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Dr. Prem Chand

Orthopedist, Gurgaon

600 at clinic
Dr. Prem Chand Orthopedist, Gurgaon
600 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Prem Chand
Dr. Prem Chand is a popular Orthopedist in Sector-2 (Palam Vihar), Gurgaon. You can visit him at Columbia Asia Hospital - Palam Vihar in Sector-2 (Palam Vihar), Gurgaon. You can book an instant appointment online with Dr. Prem Chand on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 31 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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Columbia Asia Hospital - Palam Vihar

Block F, Gol Chakkar, Palam Vihar. Sec 23. Landmark: Opp. Ansal Plaza, GurgaonGurgaon Get Directions
600 at clinic
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Since the day my daughter has born, my back ache is not going + loads of hair fall. She is 3 years now. but my problem still persist.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Is it normal or lscs delivery what ever it is don't worry for pain have hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each time along with tens physiotherapy treatment and followed by spinal flexion & extension exercises from your musculosketol physiotherapist best wishes Dr. P. Nagaraj
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I was suffering from joint pain from some months my Dr. suggest me vitamin d 3 test in that my vitamin d3 is low and I have started the medicine for that but now also I am suffering from spinal cord, right shoulder and right knee as well as foot joint pain with swelling what should I do for this. When I am walking I have burning sensation in my knees.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I was suffering from joint pain from some months my Dr. suggest me vitamin d 3 test in that my vitamin d3 is low and ...
Do contrast bath therapy for foot twice day Apply hot fomentation Do hamstrings & quadriceps stretching Do shoulder shrugs So neck & shoulders stretching Avoid lying on the affected side
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My father age is 55. He has a problem of back pain. It's very painful for my father. So can you please help me. Thank you.

Md ayurveda
Ayurveda, Bangalore
My father age is 55. He has a problem of back pain. It's very painful for my father. So can you please help me. Thank...
Hello lybrate user, because of his age he might be getting. - but need to see any changes in back bone or discs so take x-ray asap - application of mahanarayana taila with ksheerabala taila and giving hot fomentation will relieve pain. Thank you.
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I am 25 year old male and have backache for last 2 months, I have used pain relief ointment cream for couple of days but haven't got any relief. What should I do now?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am 25 year old male and have backache for last 2 months, I have used pain relief ointment cream for couple of days ...
Try few things for your back pain: - Apply Ice and Heat Heating pads and cold packs can comfort tender trunks. Most doctors recommend using ice for the first 48 hours after an injury -- particularly if there is swelling — and then switching to heat. You can use whichever you find comforting as long as your skin is protected. - Limit Bed Rest Studies show that people with short-term low-back pain who rest feel more pain and have a harder time with daily tasks than those who stay active. -Keep Exercising Activity is often the best medicine for back pain. Simple exercises like walking can be very helpful. But remember to move in moderation, Stay away from strenuous activities like gardening and avoid whatever motion caused the pain in the first place. -Maintain Good Posture Most people have poor posture when going about their daily activities, putting unnecessary strain on their backs. -Strengthen Your Core Most people with chronic back pain would benefit from stronger abdominal muscles. If the abdominals are weak, other areas must pick up the slack. When we strengthen the abdominals, it often reduces the strain on the lower back. - Improve Flexibility Too much tension and tightness can cause back pain. By increasing flexibility you need to put an equal load throughout the body from the feet all the way up to the head. -Sleep the Right Way The amount of rest you get is important, and so is the position you get it in. Sleeping in a bad position or on a mattress without support can cause back pain. Back sleepers should put pillows under their knees. Side sleepers should place pillows between their knees to keep their spine in a neutral position. Stomach sleeping causes the neck and head to twist and can put undue stress on the back. -Use Relaxation Techniques Research shows that practices such as meditation, deep breathing and yoga, which help put the mind at rest, can do wonders for the back. -See a Specialist Developing an individualized exercise plan is essential to managing chronic back pain. Some patients need more core strengthening while others benefit mainly from stretching and improving flexibility. Please consult a Orthopedic Physiotherapist for the right exercise plan. Best wishes.
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I am 50 years old. I have a back pain, I am continues user of Bikes, I travel daily around 50 to 70 km. What should I take care to have painless.

BPT, BPTh/BPT
Physiotherapist, Lucknow
I am 50 years old. I have a back pain, I am continues user of Bikes, I travel daily around 50 to 70 km. What should I...
Improve your posture. Avoid forward bending. Start hot saline fomentation followed by volini gel and back exercises. For detailed information about exercises please refer my health tips. Or chat with me on private consultation for proper and complete management.
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Hi when I use my hands for sometime like when I use a vegetable peeler, knife, etc. The base of the palm below the thumb starts hurting, this happens on both hands and the pain stops as soon as I stop the activity. Wht is causing this pain. Is it related to the wrist. Or just thumb.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hi when I use my hands for sometime like when I use a vegetable peeler, knife, etc. The base of the palm below the th...
You should take Acupressure therapy and take Biochemic Nat phos 200x +Mag phos 200x 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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My both calf are paining since last 6 months. When I get up from bed in the morning I could not walk properly. Please suggest the remedy. Thank you.

BPTh/BPT
Physiotherapist, Mumbai
My both calf are paining since last 6 months.  When I get up from bed in the morning I could not walk properly. Pleas...
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do stretching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you don't get relief see a physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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My pain in neck area at particularly one point in middle of neck right side and also it spread in shoulder blades.

