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Dr. Madan

Orthopedist, Gurgaon

300 at clinic
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Dr. Madan Orthopedist, Gurgaon
300 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.
More about Dr. Madan
Dr. Madan is one of the best Orthopedists in New Gurgaon, Gurgaon. Doctor is currently practising at Nice Care Medical Centre in New Gurgaon, Gurgaon. You can book an instant appointment online with Dr. Madan on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 33 years of experience on Lybrate.com. You can find Orthopedists online in Gurgaon 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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Nice Care Medical Centre

Main Basai Road.Landmark: Opp Raghu Gas Godown, GurgaonGurgaon Get Directions
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I have very bad pain in back what should i do and if I use any pain killers then after some time pain again come back.

BPTh/BPT
Physiotherapist,
I have very bad pain in back what should i do and if I use any pain killers then after some time pain again come back.
It will be better if you send me the xray of your spine alternatively avoid long sittings for not more than 20 min at a time. Take 1 min break after every 20 min. Do back lifting exercise.
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1 am 21 years old male. I am continuosly experiencing pain in my lower back. Suggest me some treatment.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
1 am 21 years old male. I am continuosly experiencing pain in my lower back. Suggest me some treatment.
Hi, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc and with no other associated constitutional symptoms like evening rise in temperature, loss of weight, excessive sweating at night etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. 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.
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Spinal d11 disc damaged and nerve got pressed legs not functioning .please suggest solution whether it get recover with medicine or surgery will give good results .please share the opinion.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Spinal d11 disc damaged and nerve got pressed legs not functioning .please suggest solution whether it get recover wi...
Postural Correction- Sit Tall, Walk Tall, Stand Tall. core strethening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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Dear Sir, My wife, aged 49 years,has been suffering from severe Knee pain for the last 8-10 years and sometime cannot even walk.She undergone regular treatment since then. Doctors have diagnosed as Oesteo Arthritics. Please advice some available effective treatment so that she could get relief. Thanking you.

Clinical Exercise Specialist, Certificate in Population Health, Certificate in Diabetology and Prevention, Nutritionist, MHSc (Public Health)Preventive Medcine, MPT - Orthopedic Physiotherapy, ch. Pain Management
Physiotherapist, Delhi
Sir, there are no. Of treatments available nowadays for knee pain, but it not possible to suggest you a treatment, untill we will not see history/ x-ray of your wife, after that we can sugest you good treatment, If your wife is not having heavy weight. I will suggest Intra-Articular Injunction like Symec inj, Little expensive but effective, it will increase lubrication of knee joint, for further kindly consult an Orthopedic Surgeon, he will guide you better,
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I have leg pain problem when ever I fold my left leg I got pain near talus to femur as well as thy would you like to solve this problem, according to me I think it is vain problem because of this I also got pain in back bone.

BPTh/BPT
Physiotherapist, Mumbai
I have leg pain problem when ever I fold my left leg I got pain near talus to femur as well as thy would you like to ...
Hi I can understand your problem. It is due to nerve compression. # relax & stay positive. # take hot and cold foementation. # change sleeping position. # use lumber support. Apart from thi you need to make few changes in your lifestyle there are various non sugical treatment options for back pain according to your health and severity of symptoms. Kindly reply in private consultation to discuss detailed treatment plan. Wishing you a good health.
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I have pain in my left knee .what are the remedies for it. Does it is curable. What are the medicine for it. Please suggest some medicine for it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I have pain in my left knee .what are the remedies for it. Does it is curable. What are the medicine for it. Please s...
Yes with ayurvedic treatment & medicines it" s curable need time to heal naturally 3 to 6 months. 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 4) in yoga do bhujangasan, halasan & suryanamaskar.
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Pain of my knee when I run fast but I can't so please give me some useful advise.

Fellowship in Pain Management, MD, MD - Anaesthesiology , MBBS
Pain Management Specialist, Pune
Pain of my knee when I run fast but I can't so please give me some useful advise.
Knee pain is common problem if you running with faster pace try to start slowly build up your strength and then increase the speed you need to do some muscle strenghthening.
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I been driving bike for a long KM and am getting neck pain. So how to cure it? I am 25 years old. And working in a core company.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I been driving bike for a long KM and am getting neck pain. So how to cure it? I am 25 years old. And working in a co...
Do follow ergonomic work up with the work your involved on assistance with neuro physiotherapist or sports medicine rehab specialist for neck pain do take ust and laser therapy for pain relief for 7 days followed by strengthening and stretching exercises from neuro physiotherapist use firm hard and even mattress for sleep best wishes.
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I have pain in rt epigastric region n in back rib cage and discomfort while sleeping what's the problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in rt epigastric region n in back rib cage and discomfort while sleeping what's the problem.
Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Take frequent breaks at work. Core strengthening exercises. Use cervical pillow. Use back support. Self massage the back of neck.
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I am 19 years old and my legs are aching from last 2 day. What should I do for it?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am 19 years old and my legs are aching from last 2 day. What should I do for it?
Hi thanks for your query and welcome to lybrate. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation 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.
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Non-surgical Treatment for Cervical Spondylosis - Tips!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Non-surgical Treatment for Cervical Spondylosis - Tips!

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

  1. Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
  2. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
    1. Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
    2. Opiates, for example, hydrocodone, for pain relief
    3. Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
    4. Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  3. Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
    1. Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
    2. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
    3. Exercise routinely to help you recover quickly.
    4. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  4. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  5. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
  6. Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  7. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

ONCE THE CONSERVATIVE TREATMENT FAILS:

Early aggressive treatment plan of back & leg pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total LBP patients would need surgery & approx 20% of discal rupture or herniation with Neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology & response to treatment. Using precision diagnostic & therapeutic blocks in chronic LBP , isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5-S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed. 

