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Dr. R Nerlikar

Orthopedist, Pune

100 at clinic
Dr. R Nerlikar Orthopedist, Pune
100 at clinic
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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 39 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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I am a 35 year old male. I have pain in the right ankle for last few years. X-ray came out normal. What could be the issue.

BPTh/BPT
Physiotherapist, Mumbai
I am a 35 year old male. I have pain in the right ankle for last few years. X-ray came out normal. What could be the ...
Hi there are various causes for ankle pain like. Mechanical pain (improper foot wear), tendonitis or planter fascities. For pain. -apply ice, -do stretching of calf muscles, -wear proper footwear -do reply for detailed treatment plan. Best wishes.
1 person found this helpful
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I am 58 years old. There is regular pain on left side back and front side below 4" from chest or 5" distance from nabhi. On back side pain both side on upper side of hip. I drink minimum 6 lt water in a day but urine out put in a day 1/2 lt. And at the time of urine I feel burden pain.

certificate course golds gym personal trainer, postgraduate certificate in sports and exercise science, BACHELOR OF PHYSIOTHERAPY
Physiotherapist, Mumbai
Sir I would advice you to go for thorough investigation related to your kidney. As you have mentioned 6litre water intake and output only. 5litres. Suggest kidney issues. - blood test, renal profile, cbc, esr, c reactive protein, urine routine, 24 hour creatinine clearance, liver panel - sonography abdo and pelvis. First b4 drawing to conlusion. Investigation matters. Pls do it as soon as possible.
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Hii I m male 21 years old and I have a major backache from last 5 months and a knee problem as well I don't like hospitals so I hadn't referred to any doctor but now I want a solution to this please help.

BPTh/BPT
Physiotherapist, Kota
Hii I m male 21 years old and I have a major backache from last 5 months and a knee problem as well I don't like hosp...
Back 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… 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
2 people found this helpful
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I've severe back ache with pains shooting down on right side from buttock to thigh. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of 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. Ibuprofen 200mg od & sos x 5days bio d3 max 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. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
1 person found this helpful
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Osteoarthritis - How Best to Manage it?

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
Osteoarthritis - How Best to Manage it?

The human body is able to move fluidly because there are various joints, muscles, tendons and cartilages that work together to make this happen. Movements of the hands, legs, back, hips, knees and wrists are controlled this way. For various reasons, however, these tissues grow stiff, thereby, reducing free movement. Any movement causes pain and stiffness and swelling of the joints, which forces the patient to reduce physical activity. This reduced activity further leads to the joints becoming stiff, thus putting the patient in a difficult position.

What causes it?

The ends of the bone are covered by softer tissue called cartilage, which is responsible for allowing the free movement. In patients with osteoarthritis, this cartilage is lost and the bones rub against each other, producing pain and a crackling sound with the movement. Some of the most common causes include the following:

  1. Age is the most common cause for osteoarthritis, with lifestyle habits playing a major role in this condition. Most joints would be affected here.
  2. Obesity is another major cause for osteoarthritis, as the additional weight of the person puts extra pressure on the knees and the legs, leading to the wearing of the joints. The back and lower extremities are more affected than the hands in this case.
  3. Joint injuries are another common cause for osteoarthritis, which is more localised to the area of injury.

What are the signs and symptoms?

As noted already, painful movement is the most common symptom of osteoarthritis. There could also be swelling and redness around the affected joint(s).
Diagnosis: The doctor will usually be able to identify osteoarthritis after an examination, but in some cases, an X-ray or MRI may be required to confirm the diagnosis.

Treatments available

The treatment for osteoarthritis is multipronged.

  1. For immediate relief of the pain, non-steroidal and anti-inflammatory drugs are used. In cases of localised symptoms, even topical creams or gels may be used.
  2. Weight loss is extremely essential, if there is obesity that is causing the osteoarthritis.
  3. Vitamins and supplements in good amounts can improve bone health and help in preventing and reversing the damage in some patients.
  4. Heat therapy has proven to be quite useful in many cases to provide temporary relief
  5. As much as the movement of the joints is painful for the patient, it is only with regular exercise that the joints can be made more flexible and mobile.
  6. The affected joints need to be specially cared for by avoiding injury and reducing unnecessary movements.
  7. Role of physiotherapy in the management of OA - Strengthening exercises, Taping, Manual therapy, Education/lifestyle changes,  Modalities, Agility and perturbation training.
  8. The definitive therapy of OA is joint replacement (total/partial knee/hip joint replacement).

In addition, support groups and counselling may also help significantly in patients who find their quality of life being reduced due to this condition. Remember, not all is lost with osteoarthritis. It is definitely possible to get your life back to its earlier days when you were able to move about freely.

3179 people found this helpful

I am 48 year (M), I smoke 30 cigreats and 6-7 time consume alcohol. My weight is 84 kegs. Some time I feel pain in joints. Should I change my life style. There is no sugar and blood pressure problem till now.

