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Walks unbalanced with problem in XRAY. Chance of TONOTOMY.

Resolved Question:

my daughter is 1 yr and 9 months. she walks unbalanced and her X-ray showed that she has a problem. Some doctors her in Saudi Arabia suggested that she needs to do a surgery ASAP. In the surgery, they are going to break both thigh bones and put splint for 2-3 months. while another doctor suggests that there is a chance to do tonotomy.
what is the treatment that should be done in this case?
what is the consequences of this treatment?
does it need to be done for both legs in the same time or separate?
does she needs a physical therapy after that? for how long?
does the treatment affect the way she walks?

Category: Psychiatrist

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Dr. Srikanth Reddy
Category: Sexologist
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 22 Doctors Online

Expert:  Dr. Srikanth Reddy
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Hello
Thanks for using Doctor Spring for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Citalpram is one of the drugs used for obsessige compulsive disorder, but if it has not shown any improvememt then is unlikely to show improvement further. Unfortunately the new drug that has been prescribed to you , ansiben, is again a citalopram. Moreoever doses of these medications for ocd have to be high to show any improvement. Generally for my patients I suggest them to start on fluoxetine 20mg and then gradually increase to 60mg. Any anxieety meanwhile can be controlled with clonazepam. I also consider adding some low doses of clomipramine which helps in anxiety as well as ocd symptoms.
I request you to please discuss these options with your treating physician.
Hope this helps
Kind regards
Dr. Srikanth Reddy


Patient replied :

Thank you Dr. Reddy. I will discuss your options with my physician.


Expert:  Dr. Srikanth Reddy
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You are most welcome. Hope you get well soon. Please feel free to follow-up.
Regards

Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

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