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Dr. Kavitha

Occupational Therapist, Chennai

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Dr. Kavitha Occupational Therapist, Chennai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Kavitha
Dr. Kavitha is a renowned Occupational Therapist in Nungambakkam, Chennai. Doctor is currently associated with Vidyanjali Therapy centre in Nungambakkam, Chennai. You can book an instant appointment online with Dr. Kavitha on Lybrate.com.

Lybrate.com has an excellent community of Occupational Therapists in India. You will find Occupational Therapists with more than 35 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
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Exercise for Knee Health

DNB (Orthopedics), Diploma in Orthopaedics, MBBS
Orthopedist, Mumbai
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I am Dr Rakesh Nair. I am an exclusive knee replacement surgeon. Today I am basically going to talk about how to prevent damage to the knees by doing the right type of exercises.  So, the topic today is going to be Osteoarthritis and Osteoporosis. How are they interconnected? How are both important in terms of treatment?

Let us start initially with Osteoarthritis. What do I mean by Osteoarthritis? 

Osteoarthritis means a worn out joint. The same knee which has souls start wearing out as you get older. Therefore, it is called a Primary. So, whether you have a problem at some age or not, this pain is going to happen to you, whether it happens at 25, 35, 40, 45 years. It might also happen at the age of 75 years. Most of my patients are going for surgery between the age group of 75-85 years. So here I am going to show you the right forms of exercises where your knee can last for the lifetime. So, we are looking at an average of 8 spans of 80-85.

So, will your knee last long?

The chances are very less because the present data says that the 80% of the general population has artificial knees because we are out living our knees. We are living much more than our knees can last.

What is Osteoarthritis? means what exactly happens to the joint?

The knees are made up of bones which are a thigh bone which is on the upper side and it is covered with the fine layer of the cartilage which is hardly 1 cm. The same thing is with the bone which is the Shin bone which is the lower part, again which is covered with the cartilage. Between these layers, we have a lubricant fluid connecting both the legs on the side we have strong ligaments which hold the joint together.

What exactly happen in Osteoarthritis?

In Osteoarthritis, the same cartilage which you see starts wearing out. There are small pieces which start wearing out. The joint which straight started getting bent which either like a bow like a deformity or a knock knee deformity depending on how strong or how weak your muscles are. When a  straight knee finally become bent then we have to look for some surgical options.

What are the symptoms of pain in the knee?

The first and the foremost symptoms are when a patient feels pain while climbing and getting down from stairs. So this is the first sign of Arthritis when you get to know that your knee is wearing out. Then they complain of pain, swelling. In the advanced stages, we will see the patients with bent knees, either bent inwards or outwards.

Today, I am going to tell you that can we prevent this damage?

For this, I am going to stress on exercise protocols for strengthening. Now, you need to understand that there is a difference between cardiac training and muscle strengthening. Most patients believe in walking as an exercise. But I would say that walking is the main form of exercise if not balanced properly with strengthening is going to cause wear and tear on the knees.

First, you need to strengthen the muscles which are there in the front and the back of the knees. So we are talking about strengthening the cardio steps and about strengthening the hamstrings. I would be giving you the practical demonstration of how we can do the same. 

These are the normal exercises which I ask 70 years old individuals to do.

  • Initially, the patient is lying down and push the knees downwards. Neeche dabaav daalo or thoda dheela karo. Push down and relax and do it till the count of 50. So, this is the basic first exercise you should do when you start any other exercise. 
  • The second exercise is leg race. This should also be from 5-50 counts. When you can comfortably do 50 counts at a time then we start the same in sitting posture.
  • Lie down with the face down and start bending the alternate knees upwards and then release. This is what you would do for a hamstring strength

So these are the exercises which you can do from the age of 20 years to 80 years. Depending on the muscle strength, you can gradually increase the intensity of an exercise and take it to the next level.

If you are able to strengthen your knees simultaneously as you increase your cardio activity, that would be the best form without any damage to your knees. Another thing is that if you can balance your cardio in terms of saying that if you could do cycling, swimming, walking or running and balance all 25% of your work out when you are working out in the gym. So when you are going to the gym, the first thing should be doing is not going to the tread mill, you should start with the cycling as it is non-weight bearing exercise. Do it for 10 minutes, gradually as you warmed up you can do cross stepper and lastly, you can go to the tread mill. That is the commonest mistake when we talk about cardio. Tread mill should not be the primary exercise when you go to the gym.

Maximum work can get by the trainers in the gym because most of the times you end up doing squats and crunches. Basically, your lower body is not that strong to take the whole grant of the weight. So, I would suggest that if you are 35, 40, 45 years and if you are little heavy in the upper body then please do not start with free hand squats.

