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Dr. Rutesh

Orthopedist, Mumbai

550 at clinic
Dr. Rutesh Orthopedist, Mumbai
550 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Rutesh
Dr. Rutesh is a renowned Orthopedist in Santacruz West, Mumbai. He is currently associated with Dr Kamdars Nursing Home in Santacruz West, Mumbai. Book an appointment online with Dr. Rutesh and consult privately on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 36 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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Junction Of S V Road & Milan Subway, Santacruz West. Landmark: Above Sarang Restaurant & Bar, MumbaiMumbai Get Directions
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Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

MD - General Medicine, DM - Rheumatology
Rheumatologist, Delhi
Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.

2587 people found this helpful

I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.

DHMS (Hons.)
Homeopath, Patna
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Hello, Lybrate user, You might have been injured on your back cause pain lumber region. Tk, Homoeopathic medicine:@ Hypericum 200-6 pills, thrice. Tk, care.
1 person found this helpful
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My Mother aged 49 has frequent pains from her knee to her foot specially it pains more when she wakes up in the morning and this pain stays the whole day. What should she do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My Mother aged 49 has frequent pains from her knee to her foot specially it pains more when she wakes up in the morni...
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then inform
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I am 50 years old, with old problem of spondolysis. Now days I am getting my house painted and I find that I am getting severe pain in both my legs and I am getting tired and exhausted. What should I do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine SPONDYAID ( BAKSON) Drink 10 drops in 20 ml fresh water 3 times daily CALCAREA PHOS 6X ( Dr Reckeweg) Chew 4 tab 3 times daily R-71 Drops ( Dr Reckeweg) Drink 20 drops in 20 ml fresh water 2 times daily
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I fell down while dancing and my knee is paining from then so I tried ice packs and pain killers but still is not perfect it is paining when I run. please help.?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I fell down while dancing and my knee is paining from then so I tried ice packs and pain killers but still is not per...
Kindly show me photograph of the affected part--knee. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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13 Myths About Total Knee Replacement (TKR), Busted!

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
13 Myths About Total Knee Replacement (TKR), Busted!
Myths about Total Knee Replacement

Myth#1 - Knee replacement is a surgery for old people. “I’m too young for a knee replacement.”
Fact - Candidacy for a knee replacement is not based on age, but on the person’s level of pain and immobility. Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking. Age is not necessarily a limiting factor. Often times, a patient is actually fearful about the uncertainty of surgery. Once they are able to resume many of the activities they enjoyed before the surgery, with increased mobility and with less pain, they are very happy they had the surgery. The quality of life one achieves by living without knee pain is priceless.

Myth#2 - “I should wait as long as possible to undergo knee replacement surgery”
Fact - You don't need to suffer by waiting until the pain is intolerable. The longer life of joint replacements enables people to consider surgery earlier and at a younger age. Osteoarthritis is a degenerative disease that continues to damage the joint and delaying surgery makes both surgery and return to activity more difficult. Delaying surgery lowers a patients’ quality of life not only before the operation, but even for up to two years following surgery.

Myth#3 - “I should continue with medications as long as possible”
Fact - Medicines including painkillers just give symptomatic relief for a temporary duration and prolonged usage is riddled with serious side effects such as renal failure, peptic ulceration etc. All these medicines are NOT curable.

Myth#4 - Alternative therapies such as acupressure, ozone treatment, massage beds, oils, laser therapy, magnetic therapy; braces will cure my advanced arthritis and knee pain.
Fact - Till date there is NO cure for advanced knee arthritis and these alternate therapies are not backed by established scientific data. All these modalities give temporary pain relief in early to moderate arthritis for some duration only and are NOT curative. Often times, a patient who is actually fearful about the uncertainty of surgery lands up trying these in order to avoid surgery.

Myth#5 - After a knee replacement, it takes months to recover.
Fact - Depending on the activity, most patients who undergo knee replacement are able to perform routine tasks within a few weeks. A return to rigorous activity takes only a few months. One becomes independent for himself before discharge from hospital. There’s no prolonged best rest required after the surgery.


Myth#6 - After knee replacement, I’ll have to give up some activities and sports.
Fact - You have a high probability of getting back to activities like brisk walking or cycling in 6 to 12 weeks. It will take a bit longer to return to more rigorous activities and contact sports. Squatting and sitting cross legged though possible but at best should be kept to minimal.

Myth#7 - Knee replacement surgery leaves a large scar that is noticeable.
Fact - Scarring is minimal compared to traditional surgery. In fact, the scar is typically only 3 to 5 inches long. As time passes, the scar will fade and become less noticeable.

Myth#8 - Knee replacement is a very painful surgery. There is lots of pain in post operative period.
Fact - With modern day pain management such as in a multimodal approach, ensures that the patient does not feel any pain in post op period and has a smooth recovery.

