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FIVE

Occupational Therapist Clinic

# 887, 22nd Main, 11th Cross, 2nd Phase J P Nagar Bangalore
1 Doctor
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FIVE Occupational Therapist Clinic # 887, 22nd Main, 11th Cross, 2nd Phase J P Nagar Bangalore
1 Doctor
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About

It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about FIVE
FIVE is known for housing experienced Occupational Therapists. Dr. Sowmya Menon, a well-reputed Occupational Therapist, practices in Bangalore. Visit this medical health centre for Occupational Therapists recommended by 61 patients.

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MON-SUN
09:00 AM - 07:00 PM

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# 887, 22nd Main, 11th Cross, 2nd Phase J P Nagar
Bangalore, Karnataka
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

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Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left thumb leg getting vibration is there any solutions for that.

BHMS
Homeopath, Secunderabad
Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left...
Go for a routine health check up and (also check blood sugar and BP). I don't think there is any serious problem but let the doctor decide it based on examination and some tests. On your part you need to become aware about the basics of health and not take life for granted. Start exercising every day (add yoga as it can be relaxing and empowers the nervous system ). Eat healthy food. Avoid all junk food and cold-drinks. Eat more of fruits and vegetables. Avoid bad habits. Sleep for 7-8 hrs everyday.
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I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.

DHMS (Hons.)
Homeopath, Patna
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Hello, Lybrate user, You might have been injured on your back cause pain lumber region. Tk, Homoeopathic medicine:@ Hypericum 200-6 pills, thrice. Tk, care.
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I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.

MPT (Sports Medicine)
Physiotherapist, Delhi
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still ha...
First of all you have to be assessed for any of the muscles or soft tissues of your shoulder. Then your movements have to be checked properly. And for this you need expert consultation. Then only reach to some decision else you would be prescribed 1 thing or another by different people no matter whether you get relief or not.
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I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Many times all tests are negative and the patient still suffers. You are suffering from indigestion and due to which there is a toxin called AMA being formed in your stomach. This is accumulating in joints leading to swelling and stiffness. So digestion needs to be rectified first along with panchakarma treatment. Pls see me personally.
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My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?

BHMS, MD - Homeopathy, Post Graduation Diploma In Psychological Counselling, Certificate Course in Medical Transcription
Homeopath, Mumbai
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patien...
Get her dexa scan done. She will have to take calcium supplements and do mild exercise. Eat well. Yes, homeopathy can help her.
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My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.
give her RHUS TOX 30inglobules 4-6pills thrice daily for 7 days.have x ray of knee joint and blood for uric acid. and CONSULT after that . thanks
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What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n...
You have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. It is also suggestible to go for cervical muscle strengthening exercises.
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How I know what is the reason of pain in my neck, arm and shoulder from 2 year MRI and x-ray show everything normal please help My life becomes hell 8541819454 my no. U r my last hope.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
How I know what is the reason of pain in my neck, arm and shoulder from 2 year
MRI and x-ray show everything normal p...
There might be nerve compression Do neck isometrics Do neck & arm stretching Do shoulder shrugs Avoid sleeping on the affected side Use thin pillow while sleeping Apply hot fomentation
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I have My Vein problem in My Right Leg. When I get up from Bed That's Time problem to Walk in.

Physiotherapist, Latur
I have My Vein problem in My Right Leg. When I get up from Bed That's Time problem to Walk in.
Do some easy stretches while lying in bed, then sitting up in bed, such as bending to the front and sides .Take a hot shower. After you are warmed up from the shower, do some gentle knee bends. .Drink lots of water. .Eat healthier.
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Arachnoiditis - Pain Management Techniques For It!

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Arachnoiditis - Pain Management Techniques For It!

Arachnoiditis is a sort of inflammation of the defensive layers of the spinal canal. You can envisage it as the scar tissues that enlarge in the arachnoid lining. Also the lining can turn out to be inflamed due to the recurrent intervention on the spine, a lot of surgeries can lead to the scarring, for instance. It can also expand due to definite type of the spinal infections as well as due to the chemicals of epidural steroid injections, particularly if these kinds of chemicals get into the spinal fluid.

As the disease increases day by day, the symptoms also become bigger in magnitude. A lot of people who are suffering from this type of problems are incapable of working. Further due to Arachnoiditis the following symptoms are likely to happen

  1. Grounds of the nerve roots to plod together
  2. The nerve pain
  3. The numbness
  4. The tingling

Radio Frequency rhizotomy is primarily effectual on the joint pain. Patients who are good candidates for the RF have the pain whilst they're doing activities that increase the stress of the spine. Also the RF blocks all the nerves around the joint from sending the pain signals to the brain, as well as that pain free period normally lasts around one year. In that time, patients have to learn regarding the postural correction as well as the good body mechanics. RF presents the patients an option to get back their mobility as well as provide training regarding the movements of their daily lives with the less pain.

The details of information about drugs which might help arachnoiditis:
There are lots of pain management treatments available. Further patients might try the medications to find out the pain relief. A number of options are:

  1. The NSAIDs ( one kind of the anti-inflammatory drugs)
  2. The corticosteroids kind of drugs
  3. The anti-spasm type of the drugs
  4. Also an anti-convulsant drugs as well as
  5. The narcotic type of the pain relievers

A number of these types of medications might be given with a spinal pump. That is the little device which is entrenched under the skin and it then distributes the medication straightly to the inflamed area.
Also the patients might also take the spinal cord stimulation. On the other hand, the natural type of the treatments can assist, also, as well as it can often be utilized in conjunction with the prescribed type of the medication. You can also consult with your doctor about your options regarding your treatments.

