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Dr. Rahul Gupta

Physiotherapist, Delhi

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Dr. Rahul Gupta Physiotherapist, Delhi
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Rahul Gupta
Dr. Rahul Gupta is a renowned Physiotherapist in Savita Vihar, Delhi. He is currently practising at Dr. Rahul Gupta Clinic in Savita Vihar, Delhi. Book an appointment online with Dr. Rahul Gupta and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 38 years of experience on Lybrate.com. You can find Physiotherapists 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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Dr. Rahul Gupta Clinic

53, Near SAI Baba Mandir, Savita Vihar, DelhiDelhi Get Directions
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Hello. I am 33 years old. I have leg pains and backbone pain and I used to write pain killer balms and also pain killer medicines. But my pain doesn't gone. Please give answer. What I have to do?

BHMS
Homeopath, Delhi
Hello. I am 33 years old. I have leg pains and backbone pain and I used to write pain killer balms and also pain kill...
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little water) thrice a day for a week. 2. Rhus tox 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines. *take rest or move about once in 1-2 hours in case of working in a constant position. *maintain a good posture while reading or working with computers. *take a high fibre content diet like vegetables, fruits, etc.
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Cartilage Damage - What Causes It?

MBBS, DNB (Orthopedics)
Orthopedist, Pune
Cartilage Damage - What Causes It?

Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.

There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.

Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)

Read on to know some of the most common causes for cartilage damage and ways to manage it.

Causes:

Age and trauma are the main reasons for cartilage damage.

  1. Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).
  2. Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.
  3. Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.
  4. Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.

Diagnosis:

The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.

Treatment:

Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:

  1. Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.
  2. Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.
  3. Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.
  4. Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth.  

In case you have a concern or query you can always consult an expert & get answers to your questions!

2568 people found this helpful

Shoulder Impingement - What Is The Right Way To Diagnose?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Ortho, Fellowship In Knee Replacement & Arthroscopic Surgery ( Knee & Shoulder )
Orthopedist, Mumbai
Shoulder Impingement - What Is The Right Way To Diagnose?

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:

  • You will have difficulty in completing tasks which involve your back.
  • There may be a weakness in your shoulder muscles.
  • 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.
  • 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:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation

In case you have a concern or query you can always consult an expert & get answers to your questions!

3501 people found this helpful

My knees make tak tak sound after standing for longer time and I felt the same in my shoulder joint too. I am a slim structure man age 45 and weight 58.

MD - Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Jammu
My knees make tak tak sound after standing for longer time and I felt the same in my shoulder joint too.
I am a slim ...
Ur joints have weakened due to wear and tear.i suggest u to start taking tablet asthiposhak and tablet laksha adi guggul
2 people found this helpful
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Hi, My mom aged 47 is taking medrol 8 mg, calorich M, atarax 10 mg for her knee pain for past 2 years. Is it advisable to take tablets for long time or does it have any side effects?

BAMS - Alternative Medicine, Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Lucknow
Hi,
My mom aged 47 is taking medrol 8 mg, calorich M, atarax 10 mg for her knee pain for past 2 years. Is it advisabl...
It's may be. We have harmless & results oriented treatment available of joint pain. You should take my appointment for proper diagnosis and permanently treatment.
1 person found this helpful
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I am 25 years male. Mere dono hip joint achanak bahut pain kar rahe he. Me asanise chal bi nahi pa raha hu. Yesa Q ho raha he or iskeliye me kya karu.

MPT - Orthopedic Physiotherapy, Diploma In Diet & Nutrition, MSc - Dietitics/Nutrition
Dietitian/Nutritionist, Delhi
I am 25 years male. Mere dono hip joint achanak bahut pain kar rahe he. Me asanise chal bi nahi pa raha hu. Yesa Q ho...
Uric acid and vit d3 check kare. And back se agar pain hai toh doctor ko visit kare. This can be radiating pain from back.
1 person found this helpful
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I have muscular pain in my left foot. X rays and blood test shows normal. But still I have pain even after taking tablets and physio UST. Can you suggest some remedy.

BHMS, M.D.
Homeopath, Pune
I have muscular pain in my left foot. X rays and blood test shows normal. But still I have pain even after taking tab...
hello lybrate user, take homeopathic treatment for pain in left foot.its very safe and effective in musculoskeletal complaints. for proper homeopathic prescription few more details are needed like cause(spasm or sprain??), location, etc; you can message back for online homeopathic consultation and prescription.
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I am 25years old I have one problem that is back pain I consult many doctor but any one not give proper solution so kindly heck snd proper resolution.

BAMS
Ayurveda, Ambala
I am 25years old I have one problem that is back pain I consult many doctor but any one not give proper solution so k...
First of all check your posture when you are lifting any material like heavy bucket. And try to lift the heavy bucket without bending your back. You may lift the bucket after bending your knees only. This will definitely help you. * gentle massage with lukewarm mustard oil of your waist area will also give you relief. * surya namaskar is only exercise which you need to do. * in diet vegetable protein of cereal, b complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
1 person found this helpful
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My mother is suffering from knee pain. She tried so many medicine but no effect yet. Which type of medicine should she take? Or what is the solution to this sickness?

BPTh/BPT
Physiotherapist, Kota
My mother is suffering from knee pain. She tried so many medicine but no effect yet. Which type of medicine should sh...
KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx……
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BPTh/BPT
Physiotherapist, Delhi
Leg weakness and trouble with balance and walking are important risk factors which can cause falling down amongst elders.
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