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Rakesh Sharma has a very positive attitude towards all the patients. The dr Rakesh Clinic is decorated very nicely and doesn't look like a hospital. Over the period of time the diabetes treatment has helped me a lot. The guidance Rakesh Sharma gave me has helped me immensely with my situation. The atmosphere in the dr Rakesh Clinic is always so positive and full of life. It's been so long, I have lost all hope, but then I met Rakesh Sharma and I am hopeful again that I will be fine.
I was suffering from osteoarthritis. The osteoarthritis treatment has helped me greatly and now I am perfectly fine. The staff was very attentive to my needs. The Dr Rakesh Clinic is decorated very nicely and doesn't look like a hospital. Not only he is very calm and composed, but is also a very understanding doctor. Dr Rakesh Sharma has so much knowledge that for everything my family takes his reference.
I was panicked, because I never thought I will suffer from masturbation addiction like this. But Dr Rakesh Sharma has a very positive attitude towards all the patients. I have consulted so many doctors , but no one was able to solve my masturbation addiction untill I consulted Dr Rakesh. I'am almost on the path to recovery, Thanks tohim for teh perfect advice.
I was very depressed due to Hemorrhoids. I consulted Dr Rakesh, he is very professional and is a really patient listener. I am so thankful to him for giving me the best advice and I am now finally able to get back to my normal self. His Clinic is designed in such a manner that all requirements of patients are taken care of.
So many doctors I consulted, but Dr Rakesh's treatment was the best for swelling. He is not just friendly, but also is very motivating. He definitely is aware about the latest and advanced ways to treat serious cases. The swelling treatment has helped me greatly and now I am perfectly fine.
Over the period of time the paralysis treatment by him has helped me a lot. Someone from the office, referred us him. The nurses at the Dr Rakesh Clinic were really helpful. I was quite impressed with his concept of holistic healing. He ensures that he gives enough time to each patient.
Nicely and intelligently tackle the problem alongwith very much coperative Staff. Specially v. nice behaviour of Staff e.g- Neha ferdous and other. They are highly talented n expert in their profession. They deserves Promotion and incentives as a reward to encourage further.
Dr Rakesh Sharma is not just friendly, but also is very motivating. I was having very bad thoughts regarding my hair health. The overall atmosphere in the dr Rakesh Clinic is very soothing. Thanks to him that the hair health treatment he gave me has given brilliant results.
Overnite my vomiting aggravated. Dr Rakesh never gets frustrated, even when I ask a number of queries. Thanks to him I am totally satisfied with the results. On the very first day he identified my problem and started the treatment.
Thanks to Dr Rakesh Sharma for changing the life of my uncle. He was suffering from Alcohol Addiction. His Treatment was done at dr Rakesh Clinic in Delhi on 12 April 2015. He is feeling good now.
Osteopenia is a medical condition that gradually causes thinning of bone mass. While the thinning mass is not considered as severe, the real danger looms when osteopenia aggravates to osteoporosis, resulting in a bone fracture. Osteopenia is mostly witnessed in people above the age of 50. The difference between the diagnosis of osteopenia and osteoporosis lies in the measure of bone density.
Osteoporosis, on the other hand, is the loss of bone mass due to the deficiency of calcium, magnesium, vitamin D and other minerals and vitamins. Osteoporosis can lead to broken bones, height loss, acute pain and humpback. It is estimated that over 54 million people in the US suffer from osteoporosis.
Bone mineral density (BMD):
The calcium deposit in the bone is measured by the bone mineral density (BMD) test. This test rightly estimates the chances of bone fracture in a person. Furthermore, it helps a doctor to distinguish between osteopenia and osteoporosis. Being non-invasive in nature, this test can be performed anytime on areas such as hip, shin bone, spine etc. BMD can either be measured by plain radiographs or DEXA. The latter is a form of X-ray that has lesser exposure to radiation. Post the test, a score is given based on the calcium availability of the bones.
How is a BMD comprehended?
