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Dr. Sangham Kapale

Orthopedist, Pune

Dr. Sangham Kapale Orthopedist, Pune
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Sangham Kapale
Dr. Sangham Kapale is an experienced Orthopedist in Viman Nagar, Pune. You can meet Dr. Sangham Kapale personally at Jeevan Jyot Hospital in Viman Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Sangham Kapale on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 28 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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Near Sky max mall ,Dhuttamandhir chouk, Viman Nagar, PunePune Get Directions
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Hi I have swelling to my left leg. I checked my kidney And liver profile all the reports came normal. Its been a week like this. I tried elevating my legs at nights and took lasik tablet but no results. Please advise what need to be done.

MS - Orthopaedics, MBBS
Orthopedist, Pune
Hi I have swelling to my left leg. I checked my kidney And liver profile all the reports came normal. Its been a week...
Hello lybrate user, get your lower limb colour doppler done to check for dvt or varicose veins and thyroid profile. God bless you.
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Sir I am advised ARTHROSCOPY for loose multiple bodies in knee joint. Can I avoid surgery and get cured with medicines

MBBS, M. S. Orthopedics, M.ch. Orthopaedics, MD - Sports Medicine
Orthopedist, Delhi
Loose bodies need to be taken out and send for tests to see the cause of formation of loose bodies. i would advise that you get arthroscopy done
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I am 40 yrs old from idukki dist, kerala. I have problems in cervical spine c4, c5,&c6 having pain in neck and leading to shoulder and right arm please advice.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph & 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. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 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.
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I have diabetes since last 15 years and it is largely controlled but time and again it goes beyond the regulated limits. I am experiencing pain in my feet and maybe because of neuropathy, and there is also a sense of numbness. Lately is is seen that the third toe on my right leg has curved downward. Can you suggest treatment for the above and who should be consulted. Thanks/regards

M B B S, M. D (Internal Medicine)
General Physician, Nellore
If your glycated hemoglobin is within fair control, then you need not bother about occasional rises in the sugar levels. Neuropathic pains are treated symptomatically. They are expected to happen after so many years. Do not worry about your toe. I think it is only age-related changes in the joints.
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I hava pain on my leg. I try many medicine but not a good result for me. Please hepl me.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
I hava pain on my leg. I try many medicine but not a good result for me. Please hepl me.
Hello, Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them . I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
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While doing workouts like dips. I am suffering from back pain. What I have to do?

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
While doing workouts like dips. I am suffering from back pain.
What I have to do?
Dear lybrate-user, You have to pay attention in back strengthening foods to add strength to the muscles. Also check th posture of workouts and daily sitting, sleeping habit. Regards.
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I have back pain for one week and I am using some pain relieving creams for one week but didn't feel any relief .What should I do?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have back pain for one week and I am using some pain relieving creams for one week but didn't feel any relief .What...
rest must. do hot fermentation. apply pain relief ointment. do stretching exercise. posture correction must. avoid long sitting toward bending lifting weight .
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My mother is 48 years old. She is facing the problem of legs and back pain like many women of her age faces. What she can do to cute from this problem.

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
My mother is 48 years old. She is facing the problem of legs and back pain like many women of her age faces. What she...
Take rest properly. Avoid forward bending and heavy lifting. Avoid prolonged sitting and standing. Take hot fermentation. Do walk daily. Back muscles strengthening exercises are very helpful. Can take physiotherapy treatment.
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Me 18 years ki hu Mujhe mere back me pain he mere back ki ek bone me space kam ho chuka hai Doctor Ne physio therapy k liye kaha to kya usse meri problem solve ho sakti hai. please help me.

BPT
Physiotherapist, Bangalore
Me 18 years ki hu Mujhe mere back me pain he mere back ki ek bone me space kam ho chuka hai Doctor Ne physio therapy ...
Dear aapka back problem physiotherapy se hal ho sakta hai aur teekh kar sakte hain. Kuch exercises aur physiotherapy modalities se iss problem ka hal hai.
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My left ankle gets swollen and painful doctor says I have rheumatoid arthritis Can be possible.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It needs to be investigated. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3, ra factor, crp urine r/e x ray of the affected part. Anyway you may try- 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. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.
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I am 22, male. I have pain in my right knee, I mean the joints. I had this pain from past 5 years. But from last 1 year it has been very painful. Before this 1 year, for nearly 6 months I heard sounds while walking (in between the joints). I could not even sleep due this pain. Actually what is the reason behind it. Why it is caused. What should I do to get rid of this?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 22, male. I have pain in my right knee, I mean the joints. I had this pain from past 5 years. But from last 1 ye...
It must be investigated. Get a MRI of the knee. You would probably need arthroscopic knee surgery. Do ask for detailed treatment plan. Don?t ignore it lest it become beginning of a bigger problem
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I am a 35 years old male, my problem is backpain just from 4months early morning 4am to 8am daily, after relief the day so my problem solving what should to do please inform to me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am a 35 years  old male, my problem is backpain just from 4months early morning 4am to 8am daily, after relief the ...
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. Paracetamol 250mg od & sos x 5days. Caldikind plus 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. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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Hii doctor iam 60years old female my legs are paining so much can you please tell about the good medicines.

MBBS
General Physician, Faridabad
Hii doctor iam 60years old female my legs are paining so much can you please tell about the good medicines.
take tab dolo 1 tab bd for 7-10 days, cap becosule daily, tab osteum 1 tab daily, it will help. thanks
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Hello doctor, I just want to ask that my hand pains whenever I lie down and type in my cell phone. I can't use my phone for more than 1 min while lying down. I have pain in my hand If I carry some greater weight with it. Earlier some fibre shift or sth one doctor said, I don't know what is it exactly.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Hello doctor, I just want to ask that my hand pains whenever I lie down and type in my cell phone. I can't use my pho...
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Inform after 5 days.
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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MPT
Physiotherapist, Mumbai
Driving and sitting in a hunched position for too long can cause strain in the neck muscles.
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Hi, I am 31 years old, and I am having backache for 1 and half years. Also having pain in right shoulder to wrist. Please tell.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hi,
I am 31 years old, and I am having backache for 1 and half years. Also having pain in right shoulder to wrist.  P...
Apply hot fomentation twice daily. \navoid bending in front. \npostural 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 da.
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Since from last couple weeks my upper back right joint feels heay , being littel painfull could you suggest me why so.

MPTh/MPT, MSC CVR, MANUAL THERAPIST
Physiotherapist,
Sir, reasons can be many. You shall explain your working pattern and posture. Visit a Physiotherapist to get comprehensive care. Dial 9820011774 for any assistance
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I have to face some severe pain in my back for some time its normal or dangerous?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have to face some severe pain in my back for some time its normal or dangerous?
Tk heat fermentation twice a day and avoid long sitting, standing toward bending, and a x-ray must of severe pain.
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My wife having issues with white discharge and during this period she is having lots of pain in legs below knees. Also even in normal days she is having this leg pain issues.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hello sir, tell me cbc report, usg report? how many months she had c/o? fer. Phos 12c 3 hrly for 10 days qmillif. 20 drops twice inform me progress thanks.
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