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Acure Physiotherapy And Rehab Center

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Acure Physiotherapy And Rehab Center is known for housing experienced s. Dr. Indira Trivedi, a well-reputed Physiotherapist , practices in Mumbai. Visit this medical health centre for s recommended by 73 patients.

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Clinic Address
#Shop No 8,Shyam Apt,Mulund West, Landmark: Sarojini Road, Mumbai
Mumbai, Maharastra
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  • PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
    General Physician
    More than millions of people worldwide suffer from joint and knee ache on a daily basis. Usually, this type of pain comes with age, although it can also be a consequence of wearing uncomfortable shoes and having a poor body posture.

    Luckily for those who have this health issue, there is a 100% effective and natural cure. The ingredients of this remedy are rich in magnesium and silicon, known as pain-soothing compounds that have the power to strengthen the tendons and ligaments as well.

    Let's take a look at the recipe for the so called gelatin treatment:

    2 tbsp of unflavored gelatin
    1 orange
    A ripe banana
    2 tbsp of honey

    First, squeeze the orange. Next, peel off the banana and mash it. Afterwards, add the honey to the mashed banana. Then, dissolve the gelatin in water. Use a double boiler to heat it and improve its consistency. After you do this, warm up the orange juice a bit, and add the gelatin to it. Stir the mixture to prevent lumps.

    Next, transfer the gelatin blend into molds and put them in the fridge for 20 minutes. Then, remove the gelatin from the molds, turning it upside down on a plate, and add the honey and banana mixture.
  • MS - Obstetrics and Gynaecology, MBBS
    A menstrual cramp is something which every woman complains of for a day or two every month. Menstrual cramps are usually the pains felt in the lower abdomen, which can occur both before and during a woman's menstrual period. These cramps are caused by a hormone called prostaglandin that causes the uterine muscles to contract during menstruation. When the uterus contracts to shed its natural lining during your period it releases a hormone called prostaglandins which causes pain and inflammation. So higher the level of prostaglandins more severe the menstrual cramps.

    It might be just a minor discomfort for some, but for others it can be severe. The symptoms of menstrual cramps include pain in the abdomen, pressure in the abdomen and pain in the hips, lower back, and inner thighs as well. However, if the cramps are severe you might have an upset stomach, loose stools and vomiting too.

    Three out of four women experience menstrual pains and every one out of 10 women experiences severe cramps. Here are few remedies that might help in relieving the pain:

    Exercise, brisk walking or any type of physical activity can help to ease your belly pain as by being physically active your body pumps more blood, which helps in releasing endorphins to counteract the prostaglandins and reduce your cramps.
    Apply heat on the lower abdomen or the area where you feel the pain as it helps to relax the contracting muscles in your uterus.
    Improve your diet by reducing fat and increasing vegetables. However, avoid foods that contain caffeine and salt.
    Take a warm bath as it may also provide some relief.
    Add ginger in your food as it helps in lowering the levels of the pain-causing prostaglandins.
    Drink chamomile tea at least three times a day.
    Take fish oil supplements, vitamin B1 or both.
    Make sure to get enough vitamin D.
    Have an orgasm as it releases endorphins which has a pain-relieving effect and helps in boosting your mood as well.
    Include more dietary magnesium such as dry almonds and boiled spinach as it helps to ease the pain of cramps.
    Acupuncture also has an anti-inflammatory effect.
    Take a safe painkiller to reduce pain.
    Birth control pills may help relieve painful cramps, but they do come with side effects which may include spotting, breast tenderness, nausea and low sex drive.
    Refrain yourself from smoking and drinking alcohol.
    Finally, have appropriate rest.
    Note: If you still do not get any relief despite trying some of these options then you must visit your doctor to rule out more serious health issues as the menstrual cramps are sometimes caused or worsened by other conditions and any sort of medications for such cramps are to be taken after consulting a Gynaecologist.
  • DNB (Orthopedics), Diploma in Orthopaedics, MBBS
    Knee replacement surgery is a procedure that is used to replace a worn out knee joint with an artificial knee joint. Such a surgery is advised if your knee is causing pain and limiting your daily activities, provided other treatments have failed to cause the desired impact.
    Once the knee replacement surgery is completed, the focus shifts to the recovery phase.
    The duration of the recovery depends on the type of surgery and the individual.
    After the surgery, painkillers are administered to provide relief from the pain.
    In some cases, oxygen is administered through various tubes if required.
    A blood transfusion may also be required after a knee replacement surgery.
    The surgical wound will require a dressing to allow it to heal faster and prevent infection.
    A drain will be attached to the wound to drain out the blood from it and prevent accumulation of blood in the wound.
    The dressing of the wound should be changed regularly.
    Post- Surgery Care
    Post-surgery, you will need assistance to help you walk. If the surgery that you underwent was minimally invasive, then you should be able to walk on the very same day. Your physiotherapist will prescribe and show you some exercises to strengthen the knee. It is important that you follow his/her instructions to avoid complications.
    A passive motion machine is sometimes prescribed as it helps to restore the movement of the knee. It helps in reducing the swelling by keeping your leg elevated and moving the knee when you are lying down.
    Here are some knee replacement recovery tips:
    Avoid doing any work that puts pressure on the knees.
    Eat nutritious meals so that the body receives proper nourishment, thus allowing your leg to heal faster.
    Avoid heavy exercises which can strain your knees.
    Perform all the exercises prescribed by your physiotherapist to speed up the recovery process.
    Do not sit with your legs crossed for a few months after the surgery.
    Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

