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Dr. Sandip

Anesthesiologist, gandhinagar

1500 at clinic
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Dr. Sandip Anesthesiologist, gandhinagar
1500 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Sandip is a trusted Anesthesiologist in Sector 2, Gandhinagar. You can meet Dr. Sandip personally at dr.sandip in Sector 2, Gandhinagar. Save your time and book an appointment online with Dr. Sandip on Lybrate.com.

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plot no.1245/2,sector-2/agandhinagar Get Directions
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Tuberculosis Of Spine - An Insight!

Fellowship in spinal tumor surgery, Fellowship in Cervical spine surgery, FNB Spine Surgery, Fellowship in spinal deformity, fellowship in MInimalli invasive(Keyhole) surgery, CPC paliative care, MS-Orthopaedics, MBBS
Orthopedist, Delhi
Tuberculosis Of Spine - An Insight!

A few decades back, spinal tuberculosis was a dreaded disease. It is not so, anymore. With advancements in the medicinal field, when diagnosed in the early stages, a complete cure is possible.

Tuberculosis of the spine is one of the most common spine ailments in our country. Though there was no treatment when the disease was first reported, recent improvements in medical treatment and surgical procedures have made the condition treatable. In many cases, the disease is cured completely.

Molecular genetic techniques, stronger antibiotics and other medicinal discoveries and inventions have been able to combat the condition, which is resistant to a huge number of drugs. There are many surgical procedures as well, which has changed the way spine TB is looked at. These include extrapleural dorsal spine anterior stabilization, endoscopic thoracoscopic surgeries, single stage anterior and posterior stabilization among others.

How is it caused?
Tuberculosis affects people living in overcrowded, dirty and poorly nourished environments. The aerobic organism that is responsible for this physical condition is Mycobacterium tuberculosis, which grows rapidly in unfavorable conditions. It grows only intermittently or remains dormant for a long period to then re-grow whenever the immunity system of the host weakens.

What are the different types of TB spine?
Spinal tuberculosis takes two forms. In the first case, the symptoms are mild. The infection starts in the anterior part of the disc and slowly spreads to the nearby surface of the body. The neural arches are very rarely involved here. This results in a vertebral collapse. The spine bends forward to produce kyphus. In the second type, several vertebrae are involved, but the disc space might not become narrow.

What are the symptoms of TB spine?
The first symptom is an excessive pain in the back, which manifests as kyphosis increases. Kyphosis is the condition wherein there is an increase in the normal convex curve of the spine. Later, pus forms at the infected vertebrae and this comes down to the tissue planes and forms a cold abscess in uncommon places. This happens in the groin region, and the person may become paraplegic.

In a child, spinal tuberculosis will cause them to constantly complain about back pains. They will not feel well for a long period and will gradually lose weight. They may not want to sit for a long time and resent any physical activity. The child will be vulnerable in the low thoracic or upper lumbar spine and can show any of the above-mentioned signs that are seen in adults.

The most common symptoms of spinal tuberculosis are kyphus, reduction in the movement of the lumbar spine, cold abscesses in the paraspinal area, groin and loin, and sinuses. The doctor always tests the reflexes in the patient’s legs, sensation, power, and tone before diagnosing this condition.

Though a rare disease, tuberculosis in the spine can occur in people from both developed and undeveloped areas. Proper diagnosis and treatment of tuberculosis with or without surgery at the right time is the key to cure the disease.

