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Dr. Silendra Patil

Orthopedist, Mumbai

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Dr. Silendra Patil 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. Silendra Patil
Dr. Silendra Patil is a renowned Orthopedist in Kurla West, Mumbai. You can meet Dr. Silendra Patil personally at Fauziya Hospital in Kurla West, Mumbai. Book an appointment online with Dr. Silendra Patil 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 29 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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Hindi

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#209, Solanki Apartment, L.B.S. Marg, Kurla West, Landmark: Opposite Kurla Way Bridge & Next to shara hotel, MumbaiMumbai Get Directions
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Frozen Shoulder: Causes and Ways to Treat it

M. Ch. (Ortho), DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.
Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.
Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.
Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.
Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.
Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.
Frozen Shoulder: Causes and Ways to Treat it

I have Frozen Shoulder on my left . What is the treatment for frozen shoulder. I have been having it for the past 6 months. I am slightly diabetic and on treatment for about 3 years. I have had no injury to my shoulder. Please advice

Fellowship in Joint Replacement, M.S. Ortho, Diploma In Orthopaedics (D. Ortho)
Orthopedist
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Frozen shoulder is common in diabetics. Treatment - First the aim is to restrict inflammation, followed by physiotherapy. Keep diabetes in control.

Hi, I am 38 years old women have Rheumatic arthritis. What is the solution?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Go for absolute fasting or rely on a liquid or semi-solid diet for an entire day, depending on your strength. You can follow this with hot fomentation (application of moist heat). This can be done by soaking cloth in warm water and giving a compress over the affected parts or steam bath or taking a bath with lukewarm water. These are the best methods of digesting ama. follow up after 1 week.

Osteoporosis and Exercises

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist
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Hello friends,

What is osteoporosis?

The components of the word'osteoporosis' literally mean'porous bones' -'osteo' is for bones, and'porosis' means porous - helpfully describing this condition that results in reduced bone density and increased fragility of the bones. The thinning of the bones in osteoporosis, combined with the formation of weaker bone crystals, puts people at a higher risk of fall and fractures.

It can affect anyone of any gender, but it is particularly prevalent in postmenopausal women due to the sudden decrease in protective oestrogen levels after menopause.

Signs and symtom

Bone loss that develops slowly, leading to osteoporosis, does not cause any symptoms or outward signs.

As such, a patient may only discover that they have osteoporosis due to an unexpected fracture after a minor fall or a slip or strain - or even a simple cough or sneeze - may result in a fracture. Breaks in the spine can lead to altered posture, with compressed vertebrae creating the stooped appearance often seen in older people

Diagnosis

Osteoporosis may be diagnosed directly through the use of a bone scan that measures bone mineral density (bmd). Central or peripheral dxa.

Osteoporosis is diagnosed when the t-score is -2.5 or below.

Other methods of measuring bone density include x-ray, ultrasound, and ct scan

Treatment

It is important to ensure the cause of low bone denisty has been properly diagnosed as the treatment will vary greatly. The decision about what treatment you need ? if any ? will also be based on a number of other factors. These include your:

- Age
- Sex
- Risk of fracture
- Previous injury history


Treating osteoporosis involves treating and preventing fractures and using medication to strengthen bones.

How can a physical therapist help?

Your physical therapist can develop a specific program based on your individual needs to help improve your overall bone health, keep your bones healthy, and help you avoid fracture. Your physical therapist may teach you.

- Specific exercises: to build bone or decrease the amount of bone loss
- Proper posture
- How to improve your balance so as to reduce your risk of falling
- How to adjust your environment to protect your bone health

Typically, exercises are performed 2 to 3 times a week as part of an overall fitness program. Your exercise routine should include exercises in each of the following areas:

- Strengthening exercise
- Postural exercise
- Balance exercise
- Weight-bearing
- Flexibility exercise


1) strength training

Strength training is a type of exercise with the goal of improving muscular strength. It involves performing movements against resistance; it is sometimes referred to as resistance training. Exercise bands, weights, machines or even your own body weight can be used for resistance. Strength training may increase spine and hip bone mineral density.

