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Dr. Amol Jaykar

Orthopedist, Pune

200 at clinic
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Dr. Amol Jaykar Orthopedist, Pune
200 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Amol Jaykar
Dr. Amol Jaykar is one of the best Orthopedists in Nagar Road, Pune. He is currently practising at Darekar Hospital in Nagar Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Amol Jaykar on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 44 years of experience on Lybrate.com. You can find Orthopedists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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Darekar Hospital

Pune Nagar Road, Haveli Taluka. Landmark: Near PMPML Bus Stop, PunePune Get Directions
200 at clinic
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I am having back pain L5-S1. Now after 3 weeks minor pain is thete. Can I do exercise.

MPTh/MPT, MSC CVR, MANUAL THERAPIST
Physiotherapist,
exercise for back specific / gymming? address the back pain cause first, if your paraspinals are weak, ensure you strenthen your core first and then go for complete body fitness. else you may worsen your case DIAL 9820011774 for any assistance.
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I am 50 yrs. Old woman and suffering knee pain since last 10 yrs. Using medicine for relief but it is not controlling. Please let me know what is the permanent solution.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 50 yrs. Old woman and suffering knee pain since last 10 yrs. Using medicine for relief but it is not controlling...
Homoeopathy has a good treatment for this without adverse effects. To start with, take Rhus tox 200--once daily in the morning and evening for 6 days. For further treatment, consult privately.
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Hi sir I have knee pains and joint pains after complete my office work and come to home at the time of sleeping very much of pains so much of time I am in sitting position give me the solution.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hi sir I have knee pains and joint pains after complete my office work and come to home at the time of sleeping very ...
You should take acupressure treatment and take biochemic kali Mur 12x + ferrum phos12x + mag phos12x. 4 tab each thrice a day with warm water and take it 5 day's and consult private online.
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I have been diagnosed with kidney stone of 5.4 mm. I have a regular lower back pain and sometimes abdominal pain. Suggest me ways to improve my health.

MD AYURVEDA SCHOLAR, Diploma in Skin Aesthetics, Cosmetology and Trichology, Diploma in skin aesthetics, Diploma in cosmetology, Diploma in Trichology, Diploma in Nutrition & Diet Planning, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Trichologist, Mumbai
I have been diagnosed with kidney stone of 5.4 mm. I have a regular lower back pain and sometimes abdominal pain. Sug...
Drink more water. Consult an ayurveda doctor near you for further medication. Ayurveda medicines help in kidney stones.
1 person found this helpful
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I have pain in my lower back from last 1 year. I did light workout on daily basis. Please suggest me.

MPT, BPT
Physiotherapist, Noida
I have pain in my lower back from last 1 year. I did light workout on daily basis. Please suggest me.
Hot fomentation x twice daily. Avoid bending in front. Postural correction. Sit tall, walk tall. Extension exercises x 15 times x twice daily bhujang asana x 15 timesx twice daily core strengthening exercises. Back stretching.
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Mere sir me problem hai 3years pahele mere sir me chot lagi thi. Jisse mere sir Ka adha hissa sunn jaisa raheta hai pLEASE help

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Mere sir me problem hai  3years pahele mere sir me chot lagi thi. Jisse mere sir Ka adha hissa sunn jaisa raheta hai ...
Homoeopathic medicine------- arnica-montana 30 (dr reckeweg) drink 1 drop direct on tongue 3 times daily for 3 months and consult me thereafter--------------
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Procedures That Can Help Treat Slip Disc & Sciatica!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Procedures That Can Help Treat Slip Disc & Sciatica!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

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

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Hi. I'm suffering from rheumatoid arthritis for last four years. I m under treatment of rheumatologist. For last two years i'm taking hydroxychloroquinol sulphate 400. Having pain in left knee and fingers. My question is will this medicine cure my disease? i'm male 36 years. Unmarried.

MD - Medicine
Rheumatologist, Gurgaon
Good evening. Well hcqs is a very mild medicine for rheumatoid arthritis. Firstly arthritis can be controlled, but to cure it is hard. For some people, it automatically goes into remission. If your symptoms are increasing you need to get your medicines adjusted.
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Hi doc last few days I am suffering back pain. When I ride bike so long time. So please advice me what can I do to resolve my problem. I am a sales manager.

MBBS, D.ORTHO, DNB (Ortho), Fellowship Joint Replacement, MNAMS
Orthopedist, Mumbai
Hi doc last few days I am suffering back pain. When I ride bike so long time. So please advice me what can I do to re...
You require a supervised course of treatment for your back pain, which includes dedicated exercises and reviews, and temporary medications, and precautions.
1 person found this helpful
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