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Orthopedics and Spine clinic

Orthopaedic Clinic

Old RMO quarters, sion hospital, sion mumbai
1 Doctor · ₹500
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Orthopedics and Spine clinic Orthopaedic Clinic Old RMO quarters, sion hospital, sion mumbai
1 Doctor · ₹500
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Orthopedics and Spine clinic
Orthopedics and Spine clinic is known for housing experienced Orthopedists. Dr. Prateek Patil, a well-reputed Orthopedist, practices in mumbai. Visit this medical health centre for Orthopedists recommended by 47 patients.

Timings

Tue
02:00 PM - 05:00 PM

Location

Old RMO quarters, sion hospital, sion
Sion mumbai, Maharashtra - 400022
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Doctor

Dr. Prateek Patil

MBBS, M S Orthopaedics
Orthopedist
88%  (60 ratings)
6 Years experience
500 at clinic
₹200 online
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I am suffering from perianal abscess. Currently it's 1 inch size got swollen with slight reddish color & having pain while seating. Please suggest any medicines or surgery required.

M S Orthopaedics, MBBS
Orthopedist
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I am suffering from perianal abscess. Currently it's 1 inch size got swollen with slight reddish color & having pain ...
Hello Lybrate user, With the symptoms you are describing you probably will require a surgery to drain out the abscess. Get a consultation with a surgeon for an assessment and management. You might also be needing some investigations to find out the cause for the same depending on your symptoms. Hope this helps.

I am 75 years old woman I have severe joint pain in my knees. I think its arthritis problem. What shall I do?

M S Orthopaedics, MBBS
Orthopedist
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I am 75 years old woman I have severe joint pain in my knees. I think its arthritis problem. What shall I do?
Hello lybrate user, arthritis of knee joint is quite common at this age. The management would depend on your symptoms. Firstly, pain would be your major symptom. If you mild pain which is not affecting your daily activities you can be treated with anti-inflammatory medications, painkillers, physiotherapy to improve the muscle strength around your knee joint and increase your range of movement. If pain is not adequately controlled and you still have difficulty in your daily activities then you might want to think of some surgical management. Secondly, if severe stiffness hinders your daily activities and does not improve with physiotherapy exercises then again you might require an earlier surgical intervention. Thirdly, if you already have a severe deformity at the knee joint then again you might benefit with an earlier surgical intervention. I would also advise you certain life style modifications such as weight reduction, avoiding heavy loads on your knees such as climbing stairs, squatting, sitting cross legged. But must continue your regular exercise and walking. If it pains then do it with breaks in-between. Surgical intervention would be undertaken only if you do not respond to above therapy. Hope this helps.

I have a 4 years old broken patella scar on my knee. Which is the best method to remove it? Will it be removed completely?

M S Orthopaedics, MBBS
Orthopedist
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I have a 4 years old broken patella scar on my knee. Which is the best method to remove it? Will it be removed comple...
Hello lybrate user, surgical scars are difficult to eliminate especially after four years of treatment. I would suggest you to leave it as it is. Any treatment would be very expensive and treatment complicated but the chances of success are less. Hope this helps.

I am 28 years old. Met with an accident two years ago and hit my knee. diagnosis were done but doctors said all fine. But I still have pain every now and then. What could be the reason?

M S Orthopaedics, MBBS
Orthopedist
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I am 28 years old. Met with an accident two years ago and hit my knee. diagnosis were done but doctors said all fine....
Hello lybrate user, it is possible that you might have sustained a soft tissue injury in your knee joint which was missed at the time of trauma when only bony injuries were investigated for. If you still have regular pains then I would suggest you get an mri done for the same. You could also consult an orthopaedic surgeon for a detailed clinical evaluation. You might also need to undergo arthroscopic examination of the knee joint if one is not able to reach a diagnosis with an mri. Hope this helps.
2 people found this helpful

I am working in office and continues sit in chair. Then I have back problem how can I solve it.

