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Dr. D.Badrinarayanan

Anesthesiologist, Chennai

Dr. D.Badrinarayanan Anesthesiologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. D.Badrinarayanan
Dr. D.Badrinarayanan is a renowned Anesthesiologist in Tambaram West, Chennai. You can visit him/her at Hindu Mission Hospital - Tambaram in Tambaram West, Chennai. You can book an instant appointment online with Dr. D.Badrinarayanan on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 28 years of experience on Lybrate.com. You can find Anesthesiologists 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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No 103, Gst Road, Tambaram West. Landmark: Near Railway Level Crossing, ChennaiChennai Get Directions
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I am having swelling and pain just above my knee and can climb up the stairs but it pains with every step I get down the stairs. I am 55 yers and recently my blood test for rheumatoid arthritis came nil. If I wear knee cap there is little relief. What could be the cause and cure for this?

MBBS, MD - Internal Medicine, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
I am having swelling and pain just above my knee and can climb up the stairs but it pains with every step I get down ...
Likely a case of osteoarthritis and the permanent cure is total knee replacement. Else you must go through vigourous physical therapy and weight losing exercises. Try to contact a rheumatologist for replacement of knee joint fluid
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My symptoms are tiredness, fatigue, muscle pain and little joint pain sometimes. If I take 200mg of hcqs per day, I feel good and normal. If I take 400mg of hcqs per day, I get headache, nausea, dizziness, tiredness, muscle pain etc. So, pls suggest me the strength of hcqs I should take?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly adjust the dose to minimum required, to control your symptoms. Have your tests done periodically to rule out any side effects.
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Plz give me some valuable suggestions for my mom to loose her weight to avoid leg swelling and pain in thighs. And she has diabetes and blood pressure problem also. Thanks.

M.Sc - Dietitics / Nutrition, Diploma in Diet and Nutrition, Certificate Of Diabetes Education , Ph.D.Nutrition
Dietitian/Nutritionist, Indore
Plz give me some valuable suggestions for my mom to loose her weight to avoid leg swelling and pain in thighs. And sh...
small frequent meal, low salt, more fruits, salad have, avoid sweet, oil, butter have, tonne milk and butter milk.
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I have difficulty in walking and through calf pain and low back acts. According to reports my EHL is weak and DTR is absent. MRI report-facet joint arthrosis is seen at L4-5 and L5-S1 along with laminectomy. Cystic lesion at T12-4 splaying of nerve roots and kinking of conus. Narrowing of respective neural foramina.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have difficulty in walking and through calf pain and low back acts. According to reports my EHL is weak and DTR is ...
Do Take IFT and laser Therapy for pain relief for 12 days followed by Mobilisation and postural exercises from physiotherapist Best wishes.
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I fell from bed last night and now my back is paining very hard. Some part of my back has turned slightly bluish. I took a pain killer (zerodol-P) but after some time. Pain started again. What should I do?

Master in Physiotherapy( Neuro)
Physiotherapist, Delhi
I fell from bed last night and now my back is paining very hard. Some part of my back has turned slightly bluish. I t...
Dear lybrate-user, please use cold pack on the back 3-4 times a day for 10-15 mins. Can go for nsaids after consulting a general physician. Bluish discoloration will resolve spontaneously with time. Do write to me if needed any further help.
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Hi doctor, i had a surgery of pilonidol sinus 3 weeks before but now i am having a back pain where the surgeon inject at time of surgery. So what should i do now?

MPTh/MPT, M.B.A.
Physiotherapist, Hyderabad
Hi, you have to do back strengthening exercises. Your back pain will be subsided. You have to do it minimum for 2 months.
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I am 26 years old male and I have back pain for last 2 year please tell me what should I do?

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
Do some back and core strengthening exercises. Do stretching also. Thanks and regards Dr. Ritesh kharnal
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Hello sir I want to share my problem with you I have a back pain every time my waist pain iam taking some medicine but am not feeling well sir please give me some advice for me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hello sir I want to share my problem with you I have a back pain every time my waist pain iam taking some medicine bu...
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress 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 & general exercises. It may have to be further investigated. You will need other supportive medicines also. 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, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am 29 old male I am suffering from sciatica and back ache problem I have consult the many doctors and I get mri scan but no result what should I do please solve my problem.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear, well, you need good clinical work up to find the cause of your back pain. I can treat you with spinal manipulation and may be you can be back to normal. Dr. Shrenik
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I am suffering from bone erosion on knee and much pain. What should I do to a well and pain free life?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from bone erosion on knee and much pain. What should I do to a well and pain free life?
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 24 yr Old male and I am suffering from NECK pain from last 4 months. I am travelling by bike 80km daily and wearing helmet too. Pls help!

