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Dr. Shriram Garg

MBBS

Rheumatologist, Gurgaon

13 Years Experience  ·  800 at clinic
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Dr. Shriram Garg MBBS Rheumatologist, Gurgaon
13 Years Experience  ·  800 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Shriram Garg
You can book an instant appointment online with Dr. Shriram Garg on Lybrate.com.

Lybrate.com has top trusted Rheumatologists from across India. You will find Rheumatologists with more than 37 years of experience on Lybrate.com. You can find Rheumatologists 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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Specialty
Education
MBBS - . - 2004
Languages spoken
English
Hindi

Location

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Max Hospital-Gurgaon

B-Block, Phase-1, Sushanth Lok 1. Landmark:Near Huda Metro station & metro pillar no 190, GurgaonGurgaon Get Directions
800 at clinic
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One year back I am fell-down from bike. That day onwards I am getting small sound from my knee while siting and standing time. I am feeling little Un comfort also while climbing steps But not that much pain. Please help me with your suggestion.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
One year back I am fell-down from bike. That day onwards I am getting small sound from my knee while siting and stand...
Avoid Squatting- Avoid sitting Cross legged Contrast bath---It is a form of treatment knee is applied warm water followed by the immediate application of the knee with ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.
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I am a 26 years old guy. I am having knee pain after I do the masturbation (not doing it very frequently). My weight is 60 Kg and height of 172 CM. What is the issue with my knee, Should I consult to some orthopedic expert? The pain remains for 1-2 days.

MPT, BPT
Physiotherapist, Noida
I am a 26 years old guy. I am having knee pain after I do the masturbation (not doing it very frequently). My weight ...
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Sports Taping- stretch the tape from both ends and apply on the affected area Contrast Fomentation (Hot and Cold).
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Rt Knee Joint pain since 10 years. Recently aggravation in symp of pain edema (pedal and local) tenderness mild dilation of veins locally. MRI showing complete tear in medial meniscus, intrasubstance signal in anterior horn of lateral meniscus; degenerative change in femoral tibial joint space and patellar-femoral joint space. Ganglion cyst in posteromedial aspect of tibia along with tibia femoral joint. Pls suggest the treatment plan and give further guidance; waiting for your opinion. Thank you.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Rt Knee Joint pain since 10 years. Recently aggravation in symp of pain edema (pedal and local) tenderness mild dilat...
It looks like you have ignored the problem for long time. 10 years is too long period. You are just 28 and all findings of MRI are suggestive of damage to meniscus, and Knee joint which is usually seen after 50 years of age. You need to undergo Arthroscopy surgery. Meniscus should be repaired if it is repairable, though chances of repair are low as it is very old injury as per your history. Need to see MRI images to comment more.
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I am 38 years old and I have pain in my knee from last one month what should I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am 38 years old and I have pain in my knee from last one month what should I do?
Your daily habits or age may be the root of your knee problems. Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation, glucosamine supplement has also may help, I can prescribe a detailed treatment plan. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I have been suffering from knee pain since three months and I have gained 5kg weight during this time and now I have come to know that I have hypo thyroid. Please tell what should I do for my pain n increase in weight.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have been suffering from knee pain since three months and I have gained 5kg weight during this time and now I have ...
For pain do take ust and laser therapy for pain relief for 10 days followed by strengthening quadriceps and hamstring muscles apply hot and cold water fomentation for thrice a day for 12 days for 10 minutes duration each time regularly avoid stress anxiety and anticipating the things
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Hello doc. i am a 30 years old women. I would like to know about my health as had gone section from my first baby just 5 months back. M getting lot of pain on my back nearly lumbar and knees too. M in lot of depression.. please suggest me in order get rid of all these.i am working women. Really difficult to carry on my daily routine..

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Hello doc.
i am  a 30 years old women. I would like to know about my health as had gone section from my first baby ju...
I understand your feelings. No need to frustrate. Pl tell me if it was lumbar anaesthesia during section? For other pains including lumbar if you have uric acid, ESR, RA , X-ray reports etc - to assess cause. For the time being pl take pure turmeric in warm milk or water. Have light massage by Ayurvedic vatnashak oil e.g. Mahavishgarbh oil by warming it. Pl report in a week with reports for further management. Be stress free by little practice of Pranayam and Meditation.
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Sir/madam, My mother is 69 years old, 8 years back she had a knee operation on one leg, some time she had severe pain, so kindly suggest AYURVEDIC medicine for pain relief.

