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Dr. Lalit Yadav

BPTh/BPT, MPT - Orthopedic Physiotherapy

Physiotherapist, Delhi

9 Years Experience  ·  300 at clinic
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Dr. Lalit Yadav BPTh/BPT, MPT - Orthopedic Physiotherapy Physiotherapist, Delhi
9 Years Experience  ·  300 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Lalit Yadav
Dr. Lalit Yadav is one of the best Physiotherapists in Rohini, Delhi. He has had many happy patients in his 9 years of journey as a Physiotherapist. He is a BPTh/BPT, MPT - Orthopedic Physiotherapy . He is currently associated with The Bone in Rohini, Delhi. Book an appointment online with Dr. Lalit Yadav and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 41 years of experience on Lybrate.com. You can find Physiotherapists 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
BPTh/BPT - Doon Medical College, - 2009
MPT - Orthopedic Physiotherapy - Doon Medical College, - 2013
Languages spoken
English
Hindi
Professional Memberships
Member Indian Association of Physiotherapy

Location

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The Bone

B-4/33, Rohini Sector-8. Landmark: Near Ganesh Lab, DelhiDelhi Get Directions
300 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I em having pain in my lower back from last 1 year I need help plzz some1 help me its really killing me off.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I em having pain in my lower back from last 1 year I need help plzz some1 help me its really killing me off.
If you have lower back pain pain pls check your body weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there may not be any pathological reasons for back pain. . My suggestion would be to wear MCR Chappals which will help you to prevent the weight falling on the If you have back pain while walking and standing
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Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

As life expectancy is increasing so is the incidence of vertebral body (VB) fractures now being the commonest fracture of the body. PVP is an established interventional technique in which bone cement is injected under local anaesthesia via a needle into a fractured VB with imaging guidance providing instant pain relief, increased bone strength, stability, decreasing analgesic medicines, increased mobility with improved quality of life and early return to work in days.

In this era of minimally access surgery replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression fracture spine.

Morbidity & consequences of spinal fracture:

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory & GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc element
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.
  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Results / Outcome

  • PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral.
  • Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  • PVP does augment height of VB but ideal would be kyphoplasty
  • Patient is either off medicine or on reduced doses.
  • Patient feels so well that he almost forgets if he had VB
     

Percutaneous Vertebroplasty (PVP) is an emerging interventional technique in which surgical polymethyl methacrylate bone cement is injected under local anaesthesia via a large bore needle into a vertebral body (VB) under imaging guidance providing increased bone strength, stability, pain relief, decreased analgesics, increased mobility with improved QOL and early return to work. Started in 1984 by Galibert PVP is done in host of indications.

Senile osteoporotic compression remains the commonest Indication. Other indications are  Metastatic VB,  Multiple myeloma VB, VB haemangioma,  Vertebral osteonecrosis & for strengthening VB before major spinal surgery. The benefit has been extended to the traumatic stable uncomplicated VB compression (VCF)   which is commoner in younger age group with active life profile and prime of their career where strict bed rest and acute or chronic pain are unacceptable and they are more demanding for proactive treatment approach so as to be back to work ASAP.

Discovering the fact that VB is the commonest of body, its incidence >the hip, it becomes imperative to take it more seriously. With increasing life-span there is more of aged osteoporotic population, more so due to sedentary indoor lifestyle and post menopausal osteoporosis.  Diabetics, smokers & alcoholics are at higher risk of developing osteoporosis. I have seen such alcoholic patient developing six spine fractures in just three months time from a single fracture being on complete bed rest.

Quick fix of fracture spine makes patient walk back same day instead of bed rest of months together avoiding morbidity & mortality of prolonged bed rest, making bedridden patient walk, in a way bringing patient  back to normal life.

In this era of MAS replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression.

Morbidity & consequenses of spinal 

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly.
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory &
  • GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc elements.
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics.
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.

Morbidity and complication of spinal surgery 

  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Preparation & Procedure:
X-ray spine in a/p & lat view. CT is more informative of bone & morphology. MRI is good for soft tissue injuries. Ask for pedicle size in all dimensions and construct a 3D image aiming needle placement and cement filling in scan room itself as rehearsal of PVP. This reduces operative time & gives better results. Conventionally PVP is done by hammering the vertebroplasty needle through the bone. Here we use light weight drill to bore through the vertebra. It is important to set the needle at exact entry site & side with right trajectory aiming the defects.

In lateral view needle should go through middle of the pedicle going up to anterior 1/3 of VB. In P/A view the needle can be in midline or paramedian depending upon & if uni/bipedicular approach is planned. Approach varies as per location of vertebra, anterolateral in cervical, costotransverse/parapedicular in thoracic & transpedicular in lumbar vertebra.

Do bone biopsy if there is any doubt about lession. Do dye test (vertebral venography). Make cement more radiopaque by adding barium /or tungsten. Inject cement with 1or2 ml luerlock syringes strictly under fluoroscope in lateral view & cross checking in P/A view. Stop injecting either there is adequate filling or at the first sight of ectopic cement leak. Keep sample cement to see for hardening. Remove needle with rotational movement before cement hardens.

Pain relief is by virtue of different mechanisms postulated :

  • Cementing of fragments.
  • Thermal neurolysis of VB nerve ending due to heat of polymerization.
  • Washing away of nociceptor chemicals.
  • Neurolytic action of liquid monomer.
  • By allowing early ambulation decreasing pains of immobility & bed rest.

Complications 

  1. PVP is generally safe with low risk.
  2. Ectopic cement leak is frequent but generally inconsequential.

Outcome 

  1. PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral
  2. Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  3. PVP does augment height of VB but ideal would be kyphoplasty.
  4. Patient is either off medicine or on reduced doses.
  5. Patient feels so well that he almost forgets if he had VB

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

4342 people found this helpful

I have pain in my left leg. Right above the knee. It is a muscle pain. I have a problem when I fold my leg.

