Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 27 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.
Book Clinic Appointment with Dr. Shirish Pathak
Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Submit a review for Dr. Shirish PathakYour feedback matters!
My mother is 52 years old. My mother have muscles pain (low intensity) in whole body which remains most of time, during housework. The pain goes when body muscles are pressed via hand. Also, have problem of long term stomach gas due to weak liver and intestine.
I used to masturbate more than ten times a day. Last few days I have a back pain, could it be sleeping straight and masturbating?
Swollen in both the legs. My weight is around 90- Kgs, Height 5.5' and Age 57 years. What treatment I need please advise.
I have a frozen shoulder. How to make it comfortable during night sleep. I face problems while wearing or unwearing clothes and night sleep. It has less strength than right hand. Pl.suggest me some massage therapy or cure. I am eagerly waiting for your valuable answer.
Dear Sir, I m 35 years female suffering from pain at elbow and little lower in right hand, no medicine works. Pleases suggest.
The spine is a foundational structure of the human body that supports both the head and the neck. The neck is especially vulnerable to the damaging effects of poor posture because it’s influenced by the position of the skull as well as the curvature of the spine.
When the neck leans forward and the head is in front of the shoulders, the forward weight of the head can place considerable pressure on the vertebrae of the neck. This position, if held repeatedly for long periods of time, has been found to contribute to disc deterioration and other degenerative conditions.
Prolonged malposition of the spine or the head can put a fair amount of strain on neck muscles, causing them to become tight and tense.
This muscle tension often leads to pain and stiffness. There are also several other muscles that are particularly susceptible to damage caused by strain.
These muscles are-
1- scalene muscles
3-levator scapulae muscles.
A forward head position also places strain on the upper back and shoulder muscles. Excessive muscle strain is a common culprit for recurring back pain.
The results of poor posture-
If left uncorrected over time, poor posture can lead to numerous long-term problems. Improper posture can begin to irritate the ligaments, joints and soft tissues in and surrounding the neck.
Irritation could contribute to the development of osteoarthritis, disc herniation or degenerative disc disease. It may also cause decreased range of motion and the development of painful trigger points (areas of muscle that are extremely sensitive to touch).
How physiotherapy can help?
Treatment of neck problems involves identifying and managing the underlying causes present.
Physiotherapy treatment includes- mobilization and/or manipulation techniques, stretching and strengthening of the neck musculature, soft tissue therapy and trigger pointing, heat therapy, cryotherapy, postural correction, acupuncture, ultrasound and pilates.
Manual therapy techniques are used to loosen joint and soft tissue restrictions, while posture correction and specific and how to prevent recurrences.
The majority of neck pain sufferers tend to work at desks; therefore, optimising this environment through ergonomic assessment is often the key to successful management of this problem.
I am 65 years old, may 2011 accidentally I fallen down on road since then I am having pain in both thighs, hence having problem in sitting down and getting up.
What is arthritis of the knee?
The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.
What is medial compartment arthritis?
Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee.
How do you diagnose medial compartment arthritis?
ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.
Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.
Who requires surgery?
People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.