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Dr. Ashish

Orthopedist, sonipat

100 at clinic
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Dr. Ashish Orthopedist, sonipat
100 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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When am lifting my right shoulder I feel pain in my shoulder joint please suggest prescription and medical suggestions.

Bachelor Of Physiotherapy
Physiotherapist, Noida
When am lifting my right shoulder I feel pain in my shoulder joint please suggest prescription and medical suggestions.
Hi sir this is because of over use. And sitting in bad posture try to avoid continuous sitting on laptop do hot fermentation daily 15 min shoulder exercises 15 min wall arc ,swing and up down side wise daily. My clinic is in noida come any time I am doing myotherapy it's 90℅advance to physiotherapy. Will relieve you in first session.
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I have pain in both knee continuously, even do all possible exercise, but pain continue. 6 years back surgery have done in my right knee. Age 31 yrs.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in both knee continuously, even do all possible exercise, but pain continue. 6 years back surgery have do...
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. Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Sports Taping- stretch the tape from both ends and apply on the affected area
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I suffer from serious pain in my left hip near to the position of pancreas from few previous months so what I shall do give me a beneficial suggestion ?

BPTh/BPT
Physiotherapist, Mumbai
I suffer from serious pain in my left hip near to the position of pancreas from few previous months so what I shall d...
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply ice packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and mannual therapy will help in painfree movement. In next consultation describe your problem in detail and do share related reports and prescription if you have any. Best wishes.
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How Radiological Evaluation Can Help In Case Of Hip Replacement?

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
How Radiological Evaluation Can Help In Case Of Hip Replacement?

Radiology is a special branch of medical science that uses various techniques of imaging for the diagnosis and the treatment of several types of diseases in the body. The different types of imaging techniques used in radiology are X-rays, Computerised Tomographic scan (CT Scan), ultrasound, Magnetic Resonance Imaging (MRI) and nuclear medicine which includes Positron Emission Tomography(PET).

Role played in evaluating hip replacement
Hip replacement surgeries have become extremely common in the recent times, and radiological evaluation remains the mainstay of the overall hip replacement procedure. Thus, the role played by radiology is quite significant in such situations. All the specific anatomical landmarks and the measurements are used to make sure the placement is perfect during the hip replacement surgery. Radiological imaging helps in the assessment of the following conditions that are as discussed below.

The length of leg
The inequality in the length of the two legs is prevalent after a hip replacement surgery which can create a great deal of discomfort and inconvenience to the patients. A greater difference in the length of the two legs increases the chances of dislocation, and this is a situation where radiological evaluation plays a crucial role. With the help of radiological imaging, the length of the legs can be made almost equal.

The horizontal center of rotation
In this case, horizontal center of rotation helps in the assessment of the acetabular component of the prosthesis. This is calculated by the measurement of the distance between the center of the head of the femur and the acetabular teardrop. This distance should be bilaterally equal, and it is just not possible without the help of the imaging techniques of radiology.

Acetabular inclination
The acetabular inclination is the angle formed between the face of the cup and the transverse axis. If the angle is less, then it results in a stable hip, but the abduction is limited. On the other hand, if the angle increases then there are high chances of dislocation of the hip. Thus, with the help of radiological evaluation, proper and effective angular inclination is given which is optimum for the patient.

The stem positioning of the femur
The main aim of the stem positioning of the femur in a hip replacement surgery is placing the stem in a position which is neutral within the shaft. To get a proper idea of the positioning, the imaging techniques are of utmost importance which cannot be achieved perfectly without the imaging.

Thus, the crucial role the different techniques of radiological imaging plays during the overall procedure of a hip replacement surgery can be perceived. With the use of the different imaging techniques, the results obtained are closer to perfection. If you wish to discuss about any specific problem, you can consult a Radiologist.

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I have knee pain on both side of my leg past few days how can I overcome to this problem Please help me out.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have knee pain on both side of my leg past few days how can I overcome to this problem
Please help me out.
Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. 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.
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My father is having pain in his right leg's calf muscle only at night. He tried general pain relievers but no effect he only wears anklet now. What to do. His age is 49.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My father is having pain in his right leg's calf muscle only at night. He tried general pain relievers but no effect ...
Avoid long standing and keep equal balance on both legs di heat fermentation and gentle massage tk muscle relaxant medicine and rest. If it work then ok otherwise tk physiotherapy treatment tens and ultrasonic therapy.
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I am 34 years old. I have a problem of neck pain and hair fall. What should I do?