    Reversal of cervical lordosis explained

    The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

    When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

    Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

    In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

    Reversal of cervical lordosis causes

    The spinal curvature in the neck is constantly in flux to some degree.

    Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

    Scoliosis can affect the normal lordotic curvature in the neck.

    Cervical spondylolisthesis is a major source of reversed lordotic curvature.

    Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

    Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

    Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

    Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

    Effects of reversal of cervical lordosis
    The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

    Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

    In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

    Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

    While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

    The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
    Post whiplash
    Post head injury
    Stomach sleeping
    Poor sitting/working postures
    Congenital spinal curvatures
    Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
    Compression fracture of vertebral body
    Infection of the cervical spine

    Anatomy: straight vs. Curved

    I've always heard that it was good to stand up straight.

    stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

    Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

    When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

    Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

    Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

    In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

    Treatment for cervical curve reversal (kyphosis)
    During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

    Spinal manipulation of stiff and fixated spinal segments by a qualified physio
    Flexibility exercises for flexion and extension of cervical spine
    Resistance exercises for flexors and extensors of the neck
    Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
    Elimination of stomach sleeping
    Avoid standing on your head, although some yoga postures may be beneficial
    Use of orthopedic neck pillow while sleeping.
    What are muscle knots?
    Muscle knots are points within a muscle where contracted fibers are unable to release, or, as the dictionary puts it: highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.

    A common problem for active people, muscle knots technically called myofascial trigger points, or mtps feel like a small knot to your fingertips. These knots can range from the size of a pinhead in smaller muscles to the size of your thumb in larger muscles. 2

    Muscle knots can cause pain in two ways: (1) latent trigger points, which are knots that only hurt when you put pressure on them, and (2) active trigger points, which are knots that actively refer pain along your neural pathways, causing it in non-localized areas.

    Trigger points in a constant state of contraction have excess metabolic waste and oxygen use because blood flow to this area stops this sends pain signals to the brain. Because your brain wants to stop the pain, it commands the muscle to rest, which leads to under-usage of the muscle. This is what makes the muscle shorten and tighten up.

    What causes muscle knots?
    The most common causes of muscle knots are:

    1) accidents acute trauma, such as bad falls sports injuries that strain you joints and muscles

    2) postural stress sitting too long with poor posture, sitting with no support, lifting improperly

    3) overstimulation
  • MD - Skin,VD & Lepxsy, MBBS
    As children we wait to grow up and have a strong body as endorsed by our favorite movie stars, athlete, close friends and family members. We all strongly believe that a good physique is a great ways to attract people. What we often fail to recognize is that reaping a healthy body and a good physique requires small daily inputs. There are small things which most of us can do to help our muscles remain young and strong. Read on to know more about some magical ways to look youthful.

