Lybrate.com has a nexus of the most experienced Orthopedists in India. You will find Orthopedists with more than 41 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. Sanjib Kumar Behera
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. Sanjib Kumar BeheraYour feedback matters!
Any condition that affects the functioning of the bones, joints, ligaments or muscles is categorized as an orthopaedic issue. This includes whiplash, joint pain, torn cartilage, fibromyalgia etc. Most of these conditions can be easily treated. The good news is that with a little care, they can be prevented as well. Here are a few tips:
- Eat Right: Having a well-balanced, healthy diet is key to preventing orthopaedic trouble. Amongst vitamins, vitamin D is the most important for bone health. This vitamin helps the body to absorb calcium from food. Amongst minerals, calcium is most important. This mineral is essential for good bone density and can help reduce the risk of fracturing a bone.
- Exercise Right: Exercise helps boost flexibility and keeps your joints supple. This also improves your body balance and keeps you away from being clumsy. Along with this, exercise also strengthens the muscles. Walking and swimming are great exercises for bone health. You could also try yoga. When practicing yoga, it is important to perform each asana correctly. For this reason, it is a good idea to learn the art of yoga from a certified teacher.
- Wear the right shoes: Shoes play an important role in cushioning your feet and supporting your knee joint. The knee joint, in fact, one of the most susceptible to joint trouble. For this reason, it is important to wear the right shoes. Walking and running shoes should ideally be light, have a thick, well-cushioned sole and fit right. Do not wear shoes that are too small or too big for your feet.
- Drink plenty of water: Water keeps the body hydrated and aids in the absorption of nutrients from your diet. If you do not drink enough water, the body will not be able to digest food. This will keep you from getting the vitamins and minerals you need even though your diet may be rich in them. Ideally, one should drink 8-10 glasses of water a day. Any other liquid such as tea, coffee, soft drinks etc. cannot be used as a substitute for water.
- Maintain the right posture: The way you walk, sit, lift objects etc. also affects your bone health. Do not drag your feet but lift them with each step while walking. Bend your knees when bending. Do not lift heavy weights from a standing position. Bend you knees while keeping your back straight and then lift the object. To keep pressure from falling on your spine, tighten your stomach muscles.
Most people start suffering from some type of orthopaedic disorder as they enter into their forties. Since most orthopaedic problems are degenerative in nature or limit normal movement, it is best to know how to prevent their onset. A commitment towards leading a healthy life, which includes a good diet and daily exercise, often goes a long way in keeping us fit and active.
ACL which stands for Anterior Cruciate Ligament is a common form of injury for people involved in sports. Tear of ACL can be an extremely painful and debilitating injury. The prospect of having to undergo a surgery for reconstruction will definitely have certain concerns and questions.
Here are some brief questions and answers that are commonly asked and can offer an insight into the topic.
Q1. Who should undergo an ACL reconstruction surgery?
ACL reconstruction surgery is the most suitable treatment option for patients who are physically active. It is especially recommended for athletes who play sports requiring pivoting. If you have an injury in more than one ligament or have knee instability, then ACL reconstruction surgery may be recommended. Patients who lead an active lifestyle are prone to injuring their knees again and therefore, an ACL reconstruction surgery can be of immense help.
Q2. What are the different types of ACL reconstruction surgery?
There are several variants of ACL reconstruction surgery for an ACL tear. In these surgeries, the damaged tendons are replaced from tendons taken from some other parts of the body. This can constitute portions of your own tendon, patellar tendon, hamstrings, quadriceps or a combination of these areas. Each of the various types of ACL reconstruction surgery has pros and cons and which type would be most suitable for you depends on the specifics of the injury as well as the type of graft and other factors.
Q3. How long does it take to recover from an ACL reconstruction surgery take?
Though the recovery time is different from one person to another, the ACL reconstruction surgery indicates a recovery period of several months that may last up to a year. A rehabilitation program can ensure optimum recovery since it focuses on restoring the range of motion and subsequently, strengthening the affected parts.
