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Critical care medicine

Anesthesiologist Clinic

Medanta the medicity Gurgaon
1 Doctor
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Critical care medicine Anesthesiologist Clinic Medanta the medicity Gurgaon
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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Critical care medicine
Critical care medicine is known for housing experienced Anesthesiologists. Dr. Lokendra Gupta, a well-reputed Anesthesiologist, practices in Gurgaon. Visit this medical health centre for Anesthesiologists recommended by 64 patients.

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MON-TUE, THU-FRI, SUN
09:00 AM - 06:30 PM

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Medanta the medicity
Medanta Gurgaon, Haryana - 122001
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Doctor in Critical care medicine

Dr. Lokendra Gupta

FNB critical care, MD - Anaesthesiology
Anesthesiologist
6 Years experience
₹200 online
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Ways To Prevent Back Pain!

MBBS, MD , FIPM (Fellow in Interventional Pain Management)
Anesthesiologist, Ahmedabad
Ways To Prevent Back Pain!

Ways To Prevent Back Pain!

Tips For Knee Pain!

RMP ,PHARMACYST, NATUROPATHIST,,PATIENT COUNCILAR
Alternative Medicine Specialist,
Tips For Knee Pain!

Do use" rice" rest, ice, compression, and elevation (rice) are good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated.

1 person found this helpful

Low Back Pain - Have Ayurveda At Your Rescue!

Bachelor of Ayurvedic Medicine and Surgery (BAMS)
Ayurveda, Delhi
Low Back Pain - Have Ayurveda At Your Rescue!

Ayurveda is an ancient healing technique that is very effective for today's lifestyle ailments. For many people, low backache can be quite a pain. While strong pills and capsules may give you temporary relief they do not address the core issue and have a number of side effects. Ayurveda, on the other hand, addresses the trigger to the backache and has no side effects. Intrigued; take a look at these ayurvedic techniques to cure low back pain.

Cut out on spices:

We may think it unrelated, but low back pain is often accompanied by indigestion. Spinal cord nerves connect to back muscles and digestive organs. Hence, a small change in your diet can have a great impact on your health. Spicy food aggravates the digestive system and has a drying effect on the body. By cutting back on spices and oil, the digestive system can work better and there will be less stress on the nerves connecting the spinal cord and back muscles and thus lesser backaches.

Warm your body:

According to ayurveda, back pains are caused by an increase in vata dosha or the amount of air and ether elements in the body. Warming the body can help lower these levels. Apply a heat pack to the back as a way of keeping the external body surface warm. Additionally, add warm food to your diet. This opens out any blockages in your digestive system and in turn reduces low back pain.

Padahastasana:

Ayurveda is very closely linked to yoga. Padahastasana is a yoga asana which addresses lower back pain by opening up the digestive channels and allowing the vata dosha to flow easily through the body. To practice, this asana stand with your legs together and lift your arms straight above your head while inhaling. As you exhale, bend forward from the hips while keeping your back and legs straight. Try and touch your toes. Hold the position for as long as possible and come back to the starting position while inhaling.

Anuloma Viloma:

Anuloma Viloma is a breathing exercise that balances the vata dosha. This is a technique that involves breathing from alternate nostrils. To begin, close the right nostril with your thumb and inhale through the left nostril. Close both nostrils and hold your breath for a few seconds. Then, release through the left nostril. Repeat this process, starting from the left nostril.

The core principle of ayurveda is to listen to your body's messages. These techniques will help you become more tuned to your body's needs and keep you free from backaches.

Arthritis - How Ayurveda Can Tackle It?

BAMS, MD - Ayurveda
Ayurveda, Thane
Arthritis - How Ayurveda Can Tackle It?

Inflammation and resultant pain in the joints are usually the basic tenets of Arthritis. This joint disorder can be painful and often, a debilitating one. It can also make the joints stiff. There are many ways of dealing with this problem, but with Ayurveda, one can get to the root cause of the ailment and its presence. This helps in taking a well rounded holistic approach towards treating it with ancient know how that revolves around herbs and other natural substances which have great medicinal value, lifestyle changes, diet, exercise and Yoga, oil massages, and other methods. Arthritis is known as Sandhivat in Ayurvedic jargon. Read on to find out how Ayurveda can help in dealing with Arthritis.

Herbs: One can make use of various herbs that contain Linoleic Acid to help in providing lubrication to the joints so as to prevent pain and stiffness. These herbs include Borage seed oil which is extracted from borage seed, Evening Primrose oil, Blackcurrant seed oil, Capsaicin, Curcumin, Feverfew, Flaxseed oil and a standard Ayurvedic concoction that combines Ashwagandha, Gugulla, ginger, cumin and haldi or turmeric. These substances can help in treating the joints that are suffering from the pain of Arthritis.

Diet: In Ayurveda, to treat ailments like Arthritis, it is usually recommended that a patient should start by flushing out the bodily toxins from within. Diet is one of the ways in which this can be done. A detoxification diet to clean the colon would be one of the foremost ways of doing a cleanse. Further, in one's daily diet, there should be a good dose of vegetables, fruits and other juices. Also, one must have plenty of herbs and spices which can be used to season the food. Curd should generally be avoided and garlic should be used liberally. The various properties help in an inside out cleanse that will help the system function in a better manner so that the treatment of ailments is also effectively supported.

Exercise: In Ayurveda, a certain amount of daily exercise which spans at least 45 minutes to one hour, is a must. A pattern of healthy eating, restful sleep and exercise is what usually helps in treating ailments like Arthritis. For this ailment specifically, light exercise like walking is recommended. Various Yoga asanas that involve sitting, standing, balancing and lying down poses, as well as restful poses, will also help in treating knee, shoulder and lower back pain specifically. Also, mustard oil massages can help in reducing the pain.

