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Inlaks and Budhrani Hospital

Orthopaedic Clinic

#7- 9, Koregaon Park. Landmark: Next Rajini Ashram, Pune Pune
1 Doctor
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Inlaks and Budhrani Hospital Orthopaedic Clinic #7- 9, Koregaon Park. Landmark: Next Rajini Ashram, Pune Pune
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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 ......more
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 Inlaks and Budhrani Hospital
Inlaks and Budhrani Hospital is known for housing experienced Orthopedists. Dr. Pankaj B Gunjal, a well-reputed Orthopedist, practices in Pune. Visit this medical health centre for Orthopedists recommended by 63 patients.

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MON, WED, FRI
05:00 PM - 07:00 PM

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#7- 9, Koregaon Park. Landmark: Next Rajini Ashram, Pune
Koregaon Park Pune, Maharashtra
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I've been having carpel tunnel syndrome since last three years. It got better on its own a year back but now there is pain in the right phalangeal region which sometimes radiates to arms too. No tingling, numbness or swelling present. The pain is such that I can not do anything with my right hand even if its just picking up a filled bottle. Please suggest me a treatment for it except surgery. Thank you.

FIPM, DNB, MBBS
Pain Management Specialist, Gurgaon
I've been having carpel tunnel syndrome since last three years. It got better on its own a year back but now there is...
Carpal tunnel is compressive neuropathies which cause pain, weakness and numbness the symptoms you have described. Surgery is one of the solutions but conservative management with home based exercises and median nerve block can help to improve quality of life. Please visit for further management.
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I am having joint pains and unable to walk freely My age is 54 years. Doctors advised to get the et knee replacement. How many days it will take for me to walk without operation.

Bachelor in Physiotherapy
Physiotherapist, Ghaziabad
I am having joint pains and unable to walk freely My age is 54 years. Doctors advised to get the et knee replacement....
Hi there you can avoid knee replacement by physiotherapy treatment and following some home instructions. I would suggest you to go to nearby physiotherapist. At home you can. Apply ice pack for 15 minutes which will help. To reduce pain and swelling, avoid bending of knees more than 90 degrees, use western toilet, use knee caps when walking out, do gentle knee exercises and isometric exercises of quadriceps and hamstrings, do gentle patela glides in all directions.
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Debunking Myths On Osteoporosis!

MBBS, Diploma In Orthopaedics (D. Ortho), Membership of the Royal College of Surgeons (MRCS), Fellowship of the Royal College of Surgeons (FRCS)
Orthopedist, Bangalore
Debunking Myths On Osteoporosis!

Osteoporosis is a commonly experienced condition where the bones tend to get thin and become hollow over time. This is a condition that is experienced mostly by people who are over the age of 50 years, and even more commonly by women who have been through menopause. Other risk factors include smoking as well as medication which can lead to such degenerative diseases as a side effect. Let us find out about living with osteoporosis and the many myths and facts surrounding the same:

  1. A Natural Part of Aging: This is a fact. While not everyone who ages will wind up with this condition, it is commonly experienced by patients who are growing old. One can resort to taking calcium supplements as well as plenty of Vitamin D in order to prevent the risk of fractures that are a common occurrence in such a condition where the bones become too hollow. Also, mild and moderate exercise will help the condition.
  2. Only Female Patients: This is a myth. While it is true that women form a major risk group when it comes to this condition, there are many men who also suffer from it. It has been demonstrated by various medical studies that one in every five men in the USA alone are prone to this condition. Furthermore, due to exercise, sports and other heavy manual work, young men are more likely to end up with a fractured bone than an aging woman.
  3. Worry only when you are Old: This is also a myth. One must remember that the major bone mass forms by the time a person hits the age of 18 to 20 years. This is the time when nutrition, exercise and lifestyles must be structured in a way that such troubles like osteoporosis will not follow you into the later years when your bones begin to age. Ample and strong bone mass nourished by proper habits, will help in preventing such conditions to a large extent.
  4. Fractures only happen if you Fall: This is another myth. It is important to keep in mind that living with a condition like osteoporosis means that you have to be vigilant at all times in your daily routine and other activities. Strain on the bones can also lead to fractures, and one does not necessarily have to fall down to get one. Leaning over too much can also lead to a fracture!
  5. You can feel the Degeneration: It is another myth that you can actually feel your bones getting weaker. Usually, there are no symptoms of this condition until it has progressed to a particularly painful stage in your life. The best way to find out if you are suffering from osteoporosis is by taking a bone density test. 
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Disc Prolapse And Back Pain - Best Treatment With Homeopathy!

