Hi, I am Dr. Srikanth Nithyanandam, a Primary Care Sports Medicine doctor practicing in the United States. I serve various roles as a clinician, such as a hospitalist, outpatient clinician, team physician, and medical director for Exercise Physiology Lab.
I completed my medical school from PSIMSR, Coimbatore, India. I did a Masters in exercise Physiology at the University of Kentucky. I then went to complete residency in Family Medicine, Fellowship in Academic Medicine and finally a Fellowship in Sports Medicine. I just recently completed an online Integrative Medicine Residency Program through University of Arizona.
My mission of creating of this channel is to help people understand the importance of being active and help people who are physically inactive to undertake physical activity and for people who already enjoy physical activity, to help them remain stay active.
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very well explained, thx 😊
Nice one❤
Boring
Sorry, it was not helpful for you
Dr. Joe says you are WRONG !
Who is Dr. Joe? Can you explain further?
@@srikanthnithyanandammd HA ! I KNEW that’d get your attention ! He is an MD online and his handle is Dr. Joe. I am fed up with everyone giving ridiculous advice. When I asked for details, he responded and told me to do it 30 minutes after eating and to do it for 30-45 minutes. The only thing that I have found to fight this nasty disease is doing “ Keto with I.F. “ Because nothing else works. And I am fed up with it ! So, you and Dr. Joe get together and decide if ANYTHING will help other than keto and I.F. I even tried Carnivore. Carnivore made my blood sugar go UP !!!!! Nothing but meat and water and it went up !
Good info
Thank you.
Okay handsome I heard you can put diabetes asleep is that true? Let me know thanks.
Sorry, I am not able to understand your question
should I start walking with my knee straight, with or without the brace for the MCL? (i can comfortably do all exercises in phase 1 there is only pain when i completely straighten knee and twist it inwards)
Goal would be to straighten the knee all the way when you walk. It might take some time and thats ok
Hello sir namaste, i injured my mcl ligament. Initially i followed RICE method, after 2 weeks it turned normal. I dont know its due to ligament injury because it just came out suddenly when i got up from the chair. My knee used to be stiff for 4 days before injury. Since it went normal, i went out nd all of a sudden i injured again. I followed the same method nd felt beter after 2 weeks. Visited doctor. He tested . Did a valgus stres test. I got pain. He gave medicines for a week. Actually the pain and swelling increased after he did valgus stres test. Its been 1 month , i have been using tendofly tablet twice a day, swelling got reduced mostly but still there a little bit. Feel like tightness when i stand straight below the inner side of the knee where mcl attaches to shin bone. I am following ur rehab excercises feeling far beter. Thanq so much for ur time and effort sir. Could u please help me sir?
Your symptoms could be due to pes anserine bursitis which is basically where the hamstring attaches to the medial side of the tibia. Rehab exercises for MCL will still help.
Thanq so much sir
Excellent video and graduated exercise. It allows me to know what exercise I need to do at what stage. I am able to put my knee straight after the injury so I will do the exercises you suggested. I still have some pain but I am able to walk.
awesome. Thank you for the feedback
started 5 years back and still continues till date . don't know what to do and where to go . nothing in mri or X-rays . consulted with spine surgeon and ortho as well . both said just get physiotherapy . but that too did help .
Sir I have done my acl and mcl grade 2 surgery completed 2 months physiotherapy has been completed 1 month but muscles are weak I following the exercise so muscle are not getting strong why sir
Bro khrcha kitna aaya tha??
@@auaa8508 2 lakhs
It might take a while. Unfortunately post ACL injury quad weakness is a big issue for most of them. But with dedicated continued rehab, you will achieve a good strength. Would recommend continuing with dedicated physio.
very informative thanks!
Thank you.
Very helpful
Glad to hear that
The gel injections caused more pain to my knee than before the shot going on 3 weeks now.