    Lift those Weights: While most think of cardio workouts, not everybody turns to the weights. Weights are one of the best ways to maintain muscle mass. Include it as a part of your routine, do it often, and gradually increase the frequency and the weights to cover all body parts including arms, back, shoulders, chest and legs.
    Eat more protein: A protein-rich diet reduces the risk of muscle loss. While most people tend to just move to an all-protein diet, that is not the best way. For 1 kg of your weight, add 1.5 g of protein in your diet. For muscle building, you need about double what a normal person would need, which is about 0.8 g per kg. As a safe practice, check with your trainer and dietitian to arrive at a diet that would suit your requirements.
    Plan your meals: As your body needs all essential ingredients, plan your meal to ensure it covers all nutrients. From a muscle building point of view, ensure the required amount of protein is packed in all the 3 meals. It is good to spread out the protein intake through your meals rather than have one protein-loaded meal in a day.
    Pomegranates: These so called 'wonder fruits' contain a molecule which reduces the effects of ageing in the muscles. There are even pomegranate extracts which are believed to provide the same benefits, so the season is not a problem.
    Get some sun: While it is definitely not advisable to sun bath daily, getting a good amount of sun on a daily basis is very good for both the mind and the body. Sunlight, which is the main source of vitamin D, can reduce muscle weakness. It is also essential for calcium absorption, which is essential for muscle and bone health. Reduced amounts of vitamin D have been shown to lead to muscle wasting. A good idea is to walk or run out in the sun instead of in the gym. You get the benefits of both the sun and the workout, leaving you rejuvenated.

    Try these simple tricks and see your muscle take time to lose their firmness and strength.
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  • Canadian Academy Of Homeopathy, VLIR Belgium, BHMS
    Pain in back, joints or in muscle can be very troublesome. And, if it continues, then it can cause a lot of discomfort as you then find it difficult to perform even day-to-day activities. Homeopathy can very effectively deals with any pain. Let us check the remedies:

    Homeopathic remedies for back pain:

    Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
    Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you are tired of applying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the concerned medicine.

    Ways in which homeopathy can cure Joint and muscle pain:

    Moving and shifting joint or muscle pains: Many patients have this problem where they face joint or muscle pain, but instead of it being constant in one area, it moves around the body. Pulsatilla is known to effectively reduce the symptoms in these cases.
    Arthritis: One of the most common problems that many people report is that of arthritis and rheumatoid arthritis, which causes a lot of pain in many people. In many cases, the use of Natrum Muriaticum and Bryonia has been known to allay the pain.
    Tennis elbow or tendon related problems: This is a common ailment, which in many cases is caused by strenuous activities, such as sports. Rhus tox has been known to be effective in such cases.
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  • DNB (Psychiatry), DPM, MBBS
    Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourse. This pain occurs on penetration due to the contraction of the vaginal muscles.


    The exact cause of Vaginismus is not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.

    Vaginismus can be primary or secondary depending on the concerned woman s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause. The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.

    Sometimes the pain might stem from underlying infections or any other underlying complications.

    The symptoms of Vaginismus are as follows:

    Severe pain during intercourse.

    Severe pain during insertion of tampons or during any medical check-ups.

    The following treatments can be useful to treat Vaginismus:

    If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.

    If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don t experience any pain during sexual intercourse.

    Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax.
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  • Fellow In Arthroscopy, Fellow In Joint Replacement , MS - Orthopaedics, MBBS
    The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.

    What can cause knee pain:

    Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

    Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

    Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
    Rheumatoid Arthritis, an inflammatory chronic disorder
    Septic Arthritis, causing pain, swelling and redness.
    Gout caused due to the development of uric acid crystals in the joints
    How to deal with it:

    Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
    Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
    Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.
    Ligament Injuries-

    The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

    ACL injury and other ligament injuries can be caused by:

    Twisting your knee with the foot planted
    Getting hit on the knee
    Extending the knee too far
    Jumping and landing on a flexed knee
    Stopping suddenly when running
    Suddenly shifting weight from one leg to the other
    These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.


    Rest the knee.
    Ice your knee to reduce pain and swelling.
    Compress your knee.
    Elevate your knee on a pillow when you're sitting or lying down.
    Wear a knee brace to stabilise the knee
    Practise stretching and strengthening exercises if they are recommended.
    For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.

    Meniscus Tear-
    A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.

