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Dr. Ranju Kumar

MBBS

Gynaecologist, Delhi

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Dr. Ranju Kumar MBBS Gynaecologist, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Ranju Kumar
Dr. Ranju Kumar is an experienced Gynaecologist in Apex Citi Hospital, Delhi. She is a qualified MBBS . You can meet Dr. Ranju Kumar personally at Dr. Ranju Kumar@Apex Citi Hospital in Apex Citi Hospital, Delhi. Save your time and book an appointment online with Dr. Ranju Kumar on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 44 years of experience on Lybrate.com. You can find Gynaecologists 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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MBBS - - -

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Apex Citi Hospital

D-440, West Vinod Nagar, Hanuman Road, Landmark: Near Nazzir Hotel.Delhi Get Directions
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Ozone Discectomy For Disc Prolapse!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Ozone Discectomy For Disc Prolapse!

Ozone local anaesthesia with strict real time radiological control, which ensures the proper placement of Ozone in the center of the disc making it shrink.

Low Sciatica and PIVD

Among working-age people, as many as 20 percent experience back symptoms at least every year. facet arthropathy, sciatica, muscle strain, sacroilitis, bulging or herniated discs and degenerative disc disease. Prolapsed intervertebral discs (PIVD) are the most common cause of low back pain associated with a defined structural Abnormality.

Patients who are not helped by weeks of conservative therapy are often referred for pain that has persisted beyond a four-week period should be referred to a multidisciplinary pain center.

Different Non Surgical Interventions Employed Successfully:

  • Epidural Steroid Inj.

  • Epidurogram & Epidurolysis.

  • Nerve root sleeve/ transforaminal Inj.

  • Intra-discal steroid inj.

  • Nucleoplasty- Thermal & Mechanical

  • Ozone Discolysis

Conventional treatment methods for back pain comprise lamminectomy/ discectomy microsurgery, endoscopic disectomy and percutaneous arthoscopic disectomy, among others. These are invasive methods and their goal is to remove or contain the protruding disc. However, these methods have occasionally demonstrated a discrete incidence of failure and/or recurrence. Outcome studies of lumber disc surgeries ranging from 4% to 15%, have been noted. "In case of surgery, the chance of recurrence of pain is nearly 15 percent as against less than three percent in Ozone treatment.</p> <p><strong>Reasons for the failures</strong> of conventional surgeries are:</p> <ol> <li> <p>Dural fibrosis</p> </li> <li> <p>Arachnoidal adhesions</p> </li> <li> <p>Muscels and fascial fibrosis</p> </li> <li> <p>Mechanical instability resulting from the partial removal of boney & ligamentous structures required for surgical exposure & decompression</p> </li> <li> <p>Presence of Neuropathy.</p> </li> <li> <p>Multifactorial etiologies of back & <a href=">leg pain, some left unaddressed surgically.

Understanding the need for Nano-Technology 

  1. The various treatment options have confused clinicians and investigators due to high failure rate and complications associated with different kinds of surgeries and interventions. There has been a surge of interest in the search for a safer alternative method of decompressing the nerve roots maintaining the structural stability.
  2. Another safe least invasive alternative therapy that has been receiving exposure in Europe is the use of medical Ozone (02/03 mixture) in the treatment of PIVD. Epidural steroid injection, transforaminal epidural decompressions has a high success rate (up to 85%), but chances of recurrences are there specially if these interventions are done at later stage. anaphylaxis following intradiscal chymopapain injection. Injection of Ozone for discogenic radiculopathy (low back pain with radiation to legs) has developed as a revolutionary alternative to chemonucleolysis and disc surgery .

The use of ozone revolution for treating disc diseases 

Muto suggested an intradiscal injection of Ozone for a disc Ozone injection into the intervertebral disc. After that successful outcome has been reported from various European centers. It is very important to note from those reports that complications are remarkably few. Not a serious single life-threatening complication was found even after 120,000 cases of Ozone nucleolysis, which stresses the safety of these procedures.

