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Max Hospital-Gurgaon

Rheumatologist Clinic

B-Block, Phase-1, Sushanth Lok 1. Landmark:Near Huda Metro station & metro pillar no 190, Gurgaon Gurgaon
1 Doctor · ₹800
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Max Hospital-Gurgaon Rheumatologist Clinic B-Block, Phase-1, Sushanth Lok 1. Landmark:Near Huda Metro station & metro pillar no 190, Gurgaon Gurgaon
1 Doctor · ₹800
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About

Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Max Hospital-Gurgaon
Max Hospital-Gurgaon is known for housing experienced Rheumatologists. Dr. Shriram Garg, a well-reputed Rheumatologist, practices in Gurgaon. Visit this medical health centre for Rheumatologists recommended by 45 patients.

Timings

MON-WED
06:10 PM - 08:00 PM

Location

B-Block, Phase-1, Sushanth Lok 1. Landmark:Near Huda Metro station & metro pillar no 190, Gurgaon
Gurgaon, Haryana - 122002
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Doctor

Dr. Shriram Garg

MBBS
Rheumatologist
13 Years experience
800 at clinic
Unavailable today
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Partial Knee Replacement Surgery - 5 Questions You Must Ask!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Partial Knee Replacement Surgery - 5 Questions You Must Ask!

Lack of proper mobility due to stiffness and significant pain can be due to a number of bone and joint problems. Osteoarthritis, arthritis, rheumatoid arthritis, as well as injuries, trauma and inflammation of the knees are only some of the reasons why a patient may be experiencing joint pain. Apart from rest and medication, various surgical procedures may be considered as an option for particularly severe cases. Partial knee replacement surgery is one such option. So, here are the five questions that you must ask an orthopaedic specialist about partial knee replacement surgery.

  1. What is partial knee replacement surgery: This kind of surgery usually seeks only to replace the damaged part of the knee where the movements of the patient get restricted to a great degree. With the help of this surgery, the orthopaedic surgeon can replace the medial or inner part of the knee; or the lateral or outer part of the knee. When the surgeon conducts a surgery to replace the entire knee, this is called knee replacement.
  2. How to prepare for the procedure: The doctor will advise you to stay away from any medication and dietary supplements that may hinder the work of the anaesthesia that will be administered before the surgery. Before the surgery, the orthopaedic specialist will understand your medical history.
  3. What is the procedure: The surgical procedure for partial knee replacement surgery usually involves keeping the knee in a bent position so that all the joint surfaces are well exposed. The surgeon will start by making an incision that is about six to ten inches in length, before removing the knee cap in order to remove the joint surfaces that have faced damage. Once this has been done, the surgeon will attach artificial joint pieces and close the knee. Then, the doctor will bend and rotate to test for balance and proper functioning of the knee. This procedure usually takes close to two hours.
  4. How long does recovery take: The recovery process usually takes about three to four weeks following the surgery.
  5. What to do after the surgery: Pain medication will help the patient in coping with the initial discomfort and after effects of the surgery. Right after the surgery, the patient will be shown exercises before he or she is put onto a graduated walking program where walking indoors and then outdoors will be practiced. The patient will be required to take on physiotherapy for four to six months following this procedure so as to recover in a better manner and have a better functioning knee.

Get a complete check-up done in case you are facing persistent knee problems.

1 person found this helpful

My leg is not straightening after I get a knee injury & there is pain beneath my knee caps & at back side of my knee.

DNB (Orthopedics), fellowship in arthroscopy and sports medicine
Orthopedist, Ghaziabad
Dear lybrate-user, you may suffer meniscal tear. Get X-ray and mri scan of your knee to find any bony or soft lesion there. It would be best if you visit an orthopedist in person before you get these done. Till then you can take mild antiinflammatory medication. Use ice packs. And don't sit down or cross-legged.
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Hi Sir, I'm Santosh 28 yrs, I feel always tingling sensation in hands & legs below the knee. Please suggest me what should I do.

