Singhal bone and joint clinic
life is mobility and mobility is life. He went on pursuing DNB orthopaedics from BPS government medical College, Sonipat.
Dr. Abhinav Singhal is currently working as a senior consultant orthopedic surgeon in LYF HOSPITAL Greater Noida and is also working as visiting consultant in NAVIN Hospital ghaziabad,smart hospital ghaziabad and Lyf hospital in Indirapuram. He has done his MBBS from UCMS (University College of Medical Science) and GTB hospital and did his speciality in orthopaedics from King George medical colle
Rotator cuff pain is a common issue that can result from various causes, including overuse, injury, or degenerative changes in the shoulder. The rotator cuff is a group of muscles and tendons that surround the shoulder joint, providing stability and facilitating movement. When these structures are strained, irritated, or injured, it can lead to pain and discomfort in the shoulder.
Common causes of rotator cuff pain include:
1. Overuse: Repetitive overhead motions, such as those involved in sports like tennis, swimming, or baseball, can strain the rotator cuff muscles and lead to pain.
2. Trauma: A sudden injury, such as a fall or direct blow to the shoulder, can cause a tear or strain in the rotator cuff muscles or tendons, resulting in pain.
3. Degenerative changes: As people age, the tendons of the rotator cuff may degenerate, becoming weaker and more prone to injury, leading to chronic pain.
4. Impingement: Impingement occurs when the rotator cuff tendons rub against the acromion, a bony projection of the shoulder blade, leading to irritation, inflammation, and pain.
5. Tendonitis or tendinosis: Inflammation (tendonitis) or degeneration (tendinosis) of the rotator cuff tendons can cause pain and discomfort in the shoulder.
Treatment for rotator cuff pain depends on the underlying cause and severity of the condition. It may include rest, ice, physical therapy, anti-inflammatory medications, corticosteroid injections, or, in severe cases, surgery to repair the damaged tissues. It's essential to seek medical attention if you experience persistent shoulder pain or difficulty with shoulder movement to prevent further damage and facilitate recovery.. For more info visit us at http://www.bestorthopaedic.in/latest-update/recovery./37?utm_source=facebookpage
An ACL tear, or anterior cruciate ligament tear, is a common knee injury, particularly among athletes engaged in high-impact sports like basketball, soccer, and football. The ACL is a crucial ligament that stabilizes the knee joint, connecting the femur to the tibia and helping to prevent excessive forward movement of the tibia relative to the femur.
When the ACL is torn, it can result in significant pain, swelling, and instability in the knee. In some cases, individuals may hear or feel a "pop" at the time of injury. ACL tears often occur due to sudden stops or changes in direction, direct impact to the knee, or landing incorrectly from a jump.
Treatment for an ACL tear typically involves a combination of rest, physical therapy, and sometimes surgery, particularly for athletes or individuals with significant knee instability. Surgical intervention may involve reconstructing the torn ligament using tissue grafts from elsewhere in the body or from a donor.
Rehabilitation following an ACL tear is crucial to regain strength, flexibility, and stability in the knee joint and to prevent future injuries. While many individuals are able to return to their previous level of activity after an ACL tear with proper treatment and rehabilitation, it often requires several months of dedicated effort.. For more info visit us at http://www.bestorthopaedic.in/latest-update/an-acl-tear-or-ante/36?utm_source=facebookpage
Plantar fasciitis is a common condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. It typically causes stabbing pain near the heel, especially with the first steps in the morning or after prolonged periods of rest.
The condition is often associated with overuse, such as long periods of standing, excessive walking or running, improper footwear, or sudden increases in physical activity. Other contributing factors may include tight calf muscles, obesity, high arches, or flat feet.
Treatment for plantar fasciitis usually involves a combination of rest, stretching exercises, ice therapy, supportive footwear, and orthotic devices. In some cases, nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to alleviate pain and reduce inflammation. Severe or persistent cases may require physical therapy or, in rare instances, surgery.
