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Dr. Nilkanth Patil

Orthopedist, Pune

100 at clinic
Dr. Nilkanth Patil Orthopedist, Pune
100 at clinic  ·  ₹ online
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Nilkanth Patil
Dr. Nilkanth Patil is a renowned Orthopedist in Satara Road, Pune. He is currently associated with Bharati Hospital in Satara Road, Pune. Book an appointment online with Dr. Nilkanth Patil and consult privately on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 34 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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Satara Road, Katraj-Dhankavadi, PunePune Get Directions
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Sciatica Pain - Causes, Symptoms and Treatment

MSPT (Master of Physical Therapy)
Physiotherapist
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Sciatica Pain - Causes, Symptoms and Treatment

Sciatica refers to back pain caused by a problem with the sciatic nerve. This is a large nerve that runs from the lower back down the back of each leg. When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg. Up to 90% of people recover from sciatica without surgery.
Sciatica is not a medical diagnosis in and of itself—it is a symptom of an underlying medical condition, such as a lumbar herniated disc, degenerative disc disease, or spinal stenosis.
Lumbar herniated disc
A herniated disc occurs when the soft inner core of the disc (nucleus pulposus) leaks out, or herniates, through the fibrous outer core (annulus) and irritates the contiguous nerve root.
A herniated disc is sometimes referred to as a slipped disc, ruptured disc, bulging disc, protruding disc, or a pinched nerve. Sciatica is the most common symptom of a lumbar herniated disc.
Degenerative disc disease
While disc degeneration is a natural process that occurs with aging, for some people one or more degenerated discs in the lower back can also irritate a nerve root and cause sciatica.
Degenerative disc disease is diagnosed when a weakened disc results in excessive micro-motion at that spinal level, and inflammatory proteins from inside the disc become exposed & irritate the nerve root(s) in the area.
Lumbar spinal stenosis
This condition commonly causes sciatica due to a narrowing of the spinal canal. Lumbar spinal stenosis is related to natural aging in the spine and is relatively common in adults over age 60.
The condition typically results from a combination of one or more of the following: enlarged facet joints, overgrowth of soft tissue, and a bulging disc placing pressure on the nerve roots, causing sciatica pain.
What are the symptoms of Sciatica?
Usually, sciatica only affects one side of the lower body and the pain often radiates from the lower back all the way through the back of the thigh & down through the leg.
Some combinations of the following symptoms are most common:
Lower back pain, if experienced at all, is not as severe as leg pain
Constant pain in only one side of the buttock or leg, but rarely both the right and left sides
Pain that originates in the low back or buttock and continues along the path of the sciatic nerve - down the back of the thigh and into the lower leg & foot
Pain that feels better when patients lie down or are walking, but worsens when standing or sitting
Pain that is typically described as sharp or searing, rather than dull
Some experience a "pins-and-needles" sensation, numbness or weakness, or a prickling sensation down the leg
Weakness or numbness when moving the leg or foot
Severe or shooting pain in one leg that may make it difficult to stand up or walk
Depending on where the sciatic nerve is affected, the pain and other symptoms may also include foot pain or pain in the toes.
What is the treatment for Sciatica Pain?
The goals of non-surgical sciatica treatments are to relieve pain and any neurological symptoms caused by a compressed nerve root. There is a broad range of options available for sciatica treatment. One or some combination of the treatments below are usually recommended in conjunction with specific exercises.
Heat/Ice
For acute sciatic pain, heat and/or ice packs are readily available and can help alleviate the leg pain, especially in the initial phase. Usually ice or heat is applied for approximately 20 minutes, and repeated every two hours. Most people use ice first, but some people find more relief with heat. The two may be alternated. It is best to apply ice with a cloth or towel placed between the ice and skin to avoid an ice burn.
Pain Medications
Over-the-counter or prescription medications are often effective in reducing or relieving sciatica pain. Non-steroidal anti-inflammatory drugs or oral steroids can reduce the inflammation that is usually part of the cause of the pain.
Alternative sciatica treatment
In addition to standard medical treatments, several alternative treatments have also been shown to provide effective sciatica pain relief for many patients. Three of the more common forms of alternative care for sciatica include chiropractic manipulation, acupuncture, and massage therapy.
Chiropractic/manual manipulation
Spinal adjustments and manual manipulation performed by appropriately trained health professionals, such as chiropractors and osteopathic physicians, are focused on providing better spinal column alignment, which in turn should help to address a number of underlying conditions that can cause sciatic nerve pain.
Acupuncture
The practice is centered on the philosophy of achieving or maintaining well being through the open flow of energy via specific pathways in the body. Hair-thin needles (that are usually not felt) are inserted into the skin near the area of pain.
Massage therapy
Certain forms of massage therapy have been shown to have a number of benefits for back pain, including increased blood circulation, muscle relaxation, and release of endorphins (the body’s natural pain relievers).
Sciatica Surgery
Typically, it is reasonable to consider surgery for sciatica in the following situations:
Severe leg pain that has persisted for 4 to 6 weeks or more
Pain relief that is not achieved after a concerted effort at non-surgical sciatica treatments, such as one or a combination of oral steroids, non-steroidal anti-inflammatory medication, manual manipulation, injections, and/or physical therapy
The condition is limiting the patient’s ability to participate in everyday activities
Urgent surgery is typically only necessary if the patient experiences progressive weakness in the legs, or sudden loss of bowel or bladder control, which may be caused by cauda equina syndrome.
Depending on the cause and the duration of the sciatica pain, one of two surgical procedures will typically be considered:
A microdiscectomy (or small open surgery)
A lumbar laminectomy (an open decompression)
9 people found this helpful

