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Dr. Ashish Babhulkar  - Orthopedist, Pune

Dr. Ashish Babhulkar

Orthopedist, Pune

550 at clinic
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Dr. Ashish Babhulkar Orthopedist, Pune
550 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Ashish Babhulkar
Dr. Ashish Babhulkar is one of the best Orthopedists in Shivaji Nagar, Pune. You can consult Dr. Ashish Babhulkar at Sancheti Hospital in Shivaji Nagar, Pune. Book an appointment online with Dr. Ashish Babhulkar and consult privately on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 42 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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Sancheti Hospital

#16, Ganeshkhind Road, Shivaji Nagar. Landmark: Off Pune - Mumbai Road & Near Kalaniketan, PunePune Get Directions
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Dr Ashish Babhulkar Clinic

Flat No 3 , Anant Apartment, Income Tax Lane, Off Karve Road, Karve Road, PunePune Get Directions
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Hi sir. My mother is suffering from back pain for a long time. She has slightly dislocated disc. We have consulted doctor.

COMT, MPTh/MPT
Physiotherapist, Surat
Hi sir. My mother is suffering from back pain for a long time. She has slightly dislocated disc. We have consulted do...
Dear I understand your concern for your mother. I would like to recommend you something that would help her to get heal and strengthen back muscles. I am sure she will get a relief. 1. Rest - take rest, but it doesn't mean a complete bed rest. Do not over exert your body. Work take rest and then work so that you do not feel tired and started paining. Precautions: 1. Avoid forward bending, if required then bend your knees first and then bend forward. 2. Avoid weight lifting. 3. Sit in chairs or car seats with proper back support. 4. Try to sleep in a position that helps you maintain the curve in your back like sidelying. 5. Get enough vit d from sun as vit d keep bones strong including spine, 6. Drink plenty of water to enhance the intervertebral disks 7. Avoid standing in the one position for a long time. 8. Try to sleep in a position that helps you maintain the curve in your back. We have various physio treatments which depends on the pain severity. So as per your question please follow the following treatment at home to reduce her pain and will give some percent of relief. 1. Apply heat directly to the area of low back pain will decrease swelling and inflammation, and ease discomfort. Apply it for 10 to 15 minutes only. 3. Relaxing for 5 minutes after ice or heat treatment. Massage - ask someone to massage your painful area using fingers or thumb. Massage using kneading technique. Slightly press the thumb and start rotating as it helps to induce relaxation, relieve pain, and reduce levels of stress chemicals, such as cortisol and noradrenaline. It will give you pain relief for time being. 3. After massage again relax for 5 min and apply any pain relieving ointment eg - volini or oraflame gel etc. Make sure not to do massage with the gel, it should not penetrate the body. Just a topical application of gel should be done. 4. Again relax your body for 5 minutes and perform some normal back extension and hamstring stretching exercises to get relief from pain. Exercises includes: back strengthening, bridging, slr, prone on elbow, prone hip extension, etc if she get pain while doing exercise please stop doing right away. Good luck. And live healthy and happy life.
1 person found this helpful

I aam a 17 year old male abf have a backache for last 3 months. tried using the pain relief ointment I'm not getting any relief. Please tell me what to do.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I aam a 17 year old male abf have a backache for last 3 months. tried using the pain relief ointment I'm not getting ...
Avoid long sitting and toward bending tk physiotherapy treatment best option then start stretching exercise in daily routine.
1 person found this helpful
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I have back problem. I cant seat or stand regularly about 4 hours. If I do this, my back starts paining hard. Please suggest me.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I have back problem. I cant seat or stand regularly about 4 hours. If I do this, my back starts paining hard. Please ...
Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes of pain in lower back region. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other, so accurate diagnosis is the key to proper management of the condition. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. 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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I am jugraj singh 20 years old and my neck is paining too much I have confusion of survikle so what you do.

MBBS
General Physician, Cuttack
Take paracetamol , give hot fomentation, apply volini gel and take rest. If you are having chronic pain in neck take x ray cervical spine to exclude spondylitis. Consult doctor.
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I have knee pain from more than 5 months. Sometimes it stops and starts again. What should I do?

DNHE, MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Rajkot
I have knee pain from more than 5 months. Sometimes it stops and starts again. What should I do?
For knee joint pain.. Dont ead heavy food, fast food, junk food etc in your diet. Eat more green leafy vegetables and easily digestible food. Have at least 3 water in a day. Take til oil and rub / massage on knee joint. Have slight morning sun rays after massage which provides you vitamin D. for more details consult me.
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My left leg joints often gets twisted and during that time I get problem in straightening that leg.What can i do?

