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Dr. Sachin Karkamkar

Orthopedist, Pune

500 at clinic
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Dr. Sachin Karkamkar Orthopedist, Pune
500 at clinic
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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. Sachin Karkamkar
Dr. Sachin Karkamkar is an experienced Orthopedist in Fatima Nagar, Pune. He is currently practising at Dr. Sachin Karkamkar@Inamdar Multispeciality Hospital in Fatima Nagar, Pune. Book an appointment online with Dr. Sachin Karkamkar 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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Inamdar Multispeciality Hospital

#15, Landmark : Behind KPCT Mall, PunePune Get Directions
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I am 20 years old. Actually this my life's problem. Few days ago I got an accident. But actually it was not my fault. After this. I have a backpain when I sit straig.

BHMS
Homeopath, Faridabad
I am 20 years old. Actually this my life's problem. Few days ago I got an accident. But actually it was not my fault....
Hello, take arnica 200 ch, 5 drops twice daily. Rhus tox 200 ch, 5 drops once daily. Revert after 7 days.
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My mom has sever pain in knees and hamstring her knees have swelling. This aggregates when she eat anything sour she is in ger pre-menopause period and over weight. Her weight is 90 kg and height 5.2. She is 47 years old. She have difficulty in walking due to pain. She takes bio-c+, tellzy 40 and proloxment tablet.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
My mom has sever pain in knees and hamstring her knees have swelling. This aggregates when she eat anything sour she ...
She may reduce her weight. Give her Sulf. 30 one dose daily empty stomach five drops in water for three days. Wait for one week and consult online for further course of medicine.
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I 23 age my back hai too much pain when sitting for long time, I had have this problem since so long time.

DRCH, BHMS
Homeopath, Bareilly
I 23 age my back hai too much pain when sitting for long time, I had have this problem since so long time.
1] maintain right posture of body while sitting standing and working for long time. 2] sleep on hard bed. 3] do mild exercise of lumber region. 4] avoid forward bending of the lumber joint. 5]eat calcium rich diet.
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I am 20 years old, while movement of shoulders I feel like my shoulder bones are grinding. What is reason behind these. And how can I cure it?

BPTh/BPT
Physiotherapist, Mumbai
I am 20 years old, while movement of shoulders I feel like my shoulder bones are grinding. What is reason behind thes...
Hi I can understand your problem. There are various reasons for shoulder pain and there are different non surgical treatment options for same in physiotherapy. If pain doesn't go consult me via lybrate to discuss best treatment plan for you. Wishing you a good health.
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Sir, first we appreciate that this type of activity My brother age 45. He suffered gout problem. Regularly he checked uric acid levels. Just it up and down. We showing doctors but no body giving correct information of this disease. Just Prescribed only painkillers and regular of febuget tab. I expect to get the right suggestions from you r side. please give the diet information and right suggestions.

