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Dr. MICHAEL CALINS

MPTh/MPT

Physiotherapist, Chennai

8 Years Experience  ·  300 at clinic
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Dr. MICHAEL CALINS MPTh/MPT Physiotherapist, Chennai
8 Years Experience  ·  300 at clinic
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Personal Statement

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. MICHAEL CALINS
Dr. MICHAEL CALINS is a popular Physiotherapist in Valasaravakkam, Chennai. He has over 8 years of experience as a Physiotherapist. He has done MPTh/MPT . You can meet Dr. MICHAEL CALINS personally at GET WELL PHYSICAL THERAPY CLINIC in Valasaravakkam, Chennai. Book an appointment online with Dr. MICHAEL CALINS and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 38 years of experience on Lybrate.com. 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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Specialty
Education
MPTh/MPT - vikas college of physiotherapy - 2010
Languages spoken
English

Location

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GET WELL PHYSICAL THERAPY CLINIC

19,Prakasam Road, Janaki Nagar, Near kesavarthini old bus stop., Valasaravakkam, Chennai - 600087Chennai Get Directions
300 at clinic
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I'm 35 year female suffering from back pain & heel spur. what medication should I take I already gone for physiotherapy but no relief.

BPTh/BPT, MIAP
Physiotherapist, Ghaziabad
I'm 35 year female suffering from back pain & heel spur. what medication should I take I already gone for physiothera...
It may be due weakness of muscles of back. Or it may be due to slip disc of back at lumbar region causing pain & numbness in lower back. You should consult to a better physiotherapist for it to reduce pain & numbness and to improve muscle power of back. As physiotherapy is the only treatment for it & as per your age surgery is not recommended. Physiotherapy will also work for heel supr. Do hot & cold water heel bath. Use doctors sole in footwear.
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I have been facing knee joint problem but unable to take calcium tablet due to gas and other stomach problems. Request you to advise me how this problem could be solved. Regards

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Yog and Ayurveda
Ayurveda, Navi Mumbai
I have been facing knee joint problem but unable to take calcium tablet due to gas and other stomach problems. Reques...
Hello Lybrate user, knee pain will be relieved with AYURVEDIC TREATMENT. Have you taken XRay of knee joints. I will recommend it to do it as early as possible. Take these Ayurved medicines for three weeks. 1) Yogaraj guggulu 500 mg bd 2) maharasnadi kashay 20 ml with water after meals twice day 3) rasnadi guggulu 500 mg twice day 4) Lakshadi guggulu 500 mg twice day this is initial treatment and will reduce knee pain as well as useful for osteoporosis. Hope this helps you. Feel free to contact me for any query and further information and treatment guidelines. Thank you.
2 people found this helpful
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I am 21 years old I am suffering from irregular periods from 10 months I consulted a doctor and she told that I have pcos. I have taken the course for 6 months and still my problem did not get cured so doctor advised to take tablets for another 6 months I have increased in weight by 7 kgs and have lot of hair loss feeling lot of pain in pelvis region with leg pain and back ache. What should I do now.

Post Graduate Diploma in Echocardiography, Mbbs
General Physician, Ernakulam
I am 21 years old I am suffering from irregular periods from 10 months I consulted a doctor and she told that I have ...
Dear lybrater. For pcos you need to stop eating all frieditems and bakery products. No biscuits. No sugary drinks like bottled drinks. No tropicana. No frooty etc. No cakes. Walk for 45 min covering 4 km daily your periods should be ok.
1 person found this helpful
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I am 20 year old male and have backpain for last 2 or 3 months. I have used some pain relief creams like fast relief moov etc vt still I have the problem.

BAMS
Ayurveda, Ambala
I am 20 year old male and have backpain for last 2 or 3 months. I have used some pain relief creams like fast relief ...
First of all check your posture when you are lifting any material like heavy bucket. And try to lift the heavy bucket without bending your back. You may lift the bucket after bending your knees only. This will definitely help you. * gentle massage with lukewarm mustard oil of your waist area will also give you relief. * surya namaskar is only exercise which you need to do. * in diet vegetable protein of cereal, b complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
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I have pain in my right hip, right side of my back, right leg till the knee and right testicle discomfort or slight pain in the right testis. Please suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
I have pain in my right hip, right side of my back, right leg till the knee and right testicle discomfort or slight p...
You take causticum - 200/ 6 doses. 3 hours gap. Then report me. Or contact me for farther development.
1 person found this helpful
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I am 22 years old I have digestion problem I am nt able to eat and I always feel lk vomiting and even have back pain I used many ointments and medicines bt I did nt got relief? Please suggest me what to do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 22 years old I have digestion problem I am nt able to eat and I always feel lk vomiting and even have back pain ...
Do take ift and vacuum therapy physiotherapy treatment for pain relief for 12 days followed by strengthening and stretching exercises from neuro physiotherapist use firm hard and even mattress for sleep or do comega back with detailed reports for further assistance best wishes.
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Non-surgical Treatment for Cervical Spondylosis - Tips!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Non-surgical Treatment for Cervical Spondylosis - Tips!