BAMS
Ayurveda, Bangalore
Hi, Apply Ksheerabala Taila to the hand and legs and massage for 10-15 mins. Immerse the hands and legs in hot water tub and keep moving hands and legs. This increases the blood circulation and reduces the tingling sensation.
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Hi Doctor, both my legs, from knee to toes pains allot while sleeping. Also my left knee produces crackling sound when I straighten it after bending. I am 20 year old female.

B.P.T, M.P.T(ORTHO), Certification in Gym Instructor & Prenatal and Post natal
Physiotherapist, Gurgaon
Dear maam the symptoms you hv told indicates you hv weakness in legs so you should do quadriceps strengthening exercises set along with you cn start with multivitamin
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Dear sir, I am 24 years old, I am suffering from knee pain. As whenever I sit for a long time, then to lift up my leg it is very painful.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Knee pain more than 2 weeks: if your knee is paining since 2 weeks, then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
1 person found this helpful
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How to reduce knee pain? Please tell me solution. I was injured 6 months ago. Suddenly again pain back last 15 days.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Knee pain: if your knee is paining since 6 months. I advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
2 people found this helpful
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I am suffering with rheumatoid arthritis since 25 years. I already done my both hip replacement surgery. Now I am facing eye problems .in left iritis is formed .so please advise me on this issue .I visited ophthalmologist in Hyderabad. He prescribed some medicines. Now I am using that medicines.

BHMS, MD - Homeopathy
Homeopath, Delhi
Hello Iritis is one of the complications of rheumatoid arthritis that you are facing right now. Homoeopathic treatment should be followed too in your case as it has shown positive results in such complications along with the other symptoms of rheumatoid arthritis. Kindly consult a good homoeopathic doctor near you.
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Hi, am 18 years old male, I have been having insomnia, but I tried all remedies-exercise, honey,milk, curd,banana but no, Please give me any advise of no side effects sleeping pills?

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Sleep should be natural and not be induced by medicines. All these sleep medicines will cause addiction and it will be difficult to sleep without medicines. First a detailed history is needed to find out the trigger factor for insomnia. Cut down tea and coffee in the evenings sleep at the same time daily restrict fluids at night. Then I can suggest you sleep hygiene methods to get natural sleep without medicines. Take a consult to sleep like a baby without medicines. Edit Answer.
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I have developed ganglion cyst on my left hand at the age of 16 I used to have much pain and I was on counter pain killer medicines slowly it disappeared. But now the pain it came back and I am unable to bear up pain. Please suggest any home remedies.

BHMS
Homeopath, Chennai
Homeopathy can treat tumors (ganglion) with natural medicines only. The treatment can help you avoid the surgeon’s knife. The remedies are prescribed after taking the complete details of the symptoms of disease and the patient which includes personal details, family details, and mental state of the patient thus knowing the complete personality of a patient. There are 37 remedies which give great relief in ganglion or bible cyst. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the homeopathy doctor. The treatment is decided after thorough case taking of the patient. Thus medicines are tailor made unlike allopathy in which all patients receive the same surgery or drugs although trade name may be different. You can easily take an online consultation for further treatment guidance.
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My wife Anita Tiwari age 49 yrs, is suffering from pain in knees, waist and finger. Fingers got twisted and swelling. Please advice. The blood test done through Lybrate.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
If you have leg pain then you have to rule out the casues for having leg pain. First of all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. It is called as Rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective.
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I am suffering from knee joints pain I am taking x_ray digno osteo arthritis please give me sagation and treatment.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
As arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee Exercies Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
1 person found this helpful
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My grandfather has knee pain in joint from last one year. Right knee's condition is bad and left is ok ok Can you please suggest me some physical exercise and yoga for his pain He does yoga daily and don't want to take any English medicine and want himself to be ok with doing some yoga and want to have ayurvedic treatment His age is 64 and weight is 82 kg.

