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Dr. Premnadh

Physiotherapist, Chennai

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Dr. Premnadh Physiotherapist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Premnadh
Dr. Premnadh is a trusted Physiotherapist in Nungambakkam, Chennai. You can meet Dr. Premnadh personally at Sowkhya Ayurveda Speciality Clinic in Nungambakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Premnadh on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 33 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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Sowkhya Ayurveda Speciality Clinic

No.22, Jaganathan Road, Nungambakkam, Landmark - Near vijay TV. office, ChennaiChennai Get Directions
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Respected sir/mam, I would like to say that I have some problem about leg and knee what can be the home made solution for this.?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Respected sir/mam, I would like to say that I have some problem about leg and knee what can be the home made solution...
This is a general strain due to excessive walking or standing and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes. One time you can do hot water fermentation that would help to reduce the muscle strain. Osteoarthritic Pain:Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Simple Knee Exercises would help to strengthen the quadriceps muscle which is the key muscle. Specific knee exercises will also help ie. Keeping a soft ball underneath the knee and you have to keep pressing it. That's the simple exercise which will help you to strengthen the knee. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Knee Pain unable to walk one step with walker Her knees would have been totally damaged due to arthritis of both the knees. That's the reason she is unable to walk one step as there will be knee rigidity. Physiotherapy Treatment for Knee Pain You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Wear knee cap so that you will feel firm while walking or climbing stairs. Knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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Hi, I am 25 years old my leg pains every morning, can you please help me with reason behind it?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hi, I am 25 years old my leg pains every morning, can you please help me with reason behind it?
do hot fermentation tk muscle relaxant medicine. do stretching exercise if it work then OK otherwise physiotherapy treatment must
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I am 22 year female and I am having back and neck pain from last few months. I need to sit on computer for hours. Used many ointments and oils but there is no relief. I am very much disturbed due to this. Please suggest something.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 22 year female and I am having back and neck pain from last few months. I need to sit on computer for hours. Use...
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. 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. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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Hi I am having severe pains in my right heels. It worsens specifically in the morning while getting up from bed and while trying to get up from a sitting position. Please let me know the reason and what could be done to get rid of this. Is there any home remedy or medicine available?

BPTh/BPT, MSc Yoga, MD - Acupuncture
Physiotherapist, Chennai
Hi . I think you may be suffering from plantar fascitis or calcaneal spur. Take an xray, it may shoe extra bone growth in your heel if its calcaneal spur. First we concentrate on pain relieving by 7 days of ultrasound therapy. Meanwhile you can do contrast bath bath i. E. Immerse your leg in luke warm water with pinch of salt for 10mins then cold water for 10mins. Do it 3 times per week. When the pain completely subsides then do strengthening of sole of foot muscles by crushing towel by placing it under your sole on floor. Dont wear heels, use soft sole slippers.
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.

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Sir, I am 42 years old, 3 days when I was doing exercise seated on surface I felt some jerk on left side of back waist. It is very difficult to stand up when I seated on chair. Also facing pain during sleeping on the bed. Please advice me what I will do?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear may be you have pulled your back muscle or have a slipped disc. Please apply ice for 20 minutes every hour when awake and if you are not relieved pl see an orthopedic surgeon.
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I am 50 years old women, I am suffering in lumber spondalisish and nerval spondalisis by 10 years, I am treated by many doctors but I am not get cure.

BPTh/BPT
Physiotherapist, Mumbai
Hi I can understand your problem. # relax & stay positive. # take hot and cold foementation. # change sleeping position. # use lumber support. Not all back pains are same, you need specific treatment plan according to your symptoms. To discuss your backpain in detail reply in private consultation. Wishing you a good health.
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I am 25 years old male. I have leg pain for 1month. I'm consult the doctor to get ointment. Then use the ointment in the leg pain but not use pain also increase. So kindly answer how to solve this problem.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 25 years old male. I have leg pain for 1month. I'm consult the doctor to get ointment. Then use the ointment in ...
Leg stretching exercise and heat formation if it work then ok otherwise physiotherapy treatment for you.
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I have a back pain at 2 month and neck also what can I do tell a trick to relive that in a excises please help me for this problem. Thinking you.

M.sc Disability studies (Early Intervention), BPTh/BPT
Physiotherapist, Hyderabad
I have a back pain at 2 month and neck also what can I do tell a trick to relive that in a excises please help me for...
First you should consult physio they will reduce pain by keeping appropriate modalities, and teach you some postural changes. After reducing pain 70 to 80 percent then only you have to strengthen your muscles. Physiotherapist will guide you when you have to start exercises.
1 person found this helpful
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A small clarification is sought on" Whether there is any relation/connection/effect of digestion process and sciatica pain" Appreciate your comments and views. Regards.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Sir according to ayurveda sciatica is vata disease and mainly nervous system's diseases. But if one is using excessive quantity of vata aggravating foods and behaviour then vata is vitiated in the sciatic nerve and gradually pain and inflammation arises either one leg. We suggest to avoid curd, citrus taste e. G. Pickles, tamarind and highly proteineous food. We suggest to hot water sipping boiled with ginger every half-hour. Oil massage and hot fomentation as these are vata pacifying.
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