BPTh/BPT
Physiotherapist, Mumbai
My left leg joints often gets twisted and during that time I get problem in straightening that leg.What can i do?
Hi it is due to muscle weakness. Your muscles are not able to hold joint at right position. Learn strengthening exercise by physiotherapist. Best wishes.
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Last year i met an accident n hurt my knee..it took one month for wounds to heal but after that i hv pain .i took phsio but after fw daz again pain came bck..there is still swelling on the side of a knee

MSPT (Master of Physical Therapy), Bachelor of Physiotherapy
Physiotherapist, Faridabad
Dear Sanjana, Many Thanks for asking about your concern. The discomfort in the knee along with swelling suggest something that is still triggering and leading to these symptoms. A good thorough clinical assessment by Physiotherapist & Orthopedic Doctor can reveal the primary diagnosis aided with MRI to confirm it. Depending on the the diagnosis and presenting symptoms, a treatment plan can be worked out which can include exercises, local therapeutic modalities, and if necessary arthroscopic surgery (key hole procedure) by Orthopedic Surgeon. I wish you good health. If there is anything further, please feel free to contact. Best Wishes
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I am having persistent heel pain in right leg which gets acute in morning or after prolonged inactivity. Pls help.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having persistent heel pain in right leg which gets acute in morning or after prolonged inactivity. Pls help.
Heat fermentation with warm water for 20 minutes and do calf stretching if it work then ok otherwise tk physiotherapy treatment wax or ultrasonic therapy.
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I Am having a small pain in chest. I also getting tired very often and also knee pain. Kindly help me.

MBBS, cc USG
General Physician, Gurgaon
I Am having a small pain in chest. I also getting tired very often and also knee pain. Kindly help me.
You may be having chest pain due to 1. Acidity. 2. Severe anxiety 3. Muscular problem local application of volini gel 1%on chest and knee twice a day for 2-3 day consult physician/me for further management.
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When sit in the Indian toilet my legs are paining and it carry over through out the day and in night slowly the pain relieved, then next day once again using the Indian toilet the pain once again getting started, What should I do for this problem and kindly advise me.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
When sit in the Indian toilet my legs are paining and it carry over through out the day and in night slowly the pain ...
Hello lybrate-user, its a case of osteoarthritis. Stop using indian toilets and have western kin. Start knee exercises twice daily. Static quadriceps with warm water application will work. Avoid sitting on floor, and get less exposed to cold. You can consult me for further management.
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How can I solve my back pain for gas I take tab Rekool L and moov spray how can it relief me free.

pg general medicene
Ayurveda, Hyderabad
How can I solve my back pain for gas I take tab Rekool L and moov spray how can it relief me free.
Dear lybrate-user age not mentioned take following medicines yogaraj guggulu 2tabs morning and evening vatha gajankusham 2 tab morning and evening with hot water. Avipathikara churnam 5gms before bed with hot water. Don't take spicy food and junk food. Take meals timely. Review after one month
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Rheumatoid Arthritis: A mystery solved with lucidity

MBBS, MD, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Rheumatoid Arthritis: A mystery solved with lucidity

Vital notes:

  • RA is a chronic debilitating joint disease that affects small joints of hands and foot.
  • More common in females aged 20 to 50 years.
  • It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years.
  • It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately.
  • Untreated disease may cause deformity of hands and foot causing deterioration of quality of life.
  • Erosion of small joints along with loss of entire joint architecture is the basic disease process.
  • Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic.
  • Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids.
  • Difficult diseases are treated with costly injections called biologics.
  • The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “
  • Lung and cardiac complications are common in long term disease.
  • Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.                    

 

Introduction:

Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon.

The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity.

This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment.

 

What are the symptoms?

Symptoms vary from person to person and also from early stage to late stage of the disease.

 In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results.

In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm.

In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful.

A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat.

Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease.

 

What is the difference between Rheumatic Fever & Rheumatoid Arthritis?

There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis.

 

Why Penicillin injections are given on a monthly basis?

Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist.

 

How is Rheumatoid Arthritis diagnosed?

Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course

 

Does each and every patient of rheumatoid arthritis develop crooked hands and foot?

No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease.

 

How Rheumatoid Arthritis is treated?

Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage.

Cessation of smoking is mandatory. Smokers tend to develop early joint destruction

Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs.

Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below.

 

Why I am being given Steroids?

Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment.

Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month.

 

What are Biologic agents? Why they are so costly?

Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started.

Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.

