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Dr. Ghate

Orthopedist, Pune

250 at clinic
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Dr. Ghate Orthopedist, Pune
250 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Ghate
Dr. Ghate is a trusted Orthopedist in Katraj, Pune. Doctor is currently associated with Sai Sneh Hospital Diagnostic Center Pvt. Ltd in Katraj, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ghate on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 41 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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English
Hindi

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Sai Sneh Hospital Diagnostic Center Pvt. Ltd

Pune-Satara Highway, Katraj , Landmark: Near Pmt Bus Depot, PunePune Get Directions
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I am 66 years, getting sometimes numbness in my right hand, right foot for some times. After few minutes this becomes o. K of its own. Many times, I get pain on back hip joint in the center.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It could be due to cervical spondylosis this is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days do neck & back (spine) exercises use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take you will need other supportive medicines also. Do reply back for private consultation and detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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I am a 50 year male having backache, neck pain in nerves for the last 15 years and now started knee pain in maniscus area what should I do.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It could be due to cervical spondylosis this is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days do neck & back (spine) exercises use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take you will need other supportive medicines also. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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I have huge leg pain when I press my legs I am getting a hole where I press means in my leg water has entered.

BHMS
Homeopath, Raebareli
I have huge leg pain when I press my legs I am getting a hole where I press means in my leg water has entered.
You should immediately visit a local Doctor and have a physical check-up as pedal edema could be several reasons that needs to be corrected. It could be due to renal-disease/heart disease/loss of protein from body/venous problem. Till the time you can take Mag Phos 12 x - thrice daily and additional dose for pain when required. For further queries get back to me.
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Many times. In morning nit noon. Suddenly I have. Headache. Nosing n pain in joints. What I should do?

BPTh/BPT
Physiotherapist, Mumbai
Many times. In morning nit noon. Suddenly I have. Headache. Nosing  n pain in joints. What I should do?
Hi kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.
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I have neck and back pain from last 1 week. I could not even sit for 15 min. Pl help me out.

MBBS
General Physician, Mumbai
I have neck and back pain from last 1 week. I could not even sit for 15 min. Pl help me out.
For pain take tablet paracetamol and we need to do exercise regularly and avoid pickles and papads in your diet and take tablet folvite twice a day for a week
1 person found this helpful
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I had left kidney operation in July last year because of stones. After that everything was fine but from last some days I feel heaviness in left side, feel burning during urination, Frequent Urination and feel like Muscle strain on left back side. Please help and suggest good medicines if you can. Thanks.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
I had left kidney operation in July last year because of stones. After that everything was fine but from last some da...
burning during urination and frequent passage can be an indication of urinary infection. You should give your urine for routine and culture and sensitivity examination after consulting with your urologist. This again can cause pain over the back side.
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My left knee is very painful. Not any damage. No any cracking. But I am facing pain since last 20 days. And now its very harmful. Kindly suggest me. What can I do. Please do needful.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My left knee is very painful. Not any damage. No any cracking. But I am facing pain since last 20 days. And now its v...
Contrast Fomentation (Hot and Cold). Avoid Squatting- 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.
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I feel back pain daily after sleeping and increasing and decreasing so please answer me what to do.

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
I feel back pain daily after sleeping and increasing and decreasing so please answer me what to do.
Improve your posture. Avoid forward bending. Use hard bed to lie. Start hot saline fomentation followed by volini gel and back exercises. For detailed information about exercises please refer my health tips.
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I have pain in my left leg. Its moving from thigh to lower part of my leg. Dr.saying its due to a nerve which is affected due to L4 L5== Pl. Suggest me what could I do. Can I do some yoga.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in my left leg. Its moving from thigh to lower part of my leg. Dr.saying its due to a nerve which is affe...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana -- lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
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Knee Replacement

DNB (Orthopedics), Diploma in Orthopaedics, MBBS
Orthopedist, Mumbai
Play video

Benefits of Bilateral Total Knee Replacement

I am Dr. Rakesh Nair. I am an exclusive knee replacement surgeon practicing at Zen Hospital in Chembur. I am also attached to the Fortis Group of Hospitals at Vashi and Mahim and Holy Family Hospital at Bandra. Today, I am going to talk about Bilateral One Stage Total Knee Replacement. To understand the basic term which I have used here when I say Bilateral One Staged, I say both knees and one sitting. They are done together once the patient is wheeled in. They are not done in a gap of a few days. That’s what I mean by both knees and one sitting.


In the surgery, all we remove is hardly 7-8 mm of bone from the thigh bone and around 7-8 mm from the shin bone, that is the lower part and all we do is just change the cap. It’s like changing the cap of a tooth, so your bone and your muscle are your own. We are not chopping off the whole knee and replacing it. So, that is the reason why I am using the terminology Knee Resurfacing, we are changing only the cap.
Once the cap is changed, we are able to mobilize the patient, the same evening if required. And, with the advanced anesthesia techniques that we have, I am able to make the patient walk the same evening. So, there are some videos here also which would tell you the same where the patient has been operated in the morning by around 12 o’clock once he or she is wheeled out the operation theatre. In another four hours by 4 o’clock evening, the patient is walking with full weight on the leg without much pain because of the pain techniques that we in terms of the pain management.

