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Dr. John Miller

Occupational Therapist, Chennai

500 at clinic
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Dr. John Miller Occupational Therapist, Chennai
500 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. John Miller
Dr. John Miller is a renowned Occupational Therapist in Nungambakkam, Chennai. He is currently associated with Vidyanjali Therapy centre in Nungambakkam, Chennai. Book an appointment online with Dr. John Miller on Lybrate.com.

Lybrate.com has an excellent community of Occupational Therapists in India. You will find Occupational Therapists with more than 32 years of experience on Lybrate.com. You can find Occupational Therapists 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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Vidyanjali Therapy centre

No 148,Vallurvar Kottam High Road, Near To Nungambakkam Police Station,Nungambakkam, Chennai, ChennaiChennai Get Directions
500 at clinic
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Please advice some treatment for bulging of disc I tried everything possible. Visited all type of doctor, did physical exercise and massage as well but still pain persists.

BPTh/BPT, MPTh/MPT
Physiotherapist, Ranchi
Please advice some treatment for bulging of disc
I tried everything possible. Visited all type of doctor, did physica...
Ok, please try for the laser therapy 6 to 10 session may do some change for your back pain please don't discontinue your spinal extension exercises planks, core strengthening exercises, hamstring stretching, standing balance on stability disc or you may try for seragem for one month.
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I had a major fracture in my little finger of left hand and it's been 3 months since it was operated nd wires had been removed since 2 and half month only now I am not able to fold dat finger. What should I do? Do I need to get it reoperated? Or it can b cured by exercises only? If so can u please tell me about it?

Certified Implantologist, BDS
Dentist, Jaipur
Hi.It will be ok with exercise only but Don avoid in doing exercises otherwise it may become permanently. .In beginning there will be mild pain in bending but Don worry no pains no gsins
1 person found this helpful
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I am Amit I want ask about my father, my father is 40 age He have pain in lags joint and some pain in lower part of lags. My father have also diabetes. So please help me about my father problem and make relief Thanks.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am Amit I want ask about my father, my father is 40 age He have pain in lags joint and some pain in lower part of l...
For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises-
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I am a sports person, when I start up some physical exercise I have always pain in my right ankle. Please advise.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am a sports person, when I start up some physical exercise I have always pain in my right ankle. Please advise.
Advice. Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Stretch calves get a custom made insole. Hams stretching. Sports taping. Hot fomentation.
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I am 20 Years old male. Mine vertebral disc b/w L5 and Sacrum is touching Spinal Cord Fibers. What are the treatment I can get?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 20 Years old male. Mine vertebral disc b/w L5 and Sacrum is touching Spinal Cord Fibers. What are the treatment ...
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.
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I have pain in my ankle joints and knee when I get up in the morning. My blood sugar is normal and Uric Acid is also normal. What should I do. I am 52 years old.

CCPH, BHMS
Homeopath, Bhilai
I have pain in my ankle joints and knee when I get up in the morning. My blood sugar is normal and Uric Acid is also ...
You cn hve sprouts daily mrng empty stomach try for few days if you dnt get relief thn try for homoeopathy medications. U cn consult me for tht.
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Hello doctor. I am 19 years old and I am having leg pain problem, whenever I start running.?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello doctor. I am 19 years old and I am having leg pain problem, whenever I start running.?
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation 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.
4 people found this helpful
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Popping sound in my left shoulder. I dont have any pain just a popping sound since last 3,4 months it started after my gym sessions.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Popping sound in my left shoulder. I dont have any pain just a popping sound since last 3,4 months it started after m...
Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side. Warm up and cool down is a must. Contrast bath---It is a form of treatment shoulder is applied warm water followed by the immediate application of the shoulder 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.
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I am 59 years old. In hip joint blood clocked. I have taken medicine in 1988 for a six months. After that nearly 8 to 10 years I have no pain. Nowadays once/twice in a month pain is coming. I am not taking any medicians.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult nearest orthopaedician asap may be with previous doctor who gave you treatment for same just take fresh x ray and rule our joint stability and any a vascular necrosis formation or any other pathological problem with blood tests by your orthopaedic surgeon
1 person found this helpful
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I am a 50 years old lady. I have a spinal cod pain & side pain is very boldly is last one years. For this cause I not walking, sitting & bending. Please give me a advice sir what should I do?

