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Dr. Viral Gajjar

MBBS

Orthopedist, Ahmedabad

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Dr. Viral Gajjar MBBS Orthopedist, Ahmedabad
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Viral Gajjar
Dr. Viral Gajjar is one of the best Orthopedists in Dholka, Ahmedabad. Doctor is a MBBS . You can visit him/her at Jivandeep Hospital in Dholka, Ahmedabad. Book an appointment online with Dr. Viral Gajjar and consult privately on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 32 years of experience on Lybrate.com. Find the best Orthopedists online in Ahmedabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Jivandeep Hospital

Old Bus Stand Road, Dholka,Landmark:Opposite Shri Ram Market.Ahmedabad Get Directions
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I wanted to ask that my knee produce crackling sound. And my all joints also. When I walk my knees produce crackling sound. Does it is due to over masturbation. I am 17 year old. Should ashwagandha tablets are good for this treatment. Does it effect my height.

DHMS (Hons.)
Homeopath, Patna
I wanted to ask that my knee produce crackling sound. And my all joints also. When I walk my knees produce crackling ...
Hello, Masturbation, thrice a wk is normal but frequent attempts to it be hazardous to your health in future. You may continue Ashawagandha as usual. Tk, care.
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My mom caused by severe pain in hip. She can't walk after 15 min. She can't stand more than 10 min. ortho doctor suggested a belt Or surgery. Is there any other way to avoid surgery. She taking sugar tablets.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My mom caused by severe pain in hip. She can't walk after 15 min. She can't stand more than 10 min. ortho doctor sugg...
Do take ift and vacuum therapy physiotherapy treatment for pain relief for 12 days followed by strengthening exercise from neuro physiotherapist use firm hard and even mattress for sleep do revert to me for further assistance best wishes.
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Hi my age Is 25 I go on long drives on bike and I work in a mnc my concern is I'm getting back pain from a month and I feel uneasy on the right side of stomach not pain at all but uneasy which won't allow me to do anything.

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Hi my age Is 25 I go on long drives on bike and I work in a mnc my concern is I'm getting back pain from a month and ...
Back pain is common among riders and is usually due to muscular spasm though there may be other causes too. You may need some physiotherapy to help relax your back muscles followed by some spine strengthening exercises.
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.

Characteristics

The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.

Cause

The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.

Mechanism

The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).

Prevention

Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.

Treatment

The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

I am suffering from bone erosion on knee and much pain. What should I do to a well and pain free life?

MPT, BPT
Physiotherapist, Noida
I am suffering from bone erosion on knee and much pain. What should I do to a well and pain free life?
Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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My father 65years male. Having neck pain and right upper limb tingling sensations. Wat is the treatment. Is it serious condition?

Fellowship in Joint Replacement, MS - Orthopaedics
Orthopedist, Dhamtari
Neck pain with one limb tingling is mostly due to nerve root irritation in the cervical spine area. The condition commonly referred to as cervical spondylosis. It should be taken seriously as it can progress to weakness in limbs. Management includes xrays of cervical spine (sometimes mri is also needed) cervical collar for severe pain (should not be used for long term) neck muscle strengthening exercises (depending on x ray) medicines for pain and nerve irritation.
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There is a strong pain in the knee when she gets up from the ground as well as when going upstairs.

MPT, BPT
Physiotherapist, Noida
There is a strong pain in the knee when she gets up from the ground as well as when going upstairs.
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
1 person found this helpful
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Hello sir I am Pavan chandra working as a software engineer daily I am sitting around 8 hours since last 2 month's thats the reason for my back pain please suggest me how to solve my problem.

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Hello sir I am Pavan chandra working as a software engineer daily I am sitting around 8 hours since last 2 month's th...
Dear Lybrate user, I'd not advise to quit your job but I'd advise something you should do systematically to get back to pain free life. 1- Consult an Interventional pain specialist or orthopedician trained in spine to rule out any significant problem with your spine ( any chronic pain for more than 2 months is not a symptom but itself a disease of chronic pain, irrespective of underlying disease) 2- Get your Vit D and calcium level checked, if less take supplements or increase it . 3- Take help from specialist about ergonomic/ posture correction at work. 4- Avoid loading your spine by sitting for longer period, you can take intermittent walk or stand in between 5- Take help of Physiotherapist If there is any spasm of muscles at lower back 6- Strengthen Your lumbar paraspinal muscles. These are steps you should take to help yourself from chronic back pain.
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I am a 23 year male. My problem is while in sleep I feel a sudden fit of pain on my legs. The pain is so much that I scream after waking up. I haven't tried any remedies till now. What should I do?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am a 23 year male. My problem is while in sleep I feel a sudden fit of pain on my legs. The pain is so much that I ...
Do strength exercise of legs like quadriceps exercise, cycling, ya treadmill but start in gradually process it will help you.
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