BPTh/BPT
Physiotherapist, Kota
Sir/madam,
My mother is 69 years old, 8 years back she had a knee operation on one leg, some time she had severe pain...
McKenzie Exercises These back exercises are named after a physical therapist in New Zealand who found that extending the spine through exercise could reduce pain generated from a compromised disc space. Theoretically, extension exercises may also help reduce the herniation of the disc itself and reduce pressure on a nerve root. There is a wide range of McKenzie exercises, some of which are done standing up while others are performed lying down. All of these upper and lower back exercises use core muscle contraction and, usually, arm motions to stabilize the trunk and extend the spine. McKenzie exercises may also be helpful for those individuals who have back pain due todegenerative disc disease. While sitting or flexing forward can accentuate low back pain for patients with degenerative disc disease, extending the spine can serve to relieve the pressure on the disc. Note that the opposite is true in elderly patients who have facet osteoarthritis and/or lumbar stenosis (extending the spine jams the facet joints on the back and increases pressure across the joints, so these With this back exercise technique, the physical therapist first tries to find the patient’s" neutral" spine, or the position that allows the patient to feel most comfortable. The back muscles are then exercised to teach the spine how to stay in this position. This back exercise technique relies on proprioception, or the awareness of where one’s joints are positioned. Performed on an ongoing basis, these back exercises provide pain relief and help keep the back strong and well positioned. Lumbar stabilization back exercises may also be done in conjunction with McKenzie exercises. The McKenzie exercises serve to reduce back pain, and the lumbar stabilization exercises help strengthen the back. Stabilization back exercises can be rather rigorous and therefore may not be well tolerated by all patients. It may be advisable for elderly patients or patients in significant pain to use other less strenuous means of physical therapy and back exercise to strengthen the back. Patients will typically feel better sitting, and have more pain with extension).
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Hello doctor! I'm 29 height is 5 ft weight 36 kg only, and I have hypothyroid my tsh level was 118 which came to 20 by unani medicines and even I gained weight now since 3 months I'm taking unani medicine and since then I got so many pimples on my face and now it's been 3 months my pimples are not subsiding and now again my weight loss and got insomnia problems Will hempushpa solve acne and insomnia. Thank you.

BHMS, PhD Arthritis
Homeopath, Chennai
Hello doctor! I'm 29 height is 5 ft weight 36 kg only, and I have hypothyroid my tsh level was 118 which came to 20 b...
Hi, repeat your thyroid function test. T3,4 and TSH acne may be due to hormonal imbalance. Drink more water 4_5 liters. Avoid spicy and junk food. Homeopathic medicine can cure your acne and other complaints. After taking a test contact me for further. Take care.
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I am 56+ years old Suffering with diabetic. Fasting sugar 185 and after 265. Every day 1 km. And also suffering with knee pains. What can I do

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query. You have to take care of your diabetes as per your general physician/diabetologist advice. As far as your knee pain is concerned, it can be due to some degeneration setting in the joint which we call as arthritis. I need to know duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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I am 58 years old male and have pain in my both the knees for last six months. Taking Rosiflex Trio OneTab BD since 10/01/2016. What should more I do?

