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Dr. Rm.Sivasubramaniam

Orthopedist, Chennai

Dr. Rm.Sivasubramaniam Orthopedist, Chennai
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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. Rm.Sivasubramaniam
Dr. Rm.Sivasubramaniam is a popular Orthopedist in Mylapore, Chennai. You can visit him/her at Dr. Rm.Sivasubramaniam@St.Isabel's Hospital in Mylapore, Chennai. You can book an instant appointment online with Dr. Rm.Sivasubramaniam on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 26 years of experience on Lybrate.com. You can find Orthopedists 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.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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I am 26 years of age. I am getting back pain for the past 3 months. How can I get rid of this in future?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am 26 years of age. I am getting back pain for the past 3 months. How can I get rid of this in future?
Hi Thanks for your query and welcome to Lybrate. I am Dr. Akshay from Fortis hospital, New Delhi. You are very young to actually have persistent back pains. 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. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi
1 person found this helpful
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My back is paining from downward every time when I wake up after a long sleep it is happening from week ago and also in gym for weight gaining.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My back is paining from downward every time when I wake up after a long sleep it is happening from week ago and also ...
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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Coccydynia (Tailbone Pain)- Physiotherapy Treatment Approach

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)
Physiotherapist, Bangalore
Coccydynia (Tailbone Pain)- Physiotherapy Treatment Approach

We all have lost our tail with evolution…but did you ever think that the vestigial (redundant) part of that tail which has been left over in us in the form of tailbone can mess up with our daily activities and torture us to the level of not allowing us to sit!

If you are not able to sit or if you are experiencing pain when sitting right at the tail bone region, you may be having ‘Tailbone Pain or Coccydynia’.

What is Coccydynia?

The coccyx, also referred to as the ‘tailbone’ is the last segment of one’s vertebral column. Coccydynia is referred to a disabling pain that occurs in/around the coccyx. This type of pain usually starts when one sits all of a sudden or rises up from the seat after having been seated over a long period of time. Also known as coccygodynia, this condition can mar one’s quality of life. The pain, often described as ‘stabbing’ or ‘piercing’, can radiate to the buttocks, the lumbar spine, and rarely, to one’s thighs.

Anatomy

The coccyx is the final part of one’s vertebral column. The vertebral units are fused together. The frontal portion of the coccyx is the fusion site of the muscles and ligaments which control the functions of the pelvic floor. The coccyx also supports the anus’s position. The gluteus maximus is attached to the posterior part of the coccyx. Ligament or muscle damage, or muscle weakness can cause the coccyx to assume an abnormal position, thus causing pain.

Common Causes:

  1. Sitting for extended periods of time, especially on hard surfaces

  2. Effect of a direct trauma, such as a fall

  3. Giving birth

  4. Bone fracture, tumors or an infection can also cause this condition

How do you know whether it’s Coccydynia?

  1. You will experience pain while sitting, especially on hard surfaces

  2. Localized pain in or around the tailbone that worsens with touch or any pressure applied on it

  3. The pain will become severe when you stand from a seating position after considerable amount of time

  4. The pain might also start during sexual intercourse

  5. The pain increases in women during their menstrual cycles

Diagnosis

  1. Local Coccydynia

    • Traumatic

    • Idiopathic

  2. Radiated or referred Coccydynia
  3. Psychogenic Coccydynia

  4. Chronic proctalgia

Physiotherapy Approach For Treating Coccydynia

Patients diagnosed with Coccydynia are advised to avoid factors which might provoke the pain. The initial line of treatment will include making certain adjustments such as applying gel cushion when one is sitting for extended periods of time. This helps reduce localized pressure and improve his posture. Other modes include:

  1. Mobilizations: This can help realign the posture of the coccyx. Initially, there might be tenderness; hence, it is advised to start with rotational mobilization. To start with, either side should be mobilized first.

  2. Manipulation: This can be done intra-rectal and when the patient is lying in a lateral position. The coccyx is repeatedly extended and flexed with the help of the index finger. However, care must be taken so as to not hurt the rectal mucosa.

  3. Massage: Massaging the coccygeus muscles has also been proven to relieve pain. Biofeedback can also be integrated with it in order to avoid incidences of muscle pull on the coccyx. If you wish to discuss about any specific problem, you can consult a physiotherapist.

4707 people found this helpful

I am a state level player of cricket. Before one month I was suffering from slip disc. Now I am feeling better. I just want to know can I play cricket again if yes then how much rest I need to take.

MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic ), Physiotherapist
Physiotherapist, Mumbai
I am a state level player of cricket. Before one month I was suffering from slip disc. Now I am feeling better. I jus...
Whenever you going for play always do stretching exercises of back and daily 2 back strengthening exercise.
1 person found this helpful
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I am 18 years old I am suffering from leg pains for past two days what should I do for that.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I am 18 years old I am suffering from leg pains for past two days what should I do for that.
You may take amag. Phos. 12 x four tablets at a time for two days and call back for further course of medicine. Take vitamin d also.
3 people found this helpful
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Hello sir, My age is 25 years. I am using pc last 2 years I have starting period of my bottom of my back bone pain. After I leaving from pc I feel that pain and will cure in 2, 3 min so how to solve this please help me.

MBBS, MBA (Healthcare)
General Physician, Delhi
Hello sir, My age is 25 years. I am using pc last 2 years I have starting period of my bottom of my back bone pain. A...
avoid forward bending. do back exercise{ back stretching, while lying on back}, take balance diet. take milk and good quality protein. eggs, paneer, pulses. maintain your posture when ever working on computer. it will help you.
1 person found this helpful
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I am 24 year female. I am suffering from knee pain from last 2 months. I tried creams but no use. What should I do?

MD - Anaesthesiology
Anesthesiologist, Anand
I am 24 year female. I am suffering from knee pain from last 2 months. I tried creams but no use. What should I do?
You are very young and you weight is also proper. So I think you should consult an orthopaedician for your knee pain who will advice you an x ray and an mri and advice you accordingly.
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I am 50 year Old diabetic patient and is controlled sugar level but I have pain in joints i. E shoulders and legs please suggest me should I take some calsum presently I am taking glisephase g2 one in morning and evening. Onglyza 5 in mid day meal and diatal also and which calsum I should take ?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
I am 50 year Old diabetic patient and is controlled sugar level but I have pain in joints i. E shoulders and legs ple...
Try this for joint pains try this. Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.
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Hello doctor I'm siya having upper right back pain since august last year. I tried everything but nothing working. Can this pain because of immune weak or digestion weak issue? Help me.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Hello doctor I'm siya having upper right back pain since august last year. I tried everything but nothing working. Ca...
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.
1 person found this helpful
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What are the reasons of head ache and joint pain in normal age 30-40 years persons and please suggest me how to overcome from this?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
What are the reasons of head ache and joint pain in normal age 30-40 years persons and please suggest me how to overc...
It is more of neurological and pathological cause for headache and degenerative changes in joint pathological cause or of mechanical injuries were main causes for joint pain commonly do avoid stress smoke and anxiety follow breathing exercise whole body stretches regularly to at least 15 minutes per day and timely food with balanced diets best wishes.
2 people found this helpful
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Hi I have acidity issue since last one year I tired all the thing but no permanent solution Bcoz of that only I always feel back pain problem.

MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Hi I have acidity issue since last one year I tired all the thing but no permanent solution
Bcoz of that only I alway...
Those who suffer frequently from acidity problems may refer to having an “acid stomach.” Eating spicy foods, lack of exercise, irregular eating habits, stress, or drinking alcohol frequently can lead to acidity problems. Drink a glass of lukewarm water every day before going to sleep and immediately after waking up in the morning. Do not drink water during or immediately after a meal though, as it can lead to improper digestion that can contribute to acidity.
1 person found this helpful
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I have headache and also sneezing. There is cough and cold. Body pain. Leg pain. Hand swelling and pain in back.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have headache and also sneezing. There is cough and cold. Body pain. Leg pain. Hand swelling and pain in back.
Sneezing, sore throat, a stuffy nose, coughing - everyone knows the symptoms of the common cold. It is probably the most common illness. In the course of a year, people in the united states suffer 1 billion colds. What can you do for your cold or cough symptoms? besides drinking plenty of fluids and getting plenty of rest, you may want to take medicines. There are lots of different cold and cough medicines, and they do different things. Nasal decongestants - unclog a stuffy nose...i.e ................ nasal dop/spray.....nasivion Cough suppressants - quiet a cough...................................... syp. Brozedax Expectorants - loosen mucus so you can cough it up.............syp...zeet expectorant Antihistamines - stop runny noses and sneezing.....................tab/syp....levocetirizine Pain relievers - ease fever, headaches, and minor aches and pains.......tab..flucold plus . Here are some other things to keep in mind about cold and cough medicines. Read labels, because many cold and cough medicines contain the same active ingredients. Taking too much of certain pain relievers can lead to serious injury. Do not give cough medicines to children under four, and don't give aspirin to children. Finally, antibiotics won't take.
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Hello hi I am suni I was suffering from backache for last 2 years I have used some medicines bt have not worked on me.

