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Dr. Nitin Sachdeva

Orthopedist, Delhi

500 at clinic
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Dr. Nitin Sachdeva Orthopedist, Delhi
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Nitin Sachdeva
Dr. Nitin Sachdeva is an experienced Orthopedist in Vishal Enclave, Delhi. You can consult Dr. Nitin Sachdeva at Kukreja Hospital in Vishal Enclave, Delhi. Save your time and book an appointment online with Dr. Nitin Sachdeva 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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Kukreja Hospital

C-1 Vishal Enclave, Rajouri Garden. Landmark : Near Tagor Gaeden Red Light & Near Metro Station, DelhiDelhi Get Directions
500 at clinic
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Arthritis - How it Impacts Your Hip Bone?

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Arthritis - How it Impacts Your Hip Bone?

If you are experiencing joint stiffness in your hip along with pain and tenderness, you could be suffering from hip arthritis or osteoarthritis. Osteoarthritis accounts for being the most common form of arthritis. It is referred to as degenerative joint disease and old-age arthritis and usually, occurs because of age-related issues. The condition occurs when injury and inflammation of a joint lead to the breakdown of the cartilage tissue, causing pain, swelling, and deformity.

How hip arthritis affects the hip joint?
People who are affected by osteoarthritis of the hip may have difficulty in walking properly. Diagnosis in the early stage is difficult as pain may occur in various locations such as the thigh, groin, knee or buttocks.

The underlying causes
The factors responsible for osteoarthritis include increasing age, joint injury and excess body weight. Some other factors may also be responsible. They are as follows:

  1. When the joints have formed improperly.
  2. In case of inherited defects in the cartilage.
  3. When a person puts excess stress on the hip joint because of being overweight or due to certain activities and motions.

How it can be detected?
The different symptoms of hip arthritis or osteoarthritis are as follows:

  1. Joint stiffness, especially after waking up in the morning.
  2. Joint stiffness after sitting for a long period.
  3. Swelling, pain, and tenderness in the hip joint.
  4. A crunching feeling or sound of bones rubbing against one another.
  5. The inability to move the hip for carrying out daily activities.

Treatment
The aim of osteoarthritis treatment is to improve the patient’s ability to move about so that his regular life is less affected. The function of the hip and pain management are other targets of treatment for this condition. The different treatment plans are as follows:

  1. Proper joint care and rest
  2. Using a cane while walking for taking weight off your hip
  3. Losing excessive weight
  4. Non-drug pain relief measures for controlling pain
  5. Regular exercise
  6. Several medicines, including NSAIDS and other prescribed pain medication
  7. Surgery
  8. Alternative therapies

Hip replacement surgery
This is a surgical procedure used for osteoarthritis treatment when all other treatment plans fail. The damaged ball of the hip joint is replaced with a metal ball in this surgical procedure. The hip socket is resurfaced by using a plastic liner and metal shell. Apart from the mentioned treatment procedures, hip resurfacing is another surgical option for osteoarthritis treatment, which helps in giving relief when a hip replacement surgery is delayed. In this procedure, the affected hip joint surfaces are surgically removed and are replaced with metal. If you wish to discuss about any specific problem, you can consult an orthopedist.

4313 people found this helpful

I am suffering with a back pain and I totally feel weak my body what can I do pls tell a answer.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am suffering with a back pain and I totally feel weak my body what can I do pls tell a answer.
Take following remedies 1. Triphala kadha 4 tsp before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach this back pain is due to no back exercise. Due to this muscle get stiff. When suddenly you get move fast that time this stiff muscle get break and pain start. In ayurved there is mentioned one procedure kati basti. Do this for five days with medicated oil if you want to do it you should do it under doctor observation. So consult ayurvedic doctor near you. You will definitely get good result.
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Hi In my right side leg is always pain below the knees, this problem I have 4 years but I didn't take any medicine.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation do reply back for private consultation. And detailed treatment plan.
1 person found this helpful
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How Radiological Evaluation Can Help In Case Of Hip Replacement?

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
How Radiological Evaluation Can Help In Case Of Hip Replacement?

Radiology is a special branch of medical science that uses various techniques of imaging for the diagnosis and the treatment of several types of diseases in the body. The different types of imaging techniques used in radiology are X-rays, Computerised Tomographic scan (CT Scan), ultrasound, Magnetic Resonance Imaging (MRI) and nuclear medicine which includes Positron Emission Tomography(PET).