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
I am 34 years old. I have a problem of neck pain and hair fall. What should I do?
For hairfall - Start taking black til (seasam) with a glass of lukewarm milk early morning. Avoid pickles, spices, oily, greesy food items. Start avle ka murabba. Also have a high protien rich diet e. G. Pulses, dry fruits, black gram, ground nut etc. Also oil your hair with good herbal oil and wash with herbal shamppoo - avoid shampoos with high acid contents. As far as ayurveda's therapy is concerned - start with shirodhara with herbal oil and nasyam therapy for atleast 15 days. This will greatly help. Do gentle massage with herbal hair oil daily night for 15 minutes. Although some herbal medicines might also help you but after proper history taking. For neck pain - gentle massage over neck with lukewarm herbal pain relieving oils daily for about 15-20 minutes and hot fomentation afterwards will greatly help in subsiding the pain. These procedures would give strength to your neck muscles and reduce the pain and stiffness. Regular oiling the joint will improve the lubrication also. This will greatly help. Although some herbal medicines might also help you but after proper history taking.   1.
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Hi good morning, I am 39 years old working woman. I am suffering with muscle pains in lower portion of the legs n shoulder muscles. Can I know the problem n Which specialist doctor I need to consult?

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hi good morning, I am 39 years old working woman. I am suffering with muscle pains in lower portion of the legs n sho...
You should take Acupressure therapy and take Biochemic Nat Mur 200x + Mag phos 200x 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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When we had last sex. We had it so long and 4 time in 6 hours When she reached home her inner parts were paining and there were swelling on side of vagina entrance Her legs were also paining. I am afraid that such sex cause any type of harm. Please suggest We both enjoyed during doing it.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
When we had last sex. We had it so long and 4 time in 6 hours
When she reached home her inner parts were paining and ...
The pain and swelling which she is suffering from is temporary and will be gone within days. For getting relief she can take tablet brufen 2-3 times a day and she can sit in hot water tub.
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I am 62 year old man since last 4 months I started getting pain just below my left feet just 2 inches behind my thumb diagnosed by doctor, says uric acid is the cause for all complications now regularly taking medicine. Doctor adviced not to take. Highly proteinous food & not to take whiskey. If I walk more then slight pain start. I take hot water compression then rub with iodex then crept bandage. Please advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 62 year old man since last 4 months I started getting pain just below my left feet just 2 inches behind my thumb...
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.Take tab. Zyloric 100 mg once a day.Take tab. Bencid 500 mg once a day. Tab. Ulracet sos or tab. Naprosyn 500 mg once a day or sos for pain in joints.
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Meri kamar me dard hai 8 months se bahut pareshan hu kya karu gas bhi bahut banti hai x ray, ultrasound sab normal hai kidney ke side dard hota dono side kabhi kabhi saas lene me bhi taklif hoti hai.

MS Orthopaedics
Orthopedist, Panchkula
Meri kamar me dard hai 8 months se bahut pareshan hu kya karu gas bhi bahut banti hai x ray, ultrasound sab normal ha...
Ek Hafte ke liye avoid milk products like Dahi Lassi Paneer to tame down Uric acid formation. Pet bharke khana nahi khao
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I am having problem with my backbone I always suffer from pain what should I do to recover from that Please suggest something to do it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am having problem with my backbone
I always suffer from pain what should I do to recover from that
Please suggest s...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days. Best treated with ayurved & panchakarma procedures. 1) massage + steam 2) pinda swedan 3) agnikarma.
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Sir I am photographer and I do work hard due to running here and there I fell back pain can you suggest me what should I have to do.

Bachelor Of Physiotherapy
Physiotherapist, Noida
Sir I am photographer and I do work hard due to running here and there I fell back pain can you suggest me what shoul...
Hello according to your condition you have to take hot water fermentation through towel and do it 3 times in a day duration-15 min along with stretching and back exercises like straingh leg raising, bridging with -20 min repetition -5 sec hold do it for 3 days sure you will get well soon take care.
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Someday ago I was suffering from heavy cold and now my hip and shoulder gets pain and I can't able to walk running properly.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Someday ago I was suffering from heavy cold and now my hip and shoulder gets pain and I can't able to walk running pr...
You should take acupressure treatment and take biochemic mag phos12x + Nat Mur 200x 4 tab each thrice a day with warm water and take it 5 day's and consult private online.
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Sir I'm 34 years old. For the last one week I have severe back pain. I had c section delivery 3 years before. I also have belly after that. My weight is also raised. Please . Send me any remedy.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir I'm 34 years old. For the last one week I have severe back pain. I had c section delivery 3 years before. I also ...
Homoeopathic medicine spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hourly depending on pain daily drink 2 glass milk and an egg daily report after 15 days try to have control over your weight.
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Sir I have spondylitis problem doctor advice to take saaz medicine am taking it from 3 years please give your advice I have still pain in my joints after some time.

MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Lucknow
Sir I have spondylitis problem doctor advice to take saaz medicine am taking it from 3 years please give your advice ...
Hi you must have a Blood test for ESR, CRP,CBC and liver function test. If your clinical symptoms are controlled and ESR is normal, your doctor may taper dosing and watch with periodical testing if Disease process accentuates or not, if not it can be safely tapered further or ad the need be, switching to simpler meds. I personally, prefer giving only short course of cortisone and anti inflammatory meds for ankylosing spondylitis instead of saaz, that too under acute episodes only. I suggest physical therapy, exercises as mainstay of management with backing by meds in acute flares only best wishes.
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I have a swelling in my elbow. I can't directly open or close my hand. What should I do doctor.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes for swelling, it could be inflammatory or secondary to some trauma etc. Can you please tell me whether there is any local warmth on touch or any other symptoms like skin redness etc? please also send me a clinical picture showing your elbow movements from full bent posture to a straight posture. Also kindly send recent blood tests so that I can see and advise accordingly. 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.
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I am suffering from pain in whole my body whenever I do something my joints ache too much its very paining please give me advice.

D.P.T
Physiotherapist, Hyderabad
I am suffering from pain in whole my body whenever I do something my joints ache too much its very paining please giv...
Dear lybrate-user, just pain in body is not a problem. Check for your vitamin and calcium levels in the body. Deficiency of calcium nd vitamins increases weakness due to that you suffer pains. Take vitamins and calcium rich food. According to reports after b12 nd d3 test. Take pills.
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Hello my name is Gautham from chennai I had backbone pain problem in last two years it gives more stress and lazy about myself please give any suggestion or treatment for this backbone pain problem.

BHMS
Homeopath, Delhi
Hello my name is Gautham from chennai I had backbone pain problem in last two years it gives more stress and lazy abo...
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little water) thrice a day for a week. 2. Rhus tox 30 (4 drops in little water) thrice a day for a week and revert. Keep a gap of 15 - 20 minutes in both the medicines.
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Muscle & Ligament Sprain - Tips To Help You Deal With It!

MBBS, MS - Orthopaedics, Fellowship Joint Replacement Surgery
Orthopedist, Delhi
Muscle & Ligament Sprain - Tips To Help You Deal With It!

Muscle sprains and ligament tears are one of the most common injuries that medical practitioners encounter on a regular basis. These injuries are painful and can also limit one’s movement, needless to say. However, there are simple things that can be done as soon as the injury happens so that the impact of the injury can be reduced, the symptoms minimised, and recovery improved.

A sprain is a tear of the ligament. The ligament is responsible for connecting the tissue strands that connect the bone to the muscle. When this sprain affects the muscle or even the tendon, it is known as a strain.
Sprains are very common and can occur due to a fall, twist, or impact. Most commonly affected areas are the ankles and wrists. Sprains happen when there is a pull or a twist of the ankle or the joint. This is very common in athletes and can be caused by repetitive motions in the knees, wrists, elbows, etc.

The most common symptom is pain, swelling, limited movement, and sometimes bruising. The degree of these injuries depends on its severity. The most common ways to treat such injuries are as follows.

  1. RICE therapy: RICE is an acronym for rest, ice, compress, and elevate. Rest the affected area immediately by stopping any further activity. Ice the area using an ice wrap, with the ice cubes wrapped in a towel or a cotton cloth. Repeat this exercise if possible for every 20 minutes. This will reduce the swelling and pain. Compress the area using a sling or a wrap. This will help in reducing the swelling. Elevate the affected area if possible above the heart. This will help control the blood flow and thereby reduce the swelling and pain.
  2. Pain control: If there is pain that needs medication, go for the non-steroidal drugs like ibuprofen or acetaminophen. If it is a child that is injured, it is advisable to give non-aspirin ones.
  3. Seek professional help: Most sprains can be self-limiting over a couple of days. However, it is advisable to seek medical help if there is significant pain, swelling, or numbness, open wounds or bruises, or inability to move the joint.

The doctor may decide to do the following.

  1. Scanning or imaging to rule out any internal hard/soft tissue injury like fracture or tear
  2. Immobilise the joint with a splint or a cast
  3. Start physical therapy if there is severe pain and immobility
  4. Surgical repair if there is a ligament injury

A word of caution to athletes or people who are very active physically is to go easy on the joint. In an eagerness to quickly get back to their routine, more and severe damage may be caused. This can be avoided by allowing time for complete healing. If you wish to discuss about any specific problem, you can consult an Orthopedist.
 

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