MBBS, MF- Homeopathy
Homeopath, Secunderabad
Disc Prolapse And Back Pain - Best Treatment With Homeopathy!

Back pain is generally associated with problems related to bones at the back. The bones forming the back is known as vertebrae that form the human spine. The disc between the vertebrae absorbs shocks and allow spine flexibility. With advanced age and increasing wear and tear, the discs tend to become dry and break. The degeneration of the discs can lead to compressing of the nerve originating from the spinal cord. While disc prolapse can affect any part of the spine, the ones that are most vulnerable include lumbar disc and the cervical disc.

Common symptoms of this condition include lower back ache, sciatica etc. The pain from the back can get transported to arms, neck, leg etc. The homeopathic mode of treatment can be extremely beneficial for fixing disc prolapse. Since there are no side effects of homeopathy, this is the perfect choice for many patients.

Some typical symptoms that homeopathy can address:
Some of the typical symptoms that homeopathy can address include the following:

  • A person suffering from lower back pain that increases while sitting but normalizes while in motion.
  • The back pain increases while lifting weight.
  • Stiffness is experienced around the lower back area.
  • A person finding difficulty in bending the body.
  • Increased thrust for water resulting in a more than required consumption of water.
  • Dull pain in the lower back area leading to numbness.
  • Sharp pain while getting up from a sitting position.

What are the possible causes of this condition?
There is no single reason for disc prolapse. It can occur due to wear and tear of the vertebrae, a nasty accident, aging, water limitation in the disc, weight lifting, prolonged wear and tear of the disc etc. The lumbar is the most vulnerable area that gets affected because of disc prolapse.

Advantages of homeopathic treatment

  • The biggest advantage is the fact that there are no side effects of this mode of treatment.
  • Homeopathy can repair the lumbar area from advanced level degradation.
  • Homeopathy can treat the most stubborn disc prolapse irrespective of the condition.
  • Chronic back pain can be treated with homeopathy better than any form of medicines.

What are the few important medicines of homeopathy to treat this condition?

  1. Rhus tox is prescribed to those patients who suffer from back ache or disc prolapse but get relief while in motion.
  2. Bryonia is referred to those patients whose pain gets normalized after sitting.
  3. Colocynth and Magnesium Phos are given to those who suffer from bulging of the disc leading to sciatica.
  4. Gnaphalium is referred to those patients who suffer from sciatica along with numbness.
3 people found this helpful

I am 60+ years old & suffering from arthritis for the past 10 years. Both knees are affected. I consulted a doctor and he has suggested knee replacement in both knee. Is knee replacement necessary? What are the advantages of knee replacement? Will I be able to walk properly after the operation?

MBBS, Craniosacral Balancing, Quantum Touch, Visceral manipulation
Pain Management Specialist, Panchkula
I am 60+ years old & suffering from arthritis for the past 10 years. Both knees are affected. I consulted a doctor an...
Knee replacement is a good alternative these days. Don't worry follow proper precautions as advised to you after operation (physiotherapy etc.) You will enjoy your life. For any type of stress in any field of life mind management is available for which you can contact us on Lybrate. More details about the treatment on our profile/personal statement column.
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I have a teaching job and I have to stand up almost 9 hours a day My B12 is 116 and vitamin D is 8. I have lower back pain since 1 month Please advice.

DHMS (Hons.)
Homeopath, Patna
I have a teaching job and I have to stand up almost 9 hours a day My B12 is 116 and vitamin D is 8.
I have lower back...
Hello, You are the victim of prolonged undesired posture with low level of B12 & vit'D' Tk, plenty of water to hydrate your body. Don't skip your meal. Go for meditation to reduce your stress in order to nourish your entire body. Your diet be rich in vit 'B12 & vit'D' Tk. Apples, carrots, cheese, milk products, mushrooms, spinach & fish. Ensure, 6 hrs of sound sleep. Avoid, junk food, alcohol & nicotine. Tk, homoeopathic medicine:@ Arnica mont200-6 pills, thrice. @ Five phos 6x-4 granules, thrice. Tk, care.
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Hi doctor my sister have a hard piece (gilti) in her breast and she have a lots pain in her breast or arm also. She have take pain killer but have no relaxation. Can it be a serious problem?

