Lybrate Mini logo
Lybrate for
Android icon App store icon
Ask FREE Question Ask FREE Question to Health Experts
Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Dr. Sunil, Shivnand

MBBS

Physiotherapist, Bangalore

9 Years Experience
Dr. Sunil, Shivnand MBBS Physiotherapist, Bangalore
9 Years Experience
Submit Feedback
Report Issue
Get Help
Feed
Services

Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Sunil, Shivnand
Dr. Sunil, Shivnand is a renowned Physiotherapist in Domlur, Bangalore. He has been a successful Physiotherapist for the last 9 years. He has done MBBS . You can visit him at Ortho Bit Centre in Domlur, Bangalore. You can book an instant appointment online with Dr. Sunil, Shivnand on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 41 years of experience on Lybrate.com. You can find Physiotherapists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - Oxford Medical College - 2008
Languages spoken
English

Location

Book Clinic Appointment

No.700, Near To Nandhini Restaraunt, Above To Under Pass Signal, 15Th Cross, 2Nd Stage, J P NagarBangalore Get Directions
...more
View All

Consult Online

Text Consult
Send multiple messages/attachments
7 days validity
Consult Now

Services

View All Services

Submit Feedback

Submit a review for Dr. Sunil, Shivnand

Your feedback matters!
Write a Review

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am 25 year old male and have backache for last 2 month. I have used pain relief ointment cream for couple of day but haven't got any relief. What should I do now?

MS - Orthopaedics, MBBS
Orthopedist, Pune
I am 25 year old male and have backache for last 2 month. I have used pain relief ointment cream for couple of day bu...
Hello lybrate-user,  Back pain that is associated with day time sedentary jobs like computer professional s are associated with paraspinal muscle spasms. The best way to tackle this sort of pain is to do well spaced Stretching exercises of the back, back extension exercises, using hot water bags to provide relief and avoiding stooping posture while sitting. Posture also plays a very important part in back pain, always maintain a straight posture while sitting. While getting up from the bed try to first go on your left or right side of the body and get up side ways. Avoid Cruntches or Sit-ups: they may increase the pressure on your back and may predispose to Slip Disc. Always maintain a healthy Lifestyle in terms of regular brisk walking, meditation, eating healthy. P. S: Try to avoid pain killers (Analgesics) as much as possible as many are associated with Side effects that you may not be aware of. Stay Healthy. Stay Happy God bless you.
You found this helpful
Submit FeedbackFeedback

Ayurvedic management of Ankylosing Spondylitis

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Ayurveda believes it as a vitiated vata disease. Aama generated from the stomach blocks the way of vata. Hence vata is accumulated and blocked in specific areas of body and its most favorite sites are the joints of body. The blocked vata creates sharp pain with swelling and inability to move speedily. There are procedures like kizhi, abhyangam, vasti, pizhichhil and may others that help to balance vitiated vata dosha and eradicate the disease permanently. Avoid sour and spicy food like curd, tamarind. Regularize your eating habits. Do not drink water with meals.
Initial treatment requires around 45 - 60 days of panchakarma therapy along with internal medicines and diet, life style modification. After this phase only internal medicines are continued.

If patient can come for the treatment in early stages, even total cure is also possible.

Visit arogyam ayurveda in order to get benefited with the best ankylosing spondylitis treatment through ayurveda. Visit and get one-stop answer to all your health problems.
4 people found this helpful

I am 32 yera old male and have a pain in my right shoulder for last 1 months. So what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me x rays of your shoulder. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.
You found this helpful
Submit FeedbackFeedback

Hello. I am 25 years old. From last 20 days I am having pain in breast bone area which goes away to my left back. And its pain when I bend or lay.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hello. I am 25 years old. From last 20 days I am having pain in breast bone area which goes away to my left back. And...
That is strain do hot fermentation and rest avoid movement of shoulder stretching exercise and elevate your shoulder.
You found this helpful
Submit FeedbackFeedback

Sir I have frozen shoulder what to do its pain very badly. I am doing regular exercise but pain is severe. Pl help me.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Sir I have frozen shoulder what to do its pain very badly. I am doing regular exercise but pain is severe. Pl help me.
avoid exercise firstly . do physiotherapy treatment for few days . after 10 days start exercise with physio according ur condition
You found this helpful
Submit FeedbackFeedback

I woke up 3 days ago with a pain in my pelvic bones area, sometimes it goes away and sometimes not, I also feel pain in the same area but in my back sometimes, this never happened to me before, could this be something serious?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I woke up 3 days ago with a pain in my pelvic bones area, sometimes it goes away and sometimes not, I also feel pain ...
Sit straight maintain your posture and do spine and legs stretching exercise avoid long standing sitting keep equal balance on both legs.
You found this helpful
Submit FeedbackFeedback

I am 17 and have severe pain in my foot nails and swelling too even hands thumb bear a severe pain plzz tell me what to do.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 17 and have severe pain in my foot nails and swelling too even hands thumb bear a severe pain plzz tell me what ...
According your condition deficiency of vit and calcium levels and vit b12 change your shoes and do ice pack.
You found this helpful
Submit FeedbackFeedback

L am 31 years male professor. I am having a severe pain in my right knee. I tried pain relief oils, but its of no use. Please let me know what to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
L am 31 years male professor. I am having a severe pain in my right knee. I tried pain relief oils, but its of no use...
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).
You found this helpful
Submit FeedbackFeedback

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.