I am a 30 years old male with constant back and neck ache. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. 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.

Having pain in lower legs while and after running. What' s the reason behind this kind of pain and what to do to overcome this pain?

M B B S, M. D (Internal Medicine)
General Physician
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If you have just recently started the exercise, then it is very common for the first few days. Ideally, you should do warm up before and after running. Secondly, do not strain yourself on the first day itself. Begin slowly and increase exercise and distance week by week. Adequate hydration, nutritious diet and adequate sleep are equally important.
1 person found this helpful

I am 30 year old and my weight is 95 kgs I have lot of pain in my heel and left leg. When awake in the morning, the pain is too much. Is it because of my weight or any other reason. Please suggest a medicine ?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. Topical capsaicin, derived from chili peppers, may help with arthritis, diabetic nerve pain, and other conditions. There's evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee. Do reply back for private consultation. And detailed treatment plan.

I have neck pain when wake up in morning. what I can do to prevent this? Please help me.

MBBS, MBA (Healthcare)
General Physician
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apply volini gel . do warm fomentation. do neck muscle exercises if comfortable. avoid high pillow consult if not ok.

I passed all kidney tests but the swelling of feet remains as it is. Taking TELZY80-CH and COLTRO-10 for B.P. And LIPID. Is there any link between swelling and medicine? My weight is 145 kgs, age 55 yrs, male, 5.8' hgt.

MD - Internal Medicine
General Physician
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I passed all kidney tests but the swelling of feet remains as it is. Taking TELZY80-CH and COLTRO-10 for B.P. And LIP...
Swelling of legs can be caused by many reasons like anemia, hypoalbuminemia, congestive cardiac failure, hypothyroidism. None of the medicines you use cause swelling. Consult a cardiologist and get a 2d echo done. Thank you.

I feel constant pain in left arm, I do yoga and stretching exercise but no effect. Do you think I have some serious problem and go for the treatment?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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It can be rotator cuff tear. Visit me in OPD. I'm shoulder and knee specialist. Dr Prashant Parate.

Stairs se utarte tym left knee mai boht pain hota hai or ankles mai bhi.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Stairs se utarte tym left knee mai boht pain hota hai or ankles mai bhi.
Mix equal quantities of powdered fenugreek seeds, turmeric and ginger powder. Take one teaspoon daily in the morning and evening. For dry fomentation of the affected joints, take a cloth and fold it into four, fill it with hot and sand make a potli (bag) out of it. Use this bundle for the fomentation of different joints. This is very helpful in reducing pain and swelling. Take 3glasses of milk daily.

I have neck pain for over 5 days. What should be done to it?

MS - Orthopaedics, MBBS
Orthopedist
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Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take BioD3 Max 1 tab dailyx10 Paracetamol 250mg OD & SOS x5days Do back(spine)/shoulder/knee exercises Make sure you are not allergic to any of the medicines you are going to take Do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days,then contact me again.

I am 31 years old male. I have pain in my heel last years. I have use many pain relief gell and medicine, but I don't relief. What I should now.

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist
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I am 31 years old male. I have pain in my heel last years. I have use many pain relief gell and medicine, but I don't...
Dear lybrate-user you must be having bone spur or planter fascitis. Buy silicon heal cushions for shoes. Do foot and ankle exersise. Contrast bath for foot do not wear flat shoes if pain persist then inform.

I am 35 years old male I always suffer from constant pain in my legs esp knee joint. Kindly advise me.