MBBS, MS - General Surgery, Post Doctoral Fellowship
General Surgeon, Lucknow
Hi doctor my sister have a hard piece (gilti) in her breast and she have a lots pain in her breast or arm also.
She h...
She will need further evaluation of her lump by clinical examination and it might need ultrasound of the breast or FNAC. Bring her to a doctor as soon as possible.
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Knee Replacement Surgery - What To Expect?

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Pune
Knee Replacement Surgery - What To Expect?

You know it’s time for a knee replacement surgery when you can’t walk, move or get up from a chair without pain in spite of taking medications, physiotherapy and following a pain management therapy for a long time. Knee replacement surgery is also known as arthroplasty, and it’s one of the most common bone surgeries around.

Causes of Knee Pain
Most people suffering from arthritis of any kind- osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis are the ones who may require a knee replacement surgery when their condiition becomes severe.
It helps ease pain and helps one move freely.

  1. Osteoarthritis- This is mostly caused due to age-related ‘wear and tear’ of the knee joint and usually occurs in people who are older than 50 years. In this condition, the cartilage that cushions the three main bones of the knee wears away. This makes the bones rub against one another, causing stiffness and knee pain. Osteoarthritis is the main reason why people go for knee replacement surgery.
  2. Rheumatoid arthritis- In this type of arthritis, the synovial membrane that surrounds the knee joint becomes inflamed. This chronic inflammation then damages the knee cartilage and leads its loss and attendant pain, and stiffness.
  3. Post-traumatic arthritis- This happens after a serious knee injury. It can lead to tears of the knee ligaments and bones which leads to damage to the knee cartilage.
  4. Loss of blood flow to the bones – osteonecrosis – also may require knee replacement surgery.
  5. Those with deformities like knock knees and bowed legs also may require knee replacement.

Knee Replacement Surgery
During this surgery, an orthopedic surgeon removes the damaged part of the knee and replaces it with an artificial metal or plastic joint. This artificial joint is then attached to the thigh bone, the shin, and the kneecap with a special cement-like material.

Different Types of Knee Replacement Surgery

There are four main types of knee replacement surgery-

  1. Total knee replacement- This is the most common type of surgery. In this, your surgeon replaces the entire knee including the thigh bone and shin bone that connect to the knee.
  2. Partial knee replacement- This type of surgery is performed if arthritis affects only one side of your knee. However, this type of surgery is done only if you have strong knee ligaments. This is performed through a smaller cut than is needed for total knee replacement.
  3. Kneecap replacement- This type of surgery replaces only the under-surface of your kneecap.
  4. Revision knee replacement- This is a complex surgery which is performed in case you have very severe arthritis.

A knee replacement is actually a knee "resurfacing" because only the surface of the knee bones is actually replaced during the procedure. It is a relatively safe procedure and the patient does not have any side effects. All a patient is required to do is take proper rest and follow the instructions of your doctor.

How to Handle Rheumatoid Arthritis Pain?

MD, FIPP
Pain Management Specialist, Kolkata
How to Handle Rheumatoid Arthritis Pain?

Arthritis is an autoimmune disorder wherein, the immune system of the body attacks healthy tissues within the various joints of the body. This causes inflammation of the joints, leading to multiple problems in them. One common issue with all the problems is pain. Thus, managing pain with rheumatoid arthritis is one of the most important facets of the treatment. More than the deformities or other problems, it is the pain that limits your capabilities. Some techniques for the management of pain are mentioned below.

