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Dr. Vipul Garg

Orthopedist, Delhi

200 at clinic
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Dr. Vipul Garg Orthopedist, Delhi
200 at clinic
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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. Vipul Garg
Dr. Vipul Garg is one of the best Orthopedists in Pitampura, Delhi. He is currently practising at done and joint clinic in Pitampura, Delhi. Save your time and book an appointment online with Dr. Vipul Garg on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 36 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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done and joint clinic

EU 32 A pitampura delhi, DelhiDelhi Get Directions
200 at clinic
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I'm suffering from heart and left arm pain I undergone 2d echo and ecg 1 month back do I need to worry I'm suffering from severe acidity problem my pain is very severe please help me out suggest me any Medicine for instant relief from heart pain and left arm pain please.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I'm suffering from heart and left arm pain I undergone 2d echo and ecg 1 month back do I need to worry I'm suffering ...
You should take acupressure therapy and take biochemic nat phos 200x 4 tab thrice a day with warm water and take it 5 days than consult private online.
1 person found this helpful
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I'm suffering from high fever and joint pain since yesterday what is the best medication please prescribe.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I'm suffering from high fever and joint pain since yesterday what is the best medication please prescribe.
You should take acupressure therapy and take biochemic compound no.=11, 4 tab 4 times a day with warm water and take it 5 days and consult private online.
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I am 35 years old want to check up health as I was having a pain at my back since last 2 month.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You should not be having persistent back pain, please elaborate your problem in detail as to whether there is any pain radiating down in legs and any other symptoms like numbness, paraesthesia, weakness in legs etc do you feel fever, weight loss, loss of apetite etc if you have localized back pain, you can start with - to maintain proper posture while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. Get back to me in case your symptoms do not get better in 2-3 weeks time. Actually I will advise for dynamic x rays of your back if you are not improving with conservative management after 2-3 weeks time. Do not hesitate to contact me if you need any further assistance.
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What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?
Dear Sufail. I have read your question and understand your concern regarding spine block injection. It is usually called as nerve root block. This injection is given at the level of nerve root sometimes in facets also called as facetal block. Need for injection depends upon symptoms in patients and clinical findings, MRI pictures. Root block has long term excellent results if given by expert with appropriate selection of patient. It may not work in extensive damages.
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I was normal and now I am 18 years old suddenly I have muscle pain. Why does this happen please answer me. Does this show any symptoms?

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I was normal and now I am 18 years old suddenly I have muscle pain. Why does this happen please answer me. Does this ...
Have your vit D & calcium levels checked Muscular pain can be due to either overexertion or laziness. Apply hot fomentation Do general aerobic exercises daily Take proper healthy diet & plenty of fluids
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I am having a severe hips pain from 2 days It all started after my gym workout Can you find a remedy for this as that I can not turn a side.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am having a severe hips pain from 2 days It all started after my gym workout Can you find a remedy for this as that...
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.
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I am 29 years old male and I am suffering from cervical spondylitis and lower back pain with headache from last five month give me some useful suggestions.

MBBS
General Physician, Mumbai
I am 29 years old male and I am suffering from cervical spondylitis and lower back pain with headache from last five ...
For pain take tablet paracetamol 650 mg and do exercise regularly and also take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful
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Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

MD - General Medicine, DM - Rheumatology
Rheumatologist, Delhi
Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.

2588 people found this helpful

My husband is a ra patient past 2 years. he is 35 yr old .he taking medetion only at the paining time is that correct and what should do next?

Fellowship in Rheumatology, MD - General Medicine
Rheumatologist, Hyderabad
Intermittent treatment invariably leads to poor outcomes. Do we extinguish fire stub in our house at the beginning or after the entire house is on fire and run for a fire engine? even if the fire engine arrives and extinguishes the fire. What remains is burnt out house. Similarly. Acting early and aggressively is important in arthritis. If we wait up for inflammation and swelling to occur and cause pain. Not only the inflammation leads to silent destruction of the joints and irreparable damages. But also we will require higher doses of medicines. Regular intake of medications and maintenance of minimum possible blood levels of these medicines to avoid inflammation is the key. All the best. Remember. Time * inflammation = damage. Acting early and aggressively avoiding/minimizing inflammation is the key.
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I am 28 years old male. I have upper back pain since 1 year, also I have pain in the heart. The pain lasts for few seconds or sometimes a minute and it feels like a needle pinch.

MD - Homeopathy
Homeopath, Hyderabad
I am 28 years old male. I have upper back pain since 1 year, also I have pain in the heart. The pain lasts for few se...
Mr. Lybrate you r suffering with gastritis that is the resin you r suffering with upper back and heart pain that is because of acidity referring the pain spreading to back and heart region take food time to time and along with consult nearest you r Dr. Preffer beast homoeopathic without side effect you will get relief.
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I have black spots and pimples on my back and their are irritation and it's all over my back. And I try many creams and dusting powder but it doesn't work.Please tell.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I have black spots and pimples on my back and their are irritation and it's all over my back. And I try many creams a...
First, go to the underlying problem why pimples on your back occur? do you keep your back clean and dry? do you wear cotton tshirts? do not let the pores in your back get clogged. Scrub it three times a week with an anti bacterial soap and apply a good oil free moisturiser. Improve the intake of vitamin c in your diet most important is hygeine. Keep your body clean and scrubbed, wear cotton clothes. Bathe twice with anti bacterial soap like cetaphil or sebamed or use dial antibacterial body wash with moisturizers spring water. Apply ketoconazole lotion after patting your skin dry. Improve your diet, leave junk food. Eat lots of fruits and vegetables.
2 people found this helpful
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I had got inflammation, cut, and pain in my proximal inter phalngeal joint after breaking a soil pot during martial art training. And also I get inflammation in metacarpal region outer side of palm of right hand after punching wall. What should I do now. Continue my practice to make my palm more strong or I should stop it.

