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Dr. Gunashekhar

Orthopedist, Bangalore

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Dr. Gunashekhar Orthopedist, Bangalore
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Gunashekhar is one of the best Orthopedists in JP Nagar, Bangalore. You can meet Dr. Gunashekhar personally at Green City Hospital in JP Nagar, Bangalore. Book an appointment online with Dr. Gunashekhar on Lybrate.com.

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#726, 17th Cross, Puttanhalli Main Road, JP Nagar 6 Phase. Landmark: NearHotel NandhiniBangalore Get Directions
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How to Wreck Your Back

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
How to Wreck Your Back

For many people, back pain seems like an unavoidable discomfort. But you may have more control than you think.

You can wreck your back in any number of ways, but a few major offenders stand out: Not stretching, not paying attention to your movements, and years of wear and tear, says Nick Shamie, MD, associate professor of orthopedic neurosurgery at UCLA and a spokesman for the American Academy of Orthopaedic Surgeons.

Here are five habits that put your spine at risk and simple strategies to stop them before the damage is done.

Back Wrecker #1: Weekend Warfare

'Most often, I see people who injured themselves during a weekend basketball game or a round of golf,' Shamie says. 'These people think they're athletes, but don't train like the pros, and as a result, their backs suffer.'

SLIDESHOW 10 Health Myths Debunked Start

Tackling those 'Honey Do' lists at home can also set you up for injury, especially if you were idle for most of the week. Cleaning out the garage, bending over a workbench, or spending hours in the yard or garden can be just as hard on your back as anything you do on a playing field.

Prevent it:'The only preventive solution I've found for back pain is exercise,' says Michael Hisey, MD, orthopedic surgeon and president of the Texas Back Institute in Denton, Texas. 'The fix is to stretch and strengthen your core muscles.'

The obliques -- the abdominal muscles on your sides -- are especially important for back stability, Hisey tells WebMD.

Hisey's tip: Get an inflatable exercise ball. Use it in your workouts and sit on it, instead of a chair, to engage your abs.

Back Wrecker #2: Poor Lifting Technique

'Improper bending and lifting causes back injury; that's all there is to it,' says Dan McMackin, a spokesman for UPS.

Prevent it: Engage your abs to help support your back. Here are the basic principles that UPS uses for safe lifting, according to McMackin:

Bend your knees and keep your back straight. Don't bend at your waist.
Keep the object close to you. The farther away you hold it from your body, the more it stresses your back.
Never hold an item higher than your armpit or lower than your knees.
Don't move something that weighs more than 20% of your body weight.
Don't pivot, twist, or turn while lifting. Point your feet at the item you're lifting and face it as you pick it up. Change direction with your feet, not your waist.

Back Wrecker #3: Absentmindedness During Daily Activity

Simple tasks like taking out the trash or washing the dishes can get your spine bent out of shape if your body isn't ready.

'The movement doesn't necessarily have to be exaggerated or involve a heavy object,' Hisey says. 'You can hurt your back grabbing a paperclip off the floor or loading the dishwasher.'

And if your mind is running on auto-pilot instead of focusing on what you're doing, you could be in trouble.

'At UPS, we've seen a higher proportion of injuries occur at the end of the shift, due to fatigue of the mind and body,' McMackin says.

Prevent it: Train yourself to keep your core muscles engaged.

SLIDESHOW : Surprising Reasons You're in PainStart

A simple way to do that is to pull your navel toward your spine and imagine you're wearing a corset that pulls the sides of your abs inward. Doing that throughout the day -- and especially when lifting or bending -- strengthens and supports your back, says Esther Gokhale, author of8 Steps to a Pain-Free Back and owner of Esther Gokhale Wellness Center in Palo Alto, Calif.

Back Wreckers #4 and #5: Commuting and Computing

You sit, and you sit, and you sit some more -- at work, while driving, and in front of the TV. And your back doesn't like it. Here's why.

Your discs are spongy and cushion the vertebrae in your spine, but discs have poor blood supply, Hisey says. When you move, fluid circulates through the discs. When you sit still, the fluid is wrung out, so you're depriving discs of nutrition, he says. Spending so much time behind the wheel of a car or sitting in front of a computer adds mileage to our discs, which leads to stress in your back.

