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Dr. T.Jothibasu

MBBS, DNB radiology

Radiologist, Pondicherry

17 Years Experience  ·  500 at clinic  ·  ₹200 online
Dr. T.Jothibasu MBBS, DNB radiology Radiologist, Pondicherry
17 Years Experience  ·  500 at clinic  ·  ₹200 online
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. T.Jothibasu
He has helped numerous patients in his 17 years of experience as a Radiologist. He has completed MBBS, DNB radiology . Book an appointment online with Dr. T.Jothibasu on

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MBBS - Thanjavur medical college - 2001
DNB radiology - Pondicherry institute of medical sciences - 2007


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Spinal Cord Injury - Physical Therapy Treatments For It!

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
Spinal Cord Injury - Physical Therapy Treatments For It!

A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.


A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • head or spinal injuries during sporting events
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms -

Some symptoms of a spinal cord injury include:

  1. problems walking
  2. loss of control of the bladder or bowels
  3. inability to move the arms or legs
  4. feelings of spreading numbness or tingling in the extremities
  5. unconsciousness
  6. headache
  7. pain, pressure, stiffness in the back or neck area
  8. signs of shock
  9. unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Call 911 or your local emergency medical assistance number
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck


Treatment should be focused upon that individual and tailored specifically to their condition. A treatment programme is formulated following a thorough physical assessment which might include:

  1. Stretching activities to maintain muscle and tendon length and reduce or keep muscle spasms/spasticity to a minimum.
  2. Flexibility and strengthening exercises for the whole body.
  3. Breathing exercises to maximise lung function and prevent chest infection.
  4. Balance and posture exercises which can help to reduce pain associated with poor posture and balance impairment and ensure correct transfer techniques (in/out of wheelchair, bed, toilet/bath, car etc.)
  5. Functional activities to improve fundamental movement patterns such as rolling over and sitting up, and standing where appropriate.
  6. Walking re-education, if there is sufficient muscle activity and power in the legs.

Your physiotherapist might also be able to advise an individual on use of appropriate equipment such as wheel-chairs and pressure releasing cushions, exercise equipment and electrical muscle stimulators.


Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. Always wearing a seatbelt while in a car
  2. Wearing proper protective gear while playing sports
  3. Never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks

In case you have a concern or query you can always consult an expert & get answers to your questions!

3280 people found this helpful

Kindly prescribe ayurvedic medicine for l5s1 disc herniation. Kindly note I am taking jointhar from last six months but cud not find any relieve.

General Physician, Mumbai
I will suggest you to take Panchkarma therapy treatment as a part of ayurved treatment for a minimum of five sessions
1 person found this helpful
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Fracture In Limbs - Why It Actually Happens?

MBBS, Diploma In Orthopaedics (D. Ortho), Membership of the Royal College of Surgeons (MRCS), Fellowship of the Royal College of Surgeons (FRCS)
Orthopedist, Bangalore
Fracture In Limbs - Why It Actually Happens?

A broken bone or a crack in the commonly known as a fracture. Any bone in the arm can be broken, but common areas for fractures in the arm is wrist, specifically the distal radius, forearm bones (radius and ulna), elbow, humerus and shoulder.

What causes fracture in bones?

  1. Fall: Falling an outstretched hand or elbow is the most common cause of a broken arm.
  2. Sports injuries: Direct blows and injuries on the field or court are a common cause of all types of arm fractures.
  3. Significant trauma: Any of your arm bones can break during a car accident, bike accident or other direct trauma.
  4. Abuse: In children, a broken arm may be the result of child abuse.

How to identify?

An audible snap or cracking sound may be your first indication you've broken an arm.

Signs and symptoms include:

  1. Severe pain, which may increase with movement
  2. Swelling
  3. Bruising
  4. Deformity, such as a bent arm or wrist
  5. Inability to turn your arm from palm up to palm down or vice versa

When to see a doctor?

