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Dr. Prakash Pispati

Rheumatologist, Mumbai

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Dr. Prakash Pispati Rheumatologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Prakash Pispati
Dr. Prakash Pispati is one of the best Rheumatologists in Mumbai, Mumbai. He is currently practising at Dr. Prakash Pispati@Saifee Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Prakash Pispati on

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Saifee Hospital

#15/17, Maharshi Karve Road, Charni Road. Landmark: Opp. to Railway Station & Near Charni Road Station, Mumbai Landmark : Opp Charni Road StationMumbai Get Directions
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For 57+ female on treatment for Hypothyroidism, Hypertension & Osteoarthritis - 1) Does a dosage of Vit D3 (60K IU per month) & Shelcal CT (daily) over an year have risk of kidney disorders? 2) What are the possible natural treatments to control osteoarthritis pain specially caused after climbing stairs after a long time?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Calcium and Vitamin D is okay. No problem with long term use natural treatment for osteoarthritis is Exercises. Nothing works better than exercises. Knee range of movement, Cycling and strengthening exercises. Swimming is also good if you can... There are some medicines which help to delay osteoarthritis without side effects.
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I have pain in my both of the knees very badly from last 2 months so what you suggest for me to relief permanently thanks please tell me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
1. Go for fasting once a week. You can go for absolute fasting or rely on a liquid diet to digest ama (toxin). Fasting should be followed by hot fomentation or by taking a bath with lukewarm water or steam bath. 2. After fasting and fomentation, mix powdered long pepper, black pepper and dried ginger in equal quantities and take 1 teaspoon of this powdered mix with lukewarm water twice a day. This will help you restore your digestive fire. 3. Take one tablespoon of castor oil before going to bed, once or twice a week. It helps in cleansing ama (toxin) build up and balancing vata. 4. Mix equal quantities of powdered fenugreek seeds, turmeric and ginger powder. Take one teaspoon daily in the morning and evening. 5. For dry fomentation of the affected joints, take a cloth and fold it into four, fill it with hot and sand make a potli (bag) out of it. Use this bundle for the fomentation of different joints. This is very helpful in reducing pain and swelling.
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My mother's knee has clinging sensation. Feels someone has griped it hard. It is persisting for years. Any solution.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation, I can prescribe a detailed treatment plan. For further queries consult me privately.
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Sir my mom which is 50 year old. She suffer from knee joint problem. Some orthospecialist says she's joint start rubbing due to that she can't able to fold or sit smoothly. What treatment should prefer I think nothing treatment. Thats not possible.

Homeopath, Noida
Hello lybrate-user, knee joint pain at 50 is common but treatment is also there. You morther is suffering from osteoarthritis. Well you can't have painkillers all the time n beside it will damage the kidney too. Homoeopathic medicine are beneficial in it. It is time taken process but can be cured. Consult accordingly. Have rhus tox 1m once in 15 days.
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I have suffering from Arthritis, I want to know everything about this deceased I'm suffer lot of in previous two month.

Ayurveda, Ambala
Arthritis is joint disorder involving swelling of joints with pain , stiffness . Symptoms may include: *Inability to use the hand or walk *Stiffness, which may be worse in the morning *Malaise and fatigue *Weight loss *Poor sleep *Muscle aches and pains *Tenderness *Difficulty moving the joint There are some methods you can apply : • Do exercise such as walking that strength your muscles and move your joint .From movement of joint you got relief from pain and stiffness. •Gentle massage your joints with lukewarm oil. You can use medicated can apply ice packs and heat with warm water bottle on your painful area. • If you are obese then lose some weight . Heavy weight make strain on your joint and causes pain. • Take healthy diet avoid junk foods.Take diet rich in calcium such as milk, cheese.Do not take stress . • you can take physiotherapy advice • You can consult me privately for detailed and complete treatment.
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I am 59 year old and suffering from knees pain last 6 month using sesame oil message please advise me treatment for permanent relief.