2) posture training

Posture training involves paying attention to how the parts of our body are aligned with each other. Some kyphosis, or curvature of the upper back, is normal, but fractures or weak back extensor muscles can cause the spine to curve more than usual, resulting in an exaggerated kyphosis or excessively curved upper back. Attention to alignment during activity and at rest, along with exercises targeting the back extensor muscles, can improve the alignment of the spine. Flexion exercises are often contraindicated.

3) balance training

Balance training exercises are those that challenge your balance. Balance exercises are also important to incorporate to further reduce the risk of falls examples include: shifting weight to the limits of support (e. G, moving your weight more to one foot than another).

Physical activities like tai chi, that involve balance and coordination may also reduce falls and fractures.

Tai chi is a very safe and effective low impact form of exercise that improves balance and reduces the risk of falls.

4) weight bearing aerobic (water) physical activity

Aerobic exercise is a rhythmic activity that you do for at least 10 minutes at a time continuously and it increases your heart rate and makes you breathe harder than you usually do during your daily activities. For individuals with osteoporosis, we often recommend weight-bearing aerobic exercise or physical activity like walking or cycling or swimming or guided exercises to be done in swimming pool

5 flexibility exercise:

These can help improve the individuals overall physical function and postural control

- Start by speaking with a physical therapist or consult me to ensure you are choosing safe, specific and appropriate physical activities for you.
- Remember: if you have osteoporosis, aerobic exercise is not enough. Strength training and balance training are essential to maintain bone and muscle, and prevent falls.
Osteoporosis and Exercises

I have suffering from navel displacement. Symptoms like headache, constipation and body pain.

Diploma in Child Health (DCH), MBBS
General Physician
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I have suffering from navel displacement. Symptoms like headache, constipation and body pain.
Madam, Do you have any medical ailments Are you taking any medicines daily. Check BP. Take plenty of water, fruits, vegetables. Do yoga. Go for walks, in sun light. You will get vitamin D. Any particular problem, bothering, please tell me. Contact me for any clarification and advice.

I have a knee injury. What should I do?

MD - Medicine
Rheumatologist
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Good evening well you need to get an mri done if the pain and swelling are too bad. That will give us a conclusive evidence on how severe the injury is, what type of ligament is injured and if it will get benefitted with rest or it needs some intervention. Do let me know for more queries regards Dr. Naval.

Sir I have dark circles below my eyes. what is reason behind it and also I am suffering from back pain from last 3 months.

BHMS
Homeopath
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Sir I have dark circles below my eyes. what is reason behind it and also I am suffering from back pain from last 3 mo...
Hello, Common reasons for dark circle are aging, genetics, nutritional deficiency (of vitamin A, C, K, E) , sleep deprivation, worm-infestation, anemia, smoking & drinking, dehydration, sun exposure, allergies, stress/ tension and hormonal changes. Research also suggests that dark circles are linked to anemia, and liver diseases. So, in case of dark circles which are there due to some underlying cause can be get rid rid of once the causative factor is rectified. But the dark circles which are inherited from our genes can't be removed completely, to some extent can make slightly better. Diet and Management: Thus, always take a balanced diet rich in green leafy vegetable, dairy products and all types of fruits to keep your body healthy. It is advisable to have at least 10-12 glasses of water and include fresh fruit daily. It is also advisable to restrict the intake of caffeinated drinks such as tea, coffee, alcohol and other caffeinated drinks as it aggravates dehydration. Take enough of 6-8hrs. Of sleep. Avoid taking stress/ tension. Do daily exercising regularly as it increases oxygen carrying capacity of the cells and tissues. Medication: Take homoeopathic medicines – Schwabe's Cina 1M/ one dose at night for 10 days; Alfaalfa Tonic and Five Phos. - both twice daily for 20 days. Revert me back there after.