Every BMD result is evaluated in the form of T-score. The T-score is derived by comparing the result of the BMD with a normal person in the 30’s having the same race and sex. The difference of score between a healthy individual and a patient affected with osteoporosis or osteopenia is referred to as Standard Deviation. A patient with a T-score in the range of (-1SD) to (-2.5SD) is considered a prime candidate for osteopenia. A patient having a T-score lesser than -2.5SD is diagnosed with osteoporosis.
Risk factor for osteopenia or osteoporosis:
While not everyone runs the risk of getting either osteopenia or osteoporosis, there are certain risk factors attached to it:
- Gender: Women run a higher risk of getting affected with osteopenia or osteoporosis.
- Race: Women who belong from the Caucasian or Asian origin run a higher risk of getting these diseases.
- Age: Most people tend to get these diseases above the age of 50. Humans have a tendency of losing close to 0.5 percent of bone every year after a certain age.
- Family history: A person with a family history of osteopenia or osteoporosis has more than 50% chance of getting either osteopenia or osteoporosis.
- Lifestyle: Poor diet, excessive smoking, alcohol, lack of exercising etc. goes a long way in contributing towards these diseases.
While some people look forward to spring and the beautiful flowers that bloom, for others this is a time of extreme discomfort triggered by pollen allergies. Pollen is probably one of the most difficult allergies to fight as it is invisible and is literally present everywhere. Sneezing, coughing, a runny nose, congestion and watery eyes are the most common symptoms of a pollen allergy. However, you can minimise your troubles by following a few simple steps.
- Keep an eye on the pollen count: Not every day has the same amount of pollen in the air. Pollen density is also affected by the time of the day. Pollen count refers to the amount of pollen present in the air during a specific time period. You can find out the pollen count of your area online or through a number of apps. Once you know the pollen count. You can plan your day accordingly and step out or stay in.
- Plan your time spent outdoors wisely: It isn’t always possible to stay indoors even if you know the pollen count is high. However, you can still plan your time so as to not be outdoors at peak pollen times. 5am to 9am are the worst times to step out as this is when most plants pollinate. Hence avoid stepping out during this time. Windy days can also worsen the situation by spreading pollen around. If you must go for a jog early morning, avoid thoroughfares and gardens and instead pick a route around residential streets.
- Protect yourself: Face masks may not look very good but can help reduce the amount of pollen being inhaled. If you find yourself sneezing a lot during pollen season, consider investing in a painter’s mask that can filter the air being inhaled and exhaled. If you are stepping out to do yard work or know that you’re going to spend a lot of time in heavy traffic areas, take your antiallergenic medication before you step out instead of waiting for an allergic reaction to begin.
- Have plenty of showers: Try making it a habit to have a shower and changing your clothes as soon as you come home. This prevents the outdoor pollen from circulating in your home. Follow this routine even if you’ve simply been gardening outdoors. While showering, do not forget your hair. If you do not want to shampoo it every day, simply rinse it out to get rid of all the pollen.
Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.
Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.
Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.
Prepare for blood loss: Most people experience some blood loss, but not excessive.
Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.
Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).
Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.
Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.
Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.
Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.
After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.
Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail
Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.
Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.
Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.
Smoking and alcohol should be completely stopped, as healing can be hampered.
With some preparation, spinal surgery can be sailed through smoothly. In case you have a concern or query you can always consult an expert & get answers to your questions!
The additional layer of greasy tissue under our chin is frequently created by being overweight. Drooping skin under the chin can likewise happen as we age and our skin loses flexibility. For some of us, it can be hereditary and this is often known as a double chin.
While there are surgical methods and procedures that can remove the two-fold skin, they can be costly. There are numerous straightforward home treatment alternatives to get rid of the two-fold jaw that are very easy. The most obvious is the need to diminish extra weight with an appropriate diet and workout. So, here are some exercises that can help you get rid of the double chin:
- Tongue press: Sitting with your back straight and shoulders down, tilt your head back so you are staring at the roof. Strongly press your tongue to the top of your mouth or pallet. At that point, keeping your tongue against the top of your mouth, bring down your chin to your chest, without bending your back.
