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Dr. Sathasivan. S. Nellayil  - Physiotherapist, Kumily

Dr. Sathasivan. S. Nellayil

89 (11 ratings)
Master of Physiotherapy

Physiotherapist, Kumily

6 Years Experience ₹200 online
Dr. Sathasivan. S. Nellayil 89% (11 ratings) Master of Physiotherapy Physiotherapist, Kumily
6 Years Experience ₹200 online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sathasivan. S. Nellayil
General, Infants and Paediatric Specialist Physiotherapist

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Specialty
Education
Master of Physiotherapy - Dr M.G.R Medical University - 2012
Awards and Recognitions
II in Quiz from TN Dr M.G.R. Medical University, Chennai
II in National Paper Presentation, Kottayam
Best Clinician Award, International Conference, Madurai
...more
III in Quiz from KG College and Hodpital, Coimbatore

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  4.5  (11 ratings)
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  4.5  (11 ratings)
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"Practical" 1 review

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Who Should Have Hip Replacement Surgery?

MBBS, Diploma In Orthopaedics, DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Pune
Who Should Have Hip Replacement Surgery?

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

  1. An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.

2451 people found this helpful

My shoulder has pain from 2 month, I am taking pain killer but did not getting relief permanently. Please suggest me what to do.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me x rays of your shoulder. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.
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I am suffering from tinnitus in ear and having bone pain like knee pain and heel pain. Back pain etc.

DORL, MBBS
ENT Specialist, Faridabad
I am suffering from tinnitus in ear and having bone pain like knee pain and heel pain. Back pain etc.
Whistling or buzzing in the ear is getting commoner these days in people of all ages. Most common causes is wax or any object in the ear, after getting your ears clean these gets over. But if ears are already clean than this is worrisome. Common causes which are responsible are high cholesterol diet, alcohol, smoking, loud noises, cervical spondylosis, trauma (self or inflicted) over the ears. If this is the situation than report to your ent doctor immediately tinnitus is basically due to hampered blood supply to ears due to which ears start dying. As this process starts a person starts hearing noises. When a person starts hearing noises then it is already late diagnosis as these noises gets heard by someone when they are of 40 db intensity, below that threshold these noises are not heard. So it is already to late and the damage has become permanent. Problem with these noises are that we can control at what level person goes to his specialist otherwise these noises keep on increasing and can give you headache frustration and depression. Now a days tinnitus maskers are available which help you to lead your life peacefully.
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I am suffering from heel pain from last 3 month. When I wakeup in morning that time it is more painful than whole day. Kindly suggest.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from heel pain from last 3 month. When I wakeup in morning that time it is more painful than whole day...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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I am 17 years old boy, I sense back pain in some postures and angles weather it is while sitting or sleeping and some times I feel the pain like pinching my back with a needle for few seconds the pain location is exactly at dorsal and lumbar. Though my bones are normal according to the reports of MRI and also there are no stones in my kidneys I am sensing pain some times. Hope I will get a solution.

BHMS, PhD Arthritis
Homeopath, Chennai
I am 17 years old boy, I sense back pain in some postures and angles weather it is while sitting or sleeping and some...
HI, MRI suggested no abnormality. Pain may be due to neurological one. Avoid two wheeler driving. Lying on thin bed. Use back support while sitting on chair. Take homeopathic medicine can reduce your problem.
1 person found this helpful
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I have pain on the back side of neck and situated right side just below my head what shall I do ?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
It might be of cervical spondylitis and it's lesions just apply hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each time if still pain persists do consult neuro physiotherapist or orthopaedician asap best wishes
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My wife age 30. I done blood test her. His hemoglobin is less. She feels very weakness.& Always pain in leg & arm. So please give some advice. Thanks.

BAMS
Ayurveda, Bangalore
My wife age 30. I done blood test her. His hemoglobin is less.
She feels very weakness.& Always pain in leg & arm.
So...
Hi, Please follow these tips to overcome anaemia: - Consume plenty of green leafy vegetables like spinach, methi, broccoli, beetroot, drumsticks, brinjal, carrot, tomatoes, etc. - Consume fruits like apple, pomegranate, dry fruits like dry grapes, dates, fig, almonds, walnuts, pista, etc. As it contains lot of proteins and vitamins. - Intake of citrus fruits like oranges, musambi helps to increase the absorption of iron as it contains vit. C. - Intake of deficient haematinic supplements like iron, B 12, folic acid, etc according to the peripheral smear reports.
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I am a sports person, when I start up some physical exercise I have always pain in my right ankle. Please advise.

MPT, BPT
Physiotherapist, Noida
I am a sports person, when I start up some physical exercise I have always pain in my right ankle. Please advise.
Advice. Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Stretch calves get a custom made insole. Hams stretching. Sports taping. Hot fomentation.
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Although I am taking stamlo Beta for my Blood pressure as advised by a doctor I am getting tired too often and my muscles does not allow me to run ,therefore I want to get rid of stiffness in my muscle and not to be tired after running a short distance because I am a sports person. Will you help me ?

MPT, BPT
Physiotherapist, Noida
Although I am taking stamlo Beta for my Blood pressure as advised by a doctor I am getting tired too often and my mus...
Calf Stretches Standing calf stretch Stand away from a wall and.put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day.
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Frozen Shoulder - Why Physiotherapy Is Important For It?

BPTh/BPT, MSPT (Master of Physical Therapy)
Physiotherapist, Chennai
Frozen Shoulder - Why Physiotherapy Is Important For It?

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.

A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

  1. To reduce pain in the shoulder
  2. To increase the flexibility and strength of the shoulder
  3. To enhance movement of the shoulder.
  4. To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

  1. Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
  2. Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
  3. Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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