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Dr. Nataraj

Anesthesiologist, Chennai

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Dr. Nataraj Anesthesiologist, 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.
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Dr. Nataraj is an experienced Anesthesiologist in Cantonment, Chennai. You can consult Dr. Nataraj at St Thomas Hospital in Cantonment, Chennai. You can book an instant appointment online with Dr. Nataraj on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 30 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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St Thomas Hospital

No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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I am 53 years old female. I have knee pain after I fell on the bathroom and hit on the knee. Please Advise what should I do?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
When? any injury or swelling? if so give hot water fomentation. Also massage the knee cap area with an oil. Give pressure at the hollow point inside, opposite to the knee cap. Repeat 20 times at a time. You should be alright in 4 days
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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.

I am 40 year old I have sever pain in my lower back area I gets sprain in my back everyday am also becoming weak day by day and also mu head pains allot I do not know what to do help me please .

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 40 year old I have sever pain in my lower back area I gets sprain in my back everyday am also becoming weak day ...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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Can we discuss about our private parts. Its quite important actually. Kindly revert back.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Can we discuss about our private parts. Its quite important actually. Kindly revert back.
Low stamina for sex is a disease that should be treated properly. All you need is to consult doctor to find out the exact cause of low stamina, so that we can give you the treatment. If the cause is not treated, no treatment will help.
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Sir, my daughter age 22 has suffered disc hrination and undergoing tratment of a spinal surgeon my question is 1) is recovery fast in younger adult than middle aged person? 2) is forward bending prohibited for whole life?

BPTh,Cert.MDT
Physiotherapist, Mumbai
Recovery depends upon the injury n severity. Forward bending should be started once shes out of pain totally. But there is a way n time to do it. So consult a physiotherapist
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Hello my husband having a back pain on both side from last 4-5 days. please tell me what will be the reason. N medications.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hello my husband having a back pain on both side from last 4-5 days. please tell me what will be the reason. N medica...
This treatment is being suggested on bases of the information provided. I would like to examine & investigate your husband in detail. Rule out Hypertension, Diabetes or other metabolic disorder. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac 100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Avoid direct flow of AC or Cooler. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for Back. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again (through this platform) Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit nearest hospital. I hope I have answered your question to your satisfaction. Kindly rate the answer. Wish you a quick recovery & good health.
1 person found this helpful
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Sir I am suffering from back pain from last few months and I visit a doctor he suggested me few exercises and I do them on regular basis but there is no relief and fewer times the pain gets worsen suggest me what to do.

BAMS
Ayurveda, Ambala
Sir I am suffering from back pain from last few months and I visit a doctor he suggested me few exercises and I do th...
* first correct your sitting posture. Do not bend your lower back. You can use lumber belt for support. * do regular back strength exercises. Move your clockwise and anticlock wise. * do not sleep on very soft bed, sleep on slight hard cotton mattress. * do tadasana and bhjangasana for back strengthening. If you can not understand these asans you can consult me. * take calcium rich diet and calcium and vitamin d supplements regularly. *do not take any heavy weight or heavy work. * if you are over weight then follow a good and effective diet plan to loose some kilos of weight. You can consult me to get a diet chart. * you can take guggalu tablets of himalaya for fast relief.
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Sir my mother hands and fingers are swelling in early morning and right side leg knee area back side also a round swelling what's problem sir, which doctor I consult sir please tell me immediately sir.