Q4. When to start therapy after the ACL reconstruction surgery?
It is important to start the therapy right after the first post-operative visit. The therapy can be done at any place that is convenient for the patient. It could be at the therapist’s office or at the patient’s home as well.
Q5. Is it possible to injure the ACL by bending the knee?
Since the ACL graft is positioned in an isometric manner, it means that the length of the graft would not change its position regardless of whether a knee is bent or straightened. It is, therefore impossible to injure the ACL grafting by bending the knee.
Q6. Is it important to use crutches after the surgery?
Most patients are able to bear full weight right after the operation but it may not be the case for all patients. There is no need to use crutches since it is crucial to maintain strength and boost the healing process.
For further clarifications, it is best to discuss the pros and cons with your doctor before opting for the procedure.
Hand pain is not just annoying, it is a lingering discomfort which can disrupt normal functioning. The swelling and stiffness that are invariably involved can reduce the strength of the hand along with the ability to carry out routine tasks which could be as simple as buttoning the shirt or writing or buckling up the shoe.
The treatment of hand pain is solely based on the causes and therefore, it is important to know what’s causing the trouble.
Causes of Hand Pain
Many conditions are responsible for contributing to swelling and pain in hand and, some of the most common causes include:
- Arthritis: The leading cause of hand pain is definitely inflammation of the joints known as arthritis. Though it may occur anywhere in the body, it mostly affects the hand.
- Carpal tunnel syndrome: This disorder takes place when the median nerve gets squeezed by a carpal tunnel that has been narrowed. It may be caused by inflammation, irritated tendons or swelling.
- Gout: Being a complex form of arthritis, gout is an extremely painful condition that can affect any part of the body including the hand.
Managing Hand Pain
The following suggestions can help in easing the pain and offering relief without having to undergo surgery.
- Non-steroidal anti-inflammatory drugs: Such drugs can help in reducing the pain and inflammation by checking the enzymes responsible for causing an undesired sensation. But according to experts, if your hand pain is caused by carpal tunnel syndrome, then such medications may not be helpful. Make sure that you consult an expert before taking such medications since the unwanted use of such drugs is linked to stomach bleeding, liver problems, ulcers, and heart attacks.
- Injections: A suitable corticosteroid injection right into the affected joint can help in reducing inflammation.
- Splinting: A splint helps in stabilizing the position of the thumb, fingers or wrists. Often, wearing a splint for few weeks together can help the inflammation to settle down.
- Heat and cold therapy: Heat can help in loosening stiffness and therefore taking hot showers every day can fetch effective results. On the other hand, cold is effective when the hand pain has stemmed out of any activity such as playing tennis or golf. It can be applied in the form of flexible pads made of frozen gels which can aid in relieving the three-dimensional structure of the hand.
- Exercise: A physical therapist can work on your hand’s muscles and tendons and guide you through different movements and exercises that can strengthen the muscles. This will help in absorbing the stress on the joints and restore normal function of the hand.
It is, however, important to speak to an orthopaedic expert who can select the most suitable combination of treatment for you.
Joints are a vital supporting point for your body because it helps to move or bend your other body parts like elbows, knees, back, and hip which is very crucial to perform our daily task. It helps improve our mobility and keeps us active for the whole day.
It is advised by orthopaedics to take extra care of your joints. If you don't take proper care of your bones, you may face several health problems as you grow old. As a result, you will find it very difficult to do your daily routine work.
There is a lubricant in your joints, which helps to hold your joints together, and it also avoids the bones from rubbing each other. Medically, it is termed as synovial fluid. Due to various reasons like lack of proper nutrition and wrong body movements, the level of this fluid is affected, thereby causing multiple health problems. You should take utmost care of your joints to have a healthy lifestyle. Few guidelines are given by orthopaedics to take care of your bones.
