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Dr. Dhilip

Physiotherapist, Bangalore

Dr. Dhilip Physiotherapist, Bangalore
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Dhilip is a renowned Physiotherapist in Marathahalli, Bangalore. You can consult Dr. Dhilip at dr.Dhilip in Marathahalli, Bangalore. You can book an instant appointment online with Dr. Dhilip on Lybrate.com.

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A.S.K. Towers, 100 Feet ITPL Road, Brook Fields, Marathahalli Colony, Bangalore - Bangalore Get Directions
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I am suffering from right side knee pain since last two weeks. As per Dr. Suggestion I took vovuran 50 mg & pan 40 mg. For 3 days. Then for 2 days pain was not there & now it again started. It pain while I walk, move my leg or climbing stairs or when I put presure on my knee. Also there is pain in entire leg starting from pelvic bone till knee. My weight is 69 kgs & height is 4.10. Please suggest what is cause of the pain & treatment.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Swing 20 times morning and evenings. Also press the web between the second and third finger from the toe in the foot for 2 minutes. Reduce your weight by at least by 5 kgs.
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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'm 27 years old boy suffering constipation. Sometime facing back pain & losing eat meal. What is the solution in Homoeopathy?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Take pranacharya virechan churna or triphala churna 1 tsf in warm water before sleep at night....take chitrakadi vati 1- tab after lunch and dinner...take 5-7 munakkas with milk...eat papaya in fruits ...avoid tea...coffee...spicy food...fermented food...junk food....avoid alcohol consumption...
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I am 56 years old, I have knee joint pain, some times while I walk I feel that my leg is giving way, some times when I sit and get up my right knee does not straightened fully it is stuck, and I have to give a jerk and then its O k. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Go for fasting once a week. You can go for absolute fasting or rely on a liquid diet to digest ama (toxin). Fasting should be followed by hot fomentation or by taking a bath with lukewarm water or steam bath. After fasting and fomentation, mix powdered long pepper, black pepper and dried ginger in equal quantities and take 1 teaspoon of this powdered mix with lukewarm water twice a day. This will help you restore your digestive fire. Take one tablespoon of castor oil before going to bed, once or twice a week. It helps in cleansing ama (toxin) build up and balancing vata. Mix equal quantities of powdered fenugreek seeds, turmeric and ginger powder. Take one teaspoon daily in the morning and evening. For dry fomentation of the affected joints, take a cloth and fold it into four, fill it with hot and sand make a potli (bag) out of it. Use this bundle for the fomentation of different joints. This is very helpful in reducing pain and swelling.
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I have a shoulder pain in my right shoulder only when I exercise I feel good what should I do.

MPTh/MPT, M.B.A.
Physiotherapist, Hyderabad
Consult near Physiotherapist he will give perfect treatment and he will suggest home exercises. That diagnosis is periarthritis of shoulder joint or frozen shoulder. It is present mostly diabetes patient. Check your blood sugar levels.
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I am 65 year old lady. My both legs below knees are stiff and getting pain difficukt to walk. Please suggest me remedy and treatment ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Take prasaranyadi kashayam 2 tsp with 2 tspn water 1 hour before food in the morning and night. Amrutadi guggul 1 tab thrice a day after food. Massage with prasaranyadi oil followed by hot water fomentation. Avoid potatoes, brinjal, pulses.
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I feeling pain in my left hand for 2 days in two or three months. The pain is unbearable. Do you know why its paining and what should I do for this?

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
Hello , due to heavy heat in a body, it may happen. Take a b-complex supplement and lets see. Have a nice day.
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I have a problem in my left knee and elbow that is every time when I do sit-up and push-up it make a sound like cut -cut or tak -tak. But I don't have any pain while doing workout. Please help me sir, what it is and how I can reduce or eliminate it.

MBBS, M. S. Orthopedics, M.ch. Orthopaedics, MD - Sports Medicine
Orthopedist, Delhi
There are many theories regarding joint sounds. But these sounds are considered normal if not associated with pain. Strengthening of the muscles around your elbow and knee will help to reduce the sound. But it will not eliminate it.
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I am 41 year old. More pain coming from both knees. Steps ascending and descending, sitting and standing. Kindly advice this problem.

Master in Physiotherapy
Physiotherapist, Hubli-Dharwad
Practice regular walking, avoid stair climbing and sitting on floor. Reduce weight if your over weight. Practice knee exercises by consulting physio. Take care
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I cannot sit for long, I have lower back pain, what should I do to overcome my lower back pain.

