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Dr. Vivek Mittal

Rheumatologist, Delhi

1000 at clinic
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Dr. Vivek Mittal Rheumatologist, Delhi
1000 at clinic
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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. Vivek Mittal
Dr. Vivek Mittal is a popular Rheumatologist in Connaught Place, Delhi. You can consult Dr. Vivek Mittal at Arthritis & Joint Replacement Clinic in Connaught Place, Delhi. Book an appointment online with Dr. Vivek Mittal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Rheumatologists in India. You will find Rheumatologists with more than 43 years of experience on Lybrate.com. You can find Rheumatologists 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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Arthritis & Joint Replacement Clinic

15, Jain Mandir Road, Near Shivaji Stadium, Connaught Place, DelhiDelhi Get Directions
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5 Exercises to Do After Knee Replacement!

B.P.T, M.P.T(ORTHO), Certification in Gym Instructor & Prenatal and Post natal
Physiotherapist, Gurgaon
5 Exercises to Do After Knee Replacement!

The after effects of any surgery can be harsh on the body. Post knee replacement surgery, one will need to remain in a straight and relaxed position for a long time due to the bed rest prescribed by the orthopaedic specialist. Yet, it is important to carry out some kind of activity after the surgery so as to make the knee strong, firm and ready to be normal again.

Here are a few physiotherapy exercises that can help post knee replacement patients: 

  1. Pumps and Circles: Ankle pumps and circles should be done in sets of ten per direction. This can help in ensuring that the blood circulation and nerve function normalise within no time after the surgery. This action is especially helpful because it affects the heels, calves and leg muscles before reaching the knee. Ensure that you rotate each foot clockwise and the counter clockwise. 
  2. Thigh Squeeze: The thigh squeeze is an excellent want to ensure that you are working the muscles of the legs without putting undue pressure on the knees. This is especially helpful when you have been advised bed rest. This motion involves squeezing and releasing the thighs so that there is some amount of firmness that is being built along with strength and stamina. You can hold the squeeze for five to ten seconds before you relax and try again.
  3. Heel Slide: The heel slide is a good option for those who are going through bed rest. This exercise ensures that you work your knee in a suitable way as the bending motion gets the knee to get used to being functional again. Due to the posture of the patient, this does not put pressure on the knee. Slowly bring your heel up, stop and then slide it down. Repeat at least ten times for each knee before increasing it to twenty times. 
  4. Kicks: While you are lying down, you can render small kicks into the air. Repeat at least ten times for each leg before increasing it gradually to twenty kicks per leg. This should be done when you are lying flat on your back. This exercise can help in flexing and strengthening your quadriceps. Hold the kick for at least five to ten seconds before you relax and repeat with the other leg. 
  5. Sitting Flex: You can also sit in a chair and flex your knee, holding the leg out in front of you for at least five to ten seconds, before slowly bringing it down and lifting again. This will help in strengthening the thigh and knee to a great extent.

You will need to exercise regularly in order to recover well after a knee replacement procedure.

My mom have severe pain at knee joint while standing or walking or working. Is there osteoarthritis? I m worried. Wht should she do?

