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Dr. Yogitha

Physiotherapist, Hyderabad

150 at clinic
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Dr. Yogitha Physiotherapist, Hyderabad
150 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Yogitha
Dr. Yogitha is a renowned Physiotherapist in Nizampet, Hyderabad. You can meet Dr. Yogitha personally at AISHWARYA PHYSIOTHERAPY CLINICS in Nizampet, Hyderabad. Book an appointment online with Dr. Yogitha on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 32 years of experience on Lybrate.com. Find the best Physiotherapists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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AISHWARYA PHYSIOTHERAPY CLINICS

Cellar, Siva Parvayhi Nilayam, Nizampet, Landmark: Opp Pochamma Temple, HyderabadHyderabad Get Directions
150 at clinic
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.

4483 people found this helpful

I don't get sleep at night and as soon as I start feeling sleepy my legs start Paining what should I do?

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I don't get sleep at night and as soon as I start feeling sleepy my legs start Paining what should I do?
Have physical activity in the day like morning/evening walk. Practice yoga or breathing exercises for getting proper sleep. Donot watch tv after 7 pm and go to bed by 9.30 - 10 pm. For leg pains when ever you sit in the house, sit cross legged. That will make the calf muscles to relax avoiding the pain. Take nutritious food for getting vitamins and calcium like milk, curd, panner, cheese, green leafy vegetables. Mushroom, cabbage etc.
1 person found this helpful
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I am going through severe back pain neither fell down nor got injured done wat to do help me.

BPTh/BPT
Physiotherapist, Delhi
I am going through severe back pain neither fell down nor got injured done wat to do help me.
1. Start with Physiotherapy treatment 2. Learn spinal exercises. 3. Don't sit on floor. 4. Use lumber spine belt. 5. Apply volini cream before sleeping. 6. Do Hot fermentation twice a day. 7. Don't do forward bending. 8. Don't lift heavy things. 9. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum.
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I should to play basketball earlier in my life which lead to so many ankle injuries due to which I had to quit. But in last couple of years my pain of ankles is increasing specially at night and also I have started experiencing pain on my whole feet due to which I continuously twist my feet plus I also keep cracking my fingers almost continuously. Hence my feet and hands both pain severely. What should I do to get rid of my pains?

MD, MBBS
General Physician, Noida
I should to play basketball earlier in my life which lead to so many ankle injuries due to which I had to quit. But i...
Your problem is not bodily but psycho-somatic presently. Still you get investigated for gout and rhematoid arthritis. You may pain killers for bodily pains. But if the problem is psycho-somatic you have to take SSRIs with psychological treatment.
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I have backpain doc. I used many medicines but they are useless. I have only 20 years. please give me a right solution to overcome this backpain.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have backpain doc. I used many medicines but they are useless. I have only 20 years. please give me a right solutio...
Do stretching exercise if it work then ok otherwise tk physiotherapy treatment for 7 days. Avoid long sitting and toward bending.
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I am having low disk pain since 2 years. I have take so many medicine. Can help me.

BPTh/BPT
Physiotherapist, Mumbai
I am having low disk pain since 2 years. I have take so many medicine. Can help me.
Hi I can understand your problem. # relax & stay positive. # take hot and cold foementation. # learn posture care exercise. # use lumber support. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same.
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Meri wife ka operation se bachha hua hai. Ek saal ho chuke hain Aksar kamar me dard rahta hai Ultrasound kiya to left kidney me four. Six mm ki stone hai. Jiski homeopathy ki dawa chal rahi hai Sir mujhe kamar drad k liye kuch oil ya spray bataye.

Advanced Aesthetics
Ayurveda, Gulbarga
Meri wife ka operation se bachha hua hai. Ek saal ho chuke hain Aksar kamar me dard rahta hai Ultrasound kiya to left...
stone ki wajah se kamar me dard ho raha hai .. mahanarayana taila ye ayurvedic shop me milega is se halke massage karo... aur stone keliye 5days ka dawayi bhi ayega jo 5din me nikal jayega
9 people found this helpful
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Sir I am great player of high jump sir I have pain in my backbone please give me answer fast.

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
Sir I am great player of high jump sir I have pain in my backbone please give me answer fast.
Take proper rest. Avoid forward bending and heavy lifting. Avoid prolonged sitting and standing. Take hot fermentation. Do spinal strengthening exercises. Avoid jumping for further injury for some time.
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My father is facing too much inflammation in lower part of his foot please suggest me.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please specify which part of the foot are you talking about, is it forefoot with involved toes, mid foot or the hind foot with heels as a main cause of pain because there are different causes of pain in different regions of the foot. Also can you kindly specify whether there are any s/s of inflammation or infection like swelling, skin redness or any local warmth on touch? has he ever got his uric acid levels tested? do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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I have pain on the upper and below knee joint and not at the knee joint. This pain is only experienced during sitting down and rising up from the floor when we need to bend our knee below 90 degrees. If I apply some ointment recommended by my doctor, I feel relaxed for few hours but again it comes back. Can you let me know if it is related to knee joint or is it muscles related and what is the remedy to permanently get relief of this pain.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have pain on the upper and below knee joint and not at the knee joint. This pain is only experienced during sitting...
According your age put a towel roll under knee and press for 10 sec then release repeat 10 time do thrice a day and tens therapy and ultrasonic therapy for muscle relaxation x-ray must bilateral knee for further preventions.
1 person found this helpful
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