    A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.

    Treatment may include:

    Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows.
    Physical therapy.
    Surgery to repair the meniscus.
    Surgery to remove part of the meniscus.
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  • M. Ch. (Ortho), DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
    Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.
    Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.
    Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.
    Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.
    Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.
    Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.
       2503 Thanks
  • MCh - Neurosurgery, MBBS
    Pain causes a lot of discomfort in the body no matter whether the pain is in the back, legs or in the head. Almost all people experience lower-back pain at some point in their lives, which can be extremely painful and can cause considerable annoyance. The first medical specialty that comes to mind for relief of lower-back pain is Orthopedics. The other two specialists that play a vital role in treating lower-back pain are the neurosurgeons and the physiatrists.

    Pain in the Back
    It is very difficult for the body to source the pain when it is deep and this pain could be due to infection, disease or injuries in the back, stomach and heart. It is even possible that the pain radiates to different places in the body. Often back pain is accompanied by body changes like redness, fever, neurological problems, heat, and changes in body functions and for that diagnosis of the back pain may be very severe. Patients suffering from lower-back pain and with symptoms that comprise of weakness in the foot or other symptoms of a neurologic insufficiency must definitely see a neurosurgeon.

    Back pain that occurs due to reversible problems is known to vanish in a few hours or in a day. However, if it continues longer and is accompanied by body changes, then there are chances that the condition can become worse. Visiting a doctor becomes a must for back pain if any of such characteristics are witnessed. It is always better to get evaluated by a physician.

    When to Consult a Doctor Immediately

    Back pain that is followed by a shock like a car accident.
    The pain in the back worsens and is constant
    Back pain continues for more than 4-6 weeks
    The pain does not improve even after taking typical remedies such as taking pain relievers or after resting.
    Severe pain in the back in the night and that is alleviated by rest
    The back pain is accompanied by abdominal pain
    Numbness in the upper thighs, buttocks, groin or in the genital area
    Weakness or tingling sensation in the arm or legs

    Role of a Neurosurgeon
    The neurosurgeon provides non-surgical as well surgical care depending upon the nature of the illness or the injury, and he does not just operate. The neurosurgeons are experts and offer treatment to patients suffering from any injury or disease in the spine, brain or peripheral nerves that deal with arms, hands, feet and legs. But there are many other neurosurgeons that confine their practice to treating back pain.
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  • Diploma in Gastroenterology, Diploma In Pulmonary Medicine , MSCP, BHMS, SVD( skin and veneral diseases)
    Back pain is one the most common problems that you are most likely to experience, given the rigors of the modern day lifestyle. Back pain is usually characterized by a mild to severe pain in your lower back area. Some of the causes of back pain can be:

    An accident or an injury
    Heavy lifting
    Stress and Depression
    Bad posture

    Homeopathy, with its plethora of medicines, serves as a better alternative as compared to its allopathic counterpart in curing back pain permanently, both acute as well as chronic. Homeopathic remedies are completely natural remedies without any side effect whatsoever.

    Here are some basic homeopathic remedies for back pain:

    Arnica: If the cause of your back pain is an injury, Arnica can be one of the best homeopathic medicines. In this sort of a pain, you experience stiffness and soreness at the back of your muscles.
    Bryonia: If your backache worsens with movement, Bryonia can help to cure this problem. You experience a stiff and tearing pain which worsens in humid and hot conditions. Try not to lie on a soft surface if you experience this sort of a pain. Proper rest with this medicine is suggested.
    Kali Carb: Kali carb is best in treating low back pain, especially in females after a delivery. This medicine caters to the sort of a pain which renders a great amount of weakness to your back muscles.
    Mag Phos: It is one of the best homeopathic remedies if you experience a sort of a pain, which is relieved by external application of heat. Pain, both of acute and chronic stages, can be cured by this medicine.
    Rhus tox: If your pain gets worse with movement, Rhus-tox is one of the most potent homeopathic remedies which can treat the issue. This sort of a pain causes stiffness in the back and at times, gets aggravated when you are resting.
    Bellis Per: This homeopathic wonder takes care of pain which is chronic, or which has been left untreated since a long time. Any surgical related back pain problem can also be remedied by this medicine.