First, do the machines. On machines, you can do leg extensions, hamstrings and press rings. And when you start feeling that your lower body is capable of taking weight then start doing squats and lunges. And if you are going to avoid it, it will not make much difference, you can increase your muscle strength in terms of your leg extension and hamstrings.

Running can cause irreversible damage to the knees after the age of 40-45. The 25-year-old individual can run because at the young age, the cartilage has the tendency for the recovery. But after the age of 35 years, there is degeneration. If you want your knees to stay healthy between the age of 35-80, then you need to take care good care of it.

Let me give you some tips on running.

It is important that you wear good running shoes while running and walk on a good walking track. Avoid walking on the roads. Please try to walk on the grass or a mud track. Because walking on the road may cause nerve stress. 

Before you start indulging into exercise, I would suggest you to have blood tests of  Calcium, Vit- D3 and Vit- B12. You will be surprised, when you are deficient in either of these and you are going to take the exercise to the next level, then you will face some damage. Only if the reports of these blood tests are normal then only take your exercise to the next level. Otherwise, there will always the chance of injury.

I always ask females to do basic bone density along with the blood tests which I told you previously. Maximum damage to the female body is done during menopause. But if your basic density of Vit- D3, Vit- B12 and calcium is normal then you will suffer from least damage even after the menopause.

All the above mention tips will definitely help you.

For further information, you can contact me through Lybrate.

 

3820 people found this helpful

Mujhe joint pain hai or a plastics anemia hai jo ab thik hai but joint pain nahi ja raha 4 5 months se.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jammu
Mujhe joint pain hai or a plastics anemia hai jo ab thik hai but joint pain nahi ja raha 4 5 months se.
Joint pain is a complication of a plastic anaemia.u can start tryudashang guggul.this is Ayurvedic medicine
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I am 29 years old and my hands are in too much of pain having from last night, what should I do?

BPTh/BPT
Physiotherapist, Mumbai
I am 29 years old and my hands are in too much of pain having from last night, what should I do?
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply ice packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and manual therapy will help in pain free movement. Best wishes.
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I am having joint pains, my uric acid level is high. How to cure and control uric acid level.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am having joint pains, my uric acid level is high. How to cure and control uric acid level.
High uric acid alone is usually not the only reason for multiple joint pains. Conversely, 90% of multiple joint pains are not because of high uric acid levels.
2 people found this helpful
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My legs was paining since 5days very horrible And 6 months ago metwith accident now it is affecting or not.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My legs was paining since 5days very horrible
And 6 months ago metwith accident now it is affecting or not.
Do Take IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from Neuro physiotherapist best wishes
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I am a 42 year male suffering from hypothyroidism since 2 years. Now I am taking 150 microgram thyroxin. At times I feel joint pain, speech trouble and back pain. Is there a cure for it or not. What would be the diet, precaution and measures to be taken.

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. Hypothyroidism can lead to a wide spectrum of issues like myalgia, fatigue, weight gain etc. For your joint pain, initially you can start with anti inflammatory medications, start with intensive physical therapy, take adequate calcium and vitamin d supplementation and let me know in 2-3 weeks time how you are feeling. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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Since last one month my leg is paining I am concern our street doctor he given medicine but no use please suggest me how to reduce my legs pain.

BPTh/BPT
Physiotherapist, Mumbai
Since last one month my leg is paining I am concern our street doctor he given medicine but no use please suggest me ...
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do streching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief consult physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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I am 41years old lady. If I lift heavy objects or if I work for long time my right hand starts paining.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
I am 41years old lady. If I lift heavy objects or if I work for long time my right hand starts paining.
Hello, Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them . I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
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My Father aged 58 is suffering from a condition in which he feels stain and pain when he walks in his left leg. We approached to Neurologist where after MRI he said that it is Cauda equine syndrome and asked to undergo minor surgery to relive the pressure upon the particular nerves. But we afraid to undergo operation as it may create some other problems too. Please advise.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
My Father aged 58 is suffering from a condition in which he feels stain and pain when he walks in his left leg. We ap...
Hi Well, I can tell you that if it is cauda equina syndrome, then it is advisable to undergo surgery decompressing the spinal canal and the roots because if it is not done, then it can lead to a permanent neurological deficit and bladder and bowel involvement. The question is what surgery is to be done and that will actually depend upon a thorough clinical examination and study of the investigations. So if you can send me the investigations and detailed neurology, I can see and advise you accordingly
1 person found this helpful
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My both hands joints are so weak, what to do sir? but I use calcium tablets from my friend who is working as medical ref.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My both hands joints are so weak, what to do sir? but I use calcium tablets from my friend who is working as medical ...
Do check your vitamin d level from nabl lab and then take calcium tab on advice of doctor do consult neuro physio and learn strengthening exercise.
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I am suffering for muscle pain. After a long days I have join gym. What should I do?