Early diagnosis and appropriate management are crucial for effective recovery and preventing chronic pain and disability associated with plantar fasciitis. It's essential to consult a healthcare professional for an accurate diagnosis and personalized treatment plan tailored to individual needs.. For more info visit us at http://www.bestorthopaedic.in/latest-update/needs./35?utm_source=facebookpage
As the holy chants echo in Ayodhya, the completion of Ram Mandir marks a moment of spiritual significance. A symbol of unity and reverence. Jai Shri Ram! ๐
. For more info visit us at http://www.bestorthopaedic.in/latest-update/as-the-holy-chants-e/34?utm_source=facebookpage
As the holy chants echo in Ayodhya, the completion of Ram Mandir marks a moment of spiritual significance. A symbol of unity and reverence. Jai Shri Ram! ๐
As the holy chants echo in Ayodhya, the completion of Ram Mandir marks a moment of spiritual significance. A symbol of unity and reverence. Jai Shri R As the holy chants echo in Ayodhya, the completion of Ram Mandir marks a moment of spiritual significance. A symbol of unity and reverence. Jai Shri Ram! ๐
As the holy chants echo in Ayodhya, the completion of Ram Mandir marks a moment of spiritual significance. A symbol of unity and reverence. Jai Shri Ram! ๐
. For more info visit us at http://www.bestorthopaedic.in/latest-update/as-the-holy-chants-e/33?utm_source=facebookpage
As the holy chants echo in Ayodhya, the completion of Ram Mandir marks a moment of spiritual significance. A symbol of unity and reverence. Jai Shri Ram! ๐
Coccydynia refers to pain in the coccyx, which is the small, triangular bone at the base of the spine, commonly known as the tailbone. This condition can be caused by various factors, including trauma, repetitive strain, or inflammation of the surrounding tissues.
Symptoms of coccydynia often include localized pain and tenderness around the tailbone, which can be aggravated by sitting for prolonged periods, sudden movements, or direct pressure on the area. In some cases, the exact cause of coccydynia may not be clear, and the condition may be termed idiopathic.
Management of coccydynia typically involves conservative measures such as avoiding prolonged sitting, using a cushion or donut-shaped pillow to relieve pressure, and taking over-the-counter pain medications. Physical therapy, heat or ice therapy, and gentle exercises may also be recommended to promote healing and reduce discomfort.
In more severe or persistent cases, medical interventions such as corticosteroid injections or, rarely, surgery may be considered. However, most individuals with coccydynia find relief through conservative treatments, and the condition often improves over time.
If someone is experiencing persistent or severe coccyx pain, it is advisable to consult with a healthcare professional for a proper diagnosis and appropriate management.
For more info visit us at http://www.bestorthopaedic.in/latest-update/coccydynia-refers-to/32?utm_source=facebookpage
A 28 yr old patient presented with fracture shaft femur and compound fracture both bone leg managed by closed nailing and external fixator in leg
A 28 yr old patient presented with fracture shaft femur and compound fracture both bone leg managed by closed nailing and external fixator in leg
A 32 yr old patient presented with one month old benette fracture managed by open reduction and mini fragment plate application
A posterolateral corner (PLC) injury is a specific type of knee injury that involves damage to the structures on the back and outside (posterolateral aspect) of the knee joint. The PLC is a complex anatomical region of the knee, and injuries to this area can result from traumatic events, such as sports-related injuries or motor vehicle accidents.
The structures in the posterolateral corner of the knee include:
1. Lateral Collateral Ligament (LCL): The LCL is a ligament on the outer side of the knee joint, which helps stabilize the knee and prevent excessive lateral (outward) movement of the joint.
2. Popliteus Tendon: The popliteus muscle and its associated tendon play a role in knee flexion and rotation.
3. Popliteofibular Ligament: This ligament helps to stabilize the posterolateral corner of the knee.
4. Biceps Femoris Tendon: The biceps femoris muscle has two heads, and the long head of the biceps femoris tendon is part of the posterolateral corner structures.
Injuries to the posterolateral corner can be caused by direct trauma to the knee or through non-contact mechanisms, such as hyperextension or twisting of the knee. Common signs and symptoms of a PLC injury may include pain, swelling, instability, and difficulty bearing weight on the affected leg. There may also be associated injuries, such as anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) injuries.
Diagnosis of a PLC injury typically involves a thorough physical examination, imaging studies (like MRI), and possibly stress testing to assess the integrity of the ligaments. Treatment options for posterolateral corner injuries may vary depending on the severity of the injury. Non-surgical approaches like rest, physical therapy, and bracing may be sufficient for mild injuries, while more severe injuries may require surgical intervention to repair or reconstruct the damaged structures.
