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Dr. S M Akerkar  - Rheumatologist, Mumbai

Dr. S M Akerkar

MD - Medicine

Rheumatologist, Mumbai

13 Years Experience  ·  600 at clinic
Dr. S M Akerkar MD - Medicine Rheumatologist, Mumbai
13 Years Experience  ·  600 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. S M Akerkar
Dr. S M Akerkar is a trusted Rheumatologist in Vikhroli East, Mumbai. You can meet Dr. S M Akerkar personally at Godrej Memorial Hospital in Vikhroli East, Mumbai. Book an appointment online with Dr. S M Akerkar on Lybrate.com.

Lybrate.com has an excellent community of Rheumatologists in India. You will find Rheumatologists with more than 32 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.

Info

Specialty
Education
MD - Medicine - G.S. Medical college - 2004
Languages spoken
English
Hindi
Awards and Recognitions
Young Clinician award -- 1st Asian American International Medical Conference
Young Scientist Award -- Indian Rheumatology Association Conference
Late Shree Amrut Mody Unichem ? BJD India Research Fellowship Award

Location

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Godrej Memorial Hospital

Pirojshanagar, Vikhroli East, Landmark: Opp Godrej Towers. Landmark: Near Vikhroli Railway Station, MumbaiMumbai Get Directions
600 at clinic
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Mumbai Arthritis Clinic

Mayuresh Srishti Complex, Srishti Heights Parking Rd, Rajiv Gandhi Nagar, Bhandup WestMumbai Get Directions
600 at clinic
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Role of Exercises on Osteoarthritis Knee

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati

What is osteoarthritis of knee?

Osteoarthritis of the knee (knee oa) is a progressive disease causing inflammation and degeneration of the knee joint that worsens over time. It affects the entire joint, including bone, cartilage, ligament, and muscle. Its progression is influenced by age, body mass index (bmi), bone structure, genetics, strength, and activity level. Knee oa also may develop as a secondary condition following a traumatic knee injury. Depending on the stage of the disease and whether there are associated injuries or conditions, knee oa can be managed with physical therapy. More severe or advanced cases may require surgery.

Symptoms of knee oa may include:

  • Worsening pain during or following activity, particularly with walking, climbing, or descending stairs, or moving from a sitting to standing position
  • Pain or stiffness after sitting with the knee bent or straight for a prolonged period of time
  • A feeling of popping, cracking, or grinding when moving the knee
  • Swelling following activity
  • Tenderness to touch along the knee joint

Physiotherapy for oa knee:

Here are 5 exercises to help you take control of your knee oa. These exercises are recommendations. Before doing them, get your physio's approval. Never push through pain with these exercises you may be doing your joints more harm than good. Soreness is normal when starting an exercise program, but if it doesn't go away, call your doctor.

1. Knee oa exercise #1: standing quadriceps stretch

  • Stretching your quadriceps can ease tension in the knee joints.
  • Stand with feet hip-distance apart.
  • Bend your right knee and hold the top of your right foot with your right hand.
  • Bring your right heel as close as possible to your glutes. You can use a wall for balance.
  • Hold for 30 seconds, and repeat on the left leg.
  • Do 3 times once a day.

Knee oa exercise #2: standing calf stretch

  • This gentle calf stretch increases flexibility in your leg muscles and knee joints.
  • Bring your right foot a few feet in front of your left foot. Bend your right leg, making sure your knee doesn't go past your toes.
  • Keeping your left leg straight, press your left heel toward the ground to stretch the calf of your back leg.
  • Hold for 30 seconds. Repeat on opposite leg.
  • Do 3 times daily.

Knee oa exercise #3: 

  • Seated leg raise
  • The seated leg raise exercise helps strengthen muscles around your knees.
  • Sit on a chair with both legs bent at 90.
  • Slowly raise your right leg so that it's parallel to the floor, keeping your left foot on the ground.
  • Hold for 30 seconds, then slowly bring the right foot back to the floor, and repeat on left leg.
  • Do 10 times twice a day.

Knee oa exercise #4: 

  • Step-ups strengthen your legs, making it easier for you to do everyday things like climb stairs. You'll need an exercise step, or use a bottom stair in your house.
  • Stand in front of the stair with feet hip-width apart.
  • Step onto the stair with your right foot, then with your left foot.
  • Step down in reverse: your left foot reaches the ground first, then the right foot.
  • Go at your own pace for about 30 seconds at a time. For balance, use a railing.
  • Do 10 times twice a day.

Knee oa exercise #5: 

  • Static quadriceps contraction
  • With your knee relatively straight, slowly tighten the muscle at the front of your thigh (quadriceps) by pushing your knee down into a small rolled up towel. 
  • Put your fingers on your quadriceps to feel the muscle tighten during the contraction. 
  • Hold for 5 seconds and repeat 10 times as firmly as possible without increasing your symptoms.

What if I need surgery?