'The discs in your spine are nourished by motion,' Hisey says. 'So sitting still is hard on your back and neck, and can do long-term damage.' Studies have also shown that sitting puts more pressure on your spine than lying down or standing up.

'The worst posture is sitting and leaning forward,' Shamie says. This makes you lock your pelvis and flex your spine, putting pressure on the front of the vertebrae, where your discs are. The more you arch forward and exaggerate the curve of the spine, the more pressure you're putting on your discs. 'This uneven pressure on a disc puts it at high risk of rupture,' Shamie explains.

Back Wreckers #4 and #5: Commuting and Computing continued...

Prevent it: You're going to sit. So try these tactics to lessen its impact on your back:

Get up and move at least once every 20 minutes, unless you're driving. Set your screen saver to remind you; make a habit of going for a drink of water; when you answer the phone, stand up to stretch and change positions.
Keep your spine properly aligned by holding reading material at eye level (when sitting or standing) rather than bending over. Don't lean over a desk or table to work. Whenever possible, your spine should be straight.
Choose a chair that supports your back. Adjust the chair so that your feet stay flat on the floor. If the chair doesn't support your lower back's curve, place a rolled towel or small pillow behind your lower back. Remove anything from your back pockets, especially a wallet, if you'll be seated for long periods of time because this puts your spine out of alignment.
Gokhale suggests doing the following exercises to help lengthen your spine:

Get on your hands and knees. Reach your left arm straight ahead and straighten your right leg behind you. Use your stomach muscles to stabilize. Hold for 5-10 seconds and slowly return to starting position. Switch arm and leg. Repeat 3-5 times on each side.
Sit tall, lengthen your spine, and let your shoulders relax. Concentrate on squeezing your shoulder blades together, keeping your arms hanging at your sides. Hold for 3-5 seconds, then release. Repeat 10-20 times.

 

Fell down from bike 25 days ago. Wrist injured during the incident an x-ray has been taken which shows no significant fracture hence MRI has been taken MRI shows no abnormality still my wrist pains while moving fingers there is weakness in my fingers and I can't hold anything with fingers properly movement in my wrist is restricted to some extent it's very painful in some movement.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
Fell down from bike 25 days ago. Wrist injured during the incident an x-ray has been taken which shows no significant...
Hello anil, Do some strengthening exercises at home like pressing a rubber ball, using finger spring. Do wall pressing exercises everyday to improve strength of the wrist joint.
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I am a 30 year old married female. For past 2 months I am suffering from neck pain caused as a result of using double pillow. The xray observation says" minimal disc space reduction seen at C4-C5 and C5-C6" and" marginal posterior osteophytes are seen at C3 to C6 vertebrae" with conclusion as" F/s/o early cervical spondylosis with marginal disc space reduction at C4-C5, C5-C6" I would like to know what is the permanent cure for this apart from neck exercises and what preventive steps to be taken to lead a normal life.

M.Ch - Neuro Surgery, MBBS
Neurosurgeon, Mumbai
Hello Ms. Lybrate-user, sorry to hear this. Your x-ray is suggestive of cervical spondylosis which is simple terms can be explained as early arthritis of the neck (cervical spine). Unfortunately there is no way to reverse the damage already done to your spine. The thing you can do is slow down the progression of this condition by following the few simple things. 1. Quit smoking 2. Weight loss 3. Avoid lifting heavy weights 4. Avoid sudden forceful neck movements 5. Neck strengthening exercises 6. Maintain good posture 7. Ergonomic adjustment to your work place like adjusting the height of your chair, table etc. Best wishes.
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MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
Do not crack your neck it could lead to spondylitis.
2 people found this helpful

I am having knee problem. My left knee pains a lot. I am scared it will lead to a big problem. How to reduce this pain?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am having knee problem. My left knee pains a lot. I am scared it will lead to a big problem. How to reduce this pain?
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).
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I am 70 years old, is managing arthritis of left knee with kondro acute, mega soft like supplements. Weight is 67 kg height 5.3 want to reduce few kgs. What should be my ideal weight. How to do. Advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
If You wish to lose some weight Weight reduction can not be done over night. You have to take it as a way of life. Do Diet control. no sugar in tea,coffee,milk etc. NO sweets Take small frequent feeds. When you get used to it, skip one meal. You should do non weight bearing Yoga exercises. Do ask for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.
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For past two months my shoulders have in constant pain. Usually I apply volini but it does not seem like a permanent solution.

