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Titan Hospital

Orthopaedic Clinic

Soham Plaza,Godbhunder Road, Manpada,Thane West. Landmark:Near Manpada Circle & Near Tikujini Wadi, Thane Thane
1 Doctor · ₹500
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Titan Hospital Orthopaedic Clinic Soham Plaza,Godbhunder Road, Manpada,Thane West. Landmark:Near Manpada Circle & Near Tikujini Wadi, Thane Thane
1 Doctor · ₹500
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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 Titan Hospital
Titan Hospital is known for housing experienced Orthopedists. Dr. Nameet Sharif, a well-reputed Orthopedist, practices in Thane. Visit this medical health centre for Orthopedists recommended by 104 patients.

Timings

MON-SAT
06:00 PM - 07:00 PM

Location

Soham Plaza,Godbhunder Road, Manpada,Thane West. Landmark:Near Manpada Circle & Near Tikujini Wadi, Thane
Thane, Maharastra
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

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Osteoarthritis - 5 Tips to Help You Prevent It

M.Ch. orthopaedics, M.S. (Orth)
Orthopedist, Ludhiana
Osteoarthritis - 5 Tips to Help You Prevent It

Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.

Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.

It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.

  1. Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
  2. Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
  3. Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
  4. Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
  5. Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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Im Suffering from rheumatoid arthritis left Wrist it is Very painful i'm getting treatment infusion remicade n Tab methotrexate 15 mg Every week since 2 months but Swelling n pain Is still persist Is there complète cure in ayurveda.

BHMS
Homeopath, Gandhinagar
Im Suffering from rheumatoid arthritis left Wrist it is Very painful i'm getting treatment infusion remicade n Tab me...
Rhus Tox 200 4 pellets in morning and 4 pellets at night 5 days will help you communicate after 5 days.
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I am having back pain since 3 month. On and off nature. Pain disappear on walking and start on sleeping .paine is diffuse in low back region. On MRI annular tear at l4 l5 level and no bulge of disc .plz guide.

Fellowship of the Royal College of Surgeons (FRCS), MRCS, DNB (Orthopedics), MBBS
Orthopedist, Visakhapatnam
I am having back pain since 3 month. On and off nature. Pain disappear on walking and start on sleeping .paine is dif...
Back pain will settle soon. U need to do physiotherapy. Because of annulus tear, some episodes of back and leg pain will come because of the chemical reaction. If pain persist, you can take caudal epidural injection, which will help regarding the pain.
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I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.

DHMS (Hons.)
Homeopath, Patna
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Hello, Lybrate user, You might have been injured on your back cause pain lumber region. Tk, Homoeopathic medicine:@ Hypericum 200-6 pills, thrice. Tk, care.
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I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.

MPT (Sports Medicine)
Physiotherapist, Delhi
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still ha...
First of all you have to be assessed for any of the muscles or soft tissues of your shoulder. Then your movements have to be checked properly. And for this you need expert consultation. Then only reach to some decision else you would be prescribed 1 thing or another by different people no matter whether you get relief or not.
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I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Many times all tests are negative and the patient still suffers. You are suffering from indigestion and due to which there is a toxin called AMA being formed in your stomach. This is accumulating in joints leading to swelling and stiffness. So digestion needs to be rectified first along with panchakarma treatment. Pls see me personally.
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My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?

BHMS, MD - Homeopathy, Post Graduation Diploma In Psychological Counselling, Certificate Course in Medical Transcription
Homeopath, Mumbai
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patien...
Get her dexa scan done. She will have to take calcium supplements and do mild exercise. Eat well. Yes, homeopathy can help her.
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Sir my sister aged 32 years is going under total hip replacement. I much confused about prosthetic which one to go for Ceramic with poly or Ceramic on Ceramic Please advice which one is better.

Fellowship of the Royal College of Surgeons (FRCS), MRCS, DNB (Orthopedics), MBBS
Orthopedist, Visakhapatnam
Hi Lots of studies are there. As per my experience in UK 12 yrs, ceramic on ceramic is good in long term. But risk of fracture is there always when ever patient jumps. Ceramic on poly is more safe and it's better combination too. I preserve ceramic on ceramic. Hope it solves you r question.
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Is there any cure for bulged disc to be bought back to its original position in the world? Allopathic or ayurvedic? Specifically im having mild disc bulge at my lower back.