In some cases of knee oa, the meniscus (shock absorber of the knee) may be involved. In the past, surgery to repair or remove parts or all of this cartilage was common. Current research, however, has shown in a group of patients who were deemed surgical candidates, 60-70% of those who participated in a physical therapy program, instead of surgery, did not go on to have surgery. Further, after 1 year those outcomes were unchanged. This study suggests that physical therapy may be an effective alternative for those patients who would like to avoid surgery.

1 person found this helpful

Every night she got pain on her leg. On her knee. What should she do to release out. And she is about 55 years old.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Every night she got pain on her leg. On her knee. What should she do to release out. And she is about 55 years old.
Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do knee & general exercises. It may have to be further investigated. 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, inform
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Pain in osteoarthritis and its Home remedies.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow

Osteoarthritis is the main problem in old age disorder, 7 out of 10 people is suffering from osteoarthritis in his/her life after 60year of age, majority of cases are untreated, they are taking or desiring some home remedies that can help in reducing the knee joint pain.... You can use 5o grm of Dry ginger powder + 50 gms of Turmeric powder mixed it and takes in a vessels, now 3-4 tsf of this mixture 2 tsf of veneger or lemon juice or tamirendus (Imali patra swaras) hot water as required make paste apply over the knee joints and around the knee joints, keep it up to dry.. after that you may wash it with lukewarm water and apply any oil over the joints, protect the knees from open air for 1 hrs, your pain will be subsided fastly. if more problems you can apply daily otherwise you can use on the alternate day, or weekly. Please give us feedback after try..

I am 58 years old and I am suffering with knee joint pain since 6 years. I used allopathi medicines with orthopedic professor consultant 4 years. Now I am using ayurvedic medicines. But the pain is not controlling & the leg is stiffening tight. Unable to fold/straight the leg. My work nature is site construction. I have to move /walk lengthy. I am level 2 diabetics also. Please suggest best medicines.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Acupressure and acupuncture are powerful therapies which gives relief from especially joint pains, back pains and lot of other ailments. I am suggesting you a method by which you can get instant relief and continue to do it. However you consult me privately to get permanent solution. 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. Swing 20 times morning and evenings. This will relieve your problem. Also take calcium tablets shelcal 500mg for a limited period 2 months consult after 10 days.
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I have gout in my knee since 4 years. But nowadays the pain has been increased and even sometimes I am unable to stand. Please tell me some suitable diet for this.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day. Avoid junk food. Spicy food. Fermented food. Tea. Alcohol. Avoid alcohol consumption. Do pranayama early morning.
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Hame kya medicine leni chaiye jab pair(legs) me pain ho raha ho bahut dino se and knee pain.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation 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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I am 23 year old man and I am having knee pain from last 3 months. I have tried pain relief and home remedies but it's not working. What should I do now?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I am 23 year old man and I am having knee pain from last 3 months. I have tried pain relief and home remedies but it'...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Best treated with ayurved & panchakarma procedures. 1) massage + steam 2) pinda swedan 3) agnikarma you must start ayurvedic medicines to 1) strengthen bones & muscles. 2) stop further degeneration of joint. 3) healing of joint. 4) release muscular spasm even chronic. 5) reduce swelling & pain.
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I am 25 years old. I have pain in my both knee. I had consultant orthopaedic but they give pain killer so I got symptomatic relief only. But pain continue. I had done x-ray & report also but everything is normal. Can you please suggest something by which I relief from this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 25 years old. I have pain in my both knee. I had consultant orthopaedic but they give pain killer so I got sympt...
Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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I'm a 36 yrs old male, I suffered the posterior horn medial meniscus tear grade 2 in both knees 13 yrs ago & managed it with conservative therapy, know my knees feel more stiffer, please advice for treatment, nutrition etc.

BAMS
Ayurveda, Ambala
I'm a 36 yrs old male, I suffered the posterior horn medial meniscus tear grade 2 in both knees 13 yrs ago & managed ...
Follow these usefultips for knee pain relief: * take calcium rich diet daily. Take a glass (300 ml) of full cream milk daily or 100 gm of cheese or 1-2 eggs regularly. * do not do heavy leg exercises like running. * wear knee cap or wrap crape bandage during walk for knee support. * sit atleast for 5-8 minutes in sunlight in morning or evening for vitamin-D. *avoid heal shoe and wear only flat shoes for balanced load on knees. * check out your blood sugar level and hemoglobin level in every 6 months.* if you have any history of rheumatoid arthritis in family then checkout your ra factor. * take guggalu tablets if himalaya one tablet daily for atleast 3 months. * take a piece of garlic, crush it and boil it a glass of milk and drink daily for fast pain relief.
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I am suffering from insomnia and early awakening when I woke up feel extremely tired.

