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Paras Hospitals-Gurgaon

Orthopaedic Clinic

#C-1, Sushant Lok- 1, Sector-43, Phase- I, Sushant Lok 1. Landmark: Near Golsukh Mall & Straight To Huda City Centre Metro Station, Gurgaon Gurgaon
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Paras Hospitals-Gurgaon Orthopaedic Clinic #C-1, Sushant Lok- 1, Sector-43, Phase- I, Sushant Lok 1. Landmark: Near Golsukh Mall & Straight To Huda City Centre Metro Station, Gurgaon Gurgaon
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Paras Hospitals-Gurgaon
Paras Hospitals-Gurgaon is known for housing experienced Orthopedists. Dr. Nipun Bajaj, a well-reputed Orthopedist, practices in Gurgaon. Visit this medical health centre for Orthopedists recommended by 84 patients.

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MON-FRI
11:30 AM - 04:30 PM

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#C-1, Sushant Lok- 1, Sector-43, Phase- I, Sushant Lok 1. Landmark: Near Golsukh Mall & Straight To Huda City Centre Metro Station, Gurgaon
Sector-43 Gurgaon, Haryana
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Rotator Cuff Tears: Causes, Symptoms and Treatment

MBBS, MS - Orthopaedics
Orthopedist, Hyderabad
Rotator Cuff Tears: Causes, Symptoms and Treatment

Rotator cuff is the name given to four muscles and their tendons, which keep your arms in your shoulder sockets, allowing you to lift your arms and do day-to-day stuff like combing your hair, cutting vegetables etc.

The shoulder joint is a very important joint of the body and this is why any tear that happens in the rotator cuff can be devastating.

Causes

Tears can happen in rotator cuff due to a number of factors like injury and degeneration due to age. Tears that happen due to an injury to the shoulder are called acute. Degenerative tears are tears that happen due to degeneration of the tendon over time.

Common causes of degeneration are lack of proper blood circulation, which impedes the rotator cuff’s ability to repair itself. Repetitive stress is another cause where we stress the tendon by repeating the same shoulder motions again and again while playing games like tennis, cricket etc. and doing jobs that require us to extend our arms upwards a lot. Lifting heavy objects can also lead to tears.

Symptoms

Chronic shoulder and arm pain are good reasons for you to see your doctor. If you suffer from pain in your shoulder at rest, while sleeping on the affected shoulder or pain while lifting and lowering your arm, then there is no time to wait.

The doctor will do a physical examination by moving your arm in different directions. He may follow it up with X-rays and MRI to check how big the tear is in your rotator cuff.

Treatment

Once confirmed that you indeed have a rotator cuff tear, your doctor will start the treatment. The goal of any treatment is to reduce pain and make your shoulder joint work properly again.

Nonsurgical Treatments: 

Nonsurgical treatments include rest, using of a sling to protect the shoulder and modifying your daily activities. This means you may not be able to do activities that cause shoulder pain. Your doctor can also prescribe pain and anti-inflammatory medicines. Strengthening and physical therapy bring up the rear of this type of treatment.

What you must remember is that nonsurgical treatment relieves pain and improves function in the shoulder, but does not improve shoulder strength. The size of your tear may also increase over time.

Surgery: 

Surgery, which attaches the rotator cuff to your bone, is done if you suffer from continuous pain and symptoms over a year or so. If you have a large tear, conservative treatments will not work and surgery will have to be resorted to. 

If you have been suffering from chronic shoulder or arm pain, waiting and watching is definitely not an option. You must visit an orthopedic surgeon at the earliest. Remember, if treatment is not started soon enough, your rotator cuff tear will get larger and will require only surgery.

1 person found this helpful

Sleep Paralysis - Physiotherapy Treatment For It!

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Sleep Paralysis - Physiotherapy Treatment For It!

Physiotherapy and sleep paralysis have a deep connection when you have to treat sleep paralyses the intelligent way. To discover the benefits of physiotherapy in healing sleep paralysis, let's get a clear understanding of sleep paralyses first and then the role of physiotherapy. 

What is sleep paralysis and its common causes?
Sleep paralysis is a sleeping disorder, its symptoms are such  that you suddenly feel in the middle of the night or in mid sleep that you can't move, react, talk, etc. and feel that your body has frozen. This immobility is accompanied with frightful or eerie visions or sounds, which are not the reality and you still hallucinate. 
This is often caused because of the following reasons, which are considered common causes of sleep paralysis:

  • A medical condition called narcolepsy
  • No fixed time of sleeping and waking, thus creating imbalance in sleep patterns
  • Inadequate sleep through the 24 hours
  • Excessive stress and workload
  • Alcohol consumption or drug abuse
  • A bad diet like heavy meals at night before bedtime
  • Extreme caffeine consumption

If any of these things are common, you may get a sleep paralysis.