I am suffering from severe knee pain fornthe last two days. I have applied many ointments on the knee but there is no relief. Also I exhibit head ache.

BHMS
Homeopath
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I am suffering from severe knee pain fornthe last two days. I have applied many ointments on the knee but there is no...
Applying cold compresses to the painful knee is one of the best and easiest ways to reduce pain and swelling. The cold will constrict the blood vessels, reducing blood flow to the affected area and thus reducing swelling. It will also give you relief from the pain. 1.Wrap a handful of ice cubes in a thin towel. 2.Apply the compress to the affected knee area for 10 to 20 minutes. 3.Do this two or three time daily until your pain is gone. Take Mag phos 6x – 4 tabs twice daily for next 10 days.

My mother is 50 years old she is suffering from arthritis and the vitamin d3 count is 3 what should she do as all her joints have pain to reduce the it?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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Please do take calcium and califerol rich diets and morn from 6am-8am sunlight exposure for enough vitamin -d3 and for pain have hot water and cold water fomentation thrice a day for 3days of 15 minutes duration each time and consult neuro musculoskeletal physiotherapist or orthopaedician asap regards Dr. P. Nagaraj.

Diploma in Rehabilitation (Physiotherapy)
Physiotherapist
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Always make it a practice to encourage your children to inform you if they face any pain or discomfort in the neck or back before it becomes a serious problem.

I have neck and back pain from last 1 week. I could not even sit for 15 min. Pl help me out.

MBBS
General Physician
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I have neck and back pain from last 1 week. I could not even sit for 15 min. Pl help me out.
For pain take tablet paracetamol and we need to do exercise regularly and avoid pickles and papads in your diet and take tablet folvite twice a day for a week

I am 30 year old girl. I have back pain , what can i do?

MS - Orthopaedics, MBBS
Orthopedist
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I am 30 year old girl. I have back pain , what can i do?
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 contact me again. Contact your family doctor or nearest hospital for emergency help.

Hi, My mum's age is 56 years old she is suffering by pain in her legs and hands can you pls advice how to get relief from that pain?

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist
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Hi, My mum's age is 56 years old she is suffering by pain in her legs and hands can you pls advice how to get relief ...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Kali mur 200x 4 tab each thrice a day with warm water and take it 5 day

I'm suffering from back ache since last 2 years, for better result what should I do?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist
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I'm suffering from back ache since last 2 years, for better result what should I do?
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back.

My upper back is hurting a lot since 3 days. What is the reason?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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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. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi

I want to know about back pain relaxation? I have this problem from 6 months.

BPTh/BPT
Physiotherapist
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I want to know about back pain relaxation? I have this problem from 6 months.
Take hot fermentation and do some stretching exercises of back muscles. Posture is very important, so mentain that. Let me know about your back after 1 week. Thank you.

I have some pain in my legs from last two months. Give me some suggestions.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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I have some pain in my legs from last two months. Give me some suggestions.
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. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi

I am 52 years old last 1 year I was affected from shoulder pain.What can I do?

MS - Orthopaedics, MBBS
Orthopedist
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Kindly show me x rays of your shoulder. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Shoulder exercises can be done any time. It should not be done immediately after taking food. Do reply back for private consultation and detailed treatment plan.

I have a bend below my nees to my ankle. The bend became so visible these days. What can be the possible reason? Is it may due to the way I walk. Or is it due to some deficiency? Is there a need to consult a doctor? Is it possible to cure?

MBBS, MS - Orthopaedics, M.Ch - Orthopaedics
Orthopedist
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I have a bend below my nees to my ankle. The bend became so visible these days. What can be the possible reason? Is i...
The bend could be due to soft bones which can result from vitamin d deficiency or it could be because of improper growth of bones. Usually this can be corrected only by surgery in adults. You will have to see your nearest orthopaedic surgeon for further details. He will take x-rays of your legs and determine whether surgery is required and guide you through the process.
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