These are a few ways in which Ayurveda can help the Arthritis patient live a more normal life with minimal pain.

Low Back Pain - Can Ayurveda Subdue It?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - General Medicine, PGDP-Panchkarma, Diploma in Yoga
Ayurveda, Varanasi
Low Back Pain - Can Ayurveda Subdue It?

Ayurveda is an ancient healing technique that is very effective for today's lifestyle ailments. For many people, a low back ache can be quite a pain. While strong pills and capsules may give you temporary relief they do not address the core issue and have a number of side effects. Ayurveda, on the other hand, addresses the trigger to the back ache and has no side effects. Intrigued; take a look at these ayurvedic techniques to cure low back pain.

1. Cut out on spices

We may think it unrelated, but low back pain is often accompanied by indigestion. Spinal cord nerves connect to back muscles and digestive organs. Hence, a small change in your diet can have a great impact on your health. Spicy food aggravates the digestive system and has a drying effect on the body. By cutting back on spices and oil, the digestive system can work better and there will be less stress on the nerves connecting the spinal cord and back muscles and thus lesser back aches.

2. Warm your body

According to ayurveda, back pains are caused by an increase in vata dosha or the amount of air and ether elements in the body. Warming the body can help lower these levels. Apply a heat pack to the back as a way of keeping the external body surface warm. Additionally, add warm food to your diet. This opens out any blockages in your digestive system and in turn reduces low back pain.

3. Padahastasana

Ayurveda is very closely linked to yoga. Padahastasana is a yoga asana which addresses lower back pain by opening up the digestive channels and allowing the vata dosha to flow easily through the body. To practice, this asana stand with your legs together and lift your arms straight above your head while inhaling. As you exhale, bend forward from the hips while keeping your back and legs straight. Try and touch your toes. Hold the position for as long as possible and come back to the starting position while inhaling.

4. Anuloma Viloma

Anuloma Viloma is a breathing exercise that balances the vata dosha. This is a technique that involves breathing from alternate nostrils. To begin, close the right nostril with your thumb and inhale through the left nostril. Close both nostrils and hold your breath for a few seconds. Then, release through the left nostril. Repeat this process, starting from the left nostril.

5. Bishop's weed seed tea

Tea made from the seeds of Bishop's weed is can provide instant pain relief from low back pains. This is suitable for men and women of all ages except those with heart problems.

The core principle of ayurveda is to listen to your body's messages. These techniques will help you become more tuned to your body's needs and keep you free from backaches.

Shoulder Pain - What Can Cause It?

MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship in Joint Replacement, MCh (Ortho)
Orthopedist, Delhi
Shoulder Pain  - What Can Cause It?

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch/wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc.. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In the case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of the shoulder can cause shoulder pain due to...

  • Bankart lesion

Diagnose Shoulder Pain-

Shoulder pain can be diagnosed only after a thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain-

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions -

  1. Pain relief and physiotherapy as the first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis -

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle-aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle is not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Remember "a stitch in time saves nine"

Doc ek baat btaiye abhi maine yoga start kiya 2 days se. Aur subah ek duk nind mein se utha jaise zhatka lga right side jaise jaan nikal gayi. Muscle pain ho rahe hai. Yeh kyu hua.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Doc ek baat btaiye abhi maine yoga start kiya 2 days se. Aur subah ek duk nind mein se utha jaise zhatka lga right si...
Stretching exercises bhi any postures se shuru me ho jata hai. Do not worry. Haldi wala milk pijiye.

A Detailed Description Of Knee Replacement Procedure!

MS- Orthopaedics, Mch- Ortho, Fellowship in Joint Replacement
Orthopedist, Vadodara
A Detailed Description Of Knee Replacement Procedure!

Knee replacement is a procedure where the weight-carrying surfaces of the knee joint are replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.

Surgery Types-

Knee replacement is mainly of two main types:

1. Total knee replacement where both the sides of knee joints are replaced

2. Partial knee replacement (uni knee replacent) where only single side of the joint is replaced (indication of this technique are very specific and limited)

Procedure-

In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage, and the surgeon can work between the fibers of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.

In total knee replacement, four steps are performed:

1. Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.

2. Replacement with metal components, which help as a recreated surface of the joint

3. Incision of knee cap with a resurface made of a plastic button, which is optional based on the case

4. Insertion of a medical-grade plastic spacer amid the metal components. This creates an effortless gliding surface.

After general or spinal anesthesia, an incision of 8-12inches is made in the front part of the knee. Joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin, as well as knee cap, is attached to the artificial joint with either cement or a special material.

After Effects of the Procedure-

After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.

There will be slow progress in the movement. In the beginning, one may walk with the support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.

Presently, over 90% of total knee replacements function well even after 15 years of surgery. Hence, knee problem is no problem at all!

She is diabetic. She can't do her morning walk due to knee pain. For that I have consulted with an orthopedic doctor. She is taking medicines. She gains weight. Now what I notice I see her both legs swelling. She feels pain. Whom to consult. Which doctor.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chennai
She is diabetic. She can't do her morning walk due to knee pain. For that I have consulted with an orthopedic doctor....
Hi Mr. lybrate-user, received your query with thanks. As you have stated, that was a right indication of metabolic dysfunction and all the conditions she is facing is related to each. First of all, her diabetes has to be attended and the kneepain has to be addressed. Long-term medications can also lead to weight gain. We give excellent remedies in such cases. Kindly get in touch with a consultation and we shall provide medications to all the above said conditions for a period of 5/6 months which will yield a overall betterment in her health. Thanks and regards.
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