Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 43 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. Dinakar
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
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
Submit a review for Dr. DinakarYour feedback matters!
I am going to running from last month and I am feeling pain in my bone and joint, I think it over come in one week if physical work is done but it is still paining.
Occasionally I face severe pain in my neck and shoulder which lasts for a about a week while doing some workout. No swelling is visible tough. I believe there might be some nervous issue.
I am feeling severe pain in the lower back, it happens in the morning and when I sit for long help me. Thanks in advance.
Back pain is one of the most common debilitating disorder in the world today. The pain affects 90% of people at some point of their lives. Human back comprises of various structures (see figure) which are nerves, bones, muscles, ligaments, and tendons, any or all of which can be a source of pain. Once back pain occurs, it may become chronic (more than 4 weeks) and you shall need to consult a pain physician for relief and accurate diagnosis.
Since prevention is always better than cure, you can save yourself from having back pain if you follow these basic tips:
Regular Exercise in Correct Form: Regular exercise is important to maintain proper muscular strength of the back. Human back is supported by several big muscle groups (see figure). They serve two functions - one is to facilitate the posture and movements of the back itself and the other is to help movements of the rest of the body appendages (arms, head, pelvis and legs).The health of these muscle group is important to take stress off the spinal bones and maintain proper function. Most of these muscles are red muscle fibers as they need to maintain their activity for prolonged periods of time. Just to give you an idea - your biceps (arm muscles) have to work only when you bend your arm. But your back muscles have to function all the time - whether you sit, walk, stand or even sleep. But the point is what kind of exercises are good for your back? The best exercises for back include body weight low impact aerobics like brisk walking, swimming, stationary bicycling, extension exercises and yoga. What is important to remember while doing these exercises if that you need to be gentle in your movements and achieve correct "form" - this is possible if you can ask someone (preferably a trainer) to observe and point out whether the back stays straight during the exercise. It has been seen that arching and excessive bending is associated with injury to the back while exercising.
Stay Hydrated and Eat Natural Nutritious diet:The inter vertebral discs contain 70 - 80% water. The muscles and tissues have 60% water content. Therefore, it is important to stay hydrated. In addition, you must eat a nutritious diet consisting of green leafy vegetables, good protein source and just enough carbohydrates. Deficiencies of essential nutrients like Vitamin D can result in diseases like osteoporosis. Another important aspect is to maintain body weight within healthy limits. This is very important as increased belly fat is linked to increased back pain due to mechanical factors.
Lift objects correctly and maintain proper posture: While lifting objects, keep them as close to body as possible. Do not slouch or bend excessively while lifting. Just keep your back straight at all times. You may bend your knees a little if required (see figure). Think before you lift and get help if needed.
While working, you must not sit for more than 45 minutes at a stretch. Walk for two minutes, go to a colleague's desk and say hi or even just drink some water or visit the washroom. Humans evolved as hunter - gatherers and our bodies are more adapted to walking / standing than to sitting for prolonged periods. Those of you who travel more and have to sit for long periods of time also need to follow above tips - avoid prolonged sitting in same posture.While exercising, improper position can do more harm than good. Therefore, proper form and posture is a must.
Bonus tip: Avoid cigarette smoking and those who smoke cigarettes to decrease your chances of having degenerative disc diseases leading to chronic back pain early in life. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
I am confused I got a ankle sprain and 6-7 months have passes n still I have a swelling what should I do now please tell me.
My mother 85 years. Has knee problems for the last 20 years, but now cannot stand up without help for the last 3-4 months. Should we go for knee replacement at this age. Kindly suggest.
I am 71, and having type 2 diabetic, since 25 years and is on tablets. I have numbness in my feet, although I am regularly taking multi vitamin.
Hi my age Is 25 I go on long drives on bike and I work in a mnc my concern is I'm getting back pain from a month and I feel uneasy on the right side of stomach not pain at all but uneasy which won't allow me to do anything.
Frozen shoulder is painful inflammatory condition associated with stiffness and loss of motion in shoulder. The pain gradually grows and becomes chronic leading to restricted movement. Due to inflammatory conditions the muscles surrounding the shoulder becomes stiff. Frozen shoulder has vague triggers, which usually surfaces as a complication commonly in people with diabetes, thyroid disorders, heart disease, and Parkinson's disease and people with chronic rheumatism or arthritis. The general approach towards frozen shoulder is prescription of painkillers, anti-inflammatory and physical therapy to restore the ROM.
What is the suffering
As the chronicity advances the movement of the shoulder is severely restricted, with progressive loss of both active and passive range of motion. The condition is sometimes caused by injury, leading to lack of use due to pain, but can also arise spontaneously with no obvious trigger (idiopathic frozen shoulder). Rheumatic disease progression and recent shoulder surgery can also cause a pattern of pain and limitation similar to frozen shoulder. Intermittent periods of use may cause inflammation.
In frozen shoulder, the synovial fluid becomes scarce resulting in diminished joint lubrication between the head of humerus (Upper arm bone) and the socket of the scapula. Due to friction as precipitating factor, the shoulder capsule swells, thickens and tightens due to stiffness of ligamentous bands of scar tissue. As a result, the joint movement becomes stiff.
How to know
First sign of a frozen shoulder is that the joint becomes so tight and stiff that it is nearly impossible to carry out simple movements, such as raising the arm. The movement that is most severely inhibited is abduction and external rotation of the shoulder. Lots of tests are done clinically to assess the frozen shoulder. One of the best test is “Scratch Test” and 2nd is the Lateral external rotation.
People complain that the stiffness and pain worsen at night or the pain is worse during morning. Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. A therapist or practitioner may suspect the patient has a frozen shoulder if a physical examination reveals limited shoulder movement. XRay of rhe shoulder or an MRI scan may confirm the diagnosis, though its mostly diagnosed clinically.
The frozen shoulder, according to the chronicity is categorised into stages.
Stage one: "freezing" or painful stage, which may last from six weeks to nine months, and in which the patient has a slow onset of pain. As the pain worsens, the shoulder loses range of motion.
Stage two: "frozen" or adhesive stage is marked by a slow improvement in pain but the stiffness increases. This stage generally lasts from four to nine months.
Stage three: "thawing" or recovery, when shoulder motion slowly returns toward normal. This generally lasts from 5 to 26 months.
What to Do
Frozen shoulder makes the person so disable that he cannot work without pain. Management of the frozen shoulder is focused on restoring joint movement and reducing shoulder pain, involving medications, physical therapy and /or surgical intervention. Treatment may continue for months, there is no strong evidence to favour any particular approach. Medications frequently used include NSAIDs and corticosteroids. Alternative medicines like homeopathy, ayurveda also gives great results. Alternative measures like physical therapy, exercise therapy, yoga have good impact in increasing the range of motion.