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Dr. Virendra Kumar

Anesthesiologist, Agra

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Dr. Virendra Kumar Anesthesiologist, Agra
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More about Dr. Virendra Kumar
Dr. Virendra Kumar is an experienced Anesthesiologist in Awadpuri, Agra. He is currently associated with Distt hosp agra in Awadpuri, Agra. You can book an instant appointment online with Dr. Virendra Kumar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Anesthesiologists in India. You will find Anesthesiologists with more than 31 years of experience on Lybrate.com. Find the best Anesthesiologists online in Agra. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Left foot heel pain about 5 months Vitamin d 51.5,b12-301.7,calcium 1.17,uric acid 5.18,hba1c 5.6 latest reports Also Slow walking & standing.

MPT, BPT
Physiotherapist, Noida
Left foot heel pain about 5 months
Vitamin d 51.5,b12-301.7,calcium 1.17,uric acid 5.18,hba1c 5.6 latest reports
Also...
Calf Stretches Standing calf stretch Stand away from a wall and. Put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day. Wall calf stretch Stand about two feet away from a wall. Place the ball of your right foot against the wall while your heel remains on the ground. Slowly and gently lean into the wall while keeping your knee straight. Hold this for 5 seconds. Repeat 10 times twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Hold this for the 5 seconds. Repeat 10 times twice a day.
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I have constant pain in my heel. It increases after I have been sitting for some time. Please suggest.

MPT, BPT
Physiotherapist, Noida
I have constant pain in my heel. It increases after I have been sitting for some time. Please suggest.
Stretch Calves. Stretch Calves Get a custom made insole. Hams Stretching. Sports Taping. Hot Fomentation.
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Exercises That Can Help Control Neck Pain!

MPT, Mphill
Physiotherapist, Delhi
Exercises That Can Help Control Neck Pain!

Concentrated pain in the neck can be especially tormenting. Before you look for a cure for this pain and start treating it, it is important that you try and find out the underlying cause behind it as well. Contacting a physiotherapist in time will allow you not only to avoid any and every side effect posed by neck pain, but also assist you to get good riddance from it.

Causes of Neck Pain:
There can be multiple causes of neck pain. The treatment of the same depends wholly on the factor that is causing the pain. Some of these causes of neck pain include

  1. Misaligned hips,
  2. Misaligned Spine,
  3. Misaligned shoulders,
  4. A constantly forward-tilted head,
  5. Lack of movement of the head from one specific position,
  6. Tensing up of the muscles in the upper back,
  7. Tensing up of the muscles in the neck region, etc.
  8. It is all these factors and a few more that end up resulting in stiffening of muscles in and around the neck and causing you intermediate to unbearable pain.

Side effects of neck pain:
Neck pain also has some side effects, which includes temporary loss of consciousness, nausea, vomiting, blackouts, temporarily blurred vision, headache, spondylitis, etc.

Exercises for neck pain:
Neck exercises are a predominant part of the treatment extended by every physiotherapist, to cure neck pain. Some of the most vital and effective exercises for neck pain are listed below.

  1. Frog: Funny as it way sounds, the frog is one of the best exercises when it comes to treating neck pain. All you have to do is lie down on the floor with your knees apart, your feet joined, your hands laid upward on the floor at a 45-degree angle to your body and just stay there in that position for two minutes. This will force your back to arch naturally, slowly giving some relief to your neck.
  2. Sitting floor: Try sitting floor for neck pain. All you have to do is sit straight with your back rested on a wall, with your legs laid straight forward. Bring together your shoulder blades and bend to help them meet your knees while curling the toes outward to optimal. Stay in this position for a good 3 minutes, without bending the legs.
  3. Static wall: Lie down on the floor with your bottom against a wall and your legs up it. You can always scoot back a bit if there is the slightest of discomfort. The aim here is to help the tail bone lie comfortably on the floor. Tighten your thigh muscles but curling your toes outward and pointing your feet straight out from its previous position. Maintain this position for 3 minutes for maximum effect.
  4. Static back: The static back is the most common and most helpful exercise for neck pain. All you got to do is lie down on the floor, while placing your legs on an elevated surface, such as an ottoman or a chair at a 45-degree angle to your body. Now put your arms at an angle of 45 degrees to your body as well, only sideways on your shoulder. Follow this position by lifting your palms and staying in that position for five to ten minutes.

All these exercises are aimed to positively influence one muscle or the other in and around the neck region and to help you get rid of that pain. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Slip Disc Often Misdiagnosed And Mistreated

MS - Orthopaedics
Orthopedist, Howrah
Slip Disc Often Misdiagnosed And Mistreated

What is a slipped disc?
Injury or weakness can cause the inner jelly like portion of the disc to protrude through the outer ring. This is known as a slipped or herniated disc. This causes pain and discomfort. If the slipped disc compresses one of your spinal nerves, you may also experience tingling, numbness and pain along the affected nerve. As the lumbar spine (lower back) carries most of the body weight, it tends to “slip” more than higher levels.


