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Dr. Galpe Desai

Orthopedist, Mumbai

450 at clinic
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Dr. Galpe Desai Orthopedist, Mumbai
450 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Galpe Desai
Dr. Galpe Desai is one of the best Orthopedists in Andheri East, Mumbai. He is currently associated with Patel Nursing Home in Andheri East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Galpe Desai on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 35 years of experience on Lybrate.com. You can find Orthopedists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Patel Nursing Home

1st Floor, B Wing, Vishal Apartment, M V Road, Andheri East,Landmark:-Near Vishal Hall, MumbaiMumbai Get Directions
450 at clinic
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I met with an accident on 7th august. Mt xray report was saying minimal displaced medial tibial plateau. The gave me slab and said rest for 6 weeks with a lot of medicine. After my cast removed I am on PT. Things were improving but today I saw below my knee when I putted pressure with my hand it was little bit coming in and out. Dr. said we will have to take your MRI and CT Scan. He also said your ligament is broken we will have to operate your knee. I am really confused after two months they are saying this. Can someone help please.

MD PHYSICIAN
General Physician, Delhi
I met with an accident on 7th august. Mt xray report was saying minimal displaced medial tibial plateau. The gave me ...
Yes its possible to be associated ligament tear with medial tibial plateau fracture. MRI is taken to find out ligament injury. When a ligament (ACL or PCL) is completely torn or stretched beyond its limits, the only option is reconstructive knee surgery. Person who has knee pain or severe instability may choose to have it. But if the pain is not a problem, you may choose to skip the surgery and accept the risk of some lifelong instability in your leg. You may also opt for a custom-made brace.
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I am 19 years old female. I have not sleep from last 2 days because of headache. I also have pain in my nose bone. I have tried so many home remedies. But no one is working. Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 19 years old female. I have not sleep from last 2 days because of headache. I also have pain in my nose bone. I ...
First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Panchamrut parpati 1 tab before lunch and dinner 6. Audumbaravleha 2 tsp before lunch and dinner.
1 person found this helpful
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I am feeling pain in my legs and most of the time I am feeling sleepy so what should I do. And what your suggestion for this. Another thing is that in my stomach some time. I feel burning sensation. So please suggest me and reply as soon as possible. Thanks.

PG Hom, London, BHMS
Homeopath, Mumbai
I am feeling pain in my legs and most of the time I am feeling sleepy so what should I do. And what your suggestion f...
Hello lybrate-user, pain in legs and sleepy feeling can be due to vitamin and calcium deficiency. You can take tablet bi to zed forte one tablet in afternoon for a month and see the difference. For burning sensation, you can take syp gelusil one tsp post lunch and post dinner.
8 people found this helpful
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I had injury in knee there was 2 cracks before two months. I have problems in running I cannot running which exercise helps me.

MD - Anaesthesiology
Anesthesiologist, Anand
I had injury in knee there was 2 cracks before two months. I have problems in running I cannot running which exercise...
You need to go to gym. Qudriceps strengthening exercise will help you. Knee extension exercise you should do daily.
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Lower Back Pain - How To Deal With It?

MD - Anaesthesiology, F.U.I.C.C.(Pain) Pain Management Specialist
Pain Management Specialist, Nagpur
Lower Back Pain - How To Deal With It?

Pain, experienced in the lumbar area, is generally referred to as lower back pain. This kind of back pain may happen due to a variety of reasons including hereditary conditions as well as accidents and sports injuries. These pain generally leave your body in a state of chronic pain, depending on the area that was affected. This lumbar area is a complex of joints, nerves, ligaments and muscles which go towards providing support and posture to the human body. Here are the various ways in which you can deal with lower back pain-

