Eat well, exercise daily to live a pain free life: Dr. Archik

Dr. Sreedhar Archik has an M.Sc. in Orthopaedics from Oxford University. He practises at Lilavati Hospital, Mumbai.

He specialises in joint replacement surgeries using computer navigation system.

Dr. Archik took time off his busy schedule to answer Sify readers’ queries ranging from chronic arthritis to nagging joint aches in an exclusive chat. Read the chat transcript here.

I have a chronic arthritis problem. My left leg’s head socket is totally degenerated by birth. Now i am 63 and the gap between the hip and leg joint is reduced. Is there any way for a pain free mobility without surgery,
No, the surgery is the best solution..because not only the pain will go but the mobility will be restored back to normal.

sir i am47 yrs old daibetic male and have frozen shoulder on right for last 6 months having sever pain on the advice of orthopedic a physio the excersise is going on how long time it will take could you suggest medicine thanks
Diabetics take atleast 3 months time to get better on frozen shoulder…continue physiotherapy and do not lose hope!!

My mother ,58, is having border line diabetic & had RA +16,suffering from back pain,leg pain,& joint pain.I will be very thankful to you if u suggest me best medicine to relieve pain.I need your suggestion. My email :jbtiwari2000@yahoo.com
Get her Vitamin D levels done ..these might be the cause of her pain…

I am 79 years old lady. my right knee is paining. there is a swelling also. i took zerodol tablets. but not much releif. pls. guide
Avoid pain killers like this at 79 yrs..take only paracetamol tabs for pain… get an x-ray done.. you are probably heading towards a knee replacement now…

My wife is has Osteomalasia and had a surgery for neck of femur bone fracture. Her PTH levels are very high. DXA scan results shows as critical. High PTH causes weight gain? Vit-D supplements are the only solution?
She needs see a endocrinologist first.. and PTH doesn’t result in weight gain

I am Male 48 Years Computer Professional when I sit down on the floor folding my knees I have severe pain inside middle of the left knee. On my right leg I have pain in the bottom of the knee.
We need to get your X rays done… to find out whether you are suffering from Arthritis or not… and only then can I suggest something…pls avoid sitting on the floor till you have a x- ray done…

I am 53 past three months I have been suffering from knee pain. I get up in the middle of the night when I want to turn, I find that I have very bad pain. Then I gently massage the knee for a couple of minutes after which I feel better.
Get a X ray of your knee in a standing position and consult an expert Orthopedic surgeon as soon as possible…

i am minaxi, 56 years old lady.i have concentrated pain in my right heel arch, just below the ankle joint. gets aggravated by walking. the condition has arisen too sudden. few years back i had a crack in my same leg, small bone below ankle. please help.
You may be having a flat feet.. consult an orthopedic surgeon and it can be easily sorted out…

i have all of a sudden started having pains in joints especially neck fingers knees heels, there is pain on movement & on pressing. i have no daibeties, B P, age is 57 weight 106 kg height 5.9″
You need to get the following tests done: CBC, CRP, RA FACTOR, URIC ACID,ANTI CCP ANTIBODIES AND VITAMIN D LEVELS…

See a docter to get the results of these tests…

I am 62 years old having knee pain for the past few years. I am not taking any medication. I do exercises and walk regularly. No BP , diabetis. You advise is awaited.
You are doing everything right… but get your x ray done to find out if there arthritis advancing or not and avoid sitting on the floor…

Sir I am suffering from post Polio. Right leg. I was able to walk & run till a 12 years back now i am unable to walk. walk with hand to thy gate is their any remedy?? please suggest i am 40 now.
You need to get a x ray of the hip and knee done now… which may be limiting your movements now…

30 yrs m past 5 yrs i was having exc pains in my both heels after taking several trt no relief my test shows f vit D-10 alk PHP- 258, rest all are normal like esr, ra, hlab,cal ph,my dr gave me shelcal hd/uprise d3 & 10 injections of 6 Lac of vit d,
Absolutely fine…

Iam suffering from Back pain for last 10 yrs due to disc slip in my lower back.The pain is too much sometimes in my back and shoulder. Kindly advise what are the remedies other than taking pain killer. Is Surgery a good option?