MSPT (Master of Physical Therapy), Certified Yoga Trainer
Physiotherapist, Vadodara
I had got inflammation, cut, and pain in my proximal inter phalngeal joint after breaking a soil pot during martial a...
You should stop untill your current injuries are healed totally. And you should in cooperate proper technique of training as getting yourself injuried every time is not a good sign.
1 person found this helpful
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Having these un intentional muscle twitch on arms biceps now days can any one help me what could be the reason for it.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Having these un intentional muscle twitch on arms biceps now days can any one help me what could be the reason for it.
It is very common to have muscle twitches. Common causes are fatigue of the muscle or dehydration. Just drink plenty of water and wait and watch. Usually it subsides by itself.
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When I travel a long journey, I have pain on my back, what to do? please help me.

MSPT (Master of Physical Therapy), BPT
Physiotherapist, Gurgaon
When I travel a long journey, I have pain on my back, what to do? please help me.
that simply shows that u have weak back muscles ..i think u should do more of back and leg strengthening exercise to get rid of tgis pain permanantly
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Physiotherapy For Spinal Cord Injury

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Physiotherapy For Spinal Cord Injury

A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.

Causes-

A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • head or spinal injuries during sporting events
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms -

Some symptoms of a spinal cord injury include:

  1. problems walking
  2. loss of control of the bladder or bowels
  3. inability to move the arms or legs
  4. feelings of spreading numbness or tingling in the extremities
  5. unconsciousness
  6. headache
  7. pain, pressure, stiffness in the back or neck area
  8. signs of shock
  9. unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Call 911 or your local emergency medical assistance number
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck

Treatment

Treatment should be focused upon that individual and tailored specifically to their condition. A treatment programme is formulated following a thorough physical assessment which might include:

  1. Stretching activities to maintain muscle and tendon length and reduce or keep muscle spasms/spasticity to a minimum.
  2. Flexibility and strengthening exercises for the whole body.
  3. Breathing exercises to maximise lung function and prevent chest infection.
  4. Balance and posture exercises which can help to reduce pain associated with poor posture and balance impairment and ensure correct transfer techniques (in/out of wheelchair, bed, toilet/bath, car etc.)
  5. Functional activities to improve fundamental movement patterns such as rolling over and sitting up, and standing where appropriate.
  6. Walking re-education, if there is sufficient muscle activity and power in the legs.

Your physiotherapist might also be able to advise an individual on use of appropriate equipment such as wheel-chairs and pressure releasing cushions, exercise equipment and electrical muscle stimulators.

Prevention

Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. Always wearing a seatbelt while in a car
  2. Wearing proper protective gear while playing sports
  3. Never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks 

    If you wish to discuss about any specific problem, you can consult a physiotherapist.

4414 people found this helpful
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I am feeling heavy pain in knee joint since two months which medicine I have to use.

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
I am feeling heavy pain in knee joint since two months which medicine I have to use.
Avoid squatting and cross leg sitting. Start hot saline fomentation followed by volini gel and knee exercises. For detailed information about exercises please refer my health tips. Or chat with me on private consultation for proper and complete management.
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I am suffering from mid bone effect caused during second delivery and medicines continued for pain. It is paining during sitting, standing. I am not able to walk. Then second time when I am gone to the doctor they said that liver is lightly effected by the medicines. So they given both the medicines for paining and for liver. Even then the medicines are not working. So give me the solution for this.

FIPP, MD - Anaesthesiology, M.B.B.S, AAFIPM ( aesculap Academy Fellow in Pain Practice )
Pain Management Specialist, Ahmedabad
I am suffering from mid bone effect caused during second delivery and medicines continued for pain. It is paining dur...
Yes it is common after pregnancy. You get the mri done. Following dat you can have ice application 3 4 times per day still not benefitted v can go ahead with sum intervention.
1 person found this helpful
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Are injections of any help in advanced joints pain? she does not want to go in for an operation. Also pls let me know of any alternatives.

BHMS
Homeopath, Pune
Are injections of any help in advanced joints pain? she does not want to go in for an operation. Also pls let me know...
Hello. Acupressure acupuncture sujok can be beneficial in knee joint pain. Avoid taking injections as far as possible.
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I am 38 years female. I have hypothyroid for 27 years. I am on thyroxine. Can my thyroid be cured completely? I also have r.arthritis. I have joint pains occasional. Please guide.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 38 years female. I have hypothyroid for 27 years. I am on thyroxine. Can my thyroid be cured completely? I also ...
HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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