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Dr. Pradeep Deshmukh

MBBS, MS - Orthopaedics

Orthopedist, Pune

33 Years Experience  ·  300 - 400 at clinic
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Dr. Pradeep Deshmukh MBBS, MS - Orthopaedics Orthopedist, Pune
33 Years Experience  ·  300 - 400 at clinic
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Personal Statement

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. Pradeep Deshmukh
Dr. Pradeep Deshmukh is a trusted Orthopedist in Bavdhan, Pune. Doctor has over 33 years of experience as a Orthopedist. Doctor has completed MBBS, MS - Orthopaedics . Doctor is currently practising at Vitalife Clinic - Bavdhan in Bavdhan, Pune. Book an appointment online with Dr. Pradeep Deshmukh and consult privately on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 39 years of experience on Lybrate.com. Find the best Orthopedists online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - B J MEDICAL COLLEGE PUNE - 1984
MS - Orthopaedics - B J MEDICAL COLLEGE PUNE - 1987

Location

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Vitalife Clinic - Bavdhan

2nd Floor, Flat No. 203, Heera Heights, NDA Road, Bavdhan, Pune - 411008 Landmark : Opp. Maratha Mandir, Near Petrol PumpPune Get Directions
300 at clinic
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Vitalife Clinic

Saudamini Society, Right Bhusari Colony, Off Paud Road, Kothrud, Landmark : Lane next to Café Coffee Day & Enfield showroom, PunePune Get Directions
400 at clinic
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I have a pain on my back from past 5 days, I cannot practice my gymnastics, what should I do?

BHMS
Homeopath, Delhi
I have a pain on my back from past 5 days, I cannot practice my gymnastics, what should I do?
Hello, you can take homoeopathic medicine Rhus Tox 30 ( 4 drops in little water) thrice a day for a week and revert.
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I have leg pain feom last 5 months. I take some heavy load and after some time I feel pain in my right side leg. I have taken medicine from doctor but not feeling well till now.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have leg pain feom last 5 months. I take some heavy load and after some time I feel pain in my right side leg. I ha...
Most leg pain results from wear and tear, overuse, or injuries in joints or bones or in muscles, ligaments, tendons or other soft tissues. Leg pain can also be caused by blood clots, varicose veins or poor circulation. To relieve mild pain: stay off your leg as much as possible apply an ice pack or bag of frozen peas to the affected area for 15 to 20 minutes three times a day elevate your leg whenever you sit or lie down please go to a physiotherapist if: you have pain during or after walking you have swelling in both legs your pain gets worse your symptoms don't improve after a few days of home treatment you have painful varicose veins if you feel the pain is from muscle cramp then you need to drink a lot of water because poor fluid intake (dehydration) may predispose to cramps also low blood levels of either calcium or magnesium directly cause cramps. Best wishes.
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I have a severe back pain due to lots of work what should I do to get relief form it.

BPTh/BPT
Physiotherapist, Kota
I have a severe back pain due to lots of work what should I do to get relief form it.
Ankle Pumps •Lie on your back. •Move ankles up and down. Repeat 10 times. •Repeat 10 times. Heel Slides Lie on your back. Abdominal Contraction •Lie on your back with knees bent and hands resting below ribs. •Tighten abdominal muscles to squeeze ribs down toward back. •Be sure not to hold breath. •Hold 5 seconds. •Relax. •Repeat 10 times. ••Slowly bend and straighten knee. •Repeat 10 times Wall Squats •Stand with back leaning against wall. •Walk feet 12 inches in front of body. •Keep abdominal muscles tight while slowly bending both knees 45 degrees. •Hold 5 seconds. •Slowly return to upright position. •Repeat 10 times.
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I am 39 years old. I have a problem of neck pain and hair fall. What should I do?

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I am 39 years old. I have a problem of neck pain and hair fall. What should I do?
Medicine german reckeweg heper sulph 200, single dose (4-5 drops in mouth) morning. Food mixed fruit juice daily evening. Please continue treatment.
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My shoulder and the hand is paining a lot while throwing something. E. G. I play cricket and while throwing the ball it is paining a lot. What should I do?

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
My shoulder and the hand is paining a lot while throwing something. E. G. I play cricket and while throwing the ball ...
Hi, kali phos 3x, nat mur 3x, nat. Sulph 3x& silicia 3x for 3 times. 4 -4-4 tab with warmwater. Adv. Do acupressure treatment.
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Why are pain my two leg every time? Both legs middle positions to last positions pain why?

BPTh/BPT
Physiotherapist, Mumbai
Why are pain my two leg every time? Both legs middle positions to last positions pain why?
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do streching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief consult physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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My mother- aged 85 years, had a fall and injured right hand biceps & shoulder, various oils & tablets - no remedy till now, so suggest any ayurveda medicines, she is a diabetic patient since 40 years a long list of medicines she is consuming now.

FNESA, FNESA,BAMS, MHA(Hospital Admin), L.L.B.
Diabetologist, Delhi
My mother- aged 85 years, had a fall and injured right hand biceps & shoulder, various oils & tablets - no remedy til...
Mahanarayan oil, Brihat vat chintamani ras tab thrice a day, Mahayograj Guggul tab thrice a day, hot fomantation, tell me what diabetic medicines she is taking. She will be better.
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Hiii Now a days m facing some problems such as having heel pain which is painful can this pain may cause any problem in future? Pls suggest me m tense.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hiii
Now a days m facing some problems such as having heel pain which is painful can this pain may cause any problem ...
Take acupressure Treatment +cal.flour 3 X + mag.phos-3X 4 tabs thrice a day with warm water for 5 days. consult private online.
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First my mother had pain in backbone and in brain (back side) and now she has pains and dizziness also. please suggest us. She also feel pain when she woke up in morning and when she tries to move her neck.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
First my mother had pain in backbone and in brain (back side) and now she has pains and dizziness also. please sugges...
According her age cervical x-ray must symptoms are cs so do hot fermentation and stretching exercise if neck if it work then ok other wise physiotherapy treatment must for few days.
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I am 47 years old. Doctor told me that I have knee gaps. They suggested me surgery. Should I go for it or not?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 47 years old. Doctor told me that I have knee gaps. They suggested me surgery. Should I go for it or not?
Don't take decision for surgery in haste. 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 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 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am having a lot of back pain, is there any better suggestion to control the pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am having a lot of back pain, is there any better suggestion to control the pain.
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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I am 22 year old, suffering back pain. I am trying to do multiple ointment for the pain but it's not helpful, so what I can do.

