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Pravin Sakharam Narkhede, Nashik

Pravin Sakharam Narkhede

  4.6  (115 ratings)

Vascular Surgeon Clinic

Ground floor, Suyojit modern point Above kalakruti sadi centre Near Rajiv gandhi bhavan sharanpur road Tilakwadi 0253-2318072 7030074740 Nashik
1 Doctor · ₹800 · 9 Reviews
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Pravin Sakharam Narkhede   4.6  (115 ratings) Vascular Surgeon Clinic Ground floor, Suyojit modern point Above kalakruti sadi centre Near Rajiv gandhi bhavan sharanpur road Tilakwadi 0253-2318072 7030074740 Nashik
1 Doctor · ₹800 · 9 Reviews
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Our medical care facility offers treatments from the best doctors in the field of Vascular Surgery.We like to think that we are an extraordinary practice that is all about you - your pote......more
Our medical care facility offers treatments from the best doctors in the field of Vascular Surgery.We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Pravin Sakharam Narkhede
Pravin Sakharam Narkhede is known for housing experienced Vascular Surgeons. Dr. Pravin Narkhede, a well-reputed Vascular Surgeon, practices in Nashik. Visit this medical health centre for Vascular Surgeons recommended by 61 patients.

Timings

MON-THU, SAT
05:00 PM - 07:00 PM 10:00 AM - 12:00 PM

Location

Ground floor, Suyojit modern point Above kalakruti sadi centre Near Rajiv gandhi bhavan sharanpur road Tilakwadi 0253-2318072 7030074740
Nashik, Maharashtra - 422002
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Doctor in Pravin Sakharam Narkhede

Dr. Pravin Narkhede

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
91%  (115 ratings)
12 Years experience
800 at clinic
₹300 online
Available today
05:00 PM - 07:00 PM
10:00 AM - 12:00 PM
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"Professional" 2 reviews "Prompt" 1 review "Well-reasoned" 2 reviews "Practical" 3 reviews "Thorough" 2 reviews "knowledgeable" 5 reviews "Sensible" 3 reviews "Very helpful" 8 reviews "Inspiring" 1 review

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Non-Healing Ulcer And Wound Management!

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Non-Healing Ulcer And Wound Management!

A non-healing wound can be any wound that does not show improvement after roughly a month and is not on the way to healing in about 2 months. There are several types of non-healing wounds, and ulcers are a major type. The other types include:

Surgery wounds that don’t seem to heal.
• Pressure related ulcers.
• Wounds that start healing but go back to square one several times.
• Wounds and ulcers caused due to disorders of body metabolism.

Symptoms: how do you understand a wound is of the non-healing variety?

Following are The Symptoms to Look Out For:

• Pain in the wound, either one that starts out after some time or one that was present from the very beginning but keeps increasing in magnitude.
• A foul smell surrounding the wound.
• An oozing sensation from the wound, or a feeling of liquid oozing from it.
• The wound becomes tender, and can turns red and hot.

Non-healing wounds are dangerous because the surface is exposed to the environment for a very long time, making it open passage for numerous bacterial germs in the atmosphere. This can lead to serious infection. The infection can get so bad that a limb might even have to be amputated.

How to manage and cure these wounds?

There are Several Ways to Keep the Damage Under Control, and These are The Most Effective Methods:

The most important part of treatment is to investigate to know the cause for ulcer. Here are the investivative measures taken:

  1. Arterial: Evaulation of circulation to leg if reduce corrective measures like angioplasty/stenting/bypass and wound care.
  2. Venous: Correction of venous insufficiency with laser or vein surgery amd wound care.
  3. Neuropathic and treatemnt accordingly: Offloading shows and corrective measures.
  4. Skin Grafting

• Trans-cutaneous oximetry: this is a method that uses electrodes to achieve its objective. The electrode is attached to the skin and heats it up. The blood vessels just beneath the skin are also heated up, and they dilate. It also improves oxygen circulation in the area and provides a reading of the oxygen pressure. This apparatus also maintains a specific temperature at the site so as to not cause thermal trauma.

• Skin grafting: in this procedure, skin is removed from one part of the body and transplanted onto another. The skin is surgically removed from a part that is generally not exposed through clothes, like the thighs or buttocks. The procedure can involve removal of either the top layers or all the layers of a portion of the skin.

