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Dr. Anand P. Panchal

Orthopedist

Dr. Anand Panchal is an orthopaedic surgeon practicing in Wellington, Florida. Dr. Panchal specializes in the diagnosis, treatment and rehabilitation of injuries, diseases and disorders of the bodys musculoskeletal system. As an orthopaedic surgeon, Dr. Panchal tends to bones, ligaments, muscles, joints, nerves and tendons. Orthopaedic surgeons can specialize in certain areas like the hand, spine, hip, foot and ankle, shoulder and elbow or the knee.
Dr. Anand P. Panchal
  • Wellington, Florida
  • NYIT College of Osteopathic Medicine
  • Accepting new patients

Can shoulder impingement improve on its own?

Yes shoulder impingement can typically improve on its own. Providing there was no significant injury or trauma, and that there is no significant weakness, its primarily pain overhead READ MORE
Yes shoulder impingement can typically improve on its own. Providing there was no significant injury or trauma, and that there is no significant weakness, its primarily pain overhead use and symptoms are manageable can typically recover on its own. Symptoms physical therapy/home exercises/anti-inflammatories are needed. Sometimes can take six weeks even up to 2 to 3 months to recover on its own.

What treatments are effective for ankle sprain?

Ankle sprains typically can be treated with a combination of ice elevation, gentle range of motion, exercises of the ankle and foot. When tolerated, a period of partial wheat, READ MORE
Ankle sprains typically can be treated with a combination of ice elevation, gentle range of motion, exercises of the ankle and foot. When tolerated, a period of partial wheat, bearing might be beneficial, but putting some weight to canned, potentially improve the healing process. Most ankle sprains take anywhere from 3 to 6 weeks for recovery. Crutches are typically as needed. Sometimes physical therapy can be beneficial as well.

Can surgery fix hip arthritis?

If the arthritis is severe enough, and it is symptoms are severe enough that they affect daily life and ability to walk, hip replacement. Surgery is a good option. Would recommend READ MORE
If the arthritis is severe enough, and it is symptoms are severe enough that they affect daily life and ability to walk, hip replacement. Surgery is a good option. Would recommend talking to your orthopedic surgeon in regards to this potential option.

Is bulging disc serious?

Not all bulging discs are serious. Bulging discs are seen in the setting of an injury or chronic changes such as from arthritis/wear and tear on the back. These are commonly seen READ MORE
Not all bulging discs are serious. Bulging discs are seen in the setting of an injury or chronic changes such as from arthritis/wear and tear on the back. These are commonly seen as we get older into our 50s and 60s. Many of these respond well to physical therapy, anti-inflammatory stretching, and postural exercises. Uncommonly do they need surgery. They sometimes require surgery if one has failed non-operative treatment and they have significant numbness and tingling or pain shooting down the legs.

What can I do for shoulder impingement?

Shoulder impingement is very common as people age. Most cases of impingement in the shoulder can be treated non-operatively. Physical therapy and home exercises to strengthen the READ MORE
Shoulder impingement is very common as people age. Most cases of impingement in the shoulder can be treated non-operatively. Physical therapy and home exercises to strengthen the muscles around the shoulder, improve posture, and improve shoulder Range of motion are the backbone of non-operative treatment. Sometimes Cortizone injections and anti-inflammatories over their short course can help as well.

What should you not do with hip arthritis?

With arthritis its typically advisable to continue normal activities, including light exercise. Good options are swimming, elliptical, biking, walking. Depending upon level of READ MORE
With arthritis its typically advisable to continue normal activities, including light exercise. Good options are swimming, elliptical, biking, walking. Depending upon level of symptoms, potentially jogging/running, if they exacerbate pain and symptoms, might not be advisable. In general restrictions are only limited to pain tolerance.

What should I do to fix tennis elbow?

Symptoms/pain associated with tennis elbow typically resolves overtime even without intervention. Fortunately there are options to alleviate/minimize the symptoms such as stretching/strengthening READ MORE
Symptoms/pain associated with tennis elbow typically resolves overtime even without intervention. Fortunately there are options to alleviate/minimize the symptoms such as stretching/strengthening exercises, counterforce elbow brace, oral and or topical anti-inflammatory could also help. Avoiding gripping lifting with the hand pronated will also reduce/minimize symptoms (Avoid activities where the hand is palm down).

Does strengthening the lower back help with sciatica?

Physical therapy focuses on strengthening the low back and core/abdominal. Muscles are one of the mainstays of nonoperative treatment for low back pain/sciatica. Emphasis is usually READ MORE
Physical therapy focuses on strengthening the low back and core/abdominal. Muscles are one of the mainstays of nonoperative treatment for low back pain/sciatica. Emphasis is usually also on flexibility and posture in addition to the above during physical therapy sessions.

Wrist injury?

This sounds like tendinitis of the tendons that helped to bring your thumb up. There’s a condition called Dequervains tenosynovitis that can cause those symptoms. Treatment usually READ MORE
This sounds like tendinitis of the tendons that helped to bring your thumb up. There’s a condition called Dequervains tenosynovitis that can cause those symptoms. Treatment usually involves combination of anti-inflammatories, occupational therapy, wrist/some brace, possible injection of Cortisone.

Knee injury?

