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Dr. Nischal Lal

Physiotherapist, Delhi

100 at clinic
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Dr. Nischal Lal Physiotherapist, Delhi
100 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Nischal Lal
Dr. Nischal Lal is an experienced Physiotherapist in Sarita Vihar, Delhi. He is currently practising at Lal's Physiotherapy Centre in Sarita Vihar, Delhi. Book an appointment online with Dr. Nischal Lal on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 37 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.

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Hindi

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Lal's Physiotherapy Centre

14A, Pocket-M, Sarita Vihar. Landmark: near aggarwal sweets, DelhiDelhi Get Directions
100 at clinic
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Sir I have a deep pain in my back since 15 days and also it pains a lot when I sit for a long time. What can I do to get rid of this?

DHMS (Hons.)
Homeopath, Patna
Sir I have a deep pain in my back since 15 days and also it pains a lot when I sit for a long time. What can I do to ...
Hi, this is due to postural disorder while sitting & sleeping, please correct it, first. Take, homoeo medicine: @ rhush tox1000-6 pills, wkly. @ arnica mont 200-6 pills, thrice a day. Avoid, jerks, lifting weight, junk food, caffiene, nicotine, alcohol. Take care.
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I am getting heavy back pain since 1 week. What can I do, could you please tell me.

MBBS, D'Ortho, DNB (Orthopedics)
Orthopedist, Mumbai
I am getting heavy back pain since 1 week. What can I do, could you please tell me.
Hello lybrate-user for heavy back pain you need to full rest with medication muscle relaxant once pain relief start physiotherapy if no improvement after tht pls get investigation xray spine.
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How Knee Replacement Procedure Is Performed?

DNB (Orthopedics), Fellowship in Joint Replacement, MS - Orthopaedics
Orthopedist, Jaipur
How Knee Replacement Procedure Is Performed?

Knee replacement is a procedure where the weight carrying surface of knee joint is replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.

Surgery Types

Knee replacement is mainly of two main types:

  1. Total knee replacement where both the sides of knee joints are replaced
  2. Partial knee replacement where only single side of the joint is replaced

Procedure

In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage, and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.

In total knee replacement, four steps are performed:

  1. Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
  2. Replacement with metal components, which help as a recreated surface of the joint
  3. Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
  4. Insertion of a medical-grade plastic spacer amid the metal components. This creates an effortless gliding surface.

After general or spinal anesthesia, an incision of 8-12inches is made in the front part of the knee. The joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin, as well as knee cap, is attached to the artificial joint with either cement or a special material.

After Effects of the Procedure

After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.

There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.

Presently, over 90% of total knee replacements function well for 20 to 22 years of surgery. Hence, knee problem is no problem at all!

The Rehabilitation After Total Knee Replacement: 

  1. Full weight-bearing walking, knee bending, exercise next day after surgery 
  2. Commode use, sitting on chair 2nd day 
  3. 3rd day: Stair climbing, start cross leg sitting 
  4. 2 weeks: Suture removal and walking to outdoors

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. The post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, the patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, the patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping. If you wish to discuss about any specific problem, you can consult a Orthopedist.

2657 people found this helpful

Dear Doctor Sir, I am 30 years old, and I am suffering with leg pain, pain shoots in both leg and after taking a long rest I feel some relief. Kindly Help.

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
Dear Doctor Sir, I am 30 years old, and I am suffering with leg pain, pain shoots in both leg and after taking a long...
Hello, there are many reasons for this type of pain- 1. Overuse of muscle, 2. Deficiency of vitamin d3 or calcium, or lack of water in the body, 3. Postural stress, 4. Muscle strain, etc. Please send me all investigation reports if available. I can help you by teaching correct postural habits and ergonomics, do consult me privately. Till then follow these advises:- 1. Take calcium supplements and calcium rich diet like milk, paneer, buttermilk, cheese etc and sun bath daily to prevent further damage to your joints. 2. Avoid heavy lifting. 3. Avoid squatting and weight bearing activities. 4. Use western toilet. 5. Wear shock absorbing, good quality of shoes while walking. 6. Keep roll of a towel under your knees while sleeping. 7. Perform some gentle exercises and stretching of your all joints before getting out of your bed. 8. Walk straight with shoulder protracted. 9. Perform deep breathing exercises or yoga for proper functioning of lungs. 10. Perform calf pumping exercises, which i'll explain you in the next session. Thanks.
1 person found this helpful
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My wife has got leg sprain. Right thigh. Not able to move freely. Always pain in moving. Nothing has come in xray report. What should we do? Please help me.

