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Dr. Pranav

Physiotherapist, Mumbai

200 at clinic
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Dr. Pranav Physiotherapist, Mumbai
200 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Pranav
Dr. Pranav is a trusted Physiotherapist in Bhayander East, Mumbai. You can visit him at A Care Orthopedic in Bhayander East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Pranav on Lybrate.com.

Find numerous Physiotherapists in India from the comfort of your home on Lybrate.com. You will find Physiotherapists with more than 37 years of experience on Lybrate.com. You can find Physiotherapists 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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Hindi

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A Care Orthopedic

No. G/1 Giriraj Tower,Mira Bhayander Road, Sai Baba Nagar,Bhayander East,Landmark: Opposite Indian Petro Pump, MumbaiMumbai Get Directions
200 at clinic
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I have back pain (lower) .can't stand for too long time. Im just 20 years old. How can I get rid of this? Can I get better through physiotherapy?

BPTh/BPT, MPTh/MPT, Certified Manual Therapist, Certified McConnell Concept Practitioner, Certified Dry Needling Practitioner
Physiotherapist, Patna
I have back pain (lower) .can't stand for too long time. Im just 20 years old. How can I get rid of this? Can I get b...
Hi lybrate-user. It seems that you have pain due to bad posture. I can imagine that your hamstring muscle is tight with posterior pelvic tilt. You must go for physiotherapy or you can consult me online. You should start stretching exercise for hamstring and calf muscles and also do static gluts exercise. You must correct your sitting posture. God bless you.
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Hey. I am 17 years old. My knee cap was dislocated 5.5 months ago and I am still not feeling okay. My mri report which was done after 1 month of injury showed that I have 1.partial LCL tear 2.grade 1 meniscus tear 3.moderate knee joint effusion. I am still unable to climb the stairs with my injured knee and I am also walking with a lump. I am unable to walk normally .and my knee also does not look normal .its a bit larger than the normal knee .could you please help me out. I am very frightened? What should I do .i am also exerting regular but I feel no significant change .help me please please please.

BPTh/BPT
Physiotherapist, Vellore
Hey.  I am 17 years old. My knee cap was dislocated 5.5 months ago and I am still not feeling okay. My mri report whi...
U have ligament injury along with meniscal tear. Complete rest knee joint- knee brace. Apply ice fermentation. Mild calf muscle stretch. Partial weight bearing walk. When you sit or lie elevate your leg. Avoid floor sitting. Avoid long standing, walking. If you take proper physiotherapy treatment pain and swelling gone in two weeks.
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Osteoarthritis: Symptoms And Treatment

MBBS, MS - Orthopaedics
Orthopedist, Chennai
Osteoarthritis: Symptoms And Treatment

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 SurgeryJoint 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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I was in hospital for one knee tkr . I have got an" impending bedsore" what treatment can be done at home.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query. I am dr akshay from fortis hospital, new delhi. That' s not good to hear, but you can do following things: 1) to turn in bed every 2 hours and not allow pressure to stay at one particular point for a long time 2) use of air mattress at home 3) high protein diet 4) there is a dressing which comes from smith & nephew which is very useful for this. 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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What exactly is a spine block injection? Will it work for long term low back pain due to disc problem?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
What exactly is a spine block injection? Will it work for long term low back pain due to disc problem?
Its a nerve root injection. It is given in some painful conditions where there is inflammation around nerve roots causing compression signs and pain in low back and lower limbs. It can be effective in wisely selected patients and may not need surgery for same patient. Long term results are good for properly selected patients.
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I have pain in my lower back on long standing. Is it due to masturbation? Or wats the cause. What is the remedy?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I have pain in my lower back on long standing. Is it due to masturbation? Or wats the cause.
What is the remedy?
Hello- Back pain can occur for a number of reasons, including injury, aging, illness and disease. But what is rarely discussed is the relationship of back pain to excessive sex or masturbation. If you suffer from back pains caused by over-ejaculation, you need to stop masturbating. Your body needs to restore DHT levels and eliminate prostaglandin E2, while the liver requires healing to help it repair its ability of eliminating waste and metabolizing nutrients necessary for the production of hormones. Men looking for solace from back pain should Herbal Back Pain Relief, an all-natural solution designed to help improve DHT buildup and restore proper liver function.
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I am suffering from pain in my right leg since 3 days please suggest me some medicines.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am suffering from pain in my right leg since 3 days please suggest me some medicines.
Hi, you should take acupressure therapy. Take biochemic mag phos 12x+ferrum phos 12x. 4tab each thrice a day with warm water. Given feedback.
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I have been suffering from back pain when I used to play football. What should i do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have been suffering from back pain when I used to play football. What should i do?
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress 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 & 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 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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Hi. I am sufferings from back bone pain since morning. Kindly provide me better solution for that.

BPT, Certified Osteopathic Manual Therapist, Diploma in Osteopathy
Physiotherapist, Gurgaon
Hi. I am sufferings from back bone pain since morning. Kindly provide me better solution for that.
Dear sir your biomechanical spine has been alterd. So you are getting pain. So ill suggest to go nearest pbysiotherapy centre or can visit us in gurgaon sec 50. This can be solved by only physiotherapist.
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I am 32 male suffering from plantar fasciitis since 2 years. I am not diabetic. RA and blood uric acid tests are normal. Kindly give advice for this problem. Suggest homoeo medicine.

M S Orthopedic Surgery, MBBS
Orthopedist,
I am 32 male suffering from plantar fasciitis since 2 years. I am not diabetic. RA and blood uric acid tests are norm...
The condition, Plantar Facieitis, you have is called one of the variants of Fibrositis and is not a disease but more of a mechanical condition, requiring not only medication but some 1. Physical therapy in the form of moving the Toes and foot, 2. Heat Therapy in the form of Doing the above exercises in under water with Luke 1/2 bucket Warm water 3.Using Footwear with Micro cellular material both inside and out side of house 4. Minimal medication will give 95% relief and only about 5% need local Cortisone Injections into the specifically identified location at Heel. Pl. Consult an Orthopedic Surgeon locally and have the proper treatment. Edit Answer.
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