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Dr. R Nerlikar

Orthopedist, Pune

100 at clinic
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Dr. R Nerlikar Orthopedist, Pune
100 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. R Nerlikar
Dr. R Nerlikar is an experienced Orthopedist in Rasta peth, Pune. You can visit him at KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. R Nerlikar and consult privately on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 35 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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English
Hindi

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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
100 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Pain in right leg. Seems like some compression on a nerve as the pain is throughout in the leg.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Pain in right leg. Seems like some compression on a nerve as the pain is throughout in the leg.
hot fermentation twice a day and stretching exercises of legs. avoid heavy weight and toward bending

My wife is 47 years female having normal physical fitness. For the past one month she is complaining about pain in both her knee joints. She feels a bit too pain while going up and down the stairs, folding her knee and when she wakes up from sleep. She climbs and descends our two storied house many times in the day and works very hard to do her household work. She also goes to drop her child at school and to the bazaar. What should she do? What medicines should she take? What exercise should she do?

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
My wife is 47 years female having normal physical fitness. For the past one month she is complaining about pain in bo...
It may be due to starting of osteoarthritis of knee. Avoid squatting and cross leg sitting. Start hot saline fomentation followed by volini gel and knee exercises. For detailed information about exercises please refer my health tips or consult me on private consultation for complete management.
1 person found this helpful

I am 77 male, do not have knee pain but can not walk for more distance. My wt is 79 kg ht. 5 ft 4 inch. Can walk more distance without surgery with medicines.

MPT, BPT
Physiotherapist, Noida
I am 77 male, do not have knee pain but can not walk for more distance. My wt is 79 kg ht. 5 ft 4 inch. Can walk more...
Chiropractic adjustment will help. Quadriceps exercise Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube ornormal belt. repeat 10 times, twice a day.

I have pain in my left knee.I do not want to go for knee repai surgery. Is there any other method to.combat this pain..

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
The best non invasive method to reduce pain is panchakarma. there are good procedures like janu vasti, which will reduce your pain & you will not need to go for surgery. Meet up with a panchakarma expert & he will guide you.

I went to a cycling rally of 25 kms. After that I got right hand arm sore. My hand started ti feel very weak. I couldn't write or work on my laptop. It's been 2 weeks and slowly recovering. Is it normal?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I went to a cycling rally of 25 kms. After that I got right hand arm sore. My hand started ti feel very weak. I could...
it's near normal due to fatigue if muscle. rest and stretching exercises of arm avoid strain till relief tk muscle relaxant medicine after food and hot fermentation
1 person found this helpful

Sir I am suffering from typhoid with widal igm positive as per reports. Sir I complete all de medicine corses as recommended by doctors bt still I am nt well. Continous headache, bodyache, legs pain and fever lie between 97-98. Please recommend me what I have to do next ?

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. My advise would be to consult a general physician and see whether your medical issues are ok or not? you can come back to me once there is a clearance from physician side. Do not hesitate to contact me if you need any further assistance.

Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

MBBS, MD - Medicine, DNB - Rheumatology, Fellowship In Rheumatology
Rheumatologist, Delhi
Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications ( lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs ( DMARDS). These can be conventional DMARDS like methotrexate ( usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS ( TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long ( 5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness ( scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms ( fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis ( heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! 

2538 people found this helpful

I am suffering from R.A disease. Before 2 month ago I have married. When me and my husband physical next day he suffer joint pain. I want to know why is he suffering that pain?

BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Gurgaon
I am suffering from R.A disease. Before 2 month ago I have married. When me and my husband physical next day he suffe...
Ask him to go for vitamin B12 and vitamin D-3 check up. If it is decreased then he should go for these two vitamins injection.

I have middle back pain in 1 month. My xray report is normal ,also I am player in sport body building. Dr. give me pain killer bt no effect on my back. When I jump ,or stretch my back then middle back paining. So please give me some good and effective suggestion. Thank you.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have middle back pain in 1 month. My xray report is normal ,also I am player in sport body building. Dr. give me pa...
If you have leg pain then you have to rule out the casues for having leg pain. First of all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. Hot water fermentation that would help to reduce the muscle strain. Keep ice in the area where you have pain

Sir my cousin is suffering from rheumatic pain and also in legs how can I prevent this sir?

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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