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Dr. Rakesh Kumar

Orthopedist, Delhi

500 at clinic
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Dr. Rakesh Kumar Orthopedist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rakesh Kumar
Dr. Rakesh Kumar is one of the best Orthopedists in Jeewan Mala Hospital, Delhi. He is currently associated with Nova Specialty Hospitals - Karol Bagh in Jeewan Mala Hospital, Delhi. Book an appointment online with Dr. Rakesh Kumar and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 34 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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Nova Specialty Hospitals - Karol Bagh

#66A/2, New Rohtak Road, Karol Bagh. Landmark:Near to Jeewan Mala Hospital, DelhiDelhi Get Directions
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Hi, I am 28 year old boy, my height is 168cm and weight is 72kg, whenever I start regular running, after 5-10 days I suffer from legs pain every time and pain increases in in legs bones until I do not stop running. Please advise me. Thankyou.

BPTh/BPT
Physiotherapist, Mumbai
Hi, I am 28 year old boy, my height is 168cm and weight is 72kg,
 whenever I start regular running, after 5-10 days I...
Hi * stop running completely or decrease your training. *apply ice to reduce inflammation. *gently stretch your achilles and your calves. *consider cross-training for a while swim, run in the pool or ride a bike. *when you return to running, increase your mileage slowly, no more than 10 percent weekly. *make sure you wear the correct running shoes Best wishes.
1 person found this helpful
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I am experiencing pain in the knee while getting up a staircase but no pain while getting down. Sometimes I feel some stiffness in the knee also.

MBBS, MD - Aerospace Medicine, Eular Certification in Rheumatology
General Physician, Pune
I am experiencing pain in the knee while getting up a staircase but no pain while getting down. Sometimes I feel some...
Dear friend youmay be having some problem in your either patellar tendon, patella or the knee please get an xray of the knee done and upload for us to see and help.
1 person found this helpful
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I am 18 years old and my problem is that, I sleep well in the half of night but during second half my back and kidney portions became painful and I have to get up and walk for at least 5 minutes and then again to sleep.

MBBS
General Physician, Mumbai
I am 18 years old and my problem is that, I sleep well in the half of night but during second half my back and kidney...
I will suggest you to start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months and a tip - Take a shower at bedtime for a peaceful sleep
1 person found this helpful
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My is changkura sangma I am 24 years old male and have backache for 5 mons I have use pain relief ointment cream for couple of days but haven not any relief. What will I do now.

Bachelor in Physiotherapy
Physiotherapist, Ghaziabad
My is changkura sangma I am 24 years old male and have backache for 5 mons I have use pain relief ointment cream for ...
Hi there Back pain can be caused due to many reasons like sprain, strain, repetitive injury, heavy lifting, jerking movement and can be serious sometimes. I would suggest you to try ice pack for 15-20 minute 3 times/day and avoid heavy lifting, painful movements and do gentle low back rotation and extension exercises and abdominal exercise after ease in pain. If pain still persists after 3-4 days it would be better for you to visit an orthopedic doctor and have a x ray and MRI.
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I am 42 years old I have pain in my fingers joints and toe joints my uric acid level is 5.8. How I can get rid of this problem?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It needs to be investigated. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Physiotherapy usually helps any way take paracetamol 250mg od & sos x 5days you will need other supportive medicines also. It may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Do reply back for private consultation and detailed treatment plan.
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I had unprotected sex with my girlfriend. After that I had mild joint and muscles pains, my anus slightly changed to gray. New moles also. I feared that I had hiv.

Occupational Therapy (OT)
Occupational Therapist, Jaipur
I had unprotected sex with my girlfriend. After that I had mild joint and muscles pains, my anus slightly changed to ...
First thing is HIV can only transmitted from an HIV client. So if you got contact with the same above mentioned then go for a test. Otherwise consult Dermatologist. For joint pain go for warm foamentation.
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My upper back hurts and unable me to run or jump and my body cannot absorb shock as my back hurts what to do.

MBBS
General Physician, Mumbai
My upper back hurts and unable me to run or jump and my body cannot absorb shock as my back hurts what to do.
For pain take tablet paracetamol 650 mg and take tablet folvite 5mg once a day and tablet vitamind (60000iu) once a week for six months and do exercise regularly and on alternate days.
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Doctor, I'm aged 42 years and married last year. For the past 6 months I feel my right hand movements is slightly not comfortable. It is difficult to hold a single paper for 2 mins. While driving it was painful. Writing is also difficult and my handwriting is also changing. I feel blood flow to the rt hand is restricted. My rt palm feels dry. What is happening doctor? What I've to do?

Pain Management, MD - Pain Medicine & Anesthesiology
Pain Management Specialist, Srinagar
Doctor, I'm aged 42 years and married last year. For the past 6 months I feel my right hand movements is slightly not...
Hi. You are having carpel tunnel syndrome (CTS ). Which means your medial nerve is getting compressed near your wrist. Please get NCV (nerve conduction velocity) test done for your right arm and report back. If your diagnosis is confirmed, we will treat you with injection. Regards.
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My knee was a little bit injured in an accident. X-RAY was normal. Doctor said it was a minor injury and no need for any big treatment. Now after 5 days I'm fine, there's no pain but feeling loose at my knee while walking. Having problem in walking up on stairs. What may be the problem? Please answer soon.

