Lybrate.com has a nexus of the most experienced Hematologists in India. You will find Hematologists with more than 35 years of experience on Lybrate.com. You can find Hematologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. R L Khullar
Submit a review for Dr. R L KhullarYour feedback matters!
Very friendly dr...listening to each n every point n advice dos n donts
He is really gud n experienced Doctor
Good experience and good doctor..
It was gud experience
Question Must Be Like: I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!
Mujh gyming krte hua 1 weekk hua h.meri leg ki muscle pain h.or pain dhire dhire leg se feet pr jaa rh h Mera weight 100 kg h .Age 19. Or gyming weight loss k liy krta hu.
A small piece of bone is known as a fragment and it is very common that an avulsion fracture also tends to damage the protrusions of bone to which the tendons attach. This basically means that the tendon or ligament will come away from the bone and it will take a small piece of bone with it. It is sometimes very hard to find out what type of injury you have and this is why knowing the causes and symptoms of an avulsion fracture are very helpful in determining exactly how severe the injury is.
Here are the causes of an avulsion fracture.
Explosive Landing: Athletes who tend to jump or land with great impact tend to get these most commonly. Therefore, it is crucial for your health that if you participate in such sports, you do follow the correct method of jumping.
Explosive Extension: Similar to how an athlete landing ferociously can get an avulsion fracture, someone who is extending the legs very violently and explosively during an exercise can also get an avulsion fracture. This is because the bone getting extended could very well damage the protrusions to which the tendons are attached.
These are the two main causes of an avulsion fracture. There are not many symptoms of an avulsion fracture. This is because an avulsion fracture can only be determined by an MRI or by an X-ray scan. Therefore it is nearly impossible to diagnose that you have an avulsion fracture without looking at the results of the tests performed on the part of your body. However, the way you got the fracture and especially the details of it are very good indications of whether you have an avulsion fracture or not.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I feel tired Everytime and always tries to sleep. I am thin my mind is nt working well. So suggest me which types of doctor can help me.
I ve tooo sleeping sickness and I am putting on weight and I have excess of heat in my body what I should do for this? I need to a suggestions for this.
I unable to sleep properly at night last few days now my chest paining if I take water at that time then my pain stops along with left side of my head also paining what to do??
My right leg has bend when I was playing. Now it is very painful. What I have to do? It was also happen in past.
Hi, On 2nd may 2018 I had got patellar tendonitis introduced and now on today when I sit for long time with my legs bent I feel inflammation. Kindly tell me when will it reduce completely.
Shoulder impingement occurs when there is impingement or change in the position of the tendons or a bursa (fluid filled sac or cavity, which causes friction in the joints) in your shoulder. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours.
How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should visit a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.
Symptoms of shoulder impingement:
1. You will have difficulty in completing tasks which involve your back.
2. There may be a weakness in your shoulder muscles.
3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.
Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.
Treatment of shoulder impingement:
NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.
Physiotherapy for Impingement-
Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:
- Pain Management
- Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
- You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
- Strengthening Exercises
- The therapist will teach you the proper posture which is an important part of rehabilitation