COMT, MPTh/MPT
Physiotherapist, Surat
My mom have severe pain at knee joint while standing or walking or working. Is there osteoarthritis? I m worried. Wht...
After 50 plus age generally females have hormonal changes due to which they have a complain of knee pain, back pain etc. There may be many reasons for knee pain like arthritis because its very common at this age or there may be vit or uric acid deficiency which is also common nowadays. So in general I would advise you to please go for her proper investigation so that the reason can be diagnosed. In the mean time to get relief from pain and stiffness please follow the physio measures: precautions- 1. Avoid prolong standing. Standing on one leg or running for time being if its painful. 2. Take care while bending your knees, it should not directly strain your joint. 3. Avoid heavy weight lifting. 4. Wear shoes with good arch support, do not wear high -healed shoes. 5. Use the correct positions during activities so that you do not strain your muscles. 6. Try to change your sitting position every 15 min so that it should not give strain on your knees. 7. Avoid sitting on floor with both knees bending. 8. Take diet rich in calcium like milk, dairy products, banana etc which will enhance your calcium and gives you strength. Treatment - 1. Use of cold or hot packs which ever suits you - apply ice or hot pack to the painful area and massage for near about 10 minutes. Make a habit for doing atleast twice a day initially. 2. After this using your thumb massage your knee area gently. 3. Do some knee (quads) isometrics atleast 10-15 times with the hold of 5 -10 seconds. Also you can do some knee strengthening in the mean time. The above treatment will give her pain relief and discomfort. In the meantime please contact any physio who will study her daily routine, symptoms etc and check the reason if there is any arthritis or any other discorde and then accordingly will give her the best treatment plan. Good luck and get well soon.
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I am suffering from rheumatoid arthritis when I do cycling for 6 kms I am getting knee pain why I am getting pain at this small age please give me suggestion that I should never get this pain again.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
I am suffering from rheumatoid arthritis when I do cycling for 6 kms I am getting knee pain why I am getting pain at ...
If you are suffering with RA then it needs certain purification therapy for complete relief. Take warm water regularly after food. Drinking lemon water on empty stomach daily will help you. Avoid heavy work.
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In my knees pain is happening when I band my knee so what I do to reducing knee pain?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
In my knees pain is happening when I band my knee so what I do to reducing knee pain?
Do Take IFT and laser Therapy for 10 days followed static quadriceps Exercise from Neuro Physiotherapist Best Wishes
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I sleep very late at night (around 4), I m not able to sleep before this, m I suffering from insomnia?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
In ayurveda there is mention panchakarma treatment. Panchakarma means five procedure for detoxification of body in this five procedure for sleep you should do shirodhara treatment. You will get good result so consult good ayurvedic doctors.
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I've had recurrent knee dislocations about 3 years back and though doctors assured me that no operation was needed A sense of instability in my right knee still persists What do I do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I've had recurrent knee dislocations about 3 years back and though doctors assured me that no operation was needed
A ...
Advice. Avoid sitting cross legged. Avoid squatting. Quadriceps exercises. Hams stretching. Sports taping hot fomentation. Weight bearing exercise.
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Sir, what is the perfect treatment for knee pain. That problem scandalizing me from 6 month. In beginning it was a normal negligible pain. But now it is increased and disturbing me all time. Please help and suggest me for treatment.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir, what is the perfect treatment for knee pain. That problem scandalizing me from 6 month. In beginning it was a no...
Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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My mom is 50 years old. She is suffering from pain on her knees. She feels too agonizing because of it. And she always feels tingling on her both hands (below elbow to the fingers). Please tell me, what should she do to get rid of this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
My mom is 50 years old. She is suffering from pain on her knees. She feels too agonizing because of it. And she alway...
Take the mixture of followwing powders turmeric 100 g methi seed 100 g dry ginger powder 100g ashwagandha powder 50 g mix properly take 1 tspn after breakfast and dinner with warm water.
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Arthroscopic PCL knee construction means what and how many days it wpuld take to recover from it..?

MBBS, M. S. Orthopedics, M.ch. Orthopaedics, MD - Sports Medicine
Orthopedist, Delhi
Arthroscopic pcl reconstruction needs atleast 7-8 months for recovery. it takes more time than a acl reconstruction as the healing time is more. as for hospital stay will be for a few days post surgery
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This question is for my mom. She has joint pain in her knees. According the result of xray doctor said that she has lost her bones continuously. So what should she do to solve this problem?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
This question is for my mom. She has joint pain in her knees. According the result of xray doctor said that she has l...
It seems from your description that she has osteoarthritis of knee. If you show x rays, then proper treatment can be advised. Till then, tell her to do exercises for knee. Calcium and vitamin d medicines will help. Some cartilage healing medicines will be needed.
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Is there any treatment in Ayurveda for "Gathiya Bai" if yes then how much time it will take to eliminate.

Diploma in Public Health, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Greater Noida
Is there any treatment in Ayurveda for "Gathiya Bai" if yes then how much time it will take to eliminate.
Gathiya bai is Gout in modern terminology and Vatarakta in Ayurveda. You may get positive results, time depends upon the severity and duration of the disease. You can consult me for the same.
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I have some problem in my knee. It is too tough to walk or stand. It is very painful too. What can I do doctor?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have some problem in my knee. It is too tough to walk or stand. It is very painful too. What can I do doctor?
Do Take IFT and vacuum Therapy Physiotherapy treatment for pain relief for 12 days followed by strengthening exercise from physiotherapist Best wishes.
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I am male, 33 years old. When I walk for long distance my left knee and my left ankle start paining. I'm not more than 80 kilos. From past 3-4 years I'm facing dis pain. Suggest me any good diet n exercises.

