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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Hi I am 43year old I an having bones problem some time I can not walk also I had been using some oils but its not working. Please refer me what I have to do and which kind of doctor I have to consult. It will help me.
Hi Sir I am 25 years old male I was feeling easily tired and dizziness and numbness in my feet, I went for medical examination the reports revealed I was suffering with thyroid Total T3= 1.68 total t4= 7.50 Tsh=6.09 I was suggest to take thyrox 25 mg I ha ve taken the medicine since last two month and after test my tsh was 27.05 I was suggested to take thyronorm 75 still after a month I don't see any improvement my depression levels are becoming worse getting easily angry feeling tired and drowsy kindly help me.
I took x-rays for both Ankles the doctor said plantar fasciitis I can't understand the meaning of that name tell me the treatment for she gave me medicine but by taking the medicine I am getting my stomach very tight and pain she gave me for five days she told to wear MCR chappals but now also am getting saviour pain.
Benefits of Knee Replacement
Hello, friends, I am Dr. Gaurav Khera I am a consultant orthopedic surgeon joint replacements and spine. Today I will be talking to you about total knee replacement. Knee replacement is the most common surgery which is being done these days it is also a surgery which has got a lot of bad name to it because of a few complications that are associated a few myths which are associated. I'd like to clear all those out today.
Before I start talking about knee replacements I would like to tell you something about the anatomy of the knee joint. (Displaying knee model) now this is the knee joint knee joint is a type of a hinge joint, a modified hinge joint, it has three compartments, it has the middle or the inner compartment the lateral or the outer compartment and the patella femoral compartment. now what basically happens in osteoarthritis that is the reason why we do a total knee replacement is that the joint it starts to age or it starts to degenerate, and as the joint degenerates this blue coloured cartilage cover it starts to go away, as the cartilage cover goes the joint tries to recover from this degeneration process and in doing so in the repetitive process these osteophytes which are like bony specules they are formed, now these bony spicules as they are getting formed they start pinching into the surrounding tissues, surrounding tissue means the ligaments, basically 4 ligaments are in the joint 2 of which are inside and 2 of which are outside. the outside ones are the lateral and the middle collateral ligament and the inner other anterior and posterior cruciate ligament now the first ligament to get involved is the medial collateral ligament which is on the inner aspect of the knee joint and there is tightening of this ligament which takes place as the recommend gets tightened this middle compartment it starts to tighten up and there is further rubbing of these bones as these bones are out this blue cartilage it goes away and the bone gets exposed and the raw bone Easter surfaces they rub against each other causing severe excruciating pain.
The patients come to us then they complain of pain when they are going up and down stairs they complain of funny sounds which are coming, they complain of difficulty and squatting difficulty in cross leg sitting. so this is the reason why you get all these pains. now Osteoarthritis is not the only reason why were doing knee replacements. knee replacements are also being done father causes like hemophilia, septic arthritis, septic arthritis means infections. a few other causes like imposed tuberculosis, again its an infection. now there are two types of knee replacement surgeries which are being don,e one is the unicondyler knee replacement and one is the total knee replacement, a unicondyler knee replacement what we do is we change only the middle aspect of the joint or the inner aspect of the joint and in total knee replacement we change the entire joint. now changing of the joint does not mean that we remove the bone from the top and bottom and we just put in a new knee, basically were just changing the damage surface so this is the model of a knee replacement surgery.
Basically there seven cuts which is involved in a total knee replacement the main cut being the table cut and the other cuts are the femoral cuts now the femoral cuts are again you know the distal anterior posterior the chamfer the box so once these cuts are done this is how the femur of the knee joint looks like of the implant. this is then fitted onto these cuts with the help of a bone cement and on the tibia we put a tibial plate which is again fixed with a cement and then we put a insert. the size of the cuts and the amount of bone which is being cut is generally decided inter operatively. the types of implants which are being used are different, the types of implants vary we have patient-specific implantations we have computerized implantations you know in which we can do computerised cuts during the surgery and we have high flex knees we have normal needs so huge variety of things which are coming. now coming to rehabilitation process after the surgery the rehabilitation process for you as a patient is the most important, see normally the patient requires two to three months to recover after the knee replacement.