Physiotherapy in healing sleep paralysis:
If it is a one night episode, you will eventually forget this. However, in case you are a victim every night or frequently, you may need some good remedies. Medications may not suit all, but physiotherapy is a safe mode of treatment, which suits all and people of all ages. That is why try physiotherapy for sleep paralysis at home or by going to a nearest physiotherapy center or expert.

How physiotherapy helps
Physiotherapy has some unique benefits like:

  1. It brings a balance in blood circulation through the body, which helps in lowering the blood pressure, normalize mood, reduce stress, and makes the blood flow to the body organs and brain better, thus inducing a good night's sleep.
  2. The exercise induced on to the body through physiotherapy has a dual effect. It makes the muscles workout, and induces the massage effect too. This makes the muscles more mobile, and brings warmth on the tissues. That is why exercising before bedtime can help you get a very peaceful sleep without fearful dreams and interferences of sleep paralysis attacks.
  3. You get a better mood due to increased blood circulation and the feeling of well-being due to the agile and worked out muscles. This good mood and satisfaction after a nice physiotherapy session sometime before you sleep lets the serotonin or happiness and satisfaction hormone build up in the body and brain. This makes you sleep without stress and in a nice mood thus resisting sleep paralysis. If you wish to discuss about any specific problem, you can consult a Physiotherapist.
1 person found this helpful

I am suffering from back ache at left side behind my hip. Please suggest what is the problem and what I need to do to heal my pain.

MBBS, D.O. Orthopedic Surgery
Orthopedist, Chandigarh
I am suffering from back ache at left side behind my hip. Please suggest what is the problem and what I need to do to...
Get X-ray ls spine with do jt s uric acid ra factor c reactive proteinDear patient consult me by depositing the fee through librate for text/audio/video/inperson thanks.
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What Causes Trigger Finger And How Can Physiotherapy Help?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
What Causes Trigger Finger And How Can Physiotherapy Help?

Trigger finger is a common injury that occurs to people. To understand this condition, you need to have a little background about the way the finger muscles work. The finger muscles are protected by a layer of bones, which are called pulleys. These pulleys form a hollow tube like structure so that the ligaments can pass through it.

These ligaments function smoothly due to a coating of tenosynovium. This tenosynovium is slippery in nature and causes frictional movements, which is why we are able to move our fingers and grasp objects.

Causes of Trigger Finger:

Trigger finger is a condition, which develops when the ligaments develop a sort of nodule. This nodule also causes inflammation in the pulleys. This inflammation would cause constant irritation and pain to the person who has developed a trigger finger or a trigger thumb. There are several reasons as to why such a nodule develops. Some of them are as follows:

  1. Grasping a steering wheel for a long time. That is the reason this condition develops a lot in drivers.

  2. Rheumatoid arthritis, although this is mostly restricted to people who are middle aged.

  3. Gripping pistols and guns repeatedly.

  4. Infections or swelling in the tenosynovium.

How To Treat Trigger Finger?

Trigger Finger can be treated with the help of physiotherapy. When you visit a physiotherapist, the first thing the therapist would do is note down your medical history and symptoms for your current trigger finger. The physical examination is conducted, which often reveals and confirms that the condition is nothing but trigger finger. Therapists usually make sure of this condition by hearing a clicking noise when the nodule snaps under the tendons.

There are two probable ways to treat this condition:

  1. Non-Surgical- These methods involve various exercises to ease out the tension in the pulleys. It might also involve showing you different ways of grasping objects without disturbing the inflammation so that it causes less pain. At times, mild electric current is pushed through the tendons to ease out the inflammation. If these methods fail to rectify your trigger finger, then surgical method is prescribed.

  2. Surgical- This involves a small incision in your hands to remove the tendon pulley, which is obstructing the smooth functioning of your fingers. The surgery is performed in a day and the patient is discharged the same day. However, proper rest should be taken till the wound heals and the stitches dry completely.

These are some of the ways in which trigger finger is treated. It is quite common and thus can be treated effectively as well.