My mother has cervical spondylitis. Compression in c-2 section. Sensation problem in hand's fingers n paresthesia both hand n feet. Doctors at hinduja told oprn. Is a must. What to do?

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Chennai
Better try to do physiotherapy manipulation and Traction. Some more exercise needed to strengthen the neck muscles,73 years its not better for operation
2 people found this helpful
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Swollen Ankles - 5 Homeopathic Remedies For It!

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Swollen Ankles - 5 Homeopathic Remedies For It!

Swollen ankles are very common among older people. Sometimes even young people suffer from this disease. There can be many possible reasons for swollen ankles. Some of the main and most relevant causes for swollen ankles are as follows:

  1. Trauma
  2. Injury on ankle
  3. Sprained ankle
  4. Venous insufficiency
  5. Lymph edema
  6. Arthritis
  7. Heart disease
  8. Kidney disease
  9. Liver disease
  10. Infection
  11. Tumor
  12. Some medications, including calcium channel blockers, steroids or even antidepressants

Homeopathic treatment for swollen ankles
The main treatment for swollen ankles actually requires a great deal of investigation in the field of homeopathic genre. Each and every case is investigated thoroughly and also analysed to a huge depth before prescribing any kind of homeopathic medication. The swollen ankles which are caused due to injury, sprain and arthritis can be independently handled by a homeopathic treatment. But in case of any other serious organ injury, homeopathic medicines are mainly used for treatment along with other kinds of advanced medications. Homeopathic medication should be considered only after consulting a good physician. Self-medication must be strictly avoided.

Some of the homeopathic medicines for treating swollen ankles include the following:

  1. Apis Mellifica and Apocynum: Apis Mellifica and Apocynum are considered to be the best medicines for dropsical swollen ankles, also referred to as edema. Here the swelling is caused due to excess water retention or even due to water accumulation in the tissues.
  2. Ledum Pal: If you are experiencing swollen ankles due to arthritis, Ledum Pal is your go-to homeopathic medicine. In such cases, the affected person usually experiences painful and hot swollen ankles.
  3. Arnica: Another medicine of all times, especially for swollen ankles, is Arnica. It is the most effective medicine for swollen ankles caused due to an injury. Arnica works in a wondrous way to reduce the pain and the swelling of the ankles from injury which are bruised and feel sore to touch.
  4. Ruta: Ruta is primarily prescribed for swollen ankles resulting from sprain. A sprain is defined as the overstretching of the ligaments, mainly in the area of joints.
  5. Hamamelis: This homeopathic medicine, which is highly effective in treating swollen ankles, primarily caused due to varicose veins or venous insufficiency, is Hamamelis. It is the best rated medicine among its category.

If you are suffering from a swollen ankle, neither be indifferent it to, nor delay its treatment for long. It is recommended that you consult an experienced homeopathic practitioner to get the best medicine for your condition.

3169 people found this helpful

I hear too much. Pop sound from my both the knees. I think its due to the lacking of Synovial Fluid in my knee caps. please tell can it become normal again. By some Good food or something else. I am just 22year old. I am too young. Thats why I m scared.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I hear too much. Pop sound from my both the knees. I think its due to the lacking of Synovial Fluid in my knee caps. ...
Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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I have been preparing for exams by sitting many hours in a day it resulted to left lower back pain and discomfort from knee to feet. Is there any solution through work outs?

BAMS, Diploma in Skin Aesthetics, Cosmetology and Trichology, Diploma in skin aesthetics, Diploma in cosmetology, Diploma in Trichology, Diploma in Nutrition & Diet Planning, MDscholar
Trichologist, Mumbai
I have been preparing for exams by sitting many hours in a day it resulted to left lower back pain and discomfort fro...
Suitable exercises will help you address your issue. Use an ergonomic chair. Take breaks in between your studies every hour. Walk for a while. Have milk, paneer and such protein rich food.
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My wife is 29 old and having leg pain for last 3 years after the delivery. Consulted with gynaecology everything is fine. Please suggest

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
In short if there's no problem other than this, please start dashmularishta 15 ml + equal water thrice a day. Parijat leaves may be obtained through some gardener and boil about 10-15 leaves in a litre of water. When it remains 1/4, make it naturally cool and drink daily ( may be two times in divided doses). Taruni kusumakar powder 1 tsp at night. Keep for 2 weeks. For other queries and detailed info pleas come thru pvt consultancy.
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My mom is a arthritic she cannot walk well and do ups & downs what should I do for her.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, please share her x ray n all reports, till then ask her to have ashwagandharishtham 4-4 tsf before food for 15 days.
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