  1. Heat and Ice Therapy: One of the most recommended forms of treatment includes heat and ice therapy. You can use a warm bath or a heat compress and heating pad to soothe the area and bring down the pain. Ice packs can be used for inflammation and swelling. While the previous method can be used for chronic pain, the latter can be used for acute pain and more recent accidents. These methods are known to increase the blood flow to the affected area and hence bring much relief when there is pain and stiffness.
  2. Choose your Activity with Caution: There are a number of activities that one can carry out even when you are suffering from lower back pain. Mild to moderate exercise that has been approved by your physician can help in soothing the area. The trick in such cases to move at frequent intervals so that stiffness and further pain does not set in. You can embark on walks and even water exercises that will help in soothing the stiff muscles. Having said that, one must remember to avoid exercises that will involve bending and standing for too long as this can aggravate the pain.
  3. Rest: It is essential to sleep in the correct position and get the best amount of rest so that the muscles and joints of this area can get the required comfort and rest before being put to work again. Yet, too much inactivity is also not recommended in such cases, and hence one must not rest for too many days at a time. Further, it is important to rest in the correct position so that the lumbar area does not twist and there is no pressure on the same. It would be best to lie down on the back without crossing the ankles.
  4. Pain Medication: You can get a prescription for pain medication in case the pain is unbearable. It would be advisable to take medication after consultation with a doctor. One can have oral medicines or take topical application gels and ointments that will numb the area. One can have ibuprofen, acetaminophen, aspirin and other such medicines to get relief from the pain.

Interventional pain management

Finding the right relief can be tough for patients living with chronic pain. It involves a lot of trial and error to find the therapy that works for you. The Interventional Pain Management is one therapy that is aimed to reduce your pain, as well as provide options for preventing pain in the future. It adopts a comprehensive and holistic look to treat pain with lesser risk and morbidity when compared with surgical interventions.

Benefits of interventional pain management

  1. Surgery cannot be a solution to every health problem, the minimally invasive procedures of interventional pain management are cost-effective
  2. Lower risk for infections and complications
  3. Lower recovery time as they don’t employ large incisions or anesthesia
  4. It identifies the source of pain and comes up with the right solution to alleviate pain


Types of interventional pain management

  1. Epidural Steroid Injections: The prime aim of these injections is to identify the site of pain and reduce inflammation in the nerve roots as they exit the spine. A local anesthesia is administered and a steroid is injected into the epidural space. More than one injection is needed until there is a significant reduction in pain.
  2. Facet Joint Injection and Medical Branch Blocks: This technique helps the patient to manage and tolerate their pain better. A steroid is directly injected into the facet joint to reduce pain. Medical branch blocks target i.e. the nerve that detects the painful sensation and sends messages to the brain. These blocks help further denervation procedure and provide long term relief.
  3. Sacroiliac Injections: These injections are administered directly on the sacroiliac joint of the spine which is the cause of lower back pain.
  4. Peripheral Joint Injections: Joints like shoulder, knee and hip are injected with medicines that aim to reduce painful inflammation at the source of joint dysfunction.
  5. Radio frequency Ablation: This involves the use of radio waves to create an electrical current that delivers heat to the targeted nerve tissues. It results in the impairment of the nerves to transmit pain signals to the brain
  6. Rhizotomy: This is another procedure where the pain signals are turned off. Heated electrodes are applied to the specific nerves to cut off the transmission.
  7. Spinal Cord Stimulation: This uses electrical impulses to block pain from being perceived by the brain
  8. Nucleoplasty: This is a procedure in which a which tissue is removed from the disc of the spinal cord to decompress and relieve pressure
  9. Intrathecal Pump Implantation: A pain pump is placed under the skin that directly delivers pain medication to the targeted area.

These are some of the procedures of interventional pain management that aim to reduce pain, without the need of surgery or other conservative pain medications. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

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I am 29 years old and I have a problem of back pain when I get up in the morning but after I take bath with hot water pain vanishes or sometime there is very little pain but wanna get rid of this daily pain.

BPT
Physiotherapist, Bangalore
I am 29 years old and I have a problem of back pain when I get up in the morning but after I take bath with hot water...
Hi you need to do exercises for your back. Meet a physiotherapist and he will be able to teach you proper exercises for your back pain. Continue taking hot water fomentation twice or thrice daily. Wishing you good health.
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I am krishna I have riding a bike honda active from two months three days back I went to near by place it was upto 80 km now I am getting back pain is that back pain fr riding that bike.