BPTh/BPT
Physiotherapist, Mumbai
I am suffering for muscle pain. After a long days I have join gym. What should I do?
Hi it's obvious to have muscle pain when you start new physical activity. It will in 42 to 72 hrs. Take hot water bath twice daily.
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Im 21 years female I joined gym a week ago . I opted for weight reduction regime it included 1 day strengthening which included planks and biceps n triceps and 1 day abs exercises. I did squats and now my legs hands r paining so much. Yesterday n today I dint go to gym. Shall I go tomorrow will pain subside? Wat to do to reduce pain ? Shal I continue this or do normal cardio daily?

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
Im 21 years female I joined gym a week ago . I opted for weight reduction regime it included 1 day strengthening whic...
Do not stop the weight training. It is natural to have soreness in the muscles when you start weight training and whenever you keep increasing poundages. Drink a lot of water it will reduce the soreness. Exercise should always be a combination of cardio and weight training then you will get your desired results.
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I am a mother of 1 year old kid. My back near tail bone is swallowen and become slight reddish and I have pain. I didn't fall down or got hurted.Kindly advise

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi It is usually due to an inflammatory condition called as Coccydynia. But if it is swollen and getting red and warm, then i will advise you to get some tests done to establish a diagnosis and see an Orthopaedic surgeon personally. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena
1 person found this helpful
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Sir I have leg pain for last 1 year. It gets really bad some times. Could it be I eat too much potato in my diet sir?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir I have leg pain for last 1 year. It gets really bad some times. Could it be I eat too much potato in my diet sir?
Homoeopathic medicine-- adel-39 drops (adel) drink 20 drops in 20 ml fresh water 3 times daily----------- magnesia phos 6x (adel) chew 4 tab every 2-3 hrly till pains subside---------- take a calcium rich diet constituting milk and its products and 1 egg daily.----taking fish oil capsules is also beneficial in your case.
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Have pain between the wrist and the thumb. While twisting getting pain. Not able to even eat the food.

MBBS
General Physician, Mumbai
Have pain between the wrist and the thumb. While twisting getting pain. Not able to even eat the food.
Dear lybrateuser, - Avoid movement of the thumb till pain subsides - do warm water fomentation twice a day - apply pain relief gel three times a day - take a pain relief tablet after meals if pain is more - do an x-ray of the area to rule out any other problem.
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My mother's age 62. She have pain in both leg. Complete leg pain very much. And feel weakness in evening. please tell a medicine or home treatment. They have blood pressure.

BPT, BPTh/BPT
Physiotherapist, Delhi
My mother's age 62. She have pain in both leg. Complete leg pain very much. And feel weakness in evening. please tell...
- when pain was started and how gets aggrevated ate also imported point for proper diagnosis. - she might be having arthrits problem, having signs of stiffness, pain specially in morning and eveving. - checkfor vit d, uric acid levels. - she can do herself knee exercises to strengthen her knee exercises like - isometrics. With her knees straight and back supported, place roll of towel and press it till you count 30 and release it .repeat this for 10 times for 2- 3 times per day. - there are more exercoses as muscle strength increases. - kindly consult physio for proper assesment and diagnosis.
3 people found this helpful
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I am 46 year old. For the last six months I am suffering from heel pain simultaneously left/right heel.

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. This kind of pain is usually due to inflammation of your heel fascia. It is chronic pain which get aggravated especially when you walk more and is better with rest. Treatment modalities are aimed at relieving inflammation of the fascia, like ice packs, physical therapy, footwear modification and anti-inflammatory therapy. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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sever pain in joints including knee and shoulder and back also. And no energy in hand get tired so soon. No energy to do the exercise and workouts.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
sever pain in joints including knee and shoulder and back also. And no energy in hand get tired so soon. No energy to...
You should take acupressure treatment and take biochemic Mag phos200x + Nat Mur 200x 4 tab each thrice a day with warm water and take it 5 day's and consult private online.
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My feet are paining alot please suggest what to do? I need immediate suggestions without allopathy medicine.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
My feet are paining alot please suggest what to do? I need immediate suggestions without allopathy medicine.
HI, YOU TAKE ACUPRESSURE TREATMENT, TAKE BIOCHEMIC MAG PHOS 12X+CALC FLOUR 12X. 4TAB THRICE A DAY WITH WARM WATER.
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I have joint pains from past 6 months. Now I am using pain relief gel for this. But haven't relief. What should I do? Suggest me a doctor.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I have joint pains from past 6 months. Now I am using pain relief gel for this. But haven't relief. What should I do?...
Apply hot fomentation Get your calcium & vitamin D levels checked Have milk at night before sleeping adding turmeric powder to it Do gentle aerobic exercises
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