Myth#9 - Knee replacement is done one at a time.
Fact - Both the knees can be operated at the same time if the patient does not have significant co morbidities and is deemed fit to undergo the procedure by the doctor.

Myth#10 - The new knee lasts for 5-6 yrs. only.
Fact - With modern day precision including computer assisted knee replacement and advancement in biomaterials, the survivorship has increased considerably. Today's joint replacements last 25 years or longer and, for most people, will last a lifetime.

Myth#11 - Knee replacement cannot be done a second time.
Fact - Knee replacement can be done multiple times what is called as a revision joint replacement surgery with good survivorship.

Myth#12 - “I am obese, I cannot undergo Knee replacement surgery.”
Fact - Knee replacement can be successfully done in an obese patient though the recovery is somewhat prolonged and might require additional implants. However, patients who are morbidly obese and have restricted mobility primarily due to obesity are better off after a bariatric procedure.

Myth#13 “I have diabetes or hypertension or heart ailment, so I cannot undergo Knee replacement surgery.”
Fact - diabetes hypertension or heart.



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2895 people found this helpful

All About Rheumatoid Arthritis

MD - Internal Medicine, FUPDA, FICP, FIACM, FDI
Internal Medicine Specialist, Faizabad
All About Rheumatoid Arthritis

Rheumatoid arthritis is an auto-immune disorder which causes abnormal swelling of the body joints due to a sudden attack to the joints by the immune system of the body. This disorder is fairly common in the body parts that are more frequently used such as the knees, fingers, shoulders, wrists, elbows and the hips. Although rare, this disorder can also affect the ligaments or the tendons along with kidney, lungs, eyes or the heart.

This disorder tends to be chronic. Although the exact cause of the disease is still unknown, the loss of immunity generally leads to the disorder. Thus people who are obese, regular smokers, or who have had a family history of this condition are the most vulnerable to this disorder.

Symptoms

The symptoms of Rheumatoid arthritis are:

  1. Severe pain in the joints.
  2. Severe pain coupled with high fever.
  3. Stiffening and inflammation of the joints, resulting in intense pain.
  4. Exhaustion, fatigue and sudden weight loss.
  5. The pain gets aggravated in cold weather conditions.

Treatments

If rheumatoid arthritis is not treated immediately after diagnosis, it might cause further complications in the future such as lymphatic blood cancers, osteoporosis (a medical condition resulting in brittle and weak bones), blockage of the arteries and dry mouth syndrome (Xerostomia).

The treatment of rheumatoid arthritis includes:

  1. Prescribed dosage of non-steroidal anti-inflammatory drugs such as Ibuprofen and Naproxen, anti-rheumatoid drugs such as Methotrexate and steroidal drugs such as Prednisone help in reducing inflammation and pain. The dosage depends on the intensity of the condition.
  2. Performing regular exercises which will help you retain flexibility of the joints and subsequently cure rheumatoid arthritis.
  3. In extreme cases, the doctor might suggest surgeries such as:
    • Synovectomy: A surgery that removes the damaged portion of the joint
    • Joint fusion: This option will realign the joint and reduce the pain If you wish to discuss about any specific problem, you can consult a internal specialist.
3204 people found this helpful

I am 32. Weight is 78 kg. During cold seasons my heels paining specially in the mornings when I get up. I just can't stand properly for half an hour. What is this?

BPTh/BPT
Physiotherapist, Mumbai
I am 32. Weight is 78 kg. During cold seasons my heels paining specially in the mornings when I get up. I just can't ...
Hi pain could be because of bony spurs in the heel. Get x-ray done. And wear heel cushions in the shoes, take ultrasound therapy and contrast bath in physiotherapy. It helps along with foot ankle ex's.
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I am facing from pain in my legs due to long walking and and also long sitting but it happens some time.

BHMS
Homeopath, Faridabad
I am facing from pain in my legs due to long walking and and also long sitting but it happens some time.
Hi. Is there any history of injury or hurt to the area? any underlying medical condition? the pain in legs can be because of - muscle cramps (due to tiredness or dehydration), shin splints (doing activity over and over on hard surfaces can bring this on. You may also be more likely to get shin splints if you have flat feet or your feet turn outward. Rest your legs to feel better. Ice helps), tendinitis (you can get it from overworking the calf muscle or climbing the stairs, apply ice to get some relief), sprains (do rest, ice, compression & elevation). Other causes are varicose veins, arterial disease, sciatica, diabetic neuropathy. Medication: meantime, take homoeopathic medicines - arnica 200 and rhus tox. 200 - take both of them thrice daily for 1 week. Also, apply schwabe's topi-arnica and topi mp gel on the affected area in circular motions gently thrice a day. And wrap crepe bandage over it. Get back to me thereafter.
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Hi, this question is for my aunty. She has weight of 100 kgs for more than 10 years. She tried to loss her weight many times by eating less and exercising but no use of it. And she also has knee pain. She need some advice.

