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Dr. Dinakar

Orthopedist, Hyderabad

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Dr. Dinakar Orthopedist, Hyderabad
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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. Dinakar
Dr. Dinakar is a renowned Orthopedist in Secunderabad, Hyderabad. Doctor is currently practising at Sunshine Hospitals in Secunderabad, Hyderabad. Save your time and book an appointment online with Dr. Dinakar on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 42 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.

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Sunshine Hospitals

Penderghast Road, Secunderabad. Landmark:Beside Paradise Hotel, HyderabadHyderabad Get Directions
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Madelung's deformity - some sort of bone disorder is this treatable at the age of 27 (female. My sister have it, her one of the bone in hands is abnormal xtra growth may be if not treatable in india thn which country which hospital is the best.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Madelung's deformity is usually characterized by malformed wrists and wrist bones, accompanied by short stature and is often associated with Léri-Weill dyschondrosteosis. It has only been recognized within the past hundred years. Causes of Madelung Deformity There are four types of Madelung deformity Post traumatic Following trauma that disrupts growth of the distal radial ulnar-volar physis. Dysplastic Associated with bone dysplasias like multiple hereditary osteochondromatosis, Ollier disease, achondroplasia, multiple epiphysial dysplasias, and the mucopolysaccharidoses. This type can also be seen secondary to sickle-cell disease, infection, tumor, and rickets. The most important dysplasia associated with Madelung deformity, however, is Leri-Weill dyschondrosteosis. Genetic About 30% of cases of Madelung deformity are transmitted in an autosomal dominant fashion though there us a variable expression and 50% penetrance. Madelung deformity is bilateral in about 50% of the cases. Most common chromosomal association is with Turner syndrome where mutation has been found in short stature homeobox-containing gene, SHOX, present on X chromosome. But families with this mutation and individuals with Turner syndrome and families with a history of MD have been shown to exhibit a variable expression of MD and dyschondrosteosis. This raises a possibility of a modifier gene on another area of the X chromosome or on an autosomal gene may be involved. Idiopathic Where no cause or association can be found. The exact nature of the pathologic process that causes the disturbance in the growth of the distal radial physis is unknown. When Madelung deformity is a hereditary disorder, it is transmitted as an autosomal dominant trait with incomplete penetrance. Sporadic forms do occur. It is more common in the females and involvement is frequently bilateral. Treatment of Madelung Deformity Surgery is indicated for relief of pain and cosmetic improvement. Function is usually only minimally improved. Nonoperative management may be helpful in skeletally mature individuals with mild-to-moderate short-term wrist pain due to distal radioulnar joint or radiocarpal joint. The treatment involves splintage and decrease in activity levels. The pain that is caused by the tension within the Vickers ligament does not improve with these measures and may need Release of the ligament alone or in combination with an osteotomy When patient has attained skeletal maturity, the treatments to be considered are osteotomy and aadioscaphocapitate arthrodesis if joint congruency can be achieved. Darrach or Sauve-Kapandji procedure if distal radioulnar joint congruency cannot be achieved. No specific contraindications to surgery exist other than those associated with any elective surgical procedure. The decision of surgery is guided by patients age and remaining growth potential, severity of deformity and symptoms along with radiographic findings Surgical procedures either correct the primary deformity of the radius or make compensatory change in the ulna or both. The goal of ulnar procedures is to change the relationship of the relatively long ulna to the radius. Vickers physiolysis When the deformity is noticed early and significant growth remains, changing the growth pattern of the distal radial physis to correct the deformity is possible. The Vickers ligament originates on the radius in a fossa, is 5-7 mm thick and inserts into the anterior surface of the lunate and the anterior radioulnar ligament portion of the triangular fibrocartilage complex. This ligament could be a cause of pain in Madelung deformity. It is said that the lesion is both bony and ligamentous and physiolysis [resecting the bony and ligamentous lesion] allows for a normal and compensatory growth to correct the deformity. Osteotomy of radius This is considered in older child when remaining growth is insufficient. The osteotomy can correct the position of the distal radiocarpal joint surface and brings the radius and ulna into a more proper position. It could be closing or opening wedge osteotomy. An ulna-shortening procedure can be performed along where required. Ulnar Procedures Because the radius is volar, the ulna appears to be subluxated dorsally and the incongruence at the distal radioulnar joint and impingement of the radius on the ulna in supination could lead to pain and stiffness. Following ulnar procedures have been described to allow rotation Ulnar shortening Darrach Procedure Sauve-Kapandji procedure Fusion of distal radioulnar joint Arthrodesis This is considered in the skeletally mature patient who presents with pain and in whom physical examination demonstrates limitation of motion and severe radiocarpal joint incongruity Prognosis of Madelung Deformity Pain relief and correction of the cosmetic deformity are main goals of treatment and most of patients attain both of them. Range of motion usually is only moderately improved at best.
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2 se 3 din se muje back side me jalan aur dard mahsus kar raha hu kabi kabi dard stop ho jata he kabi kabi jayda ho jata he Aur 2 se 3 din se dekhar jayada aati he and toilet bhi 2 baar ho rahi he please reply doctor.

