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Dr. Mangesh Patil

Orthopedist, Pune

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Dr. Mangesh Patil Orthopedist, Pune
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Mangesh Patil
Dr. Mangesh Patil is a popular Orthopedist in central Panchgani, Pune. You can visit him at Sai Shree Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Mangesh Patil on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 43 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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251/252,Near Parihar Chowk, Landmark:-Opp. Telephone Exchange, PunePune Get Directions
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251/252, Near Parihar Chowk, Landmark:-Opp. Telephone Exchange.Pune Get Directions
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I am 36 yrs, my legs are swelling from knee to toes.

MS - Orthopaedics, MBBS
Orthopedist,
Show me your digital x rays continue with physiotherapy do hot fomentation. Any way take paracetamol 250mg od & sos caldikind plus (mankind) 1 tab odx10days 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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Footwear with heels and their biomechanical impact on heel pain

Bachelor in Physiotherapy, Msc Advanced Sports Therapy and Rehab Science (UK), honorary Doctorate
Physiotherapist, Chennai
Footwear with heels and their biomechanical impact on heel pain
Introduction

Women loves high heels, but if they continue wearing them all time chances of significant foot pain and associated problems either can occur directly or exacerbated by wearing heels. (Morin, n.d.).

Any time person wears footwear that disturbs or realigns the natural counter of the foot they are bound to cause foot pain the experts says. While, if you add a bit of inches (high heels) in to this calculations then the pain can soon escalate to damage says Stuart Mogul expert in podiatry. Due to this, there exists the change in the body segmental alignment. For instance wearing high heels will restrict the natural movement of the foot and in addition to the restriction there is increased loading of weight on that area hence the person is not just crushing the toes, but adding exaggerated body weight on them says the Sports Scientist (Biomechanics) Vasanth Kumar from Chennai who is also a performance coach.

Consequences of wearing footwear with heel

Researchers have found that people wearing high heels (2 Inches or more) have tighter calves. About 13% short on the calf muscle fibres on an average was found in the calf muscle scans among the people with frequent heel wearers in comparison with the people who avoided wearing heels. A study by Journal of Experimental Biology found that high heels led to stiffer calf (Achilles) tendons.

A study by Professor Marco Narici, (Manchester Metropolitan University) that involved 11 volunteers from 80 group of women who wore 5cms (2 Inches) of heel for over a period of two years had issues and struggled while walking on flat foot (Bare Foot). An MRI Scan of these volunteers showed no significant difference in length of the calf muscles in comparison with the group of women who wore flat shoes. While, an Ultra Sound scan showed shorter calf among the women who wore heels. In addition, the women who wore heels were asked to lie on their front on the couch and the researchers noticed the angle of the heel were greater due to the shortened calf. Above all these, the tendons were much thicker and stiffer among the women wearing heels than those who wore flat footwear that causes discomfort while walking on flat feet since the tendon cannot stretch sufficiently.

Prevention

Sammy Margo, chartered physiotherapist from London says not to wear heels or flat shoes all the time but to wear variety of heel heights that can keep the muscle in right length (Anon., 2010). Secondly, the researchers and scientists have found out that performing some regular stretching activities can minimise the issue of calf muscle tightening.

Stretching Exercises

Stand on tiptoes on a step, and using a handrail for balance to lower their heels as far as they can and hold the position for 10 – 15 seconds.
Strengthening the Tibialis anterior (Shin Muscle) muscle can be of a help (Toe Raise) for a count of 8 – 10 Repetitions 2 -3 sets a day says the Sports Scientist.

Tips

Select footwear with low heels – an inch and a half or lesser while a wider heel base can be of more help; a slightly thicker heel will spread the load more evenly. Narrow, stiletto-type heels provide little support and three inch or higher heels may shorten (Tighten) the Achilles tendon.

Softer insoles can reduce the impact on the knees.

Selecting right size footwear is more essential. Wearing shoes that allow your body to move naturally during walking will allow your feet, legs, hips and back to stretch.

Stretch your muscles as many times as possible during the day and while during rest.

Difference in Radiographs between High Heels and Normal Footwear

Conclusion

Do not let your sense of style cripple your ability to stand or step pain-free. “Your feet are, quite literally, your base of support. If your feet aren’t happy, nothing above them will be,” says Dr. Nevins. “Take a closer look at your shoe selection and take small steps now to prevent big foot problems later.” (Nevins, 2015). In addition to all these the above exercises as a regular routine will keep the muscles in the right length and can be used as the preventive factor.
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Suggest any solution for ankylogy spondylitis. Tell me natural resources of indomethacin which can useful in freeze muscle.

BPTh/BPT
Physiotherapist, Mumbai
Hi Regular exercise will slow down the process. do spine flexibility exercise which includes spine extension or bhujangasan, you can consult physiotherapist for same. use straight back chair.
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Sir I am 25 year female. I am suffering from swelling of my knee and forefoot when I hang my legs when I am sitting. Please help me.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Sir I am 25 year female. I am suffering from swelling of my knee and forefoot when I hang my legs when I am sitting. ...
firstly apply ice pack on swelled area. and do gently strength exercise like quadriceps. it's due to muscle weakness
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I am 20 year old and my leg pain is every day please tell what can i do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
I am 20 year old and my leg pain is every day please tell what can i do?
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation 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 got pain in my left knee for 5 months when I twisted my ankle. What should I do?

