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Dr. R.K.Sunkaria

MBBS, MS - Orthopaedics

Orthopedist, Delhi

19 Years Experience  ·  300 at clinic
Dr. R.K.Sunkaria MBBS, MS - Orthopaedics Orthopedist, Delhi
19 Years Experience  ·  300 at clinic  ·  ₹ online
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. R.K.Sunkaria
Dr. R.K.Sunkaria is an experienced Orthopedist in Rohini, Delhi. Doctor has been a practicing Orthopedist for 19 years. Doctor has done MBBS, MS - Orthopaedics. Doctor is currently associated with Orthonova Fracture Clinic in Rohini, Delhi. You can book an instant appointment online with Dr. R.K.Sunkaria on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across 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.

Info

Specialty
Education
MBBS - SMS Medical College, Jaipur, - 1997
MS - Orthopaedics - SMS Medical College, Jaipur, - 2004
Languages spoken
English
Hindi
Professional Memberships
Indian Orthopaedic Association

Location

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B-2/33, Sector -6, Rohini. Landmark: Behind Ambedker Hospital, DelhiDelhi Get Directions
300 at clinic
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I have pain in legs occasionally, wherein if I walk fast lower part of both legs get little numb. I cannot walk further. I have recently gained some weight. Tell me the reason.

Occupational Therapy (OT)
Occupational Therapist
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I have pain in legs occasionally, wherein if I walk fast lower part of both legs get little numb. I cannot walk furth...
Stretching exercises before and after walking preferred posture is lying down. And back extension exercises when on stomach in lying down but do all exercises smoothly with 5 seconds hold. Add warm foamentation after exercises and relax if needed.

Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist
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Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.
Cervical Lordosis Straightening Treatment

Hi doc last few days I am suffering back pain. When I ride bike so long time. So please advice me what can I do to resolve my problem. I am a sales manager.

Fellowship Joint Replacement, DNB (Ortho), D.ORTHO, MBBS, PGCRAM
Orthopedist
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Hi doc last few days I am suffering back pain. When I ride bike so long time. So please advice me what can I do to re...
You require a supervised course of treatment for your back pain, which includes dedicated exercises and reviews, and temporary medications, and precautions.

Hi, I am 32 years old, and have 2 Children. Off late I feel very tired and sleepy. I had got chicken Guinea couple of years back and the bones are still paining. I am also trying to complete my studies, however not able to remember anything what I should do?

Basic Life Support (B.L.S), Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist
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Hi, I am 32 years old, and have 2 Children. Off late I feel very tired and sleepy. I had got chicken Guinea couple of...
Hello dear, persistent feelings of tiredness, loss of interest & vague body symptoms of pain (creeping bones you said) is suggestive of depression. Now, the simplest solution to depression, tension, anxiety & similar problems ; is a proper course of medicines & certain lifestyle changes ranging from as simple things including a proper course of medicines to get rid of this problem plus meditation & daily 30 minutes jogging to more complex things as structured diary writing, thought recording etc. But for all these to happen, you first need to describe your symptoms in detail so that I can give you proper help & a fast relief. Good luck!

He has a knee pain .also sugar and he has a problem of walking and lifting too. He has been facing this problem for five years.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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He has a knee pain .also sugar and he has a problem of walking and lifting too. He has been facing this problem for f...
Tk calcium supplements and put a towel roll under knee and press for 10 sec and release repeat 10 time and do quadriceps exercise and physiotherapy treatment for few days for better walk.

Hi mam, My age is 40 yrs. I am working as laundry valet in a hotel. My job is such I have to stand for long hours doing pressing bcoz of that my back pains a lot and my leg nerves are very painful. What should I do. Pls can you suggest some exercise for my problems. Thank you.

BPTh/BPT
Physiotherapist
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Hi mam, My age is 40 yrs. I am working as laundry valet in a hotel. My job is such I have to stand for long hours doi...
1. Start with Physiotherapy treatment to reduce Pain. 2. Then start with spinal exercises. 3. Use lumber spine belt. 4. Don't sit on floor. 5. Don't lift heavy things 6. Apply volini cream twice a day. 7. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month.

Sir, I am having constant pain from my elbow to shoulder joint in my right arm from the last 2/3 months. I am also having cervical problem at c4-c5&SLIP DISC AT L5-S1 PLEASE SUGGEST SOME EXERCISE/TREATMENT THANKS.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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Sir, I am having constant pain from my elbow to shoulder joint in my right arm from the last 2/3 months. I am also ha...
Firstly take physiotherapy treatment for relief swd tens and ultrasonic therapy after relief start stretching exercise and strength exercise avoid long sitting and toward bending.

Sir, I am 24 years old male, I am suffering from tingling and numbness in fingers of hand from last 6 months. It occurs intermittent but sometimes it persists whole day. I get relax by press the fingers and pricking sharp thing on fingers. What should I do ?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It is a manifestation of a nerve related issue, please tell me whether you have any neck pain or any radiating pain in affected upper limb, any numbness in whole upper limb, etc. You have mentioned symptoms in your hand region which according to me is an indication of entrapment of a nerve. If it is possible, kindly get a nerve conduction study of affected limb done and send reports across to me. Do not hesitate to contact me if you need any further assistance.

I am 42 years old, 5'10' and 76kg with no chronic ailments. I've started body building at the age of 16 and intermittently continued till now. Initially took weights for 5 years. But due to time constraints used to do freehand exercises thereafter, mainly, push up 140 to 160 in a set of 10 to 12 at quick succession and few stretching for last 10 years. But for last few years I am feeling pains in the muscle around left collar bone. The pains move from left shoulder to neck to in between muscles of collar bone and even inside (lower part) ear. Consulted few surgeon and they advised to take rest till the pain is over. But the pain again starts after myself re continue the free hand exercises. I became restless if I cannot undergo the physical activities. Please help.