Homeopath, Faridabad
Hello. We can't reverse the established pathology back, but we can control the process in the stage it is so that it wouldn't grow further. Apply Bakson’s Rheum Aid oil gently (2-3 times a day) and take orally Bakson’s Rheum-Aid syrup/ 1 tablespoon thrice daily. Also, increase your dietary intake of calcium which is present in green leafy vegetables, milk, milk products, sea food, white legumes, dried fig, black-eyed peas, almonds, oranges, seasame seeds. And vitamin D which is essential for absorption of calcium in our body and is synthesized naturally after getting exposed to sunlight, so early morning sunlight for 10-15 min. 2-3 times a day is mandatory. Apart from this, do walk daily along with physiotherapy will also help you.
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I am suffering from knee pain, it generally starts heavy in the morning, I even consume filtered water. Runs daily, do exercise, but I can't help my self.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Hope you are suffering from arthritis. You confirm first by under going blood test of ra factor, aso titre, esr, hb etc. Then take 100% safe ayurveda medicines to be fully cured within 3 months. You stop you aerobic exercise and rest your joint knee. Ok.
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I have pattelofemoral problem. In my left knee pattela bone is nearer to femur bone (one gap is ok bt left side gap is not there). When I am walking or jogging its paining. Is it curable? What to do? In morning I do jogging. Am I not doing this any more? please help me.

Acupressurist, Chandigarh
You may take Rhus Tox 200 thrice a day for two days three drops in water. Take Cal. Flour 12 x four tablets thrice a day for two days. Also you should do massage of your knee with any oil like mustard or sea same oil one inch above and 1 inch below , in the hollow portion of the knee daily at night atleast for one month. After three days consult online for further course of medicine. You will be cured.
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I am having pain in my right knees from last 3months and this make me difficult to run and do workout.

Homeopath, Pune
Wear knee cap do knee strenghthing exercise do it for 8 day if not help you out take homoeopathy treatment.
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My Mother is nearing 83, weight about 73 kg with medium height. She's having pain in her knees and is not able to walk without stick or a walker. Should she be operated for knee replacement or any alternative treatment you suggest

MBBS, M. S. Orthopedics, Orthopaedics, MD - Sports Medicine
Orthopedist, Delhi
She can try with some exercises and medication. Nowadays a intra articular injection is also given, you can try these. But if no relief then surgery.
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I have a problem with Neck, waist,aft below the knee, in the joints of the claws of both feet this space is a very , It is fifteen days from the last four to five days and is very pain. And waist is 4 5 month continues pain.

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Try gentle stretching exercises. Use hot and cold fermentation over painful area few times a day for 15 mins. If pain persists consult a physiotherapist.
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Fibromyalgia Syndrome (FMS) & Myofascial Pain Syndrome (MPS) - Signs That Indicate It!

MBBS, Diploma in Anesthesia, FIPM, Clinical Fellowship Training in Chronic Pain Management
Pain Management Specialist, Mumbai
Fibromyalgia Syndrome (FMS) & Myofascial Pain Syndrome (MPS) - Signs That Indicate It!

It is quite likely for you to mistake fibromyalgia syndrome (FMS) and myofascial pain syndrome (MPS) as the same condition because of the frequent overlap and similar symptoms. As a result, people with both conditions are diagnosed with only one and are treated for that. The major difference between PMS and FMS is that they need different treatment. The trigger points can be eliminated, and while MPS pain may exacerbate FMS, treating MPS can improve FMS.

About FMS and MPS

  1. FMS is a disorder featured by musculoskeletal pain along with sleep, fatigue and mood swings. It affects the way in which your brain processes pain signals.
  2. MPS is another chronic pain disorder in which the pain is caused in the body because of pressure on sensitive points in the muscles. It is known as referred pain.

There are several symptoms of MPS which are similar to that of FMS, while there are some different symptoms as well. The common symptoms are as follows:

  • Soft tissue pain
  • Headaches or migraines
  • Disturbance in sleep
  • Problems with balance
  • Tinnitus or ear pain
  • Memory problems
  • Excessive sweating

Here are the symptoms which are associated with MPS only and not with FMS:

  • Extreme numbness
  • Clicking or popping joints
  • Reduced range of motion in the joints
  • Blurry and double vision
  • Unusual nausea

Here are some symptoms which are observed in FMS but not in the case of MPS:

  • Fatigue
  • Panic attacks
  • Developing allergies and sensitivities
  • Feeling overwhelmed because of high sensory input levels
  • Confusion and disorientation

MPS is difficult to diagnose and treat because of referred pain. The symptoms have to be recognised and the trigger points need to be identified for detecting MPS. The trigger points are found on the basis of the symptoms. Several tests like magnetic resonance elastography (MRE) and tissue biopsy are used for MPS diagnosis. On the other hand, there are no tests or scans which can detect FMS in patients.

There are several overlaps as well as major differences when it comes to the treatment procedures of MPS and FMS. The treatment methods which are used for both MPS and FMS are as follows:

  • Acupuncture
  • Physical therapy which may be in different forms
  • Tricyclic antidepressant medicine

According to studies, trigger point injections are not too effective in giving relief to fibromyalgia tender points, while non-steroidal anti-inflammatory drugs (NSAIDS) are not useful for the treatment of FMS pain as they are meant for inflammation. It is very important for you to visit a doctor if you experience any symptoms of FMS or PMS. You require proper diagnosis so that the right treatment can be undertaken.

