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Dr. Kothari Rajan

Orthopedist, Pune

300 at clinic
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Dr. Kothari Rajan Orthopedist, Pune
300 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Kothari Rajan
Dr. Kothari Rajan is a renowned Orthopedist in Satara Road, Pune. You can meet Dr. Kothari Rajan personally at Kothari Accident Hospital in Satara Road, Pune. Book an appointment online with Dr. Kothari Rajan and consult privately on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 26 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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Kothari Accident Hospital

2nd Floor, Satara Road, Swargate Chowk. Landmark: Opp. City Pride Theater, PunePune Get Directions
300 at clinic
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Kothari Accident Hospital

2nd Floor, Satara Road, Swargate Chowk. Landmark: Opp. City Pride Theater.Pune Get Directions
300 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have right patella fracture 4 years ago, all was normally operated, now feeling pain in lower back above buttocks ,weak thigh muscle of right leg. please advice, age 32, weight-63 kg, male.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
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.
2 people found this helpful
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I have a pain on my calf (leg) when I sleep at night. My calf is stuk up and one round ball become forms. Terrible pain. After rubbing vigoursly pain resolves.

BHMS
Homeopath, Sindhudurg
I have a pain on my calf (leg) when I sleep at night. My calf is stuk up and one round ball become forms. Terrible pa...
Caust 30 tds calc flour 6x tds, for further assistance and treatment for complete cure you can consult me privately.
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I am working at bring press and doing hard work my back always pain pkz give a solution.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am working at bring press and doing hard work my back always pain pkz give a solution.
Avoid heavy weight and toward bending must for you do spine extension exercise and heat fermentation twice a day if it work then ok otherwise tk physiotherapy treatment.
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Hi Doctor, I've back pain problem with last two days. When I Lay Down on The Bed pain raise like I'm too Tired. What should I Do.

BHMS
Homeopath, Delhi
Hi Doctor, I've back pain problem with last two days. When I Lay Down on The Bed pain raise like I'm too Tired. What ...
Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for a week and update.
1 person found this helpful
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My right Middle Finger has a pain & Little Swelling on First Bending on top side.

DHMS (Hons.)
Homeopath, Patna
My right Middle Finger has a pain & Little Swelling on First Bending on top side.
Dear lybrate user, take, homoeo medicine. @ rhus tox 200-6 pills, thrice a day. @ arnica mont 200-6 pills, thrice a day. Avoid, cold intake, cold exposure, alcohol, caffeine. Take, care.
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Sir, i'm suffering from hypothyroidism and overweight i.E. 78.9 kgs. Now my legs are swelling, sometimes even face also swelling. Swelling is not responding for tab. Lasix. I'm taking 75 mcg of thyronarm daily. Please suggest remedy for my ailment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir, i'm suffering from hypothyroidism and overweight i.E. 78.9 kgs. Now my legs are swelling, sometimes even face al...
In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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My vitamin D levels are 03 only can this be increased I always feel pain in my bones.help me in this regard

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Sunlight exposure between11 to 2 for 30-45 min with exposed skin. Take vitamin D and Calcium supplement after visiting doctor. Dr Prashant Parate Shoulder and Knee specialist
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I don't know but my haid pains alot. I mean almost each and every day. It's not that severe kinda mild? do what's the problem?

BPTh/BPT
Physiotherapist, Mumbai
I don't know but my haid pains alot. I mean almost each and every day. It's not that severe kinda mild? do what's the...
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply ice packs 3) start physiotherapy treatment as electrotherapy will reduce pain and inflammation 4) exercise and manual therapy will help in pain free movement. Describe your problem in detail and do share investigation reports if you have. Best wishes.
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Sir my arm is very pain full I am work time pain come my hand sir please advice me.

BHMS
Homeopath, Faridabad
Sir my arm is very pain full I am work time pain come my hand sir please advice me.
Hello, is there any injury to your arm ?? Now you can take Arnica 30 CH , 3 drops once daily and Hypericum 1X , 5 tabs twice daily. Revert me after 7 days.
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Hello I have a severe pain in my right hand's fingers. I am unable to move my thumb properly due to heavy pain please give me a solution to this problem.