- Ensure proper nutrition: Proper nutrition is the key to overall health. Healthy fats help to retain the lubrication in your joints. Apart from this, they also help in increasing the count of cell membranes, which plays a vital role in building molecules. Source of these omega 3 fats are walnuts, chia seeds, flax seeds and pecans. Also, ensure that your diet includes rich sources of vitamin D and calcium. Calcium is an essential nutrient, which helps in strengthening the bones and muscles. To receive enough calcium every day, you should take sufficient amount of vitamin D which aids in calcium absorption. Ensure that your daily diet includes figs, yogurt, broccoli, kale and almonds, which are rich in calcium.
- Avoid idleness for long hours: To have a healthy joint, you need be active. Make sure that you change your body positions often like if you are watching a TV or reading a book, keep improving your position while you are idle. Also if your work requires you to sit in the same place for long hours, you can take some short breaks frequently. By this way, you can avoid the stiffness and pain in your legs.
- Maintain body posture: You should also take care of your position while lifting weights, at the time of walking and sitting. For instance, while you are carrying some weight, ensure that you do not bend your back; instead, you can move them by bending your knees. You should also sit straight while being idle. This not only protects your knees but also takes care of your hip joints.
- Practice exercise and rigorous workouts: Exercise helps you to stay fit by losing unwanted weight. It also benefits you by avoiding joint pains because being obese puts more pressure on your knee joint, which gets damaged as we grow old. Apart from that, it also lets your bones gain flexibility. Keeping your weight under a healthy range will be the grand thing which you can do for your joints.
Your feet are what keep you going through the day. Whether you are standing or walking, your entire weight is borne by the feet. This is the reason why foot pain is a very common problem. Any kind of discomfort in toes, heels, arches and soles is referred to as foot pain. The pain can be for a short time or become an ongoing issue.
It is important to understand that foot pain may not always be a result of an injury. There are many types of foot pain which actually do have nothing to do with feet itself as the origin of the same may lie in the lower back.
In some cases, the cause of foot pain could also be due to conditions causing inflammation involving any of the bones, ligaments or tendons. Arthritis is also a common cause of foot pain. Injury to the nerves of the feet may result in intense burning pain, numbness or tingling (peripheral neuropathy).
Apart from the above-mentioned reasons, there are several other causes of foot pain and related problems which are discussed below:
- Achilles Tendonitis (ankle pain): It is a condition which is caused particularly by running. The pain caused in this condition is experienced at the back of the ankle. In this condition, the Achilles tendon which is located above the back of the heel becomes inflamed, hence causes pain while walking or running.
- Bunions: The enlargement of the toe joint on the inside of each foot is known as a bunion. In this condition, the toe bends inward and forms a bony lump on the outside of the joint. Eventually, this lump grows in size and become bigger making the joint stiff and inflamed. Though it is often hereditary, wearing poor footwear can also be the cause.
- Calluses and Corns: Calluses cause the skin to thicken over a wide area of the foot. It can be caused because of poor footwear or can be inherited. While the corns are a small nucleus of hard skin. It has a hard central core which presses the underlying nerves causing foot pain.
- Heel Fissures: Heel fissures or cracked heels take place due to excessive stress on the skin. People who wear open-heeled shoes or no shoes during summer often suffer from cracked heels. Heel fissures can be painful but are not generally serious.
- Plantar Fasciitis (heel pain): The plantar fascia is a ligament that connects to the heel bone. During less movement of long periods of not it use this ligament contracts and becomes tight. When it is stretched again, like getting up after sleeping, it is still tight and heel pain can occur. It also causes pain when it is irritated or inflamed.
- Ingrown toenails: Ingrown toenails can be extremely painful. The person suffering from ingrown toenails may experience redness, swelling, soreness and throbbing in the toe. Pain becomes severe if the toe is knocked or stood on. Poor nail care is the main reason for this conditions.