BAMS, PG Dip (Medical Education), (FAGE) Fellow of Academy of General Education, MBA (Healthcare)
Ayurveda, Bangalore
Is there any cure for bulged disc to be bought back to its original position in the world? Allopathic or ayurvedic? S...
Disc bulge can be managed with Ayurveda Treatments, Life style modifications, Medicines and Yoga. If disc bulge untreated may lead to numbness, pain, stiffness and many other symptoms. With 2-3 months of precautions and treatments can definitely help you with this condition. But pls consult an Ayurveda Doctor nearby and do not do any home remedies.
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My left back is paining. It is giving some pain signal the time when I hold handle of sweat.

DHMS (Hons.)
Homeopath, Patna
My left back is paining. It is giving some pain signal the time when I hold handle of sweat.
Hello, Lybrate user, Tk, Homoeopathic medicine:@ Arnica mont 200-6 pills, thrice. Avoid, junk food, alcohol, cold intake, lifting weight. Tk, care.
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Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complete ACL Tear, Grade 3 Tear f posterior Horn of Meniscus and Knee Joint Effusion. What is the treatment for this? Surgery is necessary?

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complet...
You can wait upto a period of 6 weeks during which you have to undergo physiotherapy to strengthen your thigh and calf muscles and also to improve your knee movements. At the end of this regimen if you are able to carry out all your pre-injury activities comfortably you may not need surgery immediately. But if you have knee pain / instability at the end of 6 weeks, it is definitely advisable to undergo surgery. Thanks & Regards.
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What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n...
You have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. It is also suggestible to go for cervical muscle strengthening exercises.
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I have knee pain from 2-3 month when I get any painkiller or use move then I give relief only for 1-2 days and after that pain again continuously.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have knee pain from 2-3 month when I get any painkiller or use move then I give relief only for 1-2 days and after ...
As knee pain is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee Exercies Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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I have made road accident before 2 months but but at the time of walking I am feeling pain in left leg knee. So give me the suggestions about ligament injury. And treatment.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have made road accident before 2 months but but at the time of walking I am feeling pain in left leg knee. So give ...
If you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs.
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I am 35 years old and I am feeling back pain since 2 days, what should I do, I have been to doctor twice but not getting proper relief?

BPT, BPTh/BPT
Physiotherapist, Delhi
I am 35 years old and I am feeling back pain since 2 days, what should I do, I have been to doctor twice but not gett...
Consult physiotherapist for full assesment and treatment - check vit d, uric acid, b12 - avoid lifting heavy weight - avoid any jerky movement - mai tain erect posture of spine - do contrast bath for 2- 3 times daily for 5 days, specially at night.
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Dear concern person I have started with lower back pain can you please suggest me why its happening and what are the precaution for it also please suggest me some excise.

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Dear concern person I have started with lower back pain can you please suggest me why its happening and what are the ...
At your age the most common cause of back pain is mechanical i.e. Due to poor tone of back muscles and is usually lifestyle and posture related. You can start off with some Core strengthening and Spinal Extension exercises and this will surely improve the symptoms. Thanks & Regards.
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When I do any kind of neck or any exercise I feel like everything around me is moving. It gives me a lot of problem. So please tell me the reason behind this problem and how can I get relief from it?

BAMS
Ayurveda, Bangalore
When I do any kind of neck or any exercise I feel like everything around me is moving. It gives me a lot of problem. ...
Hi, This is called vertigo which is caused to the fluid imbalance in the inner ear. Sudden change in the position of the head gives rise to vertigo. Consult a good ENT specialist for further treatment.
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Pain in my knee joint. Which medicine is better. 1-arthocerin 2-orthotrue Plss sir prescribe me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Pain in my knee joint. Which medicine is better.
1-arthocerin
2-orthotrue
Plss sir prescribe me.
If your knee is paining then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
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I have neck pain, and this pain come left side chest I did x ray report showing it is spondylitis, pain also feel left hand up to finger end, Please suggest how will relive from this pain, ECG report also normal.

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
I have neck pain, and this pain come left side chest I did x ray report showing it is spondylitis, pain also feel lef...
Dear lybrate-user Spondylisis is an ailment affecting the vertebrate. In this the distance between the vertebrate/spinal bones is affected and it may cause pinching of the nerves going to the arms, back, chest. This is not an ailment of the heart. You need to evaluate the intensity of problem, take adequate medicines to reduce inflammation; start adequate exercises and simple massages that may correct the spinal alignment. Go to a naturopathy centre, they have the best techniques. Regards.
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