BPTh/BPT
Physiotherapist, Pune
Hello I have a severe  pain in my right hand's fingers. I am unable to move my thumb properly due to heavy pain pleas...
Hey put your hand in a hot tub or bucket and press a smile ball do this thrice in a day for 2-3 days then again consult with me. You may get rid.
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My left leg from down to top muscle is paining give me some remedy to short out my problem ?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Dear A Sarita Parmesh You should Have a Heamogram, sugar & urine Routine tests done before you start any treatment You can take multivitamin tablets & paracetamol tabs. Make sure you are not allergic to any of the medicines you are going to take.
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I am 39 years old, for the past 3 weeks, I have been suffering from the knee pain (particularly in the back side of right leg knee) I can not freely move my leg on side ways, I am doing some basic exercise,

MBBS
General Physician, Cuttack
I am 39 years old, for the past 3 weeks, I have been suffering from the knee pain (particularly in the back side of r...
1.Take one tablet of crocin pain relief sos after food upto a maximum of 3 tablets daily 2.Apply volini gel twice daily and use crepe bandage 3.Give warm compress locally 4. Take rest 5.If no relief, consult doctor
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I have pain in neck and shoulders for the last two weeks. Kindly advise what should I do to enable me to get relief from pain And let me know what is the reason of this problem.

MBBS, MS, DNB, FNB (SPINE SURGERY)
Orthopedist, Chennai
Hi Mr. Lybrate-user there will be some age related wear and tear changes in your spine at your age. If you do certain things qith bad posture during your daily routine, it can cause pain. Initially you should take good rest and some pain medicines. If pain persists then you need to see a spine specialist to have a complete clinical evaluation and decide what is best for you.

From last 8 days my back neck part is pained lightly and I neglected it. From last 4 days my tounges right part is tasteless. Now my right part of lip and right eye is not functioning properly. I can not close my eye tightly and also heavy water is coming from it. Coming to lips they are not closing tightly my water is spilling out without my control. My neck back right is paining now also. Why this occurs and how to avoid it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
From last 8 days my back neck part is pained lightly and I neglected it. From last 4 days my tounges right part is ta...
It's d sign of Bells palsy, massage your face with medicated oil, take warm water for drinking, take proper & healthy diet, do balloon inflating exercise, use goggle ,avoid late night work, oily,spicy, fast food, travelling for long duration without proper care of face.
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I am aged 60 but extremely active. Going to gym, walking, swimming, etc. I have pain at the rear of my right foot, particularly only on both the sides. No sugar or bp.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
You probably have what is called pump bump. It needs evaluation with xray and usg. We can treat it successfully with eswt. It is a nonoperative treatment and you can see it in my website www. Eswtindia. In Dr. Shrenik.
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome 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 patient`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 l5-s1), 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.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (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 sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in 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-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. 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 post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

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I have finger pain what should I do I take many medicine but I can't feel better if you will give me right suggestion I will be feel better please give me your suggestion.

BPTh/BPT
Physiotherapist, Mumbai
I have finger pain what should I do I take many medicine but I can't feel better if you will give me right suggestion...
Hello this pain may be caused by certain activities. In order to get relief do hot fomentation 3 times a day & don't lift weight. Do some exercises which includes moving wrist & fingers through their normal ranges. Revert me after 7days.
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I am 36year old and have aches in my both legs. My height 5ft 10inch and my body weight is 95kg.

MBBS, DGO (cal)
General Physician,
Fantastic combination. Please don't search in net for your solutions, being a coach potato. Get up consult a good senior consultant in general medicine and follow his/her advice. It is time to act. No more inactivity.
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Hi excessive day-time sleepiness and foot swelling. Pmh: obesity, type-2 diabetes, tia, high bp, gum bleeding, knee pain i' ve had swollen feet for 1. 5 years now, and have been experiencing excessive day-time sleepiness for more than a year. I' ve consulted doctors, but they' ve not been able to cure my condition. Current medications: 1. Ecosprin (150 mg) - od 2. Olmesar (20 mg) - od 3. Glimepiride (1 mg) - bd 4. Eptoin (100 mg) - tds 5. Modalert (100 mg) - od

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Most of your conditions needs attention from a general physician/diabetologist but I can advise you regarding your knee pain. Even your foot swelling probably does not have a musculoskeletal cause, but still I can tell you that persistent swelling in foot region can be due to deranged kft, lft, thyroid profile and issues with heart. Sometimes even chronic protein deficiency can lead to persistent foot swelling. Looking at your age, I would think that if there are no external s/s of inflammation, then knee pain would be due to degenerative changes setting in the joint. Please catch hold of a good physical therapist and do intensive knee - quadriceps and hamstring ex, avoid sitting cross legged and squatting, use a western toilet etc - take adequate calcium and vitamin d as per your body's requirement - daily walks for 2-3 km per day in morning should help you. You can take a short course of a safe anti-inflammatory medication - hot fomentation at home 3-4 times in a day might also help in your knee pain but mainstay remains exercises please send me both knee ( ap & lateral) x rays so that I can see and advise you accordingly. Do not hesitate to contact me if you need any further assistance.
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