M.D. (Ayurved), D.H.M, CHSE
Ayurveda, Jamnagar
Sir, first we appreciate that this type of activity
My brother age 45. He suffered gout problem.
Regularly he checked...
Dear Lybrate user: Here are few things to understand: Gout is a painful metabolic disease resulting in inflammation and the deposition of uric acid in the cartilages of the joints. Gout first affects the big toe causing it to swell and become very painful. In the next stages it spreads to the ankles, knees, joints of hands and feet, the wrist and elbow. Few suggestions for you: Avoid high-protein diet and excessive salt. Avoid all sour, pungent, fried foods, red meat, alcohol and tobacco. Take light and easily digestible food like steamed or boiled vegetables or vegetable broth. Use wholegrain bread, cereals and increase intake of seasonal fruits (except banana). Increase the use of garlic, ginger, cumin, fennel, coriander, cardamom and cinnamon. Avoid dairy products, especially yogurt. Do light and gentle exercises. Massage the joints gently with lukewarm sesame oil for 20-30 minutes. Avoid damp and cold places and keep the body warm. Drink 8-10 glasses of water daily to cleanse toxins from the body. Swallow 2-3 fresh, peeled garlic buds with water on an empty stomach in the morning. Share some of the reports for better Ayurvedic consultation. Revert back for assistance.
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My mother is suffering from restless leg syndrome. She is 65 years old. Can you suggest any medicines?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Discomfort in legs after days hard work is quite common. Pain at more than one place or all over the body is quite common. Kindly rule out diabetes & vitamin d deficiency or any other metabolic disorder. Proper physiotherapy will help. Medicines will also be needed. Antioxidants like caldikind plus (from mankind) 1 tab /day helps. Paracetamol 250mg bd/tds will also give you relief kindly make sure that you are not allergic to any of the ingredients of the brands you are going to take.
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I am 23 years old and I have bones, cartilages problems like that. Because of comparison to other youngsters I have not lifted heavy weighed item for eg. 20 kgs of weight I havn't lift to 5 min at all & in some case pain should be there.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
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.
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Sir,I am suffering from lambar spine problem because of which I am getting pain and burning sensation around thighs and buttocks at the time of sitting in a chair or riding a bike for 20 minutes or more.I tried all medicines for 5 yes but it is of not much help.can I get permanent cure?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
For your Lumbar spine problem good Ayurvedic medicine is there but let me confirm by examining entire case history. [Automatically added by Lybrate] Click "Consult Dr. Prof Sudhakararao Vuppalapati" below to consult privately with the doctor.
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6 months phale mera mera accident hua tha and doctors ne clavical bone ka ooperation krne ko khaa thaa but mene kraya nhi or mere bone khud hee thik ho gyi but wrong jud gyi ab muje pain hota hai Doctors bolte hai ki aap ki nase dab gyi hai Give me your opinion?

Occupational Therapy (OT)
Occupational Therapist, Jaipur
6 months phale mera mera accident hua tha and doctors ne clavical bone ka ooperation krne ko khaa thaa but mene kraya...
With out proper examination it's difficult. Still pain means something wrong, if it unites wrong then might be pain due to compression of some structure. Consult Orthopedic. For time being do warm foamentation.
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Hi Doctor, I'm suffering from legs pain it's not mussels pain my legs back side nervous are paining and if I stretch little my legs I'm getting very badly cramps and after that my both legs pains very badly for a week while sleeping also I get unbearable pain shell I go to neurologist?

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Hi Doctor, I'm suffering from legs pain it's not mussels pain my legs back side nervous are paining and if I stretch ...
Apply hot fomentation Take bath with warm water adding salt to it Do hamstrings, quadriceps & calf muscles stretchings Before stretching apply hot pack & after stretching apply cold pack Stretching should be followed by strengthening program as well
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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.

Sir Heavy Pain in lower back always. Please give some in-house ways to get the way completely out. Very fed up.

BHMS
Homeopath, Raebareli
Sir Heavy Pain in lower back always.
Please give some in-house ways to get the way completely out.
Very fed up.
I suggest you follow the below for your condition: take mag phos 6x - thrice daily for next 2 weeks and update. Also do x-ray of the affected area. Heat and ice packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
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I am having back pain from long time. I was in 10/std when I fall from. Stair case. I am havinfg frequent back painfor that I take medicine dolo as suggested by doctor. Is it ok to take such medicines?