BPTh/BPT
Physiotherapist, Delhi
I am krishna
I have riding a bike
honda active from two months
three days back
I went to near by place
it was upto 80...
Hello. If it's only present after that instant then don't worry it's kind of after stress pain. But yes you should do some strengthening exercises for your spinal and core muscles. You will be having some posts for these exercises. Regards!
1 person found this helpful
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I am a 28 years old male. I have neck pain since 7 years. I do not use a pillow while sleeping but thw pain will not go. please advice.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take UST and laser Therapy for pain relief for 12 days followed by strengthening exercise from Neuro physiotherapist best wishes
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Natural Posture and Mechanical Low Back Pain

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Natural Posture and Mechanical Low Back Pain

NATURAL POSTURE 

The side view of the human body in the standing position  shows that there is an inward curve in the small of the back just above the pelvis. This hollow in the low back is called the lumbar lordosis. The lumbar lordosis is a natural feature of the lumbar spine in all humans, having been formed during the evolutionary process. Our understanding of the function of the lumbar lordosis is an important feature.

When standing upright, the lordosis is naturally present, though varies from person to person. The lordosis is lost whenever the Iow back is rounded, and this usually occurs during sitting and bending forward. If the lordosis is lost often and for long enough periods, then low back problems may develop. The ligamentous stays become fatigued or over stretched, and may result in a painful episode.

MECHANICAL PAIN

This section on mechanical pain is very important, as it explains exactly why you hurt when you do. if you take the time to well understand this you will be more than halfway toward solving your problems.  Research has found that the better the patient understands the problem, the better will be the results of treatment.

Pain of mechanical origin occurs when the joint between two bones has been placed in a position that overstretches the surrounding  Lordosis ligaments and other soft tissues.This is true for mechanical pain in any joint of the body, including the spine. To help you understand how easily some mechanical pains can be produced, you may like to try a simple experiment.First, bend one finger backward,  until you feel a strain. If you cause the finger to remain in this strained position, you will initially feel minor discomfort only,but, as time passes, pain will eventually develop. In some cases,pain caused by prolonged stretching may take as much as an hour to appear.

Try the experiment once more,but now keep bending the finger past the point of strain until you feel pain. The sensation of pain is immediate. You have overstretched, and your pain warning system is telling you that to continue movement in that particular direction will cause damage.

Should you ignore the warning and continue to overstretch,damage will occur. Of course, the pain warning tells you to stop overstretching,and when you do so,the pain ceases immediately. No damage will have occurred to your finger and the pain will have gone.No lasting problems will arise from this short-lived strain providing you take note of the pain warning system.

If you fail to heed the warning and keep the finger in the overstretched position, the ligaments and surrounding soft tissues that hold the joint together will be tom. This tearing will result in an ache which continues even when you stop overstretching. The pain will continue even when the finger is at rest. The pain will increase with movement and reduce at rest but it will not cease until some healing has occurred. Healing may take several days but will be prolonged if, every day, you continue to apply the same strains to the finger.