MD (Hom.), BHMS
Homeopath, Delhi
Sir my mother hands and fingers are swelling in early morning and right side leg knee area back side also a round swe...
You can give her homoeopathic medicine actea spicata 30-5 pills three times daily for 2 weeks. Revert back after 2 weeks with feedback.
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I have Paine in my shoulder of my left hand sense Las 4 to 5 days is it related to Hart attack or its just normal pain, I didn't understand.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have Paine in my shoulder of my left hand sense Las 4 to 5 days is it related to Hart attack or its just normal pai...
If pain is also in chest that may be heart problem otherwise its only muscular ya bone problem of shoulder tk muscle relaxant medicine and avoid computer work.
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I have back pain problem. Since long. Can't sit property for awhile. Please suggest some remedies.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
I have back pain problem. Since long. Can't sit property for awhile. Please suggest some remedies.
Hello lybrate-user, start doing exercises for back problem and maintain posture to reduce recurrence.
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I am 26 years old female. I have headache and backache for almost 4 5 years. I do not feel like doing anything. I have lost interest in doing anything.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 26 years old female. I have headache and backache for almost 4 5 years. I do not feel like doing anything. I hav...
Hello apply prasarini oil or pranacharya restopain oil on your affected part and give hot water fomentation .take yograj guggul and agni tundi vati after lunch and dinner with warm water. Take maha rasnadi kwath 2-2 tsf twice a day. Take pranacharya vatari capsule and syrup twice a day. Avoid fermented food. Junk food.
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I am 43 years old. I have problem of neck and back pain. And also hair fall. What should I do?

BHMS
Homeopath, Sindhudurg
I am 43 years old. I have problem of neck and back pain. And also hair fall. What should I do?
Homoepathic treatment for neck pain, backache calc fluor 6x 4pills 3times mag phos 6x 4pills 3times iar 3 backache 3times 20drops for 15days and revert back for further treatment for complete cure.
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Good evening Doctor, 1. I am suffering from back and shoulder pain from two months. Daily I am driving on two wheelers minimum 60 KM to 80 KM. 2. And also I have migraine Headache. Please suggest me what is solution above the problems.

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Good evening Doctor, 
1. I am suffering from back and shoulder pain from two months.
Daily I am driving on two wheele...
Your pain most likely is from your prolong driving. You need to do specific stretches and strengthening for your back. Try to take a break at 30 km and stretch for 2- 3 minutes then drive again. Do hot or cold fermentation at home as tolerated. For headache consult neurologist. Sometimes it can be due to tight neck muscles and exercises can help that too.
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I have heavy shoulder pain for several days. What medicine should I take? What may be the the reason for pain?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have heavy shoulder pain for several days. What medicine should I take? What may be the the reason for pain?
Pain in shoulder can be either muscular or joint pain.The reason can only be confirmed after physical examination.But for that time start taking following homoeopathic medicines RHUS TOX 30 ( Dr Reckeweg) Drink 2 drops 3 times daily MAG PHOS 6X ( DR REckeweg) Chew 4 tab every 2 hrly Report after 5 days
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Joint pain problems in knees, backpain, am suffering from diabetes from last three month's, also from hypertension,

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Joint pain problems in knees, backpain, am suffering from diabetes from last three month's, also from hypertension,
Homoeopathy has good treatment for your problems without causing adverse effects. Your problems together require comprehensive treatment. Complete details---how and since when each problem started and your other symptoms may be given for very accurate prescription.
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I am a Married women. I'm having diabetes and I'm also having some pain in my legs. Recommend me some medicine please tell me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am a Married women. I'm having diabetes and I'm also having some pain in my legs. Recommend me some medicine please...
For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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Hii. My grand mother had fever with extra body and joint pain last week. Fever lasts for 4 days and at that time maximum temperature was 102 Fever now there is no fever from 5 days but joint pain is still there, she can't even stand. Her parkinson treatment is also going on since 5 years. Now what should she take for joint pain relief.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hii. My grand mother had fever with extra body and joint pain last week. Fever lasts for 4 days and at that time maxi...
Do hot fomentations and put a towel roll under knee and press for 10 second then release repeat 10 to 15 time twice a day.
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Hello., I was suffering from muscle pull in my back. During weight lifting in the GYM at morning. please help me.

BPTh/BPT
Physiotherapist, Delhi
Hello., I was suffering from muscle pull in my back. During weight lifting in the GYM at morning. please help me.
Some days do rest for every work any pain killer medicine take it if you want lose weight so you do not eat oily food only take normal food at home.
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