No you should first try physiotherapy… get your Vitamin levels done and B12 levels done if you are a vegetarian… Surgery is the last option

sir i Operate my left ligament from Faridabad, but i feel the Pain every time
There should not be any pain now..get the x rays and MRI done again and try to find out whether there isn’t anything wrong with the surgery performed…

For more than 2 yrs now, I am having deep inside left knee pain. visited 2 doctors. Xrays,MRI taken. All good. Still suffering with pain. it aggravates if i walk little long or stress it. Any idea?
If all the investigations are normal then may be the pain is coming from the Hip or the spine..See a qualified Orthopedic Surgeon…

Sir, My wife has acute and advanced stage of Arthritis, recently both knees were replaced but her hips are also damaged due to this. Her bones are weak and bone density also not good . Please suggest. Mohinder Kochar
She can medicines like calcium, vitamin D… let her see a qualified Orthopedic surgeon.. these medicines should be taken 6months to 1 year before the hip surgery is performed…

Sir, Iam 53 years and diabetic for the past 18 years. Recently I have developed left shoulder joint pain. I started using the neck strap which is giving me relief
You may be suffering from frozen shoulder …see an expert who can ascertain that and suggest physiotherapy for you…

how to improve the leg musle without giving strain to joints.
You need to do simple walking, cycling and try to learn some simple exercises of toe raises from an expert to strengthen the muscles…

46 yrs old unmarried lady; Hystectomy Feb’06. Oct’10, got Chikenguinea left knee locked ;bed-ridden for almost 4 days. x-ray shows space in knee joint has reduced. right knee also affected. eating SAMPURE-400, JOINCERIN, CCM, CALCIUM SACHETS PROXYM-300
Avoid pain killers on long term basis.. continue Vitamin D and calcium and please do some exercises as well…but if the pain persists you need to see a orthopedic surgeon for sure…

Sir, I can’t take long walks & still I feel pain on extra strain for walking. Please suggest how I can be normal. I don’t want to go through any surgery. Thanks & Regards.
First get a x ray done of your back..see an orthopedic surgeon…

Dear Sir, Now a days most of the people are suffering from Joint Pain. I want to know how we can get rid off from this pain. We will be happy if you give us the remedies.
Eat well, exercise daily , keep your weight checked and take Vitamin D and calcium daily and try to live happily without stress…

61yr, When i sit, stand or lie dwn for long stiffness in legs. cant walk as soon as i get up in the morn. last 2-3 mths. After 5 min stiffness goes. if i walk long whole leg pains, swelling foot. Pl suggest medicine/exercise,Im veg, take tablets for BP.
The problem seems to be coming from the back …get an x ray done of the back please…

plantar fasciitis cured?I’m facing sever pain in the heels, bottom of the heel waking up after sleep and long sittings or standings and can’t step on hard things on heels. And also pain in inner side of the legs below knees and above ankles after jogging?
You need silicon heel cushions in your shoes atleast for 3 months…avoid jogging till the pain persists but you can continue other daily chores…

She is diabetic for the last 12 years.She is taking rhumotology treatment also. She is not walking properly. It is requiring walker for walking on roads. In house she is attending to her small works.. Suggest for her recovery and Walk.
She needs calcium and Vitamin D to improve her mobility and pain…

after 2 years as she is notwalking on routine investigation it was found that she had Hyper thyroidism and were given Iodine Isotope drops. She is suffering with Osteoporosis.
She needs calcium and Vitamin D to improve her mobility and pain…

Sir, I am suffering with Ankylosing Spondylitis…… kindly guide me about how and what care i should take to remain fit ? What are the medicines that i should go for ? Is there any permanent cure for such disease ???
Ou need to exercise everyday and take a medicine only when you have a pain… keeping your joint mobile is the key and there is no permanent cure to this…

Pain in the heel of my left foot for 10 mths. The pain develops again post medication from ortho. The pain severe in the morning hours and then subsides later. Uric acid test is normal. My height is 6.1, weight 84 kgs and age 31 years.
Use silicon heel cushions and if they don’t help you might need cortisone shots in the heels..

appointment fr consultation with u pls give your details i am waitting fr u r reply
drarchik@yahoo.com.. 022-24449508

Skin of foot is split very badly (Skin Fhat gai hei). Unable to stand on feet. Marriage after 2 days. Quick remedy please.
That is for the skin specialist…pls consult one..

Sir, 5-6 months back i got injury during playing cricket which resulted in pain in my left knee.X-ray report has nothing.please suggest
If the pain continues get a MRI done..

My wife she is 27yrs old and have thyroid since 5yr and tested TSH & Ultra sound both are normal, But she feels a heavy pain in the neck cord & some time pain in left/right hand – specially when she carry more than 5kgs weight of anything Need your valuable input related to safety precautions and soon we will visit India-Hyderabad. Thanks a lot
She should get her Vitamin D levels and also get her neck x ray done from an expert…

Sir, I am 46 yrs old, healthy, I visit Gym every day for an hour and run on the Tread mill at about 10 kms/hr speed for 10 minutes and walk at 7 km/hr for 10 minutes and do other fitness no problem with my joints etc., is it ok Elango, Chennai
Should stop jogging.. We don’t recommend jogging after the age of 45 yrs.. your needs might get damaged…

