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Dr. A. Prakasam

Physiotherapist, Chennai

Dr. A. Prakasam Physiotherapist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. A. Prakasam
Dr. A. Prakasam is a renowned Physiotherapist in Mandaveli, Chennai. You can consult Dr. A. Prakasam at Sai Physiotherapy & Rehabilitation Centre in Mandaveli, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. A. Prakasam on has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 26 years of experience on You can find Physiotherapists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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17/41, St. Mary's Road, Mandaveli, Land Mark: Behind Ranga HospitalChennai Get Directions
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I have pain in my right side shoulder, what type of exercise I have to perform for getting relaxed from this?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
*Don’t sit continuously working on laptop etc. Get up periodically and move around. *Restrict bike driving as far as possible. *Don’t carry laptop or any load on your shoulder. Carrying very light loads equally with both hands is better *Sit straight so that back bone gets proper support. A dining chair is better than a laid back sofa. *You can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good *Soft bed will not give proper support to your back bone. Hard bed with thin mattress and thin pillow is better. *Get yourself tested whether you have spondylitis problem. Homoeopathy has a good treatment for this without adverse effects. Take Calc fluor 200--once daily in the morning for 6 days.
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Hi, I am 31 years old lady last 2 or 3 month I filled very tiredness and my hair is falling too much and have filled continuously pain in my left leg so please, suggest me what would I do.

DHMS (Hons.)
Homeopath, Patna
Hi, tk homoeo medicines/ @ rhus tox 200-6 pills, thrice a day. @ wiesbaden 30-6 pills, thrice a day. Tk your meal on time, easily digestible. Avoid, caffeine, junkfood, cold intake. Ensure, sound sleep for 7 hrs. Tk care.
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I am feeling pain in right shoulder in shoulder. What do I should do. Kindly advise.?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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.
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My tailbone pains a lot while I sit. This started when I sat continuously for 6 hrs on a chair.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
You might be suffering from coccydynia.In this condition there is inflammation of tailbone (coccyx) making it difficult to sit on butt and sleeping on back. Generally coccydynia will resolve with conservative treatment as mentioned below. In severe cases an injection called Ganglion Impar block might be needed. This is done by a Pain specialist in operation theatre under X Ray guidance to locate the accurate pain transmitting nerve. 1. Take anti inflammatory drugs like Ibuprofen round the clock for pain relief and decreasing the inflammation for few days. 2. Sitting on specially designed gel-filled cushions can reduce pain when you are sitting down. 3.You can also lean forward in your seat and rest your arms in front of you on a flat surface. 4. Clothing such as tight jeans or trousers, may make your coccydynia worse. 5. It can also help to wear flat, comfortable shoes. 6. Patients with coccydynia find sleeping on their sides most comfortable. If you have severe pain, you may sleep on your front. You could also try sleeping with a pillow or cushion between your knees. 7. Warm and cold packs – applying either a warm or cold pack to the base of your spine.
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I have a very acute pain near the end of my spine near the buttocks crack it is very severe sometimes I can not sit properly. Please advice.

You might be having coccydynia consult physio for phonophoresis and use cushion while sitting it may take 6 weeks to 3 months to subside.
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Good evening sir/madam I will get very horrible abdominal, back and legs pain and vomiting sensation first day of my menstrual cycle I am suffering with this pain from last 10 years I consulted many doctors they will say their is no problem once you get marry it will reduce please help me how reduce this pain.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
1. No alcohol 3. No smoking 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5.30 mts walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. Do for 30 days
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I have a problem in my elbow there is a pane in it please surest me exercise things please it is recommended.

Physiotherapist, Surat
Mostly pain in elbow is due to strained or inflamed soft tissues like tendon. There are many other reasons why pain in elbow occurs so to rule out the exact cause you need to go for proper investigation. Pain in elbow is common complain of players or housewives. After looking to your pain I would recommed you for some care that you can take at home. If possible visit some physio who can give you several mdalities like US, IFT etc to cure the pain. Along with it we have a special program designed in case of elbow pain (tennis or golfer’s elbow) like PNF, Hold Relax etc just to get relief from pain. Precautions: 1. Avoid weight lifting. 2. Avoid doing twisting moments like supination-pronation which usally is done while playing badmitton or while washing clothes. 3. Give rest to your work for some days. 4. Wear forearm band to rest your muscles. 5. Avoid bending your elbow into positions that cause the symptoms. Treatment: 1. Give rest to your elbow. 2. Ice and hot pack combo. Apply ice for 3 min and then hot for 2 min. There is very good result of both applications together. 3. Massage using your 2 fingers over the painful area. 4. Exercises: A) Palm lifting B) Elbow up and down in gravity eliminated position C) Strengthening of elbow muscles. These you can do at home. For any query please inform Good Luck and Get Well soon.
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I am suffering from back pain at the ribs on the left side from the last 2 years what should I do now?

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. Bhujang Asana ? Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am 22yr. Old boy. I have a problem of back pain and headache from last two days. That's why I can't concentrate on my study. Please suggest me.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Hunching over a desk is a leading reason why people end up with crippling back pain at some point in their lives. But a few simple changes in the way you work can make your pain go away. 1-Keep your head up; Focus on aligning your head and neck right above your shoulders; avoid straining forward. 2-Be choosy with your chair: Pick one that allows your lower back to rest against a lumbar support. Then tilt the back of the chair so it’s very slightly reclined. 3-Plant your feet: Keep them flat on the floor and shoulder-width apart to quiet tension in your knees and ankles. 4-Take breaks: Getting up at least once an hour— just do some shoulder rolls—reduces pressure on spinal disks and boosts circulation. 5-do Core strengthening exercises. If your back pain is severe please go to a Physiotherapist for detail assessment and management of your pain. Best wishes.
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I have meniscus tear grade 2 on my right knee, I have stiffness, and pain what I have to do? whether I have to be in rest or shall I walk? doctor gave me tablets, doing exercise.

