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Dr. Y.S.Kurushi

Orthopedist, Delhi

400 at clinic
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Dr. Y.S.Kurushi Orthopedist, Delhi
400 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Y.S.Kurushi
Dr. Y.S.Kurushi is one of the best Orthopedists in Kalkaji, Delhi. You can consult Dr. Y.S.Kurushi at Irin Hospital in Kalkaji, Delhi. Book an appointment online with Dr. Y.S.Kurushi and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 29 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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Irin Hospital

DD-23, Nahru Place Road, Kalkaji. Landmark: Near Kalkaji Post Office, DelhiDelhi Get Directions
400 at clinic
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Subacromial Impingement - How It Can Be Managed?

MBBS, MS - Orthopaedics, Fellowship in Arthroscopy
Orthopedist, Hyderabad
Subacromial Impingement - How It Can Be Managed?

Subacromial impingement is a very common problem relating to the shoulder area, accounting for almost 50% of the shoulder pain complaints. It is a very small space covered by bones on all spaces, and in fact, only when there is inflammation in this area does the space become evident on radiographs. There are various tendons and muscles, which work together to allow for shoulder movement upwards and downwards and front and the back. With repeated movements, these tendons get impinged or pinched and so cause limited motion, pain, swelling, instability, etc.

This injury is very common in people who use the shoulder repeatedly and in similar movements, especially with sportspersons like basketball, swimmers, etc. Non-sportspeople like painters and construction workers can also sustain this injury, given the repetitive motion of the shoulder joint.

What causes subacromial impingement?

  1. Irritation and impingement of the shoulder joint due to repeated motion
  2. Acute injury or accident involving the shoulder
  3. Poor posture where shoulders are constantly in a stooped position
  4. Shoulder instability

If a person has subacromial impingement, the symptoms will include:

  1. Pain in lifting shoulder to the front and above the head
  2. Weakness in the shoulder with gradual loss of function
  3. Swelling and stiffness of the shoulder
  4. Night pain, especially with rolling the shoulder
  5. Limited movement
  6. Hemorrhage in advanced cases

As the condition progresses, the symptoms worsen and gradually can lead to calcifications in the tendon space and loss of shoulder strength. The impingement can go through 3 stages, with both age and symptoms increasing with each stage.

Diagnosis: A combination of history, clinical presentation, x-ray, and MRI are used in diagnosis. Specific tests like empty can are also useful in arriving at a diagnosis.

Management: Conservative measures like resting, ice and heat therapy, medications, and exercise are the first line of therapy. When the condition persists even after 3 to 4 months, then surgical intervention is required.

  1. Avoid activities which cause repetitive movement of the shoulder.
  2. Ice the area for 10 to 15 minutes every 4 to 6 hours through the day to reduce the inflammation.
  3. Compression also can be used which will help in pain control.
  4. Keep the shoulder elevated like in a sling to help in pain relief.
  5. Nonsteroidal anti-inflammatory medications can help control inflammation and pain, improve movement, and reduce swelling or stiffness.
  6. Exercise can be included in the daily routine as it improves the shoulder strength and flexibility.
  7. Surgery is usually considered the last resort. It is only when all the conservative measures fail, surgery is advised.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2597 people found this helpful

How To Treat Fractures?

MBBS, MS - Orthopaedics
Orthopedist, Coimbatore
How To Treat Fractures?

Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.

  1. Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
  2. Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.

Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

Diagnosis
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Treatments
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed. If you wish to discuss about any specific problem, you can consult an orthopedist.

3774 people found this helpful

I am feeling problem in seating it cause me pain nearby pubic region and hip side area tell me wat should I do.

MS - Orthopaedics
Orthopedist, Chennai
I am feeling problem in seating it cause me pain nearby pubic region and hip side area tell me wat should I do.
Hello madam the cause of the pain that you are experiencing is very difficult to guess with the limited information you have furnished. The best thing will be to meet a doctor nearby who can assess your problem and give you the correct treatment or you can contact me on this platform. The role of the physiotherapist is to do physical therapy. They are not trained or certified to diagnose medical problems.
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I am having backbone pain due to riding bike daily, what should I do? Even while deep sleep at night I am getting internal body pain, what should I do?