DNHE, MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Rajkot
Dear Lybrate User, your grandfather has osteoarthritis.. For that.. It is considered as Vayu increased in the body and ultimately arthritis development due to lack of synovial fluid in the knee joint. So Avoid fast food junk food oily food spicy food heavy food to digest etc.. Drink more water.. Eat more and more green leafy vegetables.. Don't take opposite potency diet like milk and carrots sour fruits etc.. Don't suppress any natural urges like urine stool etc.. For Ayurvedic treatment and more guidelines Consult me..
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I am 24 years old. I am having pain in my right knee wen accidentally my laptop fell on my knee hardly. Its been nearly 3wks & the pain s still der. please suggest me some medication and als can you tel me wat might b the reason. Thank you.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Its because of the injry. Don't worry much. Take homoeopathic medicine Arnica montana 200 1 dose for three days. It should be ok.
1 person found this helpful
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I am suffering from knee joint problem. I feel difficulty when I stand after sitting on ground. My x ray report shows no bone fracture. What sd I do.

BPTh/BPT, B.PT
Physiotherapist, Mumbai
Does it shown any arthritic changes? First of all stop sitting on floor on consultation I can give you specific knee exercises that you can de yourself at home.
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I am a regular gymer. I have pain in my knees and ankle joint while jumping. May be its either related to air condition (cooling side effect) or legs workouts. What can I do to resolve it. Is glucosamine and msm works for improve joint health. thank you.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
If you have leg pain then you have to rule out the casues for having leg pain. First of all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain.
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How Knee Replacement Procedure Is Performed?

DNB (Orthopedics), Fellowship in Joint Replacement, MS - Orthopaedics
Orthopedist, Jaipur
How Knee Replacement Procedure Is Performed?

Knee replacement is a procedure where the weight carrying surface of knee joint is 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 where only single side of the joint is replaced

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 fibres 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. The 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 a 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 for 20 to 22 years of surgery. Hence, knee problem is no problem at all!

The Rehabilitation After Total Knee Replacement: 

  1. Full weight-bearing walking, knee bending, exercise next day after surgery 
  2. Commode use, sitting on chair 2nd day 
  3. 3rd day: Stair climbing, start cross leg sitting 
  4. 2 weeks: Suture removal and walking to outdoors

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. The post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, the patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, the patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping. If you wish to discuss about any specific problem, you can consult a Orthopedist.

2654 people found this helpful

I am 49 year old software person and last two week I am suffering from left knee pain and right heel pai, we have not to use any allopathic medicines. So please suggest some ointment and oral pills as soon as possible. Vijay.

B.A.M.S
Ayurveda, Banaskantha
Dear Lybrate user, do gental Abhyanga (massage) with Bala + Nirgundi oil. - Take steam after masage for 5 mins with warm cloth. - Do regular Yoga, Pranayamas 15-20 mins. - Take healthy seasonal diet. -Skip curd, Sprouts and fermantrated food in diet.
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Suffering knee pain past 3 months. Majority testing was done except MRI but no changes please advise.

BAMS, MD, Panchakrma
Ayurveda, Nashik
Please provide all report that will help to treat you better. Consult privately for medicines as well important tips. Here is few tips for you 1) Do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) Start natural calcium supplement. 3) Do regular stretching exercise.
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Mam please tell me is it serious case. And what should I do to get rid of insomnia.

Vedicgram Ayurveda
Ayurveda, Noida
Do meditation after do walk as much tat you get tired and use ghee in chapati take curd in afternoon, use milk with cream in night, wash your feet in night before going to bed and apply oil and rub it.
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4 Causes Of Anterior Cruciate Ligament Tear And Its Treatment!

MBBS, MS - Orthopaedics, DNB (Orthopedics), Fellowship in Joint Replacement
Orthopedist, Hubli-Dharwad
4 Causes Of Anterior Cruciate Ligament Tear And Its Treatment!

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL-

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury-

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

  • Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery. If you wish to discuss about any specific problem, you can consult a orthopedist and ask a free question.
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