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Dr. K P Raj

Orthopedist, Delhi

600 at clinic
Dr. K P Raj Orthopedist, Delhi
600 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. K P Raj
Dr. K P Raj is a popular Orthopedist in Karol Bagh, Delhi. He is currently associated with Shree Jeevan Hospital in Karol Bagh, Delhi. Save your time and book an appointment online with Dr. K P Raj on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 36 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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Hindi

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#67/1, New Rohtak Road, Karol Bagh. Landmark: Near Liberty Hall, DelhiDelhi Get Directions
600 at clinic
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I am suffering from a saviour neck pain. It pains a lot What to do to get a relief from pain.

BHMS
Homeopath, Howrah
Exercise is the main way to reduce neck pain, avoid sitting for long time with neck bended. Apply volini gel.
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Hello sir Suffering from back pain since last 5 years ,and I'm 25 year old ,and I and I suffer from night fall daily ,weakness numbness,noise,suggest me sir

MSPT (Master of Physical Therapy), BPTh/BPT
Physiotherapist, Bangalore
Back pain with weakness, numbness signs of nerve compression/ TB/ IVDP/ . Get a consultation with CT scan. That would be necessary
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I have back pain before one month I take lots if medicine I pain did not gone what will I do.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have back pain before one month I take lots if medicine I pain did not gone what will I do.
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain.
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I am 35 years old, I have got pain in my foot so much can it is due to uric acid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 35 years old, I have got pain in my foot so much can it is due to uric acid.
take tab. naprosyn 500 mg sos for pain. you can take tab. bencid-500 mg once a day after meal, tab. zyloric 100 mg once a day after meal. continue checkup your tests. avoid more protein diet,milk products.avoid alcohol,stress, go walk, take whole grain foods,oats,green veg.,juice,
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Am 21 years old male After I work out, I feel very pain in all over my arms, legs, and abdomen. Is this normal? What causes this?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Am 21 years old male After I work out, I feel very pain in all over my arms, legs, and abdomen. Is this normal? What ...
This is common for few days and maximum 3 weeks if it continuous do consult neuro physio and seek requisite advise.
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I have shoulder problem since 4 year. Taking pain killer but not that much. Is there any exercise.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have shoulder problem since 4 year. Taking pain killer but not that much. Is there any exercise.
Do Take IFT and laser Therapy for pain relief for 10 days followed by strengthening exercise from Neuro physiotherapist best wishes
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I have a problem of sciatica. There is huge pain in my lower back and thighs. I am a diabetic patient also. Can you suggest any treatment or exercise for this?

MBBS, Fellowship in critical care
General Physician, Bangalore
I have a problem of sciatica. There is huge pain in my lower back and thighs. I am a diabetic patient also. Can you s...
You maybe suffering from diabetic neuropathy I suggest you to take tab meconerv daily for a month it should help your symptoms.
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I have got pain in my legs especially in rt knee when ever I go for walk or doing some domestic work and my feet also pained while walking n when I sit for longer time the I could not be able to stand easily.

MBBS
General Physician,
I have got pain in my legs especially in rt knee when ever I go for walk or doing some domestic work and my feet also...
I think you are suffering from Osteoarthritis of Rt. Knee. But to confirm, get an Xray done. You can take Tab Dolo 650mg twice daily after lunch & dinner.
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Hi, I am 39yrs and have spine pain from top shoulder to lower pain. Got severe lower back pain and taken Physiotherapy as UV and small electric waves for a week and after that I doing back exercise daily and it comforts me. But back pains in morning is a routine. Kindly suggest.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi, I am 39yrs and have spine pain from top shoulder to lower pain.
Got severe lower back pain and taken Physiotherap...
It needs to be investigated. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.
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I get pain in the heel when I get up from bed in the morning. Later in the day it gets slightly better. Please. Suggest what should the course of treatment.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. Topical capsaicin, derived from chili peppers, may help with arthritis, diabetic nerve pain, and other conditions. There's evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee. Do reply back for private consultation. And detailed treatment plan.
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I am 18 years old boy I have knee pain since 2 days while playing football what should I do.

MS - Orthopaedics, MBBS
Orthopedist, Faridabad
I am 18 years old boy I have knee pain since 2 days while playing football what should I do.
Stop playing and exercises for one week. Apply ice packs locally. Do regular knee strengthening exercises before you start playing again.
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I am suffering from upper arm pain, swelling in joints, burning sensation under feet, sometimes difficulty to breath. Is this the symptoms of heart disease. ?

