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Dr. Prem Candra

Orthopedist, Delhi

1000 at clinic
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Dr. Prem Candra Orthopedist, Delhi
1000 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Prem Candra
Dr. Prem Candra is a popular Orthopedist in Safdarjung Enclave, Delhi. You can meet Dr. Prem Candra personally at Bhagat Medicare Centre in Safdarjung Enclave, Delhi. Save your time and book an appointment online with Dr. Prem Candra on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 35 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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Bhagat Medicare Centre

1-D/B, Humayunpur, Arjun Nagar, Safdarjung Enclave. Landmark: Next To Arjun Nagar & Near Kamal Cinema, DelhiDelhi Get Directions
1000 at clinic
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Sir I am facing the pain in my back for last few years. I've consulted with family doctor he said that any nerve of my back is pressing.

BPTh/BPT
Physiotherapist, Delhi
Sir I am facing the pain in my back for last few years. I've consulted with family doctor he said that any nerve of m...
Due to weakness of back muscles, the weight of the body is coming on spinal vertebra due to which disc compression is happening. You need regular physiotherapy for 20 days. *SWD *ULTRASONIC WAVES * LASER THERAPY * TENS * Massage * Mobilization This will followed by strengthening of the back muscles with exercises.
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Slip Disc Often Misdiagnosed And Mistreated

MS - Orthopaedics
Orthopedist, Howrah
Slip Disc Often Misdiagnosed And Mistreated

What is a slipped disc?
Injury or weakness can cause the inner jelly like portion of the disc to protrude through the outer ring. This is known as a slipped or herniated disc. This causes pain and discomfort. If the slipped disc compresses one of your spinal nerves, you may also experience tingling, numbness and pain along the affected nerve. As the lumbar spine (lower back) carries most of the body weight, it tends to “slip” more than higher levels.


What is the anatomy of disc herniation / herniated disc/ slip disc /sciatica?


Human spine is made of up 33 bones (vertebrae) that are cushioned by discs. These vertebrae are divided by region: neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end of your spine, you also have the sacrum and the coccyx, which is commonly called your tailbone. Discs are present between these bones. The disks protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting. Each disc has two parts—a soft, gelatinous inner portion (nucleus pulpous) and a tough outer ring (annulus fibrosus). Together, the vertebrae and discs form a tunnel through which the spinal cords and nerve pass.


What are the causes of slip disc?

The etiology/cause of slip disc is multifactorial; there is no evidence to prove/disprove the quantitative effect of one or other. The risk factors for slip disc can be:

• life style: stress and emotional tension, poor posture -standing for long periods of time or sitting incorrectly—can cause slip disc, heavy physical work, lifting or forceful movement, bending, or awkward positions can really hurt your back.
• obesity: being overweight puts pressure and stress on the back, especially the low back. Carrying excess weight aggravates other health conditions such as osteoporosis (weak bones), osteoarthritis (joint pain), rheumatoid arthritis (an autoimmune disease), degenerative disc disease (described above in the aging section), spinal stenosis, and spondylolisthesis.

What are the symptoms of herniated disc or slip disc?
Symptoms of a slipped disc include: sciatica – pain in buttock radiating to leg
• pain and numbness, most commonly on one side of the body
• pain that extends to your arms and/or legs
• pain that worsens at night
• pain that worsens after standing or sitting
• pain when walking short distances
• unexplained muscle weakness
• tingling, aching, or burning sensations in the affected area
• sciatica— a sharp shooting pain that can extend from the buttock into the leg and sometimes into the foot.
• muscle spasm, locked back, stiffness in back, morning stiffness.
• although rare, herniated discs can cause you to lose bowel or bladder control known as cauda equine syndrome and one should seek medical advice as prognosis deteriorates with time. One can know whether this is happening to him or not if he has urgency /frequency of urination or loss of control of urination or sudden peri anal anesthesia.

