Hi Sir I am 70 years old. I want to take Knees surgeryfor two knees. Plz suggest good experienced Doctor. Thanks T.Badarivisalakshmamma. Mail------bsrangaiah@yahoo.com. cell------9441709948

Answered on 23rd May '24

Hi . You can consult me at Chennai.

Dr Rufus Vasanth Raj

Rela Hospital,

Chromepet,

Chennai

Hello, I have A.V.N. of the left hip joint since 2 years. I did the core decompression operation a year ago but it did not work. Is it possible to recover my joint by Stem cell therapy and what is the cost of the same?

Answered on 23rd May '24

Need to look at the current stage of AVN and decide treatment accordingly

Stem cell therapies can be tired to postpone Hip Replacement but no guarantee.

Dr Rufus Vasanth Raj

Asked for Male, 26 Years

Sir I had an accident 20 days ago after that I took bed rest after consulting doctor. The knee of my right side leg is broken from inside, I have to treat it. Can you have my treatment here? Will my treatment be done at your place, if it is, how much will it cost? I can send my report to you if I get your mail id. Thank you VIVEK SHARMA

Answered on 23rd May '24

Need more clarity on the diagnosis to treat the condition

Dr Rufus Vasanth Raj

Asked for Female, 33 Years

Knee pain from last 2 months and swelling since 7 days ,started after dance workout . No injury as such , took xray ,no fracture, difficulty in walking. Using knee support and crepe bandage , had Zerodol sp for pain and swelling

Answered on 23rd May '24

Dance workout can sometimes can cause twisting force to the knee and can cause Meniscus injury.

currently rest, medications is fine. if pain persists, then need to see you once to diagnose the problem

Dr Rufus Vasanth Raj

Asked for Female, 30 Years

I am 30 yrs old girl suffering from knee pain from last few days unable to fold my leg it is kind of piercing pain .

Answered on 23rd May '24

The pain can be because of many reasons. Better to see you clinically once and diagnose

Dr Rufus Vasanth Raj

Average age for knee replacement?

Answered on 23rd May '24

55+ is an average age. But patients with systematic form of arthrtits or post traumatic etc might need Knee replacement at an earlier age

Dr Rufus Vasanth Raj

Asked for Female, 70 Years

Sir my mother is 70 year old . she cant walk. i want knee replacement of my mother. please give me best sugessaion for me.

Answered on 23rd May '24

Need to first see your mom clinically and take Standing Xrays to assess the stage of arthritis

Depending on the stage of arthritis, management will be planned

Dr Rufus Vasanth Raj

Which doctor should we prefer as my friend is having chest pain

Answered on 23rd May '24

Firsf rule out Cardiac causes. See a Cardiologist

Asked for Male, 45 Years

I am having swelling on knees. Unable to seat on feet.

Answered on 23rd May '24

Swelling follwing trauma can be because of ligament or meniscus injury inside the knee

Sudden swelling in one or both knees with any significant histort of trauma needs to be evaluated with necessary blood tests

Dr Rufus Vasanth Raj

Asked for Male, 63 Years

Is it possible for master health check up in this hospital ?

Answered on 23rd May '24

Master Heath check up can be done in any decent hospital or Approved labs

Dr Rufus Vasanth Raj

Asked for Male, 30 Years

Sir, we are having pain in left shoulder since last 2 months. Just a few days ago, we had fallen from our parked bike, since then the same pain started in the right shoulder. Now there is pain in both the shoulders, the hands are not even fully raised and there is a problem in the side while sleeping. Took medicine too but nothing is getting relief.

Answered on 23rd May '24

We need to evaluate your shoulder. Depending on clinical examination findings, you will need X-ray / MRI

And further treatment will be planned

Dr Rufus Vasanth Raj

Asked for Female, 45 Years

What is seropositive rheumatoid arthritis?

Answered on 23rd May '24

Blood reports are in favour of Rheumatoid Arthritis

Dr Rufus Vasanth Raj

Asked for Male, 43 Years

When can you walk on a sprained ankle?

Answered on 23rd May '24

Ideally no.

