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Dr. Pankaj Walecha

Orthopedist, Delhi

Dr. Pankaj Walecha Orthopedist, Delhi
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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. Pankaj Walecha
Dr. Pankaj Walecha is a trusted Orthopedist in Karol Bagh, Delhi. He is currently associated with Nova Specialty Hospital in Karol Bagh, Delhi. Save your time and book an appointment online with Dr. Pankaj Walecha on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 30 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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Nova Specialty Hospital

Nova specialty hospital, Karol Bagh and east of kailash, DelhiDelhi Get Directions
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My mom was suffering from chikungunya or still is I can't tell, because the temperature rises sometimes and my main issue is the swelling on her hands and her knees are paining badly, she is having difficulty in walking around, she has applied iodex on it but she hasn't been relieved. Please tell me the solution cause its been 15-18 days Thank you.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
My mom was suffering from chikungunya or still is I can't tell, because the temperature rises sometimes and my main i...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Nat phos200x, 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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6 Things to Know About Minimally Invasive Spine Surgery!

MBBS, MS - General Surgery, MCh - Neurosurgery
Neurosurgeon, Guwahati
6 Things to Know About Minimally Invasive Spine Surgery!

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

  1. Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

  2. The surrounding tissues are untouched, unless they are injured and require repair

  3. Lesser bleeding compared to earlier techniques

  4. Lesser painful procedure

  5. Reduced hospitalization period

  6. Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

  1. Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

  2. Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

  3. People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

  4. Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

  5. Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

1735 people found this helpful

When I wake up and see my finger get twisted and bent and I make them straight later. I do not have any pain. Can you say why this happens and what is the solution.

BHMS
Homeopath, Raebareli
When I wake up and see my finger get twisted and bent and I make them straight later. I do not have any pain. Can you...
Cramps in your hand can arise from a number of different causes. Hand cramps develop as a result of conditions affecting muscles and nerves in your hand. Trauma or injury to a nerve in your hand can also cause hand cramps. Even breathing too fast (hyperventilation) can result in hand cramps, as carbon dioxide levels in the blood become too low. Everyday, simple reasons, such as fatigue from overuse, can lead to temporary, acute cramps in the hand. Please see if you are using your fingers too much in your work - computer typing etc. Do hot and cold compresses alternatively to relax the muscles.
1 person found this helpful
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My neck pains me for about 3 days now when turning my neck, I think I had a bad sleep. What do I do?

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
My neck pains me for about 3 days now when turning my neck, I think I had a bad sleep. What do I do?
Take rest properly. Take hot fermentation. Use thin pillow. Avoid forward bending of neck for longer time. Take care about posture. Do neck strengthening excercise.
1 person found this helpful
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My mother is suffering from spondylitis. Daily she suffer any problem. Someday she suffers a severe headache, someday a severe dizziness and today an intense pain in her back. Her shoulder and neck is very paining. She is unable to move her hands, sneeze.(Unke nus chad gai hai.) Please help. How to cure all this.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Heat is an effective mean of reducing and relieving pain in cervical spondylosis. You can use hot packs at home. Some exercises like static contractions and strengthening exercises are needs to be done. Isometric contractions of the cervical muscles improve the muscle endurance and tone as the contractions improve the blood supply thereby the nutrition to the muscle is increased and hence muscle strengthening is done. You may need traction and soft tissue techniques for the management of cs. Postural awareness is very important. As the condition progresses, the abnormality of posture also increases, thus from the initial stage itself, postural awareness through proper advice and education should be planned and initiated by the physiotherapist. Best wishes.
2 people found this helpful
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I am 71 years old I am always gets weep from eyes, some docters said it is allergy, what should I have to do ? 2. I am having joint pains for long 4 years reumotology treatment follows but not so well give me suggestion.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. For your complaints of persistent tears from eyes, it will be better to consult an ophthalomologist for this. As far as your joint pains are concerned, please mention which joints are actually involved, is it small joints of hands and feet which are predominantly involved, any associated swelling, stiffness especially when you get up in morning? please sen me details about what investigations have been done and what treatment have you received till now so that I can see and then advise you accordingly. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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Present condition-continuous light pain in the left lumber region and left posterior thigh. Old condition- sever pain around posterior lumber and around region. Difficulties in standing, sitting and walking. #old medical history- 1) T.pregabid ME 75 mg 2) T.skelebenz 15 mg Both medicine For 40 day.

Homeopath
Homeopath, Hyderabad
Present condition-continuous light pain in the left lumber region and left posterior thigh.
Old condition- sever pain...
First of all you have to reduce years weight. Yr weight should be below 60 kg. With years present weight no use of depending upon tablets alone.
1 person found this helpful
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I have severe pain at my toes. Sometimes it may be untollerable. It stands for which symptoms?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi Thanks for your query. I am Dr Akshay from Fortis Hospital, New Delhi. If it is just toe pain which is bothering you,then you should get _ESR, CRP and S.Uric acid levels done and get back to me. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena
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Sciatica

MBBS ,MD
Pain Management Specialist, Hyderabad
Sciatica

Disc prolapse can be easily treated by nerve root injection or removal of disc fragment by endoscopic discectomy under local anesthesia
www.endospinedoctors.com

1 person found this helpful

My son is 12 years old. He has left elbow and left shoulder pain since 3 days what r remedy for him.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My son is 12 years old. He has left elbow and left shoulder pain since 3 days what r remedy for him.
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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I have a problem on my legs and hands where they have joints l cannot fold my hands and legs if I sit down I cannot stand up properly where they have joints in the fingers also I can't fold it properly.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a problem on my legs and hands where they have joints l cannot fold my hands and legs if I sit down I cannot s...
Hot fomentation. Gentle Stretching of Hand Muscles. Ball exercises. Wrist Exerciser. Calf Stretches Standing calf stretch Stand away from a wall and.put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day. Wall calf stretch Stand about two feet away from a wall. Place the ball of your right foot against the wall while your heel remains on the ground. Slowly and gently lean into the wall while keeping your knee straight. Hold this for 5 seconds. Repeat 10 times twice a day.
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She has knee pain and this pain usually and a kind of swelling near the ankle. Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
She has knee pain and this pain usually and a kind of swelling near the ankle. Please advise.
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform
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My 27 year old female friend having neck ache for 3 days. It comes at times and shoulder too pains as a result. What could be the reason?

