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Dr. Manoj Mishra

Orthopedist, Mumbai

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Dr. Manoj Mishra Orthopedist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Manoj Mishra
Dr. Manoj Mishra is an experienced Orthopedist in Tardeo, Mumbai. You can meet Dr. Manoj Mishra personally at Nova Specialty Surgery-Tardeo in Tardeo, Mumbai. Save your time and book an appointment online with Dr. Manoj Mishra on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 33 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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Nova Specialty Surgery-Tardeo

Famous Cine Labs, Pt. M.M Malviya Road, Tardeo. Landmark: Next To Sardar Pav Bhaji Hotel, MumbaiMumbai Get Directions
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I am sumit 25 years old Having severe lower back pain from the morning Plz suggest me some pain killer

MPT, master in physiotherapy
Physiotherapist, Lucknow
You can take ultracet once daily ..but first take heat fermentation on affect area and take proper posture..
3 people found this helpful
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Osteoarthritis - A Detailed Guide for Treating it!

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Osteoarthritis - A Detailed Guide for Treating it!

Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.

Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:

  1. Sore or stiff joints – after inactivity or overuse
  2. Limited range of motion or stiffness that goes away after movement
  3. Clicking or cracking sound when joint bends
  4. Mild swelling around a joint
  5. Pain that is worse after activity or toward the end of the day

Treatment Options For Osteoarthritis

Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:

  1. Managing symptoms, such as pain, stiffness and swelling
  2. Improving joint mobility and flexibility
  3. Maintaining a healthy weight
  4. Getting enough of exercise

Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.

Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.

Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.

Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.

Management: Medical:
Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.

For Pain Management
NSAIDs
Cox-2 inhibitors
Opioids

Intraarticular Injections

  1. Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
  2. Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year

Surgical Management

Knee pain or functional status has failed to improve with non-operative management

Types of Surgery

  1. Arthroscopic Irrigation
  2. Arthroscopic Debridement
  3. High Tibial Osteotomy
  4. Partial Knee Arthroplasty
  5. Total Knee Arthroplasty

Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.

Joint Replacement Surgery: Joint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.

Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.

Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.

Preventive Measures

  1. People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
  2. In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
  3. X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
  4. Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
  5. A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.
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age 28, Dakar aana Pet(stomach) phulana Chestpain, backpain tightness pain in hand from last three months ecg echo tmt all tests are normal blood reports are normal vitamin D level 20 please advise what is the cause ?

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
age 28,
Dakar aana Pet(stomach) phulana Chestpain, backpain tightness pain in hand from last three months ecg echo tm...
These all are symptoms of acidity and hyper acidity and could also turn into ulcer for peptic ulcer. The natural remedy which I am giving you will cure you permanently but the condition is you have to continue it for 3 months regularly. You have to consume cumin (jeera) in morning empty stomach, eat half table spoon jeera in morning and keep chewing it as long as you can and then drink 2 or 3 sips luke warm water. Jeera is the best natural medicine to cure all problems related to stomach and acidity it will help you magically if you consume it for 3 months regularly natural medicine has no side effect apart from this after eating jera walk for 60 to 90 minutes regularly in morning 3rd very important thing is whenever you eat meals do not drink water for 90 minutes give a gap of 90 minutes then drink water and once you have drunk water do not eat anything for 45 minutes because of drinking water with or right after meals causes huge amount of acid secretion in stomach which causes problems like chest pain acidity hyperacidity back pain, tightness in chest tightness in stomach.
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I am a 25years old male and have shoulder ach for last 1 months. What should I do?

BPTh/BPT
Physiotherapist, Mumbai
I am a 25years old male and have shoulder ach for last 1 months. What should I do?
Apply cold fomentation thrice a day followed by gentle stretching if still there is no improvement consult physiotherapist for further treatment.
1 person found this helpful
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I have angle pain with shooting pain to last 3 fingers. I had cortisone tablets for 5 days for this pain. Doctor told it is peroneal tendonitis. But the pain is not subsiding. What should I do next. I also have aching pain for legs. I have cervical spondylitis, disc problem with shooting pain to the same leg. But MRI shows the angle pain not related to these problems .pls give me a reply.