MS - Orthopaedics, MBBS
Orthopedist, Ghaziabad
You should go for physiotherapy. Stiffness of knee is not good. Do hot fomentation and quadriceps strengthening exercise. Use volitra gel locally for pain. You can still walk but try to get some rest also.
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I am 16 years old male, I have slip diac (herniated diac) problem since last 6 month, pain is in lower back to right leg what I should do. Please help.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Physiotherapy treatment and posture correction must. Avoid long sitting toward bending lifting weight.
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Low Back Pain- A common modern day epidemic

Hand Surgery SR Ship, MS - Orthopaedics, Thesis Work, M.B;B.S
Orthopedist, Jaipur
Low Back Pain- A common modern day epidemic
We regularly come across, frequent questions about back pain, and it remedy.
The concern of the patient is more related to the fear of something wrong, rather than the pain itself, which may be quite bearable. Before you go to consult to your doctor for your back problem, go though the checklist mentioned here, and you will be easily able to make out if your problem needs treatment or a good physiotherapy and life style modification.

Lets start with the statics.
1) back pain the most common reason for people to consult physician.
2) majority of them (and believe me about 80 to 85%) are functional which means they are not a disease but are due to improper lifestyle.
3) 10 to 15% of them are related to some pathology, and only these patients need medical help.

I know the next question in your mind, how do I know if my back pain need further consultation from a doctor, or I just want to need a physio and life style modification.

If you have any of these signs then you need consultation with a doctor.
1) duration of back pain more than 2 months.
2) localized back pain with stiffness in the morning,
3) pain not getting resolved despite good physio efforts and life style modifications
4) pain in the back with radiation to one of the legs, ie leg pain with back pain.
5) back pain associated with fever, appetite loss, or weight loss.
6) back pain with pain mainly in the night, and it arises you from sleep.
7) any association of weakness in the legs or numbness on walking.

Posture correction while work is the major remedy for postural back pain and this group is quite large.
1) use firm mattress for rest. Not a very soft one.
2) adequate support to the back while sitting on the chair, back should be kept straight but not strained.
3) regular back muscle strengthening exercises is must with this group.

When your back pain is not functional, then a consultation with your doctor is a must, most of the time the first doctor we consult is a physician, these days people are getting aware and consult an orthopaedic or a neuro surgeon. My advise is to consult a spine surgeon who are trained specially to deal with such problems. The usual examination is followed by certain blood tests and radiological investigations, like x rays and mri scanning. Out of these pathological type majority will not need surgery.

Keep strengthening your back, and prevent back pain. Remember physiotherapy (exercises) are to be done to prevent back pain and not to cure it.
5 people found this helpful

In my hand x-ray. There is not shown any crack or else. But still it gives pain when m try to lift anything with this hand.

Acupressurist, Chandigarh
Dear lybrate-user You can take Ar nica 200 thrice a day and after that Rhus Tox 200 twice a day and after five days call back for further course of action.
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Hello sir, I get heel pain after waking up in the morning it goes away after a while but sometimes poking my heel hurts a bit. What should i do?

Physiotherapist, Mumbai
we would suggest you to do hot and cold water fomentation: take two tubs. Fill one with warm to hot water. Another one with ice or ice water. Dip your feet for 2 minutes in hot, alternate with 2 minutes in cold. Do this for about 10 minutes in total x 4 times a day. Report how you felt after doing this. Regards,
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I am suffering with a severe back ache for the past two months. Kindly help me with a diagnosis.

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Hi lybrate-user, reason for back pain can be different but mainly it is differentiated into discogenic (due to disc herniation of different types such as bulge, protrusion, extrusion & sequestration) & non discogenic (arising from other structures of lumbar spine such as facet joints, paraspinal/quadratus/ piriformis muscles spasm, vertebral body itself in case of compression fracture, sacroiliac joints etc). It is important to show to interventional pain specialist or orthopedician dealing with spine (not every orthopedician goes into spine details) for proper diagnosis & according to diagnosis treatment will vary from conservative management with physiotherapy to epidural nerve block to minimally invasive spine interventions such as disc nucleoplasty or even surgery in some cases, such as endoscopic discectomy or open spine surgery to cure it permanently. My advise will be to get proper diagnosis of backache & treatement further to cure it. Hope it helps.
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I have fracture on my right side foot's finger, fracture is near the finger's joint (but not on the finger, so how much time required to recovery? When will I walk safely?

Homeopath, Kolkata
Movement is to be restricted, use bandage and symptum 200, one drops in 1/2 cup ofwater twice daily for 30 days.
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I have a shoulder pain, before 3 years back shoulder dislocation is happen to right hand. So pls give me a exercises list and food list for strong bone and joints.

MD Ayurveda,MD - Ayurveda
Ayurveda, Trivandrum
Hallo lybrate-user. If you had dislocation 3 year back. It is important to know details of injury. Because the way of injury help to give an idea about the structures which can be involved in the injury. What I think is you had a ligament injury at that time which was given less attention. This could trigger the pain in long run. Best way to improve joint stability is to have soup of goat meat. If you are veg you can have sprouts soup. Include protein foods daily. Also apply oil do massage daily.
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I have spinal tb in l3 and l4. I have done 3 months of treatment and now have stopped this ethambutol medicine from 3 days and my throat is very sore and dry. I am having trouble in swallowing saliva! is it because of medicine or is it something else?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
Do not stop the medicine without doctors advice if you do so you will not get complete cure and it may spread to some other area consult your doctor immediately.
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I have a pain in my knee. And it is very paining me when I walk and until it's pain when I was stop.

Physiotherapist, Noida
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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