I have osteoarthritis, Dr. prescribed medicine pan 40, Deflo and Etoshine, I think these medicine are a type pain killers, I think this is not the proper diagnose way to curepermanentlyosteoarthritis, hence I requesting you to suggest the proper direction of activity and diet plus exercise for future. Please.

DNB ORTHO, MNAMS (Membership of the National Academy) (General Surgery) , MS ORTHO, MBBS
Ossteoarthritis is the most common form of arthritis, affects almost everyone. It occurs when the protective cartilage wear off. Although osteoarthritis can damage any joint in your body, the disorder most commonly affects joints in your hands, knees, hips and spine. There is no Cure for Osteoarthritis. But staying active, maintaining a healthy weight and other treatments may slow progression of the disease and help improve pain and joint function. Symptoms Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include: 1) Pain. 2) Tenderness. Light pressure gives pain. 3) Stiffness. 4) Loss of flexibility 5) Grating sensation 6) Bone spurs. These extra bits of bone, which feel like hard lumps, may form around the affected joint. Causes Osteoarthritis occurs when the cartilage that cushions the ends of bones in your joints gradually deteriorates. Cartilage is a firm, slippery tissue that permits nearly frictionless joint motion. In osteoarthritis, the slick surface of the cartilage becomes rough. Eventually, if the cartilage wears down completely, you may be left with bone rubbing on bone. Risk factors Factors increase risk of osteoarthritis include: 1) Older age. The risk of osteoarthritis increases with age. 2) Sex. Women are more likely to develop osteoarthritis, though it isn't clear why. 3) Obesity. Carrying extra body weight contributes to osteoarthritis in several ways. It puts added stress on weight-bearing joints, such as your hips and knees. In addition, fat tissue produces proteins that may cause harmful inflammation in and around your joints. 4) Joint injuries. Injuries, such as those that occur when playing sports or from an accident, may increase the risk of osteoarthritis. 5) Certain occupations. If your job includes tasks that place repetitive stress on a particular joint, that joint may eventually develop osteoarthritis. 6) Genetics. Some people inherit a tendency to develop osteoarthritis. 7) Bone deformities. Some people are born with malformed joints or defective cartilage, which can increase the risk of osteoarthritis. 8) Other diseases. Having diabetes or other rheumatic diseases such as gout and rheumatoid arthritis can increase your risk of osteoarthritis. Complications Osteoarthritis is a degenerative disease that worsens over time. Joint pain and stiffness may become severe enough to make daily tasks difficult. Some people are no longer able to work. When joint pain is this severe, doctors may suggest joint replacement surgery. Tests and diagnosis Clinical Examination, X Rays and Blood tests. Treatments and drugs 1) Medications A. Acetaminophen. B. Nonsteroidal anti-inflammatory drugs (NSAIDs). 2) Therapy A. Physical therapy. B. Occupational therapy. C. Braces or shoe inserts. D chronic pain class – Training in group 3) Surgical and other procedures A. Cortisone shots. B. Lubrication injections. C. Realigning bones. D. Joint replacement. 4) Lifestyle and home remedies A. Exercise. B. Lose weight. C. Use heat and cold to manage pain. D. Apply over-the-counter pain creams. E. Use assistive devices. 5) Alternative medicine (I do not believe but people use) A. Acupuncture. B. Glucosamine and chondroitin. C. Avocado-soybean unsaponifiables. D. Tai chi and yoga.
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Why does PAIN occur? Understand the Mechanism of Pain

Pain Management Specialist, Gurgaon
Why does PAIN occur? Understand the Mechanism of Pain

Why does pain occur? The mechanism of pain explained

Pain is an unpleasant and distressing physical sensation caused by disease or injury, which induces hurt and anxiety in those suffering from it.
There are many different manifestations of pain, ranging from short term (acute pain) to long term (chronic pain). Other classifications include pain in the internal organs (visceral pain), injured tissue (inflammatory pain), nerves (neuropathic pain), etc.

The reason for the occurrence of pain depends on the cause and kind of pain being experienced. In most cases, pain acts as a warning sign that the body has been afflicted by a disorder of some sort, which may have arisen due to internal sickness or external wounding. Acute pains are generally cured on their own through rest or simple medication. Chronic pains, on the other hand, are more complicated in nature and the treatment requires more elaborate diagnosis.