  1. Pain medication: This is the obvious and first choice to avail if you need to reduce pain. There are many types and levels of pain medications which can range anywhere from being mild to very strong. However, this isn’t an option that should be considered lightly as you may have a tendency to develop a dependency which can border on addiction. Also, many of them harm the hepatic and renal system of the body if used beyond a certain period. Thus it is advisable to use this prudently.
  2. Weight management: In many cases, the pain is exacerbated by obesity. It has been noticed that obese or overweight people tend to suffer more from arthritis pain as the added weight tends to add pressure on the joints. Thus, one of the best ways to reduce a significant amount of pain would be to reduce weight through dieting and limited exercises that don’t strain the joints. However, it is easier said than done as a person in pain cannot usually exercise! So, the best strategy is to visit a pain specialist / interventional pain physician and get your pain controlled. Thereafter, start the exercises and reduce the weight effectively.
  3. Medication for inflammation: Inflammation of the joints is the primary symptom of this disorder. Inflammation is also what causes the pain within the joints. Thus, treating the inflammation with relevant medication has also been known to reduce pain. This is usually the first option to go to for relieving arthritis pain. The catch point here is also the side effect profile of these drugs.
  4. Changes in Diet: A few type of foods, especially certain fish found in colder waters are a rich source of Omega-3 fatty acids, which are very good at reducing inflammation within the joints. There are also certain food items which may be bad for your arthritis pain as they may aggravate inflammation and it is better to avoid such items altogether. Some examples of such items would be sugar, alcohol, white flour, processed meats, gluten rich foods among others.
  5. Massages: Whether it is a self-massage or from a therapist, it is a great way to encourage circulation which can help reduce inflammation and work as a pain reliever. A therapist would also know certain specific techniques to relieve arthritis pain. However, most of the times, improper massage shall do more harm than good.
  6. Interventional Pain Procedures: These may often be the most cost effective and usually the only option to reduce pain. These include joint injections, neurotomies, radio frequency therapy, laser therapy, ozone therapy, platelet rich plasma or anti-inflammatory injections.
  7. Other therapies: Some other therapies include heat and cold compress, acupuncture, wearing supportive wears and braces among others to encourage circulation and reduce pain. Transcutaneous electrical nerve stimulation also helps to relieve pain by stimulating the affected nerves in the joints with the help of a low voltage electric current. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
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Hip Replacement Surgery - Know The Many Benefits Of It!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Hip Replacement Surgery - Know The Many Benefits Of It!

Human bones are continuously being removed and formed which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips which may become worn due to age or other problems within the body. 

Hip replacement surgery 
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.

Benefits of hip replacement surgery:

  1. Lessening hip pain - This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.
  2. Correction of bone deformity - When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.
  3. Return to normal activities and resumption of normal activities - This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain free life.
  4. Ability to have painless sleep - Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.
  5. Leg strength increase - Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.
  6. In most cases a lifelong solution to hip problems - As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again. If you wish to discuss about any specific problem, you can consult an Orthopedist.

I am 30 year old, and I have ACL injury on 17 june 2017 during dancing. And I do essential exercise daily for the recovery of ACL injury, is there surgery is necessary for ACL injury. By exercises it can possible to recover injury. Please tell me sir. And my other question is. How to reduce my body weight during ACL injury. Please sugest me the right path. Sir.

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
I am 30 year old, and I have ACL injury on 17 june 2017 during dancing. And I do essential exercise daily for the rec...
For this you have to follow high protein diet with vitamin - c tablet and follow this diet plan which also help you in weight loss Diet plan for you Drink 1 litter of warm water with 1/3rd tea spoon mineral salt Breakfast Option no. 1 – Any item made up of eggs like Omlet, Egg Burji or boiled egg with salad Option no. 2 – Smoothie – Curd+MilkMalai + any fruit + Roasted Flax Seed Option no. 3 – shock one tea spoon Chia seeds in 100 ml water for 10 mints. Then add 200 ml curd, add pomegranate Option no. 4 – Take any three vegetables and any one fruit cut into small pieces. Add two tea spoon malli or olive oil. Lunch 2 chapati (BrownXatta) + Any Veg or non – veg + Curd + Salad Dinner Option no. 1- Veg Soup with Butter Option no. 2- boiled egg or non – veg Option no. 3- veg +salad Option no 4- paneer tikka Option no. 5- one tea spoon Chia seeds in 100 ml water. Then add 200 ml milk, add one scoop lipolyzer powder. Evening snacks – Green Tea with nuts and seeds like almonds, cashew, pista, walnuts, peanuts, flax seeds, sesame seeds. Eat 28 gm pumpkin seeds daily and 28 gm sunflower seeds daily. Supplements Replace your white salt with Mineral Salt Lipolyzer Fat burning Oil for massage NutroActive Lipolyzer Meal Replacement Low Carb Shake, Weight Loss Shake Avoid - wheat, rice, pulses and sugar and any item made from these items like daliya, poha, corn flakes, oats, biscuits, namkeen etc. Supplements you have to order – Lipolyzer Fat burning Oil NutroActive Lipolyzer Meal Replacement Low Carb Shake, Weight Loss Shake Nutroactive Himalaya mineral salt extra fine grain.
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My Mother age is 58. Her foot is swelling and severe pain. Now she is using Below Medicine. ScoDia SR 500 (Night time ), Ecosprin-AV75, Telma AM, K-GLIM-M 1 mg (Night time ), Rablet D, Ketorol- DT, ALORA 0.25. Today report------- ESR 55, Creatinine 0.8, Urea 30, RA factor - Negative, A.S.O- Negative, Uric Acid- 4.2, Sugar fasting 91, After food 160. HB-12. Pls suggest me medicine.