MBBS, MS - Orthopaedics
Orthopedist
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I am 42  years old, 5'10' and 76kg with no chronic ailments. I've started body building at the age of 16 and intermit...
Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress 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. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment see your nearest hospital or family doctor. If it does not give relief in 4-5days, inform me.

I am having a uric acid level of 7.9mg/dl. Now I am taking ayurvedic medicines. My right thumb finger joint has pain and is swollen, especially when waking up. Kindly advice me.

Master In Occupational Therapy
Occupational Therapist
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I am having a uric acid level of 7.9mg/dl. Now I am taking ayurvedic medicines. My right thumb finger joint has pain ...
Try working on your medicines n go for a regular check up and meanwhile thumb splint can be helpful to immobilize the joint for the time being. It is advisable to take rest during the inflammatory period of the disease and avoid lifting heavy object take proper joint care.

KINDLY INFOR ME ABOUT THE REASON AND PRECAUTION AND REMEDY FOR ASTRO ARTHRITIS . I AM 52 YEARS OLD AND LAST WEEK I WAS TOLD BY DR ABOUT ARTHRITIS IN MY RIGHT KNEE .WAITING FOR YOUR REPLY . THANX

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi, This is Dr Akshay from Fortis Hospital, New Delhi. Osteoarthritis is degenerative condition of joint in which the articular cartilage undergoes degeneration as a result of which joint starts paining. Precautions : Dont sit cross legged, on Indian toilets or any posture which eccentrically puts load on the knee joint. You should walk 2-3 km/day, do regular quadriceps and hamstring exercises initially under supervision of physiotherapist and then on your own and also maintain good calcium/vitamin D metabolism. Kindly send me the x ray picture for me to understand how bad is your knee right now. Thanks & Regards Dr Akshay akshaysaxena2004@yahoo.co.in

I am 67 year old. Had been in knee pain for last twenty years, am diabetic with control with prescribed drugs like niretard, glynase, pionorm m15, recent xray shows both knees joints wornout and there is suggestion of joint replacement for normal mobility. I would like to know the cost of joint replacement, tiime of rehabilitation and more.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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Cost of knee replacement ranges from 1 lakh to 3 lakhs (average 2 lakhs) per knee, depending on the type of implant and hospital chosen. Rehabilitation can take 30 days to 3 months or more. Please send me a photo of your xray so that I can guide you better.

I am 21 years old male. From last few months I have been experiencing severe pain in the lower back whenever I remain standing for more than 10 to 15 minutes. I tried some painkillers but nothing works. Please help me.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I am 21 years old male. From last few months I have been experiencing severe pain in the lower back whenever I remain...
Do rest and heat fermentation twice a day and apply pain relief ointment. Do stretching exercise in daily routine avoid long sitting, standing, toward bending and lifting heavyweight. Otherwise tk physiotherapy treatment.

I sustained a small wrist injury while lifting weights in gym. The pain has sustained for a week now inspite of applying heat and volini. There is pain in twisting the wrist but not if I press with my other hand. Do I need an xray or should I wait for some more time to heal?

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist
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Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days. For further guidance and treatment.

In my backside some time its pain so much. I am taking medicine but it is still not working it is paining again.

BPTh/BPT, MPTh/MPT
Physiotherapist
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In my backside some time its pain so much. I am taking medicine but it is still not working it is paining again.
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.

I have swelling in my ankle. Which medicine should I take?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. We will have to actually find out a cause of swelling: if there is no injury please get some investigations like cbc, esr, crp, serum electrolytes, serum vitamin d levels, kft and lft, thyroid profile and send all reports across to me. Your medication will be based upon the cause of swelling in your case. 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.

I have been suffering from acute headache in the morning and chest pain and continuous pain in the neck and shoulder pain as well.

MBBS
General Physician
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I have been suffering from acute headache in the morning and chest pain and continuous pain in the neck and shoulder ...
1.Take one tablet of paracetamol 500mg 2-3 times daily after food 2. Drink plenty of water 3. Take rest 4. If no relief, consult for further advice

I have been suffering from lower back pain for the last two months, specifically around my lower spine. It causes pain when I lean forward, backward or if I put any weight/strain on my back. I first noticed this after a mixed martial arts training session. I exercise regularly and am 21 years old. Anti-inflammatory are helping ease the pain. I have been seeing a chiropractor and a physio, doing all the strengthening exercises with no significant improvement. The physio helps relieve the stress in the surrounding muscles. I have an appointment booked in with a specialist but the earliest he can see me is October. Can anyone help me understand what's happening in the mean time?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I have been suffering from lower back pain for the last two months, specifically around my lower spine. It causes pai...
Ya I can understand every treatment is vain for you b'coz firstly stop all exercise and posture correction must avoid long sitting toward bending and lifting heavyweigh ok preventions must for you then treatment with work after relief do stretching exercise in daily routine then strength exercise but gradually tk physiotherapy treatment.

I have pain and swelling in left leg that had a fracture 2 months back. What should I do.

MBBS, MS - Orthopaedics, M.Ch - Orthopaedics
Orthopedist
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Some swelling and pain is expected up to 3 months after a fracture as the fracture is still in healing stage. If the pain has gradually been decreasing over the months, it is probably normal. However if it is a recent onset pain or it has suddenly increased, then it may be a more serious problem and you should visit your orthopedist for an expert opinion.

I am 29 years old and I am suffering from mid back pain for the past 2 years. I used lot of medicine but it was not cleared. please suggest me.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am 29 years old and I am suffering from mid back pain for the past 2 years. I used lot of medicine but it was not c...
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.
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