The most critical portion of performing any of the minimally invasive procedures is the accuracy and safe positioning of the needle (or terminal device) in the centre of the disc space. The risk in ozonucleolysis is particularly minimised, with the use of a very thin 22/25-gauge needle. It may take anywhere from 5 to 30 minutes to position a needle in the centre of the disc space under radiological guidance. Once the needle is safely placed in position, ozonucleolysis is completed in only another 2 to 3 minutes.

How does water contained within the domain of proteoglycans. The water binding capacity of the proteoglycan molecule is partially a property of its size and physical shape, but the main force that holds water to the molecule stems from the ionic, carboxyl (COOH) and sulphate (SO4) radicals of the glycosaminoglycan chains. The ozone can have a direct effect on these carboxyl and sulphate groups, breaking down some of these glycosaminoglycan chains which make up the proteoglycans. The destruction of these cross-linked structures reduces their ability to hold water therefore diminishing the size of the herniation by collagen fibers and signs of regression (vacuole formation and fragmentation)- a sort of disk “<strong>mummification</strong>.”</p>

<p> </p> <p><strong>By Inhibiting inflammatory Nociceptors</strong></p> <ul> <li> <p>Synthesis of Prostaglandins & Secretion of Proteinases</p> </li> <li> <p>Liberation of Bradykinin and Pain Inducing Products</p> </li> <li> <p>Several studies suggest disc inflammation as a mechanism of sciatica due to disc herniation. Ozone has been shown to have an effect on the inflammatory cascade by inhibiting synthesis of proinflammatory prostaglandins or release of bradykinin or release of algogenic compounds; increased release of antagonists or soluble receptors able to neutralize proinflammatory cytokines like interleukin (IL)-1, IL-2, IL-8, IL-12, IL-15, <a href=">interferon, and tumor necrosis factor. Therefore, by reducing the inflammatory components there is a corresponding reduction in pain.

By stimulating fibroblasts & immunosuppressor cytokines 

  • Local production of Antioxidant Enzymes
  • Another action which may prove to be one of the most important is the stimulation of
  • Release of immunosuppressor cytokines like transforming growth factor, and IL-10 fibroblastic activity by ozone. Fibroblasts initiate the repair process by stimulating the deposition of collagen. Although yet to be validated, this mode of action could explain the resolution of PIVD on CT scans and the small percentage of patients who have relapses after the completion of treatment plan.
  • Ozone may have a reflex therapy effect called ‘chemical acupuncture’, breaking the chain of infection which is healed with antibiotics.

     

    In fact, over 120,000 patients have been treated successfully worldwide using the injection of medical ozone with a success rate of 80-90% and with a near nil rate of procedure-related complications. “The procedure is a safe and effective alternative to open surgical procedure. Patients get the advantage of going home after a short recovery on the same day. They generally go to work within a week and are spared prolonged absence from work and disability,” The treatment relieves pain substantially and, after two sittings, people "can go back to work under medical guidance".

    Comparison: 1. More hospital stay One day/day care 2. Complications of prolonged surgery& spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular in European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post-operative discomfort or morbidity and low cost.

4671 people found this helpful

Doctor I had sex before 2 weeks and now from two days I'm having blood clots (brown in color) from vagina, I just want to ask that is it a pregnancy symptoms or miscarriage? My last periods was on 13 feb16.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Doctor I had sex before 2 weeks and now from two days I'm having blood clots (brown in color) from vagina, I just wan...
Any disturbance in pd always do upt. This will help in reaching conclusion. It can b sign of tubal pregnancy cy
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I have been diagnosed with PCOD from last two yrs. I have hair fall issues, weight gain, irregular periods and Hypothyroid symptoms. I have prescribed thyroxine 50 mcg for thyroid related problems. I have been suffered from Depression for more than six years. I have sleeping disorder also and anxiety symptoms. And for major issues of PCOD, Can you suggest any medicines for me. Thank u.