Physiotherapist, Lucknow
Hi, this question is for my aunty. She has weight of 100 kgs for more than 10 years. She tried to loss her weight man...
She needto loos her weight statice cycle is best. And also fallow hot water formantation and do some streamthening exersices.
1 person found this helpful
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My father have bace pain over 4 days how to relief this pain and give me information about treatment.

Orthopedist, Navi Mumbai
My father have bace pain over 4 days how to relief this pain and give me information about treatment.
If your father is having only back pain no other symptoms (like leg pain/tingling of lower limbs/pain in legs after climbing stairs or walking short distance/weakness of legs) then simple painkillers and hot water fomentation is good to start with. If any of other symptoms exists or above measure do not relieve pain, kindly revert back. Thanks.
2 people found this helpful
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What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?

MD - Anaesthesiology
Anesthesiologist, Delhi
What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?
Spine block is a medication delivered into your spinal canal (epidural space) depending on the disease process this can be effective for shorter or longer duration. Please ensure that you get it done by an expert.
1 person found this helpful
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I & my wife have pain in ours legs from last so many years, I have get check up twice from pgi, chandigarh but they says that you have not any problem tell us any treatment please.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Pain in legs (cramps) is a common condition. Do hot fomentation keep a pillow under the legs at night &/when resting. Any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1 tab odx10days you will need other supportive medicines also. Do knee exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. You will need other supportive medicines also. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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Hi doctor, My mother (61 yrs) has a problem on her somewhere near by hip and its paining more sometimes, we had done MRI, it diagnosed as" Findings are suggestive of vascular necrosis of the left femur (Grade III) with acute edematous changes in the bone" we have taken suggestion from couple of Dr's, they suggested for operations, we just wanted to know that without operation can it cured. Or what we have to do. Kindly Suggest. Regards.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hi doctor,
My mother (61 yrs) has a problem on her somewhere near by hip and its paining more sometimes, we had done ...
Do consult neuro physio as you don't want surgery better keep her in rest and with slight rom by neuro physio and follow his exercise prescription this may extent to maximum 12 to 14 weeks or to healing of bones best wishes.
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How to prevent quick ejaculation during intercourse and how to get rid of stiffness in the knee joints?

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
How to prevent quick ejaculation during intercourse and how to get rid of stiffness in the knee joints?
Stop the stimulation for 30-60 seconds and start again once you feel that you have regained control. Repeat this process 4-5 times, stopping and “resting” every time you feel that you are about to have an orgasm. Finally, let the ejaculation occur, so that you can identify the “point of no-return”.
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I am 49 years old, for the past 2-3 months I feel a pain in the neck, I am 5-5 inches tall with about 65 kgs. I am an travelling sales professional, I am avoid of diabetes and chl. What could be the problem.

BAMS
Ayurveda, Ludhiana
I am 49 years old, for the past 2-3 months I feel a pain in the neck, I am 5-5 inches tall with about 65 kgs. I am an...
Pain is due to poor posture of your neck.Bending neck for maximum time leads to such problem. You should do suksham vyayam daily.Apply narayan tail and give fomentation with hot water bottle.
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I have joint pain in my knee. Its very painful. How I relief from it? Its not only my but also my all family problem. Is this a genetic problem?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have joint pain in my knee. Its very painful. How I relief from it? Its not only my but also my all family problem....
Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Simple Knee Exercises would help to strengthen the quadriceps muscle which is the key muscle. Specific knee exercises will also help ie. Keeping a soft ball underneath the knee and you have to keep pressing it. That's the simple exercise which will help you to strengthen the knee. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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Sir I have a severe pain of my right hand middle finger. Last month I play cricket that time the fracture on my hand on that the pain starts till now also the pain is there. Then please told me what should I do.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Sir I have a severe pain of my right hand middle finger. Last month I play cricket that time the fracture on my hand ...
Apply on your fingure arnica q rhus tox q mixed in equal qty. Four times a day. After one week call back with the results.
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I am a 25 year old male, met with an accident this morning. I was riding a bike which fell down on right side, shoulder and elbow are paining severely just able to move a bit, however there is a small external injury. My shoulder is not moving firmly with elbow. I have seen a doctor near by as advised by him I have to keep my arm in arm sling for a week. Can you please advise any other alternative to this as the pain is unbearable (got confirmed that this is not a fracture) Your urgent advice would be appreciated.

MPT - Orthopedic Physiotherapy
Physiotherapist,
I am a 25 year old male, met with an accident this morning. I was riding a bike which fell down on right side, should...
No movements would help now, the more you move your shoulder the more it will pain. Rest is the only advice for shoulder joint. Movements at elbow and wrist and fingers can be continued. Ice application at swelling site is preferable. Movements at shoulder can be resumed once pain has come down. Take care.
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