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Dr. Vinay Singla

Orthopedist, Delhi

Dr. Vinay Singla Orthopedist, Delhi
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Vinay Singla
Dr. Vinay Singla is a renowned Orthopedist in Rohini, Delhi. He is currently practising at Jha Clinic in Rohini, Delhi. Save your time and book an appointment online with Dr. Vinay Singla on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 41 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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Sector 14 Extension, Rohini. Landmark:Near Madhuban Chowk, DelhiDelhi Get Directions
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Hi! I have cervical spondylosis earlier I use to have numb sensation in my left arm and left hand lilltel finger and ring finger, now this has aghrivated to my right hand and right leg. Am I am worried now. Pls suggest what needs to be done. Regards Nsb.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Heat is an effective mean of reducing and relieving pain in cervical spondylosis. You can use hot packs at home. Some exercises like static contractions and strengthening exercises are needs to be done. Isometric contractions of the cervical muscles improve the muscle endurance and tone as the contractions improve the blood supply thereby the nutrition to the muscle is increased and hence muscle strengthening is done. Please see a physiotherapist for these exercises. You may need traction and soft tissue techniques for the management of cs. Postural awareness is very important. As the condition progresses, the abnormality of posture also increases, thus from the initial stage itself, postural awareness through proper advice and education should be planned and initiated by the physiotherapist. Best wishes.
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I am having head ache from many days and also having leg pain from yesterday. What should I do? Please help me.

MBBS, MBA (Healthcare)
General Physician, Delhi
check your BP. Check your eye sight. take rest and proper sleep. take crocin pain relief one sos for severe headache.avoid stress. inform if not ok.
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I have severe leg ache at night when I try to sleep. It's extremely common and happens at bed time because of which I am not able to fall asleep for 2-3 hours. Please let me know cause and solution.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
The main cause according to ayurveda is increases heat in your body. You might also be suffering from associated problems like hyperacidity. You should stop eating spicy, chilly & acidic foods. Start including cow ghee in your diet. This will cure the problem. If still it persists,
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Iam suffering from RA since 2 years whether there is any permanent treatment is there.

MBBS, MD - Internal Medicine, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Mr. Kumar, Rheumatoid Arthritis does not have a permanent cure. Only 8 to 14% of patients may get back to normal that too within first 4 years of the disease. Go through this article for brief knowledge of Rheumatoid Arthritis Vital notes: RA is a chronic debilitating joint disease that affects small joints of hands and foot. More common in females aged 20 to 50 years. It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years. It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately. Untreated disease may cause deformity of hands and foot causing deterioration of quality of life. Erosion of small joints along with loss of entire joint architecture is the basic disease process. Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic. Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids. Difficult diseases are treated with costly injections called biologics. The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “ Lung and cardiac complications are common in long term disease. Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.Introduction: Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon. The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity. This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment. What are the symptoms? Symptoms vary from person to person and also from early stage to late stage of the disease. In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results. In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm. In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful. A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat. Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease. What is the difference between Rheumatic Fever & Rheumatoid Arthritis? There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis. Why Penicillin injections are given on a monthly basis? Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist. How is Rheumatoid Arthritis diagnosed? Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course Does each and every patient of rheumatoid arthritis develop crooked hands and foot? No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease. How Rheumatoid Arthritis is treated? Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage. Cessation of smoking is mandatory. Smokers tend to develop early joint destruction Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs. Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below. Why I am being given Steroids? Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment. Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month. What are Biologic agents? Why they are so costly? Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started. Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.
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2 months ago, I was jumped from my college 1st floor and got fractured my back bone in L1 region. L1 region of my back bone was compressed 20%. I am a body builder, and I like to ask you after how many months I can go to gym?

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
you have to avoid lifting heavy weight for atleast 6 months and if can avoid lifting weights permanently then its going to help your back. once you have a vertebral fracture then there is going to be some change in the alignment and this by itself can cause back pain .
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Sir, I am 25 years old. I have pain regularly in my knees and legs mostly in night. Sometimes in my palms, fingers and toes. Also I have problem when I getup early in the morning from the sleep.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Apply hot fomentation Do whole body stretching Take bath with luke warm water adding salt to it Do aerobic exercises Take sleep for complete 8 hours Take care of your posture Drink plenty of fluids Have milk & milk products
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When I wake up in the morning I have huge pain in my back bones. What should I do? Please help me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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My spouse aged 44 years is patient of lgmd (mascular dystrophy) which was diagnosed in 2005. She is able to walk with some support and cannot walk freely. Please advice if there is any medicine or cure.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Myopathy is usually a progressive disorder but sometimes it is self arrested. Do physiotherapy to prevent contractures & deformities. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Following may help inj dinabol 25 mg im weekly x 6wks. This disease does not affect the intelligence of the patient use your intelligence. You can work on computer etc. Keep your morale up. Keep me informed of your progress & follow up. God bless you.
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My both kidneys have almost failed. I get swelling in my feet all the day. So what should I do for better?