MPT, BPT
Physiotherapist, Noida
2 se 3 din se muje back side me jalan aur dard mahsus kar raha hu kabi kabi dard stop ho jata he kabi kabi jayda ho j...
Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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I am suffering from diabetics type 2 (10 YEARS) along with sinus and hyper acidity (40 years). Taking allopathic medicines for above. It has reduced .Diabetic after morning dose is 110/ 180. Cervical spondylitis in neck and numbness in feet is affecting now. Taking conium 200 for it. Doing neck exercise as well. What are regular homeopathy medicines for effective control on regular basis.

BHMS
Homeopath,
I am suffering from diabetics type 2 (10 YEARS) along with sinus and hyper acidity (40 years). Taking allopathic medi...
If you need temporary relief from this complaint you can take colocynth 30, Kali phos 6X, like that, but if you want permanant cure you want to consult properly with full details of u, and want to take homeopathic treatment. Thankyou.
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I am 55 yrs from mumbai. Any effective remedies and exercises for knee and shoulder pain.it is rheumatic arthritis as per doctors and in initial stage.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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 & 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 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
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Dear sir/madam, I am 40 years old past 6 months I am suffering with knee pain & legs having slight swelling, my weight is 82 kg, I wont get time for walking & exercise. I am working women, these days I am not able to sit on floor and low seating while getting up my knees were paining a lot my office timing are 9: 30 to 6: 30 and my journey up and down 3 hours. So I wont get time for exercise. Please give me some tips, food and medicine for my weight loss & knee pain. Thank you.

FAMS, MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Indore
Dear sir/madam,
I am 40 years old past 6 months I am suffering with knee pain & legs having slight swelling, my weigh...
Dear you are suffering from osteoarthritis of the knee joints. You will have to reduce your weight drastically by what ever means (consult a dietician). You must change your life style. Use a commode and avoid stairs. Learn exercises from a physiotherapist and spare time for doing them as you spare time for bathing, pooja or eating. They are simple and can be done any where. Even in office and while waiting for bus or metro. Do hot fomentation and apply a pain killer gel and support your knees with 6" crepe bandages 2 for each knee. Take a sachet of collaflex for about 3 months and a pain killer sos. If of no avail. Consult an ortho. Surgeon and get investigated and x-rayed. Take care.
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Hi I am 65 years old man rtd civil engineer. I have de quervains disease rt wrist and trigger finger two fgrs for the last three months naprocyn 500mg and ointment do not respond. I am diabetic under control forsix years. Kindly guide me for wrist pain remedy

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Dequervain' s teosynovitis affects 1st extensor compartment tendons and is very painful. You also have trigger finger issue. Please if you pain and triggering are too much, then I would advise you get a surgical release done as it is a small procedure which can be done quickly in daycare. If you do not wish to do that, I can advise brace, ice packs and anti-inflammatory medications can be tried for some time but if there is no relief then it' s wise to undergo surgical release. Please do not hesitate to contact me if you need any further assistance.
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My rgt shoulder gets dislocated while throwing anything n sometimes while sleeping. 1st time dis happen while playing cricket. Iam suffering frm this pain frm past 7 year. please help me.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
My rgt shoulder gets dislocated while throwing anything n sometimes while sleeping. 1st time dis happen while playing...
Dear Ashok. This is perfectly curable by surgery. surgery is the only option. Dr Prashant Parate Shoulder and Knee Surgeon Arthroscopy and Joint Replacement Specialist Sports injuries Specialist.
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I just went for run today morning and I felt a slight pain in the right side of my foot. So I stopped running and I came by walk. Still when I walk around I'm feeling too painful. Please get me some solutions! I got a marathon this week.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I just went for run today morning and I felt a slight pain in the right side of my foot. So I stopped running and I c...
Get treated with Ultrasonic therapy which would directly heal the calcaneal spur (inflammation of the calcaneum bone) which causes the heel pain in majority of the cases. Along with ultrasonic therapy, shortwave diathermy also can be given. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the weight evenly in the feet so that the weight will be completely felt in the heel area. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the Plantar Fascitis weight evenly in the feet so that the weight will be completely felt in the heel area. You shall do contrast bath to relieve this pain. Contrast bath is nothing but keeping in one tub hot water (bearable heat) and in another tub cold water Ask your father to apply ice in the painful area which would definitely help to greater extent. If still the pain persists then it is better to keep TENS stimulation at one of the nearby physiotherapy clinics.
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I am a 18 year old boy. But I am too much disturbed from my knee pain. This not a age of that type of pain so what should I do for relief.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am a 18 year old boy. But I am too much disturbed from my knee pain. This not a age of that type of pain so what sh...
Do Take UST and laser Therapy for pain relief for 10 days followed by strengthening exercise from Neuro physiotherapist best wishes
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I have ayurveda therapist job my main problem is hand pain I yousing pain killer tablet.

MS - Orthopaedics, MBBS
Orthopedist, Pune
I have ayurveda therapist job my main problem is hand pain I yousing pain killer tablet.
Hello lybrate user, refrain from consuming pain killers (analgesics) as they may have side effects that you are not aware off. Hand pain may be due to fatigue, exhaustion due to your profession. Mention if the pain is associated with tingling / numbness and refer back. In that situation we may need to get some radiological assessment done. God bless you.
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