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Dr. S.P. Kale

Orthopedist, Mumbai

Dr. S.P. Kale Orthopedist, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. S.P. Kale
Dr. S.P. Kale is a popular Orthopedist in Andheri West, Mumbai. You can meet Dr. S.P. Kale personally at BSES MG Hospital in Andheri West, Mumbai. Save your time and book an appointment online with Dr. S.P. Kale on

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BSES MG Hospital

#405, Moryaestate, New Link Road, Andheri West. Landmark: Opp. Infinity Mall, MumbaiMumbai Get Directions
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I have been in a lot of pain in my left shoulder since last month. I do exercise but nothing seems to be working. The pain has reduced from last week but not gone. I had a bad fall but never happened then but the problem arise after few days from the incident. What do you think I should do? What's your advice on this one?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Normally if you have pain don't do any exercise and consult neuto physio and take ift and laser therapy for 12 days to relieve your pain.
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Hi doctor this is nithin kumar 40 years, and I ma having problem knee pain and I have taken pain killers but there is no use day by day it is increasing not able to walk please suggest me regarding this.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
do hot fermentation and put a towel roll under knee and press for 10 second and release repeat 10 time . if it work then OK otherwise physiotherapy treatment for few days
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I am 45 years old, I have some problem of knee, not in walking, running, but when I climb on steps from first floor to second floor.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Consult after 5 days.
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I am 18 years old and I have ache in my leg and it won't get reduced since 3 days what should I do?

Physiotherapist, Mumbai
Get your calcium and vitamin d checked. Add dairy products and leafy vegetables and seasonal fruits in your diet. Make daily routine of exercise.
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My thighs backside nerves in too much pain .After one or two hours in sitting position. I standup there is pain or stiffness.

C.S.C, D.C.H, M.B.B.S
General Physician,
You may be sitting in wrong posture and it is ideal to stand up and take a few steps if you have to sit for long time .Do stretching exercises and check for any neurological illness
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I am 27 yrs old, I am suffering from lower back problem and it's un bare able, I am taking calcium and vitamin tabs and exercising too but every morning I suffer from suffer back ache?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.
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Fellowship In Arthroplasty and Arthroscopy, MS Orthopaedics, MBBS
Orthopedist, Gurgaon

Case 1 : A 65yr old women develops severe pain in the lower back while trying to lift her grandson from the floor. She was then rushed to the hospital and on investigating was found to have osteoporotic collapse of lumbar vetrebrae.

Case 2 : A 72 yr old female sustained a small twisting jerk while walking over the uneven surface and developed sharp pain in the hip region followed by difficulty in walking and when examined was found to have fracture in the hip.

These cases are just to exemplify that Osteoporosis may not cause any apparent symptoms. Patients may not know they have osteoporosis until they break (fracture) a bone.

Osteoporosis is defined as a systemic skeletal disease characterised by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. Although the diagnosis of the disease relies on the quantitative assessment of bone mineral density, which is a major determinant of bone strength, the clinical significance of osteoporosis lies in the fractures that arise.

Common sites for osteoporotic fracture are the spine, hip, distal forearm and proximal humerus. The remaining lifetime probability in women, at menopause, of a fracture at any one of these sites exceeds that of breast cancer.

Osteoporotic fractures are a major cause of morbidity in the population. Hip fractures cause acute pain and loss of function, and nearly always lead to hospitalisation. Recovery is slow, and rehabilitation is often incomplete, with many patients permanently institutionalised in nursing homes. Vertebral fractures may cause acute pain and loss of function but may also occur without serious symptoms. Vertebral fractures often recur, however, and the consequent disability increases with the number of fractures. Distal radial fractures also lead to acute pain and loss of function, but functional recovery is usually good or excellent.

A dual energy X-ray absorptiometry (DEXA or DXA) scan can be used as a screening test for osteopenia (bone loss that precedes osteoporosis). This test measures bone density in the hip, wrist and spine and is more precise than an X-ray.

The National Osteoporosis Foundation recommends the following groups of people should have Dual energy X-ray absorptiometry (DEXA or DXA) scans to screen for osteoporosis:

All women age 65 and older

All postmenopausal women under age 65 who have risk factors for osteoporosis

Postmenopausal women with fractures

Women with a medical condition associated with osteoporosis

How Is Osteoporosis Treated and Prevented?

There is no current cure for osteoporosis. Osteoporosis treatment involves stopping further bone loss, and strengthening bones that show signs of weakness. Prevention of osteoporosis is key.

Prevention and Treatment:

1. Exercise : Exercise is important in helping improve muscle strength and balance. Consult your doctor for the type and duration of exercise that is right for you

It is also important to consider other medical problems that may also be present (heart disease, diabetes, high blood pressure) before starting any exercise program.