- Pout and tilt: From a sitting or standing position, take out your lower lip to the extent you can to shape a sulk (place a finger on your button ; the skin needs to feel wrinkly and puckered). Hold this position for a moment. At that point, with your lip still out, get the muscles at the front of your neck to bring down your chin to your chest quite far, without adjusting your upper back.
- The “O”: Sitting with your back straight and shoulders down, tilt your head back so that you are stare at the roof. Close your lips so that they are resting. Keeping your lips shut, open your mouth so it frames an "O" shape. Hold this position for twenty seconds. You need to feel a pressure on both sides of your neck right under your jaw line.
- Kiss the ceiling: Standing straight with your arms hanging on your sides, tilt your head back and look at the roof. At that point, attempt to kiss the roof by puckering your lips and stretching them as far from your face as could reasonably be expected. You need to feel a stretch all through your neck and chin.
- Chin rotations: In a seated or standing position, stretch your spine for a tall, straight back. Gradually and delicately tilt your head so it moves in a full hover from your shoulder to chest to shoulder to back. (In case that full roundabout turns trouble your neck, stay with crescents.)
- Side neck stretch: Sitting on the floor, put one hand on the floor, fingers down, around one foot far from your hip. Try not to incline or lay intensely on your fingertips. Wrap your other arm over the highest point of your head so that your palm lies on your inverse ear. Keeping your head in with your neck, twist and make a beeline for your shoulder, using the palm to tenderly press down your shoulder.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Each person has his own individual bathroom habits and it is totally his/ her personal lifestyle that dictates their regular bowel movement. However, having a bowel movement fewer than 3 times in a week would be deemed as constipation and there can be a host of reasons leading to unhealthy poop. Thankfully, there are some foods which can help you have healthy poop without troubling your bowels and some of them are:
- Dried plums: This dry fruit is not just famous for their delicious taste but also for the fact that they contain high amounts of fiber. Fiber is a nutrient that helps in increasing the bulk of the poop and aids them to move along the intestine. Prunes or dried plums are also known to contain fermentable sugars, sorbitol, and fructans which together create a laxative effect.
- Kiwi: There is hardly any individual who doesn’t like kiwis. And the good thing is that kiwis contain a high amount of fiber which keeps the digestive tract clear. It is also rich in vitamin C and antioxidants which make a cupful of kiwi essential to everyday diet.
- Popcorn: It is not just a wonderful afternoon snack but can increase the daily intake of fiber in the diet. It is recommended by experts to replace the evening potato chips with popcorns that would help the body in different ways including easy bowel movement.
- Water: This is quite obvious as water is critical to keep you hydrated and help the poop move easily through the intestine. An individual who is even a bit dehydrated would have harder poop which becomes difficult to pass. It is therefore very important to drink 8 to 10 glassful of water every day.
- Flaxseeds: If someone can manage to eat a tablespoon of ground flaxseeds in a day, then the body gets 2 grams of fiber. This may sound inadequate, but it really helps in bowel movement. The best thing about flaxseeds is that one can add them in yoghurt, smoothie, salads or evening snacks. It is important to note here that one should not eat flaxseeds as a whole as the human digestive system is not able to digest it. It is important to either ground it or purchase them pre-ground to reap the benefits of flaxseeds.
- Oranges: Having a large, juicy orange in place of a glassful of orange juice can aid the digestive tract to pass the stool. One big orange can offer 4 grams of fiber in exchange of 86 calories. Plus, it is known to contain flavonols which help in treating constipation.
- Oatmeal: The best thing about oatmeal is that equal amounts of soluble and insoluble fibers. The function of insoluble fiber is to add bulk to the stool and help in passing it out quickly while the work of the soluble fiber is to dissolve in the water for formation of a gel-like substance making it easier to pass.
