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Dr. Parwal

Orthopedist, Delhi

500 at clinic
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Dr. Parwal Orthopedist, Delhi
500 at clinic
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Personal Statement

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. Parwal
Dr. Parwal is an experienced Orthopedist in Janakpuri, Delhi. You can meet Dr. Parwal personally at Janak Nursing Home in Janakpuri, Delhi. Book an appointment online with Dr. Parwal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 26 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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Janak Nursing Home

Shop No. C4/1 Janakpuri. Landmark:- Behind Fire Station, DelhiDelhi Get Directions
500 at clinic
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I was on 50 mcg Thyronorm for 3 months and my current TSH is 6.94. It was 0.01 three months ago when I was on a 75 mcg course. Now what dosage should I switch to at 6.94? Back to 75 mcg? Or some other dosage pattern?

I was on 50 mcg Thyronorm for 3 months and my current TSH is 6.94. It was 0.01 three months ago when I was on a 75 mc...
Dose depends on body weight and tsh depends on compliance to drug and correct dose. You should continue as thyronorm 50 ug daily monday to friday and 100 ug on saturday and sundays. But take medicines regularly empty stomach maintain 45 minutes gap between medicine and breakfast.
2 people found this helpful

Sir, my misses is 23 years old. She is suffering with body pains. Reports everything is normal. Cause of pain is not known. Can you help sir?

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please send me her reports, what I actually need to see is her cbc, esr, crp, serum electrolytes, thyroid profile and serum vitamin d levels. If you have not got these tests done, then kindly get them done form a good lab empty stomach and send me the test reports. Do not hesitate to contact me if you need any further assistance.

Know How Herniated Disc Affects Your Health!

Know How Herniated Disc Affects Your Health!

The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.

Effects of Herniated Disc
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back.  It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord. 

Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disc to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.

When is Surgery Recommended for Herniated Disc?
Surgery for herniated disc is recommended only after options like  pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage. 

There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.

The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition. 

Surgery for herniated disc is recommended only after options like pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then, needs to be removed as steroid injections is not advisable per se.

Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disc. At times, emergency surgery is also required to avoid paralysis in a patient. In case you have a concern or query you can always consult an expert & get answers to your questions!

2099 people found this helpful

Good morning doctor, I am 26 years old male, suffering from mild disc bulge in L4- L5 and L5-S1 and also have hasimotto thyroiditis due to this problem I have back pain and pain buttocks and sometimes in legs what to do for this problem.

Good morning doctor, I am 26 years old male, suffering from mild disc bulge in L4- L5 and L5-S1 and also have hasimot...
You can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back.
2 people found this helpful

Sir I i have pain on my knee joint and waist .and I have uric acid problem. Is hadjod tablet by himalaya is save from side effect? Also I have pressure of 150/90. And cholesterol.

Sir I i have pain on my knee joint and waist .and I have uric acid problem. Is hadjod tablet by himalaya is save from...
Hello Lybrate user according to Ayurveda Vata vikriti is the main factor for pain. Treatment- 1-apply prasarini oil or pranacharya restopain oil on your affected part and give hot water fomentation. 2-take yograj guggul and agni tundi vati after lunch and dinner with warm water. 3-Take maha rasnadi kwath 2-2 tsf twice a day. 4-Take pranacharya vatari capsule and syrup twice a day. Diet- Avoid fermented food. Junk food. Potato rice. Sleep well.
1 person found this helpful

Sir, my name is babu, age 23. Last month I will jumpedal at cricket ground that time I injured my muscle. Now it's free but some time it would be pain I mean inner pain.

Sir, my name is babu, age 23. Last month I will jumpedal at cricket ground that time I injured my muscle. Now it's fr...
Dear lybrate user, you must take vitamin d and you should take rhus tox 30 thrice a day three drops in water fir one day only during pain.

How to reduce my back bone pain. My treatment is going from cmc vellore past 3 years.

How to reduce my back bone pain. My treatment is going from cmc vellore past 3 years.
Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day. Avoid junk food. Spicy food. Fermented food. Tea. Alcohol. Avoid alcohol consumption. Do pranayama early morning.

I am suffering from back pain when I was sitting on chair. I continuously sit on a chair and working on computer. So what precautions should i take? Please advise.

I am suffering from back pain when I was sitting on chair. I continuously sit on a chair and working on computer. So ...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days.
2 people found this helpful

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