 MECHANICAL LOW BACK PAIN

  • If an engineer were to examine which area in the back is subjected mostly to mechanical stress, he would conclude that most strain must be placed on that part of the spine which is located just above its junction with the pelvis. This conclusion is correct, for statistics show that back problems arise more often in the low back than in any other part of the spine.
  • Low back pain is not caused by draughts, chills, or the weather. It. was once believed that these weather-related phenomena were responsible for back and neck pains. Today our understanding is better, and it is generally agreed by specialists that most backache is caused by mechanical strains, similar to those described in the previous section.It is often thought that low back pain is caused by strained muscles.
  • Muscles, which are the source of power and cause movement,can indeed be overstretched or injured. This requires a considerable amount of force and does not often happen. 
  • Moreover,muscles usually heal very rapidly and seldom cause pain lasting for more than a week or two. On the other hand, whenever the impact of the injuring force is severe enough to affect the muscles, the underlying soft tissues and ligaments will be damaged as well. 
  • In fact, usually these tissues are damaged long before the muscles.
  • Most low back pain is caused by prolonged overstretching of ligaments and other surrounding soft tissues. Just as pain arises in the overstretched finger as I have described above, pain can also arise in the lower back when ligaments in this region are overstretched. Pain produced by overstretching in this manner is common and arises particularly when we develop poor postural habits.
  •  Whenever we remain in a relaxed position, be it standing, sitting, or lying, prolonged overstretching can easily occur.
  • When pain arises because we have allowed our posture to slouch,it is really our own fault and we have no one to blame but ourselves.This type of strain is easily avoided, and once we have been properly educated, the prevention of pain produced in this manner becomes our responsibility.
  • However, mechanical pain may also be caused by over stretchingof such severity that some tissues are actually damaged. Over stretching causing damage may occur when an outside force places an excessive strain on the low back. For example, this type of strain can occur due to a fall while playing tennis, or from a contact sport such as football where severe forces develop when players are tackled. 
  • Lifting excessive weights is also likely to cause overstretching and damage to the supporting ligaments of the spinal joints. These types of injury cannot easily be avoided as they occur unexpectedly and without warning signs.
  • When soft tissues surrounding a joint are overstretched, it is usually the ligaments that first give rise to pain. When the spinal joints are considered, there are additional factors, for the surrounding ligaments are also the retaining walls for the soft discs that act as shock absorbers between the vertebrae.
  •  Overstretching of these will, under certain circumstances, affect the discs. This may significantly influence or alter the intensity of the pain that you have, the distribution of the pain you feel, and the behavior of the pain, which may be made better or worse by certain movements or positions.
  • Complications of another sort arise when the ligament surrounding the disc is injured to such an extent that the disc loses  its ability to absorb shock and its outer wall becomes weakened. 
  • This allows the soft inside of the disc to bulge outward and, in  extreme cases, to burst through the outer ligament, which may cause severe pain. When the disc bulges far enough backward, it may press painfully on the sciatic nerve. This can cause some of the pains or other symptoms (numbness, sensation of pins and needles,,  weakness) that may be felt well away from the source of the trouble, for example in the lower leg or foot. 
  • Should the soft inside of the disc bulge excessively, the disc may  become severely distorted. This will cause the vertebrae to tilt forward or to one side and prevent the vertebrae from lining up  properly during movement. In this case some movements will be blocked partially or completely and any movement may cause severe pain. 
  • This is the reason why some people with severe back pain are forced to stand with the trunk off-centre or bent forward. Those of you who experience a sudden onset of pain and following this are unable to straighten up or move the back properly are likely to have some bulging of the soft disc material. This need not be cause for alarm. Once soft tissues are damaged, pain will be felt until healing is complete and function is fully restored. It is important that during the healing process you avoid movements that pull the healing surfaces apart. 
  • For instance, if you have overstretched ligaments of the lower back by bending forward, it is likely that any repetition of this movement will continue to open and separate the healing tissues, and this will further delay the repair of the damage. If, on the other hand, you avoid bending forward and instead keep a
  • hollow in the lower back, the damaged surfaces will remain together and healing will not be interrupted.It is difficult perhaps to visualize this process occurring in the lower back. Using the finger once more as an example may help understanding. Let us imagine that you have accidentally cut a the back of your knuckle with a sharp instrument. If you are to bend the injured finger joint every day, you would open up the wound and delay recovery. However by keeping the finger straight for about a week, you would allow the healing surfaces to remain together and complete healing would result. 
  • You could then commence bending the finger without risking any further damage.The same strategy works for the problems arising in the lower back. 
  • When tissues heal they form scar tissue. Scar tissue is less elastic than normal tissue and tends to shorten over time. If shortening occurs, movement may stretch the scars and produce pain. Unless appropriate exercises are performed to restore normal flexibility,the healed tissue may produce a continuous source of back pain and/or stiffness. Such problems can persist for years. 
  • Even though the original damage is repaired, the scar itself restricts movement and causes pain when stretched .
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