Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 27 years of experience on Lybrate.com. You can find Orthopedists online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. C. Ravi
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
Submit a review for Dr. C. RaviYour feedback matters!
My mother, of 53 years old, have been taking a single dose of Newbona Fem tablet everyday, for around 1 year 2 months, since she is a patient of Severe Osteoarthritis in lower backbone and knee. Today I have seen in net that Newbona Fem tablet can develop cancer in a person. I have told my mother to stop that medicine. I just want to know that does my mother has a chance of developing cancer? Please kindly reply.
Osteoarthritis, although a disorder occurring in old age, can affect young people too. What exactly is osteoarthritis? It is a condition in which the cartilage in the joints, which act as cushioning between two bones, start wearing away. This causes the bones of the joints to rub against each other, thereby resulting in pain, stiffness, swelling, inability to move freely and sometimes formation of bone spurs. Also, the bones become susceptible to more damage because the shock absorbing capacity is decreased.
The most common cause of osteoarthritis is age and almost everybody will develop some degree of this disorder at some point. However, there are risks of developing this disorder at earlier ages too. The possible reasons are listed below.
- As already discussed, age is one of the main reasons for the wearing off of the cartilage tissues.
- Excess weight causes a lot of increased pressure on the joints, especially knees, thereby causing the cartilage to wear out faster, leading to osteoarthritis.
- Some people develop osteoarthritis in the knee due to inherited abnormalities from previous generations.
- Women are more susceptible to this disorder than men. Women above 55 years are likely to experience osteoarthritis in the knee.
- The occupation of an individual can also be a reason for this disorder. Those individuals who have jobs in which repetitive stress to the joints is normal, they tend to suffer from osteoarthritis in the knees earlier.
- Athletes who are involved in football, tennis, running, etc. are also susceptible to osteoarthritis in the knees. However, regular and moderate exercise helps in strengthening the joints and thereby decreasing the risks of this disorder.
- People with metabolic disorders, who have excess iron or excess growth hormones, tend to have a higher risk of osteoarthritis.
- Engaging oneself in a number of physical activities causes an increase in pain, but it gets better with rest.
- Swelling around the knee area occurs.
- Joints feel warm.
- The knee becomes stiff, which occurs most when one has been sitting for a long time.
- Mobility of the knee is decreased and it becomes difficult to sit and get up after sitting.
- Crackly and creaking sounds are heard when the knee moves.
There are various treatments of osteoarthritis, but one of the main remedies is weight loss. Doctors recommend certain specific exercises to reduce the pain. For medications, certain anti-inflammatory drugs and pain relievers are suggested. There are many more treatment methods, but these are some of the most effective ones. In case you have a concern or query you can always consult an expert & get answers to your questions!
Herniated disc, bulged disc, protruded intervertebral disc (PIVD) are the different names of one condition. This is a condition where- disc in between the two vertebral bodies starts peeping out on one side- anterior or posterior. These discs are just like the bags filled with liquid material, which work like shock-absorbent. There are several hard bony vertebrae in the vertebral column and there is plenty of movements with these vertebrae. When we look on one side to other side, we look upwards, downwards or we twist and even we bend forward or backward in each and every condition, there will be a movement in these bones, these discs decide the free movements of the spine. Along with this- when we walk or run there will be shocks and jerks to all these bones and these bags decide that there wont be any kind of jerks in between the bones. So, these discs are of multiple uses.
Our spine is inverted “S” shaped. There are two main curvatures in the spine which are free to move- Cervical and Lumbar curvatures. These curvatures of the spine are maintained due to the spaces in between the two vertebrae. Whenever there is a loss or change (specially reduction) of this space between two vertebrae- pressure will be exerted on the intervertebral discs. This uneven pressure on the disc causes- protrusion/bulge/herniation of the disc- this is the condition known as SLIPPED DISC, in layman language. Why does disc slip
Generally, slipped disc condition is diagnosed by its signs and symptoms. When slipped disc starts exerting pressure on the nerves surround the disc- the nerve will be excited which gives sensation of- Pain, Burning or Numbness in the related area of the nerve. This sensation can travel long far away to the areas, which are being supplied by the nerve and can be limited to a particular location in neck or back even. Sign & Symptoms of Slipped Disc.
Ayurveda about Slipped Disc
Where modern medical (Surgical) sciences believes that this is a problem of just bones and joints of the vertebral disc besides this Ayurveda takes a “Wholistic” (Complete and wholesome) approach towards this and tells that this is a problem at three levels-
- Mamsa Dhatu, Asthi Dhatu, Majja Dhatu!
- These are different tissue levels according to Ayurveda- Mamsa is muscles, Asthi represents bones and the Majja denotes everything which is in between and in the bones.
