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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 32 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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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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Sir besides my left knee pain I am also disturbed from pain in lower parts of leg (Talwa) mostly in front, when I started to walk after bed or during sitting on lower parts of leg (Talwa) it started pain. Also there is pain in my leg muscles. In a line I am suffering from pain in knee to lower parts of leg. Sir what is the reason behind this pain and how can it treated I am really disturbed from it. There is a habit of masturbation.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sir besides my left knee pain I am also disturbed from pain in lower parts of leg (Talwa) mostly in front, when I sta...
This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac 100 mg +Paracetamol 350 mg 1 tab. OD & SOS. X 5 days. --. Caldikind plus (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for Foot & ankle. - 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 (through this platform only) Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit nearest hospital. I hope, I have solved your problem to your satisfaction. Kindly rate the answer.Wish you a quick recovery & good health.
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Why girls have so much of stomach ache and back pain during the time of mensuration?

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
Why girls have so much of stomach ache and back pain during the time of mensuration?
it is basically hormonal. estrogen and progesterone cause uterine congestion as well congestion of other organs of the body ...with the loss of progesterone support bleeding occurs
1 person found this helpful
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My mom has pain and heat in shoulders and chest and she feels a buzz like sound in her ears.

MBBS, cc USG
General Physician, Gurgaon
My mom has pain and heat in shoulders and chest and she feels a buzz like sound in her ears.
Your mother may be having chest pain due to 1. Acidity. 2. Severe anxiety 3. Muscular problem local application of volini gel 1% twice a day for 2-3 day consult physician/me for further management and for ear problem this problem may be due to wax in ear/ or may be eustachian tube blockade follow advises given below 1. Do not pore anything in ear 2. Avoid water entry 3. She need internal examination of ear by otoscope so kindly consult ent surgeon.
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From past 3 days i had fever,headache and back pain.Please suggest me some good medicine.

MBBS
General Physician, Cuttack
From past 3 days i had fever,headache and back pain.Please suggest me some good medicine.
Take paracetamol tablet, plenty of water and rest. If the fever is high get blood tests after consulting doctor.
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Hi. I am a 25 years old female. I want to know about my back pain. Whenever I sleep more. There is a pain in my back. Please reply me as soon as possible.

BPTh/BPT
Physiotherapist, Mumbai
Hi,start physiotherapy treatment and learn posture care/ spine exercise. Meanwhile take few precautions. 1) take hot water fomentation for 20 min. At every 3hrs. Interval. 2) do not lift heavy weights or twist your spine 3) do not wear high heals do not ignore your back pain and do reply for private consultation and detailed treatment plan. Best wishes.
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Sir, my wife has rheumatoid arthritis, TEST RESULTS ARE, ANA (+VE) 8.18, AND CRP LX 20.86 & RA FACTOR is 14.2, Plzz suggest best treatment for this disease, my wife have pain and swelling in hand, feet, knees. We are taking ayurvedic treatment, but not getting any result, plzz suggest.

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Reports cannot be 100 % diagnostic of nay rheumatic disease. You have to see patients complaints and then decide treatment. Arthritis can be of 100 types. Ra is just one arthritis. Also your ra factor is not vey high.
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If I keep on working with systems, will I get back pain or any other side effects? Please suggest solutions.

BPTh/BPT
Physiotherapist, Bhopal
If I keep on working with systems, will I get back pain or any other side effects? Please suggest solutions.
It depends on your posture while sitting, keep your back and neck straight and relaxed (not completely erect), do not use a stool if you have to sit for a long time, opt for a chair with back support, and place a lumbar roll on your chair where your lower back makes contact with the chair. Also if possible after every 30min-1hr stand up and take a short break of 5 minutes.

Sir i am suffering from bow legs and scoliosis I want to join defence services is yoga is a good solution for me.

BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Sangrur
Sir i am suffering from bow legs and scoliosis I want to join defence services is yoga is a good solution for me.
Hello, bow legs defined as lateral angulation of knee cause can be due to growth abnormalities, development disorders, metabolic disorders like rickets etc. Scoliosis can be postural or non postural. Depending upon your posture curvature of body it's hard to manage your defense services. But you can improve your spine curvature by doing regularly exercises. Exercise or yoga can improve your muscular strength, endurance and improve stamina.
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Hi All My mom met an accident with head injury Right FTP SDH and midline shift done the surgery on the same day carinoectomy on 6/11/2016 but still she is semi unconscious there have body movements but not yet open her eyes removed ventilator before 30 hrs may I know when she can open her eyes and how long it will take to become normal here I attached recent CT scan.

BHMS
Homeopath, Raebareli
Hi All
My mom met an accident with head injury Right FTP SDH and midline shift done the surgery on the same day carin...
Please note that it depends on cases to cases for in some cases patient needs some time days-weeks to show eye movements/opening. However I suggest keep in touch with your Doctor for not letting her to slip into Coma. If so then it can take weeks/months to come back from Coma. As of now you still need to keep patience for next 48 hours.
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I am 20 years old boy I have pain in knee alway. I am using move cream bt it did not give better result, What should I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 20 years old boy I have pain in knee alway. I am using move cream bt it did not give better result, What should ...
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. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day.
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Sir, I am going to gym from last friday. I regularly goes for workout every morning. I train about 1 hour. Day by day pain on my chest and shoulder is increasing. What should I do to reduce my pain? Will it keep on. Is this pain bad for my health? What food should I add to my diet? How can I remain healthy? Will any health problem occurs by the gym workout?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Sir, I am going to gym from last friday. I regularly goes for workout every morning.
I train about 1 hour. Day by day...
Problem is only over strain gym so reduce capacity and tk rest 2 days tk muscle relaxant medicine if it work then ok otherwise a checkup must by orthopedic and physiotherapy.
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I am 38 years old male patient. I am suffering from backache and neck pain every day because of not clearing stool. Every afternoon I feel that my soft muscle of rectum is expanded. I've sugar tendency also. Lap of my eyes also look expand all time. Please tell me remedy of this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 38 years old male patient. I am suffering from backache and neck pain every day because of not clearing stool. E...
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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart. Neck. Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs. Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.
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Back Pain - Causes And Prevention

Pain Management, MD - Pain Medicine & Anesthesiology
Pain Management Specialist, Srinagar
Back Pain - Causes And Prevention

Most of us, experience back pain due to incorrect posture or longer duration of sitting.

Sometimes you may experience back pain because of exertion - you spent the entire day doing the same kind of job or maybe you bent in a wrong manner while picking up your child. However, the actual cause of your spinal agony may not be very clear, but it pays to be aware of the possible reasons that can cause backache. It is good to consult a doctor if your back pain is consistent and recurrent.

Here are few of the causes:

1. The position of your pelvis: The pelvis consists of three bones that can shift depending on which muscles become weak or stiff. This brings about a pull in the muscle of the lower back, resulting in severe strain to this area. You should consult a physiotherapist for suggestions regarding the best exercises for strengthening your pelvic area.

2. Weak abdominal muscles: A cause of your back pain can be weak stomach muscles. Abdominal muscles play an important role in balancing out the constant bending that your back muscles perform. When you've weak abdominal muscles, your spine is not able to maintain proper balance, resulting in severe stress on the spinal column.

3. Disc injuries: Located between the bones of your spine, discs perform the function of a shock absorber. Physical injury to these padded cushions can cause them to break open, leading to a condition known as herniated disc. This can then bring about pain in the back area.

Few other causes behind back pain

  1. Weak back muscles
  2. Weak osteoporotic back bones
  3. Disc disease
  4. Facet joint arthopathy (degenerative or traumatic )
  5. Sacro Iliac joint pain
  6. Infection of the spinal bones
  7. Most of us, experience back pain due to incorrect posture or longer duration of sitting. Some people inherit back pain. Degenerative disc disease can be genetic or inherited. That is why we see degenerative spinal changes causing chronic back pain in some young age group patients without any apparent cause.
  8. Cancers which can be primary or metastasis
  9. Psychogenic 

Few precautions that can be taken for a hurting back. Despite the causes, there are certain precautions that you can take, which are:

  • Avoid sitting in a bad posture, that is, keep your back straight as much as you can. Pull and stretch your body in continual intervals to keep it relaxed.
  • Consult the right physician instead of doing exercise that can aggravate your pain.
  • Take a break from work and go for short walks, every couple of hours.