We make the patient walk after 24 to 48 hours .now the reason why we are making you walk so early is so that we can get your knee to start moving we can prevent complications like DVT and we can start your physiotherapy for muscle strengthening as soon as possible. your physiotherapy will continue for at least two months after the surgery and you will be able to lead a completely normal life that is hardly any activity which is going to be restricted after your surgery, you can go for your cycling you can go for your mountaineering you can go for your running you can go for your walks, we will only advise you not to be squatting and not to be cross leg sitting other than these you will be allowed to do all other activities. the complication rates of the surgery has come down tremendously. about 10 years back the complication rates were much higher now the complication rates have really come down that is because the most common complication is infection. now infection the methods which we are using in this surgery they are better antiseptic methods that we are using, there are better barriers which are there in the hospital, better antibiotics so infection rates have come down. the other thing is the failure of the implants there is a much better understanding of how the knees functioning, there is a much better understanding of what the soft tissue balancing is required. so all these complications have really come down so I would advise you that
If you are really suffering from a lot of knee problem if you’re having to take a lot of painkillers if youre not being able to do your daily activity then you should get in touch with us and you start thinking of a knee replacement surgery. you can contact me and come and meet me at my clinic at dr Kheras wellness clinic, I am here everyday in the evening from 6 to 9. I am also available at Apollo spectra hospital, you can call text or video chat with me through Lybrate. Thank you.
I have back bone pain severely from 3 months I have taken scanning and x ray but doctors say normal. any remedy for this.?
I am suffering from fever in evening and have joints pain also till last three days kindly suggest some medicine.
I am a student and used to study on bench desk all time, the time when I am sitting cause nothing but after standing or sleeping there is a very hard pain in lower back. What should I do?
I fell from bike yesterday around 10 and got few wounds on my ankle and palm. I applied nebasulf powder on the wounds and took amoxcylin tablet. But do I need to get a Tetanus injection. Last time I took it was around two years ago.
I am a 47 yrs old man. I have a pain under my foot (sole). It's increase after rest. (when I stand up after sitting position or from bed). Please Give me a solution.
I have problem in neck there is a swelling in the both side When I eat some cold substance it increase What I do?
Adhesive capsulitis: an overview
If you are taken aback by the very mention of this condition, you must know this is something you face every now and then. The problem is not too serious until it persists and hence people do not bother to look up terrifying medical terms for the case. Adhesive capsulitis or frozen shoulder is a condition that could arise from a host of reasons. It is usually characterized by a marked stiffness in and around the shoulder blade felt either in the middle of the night, early in the morning or while trying to move a hand close to the end of its reach. Frozen shoulder might become a chronic problem in which case remedying it takes a minimum of one or two years.
Factors leading to Adhesive capsulitis
- This condition is prevalent amongst patients of diabetes.
- Lack of movement of a limb, either of the two hands, due to a fracture or a surgery can result in the same.
- Adhesive capsulitis occurs when the capsule of connective tissues ensconcing the ligaments and bones of your shoulder joint tightens around them hindering free and easy movement.
How is Adhesive Capsulitis Treated?
There are various treatments for adhesive capsulitis. Even though the condition usually gets better on its own, improvement can take two to three years. Over 90% of patients improve with non-surgical treatments, including the following:
- Physical therapy
- Corticosteroid injections
- Anti-inflammatory medications
Surgery can be performed for patients who see no improvement after non-surgical measures are taken.
How is subacromial bursitis different from Adhesive capsulitis?
While a frozen shoulder affects your entire shoulder area, subacromial bursitis affects a single point in the shoulder blade. The topmost boney part of the shoulder blade is referred to as the acromion. The acromion is placed above the ball- and- socket joint without touching the bones directly. The subacromial bursa is a soft cushion like thing that prohibits friction between the muscles or tendons of the shoulder joint and the acromion. An irritable subacromial bursa is referred to as subacromial bursitis.
How is Subacromial Bursitis Treated?
Subacromial Bursitis can be treated in a number of ways, including:
- Avoiding activities that aggravate the problem
- Resting the injured area
- Icing the area the day of the injury
- Taking over-the-counter anti-inflammatory medicines
- What do you mean by rotator cuff tear?
Rotator cuff is a group of tendons and muscles located on top of the upper arm bone or humerus. The cuff helps to hold your arm in place allowing easy movement. Acute stress or physical exertion can lead to muscle cramps or might even make the tendons tear apart. Tennis players, swimmers, or people lifting heavy weights are prone to Rotator Cuff Tear. This condition leads to excruciating pain and tenderness in your shoulder blade.
What's the Treatment for a Rotator Cuff Tear?
As bad as these injuries can be, the good news is that many rotator cuff tears heal on their own. You just need to give them a little time. You also should:
- Rest the joint as much as possible. Avoid any movement or activity that hurts. You may need a sling.
- Ice your shoulder two to three times a day to reduce pain and swelling.
- Perform range-of-motion exercises, if your doctor recommends them.
- Consider physical therapy to strengthen the joint.
- Use anti-inflammatory painkillers, or NSAIDS, like Advil, Aleve, or Motrin.
More serious rotator cuff tears require surgery. One procedure is shoulder arthroscopy, usually an outpatient procedure.