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Dr. Prakash Pispati

Rheumatologist, Mumbai

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Dr. Prakash Pispati Rheumatologist, Mumbai
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Personal Statement

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 Lybrate.com.

Find numerous Rheumatologists in India from the comfort of your home on Lybrate.com. You will find Rheumatologists with more than 27 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.

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#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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Osteoarthritis - 5 Tips to Help You Prevent It

M.Ch. orthopaedics, M.S. (Orth)
Orthopedist, Ludhiana
Osteoarthritis - 5 Tips to Help You Prevent It

Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.

Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.

It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.

  1. Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
  2. Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
  3. Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
  4. Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
  5. Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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I have pain in my knees. I'm regular morning walker. Should I stop morning walk or what kind of test should I do?

MSPT (Master of Physical Therapy), BPT
Physiotherapist, Gurgaon
I have pain in my knees. I'm regular morning walker. Should I stop morning walk or what kind of test should I do?
you should not stop walking instaed you should start strengthening of your leg muscle . wear good sport shoes walk on clay path rather then cemented For strengthening ex prog whole body u can contact me thanx
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I am suffering from arthritis. And facing daily swelling in whole body from many days. Pls suggest me diet to control my swelling and joint pain. Pls help.

DHMS (Hons.)
Homeopath, Patna
I am suffering from arthritis. And facing daily swelling in whole body from many days. Pls suggest me diet to control...
Hello, * avoid, cold intake, cold exposure, all fruits, sour, spicy fried, food item. * try to move, slowly for 20 mints. * sit in sun for 1/2 an hr. * drink, luke warm water * take, a bath with luke warm water. * homoeo-medicine* @ rhus tox 200-6 pills, thrice a day take, care.
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I am 38 years female. I have hypothyroid for 27 years. I am on thyroxine. Can my thyroid be cured completely? I also have r.arthritis. I have joint pains occasional. Please guide.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 38 years female. I have hypothyroid for 27 years. I am on thyroxine. Can my thyroid be cured completely? I also ...
HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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I am suffering from insomnia about 20 years sir. Please advice me how to solve this problem and give proper advice to me sir.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Tips for sleeplessness or insomnia *Try to keep to a regular timing for going to bed*Avoid fried and heavy foods. Eat early and light food at night so that the food is almost digested by the time you go to bed. *Prefer fruits and green vegetables. *Fix daily work schedule and be busy with your work. Don’t keep pending problems in mind. Note down the points and leave them for next day’s action. *Don’t do stimulating mental work or keep watching TV which can keep your mind agitated or active. This will not allow you to sleep. LCD screen will also have adverse effect. *Day’s physical exercise makes you tired and induces sleep. *A warm bath in the evening will also be helpful. *Low volume music also induces sleep. *Keep your bed room neat, dark and cool. You may cover your eyes with bed sheet. *Drink plenty of water during the day rather than toward bedtime. *Don’t have stimulating drinks like tea or coffee Drinking a glass of milk before going to bed is fine. The problem can be treated by homeopathy and without adverse effects. Take homoeopathic medicine Nux vomica 200 twice daily in the morning and evening.
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Hello. I am a 33 year old male living in Denmark since 10 years. I am originally from India. Recently on my trip to India, I was sleeping on hard mattresses, as is the case usually with beds in India. And for some reason it has probably not gone very well with my back. In Denmark we sleep on very soft mattresses. And my back has usually been pretty good and have had no complaints around it. Even though I have knee problem due to my history in sports. But this time around, the pain has been very consistent. The problem is that when I sit on my bed, in a fairly nice posture, with back straight, and leaning back on a pillow or something, my middle back starts feeling sore and irritates me, and then I have to sit with out any support for a while to relieve the tension. Even when bending sometimes, I can feel the tightness in lower and middle back, can feel its sore. It's been a month and now I am back in Denmark since a week, but still don't see any changes. In general what do you think is the problem and could it be linked to the mattresses? On a side note, an MRI of my lower spine was normal, with a slight slight disc bulge, without any significant nerve compression, according to the radiologist. So I am assuming the structure and things are good, but maybe it's just a passing thing. But still need to do something so it does not get worse, and hopefully to get it back to normal sooner. Kindly suggest. Thank you

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hyderabad
Hello. I am a 33 year old male living in Denmark since 10 years. I am originally from India. Recently on my trip to I...
hi, You have a slight disc bulge, but you did not mention the exact area. Depending on your history given i can suggest you complete body rest in proper position whenever pain starts. Don't carry heavy objects. Use hip bandage during prolonged sitting and travelling. Make sure to get proper bowel evacuation. You can manage the discomfort and further increase of the condition through traditional ayurveda therapy along with some internal medication. I can suggest you accordingly if you revert back in private consultation.
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She is suffering from knee pain several checkups made but no use she can not walk fastly and she can not stand for long time.