BPTh/BPT
Physiotherapist, Mumbai
I am having back pain from long time. I was in 10/std when I fall from. Stair case. I am havinfg frequent back painfo...
Hi Initially take following precautions 1) stop normal physical activity for couple of days. 2) apply hot fermentation 3)do not do activities that involves heavy lifting or twisting of your back for few days 4)after 2 to 3 weeks, slowly begin to exercise 5)avoid wearing high heals and lifting heavy bags. Do reply for private consultation and detailed treatment plan Take care !! Wishing you good health !!
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I am 23 years old , female , not married. I am getting back pain, lower abdominal pain and vaginal discharge for more than one week. Vaginal fluid is slight thick. My periods is about to come. Is this any serious issue.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 23 years old , female , not married. I am getting back pain, lower abdominal pain and vaginal discharge for more...
Hello, if you having excessive discharge with a fowl smell and stains on underwear then you probably have a vaginal infection. So you should visit a gynecologist.
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Is working in computer affect the neck in any way. I was told that spondylitis is caused due to over usage of computer.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gautam Buddha Nagar
Is working in computer affect the neck in any way. I was told that spondylitis is caused due to over usage of computer.
Computer usage doesn't cause any disease, but in which posture you are sitting matters. So do neck exercise stretching is a good exercise. Take a rest for at least 10 minutes after hour long working. Shoulder exercise use backrests.
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Hai sir/madam. I'm Arjun. I do kitchen hand job in Melbourne as a parttime. So I need to clean al dishes return from job. Since 2 weeks in suffering from severe back pain I'm not able to sit. But I'm able to stand. I have used so many pain killers and had done several sessions of physiotherapy. Moreover I terminated my work since 4 days. How can I overcome this problem pls suggest me any cure.

Bpt
Physiotherapist, Kolkata
Hai sir/madam. I'm Arjun. I do kitchen hand job in Melbourne as a parttime. So I need to clean al dishes return from ...
Hi lybrate-user, It seems you have a muscular issue that needs to be fixed. Correct your biomechanical posture while sitting, slightly tilt your pelvis forward while sitting, work on you core once pain is received, contact a registered message therapist in Australia for detailed musculoskeletal examination and get some session for pain relief. Regards Arunav.
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I have back pain when I'm continue working for more than 1 hour so what should I do.

BHMS
Homeopath, Bhopal
I have back pain when I'm continue working for more than 1 hour so what should I do.
Back pain can result from bad posture, a sudden jerky movement, a lumpy mattress or poor lifting techniques. It can also be caused by injury in a work place, by a sports accident or by muscular spasms. Or, because of decreased flexibility, as people get older. There are also many diseases and pathological conditions that can lead to back pain. These include abdominal or pelvic disease, anxiety, arthritis, cervical or lumbar spondylosis, dermatological problems, kidney disease, rheumatic conditions, tumours and scoliosis. Our modern, sedentary lifestyles have a profound effect on the development of back pain; indeed one of the most effective ways of preventing it is simply to stay active. An average adult in the India spends at least two hours a day in front of a computer screen or television set, and back problems can be triggered if they don’t sit properly. In an age of mobile phones and computer games, such troubles are increasingly inflicting children of school age as well. Top tips for back care: For back pain, better to see your Doctor sooner than later. Take regular exercise – your Doctor can say what’s right for you. Hours in one position can cause problems – avoid computer ‘hump’. During repetitive tasks, vary your rhythm and take frequent breaks. Adjust car seats and on long journeys, take regular breaks to stretch. Pace yourself with heavy work such as gardening – don’t risk a disc! Watch children’s posture – they shouldn’t carry bags on one shoulder or spend too long at a computer without breaks. Avoid strain when lifting, particularly small children and shopping. Your bed could be part of the problem. Take a hot bath or shower, soaking in a hot tub, or using a heating pad, hot water bottle, or heat wrap that provides continuous, low-level heat are all ways to bring healing warmth to your lower back.
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I'm getting a pain in left hand shoulder blade pointed & pain at neck while carrying my college bag.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'm getting a pain in left hand shoulder blade pointed & pain at neck while carrying my college bag.
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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Both leg are pain after end of the day. What is the problem for this say please. Working time no problem. Leg has no pain but after the day when the work is off then pain is start.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Both leg are pain after end of the day. What is the problem for this say please. Working time no problem. Leg has no ...
Due to tiredness of muscle in ray you r in mobile position so pain doesn't feel do stretching exercise and strength exercise of both legs like cycling and quadriceps exercise, and hot fermentation with rest time.
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