If you have enough pain in your arm that you can't use it normally, see a doctor right away and do the same for your child. Delay in diagnosis and treatment of a broken arm, especially for children who heal faster than adults do, can lead to poor healing and deformity. In case you have a concern or query you can always consult an expert & get answers to your questions!

2531 people found this helpful

I am 55 year, last 4 month back Dr. Report slip disk Dr. Suggest me complete rest. I am admitted in hospital 9 day. Some relief but now also problem I can not sit more than 1 hours. If I seat both leg heavy & just. I cannot put my leg in ground

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. To actually answer your question, I need some information from you: - firstly, I need a detailed neurological examination done by a physical therapist - mri of your affected region of spine - dynamic x rays if they were also done. 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.
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Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
I am 34 years old male. I am suffering from back pain for the last 3 years. I have done MRI. In MRI it is found that ...
the problem is you have disc bulge at 2 intervertebral levels causing compression of the nerve root that comes out of the spinal canal at that level causing pain in the back and legs . (disc is like gelatinous cushion inbetween two vertebral bones and it acts like a shock absorber . sometimes the disc comes out of its normal position and presses on the nerve which comes from the spinal cord. depending on the nerve that is compressed you can get pain in the back and / or legs, numbness, weakness etc.
5 people found this helpful
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Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care, Panchkula
Know All About Gynae Laparoscopy Surgery

Q1. What exactly is Laparoscopy?

Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.

Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?

Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.

Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?

Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.

Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?

Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.

Q5. Will there be much pain or discomfort after Laparoscopic Surgery?

There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.

Q6. When can I be discharged from hospital?

Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.

Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?

Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.

4326 people found this helpful

Diseased Uterus - Can it be Replaced?

Health and Medical ARC Fertility
IVF Specialist, Chennai
Diseased Uterus - Can it be Replaced?

In case you have a diseased uterus, which makes you infertile, you can undergo a procedure known as uterus transplant or uterine transplant to get pregnant. In the process of sexual reproduction, a diseased uterus does not allow embryonic implantation. This factor is referred to as uterine factor infertility or UFI. As a result, you will not be able to get pregnant. Learn more about having healthy pregnancy.

Who requires a uterus transplant?
This procedure involves women who have UFI and women who had their uterus removed by hysterectomy. Women who have a damaged uterus on account of an injury or infection, which does not function anymore, can also undergo a uterus transplant procedure. Women from the age of 21 to 45 are eligible for this procedure. Many women are born without having a uterus. This condition is called Mayer-Rokitansky-Küster-Hauser syndrome.

Uterus transplantation begins with undertaking a uterus retrieval surgery on the uterus donor. The uterus, which is recovered has to be stored and transported to the location of the patient undergoing the transplant. An ischemic tolerance may last over 24 hours. Three major surgeries have to be carried out with the recipient. Firstly, a transplantation surgery is required in which the donor’s uterus gets transplanted. In case pregnancy develops, a caesarean section surgery has to be performed. The patient is given immune suppressive therapy. After childbirth, a hysterectomy is done in order to terminate the immune suppressive therapy.

Will the women be able to get pregnant after having sex?
Women receiving a uterus transplant will not be capable of becoming pregnant without undergoing fertility treatments. The transplanted uterus is not connected with the fallopian tubes, which is the location of the normal fertilisation process. The women will require to carry out IVF or in vitro fertilisation to become pregnant after a uterus transplant. IVF is a process in which the eggs are removed from the ovaries and get fertilised in a laboratory. Then, they are implanted in the uterus. After undergoing the uterus transplant procedure, a woman has to wait for a period of one year. The uterus requires time for healing and after recovery, the embryo may be implanted for pregnancy. After giving birth successfully, a woman will be able to keep the transplanted uterus. This is a reason why IVF is a popular procedure.

She has the option to get pregnant again. However, after giving birth twice, a hysterectomy must be carried out for the removal of the uterus. This is done so that the woman can stop using the immune suppressant drugs, which are associated with major risks. Uterus transplant is a relatively new technology. In October 2014, the first healthy baby was born to a woman who had undergone a uterus transplant. This surgery is kind of experimental in nature and is usually the last option for getting pregnant.