It's essential to seek prompt medical evaluation and treatment if you suspect a posterolateral corner injury, as timely management can help prevent long-term knee instability and complications. Treatment decisions are typically made on an individual basis, taking into consideration the specific injury and the patient's activity level and goals.. For more info visit us at http://www.bestorthopaedic.in/latest-update/injury/31?utm_source=facebookpage
TB hip, also known as tuberculosis of the hip joint, is a severe form of tuberculosis that affects the hip joint. Tuberculosis (TB) is a bacterial infection caused by Mycobacterium tuberculosis and can target various parts of the body, including the lungs, bones, and joints. When it affects the hip joint, it can lead to significant disability and joint destruction.
Key points about TB hip:
1. Symptoms: Patients with TB hip typically experience pain and stiffness in the hip joint. They may also have a reduced range of motion and difficulty walking. As the disease progresses, joint deformities can occur.
2. Diagnosis: Diagnosis of TB hip often involves clinical evaluation, imaging studies such as X-rays and MRI, and sometimes joint fluid analysis. A positive tuberculosis skin or blood test may also support the diagnosis.
3. Treatment: Treatment for TB hip primarily consists of a combination of anti-tuberculosis medications. These antibiotics must be taken for an extended period, often six months or more. Immobilization or traction may be required to relieve pressure on the hip joint. Surgery may be necessary in advanced cases to drain abscesses or repair damaged joint structures.
4. Prognosis: With early and appropriate treatment, the prognosis for TB hip can be favorable. However, delayed diagnosis and treatment can lead to severe joint destruction, disability, and long-term complications.
5. Prevention: TB hip is preventable through general TB prevention measures, such as vaccination (BCG vaccine), infection control, and early identification and treatment of active TB cases in the community.
TB hip is a challenging condition that can have a profound impact on a person's quality of life. Timely diagnosis and treatment are essential to prevent long-term joint damage and complication.. For more info visit us at http://www.bestorthopaedic.in/latest-update/complication./30?utm_source=facebookpage
Osteoarthritis, often referred to as OA, is a common and chronic joint condition that primarily affects the elderly but can also occur in younger individuals due to various risk factors. It is the most prevalent form of arthritis and is characterized by the following key features:
1. Degeneration of Joint Cartilage: In osteoarthritis, the protective cartilage that cushions the ends of bones in joints gradually breaks down. This can lead to pain, swelling, and reduced joint mobility.
2. Joint Pain: OA typically causes joint pain, which can range from mild to severe. This pain often worsens with movement and is commonly experienced in weight-bearing joints such as the knees, hips, and spine.
3. Stiffness: Affected joints may become stiff, making it difficult to move them, especially in the morning or after periods of inactivity.
4. Reduced Range of Motion: As OA progresses, it can lead to a decreased range of motion in the affected joints, limiting a person's ability to perform daily activities.
5. Risk Factors: Several factors can contribute to the development of osteoarthritis, including aging, genetics, joint injuries, obesity, and repetitive stress on joints due to occupation or sports.
6. Diagnosis: Diagnosis typically involves a combination of medical history, physical examination, and imaging tests such as X-rays or MRI scans.
7. Treatment: There is no cure for osteoarthritis, but there are various treatment options to manage symptoms and improve the quality of life. These may include lifestyle changes, physical therapy, medications, and in severe cases, surgical interventions like joint replacement surgery.
8. Prevention: Preventive measures include maintaining a healthy weight, staying physically active to strengthen the muscles around the joints, and protecting joints from injuries.
Osteoarthritis is a progressive condition, and while it cannot be completely reversed, its symptoms can be managed effectively with appropriate care and treatment. It's essential for individuals with OA to work closely with healthcare professionals to develop a tailored management plan that suits their specific needs.. For more info visit us at http://www.bestorthopaedic.in/latest-update/factors/29?utm_source=facebookpage
Posterior intervertebral disc prolapse, commonly referred to as a herniated or slipped disc, is a medical condition that affects the intervertebral discs in the spine. These discs are cushion-like structures located between each pair of adjacent vertebrae in the spine, and they serve to provide support, flexibility, and shock absorption to the spinal column.