BHMS
Homeopath, Faridabad
I am suffering from insomnia and early awakening when I woke up feel extremely tired.
Hello, main causes of sleeping disorders are as follows:- significant life stress (job loss or change, death of a loved one, divorce, moving) illness. Emotional or physical discomfort. Environmental factors like noise, light, or extreme temperatures (hot or cold) that interfere with sleep. Do meditation every morning. Take kali phos 6x, 5 tabs every night. Take avena sativa q, 10 drops and passiflora q, 30 drops, mix them in half cup of water and drink it, half an hour before your bed time, daily for a month. This will definitely help you. Thanks.
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I am 18 years old, have knee pains for last 2 months can you give any health tips.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 18 years old, have knee pains for last 2 months can you give any health tips.
Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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Causes and Risk Factors Associated with Arthritis

M Ch. Ortho, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Causes and Risk Factors Associated with Arthritis

Arthritis is a disease in which the joints in your body swell. Inflammation or swelling can be caused due to body's natural response to injury or disease. It can cause discomfort in the form of pain, stiffness as well as difficulty in movement. Major types of arthritis are osteoarthritis, rheumatoid arthritis, psoriatic arthritis and gout.

Causes of arthritis

Arthritis is generally caused by a combination of factors. It can happen due to genetic factors in case the disease runs in the family. Sometimes it can be caused due to injuries of the past; it can also be a by-product of your lifestyle. Some of the common causes of arthritis are:

1. Genetic makeup in which arthritis can be a hereditary trait
2. Physically taxing work life or injuries caused in an accident
3. Imbalance in the immunity system
4. Infections in the joint.

Risk Factors associated with arthritis

1. Family history - You can be prone to develop arthritis if it runs in the family. It can occur due to its hereditary trait hence making you more vulnerable to the environmental factors which contribute to developing arthritis.

2. Age - The risk of arthritis can increase with age. Types like osteoarthritis, rheumatoid arthritis and gout are more common in the old age.

3. Gender - Your sex is an important factor as women are more likely to develop rheumatoid arthritis while men are prone to suffer from gout.

4. Joint injury - Joint injury caused due to accidents or due to sports activities can trigger arthritis. People with previous joint injuries can develop arthritis in that joint.

5. Obesity - Excess weight can put a lot of pressure on the joints, on the knees and hips in particular. Hence, obese people have more chances of developing arthritis than fitter people.

Related Tip: Arthritis - A Simple Guide to conquer arthritis and relieving pain?

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Is the gout problem 100% cure from ayurveda, and kindly if there any home, that's I can prepare my self. Thank you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate User, *Swallow 2-3 fresh, peeled garlic buds with water on an empty stomach in the morning.
2 people found this helpful
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Hi I am 25 years old female, I have knee pains and calcium deficiency, what type of food should I take.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Hi . Unfortunate to have pain in this young age. But surely it has a cure. I would like to know if you're vegan or a non vegetarian so that I can guide you better.
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I am 65ys old, I am suffering with severe keen pain because the gum between the bones of knee got melted, so kindly suggest the how can I go forward to get relief from these pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 65ys old, I am suffering with severe keen pain because the gum between the bones of knee got melted, so kindly s...
1) Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. 2) Start natural calcium supplement. 3) Do regular stretching exercise 4) In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. This will give you relief in mild to moderate cases. Give feedback after 7 days. We also provide some health packages for your disease i'll advise you to go with ayurvedic & panchakarma treatment for natural healing
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Hi I am 68 years old and lost my 34 years old son in a accident on 2 sep, 2013. Due to this loss I could not go well as I was before that. Now from the last one month I am feeling pain in my knees. Kindly advise some suitable and affordable medicine/suggestion.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
We have sympathy with you. God bless. Please take tab rumalya ds 2 bd with 1. 5 to 2 glasses of lukewarm water. Apply rumalya oil over knee preferably after hot fomentation. Take tarunikusumakar chooran 1 tsp at bedtime every other day with lukewarm water. Please continue for 2 months initially. No heavy / vatkarak food please. Walk regularly please. Avoid curd.
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I had a doubt a ligament problem near back side of knee. Is it advisable to walk? What I had to do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I had a doubt a ligament problem near back side of knee. Is it advisable to walk? What I had to do.
Knee 2 quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day.
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Sir, i'm running 2 km per day with my max speed thats why i'm getting too much pain at the lower side of knee. What should I do to get rid of from this pain? And what should my diet?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Sir, i'm running 2 km per day with my max speed thats why i'm getting too much pain at the lower side of knee.
What s...
due to strain do hot fermentation and apply pain relief ointment avoid strain if it work then OK otherwise physiotherapy treatment for 3 days for immediate relief
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What is the main reason behind my neck pain? Also there is lot of pain I am facing in my knee. Tell me the type of medicine I need to be used Thanks.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
What is the main reason behind my neck pain?
Also there is lot of pain I am facing in my knee. Tell me the type of me...
Hot fomentation x twice daily. Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support. Self massage the back of neck.
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