- Mamsa (the muscles) starts stiffening due to the dryness – improper diet and imbalanced lifestyle and deteriorate the curvature of the spine- which leads to the deterioration of the intervertebral discs.
- Asthi (the bony tissue) is affected due to the muscles.
- Majja (the disc and the neural tissue- spine) is compressed due to the pressure and all effects.
So, we need to treat the condition, wisely and in a wholesome manner, rather just to removal of the protruded tissues (Laminotomy) and this is the basic reason- there are risks associated to the surgery of the spine and in almost more than 45% cases patients had to go for a second surgery to stay pain free. Why Surgery for spine doesn’t succeed. Secondly, this is a mechanical problem so medicines alone can give you temporary relief rather than the cure- So better you save your money and invest it on complete cure for the problem, rather than just taking the pain killers and medicines which were indicated in epilepsy to just reduce the signs and symptoms.
In case you have a concern or query you can always consult an expert & get answers to your questions!
What is Osteoarthritis of Knee?
Osteoarthritis of the knee (knee OA) is a progressive disease causing inflammation and degeneration of the knee joint that worsens over time. It affects the entire joint, including bone, cartilage, ligament, and muscle. Its progression is influenced by age, body mass index (BMI), bone structure, genetics, strength, and activity level. Knee OA also may develop as a secondary condition following a traumatic knee injury. Depending on the stage of the disease and whether there are associated injuries or conditions, knee OA can be managed with physical therapy. More severe or advanced cases may require surgery.
Symptoms of knee OA may include:
- Worsening pain during or following activity, particularly with walking, climbing, or descending stairs, or moving from a sitting to standing position
- Pain or stiffness after sitting with the knee bent or straight for a prolonged period of time
- A feeling of popping, cracking, or grinding when moving the knee
- Swelling following activity
- Tenderness to touch along the knee joint
Physiotherapy For OA Knee
Here are 5 exercises to help you take control of your knee OA. These exercises are recommendations. Before doing them, get your doctor's okay. Never push through pain with these exercises—you may be doing your joints more harm than good. Soreness is normal when starting an exercise program, but if it doesn't go away, call your doctor.
1. Knee OA Exercise #1: Standing Quadriceps Stretch
Stretching your quadriceps can ease tension in the knee joints.
- Stand with feet hip-distance apart.
- Bend your right knee and hold the top of your right foot with your right hand.
- Bring your right heel as close as possible to your glutes. You can use a wall for balance.
- Hold for 30 seconds, and repeat on the left leg.
- Do 3 times once a day.
Knee OA Exercise #2: Standing Calf Stretch
This gentle calf stretch increases flexibility in your leg muscles and knee joints.
- Bring your right foot a few feet in front of your left foot. Bend your right leg, making sure your knee doesn't go past your toes.
- Keeping your left leg straight, press your left heel toward the ground to stretch the calf of your back leg.
- Hold for 30 seconds. Repeat on opposite leg.
- Do 3 times daily.
Knee OA Exercise #3: Seated Leg Raise
The seated leg raise exercise helps strengthen muscles around your knees.
- Sit on a chair with both legs bent at 90°.
- Slowly raise your right leg so that it's parallel to the floor, keeping your left foot on the ground.
- Hold for 30 seconds, then slowly bring the right foot back to the floor, and repeat on left leg.
- Do 10 times twice a day.
Knee OA Exercise #4: Step-ups
Step-ups strengthen your legs, making it easier for you to do everyday things like climb stairs. You'll need an exercise step, or use a bottom stair in your house.
- Stand in front of the stair with feet hip-width apart.
- Step onto the stair with your right foot, then with your left foot.
- Step down in reverse: Your left foot reaches the ground first, then the right foot.
- Go at your own pace for about 30 seconds at a time. For balance, use a railing.
- Do 10 times twice a day.
Knee OA Exercise #5: Static Quadriceps Contraction
- With your knee relatively straight, slowly tighten the muscle at the front of your thigh (quadriceps) by pushing your knee down into a small rolled up towel.
- Put your fingers on your quadriceps to feel the muscle tighten during the contraction.
- Hold for 5 seconds and repeat 10 times as firmly as possible without increasing your symptoms.
What if I Need Surgery?
In some cases of knee OA, the meniscus (shock absorber of the knee) may be involved. In the past, surgery to repair or remove parts or all of this cartilage was common. Current research, however, has shown in a group of patients who were deemed surgical candidates, 60-70% of those who participated in a physical therapy program, instead of surgery, did not go on to have surgery. Further, after 1 year those outcomes were unchanged. This study suggests that physical therapy may be an effective alternative for those patients who would like to avoid surgery. If you wish to discuss about any specific problem, you can consult a physiotherapist.