Doctor in Dr. Romil Rathi's- Knee & Hip Orthopaedic Clinic
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Pain in Ribs
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
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Patient Review Highlights
one of the best orthopedic surgeons in nagpur knee osteoarthritis problem
Best knee replacement surgeon in nagpur
I am fully satisfied after treatment and very good Doctor thank you so much.
Very good doctor for knee pain and related problems
Best experience with orthopaedic doctor ever
Best orthopaedic doctor
I visited for Pain Management for Chronic Back Pain .Dr Rathi Sir and the concerned staff was really very good in communicating with patients..Dr Rathi Sir patiently and carefully listened to my health issues and very efficiently explained the reasons and related treatment and the care to be taken about it.
My experienced was very good.I am fully satisfied.communication skill and nature of dr.Romil rathi is very good.He is fair in treating the patient.he had given good suggestion and it is economical.thank u very much sir.i wish u will get more good wishes from your patient.god bless u......
i feel better let's see what's progress in a 15 days
He is a very good and experienced doctor
Very good doctor for knee pain problem
Nice Dr. In Nagpur
It was very good
Badri Prasad Rai
Hii Dr. Can I take shelcal 500 tablet. I have problem of left knee pain for many days. When I chew some food then I feel some sound in the jaw side. It's rare. Pls Dr. help me.
Osteoporosis is a condition which usually results due to a decrease in bone density. In this condition, the bones become weak and brittle. Fractures are a common result of osteoporosis. Usually, symptoms or signs do not show up until the condition progresses to its advanced stages.
Since osteoporosis is usually irreversible and incurable, preventing the fractures is considered to be extremely important.
Who is at risk of osteoporosis?
All men and women have some risk of developing 'thinning' of the bones (osteoporosis) as they become older, particularly over the age of 60. As mentioned above, women are more at risk than men. The following situations may also lead to excessive bone loss and so increase your risk of developing osteoporosis. If you:
- Are a woman who had the menopause before 45 years of age
- Have already had a bone fracture after a minor fall or bump
- Have a strong family history of osteoporosis.
- Have a body mass index (BMI) of 19 or less (that is, you are very underweight)
- Have irregular periods
- Have taken, or are taking, a steroid medicine (such as prednisolone) for three months or more
- Are a smoker
- Have an alcohol intake of more than four units per day
- Lack calcium and/or vitamin D (due to a poor diet and/or little exposure to sunlight).
- Are mostly inactive
Ways To Treat Osteporosis
Osteoporosis in women can be treated using Hormone Replacement Therapy (HRT). The therapy makes use of either a combination of progestin and oestrogen or simply, oestrogen. However, it is possible that certain combinations have side-effects that might give rise to other medical conditions. Therefore, proper consultation with an orthopedist is an essential pre-requisite so that the condition of osteoporosis as well the side effects may be addressed before proceeding with Hormone Replacement Therapy.
There are a number of medications that can be used which have long-term effects on osteoporosis. However, the schedule for intake of these medicines should be followed diligently. Failing to adhere to the schedule could lead to serious complications. For example, the intake of Risedronate medications (prevent bone loss) should be scheduled once every month, failing which can cause ulcers in the food pipe. Raloxifene has effects which are similar to oestrogen but does not exhibit any serious side effects. Teriparatide can be used to treat osteoporosis in people who have a high risk of suffering from bone fractures.
Don't rely entirely on medication as the only treatment for your osteoporosis. These practices also are important:
- Exercise. Weight-bearing physical activity and exercises that improve balance and posture can strengthen bones and reduce the chance of a fracture. The more active and fit you are as you age, the less likely you are to fall and break a bone.
- Good nutrition. Eat a healthy diet and make certain that you're getting enough calcium and vitamin D. Being underweight or losing a lot of weight unintentionally is associated with poorer bone health and a higher risk of fracture — even if you're taking a bisphosphonate.
- Quit smoking. Smoking cigarettes speed up bone loss.
- Limit alcohol. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger.
Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don’t jut out. They are also called closed fractures.
Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we’re only going to skim through them here.
- Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
- Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.