BPTh/BPT
Physiotherapist, Kota
I am male, 33 years old. When I walk for long distance my left knee and my left ankle start paining. I'm not more tha...
Best exercises for knee pain dear you can do it, except where stated, do 10 to 12 repetitions of each of the following, 2 or 3 times a week. Partial squats e pain. Stand about 12 inches away from the front of a chair with your feet about hip-width apart and your toes forward. Bending at the hips, slowly lower yourself halfway down to the chair. Keside-lying leg lifts wearing ankle weights above the knee, lie on your left side, legs straight and together, with your left arm supporting your head. Keeping your right foot flexed and your body straight, slowly lift your right leg to about shoulder height, then slowly lower. Repeat with your left legep your abs tight, asusing an aerobic step bench or a staircase, step up onto the step with your right foot. Tap your left foot on the top of the step, and then lower. As you step up, your knee should be directly over your ankle. Repeat with your left foot. Tep-upsnd check that your knees stay behind your toes. Inner-thigh leg lifts wearing ankle weights above the knee, lie on your left side, slightly back on your butt. Bend your right leg and place it behind your left leg with your right foot flat on the floor and your left leg straight. Support your head with your left arm. Slowly lift your left leg about 3 to 5 inches, then lower. Repeat with your right leg straight-leg raises sit with your back against a wall, left leg straight and right leg bent with your foot flat on the floor. Slowly raise your left leg straight up about 12 inches off the floor. Hold, then slowly lower. Repeat with your right leg. More: 4 treats you can make with protein powder calf rais using a chair or wall for balance, stand with your feet about hip-width apart, toes straight ahead. Slowly lift your heels off the floor, rising up onto your toes. Hold, then slowly lower. Es I ho -water is the best way to keep yourself hydrated always carry a bottle of water and keep sipping on it at regular intervals - add an extra cup of fluid to your diet by sipping on green tea or herbal tea it instantly makes you brisk - if you the gym daily make sure to have sports drink. They contain electrolytes and 6 to 8 percent carbohydrates - avoid alcohol in summer as it is extremely dehydrating. Substitute fluids like milk juices tea and coffee instead - it is the season of tender coconuts and watermelons - after each trip to the restroom refuel with a glass of water - one of the first sign of dehydration is a dry mouth. Quick water breaks is a good way, you will fit & fine.
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I am suffering from osteo arthirities since last 7 years, done lot of treatment, but no result, please suggest what to do next. My age is 55 and body weight is 80 kgs

DNB Rheumatology, Grad. Cert. Paed. Rheumat, MD - Paediatrics, MBBS
Rheumatologist, Bangalore
The diagnosis of osteoarthritis needs to confirmed. If in fact you have osteoarthritis then you need to be assessed for comorbidities and need to be put on an intensive exercise program with control of pain using safe pain modfiying medications instead of pain killers. This can be done best by a rheumatologist. If you let me know where you live I can give you a refernce of a nearby rheumatologist. You can contact me via my website www.Rheumatologybangalore.Com You can get more information regarding osteoarthritis from the document below. Http://www.Rheumatology.Org/uploadedFiles/Osteoarthritis(1).Pdf
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Sometimes if I sleep for longer hours I feel deep pain in my hands feet and legs I am 34 years male taking glycomet 850 sr, metxl 12.5 and mactor for ldl my online research suggest fibromyalgia please HELP WHAT'S WRONG WITH ME?

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Sometimes if I sleep for longer hours I feel deep pain in my hands feet and legs I am 34 years male taking glycomet 8...
Sometimes pain can happen in anybody. Fibromyalgia diagnosis is not made my looking symptoms at google, kindly consult a rheumatologist.
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Sir, I am 28 year old male. I am newly married. After intercourse I feel pain in my knee therefore I want to know that what is the reason for this pain. I am very disappointed. So please give me advise.

D.P.T
Physiotherapist, Hyderabad
Sir, I am 28 year old male. I am newly married. After intercourse I feel pain in my knee therefore I want to know tha...
dear rohan dont worry about pains. it happens the pain occurs after intercourse may be knee. back or full body due to weakness. take calcium supplements you will be fine.
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Hi, If somebody C-Reactive Protein is high, if it is 9.1 out of 6 being the maximum range does it mean that the person is suffer from Rheumatoid Arthritis.

MBBS, DNB - Orthopedics, Fellowship in Arthroscopy and Sports Medicine
Orthopedist, Bangalore
Hi, If somebody C-Reactive Protein is high, if it is 9.1 out of 6 being the maximum range does it mean that the perso...
No it does not. Crp is very a broad test to say something is wrong with the body recently. You need to get your RA factor and Aslo and HLAB27 test done.
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I am suffering from adenomyosis for last 3 months and having severe back pain and knee pain and thigh cramps suggest. Doctor says I need to go for uterus removal kindly suggest.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Adenomyosis, gynae. Doctor will deal with. Stiffness & pain in back & other joints is quite a common condition. 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 use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises make sure you are not allergic to any of the medicines you are going to take do reply back for private consultation and detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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