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Dr. Shreyash Kapale

Orthopedist, Pune

300 at clinic
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Dr. Shreyash Kapale Orthopedist, Pune
300 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Shreyash Kapale
Dr. Shreyash Kapale is a popular Orthopedist in Viman Nagar, Pune. You can visit him at Jeevan Jyot Clinic in Viman Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shreyash Kapale on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 29 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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Jeevan Jyot Clinic

#1, Siddharth Royal Home, Datt Mandir Chowk, Viman Nagar. Landmark:Opposite Reebok Showroom, PunePune Get Directions
300 at clinic
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I have sometimes severe pain in my back .When I ask someone to stand at back in order to relax then my many bones where crack with sound At least 10-15 crack sound is observable. So is it normal?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have sometimes severe pain in my back .When I ask someone to stand at back in order to relax then my many bones whe...
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathologicalreasons for back pain. If you have leg pain then you have to rule out the casues for having leg pain. Firstf all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. Physiotherapy treatment: Ift and swd can be done for localized pain. Ift and traction can be done if you have radiating pain. •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side. •Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.
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Dear Sirs, When I sleep in the night I get normal sleep. But last in the night I get numbness both in the right leg .

MBBS
General Physician, Mumbai
Dear Sirs,
When I sleep in the night I get normal sleep. But last in the night I get numbness both in the right leg .
Numbness can be due to decrease in electrolytes or sugar at that point of time and so I will suggest you to drink a glass of lemon water during sleeping time.
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Physiotherapy Balancing and Coordination Exercises (In Standing And Walking)

MPT, BPT
Physiotherapist, Noida
Physiotherapy Balancing and Coordination Exercises (In Standing And Walking)

STANDING ACTIVITIES:

Once the patient has a good head and trunk control one needs to work on thecontrol of the lower limb in order to make the patient stand successfully.Activities like unilateral bridging, crawling, kneeling and half kneeling helps in developing good pelvic and leg control. 

These exercises are progressed from supported position to unsupported position.Sitting to standing can be practiced by making the patient sit on a chair or cot such that the feet are in proper contact with the ground. The patient is advised to lean slightly such that the centre of gravity is brought between the feet, the therapist should stabilize the knee and support the pelvis there after the patient is encouraged to assume standing posture. 

Repetition of this task is essential till the patient masters the activity. The patient may be also taught standing by pulling on to the wall bar or parallel bar but for this the upper limb should be strong, nevertheless in the initial stages the support and assurance by the therapist is very important. Once the patient learns to stand,balance and weight transfer is taught. 

Posturography machine provides the important feedback to the patient which helps in improving the standing balance and control. Approximation given to the pelvis or to the shoulder also helps infacilitating stability in standing. In case the patient has tremor then ankle weights, a weighted belt or theraband can help in reducing them. 

Once the patient is stable in double support phase, weight transfer is practiced. Lastly in standing the patient is made to make a step with either limb in forward,backward and outward direction as a prerequisite to ambulation. 

GAIT TRAINING 

Gait training may be initially given in a parallel bar with foot marks. Footmarks are essential to reduce the tendency of the patient to walk with wide base of support. He needs constant verbal feedback regarding the step length,body rotation, accessory movements and trunk positions if the functional activity does not present itself as a whole procedural program. 

When the patient has to be progressed to walk outside a parallel bar, the therapist decides whether thepatient needs to be given an assistive device, which is based upon the balance of the patient. Although walking aids do provide support to the patient, they also possess a problem because the patient will now need to control the position and movement of the device as well as themselves.Walker or cane may be used depending upon the patient’s comfort.

Various coordination tests were used as assessment tools for incoordination are also used as exercises to improve incoordination. The patient is asked to repeat each activity about 10 to 12 times during each session. 

The patient maybe given these exercises as even home exercise program. At home patient can have multiple sessions with good rest in between them to avoid fatigue.Proximal fixation can be improved by using PNF techniques like rhythmic stabilization and approximation.

Pain in knee, heart patient, MI PTCA done before 3 years. Osteo arthritis or any deformities was not shown in xray. Now treated with BENFOMET PLUS, CARTIZEN DUO, but still now pain is there.

Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Mumbai
Need to be reevaluated by ortho surgeon around u and if u don't want to undergo total knee replacement than conservative treatment to be started.
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I am 59 years old suffering with right knee pain problem for the last six- seven days and I am not in a position to fold my right leg. paracetamol- 650 is not giving much relief. Please advice me what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 59 years old suffering with right knee pain problem for the last six- seven days and I am not in a position to f...
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful do hot fomantation. Sumo joy 1 tab. Bd & sos x 5days. Caldikind plus 1tab od x10. 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. For emergency treatment contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5 days, contact me again.
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Knee Injuries - Things You Should be Aware of

MBBS, MS - Orthopaedics, Fellowship in Arthroscopy & Arthroplasty Shoulder & Knee
Orthopedist, Gurgaon
Knee Injuries - Things You Should be Aware of

Knee injury can occur from the direct blow as well as through stretching and twisting injuries. At times the ligament that holds the knee in place gets stressed and results in sprains. Depending on the extent of the ligament and fibre damage, the sprains are graded. Then there are knee injuries that are caused by overuse of it. These injuries cause harm to the tendons and the muscles. Since the knee is interconnected to a lot of other structures, any damage to the knee can have serious repercussion to other connected bones and ligaments.

What are the Risk Factors?

1. Muscle imbalance leading to hamstring spasm.

2. Imbalance of the thigh muscle leading to injury of the knee.

3. Pregnant women and people who are overweight are at increased risk of knee injury

Signs and Symptoms of a Knee Injury:

Knee injuries that are serious in nature can result in instant swelling along with difficulty in bending it. People may find it difficult to bear any sort of weight whatsoever. Joint pain, swelling, inflammation of the muscles are some of the other symptoms of injury to the knee. Pain, instability, locking of the knee can be felt while walking fast or climbing stairs.

When to Contact a Doctor?

Any knee injury should be instantly reported to a doctor. Signs such as deformity, loss of sensation, cold ankle, swelling of knee etc. are signs of a knee injury. A doctor should be consulted, if home remedies such as rest, elevation, compression and ice treatment fail to fetch any fruitful results. If the swollen area has become warm and red and accompanies fever, it is a sign to visit the doctor.

How is a Knee Injury Diagnosed by a Doctor?

A doctor starts the diagnosis with medical history along with physical exam of the patient. Doctor first does a thorough inspection of the nerve and blood supply of the area.The next step of the diagnosis includes palpation. This is a step where the doctor tries to find out the exact location of the pain and tries to correlate the same with the injury location. The doctor might also stress the ligament in order to find out if they are fine. Other imagery tests such as X-ray and MRI are performed to find out the exact location of the injury.

Treatment Available-

The nature of the injury decides the treatment plan. In many cases, the injured area is suggested to be kept at rest or moved in the specific direction as per the direction of a physiotherapist. For serious injuries with a tendon or ligament injury, a reconstructive surgery is necessary to get the knee to the original condition. The type of surgical procedure depends on the kind of Injury one have faced.

4621 people found this helpful

I got a lot of body pain especially in joints due to chikungunya since last month. Please suggest any medicine for the end of this pain completely.

PGDT, BHMS, PGD PPHC
Homeopath, Delhi
I got a lot of body pain especially in joints due to chikungunya since last month.
Please suggest any medicine for th...
hi. u can Eupatorium 200 along with Rhus tox 200, both medicines 4 times daily.. also take plenty of water and light exercises for all body parts twice daily. don't worry, you will be fine
3 people found this helpful
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I am 57 y male, Feeling burning sensation on lower part of feet (Talwa) since last 5 yrs, Taking medicines as adv. By doctors but NO relief.

BPTh/BPT
Physiotherapist, Kolkata
I am 57 y male, Feeling burning sensation on lower part of feet (Talwa) since last 5 yrs, Taking medicines as adv. By...
Due to your back pain that radiates to your Talwa take IFT over lumbar region for 15 days @ 150 min take IFT over foot (pain foot) for 10 days @ 10 min use soft sole shoe insole of Oppo inside the shoe NUCOXIA Mr. OD x 15 days take the medicine after launch.
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I am suffering from waist bone pain because of it its difficult for me some time to walk.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am suffering from waist bone pain because of it its difficult for me some time to walk.
Anaemia always leads to the symptoms of being tired that can also be reason to have frequent sprains in the leg once the oxygen levels in the blood comes down it automatically leads to improper functioning of the joints and muscles and that also might make the hip muscles to become tired thereby straining mildly might lead to waist / hip pain.
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I am 35 years old female I am having back pain doctor said that I am having gap between bones. What is the solution to compress the gap.

MPT, BPT
Physiotherapist, Noida
I am 35 years old female I am having back pain doctor said that I am having gap between bones. What is the solution t...
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.
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