Rotator cuff constitutes the muscles and tendons that hold the shoulder in position. It is a crucial component of the shoulder as it helps in lifting the arm to complete any task. Repetitive actions, deterioration with age or an outstretched hand can lead to a sudden tear.
4 Important Things To Know About Rotator Cuff Repair
An injured rotator cuff can be repaired surgically. Arthroscopy and open surgery are among the techniques used to fix a tear of the rotator cuff surgically. An arthroscope is a tube-shaped apparatus made of a system of lenses, a light and a small video camera. The camera is linked with a monitoring system to view a joint via a tiny incision.
1. Before the surgery:
Blood tests and other diagnostic tests might be carried out by a healthcare provider to ensure that the patient is in good health prior to the procedure.
2. Things to inform the healthcare provider before the surgery-
The healthcare provider must be informed of a few things prior to the surgery:
- Details of allergy or reaction to latex, any medicines, tape or anaesthetic agents
- Information related to bleeding disorders or the intake of anticoagulant or blood-thinning medicines
3. Details of the procedure:
During the rotator cuff repair procedure, anaesthesia is administered as per the patient`s requirement. The details of the procedure are mentioned below:
- The patient is made to wear a gown.
- An intravenous (IV) line is started on the arm of one of the hands.
- The anaesthesiologist monitors various aspects such as the blood pressure, heart rate and blood oxygen level of the patient throughout the procedure.
- The skin above the surgical site is then cleansed, using an antiseptic solution.
- An incision is made in the shoulder area as per the kind of surgical procedure required such as open surgery or an arthroscopy.
- The arthroscope is then inserted via the incision.
- A graft tendon will be taken from another part of the patient’s body to repair the wounded tendons and muscles.
- Stitches or surgical staples are used to close the incisions after which a sterile bandage or dressing is applied.
4. After the procedure:
- The sensation on the arm is monitored after the procedure. The patient can go home once his/her pulse, blood pressure and breathing are stable.
- The surgical area must be kept dirt-free and dry after the procedure. A pain reliever is usually prescribed for soreness.
- Arthroscopic rotator cuff repair is an effective treatment if a patient is not satisfied with alternative medical treatments, such as anti-inflammatory medicines and steroid injections. The procedure is usually done as part of the patient’s stay in a hospital or on an outpatient basis.
Arthritis is a common ailment that affects a majority of adults across the globe. It can affect any joint in the body and cause inflammation, pain, and swelling. When arthritis affects the shoulders, it causes stiffness, pain, and lack of movement.
Signs and symptoms of arthritis of the shoulder:
The only symptom caused by shoulder arthritis is a pain, which, in turn, causes a limited range of motion. It is worth discussing these symptoms in detail:
- Pain: Any kind of activity concerning the shoulder aggravates the pain and it usually worsens with the passage of time. When arthritis affects the glenohumeral shoulder joint, the pain is mostly felt at the back of the shoulder and tends to get more severe with weather changes. Many patients also complain of pain present deep in the joint. On the other hand, the pain of arthritis in the acromioclavicular joint is centred on the topmost part of the shoulder. In some people, rheumatoid arthritis affects the entire shoulder when both acromioclavicular and glenohumeral shoulder joints are affected.
- Lack of motion: The pain caused by arthritis of the shoulder leads to a limited range of motion and it may be difficult to take part in a common day to day activities as well. People affected with arthritis of the shoulder are not able to lift their arm or comb their hair or pick up something from the ground. There could also be a snapping sound when one tries to move his or her shoulder.
But not all individuals affected by shoulder arthritis have pain and loss of range of motion. Some people having severe joint problems have very few symptoms.
Causes of Arthritis of the Shoulder!
Age is one of the most compelling causes of shoulder arthritis as it generally affects people aged over 50 years. However, it may also occur in younger individuals after experiencing a trauma or injury such as an accident or fracture or dislocation or severe infection. Arthritis of the A-C joints affects younger people while that of the G-H joint affects older people though there can be exceptions as well. Also, arthritis is genetic as well which means in a family affected with arthritis, every individual possesses a risk of being affected by it. Other causes of arthritis include:
- Gout: Gout is arthritis that occurs when there is an accumulation of excess uric acid.