    Even though some of the medications are mentioned here, it is better to take proper advice from your homeopathic practitioner, as the dosage and frequency must be decided by your doctor only based on the symptoms and your medical history.
       5098 Thanks
  • BPTh/BPT
    Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

    Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:

    Osteoarthritis: The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:

    severe pain in the knee joints

    pain after walking up the stairs and it subsiding once you are on rest

    severe pain after the movement of joints for a long time

    pain that becomes worse in rainy days

    joints becoming stiff after waking up in the morning but they improve in the latter part of the day

    pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.

    Rheumatoid Arthritis: Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:

    severe pain in the morning

    mild fever accompanying the pain

    joints suddenly becoming swollen, red and warm causing, immense pain

    sudden stiffness of the joints

    pain that increases in cold weather

    mild fever, extreme tiredness and weakening of the muscles

    Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.

    When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:

    If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.

    Muscle-stretching exercises are effective in keeping the knee joints flexible.

    Acupuncture and devices such as knee braces and knee caps can relieve the pain.

    Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.

    If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.
    Physiotherapy For Knee Arthritis-

    Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.

    The main goals of physiotherapy for your knee arthritis are:

    Reduce your knee pain and inflammation.
    Normalise your knee joint range of motion.
    Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
    Strengthen your lower limb: calves, hip and pelvis muscles.
    Improve your patellofemoral (knee cap) alignment and function.
    Normalise your muscle lengths.
    Improve your proprioception, agility and balance.
    Improve your technique and function eg walking, squatting.
       3178 Thanks
  • Fellowship Joint Replacement, DNB (Ortho), D.ORTHO, MBBS, PGCRAM
    Shoulder impingement is a serious condition leading to severe pain in the shoulder blades of a person. Such kind of shoulder pain may affect anybody anytime. It basically affects the area of your shoulder facing stress due to any sort of overhead action. An impactful pressure on the tendons of bones constituting your shoulder gives rise to this disorder. This syndrome can affect a person who paints, swims, lifts or plays tennis on a regular basis. Once caused, persistent rendering of similar activities can worsen the case. If you are suffering from shoulder impingement syndrome, treatment under an experienced medical practitioner is indeed necessary as otherwise, you may have to suffer from tendinitis or bursitis.

    Take a keen look at the symptoms of shoulder impingement
    1. Disabling pain in and around the shoulders
    2. Under the effect of such excruciating pain, a person has restricted use of his or her arms and neck. He or she will face difficulties in reaching to a higher position above his or head. Aiming up behind your back will also be a challenge with the existence of this syndrome.
    3. There is considerable weakness in the muscles of your shoulders, preventing you from working with full vigor
    4. If left unattended, shoulder impingement can worsen to cause Rotator Cuff Tear where the tendons tear into two distinctive parts.