Merrithew Stott Pilates, Bachelor of Physiotherapy
Physiotherapist, Bangalore
I am suffering from upper arm pain, swelling in joints, burning sensation under feet, sometimes difficulty to breath....
You should get your ecg and an angiogram done. This to rule heart issues. Secondly do a cold fermentation for your feet to cool down the burning sensation. Proper breathing exercise daily will also help in reducing difficulty in breathing. Exercise dialy and wear proper shoes to support your feet.
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I have an ACL reconstruction on my right knee last 4 months ago . I have some pain when I hold my total weight on right leg . And when I'm doing squats I hear some sounds inner side So please help me about this issue I'm really scared of this.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have an ACL reconstruction on my right knee last 4 months ago .
I have some pain when I hold my total weight on rig...
after ACL reconstruction physiotherapy must ur muscle required strength nw so do gradually strength exercise but firstly reduce pain and increase mobility and rang of movement
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Hey doctor my age is just 14 and my shoulder are much widen can you pls tell me any exercise or any dite to widen my shoulders.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hey doctor my age is just 14 and my shoulder are much widen can you pls tell me any exercise or any dite to widen my ...
Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side. Warm up and cool down is a must.
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Hii Dr. im having an problem with my mental pressure im unable to stop masturbating and im totally addicted to porn so please can you guide me because of this im losing my memory and body power and im getting very severe back pain in downal area. So please can you please guide me how to get out it.

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
Hii Dr. im having an problem with my mental pressure im unable to stop masturbating and im totally addicted to porn s...
Hi try to control this situation by your mind. Beleive me everything is in the mind. I suggest you some flower remedy available in all homoeopathy shops. Mix 10 drops of olive +! 0 drops of hornbeam mix these with 50 ml water and consume orally by mouth every 12 hours. Try this for 2 months.
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Back problem, I wakeup in morning I have Minor back pain. Please tell me the solution and some exercise.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Back problem, I wakeup in morning I have Minor back pain. Please tell me the solution and some exercise.
Here are some tips for how to handle your back pain: -while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -find a mattress with back support. A good mattress should provide support for the natural curves and alignment of the spine. Medium-firm mattresses usually provide more back pain relief than firm mattresses. -do not perform activities that involve heavy lifting or twisting of your back -avoid bending forward and sitting in a place for long time -stretching and strengthening exercises are important. -a physiotherapist can tell you when to begin stretching and strengthening exercises and how to do them. Best wishes.
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Rheumatoid Arthritis: A mystery solved with lucidity

MBBS, MD - Internal Medicine, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Rheumatoid Arthritis: A mystery solved with lucidity

Vital notes:

  • RA is a chronic debilitating joint disease that affects small joints of hands and foot.
  • More common in females aged 20 to 50 years.
  • It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years.
  • It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately.
  • Untreated disease may cause deformity of hands and foot causing deterioration of quality of life.
  • Erosion of small joints along with loss of entire joint architecture is the basic disease process.
  • Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic.
  • Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids.
  • Difficult diseases are treated with costly injections called biologics.
  • The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “
  • Lung and cardiac complications are common in long term disease.
  • Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.                    

 

Introduction:

Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon.

The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity.

This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment.

 

What are the symptoms?

Symptoms vary from person to person and also from early stage to late stage of the disease.

 In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results.

In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm.

In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful.

A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat.

Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease.

 

What is the difference between Rheumatic Fever & Rheumatoid Arthritis?

There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis.

 

Why Penicillin injections are given on a monthly basis?

Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist.

 

How is Rheumatoid Arthritis diagnosed?

Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course

 

Does each and every patient of rheumatoid arthritis develop crooked hands and foot?

No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease.

 

How Rheumatoid Arthritis is treated?

Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage.

Cessation of smoking is mandatory. Smokers tend to develop early joint destruction

Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs.

Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below.

 

Why I am being given Steroids?

Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment.

Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month.

 

What are Biologic agents? Why they are so costly?

Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started.

Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.

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I am 29 year old, one month before I slipped and my both legs got spread in opposite direction. Bcoz of that m feeling a lots of hip pain when is sit. I can walk, but I cant sit.

BPTh/BPT
Physiotherapist, Delhi
Start with physiotherapy sessions and learn exercise for spine. Use lumber spine belt also. Send me x ray report also so that I can advise you medicine.
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