M S Orthopaedics, MBBS
Orthopedist
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I am working in office and continues sit in chair. Then I have back problem how can I solve it.
Hello lybrate user, sitting for long hours in an office is a common cause for back pain. Initially you can take some painkillers for the same. Rest for one or two days may be required. Once adequate pain relief occurs, begin with some physiotherapy exercises for your back like stretching followed a few days later by gradual back muscle strengthening exercises. Your posture should be erect while sitting for long hours with intermittent periods of rest and stretching every hour for 5 to 10 mins. You should also use a chair with a good back rest for the intermittent periods of rest. Maintain your weight by balanced diet and regular exercises. Hope this helps.

In centre of my spine some swelling has suddenly started which is making me unable to lie down conveniently. I have been to doctor for this & after taking so many medicines I got no relief. Tell me what to do?

M S Orthopaedics, MBBS
Orthopedist
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Hello lybrate user, from the symptoms you are describing, the most probable diagnosis would be an infection. Tuberculosis is the most common infection in our country. Weight loss, fever along with it would support the diagnosis of an infection. I would suggest you to consult an orthopaedic surgeon as urgently as possible. It could probably be treated be medicines alone in the early stages. Later stages of destruction require might require surgery. There is no reason for panic but consult an orthopedic surgeon urgently and get x rays done and an mri of necessary.

What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?

M S Orthopaedics, MBBS
Orthopedist
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What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?
Hello lybrate user, spine block injections are different types of injections which target the pain generating sites. The rationale is to inject an anesthetic agent (block the nerves which sense pain) into the structures which are generating pain. This can be used for diagnosis of or confirmation of a painful structure suspected to be the pain generator. This can also be used for treatment of painful structures, but the relief is mostly for a short term, 3 to 4 months usually. You might also require multiple injections for a longer duration of relief. Some surgeons use a steroid medication for injection as well. This is mainly to decrease the inflammatory component irritating the nerve roots. Steroid injections also give a temporary relief but can have a lasting effect if inflammatory component is the major culprit compared to a mechanical compression of the nerves. But, the decision making for use of injections is quite complex and I would suggest you to consult a spine surgeon experienced in injection techniques for a complete clinical assessment and the right injection for you. Hope this helps.

I am 17 years old male and a sports player everyone is telling that I am having a small bend to forward and this cause a very bad posture for me Which in turn affect my sports is there any solution for getting the good posture back.

M S Orthopaedics, MBBS
Orthopedist
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Hello lybrate user, bad posture may not cause a deformity or may not even affect your immediate sporting activities. But tends to cause a lot of clinical problems like back pain, slip disc, early degenerative arthritis of the spine, etc. The only solution is to make a conscious effort from your side to sit as straight as possible, not sitting for long times, intermittent rest and stretching when sitting continuously for long periods, use of a chair with good back rest. I would also suggest you to consult a physiotherapist for back strengthening exercises. Hope this helps.

I am 49 years male. I am suffering from Knee Arthritis left leg. Doctors suggested me no to go for replacement surgery at this age. Bearable pain while walking.

M S Orthopaedics, MBBS
Orthopedist
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I am 49 years male. I am suffering from Knee Arthritis left leg. Doctors suggested me no to go for replacement surger...
Hello lybrate user, arthritis is a degenerative condition which progresses with aging. It goes through different stages like mild, moderate and severe arthritis. You might be suffering from arthritis at the age of 49 because of some pre-disposing condition but it usually presents in patients greater than 55 to 60 years. You have mentioned that you have bearable pain while walking. You might be in the early stages of arthritis. This can be managed by lifestyle modifications like light exercises, weight reduction, physiotherapy for the muscles of knee to maintain the mobility and strengthen the muscles. This might decrease your pain as well. If you have persistent pain, it might respond to painkillers. Surgery is advisable to only those who have unbearable pain and who are unable to do their daily routine activities because of the advanced arthritis. The other disadvantage of surgery at an early age is the limited life span of the prosthetic knee joint. Even in ideal cases has a life span of 15 to 20 years, after which you might need to undergo revision surgeries which are complex and are associated with a high rate of complications. So considering an average of 12 years of implant survival, by the age of 70 to 75 you might need a second revision surgery. Therefore, it is best to delay surgery as much as possible unless you have complications like decreasing movement at the knee joint or development of a severe deformity because of a severe grade of arthritis or unbearable pain not responding even to the highest doses of medications. Hope this helps.