MBBS
General Physician, Jaipur
My Mother age is 58. Her foot is swelling and severe pain. Now she is using Below Medicine. ScoDia SR 500 (Night time...
Swelling feet may be due to chf as taking heart medicine consult your cardiologist and ruled out avoid droping of leg or keep legs up during sitting or leg side of bed may be slightly raised so bloood flow easily.
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I am 56, year old, female,I have much pain in knee, also have back pain. I have diabetes also. U take insulin regular for 4 times in a day. I have thyroid also. My question is that how to get relief from that pain. I can't sleep at night for this pain.

MPT, BPT
Physiotherapist, Noida
I am 56, year old, female,I have much pain in knee, also have back pain. I have diabetes also. U take insulin regular...
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Sports Taping- stretch the tape from both ends and apply on the affected area
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I have swelling, redness pain n wound on n around navel since yesterday. please advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, thanks for the query. The description suggests there is probably an infection of umbilicus. So it is better to show it to your local doctor. As you may need painkillers and antibiotics. Plus there may be a need for cleaning and dressing of the wound. Thanks.
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In case of nonunion of femur fracture after 5-6 months of fixation with intramedullary nails n implant, what is further appropriate course of action (age 50)

Bachelor in Physiotherapy
Physiotherapist, Ghaziabad
In case of nonunion of femur fracture after 5-6 months of fixation with intramedullary nails n implant, what is furth...
Hi there There can be many factors responsible for non union of fracture like too large space for bony remodelling to bridge, Interposition of periosteum, muscle or cartilage, Bony site with limited or less blood supply and more. If fracture won't unite after 6 months it my be considered in as delayed or non union of fracture. These approaches can be effective after non union: Non-surgical approaches Early weight bearing and casting may be helpful for delayed union and non-union. Bone stimulation can sometimes be used. This delivers pulsed ultrasonic or electromagnetic waves to stimulate new bone formation. It needs to be used for up to an hour every day, and may take several weeks to be effective. Medical treatments such as teriparatide have also been used to promote fracture healing, particularly in patients with osteoporosis. Surgical approaches: Debridement to establish a healthy infection-free vascularity at the fracture site. Bone grafting to stimulate new callus formation. Bone may be taken from the patient or may be cadaveric. Bone graft substitutes/osteobiologics. Internal fixation to reduce and stabilise the fracture. Depending on the type of non-union, any combination of the above procedures.
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Bilateral knee replacement! what will be the cost nd pricing of the total surgery? I am also a paediatrician from gorakhpur! want to get it done for my mother! waiting fr your reply sir.

MBBS, DNB (Orthopedics)
Orthopedist, Pune
Bilateral knee replacement! what will be the cost nd pricing of the total surgery? I am also a paediatrician from gor...
Approx 1.4 lakh for each knee if 2 stage. 2.5 lakh if single stage. Estimate for implants by Depuy all poly. Includes pharmacy. Preop fitness mandatory. Single or 2 stage depends on complexity and patient fitness.
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I have pain in my knee for about 4 months it's sometime there while sometime it's gone. I usually have it while I go to get at night time. What should I do is there any natural remedy?

MBBS, MD, CCEPC, OBS, FISSP, NFPM
Spine and Pain Specialist, Delhi
I have pain in my knee for about 4 months it's sometime there while sometime it's gone. I usually have it while I go ...
You need MIPI (Minimally Invasive Pain Relief Intervention) from Interventional Spine & Pain Specialist. Do not take pain killer meds for long. You can further discuss it in detail with me on phone or over internet.
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I'm having very severe pain in my left leg from back hip to toe only on one leg some time I can't even walk now it's only on my knees and I can't walk on stair case to catch train I'm using tablet omega now.

MPT, BPT
Physiotherapist, Noida
I'm having very severe pain in my left leg from back hip to toe only on one leg some time I can't even walk now it's ...
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.
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