BPTh/BPT
Physiotherapist, Kota
I am 58 years old male and have pain in my both the knees for last six months. Taking Rosiflex Trio OneTab BD since 1...
Back pain or HIP PAIN k liye back isometrics exercise kijiye or hot fragmentations kijiye. For word bandings mat kijiye. Long time ek hi positins m mat rahiye. Breegings exercise bilateral or single leg rotation kijiye phle without weight kijiye fir 1-2kg weight cuff se kijiye rotations kijiye leg single -single than avoide kijiye stair clabbings sweelings ho to ice ki massage kijiye back pain ko ap darr mat smjiye ap low back belt bi use m laa sakte h vo kisi bi tarah k jurck se apko bacha ti h deep breathing exercise kijiye I hope get well soon… thnx. Shoulder pain or elbow pain or HAND PAIN k liye ap ice massage kijiye … jurck se bachiye or shoulder wheeler exercise kijiye. Clapping kijiye. Sweeling aye to ice massage kijiye ……rotation krte rahiye. Elbow m pain ho to ap ultra sound lgaiye 4-10 days pulley exercise kijiye or weight cuff bandh kr 1-2kg k weight cuff se pendullaer exercise kijiye…. I hope get well soon thnx. Wrist pain k liye stimuleter ka use kr sakte h …. Or fingers k liye mobilization bi krsakte h I hope get well soon……thnx Leg pain k liye calf stretchings or periformis stretchings or T. F. L stretching ilio psos muscles ki stretching kijiye sweelings ho to ice pack kijiye or sweeling nhi ho to hot pack ka use ap kijiye. Heel track kijiye… weight cuff 1-2kg use kijiye or leg exercise kijitye hips up nd down exercise kijiye…. Walking kijiye phle edii rakiye fir panjaa rakijiye 6-9 kaadaam chalet huye apni walking ki capacity incress kijiye daily 1000 kaadaam ap chaliye …deep breath lijiye pani jada se jada pijiye ……. Long sitting, standing, clambing avoide kijiye I hope ap jaldi ache ho jayege thnx. KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx……
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When I go to walk or run, My left leg knee is paining from the backside of joint?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
When I go to walk or run, My left leg knee is paining from the backside of joint?
this back pain is due to no back exercise.... due to this muscle get stiff .... when suddenly you get move fast that time this stiff muscle get break and pain start..... in ayurved there is mentioned one procedure KATI BASTI ....DO THIS FOR FIVE DAYS WITH MEDICATED OIL if you want to do it you should do it under doctor observation .... so consult ayurvedic doctor near you ... you will definitely get good result ..
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Knee Replacement Surgery - What To Expect?

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Pune
Knee Replacement Surgery - What To Expect?

You know it’s time for a knee replacement surgery when you can’t walk, move or get up from a chair without pain in spite of taking medications, physiotherapy and following a pain management therapy for a long time. Knee replacement surgery is also known as arthroplasty, and it’s one of the most common bone surgeries around.

Causes of Knee Pain
Most people suffering from arthritis of any kind- osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis are the ones who may require a knee replacement surgery when their condiition becomes severe.
It helps ease pain and helps one move freely.

  1. Osteoarthritis- This is mostly caused due to age-related ‘wear and tear’ of the knee joint and usually occurs in people who are older than 50 years. In this condition, the cartilage that cushions the three main bones of the knee wears away. This makes the bones rub against one another, causing stiffness and knee pain. Osteoarthritis is the main reason why people go for knee replacement surgery.
  2. Rheumatoid arthritis- In this type of arthritis, the synovial membrane that surrounds the knee joint becomes inflamed. This chronic inflammation then damages the knee cartilage and leads its loss and attendant pain, and stiffness.
  3. Post-traumatic arthritis- This happens after a serious knee injury. It can lead to tears of the knee ligaments and bones which leads to damage to the knee cartilage.
  4. Loss of blood flow to the bones – osteonecrosis – also may require knee replacement surgery.
  5. Those with deformities like knock knees and bowed legs also may require knee replacement.

Knee Replacement Surgery
During this surgery, an orthopedic surgeon removes the damaged part of the knee and replaces it with an artificial metal or plastic joint. This artificial joint is then attached to the thigh bone, the shin, and the kneecap with a special cement-like material.

Different Types of Knee Replacement Surgery

There are four main types of knee replacement surgery-

  1. Total knee replacement- This is the most common type of surgery. In this, your surgeon replaces the entire knee including the thigh bone and shin bone that connect to the knee.
  2. Partial knee replacement- This type of surgery is performed if arthritis affects only one side of your knee. However, this type of surgery is done only if you have strong knee ligaments. This is performed through a smaller cut than is needed for total knee replacement.
  3. Kneecap replacement- This type of surgery replaces only the under-surface of your kneecap.
  4. Revision knee replacement- This is a complex surgery which is performed in case you have very severe arthritis.

A knee replacement is actually a knee "resurfacing" because only the surface of the knee bones is actually replaced during the procedure. It is a relatively safe procedure and the patient does not have any side effects. All a patient is required to do is take proper rest and follow the instructions of your doctor. If you wish to discuss about any specific problem, you can consult an Orthopedist.

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My mother is suffering from oa of knee & trk is suggested by the doctors. Please provide suitable hospital with estimated cost for knee replacement, if it is required. I shall be thankful if you kindly suggest some medicines for her treatment. Kindly suggest whether knee pain relief belt will be helpful to get some relief from pain. If so please suggest me specific belt and brand which will be helpful for her.