- Juvenile arthritis: This kind of arthritis leads to pain, swelling and stiffness in the shoulders.
- Rheumatoid arthritis: This is a chronic inflammatory disease of the joints which takes place when the immune system instead of shielding the body from foreign bodies, attacks the thin membrane lining of the joints.
Although there is no treatment that can absolutely cure arthritis of the shoulder, numerous pain management options are available. It is important to talk to an expert and decide which course of action can offer maximum relief.
When other treatments fail to provide relief, the last resort to treat spine problems is the spine surgery. Spine surgery is conventionally referred to as open surgery which indicates that the area that needs to be operated is opened with a long incision so that the surgeon is able to view and have access to the anatomy.
In the recent times, advances in the field of medical science have made it possible to treat back and neck conditions through minimally invasive surgical techniques that don’t involve an elaborate incision. Let us understand more about it.
How is minimally invasive spine surgery carried out?
Minimally invasive spine surgery fusions and decompression processes are performed by exploiting different approaches. The most commonly utilized technique involves the use of the tubular retractor. In this process, the surgeon makes a small incision and then inserts the retractor through the skin right into the spinal column. It leads to a tunnel to the accurate area where the problem persists in the spine. The functionality of tubular retractor lies in the fact that it helps in holding the muscle open throughout the procedure.
A number of particular processes have been designated for the minimally invasive spine surgery. Some of the most common options include spinal decompression, discectomy, and transforaminal lumbar interbody fusion. Each of these processes is different and only an expert in this arena can determine what’s suitable for you.
Minimally invasive spine surgery is also called less invasive spine surgery where surgeons make use of special instruments. One of the most compelling drawbacks of open surgery is that the pulling of the muscle can lead to damage to both the muscle and the tissues in close vicinity. On the other hand, minimally invasive spine surgery allows the surgeon to see the precise location of the affected area. Besides, it also leads to smaller incisions, reduced bleeding and short stay in the healthcare facility.
Consulting an expert about the surgery:
It is very important on part of the patients to discuss the suitability of minimally invasive spine surgery with their doctors since it is not a good option for all patients. It is generally suggested for patients having spinal tumours, spinal instability, spinal infections, vertebral compression fractures, lumbar spinal stenosis and spinal deformities like scoliosis.
When you know that you will have to undergo the surgery, it pays to gather information about the surgery and what you may expect from the recovery process. The most commendable benefits of minimally invasive spine surgery include better cosmetic results owing to lesser skin incisions and reduced dependence on the medications. Moreover, it is performed as an outpatient procedure and it makes use of local anaesthesia only. Thus, there is also a reduced chance of suffering from an adverse reaction to general anaesthesia.
So, depending on the pros and cons and depending on the individual condition, your doctor will decide on the course of action. In case you have a concern or query you can always consult an expert & get answers to your questions!
Arthritis is a disease that affects the joints, muscles and soft tissues, which cause stiffness, disability and pain. It is one of the complex conditions and has also been discovered in the remains of people living more than 500,000 years ago.
Although it is usually found in people above 50 years, in rare cases, it can affect younger generations as well. The three most common forms are osteoarthritis, fibromyalgia and rheumatoid arthritis. The symptoms of some arthritis, such as rheumatoid arthritis, include the following:
- Joints turning red, warm, swollen
- Painful joints
- Unexplained fever
- Weight loss
- Swollen lymph glands
These symptoms typically last more than two weeks.
Few facts about arthritis
Most people, even though diagnosed with arthritis, are unaware of the following facts:
- Snakes, bees, and ants: After years of treatment, some people have turned to specific natural therapies that come from snakes, bees and ants. As per a study by researchers in Brazil, bee sting venom helps reduce the symptoms of arthritis.