DHMS (Hons.)
Homeopath, Patna
Hi, tk, homoeo medicines me: @ berb vulgq-10 drops, thrice with little water. @ ignatia30-6-6 pills, thrice a day. Avoid, tomatoes, spinach, proteinos intake. Tk, easily digestible, simple, non- irritant diet on time. Tk care.
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Ref. Dr. P nagaraj article on back pain-- If one has slight slip disc, is it advisable to do the 3 or any of the exercises given by him here in this adjacent article?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. 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. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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Sir every alternate 2 months I am having fever And when I have the fever I have a pain inside my neck The doctors said that its an infection But why it always happens in my neck. Please help me.

MBBS
General Physician, Faridabad
please get your throat checked when you are having fever to find out the cause. it can be tonsllittis or may be other cause, treatment will depend on the cause. thanks
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Severe Neck and Shoulder pain Hello Dr. I have been suffering from severe pain in the neck area and occasionally in the shoulders too. I have this problem since my school days (got it checked and doctor told that everything is fine) but I have learnt to live with it by applying pain balm so far. Off late the pain has been very severe (mostly after a good days workout, but this was not the case previously. I have been working out for several years, but the pain started recently). I am an IT professional and hence this might be quite common but the pain has increased too much off late. I have to swallow pain killers to reduce, but am sure this is not an permanent issue. Is there anything that I can do come out of this solution permanently. Is there an medication I can start with, or if I need to consult a doctor then kindly suggest whom to contact.

MBBS, Diploma in Cardiology, DTM&H(Diploma Tropical Medicine & Hygiene, PGD PPHC(Post graduate diploma in Preventive and promotive health care
General Physician, Kolkata
Hi lybrate-user, Do you have pain on weekend holidays? Now U will have to look out whether it has got some relation with work. Adjust your work station. As a IT professional you work long hours with computer. your eye level should match with the top of the screen. Any thing up or down may put continuous pressure and may cause neck and shoulder pain. If you use mobile phone with head down looking at the hand set you may face same problem. So correct your posture while using computer and mobile. Neck muscles exercise both active and passive. U will definitely get some relief.
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I have leg pain from past 8 years from waist to toe including all neevws and muscles.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from Neuro physiotherapist best wishes
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All About Osteoarthritis

Multi Speciality Clinic
Multi Speciality, Pune
All About Osteoarthritis

The most common form of arthritis is osteoarthritis and unlike rheumatoid arthritis, the cause of osteoarthritis is not due to any inflammation such as the immune system attacking the joints. Rather, the cause of osteoarthritis can be attributed to the wear and tear of the protective cartilage on your bones over time. The most common parts of your body which may get affected by osteoarthritis are the knees, hands, and spine. Even though osteoarthritis cannot be cured, it is worth noting that the symptoms can be well managed.

Here is everything you need to know about osteoarthritis:

Symptoms:

  1. Intense pain in your joint: This is the most common symptom indicating that you may have osteoarthritis.
  2. Tenderness in your joint: If after applying a little pressure, your joint feels tender, then it can be considered a sign of osteoarthritis.
  3. Stiffness in your joint and loss of flexibility: If you feel stiff after a period of inactivity such as waking up in the morning, it's likely you have osteoarthritis. This may also mean that you may not be able to make movements you were previously able to due to the stiffness in your joint.
  4. Bone spurs: You may also feel extraneous bits of bone from around the affected joint.

Causes:

The most common cause of osteoarthritis is old age. As you grow older, the cartilage that cushions your bones begins to deteriorate. Without this cartilage to cushion your bones, different bones might rub against one another, thus causing the pain you feel.

Treatment: 

As mentioned earlier, it is not possible to cure osteoarthritis, but the pain can only be managed. Here are the best ways to manage pain from arthritis.

  1. Medications: Depending on how severe your pain is and whether it is chronic or acute, you may be given drugs such as ibuprofen or acetaminophen.
  2. Physical therapy: An exercise routine can be worked out between you and your physical therapist so that your pain reduces and you are able to regain the range of movements you had before you were affected by osteoarthritis.
  3. Surgery: There are a number of surgeries which can be done to reduce your pain; ranging from a simple lubrication surgery by using hyaluronic acid all the way to a complete joint replacement.
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Hi sir, I am 25. I am male. I have three problems. 1. Heavy back pain2. Veesing 3. acidity can not control this. Please can you help me for that and tell me what can I do?

BHMS
Homeopath, Delhi
Hello, you can take homoeopathic medicines 1.Rhus tox 30 ( 4 drops in little water) thrice a day for a week. 2.Carbo Veg 30 ( 4 drops in little water) thrice a day for a week and revert. *Make a habit of 8-10 glasses of water daily. *Avoid fried and spicy food. *Include fruits, raw vegetables and fresh vegetable juices in your diet. *If overweight, loose weight.
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Good evening sir Am 29 years old guy and unmarried, Am feeling pain at lower back. Its no much, but when I sit at least 30 min am feeling discomfort at my lower back, In bend over position also, the same discomfort raises. While am in standing position or walk, I never feel any pain or discomfort at my lower back. Please suggest any solution for my problem thank you.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
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.
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Hi doc, From last night I am felling some pain in my lower back it was a little since morning then I went to office after that it was grown up and now in evening I can not even walk properly it is paining while I steeping up forward please but there is no pain while I am lying on bed with the movement I can fell it can you please consult me some medicine for this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Advice���. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching. Use back sapport.
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Pain in back side of neck region generally started with nit in sleeping and till whole day.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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