Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 37 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.
Book Clinic Appointment
Cervical Traction Procedure
Hip Replacement Surgery
Treatment of Lumbar Radiculopathy
Spinal Fusion Surgery
Treatment of Knee replacement
Arthritis And Pain Management Treatment
Hip Resurfacing Surgery
Hip Injury Treatment
Ankle Injury Treatment
Knee Injury Treatment
Hip Pain Treatment
Ankle Pain Treatment
Knee Pain Treatment
Treatment of Joint Dislocation
Joint Mobilization Procedure
Joint Replacement Surgery
Limping Child Treatment
Meniscus Injury Treatment
Pelvic Rehabilitation Techniques
Submit a review for Dr. Vijay ShettyYour feedback matters!
I masturbate ones r twice a week I feel tired after masturbation and my neck starts paining and lower back often not only after I masturbate I drive alot these days is masturbation is the reason for my lower back pain and neck pain is r any other problem and i'm keen on my fitness I hit d gym daily I can not find reason for my problem help me.
Before two days I got hurt in the my knee I take pain killer medicine but not be feel relax. please help me.
My father has a problem in foot reflex. In this place he feel a lot of pain while he walking. please give me any home suggestion.
I have lot of problems in stomach. Ie. Gas problem with pain on left side abdomen, weight keep increasing, due to gas problem stomach look like pot belly, motion is not proper, that too gas only. If I press my stomach its paining. Headache, back pain, Joint pains, neck pains etc are there. Please give valuable advice which should cure my problem since its been for years.
Hi sir am suffering from lower back pain it's very sevear pain and am unable to control the pain. I can't bend. Please tell me answer. Am looking rply from you thanks.
My wife have a always body pain and legs pain. What will happen and how to solve this problem. Give me some tips for improving health.
I am 45 years old lady and my height is 5 feet weight 87 kg and no blood pressure and no diabetes. And no thyroid problem. But my left toe is having numbness since one week and this is causing pain in my entire left leg upto thighs. What should I do to overcome this problem.
Sir I fill pain in my left leg but why I Don't know so why this should be happen please let me give suggestion.
I am Amar Joshi 23 years old Ankylosing spondylitis patient I am suffering As from 5 years I'm doing exercise regularly but my neck posture is not getting well please suggest what to do for that as soon. As possible please.
When I do exercise my whole body get relief from pain, but in at ease, pain starts again. so, what to do.?
I am 48 yeas old, male. I have been suffering from shoulder pain and back pain for last 20 years. The pain is mostly on left side of my body. I took medicines of allopathy, ayurveda and homoeo, but no relief. I use tazloc 40 as tablet for bp from 2010 onwards. Please give me expert advice.
I am 35 years old and suffering from mild pain at back side of pelvic region. Pain do not stay for long. If I remain standing position for long then it starts.
Dear sir/mam My waist remains in pain I already take a treatment from doctor but its not helpful please tell me how can I gain relief from it permanently.
Hello sir. I m 25 yr old. Having back pain disk problem. Without pain killer tablets I cant walk properly. What should I do sir?
I have a problem in my left knee. When I try to run, it really hurts. It's been more then a month now. Should I take calcium tablets? Or can you please tell me which medication or exercise should I do?
My mom has a heel pain .specially in the morning after sleep. She some times can even step out of the bed. Could you pls help. Thank u.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.