MBBS, MS - Orthopaedics
Orthopedist, Chennai
My knee was a little bit injured in an accident. X-RAY was normal. Doctor said it was a minor injury and no need for ...
Wait for a week more . Plz don't jump into MRI now. Give ice pack to your knee. Don strain much for 2Weeks. Most often MRI mislead you if you do now.
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I have pain in my left hand wrist from last 5 months. There is no injury happened to the wrist. But the pain remains continuously. Please advice me.

BHMS
Homeopath, Ludhiana
I have pain in my left hand wrist from last 5 months. There is no injury happened to the wrist. But the pain remains ...
Hello. Take homoeopathic medicine actaea spicata 30 (3 drops four times a day for 15 days) calcarea phosphoricum 6x (5 tablets three times a day) take these for 15 days and after that update me for follow up. Have a healthy life.
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I have neck pain for over 7 days continuously. What should I do to get rid of pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Apply volini spray n stop taking pillow. Get n X Ray neck done . Take 1 tab nucoxia Mr . Revert back with reports for further management.
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After 2 month of heavy gyming. My shoulder ,upper back, chest are disproportioned .m feeling that my bones are bending .and rib cage collapse. Is my skeltial structure changed? Is it possible to regain my original shape and structure? Can I expand my rib cage again?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
After 2 month of heavy gyming. My shoulder ,upper back, chest are disproportioned .m feeling that my bones are bendin...
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. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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My father has pain in knees so problem in sitting or standing. My father did very hard work do in past and present. So what can for release the pain. Thanks again.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My father has pain in knees so problem in sitting or standing. My father did very hard work do in past and present. S...
Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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I am unable to pull down my foreskin of genital area and finding pain while intercourse and while foreplay it comes down with a lot of pain and later it takes a lot of time to get back to the normal with unbearable pain please suggest me to be cured at the earliest.

BHMS
Homeopath,
I am unable to pull down my foreskin of genital area and finding pain while intercourse and while foreplay it comes d...
Dear Lybrate User, You may be suffering from a clinical condition called PHIMOSIS. The most conventional method to get rid of it is surgery. However, if you are unwilling to undergo surgery then you can try the following process at home. 1) Buy Betamethasone cream from local allopathic shop. During buying you should check the composition of the cream to confirm whether it contains 0.05% Betamethasone in it. If you cannot find 0.05% Betamethasone cream then you can buy any local Anaesthetic Gel (e.g. Lidocaine, Lignocaine, Xylocaine) from allopathic retail shop. 2) Apply a little amount of that anaesthetic gel at the lower part of the prepuce of penis where the foreskin remains attached. 3) After application of the gel, retract the foreskin backwards as far as you can. Due to the anaesthetic property of the gel you will be able to retract the foreskin backwards to some extent more than you can do in normal condition. 4) Release the foreskin when you feel pain 5) Again repeat the same process. Do it continuously for at least 30 minutes in a day. Within a month you will feel that your foreskin has become loose
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I have severe neck pain. I Couldn' t able to sleep in night due to this pain. I have consulted ortho doctor as well as physiotherapy Dr. But pain remains same for the hole day. I m working in IT company. But even leave days also I feel severe neck pain. Which specialist Dr I need to check and help me to get rid of the pain

MNAMS (Orthopedic Surgery), Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), MBBS
Orthopedist, Pune
Probably you are suffering from repetitive stress injury. In addition you may have low serum vitamin b12 & d 3 levels. Please get them tested. Will need to start muscle relaxants and anti inflammatory medications.
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.

Characteristics

The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.

Cause

The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.

Mechanism

The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).

Prevention

Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.

Treatment

The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

I have a torn ligament. Will it be correct to go for orthopedic surgeons or what else?

BPTh/BPT
Physiotherapist, Hyderabad
Dear Mr Avirat, the answer to the question you pose depends upon the severity & degree of tear your ligament has undergone, in cases where the tear is bad , surgery alone at the earlist without much linger can help you achieve optimal outcome, pls do consult your Ortho surgeon , do not have an iota of thought that anything else may help if the tear is severe, because surgery alone has proved to be the best way to restore you back to fittness if the tear is severe & limiting your daily activity & restricting your lifestyle
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I have severe back pain. Its exactly just above the right side of the back above the hip. I did Kub, exray and c.T. Everything is normal and my esnophil is 17. But still the back pain remains.

BPTh/BPT, Credentialed Mckenzie therapist
Physiotherapist, Mumbai
Hello , Back pain can be treated with of the help of directional specific exercises. Your all reports may seem normal But you might suffer from pain. For this troublesome pain a complete assessment should be done.I assess and treat the patients through the MCKENZIE METHOD which is a world class level of treating patients with spine and joints problem. After complete assessment, exercises will be given which will decrease and abolish the pain.
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I am 17 year old man suffering from knee pain. I do morning jogs for 20 min. Should I continue it?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 17 year old man suffering from knee pain. I do morning jogs for 20 min. Should I continue it?
Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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