Non-healing wounds and ulcers are dangerous and infectious, and proper care must be taken to diagnose and heal them. If you spot one on your body, the best bet is to go for methods like skin grafting or transcutaneous oximetry, for complete cure.

2923 people found this helpful

Peripheral Arterial Disease & Its Burden Or Leg Attack!

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Peripheral Arterial Disease & Its Burden Or Leg Attack!

The peripheral arterial disease is a circulatory disorder which affects the legs. It constricts the arteries and restricts the flow of blood to the legs. The peripheral arterial disorder is also linked to the deposit of excess fats along the walls of the arteries which clogs them up. Sometimes, it can be triggered by inflammation of the blood vessels caused by an injury.

What are the symptoms of Peripheral Arterial Disease?

The intensity of the symptoms varies from person to person. But if you suffer from the peripheral arterial disorder, these are the symptoms you need to look out for:

  • Cramps in one or both hips, calf muscles or along the thighs
  • Pain in the legs when you are climbing stairs or bending to pick something up
  • A feeling of coldness in one or both legs
  • A discolouration of the skin of the legs
  • Sores on your feet or soles
  • Erectile dysfunction (in men)

You should waste no time in consulting a doctor if you are over the age of 65 when you start witnessing these symptoms or if you are diabetic. The risk of getting peripheral arterial disorder goes up in people:

What are the risks associated with Peripheral Arterial Disease?

If the peripheral arterial disease is left untreated, a host of other complications may arise, some of them fatal-

  • Critical limb ischemia: wounds or sores on your feet or legs do not heal and fester. The open wounds become infected which spread and causes tissue death (gangrene).
  • Stroke or heart attack: if the arteries of your legs are blocked, it's quite possible that those of your heart might be as well. When this happens, the risk of stroke or heart attack goes up significantly.
  • The debilitating pain can inhibit your everyday activities
  • Sometimes peripheral arterial disorder can lead to bone and blood infection which can prove to be lethal.

Prevention of Peripheral Arterial Disease:

You can do the following if you want to ward off peripheral arterial disease-

  • Quit smoking
  • Eat a healthy diet comprising green vegetables, whole grains, fruits, dairy and lean meat.
  • Exercise regularly
  • Keep your blood pressure and cholesterol under control

Treatment of Peripheral Arterial Disease-

There is no treatment that can cure peripheral arterial disease. Medication aims to manage and control the effects of the disease. Your doctor may prescribe-

  • Cholesterol-lowering medicines to keep your heart healthy and reduce the risk of heart attack or strokes
  • High blood pressure medicine because by affecting the arteries of the heart, peripheral arterial disease messes up your blood pressure
  • Medicine for diabetes because if you have diabetes as it can exacerbate your leg pain
  • Medicines to prevent blood clots from forming

Surgery for Peripheral Arterial Disease-

If medication does not work, you might need surgery. Some surgery options are-

  • Angioplasty: A catheter is inserted into the blood vessel, the blockage is flattened and the blood flow is restored
  • Bypass surgery: The doctor will graft a bypass using a blood vessel from another part of your body to allow blood to flow around the clogged artery.
  • Thrombolytic therapy: The doctor injects a drug that dissolves the clot.

Peripheral arterial disease can be life-threatening. But with proper lifestyle choices and medication, its effects can be controlled.

Diabetic Foot & Revascularization In Them!

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Diabetic Foot & Revascularization In Them!

When you have diabetes, your body does not produce enough insulin or loses the ability to utilize it. When this happens, your blood sugar level goes up. Diabetes can affect all organs of the body. Your feet are no exception.

How does diabetes affect the foot?

There are two ways in which the foot may be affected by diabetes -

  1. Diabetic neuropathyDiabetes can damage the nerves of the feet so that you lose all sensations in your extremities. So you can no longer feel any irritation or pain in your feet. If sores/cuts/blisters develop on your feet, you won’t know and they may fester and get infected.
  2. Peripheral vascular disease: This disorder affects the blood vessels of your limbs. Fatty deposits clog the blood vessels that carry blood from your feet to your heart. So blood flow is cut off to the feet. This may lead to pain, numbness, swelling, slow healing of wounds or infection.
  3. Ischemic foot: When blood flow to the feet is interrupted, you may develop an ischemic foot, which is characterized by cold skin, loss of hair from the legs and discoloration. In extreme cases, the affected foot may have to be amputated.