In a posterior intervertebral disc prolapse, a portion of the inner core of the intervertebral disc (nucleus pulposus) bulges or ruptures through the outer fibrous layer (annulus fibrosus) and pushes against nearby spinal nerves or the spinal cord. This can lead to various symptoms and complications, including:
1. Pain: Patients often experience localized or radiating pain in the affected area, such as the lower back (lumbar region) for a lumbar disc prolapse or the neck (cervical region) for a cervical disc prolapse.
2. Numbness and Tingling: The pressure on the nerves can cause numbness and tingling sensations, known as paresthesia, in the corresponding body parts.
3. Muscle Weakness: In severe cases, muscle weakness can occur due to nerve compression, leading to difficulty in performing normal activities.
4. Loss of Reflexes: Reflexes may be diminished or absent in areas affected by the compressed nerves.
Diagnosis of a posterior intervertebral disc prolapse typically involves a physical examination, medical history review, and imaging tests such as X-rays, MRI, or CT scans. Treatment options vary depending on the severity of the condition and the individual patient, but they may include:
1. Conservative Management: Many cases can be managed non-surgically. This may involve rest, physical therapy, pain medications, and anti-inflammatory drugs.
2. Epidural Steroid Injections: In some instances, corticosteroid injections into the affected area can help reduce inflammation and alleviate symptoms.
3. Surgery: If conservative treatments do not provide relief or the condition is severe, surgical intervention, such as a discectomy, may be necessary to remove the herniated portion of the disc.
It's important for individuals with a posterior intervertebral disc prolapse to work closely with healthcare professionals to determine the most appropriate treatment plan for their specific condition, as well as to take steps to prevent future spine-related issues, such as maintaining a healthy weight and practicing proper body mechanics.. For more info visit us at http://www.bestorthopaedic.in/latest-update/condition/28?utm_source=facebookpage
De Quervain's tenosynovitis, also known as De Quervain's tendinitis or BlackBerry thumb, is a painful condition that affects the tendons on the thumb side of the wrist. It is named after the Swiss surgeon Fritz de Quervain, who first described it in 1895. This condition typically arises due to repetitive hand and wrist movements, which can strain the tendons and the synovial sheath that surrounds them. Here are some key points about De Quervain's tenosynovitis:
1. Symptoms: Individuals with De Quervain's tenosynovitis often experience pain and swelling at the base of the thumb on the side of the wrist. This pain may extend up the forearm and worsen with gripping, pinching, or turning the wrist, making activities like grasping objects or making a fist particularly painful.
2. Causes: The exact cause of De Quervain's tenosynovitis is often repetitive thumb and wrist motions, such as texting, gaming, gardening, or activities that involve forceful gripping and twisting. It can also occur during pregnancy due to hormonal changes and fluid retention.
3. Diagnosis: Diagnosis is typically based on a physical examination where a healthcare provider may perform the Finkelstein test, which involves bending the thumb and moving it towards the forearm. Pain during this maneuver is a common indicator of the condition. Imaging studies like ultrasound or MRI may also be used to confirm the diagnosis.
4. Treatment: Treatment options for De Quervain's tenosynovitis include rest, ice, and over-the-counter anti-inflammatory medications to reduce pain and swelling. Wrist and thumb splints can help immobilize the area to allow for healing. In more severe cases, corticosteroid injections may be administered. Physical therapy exercises can also aid in recovery. Surgery is considered in rare, persistent cases.
5. Prevention: To prevent De Quervain's tenosynovitis, it's important to minimize repetitive thumb and wrist motions and take breaks during activities that strain these areas. Using ergonomic tools, maintaining proper hand and wrist posture, and performing stretching exercises can help reduce the risk of developing this condition.
De Quervain's tenosynovitis is a painful condition that can significantly impact hand and wrist function. If you experience symptoms of this condition, it's essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention and lifestyle modifications can often lead to successful recovery and relief from the pain and discomfort associated with this condition.
Dr Abhinav Singhal
Singhal bone & joint clinic
Consultant Orthopaedic Surgeon. For more info visit us at http://www.bestorthopaedic.in/latest-update/tenosynovitis/27?utm_source=facebookpage
Tennis elbow, also known as lateral epicondylitis, is a common overuse injury of the forearm muscles and tendons that attach to the lateral epicondyle of the humerus. Despite its name, it can occur in individuals who don't play tennis. Repetitive motions, such as gripping and twisting, can lead to pain and inflammation in the outer part of the elbow. Rest, physical therapy, and sometimes bracing or corticosteroid injections are typical treatments for tennis elbow.