Ankle sprain mainly involves ATFL ligament. its better to immobilise the ankle for 6 weeks and if still pain persists, then will need MRI to plan further course of management

Dr Rufus Vasanth Raj

Asked for Male, 26 Years

My name is Abhishek Kumar. I am a student, I have been running and doing exercise since last one month. But now for 5 days my knee is sore and swollen. There is pain in the upper side of the knee. Above the knee bowl. Now even walking is painful. please sir help me i have to prepare for physical

Answered on 23rd May '24

Hi Abhishek, your injury looks like a ligament or meniscus tear. Need to clinically examine you to diagnose the problem and might require MRI scan to confirm the clinical diagnosis.

Without diagnosis, just giving medicines and physiotherapy is not advisable.

Dr Rufus Vasanth Raj

Hi, Is it possible for a person with COPD to undergo Hip replacement surgery?

Answered on 23rd May '24

COPD is not a contra indication for hip surgery. And it requires only spinal anaesthesia.

Need to assess the current status of the Lungs with the help of Plumonologist and with their fitness we can go ahead with surgery.

Dr Rufus Vasanth Raj

Asked for Female, 50 Years

I am 50 years old lady and suffering for heal pains, can you please advise.

Answered on 23rd May '24

Heel pains - common causes are over weight, sudden increase in body weight, enlarged heel bones (calcaneal spur), calcific tendinitis of tendoachilles, plantar facsitis

We first need to diagnose the cause and treat accordingy

Dr Rufus Vasanth Raj

Asked for Female, 32 Years

I m 32 years age female last two having pain heels of legs x-ray n medicine done no effect x-ray shows enlargement of heel bones.

Answered on 23rd May '24

Calcaneal spur with plantar fascitis can be treated with Physiotherapy, stretching exercises, MCR/MCP slippers at home, Dorsal night splint, Local steroid injections etc

Depending on your severity , we can plan the treatment option

Dr Rufus Vasanth Raj

Asked for Female, 59 Years

My mother aged 59 years is suffering acute knee and due to this she can't move from bed this resulting bed sore also kindly help us so that she can move from bed and recover from this pain soon

Answered on 23rd May '24

Acute knee pain - first we need to arrive at the diagnosis. A thorough clinical examination followed by Radilogical investigations like X-ray and MRI might be needed.

59 years is still young (<65 years dont come under elderly category). So we need to make sure she is out of bed.

Current bed sore needs to treated soon

Dr Rufus Vasanth Raj

Asked for Male, 83 Years

Extreme back pain all along the spine. Difficulty in walking.

Answered on 23rd May '24

Kindly visit a Doctor to first diagnose your problem. Treatment depends on the diagnosis . It can be a simple mechanical low back pain or even a disc bulge or listhesis etc

Dr Rufus Vasanth Raj

Asked for Female, 58 Years

My wife is suffering from Osteo- Arthraritis for long at knee and ankel of both legs.Calcarious symptom appears. Problem: Difficult to walk,Severe pain at knee,ankel.More acute in sleep. Treatment: Physiotherapy done .No relief. How to get cured shortly.

Answered on 23rd May '24

We need to take a standing X-ray of knee to grade the severity of arthritis and decide the course of treatment

Dr Rufus Vasanth Raj

Asked for Male, 35 Years

I am 35 male, I 'm suffering from neck strain and stiffness for more than 10 years, the problem increases in some time like during concentrating, work load, stress,.. I have done many medical investigation like EEG, neck MRI all shows normal. I have been treated many times by taking muscles relaxants, relief ointments but the problem went and came after the treatment period. What is your advise on the proper treatment?

Answered on 23rd May '24

Your problem looks like muscle related. Trapezius myalgia is the common reason. It will require a good physiotherapy protocol to help you out

Dr Rufus Vasanth Raj

Asked for Female, 36 Years

How i cured my degenerative disc disease

Answered on 23rd May '24

Life Style modifications and active life with exercises will help you

Dr Rufus Vasanth Raj

Asked for Female, 45 Years

If ra positive then what to do. If auto immune problem then which treatment to go for

Answered on 23rd May '24

RA positive has to rechecked with Anti CCP blood test. even if all reports are Normal but patient is symptomatic (Seronegative) will require medicines

Rheumatologist is the best person to consult

Dr Rufus Vasanth Raj

Asked for Male, 26 Years

Sir I have scoliosis for past 7years is scoliosis surgery safe to do it

Answered on 23rd May '24

Scoliosis is a major surgery. If required , then better to proceed with the surgery with a good Spine surgeon and in a good hospital with all necessary back up

Dr Rufus Vasanth Raj

Asked for Male, 23 Years

Achilles tendon pops when standing on toes?