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

  1. Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
  2. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
    1. Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
    2. Opiates, for example, hydrocodone, for pain relief
    3. Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
    4. Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  3. Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
    1. Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
    2. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
    3. Exercise routinely to help you recover quickly.
    4. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  4. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  5. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
  6. Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  7. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

ONCE THE CONSERVATIVE TREATMENT FAILS:

Early aggressive treatment plan of back & leg pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total LBP patients would need surgery & approx 20% of discal rupture or herniation with Neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology & response to treatment. Using precision diagnostic & therapeutic blocks in chronic LBP , isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5-S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed. 

NEED FOR NON-SURGICAL OPTIONS: Outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “In case of surgery, the chance of recurrence of pain is nearly 15%. In FBSS or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  1. Dural fibrosis
  2. Arachnoidal adhesions
  3. Muscles and fascial fibrosis
  4. Mechanical instability resulting from the partial removal of bony & ligamentous structures required for surgical exposure & decompression
  5. Presence of Neuropathy.
  6. Multifactorial aetiologies of back & leg pain, some left unaddressed surgically. 

EPIDURAL ADENOLYSIS OR PERCUTANEOUS DECOMPRESSIVE NEUROPLASTY is done for epidural fibrosis or adhesions in failed back surgery syndromes (FBSS). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with EPIDUROSCOPE Sciatica gets complicated by PIVD with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe & effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location & type of PIVD causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or LA was injected. A flexible guide wire is passed at selected location & direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time & location. We inflated the balloon with contrast agent to have visualization of adhesiolysis & opening up of adhesions or root route. Here the balloon pressure & time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure & patient`s response. Once dilatation is done the drug mixture of steroid with LA & or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our Balloon Neuroplasty & foraminoplasty as it is safe & targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via S1 foramen. Now we are employing this technique for fresh cases coupling with Intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The IDD is done by Coblation/ Laser/ DeKompressor or RF Biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “Balloon Neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited & relieved of previously interventionally unmanageable disco-radicular pain including FBSS sufferers. 

INTRADISCAL PROCEDURES:

PROVOCATIVE DISCOGRAPHY: coupled with CT A diagnostic procedure & prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines. 

PERCUTANEOUS DISC DECOMPRESSION (PDD): After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

OZONE-CHEMONEUCLEOPLASTY: Ozone Discectomy a least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, Percutaneous intradiscal decompression can be done via Transforaminal route with Drill Discectomy/ Laser or Coblation Nucleoplasty/ Biacuplasty/ Disc-FX / Endoscopic Discectomy are good alternatives before opting for open surgerical Discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In Biacuplasty radiofrequency energy is used in bipolar manner heating & shrinking the disc & making it harder as well for weight bearing. It also seals the annular defect & ablates annular nerves relieving back pain. In Laser or Coblation Nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

DEKOMPRESSOR: A mechanical percutaneous nucleotome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts & drills out the disc material debulking the disc reducing nerve compression curing Sciatica & Brachialgia. It comes in needle size of 17G for lumbar discs & 19 G for cervical discs. In lumbar region postero-lateral approach is used & in cervical discs anterolateral approach is used. 

DISC-FX & ENDOSCOPIC DISCECTOMY: In this novel technique A wide bore needle is inserted & placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful & sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent & decrease recurrences. Next Higher procedure, Endoscopic Discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion & extrusions causing spinal canal stenosis with root or cord compression with leg pain.

LASER DISCECTOMY done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

SELD: Epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This Procedure is done under vision via an epiduroscope inserted via Caudal canal or Transforaminally employing front or side firing Laser fibers &/or fine instruments. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

3722 people found this helpful

Age is 40 yes. She has so much leg pains while walking legs have arthritis problem I am consulted so many doctors but didn't recover few days back she is unconscious for some time. Doctors told her blood vessels has some water percentage.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Age is 40 yes. She has so much leg pains while walking legs have arthritis problem I am consulted so many doctors but...
Start treatment by giving homeo medicine Sulf. 30 daily one dz. of five drops in water empty stomach for three days. After one week call back with the results and more details fir further course of treatment.
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