    Available modes of treatment
    1. A doctor might prescribe you anti- inflammatory drugs to relieve you from excess pain. These drugs should only be taken under the close monitoring of a specialist as they might have acute side effects. You might feel nauseous or might have an upset stomach after consuming these medications.
    2. Stretching your arms above your head while holding your body in an erect posture can be of great help. This stretching exercise should be tried out in a warm shower for better results.
    3. Other exercises under the supervision of a physiotherapist can come to your rescue as well. You should try to move your thumb up your back to recuperate from shoulder impingement.
       2436 Thanks
  • DNB Anaesthesiology, PDCC - Pain Management , MD - Anaesthesiology, MBBS
    Pain Management Specialist
    Back pain is one of the most common debilitating disorder in the world today. The pain affects 90% of people at some point of their lives. Human back comprises of various structures (see figure) which are nerves, bones, muscles, ligaments, and tendons, any or all of which can be a source of pain. Once back pain occurs, it may become chronic (more than 4 weeks) and you shall need to consult a pain physician for relief and accurate diagnosis.
    Since prevention is always better than cure, you can save yourself from having back pain if you follow these basic tips.
    Regular Exercise in Correct Form: Regular exercise is important to maintain proper muscular strength of the back. Human back is supported by several big muscle groups (see figure). They serve two functions - one is to facilitate the posture and movements of the back itself and the other is to help movements of the rest of the body appendages (arms, head, pelvis and legs).The health of these muscle group is important to take stress off the spinal bones and maintain proper function. Most of these muscles are red muscle fibers as they need to maintain their activity for prolonged periods of time. Just to give you an idea - your biceps (arm muscles) have to work only when you bend your arm. But your back muscles have to function all the time - whether you sit, walk, stand or even sleep. But the point is what kind of exercises are good for your back? The best exercises for back include body weight low impact aerobics like brisk walking, swimming, stationary bicycling, extension exercises and yoga. What is important to remember while doing these exercises if that you need to be gentle in your movements and achieve correct "form" - this is possible if you can ask someone (preferably a trainer) to observe and point out whether the back stays straight during the exercise. It has been seen that arching and excessive bending is associated with injury to the back while exercising.
    Stay Hydrated and Eat Natural Nutritious diet:The inter vertebral discs contain 70 - 80% water. The muscles and tissues have 60% water content. Therefore, it is important to stay hydrated. In addition, you must eat a nutritious diet consisting of green leafy vegetables, good protein source and just enough carbohydrates. Deficiencies of essential nutrients like Vitamin D can result in diseases like osteoporosis. Another important aspect is to maintain body weight within healthy limits. This is very important as increased belly fat is linked to increased back pain due to mechanical factors.
    Lift objects correctly and maintain proper posture:While lifting objects, keep them as close to body as possible. Do not slouch or bend excessively while lifting. Just keep your back straight at all times. You may bend your knees a little if required (see figure). Think before you lift and get help if needed.
    While working, you must not sit for more than 45 minutes at a stretch. Walk for two minutes, go to a colleague's desk and say hi or even just drink some water or visit the washroom. Humans evolved as hunter - gatherers and our bodies are more adapted to walking / standing than to sitting for prolonged periods. Those of you who travel more and have to sit for long periods of time also need to follow above tips - avoid prolonged sitting in same posture.While exercising, improper position can do more harm than good. Therefore, proper form and posture is a must.
    Bonus tip: Avoid cigarette smoking and those who smoke cigarettes to decrease your chances of having degenerative disc diseases leading to chronic back pain early in life.
    Word of caution to prevent permanent damage: In case of back pain, which is not responding to home remedies or over the counter painkillers, please contact a Pain Physician to pinpoint the diagnosis and appropriate management.
       4243 Thanks
  • Bachelor of Ayurveda, Medicine and Surgery (BAMS)
    Gone are the days when mostly septuagenarians complained of joint and knee pain. The problem today has become common among all age groups. Knee or joint pain at any stage of life is painful, however, the health problem striking early on is scary as one just dreads of living with it in the so many years to come.

    Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain and joint pain can also be permanently cured with this method indigenous to India. Arthritis and Joint pain are among the most prevalent problems faced by adults, mostly old people. As per Ayurveda, 'vata dosha' Is responsible for joint and knee pain.

    Here are some common Ayurvedic remedies, which help reduce knee pain:

    Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains.
    Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications.
    Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
    Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.

    The following are some Ayurvedic home remedies that can be utilized to treat joint pain:

    Hot & Cold Compress: Cold and hot compresses can be utilized to ease your joint pain effectively. Heat compression decreases the pain, increases the blood circulation and relaxes the swollen joints and muscles. On the other hand, cold therapy lessens the inflammation of the affected joint. Place hot and cold towel alternatively on the affected area to achieve immediate relief from persistent pain.
    Turmeric: Add a pinch of turmeric and a teaspoon of honey in a glass of lukewarm water and drink this solution on a regular basis for a week. Turmeric contains anti inflammatory and antioxidant properties, which makes it an excellent remedy for treating joint pains.
    Healthy diet: A balanced diet that comprises a lot of green leafy vegetables and fresh seasonal fruits is good for your joints. The uncontrolled intake of fatty food, dairy products, and high sodium diet must be avoided in order to avoid arthritis and joint pain. Prevention is better than cure and in order to follow that it is always beneficial to get your complete body check up done from time to time.
       5974 Thanks
  • MCh, DNB (Orthopedics), MS - Orthopaedics, MBBS
    Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
    These surfaces closely replicate the original anatomy.