What is the anatomy of disc herniation / herniated disc/ slip disc /sciatica?


Human spine is made of up 33 bones (vertebrae) that are cushioned by discs. These vertebrae are divided by region: neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end of your spine, you also have the sacrum and the coccyx, which is commonly called your tailbone. Discs are present between these bones. The disks protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting. Each disc has two parts—a soft, gelatinous inner portion (nucleus pulpous) and a tough outer ring (annulus fibrosus). Together, the vertebrae and discs form a tunnel through which the spinal cords and nerve pass.


What are the causes of slip disc?

The etiology/cause of slip disc is multifactorial; there is no evidence to prove/disprove the quantitative effect of one or other. The risk factors for slip disc can be:

• life style: stress and emotional tension, poor posture -standing for long periods of time or sitting incorrectly—can cause slip disc, heavy physical work, lifting or forceful movement, bending, or awkward positions can really hurt your back.
• obesity: being overweight puts pressure and stress on the back, especially the low back. Carrying excess weight aggravates other health conditions such as osteoporosis (weak bones), osteoarthritis (joint pain), rheumatoid arthritis (an autoimmune disease), degenerative disc disease (described above in the aging section), spinal stenosis, and spondylolisthesis.

What are the symptoms of herniated disc or slip disc?
Symptoms of a slipped disc include: sciatica – pain in buttock radiating to leg
• pain and numbness, most commonly on one side of the body
• pain that extends to your arms and/or legs
• pain that worsens at night
• pain that worsens after standing or sitting
• pain when walking short distances
• unexplained muscle weakness
• tingling, aching, or burning sensations in the affected area
• sciatica— a sharp shooting pain that can extend from the buttock into the leg and sometimes into the foot.
• muscle spasm, locked back, stiffness in back, morning stiffness.
• although rare, herniated discs can cause you to lose bowel or bladder control known as cauda equine syndrome and one should seek medical advice as prognosis deteriorates with time. One can know whether this is happening to him or not if he has urgency /frequency of urination or loss of control of urination or sudden peri anal anesthesia.

When do I need to have a spine doctor opinion?
Patients with progressive symptoms in leg / back need a specialist opinion to diagnose and treat the problem.

symptoms which need specialist attention (red flags) are:

1. Persistent leg pain
2. Numbness in leg
3. Weakness in leg
4. Difficulty in walking
5. Unable to control urine / motion

symptoms like bowel and bladder urinary incontinence shall seek urgent / emergency opinion /management by the spine specialist.

Which tests will be needed to confirm the diagnosis?

Imaging studies / investigations help to arrive a diagnosis of slip disc / herniated disc and include:
• x-rays
• mri scans
• disco grams, which are rarely utilized.

What are the treatment options for slip disc?
There are different options to treat slip disc depending on the severity and duration of symptoms. They may comprise of one or many:

1. Drugs & medications
2. Spinal injections
3. Spine surgery

drugs, medications, to relieve slip disc: medication alone is not the ultimate solution to your back pain, however during emergency or during severe pain these medicines may help you curb the suffering. paracetamol:
your doctor may call this an analgesic, they don’t help reduce inflammation, though. nsaids (non-steroidal anti-inflammatory drugs):
these will help reduce swelling (or inflammation) while relieving your pain; that’s how nsaids differ from paracetamol.

muscle relaxants: which will help stop the muscular spasms.

anti-depressants:
as surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your body’s production of endorphins, a natural pain killer.

opioids:
in the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid.

medication warning:
as with all medications, you must follow your doctor’s advice precisely.

Spinal injections: 
(a) injection techniques
• root block injection
• epidural injection
• caudal block injection
• facet block injection

The options of surgery are
• decompression
• spinal fusion

the spine surgery advised for slip disc can be performed in many different ways. The success rates of surgery in slip disc/ herniated disc / sciatica is 98 % and with invention of modern technology and minimal invasive surgery techniques it nears 100 %. Spine surgery can be performed in different manners:-

• conventional open surgery
• minimal invasive spine surgery – key hole spine surgery
• endoscopic spine surgery
• microscopic spine surgery
• micro endoscopic spine surgery

Decompression includes
• facetectomy: a procedure that removes a part of the facet (a bony structure in the spinal canal) to increase the space.

• foraminotomy: a procedure that removes the bony compression over foramina (the area where the nerve roots exit the spine) to increase the size of the nerve pathway.

• laminoplasty: a procedure makes more room for the spinal canal.

• laminotomy: a procedure that removes only a small portion of the lamina (a part of the vertebra) to relieve pressure on the nerve roots.

• micro-discectomy: a procedure that removes a disc through a very small incision using a microscope.