Now, why would I say that we should be doing both knees in one sitting? So, what are the advantages of doing both knees in one sitting? If you see the further videos which I would also show you, most of the patients who come to me have severe deformities. They, like, have severe bow legs, legs which are severely bent, either towards the inside or either towards the outside. So, doing one knee and then doing another knee is not going to help at all because the patient is not going to be able to walk. So, when I do both knees in one sitting it restricts the surgical procedure so it is like saying I do everything under one anesthesia. The patient gets short of medication. The medicines also which go into the body is once you are wheeled into the operation theatre. The most important part is that the patient can be mobilized very easily because immediately both the legs are straight and the patient can walk with full weight bearing on both the legs. So, I can make the patient walk in the evening or the next day depending on how strong the bones and the muscles are. Another thing is, it reduces the hospitalization also, plus the hospital cost also goes down because we don’t double use the medication nor the stay is doubled. The stay is same; it varies between 3-7 days depending on how strong the patient's knees are before surgery. So, I would definitely advocate doing both knees in one sitting.


What are the main advantages and what would you say in terms of why wouldn’t we do a knee after a week or 10 days? There are studies which say that it is not the number of joints, so the number of knees you do in which causes the problem or the commonest cause which is an infection. The problem arises if you keep on wheeling the patient into the operation theatre. So, if somebody says that we do a knee today and then we do a knee after 4 or 5 days then cases of infection will increase because the patient is being wheeled into the operation theatre on two separate occasions. So, it is not that I have not done both the knees in one sitting, which is a better option because the chances of infection are less than doing one knee now and then doing the other knee after 4-5 days, where the patient gets the same medicines repeatedly plus he is bought into the operation theatre again and his stay also increases in the hospital.


We would be showing you some videos where the patient, how the patient is walking before surgery. If you see most of these patients, the legs are severely deformed. So, all of them I have been able to do a One Staged Bilateral Knee Resurfacing where I have done both the knees in one sitting. You see them how they are walking before surgery, you see them how are they are walking after surgery. And, if you compare the function, they are really able to walk very comfortably.


My patients even sit cross-legged after surgery but that is not. I will show you one of these videos which are showing the patient sit cross-legged after surgery. But that is not something which we promote. It is just to show that they get very good function and they would definitely be able to sit cross-legged but that is not something we tell the patient to do because that compromises on the life of the knee. So, there are a lot of records and results which say that, whether we do a Bilateral One Staged Knee Replacement or whether we a One Staged Knee Replacement, the complications in terms of infection, an embolism is always similar. In fact, it is much more in a unilateral knee than in a bilateral knee.


We use body exhaust play suits, again, during surgery. I will show you this video which is showing you the body exhaust play suits where we are working in a very sterile environment. We would not want to give any infection even from the OT personnel to the patient. So, these are body exhaust playsuits which prevent the impure air breath out of the operating team, it is not allowing it to go to the patient. In fact, it is sucked up by a rotating fan which is there on top of the body exhaust playsuits and the whole impure air is taken out from the patient’s atmosphere. Even our conventional methods of mixing cement have been changed and we are using basically vacuum mixing for cement so there again is no impurities in the bowl in which we are mixing the bone cement to fix the implants to the bone.

We have all the options in terms of the knee replacement where we even have computer assisted Total Knee Replacement. We have Unilateral Knee Replacement where basically the unilateral knee replacement is used for younger patients who have deformities or pain in the insides of the knee where only a part of the knee has been damaged, the rest of the bone is all right, that’s where we use the Unilateral Knee Replacement. The latest what we have is the Customized Jigs in Total Knee Replacement where we get the MRI done of the affected knee. On the basis of the MRI, ceramic Jigs are made and on the basis of the ceramic Jigs, the positioning of the implant can be as perfect as required. Obesity has always been, the patient has always come up to me saying, “Doc, I am little on the heavier side, I am so heavy, is it a contraindication to my surgery?” So, obesity as such is not a contraindication to surgery. Definitely chances of wound healing are a problem but, instead of a week to ten days, it will take another week to ten days for healing. Otherwise, it is not a contraindication to the surgery.


Now, a very important question which comes from the patient is, “Doctor, how long will these knees last?” So, I give a very simple answer to that is that, the more you take care of it, the longer it will last. So, the longevity of the knee all depends on how strong your muscles are before surgery, how strong your bones are after surgery or before surgery and depending on that we normally get a bone density done for the patient and we treat the patient either on a yearly injection for osteoporosis or daily injection which are meant to fill up the bone and that decides on how well the implant is going to hold on and how long the life of the knee is going to last.

For further information, you need to contact me through lybrate.com.

 

3457 people found this helpful

Hello doc. I always have fatigue. .mere tangoo mai jaan hi nahi hote aur joints mai bhi especially wrists aur anckle mai. please help.