I got an fracture. How much time it take to heal. I want to know it as soon as possible.

M S Orthopaedics, MBBS
Orthopedist
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Hello lybrate user, healing of a fracture depends on the many things. Firstly, on the bone which is fractured. Large bones of the arm, forearm, thigh and leg usually take 6 weeks or more to heal. Smaller bones of the hand and the foot usually take 3 to 4 weeks to heal. Secondly, the region of fracture in a particular bone. End of bones are highly vascular and heal much faster than the middle part fractures. Thirdly, type of fracture. Simple fractures tend to heal faster than a fracture with many bony fragments which we call communition. Also the gap at the fracture site. More the gap, more delayed is the healing fourthly, the type of intervention which is used. Fractures require rigid immobilization to prevent any motion at the fracture site. Any motion at the fracture site can lead to delayed healing. This rigid immobilization can be provided by use plasters, splints or through surgery and fixation with metallic implants. The better the stability, faster is the healing. Lastly, it also depends on the patient's general health and nutrition. The most important factor is the management. I would suggest, you consult a qualified orthopaedic surgeon for the best management. But, in general a fracture would take anywhere between 3 weeks to 3 months to heal depending on all the factors. But any problem at the fracture site would delay it further. Hope this helps.

I got right side inflammatory sacroiliitis. Can I do weight lifting? I do not experience any pain after excessive walking or weight lifting (I do it at home). But I want some professional trainer. Plus I got HLA-B27 ve but doctors say that I do not yet have spondylitis spondylitis after reading my blood tests, MRI and X-Rays.

M S Orthopaedics, MBBS
Orthopedist
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Hello lybrate user, the condition what you are talking about is known as sero-negative arthritis. It is a systemic arthritis involving many joints in the body. It includes about 4 to 5 different clinical disorders and the joints involved would depend on the particular condition that affects you. Not all patients with hla-b 27 are affected by these conditions but the risk of developing the disorder is quite high. You have said that you already have inflammatory sacroilitis, so you probably are at an increased risk. I would suggest you to continue light gymnasium activities enough for you to stay fit rather than heavy gymming which can put stresses on the inflamed joints and lead to quicker arthritis. I would also suggest you to consult a physiotherapist to maintain fully functional joints through different exercises. Hope this helps.
1 person found this helpful

Hello, I am male 28 years old. I have no bone injury history and have recently started gym and running on treadmill. I rum for around 25 mins and 4KM on average. I have started feeling leg pain from some time. My symptoms are similar to popliteal artery entrapment syndrome (PAES) or chronic exertional compartment syndrome (CECS) which I found after some online search. More like CECS but I am not sure. I recently had a full body checkup including blood, urine and stool test and nothing major came. My physician advised me to take Serum D13 or D3 vitamin test or something. Can you advise?

M S Orthopaedics, MBBS
Orthopedist
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Hello,
I am male 28 years old.
I have no bone injury history and have recently started gym and running on treadmill. ...
Hello lybrate-user, chronic exertional syndrome is quite rare and represents a build up in the pressures of the compartment of the muscles. Easy way to diagnose it is to measure the pressure in the compartment of muscles before and after the exercises. Cecs would affect a complete muscle compartment and cause pain in the entire extent of the muscle especially at the back of leg or the calf. Another common condition after sudden increase in activity is a stress fracture which would cause a localized pain in the skin rather than entire region and you would be able to point out a single point where you feel the pain. This would require x rays and further assessment. There are many differentials for the diagnosis and all the conditions that cause leg pain cannot be explained here. I would suggest you to consult a qualified orthopaedic surgeon for a detailed clinical assessment and further management quickly when the problems can be managed by simple methods rather than later when you require extensive management. Hope this helps.