When do I need to have a spine doctor opinion?
Patients with progressive symptoms in leg / back need a specialist opinion to diagnose and treat the problem.

symptoms which need specialist attention (red flags) are:

1. Persistent leg pain
2. Numbness in leg
3. Weakness in leg
4. Difficulty in walking
5. Unable to control urine / motion

symptoms like bowel and bladder urinary incontinence shall seek urgent / emergency opinion /management by the spine specialist.

Which tests will be needed to confirm the diagnosis?

Imaging studies / investigations help to arrive a diagnosis of slip disc / herniated disc and include:
• x-rays
• mri scans
• disco grams, which are rarely utilized.

What are the treatment options for slip disc?
There are different options to treat slip disc depending on the severity and duration of symptoms. They may comprise of one or many:

1. Drugs & medications
2. Spinal injections
3. Spine surgery

drugs, medications, to relieve slip disc: medication alone is not the ultimate solution to your back pain, however during emergency or during severe pain these medicines may help you curb the suffering. paracetamol:
your doctor may call this an analgesic, they don’t help reduce inflammation, though. nsaids (non-steroidal anti-inflammatory drugs):
these will help reduce swelling (or inflammation) while relieving your pain; that’s how nsaids differ from paracetamol.

muscle relaxants: which will help stop the muscular spasms.

anti-depressants:
as surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your body’s production of endorphins, a natural pain killer.

opioids:
in the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid.

medication warning:
as with all medications, you must follow your doctor’s advice precisely.

Spinal injections: 
(a) injection techniques
• root block injection
• epidural injection
• caudal block injection
• facet block injection

The options of surgery are
• decompression
• spinal fusion

the spine surgery advised for slip disc can be performed in many different ways. The success rates of surgery in slip disc/ herniated disc / sciatica is 98 % and with invention of modern technology and minimal invasive surgery techniques it nears 100 %. Spine surgery can be performed in different manners:-

• conventional open surgery
• minimal invasive spine surgery – key hole spine surgery
• endoscopic spine surgery
• microscopic spine surgery
• micro endoscopic spine surgery

Decompression includes
• facetectomy: a procedure that removes a part of the facet (a bony structure in the spinal canal) to increase the space.

• foraminotomy: a procedure that removes the bony compression over foramina (the area where the nerve roots exit the spine) to increase the size of the nerve pathway.

• laminoplasty: a procedure makes more room for the spinal canal.

• laminotomy: a procedure that removes only a small portion of the lamina (a part of the vertebra) to relieve pressure on the nerve roots.

• micro-discectomy: a procedure that removes a disc through a very small incision using a microscope.

• laminectomy: a procedure for treating spinal stenosis by relieving pressure on the spinal cord.

spinal fusion: surgery intends to stabilize an unstable segment responsible for pain, this may involve putting some screws in your spine to increase stability.

various options of doing spinal fusion are plf /plif/tlif/ alif/xlif.
 

My father will run a tiffen shop road side due to Standing nearly 8_10 hrs daily my father is suffering from back pain (vennu Pusa) please suggest which type to medicines should be used to recover fastly.

MPT, BPT
Physiotherapist, Noida
My father will run a tiffen shop road side due to Standing nearly 8_10 hrs daily my father is suffering from back pai...
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.
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I was suffering from back pain and now observed that some blood is coming out with stool. Pls suggest.

MS - Orthopaedics
Orthopedist, Surat
I was suffering from back pain and now observed that some blood is coming out with stool. Pls suggest.
This may be because of Pain killer medicines. But you must ask your doctor for the reason and treatment of the same. You must avoid spicy food.
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In having right leg ankle pain i.e after waking up from sleep or after standing from continuous sitting posture.