    When do you need a knee replacement?
    When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

    Aim of the surgery

    Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
    Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
    Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
    Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
    Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.
       2457 Thanks
    Pain Management Specialist
    The toes and heels are the most load bearing components within your feet which take most of the weight when walking, running, exercising or even standing up. The heels are an especially vulnerable part of the body which can become painful either due to injuries or excessive stress put on it. Pain in your heels can also be a sign of other problems in your body.

    Causes for heel pain:

    1. Sprains or straining the leg: Exercising is one of the most common culprits behind heel damage. Wearing the wrong shoes over prolonged periods, which can cause your balance to be shifted and will lead you to put strain on your heels and cause pain. Falling or spraining during exercising or training can also cause heel pain.

    2. Fractures: Stress or hairline fractures can occur even without impacts or trauma and also cause pain. It will slowly build up over time. In such cases, you should immediately consult a doctor and take remedial action.

    3. Achilles tendon: A common cause for heel pain, the Achilles tendon connects the calf muscle to the heel. If this is torn or damaged, it can cause pain in your heel.

    4. Arthritis: The deposition of uric acid crystals in parts of your body may result in arthritis; this is a fairly common cause for heel pain as well.

    Treatments available

    1. Change in shoes: Shoes play a major role in the development of heel pain. You will either need to change the shoes or adjust the heels to ensure that they are at an equal and comfortable height and keep your posture natural and balanced.

    2. Foot supports: There are specialized heel supports and wedges, which you can wear with the footwear. These supports help redistribute weight from the problem areas and uniformly distribute it among the other parts of the foot. Heel cups are also another form of supports you could try.

    3. Pain relief medications: Sometimes aspirin or ibuprofen may be required to numb and dull the pain, if getting through the day becomes difficult or you are in the middle of work.

    4. Resting: Sometimes resting is the only medication you can take to relieve the pain as it can only subside once the underlying conditions are corrected.

    5. Ice packs: Cold compress and cold therapy would definitely help in numbing the area and providing temporary pain relief.

    It is however, advisable to visit the doctor if the pain persists and take specialized medical care in more complicated cases wherein the pain is prolonged.
       4201 Thanks
  • FJR, MCH, MS - Orthopaedics, MBBS
    The medical term used to describe a broken wrist is wrist fracture. The fracture might be in the 10 bones, which make up the wrist or in the radius. Some fractures can be serious while others may be tiny. The serious fractures make the bone unstable and these might require surgeries to cure. Open fracture is when the bone breaks and it breaks through the skin. This might cause an infection to the wounded area.

    The most basic cause of a wrist fracture is injury. Any fall on your outstretched hand and you might have to nurse a fractured wrist. This type of fracture is common among sportsmen. If you are suffering from osteoporosis, then you have a high risk of getting a wrist fracture. Traumatic accidents may also cause severe wrist fractures.

    The symptoms of a wrist fracture can be extremely painful. The pain escalates whenever you try to move your wrist or flex it, even if you are just flexing your fingers. Sometimes your hand or arm may even become extremely numb when you fracture the wrist. The muscles in the area become tender and swell up. It is almost impossible to move the wrist after it gets fractured. The fracture causes the wrist or rather the hand to appear deformed. The area around the fracture might even get bruise and a fractured wrist also affects the blood flow in the area. You might even injure your ligaments, tendons, muscles or nerves.

    To confirm and check the level of severity, you are generally asked to get an X-ray done. In order to get a more detailed look at the fracture, you might have to undergo CT or MRI scans as well. Usually to treat a fracture, you will have to wear a splint and move your hand as least as possible. But keep moving you're your fingers otherwise they might get stiff. Your doctor will inform you from when you will be able to move your wrist. Until then try to keep your movements to the minimal.
  • Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
    Pain Management Specialist
    A fracture is a complete or incomplete crack, which appears on a bone due to application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while sub acute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.

    Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them.

    Development of fracture pain
    When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.

    Treatment of fracture pain
    Modern medications can be utilized to treat a fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating a fracture pain. However, these remedies cause side effects, which are harmful for the body. Cortisone shots are utilized for the same purpose as well.

    Prolotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain.

    Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.

    Other measures
    Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.

    Fracture pain occurs not only because of the broken bone, but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied.
       3730 Thanks
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