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
For past two months my shoulders have in constant pain. Usually I apply volini but it does not seem like a permanent ...
shoulder pain may be due to frozen shoulder or cervical spondylitis. start shoulder and neck isometric exercises . Better is to contact physiotherapist.
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What reasons of leg, knee pain when walking through steps 3 or 4 times continusely.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
What reasons of leg, knee pain when walking through steps 3 or 4 times continusely.
You should take sulf. 30 one dz. Daily empty stomach for three days two drops in water. Wait for one week and call back for further course of medicine.
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What should a person do when he is suffering from severe pain and feeling disturbance while walking. Though he has a surgery of l4 l5 segment.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. As you have mentioned previous surgery of the involved l4/5 segment, I would actually want to see your: - latest neurology including assessment of motor, sensory and deep tendon reflexes of your lower limbs - your x ray of the lower back region including dynamic films - mri ls spine if available. I will be able to give an opinion based upon your details. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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My knee bone makes a crack sound whenever I sit or stand after siting for long. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My knee bone makes a crack sound whenever I sit or stand after siting for long. What should I do?
Kindly show me photograph of the affected part--knee. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do knee exercises & cycling. Make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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Dear sir I have pain in my legs. I can't walk properly long distance. Pls suggest what do for fast relief. Better medicine.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Dear sir I have pain in my legs. I can't walk properly long distance. Pls suggest what do for fast relief. Better med...
For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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Sir namaskar mujhe back muscle pain 5 year se he .Mujhe bhut paresani hoti he.B.P.Bhi high he meri age 39 year he kafi treatment kara chuka .MRI.X ray sabhi par aram nahi BP ka tab. Leta hu .Please suggest something better

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
Start doing regular exercises for your back and apply hot water bag on it. Thanks & Regards Dr Ritesh KHarnal
1 person found this helpful
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My brother is 34 he has started lower back pain he goes on bike for his job he has taken physiotherapy what he should do.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My brother is 34 he has started lower back pain he goes on bike for his job he has taken physiotherapy what he should...
Avoid toward bending sit straight maintain your posture and do stretching exercise in daily routine rest must avoid strain.
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GOUT - Hyperuricemia - Raised uric acid

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
GOUT - Hyperuricemia - Raised uric acid
1) gout is one of the most common arthritis

2) it occurs due to increased uric acid levels which get deposited into joints, heart, kidneys, every patient with raised uric acid doesn't have gout.

All such patients not having gout need not be treated with uric acid lowering agents.

3) it commonly presents as acute sudden attack of red hot swollen joint, usually base of great toe, to begin with (see photograph below)

4) then patient will have a phase where he/she is completely normal. Later on attacks will be more in number, as disease progress they will be more frequent, the attack will last for longer days, and will spread to other joints

5) gout is not only a disease of joints, but it affects heart and kidneys too. It can kill! also severe disease develops 5-10 years after first attack.

6) that is why gout need to be treated with life long therapy, rather than only few days of therapy as commonly practiced incorrectly.

7) gout patients can have dals. Its a wrong concept and biggest myth in gout to stop dals. You have to anyways take medicine, dals are good for health, no use stopping them.

8) gout its along with their medicine should also consume lot of water (washes uric acid in urine). Should also limit alcohol and red meat (they can be allowed in reasonable quantity, no need of complete stopping, remember its a lifelong commitment:)

9) if you don treat gout properly

- the disease can spread to other joints (see hand joints photographs below), with severe damage to joints (see x-ray)

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I am 65 years old male suffering from pain joints in ankles, wrists, fingers, elbows, knees, toes for the pat 1 year. All my RA reports, vitamin D, vitamin B12 and others are OK. The suffering becomes bad at night and destroys my sleep. Can you help! thanks.