BHMS
Homeopath, Delhi
I have pain in my left leg. Right above the knee. It is a muscle pain. I have a problem when I fold my leg.
Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for 3 days and update.
2 people found this helpful
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Hi this is humayun from mumbai I have back pain every time after getup in the morning.

Hi this is humayun from mumbai
I have back pain every time after getup in the morning.
That indicates lack of exercise. You need to start doing exercise. Not any sort of Gym or heavy work out. But simple yoga exercise will help you. Bhujangasana and patangasana will help you. You can see them on YouTube. Apply luke warm Mahanarayan taila before doing exercise and after doing exercise take a warm water bath. Do it for minimum 7 days if doesn’t help then only think of internal medicines.
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I am 24 years old male I have leg pain since 1 week I tried pain relief but no use what should I do for it to get rid of the pain and make more stronger?

B.H.M.S
Homeopath, Lucknow
I am 24 years old male I have leg pain since 1 week I tried pain relief but no use what should I do for it to get rid...
Mr. Lybrate-user you have not mentioned type of pain and any traumatic history so please go for x ray lumbar spine. For the time being use arnica 200, 5 drps in a cup of water ntake rest.
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I am having nee joint pain since last 15 -20 days. I don't know whether it is because of JIM (which I started last 3 months) or due to calcium. Please suggest,

BPTh/BPT
Physiotherapist, Bangalore
I am having nee joint pain since last 15 -20 days. I don't know whether it is because of JIM (which I started last 3 ...
Wishing you very Happy New Year 2018 Yes your knee joint pain is because of gym exercises. Please reduce the intensity of exercises. Initially do slowly gradually you increase, don't do squatting or treadmill running too much. If you feel too much of pain take rest and use daily hot water bag.
1 person found this helpful
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I am 26 year male & have spinal cord injury. Mera injury T6 & T7 vertebra me hua he. Mera chest se leg tak paralysed he. Kuch feel nehin hota. Mera leg me koi bhi chunese automatically upar niche hota hai or vibration hota hai. Koi leg me pinch karne se bhi auto khich leta he but mujhe feel nehin hota. 3 year ho geya he me bed pe hun. In future kuch change hone ka chance hai kya? Koi medicine or koi treatment Agar help kar sakta hai to batain please. Please help me.

PG Diploma in Health Promotion, Bachelor of Physiotherapy, certificate in Yoga Therapy & Ayurveda
Physiotherapist, Delhi
I am 26 year male & have spinal cord injury. Mera injury T6 & T7 vertebra me hua he. Mera chest se leg tak paralysed ...
Spinal cord injury causes paralysis in the body. Ye show karta hai ki spine kitna important hai. Please aap achi jagah se Physiotherapy treatment le. Mene Apne career me spinal cord injury ke patients me ache results dekhe hai. Hope lose mat kijiye. Physiotherapy ache result deti hai. Koi medicine aap ki muscle me strength nhi la skti. Go for a proper rehabilitation treatment. Regards.
1 person found this helpful
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Sir, I am 58 years old working women. I feel pain in thighs muscles (nerves) while lowering the body towards feet. Is this due to intake of sugar or other reason. Sir I am taking 3-4 cups of tea in a day, daily some fruits and other sweeteners like sweat or chocolate etc. It is ok or excess. Pl advise for the pain also. Thanks Sir.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Sir, I am 58 years old working women. I feel pain in thighs muscles (nerves) while lowering the body towards feet. Is...
It sounds like you are having Piriformis syndrome. Piriformis syndrome has traditionally been described as a referred neural pain in the posterior hip and leg caused by hypertrophy or spasm of the piriformis. The pain is caused by pressure applied to the sciatic nerve by the piriformis due to the passage of the nerve through or under the muscle. You need to see a Physiotherapist for stretching and pain relief.
2 people found this helpful
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I have lower back pain mainly on bum area. I was not able to turn while lying down. Doctor asked me to take scan. The impression is as below *Straightening of lumbar vertebrae *Mild dorsal bulge at L5-S1 with the call sac compression. No significant canal narrowing. No evidence of neural forminal narrowing/nerve root compression. *Left sacrumy at sacroiliac joint level show high signal intensity-consider acute sacroiliitis. Kindly advice on what does all these mean. Is there any thing alarming here. Thank you.

M S Orthopedic Surgery, MBBS
Orthopedist,
I have lower back pain mainly on bum area. I was not able to turn while lying down. Doctor asked me to take scan. The...
DEAR lybrate-user, Greetings. As per your report, you are having Sacroiliitis. A condition of Inflamation of Sacro-Iliac Joint I.e the Joint that connects the Spine on both sides with Pelvis. The reasons can be any and needs to be evaluated to exclude, Infection-Inflamation- and Arthritic conditions like Rheumatoid & Ankylosing Spondylitis a rare condition by further investigations. I sincerely suggest you to consult a Rheumatologist for that.
2 people found this helpful
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Sir I think im suffering from digestion problem I eat and I go to washroom I think I have liver problem and from back some mud come out so what should I do please give me urgent care.

Ayurveda, Faridabad
Sir I think im suffering from digestion problem I eat and I go to washroom I think I have liver problem and from back...
Hello param . you have weak digestion so first avoid oily.fried and fast food from diet .also avoid sweets hotel food etc. take light food as khichri.mung dal.boiled rice.fulka .curd etc. in medicines take lavanbhasker churna 2-2gm before food with warm water and Bilwadi churne 3-3gm after food for two weeks.
4 people found this helpful
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