BPTh/BPT
Physiotherapist, Mumbai
My wife has got leg sprain. Right thigh. Not able to move freely. Always pain in moving. Nothing has come in xray rep...
Hi apply cold water foementation thrice a day for 5 days. If still you don't get relief consult physiotherapist.
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I have pain in my lower back 2 inches left to backbone, feels sharp pain like needle stings not severe yet bearable. Cause is prolonged sitting on chair in front of PC at work. If I spend day with walking and less sitting then it is normal. As I sit on chair pain starts and keep on increasing. I got x ray but it was normal. Should I take tablets like neuroprene, calcium with regular exercise to strength en my muscles. Regards gagan.

BHMS
Homeopath, Delhi
I have pain in my lower back 2 inches left to backbone, feels sharp pain like needle stings not severe yet bearable. ...
Hi Your problem is one related to posture issues. Generally prolonged sitting in one position creates tiredness and sometimes spasms of that group of muscles resulting in discomfort and many times severe pain. Following measures should be taken:- 1. Don't sit continuously for more than one hour. Take a short break and walk as it will help the muscles relax. 2. Exercise daily for at least 30 minutes focusing 10 minutes specifically for back muscles. 3. Meditate daily preferably in an open area as it will help you relax in general and the fresh oxygen will help the muscles to get rid of lactic acid produced which causes tiredness. 4. Sit straight and always take back support. Don't lean towards sides as it causes extra strain on a particular group of muscles. Your problem is exactly because of this. Taking supplements might help but not for long as in your age considering your height and weight you seems to be fit. 5. For immediate solution take Rhus. tox. 30 thrice daily for two days. If the pain still persist after medicine then feel free to contact through Lybrate.
1 person found this helpful
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I am 25 year old male. I am Having extreme pain in waist since morning. As I walk again I feel more pain. Caught by cold. Please help me to cure myself.

BPTh/BPT
Physiotherapist, Ghaziabad
I am 25 year old male.
I am Having extreme pain in waist since morning. As I walk again I feel more pain.
Caught by c...
You need to one Mri of lumbar region to identify the sciatica nerve. Don't lift any weight and don't bend your back on front side. Keep your back straight.
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Pairo me bhut dard hota hai ku jara bhi jyada chalne ya khade hone par pura kamar se lekar pairo tk tej dard hota hai ku.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Pairo me  bhut  dard hota hai ku jara bhi jyada chalne ya khade hone par pura kamar se lekar pairo tk tej dard hota h...
Muscular strain is there do rest do hot fermentation twice a day and apply pain relief ointment on back area and stretching exercise of legs if it work then ok other wise physiotherapy treatment must.
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Hello, i'm a 24 years old woman. From last 4 days onwards im suffering vomiting , back pain.

BPT, Certified Osteopathic Manual Therapist, Diploma in Osteopathy
Physiotherapist, Gurgaon
Hello, i'm a 24 years old woman. From last 4 days onwards im suffering vomiting , back pain.
Hello mam due to back pain might be spinal alignment not disturbed like postural fatigue and all. So you need to visit physio centre they will assess you and treat you according.
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I am suffering from severe pain in the back side of the shoulder since two days. I have fallen down from then I am suffering from severe pain. I have taken ACELIFT PLUS tablets. What should I do now?

MPTh/MPT
Physiotherapist, Bhopal
I am suffering from severe pain in the back side of the shoulder since two days. I have fallen down from then I am su...
Please do ice fomentation also. For this crush ice cubes and fill in it in a poly bag apply to the injured part, remeber there should not be an open wound. And apply for atleast 15 minute, time matters, and do it for three to four times in a day.
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