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Dr. Sachin

Orthopedist, Pune

300 at clinic
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Dr. Sachin Orthopedist, Pune
300 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
Dr. Sachin is a popular Orthopedist in Wakad, Pune. He is currently practising at well care clinic in Wakad, Pune. You can book an instant appointment online with Dr. Sachin on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in 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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well care clinic

shop no 3,windwards society,kaspate wastiPune Get Directions
300 at clinic
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Hello Dr. I am 33 year old mere back mein space bataya h jis ka pain mere kabhi b ho jata h aur m chal nahi pata please help me Dr. mein kya karun jis s ye space the ho jaye.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Hello Dr. I am 33 year old mere back mein space bataya h jis ka pain mere kabhi b ho jata h aur m chal nahi pata plea...
This back pain is due to no back exercise. Due to this muscle get stiff. When suddenly you get move fast that time this stiff muscle get break and pain start. In ayurved there is mentioned one procedure KATI BASTI .DO THIS FOR FIVE DAYS WITH MEDICATED OIL if you want to do it you should do it under doctor observation. So consult ayurvedic doctor near you. You will definitely get good result.
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I am a 16 year old guy an I usually have pain in my leg muscles for many days after practice.

BHMS
Homeopath, Faridabad
I am a 16 year old guy an I usually have pain in my leg muscles for many days after practice.
Hi, take Five phos 6x, 5 tabs twice daily. Take Calcarea phos 6x , 5 tabs thrice daily.Bc no. 27, 5 tabs once daily. Revert me after 10 days.Thanks.
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Hi I have been having severe problems with sleep. I cannot sleep at all. I hardly sleep foe 2 hours properly. I have been taking Lonazep and Mirtaz for many years. I have the problem since last 6 years. I had consulted a psychiatrist initially for the first year and later, I did not. I do not get proper sleep even after taking those pills. I have somehow managed to taper down the dose. Currently, I have stopped Lonazep completely and Mirtaz, I ma taking only 7.5 Mg. But My sleep is worse, and everymorning I get up with body pain, too much tiredness and burning eyes and nauseating feeling. Serious problems, like burning sensation in hips and thighs during the day. And weakness in legs and also severe Pain in Feet have already started. I have restless and painful legs during sleep and feet stiffness and pain is throughout the day. I ma not sure whether this is nerve or ortho related but definitely sure that this is because of my sleep problems. I am really frustrated with the other mentioned problems as well. I am 36, in a good job with no stress at work and my personal family stress is also minimal. I am single as well Please help!

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi
I have been having severe problems with sleep. I cannot sleep at all. I hardly sleep foe 2 hours properly.
I have ...
Requires detailed investigation and examination Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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I am suffering from joint pain in my left hand for the last 5 days. I feel the pain more at night.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from joint pain in my left hand for the last 5 days. I feel the pain more at night.
Advice hot fomentation. Gentle stretching of hand muscles. Ball exercises. Wrist exerciser. Use cervical pillow.
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Aged 81, I take amlogard 10 mg for bp once with tonact 10 at night. For some time past, I feel pain while sleeping on my left toe (all right-side-nail ending) due to pressing. Otherwise I have no pain at in normal walking/ even pressing on left-side of toe. Can you please advise?

BPTh/BPT
Physiotherapist, Mumbai
Aged 81, I take amlogard 10 mg for bp once with tonact 10 at night. For some time past, I feel pain while sleeping on...
Hi for pain take cold water fomentation for 20 minutes thrice a day for 5 days. If still you don't get relief and need further advice, consult me via lybrate.
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I am doing the exercises suddenly comes the back pain I will struggled saviour in two or three days .and after it will be a little bit pain rising pls help.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am doing the exercises suddenly comes the back pain I will struggled saviour in two or three days .and after it wil...
Do need to warm up muscles before and cooling down after exercise do learn stretching and strengthening exercises from physiotherapist best wishes.
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I am 18 year old female and have pain in hand for last 2 years. Recently l consult a doctor and he found that I am effected with CTS (carpal tunnel syndrome) and gave me medicine methycobal500 mcg and lyser forte saying that surgery is not necessary. Now I am taking the medicine about 7 months but haven't got any relief. What should I do now?

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I am 18 year old female and have pain in hand for last 2 years. Recently l consult a doctor and he found that I am ef...
Do contrast bath therapy twice a day Do ball squeezing activity multiple times a day Do finger & hand stretches followed by strengthening program
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My mom is 38 years old and she has pain in her legs since 2 years. What she should do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My mom is 38 years old and she has pain in her legs since 2 years. What she should do?
It requires detailed investigation and examination. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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I have fever but little bit but problem is that my all joints of bones having pain due to it I am no able to walk or do any thing so please suggest me some good advice sir.