Sorry to hear that. Sometimes it might be a reaction to gel. discuss with your doctor and he might give you an antiinflammatory to help with the reaction.
few young doctors who know their stuffs.
Thank you
Do some backwards walking as this is a great exercise and really pumps those calf muscles.
Great point. However soleus pushups concept is completely different. Thank you.
Is it wise to use? BFR bands. I just purchased Kaatsu brand. And I have been using it for the past three weeks now. I am not sure if I’m doing the right thing. My doctor is not very good at answering these questions. I would appreciate your input on.BFR Trainings for ACL/MCL injuries. Unfortunately I thought both my MCL and ACL in both knees.
BFr is totally fine especially to Improve the quad strength
Great video . My injury happened three months ago. I have chosen not to get surgery at least not until I try therapy for six months. Although my knees don’t feel stable I’m still choosing not to do reconstructive Acls ACL surgery . Thank you
Great plan. Thank you for your feedback
Loved the technique and the presentation. It would be even better if you can slow the pace o f the conversation. Many thanks again 🎉
Thank you for the feedback.
For real
M having ankle pain n heel pain...should I do or not ?? Please do reply
Most likely not given low intensity. I recommend starting slow, maybe for 15 minutes, and see if it bothers you the next day. Then, increase the duration based on that.
Calf muscle exercise is good for heel Pain..I'm Physical massage therapist
Thank you that was a wonderful stretch
Thank you
Hii doctor, I am suffering from grade 2 ligament injury for 6 month and I have a problem that knee swelling isn't decreases. The inflammation stops at a particular place. There is no befits for taking medicine for approx 6 months🥺
So how can I reduce these type of swelling (inflammation) 😔
MCL ligament sprain should not cause swelling inside the knee. I would be worried about your cartilage that might be causing the swelling. i would recommend checking an ortho or sports medicine specialist who can do a complete exam and may need an MRI depending on the exam findings
@@srikanthnithyanandammd i have my mri report and in that report it clearly mentioned that I have partial tear in Ligament . Grade 2 ligament.
@@srikanthnithyanandammd there is some inflammation( sujan) just behind the knee
I will be trying these!
Thank you.
Got the HA injection today, (6-28-2024) Three cc lidocaine and 6cc synvisc one. I forgot to ask the Dr, how long till I can play disc golf again? A week? Two weeks?
Usually I tell patients that improvement might take a couple of weeks but overall if symptoms allow I usually tell my patients to start slow and progress
@@srikanthnithyanandammd Thanks. The injection was 6cc of Synvisc One. 6cc is only about a teaspoon. Such a small amount. Is that enough?
I started doing calf raises when sitting and see by your video, I've been doing them wrong. Thank you for this video!
However this is different than calf raise. If you want to grow your calves, this is not the right exercise
This is my second time cortisone injection six months but waiting to see if the pain comes back
hopefully it keeps it away
Great video!
Thank you
short , simple and useful info
Thank you.
There is a recent review indicating that those studies showing no improvement had too low a platelet count to be effective. Two-3 million platelets vs 8-10 million. Results are dose dependent.
Thanks for sharing. Yes, I will be making an updated video soon.
My daughter injured her knee during volleyball, we will not be able to get in to an orthopedic for 2 weeks post injury. It’s been almost a week since injury. When should she start ROM exercises.
Typically, in children with a knee injury, we may have concerns about growth plate injuries, but these types of injuries are uncommon. If there is no swelling after the injury, the likelihood of a catastrophic injury is low, although it can occur. It is always important to consult with a doctor in these situations. If the person is able to walk after the injury, it is more likely that it is not a serious injury. In this case, it is suggested to focus on range of motion exercises as soon as possible. Even if there is a concern for an ACL or MCL injury, it is still safe to exercise range of motion as tolerated. I hope this answers your question.