NEED FOR NON-SURGICAL OPTIONS: Outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “In case of surgery, the chance of recurrence of pain is nearly 15%. In FBSS or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  1. Dural fibrosis
  2. Arachnoidal adhesions
  3. Muscles and fascial fibrosis
  4. Mechanical instability resulting from the partial removal of bony & ligamentous structures required for surgical exposure & decompression
  5. Presence of Neuropathy.
  6. Multifactorial aetiologies of back & leg pain, some left unaddressed surgically. 

EPIDURAL ADENOLYSIS OR PERCUTANEOUS DECOMPRESSIVE NEUROPLASTY is done for epidural fibrosis or adhesions in failed back surgery syndromes (FBSS). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with EPIDUROSCOPE Sciatica gets complicated by PIVD with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe & effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location & type of PIVD causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or LA was injected. A flexible guide wire is passed at selected location & direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time & location. We inflated the balloon with contrast agent to have visualization of adhesiolysis & opening up of adhesions or root route. Here the balloon pressure & time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure & patient`s response. Once dilatation is done the drug mixture of steroid with LA & or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our Balloon Neuroplasty & foraminoplasty as it is safe & targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via S1 foramen. Now we are employing this technique for fresh cases coupling with Intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The IDD is done by Coblation/ Laser/ DeKompressor or RF Biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “Balloon Neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited & relieved of previously interventionally unmanageable disco-radicular pain including FBSS sufferers. 

INTRADISCAL PROCEDURES:

PROVOCATIVE DISCOGRAPHY: coupled with CT A diagnostic procedure & prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines. 

PERCUTANEOUS DISC DECOMPRESSION (PDD): After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

OZONE-CHEMONEUCLEOPLASTY: Ozone Discectomy a least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, Percutaneous intradiscal decompression can be done via Transforaminal route with Drill Discectomy/ Laser or Coblation Nucleoplasty/ Biacuplasty/ Disc-FX / Endoscopic Discectomy are good alternatives before opting for open surgerical Discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In Biacuplasty radiofrequency energy is used in bipolar manner heating & shrinking the disc & making it harder as well for weight bearing. It also seals the annular defect & ablates annular nerves relieving back pain. In Laser or Coblation Nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

DEKOMPRESSOR: A mechanical percutaneous nucleotome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts & drills out the disc material debulking the disc reducing nerve compression curing Sciatica & Brachialgia. It comes in needle size of 17G for lumbar discs & 19 G for cervical discs. In lumbar region postero-lateral approach is used & in cervical discs anterolateral approach is used. 

DISC-FX & ENDOSCOPIC DISCECTOMY: In this novel technique A wide bore needle is inserted & placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful & sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent & decrease recurrences. Next Higher procedure, Endoscopic Discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion & extrusions causing spinal canal stenosis with root or cord compression with leg pain.

LASER DISCECTOMY done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

SELD: Epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This Procedure is done under vision via an epiduroscope inserted via Caudal canal or Transforaminally employing front or side firing Laser fibers &/or fine instruments. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

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I have a back pain some time mostly in night sleep so please can you sugest some tips.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
I have a back pain some time mostly in night sleep so please can you sugest some tips.
Do regular yoga and exercise to strngthen your back muscles. Always maintain your posture. Sit erect. Do not sit for longer duuration at one place. Walking for 5 minutes, stretching a little every hour or two will help you a great deal. Avoid heavy weight lifting. You can also take calcium supplements for 3 months. Use ortho friendly mattress to sleep. Youe uncomfortable mattress may be causing pain to you so check that first.
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I am 26 years old. Lifted something heavy 2 months back. Been having pain in my lower left back, intensity keeps changing from time to time. Aggravates more if standing, walking for long. What should I do? What kind of doctor to consult?

Bachelors in physiotherapy, Masters in physiotherapy(musculoskeleton)
Physiotherapist, Jaipur
I am 26 years old. Lifted something heavy 2 months back. Been having pain in my lower left back, intensity keeps chan...
Hello Lybrate user .as mentioned your having left side lower back pain which aggravates on prolong walk or standing. I would suggest you to do start doing flexion regime exercises .n I would suggest you seek a consultation of physiotherapist /orthopedic near by you also .by clinically examining one can reach for conclusion. Thanks.
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Am 20 year old. My legs are paining from some few days. I got hurt when I playing cricket. I am using ointment but I do not get any relif? What should I do.

Bachelor of physiotherapy
Physiotherapist, Lucknow
Am 20 year old. My legs are paining from some few days. I got hurt when I playing cricket. I am using ointment but I ...
Apply ice on painful area for 5-6 mins then ointments for 2-3 days. Still pain persist then go for ultrasound therapy by a physiotherapist.
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I am 21 years old since last few week suddenly suffer from paining in my both leg? I tried diclofenac.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 21 years old since last few week suddenly suffer from paining in my both leg? I tried diclofenac.
You should take acupressure treatment and take biochemic kali phos 3x + mag phos12x 4 tab each thrice a day with warm water and take it 5 day's
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Hi iam age 26 m sir ia m suffering from back pain and neck pain from 3 years and till now I am using pain realif oils sir plz sujjest to solve my problem

Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Mumbai
Get a xray done and see a orthopedic surgeon near by you and if everything normal start on exercise programme
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Dear doctor, I am 48 years and having sitting job no weight lifting of heavy things or no running around job of course my sitting posture is also fine. I have severe lower back pain for the last 30 days and I am unable to turn right or left while sleeping. Please suggest some good medication to cure it at once. I am really fed-up of this pain, but note, I can walk for 3 kms without any problem but problem comes when I sit and get up or while sleeping! help me! help me! any one please!

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Dear doctor, I am 48 years and having sitting job no weight lifting of heavy things or no running around job of cours...
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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