BPTh/BPT
Physiotherapist, Kota
I got pain in my left knee for 5 months when I twisted my ankle. What should I do?
Back pain or HIP PAIN k liye back isometrics exercise kijiye or hot fragmentations kijiye. For word bandings mat kijiye. Long time ek hi positins m mat rahiye. Breegings exercise bilateral or single leg rotation kijiye phle without weight kijiye fir 1-2kg weight cuff se kijiye rotations kijiye leg single -single than avoide kijiye stair clabbings sweelings ho to ice ki massage kijiye back pain ko ap darr mat smjiye ap low back belt bi use m laa sakte h vo kisi bi tarah k jurck se apko bacha ti h deep breathing exercise kijiye I hope get well soon… thnx. Shoulder pain or elbow pain or HAND PAIN k liye ap ice massage kijiye … jurck se bachiye or shoulder wheeler exercise kijiye. Clapping kijiye. Sweeling aye to ice massage kijiye ……rotation krte rahiye. Elbow m pain ho to ap ultra sound lgaiye 4-10 days pulley exercise kijiye or weight cuff bandh kr 1-2kg k weight cuff se pendullaer exercise kijiye…. I hope get well soon thnx. Wrist pain k liye stimuleter ka use kr sakte h …. Or fingers k liye mobilization bi krsakte h I hope get well soon……thnx Leg pain k liye calf stretchings or periformis stretchings or T. F. L stretching ilio psos muscles ki stretching kijiye sweelings ho to ice pack kijiye or sweeling nhi ho to hot pack ka use ap kijiye. Heel track kijiye… weight cuff 1-2kg use kijiye or leg exercise kijitye hips up nd down exercise kijiye…. Walking kijiye phle edii rakiye fir panjaa rakijiye 6-9 kaadaam chalet huye apni walking ki capacity incress kijiye daily 1000 kaadaam ap chaliye …deep breath lijiye pani jada se jada pijiye ……. Long sitting, standing, clambing avoide kijiye I hope ap jaldi ache ho jayege thnx. KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx……
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I am 19 year old I have a pain in my neck and back through which I am unable to sleep properly for 3 days kindly help me.

DHMS (Hons.)
Homeopath, Patna
I am 19 year old I have a pain in my neck and back through which I am unable to sleep properly for 3 days kindly help...
Hi, it may b due to cervical spondylitis cause pain in neck and adjoining back muscle. You should avoid taking pillow while sleeping. Take homoeo medicine: @ lachenenthes200-6 pills, thrice a day. @ arnica mont200-6pills, thrice a day. If possible go for exercise for cervical spondylitis. Take care.
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I am suffering from muscle pain, that when I try to stretch my arm or leg I feel pain for at least half an hour. Pain is vey high. What is the solution.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Keep your leg raised while sitting or lying Quadriceps strengthening exercises- 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. Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day.
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I am suffering from vigorous hair fall. Fever more than 100F. Joint pain muscle pain. And dark brown and reddish rashes on face and neck. Sensitivity towards sun. And headache. What disease am I suffering from.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I am suffering from vigorous hair fall. Fever more than 100F. Joint pain muscle pain. And dark brown and reddish rash...
In this age all these changes occur because of puberty. Due hormonal imbalance you are having all these problems. For hair fall use antidandruff shampoo daily.Use keshkanti oil from Ramdev at bedtime it is really effective Do pranayam daily for ten minutes. Take tablet KERALEGO Eva daily for six months. Avoid junk food and fried food. Rash on your face and neck must be Acne, apply some peeling agent like clearsil or eskamel out at bedtime on pimples.
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I am 24 year old male and have backache for last 5 months. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. If you have localized back pain with - no neurological symptoms like numbness, paresthesia, weakness in limbs etc - no associated symptoms like fever, swelling etc, my advice initially will be - intensive physical therapy initially under supervision of a physiotherapist and then at home. - avoid forward bending, lifting heavy weights etc - take an analgesic like diclofenac or something which suits your body for 5-7 days - take muscle relaxant for same time as analgesic to relieve muscle spasm - ice packs at the site of pain, muscle spasm - local analgesic spray can be used but no massage is required your pain could be due to either reasons in spine, mechanical backache or something like vitamin d deficiency etc. Let me know in 2 weeks time how you are feeling and then we can suggest you some exercises for lower back muscle strengthening which you can do at home. I will actually ask you to get x ray of involved region of spine ( ap & lateral - flexion and extension views) since it is now 5 months since you have pain. Blood tests: esr, crp and serum vitamin d levels and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance.
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I am 37 years old women. I have joint pain. My esr is 75 in one hour. Mri shows inflammatory process. What treatment shall I go?