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
Till now u dont have any problem but in future u will be a patient of osteoporosis, BP, bronchitis, so please change your bad habits and do regular exercises. Thanks and regards Dr. Ritesh kharnal
1 person found this helpful
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I want to know about the problem of my nees. From few days I am suffering from acute knee problem and due to this reason I even to walk properly.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I want to know about the problem of my nees. From few days I am suffering from acute knee problem and due to this rea...
Homoeopathic medicine ADEL-4 ( ADEL)) Drink 20 drops in 20 ml fresh water 3 time daily HAEMOCAL ( SBL) Chew 4 tab 3 times daily Report after 30 days.
1 person found this helpful
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I am 53 yrs. I am getting bad pain in my heel. My uric acid level is bit high. My weight is 75kg. Please advise.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Try this for joint pains try this. Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Take cinammon powder one spoon with honey in the empty stomach in the morning for 10 days. Do not take coffee" take green tea in evening. Consult after 10 days.
2 people found this helpful
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I have been in pain for past few weeks at the back of my neck. Can you please suggest a quick heal?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have been in pain for past few weeks at the back of my neck. Can you please suggest a quick heal?
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.
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Hi, The pain is like when I run it happens and when I rest it lessens. I can walk normally in the pain just that I cannot play anything which demands running or just running for that matter. Iam really struggling. I can recuperate in a week or so but I dont know the precautions as this problem is haunting me for 10 years now.

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Hi, 
The pain is like when I run it happens and when I rest it lessens. I can walk normally in the pain just that I c...
The pain is an indication that the muscles are weak and tight and you need to make them flexible and stronger to be able to run and play sports pain free.
1 person found this helpful
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I am having backache. Using perobar soap from 2 months. Any medicine. Or precautions.

FAMS, MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Indore
I am having backache. Using perobar soap from 2 months. Any medicine. Or precautions.
Dear lybrate-user, hello, use a firm mattress and use commode and avoid stairs. Do hot fomentation and apply a local gel. Twice a day and wear ls belt. Get physio. For about 10 days. Take ultracet 1 tab. Sos. Once the pain has subsided to 50-60 %. Learn and regularly do exercises. Take care. Edit answer.
1 person found this helpful
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I am 25 year old, female, I am getting severe headache at back along with it I have severe neck pain from more than 6 months. Only if I sleep and wake up in the morning it will be fine. What can I do for this

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your neck pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any radiating upper limb pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
1 person found this helpful
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Am 23 yr old male, whenever am doing weight lifting work I am getting right side leg pain and right side lower back pain and also right side testicles pain too please give me suggestions.

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 initial advise will be to get yourself examined by a general surgeon or a urologist for testicular pain because there are some causes which we need to rule out. About your back pain with associated leg pain, I can advise that stop your weight lifting for some time till your pain subsides, intensive physical therapy in form of tens as a modality, you can start with neuropathic medications, gentle anti inflammatory medication, but first priority is to get an opinion from a general surgeon and then you can come back to me. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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I am having back pain from past 2 weeks I thought it was minor but it's getting worse and worse day by day. Please tell me what to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am having back pain from past 2 weeks I thought it was minor but it's getting worse and worse day by day. Please te...
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.
1 person found this helpful
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I am 28 year old. I am getting pain suddenly sometimes in day while I am sitting long times, but not in the night. I am taking these medicine pyridium, pantop, ceftum 250 mg, citralka, dynapar two times in a day after food. I am feeling better. Anybody can suggest me I am going right or no? Please help me.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 28 year old. I am getting pain suddenly sometimes in day while I am sitting long times, but not in the night. I ...
You should take Acupressure therapy and take Biochemic Mag phos 200x 4 tab thrice a day with warm water and take it 5 days than consult private online.
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4 Causes Of Anterior Cruciate Ligament Tear And Its Treatment!

MBBS, MS - Orthopaedics, DNB (Orthopedics), Fellowship in Joint Replacement
Orthopedist, Hubli-Dharwad
4 Causes Of Anterior Cruciate Ligament Tear And Its Treatment!

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL-

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury-

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

  • Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery. If you wish to discuss about any specific problem, you can consult a orthopedist and ask a free question.
4377 people found this helpful

I am suffering from pain of leg continuously from 2 year. I can't walk 500m please give me solution for this pain. I am waiting for your solution.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am suffering from pain of leg continuously from 2 year. I can't walk 500m please give me solution for this pain.
I ...
Tk muscle relaxant medicine do stretching exercise heat fermentation and after this start strength exercise of both legs.
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I am 24 years old male I have leg pain since 1 week I tried pain relief but no use what should I do for it to get rid of the pain and make more stronger?

B.H.M.S
Homeopath, Lucknow
I am 24 years old male I have leg pain since 1 week I tried pain relief but no use what should I do for it to get rid...
Mr. Lybrate-user you have not mentioned type of pain and any traumatic history so please go for x ray lumbar spine. For the time being use arnica 200, 5 drps in a cup of water ntake rest.
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I am 18 yrs old. And suffering from joint pains in both knee from almost 2 months also dark reddish brown lines have developed on back side of the joints of both knee. Now those reddish brown lines have also come in my right hands elbow joint. What should I do. I have not suffered any trauma or accident.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 18 yrs old. And suffering from joint pains in both knee from almost 2 months also dark reddish brown lines have ...
Anaemia always leads to the symptoms of being tired and also having body pain and laxity through out. Which joints you have pain? if your proximal joints (ie. Shoulder, elbow, hip & knee) then you can do hot water fermentation in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear then you can do hot water fermentation in that area to reduce the inflammation. Please wear knee brace / elbow brace / wrist brace so that you will feel warm, comfortable and very protective. However if the pain initially starts in the distal joints then we shall definitely say it is rheumatic arthritis. Knee cap will also help to prevent the damaged cartilages. And also immerse the distal joints in the hot water tub which will help you to reduce the pain.
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