Treatment: 

Most often back pain will resolve itself in 3 to 6 weeks time and does not need to be treated. Please note, bed rest of no more than 2 days is required. Bed rest may weaken the back muscles and prolong back pain. If the back pain continues or increases, investigations are required. Expensive Investigations like MRI is usually over prescribed and will be needed only if neuro deficit is present or infection is suspected. 

Treatment includes

  1. Physical rehabilitation and Pain medication like NSAID.
  2. Neuropathic pain medications for neural compression (gabapentin or pregabalin).

Minimally invasive procedures which have revolutionised the treatment for back pain and saved millions from spinal surgeries include

  1. Radiofrequency ablation treatment for Facet pain
  2. Transforaminal blocks for nerve compression
  3. SCS for chronic back pain
  4. Intra thecal pumps
  5. Intradiscal Radiofrequency procedures. ( this procedure makes the disc painless ).

Surgery should be the last option and should be restricted to patients having progressive neuro deficit. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

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My two years daughter fell down on the ground on 26.04. 15 & amp her femur bone break in two piece. X ray karne par diagnose hua ki bone thodi si ek dusre ke upar joint ho gayee hai kya future mai bone mai koi problems to nahi hogi.

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. Please send me the latest x ray and let me know what treatment was given to her? 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 fell down while running three days back. I have pain in moving my shoulder though my shoulder is not dislocated. What should I do?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I fell down while running three days back. I have pain in moving my shoulder though my shoulder is not dislocated. Wh...
Take rest. Don't lift weight with that hand. Apply ice pack 5 times daily for 10 minutes every time on shoulder. If you don't feel better in 2 days then you will need medicines.
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First day of my last menstrual period was 25th Jan. My cycle is of 30 days. I had intercourse during my fertile period. Few days later I started developing lower back ache leg cramps joint pain especially during night. Since last few days frequent urination and constipation. Probably these are pregnancy symptoms. Today on 28 Feb I took a pregnancy test since I missed my period too. But the result was negative. So what I am supposed to do now?

BHMS, MD - Acupuncture
Sexologist, Faridabad
First day of my last menstrual period was 25th Jan. My cycle is of 30 days. I had intercourse during my fertile perio...
Hello, Mrs.Swapna,first you known fertile period first day of mens to 20 th day are fertile period.and last 10 day are safe .your problems sign are urine infectionand leucohorrea not a pregnancy.if your period almost delay or irregular share .present you take some medicine. NUX VOMICA 30 (4 Globules 3 times day ).for a week.then share me .
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I am suffering from shoulder pain. I hardly can through a cricket ball. After throwing the ball it seems my shoulder is gone. Plzzz suggest me what I need to do.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am suffering from shoulder pain. I hardly can through a cricket ball. After throwing the ball it seems my shoulder ...
Shoulder pain is common in cricket because of the repeated actions of throwing and bowling. The rotator cuff muscles (supraspinatus, infraspinatus, subscapularis and teres minor) are small muscles situated around the shoulder joint, which can become damaged due to overuse during cricket. Treatment will usually involve resting the affected shoulder and taking medication to reduce swelling and minimise pain. The shoulder should be rested until it has started to heal; gentle exercises and physiotherapy will help to gradually build strength around the joint and increase flexibility and movement. It is important to allow sufficient rest periods between demanding sessions of physical activity. Exercises and stretches will help to increase flexibility and strength; this will help to prevent injuries in the future. Best wishes.
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I am 29 years old my work 12 hour's sitting My hips back very pain please advises.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 29 years old my work 12 hour's sitting My hips back very pain please advises.
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. Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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I am 69 years old and suffering from mild attack of arthritis . I am taking peedantak vati for the last two months For how long it should be continued?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 69 years old and suffering from mild attack of arthritis . I am taking peedantak vati for the last two months Fo...
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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Sir I have a some problem leg pains how to solve my problem any medicine sir any solution sir.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir I have a some problem leg pains how to solve my problem any medicine sir any solution sir.
Keep your leg raised while sitting or lying quadriceps strengthening exercises hamstring stretching calf muscles stretching contrast bath.
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