Neck pain difficulty to turn and see down or up ,back pain, shoulder pain sometimes ,and while turning. Pain occurs in chest and shoulder it is since more than a week. please help me for that

DHMS (Hons.)
Homeopath, Patna
Neck pain difficulty to turn and see down or up ,back pain, shoulder pain sometimes ,and while turning. Pain occurs i...
Hello, You are suffering from cervical spondylitis causing your problems. Go for physiotherapy to get immediate relief. Tk, plenty of water to hydrate your body. Go for meditation to reduce stress and to nourish your whole body. Your diet be digestive on time. Tk, homoeopathic medicine:@.Lachenenthes 200-6 pills, thrice. Avoid, jerks, lifting weight, alcohol, nicotine. Tk, care.
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After implementation of pacemaker pain started in my left biceps please provide any home remedies to cure this pain because it cause severe pain. please help me

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
After implementation of pacemaker pain started in my left biceps please provide any home remedies to cure this pain b...
The pain and discomfort can be normal during the first 2 to 3 months post implant. It should subside over first 6 weeks. If there is any redness or drainage, you need to let your cardiologist know. A simple exercise program aimed at strengthening the shoulder girdle is effective at preventing this complication.
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I am 17 years old and from last 5 days the last small finger of my left started becoming swollen and its now too much paining me heavily if I touched that finger please help me.

mpt
Physiotherapist, Ahmedabad
I am 17 years old and from last 5 days the last small finger of my left started becoming swollen and its now too much...
Dear sailesg, is it due to any sports injury? You can apply ice over there. Till not worked than do consult near orthopedic or Physiotherapist.
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I have severe neck pain from last 6 days. I applied voveran took painkillers but I am unable to rotate my neck and it is still paining. Kindly suggest.

MD, M.Sc - Medical Pharmocology
General Physician, Mumbai
I have severe neck pain from last 6 days. I applied voveran took painkillers but I am unable to rotate my neck and it...
Dear, Please do the Xray of your neck it may be cause by cervical disorder or by the one sided sleep (Neurological disorder) and Take Tab. Ultracet for pain relief.
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I am having cramps and backache since last 5 days with no period. What could be the reason?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
I am having cramps and backache since last 5 days with no period. What could be the reason?
Dear lybrate-user it's not possible to make any diagnosis on this platform with this information .kindly visit a gynae so that a checkup can be done to confirm the diagnosis.
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My mother- aged 85 years, had a fall and injured right hand biceps & shoulder, various oils & tablets - no remedy till now, so suggest any ayurveda medicines, she is a diabetic patient since 40 years a long list of medicines she is consuming now.

FNESA, FNESA,BAMS, MHA(Hospital Admin), L.L.B.
Diabetologist, Delhi
My mother- aged 85 years, had a fall and injured right hand biceps & shoulder, various oils & tablets - no remedy til...
Mahanarayan oil, Brihat vat chintamani ras tab thrice a day, Mahayograj Guggul tab thrice a day, hot fomantation, tell me what diabetic medicines she is taking. She will be better.
1 person found this helpful
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Innovative Treatments For Chronic Tendon Pain!

M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Innovative Treatments For Chronic Tendon Pain!

Human body moves in an agile manner because of the wonderful coordination between the muscles and bones. The bones are connected to the muscles by what are known as tendons. These are fibrous, thinner than bones, but thicker than muscles and enable movement.

However, due to overuse, trauma, or inflammation, these tendons can be affected. Symptoms include constant dull ache, weakness, stiffness, and limited movement of the affected area. With exercise or sudden movement, the pain can be more sharp and severe. This condition is known as chronic tendinopathy. Depending on the actual clinical presentation, rest, ice therapy, heat therapy, exercise and pain medications are usually used in combination to relieve the tendon pain.

However, if there is no relief of symptoms, surgery may be indicated to remove the injured tissue. This will allow for healing of the affected tendon, thereby reducing pain and inflammation and improving range of motion of the affected joint. Many questions have been raised about the traditional methods of therapy and treatment for tendon pain. More and more innovative, but conservative measures are being used to treat chronic tendon pain, as they produce better results and have gained more popularity. Three of the most common ones are listed below:

  1. Platelet rich plasma therapy: Traditionally, corticosteroids were used for treating chronic tendinopathy. This was believed to reduce inflammation and therefore relieve the pain. Instead, injecting the affected joint with platelet-rich plasma provides the body with rich supply of oxygen, nutrients, and growth factors. This triggers natural healing. It is done as an outpatient, nonsurgical procedure, where the patient’s blood is drawn and centrifuged to remove the platelets. This plasma is then injected back into the tendon area to promote healing.
  2. Mechanical therapy: Conventionally, static stretching of the injured tendons was believed to repair the injury. However, this belief is slowly replaced with doing the exercise with resistance in place. This helps collagen synthesis and therefore helps in promoting the tendon injury. After the initial healing phase, slowly introducing heavy, slow resistance therapy helps build back muscle and improve strength.
  3. Tenex procedure: Traditionally, if all other measures for tendon repair failed, surgery would be the last resort. A large incision was made, through which the injured tendon would be accessed and repaired. Recovery would sometimes take months. With advancements, however, currently, a 3-mm incision is made, through which ultrasound image is used via probe. This probe removes the damaged tissue and the surrounding tissue is also debrided. This minimally invasive procedure takes about 20 minutes and recovery takes about 2 to 6 weeks.