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress 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. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5days, contact me again.
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I am a 26 years male having backache from two three days tried some common painkillers but no relif please help.

BPTh/BPT
Physiotherapist, Kota
I am a 26 years male having backache from two three days tried some common painkillers but no relif please help.
•Lie on your back. •Move ankles up and down. Repeat 10 times. •Repeat 10 times. Heel Slides Lie on your back. Abdominal Contraction •Lie on your back with knees bent and hands resting below ribs. •Tighten abdominal muscles to squeeze ribs down toward back. •Be sure not to hold breath. •Hold 5 seconds. •Relax. •Repeat 10 times. ••Slowly bend and straighten knee. •Repeat 10 times Wall Squats •Stand with back leaning against wall. •Walk feet 12 inches in front of body. •Keep abdominal muscles tight while slowly bending both knees 45 degrees. •Hold 5 seconds. •Slowly return to upright position. •Repeat 10 times.
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Chronic Pelvic Pain

BAMS
Ayurveda, Sonipat

5 ways to chronic pelvic pain

Chronic pelvic pain can be caused due to various reasons. Pelvic pain, at times, can become unbearable and cause much discomfort to the individual. Immediate treatment of chronic pelvic pain is necessary, in such circumstances. However, just as everything in the world has natural remedies, there are certain natural remedies for such pains as well. One can try and harness the natural properties of the food that they consume in order to recover from pelvic pains. Some of the foods that can be consumed and which give a considerable amount of relief are listed below.

 

Yogurt: At times, pelvic pain is caused due to vaginal infection. To combat such infection yogurt is applied to the vagina and left for some time before washing it off. Yogurt contains lactobacillus bacteria which is considered to be a good kind of bacteria that helps in fighting its disease-causing counterparts.

 

Carotene foods: These include pumpkin, mangoes, sweet potatoes and even spinach. The carotene rich foods help in fighting the bacteria and help prevent infection in the pelvic region. Consumption of such foods at least twice a day would provide you great relief.

 

Garlic: Garlic contains sulphur which is an effective agent in fighting against bacteria and inflammation. Garlic does not only bring flavours to the food but helps in proper digestion and maintaining a healthy stomach. Thus, a combination of both turmeric and garlic can help a lot to combat severe pelvic pain.

 

Baking soda: Sometimes pelvic pain is caused due to bacteria growing in the intestine. The acidity of the intestine promotes the growth of these bacteria which causes pelvic pain. If you consume one tablespoon baking soda mixed with water every day then the alkalinity of the baking soda neutralises the acidity of the stomach. This makes it impossible for the bacteria to thrive and reduces pelvic pain.

 

Turmeric: Often pain in the pelvis is caused due to bacterial infection or inflammation of some sorts. Both these conditions can be tackled by using turmeric. Turmeric has anti- inflammatory and anti-bacterial properties which help in fighting against these problems and lessening the pain to a considerable amount.

 

Thus, you can try and apply these homemade remedies in curing your pelvic pain. However, if these remedies do not seem to work and the pain drags on or increases, then it is recommended to see a professional ayurvedic practitioner as soon as possible.

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My right leg's thumb has very heavy pain when I touch it so any pain relief cream I can use for it, Please advise.

BPTh/BPT
Physiotherapist, Mumbai
My right leg's thumb has very heavy pain when I touch it so any pain relief cream I can use for it, Please advise.
Hi you can use volini or dfo gel. Apply cold pack for 20 min. Thrice a day for 5 days. Still pain doesn't go and need further advice contact me via lybrate. Wishing you a good health.
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I am 28 year male last two or three month I am suffering from leg pain and also felt fatigue. I took medicine from many doctors but no avail. please advise me why is and should I do to get rid of it.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 28 year male last two or three month I am suffering from leg pain and also felt fatigue. I took medicine from ma...
Take acupressure Treatment + Kali phos 12 X + mag.phos-12 X 4 tabs thrice a day with warm water for 5 days. consult private online.
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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.

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I am 35 years old and have spodelosis. My left arm pains. I have tingling in ring and small finger, wrist pain swelling on shoulder above breast which causes pain in breast as well. Please advice what should I do ?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Pl consult after 5 days for further treatment.
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I have a swollen ligament in my knee and its very pain full I am not able to put comfortable weight on it I also used ice pack over it but is of no use.

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati
I have a swollen ligament in my knee and its very pain full I am not able to put comfortable weight on it I also used...
Visit a physiotherapist, you need to take electrotherapy for few days may be and then some exercises. Also, taping or compression with crepe bandage may be required.
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I have back problem last 3year and problem not found in xray report. What I can do now?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have back problem last 3year and  problem not found in  xray report.
What I can do now?
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then inform
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