Ergonomist, MPTh/MPT, Trained in Mulligan Concept, BPTh/BPT
Physiotherapist, Gurgaon
Dear keep on changing your position frequently and do some stretching exercises after every 45minutes. Drink lots of water nowadys. Make sure your back is supported back of your seat. Avoid bending forward while sitting. Hope pain is not coming to your legs.
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Doctor, I feel anxiety in the morning while going out and always trying to back home.in evening I do exercises and feel good for sometimes then negative thoughts rises.

MPhil Clinical Psychology, Masters in Psychology
Psychologist, Gurgaon
Hi. You can also start doing simple muscle exercises in the morning after you get up. Observe pattern of your anxiety more closely like is anxiety linked to some speific situation, events or some thoughts. Write them down. This will help you understanding your anxiety. Learn some breathing exercises. They help you control the body's response to anxiety and will make you calmer.
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I am a 25 year old male. 170cms and 85kg. About 2 weeks ago i started experiencing a lower back pain when i woke up from sleep in the morning. It was so intense that i could not even bend over to wear bottom wears. I applied some pain balm and took ibuprofen for about 3-4 days and the pain felt like it has come down to the right hip joint and became less intense day by day. But i am still experiencing a kind of radiating pain from the back of the right buttocks till the calf. I am not feeling it when i am sitting or lying down but i feel it when bending over with knees straight and also when i stand for more than 5-10 minutes. Is this a serious condition? What am i supposed to do?

DNHE, BPTh/BPT, weight management specialist
Physiotherapist, Kolkata
Get youself checked by an orthopedic doctor.Also get a x ray done.you should avoid bending forward,n also donot lift any heavy weights till your pain subsides.Bending forward with the knees bent never straight if picking up any object from the floor.U can do some hot fomentation in the area where you have pain,take few physiotherapy sessions for the relief of pain.lastly you should loose weight,your ideal body weight should be 65-69 kg.
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I have got a cramp on my back n m using medicine from last 2 months but don't get relief What should I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
. Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.
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I am moumita, I am 21 years ldo. My mother she is suffering from back pain, how she can get relief from it? Thnk u.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.
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I have pain around the stomach and feel feverish. More pain in lower abdomen. I have back pain also. Is it because of gastric problem?

BHMS
Homeopath, Raebareli
Yes it can be due to stomach upset/discomfort Please take Colocynth 30 - at an interval of 30 minutes upto three doses in a row now.
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I am 38 years old female, and I am having pain in my calf and thigh and feeling tired, I am gaining weight as well, is it because of thyroid or some other disease.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
weight gaining may be due to thyroid...pl. test..thyroid. for pain u can take tab. voveran 100mg sos after meal.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.
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My father has met an accident where his ribs are fractured and can not move at all he is admitted in kle hospital, No improvement is found till today so please guide me what is to be done, his age is 75 yrs.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
if lung clear on chest examination and on x ray, it will heal and pain will usually remains for 6 weeks but slowly goes down with medicines(require x ray for further)
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Dear Dr, I am 44-years-old slim, 53 kgs weight and I have a question. I occasionally get either left leg or right leg pain (on the back side of leg) and starts slow and it gets worst during evening or sometimes it starts in the evening and gets worst pain during night, for which I either apply some cream or occasionally take OTC medication. Also I have severe sinus problems which comes every now and then and gives me one hell of sickness and headaches, continuously phlegm coming out of my nose yellowish and sometimes bad smell. I need suggestion / Opinion / advice / application for the above. Please let me know your further advise on the same. Thanks.

M S Orthopedic Surgery, MBBS
Orthopedist,
Dear Mr. lybrate-user, Greetings. As I see from what you said, you have Two different Problems 1.Chronic Sinusitis 2. Low back Pain with Sciatica being aggravated by stress and strain. And can also get aggravated by sneezing and cough as a result of off and on Sinusitis. The solution is that you have to consult 1. An ENT Surgeon for sinusitis 2. You also has to consult an Orthopedic surgeon to get examination and investigation for Back pain and Sciatica, may be due to Lumbar Disc lesion. Wishing you all the Best.
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I was suffering with water in stomach and gas formed in body and knee joints pain what I have to do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Cyra-20mg 1 tab od x 5 days do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform me.
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