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. You have mentioned spinal cord pain which I think is lower back pain, if that is what you want to convey. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance.
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

4 people found this helpful

Sir. I Am suffering from pain that is under my knee from last six months! This is not joint pain! I have took treatment from an orthopadics . After xray there was no problem found. He suggested me to do exercise but I m already a hockey player. Suggest me Properly . Thanks

MPTh/MPT, MSC CVR, MANUAL THERAPIST
Physiotherapist,
Since you are a hockey player, have the sense of world that your game is causing strain on quadriceps insertion and hence the pain. Visit your nearest physiotherapist, your pain shall be gone in 2 sittings.
4 people found this helpful
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Dr. My mother has been suffering from joint pain and muscle pain if she sits somewhere more than a hour then it becomes very difficult for her to get up yesterday I got her sugar and uric acid reports what I am sending you in picture please tell me that does her these reports and pain in joints has any concern.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dr. My mother has been suffering from joint pain and muscle pain if she sits somewhere more than a hour then it becom...
Lybrate-user, madam, looking at her height and weight it is clear that she has (bmi 51.94kg/m2) morbid obesity, which is the main reason for her problems with joints and joint pain. Unless the weight is reduced joint pain will not go away. She may have to look the option of bariatric surgery, which can help in reduction weight.
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I am very tired before playing football my eys closing my left foot very pain what I can do.

BPTh/BPT
Physiotherapist, Kota
I am very tired before playing football my eys closing my left foot very pain what I can do.
Foot exercises. Do the following exercises barefoot: •1. First write digits 1 to 10 using your toes raised up in the air. •2. Sit on a chair, raise your toes and curl them •3. Pick up a small piece of cloth off the floor using your toes. •4. Still in a sitting position, point your toes and circle your ankles in a slow counter and clockwise motion. •5. Stand up from the sitting position and go on tip toe for 5 seconds.
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I have a pain in my left hand from 3 months .I have taken many pain killer but I am not fine .i am suffering. What can I do now?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a pain in my left hand from 3 months .I have taken many pain killer but I am not fine .i am suffering. What ca...
Hand- advice hot fomentation. Gentle stretching of hand muscles. Ball exercises. Wrist exerciser. Use cervical pillow.
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I am Amit Aneja, Male, 32 years. I am working professional and usually work late on my laptop. I feel some pain at one particular point on my back, right below my left shoulder. Please suggest what I shall to get rid of this. Thanks a lot.

BPTh/BPT
Physiotherapist, Delhi
I am Amit Aneja, Male, 32 years. I am working professional and usually work late on my laptop. I feel some pain at on...
Take physiotherapy treatment and learn exercise. Correct your posture. Take calcium and multivitamin with vitamin d 3 for 2 month.
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My father's age is 50yrs. He has pain in knee. Give some domestic tips or suggest any medicine by which he could reduce his pain.

BHMS
Homeopath, Faridabad
My father's age is 50yrs. He has pain in knee. Give some domestic tips or suggest any medicine by which he could redu...
Hello. We can't reverse the established pathology back, but we can control the process in the stage it is so that it wouldn't grow further. Apply Bakson’s Rheum Aid oil gently (2-3 times a day) and take orally Bakson’s Rheum-Aid syrup/ 1 tablespoon thrice daily. Also, increase your dietary intake of calcium which is present in green leafy vegetables, milk, milk products, sea food, white legumes, dried fig, black-eyed peas, almonds, oranges, seasame seeds. And vitamin D which is essential for absorption of calcium in our body and is synthesized naturally after getting exposed to sunlight, so early morning sunlight for 10-15min. 2-3 times a day is mandatory. Apart from this, do walk daily along with physiotherapy will also help you.
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I am a 62yrs old male since about 3 months I am suffering from shoulder pain though bearable I would like to know the reason for the same. When pain is severe I take! tab of paracetamol -650mg [Dolo]. Pls advise how to go about in this regards and the remedy for the same.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am a 62yrs old male since about 3 months I am suffering from shoulder pain though bearable I would like to know the...
Requires detailed investigation and examination Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try 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 fomentation. 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 you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.
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I am 20 year old. My legs are paining from some few days. I got hurt when I playing cricket. I am using ointment but I do not get any relif? What should I do.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 20 year old. My legs are paining from some few days. I got hurt when I playing cricket. I am using ointment but ...
Tens therapy and heat fermentation and avoid long standing and do rest start stretching exercise in daily routine.
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