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Advance Ortho Clinic

Orthopaedic Clinic

Purnima Complex .Namkum Road.Kusai.Doranda ranchi
1 Doctor · ₹200
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Advance Ortho Clinic Orthopaedic Clinic Purnima Complex .Namkum Road.Kusai.Doranda ranchi
1 Doctor · ₹200
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About

Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Advance Ortho Clinic
Advance Ortho Clinic is known for housing experienced Orthopedists. Dr. Arun Kumar Das, a well-reputed Orthopedist, practices in ranchi. Visit this medical health centre for Orthopedists recommended by 105 patients.

Location

Purnima Complex .Namkum Road.Kusai.Doranda
Namkum ranchi, Jharkhand - 834002
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Doctor

Dr. Arun Kumar Das

MS - Anatomy, Diploma In Orthopaedics (D. Ortho)
Orthopedist
Available today
8 Years experience
200 at clinic
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My Father is 82 years old. Suffering from knee pain for 6 month, unable to Walk freely, he has to depend upon Walker as local orthopaedic suggested. The doctor told that it's all about osteoarthritis. In this atmosphere I am feeling helpless, please advise what to do.

BPTh/BPT
Physiotherapist, Mumbai
My Father is 82 years old. Suffering from knee pain for 6 month, unable to Walk freely, he has to depend upon Walker ...
Hello Do proper rest & do hot fomentation for 15-20 min thrice in a day .Take UST followed by IFT for 15 days. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.
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Fracture Pain - How To Deal With It?

MD, FIPP
Pain Management Specialist, Kolkata
Fracture Pain - How To Deal With It?

A fracture is a complete or incomplete crack, which appears on a bone due to application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while sub acute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.

Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them:

  1. Development of fracture pain: When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.
  2. Treatment of fracture pain: Modern medications can be utilized to treat a fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating a fracture pain. However, these remedies cause side effects, which are harmful for the body. Cortisone shots are utilized for the same purpose as well.
  3. Prolotherapy: Prolotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain. Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.

Other measures:

  • Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.
  • Fracture pain occurs not only because of the broken bone, but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied.
3 people found this helpful

I am 32 years. I have knee pain and joints pain. My vit D level is fine. What should I take to get rid of pains?

MBBS, Post graduate in diabetology
General Physician, Howrah
I am 32 years. I have knee pain and joints pain. My vit D level is fine. What should I take to get rid of pains?
If you have pain for less than 1 week, just take paracetamol 1 g twice daily for 3-5 days. If the pain is for a longer duration, then consult.
2 people found this helpful
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A 30 year old female patient has persistent swelling in both arms and both legs since past 6 months. The reason for this problem is not yet known. It is also not known which line of doctors needs to be consulted in this regard. Earlier she complaint about trembling in hands, fainting for 15 to 60 minutes, which is not repeating now. She also suffered low blood pressure occasionally. Want to know the right treatment for the problem.

BHMS
Homeopath, Raebareli
A 30 year old female patient has persistent swelling in both arms and both legs since past 6 months. The reason for t...
Please note the following in respect to your queries: The three most common types of edema are peripheral, cerebral and eye edema. Swelling can result from capillaries leaking fluid into the surrounding tissue. The symptoms of edema mainly depend on what the underlying cause is. The cause of edema may be diagnosed by chest X-ray, blood tests, urine tests, liver function tests or heart function tests. Edema is normally caused by a more significant underlying disease or condition. You should do the above test and then treatment would proceed.
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Hello doc. When I wake up from bed at morning, my foot get pain much, and when I start walking for a few minutes, the pain flew off. And when I sit on chair for few minutes and wake up again foot get pain.

MPT, BPTh/BPT
Physiotherapist, Ghaziabad
Hello doc.
When I wake up from bed at morning, my foot get pain much, and when I start walking for a few minutes, the...
You may be having planter fascitis, morning pain is due to accumulation of inflamation, with walking circulation cause inflamation to wash away reducing pain, do calf stretch and hamstring streching exercises you will get relief.
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There is a regular pain in the left hand and is not getting cured by different creams such as volini iodex. I'm a sugar patient and have thyroid also.

BPTh/BPT
Physiotherapist, Mumbai
There is a regular pain in the left hand and is not getting cured by different creams such as volini iodex. I'm a sug...
Hello Do proper rest & do hot fomentation for 15-20 min thrice in a day .Take UST followed by IFT for 15 days. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.
1 person found this helpful
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Some causes that lead elders to fall down

BPTh/BPT
Physiotherapist, Delhi
Some causes that lead elders to fall down

Decline in muscle strength and flexibility, slower balance reflexes and some vision problems are some of the prevalent causes of falling down amongst elders.

512 people found this helpful

Osteopenia or Osteoporosis - Are You At Risk?

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
Osteopenia or Osteoporosis - Are You At Risk?

Osteopenia is a medical condition that gradually causes thinning of bone mass. While the thinning mass is not considered as severe, the real danger looms when osteopenia aggravates to osteoporosis, resulting in a bone fracture. Osteopenia is mostly witnessed in people above the age of 50. The difference between the diagnosis of osteopenia and osteoporosis lies in the measure of bone density.

Osteoporosis, on the other hand, is the loss of bone mass due to the deficiency of calcium, magnesium, vitamin D and other minerals and vitamins. Osteoporosis can lead to broken bones, height loss, acute pain and humpback. It is estimated that over 54 million people in the US suffer from osteoporosis.

Bone mineral density (BMD):
The calcium deposit in the bone is measured by the bone mineral density (BMD) test. This test rightly estimates the chances of bone fracture in a person. Furthermore, it helps a doctor to distinguish between osteopenia and osteoporosis. Being non-invasive in nature, this test can be performed anytime on areas such as hip, shin bone, spine etc. BMD can either be measured by plain radiographs or DEXA. The latter is a form of X-ray that has lesser exposure to radiation. Post the test, a score is given based on the calcium availability of the bones.