Role played in evaluating hip replacement
Hip replacement surgeries have become extremely common in the recent times, and radiological evaluation remains the mainstay of the overall hip replacement procedure. Thus, the role played by radiology is quite significant in such situations. All the specific anatomical landmarks and the measurements are used to make sure the placement is perfect during the hip replacement surgery. Radiological imaging helps in the assessment of the following conditions that are as discussed below.

The length of leg
The inequality in the length of the two legs is prevalent after a hip replacement surgery which can create a great deal of discomfort and inconvenience to the patients. A greater difference in the length of the two legs increases the chances of dislocation, and this is a situation where radiological evaluation plays a crucial role. With the help of radiological imaging, the length of the legs can be made almost equal.

The horizontal center of rotation

In this case, horizontal center of rotation helps in the assessment of the acetabular component of the prosthesis. This is calculated by the measurement of the distance between the center of the head of the femur and the acetabular teardrop. This distance should be bilaterally equal, and it is just not possible without the help of the imaging techniques of radiology.

Acetabular inclination
The acetabular inclination is the angle formed between the face of the cup and the transverse axis. If the angle is less, then it results in a stable hip, but the abduction is limited. On the other hand, if the angle increases then there are high chances of dislocation of the hip. Thus, with the help of radiological evaluation, proper and effective angular inclination is given which is optimum for the patient.

The stem positioning of the femur
The main aim of the stem positioning of the femur in a hip replacement surgery is placing the stem in a position which is neutral within the shaft. To get a proper idea of the positioning, the imaging techniques are of utmost importance which cannot be achieved perfectly without the imaging.

Thus, the crucial role the different techniques of radiological imaging plays during the overall procedure of a hip replacement surgery can be perceived. With the use of the different imaging techniques, the results obtained are closer to perfection. If you wish to discuss about any specific problem, you can consult a Radiologist.

5562 people found this helpful

I am a 48 years old male. My weight is 106 kg & I have knee pains. I have allready stunts in heart. Please tell remedy.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
How is your weight? you may be suffering from osteoarthritis. Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter. Www. Lybrate. Com/drsajeev.
1 person found this helpful
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My husband is diabetic and has bp. Last 2 days after walking he has got swelling on his feet for the first time. What may be the reason .He is 69. Although he is lean he has put on weight about 3 kg.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My husband is diabetic and has bp. Last 2 days after walking he has got swelling on his feet for the first time. What...
lybrate-user ji, Thanks for the query. A person with diabetes and high BP can develop swelling in the legs and feet due to many reasons. Uncontrolled BP is one of the reasons. Secondly drugs used to control BP and blood glucose can also lead to same problem. Please let me know the drugs being taken. Because drugs like Pioglitazone & Glimepiride (for diabetes) and Amlodepine can cause such a side effect including weight gain. Thanks.
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I met with a small accident on my bike 04 years ago, my left left twisted outwards below the knee. I took treatment from local doctor, xray were normal, slowly I recovered and now I can walk and play, but one thing is happening to me regularly that my lower part below knee slides, to left or right I can not tell, but after that it starts paining and after resting for two to three days it becomes normal, but for those two to three days I wrap my knee with crape bandage tightly. On regular intervals it happens, some times when I am on staircase for going down. And some times it slides if I jump.

MD - Anaesthesiology , PDCC - Pain Management
Pain Management Specialist,
I met with a small accident on my bike 04 years ago, my left left twisted outwards below the knee. I took treatment f...
Hello Mr. lybrate-user It appears that you might have had some ligament tear when your knee twisted in that accident. Such ligament injuries can not be seen in X-ray. An MRI can show such injuries. So, you should consult an orthopaedic surgeon for the proper evaluation of your problem.
2 people found this helpful
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I am recently traveling to much. My back pains so much in the night when I go to bed. Any solution.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am recently traveling to much. My back pains so much in the night when I go to bed. Any solution.
. First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Yogaraj guggul 1 tab before lunch and dinner 2. Maharasnadi kadha 2 tsp before lunch and dinner.
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I have a problem in my back bone after driving give me the best Solution of this problem please.

MPT, BPT
Physiotherapist, Noida
I have a problem in my back bone after driving give me the best Solution of this problem please.
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana -- lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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100fever 3 days before, after thAt having swelling in legs and skin rashes dullness no fever this time dengue and malaria test r neg- e but platelet r 90,000 wh at it wll be.

Diploma in Child Health (DCH)
Pediatrician, Delhi
100fever 3 days before, after thAt having swelling in legs and skin rashes dullness no fever this time dengue and mal...
Rpt blood counts including platelets till starts rising, chikungunaya serological tests, KFT, LFT, RBS, Repeat dengue serology at 7th day oral medicines for increasing platelets, maintain good hydration, no painkillers.
3 people found this helpful
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