MBBS, MBA (Healthcare)
General Physician, Delhi
My 27 year old female friend having neck ache for 3 days. It comes at times and shoulder too pains as a result. What ...
it is due to cervical problem. apply volini gel on neck. do warm fomentation. do neck exercises in pain free period. avoid high pillow. it will help you.
5 people found this helpful
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I am suffering from extreme back pain and it is too much terrible. What should I do to overcome and even I do not know exact reason behind this?

BPTh/BPT
Physiotherapist, Delhi
I am suffering from extreme back pain and it is too much terrible. What should I do to overcome and even I do not kno...
1. Start with Physiotherapy treatment 2. Learn spinal exercises from Physiotherapist 3. Get Lumber spine X ray done 4. Don't sit on floor 5. Don't lift heavy things 6. Don't do forward bending 7. Do hot fermentation twice a day 8. Apply volini cream before sleeping 9. Take calcium vitamin D 3 and Methylcobalmine supplement for one month minimum 10. Use lumber spine belt if pain.
2 people found this helpful
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Sir, mere pairon mein bahut dard rahata hai Maine bhot ilaj karvaya par koi fayda nhi hua.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir, mere pairon mein bahut dard rahata hai Maine bhot ilaj karvaya par koi fayda nhi hua.
For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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Knee Osteoarthritis and PRP therapy

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Knee Osteoarthritis and PRP therapy

Knee osteoarthritis is a common condition affecting the knee joints. This condition results from age related degeneration of joint cartilage and synovial fluid. This results in excessive stiffness, swelling, pain and decreased mobility due to loss of lubricant functions of joint cartilage.

Treatment for Knee Osteoarthritis:

Treatment for knee osteoarthritis consists of anti inflammatory drugs, lifestyle modifications and knee exercises. In advanced stages where pain is severe or conservative therapy fails, replacement of knee joint is required. In many cases, knee replacement is not feasible or desired due to various reasons. For such cases, other treatment option is available in form of Platelet rich Plasma (PRP) injection in knee joint.

How is PRP therapy done?

The procedure involves drawing a sample of blood from the patient and then placing it in a Centrifuge machine which extracts the Platelet rich plasma (PRP) constituent from blood.The sample constitutes of platelets (blood cells) which consist of numerous healing and inflammatory chemicals. This PRP sample is injected in the knee joint under sterile precautions. This decreases inflammation, and promotes healing.

Benefits of PRP therapy:

  1. The body’s first response to soft tissue injury is to deliver platelets. Platelets carry cells, proteins, and other growth / healing factors that initiate repair and recruit stem cells. PRP therapy’s natural healing process intensifies the body’s efforts by delivering a higher concentration of platelets within the damaged joint. Research has shown PRP therapy to be very effective at relieving pain and returning patients to their normal activities. Both Ultrasound and MRI images have shown definitive tissue repair after PRP therapy, confirming the healing process.

  2. The need for knee replacement can also be greatly reduced by promoting repair of cartilage before joint damage becomes extensive. In fact PRP therapy works best when done in early stages of Knee Osteoarthritis.

  3. Relieves pain without the risks of surgery or general anesthesia.

  4. No hospital stay is required. The procedure is performed safely and takes approximately two hour including preparation and recovery time. In fact, most people return to their jobs or usual activities right after the procedure.

  5. Most patients require 2 to 3 sessions of knee PRP therapy.

Side effects of PRP Therapy:

The procedure is free of side effects when done by experienced pain specialists. Since the therapy involves injecting patient's own blood derivative, it is a safe procedure. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2714 people found this helpful

I am 24. Mujhe kuch din se bahut jayda back pain hai or ab right hand me bhi move karte tym pain hota hai. Mai bahut low feel kar rahi hu. Pltease suggest what can I do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 24. Mujhe kuch din se bahut jayda back pain hai or ab right hand me bhi move karte tym pain hota hai. Mai bahut ...
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. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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I am 29 years, male. I am suffering from knee joint pains from last 2 years. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your knee pain could be due to certain reasons but common ones are chondromalacia, pain due to knee instability, inflammation etc. If there is no history of any injury, and no s/s of inflammation or infection like swelling, skin redness or local warmth on touching, then I will like to advise you for conservative management initially in form of: - intensive physical therapy with focus on strengthening of quadriceps and stretching of other group of muscles - gentle anti inflammatory medications like tab etoshine or tab paracetamol can be taken in small doses for 5-7 days - adequate calcium and vitamin d supplementation as per requirement - ice packs at home for 3-4 times in a day and see how it goes for around 2 weeks time. If your condition does not improve, then we will have to get certain investigations done. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Hi, my mom is a diabetic, she's having chronic pain in her left shoulder for more than month. Is there anything to do?

BHMS
Homeopath, Pune
Hi, my mom is a diabetic, she's having chronic pain in her left shoulder for more than month. Is there anything to do?
Hello. It can be spondylitis pain due to wear n tear of shoulder joint. Please take arnica 30 / 4 globules / 4 times for 8 days. Do hand rotation. Please revert back if needed. Thanks.
6 people found this helpful
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