MS - Orthopaedics, MBBS
Orthopedist, Pune
I am 22 year old, suffering back pain. I am trying to do multiple ointment for the pain but it's not helpful, so what...
Hello lybrate user, back pain that is associated with day time sedentary jobs like computer professional s are associated with paraspinal muscle spasms. The best way to tackle this sort of pain is to do well spaced stretching exercises of the back, back extension exercises, using hot water bags to provide relief and avoiding stooping posture while sitting. Posture also plays a very important part in back pain, always maintain a straight posture while sitting. While getting up from the bed try to first go on your left or right side of the body and get up side ways. Avoid cruntches or sit-ups: they may increase the pressure on your back and may predispose to slip disc. Always maintain a healthy lifestyle in terms of regular brisk walking, meditation, eating healthy. P. S: try to avoid pain killers (analgesics) as much as possible as many are associated with side effects that you may not be aware of. Stay healthy. Stay happy.

I have pain at back neck just behind centre. It spreads downwards up to right shoulder (exactly just below the right shoulder. What should I do relieve from the pain.

BPTh/BPT
Physiotherapist, Delhi
I have pain at back neck just behind centre. It spreads downwards up to right shoulder (exactly just below the right ...
1. Start with Physiotherapy treatment. 2. Learn Cervical exercises. 3. Apply volini cream before sleeping. 4. Don't use Pillow. 5. Take calcium, vitamin D 3 and Methylcobalmine supplement
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I have a back pain over 9 days. Use pain relief bum, but no pain relief. What I should do, Tell me?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a back pain over 9 days. Use pain relief bum, but no pain relief. What I should do, Tell me?
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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I am 65 years. Having type 2 diabetes. I need remedy for numbness burning sensation in soles and shifting pains from one spot to other in feet sole.

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. Your management of chronic diabetes and its associated symptoms should be best done by a diabetologist but there are now medicines available for symptoms of neuropathy like pregabalin and gabapentin besides many more. 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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Hi: I am Pravin staying in Mumbai (Vikhroli) suffering from frozen shoulder (Left Arm) from last three months give me your opinion about that.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi: I am Pravin staying in Mumbai (Vikhroli) suffering from frozen shoulder (Left Arm) from last three months give me...
Shoulder pain & arm It is called as peri arthritis shoulder and for that you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm Symptoms of Arthritis Symptoms of osteoarthritis may include joint pain and progressive stiffness that develops gradually. Symptoms of rheumatoid arthritis may include painful swelling, inflammation, and stiffness in the fingers, arms, legs, and wrists occurring in the same joints on both sides of the body, especially upon awakening.
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Rheumatoid Arthritis: A mystery solved with lucidity

MBBS, MD, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Rheumatoid Arthritis: A mystery solved with lucidity

Vital notes:

  • RA is a chronic debilitating joint disease that affects small joints of hands and foot.
  • More common in females aged 20 to 50 years.
  • It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years.
  • It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately.
  • Untreated disease may cause deformity of hands and foot causing deterioration of quality of life.
  • Erosion of small joints along with loss of entire joint architecture is the basic disease process.
  • Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic.
  • Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids.
  • Difficult diseases are treated with costly injections called biologics.
  • The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “
  • Lung and cardiac complications are common in long term disease.
  • Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.                    

 

Introduction:

Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon.

The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity.

This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment.

 

What are the symptoms?

Symptoms vary from person to person and also from early stage to late stage of the disease.

 In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results.

In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm.

In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful.

A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat.

Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease.

 

What is the difference between Rheumatic Fever & Rheumatoid Arthritis?

There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis.

 

Why Penicillin injections are given on a monthly basis?

Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist.

 

How is Rheumatoid Arthritis diagnosed?

Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course

 

Does each and every patient of rheumatoid arthritis develop crooked hands and foot?

No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease.

 

How Rheumatoid Arthritis is treated?

Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage.

Cessation of smoking is mandatory. Smokers tend to develop early joint destruction

Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs.

Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below.

 

Why I am being given Steroids?

Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment.

Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month.

 

What are Biologic agents? Why they are so costly?

Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started.

Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.

I am having acute pain in my heals ,on the backside of the leg, what is the remedy, vijay sahuja.

MD - Ayurveda
Ayurveda, Thane
I am having acute pain in my heals ,on the backside of the leg, what is the remedy, vijay sahuja.
Reduce weight, if you are overweight. Daily massage the heels with warm til taila followed by hot fomentation with a hot water bag. Use silicon heels in shoes. All the best.
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What is the reason for swoolen feet at the age of 82 after the day is over ? What is the remedy ?

MBBS
General Physician, Guwahati
Lots of reasons are there like 1. HEART PRONLEM 2. KIDNEY PROBLEM 3. Protein Deficiency, and others, remedy is according to the disease and for that you can elevate the limbs by putting pillow below the legs and make them up. And glycerine bandage will help. Get checked routine test
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