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
My mother is suffering from oa of knee & trk is suggested by the doctors. Please provide suitable hospital with estim...
Hello, please send me your all investigation report to rule out her problem. These types of problems are may be due to overweight or deficiency of vitamin d3 and calcium or due to poor posture. Till then follow these advises:- 1. Take calcium supplements and sun bath daily to prevent further damage to your joints. 2. Avoid heavy lifting. 3. Avoid squatting and weight bearing activities. 4. Use western toilet. 5. Wear shock absorbing, good quality of shoes while walking. 6. Keep roll of a towel under your knees while sleeping. 7. Perform some gentle exercises and stretching of your all joints before getting out of your bed. 8. Walk straight with shoulder protracted. 9. Perform deep breathing exercises or yoga for proper functioning of lungs. I can explain you stiffness and pain reducing techniques, if interested. Wish you a happy and pain free life thanks.
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Sir my mom suffering knee bone joint pain since one month she is 50 years old please suggest medication.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Sir my mom suffering knee bone joint pain since one month she is 50 years old please suggest medication.
tk calcium supplements. physiotherapy treatment. quadriceps exercise. must . arthritis OA is there . confirmation by bilateral knee X-Ray
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I got an mri of my left knee and report says complete disruption of acl fibres? Is surgery only option or physiotherapy can help with it?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I got an mri of my left knee and report says complete disruption of acl fibres? Is surgery only option or physiothera...
Before advent of MRI & ARTHROSCOPIC SURGERY these patients were treated with medicines Plaster cast & physiotherapy with almost equally good results.
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I have knee pain while I stand from pro long sitting or lying. It take me a while to stand properly and walk. Wht could be the reason?

BPT
Physiotherapist, Lucknow
I have knee pain while I stand from pro long sitting or lying. It take me a while to stand properly and walk. Wht cou...
Dear sir. Your leg muscles r weak so knee in stress may in pain so please start knee isometric exercise. Thanks.
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In my family no one is diabetic, my age is 36, blood sugar was before brake fast 81 and after that 181 in urine 7.5. My weight is 80 and I have knee pains and gyniac problem of dismenohrea due to this I am facing lots of difficulties like vomiting, abdominal pain, over bleeding for 3 days. I dont know what to do. Daily two times I use to take chapati & tea for 2 times, one time rice, is it okay. I will control my diet. I am having 6 years old daughter she is so small. Sir please tell me what I do?

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take.
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I am a 79 year old man, with reasonable health. I practice yoga asanas on alternate days and walk in the morning on other days. From one year I feel I am loosing balance and I stoop forward unconciously while walking. My knees do not seem to be strong enough and wobble a little early in the morning. I dont have sugar or high b. P. From a few months I feel I get tired very quickly. Any remidy for this?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
For a 79 year old, your health is not just" reasonable. It is remarkable! keep going. Sleep well, continue to exercise & you will be fine.
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I am 25 years old I am suffering from knee pain please help me doctor plezzzzzzzzzzzzzzzzzzzzzzzz help me doctor I am suffering so pain.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 25 years old I am suffering from knee pain please help me doctor plezzzzzzzzzzzzzzzzzzzzzzzz help me doctor I am...
Homoeopathic medicine adel 4 (adel) drink 20 drops in 20 ml fresh water 3 times daily. Vitamin-d plus (bakson) chew 1 tab daily drink 2 glass milk daiy and rest accordingly.
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Sr mujhe kabaddi khelane me right knee me chot lag gai thi. Tho mene ukska operation karwa diya Tha Doctor Sab ne batay Tha ki literal meniscus tear hain mene operation Kawa diya Sr par fir bhi mera knee thik nahi huwa Sr mene isme orthoscopi kawai thi Sr mujhe ab kya karna chahiye.

BPT, BPTh/BPT
Physiotherapist, Delhi
Sr mujhe kabaddi khelane me right knee me chot lag gai thi. Tho mene ukska operation karwa diya Tha Doctor Sab ne bat...
do knee , hip strengthening exercises precautions: 1avoid stressing your joint 2 avoid running 3 check for vit d, b12, uric acid do stretching exercises of quad , ham , calf muscles before playing
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