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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 25 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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Sai Sneh Hospital Diagnostic Center Pvt. Ltd

Pune-Satara Highway, Katraj , Landmark: Near Pmt Bus Depot, PunePune Get Directions
250 at clinic
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I'm 35 years, for the last two months I have intense pain right side of left leg then pain moves to groin and knee (and pain is increasing gradually when I walk (can't run due to pain)). My treatment is going in the Delhi's govt. Hospital. I had pelvis AP xray, spine xray and full abdomen USG, but getting none. Yesterday, I got MRI (U - hip (B/L)) and report says There is evidence of large geographical area of T2/STRI hyperintensity seen involving head, neck and proximal shaft of femur - suggestive of marrow edema. Mild joint infusion is seen. There is evidence of focal ill-defined T2/STRI seen in anterior muscular pain - likely edematous changes.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I'm 35 years, for the last two months I have intense pain right side of left leg then pain moves to groin and knee (a...
Knee As arthritis is very common that you get generally bilaterally. 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. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. It looks like you are anaemic. That's the reason the knee goes for genu recurvatum which is nothing but backward bowing of legs. This can be prevented by wearing knee brace to support the knee from going backwards while you walk or climb stairs. Check with your haemoglobin levels and also with your calcium & vitamin levels in your body by consulting a general physician.
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I have knee pain, not very severe, but climbing up and down is a bit painful. I have been prescribed Joincerin M tablets. Please advise for how long can I continue taking these tabs. I am already taking it for last about a month

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Swing 20 times morning and evenings. This will relieve your problem. In case it continues consult a Acupuncture/Acupressure Dr. In your place. Also take calcium tablets for a limited period 2 months
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I have fracture in my right leg. But it got infected after 4 month of operation now the infection is over but the healing process is very slow.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have fracture in my right leg. But it got infected after 4 month of operation now the infection is over but the hea...
Do have constant review to rule out healing process and check with your neuro physiotherapist for good rehabilitation.
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I am having leg pain below the knees especially in morning. I am 32 years old weighs 79 kg and height is 167 cm. I work in an IT company and has a sedentary lifestyle even though I make it mandatory to walk for 40 mins every day morning.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am having leg pain below the knees especially in morning. I am 32 years old weighs 79 kg and height is 167 cm. I wo...
Your daily habits or age may be the root of your knee problems. Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation, glucosamine supplement has also may help, I can prescribe a detailed treatment plan. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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9 Tips for Rehabilitation After A Knee Surgery

MPT, BPT
Physiotherapist, Noida
9 Tips for Rehabilitation After A Knee Surgery

Rehabilitation following arthroscopic meniscectomy can be divided into four phases: protection, moderate protection, early functional and late functional.The word guideline is used instead of the protocol as it allows for individualization. 

The immediate postoperative phase is characterized by soft tissue bleeding and effusion, pain and quadriceps inhibition. Prior to discharge from the hospital, the patient’s involved extremity is placed in a jobs cryo temp in an elevated position for 20 minutes. By utilizing the intermittent compression device, RICE (rest, ice, compression, and elevation) is quickly applied. 

The patient is then instructed in a series of home therapeutic exercises, which include quadriceps setting, straight leg raises (SLR) in multiple planes and an active- assisted range of motion exercise. The patient is fitted with crutches and instructed in ambulation training weight bearing as tolerated on all surfaces. 

The patient is encouraged to follow the RICE principle and to curtail any excessive walking throughout this first phase, which usually lasts 5 to 7 days postoperatively. Non-steroidal anti-inflammatory drugs are prescribed, as they have been shown to decrease pain and effusion throughout the postoperative period following arthroscopic meniscectomy.  

MODERATE PROTECTION PHASE

The moderate protection phase is characterized by decreased pain, mild effusion, the range of motion greater than or equal to 90 degrees, and weakness.At the beginning of this phase, approximately 1 week postoperatively, the patient begins rehabilitation. History, measurements, and tests consistent with an initial evaluation are taken.  