The mechanism of pain

Pain is an extremely personal and subjective experience and affects each individual to varying degrees. The pain signals, which can arise in any part of the body, travel through the spinal cord to the brain along thousands of specialized nerves and nerve fibres. In the brain, it is processed in the centres associated with anxiety, emotions, memory, appetite, etc. Signals and pain inputs are then returned from the brain to the spinal cord, which may heighten or diminish pain.

In some cases, pain may also be induced by damage to the brain and spinal cord, which happens after a stroke.
A constant barrage of pain signals may cause the cells at the end of nerve fibres to become over-sensitized. This is known as ‘wind-up’ and is one of the most common causes of chronic pain that occurs even though the root of the problem has been identified and treated.

The causes and effects of pain differ from case to case depending on the signals received by the brain and its interpretation. It affects the individual’s day to day activities and if persistent, can also have a harmful impact on mental health and psychosis. Pain is always handled, diagnosed and treated differently in all patients by drawing out the best possible solution to the problem.



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Knee menecus tear me kitne grade ho to surgery jaruri he? I am 35 year old male..

Pain Management Specialist, Navi Mumbai
Actually if you are not ready to go for surgery, you can try with PRP therapy or platelet rich plasma therapy. It may help you.
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Hell lot of back pain below the waist. Cannot sit. Knee pain also frustrates and has left me bed stuck.

Pain Management Specialist, Chennai
Hi you need to get evaluated for both your knee pain and backpain. Simple analgesics like paracetamol should give you some relief till then.
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Suffering from type 2 diabetes and mild blood pressure. Also rheumatic arteritis.Please tell.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am sure you must be on treatment for all these conditions. It very essential to achieve good glycemic control, otherwise it can lead to various problems (long term complications) associated with diabetes. Even rheumatoid arthritis like diabetes is a disease that can only be controlled. Apart from drugs treatment it is necessary to be physically active to keep healthy and fit. Exercise will also help in reducing blood sugar. Thanks for the question.
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I am 39 years I suffering knee problem last two years. My uric acid report is 6.8 so please give me suggestion.

Basic Life Support (B.L.S), MBBS, MD - Internal Medicine, MD - Consultant Physician, MD - Diabetology, MD - General Medicine, ACLS
General Physician, Hyderabad
High uric acid levels can damage joints and give kidney stones. Consult your doctor to get evaluation by checking x- ray of knee joint and some blood test. Good luck!
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Is osteoarthritis a part of aging, and is there a way to reduce risks, even after age 50?

MBBS, D.ORTHO, DNB (Ortho), Fellowship Joint Replacement, MNAMS
Orthopedist, Mumbai
Yes it is an aging process and yes there are tablets and exercises to reduce the process of osteoarthritis.
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Psoriasis and Homoeopathy

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow
Psoriasis and Homoeopathy


Psoriasis appears as patches of silvery scales or red areas on the legs, knees, arms, elbows, scalp, ears and back. Toes and fingernails can lose their luster and develop ridges and pits. Often hereditary, this condition is linked to a rapid growth of cells in the skin’s outer layer. These growths on the epidermis never mature. Whereas a normal skin cell matures and passes from the bottom layer of the skin to the epidermis in the bout 28 days, psoriatic cells from in about eight days, causing scaly patches that spread to cover larger and lager areas. The condition is not contagious.

Psoriasis generally follows a pattern of periodic flare- ups alternating with periods of remission, most commonly beginning between the ages of fifteen and twenty- five. Among other things, attacks can be triggered by nervous tension, stress, illness, injury, surgery, cuts, poison ivy, viral or  bacterial  infection, sunburn, overuse of drugs, lithium, and beta- blockers a type of medication frequently prescribed for experience an associated arthritis that is similar to rheumatoid arthritis and that is difficult to treat.



  • Eat a diet that is composed of 50 percent raw foods and includes plenty of fruits, grains, and vegetables include fish in the diet as well.


  • Get plenty of dietary fiber. Fiber is critical for maintaining a healthy colon. Many fiber components, such as apple pectin and psyllium husks, are able to bind to bowel toxins and promote their excretion in the feces. Also follow the program for colon cleansing. A clean colon is very important.


  • Use fish oil, flaxseed oil, or primrose oil supplements. They contain ingredients that interfere with the production that promotes the inflammatory acid a natural substance that promotes the inflammatory response and makes the lesions of psoriasis turn red and swell. Red meat and dairy products contain AA. Avoid these foods.


  • Apply seawater to the affected area with cotton several times a day.


  • Use cold-pressed flaxseed, or soybean oils.


  • Do not consume citrus fruits, fried foods, processed foods, saturated fats (found in meat and dairy products), sugar, or white flour.
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