MBBS, MS - Orthopaedics
Orthopedist
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I am 35 years old male I always suffer from constant pain in my legs esp knee joint. Kindly advise me.
It requires detailed investigation and examination. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress 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, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.

I am 25 years old have so pain neck to hip whole day. After 2 minutes so numbness and weakness. All day burning in spinal.

MBBS, MS - Orthopaedics
Orthopedist
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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 contact me again if need be. 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.
2 people found this helpful

I'm going to running daily but still knee and musclespain under knees are stil paining and recently back pain also how can I get relief from mainly from back pain please tell me fr back pain relief.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I'm going to running daily but still knee and musclespain under knees are stil paining and recently back pain also ho...
Back pain take care of you you your posture sleep on good mattress bent your knee first before bending hot fomentation of your back.

36 yrs male, now feeling some ache in my both feet after getting up in the morning. I am completely healthy n fine.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please specify which part of foot are you talking, is it fore foot and toes, mid foot region or the hind foot with heels which is causing pain to you as there are different causes for each region and management also differs. Can you tell me whether you have got serum uric acid and serum vitamin d levels done recently? do not hesitate to contact me if you need any further assistance.

I am 15 year old and I am having pain in my ankle from past 2 months that is not alloying me to move my left foot.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist
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I am 15 year old and I am having pain in my ankle from past 2 months that is not alloying me to move my left foot.
Use rest, ice, compression, and elevation (rice) for pain and swelling. Stop, change, or take a break from any activities that cause your symptoms. Wear comfortable and supportive shoes and socks consider using an orthotic shoe device, such as an arch support, to help relieve your ankle pain. Try heel-cord exercises to increase your strength and flexibility if your heel or heel cord (achilles tendon) is tight and painful. This may help relieve your heel and ankle pain.

I have bone T. B I have taken medicines and total bed rest for four months now I am trying to walk a little these days but I feel severe pain in right leg and they seem as they are blocked please suggest me what should I do.

MBBS, MS - Orthopaedics
Orthopedist
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I have bone T. B I have taken medicines and total bed rest for four months now I am trying to walk a little these day...
This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Diabetes. Any way it may be tried, --.Acetaminophen 250mg OD & SOS. X 5days. --.Caldikind plus (from Mankind)1 tab OD x 5 days. --. Fomentation with warm water. --. Sleep on a hard bed with soft bedding. -- .Do mild exercises for back, knee & legs (Take help of a physiotherapist or visit www.drncgupta.com). Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit nearest hospital. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again.
1 person found this helpful

I am having a back pain from last 3 days. But I did not fall or injured my self by any kind.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am having a back pain from last 3 days. But I did not fall or injured my self by any kind.
Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x twice daily. Bhujang Asana x twice daily. Back Stretching.
2 people found this helpful

Hi I am Babu 25 years old, I have back pain since 3 years is that any problem causes in future. Please let me know.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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Hi I am Babu 25 years old, I have back pain since 3 years is that any problem causes in future. Please let me know.
Dear lybrate-user do not worry about it may cause any problem in future as such do learn and practise strengthening and stretching exercises from neuro physiotherapist use firm hard and even mattress for sleep apply hot and cold water fomentation for thrice a day for 7 days regularly or do come back with detailed reports for further assistance best wishes.
1 person found this helpful

I am 16 year old boy. please sir tell me while I am running my muscles of leg feels like locked can not stretch my leg while running. please tell the solution fast.

BPT, MPT, Certified Mulligan Practitioner
Physiotherapist
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I am 16 year old boy. please sir tell me while I am running my muscles of leg feels like locked can not stretch my le...
Stiffness of leg muscle can occur for many reasons, however ifyour general health is good you need not to worry. Most often poor water intake, inadequate warm up or unaccustomed activities are the reason. Since how long is this happening? try gentle warm up and stretching before running. Drink a lot of fluid. If nothing helps then you need to c noonsult a doc.
1 person found this helpful

Can trigger point myofascial pain treat by homeopathy? If yes then which medicine should be use? Help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Can trigger point myofascial pain treat by homeopathy? If yes then which medicine should be use? Help.
Myofacial pain syndrome can be effectively cured by homoeopathy but for this a proper case taking is required in which you will have to provide detailed description ofyour present complaints, history of present complaints, the areas or points where you feel the pains comparitively more, since when are you facing this problem, your marital status and your relation with your husband and other family members and if your pains have anything to do with your marital relations--------------so in a case taking everything is required to reach to a totality and medicine selected accordingly--------------so my suggestion for you is either to provide me everything you can which you think is helpful in your problem or vissit a local good homoeopath who can guide you to the best of his abilities--------
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