9 Important points for the rehabilitation or physiotherapy following an Arthroscopic Meniscectomy aka Knee Surgery:

  1. The patient is allowed to discontinue using crutches upon demonstrating a normal gait pattern. The patient is reminded that‘every step is therapy’ as normal gait will help facilitate a normal range of motion. Using cuff weights, multiple planes SLR are continued in a progressive resisted exercise manner.
  2. The leg lift in the supine position should be performed with the involved knee in a slightly flexed position to improve the effectiveness of the exercise on the vastus muscle group. 
  3. Proximal (hip) musculature and hamstring isotonic exercises are added to the program, utilizing various progressive resisted machines. In keeping with the concept of total leg strength, calf raises off a step is begun. Submaximal multiple angle quadriceps isometrics are performed to improve static muscular strength without causing further joint irritation. 
  4. Strength gains are angle specific, and physiological overflow is about 20 degrees in either direction. This exercise is useful in strengthening the vastus medialis oblique, as it has been found to have maximal output in the 60-70 degree range of motion. 
  5. Electrical stimulation or biofeedback is used in conjunction with the isometric exercise for the patient with advanced quadriceps inhibition. A stationary cycle is initiated to improve range of motion and build muscle strength and endurance. 
  6. Ergometric cycling has been shown to be an excellent mode of rehabilitation since tibiofemoral compressive forces during induced during cycling approach only 1.2 times body weight. this is significantly lower than activities of daily living such as walking( two to four times body weight)or stair climbing( three to seven times body weight). Seat height should be kept high because of pattelo femoral joint compressive force increase with decreased seat height. 
  7. When the range of motion is limited to less than 100 degrees, a short crank ergometer is employed, decreasing the arc of motion necessary to cycle.This gives the patient a psychological boost because it allows for aerobic exercise. 
  8. Flexibility exercises (in the form of hamstring and calf stretching) are started, preferably after cycling since increased tissue temperature promotes a more effective stretch.Cold application is continued for its analgesic and anti-inflammatory effects. 
  9. Transcutaneous electrical nerve stimulation (TENS) is used for patients with increased pain. The patient’s home program is expanded to include cuff weight PRE, stationary bike, and stretching. The patient is also provided with a theraband for standing hip extension, abduction, adduction and seated knee flexion. 

Sir, there is a pain in left knee in outer side. When I sit by folding my knee in washroom or any where not on chair, it pain as I standup and I can't able to stand properly for a while and after 2-3 minutes it become normal. What's the reason behind it and please tell me how it can be cure.

MPT, BPT
Physiotherapist, Noida
Sir, there is a pain in left knee in outer side. When I sit by folding my knee in washroom or any where not on chair,...
Ice packs for 15 min twice a day. Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day.
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I am having a problem of slipdiss since last six years now it is getting very severe. I am having a severe pain in my back from last four days.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am having a problem of slipdiss since last six years now it is getting very severe. I am having a severe pain in my...
And there are 5 Lumbar Vertebrae and the 5th Lumbar Vertebrae is anatomically is located in the lower end where the body weight is taken and it is generally fused with If your pain is there for many years then it is chronic pain. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back. Sacral Vertebrae. That is where the Sciatic nerve passes by and the nerve gets compressed that's the reason you have pain and sensation is disturbed. Pain in the left side of the leg/thigh The compression of the sciatic nerve should be around the right side that's the reason you have pain in the left side. That's the reason you cannot sit or stand and it is exactly around the L5 vertebrae where the sciatic nerve passes by. . It can also be due to the strain on the left leg, try wearing MCR chappals which would help you to get relieved from pain Physiotherapy Treatment If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately.
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I have a back pain and nose blocking from last one year tried many medicine but nothing is change now my pain' s a lot then before please do give me some options or medicine something by the pain will stop

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
I think u r a patient of sinusitis consul a ENT. And for back pain do back strengthening exercises Thanks and regards Dr. Ritesh kharnal
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I am 75 years old & have left knee pain. Some time the pain is more during walking. I had under gone open heart surgery for valve replacement. Pl suggest remedial measure.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kanpur
I am 75 years old & have left knee pain. Some time the pain is more during walking. I had under gone open heart surge...
Dear Lybrate user For knee joint pain go for ayurvedic neuro Therapy. It is very helpful for you. If you want some more information please consult me personally. I will tell you, where you can get in your home district. Thanks.
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