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

2315 people found this helpful

I am suffering from back pain for 2 weeks and I am facing very problem for this. Can you please tell me what should I do with this problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from back pain for 2 weeks and I am facing very problem for this. Can you please tell me what should I...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching.
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I got hurted on ma right index finger upper joint before 6 months. It made the joint swelling. It hurts and paining while writing. And the pain is increasing day by day.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I got hurted on ma right index finger upper joint before 6 months. It made the joint swelling. It hurts and paining w...
Do contrast bath therapy Take hot water in one bowl & cold water in another bowl. First dip your hand in hot water for 3min then in cold water for 1min, keep repeating for 20min, twice daily. Finger splints are available, stationary splint will give your finger complete rest whether with dynamic one you can do work as well
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I am suffering from muscles pain. Which medicine in perfect. And I also want to know how to gain muscle's.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am suffering from muscles pain. Which medicine in perfect.
And I also want to know how to gain muscle's.
For muscles pain mag phos 6x (homoeopathic) To gain muscles do exercise and with that take protein powder.
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I am gymming for past few months. And I am having a pain in my hand. How should I overcome it?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am gymming for past few months. And I am having a pain in my hand. How should I overcome it?
Requires detailed investigation and examination Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. 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, inform.
1 person found this helpful
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I am 36 year old. I have back pain in lower side and also leg pain in joint. What I do?

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 36 year old. I have back pain in lower side and also leg pain in joint. What I do?
You should take acupressure treatment and take biochemic mag.phos12x + Nat.phos6x.and 4 tab each thrice a day with warm water and take it 5 days and inform me.
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My acl ligament is tear and partial tear in my mcl but I am good not any pain in my knee but my report of mri is bad .Is there any medicine to repair my ligament in homeopathy?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My acl ligament is tear and partial tear in my mcl but I am good not any pain in my knee but my report of mri is bad ...
You would need arthroscopic knee surgery. It is a very safe procedure in our hands with uniformly good results. We have very good well equipped center in delhi. Do ask for detailed treatment plan. Don? t ignore it lest it become beginning of a bigger problem.
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My daughter age of 15 is suffering from neck pain by last one year. She take medicine and machine se jo sikai hoti hein wo bhi karvai thi x ray bhi karvaya sab normal lakin jab studies karti hein to kaffi pain ho jata hein mostly written work karte hue.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Rheumatoid arthritis is a self limiting disease. Acute phase can be managed with medicines. Physiotherapy helps in preventing contractures & deformities. Keep your moral up! any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1tab odx10days you will need other supportive medicines also. Do knee exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem. If no relief in 4-5 days, contact me again.
1 person found this helpful
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Hello, My mom age is 48 and her ring finger went bent. For 4 months it's like that only. Several medicines tried. Is there any solution to sure?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello, My mom age is 48 and her ring finger went bent. For 4 months it's like that only. Several medicines tried. Is ...
Hot fomentation. Gentle stretching of hand muscles. Ball exercises. Wrist exerciser. Grip exercises.
1 person found this helpful
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Im 21 years old boy. I have leg pain since last 13 years. I took lot of medicines. Bt I didn't get any relief. Please suggest a solution for this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Im 21 years old boy. I have leg pain since last 13 years. I took lot of medicines. Bt I didn't get any relief. Please...
Keep your leg raised while sitting or lying quadriceps strengthening exercises hamstring stretching calf muscles stretching contrast bath.
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I am having severe back ache for one month, took x-ray and doctor asked me to do some exercises but still the pain haven't receded, what should I do.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having severe back ache for one month, took x-ray and doctor asked me to do some exercises but still the pain ha...
Avoid exercise for few days tk rest heat fermentation and apply pain relief ointment ya physiotherapy treatment after relief start exercise like spine stretching, avoid long sitting.
1 person found this helpful
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My daughter having hypothyroidism Since 5 years. Her t3 t4 levels are within The range. But her tsh level at beginning Is 24, then 15, 12. Three months back it is 0.19. Now it is 6.20.she using thyro norm 75 mg. Kindly advise how much is the correct dosage.