BHMS
Homeopath, Faridabad
She is suffering from knee pain several checkups made but no use she can not walk fastly and she can not stand for lo...
Hello, Take Rhus tox. 200, 5 drops in the morning and bryonia 200, 5 drops daily evening. Five phos , 4 tabs twice daily. Revert me after 10 days.
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My fasting glucose level is 112 today, am I diabetic? M feeling pain in both knee and both side of back, from 4 days m feeling frequent urination. Is it any serious?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My fasting glucose level is 112 today, am I diabetic? M feeling pain in both knee and both side of back, from 4 days ...
Lybrate-user, fbs between 108 mg to 125 mg is considered as pre- diabetes. There is no treatment required, but better to take precautions like avoiding excess sweets, junk foods, pastries, bakery items, sweetened aerated drinks (colas), fructose corn syrup containing products, highly processed food products and high fat milk products. Consume more of green leafy vegetables, salads, and fruits. Use whole grain products, avoid refined flour like maida. Exercise daily for at least 1 hour. To diagnose diabetes fasting should be >126 mg & pp > 200 mg/100 ml. So please check pp level and inform.
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Foods to Avoid in Arthritis

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Foods to Avoid in Arthritis

Arthritis is defined as a disease that causes painful inflammation and stiffness in joints. There are some food items, which you should avoid if you are suffering from arthritis since they can worsen your condition and lead to inflammation and joint pain. Stick to a smart, nutritious diet that doesn't make you gain weight.

The following food items should be struck off your daily meals: 

  1. Red Meat: Red meat has high levels of saturated fat. Patients of arthritis must avoid consuming foods containing saturated fat because they contribute to obesity. They also contain Omega-6 fatty acids, which lead to inflammation if the intake is high. Red meat contributes to higher overall fat and calorie intake.
  2. Sugar and Refined Flour: Sugar and refined flour may cause an upsurge in blood sugar levels. When there is a spike in your blood sugar levels, the body produces a pro-inflammatory chemical called cytokines to break down the carbohydrates. This results in inflammation, worsening your arthritis symptoms. They also increase your weight, putting more and more pressure on the joints.
  3. Fried Foods: Eliminating fried foods from your diet helps in reducing the levels of inflammation. Fried foods increase oxidation in the body's cells due to toxins called advanced glycation endproducts or age. They are high in fat and lead to obesity. Moreover, most restaurants use hydrogenated oils which are rich in trans fats. Trans fats are even more harmful than saturated fats when it comes to inflammation, chronic heart diseases and other health problems.
  4. Alcohol and tobacco: High intake of alcohol causes a surge in the body levels of CRP or C - reactive protein which is a powerful agent of inflammation. The risk of developing rheumatoid arthritis is higher among smokers.
  5. Processed Foods: Foods that are ready to eat and require minimal cooking contain several ingredients that cause inflammation. They are loaded with saturated fats, refined flour and sugar and are extremely unhealthy and worsen arthritic pain.  
  6. Corn Oil: Many foods, especially baked foods, are cooked in corn oil or other oils which are rich in omega 6 fatty acids and trigger inflammation. Corn oil can be replaced with olive oil that is rich in omega 3 fatty acids which is anti-inflammatory. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
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My both the knees are swollen and also my wrists. Experiencing severe pain in all joints. Allopathy, aurvetha etc taken. No relief. Please help. I am 62 year old,

Vaidya Visharad
Ayurveda, Narnaul
Dear, According to Ayurveda joint pain is known as Sandhigata vata. With increase in age vata dosha is predominant in human body that is why with aging disease caused by vata dosha increases in body. Joint pain is a common symptom with many possible causes. Joint Pain and Arthritis are the one of the most devastating conditions faced by individuals, particularly elderly women today. When there is pure Vata dosha involvement (a pain without swelling or discoloration) then the massage with medicated ayurvedic oil is quite useful & supplement is helpful in balancing bodily humors ?vata, which is responsible dosha for Sandhigata vata . Visit us:-www.Malhotraayurveda.Com
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It is rheumatoid arthritis. Every joint swells and my mother suffers severe pain. Specially foot joints, finger joints and hand joints. Though treatment is going on some time it is unmanageable. Dr. Have prescribed steroids. Is it safe to continue?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease
Ayurveda, Kolhapur
No steroids is for instant relief for pains. But it let your disease in to bad conditions as it decrease your immunity. So my advice is to not continue it. Just follow ayurvedic medicines for long term effects.
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Sir my father ramu 40 old man. His knee always pain. What should I do? Please help me.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Sir my father ramu 40 old man. His knee always pain. What should I do? Please help me.
Hi, Hope your father have suffered it since long and the causes might be caused by a sudden injury, an overuse injury, or by an underlying condition, such as arthritis. Treatment will vary depending on the cause. Symptoms of knee injury can include pain, swelling, and stiffness. If you’ve twisted your leg, taken a hard fall, or otherwise strained your knee, first aid at home can be helpful. Remember the acronym “RICE” for treating strains and sprains: •Rest •Ice •Compression •Elevation Get off your feet and apply a cold compress or bag of ice to the knee. Frozen vegetables, such as peas, will also work if you have no ice handy. Wrap your knee with a compression bandage to prevent swelling, but not so tightly it cuts off circulation. While you’re resting, keep your foot elevated. OK.
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I am 36 years old male. Suffering from right knee pain since laet 9 months. What should I do? I have consult with doctors at hindu rao hospital. Took mesicine but no relief yet. Mri shows that' impression Mr. Imaging revels----- 1. Focal cartilage thining with underlying subchondral edema at medial facet patella- likely chondromalacia patella grade-4.2. Minimal knee joint effusion. So please suggest me. Thanks.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
You need some exercises. If medicines and exercises is not relieving your pain, then surgery may be needed. Arthroscopy surgeon would be best for you.
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Sir meri sis 37 years ki hai. Uske dono knee mai nd dono pairo ki side ki bone mai pain hota hai. Medicine se pain band ho jata h and after sometime again it will start and usse chala bhi nahi jata. please suggest.