BPTh/BPT
Physiotherapist, Mumbai
I am 37 years old women. I have  joint pain. My esr is 75 in one hour. Mri shows inflammatory process. What treatment...
Hi Kindly consult orthopedic doctor and start medication as prescribed. Also start physiotherapy treatment to strengthen your joints. Best wishes.
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About one month pain swelling in malleolar part of leg. Puss is also created. Antibiotic are not affected. How it will be treated.

MBBS
General Physician, Chandigarh
About one month pain swelling in malleolar part of leg. Puss is also created. Antibiotic are not affected. How it wil...
If puss is coming that means you have an open wound you need to be under care of a good surgeon. Dont wait because it can damage your leg.
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Sir I am 32 yrs old and I am suffering from body pain since a week. Kindly suggest me what to do.

BPTh/BPT
Physiotherapist, Mumbai
Sir I am 32 yrs old and I am suffering from body pain since a week. Kindly suggest me what to do.
Hi take rest take hot water bath twice a day sleep on a hard mattress do reply for detailed treatment plan. Best wishes.
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I have back ache from past 2 months from which I stopped ridding my motorcycle so would you please recommend me a good solution.

BMS
Ayurveda, Kolhapur
I have back ache from past 2 months from which I stopped ridding my motorcycle so would you please recommend me a goo...
Due to neck stiffness the nerves which starts from neck and reaches upto the back will get compressed. So pain may occurs. Daily do exercise of neck. Circular from right to left. From left to right 5 - 10 times. Forward backward of neck. Shoulder exercises. Suryanamaskar. Medicine- arzee gold tablets twice in a day for 15 days.
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Hey? Doc I got 1 problem whenever I sit sumwhr for 5 min or more I get an back pain do you have any opinion for this?

BPTh/BPT
Physiotherapist, Bangalore
Hey? Doc I got 1 problem whenever I sit sumwhr for 5 min or more I get an back pain do you have any opinion for this?
* sitting puts nearly twice the stress on the spine. Slouching while you sit increases the pressure even more. * slouching fatigues and overstretches the ligaments, causing back pain. * there's no vascular or nerve supply to the discs; they get their nutrition through movement. Reasons for your back pain: 1> tight leg muscles 2> weak back musculature 3> incorrect sitting posture treatment: 1> stretching - stretching of thigh muscles will help a lot. Consult a physiotherapist to teach you 2> strengthening - start exercises like swimming which helps to make your back muscles strong 3> change your position - try and put your wallet/ phone in the front pocket. Sitting upright as well as slouching is the worst posture while sitting. Support your back with a pillow/cushion while sitting.
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Hi I am 34 year old and having back pain from last 2 months. Used few creams like move etc but there is no relief. My daily routine required lots of travelling hence most of the time I sit in office and while travelling as well. I had done ultrasound as well and its been confirmed the back muscles are slightly stretched which is causing regular pain. Please suggest me the medicine to get quick relief.

FIPP, MD, MBBS
Pain Management Specialist, Ahmedabad
Hi I am 34 year old and having back pain from last 2 months. Used few creams like move etc but there is no relief. My...
some over the counter pain killer for 10 days will definitely help. after that regular back exercise will help in long run. changing position while work and in travelling will help.
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I am 47 years old often I get severe neck pain and headache which lasts for days please advice me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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Dear sir. My self Basheer Quadri from Hyd. I feeling very weakness in my body parts, I used pain relief tablets but I didn't get relief, What my I do sir.

BHMS
Homeopath,
Dear sir.
My self Basheer Quadri from Hyd. I feeling very weakness in my body parts, I used pain relief tablets but I...
Dear lybrate user, take homoeopathic mother tincture acid phos q, 30 drops, thrice daily, after meals in a cup of water. Try to get a un-interrupted sleep of 8 hours daily. Drink a lots of water daily. If you have a habit of masturbation then you should not masturbate for more than twice in a week. Abstain from any type of addiction if you have any.
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I have having a shoulder problem as why they are getting pain continuously.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
I have having a shoulder problem as why they are getting pain continuously.
Hi Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi. There are many causes of shoulder pain : namely joint arthrosis, inflammation in soft tissues like bursa, tendons, etc, muscular, etc. Please tell me exact duration of pain and also can you kindly send me a pic highlighting the site of pain. Also apart from pain, do you have any swelling, s/s of inflammation like skin redness, local warmth on touch or any instability in the shoulder joint? Can you send me the investigations done till now and the treatment received for the 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. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi
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I am 26 years old I am having cervical spondylosis from last 3 years but nowadays I am suffering from too much pain in my back and joints including smaller joints pain in my hands and legs and shoulders. Is there any suggestion for me to handle myself.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I am 26 years old I am having cervical spondylosis from last 3 years but nowadays I am suffering from too much pain i...
Fo stretching of neck, shoulders, hands, legs & ankles Apply hot fomentation Take care of your posture There is a possibility that your cervical pain has affected your lower spine too Avoid forward bending activities Avoid long standing While sitting your lower back must be supported well by a cushion or thin pillow Make use of footrest while sitting Do spinal extension exercise Do neck isometrics Use thin pillow while sleeping
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