Achilles tendon rupture, also known as tendoachilles rupture, is a relatively common injury that affects the Achilles tendon, which is the largest and strongest tendon in the human body. This tendon connects the calf muscles to the heel bone and is essential for activities such as walking, running, and jumping.
Here are some key points about Achilles tendon rupture:
1. Causes: The most common causes of Achilles tendon rupture are sudden, forceful movements, such as pushing off to jump or sprint. These movements can place excessive stress on the tendon, leading to a tear or complete rupture.
2. Symptoms: Individuals who experience an Achilles tendon rupture often report a sudden, sharp pain in the back of the ankle or calf, accompanied by a popping or snapping sensation. This is typically followed by difficulty in walking, a limp, and weakness in the affected leg.
3. Diagnosis: A physician will perform a physical examination, looking for signs of a gap in the Achilles tendon. An ultrasound or MRI scan may be ordered to confirm the diagnosis and assess the extent of the injury.
4. Treatment: Treatment options for Achilles tendon rupture can include both non-surgical and surgical approaches. Non-surgical treatment may involve wearing a cast or walking boot to keep the foot and ankle immobile while the tendon heals. Surgical repair is often recommended for young and active individuals or in cases of severe tears. The surgery involves stitching the torn ends of the tendon back together.
5. Recovery: Recovery from an Achilles tendon rupture can take several months, and it often involves physical therapy to regain strength and flexibility in the affected leg. Rehabilitation is crucial to prevent a re-injury.
6. Prevention: To reduce the risk of an Achilles tendon rupture, it's essential to maintain proper conditioning, including stretching and strengthening exercises for the calf muscles. Additionally, avoiding abrupt increases in physical activity and using appropriate footwear can help prevent these injuries.
Achilles tendon ruptures can be painful and debilitating, but with the right treatment and rehabilitation, most individuals can recover and regain their mobility and strength over time. It's important to consult with a medical professional for proper diagnosis and guidance if you suspect you have experienced a tendon rupture. For more info visit us at http://www.bestorthopaedic.in/latest-update/conditioning/25?utm_source=facebookpage
AVN, or Avascular Necrosis, is a medical condition that affects the hip joint. It is also known as osteonecrosis or bone infarction. This condition occurs when there is a temporary or permanent loss of blood supply to the bone tissue in the hip joint, leading to bone cell death. This can cause the affected bone to collapse and may result in joint pain, limited mobility, and ultimately, arthritis.
AVN of the hip can have various causes, including trauma, long-term use of high-dose corticosteroids, excessive alcohol consumption, and certain medical conditions. Treatments for AVN of the hip typically aim to relieve pain and improve joint function. They can range from conservative measures like rest and physical therapy to more invasive options like core decompression or joint replacement surgery, depending on the severity of the condition. Early diagnosis and intervention are crucial in managing AVN of the hip and preventing long-term joint damage.. For more info visit us at http://www.bestorthopaedic.in/latest-update/avn-or-avascular-ne/24?utm_source=facebookpage
Singhal bone and joint clinic life is mobility and mobility is life.
Bankart repair surgery is a common procedure used to treat shoulder instability, typically caused by a Bankart lesion, which is damage to the labrum in the shoulder joint. During the surgery, a surgeon reattaches the torn labrum to the edge of the shoulder socket (glenoid) to stabilize the joint. This helps prevent recurrent dislocations and improves shoulder function. Recovery involves physical therapy to regain strength and range of motion. It's a well-established procedure with a high success rate in restoring shoulder stability.
Dr. Abhinav Singhal, an orthopedic surgeon in Ghaziabad, operated on an hip fracture and enabled a 90-year-old patient to regain their ability to walk.
Title: A Remarkable Transformation: Dr. Abhinav Singhal's hip Fracture Surgery Restores Mobility in a 90-Year-Old Patient
Introduction:
In the realm of orthopedic surgery, Dr. Abhinav Singhal of Ghaziabad has earned a reputation for his exceptional skills and unwavering commitment to improving the lives of his patients. This note delves into a remarkable case where Dr. Singhal's expertise shone brightly. It recounts how he performed a complex hip fracture surgery, ultimately allowing a 90-year-old patient to regain the ability to walk independently.