BPT, Certified Osteopathic Manual Therapist, Diploma in Osteopathy
Physiotherapist, Gurgaon
I have angle pain with shooting pain to last 3 fingers. I had cortisone tablets for 5 days for this pain. Doctor told...
This reflect your posture got distorted and your muscle strength is too low putting pressure on you nerve root. please visit nearest physiotherapy centre of thorough examination and treatment.
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I am aged 65 years and my weight is between 100 to 110. All in sudden my left knee muscles become frozen ,bone become straightened feeling and thereby resulting pain in walking. What is this and remedy please.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am aged 65 years and my weight is between 100 to 110. All in sudden my left knee muscles become frozen ,bone become...
Quadriceps strengthening exercises- Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day. Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. Hamstring stretching Towel Hamstring Stretch Lie on the back, supporting the thigh with the hand or with a towel wrapped around it.. Slowly straighten the knee until a stretch is felt in the back of the thigh, trying to get the bottom of the foot to face the ceiling, one leg at a time. Hold the position initially for 10 seconds, and gradually work up to 20 to 30 seconds. Seated Hamstring Stretch While sitting at the edge of a chair, straighten one leg in front of the body with the heel on the floor. Then, sit up straight and try pushing the navel towards the thigh without leaning the trunk of the body forwards. Hold this stretch for 30 seconds Repeat 3 times for each leg.
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Sir, i am having back pain from 15 days beside kidney. So what will be the solution for this?

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Sir, i am having back pain from 15 days beside kidney. So what will be the solution for this?
Back ache can be due to several reasons. It can be muscular, related to disc degeneration or prolapse, joint irritation or nerve pinching. Most common is muscle pain due to tight and weak back and abdominal muscles. Keep a positive attitude, focus more on keeping good posture especially when sitting for long hours, use lumbar support. Take frequent breaks and stretch in between. Try changing sleeping habits. Stretching and strengthening exercises for low back and abdominal muscles will help reduce pain. Try hot or cold therapy as tolerated.
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I have Back ache for 4 days ache is shifting moving here and there in waist area sometime paining at a point then moving .what to do.

BPT, MPT- Ortho
Physiotherapist, Delhi
I have Back ache for 4 days ache is shifting moving here and there in waist area sometime paining at a point then mov...
It might be because of bad posture while standing walking and sitting try to correct your posture, and you can use hot fermentation that will reduce your pain. For that dip a towel in to hot water squeez it and wrap around your lower back.
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I am 22 year old female. I am suffering from backache from 10 month after cesarean delivery. And I feel sick everyday. I have gas problem and within 2 days I got headache. Completely I am not well. Please help me. Please sir suggest me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 22 year old female. I am suffering from backache from 10 month after cesarean delivery. And I feel sick everyday...
Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.
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Sir, I have stopped eating bananas when I was of 2 years because at that time my mother made me eat banana in excess. I eruct and never ate again. But due to less weight dietitian recommend me to eat pair of banana with milk in the morning. But I hate the smell of bananas so instead I started taking banana shake in the evening. But after 30 minutes I had a severe back pain. I tried it for two days. But pain was too much to bear. So I stopped taking shake. I would like to know why my stomach is not digesting the shake. Can it be some problem?

DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Visakhapatnam
Sir,
I have stopped eating bananas when I was of 2 years because at that time my mother made me eat banana in excess....
Hi, no correlation to bananna and back pain. Some times gastritis, renal stones may radiates to back. R there any pain with bending or any leg pain. Pl contact general physican to rule out other causes. Take plenty of water and simple analgesic if pain is more. Tq.
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I am 18 year male lives in hoshangabaad. I have back pain in both the sides of my backbone and back side of my rib cage too from 2 months.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 18 year male lives in hoshangabaad. I have back pain in both the sides of my backbone and back side of my rib ca...
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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Pain in spine. Right from the neck till the lower back and also in the legs. It feels like the nerves of my legs are getting pulled or over stretched at times.

