Find numerous Rheumatologists in India from the comfort of your home on Lybrate.com. You will find Rheumatologists with more than 40 years of experience on Lybrate.com. You can find Rheumatologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Submit a review for Dr. Prakash PispatiYour feedback matters!
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?
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.
My mother's knee has clinging sensation. Feels someone has griped it hard. It is persisting for years. Any solution.
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.
I have suffering from Arthritis, I want to know everything about this deceased I'm suffer lot of in previous two month.
I am 59 year old and suffering from knees pain last 6 month using sesame oil message please advise me treatment for permanent relief.
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.
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.
I am having pain in my right knees from last 3months and this make me difficult to run and do workout.
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
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.
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
- 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.
- 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:
- 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:
- 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.
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.
Hell lot of back pain below the waist. Cannot sit. Knee pain also frustrates and has left me bed stuck.
I am 39 years I suffering knee problem last two years. My uric acid report is 6.8 so please give me suggestion.
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.