3818 people found this helpful

I am suffering from suffering from slip disk. What would be the best treatment for it?

DNB, Diploma in Medical Radio Diagnosis (DMRD)
Radiologist, Durg
Is it confirmed on MRI. If not you need to get an MRI done first. Then visit an orthopedic surgeon who would assess the severity of the condition. Minor bulges may be taken care off with medicine and lifestyle changes. However severe ones may require surgery depending on your health status.
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The 4 Stages Of Uterine Cancer

DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
The 4 Stages Of Uterine Cancer

The uterus is a very important organ within the human reproductive system as this is the chamber where an embryo grows into a baby. Due to a multitude of factors, the incidence of uterine cancer has been on the rise. Let's look at some of its symptoms.

Symptoms of uterine cancer
When cells within the uterus grow abnormally and turn malignant, it may be termed as uterine cancer. This may be in the form of a fibroid or tumor or be part of the uterine tissue itself. It may be caused due to a multitude of factors such as late menopause, radiation exposure, estrogen treatments and many others. Some of the common symptoms for uterine cancer could be:

a. Pain in the abdomen, lower back and especially the pelvic area.
b. Pain during urination,
c. Weight loss without any apparent reason
d. Vaginal bleeding with or without discharge
e. Pain during sex

Stages of uterine cancer:
Before we understand the stages of uterine cancer you need to know how doctors diagnose the various stages. This is done by the three following steps in the TNM method:

Tumor - Doctors try and search for tumors and locate them within the uterus, estimate its size and whether it is malignant or not.

Node - If the tumor is malignant, then doctors try to find out whether the tumor has reached the lymph nodes or not.

Metastasis - Doctors look for Metastasis which is whether the cancer has spread to other organs within the body and to what extent.

Stages of cancer - Cancer is primarily grouped in five stages from 0 to V according to the T, N and M stages mentioned below.

Stage 0 - This is a very early stage of cancer where the cells have malignant growth but are still small in number and haven't spread anywhere.

Stage I - If the cancer has developed a little but is restricted within the uterus, it is considered as stage one. This is also further divided into Stage 1A and 1B.

Stage II - When the cancer has started spreading but only to some parts of the cervix from the uterus, it is diagnosed as stage 2 uterine cancer.

Stage III - Categorized into Stage IIIA, Stage IIIB, Stage IIIC1 and Stage IIIC2, it is primarily where the cancer has spread to other organs but it is only limited to the pelvic area.

Stage IV A - When the cancer has gone beyond the pelvic area and also spread to the rectum and balder area.

Stage IV B - This is where the cancer has metastasized in the groin area or gone to other organs within the body as well.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2749 people found this helpful

How to Relieve Muscle Pain in Hindi - मांसपेशियों के दर्द को दूर करने के उपाय

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
How to Relieve Muscle Pain in Hindi - मांसपेशियों के दर्द को दूर करने के उपाय