BHMS
Homeopath, Faridabad
My daughter having hypothyroidism
Since 5 years. Her t3 t4 levels are within
The range. But her tsh level at beginnin...
Hello, I would suggest you to take homoeopathic treatment as these medicines does not cause any harm and gives you permanent relief from the disease symptoms. Natural homeopathic remedies for hypothyroidism are highly effective and especially useful for people who want to avoid the side effects of prescription drugs. Thanks.
1 person found this helpful
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Sir I have pain back problem few time. I used many medicine but not fit to my disease.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Sir I have pain back problem few time. I used many medicine but not fit to my disease.
this back pain is due to no back exercise.... due to this muscle get stiff .... when suddenly you get move fast that time this stiff muscle get break and pain start..... in ayurved there is mentioned one procedure KATI BASTI ....DO THIS FOR FIVE DAYS WITH MEDICATED OIL if you want to do it you should do it under doctor observation .... so consult ayurvedic doctor near you ... you will definitely get good result ..
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My son, 5 year suffering from pain near axillary of right should. During the ultrasound, multiple small lymph was detected. Kindly tell about the type of disease infected of my son and how to diagnosis.

DMB
Pediatrician, Chennai
From your description, it llooks like infection of the lymphnodes. Check head for any wounds or boils. Also check the teeth for infection. Continue antibiotics. It will take 6 weeks to reduce in size. If it becomes bigger, he may need a biopsy. Any tuberculosis in the family?
1 person found this helpful
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Why there is soo much leg pain, there is only thyroid problem, no effects of any medicine, legs pain continuously.

Bachelor of Physiotherapy, Advanced Dry Needling Therapist
Physiotherapist, Noida
Why there is soo much leg pain, there is only thyroid problem, no effects of any medicine, legs pain continuously.
Warm bath for few 15-20 mins after workout Gentle knee straight and bend for 20 reps each side one by one in water.
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I am 36 yera old female and have a pain in my right shoulder for last 1 months. So what should I do?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days.
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I have desk job and from last month I am having pain in my back. I hav to sit 9 to 10 hours on a chair and while I am in sitting posture for more tha. 2 hours I have pain in my back. Pls help.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have desk job and from last month I am having pain in my back. I hav to sit 9 to 10 hours on a chair and while I am...
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.
1 person found this helpful
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I am in aandaman. First I have neck pain. Bcoz of some stressful job since april 12. Then april 30th, a snake crawling sensation from left hand scapula to brain and from left hand scapula to left leg. Then yesterday night I became unconscious and felt zero energy. I hv taken saline. Now orthopedics is saying I hv cervical spondylosis. I am feeling a little bit anxiety and fear. please tell me what to do. My cholesterol lvl is 125 today.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am in aandaman. First I have neck pain. Bcoz of some stressful job since april 12. Then april 30th, a snake crawlin...
This is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression. This is due to the improper posture as while sitting in front of the computer and it leads to neck pain and thereby it leads to shoulder pain.
1 person found this helpful
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Before 2 or 3 days. My brother bit me on the upper arm in a playful manner but really hard. From then on. Till now i've been having pain there. I'll feel it only when it comes in contact with something. The skin is totally normal but the pain is on the inside. Yesterday on. The pain extended a little to the right of the arm. But today. The pain is better when compared to before but is still paining. The inside of the pain site seems hard but I don't know whether it's my triceps or something else. Any suggestions on what it is? should I go consult a doctor if the pain persists?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Before 2 or 3 days. My brother bit me on the upper arm in a playful manner but really hard. From then on. Till now i'...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It's actually difficult to comment without examining you but it could be organized hematoma, small abscess, but you can continue with ice packs and gentle anti inflammatory medication, if pain persists or if there is any developing swelling or any s/s of infection like skin redness, local warmth etc, then get yourself checked up by a physician. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
2 people found this helpful
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I feel pain in my pelvic nerves after bowel movement. It gets healed after placing ice pack in my pelvic and abdominal area. Is this a stomach ulcer or abdominal muscle strain?

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
I feel pain in my pelvic nerves after bowel movement. It gets healed after placing ice pack in my pelvic and abdomina...
Dear patient. There are multiple causes for getting this kind of problems. You need to go for some investigations and physical examination once. Kindly consult Doctor once. Thanking you.
1 person found this helpful
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