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Dr. Prakash Doshi

Orthopedist, Mumbai

800 at clinic
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Dr. Prakash Doshi Orthopedist, Mumbai
800 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Prakash Doshi
Dr. Prakash Doshi is a trusted Orthopedist in Mumbai, Mumbai. You can consult Dr. Prakash Doshi at Dr Prakash Doshi Nursing Home in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Prakash Doshi on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 32 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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Dr Prakash Doshi Nursing Home

Neelkanth Market, M G Road. Landmark: Near Ramji Absar School, MumbaiMumbai Get Directions
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If I am suffering from back pain for several days what treatment would be most suitable if all painkillers have failed.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
If I am suffering from back pain for several days what treatment would be most suitable if all painkillers have failed.
Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.
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I have pain in leg. I am running 5 km daily but pain is increase day by day. Please help.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have pain in leg. I am running 5 km daily but pain is increase day by day. Please help.
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5 days, inform
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My aunty suffering from knee pain, but she did not get up on the cot .she weight nearly 95 kg above ,some one (doctors) told knee is damaged. And she got very pain problem.

BPTh/BPT
Physiotherapist, Delhi
My aunty suffering from knee pain, but she did not get up on the cot .she weight nearly 95 kg above ,some one (doctor...
First think loos her wait in that problem short out physiotherapy she don't sleep on cot, she use only bad at home she use hot water & take towel deep hot water then round on knee it treatment very use fully some exercise also do but 1-2 months take physiotherapy also self use hot water all thinks do she then she feeling better.
1 person found this helpful
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I am 42 years old man, last 20 years I am suffering from backache what should I do.

Bachelor of physiotherapy,BPTh, Certified Manual therapist, Master of Physiotherapy ,MPTh. (Orthopedics)
Physiotherapist, Ghaziabad
I am 42 years old man, last 20 years I am suffering from backache what should I do.
Back strengthening exercises, hot fomentation, light stretching of back muscles. Intake of multivitamins will boost you.
4 people found this helpful
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I am 63 yrs old, retired from the army in 2010 as a maj gen after 38 yrs of commissioned service. In the last one yr have developed pain in my right knee; problem in climbing stairs, squatting, etc. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. Please tell me duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. I also need to see your latest knee x rays so that I know what grade of arthritis are we dealing with on your case? do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi
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My father is suffering from fever and leg pains so many times in a month, what to do for that?

BPTh/BPT
Physiotherapist, Mumbai
My father is suffering from fever and leg pains so many times in a month, what to do for that?
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do streching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief consult physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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I am having a severe back ache so can I cure it naturally. Please suggest your feedback.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having a severe back ache so can I cure it naturally. Please suggest your feedback.
Heat fermentation twice a day and rest do spine stretching exercise and avoid long sitting and toward bending.
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I a a student I am back pen please help me I am usibh pen cillerr please help me and my head always pen appmeri madam keejiye plx.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I a a student I am back pen please help me I am usibh pen cillerr please help me and my head always pen appmeri madam...
Rest must and do heat fermentation and avoid long sitting toward bending lifting heavyweight and apply pain relief ointment.
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One old woman is suffering from knee pain she used many tablets but not cured what should she do now.

BHMS
Homeopath, Delhi
One old woman is suffering from knee pain she used many tablets but not cured what should she do now.
Hello, you can take homoeopathic medicine rhus tox 200 (4 drops in little water) thrice a day for a week and update. Use rheuma saj oil (medisynth).
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Doctor I hv got a injury in my left knee. And im so frustrated from it from 2 months. I m on only bed rest and ihv got a plaster too if you want any M. R. I. Report so I can send you.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Doctor I hv got a injury in my left knee. And im so frustrated from it from 2 months. I m on only bed rest and ihv go...
Myself is a homoeopath and I will really appreciate if you can send me your MRI report if you have one as it will be really helpful to know about the exact nature of your injury.
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I am getting joint pains whenever I run or have high tensile exercise. Suggest me a proper diet so that I recover my pains. I am 19 years old boy. Probably of 170 cm height and 67 kg weight.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am getting joint pains whenever I run or have high tensile exercise. Suggest me a proper diet so that I recover my ...
Ankle Stretching. Ankle Strengthening Exercises. Avoid Squatting. Quadriceps Exercises. Core Strenthening Exercises.
1 person found this helpful
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

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Sir, iam of 19 years, male, my right knee make popping sound frequently when I fold my leg, sometimes. It pains a. Little, is there any serious problem with that.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Sir, iam of 19 years, male, my right knee make popping sound  frequently when I fold my leg, sometimes. It pains  a. ...
Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag).Twice a week...Drink plenty of fluids daily...do exercise daily...eat healthy protein and calcium rich food
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I am 52 years old and have got pain in my legs paw and some time becomes very difficult to walk and can not walk fast at all but after passage of some time it becomes normal why is it so?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 52 years old and have got pain in my legs paw and some time becomes very difficult to walk and can not walk fast...
due to weakness OK muscle ya due to arthritis, tk supplements and do physiotherapy treatment for few days and do quadriceps exercise. avoid home remedy stretch
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My wife's from neck, hands, head are paining from one month, and it pain like (हिंदी chilkan) type. So it will get treated.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My wife's from neck, hands, head are paining from one month, and it pain like (हिंदी chilkan) type. So it will get tr...
Stretching exercises if neck and shoulder. Hot fermentation. If it work then OK otherwise consult with physiotherapist.
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I have severe head ache And stomach ache from two day and I also suffer from pain in my joints.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have severe head ache And stomach ache from two day and I also suffer from pain in my joints.
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.dont 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 2.audumbaravleha 2 tsp before lunch and dinner
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Hair I am devi shingh rathore I am suffering from knee pain From 16years ago please guide me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hair I am devi shingh rathore I am suffering from knee pain From 16years ago please guide me.
Homoeopathic medicine ADEL-4 Drop ( ADEL) Drink 20 drops in 20 ml fresh water 3 time daily HAEMOCAL ( SBL) Chew 4 tab 3 times daily Report after 30 days.
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Hi sir, my wife is suffering from rheumatoid arthritis, taking treatments, do we expect the end of the treatment for this disease .please help

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
There are very effective remedies in ayurveda to make life easy of such patients. So keep patience n contact if possible.
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I have pain on my neck and shoulder so please help me out from this situation thanks.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I have pain on my neck and shoulder so please help me out from this situation thanks.
You need to give hot water bag fomentation and take calc phos 6x 3 tablets for 3 times in a day for 2 weeks. You will be alright within 2-3 days, but please continue it for 2 weeks for further avoid any such damage.
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