What are the symptoms of diabetic foot?
The range of symptoms depend on the intensity of the disorder and vary from one patient to another-

  • Tingling sensation in the feet
  • Numbness of the feet
  • Blisters or wounds that refuse to heal
  • Discoloration of the skin of the feet
  • Stains on the inside of your socks
  • Deformed feet

If an infection has set in, some symptoms that will manifest are-

  • Trembling of the limbs and arms
  • Spiking blood sugar
  • Shock
  • Redness and swelling of the feet

Complications
The complications that may arise out of diabetic foot are-

  • Ulcers of the foot
  • Abscesses
  • Gangrene and death of tissues
  • Charcot’s Foot or fractures and dislocations of the bones of the feet
  • Deformity of the feet

Revascularization for diabetic foot

Chronic diabetic foot can be treated with multiple revascularization methods like synthetic conduits, endarterectomy, balloon angioplasty, arteriovenous reversal, muscle flap transfer or atherectomy. These procedures eliminate the need for limb amputation. The aim of a revascularization procedure is to fix up the blood vessels that were blocked by bypassing the affected blood vessel so that blood can normally flow to your feet.

Along with revascularization, your doctor will recommend exercises like walking to increase supply of blood to the feet as well as medicines that will deal with the pain and swelling.

Diabetic foot can be a serious health threat that could lead to the limb being amputated. But with revascularization, you can get back on your feet in no time and resume your daily activities

2739 people found this helpful

क्रोनिक पल्मोनरी एम्बोलिज्म एवं डीप वेन थ्रोम्बोसिस ठीक होने में कितना समय लगता है। मैं dabigatran 110 mg with homochek 1 साल से खा रहा हूँ।

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
क्रोनिक पल्मोनरी एम्बोलिज्म एवं डीप वेन थ्रोम्बोसिस ठीक होने में कितना समय लगता है। मैं dabigatran 110 mg with homoch...
Hi if you able to find any cause for thrombosis. U can stop that. And need to evaluate any blood clotting disorder you have.in that case plan will change. It better to consult vascular surgeon their can be difficult scenarios where you might stop or continue dabigatra.

Why varicose veins is occur? What is reason behind it and what problem occur due to this?

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Varicose veins is failure of vein valves to push impure blood towards heart..which result in enlargement veins of legs which are seen as blue colour strips in legs...is very common and in severe stages can progress to ulcer which are weeping and nonhealing
1 person found this helpful

Hi, I have varicose veins n suggested for surgery, I want to know if it can be treated without surgery only by medication ,I have consulted vascular surgeon but m scared of getting surgery done n not sure whether it is 100%cure for this problem as it comes again, I am having osteoarthritis, n xray shows osteophytes, pl suggest me ,what should I do, thanx.

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
You have options of laser/RFA and other endovascular procedures..which are painless...about your recurrence some do reccure...if all symptoms are due to varicose vein than arthritis consider for intervention..u already consulted vascular surgeon..best person for varicose veins..
1 person found this helpful

I have varicose veins and veinoplasty done in 2006 I also suffer from sciatica nerve pain Recently ie in Jan I am detected with high BP Now I am on Metosartan 50 for BP and Dafflon 500 for varicose veins for one month and clopivas 75 since 2006 Is it safe to take all these tablets simultaneously? Please advise.

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Looks alright. If its needed its alright daflon I think needs to asses duration and clinical symptoms.
1 person found this helpful

I am 53 Year female, I have varicose veins in both legs. In July 2016 I got laser operation done in my right leg and till August 2018, everything was fine and legs were healthy. But suddenly there is swelling which is not going even after taking Daflon 1000 mg tabs and there is large black as well as red blood clotted patches in my both lower limbs and pain all over the area described. Sometimes, there is burning sensation from within and itching all over the rashes. I am keeping leg elevated during sleep and resting time. Kindly suggest me how to go ahead with medications and treatment for this problem. I am unable to walk, keep my legs on the floor or even wear footwear.

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Hi. You are heavy weight persons with your height and weight ration. Some points 1. Ubm8ght have some diff problem at present than varicose veins or it can be same 2. Get one repeat venous duplex done in standing position to confirm above mention stuff. 3. Consult vascular surgeon. As varicose veins can have recurrence in some cases. Which may or may not require intervention. 4. Start wearing proper stockings. To control disease at this stage. 5 avoid itching or scratching getting ulcer following minimal trauma is worse thing we want in this sceanrio. If has more question get back to me.
1 person found this helpful
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