Try these foods today to have a healthy stool and eliminate problems of constipation.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Dengue is caused from the bite of the ‘Aedes Aegypti’ mosquito. This mosquito has been known to breed and survive in tropical and subtropical regions. A waterborne disease, it causes extreme discomfort and pain, even death is a possibility. Statistics suggest that each year, the number of people afflicted with dengue is around 390 million. Out of this huge number, 96 million tend to develop severe illnesses wherein hospitalization becomes mandatory.
It is primarily caused due to the bite of the ‘Aedes aegypti’ mosquito.
A mosquito becomes infected with dengue if it bites an already infected person. The disease can be transmitted to any healthy person that this infected mosquito bites next.
Living near a stagnant water body or an open drain makes you the most vulnerable to this disease. Letting water accumulate in open containers or spaces over a period of time makes it the perfect breeding ground for all types of mosquitoes.
On being infected, the symptoms generally last for around 10 days. Some of the common symptoms are:
Excruciating pain behind the eyes
Sudden high fever with chills
Skin rash which generally appears two to five days after you get infected
Severe muscle and joint pain
It should be noted that these symptoms can be easily mistaken for high fever or any other viral infection. Therefore, getting tested as soon as these symptoms start appearing is very important.
If the dengue is left untreated or not treated on time, it can result in dengue haemorrhagic fever. This condition causes nose bleeding (due to damage to the blood vessels), high fever and failure of the circulatory system as well as the enlargement of liver.
Ways to prevent dengue include
Avoid storing water in containers
Wear clothes that cover your whole body, if possible
Maintain hygiene and clean your immediate surrounding frequently
Use mosquito repellent
Use a mosquito net around your bed
In worst case scenarios, death is a possibility as a result of dengue haemorrhagic fever or dengue shock. Many countries consider dengue to be an epidemic. You need to be on complete bed rest while drinking adequate amounts of fluids if you need to recuperate from dengue.
There is no specific antiviral medication that is available for the treatment of dengue. In general, Acetaminophen (paracetamol) is usually recommended for treating fever and pain associated with dengue. Medications such as Aspirin, other salicylates, and nonsteroidal anti-inflammatory drugs (NSAIDs) must be avoided. In case you have a concern or query you can always consult an expert & get answers to your questions!
When it comes to the effects of alcohol, the liver is the most talked about the organ. However, this is not the only part of the body affected by alcohol. Alcohol can also affect your cardiovascular health. This effect is determined largely by the quantity of alcohol being consumed. In restricted amounts, alcohol can in fact be beneficial but in large amounts, it can be the cause of a number of heart health issues. Let’s take a look at both sides of the coin.
For women over the age of 45 years, drinking a small amount of certain types of alcohol such as red wine can be good for the heart. It protects the heart against damage to the arteries by increasing the good cholesterol levels. This prevents the narrowing of arteries by reducing the amount of fat deposited on the arterial walls. Good cholesterol also helps lower the level of bad cholesterol and fights against its ill effects.
Alcohol also reduces the ability of platelets to stick together by increasing the amount of fibrinogen produced by the liver. Thus, it prevents the formation of blood clots an in turn heart attacks caused by them.
The Not so Good
The ill effects of alcohol consumption overshadow its benefits. Drinking heavily over an extended period of time can increase your risk of heart disease. It increases blood pressure that can further trigger a stroke or heart attack. Alcoholism can also lead to weight gain that again causes an increase in blood pressure.
Excessive alcohol consumption also weakens the heart muscles. This condition is known as cardiomyopathy. As the heart muscles grow weaker, they cannot pump blood efficiently and the heart may fail and cause premature death.
Binge drinking can cause a condition known as Holiday Heart Syndrome. It is characterized by severe pain in the center of the chest, increased blood pressure, irregular heartbeats and breathlessness. It may make the person feel as though they were experiencing a heart attack. The term was coined as this condition was seen more commonly during the holiday season when people tend to drink more heavily.