2. Quit Smoking and Curtail Alcohol

3. Calcium Supplements

4. Calcium-Fortified Foods

5. Vitamin D

Treatment: Medications

There are several types of medications used to treat osteoporosis.

Antiresorptive drugs

Menopausal estrogen hormone therapy.

Selective estrogen receptor modulators (SERMs).

Anabolic drugs: these are the only drugs that actually build bone mass. Teriparatide, a form of parathyroid hormone, is one example of this type of drug

I got my ankle twisted again. After getting on with this for 15 days I cant find a solution. What should I do?

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
Hello , Give a detailed history of your problem so that I can help you to prevent recurrent twisting of your ankle. Till then wear ankle support to prevent further injury. Avoid heavy lifting and weight bearing activities. Thanks.
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I had an injury on my left leg. Thought it would be ok. But still its paining. What should I do?

Physiotherapist, Mumbai
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply ice packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and manual therapy will help in pain free movement. Further describe your problem in detail and do share related reports and prescription if you have. Best wishes.
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My legs below knee are paining daily at nights without any reason. May I know the problem.

MS - Orthopaedics, MBBS
Orthopedist, Pune
Hello lybrate user, leg pain after running is common due to spasm in the leg muscles known as tibialis anterior which functions to pull the foot towards your body during walking, running. When a person runs or exerts an unaccustomed stress there occurs production of lactic acid in the muscle which is quite painful. Relief by: rest ice application stretching exercises will help a lot god bless you.
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Sir mera sholder 3 bar dislocated ho gya hai to ajkl hand me bhut pain hota h to kuch upye btaye.

Physiotherapist, Mumbai
Dislocated shoulder after the shoulder bone is repositioned by orthopaedic doctor, you can start physiotherapy treatment to reduce pain and swelling. 1) ice your shoulder to reduce pain and swelling. Do it for 20-30 minutes every three to four hours, for 2 to 3 days or longer. 2) use a sling or shoulder immobilizer to prevent further injury. 3) take medicines as prescribed by doctor. 4) practice stretching and strengthening exercises as prescribed by physiotherapist.
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I am 20 year old young man. I play football. Before 2 month ago I injured my shoulder bone Then I operation my shoulder bone. So I go to rest 2 month. But recently I realized pain. I concerned to you Why this pain realizing?

Physiotherapist, Hyderabad
Hi 1st thing you need to strengthen you r shoulder muscles to relief from pain. For permanent solution.
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I have pain in my legs, hands and body. I also have losemotions. What should I do.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
It is called as rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help.
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Hello doctor I am a 19 year old boy. I really often feel very tired and I feel very much pain in my legs. My other body parts are well but I feel pain in my legs whole day even while walking. Please doctor can you suggest me some medicines and solutions to how can I get rid of this problem. It will be very helpful for me. Thank you doctor.

Physiotherapist, Mumbai
Hi take hot water bath twice daily, sleep on hard and even mattress. Kindly rule out your diabetes, calcium, vitamin d and other metabolic disorders. Best wishes.
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Right knee is paining Cray shows gap in knee doctors advice replacement which I don't want to be Pl advice.

Physiotherapist, Noida
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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Hello, I am 24 years old. I am single and is suffering from swollen ankles and also feels tired every time.

General Physician, Cuttack
If ankle swelling is due to injury and there is pain take one tablet of crocin 500mg sos after food, apply coice cold compression, volini gel and crepe bandage. If no relief consult doctor
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Mere pet me bohut dard hota hain. Or leg me bhi kobhi kobhi dord hota hain. Maine kia karu pls help me.

General Physician, Gurgaon
this may be because of acidity/ indigestion/ gas or it may be muscular pain Avoid food from outside, junk, fried, spicy fatty food Take small frequent meal kindly take 5-6 small meal in whole day Take 6-8 glass of water in a day Moderate physical activity regularly avoid excessive tea, coffee Do Not postpone Breakfast Avoid excess citrus fruit Avoid smoking and Alcohol also tell me associated symptoms like vomiting sensation, loose motion/ burning sensation in chest or any other symptoms are present or not? so that we can reach diagnosis. Consult me for further management
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Hello. Doctor Am having a breathing problem and while breathing am getting a hard pain at my backbone can't walk and sleep, it is paining a lot.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Homoeopathy has good treatment for your problem, without causing adverse effects. Take homoeopathic medicine magnesea phos 200 daily in the morning and in the evening and give feedback after 6 days.
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Sir when I run then I feel pain in my left shoulder, and I have to stop. So I want to know my pain solution. Thank you.

Physiotherapist, Noida
Advice. Hot fomentation. Gentle shoulder stretching. Gentle neck exercises. Avoid sleeping on affected side.
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