DIPLOMA IN ACUPRESSURE THERAPY
Acupressurist, Lonavala
I have fever but little bit but problem is that my all joints of bones having pain due to it I am no able to walk or ...
As you wake up in the morning, apply pressure on your palms (front n back) for 10 minutes. Afterwards rub your hands together till they r warm.
2 people found this helpful
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I am 26 years old since 10 days I have severe low back pain and I am unable to sit for one hour also there is stiffness while walking.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 26 years old since 10 days I have severe low back pain and I am unable to sit for one hour also there is stiffne...
. 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 47 years old, male. Last one month I am facing a pain in my both feet. Sometimes it pinches. Generally I have pain in both of leg since 2 years but it is not any bone related mainly muscles related. If I stretch my legs it gives relief. What I should do? I never intake any medicine for that, only some exercise I am doing.

Diploma in dietetics, PG certificate in Diabetes Education, BPTh/BPT, Verified Certificate in Nutrition for health promotion and disease prevention
Dietitian/Nutritionist, Gurgaon
I am 47 years old, male. Last one month I am facing a pain in my both feet. Sometimes it pinches. Generally I have pa...
Pinching kind of pain can also be due to nerve problems and yes muscle tightness too. So, I suggest you to be regular with your stretching exercises. Like calf stretch, foot stretches, plantar fascia stretch and try contrast bath too. Contrast bath therapy, also known as" hot/cold immersion therapy" is a form of treatment where the feet is immersed in warm water for 3 minutes followed by the immediate immersion of the foot/feet in cold water for 3 minutes. This procedure is repeated several times, alternating hot and cold. This helps in improving blood circulation and help relieves pain. Also in addition to the above mentioned treatment, get yourself tested for vit b12 and vit d deficiency as these can also be the cause of such pain.
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I have been suffering from severe neck pain from past one week, because of helmet and uneven roads. I'm using b-complex tablet, please suggest me a good drug.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
You seem to be a bike rider. Neck pain can occur in such situations due to strain on neck muscles. Such pain can be relieved by simple measures at home. 1) Take rest for 1-2 days. 2) Simple analgesics like paracetamol or Ibuprofen to relieve pain 3) Application of ice pack helps in new onset neck pain in first 24 hrs. Later on application of warm pack will help. 4) Massage locally with analgesic cream 5) Perform neck stretches and muscle strengthening exercises once pain is decreased. 6) Follow good posture habits to avoid further increase in neck pain. Consult your doctor immediately in following cases: 1) Neck pain is persistent and progressive 2) Neck pain following trauma or accident 3) Neck pain associated with tingling or numbness in hands or shoulder.
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Healthy Aging Is memory loss always a part of aging? How much loss is considered normal? How much exercise do people over age 50 really need? Is osteoarthritis a part of aging, and is there a way to reduce risks, even after age 50? Do sleep needs change as we age? How much sleep do we need after age 50? What exactly is" preventive care, and what do you need after age 50?

MBBS
General Physician, Chandigarh
Healthy Aging
Is memory loss always a part of aging? How much loss is considered normal?
How much exercise do people ...
Physical changes in the body happen as you grow after the age of 50 it's very important to get your health checkups done atleast every year memory loss osteoarthritis are not necessarily happening to everyone you can keep a medical check on it regularly and take preventive measures in time like exercises and oral supplements and it's very important to take care of your diet sleep is also individual body's requirement and not a fixed schedule for everybody.
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I have sharp pain in my right knee in movements that involve opening my legs out. I feel a shearing force on the side facing the left leg, accompanied by pain. All other movements are ok. What could be the problem with my knee?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Show me x- rays of your both knee it could be oa/obesity do hot fomentation. Do knee exercises any way take paracetamol 250mg od & sos caldikind plus (mankind) 1tab odx10days x 5days contact me again if needed.
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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.

Before a week my ankle was twisted and still now it didn't get cured how to cure it.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Before a week my ankle was twisted and still now it didn't get cured how to cure it.
Hi Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi. Actually the soft tissues will take upto 3-4 weeks to heal completely and it is important that these injuries are managed well and with same seriousness as a bone injury because if not, then they cause persistent discomfort. 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. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi
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I am 41 for the past 2 3 months I am having leg ache off and on I do not have any other ailments. I regularly go for morning walks for about 6 kms.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Pain in legs is a common condition. Do hot fomentation keep a pillow under the legs at night &/when resting. Any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do knee exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.
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She is 45. She is getting pain in legs joint from 3 days and unable to walk. If she sit anywhere she is unable stood up also she had suffering from bp. What should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
She is 45. She is getting pain in legs joint from 3 days and unable to walk. If she sit anywhere she is unable stood ...
It might be of degenerative changes in joints and do consult neuro physio and take ift and laser therapy for 12 days followed by strengthening exercise once pain subsides best wishes.
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I am 47 years old and having back ache for the last 7-8 years and got mri done with the result impingement of nerve at s1 level of l3 l4 and taking medicine like pain killer etc and nerve relaxant. Got physiotherapy done many times. Please advice.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Not all patients of backache & pain joints need surgery. Most of them can be managed without operation morning stiffness is quite a common condition. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.
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