PDDM, MHA, MBBS
General Physician, Nashik
I have been diagnosed with PCOD from last two yrs. I have hair fall issues, weight gain, irregular periods and Hypoth...
Hello, PCOS or pcod s a problem in which a woman's hormones are out of balance. It can cause problems with your periods and make it difficult to get pregnant. PCOS also may cause unwanted changes in the way you look. If it isn't treated, over time it can lead to serious health problems, such as diabetes and heart disease. The most common symptoms are: Acne.Weight gain and trouble losing weight.Extra hair on the face and body.Thinning hair or even hair loss on scalp.Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.Fertility problems. Many women who have PCOS have trouble getting pregnant(infertility), depression. Regular exercise, healthy foods, and weight control are the key treatments for PCOS. Treatment (hormonal) can reduce unpleasant symptoms and help prevent long-term health problems. Try to fit in moderate activity and/or vigorous activity often. Brisk Walking, jogging, dance or aerobics are great exercise that most people can do.Eat heart-healthy foods. This includes lots of vegetables, fruits, nuts, beans, and whole grains. It limits foods that are high insaturated fat, such as meats, cheeses, and fried foods.Most women who have PCOS can benefit from losing weight. Even losing 5kg may help get your hormones in balance, regulate your menstrual cycle and can make you ovulate.
1 person found this helpful
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Hello sir my son has one testis is there any problem in future ? he is know 17 years old

MD-Dermatology, MBBS
Sexologist, Pune
Undescended unilateral testes. May not be any problem but get hormonal test Total & Free testosterone.
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My mom. age is 47 years. She has huge amount of bleeding problem .is that related with age or something else please suggest some medicines or remedy to cure it.

MD, MBBS
General Physician, Noida
My mom.  age is 47 years. She has huge amount of bleeding problem .is that related with age or something else please ...
She is heading toward menopause. Before menopause, she may have huge and irregular bleeding even before her due date. She may also have fibroid in her uterus. She should get her ultrasound done to confirm or rule out fibroid. Oral contraceptives courses (containing oestrogen and progesterone) taken 3-4 month may regularise her menses as well as can diminish bleeding amount but at this age oestrogen may cause cancer, therefore are not given. Gynae CVP capsules, 1 cap taken 3 times dailystarting 2 days before menses till menses stop may decrese bleeding amount by 50-60%. So she may tale these capsules under medical supervision.
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Hi, normally I was having menstrual period for length of 5 days but now its reduced to 2 and 3 days also feeling lots of tiredness. Is this something wrong?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, normally I was having menstrual period for length of 5 days but now its reduced to 2 and 3 days also feeling lots...
Hello, The scantiness could be stress induced unless hyperprolactinemia or hypothyroidism have been ruled out.
1 person found this helpful
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I am pregnant 15 weeks running. Is train journey safe for me and how take easily for my journey best.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am pregnant 15 weeks running. Is train journey safe for me and how take easily for my journey best.
Hello, you can travel by train provided there are no complications in your pregnancy. I suggest you consult your gynaecologist once before travelling.
1 person found this helpful
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I had married last 4.5 years but till date not had pregnancy. I had visited doctors also and told everything is good and there is chance to get pregnancy almost 100%. My age is 35 years.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training In USG
Gynaecologist, Delhi
I had married last 4.5 years but till date not had pregnancy. I had visited doctors also and told everything is good ...
Hi You should take treatment as soon as possible because your age is already 35 . With increasing age, your egg reserve decrease. If you have done any investigation then please send it to me. I will guide you further
1 person found this helpful
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Hi age 24 year married and I am suffering from cyst in both side and I am trying to be pregnant but not conceiving. I have weight gain problem so kindly suggest me.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi  age 24 year married and I am suffering from cyst in both side and I am trying to be pregnant but not conceiving. ...
Start doing regular exercise for weight loss this will help regulate your hormones and will enhance fertility, also take healthy nutritious diet without skipping meals with fruits and green vegetables and low fat dairy products. Quit coffee, canned and fried food. And try conceiving during your fertile days if you have a regular cycle of 28-30 days your ovulation will be around day 10 to day 20 of periods, do regular intercourse in this duration.
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