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Sir I am 24 years old. I had undergone a hernia surgery in Mar 2011. After it hernia disappeared and hydrocele appeared. But it is not painful. For the last 6 years its size is same. Should I go for a surgery or it can be left same. Please suggest me sir. What consequences will I face if it will be left untreated.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Pune
Well. There is chances of swelling in scrotum after post op of inguinal hernia. That may be post op swelling which need some scrotum supports n medicine kindly consult me in private !but Get the ultrasonography of inguinal and scrotum region it will tell the diagnosis!
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My left leg was hit by car tyre about 2 months ago and I had check to doctor and take medicine and also I had x-ray my leg --nothing abnormality found But nowadays my leg is paining lightly please PLZ SUGGEST ME WHAT TO DO?

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My left leg was hit by car tyre about 2 months ago and I had check to doctor and take medicine and also I had x-ray m...
take arnica montana 200 /12 doses, thrice daily for4 days and rhus tox 30/12 for next 4 days and calcarea carb 200/12 doses once daily. consult after that thanks.
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I am suffering from headache, leg pain, hand pain all at same time from 1 week wat should I do.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
I am suffering from headache, leg pain, hand pain all at same time from 1 week wat should I do.
Take Liquid Diet if you have loose motions:(ORS water, Coconut water, Sour Milk {Chhach - Lassi}, Green Moong Dal Liquid). Otherwise take semisolid food and plenty of fluids. Go for investigations: Typhidot IgM and Complete Hemogram - Upload your Investigation report soon for more help, You can start with Eupatorium Perf 200 - take it thrice daily (if you have faith in Homeopathy medicine). If there is Moderate to high grade fever then continue Antipyretic medicine along with Homeopathic Medicine. You can consult me in person online through Lybrate for more help.
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I am 22 year old. Bones of my hand and legs are very thin. What should I do? May I take calcium supplement?

BHMS
Homeopath, Secunderabad
I am 22 year old. Bones of my hand and legs are very thin. What should I do? May I take calcium supplement?
You mean to say that you look lean and thin. It is not a disease. You have to cultivate the habit of exercising everyday and eat healthy food and avoid junk food and all kinds of bad habits. If the need arises then take calcium supplements after checking with a doctor (after a routine checkup).
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For my wife on 29 Sep 2016 doctor gave saline and injections through iv injected near to right hand wrist during delivery time for three days and removed after three days. Till day right hand is paining in the area where iv was injected, but there is no swelling. Any remedy for the problem.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
For my wife on 29 Sep 2016 doctor gave saline and injections through iv injected near to right hand wrist during deli...
she's right.sometimes I v fluids are given in the blood vessels which are near the bone and pain takes longer time to heal. she can try heat therapy plus some physiotherapy exercises under supervision of a competent person.
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I am ajit age 27 years mai regular volleyball aur badminton khelta hu mera right shoulder me bahut pain hota hai MRI kiya tha par doctor bola normal hai koi problem nahi par x ray me thoda gape dikh raha hai kabhi kabhi bahut jyda pain karta hai Please give me suggestions.

BHMS, MD - Homeopathy
Homeopath, Calicut
I am ajit age 27 years mai regular volleyball aur badminton khelta hu mera right shoulder me bahut pain hota hai MRI ...
Play normally and do not try for big smashes .wear bandage for supporting your shoulder, elbow while playing those games.
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I am having a severe leg pain problem from my childhood. I had consulted to so many doctors but they only prescribed multivitamin or pain killer. Left leg is more painful than right. severe pain in front of the thigh back of the thigh nd back of the leg.

Graduate of Ayurvedic Medicine and Surgery (GAMS)
Ayurveda, Delhi
I am having a severe leg pain problem from my childhood. I had consulted to so many doctors but they only prescribed ...
Try to have massage followed by steam to both legs to improve circulation and to have muscle relaxation action.
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Sir, I am suffering with the problem of joint pain mainly with wrist joint and knee joint. And there is a swelling in my right ankle. This problem came one month ago. What could I do please suggest me sir. My ra factor is negative Crp is also negative Esr is 49 And my anti ccp report is 462 Flag -H Biological reference interval is <17.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Sir, I am suffering with the problem of joint pain mainly with wrist joint and knee joint. And there is a swelling in...
Do contrast bath therapy for wrist & ankle Apply hot fomentation at knee joint Do wrist curls Do ankle pumps Do knee isometrics Apply pain relieving gel Avoid long standing
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X-Ray Report: Osteophytes seen with sclerosis in lumber vertebra. Disc Space reduced between L4-3 and L3-2 Lumber Spondylosis Doc advised spine support, withdrew it after a few days An MRI was suggested. Would it be helpful? Any immediate precautions, suggestions? Any suggested medication?

BPTh/BPT
Physiotherapist, Vellore
X-Ray Report:
Osteophytes seen with sclerosis in lumber vertebra.
Disc Space reduced between L4-3 and L3-2
Lumber Spo...
Hello, yes sir it will helpful for back support. Additionaly you will take some precautions also. Apply ice or hot water fermentation 3-4 times daily. Avoid forward bending activity. Avoid long time walking, standing, sitting. Lie on back. Avoid side lying. Do the breathing exercises.
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