- Gout is a form of arthritis: Repeated flare-ups, pain and swelling are the result of uric acid, built around the joints. This can be due to genetic predisposition, some diseases and consumption of excess meat, seafood, fructose-sweetened drinks or alcohol. The bunion joint that connects the big toe to the foot is often affected first in people who have gout.
- Children get arthritis too: Juvenile rheumatoid arthritis is the most common amongst children and affects kids between the ages of 1 - 3 or 8 - 12 years. It strikes girls about twice as often as boys. As per a recent survey, 1 in every 250 children globally suffers from arthritis.
- Injuries increase the risk of arthritis: Injured joints are prone to develop osteoarthritis (OA). People with knee injuries have six times the chance, while those with hip injuries are three times more likely to develop OA.
- Climate cannot cure: People have a misconception that wet, cold climates cause arthritis rather than a warmer climate. Unfortunately, that's not the case. Orthopaedics confirmed the same frequency for both warm and cold climates. However, sore joints find warm atmosphere more soothing.
- Obesity increases the risk: Excess weight is one of the primary causes of osteoarthritis, especially for weight-bearing joints like knees, and to less extended hips. But there is also a higher risk to joints like ankles, back, big toes and hands.
- Animals can also develop: Not only humans but animals like dogs, cats and others can also develop osteoarthritis. The symptoms are almost the same as the ones faced by a human. It can also lead to a loss of appetite, which can cause weight loss.
- Race counts: Both whites and African Americans experience arthritis at similar rates. However, blacks have higher chances of severe joint pain and limitations in activity as compared to whites.
- Women are prone to arthritis: Statistics show that women have a significantly higher risk for all types of arthritis except gout. As per the Arthritis Community, Research & Evaluation Unit, women are twofold more prone to arthritis than men.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A fall or an injury is among the most common causes of a fracture. For a fracture to heal; the bones must be set in the correct position and a cast may need to be worn so as to hold them in place. This allows the bones to grow new tissue and bridge the break. The food you eat can help you speed up this process. Some of the best foods to build strong bones and help a fracture heal are:
- Milk: Milk is one of the richest sources of calcium and vitamin D. It is also rich in proteins. These three elements are crucial to building strong bones. Proteins help the body release amino acids which in turn come together and create new tissue for the bones. Calcium is, of course, the building block of our bones. However, it is vitamin D that enables the body to absorb this calcium and utilize it. If you do not like the taste of milk, you could substitute it with yogurt. This dairy product is considered equally rich in proteins, calcium and vitamin D. In addition, it also contains amino acids such as glutamine and lysine that helps the bones absorb calcium.
- Kale: Kale is known as a superfood. One of the reasons for this is the amount of calcium it contains. Kale is one of the few vegetables that are rich in this mineral. Thus, lactose intolerant people can get their required calcium from this vegetable. Kale can be eaten raw or cooked. Kale can also be juiced. However, to benefit fully from the vitamins and minerals in this vegetable, it is best to eat it raw.
- Spinach: Spinach is another green leafy vegetable that is rich in calcium. It also contains zinc. Zinc helps stimulate the chemical reactions needed to bind calcium and other minerals together to create new bones. In addition, spinach is also a rich source of vitamin K. While this vitamin does not play a direct role in healing bones, it helps speed up the healing process.
- Broccoli: Broccoli is a cruciferous vegetable that is rich in vitamin K1. This is very beneficial to your overall health and bone health. Vitamin K1 aids in the mineralization process of fusing broken bones together and building new bone tissue. Thus, it helps the bones set correctly.
- Citrus Fruits: Fruits such as oranges are chock-full of vitamin C. This nutrient helps build a strong immune system and aids in the fracture healing process. Vitamin C also helps the body create collagen that surrounds the broken bones and allows it to heal faster.
In case you have a concern or query you can always consult an expert & get answers to your questions!