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
I am 65 years old male suffering from pain joints in ankles, wrists, fingers, elbows, knees, toes for the pat 1 year....
Hello, please send me your all investigation report to understand the problem. These types of problems are may be due to overweight or deficiency of vitamin d3 and calcium or due to poor posture. Till then follow these advises:- 1. Take calcium supplements and sun bath daily to prevent further damage to your joints. 2. Avoid heavy lifting. 3. Avoid squatting and weight bearing activities. 4. Use western toilet. 5. Wear shock absorbing, good quality of shoes while walking. 6. Keep roll of a towel under your knees while sleeping. 7. Perform some gentle exercises and stretching of your all joints before getting out of your bed. 8. Walk straight with shoulder protracted. 9. Perform deep breathing exercises or yoga for proper functioning of lungs. I will explain you stiffness and pain reducing techniques in the next session. Wish you a happy and pain free life thanks.
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I had been prone to heroine use from last few years. Post withdrawal I encounter diarreah, nausea,sweating, irritability,depression n craving. Been clean in b/w for 2-3 days but got back to drugs. I don't want to continue it anymore but feel low while normal. Any help appreciated . Thanks.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I had been prone to heroine use from last few years.
Post withdrawal I encounter diarreah, nausea,sweating, irritabil...
These are all the withdrawal effects of heroine use. It will happen during the initial stages only and when you overcome that phase, you will no longer feel those symptoms. The body and the brain is feeling the absence of the substance and therefore reacts. If you meet with a doctor he will prescribe some medication to ease these symptoms and that will help you. Ideally, you should admit yourself into a rehabilitation home and get all the assistance, and you will be far away from sourcing the drugs too. You will need to stay for at least 6 months and follow that​ up with NA meetings for a long time along with some counseling too.
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Can Lower Back Pain Be Cured With Physiotherapy?

BPT, MPT- Ortho
Physiotherapist, Delhi
Can Lower Back Pain Be Cured With Physiotherapy?

Lower back pains may underline a host of diseases, some of the most distinctive being the degeneration of lumbar disc and strain of back muscles. If left unattended, these acute durations of severe pain can lead to further complications, beyond the scope of both active and passive physical treatment regimes. Hence, it is always recommended to attend to these minuscule symptoms as soon as they are detected.

How physiotherapy works wonders in lower back pains:

  1. Physiotherapy is recommended when lower back pains are frequent, or stretch for days at a time. Most medical literatures, which shower their unanimous support in favour of physiotherapy for back pain, make note that physiotherapy relieves pain, as well as improves the functions, which are most likely to be affected by this disorder.
  2. Pain emanating, following a surgery, is recognized as one of the most significant aspects where benefits of physiotherapy are more visible. Generally, patients are advised to undergo physiotherapy sessions after surgical procedures irrespective of age and gender, unless the move is contraindicated in specific cases.
  3. Muscular spasms and muscle shrinking is a highly familiar phenomenon observed in individuals who are relatively less active. Muscle shrinking can often be attributed to very low usage of certain muscles, while muscle spasm can occur when neurons at the affected muscles are irritated. Physiotherapy is observed as both the first line as well as the second line of treatment regimen in such occurrences; a routine for gradual and slow stretching is recommended by physiotherapists involving the muscles of legs, hips, abdomen and lower back, based on their intensity of pain.
  4. Advanced stages of a physiotherapy treatment regime upgrade the simple stretching exercises to more rigorous ones like specific stabilizing drills, exercises involving balancing machines and/or exercise balls. This aspect of physiotherapy caters to the secondary spine muscles of the human body.
  5. The area of the body considered to be the core of lower back pain (lower back muscles and muscles of abdomen) requires more than just stretching or exercises involving machines. Workout focused on these core areas are based on a complex set of exercises, which may have to be improvised such that the aforementioned muscles absorb the maximum shock.
  6. In addition to these conventional exercises, which are based on applications of gravity, some centres offer a different environment for individuals who are unable to perform activities in normal conditions. The concept of aquatic pools addresses the issue, and makes exercising quite an easy feat for the physically challenged individuals. If you wish to discuss about any specific problem, you can consult a physiotherapist.
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I am 35 years of old age female and have backache for last one year . I have used pain relief ointment creams and tablets by the advice of ortho and neuro physician, see reduce pain at the time of using medicines but I stop medicines pain is comes again what should I d.

BHMS
Homeopath, Raebareli
I am 35 years of old age female and have backache for last one year . I have used pain relief ointment creams and tab...
I suggest you follow the below for your condition: take mag phos 6x - thrice daily for next 2 weeks and update. Also do x-ray of the affected area. Heat and ice packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
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