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Praxis child Development and Research centre

Occupational Therapist Clinic

3, kakkan street, jak nagar, thirumullaivoil, ambattur, chennai Chennai
1 Doctor
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Praxis child Development and Research centre Occupational Therapist Clinic 3, kakkan street, jak nagar, thirumullaivoil, ambattur, chennai Chennai
1 Doctor
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Praxis child Development and Research centre we the experts provide remedial coaching counselling psychological assessments occupational therapy handwriting training for childr......more
Praxis child Development and Research centre we the experts provide remedial coaching counselling psychological assessments occupational therapy handwriting training for children with learning disability dyslexia (readind difficulty) dyspraxia (writing difficulty) dysgraphia (difficulty in planning movements) dyscalculia(difficulty in mathematics) slow learner for details, DR.D.Vijee 3, kakkan street, jak nagar, thirumullaivoil, chennai-62 ph no: 9677206598
More about Praxis child Development and Research centre
Praxis child Development and Research centre is known for housing experienced Occupational Therapists. Dr. D.vijee, a well-reputed Occupational Therapist, practices in Chennai. Visit this medical health centre for Occupational Therapists recommended by 86 patients.

Timings

MON-SUN
09:00 AM - 08:00 PM

Location

3, kakkan street, jak nagar, thirumullaivoil, ambattur, chennai
Ambattur Chennai, Tamil Nadu - 600053
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Doctor

Dr. D.vijee

Bachelor of Occupational Therapy (BOT)
Occupational Therapist
10 Years experience
Available today
09:00 AM - 08:00 PM
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How Extracorporeal Shock Wave Therapy Can Help Bones And Muscles?

MBBS, MS - Orthopaedics
Orthopedist, Chennai
How Extracorporeal Shock Wave Therapy Can Help Bones And Muscles?

Extracorporeal Shock Wave Therapy (ESWT) is a highly effective and innovative treatment option in a variety of fields, from urology to cosmetology as well as orthopedics. This is a non-invasive method that employs high-energy shockwaves to bring about the healing of the affected tissues. It has been found to provide good results for recalcitrant orthopaedic problems like frozen shoulder to certain chronic degenerative or tendon conditions such as Achilles tendinitis (injury of the Achilles' tendon due to overuse) and plantar fasciitis in the heel pain.

How does it work?

The procedure is basically an outpatient or day care job. It involves an application of a non-invasive probe to the affected tissue. This is followed by the external generation of shockwaves focused on the target area. The shockwaves cause a force to be created that brings about healing. Although it's still not clear as to why this kind of therapy works, the dominant understanding is that shockwaves render an improvement in the flow of blood so as to promote the body to fix and heal itself.

Depending on individual cases, high or low energy waves may be employed. While pain may occur during the transmission of high energy waves and would require short general anaesthesia, low-energy ESWT is carried out without anesthesia.

What problems can this form of therapy effectively tackle?

ESWT can be used to treat a number of musculoskeletal disorders. From plantar fasciitis (heel pain), tennis elbow, shoulder rotator cuff, degenerated tendons (Achilles' tendon) to hip and knee pain, the therapy has been found to reduce pain as well as accelerate healing in individuals.

Complications are very rare, with this therapy. Individuals who suffer from hypersensitivity or poor sensation in the affected area are usually not recommended this procedure. Even individuals with heart conditions, seizures and open sores need to consult a doctor before going forward with the therapy.

The therapy has also been found to be very effective in bone healing as well as treatment of bone necrosis (a disease that occurs due to permanent or temporary loss of blood flow to the bones). Additionally in place of surgery, ESWT may also be a valuable option for non-healing fractures.

1 person found this helpful

This year in the month of June I slipped over fallen water in my flat, my left leg skidded and since then I get pain near my pelvic bone, left leg inner thigh what can I do for it. Seeking your advice.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
This year in the month of June I slipped over fallen water in my flat, my left leg skidded and since then I get pain ...
Apply hot fomentation Take rest Do not lie on the affected side while sleeping Do gentle movements of hip & thigh Apply pain relieving gel.
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Hi doc, I have a problem with my left hand's middle finger. I feels there is bone increasing on the bottom of middle finger just over the joint point.in starting feels miner pain but its going increase day by day. Have problem since 1 month and yet not consult with any doctor. Please suggest what to do.