BPTh/BPT
Physiotherapist, Delhi
Sir meri sis 37 years ki hai. Uske dono knee mai nd dono pairo ki side ki bone mai pain hota hai. Medicine se pain ba...
Dear lybrate user use hot pack 15 minutes twice a day and use ointment stretching exercise of leg, big towel roll put under knee press towel tight your knee hold 5 sec repeat 10 times, put rolled towel between both knee press for 5 sec repeat 10 times, bend and straight both knee with bed contact 15 times repeat.
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Is there any treatment of knee pain in ayurveda? patient's (female 42years) left knee mri report says; 1. Articular cartilage irregularity with subchondral marrow changes in medial joint space with mild joint effusion and synovial thickening. - suggest early changes of osteoarthritis 2. Thupe-ii signal/myxoid degeneration in posterior horn of medial meniscus.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem.
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Hello doctor I have problem of chronic insomnia please suggest some natural ways to cure it.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hello doctor I have problem of chronic insomnia please suggest some natural ways to cure it.
chronic insomnia usually has some unidentified causes behind it. It is always advisable that you get yourself assessed for it. It could be either due to sleep disorder, anxiety, stress or atypical depression too. As regards natural ways for a good sleep - follow sleep hygiene practices. Sleep at and get up at defined timings, at least try to get up at a fixed timing. Never try to sleep. Avoid tea, coffee, alcohol. Eat healthy. exercise, but during morning hours.
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Is osteoarthritis a part of aging, and is there a way to reduce risks, even after age 50?

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
Hi, yes most of the time osteoarthritis is part of ageing and sometimes our life style aggravates it or it gets aggravated in certain disease like rheumatoid etc. You can do few things to maintain good bone mineral density (by having adequate calcium & vit d level) & strengthing exercises for knee joints, by this you can reduce the risk of oa.
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My father age is 60 years has acute pian in both knees. Consulted many doctors in these five years but no shy of relief. Please suggest the proper advice. Thanks.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My father age is 60 years has acute pian in both knees. Consulted many doctors in these five years but no shy of reli...
Most probably you are suffering from oa of knee. Knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results. We have well equipped center in delhi. Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery. Do not ignore. It could be beginning of a serious problem. Kindly show me x- rays before a final decision can be taken. You will be thoroughly investigated before surgery is under taken. Risk in surgery is less than the risk in crossing road. Why not discuss with me in a video conferee? (facility provided by lybrate. Com)
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Knee Instablity: Is It An ACL Tear?

M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Knee Instablity: Is It An ACL Tear?

Knee joint injuries are one of the most common sports and vehicular injury sustained by patients. We have observed that many of these injuries are neglected initially. A knee injury often presents with swelling in the knee along with pain.

A medical evaluation of all knee injuries is mandatory. All knee injuries which are present with swelling and pain should be evaluated by an orthopedic surgeon. A Xray is usually taken.

The pain and swelling disappear in normal course of time but an instability persists in these patients.

An anterior cruciate ligament tear is the most common injury which is diagnosed in these patients. It is also called ACL tear.

The usual symptoms are fear of falling down, locking feeling , inability to make the knee completely straight, difficulty in climbing stairs up or down. All these problems should never be neglected as it will lead to further injuries and increasing damage.

The investigation of choice is an MRI scan.

The ideal treatment in these cases is a keyhole surgery

The surgery is called ACL reconstruction. The torn ligament is replaced with a new graft.The surgery is arthroscopically done.

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