I have slip disc in L5-L7. Symptoms is that I cannot stand for long periods. Some have advised surgery while others have asked to treat using ayurveda. Im 37 years old and would like to know advantages and disadvantages of a spinal surgery.
Spinal surgery in today’s age is completely safe..so if you have been advised the same pls get it done from a very qualified surgeon and you will not have any complications…

i get pain in my ring finger left hand when i crack the joint. also looks slightly more bulged than other joints. ahve been cracking joints always. is it arthritis indication?
Looks like highly unlikely… it is quite normal and not a sign of any disease…

having disc bulge issue last 3 yrs, age 39.intermittent severe pain. on yoga. physio for pain relief occasioanly. how to check for calcium. pl suggest any other tests to check bone strength/ evaluate for arthritis
You should do Vitamin D and B12 levels…

i feel little preasure in my knees and many times i hear a low noice of bones, my body weight is 120, please suggest
You need to drastically lose weight ..please see a weight loss expert urgently… : )

Hello sir, I am Pruthu and I am 25 yr old and my question is when ever i climb the stairs i hear some noise in my knees may i know why is it ?
Hearing noises is perfectly normal as long as it is not associated with pain.. Don’t worry if you don’t feel any pain…

Age 24. I Have been playing tennis for the last 3 months. Now i am having mild pain in my elbow. Is it the early stage of tennis elbow? if so, how do i prevent it?
Yes it is.. you should rest for a while before you start playing tennis and then also do some exercises before you start playing tennis again…

Age is 58, Name “Indu Sharma” MRI Report said : Disc Protoursia at L4/5 IV with bulge at L5/S1 IV Havng Waist Belt also sufrng 4m Osteoporosis. Patna (Bihar)
Get your Vitamin D levels done and take calcium regularly… and also go for physiotherapy and if you don’t feel better then you need to see an expert…

i am 62 years, there was hairline fracture in my ankle, i had got my ankle plastered for 3 weeks & thereafter a month with physothereapy, there is lingering pain, pl advise.
Get your Vitamin D levels done as that may be the issue…

My Mother is 55 Yrs old & having spine arthritis & joint pain problem since last 5.5 yrs, we did X-ray, MRI but nothing has came out. Kindly suggest suitable treatment.
She needs physiotherapy and exercises.. get her Vitamin D level done please

My wife, 27yr has neck pain – started with fever, ear pain and swallow problem, then fever reduced, cn swallow, ear pain ok, But neck pain still there – very painful when carrying abt 5kg, TSH & Ultrasound is normal. want safety precautions, medicines.
Her X ray can be showed to an orthopedic surgeon and then only her treatment can be started…

Any relief from Psoriatic arthritis?
Yes you need treatment from a skin specialist combined with an expert othopedic surgeon to get relief from Psoriatic arthritis.

problem with left shoulder, twisted it while shifting vehicle suddenly no pain, but after a day was painful and has lost upward movement beyond 120 degree from verticle FROZEN SHOULDER? Any suggestions
Get a MRI done urgently to diagnose your problem…

Age:33 years.I have been diagnosed with osteonecrosis on hips.class A on right and class c on left hip.There is a reactive bone marrow edema of the left femoral and left femoral neck and reactive synovitis with minimal effusion seen left side.
There is stem cell therapy available for the patients like you.. Pls see an a qualified orthopedic surgeon…

Hello Sir…My wife is suffering from Arthritis on her right hand wrist from past 5 years. Current status is her right wrist has gone slight side and its not straight and sometime the pain will be such high that she cant even able to hold pen with her right hand. I have consulted few Orthopedic Doctors in Hyderabad and they have given medication but didnt worked out and even i have gone for Ayurveda Medicine and even that didnt work out. Is there any surgical method for Arthritis and if so can you please give me hospital names for that in Hyderabad.
Vamsi
She requires a surgery ..she can go to Apollo Hospital or Global in Hyderabad…

last 10 months i am suffering from Uric Acid in my Blood and always take medicin on 04-07-2012 i checked my uric acid is 6.1.
i was stoped it beef and meat only chicken. please can you advise me wht can i do. now i am working saudi arabia.
and some sound comes in my joints knee. request to you give me your ideas.

Rafeeq
Uric acid is a final breakdown product of protein in our diet. So reducing protein content in diet reduces uric acid. Chicken is protein and so are all “daal” products in veg diet. Reducing weight reduces uric acid so if you are overweight it will help if you reduce your weight. Drink plenty of water daily. Avoid excessive alcohol especially beer and never binge on alcohol. Sudden unaccoustomed physical activity can induce an attack of gout i.e. increase in uric acid e.g. a trekking activity over a wekend. Anticipate attacks and take preventive steps in such situation

What is the best available drug for vitamin D and calcium…I do Yoga daily for 30 min and walk for 45 min , even then i have lower back pain .
neeraj
vitamin d is available in powder form in 60,000 units but you need to do your levels first, consult a doctor and take it. Excessive vitamin d intake can land you in a hospital so do not self medicate. Calcium comes in various salts and the best is calcium citrate maleate followed by plain calcium citrate. These two are slightly expensive and the cheaper version is calcium carbonate.

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