MBBS, MBA (Healthcare)
General Physician, Delhi
My pain in neck area at particularly one point in middle of neck  right side and also it spread in shoulder blades.
Apply volini gel on neck, do warm fomentation. do neck muscle exercises in pain free period. avoid high pillow. consult if not ok.
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Dear Doctor, I am suffering from Headache,Neckpain, Lower back pain & Shoulder pain last 3 months. Which indication for this symptoms ?

BHMS
Alternative Medicine Specialist, Mumbai
Think of clearing your 'Aura' Energy space around you. Several times these kinds of pain could be due to energy disturbances in your auric space. Of course, consult the physician and rule out any pathological changes needing the attention. If all investigations are normal, you could work with Stress management correctly and you will find the difference.
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I have a back pain for long time now, I consulted with few doctors and few physiotherapist too, and had some x ray too, everything failed to find the root cause. Its in the lower back and have been there for past 2 years, what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have a back pain for long time now, I consulted with few doctors and few physiotherapist too, and had some x ray to...
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again.
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Hi docs, my mother aged 50 has a problem with hands. Many a times her hands get so weak that she can not even raise her hand and shut her fist in pain. Also black patches noticed on hands since last 15 days. Please help me out.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hi docs, my mother aged 50 has a problem with hands. Many a times her hands get so weak that she can not even raise h...
You should take Acupressure therapy and take Biochemic Kali phos 200x + Nat phos 200x 4 tab each thrice a day with warm water and take it 5 day than consult private online.
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She have pain in knee whenever she sits on bed and then stand up can't able to walk how could she get better.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
She have pain in knee whenever she sits on bed and then stand up can't able to walk how could she get better.
Dear lybrate user, She may start treatment by taking homeo medicine Rhus Tox 30 thrice a day five drops in water for two days. After that call back for further course of medicine.
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My wife and myself are having knee joint pain while getting up or sitting on floor. After seeing TV ads, I have bought astha Jeevak paste and oil to be applied on knees. As per TV ad and literature astha Jeevak is a three month course. I want to know whether the product is one time affair with long term relief or is it habit forming.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My wife and myself are having knee joint pain while getting up or sitting on floor. After seeing TV ads, I have bough...
I do recommend physiotherapy treatment with IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist Do revert for further assistance Best Wishes.
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My wife has been suffering from neck pain since the last 1 year. The mri scan shows a gap in the spine. Can this ailment be completely cured with medicines?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
No u may have to continue with Rehabilitation exercises from Neuro Physiotherapist prior to Electro Therapy of IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise.besr wishes
2 people found this helpful
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I am 28 years old and I am feeling severe pain in my wrist for the last 15 days. What should I do?

BPTh/BPT
Physiotherapist, Mumbai
I am 28 years old and I am feeling severe pain in my wrist for the last 15 days. What should I do?
Hi for pain take cold water fomentation for 20 minutes thrice a day for 5 days. Do stretching and gentle massage of hand. If still you don't get relief and need further advice, consult me via lybrate.
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I am 22 years old. I daily work on laptop upto 4hrs so I am suffering from neck and backbone pain. Please help to get relief from this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 22 years old. I daily work on laptop upto 4hrs so I am suffering from neck and backbone pain. Please  help to ge...
Hot fomentation x twice daily. Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support. Self massage the back of neck. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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Hello every one 23 years male here I am suffering from knee pain I took many tests doctors concluded that this is reverse arthritis how should I take care of myself will you please suggest me than in advance.

BHMS
Homeopath, Pune
Hello every one 23 years male here I am suffering from knee pain I took many tests doctors concluded that this is rev...
Do proper knee exercise take 4-5 fried garlic daily for 2 month also side by side homeopathy treatment.
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I am 51 I have supraspinatus tendonitis. Two weeks of medication didn't reduce my pain much and also a week of physiotheraphy. What to do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You can go for a subacromial injection as it will reduce the inflammation and then after few days of ice packs and anti inflammatory medication, you can start with your physical therapy. 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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Osteoarthritis - A Detailed Guide for Treating it!

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Osteoarthritis - A Detailed Guide for Treating it!

Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.

Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:

  1. Sore or stiff joints – after inactivity or overuse
  2. Limited range of motion or stiffness that goes away after movement
  3. Clicking or cracking sound when joint bends
  4. Mild swelling around a joint
  5. Pain that is worse after activity or toward the end of the day

Treatment Options For Osteoarthritis

Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:

  1. Managing symptoms, such as pain, stiffness and swelling
  2. Improving joint mobility and flexibility
  3. Maintaining a healthy weight
  4. Getting enough of exercise

Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.

Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.

Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.

Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.

Management: Medical:
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.

For Pain Management
NSAIDs
Cox-2 inhibitors
Opioids

Intraarticular Injections

  1. Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
  2. Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year

Surgical Management

Knee pain or functional status has failed to improve with non-operative management

Types of Surgery

  1. Arthroscopic Irrigation
  2. Arthroscopic Debridement
  3. High Tibial Osteotomy
  4. Partial Knee Arthroplasty
  5. Total Knee Arthroplasty

Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.

Joint Replacement Surgery: Joint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.

Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.

Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.

Preventive Measures

  1. People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
  2. In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
  3. X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
  4. Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
  5. A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.
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