My friend's knee was dislocated but now he' s alright but sometimes the pain emerges eventually, so he is bit worried.

M S Orthopaedics, MBBS
Orthopedist
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My friend's knee was dislocated but now he' s alright but sometimes the pain emerges eventually, so he is bit worried.
Hello lybrate user, knee dislocaton is a very high energy injury which can cause injury to various soft tissue structures of the knee, it can also injury to the nerves causing paralysis of the muscles below the injury or even cause a blood vessel injury leading to amputation. Fortunately, your friend seems to have escaped the major complications and is has suffered injury only to the muscular and ligamentous injuries structures, which are a possible cause of pain and instability in his knee joint now. There are many soft tissue supporting structures in the knee and depending on which structure is injured you are going to have different types of clinical symptoms. I would suggest you consult an orthopedic surgeon who would be able to do a detailed evaluation of your friend. I would also suggest you to undergo an mri or arthroscopy of the knee joint or both for further management.

I suffered from sciatic problem now I am fine but my right leg is still numb, I am unable to fell any sensation on my right leg. What should I do?

M S Orthopaedics, MBBS
Orthopedist
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I suffered from sciatic problem now I am fine but my right leg is still numb, I am unable to fell any sensation on my...
Hello lybrate user, sciatica is a radiating pain along the course of the nerve. Usually for the lower back to the back of thigh and then further down to the foot. This happens because of a compression on the nerve roots which leads to symptoms of tingling and numbness in your feet, and other functional deficits the nerves like sensory loss and weakness in the limbs. When this pressure of the nerves is accompanied by inflammation of nerve itself, it gives rise to the radiating pain or sciatica. This inflammation comes down with anti inflammatory drugs and rest, so the sciatica is no longer present but compression on the nerves remains so you might still be having sensory loss. But still your nerve might be recovering from the compression and you regain sensation with neurotonic drugs and time if the compression has also been resolved. But this decision making is complex and can be done by a spine surgeon and only after a thorough clinical assessment. I would suggest you get an mri done and consult a spine surgeon as soon as possible. Hope this helps.
1 person found this helpful

What care should be taken for an ankle ligament injuries? How can we improve the fitness of our legs after any kind of ankle twist?

M S Orthopaedics, MBBS
Orthopedist
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What care should be taken for an ankle ligament injuries?
How can we improve the fitness of our legs after any kind o...
Hello lybrate user, ankle ligament injuries occur after a twisting injury to the angle. Care to be taken mainly depends on how severely injured the ligaments are. Minor sprains can be treated with rest for a few days and painkillers. Moderate grade injuries might require rest for atleast a week, painkillers, ice fomentation, limb elevation and toe movements and sometimes immobilization in a plaster. Severe grades injuries require more than 2 to 3 weeks of rest with immobilization in a plaster restricting ask activities, painkillers anti inflammatory drugs along with above measures. Once you have given the ligament adequate time to heal, your rehabilitation program starts in a graded manner to regain the range of movement and strengthen the muscles. If there was no relief for more than 1 or 2 weeks, you might as well go for an x ray to rule out a fracture. However, if the injury was quite severe, you could go for an x ray immediately. Consult an orthopaedic surgeon for clinical assessment and further management if you continue to have problems for more than 2 to 3 days. Hope this helps.

I am years old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days but got any relief. What should I do now?