हमारे शरीर में होने वाला दर्द कई तरह का होता है. मांसपेशियों में होने वाला दर्द भी इसी तरह का दर्द है. ज्यादा मेहनत करने से मांसपेशियों में दर्द होना आम बात है. शरीर में मांसपेशियों की एक जटिल प्रणाली होती है. मांसपेशियों में दर्द एक छोटी सी झुंझलाहट से शुरू होता है लेकिन कई बार यह आपके स्वास्थ्य के लिए गंभीर भी हो जाता है. इससे पीड़ित लोगों को अपने शरीर को पर्याप्त पानी से हाइड्रेटेड रखना होगा. अगर आपके शरीर में पर्याप्त पानी नहीं रहेगा तो आपकी मांसपेशियां अकड़ जाएंगी, और साथ ही आसानी से उन्हें चोट भी लग सकती है. आइए मांसपेशियों में होने वाले दर्द को दूर करने के उपायों को जानें.
1. सरसों का तेल
सरसों का तेल को एक प्राकृतिक औषधि माना जाता है. जिसके उपयोग से त्वचा की सतह पर रक्त प्रवाह को बढ़ाने में मदद मिलती है. इसके उपयोग से आपकी मांसपेशियों की अकड़न कम होगी और दर्द से भी जल्द राहत मिलेगी.
2. लाल मिर्च
लाल मिर्च में सूजनरोधी और पीड़ा को दूर करने के गुण मौजूद होते हैं. जिसकी मदद से मांसपेशियों में दर्द, अकड़न और सूजन कम होती है. इसके साथ ही आप लाल मिर्च को सलाद, सूप और अन्य आहार में ऊपर अलग से डालकर भी खा सकते हैं.
3. खट्टी चेरी का करें प्रयोग
खट्टी चेरी आपको व्यायाम के बाद होने वाले मांसपेशियों के दर्द से राहत दिलाती है. अध्ययन के अनुसार खट्टी चेरी में कई एंटीऑक्सिडेंट और सूजनरोधी गुण होता हैं जो सूजन और मांसपेशियों में होने वाले दर्द को कम करने में मदद करते हैं. मांसपेशियों की सूजन और पीड़ा को कम करने के लिए आप बिन चीनी के खट्टी चेरी के जूस का भी इस्तेमाल कर सकते हैं.
4. बर्फ का करे इस्तेमाल
जहां जहां आपको मांसपेशियों में दर्द है वहां अगर आप बर्फ के पैक को लगाते हैं तो इससे आपको दर्द और सूजन को कम करने में मदद मिलेगी. बर्फ रक्त वाहिकाओं को कसने में मदद करेगा जिससे कि आपके रक्त का प्रवाह प्रभावित क्षेत्रों में कम होगा.
5. गर्म पानी
दर्द के शुरू होने के 24 घंटे बाद एक गर्म पानी से अपने प्रभावित क्षेत्रों पर सिकाई करें. इससे आपके मांसपेशियों में दर्द नहीं होगा और जल्द राहत भी मिलेगी. इसका उपयोग करने से रक्त के प्रवाह में वृद्धि होगी और उपचार प्रक्रिया को भी एक गति मिलेगी. दर्द शुरू होने के 24 घंटों के भीतर इस प्रक्रिया का इस्तेमाल न करें.
6. केला पहुंचाये फायदा
केला मांसपेशियों के दर्द को कम करने के लिए एक बहुत अच्छा घरेलु उपाय है. यह फल पोटेशियम का एक समृद्ध स्रोत है. पोटेशियम की कमी से मांसपेशियों में कमजोरी, थकान और ऐंठन शुरू होने लगती है.
7. हल्दी है फायदेमंद
हल्दी एक दर्द निवारक और सूजनरोधी गुण के रूप में कार्य करती है. हल्दी का इस्तेमाल कैसे करें – एक कप दूध में एक चम्मच हल्दी को मिला लें. अब इस मिश्रण को हल्की आंच पर गर्म करें. अब इस मिश्रण को गर्म होने के बाद पी जाएँ.
8. रोज़मरी
ताज़ा और सूखे रोजमेरी की पत्तियों में सूजनरोधी गुण होते हैं जो मांसपेशियों की सूजन और दर्द से जल्द रहत दिलाने में मदद करते हैं.
9. अदरक
अदरक एक प्राकृतिक सूजनरोधी गुण के रूप में कार्य करता है और रक्त परिसंचरण और रक्त प्रवाह को बेहतर बनाता है. अदरक के सेवन से मांसपेशियों का दर्द दूर होता है. एक अध्ययन के अनुसार अगर आप कच्ची अदरक का सेवन करते हैं या उसे जलाकर खाते हैं तो आपकी मांसपेशियों और चोट का इलाज बहुत अच्छे से होगा.
10. सेब का सिरका
सेब का सिरका आपके मांसपेशियों के दर्द को दूर करने के लिए एक और महान उपाय है. इसमें सूजनरोधी और क्षारीय गुण भी होते हैं जो दर्द और सूजन को कम करने में मदद करते हैं.

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