MD, MBBS
General Physician, Noida
Hello doc. I always have fatigue. .mere tangoo mai jaan hi nahi hote aur joints mai bhi especially wrists aur anckle ...
You had cholecystectomy done. Because of that you are unable to digest fat. Fat is passed in faeces (toilet) and may have bulky foul smelling stools floating in water of pot. Along with fat fat soluble vitamins are also lost. Moreover Vitamin B-12 absorption may also be erratic. So take Vitamin B-12 (Neurokind OD) 1/2 tablet sublingual (under tongue) twice daily for about a year. Along with take Becadexamin 1 capsule daily for 1 year Do not take fats at all. Use skimmed milk. Take apple daily for iron. Do regular exercises or start playing badminton or tennis. Do dancing or swimming if you know. For allergies, take cetrizine or levocetrizine when required. You may get allergy screening tests done and if positive take specially prepared allergy desensitization vaccine. If this still feel weakness, take Flouxetine (Fludac 10 mg) once daily under medical supervision seeking advice from a qualified doctor.
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I am 23 years old boy I have continues neck pain on back side what should I do to relieve that.

MBBS, cc USG
General Physician, Gurgaon
Follow advises given below 1.Avoid using computers continuously, take rest for 5 min after working for half an hour 2. In pain free interval do neck exercise ( learn exercise by registered Trainer) 3. you can use thin pillow while sleeping so that normal posture of neck can be maintained 4.Maintain proper posture of body while watching TV/ studying Get cervical X ray AP and lateral done and review with reports Consult Physician/me for Further Management
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I am 45 years old suffering from recently rhema ortho problems having pain in knee and hand fingers what is remedy pl suggest.

MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Lucknow
I am 45 years old suffering from recently rhema ortho problems having pain in knee and hand fingers what is remedy pl...
Hi lybrate-user thanx for writing. It's all manageable with right consultation with a rheumatologist or orthopedics doctor, so kindly consult one as physical examination for correct objective assessment and right treatment, after blood tests for arthritis profile and Xrays ,can begin. Meanwhile, do fermentation. And apply moov or volini gel rubbing for 10 mts each joint best wishes.
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Namaste sir. I am 41 yrs, having severe pain from back head to spine. As I cough I get pain in my lower back. Please suggest some medicine. Thank you.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Namaste sir. I am 41 yrs, having severe pain from back head to spine. As I cough I get pain in my lower back. Please ...
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological It might be due to gastric trouble. Kindly do breathing exercises which might help you to get reduced with pain in the back and right shoulder. Kindly consult gastroenterologist.
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I an 25 years old female, I do have a problem of swelling on face, though I don't have thyroid problem.

MBBS
General Physician,
I an 25 years old female, I do have a problem of swelling on face, though I don't have thyroid problem.
Dear as per your ht and wt it is perfectly alright. Regarding your swelling of your face is it swelling or puffyness. Do you use too much of make up and go out under sun in that case you shoud use sungoggles orbefore going out apply sunscreen lotion.

I am having a severe cough. Even at I was unable to sleep. My eyes are soo paining and I can't take any food since my neck is paining and my ears are so irritating me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am having a severe cough. Even at I was unable to sleep. My eyes are soo paining and I can't take any food since my...
-Do steam inhalation once or twice daily -Cough- For dry cough.Take syrup Alex-D for a dry cough.(1 tsp thrice daily) -Productive cough:it brings up mucus from behind the throat or the lungs.These coughs should not be suppressed to the point that they no longer bring up mucus. Use syrup Alex. -Get chest xray done if cough lasts for more than a week and consult doctor immediately.
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When during my 15-17 year I didn't used to eat properly now my shoulder isn't fully developed and my face too now i'm 18 not eating properly did really affect my health and bone development like I used to eat once in day someday not even once.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Haridwar
When during my 15-17 year I didn't used to eat properly now my shoulder isn't fully developed and my face too now i'm...
Take ashawghandha and satawer churan daily 1 spoon with milk And do yoga And avoid oily and fast food Consult online.
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My knees make crunching sound when I get up or sit down .what could be the reason n how it can be solved? I am just 24 year old woman and can it be solved permanently? Thank you in advance.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
My knees make crunching sound when I get up or sit down .what could be the reason n how it can be solved? I am just 2...
It can be solved. Take everyday oil massage on both knees with ksheerabala tail for about 2-3 months, following hot water bath. Practice yoga which strengthens knee joints. Proper food and diet is essential.
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I am 57 years old. I am having pain in the bottom of my feet (we call it Padam in Tamil). This happens when I get up after sitting for a long time in office or home. It pains and after some time it decreases. Can you help with some remedy.

BHMS
Homeopath, Delhi
I am 57 years old. I am having pain in the bottom of my feet (we call it Padam in Tamil). This happens when I get up ...
Hello, you can take homoeopathic medicine causticum 30 (4 drops in little water) thrice a day for a week and update.
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My age is 20. I have severe left knee joint pain. After sitting or standing for long time. Plzzzz suggest me doctor.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My age is 20. I have severe left knee joint pain. After sitting or standing for long time.
Plzzzz suggest me doctor.
Advice. 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 contrast fomentation (hot and cold).
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