BHMS
Homeopath, Faridabad
I am having backbone pain due to riding bike daily, what should I do?
Even while deep sleep at night I am getting int...
Hi,take Arnica 200, 3 drops in the morning and Rhus tox. 200, 3 drops at night for 7 days.Take care.
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I have a knee joint problem in both knees and have Osteoarthritis but continue my regular daily activities. Had been prescribed Calcimax Forte and Cartigen Forte around 5 years back. I take one Calcimax Forte daily. When the stiffness and pain starts I start taking Cartigen Forte. Earlier I was told not to take Cartigen Forte for more than 3 months. So I take this as and when stiffness or pain starts. Am I doing the right thing? Should I keep on taking Cartigen Forte daily. I am 65 years old. Stiffness and pain the finger joints, shoulders, knees and back suddenly comes up and lasts for a couple of days and goes off on its own. What do I do about this? How do I stop the progress of this stiffness and pain?

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
I have a knee joint problem in both knees and have Osteoarthritis but continue my regular daily activities. Had been ...
Neither Calcium or Collagen Peptides must be taken for too long. Not more than three months is a general rule. avoid it. instead you can take Vitamin D3, Magnesium, Boswellia Serrata etc. You can make a Paste of 1teaspoon Ghee and 1/2 teaspoon Ginger and apply at knee for 30mins twice daily to get good relief. Drink plenty of water. Do regular Knee Exercise such as SLR, Quadriceps Isometric, VMO Isometric, Hamstrings Strenthenig, Pelvis Muscle Strenthenig, Balance Exercise. knee swinging by sitting in a high table or bed, oscillate or gently swing your knees with small amplitude , by tying a 2kg weight cuff at both ankles. do it for ten minutes twice daily. it will help to regenerate your cartilage gradually by joint imbibition and hydration. Sleep with pillow between knees. Don't cross leg and sit. maintain a healthy balanced diet. You can fight aging by a healthy lifestyle. Hope it helps. Wishing you a good health. Thanks. Hope it helps.
2 people found this helpful
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I have severe pain in knees from last 3 years in earlier stages it was lesser but with growing days it growed more.

M.S. -ORTHO, Fellowship In hip and Knee Replacement Surgery
Orthopedist, Surat
I have severe pain in knees from last 3 years in earlier stages it was lesser but with growing days it growed more.
you may have arthritis in knee. You need mri scan of your knee for better diagnosis. In between please do ice application and quadriceps -hamstring strengthening exercise.
1 person found this helpful
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I have pain in my legs when I walk for about a kilometre. This happens regularly. So that I cannot walk for a long time.

BHMS
Homeopath, Sindhudurg
I have pain in my legs when I walk for about a kilometre.  This happens regularly.  So that I cannot walk for a long ...
Homoeopathic treatment- mag phos 6x -4 pills 3 times calcivita syrup 2 spoonful 3 time. For 8 days and revert back.
53 people found this helpful
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Sir im 24yrs old & my lower back bone, toes, leg joints paining since 8 months what should I do.

BPTh/BPT
Physiotherapist, Mumbai
Sir im 24yrs old & my lower back bone, toes, leg joints paining since 8 months what should I do.
Hello start physiotherapy treatment and learn posture care/ spine exercise. Meanwhile take few precautions. 1) take hot water fomentation for 20 min. At every 3hrs. Interval. 2) do not lift heavy weights or twist your spine 3) do not wear high heals do not ignore your back pain and do reply for private consultation and detailed treatment plan. Best wishes.
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Both Legs Knee Pain I started walking 40 min everyday since last 15 days because of sugar and cholesterol please give me your suggestion Age 46.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Both Legs Knee Pain I started walking 40 min everyday since last 15 days because of sugar and cholesterol please give...
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.
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Sir my age is a 22 years and I am facing a problem of neck pain while studying and other times sir please help me to get the cure. Sir please help me to make me pain-free please.

Md ayurveda
Ayurveda, Bangalore
Hello Mr. Lybrate-user, - look at what is causing your neck pain - change the posture of looking at mobile/ pc usage - use soft and thin pillow - don't be in same posture of looking/reading for long time - apply ksheerabala taila to the neck and keep hot water bag over there for 15min. Do this for 10days. Internal medications can be decided looking at its results. Thank you.
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