Physiotherapist,
Hi doc, I have a problem with my left hand's middle finger. I feels there is bone increasing on the bottom of middle ...
Consult a ortho it might be a fractured meta tarsal head middle finger botem bone head might have been fractured or compressed as no care taken bone fragment must have been moving out ward this would be cause for increasing size and pain if possible doc will cap the finger and stabilize or a surgery with K wire will be done.
1 person found this helpful
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I have pain in my joints and also there is swelling in my feet. I have problem walking and also can't stand for long hours. I have tried both allopathic and homeopathic medicines but no gains. I am also diagnosed with thyroid. My hb is 10.6.kindly help.

BHMS
Homeopath, Secunderabad
I have pain in my joints and also there is swelling in my feet. I have problem walking and also can't stand for long ...
It is also important to lead a healthy lifestyle and be disciplined in your daily routine inorder to feel better. Please start doing Yoga and pranayam as it has low impact on your joints. Eat only healhty food (avoid outside food and beverages) and have fruits and vegetables everday. You can update all the reports here and review your problems. You can contact me for a thorough case history and retry Homeopathy.
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I have slip disc since three years. Have much when pick the weight. Or any activity.

MPT, BPT
Physiotherapist, Noida
I have slip disc since three years. Have much when pick the weight. Or any activity.
•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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Sir mujhe hand mai bohot pain hota hai or sun ki light se head bhi daarad hota hai.

DHMS (Hons.)
Homeopath, Patna
Sir mujhe hand mai bohot pain hota hai or sun ki light se head bhi daarad hota hai.
Hello, You might be affected by spondylitis to cause pain in arm be examined, locally and consultation of a physiotherapist be needed. Go, for meditation to reduce your stress to nourish your body. Tk, homeo medicine"@.Lachenenthes 200-5 drops, thrice. @ Arnica mont 200-5 drops, thrice. Avoid, lifting weight, alcohol & junk. Tk, care.
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Hello, I am 46 years old and go for morning walk to a nearby park, the problem is that, I suffer some pain on the calf & Shin bone area after few steps, it is a concrete surface on which I walk. Can you tell me how to resolve this problem.

MPT, BPT
Physiotherapist, Noida
Hello,
I am 46 years old and go for morning walk to a nearby park, the problem is that, I suffer some pain on the cal...
•Stretch Calves •Get a custom made insole. •Hams Stretching. •Sports Taping. •Contrast bath---It is a form of treatment ankle is applied warm water followed by the immediate application of the ankle with ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.
2 people found this helpful
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I have pain in my leg from hip to ankle. This pain happens after a little exercise and still not recovered after 20 days. So kindly suggest me what to do in this case because it is increasing and mostly happens while sitting or standing.

MPT, BPT
Physiotherapist, Noida
I have pain in my leg from hip to ankle. This pain happens after a little exercise and still not recovered after 20 d...
Postural Correction- Sit Tall, Walk Tall. •Extension Exercises x 15 times x twice daily. •Apply Hot Fomentation twice daily. •Avoid bending in front.
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What precautions one should take in case of hernia. I am suffering from 4 years. And I am afraid of surgery. Is there any other way to get rid of it.

MS - General Surgery
General Surgeon, Pune
Surgery is the only treatment for hernia. Surgery is recommended because complications of hernia could be life threatening. Surgery is done to reinforce the weakness in the that portion of the abdominal wall. Surgery can be done by open method or in possible cases by laparoscopic method. Don't be afraid of surgery without learning more about it. It is done to help you. Fitness for anesthesia and surgery is assessed before planning the date of surgery. Hernia surgery is a surgery commonly done for last so many decades. Avoid Constipation, avoid straining for urination, avoid lifting heavy weight. Keep your hernia manually reduced until you don't take decision for surgery.
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I am feeling week and short of breath sometimes. Sir my platelets count decreased 1lakh40 then I put on a healthy diet it was 2.lakh50 again in two three days platelets drop to 1.lakh70 .now again I am eating iron capsule and healthy diet. I have done all the reports like cbc liver lft typhoidot dengue. All went normal. My esr is 15 .it been month I am feeling weakness in my leg joints. Kindly help.

MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
I am feeling week and short of breath sometimes. Sir my platelets count decreased 1lakh40 then I put on a healthy die...
There was a weakness post viral fever as your platelet count decreasing transiently it may reflect that and as esr was normal there is no so much serious disease it is most liely post viral fever fatigue syndrome take rest anti- oxidant recheck complete hemogram potassium magnesium ldh report and review.
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What is eswt therapy for bones? How much time it takes to complete? N how much fees I have to pay for it?

MD - Medicine
General Physician, Jaipur
What is eswt therapy for bones? How much time it takes to complete? N how much fees I have to pay for it?
Extracorporeal Shock Wave Therapy is 18-20 minute non-surgical procedure used to cure chronic plantar fasciitis, Achilles tendonitis, tennis elbow, shoulder tendonitis, and other chronic tendinopathies. Most probably prices goes in lakhs depends on hospitlas too.
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Hi,Yesterday I had fallen from a tree and injured my lower left side back and know it seems that there is little bit of swelling. what should I do to recover myself.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi,Yesterday I had fallen from a tree and injured my lower left side back and know it seems that there is little bit ...
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain.
1 person found this helpful
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Knee Arthritis & High Tibial Osteotomy - Understanding It In Detail!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Knee Arthritis & High Tibial Osteotomy - Understanding It In Detail!

What is arthritis of the knee?

The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.

What is medial compartment arthritis?

Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee. 

How do you diagnose medial compartment arthritis?

ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.

Non-operative treatment

Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.

Who requires surgery?

People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2 people found this helpful

My left hand from shoulder to elbow is having pain (piercing pain) and feels like hanging.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
My left hand from shoulder to elbow is having pain (piercing pain) and feels like hanging.
Apply ice in the painful area which would definitely help to greater extent. And you can wear elbow brace which would help you to keep your elbow warm and will give you protection.
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When I get up in the morning everyday I feel a clot in my right wrist. I have noticed I also sleep on my hand sometimes. What could be the reason?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
When I get up in the morning everyday I feel a clot in my right wrist. I have noticed I also sleep on my hand sometim...
It will get reduced once you change your habit of sleeping on the hands. Nothing to worry you can take hot water bath to feel fresh in the morning.
1 person found this helpful
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Anterior Cruciate Ligament Injury - Know Everything About It!

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Anterior Cruciate Ligament Injury - Know Everything About It!

In general, anterior cruciate ligament injuries, or ACL injuries, are understood to be tears in any of the several knee ligaments joining the upper leg bone and the lower leg bone. This can vary from minor injuries, such as small ligament tears, to more serious cases, like complete tears or when the ligament and one of the bones gets displaced from the other. These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc. An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain. In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms

Signs and symptoms of anterior cruciate ligament may include:

  1. You are unable to move properly.
  2. You experience immense pain while walking up and down stairs.
  3. You are unable to engage much in physical activities.
  4. Your knee begins to swell gradually.
  5. You can sense a loud popping sensation when moving your knee.
  6. You experience feelings of instability.

Causes
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:

  1. Sudden arrest in motion
  2. An unsteady landing from a jump
  3. Direct blows to the knee from tackles
  4. Sudden shifts in direction

Treatment
Treatment of ACL injuries normally involves the following:

  1. Immediate medical attention along with intense first aid care
  2. Sincere adherence to the R.I.C.E model of self care -
    • Rest: Proper rest for a couple of weeks or months depending upon the severity of the injury
    • Ice: Using ice packs to help cool the nerves
    • Compression: Ice treatment further helps in compression
    • Elevation: When lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions
  3. Success rehabilitative therapy for several weeks
  4. Anterior cruciate ligament surgery or reconstruction
2 people found this helpful
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I have whole body pain specially in both legs since 2- 3 years. Pain in both thigh and calves. Weakness and fatigue in whole body specially in both legs. Excessive hunger. No diabetic, thyroid problem. Blood test normal.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist,
I have whole body pain specially in both legs since 2- 3 years.
Pain in both thigh and calves.
Weakness and fatigue i...
Take calcium like come once a day. And vit D like D gain 60k once a week for 8 week. Take pain killer twice a day for 5days
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