If there is indeed fluid in the knee/swelling along with signs of instability - the knee feels loose – then I would see an orthopedic surgeon to do an exam and assess for possible READ MORE
If there is indeed fluid in the knee/swelling along with signs of instability - the knee feels loose – then I would see an orthopedic surgeon to do an exam and assess for possible ligament injury. An MRI of the knee might be required for further diagnosis.

Post ACL & meniscus surgery pain?

Depending on the specific type of screw/button used during the ACL surgery in your tibia, a reaction can sometimes occur whereby the screw breaks down and causes swelling/pain READ MORE
Depending on the specific type of screw/button used during the ACL surgery in your tibia, a reaction can sometimes occur whereby the screw breaks down and causes swelling/pain of the tibia. Sometimes a CT scan or MRI can show this area of swelling. In some cases, this might require surgery. I would recommend you go see the orthopedic surgeon who performed your ACL surgery for further examination and testing.

Severe knee pain?

Based upon her age, this likely is arthritis, which is very common when people get into their 70s. Would recommend she get an X-ray and see an orthopedist to get evaluated. There READ MORE
Based upon her age, this likely is arthritis, which is very common when people get into their 70s. Would recommend she get an X-ray and see an orthopedist to get evaluated. There are multiple treatment options if indeed it is arthritis.

Can a bone bruise hide a tear in your knee?

MRI will show bone bruises. They do not hide on an MRI. Meniscus tear pain can be intermittent depending upon the type of the tear. If you still have pain behind the knee cap and READ MORE
MRI will show bone bruises. They do not hide on an MRI. Meniscus tear pain can be intermittent depending upon the type of the tear. If you still have pain behind the knee cap and you had a kneecap dislocation, might recommend a repeat MRI as this could represent a cartilage injury/damage to the cartilage on the kneecap. Would recommend seeing an orthopedic surgeon for an evaluation.

I may have a meniscus injury, do I need to go in to the office?

If you did indeed hear/feel a pop in your knee and still have pain and feelings of instability weeks later, I would recommend going to see an orthopedic surgeon to evaluate your READ MORE
If you did indeed hear/feel a pop in your knee and still have pain and feelings of instability weeks later, I would recommend going to see an orthopedic surgeon to evaluate your knee.

Finger sprain?

Finger sprains, particularly at the level of the joint, can stay swollen depending upon the severity of the injury for months after the date of the injury. It is not uncommon to READ MORE
Finger sprains, particularly at the level of the joint, can stay swollen depending upon the severity of the injury for months after the date of the injury. It is not uncommon to need occupational therapy to reduce the swelling and improve the motion. There’s also not uncommon to need anti-inflammatories and activity modifications to accomplish the same goal. X-rays sometimes our team to ensure there is no fracture.

Do I continue steroid injections before my knee replacement?

I will check with the surgeon who is performing your knee replacement. Typically trigger point injections into a different body part a week or two prior to a knee replacement should READ MORE
I will check with the surgeon who is performing your knee replacement. Typically trigger point injections into a different body part a week or two prior to a knee replacement should not be an issue. Once again would confirm with the surgeon doing a knee replacement. If you have diabetes that is poorly controlled that might be a con sounding factor.

My arm hurts?

This pain/injury could represent a number of different things. First thing that comes to mind is a biceps tendon injury at the elbow/forearm. If you notice a cosmetic asymmetry READ MORE
This pain/injury could represent a number of different things. First thing that comes to mind is a biceps tendon injury at the elbow/forearm. If you notice a cosmetic asymmetry in the injured versus an injured arm, distal biceps injury could be likely. Would recommend seeing a orthopedic surgeon to evaluate your elbow/arm to determine if an MRI is warranted. Would recommend avoiding heavy lifting/use of the arm until you see A physician.

Shoulder pain?

Sudden onset of shoulder pain without injury is difficult to pin down as far as an exact diagnosis. Without trauma or injury fracture and torn tendons are unlikely. Potentially READ MORE
Sudden onset of shoulder pain without injury is difficult to pin down as far as an exact diagnosis. Without trauma or injury fracture and torn tendons are unlikely. Potentially calcific tendinitis can cause this picture. Sometimes shoulder pain that is associated with developing frozen shoulder can cause this similar pain. This will be known as the pre-freezing stage.In most cases anti-inflammatories, activity modification, physical therapy and home exercise can alleviate symptoms. Would recommend seeing a orthopedic surgeon to get your shoulder properly evaluated.

Do cortisone shots cure bursitis?

Cortizone is an effective treatment for bursitis. I would not necessarily say it’s a cure. Part of it depends upon the location of the bursitis. Not all areas with bursitis can READ MORE
Cortizone is an effective treatment for bursitis. I would not necessarily say it’s a cure. Part of it depends upon the location of the bursitis. Not all areas with bursitis can be injected with Cortizone. One common area is the shoulder in which a Cortizone injection plus or minus physical therapy and potentially anti-inflammatories can lead to significant reduction in symptoms and potentially complete resolution of symptoms overtime.

How long is physical therapy after hand surgery?

Physical therapy after hand surgery varies widely depending upon the type of surgery. Less complex surgeries like carpal tunnel release and trigger finger release usually don’t READ MORE
Physical therapy after hand surgery varies widely depending upon the type of surgery. Less complex surgeries like carpal tunnel release and trigger finger release usually don’t need therapy. More complex surgeries such as tendon repairs and fractures can routinely need 2 to 4 months of therapy. It is all depending upon the complexity and type of surgery.