When a bone is broken there are symptoms like swelling that doesn’t subside on its own and pain. In such a case it’s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it’s important that the patient doesn’t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.
There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it’s going to require surgery with bone repositioning, called open reduction.
In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed.
Every day we use our hands the most to get everything done. From drinking water to typing on the keyboard (and today on mobile phones); from holding the newspaper still when reading it to taking down academic notes- we use our hands for everything. But our hands like all other parts of the body have the capacity to carry out their functions. At times, we unknowingly put a lot of strain on our hands and they start to pain. Hand pains are quite common in everyone and it is equally common to practice certain exercises to control them quickly.
If you experience frequent pains in the hands, these are some of the exercises you can resort to.
Fist: You do not always make a fist while punching people. Sometimes you make a fist to tighten your hand muscles and nerves and smoothen the blood flow in your hands. This helps in reducing the pain in your hands to a great extent. In fact, folding your hand to a fist can also help in preventing hand pain.
Finger Bends: Bend each finger tightly towards your palm for at least a minute and then release it. Do it separately for each of the five fingers on your hand. This would ease out the tension in each of the fingers and normalize blood flow. This helps in curing any finger pain that you might be experiencing. It is especially a great exercise to prevent pain from developing in your thumb and index finger.
Thumbs Up: Usually, we show the thumbs up sign to signal all is well and best wishes to people. But it is also an exercise if continued for some time. All you have to do is place your palm on a table and curl all your fingers except the thumb inwards. Stretch the thumb outwards and hold it in this position counting up to ten. Then curl your thumb towards the palm. This exercise too helps in stretching the muscles.
Wrist: An important part of the hand is the wrist. The wrist joints are a very crucial set of bones and they tend to get injured very fast. They are also delicate enough to be sprained if the hand is turned abruptly. To avoid such injuries, strengthen the wrist and reduce wrist pain, a lot of wrist exercises are also prescribed. The simplest one is to extend your hand and move the wrist in anti-clockwise and clockwise directions.
Thus, these are some of the ways in which you can ease the pain in your hand in no time and go about normally with your daily chores. In case you have a concern or query you can always consult an expert & get answers to your questions!
Pain in two or more joints in the body is known as multiple joint pain. Pain may occur either when a joint moves or when it is at rest. Sometimes, the pain might stem from the muscles, ligaments, or tendons. Examples of such conditions include tendinitis and bursitis.
Arthritis may be associated with the pelvis or spine joints. Different disorders affect different joints and the causes and treatment options vary accordingly. There are some disorders which affect the same joint on both the sides of the body, such as both hands and the knees. In certain disorders, the pain resulting from arthritis keeps on moving from one joint to another (migratory arthritis).
Most of the time, the root cause is arthritis. However, the reasons which cause arthritis are different from each other, in the way:
The types of joints involved.
The number of joints involved.
Whether the central area of the skeleton is involved or not.
Whether it is chronic arthritis (longstanding) or acute arthritis (sudden).
Acute arthritis which affects multiple joints can be due to:
Chronic arthritis causing pain in multiple joints is most commonly due to:
The most common joint disorders are:
Fibromyalgia (widespread tenderness and pain in the muscles)
Bursitis (inflammation of the joint cushions) or tendinitis (inflammation of the tissues which connect the bone to the muscle)
Polymyalgia rheumatica (stiffness and muscle pain, primarily in the shoulders)
Warning Signs Include:
Swelling and redness of the joints.
Fever, chills or sweat.
Drugs and medications are needed to treat autoimmune disorders. The autoimmune response of the immune system is suppressed with the help of these drugs. These medications include immunosuppressive medications, pain relievers and anti-inflammatory medicines.
Non-steroidal anti-inflammatory drugs (NSAIDs) help in reducing inflammation.
A sling or splint bag immobilizes the joint, which relieves the pain.
The application of heat with a heating pad will lessen the pain to a great extent.
Cold application with ice cubes wrapped in a cloth will provide relief.
Consult an orthopaedic doctor to know you type of multiple joint pain and an accurate treatment for it. In case you have a concern or query you can always consult an expert & get answers to your questions!