M S Orthopaedics, MBBS
Orthopedist
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I am years old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days bu...
Hello lybrate user, back pain alone in young age without any associated symptoms like fever, loss of weight or appetite might indicate towards a slip disc or a minor injury to the soft tissues supporting the spine. So, if you do not have any other associated symptoms and have tried adequate amount of rest, then it might be time for you to start with physiotherapy exercises for maintaining the range of movements and also strengthening the back muscles. Consult a physiotherapist for the same. However, if you do have other associated symptoms, then you might need to consult an orthopaedic surgeon for a detailed clinical assessment. Hope this helps.
2 people found this helpful

Hi I have undergone ACL surgery for my right knee and the report is as below: Formal and tibial tunnels prepared. Cortex blow out noticed. Retunnelling done at 110 clock position. Can you please let me know if everything is fine. What is meant by cortex blow out.

M S Orthopaedics, MBBS
Orthopedist
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Hi
I have undergone ACL surgery for my right knee and the report is as below:
Formal and tibial tunnels prepared. Cor...
Hello lybrate user, cortex blow out in acl reconstruction means a fracture occured either at the time of injury or during surgery while preparing the tunnel for insertion of the new graft material. Your report says that a tunnel was created properly after booting the cortex blow out, so you should not be having too many problems after the procedure if an adequate fixation of the graft was achieved. Hope this helps.
1 person found this helpful

I am 20 Yeats old and I have backpain on last since 8 to 10 days I used combiflam after using combiflam I fell Mitch better now but totally not well.

M S Orthopaedics, MBBS
Orthopedist
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I am 20 Yeats old and I have backpain on last since 8 to 10 days I used combiflam after using combiflam I fell Mitch ...
Hello lybrate user, good to hear that you are feeling much better from the pain relief medication. However, this is only symptomatic treatment and not the treatment of the cause. If adequate time has passed from the onset of your pain, I think the damaged tissue might have healed and it would be a good time to start you on physiotherapy exercises to strengthen your back muscles. Exercises help you increase the blood flow to your back and also improve the chances of removal of pain stimulating molecules from the site. They also help in stabilizing the spine. But, these exercises have to be started in a graded manner so that you don't injure yourself. You can consult a good physiotherapist or an orthopedic surgeon for the same. Hope this helps.
1 person found this helpful

I am 17 year male. I am suffering from low back pain from back two weeks. I used some ointments and regular exercises but there is now effect. What may be the possible cause?

M S Orthopaedics, MBBS
Orthopedist
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I am 17 year male. I am suffering from low back pain from back two weeks. I used some ointments and regular exercises...
Hello lybrate user, back pain in a young patient such as yourself would alert me towards the possibility of an infection such as tuberculosis or other bacteria. Infection is usually associated with fever, loss of appetite, loss of weight, etc. Other causes may be trauma leading to a soft tissue injury or a bony fracture. Some patients might also be suffering from slip disc. Other rare causes could be spinal deformity, tumors, etc. But to arrive at an accurate diagnosis you need to go through a clinical assessment by a qualified orthopaedician or a spine surgeon. Hope this helps.

Mri, x-rays and wrist specialist concluded my ganglion is inoperable due to it growing the wrong way and being highly focused in the area of nerve and tendons - i. E they say surgery is too risky. Currently I cannot use the hand for anything that puts any weight on it at all (picking up a kettle.

M S Orthopaedics, MBBS
Orthopedist
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Hello lybrate user, ganglion is a benign swelling and has distinct borders that are easily separable from normal tissue. It can either arise from a joint or tendon sheath. It usually does not have a tendency to infiltrate nerves out blood vessels. But then again, ganglion is an asymptomatic swelling and should not cause you much problems except for the cosmetic concern. If you are really facing problems with it like pain, restriction from movements, or if very large, you can go in for a surgical excision. We usually also do not advise an mri for a ganglion. But if your doctor has got it done, then there might be some concern in your case. You may get a radiologist to report on it or take another surgeon's opinion. But he will have to look at all your reports and mri pictures as well.
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