MBBS
General Physician, Fatehabad
In having right leg ankle pain i.e after waking up from sleep or after standing from continuous sitting posture.
Hi, ankle pain maybe due to various issues. Get a X-ray ankle done to find out for any bone or ligament problem. Sometimes ankle pain may occur due to sprains that took place unknowingly. Ligaments that are attached to the ankle either tear partially, or fully rupture. The overall pain experienced depends on the severity of the injury, yet home remedies can reduce the amount of pain and discomfort you feel. Here are 5 home remedies for you to reduce pain and discomfort on your ankle: 1. Icing: your ankle may respond better to an alternating hot-and-cold therapy. Use two gel packs. One should apply heat for 20 minutes. Follow it with a cold pack for 20 minutes. Alternatively, you can prepare ice packs by filling a gallon-sized Ziploc with fresh ice. Apply the ice pack on your swelling ankle to reduce the amount of swelling will reduce your discomfort. Ensure that the ice rests directly on the swollen area. If the cold is too intense, place a small rag between the skin and the ice pack. 2. Herbal Remedies: Home remedies such as coconut and garlic oil help reduce pain and swelling when they soak directly into the skin. Mix 3 table spoon of coconut and garlic oil into a container and heat in the microwave for ten seconds, slightly warming the mixture. Generously massage the oil directly onto your ankle for ten minutes, allowing the oils to soak into your skin. Cabbage contains minerals and vitamins that are useful when ingested, as well as when they’re applied externally. Gather the outer layers, or leaves, of the cabbage plant. Blanch the leaves by boiling them in water and then immediately placing the leaves into a container of ice-cold water. Once the leaves have been blanched, wrap your entire foot and ankle, and allow them to rest for 30 minutes before removing. 3. Dieting: Changing your diet to relieve ankle pain can be effective over a longer term. If you are heavy, you may experience poor circulation and heightened stress in the ankles and other weight-bearing joints. If you are overweight and suffer from frequent strains or bone degeneration, losing weight can permanently end your ankle pain. Adding a joint supplement to your diet, such as glucosamine or chondroitin, may also help some people by protecting the ankle joint and surrounding tissue. 4. Exercises: Exercise is an ongoing home treatment that will serve as pain relief and prevention. To prevent future ankle injuries, and to strengthen an ankle that is already injured, range-of-motion exercises and stretches provide the most benefit. Only stretch or exercise the ankle once the pain has subsided. Range-of-motion exercises will increase the flexibility of tendons and ligaments that have tightened during an injury. Trace the alphabet with your toes, moving the ankle as much as possible throughout. Repeat at least ten times per day to strengthen your ankle and improve your flexibility. Hope this helps. Good luck.
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Hello, I am getting pain at my left side of neck. When I am trying to move my neck at right side it gets lots of pain. I have taken prescription from doctor also. Please suggest me solution for this. My doubt about this pain is due to wrong sleeping Thanks in advance.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Hello,
I am getting pain at my left side of neck. When I am trying to move my neck at right side it gets lots of pain...
Joint & back pain 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.
2 people found this helpful
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I am 61 and have some pain in joints of legs and arms. I walk daily 4-5 km in the morning. Which medicine do you recommend for osteoporosis.

MBBS
General Physician, Delhi
I am 61 and have some pain in joints of legs and arms. I walk daily 4-5 km in the morning. Which medicine do you reco...
Get your blood tested for Vit D 3, and bone densitometery. Calcium rich diet exercises are goodfor osteoporosis.
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I have frozen shoulder since last 4 years since i feel down on right shoulder. Since then I am doing physiotherapy . But absolutely no progress since day 1. It is hindering my financial earnings. I cannot even lift my hand up to shoulder level .Please suggest parmanent remedy.

BPT, MPT- Ortho
Physiotherapist, Gurgaon
Frozen shoulder is very common in diabetic patients and to improve range of that joint it is very importent to do daily physiotherapy exercises and electrotherapy to reduce pain.
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I am a boy of age 20 and is having pain in my right hip joints from many days.Please help

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. Pain in hip joints can be due to many reasons but I would like to ask you a few questions: - is there a history of injury to your right hip? - is there any swelling or any other s/s of inflammation/infection present or had been previously present? - do you limp while walking? - are your involved hip movements especially hip rotations free? I would also like to ask you to get a digital x ray done: x ray pelvis with both hips (ap) and right hip-lateral view and send it across to me. Blood tests - esr, crp also to be done empty stomach do not hesitate to contact me if you need any further assistance.
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