance. Her knee joint pains excessively.

BHMS
Homeopath, Ghaziabad
My mother gets excessive pain in elbow and in joints of foot. She gets exhausted. After walking a small distance. Her...
Hello. Take homoeopath medicines rush tox 1m (morning) causticum 1m (afternoon) colocynthis 1m (night) add 6-6 drops in little water give her and update me.
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My mother is about 60 years old, she feel pain in joints, and when she sits on chair some tym her lag got numb, if she stand some tym she feel pain in her waistline and the pain is like koi nas dab rahi ho.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My mother is about 60 years old, she feel pain in joints, and when she sits on chair some tym her lag got numb, if sh...
It is mostly because of the vertebral column problems especially osteoarthritis... It can be relieved by homoeopathic medicines...and very safely... You may give her Nux Vomica 30 TDs for 1 day...
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