👍
Thanks 🙏🏿
Which is better ? Standing or Sitting Soleuspushups
Performing standing soleus push-ups can be very challenging due to the difficulty of isolating the soleus muscle when standing. However, based on the findings of the study, there are significant benefits from doing seated soleus push-ups for hours. Despite this walking or any cardio is a better overall exercise compared to soleus push-ups. While soleus push-ups may have potential benefits for controlling blood sugar, walking or any cardio can improve overall fitness and consequently increase longevity.
I don't eat carbs, but this exercise is not working for me to lower blood sugar. I haven't done for 3 hours though 😢
Please skip this exercise and do Different mode of exercise.
My age is 41 and before year my RT leg was twisted badly then I had mri . In Mri findings there was full acl tear & medial miniscus grade 2 tear. After that Acl repaired & miniscus left as itis.Then I visited to psyotherpist for 5 months I felt good but from last 3 months I am filling pain between patella and joint line on left side of knee. Now surgeon is suggesting me to take gel injection in that knee . Should i go for this or not. Sir please reply
YYour symptoms seem to align more with patellofemoral pain, a condition that's not uncommon among individuals who have undergone ACL reconstruction using a patellar tendon graft. Determining whether a gel injection is necessary in your case can be challenging without a direct examination. Gel injections are typically indicated for arthritis, and if a patient is experiencing patellofemoral arthritis, such treatment could be an option to consider. Given your situation, I would advise having a detailed conversation about the potential risks and benefits based on the findings from your clinical examination. .
How do you know wat level injury you have in the knee my doctor says there no broken bone no fracture but it seems like a ligament or muscle tear that’s all I was. Told with pain tabs
We will have to do a proper exam to find out what might be injured. Recommend seeing a sports medicine doctor.
I have grade 2 tear in medial miniscus doctor suggested me to take gel injection in my knee. Should i go for this or not . I felt pain in my rt knee under patella joint line on left side of knee. Please suggest me
Please provide more history. Did you have an injury or just started developing pain. Did you get an mri? What is your age??
My age is 41 and before year my RT leg was twisted then I had mri . Then I visited to psyotherpist for 4 months I felt good but from last 3 months I am filling pain between patella and joint line on left side of knee. Sir please reply
I just had my second Euflexxa injection yesterday…
Awesome, let me know how it helps
I usually touch only 4500 steps daily....not enough..😢
It’s totally ok. Keep aiming for 6000 steps and slowly progress
True & Good advice, I used to & keep watching two such channels who tell about what they ate & couple of hours later give the reading of cgm. Was confused and thought of making a all safe list. But need to rethink. 😢 thanku
Thank you for sharing your feedback. Emphasizing a diet predominantly consisting of whole, plant-based foods is crucial.
Hi doctor, what do you recommend about healing my mcl sprain? I got it from my jogging, and its been two weeks now.
Unlikely to be MCL sprain just from jogging itself without an acute injury. Have you seen your doctor for evaluation?
@@srikanthnithyanandammd not yet doc, I just search about my condition cuz my knee hurts at the side of it. I can walk and don’t have some swollen.
@@srikanthnithyanandammd also it hurts when I put some weight when I walk into my left foot, but I can put my weight when I use my right foot
Thanks for introducing me to the calculator
Happy to help
✅ I too had an allergic reaction Memorial Day weekend. My face was swollen and my eyelids were so puffy. I couldn’t look down because of the swelling. It was crazy. Thank God for antihistamines. It took all of 3 days to go back to normal. Praying for you to have a speedy recovery. ❤️🩹 🙏🏻
Sorry to hear that
Dr Sri, thank you for taking your time to share with us! Very good information, and I learned a lot. I am a new subscriber, and look forward to looking at your catalog of videos!
Thank you for your feedback
Most excellent information. Thank you for posting this
Glad it was helpful. Thank you for your feedback
Audio thoda badhao!
Thank you for the feedback
Very nice advice
Thank you.
Great advice, doc. Thanks. And also, lower that squat!
Ha ha. Will do