Answered on 23rd May '24

Need to find out the reason. Need MRI or atleast an Ultrasound to diagnose the reason and then plan treatment accordingly

Dr Rufus Vasanth Raj

Asked for Female, 32 Years

Enlargement of heels bone as per previous dr your suggestion

Answered on 23rd May '24

Calcaneal spur can be initially treated with good foot wear modification, physiotherapy and medications.

Injections can be tried as next level of treatment. Rarely surgery is needed

Dr Rufus Vasanth Raj

Hello, want to know the treatment for severe neck pain?

Answered on 23rd May '24

We need to find out the reason for your neck pain. Muscular pains due to bad posture or over work is the commonest cause. Cervical spondylosis , disc bulges etc need to be ruled out.

Dr Rufus Vasanth Raj

Asked for Male, 36 Years

How to get rid of knee crepitus

Answered on 23rd May '24

There are various reasons for noise in the knee. Common reason is Patella crepitus which can be because of Chondromalacia. Discoid Meniscus or meniscus tears can cause sounds. Loose bodies in the knee can also cause sound.

Need to find the diagnosis and then treat accordingly

Dr Rufus Vasanth Raj

Asked for Female, 45 Years

How to get rid of arthritis in fingers?

Answered on 23rd May '24

Arthritis of small joint usually happens in inflammatory pathology. Early stages are the best time to treat it. need to find the cause. If Rheumatoid arthritis, then regular medications will be required

Dr Rufus Vasanth Raj

Asked for Male, 44 Years

Can foot drop be treated without undergoing surgery?

Answered on 23rd May '24

First we need to know the etiology. If its a treatable cause, all we need do is wait and also habe a foot drop splint to prevent equinus deformity.

For Cases where recovery is doubtful. surgery is a good option to lead a better quality of life. tendon transfers and ankle fusion are the common surgeries performed

Dr Rufus Vasanth Raj

Asked for Female, 22 Years

I often have pain at the back of my knee joint when l stand for a long time.How can l get help for this?

Answered on 23rd May '24

We first need to diagnose the cause of your knee pain. Bakers cyst, meniscus root tears etc can cause pain at the back of the knee joint. Treatment depends on the diagnosis

Remember - without diagnosing any treatment done might be only temporary

Dr Rufus Vasanth Raj

Which is the best implant for Hip Arthroplasty for a 50-year-old person. What is the cost of it?

Answered on 23rd May '24

Currently dual mobility hips are considered as one of the best.

Dr Rufus Vasanth Raj

Asked for Female, 37 Years

What is the best treatment for a compression fracture

Answered on 23rd May '24

Compression fracture needs to be elavuated for the type of fracture and neurological deficit.

Not all fractures require surgery. Brace, rest and other modes of conservative trail are available.

Dr Rufus Vasanth Raj

Hello, my age is 67 years. There is severe pain in my left leg. I want to undergo surgery. I have a few queries: 1. How much time it takes to recover? Is it possible to climb stairs up to the first floor immediately after Surgery and after 15 days? 2. What will be the cost of the complete procedure?

Answered on 23rd May '24

Kindly mention the Diagnosis and surgery planned

Dr Rufus Vasanth Raj

Asked for Female, 47 Years

What is robotic knee replacement?

Answered on 23rd May '24

Robotic Knee Replacemet is a good tool to make your surgery more perfect. The small marginal perfection can be achieved

Dr Rufus Vasanth Raj

Asked for Female, 51 Years

I have had shoulder, arms and back ache for more than a month now. How do I determine if it's a frozen shoulder?

Answered on 23rd May '24

Frozen Shoulder has restricted range of motion especially external rotation. We also need to find the cause of Frozen shoulder - Diabetes, Hypothyroidism, cardiac problems, rotator cuff tears.

Dr Rufus Vasanth Raj

Asked for Male, 24 Years

Knee cap is broken 2 pieces

Answered on 23rd May '24

Patella fracture requires surgery. Tension Band wiring is a cost effective option. Plate with screws is the other option

Dr Rufus Vasanth Raj

Hi, I am 63 years old. I have persistent pain in both knee joints. Can I go for stem cell transplant? Will it help?

Answered on 23rd May '24

First you need to be clinically evaluated for your symptoms and signs. And then a standing knee X-ray to evalute the grade of Osteoarthritis.