Thus, if you want to enjoy a long, healthy life, avoid alcohol or drink in moderation. For women, this means one drink a day while for men; consumption should be limited to two drinks a day. If you have an existing heart condition or a history of strokes, alcohol should be avoided completely. In case you have a concern or query you can always consult an expert & get answers to your questions!
Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.
Some of the causes and risk factors for creating a frozen shoulder are as follows:
- If you are 40 years or older, your chances of a frozen shoulder are higher than others
- Recovering from a damage or surgery
- Hormonal imbalance
- Ladies are more prone to a frozen shoulder
- Cervical disc infection that influences the nerves around the shoulder
- Not moving your arm because of other pain or wounds
- Having a previous medical condition like diabetes or other heart diseases
- Open-heart surgery or spinal surgeries
- Poor diet and unhealthy lifestyle
The most widely recognized symptoms of a frozen shoulder include:
- Stiffness around the shoulder: this usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
- Restricted scope of movement
- Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)
- Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
- Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
- Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
- Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfaifa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Knee replacement is a procedure where the weight-carrying surfaces of knee joint are replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.
Knee replacement is mainly of two main types:
- Total knee replacement where both the sides of knee joints are replaced
- Partial knee replacement where only single side of the joint is replaced
In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage, and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.
In total knee replacement, four steps are performed:
- Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
- Replacement with metal components, which help as a recreated surface of the joint
- Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
- Insertion of a medical-grade plastic spacer amid the metal components. This creates an effortless gliding surface.
After general or spinal anaesthesia, an incision of 8-12inches is made in the front part of the knee. Joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin as well as knee cap is attached to the artificial joint with either cement or a special material.
After Effects of the Procedure-
After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.
There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.
Presently, over 90% of total knee replacements function well even after 15 years of surgery. Hence, knee problem is no problem at all! In case you have a concern or query you can always consult an expert & get answers to your questions!
Arthroscopic surgery is a minimally invasive procedure, wherein a viewing instrument is inserted into an area through a small incision in the skin and further work (repair or removal of foreign body) is carried out. With advancements in medical technology, more and more surgeries are being done arthroscopically. Ligament tears are one such instance, where almost all ligament tears are repaired through arthroscopy.
The most common shoulder ligament injury is the rotator cuff, which helps in moving the arm around the shoulder. The tear could be small, medium or large; it could also be partial or complete.
The rotator cuff tendon is inserted into the shoulder in the upper arm and if it gets torn, due to weakness or injury, the movement can be limited. This is repaired arthroscopically due to the following advantages:
- Minimal or no hospitalisation
- Minimal recovery time
- Minimally invasive
- Minimally painful procedure
Rotator cuff tears are very common in, especially in athletes (hockey, wrestlers, football, etc.) and labour workers who are used to repetitive overhead activities. However, before going for a surgery, the following should be considered:
- Nonsurgical methods including physical and rehab therapy have not provided sufficient relief
- The patient’s overall health status should be good to sustain the surgery and recovery
- Financial and overall health risks are explained and understood
What to expect during surgery?:
- A presurgical evaluation is done to ensure that the tear can be treated arthroscopically
- X-rays and MRI may be required to confirm the diagnosis
- The procedure is done under local anaesthesia, and the procedure is done in a seated position
- General anaesthesia can be used though if the patient and the doctor chose to
- Depending on where the injury is, incisions are planned to ensure good access to the rotator cuff
- If there are foreign bodies like bone spurs, they are removed or trimmed
- The procedure usually takes about 2 to 3 hours, and the repair is carried out
- Though the complete recovery may take longer, initial recovery with relief of pain and stiffness happens quite soon after the procedure
- The incisions are closed using absorbable sutures
- The patient is given a sling for immediate postop use
The patient can go home after a couple of hours when the anaesthetic effect has worn off, driving is not possible though.
- Initial overuse of the shoulder must be prevented
- Pain, infection, and swelling control immediately postop is important
- Can take up to 6 months for complete recovery depending on the size of the tear
- Exercise regimen and physical therapy instructions should be strictly followed