The next time there is someone suffering from chronic tendon injury, try these innovative and less invasive ways. Treatment and recovery would be more effective. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2 people found this helpful

My friend has got a pacemaker implanted. Can he undergo X-ray for his cervical and lumbar spine.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
My friend has got a pacemaker implanted. Can he undergo X-ray for his cervical and lumbar spine.
Yes. You can do. Xray/CT scan are not an issue for pacemaker. ONLY MRI cannot be done unless you have a MRI compatible device. Then you can do MRI also.
1 person found this helpful
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I have pain in my front of legs. Whenever I start to run, it pains allot and when I touch that area then also it pains. Give me solution, so that I can run easily.

BPTh/BPT, MPTh/MPT, Certified Manual Therapist, Certified McConnell Concept Practitioner, Certified Dry Needling Practitioner
Physiotherapist, Patna
I have pain in my front of legs. Whenever I start to run, it pains allot and when I touch that area then also it pain...
Hi lybrate-user. Your symptoms suggest that you have tibial shin pain. Try to consult ortho/physiotherapist for further foot evaluation. Start icing over painful area thrice a day and stretch your calf muscle. Change your shoes or insert a medial wedge insole into shoes for flat foot correction. Thanks.
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I have pain in body joint and weakness and tiredness in the whole body and some time numbness occur in hand and foot. Please suggest me what is the problem and which time body test I need to do.

DRCH, BHMS
Homeopath, Bareilly
I have pain in body joint and weakness and tiredness in the whole body and some time numbness occur in hand and foot....
may be you are suffering from deficiency of nutrients, iron and calcium or may be there is rheumatic disease. Go for serum calcium, haemoglobin, Ra factor and uric acid testing. Take balanced diet , fruits and milk daily. Take appropriate sleep, avoid stress and do some exercise daily
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I have pain in right leg from thigh to foot. Sometimes pain in left leg also .but more pain in right leg .I feel like my leg to be weak or may be calcium or vitamin deficit. Suggest me what to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in right leg from thigh to foot. Sometimes pain in left leg also .but more pain in right leg .I feel like...
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.
1 person found this helpful
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How Ayurveda Helps Manage Arthritis?

BAMS, MD (AM) , Panchakarma, Yoga
Ayurveda, Gurgaon
How Ayurveda Helps Manage Arthritis?

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 Sandhivata in Ayurvedic jargon.

Read on to find out how Ayurveda can help in dealing with Arthritis.

  • Panchakrama Treatments: Panchakrama treatments like Vasti, Janu vasti, greeva vasti, kati vasti, elakizhi, podikizhi, pizhichil etc. are very useful treatments for Athritis. Small herbal pouches made of various herbs which are warmed in medicated oils are used to massage the entire body or specific areas like the back, neck, shoulders, hands and joints. It does away with pain to give you comfort and much strength A gentle, synchronized massage of up and down is carried out on all parts of the body other than the head with medicated oils. It is administered in seven standard positions, so that no area of the body is left uncovered. Cloth dipped in lukewarm medicated oil is squeezed over the patient’s body uniformly and then the oil rubbed smoothly over the body. This treatments can last for 7-21 days depending upon the severity of the arthritis.
  • Diet: In Ayurveda, to treat ailments like Arthritis, it is usually recommended that a patient should start by flushing out the body 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 that 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 the few ways in which Ayurveda can help Arthritis patients live a more normal life with minimal pain.

Hi from few days I I am feeling a lot of pain at the back of the neck especially while moving neck. It could be related to vein or muscle spasm, So could you suggest me any medication.

BHMS
Homeopath, Chennai
Hi from few days I I am feeling a lot of pain at the back of the neck especially while moving neck. It could be relat...
Cervical discs absorb shock between the bones. The bones, ligaments, and muscles of your neck support your head and allow for motion. Any abnormalities, inflammation, or injury can cause neck pain or stiffness. Many people experience neck pain or stiffness occasionally Homoeopathy has permanent cure without any side effects, since it's a holistic treatment it takes into account detailed symptomatology, a constitutional treatment will give you a permanent cure You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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I am suffering from pain under the both feet for last couple of months. It's becomes red spots under the feet and the skin becomes thin on effected area. When I walk its hurting that's why I can't walk faster than before. Please tell me what should I do?

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
I am suffering from pain under the both feet for last couple of months. It's becomes red spots under the feet and the...
Please go to a foot doctor- Podiatrist doctor who is a foot specialist or to a dermatologist if you think it is a skin problem.In the meantime soak both your feet in warm water for 20 minutes to which Epsom salt has been added.
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