BPTh/BPT
Physiotherapist, Delhi
Hello hi I am suni I was suffering from backache for last 2 years I have used some medicines bt have not worked on me.
Dear lybrate user use hot pack 15 minutes twice a day and use ointment stretching exercise of back muscles, strengthening exercise of back muscles, avoid forward bending, heavy weight lifting use hard bed. Change working habit etc.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.
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5 Ways To Prevent Sports-Related Injuries

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
5 Ways To Prevent Sports-Related Injuries

Do you remember the last time you had a searing knee pain in the middle of your morning run? It was probably because you did not warm up properly. The incidence of injuries in various sports has gone up in the recent times, and it is mostly due to the lack of proper warm up exercises. However, other factors come into play as well, such as the pressure of increased workload on the current batch of athletes, missing a trick or two with the proper technique to be followed, etc.

In order to reduce the risk of an injury, it is advised to follow these simple tips:

  1. Set realistic goals for yourself: Don’t go overboard with anything that includes repetitively stressing and straining your body over a certain degree. If you are planning to go for a run or hit to the gym, make sure you set goals that you can sustain and find feasible. One example of this would be to not increase the amount of weight drastically while lifting weights as it can lead to serious injuries.

  2. Follow the right technique: Proper technique is very important in sports, a lack of which can lead to injuries. Ask your trainer to observe your form when you perform any activity. Focus on your breathing and posture when you are exercising.

  3. Warm up before you begin exercising: Warming up before you exercise or play a sport is important as it helps loosen your muscles and boost blood circulation. It drastically reduces the risks of sustaining injuries, and also prepares your body for the subsequent exercise.

  4. Cool down: Similar to an essential warm up is the need to cool down; it is another aspect that should not be ignored. Cooling down usually consists of stretches and postures that promote flexibility. The muscles become sore after working out. Stretching can help reduce post workout pain and make the joints flexible. Cooling down also helps in eliminating lactic acid from the muscles, which means less pain after exercise.

  5. Listen to your body: During an activity, if you feel that you can no longer carry on, terminate the activity. The chances of injury rise if you continue to push your body over your threshold limit. If you think that you can no longer carry on doing something without risking an injury, avoid doing it altogether. Listen to your body, and it shall never fail you. If you wish to discuss about any specific problem, you can consult the doctor.

4542 people found this helpful

From last 4 to 5 years, I am having back and neck pain. Pain is specially in left portion of those parts of body. I have pain even in morning after sleep. I experience pain in legs also. I feel unable to sit properly in a position for a long time. Even after sometime, I need to do some exercise. I have not consulted any doctor yet. Please advise.

BPTh/BPT
Physiotherapist, Delhi
From last 4 to 5 years, I am having back and neck pain. Pain is specially in left portion of those parts of body. I h...
1. Get your MRI DONE FOR LUMBER SPINE. 2. Start with Physiotherapy treatment for Neck and spine. 3. Learn exercises from Physiotherapist. 4. Change your mattress if it is old. 5. Apply volini cream before sleeping. 6. Do Hot fermentation twice a day before applying volini cream. 7. Don't sit on floor. 8. Don't lift heavy things. 9. Correct your Posture. 10. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum.
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When I take my bp readings my first reading is about 145/73 and after 5 min it is 130/75 both taken at rest. Why it is so? And my right arm bp is higher compared to left hand by 10-15 points of systolic. Above readings is of left hand.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
When I take my bp readings my first reading is about 145/73 and after 5 min it is 130/75 both taken at rest. Why it i...
Dear lybrate user, There are so many reasons of blood fluctuation. Sometime it is high and sometime it is low. Hypertention is the main reason. Nothing to worry.
1 person found this helpful
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I'm a cricket after my match I use to get a lot much if back pain and sometimes shoulder pain so please can you suggest me any medicine that I could be taking during my innings and have scored well.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I'm a cricket after my match I use to get a lot much if back pain and sometimes shoulder pain so please can you sugge...
Muscle relaxant medicine according your. Otherwise tk rest heat fermentation and physiotherapy treatment if you r cricketer for best relief and continue your game freely. Avoid strain full activity. Avoid long standing.
1 person found this helpful
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