MS - Orthopaedics
Orthopedist, Chennai
Pain in spine. Right from the neck till the lower back and also in the legs. It feels like the nerves of my legs are ...
Hello Sir, With the description of the symptoms, you will be benefited with vitamin D and Vitamin B12 supplements. If your symptoms are not relieved you should meet up with your orthopaedic surgeon.
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I am 21 year old In 2 days I'm not able to walk properly and my right leg are very paining Also my right leg have cramp And then its highly pain.

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
I am 21 year old In 2 days I'm not able to walk properly and my right leg are very paining
Also my right leg have cra...
Tk mag phos 6 x 4tab 4time in a day. But cause of d pain should b known for that consult to your near by dr.
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i am just 4 kg short of century and 60 years old, have knee problem to have brisk walk. Need your advice.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
What i can see is you are overweight,but how much exactly i can tell you if you let me know your height.You definitely need to loose weight to avoid stress on your knee joint.Also what other symptoms do u have and since when you are having this pain? you should not go for brisk walking,instead do some exercises for quadriceps strengthening.
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Whenever I stand for a minute or sit for a minute I feel very heavy back pain since from a year. What should I do?

BPTh/BPT
Physiotherapist, Mumbai
Whenever I stand for a minute or sit for a minute I feel very heavy back pain since from a year. What should I do?
Hi I can understand your problem. 1 relax & stay positive. 2 take hot and cold fomentation. 3 learn posture care exercise. 4 use lumber support. 5 take break every 20 minutes. 6 do strengthening exercise of back and core muscles not all back pains are same. Please do share investigation reports if you have any.
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Sir I am suffering from knee pain along with cracking sound while sitting. Some people say its because of lack of fluid in knee. What should I do please suggest me? I am taking medicine prescribed by safdarjung doctor along with exercise. M totally get tensed wht should I do?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir I am suffering from knee pain along with cracking sound while sitting. Some people say its because of lack of flu...
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...take pranacharya vatari syrup and capsule twice a day...And agni tundi vati and maha yograj guggul 1-1 tab twice a day...
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I am 21 years old man and have knees pain problem from 5 months. What should I do?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 21 years old man and have knees pain problem from 5 months. What should I do?
Ayurvedic medicenes 1. Tab-shallaki 1-1 tab 2 times a day 2. Mahayograj guguulu 2-2 tab 2 times a day 3. Apply externally pain off oin and slight massage 2times a day.
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Sir, I have muscles pain in mt legs and 99 fever from approx 2 weeks and when done some tests typhoid comes normal but esr is 56 mm per hour. So what does it mean does this rise in esr and fever is due to pain or something else there are no symptoms except these. Age 19 years male. I am feeling like muscles are torn from inside. Please help.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Sir, I have muscles pain in mt legs and 99 fever from approx 2 weeks and when done some tests typhoid comes normal bu...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Ferrum phos 200x, 4 tab each thrice a day with warm water and take it 5 days than consult private online.
2 people found this helpful
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She has been suffering with a leg-pain from past 2months We did x-ray scan and other things but all is fine what would be the reason? Maybe calcium problem She's also having thyroid.

BPT
Physiotherapist, Hyderabad
She has been suffering with a leg-pain from past 2months We did x-ray scan and other things but all is fine what woul...
Hi do the streching exercises for 10 to 15 min daily and apply heat pad for 5 min daily. If you have any doubts revert me back.
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I was in Army now I am retired. I have back pain from last 2 yrs. It very serve in the morning when I woke up.

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
I was in Army now I am retired.
I have back pain from last 2 yrs.
It very serve in the morning when I woke up.
Dear lybrate user, many factors can be associated for back pin from disc, joints, muscles etc. If there is morning stiffness some rheumatic component can also be present, advise is to get yourself throughly examined by orthopedician or interventional pain specialist for proper diagnosis and then further correct treatment, than taking pain killers for pain. Hope it helps.
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