I. Understanding hip Fractures:
Hip fractures are intricate and challenging injuries, typically resulting from high-energy trauma such as car accidents or falls. These fractures involve the hip socket, and their complexity demands a specialized approach for successful treatment.
II. The Patient's Background:
Our story centers around a resilient 90-year-old patient who suffered an hip fracture due to a fall. The patient, previously active and independent, faced the grim prospect of immobility following this traumatic injury.
III. Dr. Abhinav Singhal: A Beacon of Hope:
Dr. Abhinav Singhal, an esteemed orthopedic surgeon in Ghaziabad, possesses a wealth of experience in treating complex orthopedic cases. His dedication to patient well-being and innovative surgical techniques have earned him recognition in the medical community.
IV. Preoperative Evaluation:
Before embarking on the surgery, Dr. Singhal conducted a thorough preoperative assessment. This involved medical history review, physical examination, and diagnostic imaging, including X-rays and CT scans. The goal was to understand the extent of the hip fracture and plan the surgical intervention meticulously.
V. Surgical Procedure:
Dr. Singhal's surgical expertise was put to the test during the procedure. Hip fracture surgeries often require a combination of open reduction and internal fixation. Dr. Singhal meticulously reconstructed the fractured hip using anatomically appropriate fixation devices.
VI. Postoperative Care and Rehabilitation:
After the successful surgery, postoperative care and rehabilitation played a pivotal role in the patient's recovery. Dr. Singhal's multidisciplinary team of healthcare professionals devised a comprehensive rehabilitation plan. Physical therapy was tailored to the patient's age and condition, with a gradual progression towards restoring mobility.
VII. Remarkable Recovery:
The patient's progress was nothing short of remarkable. With dedication and persistence, the 90-year-old began to regain strength, mobility, and independence. Dr. Singhal closely monitored the recovery process, making necessary adjustments to the rehabilitation plan.
VIII. The Impact on Quality of Life:
The ability to walk independently is often taken for granted, but for this elderly patient, it meant regaining a sense of freedom and dignity. Dr. Singhal's skillful surgery not only mended the fractured hip but also revitalized the patient's life.
IX. Conclusion:
In a world where medical miracles are often celebrated, the story of Dr. Abhinav Singhal's successful hip fracture surgery on a 90-year-old patient stands as a testament to the extraordinary possibilities of modern orthopedic medicine. His dedication to his craft and unwavering commitment to his patients' well-being have once again proven that age is no barrier to recovery when the right surgeon is at the helm.
In summary, Dr. Abhinav Singhal's exceptional skills and compassionate care transformed a seemingly insurmountable injury into a triumphant story of recovery. The 90-year-old patient's renewed ability to walk independently is a testament to Dr. Singhal's commitment to excellence in orthopedic surgery.
A 70 yr patient presented with fracture intertrochanteric femur managed by closed reduction and fixation by PFN
Ganesh Chaturthi is here, marking the start of new beginnings. May this festival bring prosperity and success your way. Happy Ganesh Chaturthi! ๐ช๐
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Shoulder is a very mobile joint of the body having movement in all directions. This mobility is conferred because of shallow glenoid and ball shaped head of humerus. This joint is stable only because of extensive ligamentous restraints all around the joint. most of the chronic pain conditions as well recurrent dislocations of shoulder are the result of loss of ligamentous restraints (rotator cuff muscle, glenoid labrum) around the shoulder joint. any painful condition around the shoulder should be assessed clinically as well as radiographically.
The treatment of most of the shoulder conditions entails medicines, physiotherapy and surgery (Arthroscopic repair).
Shoulder Arthroscopy is a very advanced technique in shoulder surgery which entails very small (key hole incision), minimal blood loss, shorter hospital stay and early rehabilitation.
consult your orthopaedic surgeon if suffering from any kind of shoulder pain
Singhal Bone & Joint Clinic
Dr Abhinav Singhal
CONSULTANT ORTHOPAEDIC SURGEON. For more info visit us at http://www.bestorthopaedic.in/latest-update/shoulder-is-a-very-m/20?utm_source=facebookpage
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