You found this helpful

I twisted my leg. More than 20 days still its swollen but no pain. Please suggest weather it is ligament torn or anything as no fracture in xray. And please suggest precautionary measures.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I twisted my leg. More than 20 days still its swollen but no pain. Please suggest weather it is ligament torn or anyt...
Check your all movement if your movement is normal then no ligament injury for swelling take ice pack for 20 minutes.
1 person found this helpful
Submit FeedbackFeedback

I am rishab tibra. I have pain in my backbone and I am 26 years old. What can I do. My backbone is paining. I am having problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am rishab tibra. I have pain in my backbone and I am 26 years old. What can I do. My backbone is paining. I am havi...
Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day. Back stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
1 person found this helpful
Submit FeedbackFeedback

Hi, got hurt by a bikes tyre yesterday while crossing the road. She hurt her left knee however it wasnt very severe. Later in the afternoon there was swelling near her knee and she has unbearable pain and can not move her leg.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi, got hurt by a bikes tyre yesterday while crossing the road. She hurt her left knee however it wasnt very severe. ...
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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 fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
You found this helpful
Submit FeedbackFeedback

My father has lot of leg pain, so many times go for hospital, but no use, is there any solution for that, please giving your suggestions.

BHMS
Homeopath, Raebareli
My father has lot of leg pain, so many times go for hospital, but no use, is there any solution for that, please givi...
Please do a mri of the affected area. Also do blood test for calcium level. Take mag phos 6x twice daily for next 7 days and revert.
You found this helpful
Submit FeedbackFeedback

Hello sir I am aditya chouhan I am 25 years old man my legs paining and very tired in work daily sir my help me what I can do.

Drama Therapy - AUTISM, Early Childhood Special Education, Master of Occupational Therapy (MOT), PG Diploma in Hospital Management, Bachelor in Occupational Therapy, CAS - Certified Autism Specialist, Sensory Enrichment Therapy
Occupational Therapist, Bangalore
Hello sir I am aditya chouhan I am 25 years old man my legs paining and very tired in work daily sir my help me what ...
Are you a vegetarian? get your blood test done for vitamin d and b12. Deficiency of any one of these can cause pain and tiredness.
1 person found this helpful
Submit FeedbackFeedback

HI I am 43 perimenopause. I have this pain extending from both shoulders down my arms all the time but worse when I use them for high overhead lifting etc. Has anyone experienced this and how can it be fixed.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
HI I am 43 perimenopause. I have this pain extending from both shoulders down my arms all the time but worse when I u...
Hot fomentation x twice daily. Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support. Self massage the back of neck.
You found this helpful
Submit FeedbackFeedback

I hv a serious back pain from past few days due to which I m not able to sleep whts the solution?

BHMS
Homeopath, Delhi
I hv a serious back pain from past few days due to which I m not able to sleep whts the solution?
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little water) thrice a day for a week. 2. Rhus tox 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines.
1 person found this helpful
Submit FeedbackFeedback

Hello, I got pain over backside of my left knee. It occurs when I bend it. Please, tell me exact the problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello,
I got pain over backside of my left knee. It occurs when I bend it. Please, tell me exact the problem.
Apply pranacharya restopain oil or prasarini oil on affected part and massage then give hot fomentation. Take maha yograj guggul 1-1 twice a day. Take maha rasnadi kwath 2-2 tsf twice a day. Avoid spicy food. Junk food. Fermented food. Tea. Coffee. Do pranayama early morning. Do exercise. 1-1 drop of cow ghee in both nostrils at night time.
1 person found this helpful
Submit FeedbackFeedback

I have strong pain in my knee after playing cricket after very long time plzzzz help me.

BHMS
Homeopath, Raebareli
I have strong pain in my knee after playing cricket after very long time plzzzz help me.
You should do hot and cold compress alternately till the time you get relief. Also take Mag Phos 12x at an interval of 30 minutes upto three doses in a row now. This can again be repeated if required.
You found this helpful
Submit FeedbackFeedback

When I play cricket once in a week because of that I have a pain in my legs. Please suggest me a treatment.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
When I play cricket once in a week because of that I have a pain in my legs. Please suggest me a treatment.
Do exercises regularly. Once a week activities will give pain. If you do it regularly, then you will be fit and pain free.
You found this helpful
Submit FeedbackFeedback

My bro kick me at my sacral area when i was in bent position. Now there is a throbbing pain near my tail bone and i cnt sit straight for long.Help me. M 20 yrs old.

BPTh/BPT
Physiotherapist, Pune
Hi this is dr.Vyas how much time before it happened ? do you have any x-ray report or prescriptions?
You found this helpful
Submit FeedbackFeedback
View All Feed

Near By Doctors

88%
(19 ratings)

Dr. Syeda Mubashira

PG Diploma in Sports Medcine, MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
M G Diagnostics and Imaging Centre, 
400 at clinic
Book Appointment
88%
(51 ratings)

Dr. Rajveer Singh(pt)

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)
Physiotherapist
Trinity Tailbone pain & Physiotherapy Center - JP Nagar, 
450 at clinic
Book Appointment
90%
(135 ratings)

Dr. Kalyani Nambisan

Merrithew Stott Pilates, Bachelor of Physiotherapy
Physiotherapist
Sridevi Physiotherapy Clinic, 
200 at clinic
Book Appointment
92%
(45 ratings)

Dr. Raksha Srinivasan

BPTh/BPT, MPTh/MPT
Physiotherapist
Rapid Recovery Physio, 
200 at clinic
Book Appointment