How is a BMD comprehended?
Every BMD result is evaluated in the form of T-score. The T-score is derived by comparing the result of the BMD with a normal person in the 30’s having the same race and sex. The difference of score between a healthy individual and a patient affected with osteoporosis or osteopenia is referred to as Standard Deviation. A patient with a T-score in the range of (-1SD) to (-2.5SD) is considered a prime candidate for osteopenia. A patient having a T-score lesser than -2.5SD is diagnosed with osteoporosis.

Risk factor for osteopenia or osteoporosis:
While not everyone runs the risk of getting either osteopenia or osteoporosis, there are certain risk factors attached to it:

  1. Gender: Women run a higher risk of getting affected with osteopenia or osteoporosis.
  2. Race: Women who belong from the Caucasian or Asian origin run a higher risk of getting these diseases.
  3. Age: Most people tend to get these diseases above the age of 50. Humans have a tendency of losing close to 0.5 percent of bone every year after a certain age.
  4. Family history: A person with a family history of osteopenia or osteoporosis has more than 50% chance of getting either osteopenia or osteoporosis.
  5. Lifestyle: Poor diet, excessive smoking, alcohol, lack of exercising etc. goes a long way in contributing towards these diseases. If you wish to discuss about any specific problem, you can consult a rheumatologist.
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I get burning sensation in both legs and palm when I go to bed nite or noon whenever I lie down on bed I get burning sensation why?

BHMS
Homeopath, Raebareli
I get burning sensation in both legs and palm when I go to bed nite or noon whenever I lie down on bed I get burning ...
Dear lybrate-user, buring of palms and legs is due to vit b deficiency and or nerve compression in lumbosacral region. Nothing to worry about use a medicine Rhus Tox 30 thrice a day for 5 days and consult back thereafter.
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Due to hip pain approached Ms. Ortho then he preferred MRI for Lumbar Spine IMPRESSION: Bulging L5-S1 disc with Central protrusion, osteophytes causing impingement On the a and encroachment ofneural foramina.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Due to hip pain approached Ms. Ortho then he preferred MRI for Lumbar Spine
IMPRESSION: Bulging L5-S1 disc with Centr...
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.
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Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

MD - General Medicine, DM - Rheumatology
Rheumatologist, Delhi
Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.

1073 people found this helpful

When I walk some distance .my knees are paining and also my foot .why and what should I do to reduce this pain.

BPTh/BPT
Physiotherapist, Mumbai
When I walk some distance .my knees are paining and also my foot .why and what should I do to reduce this pain.
Hello Do proper rest & do cold fomentation for 15-20 min thrice in a day .Take UST followed by IFT for 15 days. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.
2 people found this helpful
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Because of desk job m suffering from initial stage of spondylitis and m having severe pain in shoulder and neck and there are lot noise are coming from my bones.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kottayam
Because of desk job m suffering from initial stage of spondylitis and m having severe pain in shoulder and neck and t...
I suggest for an inpatient treatment in any Ayurveda hospital whicha help you a lot also if you could get prasaranyadi kwatham have it twice daily before food 15 ml. Of crude kwatham. Mixed with 1/4 glass of luke warm water.
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Cell Phone And Neck Pain

MBBS ,MD
Pain Management Specialist, Hyderabad
Cell Phone And Neck Pain

One should note continuous smart phone usage more than 15 min at a time increases strain on neck muscles and spinal cord.

More muscle spasm becomes irreversible and turns into chronic pain in the neck which can be debilitating.

Do yoga and exercise daily and be healthy

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Mere left leg me chot lgne se wahan ki haddi par nila aur lal rand ho gya hai par dard zyada nhi hai lekin leg ke thora upar ander se sujan jaise lagta hai. Iska ko medicine hai jo ye sujan aur chot ko zyada badhne na de aur koi bimari hone se rok de. Chot leg ke upar haddi me lga hai wo bhi 10 din pahle.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
Mere left leg me chot lgne se wahan ki haddi par nila aur lal rand ho gya hai par dard zyada nhi hai lekin leg ke tho...
Take arnica 30 4pills thrice daily and ledum pal 200 4 pills once daily for 7 days and consult after that if neeeded. Thanks.
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I'm 40 years age male. I suffering knee pain for two months. I show to doctor. They say that you have starting of knee depreciation seeing my x-ray. So what I have do to get relief from this?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'm 40 years age male. I suffering knee pain for two months. I show to doctor. They say that you have starting of kne...
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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All About Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
All About Knee Replacement

Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.

Why do you need knee replacement?

Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.

If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.

Some of the common reasons why you may opt for this particular surgery are:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.

The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.

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Actually I want to ask my dad's health issue, As doctor he is attacked with the paralysis stroke but today I found my dad is totally unconscious and continuous saliva draining from his mouth and making a sound like snoozing. Please guide me what may be the problem?

MBBS, Diplomate of American Board of Psychiatry and Neurology
Neurologist, Delhi
It seems like he might have a seizure which can be seen after someone has a stroke. Please take him to the hospital asap and have him examined so he can be put on the appropriate medicine. He would also need to get an EEG to rule out seizures.
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My mother has knee pain because of that she e is not walk well please suggest me treatment for that.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
My mother has knee pain because of that she
e is not walk well please suggest me treatment for that.
Homeopathic mode of treatment is very effective in treating knee pain. Homeopathic medicines treat by moderating the overactive immune system. They help reduce joint inflammation and symptoms including pain, swelling and stiffness of joints. Consult online.
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