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Dr. Nilen

Orthopedist, Thane

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Dr. Nilen Orthopedist, Thane
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Nilen
Dr. Nilen is a renowned Orthopedist in Kaushalya Medical Foundation Trust Hospital, Thane. Doctor is currently associated with Priyanshi Hospital And Maternity in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Nilen on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 43 years of experience on Lybrate.com. Find the best Orthopedists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Priyanshi Hospital And Maternity

B-004 SAI Vikas Apartment, Saibaba Nagar, Mira Road, Thane, Landmark: Opp New Petrol Pump, Near K S Mehta High School, ThaneThane Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Recently I asked regarding I am getting pain in the calf& foot heel. One of the doctors had replied promptly. Asked me get Vit D3 test done. I am 55 years old I don't have sugar or BP as per recent test done. I don't smoke & drink. My Vit D3 report of today shows VITAMIN-D Total 21.56ng/ml PL suggest remedy.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Recently I asked regarding I am getting pain in the calf& foot heel. One of the doctors had replied promptly. Asked m...
Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Stretch calves get a custom made insole. Hams stretching. Sports taping. Hot fomentation.
1 person found this helpful
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I am 34 years old male. Often I have pain in my arm (around shoulder joint) just after waking up and it lasts for 2-3 days. It feels like some muscle has been twisted or stretched. I think is it because of my sleeping habits as I sleep on side but one of colleague told me that sometime it is due to some issues with heart. Please advice.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am 34 years old male. Often I have pain in my arm (around shoulder joint) just after waking up and it lasts for 2-3...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You complaints could be due to a soft tissue affection of the structures surrounding the shoulder joint like tendons, bursa, capsule etc. If there is no h/o any injury to the shoulder joint or any s/s of inflammation like instability, swelling, skin redness etc, then you can initiate a short course of anti inflammatory medications and physical therapy, and we will observe your progress for next 2-3 weeks, if you do not feel better, the we might get few investigations like mri of the affected shoulder region done. 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 a state level player of cricket. Before one month I was suffering from slip disc. Now I am feeling better. I just want to know can I play cricket again if yes then how much rest I need to take.

MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic ), Physiotherapist
Physiotherapist, Mumbai
I am a state level player of cricket. Before one month I was suffering from slip disc. Now I am feeling better. I jus...
Whenever you going for play always do stretching exercises of back and daily 2 back strengthening exercise.
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I am praveen 18 years old and swelling from leg pain and joint pains on last 3 months used many pain relief tablets but nt used soooo what should can I do?

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I am praveen 18 years old and swelling from leg pain and joint pains on last 3 months used many pain relief tablets b...
Apply rice r- rest, take adequate rest i-ice, apply ice pack for 10-15 min c- compression, wear compression bandage e- elevation, keep your leg on high surface; while lying use high pillow & while sitting use foot rest avoid long standing do leg stretching apply hot fomentation.
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I feel lazy everytime from last 1 year. And little pain in legs everytime. What should I do.?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I feel lazy everytime from last 1 year. And little pain in legs everytime. What should I do.?
Do have complete master health check up to check all health parameters in good state for pain legs have hot and cold compression for 10 days of 15 min duration each followed by leg muscle strenghening exercises once pain subsides.
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I am 28 years old, I have back pain since 5 years. I m consulting orthopaedic, they give me painkiller and calcium tablets, that doesnot workout, then l consulting a medicine specialist. My esr level is 80. What I do ?

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. You have mentioned back pain since a long time and also mentioned a very high esr value which makes it imperative for us to rule out an inflammatory or an infective pathology. Please tell me whether you feel stiffness when you get up in morning? apart from spine, do you also feel that your hips are getting involved? also have you got yourself ever tested for hla b 27, ra factor, anti ccp antibodies, crp, serum uric acid etc? 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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HI, I have thigh pain in both legs. Sometimes feeling inflammation side of the thigh. I want advice what to do in such case. My weight is 67 and age is 28.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
HI,
I have thigh pain in both legs. Sometimes feeling inflammation side of the thigh. I want advice what to do in suc...
Tk anti inflammatory durg if you like this I advise you few physiotherapy sessions for spasm relief and do stretching exercise.
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My leg fractured due which I can't stretch it straight nervous are weak.what can i do?

MBBS, cc USG
General Physician, Gurgaon
Get X ray leg (affected side) done AP/Lateral and, consult Orthopedician Stabilize your leg, Don't try to move
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Causes And Treatment Of Heel Pain

MD, FIPP
Pain Management Specialist, Kolkata
Causes And Treatment Of Heel Pain

The toes and heels are the most load bearing components within your feet which take most of the weight when walking, running, exercising or even standing up. The heels are an especially vulnerable part of the body which can become painful either due to injuries or excessive stress put on it. Pain in your heels can also be a sign of other problems in your body.

Causes for heel pain:

  1. Sprains or straining the leg: Exercising is one of the most common culprits behind heel damage. Wearing the wrong shoes over prolonged periods, which can cause your balance to be shifted and will lead you to put strain on your heels and cause pain. Falling or spraining during exercising or training can also cause heel pain.
  2. Fractures: Stress or hairline fractures can occur even without impacts or trauma and also cause pain. It will slowly build up over time. In such cases, you should immediately consult a doctor and take remedial action.
  3. Achilles tendon: A common cause for heel pain, the Achilles tendon connects the calf muscle to the heel. If this is torn or damaged, it can cause pain in your heel.
  4. Arthritis: The deposition of uric acid crystals in parts of your body may result in arthritis; this is a fairly common cause for heel pain as well.

Treatments available

  1. Change in shoes: Shoes play a major role in the development of heel pain. You will either need to change the shoes or adjust the heels to ensure that they are at an equal and comfortable height and keep your posture natural and balanced.
  2. Foot supports: There are specialized heel supports and wedges, which you can wear with the footwear. These supports help redistribute weight from the problem areas and uniformly distribute it among the other parts of the foot. Heel cups are also another form of supports you could try.
  3. Pain relief medications: Sometimes aspirin or ibuprofen may be required to numb and dull the pain, if getting through the day becomes difficult or you are in the middle of work.
  4. Resting: Sometimes resting is the only medication you can take to relieve the pain as it can only subside once the underlying conditions are corrected.
  5. Ice packs: Cold compress and cold therapy would definitely help in numbing the area and providing temporary pain relief.
  6. Interventional pain management: When all other options failed, go for interventional pain management.

It is however, advisable to visit the doctor if the pain persists and take specialized medical care in more complicated cases wherein the pain is prolonged.

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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. If you wish to discuss about any specific problem, you can consult an orthopedist.

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