Grade 1,2 and upto 3 - stem Cell therapies like PRP, ACS ADMSCs can be tried. But there is no guarntee

Grade 4 Osteoarthritis will require Total Knee Replacement

Other things to be noted - You might be having Meniscus root tear or other pathologies which might need MRI for evaluation and treatment

Dr Rufus Vasanth Raj

Asked for Female, 74 Years

What is a bankart repair?

Answered on 23rd May '24

Arthroscopy Bankart Repair is a minimally invasive key hole surgery to repair the torn labrum with the help of suture anchors to prevent recurrent shoulder dislocation

Dr Rufus Vasanth Raj

Asked for Female, 68 Years

I want to replace knee of my mother. Please tell me about complete package and also include implant costs

Answered on 23rd May '24

Cost depends on the hospital and implants used

Dr Rufus Vasanth Raj

Asked for Male, 26 Years

How to treat shoulder dislocation

Answered on 23rd May '24

First reduce the shoulder back to normal position. Give it some rest.

Most of the times the dislocation will be reccurent and shoulder disloactes/subluxates in abduction external rotation position.

MRI will be the ideal investigation to asses labral tear and CT scan will be needed to look at glenoid index

Arthroscopy Bankart repair +/- Remplissage is a very successful procedure and it's a minimally invasive key hole surgery

Dr Rufus Vasanth Raj

Asked for Male, 35 Years

I need to do knee replacement and I want to know whether I can run after my knee replacement surgery

Answered on 23rd May '24

Total Knee replacement is usually done for elderly patients who are not able to walk because of pain. This surgery is aimed at better quality of life. Running Depends on the patient age and their overall fitness

Dr Rufus Vasanth Raj

Hi, my mother has Osteoarthritis and thus she suffers from chronic knee pain. Just wanted to know how effective stem cell therapy may be in her case. I also have a few doubts listed below: What are the benefits of stem cell therapy for osteoarthritis (if any)? What is the down-time after the procedure? My mother is a teacher and doesn't have the provision to take too many leaves. How much a procedure like this likely to cost?

Answered on 23rd May '24

Stem Cell Therapy can be PRP, ACS, ADMSCs, BMAC etc

Stage 1, 2 OA and sometimes stage 3 OA may benfit from Stem Cell Therapy. But no concrete evidence on this. Yet its a safe method and can be tried.

Dr Rufus Vasanth Raj

What to expect 5 months after knee replacement?

Answered on 23rd May '24

A near normal life. Comfortable walking and able to take care of yourself

Dr Rufus Vasanth Raj

Asked for Male, 27 Years

I am abhishek yadav.my problem is Acl partial tear. I am Indian army.can I running as before after surgery.and how many cost of surgery and how many time after complete recovery

Answered on 23rd May '24

ACL partial tear doesn't require surgery. If clinically you have instability in pivoting movements and on examination if ACL is torn (Positive Ant Lachman test), then you will require surgery.

Cost varies depending on the hospital and implants (Indian or Imported)

Dr Rufus Vasanth Raj

Asked for Male, 23 Years

My brother is 23 years old and he suffered from covid before 9 months and he had pain in hip joint and legs so we did mri and the reports said AVN in hip joint 2-3 stage so they suggested surgery to drill in bone to start the blood flow as before . I want to know the percentage of success and how operation will take place

Answered on 23rd May '24

Core decompression is a common procedure done for AVN hip. It can be tried upto Stage 2A. There is nothing wrong in trying core decompression with BMAC. Success rate is pretty decent. If it fails we can always do a Total Hip Replacement any time.

Current Total Hip Replacement prosthesis have a good longevity. So can keep it as a stable back up option.

Dr Rufus Vasanth Raj

Asked for Female, 70 Years

My mother has femur neck fracture, so plz tel me further advice and treatment

Answered on 23rd May '24

At 70 years, Neck of femur fracture needs surgery. Depending on the pre injury activity level we can plan either Total hip Replacement or Hemiarthroplasty (Partial Hip Replacement)

Its better to operate as early as possible and make sure she is mobilised. Its not advisable to keep her on bed as she can start getting all sorts of complications like bed sores, Chest infections, UTI, DVT, PE Etc

Does Knee replacement affect your nerves?

Answered on 23rd May '24

Knee repalcement or any surgery can affect the superficial sensory nerves around the skin. So patients might feel some areas of numbness on the leg. This is very common