• laminectomy: a procedure for treating spinal stenosis by relieving pressure on the spinal cord.

spinal fusion: surgery intends to stabilize an unstable segment responsible for pain, this may involve putting some screws in your spine to increase stability.

various options of doing spinal fusion are plf /plif/tlif/ alif/xlif.
 

I am 33 years old, I have pain in joints, sometimes on one joint then in other and then in other. What could be the problem with me?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
It might be of gait pattern of your abnormal shifting of body weights while on walking or moving or condition called poly arthritis do have hot water and cold water fomentation thrice a day 6 days if still pain persists do consult musculoskeletal physiotherapist or orthopaedician asap
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I am 21 year old male, I had throat pain from 2 days. Also had irritation, itchiness also very hard to swallow any food items. Some times I feel difficulty for breathing and joint pain. Please help me!

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD, Diploma Endocrinology, Cleveland Clinic Advanced Certificate Course In Diabetes, PGCDM (Practical Guidance on Comprehensive Diabetes Management)
General Physician, Gurgaon
I am 21 year old male, I had throat pain from 2 days. Also had irritation, itchiness also very hard to swallow any fo...
Dear user with the information provided it appears that you are suffering from viral upper respiratory infection. It is advisable if you can start doing gargles with luke warm water on a regular basis at least twice daily till your problem resolves. For the relief of your pain you can take tab paracetamol 500 mg twice or thrice daily. Hope this solves your query.
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My father suffering from chikungunya from today morning I already consult to my family doctor. But you please tell me home remedies for rashes, muscles pain in this disease.

MBBS
General Physician, Jalgaon
My father suffering from chikungunya from today morning I already consult to my family doctor. But you please tell me...
Please Continue his current medicine Give him Tab Giloy ghanvati by Patanjali 2... 2 Tab septilin by Himalaya 2... 2.
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I have pain in all my body joints. And they make sounds on twisting them. I feel my joints are weaker than normal. Can you explain the condition and a possible cure please.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have pain in all my body joints. And they make sounds on twisting them. I feel my joints are weaker than normal. Ca...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity strengthening and stretching and Breathing exercises for about 20 minutes regularly Best Wishes
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I am suffering from lower back pain and knee joints pain and sometime this pain flows up and down in bones from shoulder to feet.

MBBS
General Physician, Fatehabad
I am suffering from lower back pain and knee joints pain and sometime this pain flows up and down in bones from shoul...
Hi lybrate-user, Using natural treatments for joint pain and stiffness can make a big difference in the amount of medication you need to take. We’ve outlined some great herbal remedies to relieve stiffness and pain. 1. Cayenne - Known for its spicy-hot taste, cayenne makes an excellent topical ointment that relieves joint pain. Rubbing cayenne on the affected area causes a mild irritation, which in turn “distracts” the nerves from the more severe joint pain. Repeated topical applications of cayenne pepper can reduce arthritis pain significantly. To make a topical paste, mix 2 tablespoons of cayenne pepper with 1/2 cup of cocoa butter, lanolin, or coconut oil. Apply it directly to the sore joint. You can also mix 1/2 teaspoon of cayenne pepper with 1 cup of apple cider vinegar and soak sore hands or feet for 20 minutes to reduce pain and inflammation. 2. Fruit Pectin & Grape Juice - The combination of pectin, which is found in the cells of many plants, and grape juice can be of great use to people suffering from inflammation and joint pain. Grape juice is loaded with antioxidants, among them, anthocyanins, which are noted for their effect on reducing inflammation. Pectin is also believed to relieve fluid buildup in the joints of arthritis sufferers. It’s best to purchase pectin from a health or natural foods store for the best quality. You want to make sure to select pectin that is free of MSG and other additives. Mix 1/2 cup of grape juice with 2 tablespoons pectin. You can add water, if needed. Drink it twice daily for 6 weeks, and then reduce the frequency as symptoms disappear. 3. Flaxseed: Omega-3s are important for a strong immune system, but did you know they also help fight inflammation? Flaxseed is one of the best vegan sources of Omega-3 fatty acids, which makes it even more important for arthritis sufferers. Animal fats can often lead to more inflammation, so making the choice to incorporate flaxseed into your diet will help you get the important Omega-3s without adding the animal fat. Try to include two tablespoons of flaxseeds or flaxseed oil in your daily diet. You can add ground flax to cereals, yogurt, and even sauces and stews. 4. Exercise: Light weight training and cardiovascular exercise are very important to relieve joint stiffness and pain. While the first thing you may want to do is curl up and lay down when joint pain strikes, it’s a great idea to get up and get moving. I find that a hot shower and some gentle exericise like yoga, Pilates, or light weight training really helps get your joints in motion and reduces the stiffness and pain. Light weight training can also strength the muscles surrounding your affected joint, thus providing it with more support. Another great form of exercise to get relieve joint pain and stiffness is aquatic exercise. This non-impact workout allows you to slowly moving your joins through their range of motion. Hope this helps. Good Luck.
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